Employee Resources

Staff forms, agreements, and administrative references.

Brookline Sprouts staff can find commonly used blank forms, training records, child screeners, and employee-file documents here.

Completed documents containing personal, medical, or employment information must be stored through the approved staff process rather than sent through ordinary email.

AgreementsCurrent blank Pre-K, summer, and wraparound agreement pages.
TrainingCivil rights, vendor training, and staff observation resources.
ScreenersAct Early developmental screeners for children ages three through five.
Employee FilesDHS data sheets, review forms, clearances, and hiring-date records.

Staff Agreements

Blank program agreement pages.

Choose the agreement for the child’s program and current enrollment period.

Pre-K Agreement

Blank agreement pages for preschool and Pre-K enrollment.

Open PDF

School Age Summer Agreement

Blank agreement pages for school age summer care.

Open PDF

School Age Wraparound Agreement

Blank agreement pages for before- and after-school wraparound care.

Open PDF

Staff Forms

Health, civil rights, and observation documents.

Blank records and official forms used during onboarding and ongoing staff support.

Civil Rights Sign-Off

Staff self-certification form for required civil rights responsibilities.

Open PDF

Employee Health Report

Official Pennsylvania child care staff health assessment form.

Open PDF

Staff Observation Form

Online form for recording a staff observation.

Open Form

Child Screeners

Act Early developmental checklists.

Select the checklist that matches the child’s age.

Act Early: 3 Years

Developmental milestone checklist for children who are three years old.

Open PDF

Act Early: 4 Years

Developmental milestone checklist for children who are four years old.

Open PDF

Act Early: 5 Years

Developmental milestone checklist for children who are five years old.

Open PDF

Training Forms

Vendor and food-program training resources.

Use the form associated with the completed training or program review.

Gold Finch Vendor Training Form

Assessment form for Gold Finch vendor training.

Open PDF

Frog Street Vendor Training Form

Assessment form for Frog Street curriculum vendor training.

Open PDF

CACFP Additional Information

Reference information for the Child and Adult Care Food Program.

Open PDF

Employee File Forms

Meeting, review, clearance, and hiring records.

Blank administrative forms used to keep staff files complete and current.

Blank Staff Meeting Sign-In

Blank attendance sheet for staff meetings.

Open PDF

DHS Staff Data Sheet

Child care center staff data sheet used for employee records.

Open PDF

Periodic Review / Six-Month File Check

Checklist for periodic employee-file reviews.

Open PDF

Out-Of-State Clearances List

Reference table for out-of-state clearance requirements.

Open PDF

First Day Worked Form

Employee-file record for documenting the first day worked.

Open PDF

Hiring Dates Form

Employee-file record for hiring dates and the first day working with children.

Open PDF

Official References

Pennsylvania DHS and child care regulations.

Use the official Pennsylvania websites for current agency information and regulations.

Department Of Human Services

Pennsylvania Department of Human Services information and services.

Visit PA DHS

DHS State Regulations 3270

Pennsylvania regulations for child care centers.

View Regulations

Need Another Form?

Contact the Brookline Sprouts director.

Ask the director if a required form is missing or if you are unsure which version belongs in an employee file.