Texas 2947 Form in PDF Modify Texas 2947 Here

Texas 2947 Form in PDF

The Texas 2947 form serves as a critical document for child care center personnel, outlining integral aspects such as age-appropriate activities for children, fostering children’s self-esteem, and ensuring positive interactions. It is a comprehensive record that includes the prevention of communicable diseases and adheres to the regulations set forth by the Texas Department of Family and Protective Services. Highlighting the importance of transparency and accuracy, the form protects the rights of individuals by allowing them to access and correct their personal information.

To efficiently complete and submit the Texas 2947 form, ensuring all sections including personal details, employment history, and required trainings are thoroughly filled out, click the button below.

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In an effort to ensure the highest standards of care and safety in child care centers, the Texas Department of Family and Protective Services meticulously outlines essential requirements for child care center personnel through the Form 2947. This comprehensive document serves not just as a record but as a blueprint for fostering an environment that promotes the well-being and developmental growth of children. Covering a breadth of topics, the form emphasizes the importance of age-appropriate activities, nurturing children’s self-esteem, and engaging in positive interactions. Equally, it addresses critical health concerns by outlining preventive measures against the spread of communicable diseases. For potential and current employees, the form acts as a declaration of their qualifications, detailing educational backgrounds, CPR and First Aid training, and specifics about employment such as work schedules and previous experience. Notably, it mandates specific pre-service training for new staff, tailored according to their previous experience and the age group of children they will be working with, underscoring the importance of familiarity with developmental stages, positive guidance, and safety practices. Additionally, it incorporates components aimed at safeguarding children from harm by educating employees about recognizing and preventing shaken baby syndrome, sudden infant death syndrome, and understanding early childhood brain development. Furthermore, the orientation section ensures that every staff member is well-versed in the operation policies of the center, emergency procedures, and the legal responsibilities regarding child abuse and neglect. Form 2947 is not only a tool for record-keeping but a cornerstone in the commitment to providing a safe, nurturing, and enriching environment for children.

Texas 2947 Sample

Age-appropriate activities for children. Fostering children’s self-esteem. Positive interaction with children.
Preventing the spread of communicable diseases.

Texas Dept of Family and Protective Services

CHILD CARE CENTER

PERSONNEL INFORMATION RECORD

“Texas law gives you the right to know what information is collected about you by means of a form you submit to a state government agency. You can receive and review this information, and request that incorrect information about you be corrected by contacting your licensing representative.”

Form 2947 January 2005

NAME:

 

ADDRESS:

 

 

PHONE #:

 

 

 

 

 

 

 

-

-

 

 

 

 

 

 

DATE OF BIRTH:

DATE OF EMPLOYMENT:

DATE CHC SENT TO DFPS:

T.B. TEST DATE:

-

-

-

-

-

-

 

-

-

 

 

 

 

 

 

 

 

 

NAME OF HIGH SCHOOL:

GRADUATED?

GRADUATION DATE / GED

Yes

No

-

-

 

 

 

 

 

 

COLLEGE:

DEGREE:

CAREER PROGRAM (if applicable.):

INSTRUCTOR:

WORK SCHEDULE:

 

 

 

 

HOURS:

 

 

DAYS:

 

 

CPR

 

 

First Aid Training

 

Exp.Date:

-

-

Exp.Date:

-

-

ATTENDANCE MAINTAINED

Sign in log

Time sheet

 

 

PREVIOUS EXP/TRAINING WHERE AND HOW LONG

PRE-SERVICE TRAINING For Caregivers only

Check all that apply:

Staff with previous child care experience or training. (DOES NOT REQUIRE 8 HRS OF PRE-SERVICE), OR

Staff without previous child care experience or training. Before being counted in the child/caregiver ratio, I received 8 hours of pre- service training in the following areas:

Developmental stages of children. Positive guidance and discipline of children.

Supervision and Safety practices in the care of children.

Staff will not be working with children younger than 24 months. (DOES NOT REQUIRE THE TRAINING LISTED BELOW), OR Staff will be working with children younger than 24 months. Before being given counted in the child/caregiver ratio for a group of children younger than 24 months of age, I received one hour of pre-service training in:

Recognizing and preventing shaken baby syndrome and sudden infant death syndrome; and Understanding early childhood brain development.

