Date of Site Visit Contractor Subcontractor Name: If applicable: Site Information: Site Name: Street address City County Zip code Classroom Observed: Site Contact Person Name (person at the facility Phone responsible for operations): Email Names of classroom Lead teacher Assistant teacher Family support Health Advocate staff: staff Preschool models Site is in which Site is within an elementary school? Yes No Early Achievers Status offered at this site: elementary school If yes, name of elementary school: Does this site have a Part day catchment area: Is this a full-day kindergarten site? Yes No published EA rating? Full School Day Yes No Extended Day If yes, rated level: Class start date: Number of children enrolled in the class (ECEAP Names of DEL staff conducting info: and non-ECEAP): the visit: Number of ECEAP Children Number of non-ECEAP children
Date of Site Visit Contractor Subcontractor Name: If applicable: Site Information: Site Name: Street address City County Zip code Classroom Observed: Site Contact Person (person at the facility responsible for operations): Name Phone Email Names of classroom staff: Lead teacher Assistant teacher Family support staff Health Advocate Preschool models offered at this site: Part day Full School Day Extended Day Site is in which elementary school catchment area: Site is within an elementary school? Yes No If yes, name of elementary school: Is this a full-day kindergarten site? Yes No Early Achievers Status Does this site have a published EA rating? Yes No If yes, rated level: Class start date: Number of children enrolled in the class (ECEAP and non-ECEAP): Number of ECEAP Children Number of non-ECEAP children Names of DEL staff conducting the visit: info:
Site%20Visit%20Checklist%20For%20Licensed%20Sites%20Form.docx