Licensed Providers. Each physician engaged by the Medical Group to provide services at the Office shall be duly licensed to practice medicine in the State of California and shall be board certified or board eligible in the specialty of radiology and shall maintain professional liability insurance in minimum amounts of $1,000,000/$3,000,000 per annum.
Licensed Providers. Do you receive funding from any other source for this child? Check all that apply: School Readiness State Head Start Federal Head Start DSS CDC DSS BAS Is the schedule the same each week? Yes No If no, explain how the schedule varies:
Licensed Providers. Do you receive funding from any other source for this child? Check all that apply:
Licensed Providers. To the knowledge of the Loan Parties, each Licensed Provider holds all professional licenses and other Material Health Care Permits required in the performance of such Licensed Provider’s duties for the Loan Party, Subsidiary or Managed Entity, and, each such Health Care Permit is in full force and effect. To the knowledge of the Loan Parties, no suspension, revocation, termination, impairment, modification or nonrenewal of any such Health Care Permit is pending or threatened in writing.
Licensed Providers. The Provider is mandated by the State of California to report to the Department of Children and Family Services (DCFS) any suspected child abuse, which includes physical abuse, emotional abuse, sexual abuse, neglect, or any other abuse that may be endangering a child in their care. In the Child Care Partnership Program providers will be required to attend the Child Abuse Prevention training including mandated reporting training annually.
Licensed Providers. Do you receive funding from any other source for this child? Check all that apply: School Readiness State Head Start Federal Head Start DSS CDC DSS BAS Relative and In-Home Providers: Are you related to this child? Yes No If related, specify your relationship below: Grandparent/Great Grandparent Aunt/Uncle Sibling Niece/Nephew Cousin/Second Cousin Other: CHILD’S CARE SCHEDULE: Fill in the time the child is in your care (Circle AM or PM). SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY Is the schedule the same each week? Yes No If no, explain how the schedule varies: CHILD 2 - Full Name Date of Birth Date care started How much do you charge the parent per week? $ _ Do you provide care for this child before or after school? (Check boxes) Before School After School
Licensed Providers. Each physician engaged by the P.C. to provide services at the Office shall be duly licensed to practice medicine in the Commonwealth of Massachusetts and shall be board certified or board eligible in the specialty of radiology and shall maintain professional liability insurance in minimum amounts of $l,000,000/$3,000,000 per annum.
Licensed Providers. Each of the Company, its subsidiaries, JVs, and Managed Practices is in material compliance with all applicable Health Care Laws regarding the selection, deselection, and credentialing of contracted or employed physicians, other licensed providers and any other persons rendering services to patients (“HCPs”), including, but not limited to, verification of licensing status and eligibility for reimbursement under the Programs. Except as has not had, and could not be expected, individually or in the aggregate, to result in a Material Adverse Change, each of the Company’s, its subsidiaries’, JVs’ and Managed Practices’, as applicable, contracted or employed HCPs is properly licensed, supervised, and hold appropriate clinical privileges, as applicable, for the services which they provide, and, with respect to HCPs that perform services eligible for reimbursement under any Program, are not debarred, suspended or excluded from any such Program.
Licensed Providers. Each Physician engaged by Medical Group to provide services at the License Premises shall be duly licensed, without restriction, to practice medicine in the State of New Jersey; shall be board certified or board eligible in the Medical Specialty; shall maintain professional liability insurance in minimum amounts of $1,000,000.00/$3,000,000.00 annual aggregate; and shall have never been convicted of a criminal offense related to healthcare, or been listed by any federal or state healthcare program as excluded or otherwise ineligible to participate in such federal or state program.
Licensed Providers i. Providers will remain in compliance with applicable licensing requirements, laws, and regulations. Providers who falsify attendance documents and/or receive services and/or payments by misrepresenting or withholding pertinent information will be terminated from providing subsidized child care services to CCRC families.
ii. Providers will furnish age and developmentally appropriate child care services.
iii. Providers will pay annual licensing fees before expiration. This will include liability insurance compliance as required.
iv. Providers will not accept children above licensed capacity or outside of their licensed age range.
v. Providers will inform CCRC of any changes in licensing or approval status within the timeframe indicated in this agreement and/or the Parent Handbook with Provider Guidelines. All allegations of licensing violations will be reported to Community Care Licensing (CCL) for follow up.
