Child Care Referral Request

 

If you are interested in receiving a list of licensed/registered child care providers in Oakland County, fill out the form below and click the Submit button.  We will email, mail or fax this referral to you as soon as possible.  

Your referral packet will contain a list of child care providers generated by our database according to the selection criteria indicated in your request.  You will be provided with the provider's city, type of care (family, group,  or center) and days/times care is provided.  You will also receive a summary of the state's licensing requirements

DISCLAIMER

Please Remember that the information provided by the Oakland County Child Care Council is not an endorsement or recommendation of any child care provider.  The information is intended for referral purposes only.  Information is self reported by each provider.  The Oakland County Child Care Council does not verify the information reported.   Parents are advised to conduct their own inquiries and verify information on child care providers they are interested in using.  This is not necessarily an all-inclusive list of every child care provider in your search area.

Questions About the Form or Additional Information:
Email:   info@oaklandchildcare.org
Call:     (248) 333-9545 or toll-free 1-877-487-1200      

Child Care Referral Request Form

*You must complete the bolded fields in order to receive a referral.

I. General Information
Parent/Guardian's Name:
Street Address:
City, State, Zip Code:
Daytime Phone Number:
E-mail Address (for emailed referrals only)
Fax Number: (Optional)
Employer of Parent/Guardian: (Optional)
  We are contracted by some employers to offer additional services to their employees.
2nd Parent Employer:
Is either parent an active member of the military?
Birthdate(s) of children (or due dates):
   
II. Search Criteria:  
Cities to Search:
(Enter 2 cities maximum)
Type of Care:
Start Date of Child Care:
(Enter in the format  mm/dd/yyy)
Days Care is Needed:
(Select one or more)
Time Care is Needed:
(Include am or pm after the time)
Type of Schedule:
Special Program:
(Optional)
Other Care Options:
(Optional)
For Bi-lingual child care please select a language:
Do you need a child care provider that cares for children with:
   
III. Subsidy  
Is Department of Human Services (DHS) helping pay for care?
DHS offers a program to assist low to moderate income families pay for child care.  Eligibility is based on family size and yearly income.  To qualify, the gross yearly income must be below the amounts listed in this chart.
Family Size
2
3
4
5
6
7		 Yearly Income
$19,300
$23,900
$28,400
$32,950
$37,500
$42,000
Would you like a Department of Human Services (DHS) application mailed to you?
   
IV. Reason for Care  
What is your reason for needing child care?
How were your referred to us?
How would you like us to send your referral?
   
* The following is optional and is collected for statistical information purpose only.
What is your age:
What is your employment status?
If you speak another language in the home, please indicate which language?
   
What is your family size?
What is your relationship to the child(ren)?
What is your Ethnic Background/Race?
Additional Comments:
If you do not receive your referral list within two business days please contact us at (248) 333-9545

Confidentiality Policy

It is the policy of the Oakland County Child Care Council to keep all personal information shared by clients confidential. All information gathered is for statistical purposes, and no information is shared with outside parties. Personal information is defined as name, address, phone number, or fax number and email address.

Resource and Referral Complaint Policy

The Oakland County Child Care Council strives to provide the best resource and referral service possible. We are committed to resolving service complaints to the best of our ability, as well as guiding clients through the Licensing Complaint process should a concern about a child care provider arise.

Licensing Complaint: Client/Parent has a concern or complaint about the health, safety or quality of a child care provider.

Process:

  1. Refer to Child and Adult Day Care Licensing at 866-856-0126 or online at www.mi.gov/dhs, Licensing Complaints.
  2. Explain that the complainant does not have to give any identifying information and that the complaint will be investigated even if it is filed anonymously. If identifying information is provided the investigator may call for clarification or more information.
  3. Explain that an Investigation Report will be available online or through a Freedom of Information Act request within 90 days.
  4. FOIA Request may be completed online at www.mi.gov/dhs, by fax 517-335-6121 or by writing the Department of Human Services at the Office of Children and Adult Day Care Licensing 7109 W. Saginaw, PO Box 30650, Lansing, MI. 48909
  5. FOIA Requests are not confidential and may require a minimal fee.
  6. Explain that the Oakland County Child Care Council does not investigate or follow-up on ANY provider complaints.

Service Complaint: Client/Parent has a concern or complaint with the quality of service received from R&R Counselor.

Client with concern about service contacts the Executive Director via phone, fax or email. Executive Director verifies information received by complainant and documents concerns in writing. Executive Director addresses concern with appropriate staff and works toward resolution – shares results of investigation with complainant and works with complainant to meet his/her needs. Executive Director documents in writing all conversations with complainant and staff. Written documentation is kept on file.

Home  |    Community Partnerships    |      Contact Us    |    Family Services    |    Child Care Provider Services    |    Employer Services