Care and Social Services Inspectorate Wales

Service Regulation and Inspection – Day Care

Is there a change to your day care service that you need to tell us about?

It is your legal responsibility to inform Care and Social Services Inspectorate Wales (CSSIW) 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.

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

Please tick the applicable boxes and supply the details asked for in the space at the end of this form.

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 CSSIW 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 CSSIW of the offence charged and the date and place of charge: / 10(2)
If a registered person dies, either the surviving registered person orthe deceased’s personal representatives must notify CSSIW 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 CSSIW 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 at / 11

Please tick the applicable boxes and supply the details asked for in the space at the end of this form.

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 CSSIW. / 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

Please tick the applicable box and supply the details asked for in the space at the end of this form

For the following events or changes (identified in Regulation 31 ( Schedule 4) you should try and notify CSSIW 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)
If there is a change of any person employed by you: / 1(1)(b)
You must give the new person’s date of birth, full name (including former names and any aliases) and home address. / 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 / 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:
Your signature: / Inspector’s signature:
Date: / 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.

cssiw - day care - notification of change to CSSIW_e.doc

01/2014