EFFECTIVE PRACTICES IN ENFORCING

CHILD CARE REGULATION

Richard P. Kusrow 
INSPECTOR GENERAL 
OEI.Q3-89-Q701  FEBRUARY 1990
 ........ .... .... .... .......... .... .... ...... ... ... ..... 
..................... ....................... .... ....... 
TABLE OF CONTNTS

N .... .... ..... ........ .... ....  ... ..... .... ... .... 1

I NTRO DU CTIO 

CATALOG OF SELECTED EFFECTIVE PRACTICES ................................ 3
PROCEDURES..................................... 3
LEGAL SANCTIONS AND 
.......................................... 4
INSPECTION REVIEW TECHNIQUES 
MONETARY INCENTIVES AND PENALTIES................................... 6
......... ...... 7
PAR ENTAL I NV 
OL V EME NT 
TRAINING AND TECHNICAL ASSISTANCE FOR PROVIDERS .......... 9
APPENDIX 
CONTACTS FOR SELECTED EFFECTIVE PRACTICES ....................
 INTRODUCTION

PURPOSE 
durng our review of 
The purse of this report is to cataog effective pratices encountered 
States' enforcement of child car regulations. Findings on State regulatory enforcement ef
fort ar contaned in a separte report entitled ''Enforcing Chid Ca Regulations, 
OEI-03-89-00700. 
BACKGROUND 
States have the priar responsibilty for establishing and enforcing stadads and regulations 
car thugh 
reg  g child car. The Offce of Human Development Servces supports cbild 
car 
the Social Services Block Grat (title XX. The Famly Support Act of 1988 funds child 
for Aid to Fames with Dependent Chdrn (AFC) beneficiares who tae par in the Job 
progr 
(JOBS)  Under both Federa progrs, parcipatig 
Opportnities and Basic Skils 
stadads. 
providers must meet applicable State 
Ther ar thee major kids of chid car settgs in the Unite States. Accordig to the U. 
Census Burau, 41 percent of preschool childrn of workg mothers spend their days in the 
homes of others. This is known as famy chid car. Although 48 States regulate famy chid 
car, 19 States derme it in such a way that lare numbers of homes are not covered. 
Twenty-one percent of chidrn under age 5 ar in organize child car centers or preschools. 
Al States regulate child car centers and only tWo do not inspt centers annually. 
The thir tye of arangement, for 30 peent of those under tayge  5, is supervision in the 
chid' s own home by a nanny, sitter, frend or relative. Ths  of care is not regulated in 
ar car 
any State. The remaing 8 percent  for in other settngs. 
METHODOLOGY 
all 50 States, the Distrct of Co
We inteewed child car licensing offcial and inspetors in 
lumbia and New York City. In nine States and New Yor City, these intervews were con
ducte in person. Although we spoke with a varety of other persons, this report is based 
priary on conversations with State licensing adistrtors and inspectors. These respon
dents were asked to identify practices they had found to be most effective in enforcing their 
child car regulations.  Categories Of Effective Practices 
This report is a catalog of selected enforcement pratices. We found a wealth of new ideas 
and protocols in child care regulation enforcement among State and local agenci  s. A sam
pling of these practices is presente in the followig categories: 
Legal sanctions and proedurs 
Administrative closures

Consent agreements 
Investigative protocols 
Inspection review tehniques 
Indicator checklists

Use of interviews 
Inspector training 
Moneta incentives and penalties 
Financial incentves to encourage provider registration 
procedues 
Fines as enforcement 
Parntal involvement

