A daycare license in New Hampshire is issued by New Hampshire Department of Health and Human Services (DHHS), Bureau of Child Development and Head Start Collaboration, which administers childcare licensing statewide. Providers must keep 7 documents on file for staff and children and meet 5 staff-to-child ratios by age group. Renewal: Annual license renewal required. The checklist below covers what belongs in each file and what has to stay current.
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Informational only — not legal advice, and not a statement of what New Hampshire Department of Health and Human Services (DHHS), Bureau of Child Development and Head Start Collaboration requires today. GetDocsSigned is not affiliated with or endorsed by New Hampshire Department of Health and Human Services (DHHS), Bureau of Child Development and Head Start Collaboration. Requirements change; confirm with your licensing representative before relying on anything on this page.
Free Checklists
See a ready-made enrollment packet →New Hampshire childcare licensing is administered by the Bureau of Child Development and Head Start Collaboration within DHHS. Programs serving 4 or more children must be licensed. HB 1665 (2026) added a new "Simplified Licensing" track for high-quality providers with 5+ consecutive years of clean inspections, reducing paperwork requirements.
| Age Group | Staff : Children |
|---|---|
| Infants (under 12 months) | 1:4 |
| Toddlers (12–24 months) | 1:5 |
| 2 years | 1:6 |
| Preschool (3–5 years) | 1:8 |
| School age | 1:15 |
Ratios shown are a summary and have not yet been checked against New Hampshire Department of Health and Human Services (DHHS), Bureau of Child Development and Head Start Collaboration's rule text. Confirm with the agency before relying on them. Source: New Hampshire DHHS Child Care Licensing
Enrollment Form
Complete enrollment with child information and emergency contacts.
Immunization Records
Current immunization records per NH immunization schedule required on file.
Medical/Health Assessment
Physician-signed health report required within 30 days of enrollment.
Emergency Contact Information
Names and phone numbers of emergency contacts and authorized pickup persons.
Emergency Medical Authorization
Parental consent for emergency medical care.
Allergy and Dietary Information
Documentation of any food allergies or special dietary needs.
Medication AuthorizationConditional
Written parental authorization for any medication to be administered.
GetDocsSigned tracks every one of these per file and flags what’s missing or expiring.
Start freeSummary of the requirement as published — not the governing text. Verified August 2026 · Source: New Hampshire DHHS Child Care Licensing
Exemption Policy
Medical and religious exemptions are permitted. Contact the New Hampshire Department of Health and Human Services for current exemption procedures.
Summary of the requirement as published — not the governing text. Verified August 2026 · Source: New Hampshire DHHS Child Care Licensing
Minimum Age
18 years
Background Check
State and federal fingerprint-based criminal background check required for all staff and volunteers.
Lead Teacher Education
Child Development Associate (CDA) credential or relevant ECE coursework required for group lead teachers.
Assistant Education
High school diploma or GED required. Pre-service training required before working with children.
CPR / First Aid
Pediatric CPR and First Aid certification required. At least one certified staff member on-site at all times.
Continuing Education
Annual professional development training required. Contact DHHS for current hour requirements.
Director Qualifications
Director qualification requirements set by NH DHHS Bureau of Child Development.
Summary of the requirement as published — not the governing text. Verified August 2026 · Source: New Hampshire DHHS Child Care Licensing
Inspection Frequency
At least one unannounced inspection annually.
License Renewal
Annual license renewal required.
Application Process
Contact NH DHHS Bureau of Child Development and Head Start Collaboration to begin the application process.
Licensing Fee
Varies by capacity. Contact DHHS for current fee schedule.
Summary of the requirement as published — not the governing text. Verified August 2026 · Source: New Hampshire DHHS Child Care Licensing
Summary of the requirement as published — not the governing text. Verified August 2026 · Source: New Hampshire DHHS Child Care Licensing
These are the pages this summary was checked against. The agency's published rules govern; where this page and the agency differ, the agency is right.
Ratios, required documents, and inspection schedules vary from state to state. If you operate near a border, run a second location, or are deciding where to open, start with the states in New England.
Daycare Enrollment Forms Checklist: Every Document You Need Per Child
The complete list of documents required per child, with state-specific variations.
How to Prepare for a Daycare Licensing Inspection
Step-by-step checklist covering child files, staff records, ratios, and facility safety.
Staff-to-Child Ratios by State: The Complete Comparison
Compare infant, toddler, and preschool ratio requirements across all 50 states.
Daycare Immunization Requirements by State
Required vaccines and exemption policies — medical only, religious, or philosophical.
One link. Parents complete child information, emergency contacts, pickup, immunizations, health details, and consents on their phone, and the finished packet lands in your account as a PDF. Free to start, no card.