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Content Overview

The Texas 2947 form is a critical document designed for child care center personnel, ensuring compliance with state regulations while promoting the well-being of children. This form captures essential information about employees, including their educational background, training in child development, and emergency procedures. It emphasizes age-appropriate activities and the importance of fostering self-esteem through positive interactions. Additionally, the form addresses health concerns, such as preventing the spread of communicable diseases, which is crucial in maintaining a safe environment for children. Texas law mandates transparency, allowing individuals to review the information collected about them, ensuring accuracy and accountability. Completing this form accurately is not just a requirement; it is a vital step toward ensuring that child care centers operate safely and effectively. The form also outlines pre-service training requirements, detailing the necessary qualifications for staff, especially those working with younger children. Understanding the Texas 2947 form is essential for anyone involved in child care, as it lays the groundwork for a safe, nurturing, and compliant child care environment.

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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

Form Specifications

Fact Name Details
Governing Law The Texas Family Code governs the use of Form 2947.
Purpose This form collects essential personnel information for child care center staff.
Age-appropriate Activities Encourages activities suitable for children's developmental stages.
Self-esteem Focus Promotes fostering children's self-esteem through positive interactions.
Health Precautions Includes measures to prevent the spread of communicable diseases.
Training Requirements Staff must complete pre-service training based on their experience level.
Emergency Procedures Outlines protocols for handling emergencies and recognizing child abuse.
Employee Rights Employees can review and request corrections to their collected information.

Texas 2947: Usage Guidelines

Filling out the Texas 2947 form requires careful attention to detail. This form is used to gather important information about child care center personnel. Ensure that all information is accurate and complete before submission.

  1. Begin with your personal information: Fill in your NAME, ADDRESS, PHONE #, DATE OF BIRTH, and DATE OF EMPLOYMENT.
  2. Record the T.B. test date: Enter the T.B. TEST DATE in the specified format.
  3. Educational background: List the NAME OF HIGH SCHOOL attended, indicate whether you graduated, and provide the GRADUATION DATE or GED status.
  4. College information: If applicable, fill in the COLLEGE name, the DEGREE earned, and any relevant CAREER PROGRAM details.
  5. Instructor and work schedule: Provide the INSTRUCTOR name, HOURS of work, and DAYS you work.
  6. CPR and First Aid Training: Fill in the EXP. DATE for both CPR and First Aid training.
  7. Attendance records: Indicate whether attendance is maintained through a SIGN IN LOG or TIME SHEET.
  8. Previous experience or training: Describe your previous experience or training, including where and how long.
  9. Pre-service training: Check the appropriate box indicating whether you have previous child care experience or if you received 8 hours of pre-service training in specified areas.
  10. Employee and trainer signatures: Both the employee and trainer must sign and date the form at the end.

Once completed, review the form for accuracy. Ensure that all required signatures are present before submitting it to the Texas Department of Family and Protective Services. This form is crucial for maintaining compliance with state regulations regarding child care personnel.

Your Questions, Answered

What is the Texas 2947 form?

The Texas 2947 form is a document used by child care centers in Texas to gather essential information about their personnel. It is part of the requirements set by the Texas Department of Family and Protective Services (DFPS) to ensure that child care providers meet certain standards and qualifications. The form collects details such as personal information, educational background, training, and work schedules.

Who needs to fill out the Texas 2947 form?

All employees and volunteers working in child care centers in Texas are required to complete the Texas 2947 form. This includes anyone who will be directly involved in the care of children, ensuring that they have the necessary qualifications and training to provide a safe and nurturing environment.

What kind of information is collected on the form?

The form collects various types of information, including the individual's name, address, phone number, date of birth, and employment details. It also requires information about educational background, CPR and First Aid training, and any previous experience or training related to child care. Additionally, it includes sections on pre-service training specific to caregivers.

What is pre-service training, and why is it important?

