Illinois Child Care Facility Employment Report Form
This file is used to report on the employment status of individuals employed within a child care facility in Illinois. It includes information on new hires, position changes, and individuals leaving employment. The form ensures compliance with the standards set by the Department of Children and Family Services.
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How do I fill this out?
To fill out this form, prepare the necessary information for each employee, including personal details and employment dates. Different sections capture information for new hires, changes in position, and terminations. Ensure that all details are accurate and that required documentation is attached.

How to fill out the Illinois Child Care Facility Employment Report Form?
1
Enter the month and year of the report.
2
Complete Section A with details of new employees.
3
Complete Section B for employees changing positions.
4
Complete Section C for employees leaving employment.
5
Sign and submit the form along with necessary attachments.
Who needs the Illinois Child Care Facility Employment Report Form?
1
Child care facility administrators to report employee changes.
2
HR departments responsible for maintaining employment records.
3
Compliance officers ensuring adherence to state regulations.
4
Licensing representatives reviewing facility operations.
5
Auditors examining employment documentation.
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What are the instructions for submitting this form?
Submit a completed copy of this form, along with Form CFS 508-1 for listed staff, to your DCFS Licensing Representative. Ensure all sections are filled accurately and signatures are obtained. Submit by mail, email, or fax as per the contact details provided by your DCFS representative. Always retain a copy for your records. Advice: Review the form for completeness before submission to avoid delays.
What are the important dates for this form in 2024 and 2025?
The form should be submitted monthly, so important dates would be at the end of each month throughout 2024 and 2025 for timely compliance.

What is the purpose of this form?
The purpose of the Illinois Child Care Facility Employment Report form is to maintain a comprehensive record of staff changes within child care facilities. By documenting new hires, position changes, and terminations, the form ensures that the facility remains compliant with state regulations set by the Department of Children and Family Services. Regular submission of this form helps to uphold the safety and quality standards required for child care operations.

Tell me about this form and its components and fields line-by-line.

- 1. Date Submitted: The date when the report is being submitted.
- 2. Month: The month for which the report is being filed.
- 3. Year: The year for which the report is being filed.
- 4. Reporting Facility: Name of the child care facility submitting the report.
- 5. Facility Provider ID#: The ID number assigned to the facility.
- 6. Section A: Records personal details and employment dates for new hires.
- 7. Section B: Captures information on employees changing positions within the facility.
- 8. Section C: Details on employees leaving employment, including reasons and dates.
- 9. Director's Signature: Signature of the Director or Executive Director of the facility.
What happens if I fail to submit this form?
Failure to submit this form can result in non-compliance with state regulations, which may lead to penalties.
- Regulation Compliance: Failure to comply with required reporting can lead to enforcement actions.
- Penalties: Non-submission can result in fines or sanctions on the facility.
- Operational Issues: Delays in reporting can affect the facility's operational standing with the state.
How do I know when to use this form?

- 1. New Hires: Report details of newly hired employees.
- 2. Position Changes: Document changes in employment positions within the facility.
- 3. Employee Terminations: Record information on employees leaving the facility.
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