OCFS-6040. COVID-19 Health Screening Attestation

Form OCFS-6040, titled "COVID-19 Health Screening Attestation," is a document used by child care providers in New York State to assess the health and potential exposure risks of children and staff before entering the child care facility. The main purpose of this form is to ensure a safe environment during the COVID-19 pandemic by screening for symptoms and exposure to the virus.

The form consists of sections where the child care provider or program must provide their name, address, and contact information. It then includes sections where parents or guardians must attest to the health of their child, confirming the absence of COVID-19 symptoms and exposure to positive cases. The form may also require the provider's or staff members' health status and attestation.

Important fields in this form include accurate health information and attestation. Accurate completion of this form is crucial as it helps child care providers identify any potential health risks and take necessary precautions to prevent the spread of COVID-19 within the child care setting.

Application Example: A child care center follows the state guidelines and requires parents or guardians to complete Form OCFS-6040 each day before dropping off their child. The parents attest to their child's health and confirm that there have been no COVID-19 symptoms or exposure to positive cases. The child care center reviews the form and ensures all children and staff meet the health screening criteria before allowing entry into the facility.

Additional Document Needed: Form OCFS-6040 is a stand-alone form used for COVID-19 health screening. However, child care providers may have additional COVID-19 health and safety policies and protocols that need to be followed.

Related Form: There are no direct analogues to OCFS-6040, as it is a specific health screening attestation form created by OCFS to address COVID-19 safety measures in New York State child care programs.

Alternative Form: Some child care providers may use digital health screening tools or apps instead of paper-based forms like OCFS-6040 for COVID-19 health screening.