Employee Signature

 

Date

 

 

 

Trainer Signature

 

Date

EMPLOYEE AND VOLUNTEER ORIENTATION

In addition to being oriented in the understanding of children and in job expectations, I have been oriented in:

An overview of the minimum standards for child care centers.

The Center's operational policies, including discipline, guidance, and the release of children.

The use and location of fire extinguishers and first aid equipment.

The procedures to follow in handling emergencies, including fire, explosion, tornado, toxic fumes, volatile persons, and severe injury or illness of a child or adult.

An overview of symptoms of child abuse, neglect, and sexual abuse and the responsibility for reporting these.

I have received a copy of the child-care center’s operational policies.

I have received a copy of the child-care center’s written personnel policies including my job, job responsibilities, and requirements.

Employee Signature

 

Date

 

 

 

Trainer Signature

 

Date

File Characteristics

Fact Detail
Form Purpose Collects information on child care center personnel for the Texas Department of Family and Protective Services.
Content Includes Personnel details, education, training certifications, work schedule, previous experience, orientation on policies and emergency procedures.
Governing Law Texas Law on information collection by state government agencies.
Training Requirements Specifies requirements for pre-service training, including developmental stages of children, safety practices, and, for those working with children under 24 months, preventing shaken baby syndrome and understanding early childhood brain development.

Detailed Guide for Writing Texas 2947

Filling out the Texas 2947 Form is a crucial step for individuals working or volunteering at child care centers in Texas. This form serves as a record of your personal and professional information, relevant training, and employment details to ensure compliance with the Texas Department of Family and Protective Services' requirements. Below is a detailed guide to help you accurately complete the form. Remember, the accuracy of this information not only reflects your qualifications but also ensures the safety and well-being of the children under your care.

  1. Start by entering your full NAME as it appears on official documents.
  2. Provide your current ADDRESS where you can be reached, including any apartment or unit number.
  3. Fill in your contact PHONE #, ensuring it's one where you can readily be contacted.
  4. Record your DATE OF BIRTH in the format provided on the form.
  5. Indicate the DATE OF EMPLOYMENT to show when you started or will start working at the child care center.
  6. Mark the DATE CHC SENT TO DFPS if applicable. This is the date your child abuse/neglect background check was sent to the Department of Family and Protective Services.
  7. List the date of your last T.B. TEST, following the format on the form.
  8. Enter the NAME OF HIGH SCHOOL you attended and indicate whether you GRADUATED, including the GRADUATION DATE or if you received a GED.
  9. If you attended COLLEGE, list the institution's name, the DEGREE earned, and any relevant CAREER PROGRAM.
  10. Specify your WORK SCHEDULE, including HOURS and DAYS you’re expected to work.
  11. Indicate if you have received CPR and First Aid Training, including the expiration dates of these certifications.
  12. Detail your PREVIOUS EXPERIENCE/TRAINING in child care or related areas, specifying where and how long.
  13. Record your PRE-SERVICE TRAINING by checking the applicable boxes and listing the areas covered during your training.
  14. Sign the form and have the trainer sign as well, confirming the accuracy and completion of the training sessions. Include the dates for both signatures.
  15. Finally, confirm your participation in EMPLOYEE AND VOLUNTEER ORIENTATION by marking the relevant areas of orientation you've completed and signing to acknowledge receipt of the center's operational and personnel policies.

Once the form is fully completed and signed, ensure you submit it to the designated contact at your child care center. This form is a part of your official record, demonstrating your qualifications and readiness to contribute positively to the care and development of children. Careful attention to the details and accuracy of the information you provide is essential for maintaining the standards set forth by the Texas Department of Family and Protective Services.

Common Questions

What is the purpose of the Texas 2947 form?

The Texas 2947 form is designed to collect detailed information about child care center personnel. Its primary purpose is to ensure that employees working in childcare settings meet the necessary requirements and standards for providing safe and effective care. This form covers a range of important topics, including age-appropriate activities for children, fostering children’s self-esteem, positive interaction with children, and preventing the spread of communicable diseases. By filling out this form, personnel can provide proof of their qualifications, such as education, training, and health information, essentially demonstrating their readiness to work with children.

