2005 Idaho Code - 39-1204 — FORM FOR DISCLOSURE REPORT

                                  TITLE  39
                              HEALTH AND SAFETY
                                  CHAPTER 12
                       CHILD CARE LICENSING REFORM ACT
    39-1204.  FORM FOR DISCLOSURE REPORT. (1) The department shall design a
form for the initial disclosure report which shall contain only the following
information:
    (a)  The name, address and telephone number(s) for each children's agency
    or children's institution.
    (b)  The name(s), address and telephone number(s) of the individual(s) in
    charge at each children's agency or children's institution.
    (c)  The number of children that can be accommodated for child care at
    each children's institution and a description of such accommodations.
    (d)  Whether and how the children's institution seeks, receives or enrolls
    students for treatment of special needs such as substance abuse, mental
    illness, emotional disturbance, developmental disability, mental
    retardation, or students who have been identified by the judicial system
    as requiring treatment, therapy, rehabilitation or supervision.
    (e)  A complete description of the child care services to be provided at
    each children's institution.
    (f)  Whether and how the children's institution expects to receive
    payment, including payment from health insurance carriers, for identified
    treatment needs such as substance abuse, mental illness, emotional
    disturbance, developmental disability, or mental retardation.
    (g)  Whether and how the children's institution represents to the payor of
    the child care services provided by the children's institution that such
    payment may qualify for health insurance reimbursement by the payor's
    carrier or may qualify for tax benefits relating to medical services.
    (h)  A description of the educational programs provided at each children's
    institution and their accreditation status.
    (2)  The department shall design a form for the annual update disclosure
report which shall reference the information provided in the initial
disclosure report and shall request identification of any changes in the
information provided on the initial report or the previous annual update
disclosure report.