Communicatin between States an parents 
Communicatin between providrs and parents 
Tranig and technical assistace for providers 
State agency practices 
Cooperative efforts with unversities 
More informtion on these practices can be obtaned frm contacts listed in the appendi.  CATALOG OF SELECTED EFFECTIVE PRACTICES 
LEGAL SANCTIONS AND PROCEDURES 
To protet the health and safety of chidrn, it is someties necessar to 
close a facilty. In 
th 
most States,  is a lengthy, tie-consuming proess. Sta unamliarty with judicial proe
Lite 
dur and a lack of legal counsel cause some of the delays.  State legal authorities, due 
process proedurs and contiuig appeals also can alow a faclity to reman open even when 
chidrn s safety is thatened 
Severa State licensing agencies have found adnistrtive closurs to be an effective enforce
ment mechansm. Although State authorties  concept permts immedte clo
var, the basic 
sur of a facilty due to serious safety or chid abuse citations. 
Oter effective State proedurs include consent agrments and investigative protocols. Con
sent agrments reuir that the State agency and the prvider establish a legaly binding 
agrment for the continued operation of the facty if tit ris  repeatedy out of compliance. In
vestigative protocols trai inspectors to develop paper  to avoid legal problems when 
proseutig. Ths is effective when legal counsel is separte frm the licensing agency sta. 
Administratve Closures

Four State adnistrtors cited their authority to close a facilty when childrn ar in imminent 
dager. State offcials in llinois and Nebraka report their adstrative closur proto
cols have ben effective. 
The Dlinois power of adistrtive closur forbids chid car providers frm operating dur
ing the appeals process. The State must intiate enforcment action within 10 days of the cita
tion, but the facilty may not operate in the interim. Thoughout the process, the State agency 
reui 
is  to assist the provider in complying with reguations. 
In Nebraka, when there is imnent dager to the health or safety of childrn in a facilty, 
the State agency may order an immedate adnistrtive closur. The facilty remains closed
durg the 10-day appeal period Nebraka and sever other States indicated that at this point 
many providers choose to give up their licenses voluntay. 
Consent Agreements 
State offcials say "any legal action tends to get a prvider s attntion" and prouce either cor
retive action or volunta closure. For example, the Connecticut State agency for center li
censing has the authority to negotiate a consent agrmen  which center providers must sign to 
keep their facilty open while they corrt 
deficiencies. In the event of furher noncompliance  or refusal to sign the agrment, a center s license can be sumarly suspended until the ap
peals press has ben exhauste 
Investigatve Protocols 
Our intervews revealed that State offcials feel that providers avoid prosecution by using legal 
loopholes. However, we found that most inspetors have educational backgrunds in social 
work rather than investigations. They ar seldom tred by the State to collect evidence and 
obta 
witnesses. 
adss 
To  ths, New Hampshire has established a comprehensive investigative protocol 
with the State agency. Inspctors ar tred to tae offcialy witnessed and signed state
ments when there is probable cause for litigation. Citations ar sent to uncensed providers 
via cered ma with copies to the State Attorey Genera. 
INSPECTION REVIEW TECHNIQUES 
On-site visits ar the most common enforment tehnique. Deisions to issue, renew or deny 
licenses ar bas oil these visits. However, most visits ar shor and inuent. Severa 
States have develope inovative tehnques to help insptors mae the most of these viits. 
A number of State agencies use indicator checklsts or conduct less extensive inspetions if 
there has ben past consistent compliance. These States ar able to devote more enforcement 
resours to deficient facilties. Other States use inteews with chidrn, parnts and provid
er. 
trg 
Inspor  thugh semiar, vides, and handboks improves both the effectiveness 
and consistency of insptions. At least tWo States ditrbute a licensing handbok for inspec
to. These handboks serve as a quick acurte reference in the field. 
Indiatr 
Checklists 
ar 
Indicator checklsts ar used in severa States to inspet centers which  consistently in com
pliance. These checklists include items such as sta to child ratio, group size, and physical 
Both Pennsylvania and Wiscnsin use indicator checklsts for moni
condition of the facilty.  dit  nee 
inspetion resours to the facilties most in 
torig. Their systems help 
In Pennsylvania, the 15 checklist items have proven to be effective quality of car indicators. 
Pennsylvania adnisters the ful-scale inspetion instrment once every 3 year even if there 
by the checklist. 
ar no problems indicated  Wiscnsin conducts a more in-dpth inspetion if there ar problems in one of the indicator 
categories or if other factors suggest it is necessar. Insptors in Wisconsin report that this 
method alows them to focus their energies more effciently. 
Prioriting Inspections Based On Previus Perfonnance