Pre-service training refers to the training that caregivers must complete before they can be counted in the child/caregiver ratio. This training covers essential topics such as developmental stages of children, positive guidance and discipline, and safety practices. It is crucial because it equips caregivers with the knowledge and skills necessary to provide appropriate care and support for children.

What are the requirements for caregivers working with children younger than 24 months?

Caregivers who will be working with children younger than 24 months must complete additional training beyond the standard pre-service training. Specifically, they need to receive one hour of training focused on recognizing and preventing shaken baby syndrome and sudden infant death syndrome, as well as understanding early childhood brain development. This specialized training is vital for ensuring the safety and well-being of infants.

How does the Texas 2947 form protect personal information?

The Texas law provides individuals the right to know what information is collected about them through forms submitted to state agencies, including the Texas 2947 form. Individuals can review this information and request corrections if they find any inaccuracies. This transparency helps protect personal information and ensures that records are kept accurate and up-to-date.

What happens if an employee or volunteer does not complete the form?

If an employee or volunteer does not complete the Texas 2947 form, they may not be allowed to work with children until the form is properly filled out and submitted. Compliance with this requirement is essential for maintaining licensing standards and ensuring the safety of children in care.

What should be done if there is a change in information after the form is submitted?

If there is a change in any information after the Texas 2947 form has been submitted, it is important to update the form as soon as possible. This includes changes in contact information, employment status, or training certifications. Keeping this information current is essential for compliance with state regulations and for the safety of the children in care.

Where can I find the Texas 2947 form?

The Texas 2947 form can typically be obtained from the Texas Department of Family and Protective Services website or directly from the child care center where you are employed or volunteering. It is advisable to check with your center's administration for the most current version of the form and any specific instructions for completion.

Common mistakes

  1. Incomplete Personal Information: Failing to provide all required personal details, such as name, address, and phone number, can lead to processing delays. Ensure that every section is filled out completely and accurately.

  2. Incorrect Dates: Entering wrong dates for employment or training can create confusion. Double-check the dates for your employment, training, and any certifications to avoid discrepancies.

  3. Neglecting Pre-Service Training Requirements: Not checking the appropriate boxes for pre-service training can result in non-compliance. Make sure to indicate whether you have received the required training, especially if you will be working with children under 24 months.

  4. Missing Signatures: Forgetting to sign the form can lead to it being considered incomplete. Both the employee and trainer must sign and date the form to validate the information provided.

Documents used along the form

The Texas 2947 form is a critical document used by child care centers to gather essential personnel information. Along with this form, several other documents are often utilized to ensure compliance with state regulations and to maintain the safety and well-being of children in care. Below are five such forms and documents that are commonly associated with the Texas 2947 form.

  • Employee Orientation Checklist: This document outlines the topics covered during the orientation of new employees. It ensures that staff members are informed about the center's operational policies, emergency procedures, and child safety protocols.
  • Sign-In Log: This log is used to track the attendance of employees and volunteers at the child care center. It helps maintain accurate records of who is present on-site, which is vital for safety and accountability.
  • Time Sheet: A time sheet records the hours worked by each employee. This document is essential for payroll purposes and helps ensure that staff members are compensated accurately for their time.
  • CPR and First Aid Certification Records: These records document the training and certification of staff members in CPR and first aid. Maintaining up-to-date certifications is crucial for responding effectively to emergencies involving children.
  • Pre-Service Training Records: This document tracks the completion of required pre-service training for caregivers. It includes details on the training topics covered, ensuring that staff members are adequately prepared to care for children.

These documents work in tandem with the Texas 2947 form to create a comprehensive framework for managing personnel in child care settings. Together, they help ensure that child care centers operate safely and in accordance with state regulations.

