TX HHS Form 2841. CCR Small Employer-Based Child Care or Temporary Shelter Child Care Facility Application

The TX HHS Form 2841, CCR Small Employer-Based Child Care or Temporary Shelter Child Care Facility Application, is a crucial document for small employer-based child care or temporary shelter child care facilities seeking to operate in the state of Texas. This form helps solve the problem of obtaining a compliance certificate from the Child Care Regulation (CCR) office, allowing facilities to provide high-quality care and services to children.

To use this form, applicants must complete Section 1, providing information about their operation, including the facility's name, hours of operation, days of the week in operation, and months of the year in operation. Additionally, applicants must complete Section 2 if their governing body is a sole proprietorship or partnership, providing details such as the type of governing body, the name of the entity or sole proprietor/partner, phone numbers, and whether the address is a home residence.

This form should be used by small employer-based child care facilities and temporary shelter child care facilities seeking to operate in Texas. The application process requires mailing the completed form and any supporting materials to the nearest CCR office. For more information on local CCR offices, applicants can visit www.hhs.texas.gov/services/safety/child-care/contact-child-care-regulation.