In most States, providers with a history of consistent regulatory compliance face the same de
taed inspetion as a facilty with a  reord However, Tennes has an in
por compliance 
mata 
centive approach to inspections. Providers who  consistent regulatory compliance 
rewar 
with abbreviated inspetions. The proess allows inspection resources to be focused 
on problem providers. 
Use of Intervews 
Although in-person observations and measurments ar the most common inspection tech
niqqes, severa States are broadening their procedurs with more subjective creria. In New 
Hampshire, inspectors intervew childrn at a facilty as par of their inspetion or complait 
investigation. Unless parnts prohibit an intervew, childrn ar 
questioned about nutrtion 
disciplie, and other topics. New Hampshir inspetors also attempt to speak with parnts if 
ther ar concerns about a facilty or if it is under investigation. 
In Washigton County, Minnesta, the licensing agency has developed a questionnai to as
adstere 
sess home qualty. This is  as a separte insption interview so that the provider 
is comfortble answering  rearng atttudes 
personal questions. The questions center on child 
and persnal famy experiences. By rasing such issues, inspetors probe for individual moti
vations while gaiing insight about a provider s qualcations. 
Inspector Training 
mo tring 
Across the nation, insptors wanted  and assistace in their decision makg. A 
varety of approaches were uncovere In Minnesta, the Assoiation of Famly Child Car 
Child Care Licensing Resoure  Ths handbok helps 
Licensors has developed a 
 Handook. 
itsrolgate  inspectors improve the quality of their monitoring of providers. The handbok is a
manual wrtten by inspectors for inspeto which allows them to be as consistent as 
possible Statewide. 
The State agency sta has taken the lead in New Jersey and has  Techncal Assis
crated a 
taeJlandookfor 
as a companion document to the State licensing man
Child Care Centers 
ual. The guide follows the formt of the licensing maual, offering inspectors ways to assist 
prviders in complying with regulations. It contas sample fons for prvider reordkeep
ing, explais the reasoning for certn regulations and offers answers to common questions. 
New Jersey inspectors feel this reference 
soure helps them give quick comprehensive infor
mation to providers.  qutas 
Michigan  libra of vide tapes for insptor trng 
which includes information 
on intervewig, documentation and safety measurs. 
er  Vides ar also avaiable on more gen-
topics such as communitcartigon  skis, maagement and self-development. Michigan also
offers trtional classrom  on topics such as COuroom crbilty. 
MONETARY INCENTIVES AND PENALTIES 
FINANCIAL INCENTIVES TO ENCOURAGE PROVIDER REGISTRATION 
Some States provide 
fiancial incentives to aid in the reitment and retention of licensed or
regitere 
providers. These incentives 
help reuce the 
tie inspctors spend 
license car and conductig initial licensing prours.  investigatig un-
most common 
Pfriagncira l incentive use by States is the U.S. Deparnt of Agrcultu
Chid Car Foo 
In most States, metig 
lows prviders to be reimbured for the  registrtion or licensing reuiments al
cost of prvidig meal to chidrn in their car. 
Liensing Reward 
May 
States charge chid car providers an anual fee. New Hampshire is unusual 
in that it
has no State licensrieng ifte e. In one of New Hapshi's regions, a contrt was awarde to
outside agency to  providers. The agency grte 
$200 "rewars" to providers after
they held a license for 6 months to help defer adstrtive 
and local licensing costs. Li
cense providers  compute 
ar also liste in the  State Resoure and Referr 
network. 
Training Grant 
orr 
In  to incrase the supply of 
Welfar reimburs up to $175 forr eapgpisrotvee dp rtorvniidge,  toP ernengsisytlevraen ifaa'msy D cehpiadr ecnatr  of Public
providers.
About 60 famy providers applied for and reeived tring thugh ths progr in fical
year 1989.

