Traverse County is responsible to license and monitor family/group family/specialized child care homes. The licensing process includes signing an application form, a criminal background study, letters from references, a fire and safety check of the home and discussion of the State licensing guidelines and standards. A person must be 18 years of age and residing in Traverse County.

Licensed Child Care Providers: Licensed Child Care Providers 4/19

Department of Human Services Website:

Department of Human Services Forms for Providers and Parents:

Forms for Parents:

Accident Form: ACCIDENT.FORM

Admission & Arrangement: A & A Form

Allergy Form: Allergy Form

Child Care Immunization: Child Care Immunization Form

Infant Rolling Over: Infant Rolling Over

Infant Sleep Alternative: Infant Sleep Alternative

Liability Insurance: Liability Insurance

Monthly Crib Inspection: Monthly Crib Inspection

Permission to Administer: PERMISSION TO ADMINISTER

Permission to Administer Medication: Permission to Administer Medication

Release for PhotosRelease for providers for photos,etc

Rule Summary: Rule Summary

Swaddling: Swaddling

Travel & Activity: Travel & Activity Auth

Forms for Providers:

Age Ratios: Age Ratios

Fire & Storm Log: Fire and Storm Drill Log

Referral of Suspected Child Abuse/Neglect: Referral

Application Forms:

Authorization to Release Info / Juvenile: Authorization to Release Info.court juvenile

Authorization to Release Info / Social Services: authorization to release information ss

Bureau of Criminal Apprehension Release: BCA Check

Fire Safety Verification: Fire Safety Verification

Floor & Escape Plan: Floor Plan

Keeping Kids Safe (Emergency Plan): Keeping Kids Safe     Keeping Kids Safe Fillable


Physician’s Report: Physician’s Report

Traverse County Policies & Guidelines:

Fence Policy: Fence Policy

Pool Policy: Pool Policy

Trampoline Consent: Trampoline Use Permission

Minnesota Rules & Statutes & State Fire Marshal Requirements:

MN Rules 9502 (Licensing): MN Rule 9502

MN Statutes Chapter 245A (Licensing): Statute 245A

MN Statutes Chapter 245C (Background Studies): Statute 245C

MN Statutes Chapter 299F.51 (Carbon Monoxide): MN Statute 299F.51

State Fire Marshal Carbon Monoxide Alarms: FM Carbon Monoxide

State Fire Marshal Child Care (Day Care) Information Sheet: FM CC Info Sheet