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The Missouri DC 20 form serves as a crucial tool for evaluating the regulatory status of children's programs within the state. This form is primarily utilized by the Missouri Department of Health and Senior Services, specifically the Section for Child Care Regulation. It requires the submission of various supporting documents alongside the completed questionnaire, which helps to ensure compliance with state regulations. Key elements of the form include detailed descriptions of each program, parent policies, and documentation proving affiliation with recognized organizations. For religious organizations, specific tax exemption letters or relevant documentation must be provided to confirm their status. Additionally, the form collects essential identifying information about the program, including its location, contact details, and the administrative structure governing the operation. Program administrators must indicate whether the program is currently operational and provide information about its target opening date if not. The questionnaire also gathers data on the number of children served, hours of operation, and the types of activities offered. Finally, signatures from both the program director and the organization administrator affirm the accuracy of the information provided, thereby underscoring the importance of transparency and accountability in child care services.

Missouri Dc 20 Preview

Missouri Department of Health and Senior Services Section for Child Care Regulation

Program Evaluation Questionnaire

OFFICE USE ONLY

DVN

INSTRUCTIONS

To determine the regulatory status for children’s programs, the following documents must be submitted with this completed questionnaire:

1.Description of each program(s) or pamphlet describing the program(s).

2.Parent policies, handbook, registration or enrollment form (if available).

3.Documentation from a national or regional Title 36, Public Law 105-225, organization that the organization is affiliated in good standing.

4.For Religious Organizations – A federal tax exemption letter as required by section 501(c)(3) of the Internal Revenue Code of 1954, or any amendment thereto; or documentation that the real estate on which the facility is located is exempt from taxation because it is used for religious purposes or copy of letter of exemption from Missouri sales and use tax on purchases and sales; or documentation that the real estate on which the facility is located is exempt from taxation because it is used for religious purposes; and

Organization chart – This chart must show the structure of the administrative lines of authority between the children’s program(s) and the individual or organization that owns/operates the program(s).

IDENTIFYING INFORMATION (Additional sheets may be attached for each program.)

Name of program

Location of program (street, city, state, zip code)

Mailing address (If different from above.)

County

Telephone number of program (

)

 

 

 

ADMINISTRATION

Organization (or individual) legally responsible for operation and management of the program(s)

Address

 

Telephone number (

)

Contact person (name and title)

Telephone number (

)

 

 

Email Address

 

DC-20 (9-08)

PROGRAM(S)

Is this program currently in operation?

Yes

No

If no, please show target opening date _____________ and answer the following questions regarding your

proposed plan.

Number of children

 

 

 

 

Age range

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

 

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Months of operation: (Check any that apply.)

 

 

 

 

 

 

 

 

 

 

All 12 months

January

February

 

March

April

May

 

June

July

August

September

October

November

December

 

 

 

Hours of operation for each program: From

 

 

 

a.m./p.m. to

 

 

 

a.m./p.m.

 

 

 

 

From

 

 

 

a.m./p.m. to

 

 

 

a.m./p.m.

 

Maximum number of hours a child may attend each day.

Number of employees’ children enrolled in the program.

Explain how you are compensated for providing your service, this can include any type of funding received?

Does this owner or organization operate any other child care program?

If yes, name and address of program:

Does this program receive any direct state or federal funds?

Yes

If yes, list any agencies from which you receive funds:

 

Yes

No

No

Explain what type of activities your program will offer (educational, recreational, childcare, etc.)

SIGNATURES

The undersigned is responsible for the information on this form and affirms that the information is true and accurate. (If the administrator and director are different, the signatures of both individuals are required.)

Name and title of the director of the program (Please print.)

Signature of director of the program

Date

Name and title of the administrator of the organization (Please print.)

Signature of administrator

Date

DC-20 (9-08)

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Dos and Don'ts

When filling out the Missouri DC 20 form, it's important to follow certain guidelines to ensure your submission is complete and accurate. Here are ten things you should and shouldn't do:

  • Do read the instructions carefully before starting.
  • Don't leave any required fields blank.
  • Do include all necessary supporting documents, like program descriptions and tax exemption letters.
  • Don't forget to provide accurate contact information for the organization and program.
  • Do clearly indicate the age range of children served by the program.
  • Don't overlook the hours of operation; provide specific times.
  • Do ensure that the signatures are from the correct individuals responsible for the program.
  • Don't submit the form without reviewing it for errors or omissions.
  • Do keep a copy of the completed form for your records.
  • Don't hesitate to ask for help if you're unsure about any part of the form.

Key takeaways

Here are key takeaways regarding the Missouri DC-20 form:

  • The form is essential for determining the regulatory status of children's programs in Missouri.
  • Complete the form accurately and ensure all required documents are attached, including program descriptions and parent policies.
  • If applicable, religious organizations must provide documentation for tax exemption status.
  • Clearly identify the program’s location, contact information, and the organization responsible for its operation.
  • Indicate whether the program is currently operational and provide a target opening date if it is not.
  • Detail the program's hours of operation and the maximum number of hours a child may attend each day.
  • Both the program director and the organization’s administrator must sign the form to affirm the accuracy of the information provided.

Misconceptions

There are several misconceptions about the Missouri DC 20 form that can lead to confusion. Here are some common misunderstandings:

  • Only child care centers need to fill it out. This form is required for various children's programs, not just traditional child care centers.
  • It is optional to submit supporting documents. All required documents must accompany the completed questionnaire to determine regulatory status.
  • The form is only for new programs. Existing programs must also submit the DC 20 form to maintain compliance.
  • Submitting the form guarantees approval. Completing the form does not guarantee that the program will be approved; it is just part of the evaluation process.
  • All information is confidential. While some information is protected, certain details may be subject to public disclosure.
  • It can be submitted at any time. There may be specific deadlines for submission, especially for new programs.
  • Only one signature is needed. Both the director and administrator must sign the form if they are different individuals.
  • All programs operate year-round. The form allows for seasonal operations, and this should be clearly indicated.
  • Only local organizations need to comply. Any organization, regardless of location, that operates in Missouri must adhere to these regulations.

Understanding these misconceptions can help ensure that the form is completed correctly and that all necessary information is provided. This will aid in a smoother evaluation process.

Similar forms

The Missouri DC 20 form is essential for evaluating the regulatory status of children's programs. It shares similarities with several other documents that serve similar purposes in ensuring compliance and transparency. Here are four documents that are comparable to the Missouri DC 20 form:

  • Child Care License Application: Like the DC 20 form, a child care license application collects detailed information about the program, including the number of children served, hours of operation, and compliance with health and safety regulations. Both documents are crucial for regulatory approval.
  • Program Description or Pamphlet: This document outlines the specifics of the child care program, similar to the requirement in the DC 20 form for a description of each program. Both aim to inform parents and regulatory bodies about the services offered and the program's mission.
  • Parent Handbook: A parent handbook typically contains policies and procedures relevant to the operation of a child care program. This parallels the DC 20 form's request for parent policies, ensuring that families understand the rules and expectations of the program.
  • Texas Bill of Sale: Similar to other legal documents, a Texas Bill of Sale is crucial for confirming the transfer of ownership of personal property, providing necessary information for both buyers and sellers. For more details, visit https://topformsonline.com/texas-bill-of-sale/.
  • 501(c)(3) Tax Exemption Letter: For religious organizations, a 501(c)(3) tax exemption letter verifies the nonprofit status of the organization. This is similar to the DC 20 form's requirement for documentation proving the organization's tax-exempt status, which is necessary for compliance with state regulations.