FINES AS ENFORCEMENT PROCEDURES 
Fines 
ar an intermedate sanction which  lited 
permt insptors to tae  punitive measures
against providers found to be out of compliance. Twenty-
four States have authorized fines,
but may raely use them due to complex restrctions. 
May licensing adistrators in 
forcement option they would mosSt wtaatenst  waitdho ut fining authorty mentioned rmes as the en
to their regulations. Admnistrtors frm 
fig prours ar  both
California and Florida reported their 
effective in motivating compli
ance amng providers.  Civil Penaties 
California uses a civi penalty process which allows inspetors to issue daly rmes of $25 to 
$50 agaist licensed centers or unlcense famy homes. Fines are issued only after a center 
fais to meet a corrective action plan. Caornia has strngtened enforcement of civil penal
adstrtive 
ties with  procedurs to ensur payment. The State wi not renew a chid car li
cense if there is an outstading fine. In accordce with the State ta offset progr, an 
unpaid fie can also be deducte from the provider s State income ta refund. 
Administratve Fines 
Florida has use an adistrtive rme proess for licensed chid car centers since 1985.
Fourn 
out of 67 counties have home rue jursdction and conduct their own county inspec
stada 
tions. Al counties must met or excee State  and can use State enforcement proce
durs. 
There ar thee classifcations of day fines. Oass One offenses involve umnent aager or
lie thtenig 
accidents with rmes up to $100 pe violation. Class Two involves more seri
Th 
ous but not lie thatening violations, with fies of $30 to $75. Class  offenses involve 
less serious violations, with fines of $10 to $30. 
When a violation is cited durg a site inspetion, the provider is given a 
corrctive action due 
adstrative 
date. An  fine can be issued by the licensing agency only if the corrtive action 
due date is not met. 
PARENTAL INVOLVEMENT 
Parnts can assist inspectors by actig as "eyes and ea" for child car regulation enforce
ment. Their parcipation is considere vita to assurg qualty car. However, may respon
report 
dents  that most parents may not know what to look for in assessing their chid' s car 
facilty. Some suggestions for incrasing parnt awarness include workshops, education
thugh the meda, and parcipation in facilty activities. 
There ar may twaiy.s  parnts can beome more involved with their child' s car facilty even if 
they have litte  Parnt involvement can include persnal visits, parcipation on the 
facilty s advisory board, conferences with 
sta and review of educational material. State ad
miistrtors and inspectors believe that madating a rage of opportnities for parnts to be in
volved in their child' s care is a goo way to be sur facilties comply with other regulations. 
Communicaton between State and Parnt 
Most State agencies hear from parnts only when they have a complaint. New Hampshire 
taes a more active approach, sureying parnts as par of their inspection of facilties. 
State licensing adnistrator report that although parnts ar hesitat to initiate contact with  State agencies, when asked to make comments in an anonymous surey they "come out of the 
woowork. 
In Indiana, the State licensing agency has developed a series of inormative materials on child 
car for parnts. Although the agency does not mae reommendations regardig specific pro
viders, the State does suggest to parnts that they examne provider fies. These fies conta 
the facilty. Only 
al complaits fied about  Child Prtective Servce complaints ar protected 
by confdentialty stadads. 
Communicaton Between Provir and Parent 
To assur better communcation betWeen parnts and their providers, more and more States 
ar developing specifc parnta involvement regulations. In Delaware, regulations guartee
