DAFORMFILLABLE.COM | DA FORM 5221-R Fillable – Army Pubs 5221-R PDF – DA FORM 5221-R, officially titled Child Development Services (CDS) Family Child Care (FCC) Certification, Denial/Revocation (LRA), is a crucial document used within the U.S. Army’s child care system. This form, identified by the pub/form number DA FORM 5221-R and dated 07/01/1989, plays a significant role in managing family child care services by certifying, denying, or revoking certification for child care providers under the CDS Family Child Care (FCC) program.
DA FORM 5221-R – Child Development Services (CDS) Family Child Care (FCC) Certification, Denial/Revocation (LRA)
| Form Number | DA Form 5221-R |
| Form Title | Child Development Services (CDS) Family Child Care (FCC) Certification, Denial/Revocation (LRA) |
| Form Date | 07/01/1989 |
| Form Proponent | G-9 |
Purpose and Importance
The primary purpose of DA FORM 5221-R is to ensure that family child care providers meet the necessary standards and regulations set forth by the Army’s child development services. This form is essential for maintaining high-quality and safe child care environments for military families. The certification process confirms that providers comply with AR 608-10 directives, which govern child development services, including family child care programs.
Components of the Form
DA FORM 5221-R includes several sections that capture vital information about the child care provider and the certification status:
- Provider Information: Details about the family child care provider, including name, address, and contact information.
- Certification Status: Indication of whether the certification is being granted, denied, or revoked.
- Reason for Action: Justification for the certification decision, whether approval or denial.
- Approval Authority: Information about the authority responsible for approving or revoking the certification.
Certification Process
The certification process for family child care providers involves several steps to ensure compliance with Army regulations:
Initial Application
Prospective family child care providers must complete an initial application, demonstrating their capability to provide safe and developmentally appropriate care for children.
Background Checks and Training
Applicants undergo background checks and must complete required training to ensure they understand and can implement child care standards effectively.
Home Inspection
An inspection of the provider’s home is conducted to verify that it meets the safety and environmental standards required for child care settings.
Denial or Revocation of Certification
Certification denial or revocation can occur if a provider fails to meet the necessary standards or violates any regulations. Reasons for denial or revocation include:
- Non-compliance with safety regulations.
- Inadequate training or failure to complete required courses.
- Unsuitable home environment for child care.
- Previous incidents of misconduct or neglect.
Regulatory and Proponent Information
The form is prescribed under AR 608-10, which details the standards and procedures for child development services within the Army. The G-9 proponent office oversees the implementation and management of these standards.
Distribution and Accessibility
The form is unclassified and approved for public release, meaning there are no restrictions on its distribution. It is also available in electronic media, making it accessible for digital completion and submission.
Conclusion
DA FORM 5221-R is a vital document for the certification, denial, or revocation of family child care providers within the U.S. Army. It ensures that child care providers meet stringent standards, thereby guaranteeing the safety and well-being of children in military families. By adhering to the regulations set forth in AR 608-10, the Army maintains high-quality child care services through a structured and comprehensive certification process.
DA FORM 5221-R Fillable – Army Pubs 5221-R PDF DOWNLOAD
