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: / / | | | | | | | | | | | | | | | |
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