parnta access anytie their child is in the facilty. Parnts must reeive a wrtten statement 
of the facilty s policies and proedurs and must be inormd of their child' s progrss. Dela
war also reuis ongoing communication betWeen providers and parnts, inCluding a mii
mum of one conference anualy. Parnts ar encourged to review licensing reuirments 
and conduct a pre-enrllent interview with the provider. 
Iowa madates a special parnta role in some child car centers. At least hal of the seats on 
advisory boards of non-profit centers with more than 40 chidrn must be parnts of enrlled 
chidrn. 
To encourge planed communications with parnts, Dlinois regulations for centers reuir a 
wrtten reord of "parnta dialogue to ensur that (the center s) progr haronizes with the 
progr 
home." The  must reflect respet for the famly  cultu or backgrund. Visits and 
parcipation must be encourged and concerns about a child' s health, development and behav
ior must be communicate promptly to parnts and day to an infant s parnts. Both centers 
and famly homes must have proof that parnts have reeived facty policies and procedurs 
and wrttn inormtion distrbuted by the State. 
Tennes 
homes and centers must provide parnts with a copy of State licensing reuire
ments. Tennesse encourges communication betWeen parnts and providers and requirs un
restrcte parnta access. Centers must also prvide parnts with instrctions on detecting 
and prventing child abuse. 
Pr-enrllment visits and parnt orientations ar reuir in Vermnt' s licensed centers. 
fonn 
These providers must hold tWo  conferences a year and meet with parnts who reuest 
adtional conferences. Regitered famy child car providers must distrbute the State s regu'" 
lations for famly homes and a parent handbook which includes a complaint form and a letter 
of praise for. Family homes must also display a joural contaning their certfication, poli
cies, regulations for famly child car and guidelines for the protection and car of childrn.  TRAINING AND TECHNICAL ASSISTANCE FOR PROVIDERS 
STATE AGENCY PRACTICES 
State adstrators and inspectors in 19 States identified provider trning as importt to in
stada of 
regulations. Educated providers elevate the  car and 
crasing compliance with 
alow better use of enforcement resources. Most offcials view provider tring and tehnical 
assistace as a preventive enforcement pratice. 
trg 
Nearly 80 percent of al States offer some form of  or tehnical assinsteacee.  Eighty-six 
tued to insptor fit when they  assistace. 
percent of providers reported that they 
However, may offcials believe that these effort do not always meet their full potential as 
insption sta shortges. 
positive enforcement measurs due to 
Suu Training Committe 
Ca Traing Commttee with members appointe by the Governor has ben estab
A Chid 
lished in Arkansa. The commttee includes providers, State offcials, a parnt, and an early 
tring 
chidhoo  trg  Ths commtt develops a  program for providers 
education professional. 
based on proposals for  projects it reeives each year. The commtte alo purhases 
trn 
and lends out materials for providers to  their own sta. (See also: Cooperative Efforts 
With Universities. 
Training Seminars 
Pennsylvania has develope a regional trning semina for famy child car providers. The 
semiar is led by State sta but is volurta for providers. Ths 6-hour session covers regula
tions, cargiver policies and techniques and a question/answer period At the conclusion, pro 
tring 
vide reeive a resoure maual and other materials. Prvider evaluation of the  has 
ben very positive. Initial sureys indicate that there is grater compliance with reguations 
among the semiar parcipants than other providers. Pennsylvania inspectors hope to be con
progr 
as a Statewide demonstrtion  in the near future. 
