4. ENROLLMENT Provide information regarding ratios, group sizes and capacity. Please enter N/A for any fields that – are not applicable to your program. *REQUIRED GROUP SIZE ACTUAL RATIO (Number of children you (The ratio you choose for your choose to house in each CARE LEVEL LICENSED RATIO program if different from classroom. If there is more than licensing ratio) one age group, please use the largest group size) INFANT Adult : Child Adult : Child (Less than 12 months) : : TODDLER Adult : Child Adult : Child (12 months to less : : than 24 months) 2 YEAR OLD Adult : Child Adult : Child (24 months to less : : than 36 months) 3 YEAR OLD Adult : Child Adult : Child (36 months to less : : than 48 months) 4 YEAR OLD Adult : Child Adult : Child (48 months to less : : than 60 months) 5 YEAR OLD Adult : Child Adult : Child (60 months to less : : than 72 months) ELEMENTARY SCHOOL Adult : Child Adult : Child AGE : : Adult : Child Adult : Child MIDDLE SCHOOL AGE : : CAPACITY LICENSED CAPACITY ACTUAL CAPACITY (Number of children you are (Most number of children you licensed to care for) choose to care for) 5. ENVIRONMENT - Describe your and any languages spoken by program staff. (Check all that apply) program’s setting *REQUIRED NO TV CHINESE WEBCAM ON SITE OTHER (List Below) PETS WHEELCHAIR CREOLE ACCESSIBLE POOL ON SITE OTHER (List Below) ENGLISH PORTUGUESE FENCED YARD RUSSIAN FILIPINO SCHOOL READINESS FINANCIAL ASSISTANCE PROVIDER SEPARATE PLAY AREA FRENCH (FCCH) SIGN LANGUAGE GERMAN SMOKE FREE GREEK SPA GREEN CERTIFIED SPANISH HEBREW VIDEO MONITORING ITALIAN
4. ENROLLMENT – Provide information regarding ratios, group sizes and capacity. Please enter N/A for any fields that are not applicable to your program. *REQUIRED CARE LEVEL LICENSED RATIO ACTUAL RATIO (The ratio you choose for your program if different from licensing ratio) GROUP SIZE (Number of children you choose to house in each classroom. If there is more than one age group, please use the largest group size) INFANT (Less than 12 months) Adult : Child : Adult : Child : TODDLER (12 months to less than 24 months) Adult : Child : Adult : Child : 2 YEAR OLD (24 months to less than 36 months) Adult : Child : Adult : Child : 3 YEAR OLD (36 months to less than 48 months) Adult : Child : Adult : Child : 4 YEAR OLD (48 months to less than 60 months) Adult : Child : Adult : Child : 5 YEAR OLD (60 months to less than 72 months) Adult : Child : Adult : Child : ELEMENTARY SCHOOL AGE Adult : Child : Adult : Child : MIDDLE SCHOOL AGE Adult : Child : Adult : Child : CAPACITY LICENSED CAPACITY (Number of children you are licensed to care for) ACTUAL CAPACITY (Most number of children you choose to care for) 5. ENVIRONMENT - Describe your program’s setting and any languages spoken by program staff. (Check all that apply) *REQUIRED CHINESE NO TV WEBCAM ON SITE OTHER (List Below) CREOLE PETS WHEELCHAIR ACCESSIBLE ENGLISH POOL ON SITE OTHER (List Below) FENCED YARD PORTUGUESE FILIPINO RUSSIAN FINANCIAL ASSISTANCE SCHOOL READINESS PROVIDER FRENCH SEPARATE PLAY AREA (FCCH) GERMAN SIGN LANGUAGE GREEK SMOKE FREE GREEN CERTIFIED SPA HEBREW SPANISH ITALIAN VIDEO MONITORING
Provider%20Update%20Form%202016-2017.docx