Child Care Licensing Feedback Survey

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* 2. What type of visit did you have?

Original

Complaint

Supervisory

Injury

Change of service

Follow - up

Probationary

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* 3. Were you present at time of inspection ?

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* 4. Who is your current Licensing Specialist?

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* 5. To what extent did you understand the violation cited on your Report of Inspection?

N/A I had NO violations

I do NOT understand the violations

I SORT- OF understand the violations

I COMPLETELY understand the violations

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* 6. How satisfied were you with the technical assistance your Licensing Specialist provided on the following

	N/A I did not need/want technical assistance	Very Dissatisfied	Dissatisfied	Satisfied	Very Satisfied
Compliance with Child Care Rule and Regulations	Compliance with Child Care Rule and Regulations N/A I did not need/want technical assistance	Compliance with Child Care Rule and Regulations Very Dissatisfied	Compliance with Child Care Rule and Regulations Dissatisfied	Compliance with Child Care Rule and Regulations Satisfied	Compliance with Child Care Rule and Regulations Very Satisfied
Achieving a Level 2 in Colorado Shines	Achieving a Level 2 in Colorado Shines N/A I did not need/want technical assistance	Achieving a Level 2 in Colorado Shines Very Dissatisfied	Achieving a Level 2 in Colorado Shines Dissatisfied	Achieving a Level 2 in Colorado Shines Satisfied	Achieving a Level 2 in Colorado Shines Very Satisfied
Information on how to access the Professional Development Information System	Information on how to access the Professional Development Information System N/A I did not need/want technical assistance	Information on how to access the Professional Development Information System Very Dissatisfied	Information on how to access the Professional Development Information System Dissatisfied	Information on how to access the Professional Development Information System Satisfied	Information on how to access the Professional Development Information System Very Satisfied

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* 7. To what extent did you feel like your questions/concerns were addressed during your most recent licensing visit?

N/A I had NO questions/comments

Questions/comments POORLY addressed

Questions/comments ADEQUATELY addressed

Questions/comments FULLY addressed

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* 8. Please provide any additional comments you feel would help clarify your above ratings.

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* 9. Would you like to speak with a Licensing Supervisor regarding a recent inspection.

Yes

If you answered YES, please provide your name and phone number so a supervisor may contact you.

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* 1. What is your License number?

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* 2. What type of visit did you have?

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* 3. Were you present at time of inspection ?

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* 4. Who is your current Licensing Specialist?

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* 5. To what extent did you understand the violation cited on your Report of Inspection?

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* 6. How satisfied were you with the technical assistance your Licensing Specialist provided on the following

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* 7. To what extent did you feel like your questions/concerns were addressed during your most recent licensing visit?

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* 8. Please provide any additional comments you feel would help clarify your above ratings.

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* 9. Would you like to speak with a Licensing Supervisor regarding a recent inspection.