Ocfs.ny.gov



|OCFS-6027 (09/2016) |NEW YORK STATE | Page       of       |Facility ID: |      |

| |OFFICE OF CHILDREN AND FAMILY SERVICES | | | |

| |CHILD CARE ATTENDANCE SHEET – SEVEN DAYS | | | |

| | | | | |

|Month: |      |Year: |      | |Program: |      |

INSTRUCTIONS: Actual times in and out must be recorded in the spaces below. Check box if child is absent. Daily health care check must be checked after conducted.

If there are health care concerns, notes must be recorded and kept confidential.

Child’s Name |MONDAY Date:     /     /      |TUESDAY

Date:     /     /      |WEDNESDAY

Date      /     /      |THURSDAY

Date:     /     /      |FRIDAY

Date:     /     /      |SATURDAY

Date:     /     /      |SUNDAY

Date:     /     /      | |First Name

      | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | |Last Name

      |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT | | |      |      |      |      |      |      |      |      |      |      |     

|     

|      |      | |DOB:     /     /      |      |      |      |      |      |      |      |      |      |      |      |      |      |      | |First Name

      | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | |Last Name

      |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT | | |      |      |      |      |      |      |      |      |      |      |     

|     

|      |      | |DOB:     /     /      |      |      |      |      |      |      |      |      |      |      |      |      |      |      | |First Name

      | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | |Last Name

      |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT | | |      |      |      |      |      |      |      |      |      |      |     

|     

|      |      | |DOB:     /     /      |      |      |      |      |      |      |      |      |      |      |      |      |      |      | |First Name

      | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | |Last Name

      |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT | | |      |      |      |      |      |      |      |      |      |      |     

|     

|      |      | |DOB:     /     /      |      |      |      |      |      |      |      |      |      |      |      |      |      |      | |First Name

      | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | |Last Name

      |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT | | |      |      |      |      |      |      |      |      |      |      |     

|     

|      |      | |DOB:     /     /      |      |      |      |      |      |      |      |      |      |      |      |      |      |      | |First Name

      | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | |Last Name

      |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT | | |      |      |      |      |      |      |      |      |      |      |     

|     

|      |      | |DOB:     /     /      |      |      |      |      |      |      |      |      |      |      |      |      |      |      | |First Name

      | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | Absent

Health check | |Last Name

      |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT |IN |OUT | | |      |      |      |      |      |      |      |      |      |      |     

|     

|      |      | |DOB:     /     /      |      |      |      |      |      |      |      |      |      |      |      |      |      |      | |

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download