TX HHS Form 3015. Application for a Child Care Administrator License or a Child-Placing Agency Administrator License

TX HHS Form 3015. Application for a Child Care Administrator License or a Child-Placing Agency Administrator License

Form 3015 is the official Texas application used to request a Child Care Administrator License or a Child-Placing Agency Administrator License. It is filed with Texas Health and Human Services (HHS) and reviewed by Child Care Regulation (CCR). This form applies to individuals seeking authorization to manage or oversee licensed child care operations or child-placing agencies in Texas.

The application may be submitted for either a full license or a provisional license, depending on the applicant’s qualifications. It is not used for day care director credentialing, which follows a separate process.

Purpose of the Application

The purpose of Form 3015 is to allow the state to evaluate whether an applicant meets the legal, educational, and professional standards required to act as an administrator in regulated child care or child-placing environments. Administrators play a key role in ensuring compliance with state regulations, child safety standards, and operational requirements.

Who Must Use This Form

This form must be completed by individuals who intend to:

  • Serve as an administrator for a licensed child care operation in Texas
  • Serve as an administrator for a licensed child-placing agency
  • Apply for a provisional administrator license while completing full eligibility requirements

The form should not be used by individuals seeking only a director credential for a day care facility.

Section-by-Section Explanation

Section 1 – General Information

This section identifies the applicant and links them to a regulated operation. Applicants must provide their full legal name, date of birth, Social Security number, and driver’s license information. Contact details, including an email address, are required for official communication.

The section also asks for information about the associated child care operation or agency, such as the operation name, type, number, and mailing address. Accuracy here is critical, as errors can delay application processing.

Section 2 – License Requested

Applicants must specify whether they are applying for a Child Care Administrator License or a Child-Placing Agency Administrator License. If requesting a provisional license, the corresponding checkbox must be selected. This distinction determines the eligibility criteria applied during review.

Section 3 – Education

This section documents the applicant’s educational background. Applicants list institutions attended, locations, dates, majors, and degrees earned. Education is a core eligibility factor and must meet minimum standards defined by Texas administrative rules.

Section 4 – Professional References

Applicants must provide professional references, including contact information and whether the reference was a supervisor. These references help CCR assess the applicant’s professional competence, leadership ability, and experience in regulated care settings.

When This Form Is Required

Form 3015 is required before an individual may legally act as an administrator for a licensed child care operation or child-placing agency in Texas. It must be submitted during initial licensure or when a new administrator is appointed.

The form is not required if the individual is only serving in a non-administrative role or pursuing a separate director credential.

Legal and Regulatory Context

This application is governed by Texas Health and Safety Code and Texas Administrative Code rules enforced by Health and Human Services. Administrator licensing ensures that individuals responsible for child care operations meet state-mandated standards for education, experience, and professional conduct.

Operating without a properly licensed administrator can lead to enforcement actions, penalties, or denial of an operation’s license.

Common Mistakes to Avoid

  • Leaving required fields incomplete, especially contact information
  • Listing education that does not meet minimum eligibility standards
  • Providing references who cannot be verified or contacted
  • Confusing administrator licensing with director credentialing
  • Submitting outdated or inconsistent operation information

Practical Tips for Completing the Form

  • Use your legal name exactly as it appears on government identification
  • Double-check email and phone numbers for accuracy
  • Ensure education suggests eligibility before applying
  • Notify references in advance so they expect verification calls
  • Review instructions carefully before submission

Real-Life Scenarios Where This Form Is Used

  • An experienced child care professional is promoted to administrator at a licensed facility
  • A new child-placing agency appoints its first administrator
  • An applicant qualifies for a provisional license while completing required experience
  • An existing operation replaces an outgoing administrator

Documents Commonly Required

  • Government-issued identification
  • Educational transcripts or degree documentation
  • Professional reference contact details
  • Operation identification numbers

Frequently Asked Questions

Is this form required for all child care administrators?

Yes. Anyone serving as an administrator for a regulated child care operation or child-placing agency in Texas must apply using this form.

Can I apply for a provisional license?

Yes. Applicants who do not yet meet all full licensure requirements may apply for a provisional license.

Is this the same as a director credential?

No. This form is specifically for administrator licensing, not director credentialing.

How are references used?

References are contacted to verify professional experience and suitability for an administrative role.

What happens after submission?

The application is reviewed by CCR, and additional information may be requested before approval or denial.

Micro-FAQ

  • Purpose: Apply for an administrator license in Texas child care.
  • Who files: Prospective child care or child-placing agency administrators.
  • License types: Full or provisional.
  • Attachments: Education and reference details.
  • Submitted to: Texas Health and Human Services.

Related Forms and Applications

  • Child Care Operation License Application
  • Child-Placing Agency License Application
  • Day Care Director Credential Forms
  • Texas HHS Background Check Forms

Form Details

  • Form Name: Application for a Child Care Administrator License or a Child-Placing Agency Administrator License
  • Form Number: 3015
  • State: Texas
  • Issuing Authority: Texas Health and Human Services
  • Revision Date: August 2025
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/3000-3999/form-3015-application-a-child-care-administrator-license-or-a-child-placing-agency-administrator