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Membership Application 2022-2023 School Year Child Care Facility Religious Exemption from Licensure Application

Part A: Contact Information


Part B: Administrative Contact Information


Part C: Religious Exemption Certificate Fees:

$350.00

As soon as payment is received, the Child Care Facility Inspection Checklist will be issued for the school administrative staff to complete. This is the process that is commonly referred to as the “self-study phase.” Through the self-study phase, a Child Care Facility conducts a systematic and thorough examination of all its components considering its stated mission. This manual will “prompt” you through this examination.

The Inspection Checklist provides the Child Care Facility with a thorough preview of the inspection process, compliance areas and required documentation. 

$850.00

The on-site visit will be scheduled. In addition, NACPS will request an “OCA” number from DCF in order for the staff to obtain fingerprinting from DCF’s Clearinghouse. Once the site visit is completed, the Child Care Facility will be provided with a Site Visit Review (Inspection Summary). This review will address if there are any non-compliance issues that need to be addressed, or remaining questions, or documentation required. When any remaining noncompliance issues or documentation is completed, the Religious Exempt Certificate will be issued. The Child Care Facility will then submit their new Religious Exempt certificate, a Notarized Church letter, a Notarized Affidavit of Compliance and the DCF application to DCF in order to received DCF’s Religious Exemption from Licensure Confirmation Letter.


Part D: Please upload a copy of the following items:

$1,200.00

Your current total for 1 registrant is $1,243.02 (Show Summary)

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