STAFF FILE CHECKLIST (Facility)

Resilient Environment Department/Consumer Protection Division

Child Care Licensing and Enforcement Section

1 North University Drive  Plantation, Florida 33324  954-357-4800

Name___________________________________________________________________________

Position_________________________________ Date of Employment_______________________

________ #6 - Personnel record

________ Employment Application with required statement pursuant to 402.3055(1)(b), F.S.

(The child care facility employer shall require that the application for a child care personnel position contain a question that specifically

asks the applicant if he or she has ever worked in a facility that has had a license denied, revoked or suspended in any state of

jurisdiction or has been the subject of a disciplinary action or been fined while employed in a child care facility)

________ Attestation of Good Moral Character

________ Clearinghouse Eligibility Letter (also required for ALL corporate officers)

________ Background Screening and Personnel File Requirements, DCF Form 5131 (Complete page 1 and 2)

(The employer/owner/operator must conduct employment history checks, including documented attempts to contact each employer

that employed the individual within the proceeding five years and documentation of the findings. Documentation must include the

applicant’s job title and description his/her regular duties, confirmation of employment dates, and level of job performance)

________ Child Abuse & Neglect Reporting Requirements, DCF Form 5337 (updated annually)

________ #8 - Physician’s Statement of Good Health for Child Care Personnel

________ Safe Sleep Environment Training (updated every 2 years)

________Proof of Education (High School Diploma/GED or Higher)

________ Staff Credential Verification, DCF form 5206

________ DCF Training Transcript

________ Child Care In-Service Training Record, DCF Form 5268

________ Fire Extinguisher Training

________ First Aid/CPR Certification

________ Bus/Van Drivers-copy of driver’s license (if applicable)

________ Bus/Van Drivers-annual physical granting medical approval to drive (if applicable)

________ Transportation Safety Training (if applicable)

________ Blood Borne Pathogens/Universal Precautions Training (complete annually)

________ Medication Administration Training (if administering medication)

Revised 3/14/24