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* 1. Contact Information

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* 2. Does your child care service low income 0-5 year olds?

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* 3. Please indicate the number of Infants (Birth to 12 months) served.

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* 4. Please Identify the number of Toddlers (12 months to 36 months) served.

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* 5. Please Identify the number of Preschool (3-5 years) served.

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* 6. Please indicate your hours of operation.

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* 7. Do you have bilingual staff?

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* 8. Do you have the availability of an interpreter?

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* 9. Do you provide transportation?

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* 10. Do you have a waiting list?

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* 11. If yes, What ages do you have a waiting list for?

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* 12. Have the numbers changed over the last 3-5 years? If so, how have they changed (increased/decreased)?

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* 13. What are the reasons for the changes?

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* 14. Does your program's data indicate similar changes or trends?

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* 15. Is your agency experiencing hiring challenges?

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* 16. If Yes to question 15, what is the reason for hiring challenges?

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* 17. The agency's biggest stressors or challenges for the year due to COVID-19 were

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* 18. Due to COVID-19, how were the services for families and children affected?

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