Better Beginnings - Every child deserves our best

Arkansas Child Care Information

Division of Child Care and Early Childhood Education


Arkansas Online Application for Child Care License


Please provide the following information and click Submit.


Facility Name  

Facility Type  
If Child Care Center, what ages?



       
Site Address 1   Mailing Address 1   
Site Address 2 Mailing Address 2
Site City    Mailing City   
Site State    Mailing State   
Site Zip      Mailing Zip     
Site County    
       
Directions to this site  
Facility Email    

Facility Website  

1. Have you attended Pre-License Orientation?
        Date Attended
 
    
 
2. Do you currently have children in your care?  
  How Many? 
  Date you plan to begin operation at this facility?
 
 
 
3. Were you previously licensed to provide child care in Arkansas or another state?
   
  
 
4. Has anyone in your immediate family (blood relative; by marriage; etc.) or anyone affiliated with
your Facility (sharing common ownership; board member; or any other interest) ever been debarred,
terminated, suspended or otherwise excluded from participation by a government unit?
   
   
 
4.a. If the answer is 'Yes' to either #3 or #4, please fill out the following information about previously licensed facilities:
    Facility #1   Facility #2
  Facility # Facility #
  Facility Name Facility Name
  City City
  State State
  Start Date
 
Start Date
 
  End Date
 
End Date
 
 
4.b. If the answer is 'Yes' to #4, please fill out the following information about related exclusions:
    Facility #1 (continued from above)   Facility #2  (continued from above)
  Name of the Person Name of the Person
  Relationship to you? Relationship to you?
  Explanation Explanation
 
5. Enter the following Owner Information (Enter Corporate or Individual Owner Names, not both):
  Owner Info Primary Owner Other Owner Other Owner
  TIN (Tax ID)
if applicable
   
  SSN if no TIN
  Corporate
Owner Name
  Individual
First Name
  Individual
Last Name
  Address 1
  Address 2
  City
  State
  Zip      
  Owner Phone      
  Owner Cell      
  Owner Email      
 
6. Months of Operation
 

7. Hours of Operation
    Sunday Monday Tuesday Wednesday Thursday Friday Saturday  
  Open  
  Close  
  Open  
  Close  
                   

Please note that Child Care Licensure applicants are subject to Arkansas State Criminal Background Checks, FBI Background Checks and Child Maltreatment Registry Checks. The application could be impacted depending on the information that is obtained as a result of those checks.

This application will not be considered complete until ALL information has been provided.


The following items must be submitted to your assigned Licensing Specialist. You will be contacted by your Licensing Specialist:
1. Diagram of the facility/building, which indicates rooms that will be used by children, and locations for hand washing and toileting.
2. Criminal record, child maltreatment, central registry, and FBI record checks on applicant.
3. Copies of fire and health department approvals, if applicable.
4. Zoning approval.
5. Arkansas Manufactured Home Commission approval, if applicable.
6. Rates. A Rates Worksheet can be found under the Resources link on this page.
7. Licensed/Registered Homes only – Name all caregivers with their ages, addresses, and phone numbers, and name all residents of the home.
8. Child Care Centers only – Name of proposed director and documentation of their qualifications.
9. Child Care Centers only – If owned by a corporation, attach a copy of board member names, addresses, and phone numbers. In addition, a copy of articles of incorporation, which have been filed with the Arkansas Secretary of State, and any amendments, shall also be attached.
10. Verification of your TIN or SSN #.
 

Under the provisions of the Child Care Licensing Act 434 of 1969, amended, I hereby make application for license/registration to operate a child care center/home. I have reviewed the minimum licensing/registration requirements and agree to comply with them.


  ** A letter of authorization is required if the person submitting this application is anyone other than an owner.  
    Before submitting, print a copy of the application for your records.