Fillable Printable Budget Template for Licensed Family Day Homes and Independent Foster Homes
Fillable Printable Budget Template for Licensed Family Day Homes and Independent Foster Homes
Budget Template for Licensed Family Day Homes and Independent Foster Homes
BUDGET FOR LICENSED FAMILY DAY HOMES AND INDEPENDENT FOSTER HOMES
APPLICANT’S NAME: _____________________________________________ DATE: _______________
032-05-0369-03-eng (02/13)
AMOUNT
1. OPERATING EXPENSES OF HOME PER MONTH
Food for children
Rent/Mortgage
Utilities:
Electricity
Gas
Cable
Water
Sewage
Internet
Telephone
Other, such as heating oil
Fuel for Auto(s) Used in Day Care/Independent Foster Home
Maintenance for Auto(s) Used in Day Care/ Independent Foster Home
Payment for Auto(s) Used in Day Care/ Independent Foster Home
Home Maintenance
Equipment/Supplies
Laundry/Linens
Cleaning supplies
Other:
2. ADMINSTRATIVE EXPENSES OF HOME PER MONTH
Office equipment & supplies
Accounting
Licensing or business fees
Legal fees
Insurance(s)
Advertising
3. SALARIES, WAGES, & BENEFITS PER MONTH(for assistant and substitute providers)
Salaries:(List each person separately)
1.
2.
3.
4.
FICA (Social Security)
Health Insurance
Life Insurance
Employee training
Other benefits
Other:
Employee taxes
TOTAL MONTHLY EXPENSES
The budget includes the monthly expenses of the family day home operation. It is the total of all expense items shown
below. Three major categories of expenses are shown. The explanations of the sub-headings are intended to assist the
applicant in understanding the number and types of financial considerations whichmay be involved in a family day home
operation, and to assist the Department in evaluating the home’s application. Base the monthly expenses on the
anticipated number of children to actually be in care during the first three months of operation.
1.OPERATING EXPENSES OF HOME PER MONTH:
a.Food for children: Anticipated monthly cost of food to be provided to children in care. It includes the cost of
all meals and snacks each day. (Do not include the cost of food provided to household members during the
home’s hours of operation.Do not include the cost of food provided at no cost to staffwho are required to
eat with participants or residents. The cost of food provided to staff is reported under Item 3.m: Other.)
b.Rent or Mortgage Payments: Payments for the home; amount shown must be the total monthly expense.
c.Utilities: Total of monthly payments made or to be made by the home for electricity, water, fuel oil, gas (for
heating), sewage and refuse services, telephone and similar services.
d.Fuel for Autos: Monthlycost for fuel to operate of car, vans, trucks, etc.used in support of the operationof
the home.
e.Maintenance for Autos: All expenses related to the maintenance and operationof cars, vans, trucks, etc,
owned by the home and used in support of the operation of the home.
f.Home Maintenance: Monthlycost of all items used to maintain and carry out necessary repairs on the family
day home. This would include such items as mulch for play areas, paint, plumbing repairs, lumber, nails,
roofing materials, grass seed.
g.Equipment/Supplies: Total actual and projected annual cost of equipment and expendable supplies which
were and will be used to support the operation of thefamilyday home. Equipment rental costs should be
included here.
h.Laundry/Linens: Cost of soap, detergents, etc., required for the laundry of table linens, bed linens, etc., used
by the family day home operation.
i.Cleaning Supplies: Cost of cleaning solutions and supplies used in the family day home operation.
2.ADMINSTRATIVE EXPENSES OF HOME PER MONTH:
a.Office Equipment & Supplies: Cost of items purchased monthly for administrative purposes. (for
example: file folders, pens, pencils, paper).
b. Accounting: Amount (if any) paid monthly to an accountant or someone (other than the family day home
operator) who handles the billing, etc. for the family day home operation.
c.Licensing/business fees: Total amount paid per year for family day home license, business license,
personal property taxes (for vehiclesused in the family day home operation), real estate taxes (if not
included as part of the mortgage payment under Item 1. B above), special use permit, etc. Divide the total
by 12 to obtain the monthly (prorated) amount.
d. Legal fees: Total of fees paid to an attorney for assistance related to the family day home operation.
e. Insurance:
(1) Liability (Premises and Operations): Total monthly costofliability insurance coveringthe premises
and operation.
(2) Liability (Vehicles): Total monthly cost of liability insurance covering all of the vehicles used in
support of the family day home operation.
(3) Other: Total monthly cost of other types of insurance (e.g. fire insurance). NOTE: Health Care,
Group Life, and other insurance benefiting employees should be shown under Item 3.a. Salaries, Wages
& Benefits and not in this item.
f. Advertising: Total monthly cost to advertise the family day home.
3.SALARIES, WAGES & BENEFITSPER MONTH:
a.Salaries & Wages: All salaries and wages paid per month by the family day home to its employees.
b. FICA(Social Security): Enter the total monthly FICA (Social Security) tax, (including bothOASDIand
Medicare) to be paid by the facility for all employees and listed above.
c.Health Insurance: Total amount ofmonthly premiums paid by the familyday home forhealth care
insurance for employees listed above when the cost of all orpart of such insurance is provided by the
family day home. Do not include portions paid by employees.
d. Life Insurance: Total amount of monthlypremiums paid bythe family day home for employee life
insurance when the cost of all or part of such insurance is provided by the family day home.
e.Employee Training: Total monthly cost for formal training for employees that will be paid for or
reimbursed by the family day home.
f.Other Benefits (Specify): On an item-by-item basis, the cost(s) of any additional benefits provided by the
family day home to employees listed above.
Other:
Employee Taxes: Taxes which must be paid by the family day home. This would include VEC taxes and Federal
Unemployment Taxes which must be paid on employees'salaries.NOTE: The Employer's FICA (Social
Security) taxes must be shown under Item 3, b above and notin this item. Specify each tax on a separate line
under the entry “taxes.”
Other (Specify): Monthly cost of all other expenses not included in other items. Specify each item of expense
included here and the expense amount (e.g. the estimated cost of meals provided at no cost to employees would be
entered here.
