1. CCR&R - FY 22 Program Updates

Hello,
The Rocky Mountain Early Childhood Council is our region's Child Care Resource and Referral (CCR&R). Part of this work is to update Licensed Child Care Providers' information. This helps inform families about your child care facility (for example: your hours of operation, contact information, services provided, etc). We anticipate this survey will take you approximately 15 minutes to complete. Please note: We realize not all questions will pertain to camps, school-age programs, etc. Please answer the questions to the best of your ability.  

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* 1. Today's Date

Date

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* 2. Program Designated Name

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* 3. License Number

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* 4. What is your license type? (This is located on the top, right hand side of your license.)

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* 5. Director of Program

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* 6. Name of person completing this form (if different than the director listed above)

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* 7. Director Phone Number

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* 8. Other Reported Phone Number (if applicable)

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* 9. Director/Authorized Email

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* 10. Program Website (if applicable)

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* 11. Primary Language Spoken

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* 12. Are you OK with the RMECC and Mile High United Way giving out your program's information to families in need of childcare?

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* 13. Does your program currently have a CCAP (Child Care Assistance Program) agreement with local DHS?

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* 14. Youngest Age Authorized to Serve-in weeks, months, or years (ex: 18 months):

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* 15. Oldest Age Authorized to Serve-in weeks, months, or years (ex: 5 years):

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* 16. Program Accepts (check all that apply):

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* 17. Is your program open year round?

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* 18. Normal Days/Hours of Operation (ex: Monday-Thursday 7:30am-5:30pm. Closed on Fridays):

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* 19. My program is (check all that apply):

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* 20. Profit Facility

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* 21. Does your program have staff members fluent enough to TRANSLATE into other languages, if so which language(s)? (ex: Yes, Spanish)

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* 22. Other languages SPOKEN by staff members?

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* 23. Extra Care Services-additional services the program offers outside of business hours (check all that apply):

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* 24. Environment- snapshot of the program... (check all that apply):

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* 25. Meals- nutrition offered by program (check all that apply):

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* 26. Philosophy

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* 27. Special Needs- provider has experience, training or expertise working with children with these special needs or is willing to support the need (check all that apply):

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* 28. Experience- How many years have YOU worked in Licensed Child Care?

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* 29. Education- highest level of education achieved by the provider

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* 30. Affiliation- program is affiliated or a member of the organization...(check all that apply)

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* 31. Child Care Setting

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* 32. Transportation (check all that apply):

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* 33. Child Care Licensing rules require licensed child care programs to have an Emergency Preparedness plan. Does your program have this plan in place?

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* 34. Do you currently use a Health Consultant?

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* 35. Comments: Is there any additional information regarding the program you'd like to share?

T