ductig the seminar 
Avoidig alegations of child abuse has beome of incrasing concern to providers. In Ver
mont, presentations ar held bas on their publication,  Protecting Your Business from Allega-
It profies
The session teaches how to recognize and report child abuse. 
toiofnfse onf dCheilrds A bausne.d 
 the ways they gain access to childrn. The presentations mae providers awar 
of preventive measurs they can tae to safeguar childrn in their car. The intent is to teach 
providers how to protect their professional interests while encouraging them to be affectionate. 
cargivers.  COOPERATIVE EFFORTS WITH UNIVERSITIES 
Severa States have developed close workng relationships with university program for early 
chidhoo  progr offer valuable trning opportnities to 
education. These unversity based 
both providers and enforcement sta. Their independent perspective is valued by providers 
and State adnistrtors ale. 
Model Currculum 
In respnse to provider reuests, the New York Burau of Chd Cae, workng with Cornell 
l curculum for preventig child  Managing.
University, developed a 
 abuse entitled, 
Children  It contans a series of pratical, proven discplie techniques. 
s Behaior. 
trg 
Th  progr teaches positive disciplinar tehniques which ar effective in control-
tred 
lig chidrn s behavior problems. Semiars led by  inspctors ar now held though-
oturt gthe  State for center and home-based providers. The State report it is their most popular
progr. 
Training Center 
Under the auspices of the Nort Dakota State University (NSU), North Dakota has estab
lished an Ealy Chidhoot Trrgain g Center (ECTC). The center has a trning librar for pro 
viders which lends video  tapes and other materials though county social servces 
agencies. 
The NDSU is a member of the State advisoryt brogar  for oversing regulation and enforce
ment policy. In adtion, ECTC coordiates  among dierent groups such as the Day 
Ca Prvidetrrs gAss oiation and the Assoction for the Education of Young Childrn. Separ
mium 
tion of the  compnent from the licensing agency prevents confsion of  li
censing stada with effort to crate quality progrs in the field of early childhoo 
seces. 
Resource Center 
Ca 
The Arkansa Chd Ca Traing Commtt co-sponsors a Child  Resource Center 
with the University of Arsas and Arsas Childrn s Hospita. The Center is housed in 
space donated by the University and contans a libra of child car trning materials. Allli
cense famly homes and centers receive a User Car which enables them to borrw any mate
ris they nee from the center. Beginning in Januar 199, the Center will also serve as a 
resoure and referr netWork.
 STATE AGENCY PRACTICES 
State adstrtors and inspectors in 19 States identied provider trning as importt to in
stada of 
crasing complice with reguations. Educated proViders elevate the  car and 
allow bettr use of enforcement resoures. Most offcials view provider trning and technical 
assistace as a preventive enforcement practice. 
Nearly 80 percent of al States offer some form of trnig or tehnical assinsteacee.  Eighty-six 
tued to inspetors fist when they  assistance. 
percent of providers reported that they 
However, may offcial believe that these effort do not always meet their fun potenti as 
positive enforcement measures due to insption sta shorges. 
Sta 
Training Committee 
A Chid Ca Traing Commttee with members appointe by the Governor has ben estab
lished in Arkansa. The commttee includes providers, State offcials, a parnt, and an early 
trng 
chidhoo education professional. Ths commtt develops a  program for providers 
bas on prposals for trnig projects tit rre ives each year. The commtte also purhases 
and lends out materials for providers to  their own sta. (See also: Coperative Efforts 
With Universities. 
Trainig Seminars

