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Child Care Variance Form
Please complete all sections of this form and select the Submit button at the bottom of the page.
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Variance Request Information: |
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1. |
Class of License:
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2. |
For what section and page of MN Rule 9502.0315 to 9502.0445 do you want a variance? |
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3. |
Why do you want a variance from this section of the Rule? |
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4. |
For what period of time is the variance requested? (Please enter dates as MM/DD/YYYY.)
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From:
To:
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During this period which days of the week and what hours of those days is the variance needed? |
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5. |
In order for the variance request to be considered, the Child Care Rule requires specific alternative measures be taken to ensure the health, safety, and protection of the children in your care. The variance request cannot be considered unless the following is completed. |
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Address the following: additional fire safety precautions, additional planning to address the needs of varied age groups and/or larger numbers of children, heightened levels of supervision both indoors and out, further child-proofing (e.g. additional gates, small toys/objects removed, padding on sharp table edges or fireplace hearths). |
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6. |
If your request is for a variance of Section 9502.0367, please complete the Enrollment List section of this form. |
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If your request is for a variance of Section 9502.0525 Subparts 4,5,56,7,12, or 15, you must send your worker the WRITTEN approval of the fire marshall. |
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If your request is for a variance of Section 9502.0435 relating to sanitation and health and Section 9502.0445 on water, food, and nutrition, you must send your worker WRITTEN approval of a health officer. |
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If your request is for a variance of Section 9502.0425 relating Subparts 10, 11, and 13, you must send your worker WRITTEN approval of a building official. |
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10. |
Have you received a variance approval(s) in the past 12 months:
If yes, what is the total number of days in the past 12 months you operated under
variances?
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Enrollment List: |
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List all children under page 11 years (including your owne children) who will be in attendance during the requested variance period. |
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PLEASE NOTE |
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Variances are approved for specific circumstances and conditions. Enrollment variances are granted with the stipulation that there will be no new enrollments during the term of the variance. If you anticipate any changes in the terms of the variance, please contact your licensor. |
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Any changes in this variance must be submitted for review by the Child Care Unit prior to those changes taking effect. |
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