Apply for a Permit


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Apply for a Permit

Obtaining a family child care permit is the first step toward becoming a family child care provider in Fairfax County.

Follow these steps and complete the checklists below.

Step 1 - Complete the Home Child Care Facility Application
Step 2 - Complete the Central Registry Release of Information Form
Step 3 - Complete the Sworn Statement or Affirmation for Child Care Programs Form
Step 4 - After Completing All of the Forms
When All of the Steps are Completed

1. Complete the Home Child Care Facility Application

Follow this checklist for the Child Care Facility Application form below.

_____  Download the Home Child Care Facility Application form: pdf-icon-small English or pdf-icon-small  Spanish  This form must be completed along with the associated fee.


Number of Adults Crimimal History
fee/person
every three years
Application Fee
annual
Total Cost
1  Adult $15 $14 $29
2  Adults $30 $14 $44
3  Adults $45 $14 $59
4  Adults $60 $14 $74
5  Adults $75 $14 $89
6  Adults $90 $14 $104

_____  Complete all the requested information, and send this form to the Office for Children with the other two forms below. Include payment for the $14 application fee. This is non-refundable. You can pay by personal check, certified check, or money order. Make it payable to the Office for Children. There is a $50.00 fee for any check returned for insufficient funds.

_____  When you are asked to write names, write full names and not just initials. Write N/A for "not applicable" if a person listed does not have a middle name or a maiden name.

_____  Section B: Make sure you have listed all children who are age 13 or younger who live in your home.

_____  Section C: List yourself, and any other adults, and children who are age 14 or older who may regularly be in your home while you are caring for children.

_____  Section D: List yourself and anyone age 18 or older who may regularly be in your home while you are caring for children. Include a payment of $15 for each person you list for the criminal history record request. You can pay by personal check, certified check or money order. Make it payable to the Office for Children. This fee is non-refundable. There is a $50.00 fee for any check returned for insufficient funds.

_____  Make sure to sign the application.

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2. Complete the Central Registry Release of Information Form

Follow this checklist for the Central Registry Release of Information form.

_____  To request a copy of the CPS Release of Information Form in English or Spanish, please email Tammi Daniels or call 703-324-8100, TTY 711.

_____  Only two-sided forms may be submitted. This form may not be faxed in; you must mail it or take it to the Office for Children.

_____  Complete a separate form for yourself and each person age 14 or older who lives in your home. Write full names and not just initials. Write N/A for "not applicable" if a person you list does not have a middle name or maiden name.

_____  Forms for children age 14 - 17 require a parent's signature.

_____  This form must be notarized on the back by a notary public, with the notary number and commission expiration date.

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3. Complete the Sworn Statement or Affirmation for Child Care Programs Form

Follow this checklist for the Sworn Statement or Affirmation for Child Care Programs form.

_____  Download the Sworn Statement or Affirmation for Child Day Programs form: pdf-icon-small    English or  pdf-icon-small  Spanish

_____  Complete a separate form for yourself and each person age 18 or older who lives in your home. Write full names and not just initials. Write N/A for "not applicable" if a person you list does not have a middle name or maiden name.

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4. After Completing All of the Forms

Follow this checklist for the next steps.

_____  Mail all three of the completed forms with the required payment to:

Fairfax County Office for Children
Community Education and Provider Services
12011 Government Center Parkway, Suite 800
Fairfax, VA 22035-1102

As part of the permit process, you must also comply with the following additional permit requirements.

_____  Provide a physician's statement or tuberculosis test showing all adult household residents are free from tuberculosis.

_____  Provide current certifications in First Aid and CPR. Here are a few of the organizations in our community that offer First Aid and CRP training and certification. Please note: online CPR and First Aid training will not be accepted as certification.

_____  Have a written emergency plan and emergency supplies.

_____  Have a written child care sick policy.

_____  Have a satisfactory fire safety inspection by the Fire Code Official.

_____  Have a satisfactory home health and safety visit by the child care specialist.

_____  Have up-to-date rabies immunization records for dogs, cats and ferrets.

_____  Have a smoke alarm.

_____  Have a carbon monoxide alarm (if necessary).

_____  Have all fireplaces, chimneys and wood stoves cleaned and inspected.

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When All of the Steps are Completed

When all of the steps are completed, a permit will be issued within one month.

Once you receive your permit, you will need to comply with both the United States IRS and Fairfax County Department of Tax Administration guidelines.

The permit must be renewed each year. The requirements to renew your permit each year include:

  • A new Home Health and Safety Visit.
  • An annual Fire Safety Inspection Visit.
  • Ensuring all permit requirements remain current, such as CPR, First Aid, Criminal and CPS Background Checks and TB screenings.
  • 16 hours of professional development annually.

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Contact Us

Office Hours
Monday - Friday 8 a.m. - 4:30 p.m.

Phone: 703-324-8100; TTY 711

Email

Address
12011 Government Center Parkway
8th Floor
Fairfax, VA 22035

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Additional Information

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What's New?

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