Pennsylvania has developed a regional tring seminar for famly child car providers. The 
semiaris led by State staf but is volunta for  session covers regula
prviders. This 6-hour 
tions, cargiver policies and techniques and a question/answer period At the conclusion, pro 
viders reeive a resource manual and other materials. Prvider evaluation of the trning has 
ben ver  indicate that there is  regulations 
positive. Initial sureys  grater compliance with 
among the semiar parcipants than other prvide. Pennsylvana inspetors hope to be con
prgr  futu. 
as a Statewide demonstrtion  in the near 
ductig the seminar 
Avoidig alegations of child abuse has beome of incrasing concern to providers. In Ver
Allega-
mont, presentations ar held based on their publication, reogPnro tecting Your Business from 
The session teaches how to  and report child abuse. It profies
tions of Child Abuse. 

offende and the ways they gain access to childrn. The prsentations make providers aware 
of preventive measurs they can tae to safeguar childrn in their car. The intent is to teach 
providers how to protect their professional interests while encourging them to be afectionate 
cargivers. 
COOPERATIVE EFFORTS WITH UNIVERSITIES 
progr 
Sever States have developed close workng relationships with university  for early 
chidhoo education. These university bas prgr offer valuable trning opportunities to 
both  independent perspetive is valued by providers 
prviders and enforcement sta. Their 
and State adnistrtors alike.  . .' -:.
Model Currulum 
Burau of Chld Ca, workng with Cornell 
In response to provider requests, the New York 
Managing 
University, developed a model cwrculum for preventing child abuse entitled 
Children  It contans a series of prtical, proven discipline tehniques. 
s Behaior. 
Ths tring progr teaches positive discipliar tehnques which ar effective in control-
tred 
lig chidrn s behavior problems. Semiar led by  insptors ar now held though-
The State reports it is their most popular
oturt tghe  State for center and home-based prviders. 
progr. 
Training Center 
Under the auspices of the Nort Dakota State University (NSU), North Dakota has estab
tring 
Traig Center (ECfC). The center has a  librar for pro 
lished an Ealy Childhoo trng  thugh 
viders which lends video  tapes and other materials  county social servces 
agencies. 
adviso tbrogar  for oversing regulation and enforce
The NDSU is a member of the State 
ment policy. In adtion, ECfC coordates  among dierent grups such as the Day 
Ca  the Association for the Education of Young Chidrn. Separ
Prviders Association and 
tring  confsion of miimum li
tion of the  component from the licensinpg raggenrcy  prevents 
censing stadas with effort to crate qualty  in the field of early childhoo 
seces. 
Resource Center 
Ca 
The Arkansa Chid Ca Trag Commtt co-sponso a Child  Resource Center 
Arsa Childrn s Hospita The Center is house in 
with the University of Aransas and 
car tring materis. Allli
the University and contans a libra of chid 
spac donate by  Ca which enables them to borrw any mate
cense famy homes and centers reeive a User 
nee from  Beginig in Januar 199, the Cente will also serve as a 
ris they  the center. 
resoure and referr netWork.
 APPENDIX 
CONTACTS FOR SELECTED EFFECTIVE PRACTICES 
ARKASAS - Traning and tehnical assistace 
Ms. Kathy Stegal 
Slot 720 
Deparent of Huma Servces 
O. Box 1437
AR 72201 
Litte Rock, 
(501) 682-8590 
CALIFORNI - Fines 
Mr. David Smith 
Community Cae Licensing Diviion 
Cafornia Deparent of Social Servces 
Strt 
1315 5th 
Sacento, CA 95814 
(916) 324-324 
CONNCTICUT - Legal sanctions and proedurs 
Mr. Wesley Bell 
Home Health Car Division 
Connecticut Deparent of Health Serces 
Strt 
150 Washington 
Harord CT 06106 
(203) 5662575 
DELAWARE - Parenta involvement 
Ms. Paule Koch 
Licensing Servces 
Delawar Deparent of Servces 
for Childrn, Youths, and Famlies 
Executive Plaz 
Firt State 
330 Eat 30th Street 
Wilmington, DE 19802 
(302) 571-6436  FLOItIDA - Fines 
Ms. Pamela Hutchinson 
Ca 
Day  Licensing 
Prgr 
Chdrn, Youth and Fames 
Deparent of Health and Rehabiltative Servces 
1317 Wmewoo Boulevard 
Talahasse, FL 32399-0700 
(90) 488-4900
prours 
ILLINOIS - Legal sanctions and 
Ms. Pat Bennett 
Ofce of Chd Prtective Servces 
Dlois Deparnt of Chidrn and Famy Serces 
Strt 
40 Eat Monr 
Sprigfeld, II 62701