Who needs to fill out the Texas 2947 form?

The Texas 2947 form must be completed by all individuals employed at child care centers who will be directly working with children. This includes, but is not limited to, teachers, assistants, and any staff member who interacts with children as part of their job responsibilities. Both new hires and current employees undergoing periodic documentation updates are required to fill out the form. Additionally, volunteers who have direct contact with children in the child care setting may also be required to complete the form as part of the center’s compliance with Texas Department of Family and Protective Services regulations.

What information is required on the Texas 2947 form?

  • Personal Information: Name, address, phone number, date of birth, and employment details.
  • Education and Training: Information on high school graduation or GED, college degree, any career program participation, and details on CPR and First Aid training.
  • Work Schedule: Details about the employee's work schedule, including hours and days worked.
  • Previous Experience and Training: Information regarding any previous child care experience or training.
  • Pre-service Training: Details on required pre-service training for new staff or those without previous child care experience.
  • Employee and Volunteer Orientation: Acknowledgment of orientation on various operational policies, emergency procedures, and child abuse awareness.

How does one submit the Texas 2947 form?

Once completed, the Texas 2947 form should be submitted to the child care center’s administration. The center is responsible for maintaining the form on file and making sure it is readily available for review by the Texas Department of Family and Protective Services upon request. It is important for employees to ensure that all information on the form is accurate and up-to-date. Any changes in personal information, training, or qualifications should be reported to the center’s administration promptly, and an updated form should be submitted to reflect these changes.

Common mistakes

Filling out the Texas 2947 form, designed for Child Care Center Personnel Information Record by the Texas Department of Family and Protective Services, requires attention to detail. Errors can lead to unnecessary delays or complications. Here are five common mistakes people often make when completing this form:

  1. Providing Incomplete Information: Completing every section is crucial. Sometimes people skip sections they think are not applicable to them, such as the pre-service training area for those without child care experience, or fail to list all previous employment and training relevant to child care.

  2. Incorrect Dates: Dates are essential for understanding an applicant's work history and educational background, including when the TB test was done or when CPR and First Aid certifications expire. Often, individuals either enter incorrect dates by mistake or leave these fields blank.

  3. Not Checking Appropriate Boxes: The form asks to check boxes in several sections, for example, to indicate if the staff member requires 8 hours of pre-service training or if they will be working with children younger than 24 months. People sometimes overlook these boxes or assume they do not need to check any, leading to incomplete information about the training required or completed.

  4. Forgetting to Sign: The form requires both the employee and trainer's signatures in multiple sections to validate the information provided and confirm orientation and training completion. A surprisingly common oversight is forgetting to sign and date these sections.

  5. Misunderstanding Sections Related to Experience and Training: There is often confusion about how to accurately represent previous experience and training. This includes not only formal child care roles but also relevant informal experiences or misunderstandings regarding what constitutes pre-service training versus ongoing professional development.

To avoid these mistakes, it's recommended to carefully review each section, double-check dates and signatures, and if in doubt, consult with someone experienced in completing the Texas 2947 form. Accuracy and completeness are key to ensuring the smooth processing of your application.

Documents used along the form

When working with the Texas 2947 Form for Child Care Center Personnel Information Records, it's important to pair it with other essential forms and documents. These documents ensure a comprehensive approach to maintaining a safe, educational, and compliant childcare environment. Here’s a list of additional forms and documents that are often used alongside the Texas 2947 Form, providing a holistic view of the prerequisites and ongoing requirements for personnel in child care centers.

  • Background Check Authorization Form: Necessary for conducting a thorough background investigation on employees to ensure the safety of children in care.
  • Emergency Contact and Medical Information Form: Collects essential medical and emergency contact details of the childcare staff for quick reference in case of an emergency.
  • Employee Health Statement: A document verifying the employee’s health condition, including TB test results, to certify fitness for working in a childcare setting.
  • Staff Orientation Checklist: Ensures that all employees, new and existing, are familiar with the child care center's operational policies, emergency procedures, and health and safety guidelines.
  • Child Abuse Reporting Form: Used to report any suspicions or evidence of child abuse or neglect, in compliance with state laws and regulations.
  • Annual Training Record: Keeps a track of all the training sessions attended by the staff, including first aid and CPR, as part of their professional development and compliance with state requirements.
  • Job Description Documents: Clarifies roles, responsibilities, and expectations for each position within the childcare center, promoting clear communication and accountability.
  • Child Enrollment Forms: While directly related to the children rather than staff, these forms are crucial for staff to have on hand to ensure they are aware of each child’s specific needs, allergies, and emergency contact information.
  • Incident Report Forms: Used to document any incidents or accidents that occur within the childcare center, ensuring there is an official record for future reference or necessary action.