Similar forms

  • Texas Child Care Licensing Application: Similar to the Texas 2947 form, this application collects personal information about individuals seeking to operate a child care facility. It includes details on qualifications, training, and background checks, ensuring that caregivers meet the necessary standards for child safety and development.
  • Child Care Staff Training Record: This document tracks the training and qualifications of child care staff, much like the Texas 2947 form. It details the types of training received, including CPR and first aid, as well as pre-service training, ensuring that staff are prepared to provide a safe and nurturing environment for children.
  • Employee Orientation Checklist: This checklist serves a similar purpose by ensuring that new employees are informed about the policies and procedures of the child care center. It covers essential topics such as emergency protocols and child abuse reporting, paralleling the orientation components found in the Texas 2947 form.
  • Child Care Center Personnel File: This file contains comprehensive information about each staff member, including employment history, training certifications, and performance evaluations. Like the Texas 2947 form, it aims to maintain a record of qualifications and compliance with state regulations, promoting a safe environment for children.

Dos and Don'ts

When filling out the Texas 2947 form, it's important to ensure accuracy and completeness. Here’s a helpful list of things to do and avoid:

  • Do double-check all personal information, such as your name and address, for accuracy.
  • Do provide your correct phone number and dates of birth and employment.
  • Do ensure that you have included all required training details, including CPR and First Aid training.
  • Do sign and date the form to confirm that all information is true and complete.
  • Don't leave any sections blank. Fill in every required field to avoid delays.
  • Don't provide false information. This can lead to serious consequences.
  • Don't forget to check if you need to indicate previous child care experience or training.
  • Don't overlook the importance of understanding the operational policies of the child care center.

By following these guidelines, you can help ensure that your form is processed smoothly and efficiently.

Misconceptions

The Texas 2947 form is often misunderstood. Here are six common misconceptions about it:

  • It is only for child care providers. Many believe that the Texas 2947 form is exclusively for individuals working in child care centers. However, it is also relevant for volunteers and other personnel involved in child care settings.
  • Completion of the form guarantees employment. Some think that filling out the Texas 2947 form ensures a job. In reality, the form is part of the application process and does not guarantee employment.
  • Only educational qualifications are important. While educational background is a component of the Texas 2947 form, practical experience and training are equally significant. The form emphasizes the importance of training in child development and safety.
  • It is not necessary to update the form. Many assume that once the Texas 2947 form is completed, it does not need further attention. However, it is essential to keep the information current, especially regarding training and employment status.
  • The form is only for state licensing purposes. While the Texas 2947 form is used for licensing, it also serves to ensure that child care personnel meet the necessary qualifications and training standards to provide safe care.
  • Personal information is not protected. Some individuals worry that their personal information on the Texas 2947 form is not secure. Texas law provides individuals the right to know what information is collected and the ability to correct any inaccuracies.

Understanding these misconceptions can help clarify the purpose and importance of the Texas 2947 form for all involved in child care settings.

Key takeaways

When filling out and using the Texas 2947 form, there are several important points to keep in mind. This form is essential for child care center personnel and helps ensure compliance with state regulations.

  • Understand the Purpose: The Texas 2947 form is used to collect necessary information about child care center employees and volunteers.
  • Personal Information: Ensure that all personal details, such as name, address, phone number, and date of birth, are accurately filled in.
  • Employment Dates: Clearly indicate the date of employment and any relevant training dates.
  • Education Background: Provide information about your high school and college education, including graduation status.
  • Training Requirements: Check the appropriate boxes regarding pre-service training and ensure that you meet the necessary hours for your role.
  • Child Care Experience: Indicate whether you have previous child care experience, as this affects training requirements.
  • Emergency Procedures: Familiarize yourself with the emergency procedures outlined in the orientation section of the form.
  • Child Abuse Awareness: Be aware of the signs of child abuse and neglect, as this is a critical responsibility of child care personnel.
  • Signatures Required: Both employee and trainer signatures are necessary to validate the completion of the form.
  • Review Your Information: After filling out the form, review all entries to ensure accuracy before submission.

By paying attention to these key takeaways, you can ensure that the Texas 2947 form is completed correctly and serves its intended purpose effectively.