(217) 785-2688 
INIAA -
Parntal involvement 
Caer 
Mr. Keith 
Ca 
Day  Licensing Unit 
Chd 
Welfare Division 
Indiana Deparent of Welfar and Socal Serces 
Strt 
141 South Meridian 
indiapolis, IN 46225

232-42 
(317) 
IOWA - Parnta involvement 
Mr. Haold Poore 
Ca 
Chld Day  Servces 
Iowa Deparent of Human Servces 
Des Moines, IA 50319 
(515) 281-5521 
MICHIGAN - Inspection review tehnques 
Ms. Pat Van Dyke 
Deparent of Social Servces 
Ca 
Division of Chd Day  Regulation 
415 Frain SE 
Grad Rapids, MI 49507 
(616) 943-3943  ..'
MISOTA 
- Inspetion review techniques 
Ms. Jan Rudich 
Day Car Licensing 
Governent Center 
Washington County 
Community Social Servces 
1490 61st Strt - Nort 
O. Box 30
Stiwater, MN 55082-0030 
(612) 779-5050 
proedurs 
NEBRASKA - Legal Sanctions and 
Ms. Debbie Dawson 
Ealy Chidhoo Licensing 
Huma Servces Division 
Nebra Deparnt of Socal Servces 
O. Box 95026
Lincoln, NE 68509-5026 
(402) 471-3121 
NEW HAMPHIR - Legal sanctions and proedurs, 
and moneta incentives 
insption review tehnques, parnta involvement 
Mr. Robert Leteller

Burau of Chid Ca Stada and Licensing 
Division of Public Health Servces 
New Hampshi Deparnt of Hum Servces 
Han Drve 
Concord, NH 03301 
(603) 271-4523 
NEW JERSEY - Inspetion review tehniques 
Byre 
Mr. J. Patrck 
Division of Youth and Famy Servces 
New Jersey Deparent of Huma Resoures 
Trenton, NJ 08625 
(60) 292-1018 
Traig 
NEW YORK - and tehncal assistace 
Dr. Robert Page 
Burau of Child 
New York Deparent of Social Servces 
40 Nort Pearl Street #11
Albany, NY 12243 
(518) 474-9324  .--:; ... 
Trag 
NORtH DAKOTA - and tehnical assistace 
Mr. Paul Ronningen 
Early Childhoo Servces
Chdrn and Famly Servces 
Deparent of Huma Servces 
Nort Dakota 
Judicial Wmg 
Bismarck, ND 58505 
224809 
(701) 
Ms. Helen Danelson 
Early Chldhoo Trang Center 
State University Station 
O. Box 5057
Fargo, ND 58105 
(701) 237-8289 
PENNSYLVAN - Moneta incentives 
Mr. Chrtopher Wolf 
Ca 
Burau of Chid Day  Servces 
Ofce of Chdrn, Youth & Fames 
Pennsylvania Deparent of Public Welfar 
O. Box 2675
Hasburg, PA 17015 
(717) 787-8691 
Trag 
and tehnical assistace 
Pennsylvana Deparent of Public Welfar 
Ca 
Day  Servces 
Centr Region

Art 
2330  Boulevard 
O. Box 2675
Hasburg, PA 17105 
(717) 657-463 
Insption review techniques 
Mr. Richard Fiene 
Car Seces 
c/o Burau of Child Day 
Ofce of Childrn, Youth & Famlies 
Pennsylvania Deparent of Public Welfar 
O. Box 2675
Hasburg, PA 17015 
(717) 787-8691  TENNSSEE - Insption review tehniques 
Ms. Caline Deal 
Ca 
Day  Licensing Servces 
Tennessee Deparent of Human Servces 
40  Strt 
Deaderick 
Nashvie, TN 37219

(615) 741-7129 
VERMONT - Parnta involvement, tring and tehnical assistace 
Mr. Colema Baker 
Regution 
Division of Licensing and 
Vermont Deparent of Social and Rehabiltative Servces 
Strt 
103 South Man 
Waterur, VT 05676

(802) 241-2158 
WICONSIN - Insption review tehniques 
Mr. David Edie 
Burau for Chidrn, Youth & Famies 
Wisconsin Deparent of Health and Social Servces 
O. Box 7851
Madson, WI 53707

(608) 2668200 
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