Together with the Texas 2947 Form, these documents create a framework of operational excellence for child care centers. Proper completion and maintenance of these forms not only comply with regulatory requirements but also contribute to creating a safe, nurturing, and structured environment for both children and staff. Integrating these documents into daily operations supports a holistic approach to childcare management, emphasizing the importance of safety, education, and well-being.

Similar forms

The Texas 2947 form shares similarities with the Comprehensive Background Check Form utilized by various sectors, including educational and child care institutions. Both documents are crucial for ensuring the safety and well-being of children. The Comprehensive Background Check Form collects detailed information about an individual's history, including employment, education, and any criminal records, similar to how the Texas 2947 form gathers data on child care center personnel. This process is fundamental in vetting individuals to safeguard those they will be working with, especially in environments involving children.

Another document akin to the Texas 2947 form is the Employee Health Record form, used by employers to track the health status of their employees, including vaccination records and TB test results. This form, like the Texas 2947, features sections for medical tests relevant to the environment the employee will work in, emphasizing the prevention of communicable diseases among children and staff in child care centers. Both forms play a significant role in promoting public health within institutional settings.

The Professional Development Record form, often used in educational settings, bears resemblance to the Texas 2947 form regarding the section that documents previous experience and pre-service training. This form records an individual’s educational background, training sessions attended, and certifications relevant to their professional role. It aligns with the Texas 2947 form's focus on ensuring child care personnel are adequately prepared for their responsibilities through recorded evidence of their qualifications and training, particularly in child development and safety practices.

The Child Care Licensing Application form, required for operating a child care center, parallels the Texas 2947 form in its objective to uphold the safety and quality of child care services. While the Licensing Application focuses on the facility's compliance with state regulations, the Texas 2947 form concentrates on the individual staff member's qualifications and training. Both documents, however, are integral to the regulatory framework that ensures child care centers are safe, secure, and staffed by qualified individuals.

Emergency Contact and Medical Information forms, utilized in various organizations, share the intent of the Texas 2947 form to maintain the safety and well-being of those under care. These forms contain critical information needed in emergency situations, similar to how the Texas 2947 form includes details like TB test dates and CPR certifications, ensuring personnel are equipped to handle health emergencies involving children.

Staff Orientation Checklist forms, used to document the orientation process for new employees, reflect elements of the Texas 2947 form concerning the orientation section. Both documents ensure that individuals are properly introduced to operational policies, emergency procedures, and specific workplace expectations, with a special emphasis on understanding the environment and responsibilities associated with child care centers.

The Child Abuse and Neglect Reporting Form, though more specific in its application, shares an underlying goal with the Texas 2947 form: the protection of children. This form is used by professionals to report suspected incidents of child abuse and neglect. Similarly, the Texas 2947 form includes a section on training for recognizing and reporting symptoms of child abuse, neglect, and sexual abuse, underlining the commitment of child care workers to the safety and well-being of children in their care.

Dos and Don'ts

When filling out the Texas 2947 form, it's important to ensure the information provided is accurate and complete. Here's a list of things you should and shouldn't do:

Do:
  1. Review all sections carefully before starting to ensure you understand what information is required.
  2. Use black or blue ink for clarity and legibility, if filling out the form by hand.
  3. Provide accurate personal information, including your full name, address, and phone number, as well as your date of birth and employment details.
  4. Ensure that all dates, such as employment, TB test, and CPR/First Aid training expiration dates, are correctly entered.
  5. Sign and date the form in the designated areas to verify the accuracy of the information provided.
  6. Check the appropriate boxes that apply to your previous experience or training as well as the specific areas of pre-service training you have received.
  7. Keep a copy of the completed form for your records.
Don't:
  • Leave any sections blank. If a section does not apply to you, write “N/A” to indicate this.
  • Guess on dates or details. If you're unsure, verify the information before entering it on the form.
  • Use pencil or non-standard ink colors, as this can lead to legibility issues or the form not being accepted.
  • Sign the form without reviewing all the information for accuracy and completeness.
  • Forget to list any relevant previous experience or training related to child care or your specified role.
  • Omit the signature of the trainer where required, as this validates the training received.
  • Ignore the instructions on how to submit the form once completed. Follow all guidelines to ensure it reaches the appropriate department or individual.

