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 ACTUAL RATIO LICENSED ACTUAL (the ratio you GROUP SIZE CAPACITY CAPACITY (Most CARE LEVEL LICENSED RATIO choose for your (Number of children (Number of children number of children program if different in each classroom) you are licensed to you choose to care from licensing ratio) care for) for) INFANT (Less than 12 months) TODDLER (12 months to less than 24 months) 2 YEAR OLD (24 months to less than 36 months) 3 YEAR OLD (36 months to less than 48 months) 4 YEAR OLD (48 months to less than 60 months) 5 YEAR OLD (60 months to less than 72 months) ELEMENTARY SCHOOL AGE MIDDLE SCHOOL AGE TOTAL ALL AGES 5. ENVIRONMENT - Describe your and any languages spoken by program staff. (Check all that apply) program’s setting *REQUIRED OTHER (List Below) Chinese Smoke Free WebCam on site OTHER (List Below) Creole No TV English Pets French Pool on Site Filipino Portuguese Financial assistance Russian fenced yard spanish separate play area German (FCCH) Greek Sign Language Green Certified Spa Hebrew Vietnamese Italian Video Monitoring Limited tv viewed Wheelchair Accessible
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 in each classroom) LICENSED CAPACITY (Number of children you are licensed to care for) ACTUAL CAPACITY (Most number of children you choose to care for) INFANT (Less than 12 months) TODDLER (12 months to less than 24 months) 2 YEAR OLD (24 months to less than 36 months) 3 YEAR OLD (36 months to less than 48 months) 4 YEAR OLD (48 months to less than 60 months) 5 YEAR OLD (60 months to less than 72 months) ELEMENTARY SCHOOL AGE MIDDLE SCHOOL AGE TOTAL ALL AGES 5. ENVIRONMENT - Describe your program’s setting and any languages spoken by program staff. (Check all that apply) *REQUIRED Chinese Smoke Free WebCam on site OTHER (List Below) Creole No TV OTHER (List Below) English Pets French Pool on Site Filipino Portuguese Financial assistance Russian fenced yard spanish German separate play area (FCCH) Greek Sign Language Green Certified Spa Hebrew Vietnamese Italian Video Monitoring Limited tv viewed Wheelchair Accessible
Provider_Update_Form_2015-2016.docx