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Sample Documents

Documents on this page require either Adobe Reader or Microsoft Word Viewer, which are available as free downloads.


These sample policies, forms, and instructions documents are provided for the convenience of ABC Child Care Providers to use in their child care programs to help meet ABC requirements. The ABC standard which corresponds to each document is referenced. ABC Providers may create their own documents or they may print and use as is or modify as needed, any or all sample documents provided.


ABC Level B Providers

Document Title Standard Download
Sample1-A Hand Washing Policy Level B Required Standard IV.,A PDF | Microsoft Word
Sample2-A Discipline Policy Level B Required Standard IV.,B PDF | Microsoft Word
Sample3-A Infant-Toddler Daily Report Level B Required Standard VI.,B PDF | Microsoft Word
Sample3-B Infant-Toddler Daily Report Sheet Level B Required Standard VI.,B PDF | Microsoft Word

ABC Level A Providers

Document Title Standard Download
Sample1-A Hand Washing Policy Level A Required Standard IV.,A PDF | Microsoft Word
Sample1-B Hand Washing Policy (expanded version) Level A Required Standard IV.,A, plus ERS PDF | Microsoft Word
Sample2-A Discipline Policy Level A Required Standard IV.,B PDF | Microsoft Word
Sample2-B Discipline Policy (expanded version) Level A Required Standard IV.,B plus ERS PDF | Microsoft Word
Sample3-A Infant-Toddler Daily Report Level A Required Standard VI.,B PDF | Microsoft Word
Sample3-B Infant-Toddler Daily Report Sheet Level A Required Standard VI.,B PDF | Microsoft Word
Sample4 Acknowledgement of Parent Receipt of Center Policies Level A Required Standard VI.,D PDF | Microsoft Word
Sample5 Acknowledgement of Parent/Teacher Conference Level A Required Standard VI.,E PDF | Microsoft Word
Parent Orientation Plans
INSTRUCTION1 What to Include in a Parent Orientation Plan PDF | Microsoft Word
Sample6-A Parent Orientation Plan Level A Required Standard VI.,F PDF | Microsoft Word
Sample6-B Acknowledgement of Parent Orientation Level A Required Standard VI.,F PDF | Microsoft Word
Staff Orientation Plans
INSTRUCTION2 What to Include in a Staff Orientation Plan PDF | Microsoft Word
Sample7 Staff Orientation Plan Level A Required Standard VII.,A PDF | Microsoft Word
Personnel Policies
Sample8 Acknowledgement of Staff Receipt of Center Policies Level A Required Standard VII.,B PDF | Microsoft Word
Sample9 Non-Discriminatory Hiring Policy Level A Required Standard VII.,C PDF | Microsoft Word
Sample10 Grievance Procedures Level A Required Standard VII.,D PDF | Microsoft Word
Employee Development
INSTRUCTION3 What to Include in a Staff Evaluation Plan and Professional Development Plan PDF | Microsoft Word
Sample11-A Professional Development Plan Format Level A Required Standard VII.,E PDF | Microsoft Word
Sample11-B Sample Professional Development Plan Level A Required Standard VII.,E PDF | Microsoft Word
Sample12 Annual Staff Evaluation Format Level A Required Standard VII.,F PDF | Microsoft Word

All Providers

Document Title Download
SampleOther1 Daily Planning Form PDF | Microsoft Word
SampleOther2 Weekly Planning Form PDF | Microsoft Word
SampleOther3 Staff Emergency Information Form PDF | Microsoft Word
SampleOther4 Offer of Employment Form PDF | Microsoft Word
SampleOther5 Privacy Permission Agreement PDF | Microsoft Word
SampleOther6 Directors Long-Range Plan PDF | Microsoft Word
SampleOther7 Long-Range Planning Worksheet for Staff PDF | Microsoft Word