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South Carolina child care paperwork.

Family child care homes may follow registration or licensing routes; group homes are licensed. The state's forms page identifies resources reserved for registered family homes.

Agency: Department of Social Services (DSS), Division of Early Care and Education, Child Care Licensing
Paperwork source review: September 14, 2026

Use your print window to print on paper or save as a PDF. The organizer is a planning aid for your files.

Check the form and your provider type.

An official agency form is issued or listed by the agency; that label alone does not establish mandatory use. A required state form is identified as mandatory in the cited instructions. A required record identifies information you must maintain; its format may be flexible. An optional template is a suggested format. Official instructions / portal links explain the application or record process.

Read “Applies to” and “Format and applicability” for each item. Home, group-home, center, local licensing, food-program, and subsidy requirements can differ.

Application & renewal

01
Official agency form

Original or Renewal Registration of Family Child Care Home

Form DSS 2922

Request original registration or renewal and identify children in care.

Applies to
Registered family child care homes only
Who completes it
Operator and DSS representative
Where it goes
DSS Child Care Licensing; confirm current submission route with regional office.
When to use or update
Initial registration or renewal.

Format and applicability: August 2018 PDF remains linked. Its older background-check statements need confirmation against current instructions.

Open official source: Original or Renewal Registration of FCCH, DSS 2922 ↗https://scchildcare.org/media/60201/DSS-Form-2922-AUG-18-_rev.pdf

Children’s files

02
Required record

Family Child Care Home Consumer Parent Statement

Form DSS 2909

Document attendance arrangements and receipt of home regulations.

Applies to
Family child care homes
Who completes it
Provider completes Section I; parent completes and signs Section II
Where it goes
Original to DSS; copy in facility file.
When to use or update
New enrollment, updates, and annually.

Format and applicability: Official one-page PDF.

Open official source: Family Child Care Home Consumer Parent Statement, DSS 2909 ↗https://scchildcare.org/media/60204/DSS20FORM20290920-AUG2018-.pdf
03
Official agency form

General Record and Statement of Child's Health for Admission

Form DSS 2900

Record child contacts, attendance schedule, health information, and emergency contacts.

Applies to
Child care facilities; included in home-provider resources
Who completes it
Parent/guardian and facility designee
Where it goes
Facility child file.
When to use or update
At enrollment and whenever information changes.

Format and applicability: Official PDF; linked edition is March 2010.

Open official source: General Record and Statement of Child's Health, DSS 2900 ↗https://scchildcare.org/media/632/2900-Statement-of-Childs-Health.pdf

Safety & daily records

06
Official agency form

Health-Fire Inspection Request

Form DSS 2905

Request licensing health and fire inspection.

Applies to
Programs applying for licensing; confirm registered-home applicability
Who completes it
Operator/applicant
Where it goes
Licensing regional office under application instructions.
When to use or update
During licensing preparation.

Format and applicability: Official directory resource; general application checklist includes center-specific elements.

Open official source: Licensing Requirements — Forms & Resources ↗https://scchildcare.org/providers/licensing-requirements/

Provider & staff files

04
Official agency form

Medical Statement

Form DSS 2901

Record health information and evidence relating to tuberculosis.

Applies to
Staff, volunteers, and emergency personnel; confirm household scope for provider type
Who completes it
Individual completing health statement
Where it goes
Facility personnel records for licensing inspection.
When to use or update
Before inspection/hiring as applicable; ongoing interval not established here.

Format and applicability: Self-completed statement is separate from DSS 2926 health assessment.

Open official source: Medical Statement, DSS 2901 ↗https://scchildcare.org/media/635/2901-Staff-Medical-Form.pdf
05
Official agency form

Consent to Release Information and Compliance Statement

Form DSS 2924

Authorize child abuse/neglect registry review and provide compliance statement.

Applies to
Covered people in licensed, registered, or approved child care
Who completes it
Individual applicant and program
Where it goes
DSS using current form submission and payment instructions.
When to use or update
New and renewal staff checks as applicable.

Format and applicability: Official PDF; not a substitute for fingerprint checks.

Open official source: Consent to Release Information and Compliance Statement, DSS 2924 ↗https://scchildcare.org/media/vz3bmzdr/dss-form-2924-december-22-v4a.pdf

What this review covers

Selected official forms and public instructions were reviewed on September 14, 2026. This is a practical starting list, not a complete certification of every record, retention period, local rule, or individual application.

  • The general application checklist mixes program types, including center staffing provisions; registered homes should use home-specific forms and regional guidance.
  • Some currently linked forms are dated 2007–2018. In particular, DSS 2922's background-check renewal note should not override current screening instructions.
  • Subsidy and CACFP provider claims were not reviewed.

Use the agency’s current original and revision instructions. Keep confidential child and staff records in your own secure record system.

Report a changed form or link →

Provider Path · Reusable planning companion

South Carolina paperwork organizer

Use this sheet to check which items apply to your program. A listed item or a checked box does not establish that your program meets licensing requirements.

Program / provider type:

Licensing office / reviewer:

Date checked / rule or packet edition:

Form or instructionApplies?
Yes / No / Ask
Received / completedLocation / next review
1. Original or Renewal Registration of Family Child Care Home (DSS 2922)
2. Family Child Care Home Consumer Parent Statement (DSS 2909)
3. General Record and Statement of Child's Health for Admission (DSS 2900)
4. Medical Statement (DSS 2901)
5. Consent to Release Information and Compliance Statement (DSS 2924)
6. Health-Fire Inspection Request (DSS 2905)
Other local or agency document
Food-program / subsidy documents

Questions and next steps

Ask about required format, signatures, submission, update triggers, and retention. Record the agency’s answer and the person or written source that confirmed it.

Companion to the South Carolina source review dated September 14, 2026. Provider Path educational planning sheet.