CHILDREN AND FAMILIES (WALES) MEASURE 2010
Service Regulation and Inspection – Day Care		

Mae'r ffurflen hon hefyd ar gael yn Gymraeg / This form is also available in Welsh
Is there a change to your day care service that you need to tell us about?
It is your legal responsibility to inform Care Inspectorate Wales (CIW) about certain changes that take place in your registered service.  You can use this form to tell us what the change is and give us the details we need to make sure that your business continues to operate within the law. 

Name and Address of Service incl. post code:	     	
Telephone:
	     	Mobile phone:	     	
e-mail address:	     		

The Child Minding and Day Care (Wales) Regulations 2010 identify what you must tell us about and the details you should give. These can be found on our website at www.careinspectorate.wales 

If you no longer offer a day care service please give reason and date of closure of service and return your certificate of registration:	
     	

The changes you must tell us about:
	Regulation	Tick	
If you or any staff you employ are convicted of any criminal offence in Wales or elsewhere.  You must tell CIW the date and place of conviction, the offence of which convicted and the penalty imposed:	10(1)		
     	
If you are charged with any offence in respect of which an order may be made under Part ll of the Criminal Justice and Court Services Act 2000 – you must give notice in writing to CIW of the offence charged and the date and place of charge:	10(2)		
     	
If a registered person dies, either the surviving registered person or the deceased’s personal representatives must notify CIW in writing within 14 days: 	11(6)		
     	
Any changes to your statement of purpose – whenever practicable, at least 28 days before the change is due to take effect:	15(4)(b)		
     	
If you make changes to your behaviour management policy you must notify CIW within 28 days:	23(4)		
     	
Any information which renders you disqualified under regulation 11 of the Child Minding and Day Care (Disqualification) (Wales) Regulations 2010.:These can be found on our website at www.careinspectorate.wales 	11		
     

The events you must tell us about:
	Regulation	Tick	
If there is an outbreak at the relevant premises of any infectious disease which, in the opinion of a registered medical practitioner attending a child or any other person at the premises, is sufficiently serious you must notify Care Inspectorate Wales:	7		
     

	
Any serious injury, or serious illness or death of any child or any other person on the premises:	7		
     

If you, or anyone living, working or employed on the premises, are accused of committing serious harm to a child or any abuse is alleged to have taken place on the premises:	8		
     

Any other event which may affect your suitability to look after children or the suitability of any person living, working, or employed on the premises to be in regular contact with children:	9		
     

Any other significant event which is likely to affect the welfare of any child on the premises:
	10		
     

	
For the following events or changes (identified in Regulation 31 ( Schedule 4) you should try and notify CIW in advance of the event, but not later than 14 days after the event: 	Schedule 4	Tick	
If there is a change of the person in charge for your service – give detail
	2(1)(a)		

Please confirm the person appointed has two years experience of working in a regulated day care setting:                          

	
Can you please provide evidence that       (insert name of appointed PIC)  has an appropriate experience and qualification for the post they will hold, making reference to the Care Council for Wales Qualification Framework or the Skills Active Qualification Framework (insert 10 day timescale).      

The framework shows all the acceptable qualification which can include level 4 and level 5 child care qualifications and Skills Active shows the play work qualifications.	
If there is a change of any person employed by you:
You must give the new person’s date of birth, full name (including former names and any aliases) and home address:	1(1)(b)		
	
1(2)	
	
     

If you change your name or home address - give details:
	3(a)		
     

	
If you change the type of care you provide – give details.	4		
     

	
If there is a change of address where you offer day care – give details
(you will need to complete a full application* and submit it to your regional CIW office)
*Please note it can take up to 14 weeks to process your application	10		
     

	
If you change the hours during which you offer day care – give details	6		
     

	

Any additional information about changes to your service / significant events:	
     

	

Important: 
We process any personal and/or sensitive information we hold about you fairly and lawfully, and we only ask for such information where it is necessary for us to carry out our role. For more information about how we process your personal data, and your rights in relation to this, please see our Privacy Notice at https://careinspectorate.wales/how-we-use-your-information, or contact us for a paper copy.

Signature of Registered Person /Responsible Individual:
     	Date:
     

Failure by a Registered Person/Responsible Individual, without reasonable excuse, to comply with any of the above notification requirements would be an offence for which, on conviction, the person would be liable to a maximum fine of level 5 on the standard scale.

Completed forms will often contain personal information and require adequate protection. Therefore forms should only be submitted using one of the following methods:

By secure email to CIW.Support@gov.wales

•	By Recorded Delivery to a CIW office:

Care Inspectorate Wales    Government Buildings,
Sarn Mynach,
Llandudno Junction
LL31 9RZ                      Fax: 0872 437 7301	Care Inspectorate Wales 
Welsh Government Building,
Rhydycar Business Park
Merthyr Tydfil
CF48 1UZ
Fax: 0872 437 7302
	Care Inspectorate Wales         
Government Buildings
Picton Terrace
Carmarthen
SA31 3BT
Fax: 0872 437 7303	
Important: Completed forms should not be sent directly to CIW staff.