Misconceptions

Understanding the Texas 2947 form is crucial for ensuring compliance with state requirements for child care center personnel. However, there are widespread misconceptions about this form that need to be clarified:

  • Misconception 1: The Texas 2947 form is only for background checks. This is incorrect. While it does collect personal information, its primary function is to record the qualifications and training of child care center personnel, covering areas from age-appropriate activities to preventing communicable diseases.
  • Misconception 2: This form is optional. In fact, the Texas 2947 form is required by the Texas Department of Family and Protective Services for all child care center personnel. Failing to complete it can result in non-compliance with state regulations.
  • Misconception 3: Every staff member must have CPR and First Aid training before filling out the form. Although this training is crucial, the form actually documents whether such training has been completed and its expiration date. It's possible to fill out the form and then update it once the training is complete.
  • Misconception 4: The form is primarily concerned with the educational background of the employee. While education is a component, the focus is on ensuring staff have appropriate training and orientation in specific areas relevant to child care, such as prevention of communicable diseases and emergency procedures.
  • Misconception 5: Staff without previous child care experience or training do not need to fill out the form. On the contrary, the form differentiates between staff with and without experience, mandating specific pre-service training for the latter to ensure they meet the minimum standards for childcare.
  • Misconception 6: The Texas 2947 form replaces the need for other forms of documentation. This is false. The form complements other required documentation and records, such as background checks and health records, rather than replacing them.
  • Misconception 7: Only full-time employees need to complete the form. Both part-time and full-time employees, as well as volunteers who may have contact with children, must have a completed Texas 2947 form on file.
  • Misconpliance 8 Once completed, the form does not need to be updated. This is incorrect. The form should be updated periodically to reflect any changes in an employee's training, qualifications, or personal information to ensure ongoing compliance with state regulations.

Clarifying these misconceptions is vital for anyone involved in the management or operation of child care centers in Texas. Ensuring that all personnel records are accurate and up-to-date is not just about regulatory compliance; it's about safeguarding the well-being of the children in care.

Key takeaways

Filling out and utilizing the Texas 2947 form, officially known as the Child Care Center Personnel Information Record, is a critical process for individuals working within child care centers in Texas. This form serves multiple purposes, from documenting personal and employment details to ensuring compliance with mandatory training. Here are several key takeaways to remember:

  • Comprehensive Personal and Employment Information is Necessary: The form requires detailed information, including name, address, phone number, date of birth, employment date, and educational background. This thorough collection aids in confirming an employee's qualifications and readiness for the role.
  • Mandatory Pre-Service and Ongoing Training: Certain sections of the form are dedicated to verifying the completion of required training—ranging from pre-service training for new caregivers to specialized training for those working with children under 24 months. It highlights the importance of preparing employees to effectively support the developmental stages of children and to address their health and safety needs.
  • Health and Safety Compliance: By documenting TB test dates and CPR/First Aid training certifications, the form plays a crucial role in ensuring that child care center personnel are equipped to maintain a healthy and safe environment for children. This underscores the center's commitment to preventing the spread of communicable diseases and responding to emergencies.
  • Orientation Record Keeping: The form also confirms that employees have received orientation on critical operational and safety protocols, including the child care center's policies, emergency procedures, and child abuse reporting requirements. Signature lines for both the employee and trainer serve as validation of this orientation, reinforcing the accountability of both parties.

Overall, the Texas 2947 form is an essential document that ensures child care centers in Texas adhere to high standards of care, safety, and regulatory compliance. Careful completion and updating of this form not only fulfill legal requirements but also foster a secure and nurturing environment for children.

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