Homepage Fill Out Your Wisconsin Cfs 2114 Template
Structure

The Wisconsin CFS 2114 form serves as an essential tool for childcare providers seeking to enhance their professional development through independent reading and video viewing. This voluntary form allows employees to document their engagement with educational materials, such as books, articles, and videos, that relate to the populations they serve. It plays a significant role in meeting continuing education requirements, enabling group child care centers to count up to five hours of independent learning each year for employees mandated to complete 25 hours of continuing education, and up to 2.5 hours for those required to complete 15 hours. Similarly, family child care centers and group foster homes can also utilize this form to fulfill their annual CE obligations. Each entry on the form requires specific information, including the title and author of the material, the date of completion, and the key insights gained from the reading or viewing experience. By encouraging reflection on how these materials improve both the facility and the caregiver's ability to provide quality care, the CFS 2114 form fosters a culture of continuous learning and professional growth within the childcare community.

Form Example

DEPARTMENT OF HEALTH AND FAMILY SERVICES

STATE OF WISCONSIN

Division of Children and Family Services

 

CFS-2114 (Rev. 09/2005)

 

CONTINUING EDUCATION RECORD – INDEPENDENT READING / VIDEO VIEWING

Use of form: Use of this form is voluntary. It is used to document each child care-related book, magazine, article, DVD or video tape pertaining to the population served by the facility that is read / viewed as part of an employee’s Continuing Education (CE) effort. Group Child Care Centers – Independent reading and watching of educational materials may be counted for up to 5 hours of CE per year for each person required to have 25 hours of continuing education, and up to 2.5 hours of CE per year for each person required to have 15 hours of continuing education. Family Child Care Centers and Group Foster Homes – Up to 5 hours of independent reading or watching educational materials may be used to meet annual CE requirements.

Instructions: The provider or employee must complete a separate form for each book / article read or video / DVD viewed. Place completed form(s) in the employee’s file for the licensing specialist to review.

Name – Employee

Book or Magazine Article

Date – Form Completed (mm/dd/yyyy)

Title – Book or Article

Name – Author

Number of Pages

 

 

 

Video

 

 

Title – Video

Name – Presenter

Video Length

 

 

(Minutes)

 

 

 

List two things you learned from your reading or viewing.

 

 

List two ways your viewing or reading has improved your facility and / or your ability to provide care to the population served by your facility.

Document Specs

Fact Name Detail
Form Title CFS-2114 - Continuing Education Record – Independent Reading / Video Viewing
Governing Body Wisconsin Department of Health and Family Services
Last Revision Date September 2005
Purpose of the Form Documents child care-related educational materials read or viewed by employees.
Voluntary Use Completion of the form is voluntary for documenting continuing education efforts.
Group Child Care Centers CE Hours Up to 5 hours of independent reading/viewing can count towards 25 hours of CE.
Family Child Care Centers CE Hours Can count up to 5 hours of independent reading/viewing towards annual CE requirements.
Form Completion Requirement A separate form is required for each book/article or video/DVD viewed.
Employee File Completed forms must be placed in the employee’s file for licensing review.
Learning Reflection Employees must list two things learned and two ways it improved their facility.
Please rate Fill Out Your Wisconsin Cfs 2114 Template Form
4.71
Exemplary
21 Votes