Child Care Program Information (New Program)
Contact Information
Contact Person's First Name
Contact Person's Last Name
Contact Person's Title
Please select...
Director
Owner
Administrator
Other
Business Name
Location Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip
County
Do you have a different mailing address?
Yes
No
Mailing Address (if different from Location Address):
Mailing Address
Mailing City
Mailing State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Mailing Zip
Primary Phone
Secondary Phone
Fax
Email
Website
Program Types
Type of Child Care Program
Please select...
Child Care Center
Family Child Care Home
Large Family Child Care Home
School-Age Program
Pre-School/MDO
Drop-in Facility
Head Start
Early Head Start
Nanny
Camp
Do you have any additional programs in your facility?
Preschool Program (additional program within a facility)
Head Start (additional program within a facility)
Early Head Start (additional program within a facility)
State Pre-K (additional program within a facility)
Camp (additional program within a facility)
Oklahoma Right Start
Credentials
License ID (K8 Number)
Primary Language
Secondary Language
Certificate/Degree/Education
CDA/CCP Currently Enrolled
CDA/CCP Credential
Certificate of Mastery
Director's Credential
Associates Degree-Non Child Related
Associates Degree in Early Childhood
Bachelors Degree-Non Child Related
Bachelors Degree in Early Childhood
Masters Degree & Up-Non Child Related
Masters Degree & Up in Early Childhood
This is based on the director of a center or the owner of a family child care home
Is your program accredited?
ACSI
AdvancED
APPLE
CARF
COA
NAC
NAEYC
NECPA
NAFCC
QRIS
Current Star Level (as assigned by DHS)
Please select...
One Star
Two Star
Three Star
Four Star
Five Star
About the Program
Family Involvement:
Welcome Families
Communication to Parents about their Child(ren)
Parent Conferences
Family Events
Parent Informed of Center's Programs / Parent Contract
Family Resources
Opportunities for Parents to Volunteer
Care Setting:
Please select...
In a church
In a workplace
In a freestanding building
In a House
Organization Type:
For-profit
Non-profit
Activities & Special Services:
Art
Computer Available
Dance
Enrichment Classes
Field Trips
Fitness
Gymnastics
Homework Assistance
Music
Small Group Size
Swim Lessons
Curriculum:
Faith-based
Montessori
Reggio-inspired
Spanish
Environment:
No Pets
Smoke Free
Wheelchair Accessible
Outdoor Play Equipment
ADA Accessible Outdoor Play Equipment
Classroom Video Monitoring
Secure Entry
Pool/Lake
Non-Carpeted Environment
Fenced Yard
Food Program:
USDA Food Program Member
Delaware Food Program
Tulsa CCRC Food Program
Rainbow Fleet Food Program
Transportation:
To/From School
No Transportation
To/From Home
Sometimes for Field Trips
Near School Bus Stop or Walking Distance
Near Public Transit
Schools transported to (if any):
Schedule
Days Child Care is provided
Open
Close
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Child care is offered:
Full-time
Part-time
Day
Evening
Overnight
Weekend
24 Hours
Rotating
Open Holidays
Before School
After School
Drop-in/Hourly
Temporary / Emergency
Year Schedule:
Please select...
Full Year
School Year
Summer Only
Ages, Rates, & Openings
Weekly Rates
FT Weekly Rate
B&A School
Infant (0-11 months)
Toddler (12 - 23 months)
Twos (2 years)
Preschool (3 years)
Pre-K (4 years)
Kindergarten (5 years)
School-Age (6 years & older)
Openings
FT Openings
PT Openings
Infant (0-11 months)
Toddler (12 - 23 months)
Twos (2 years)
Preschool (3 years)
Pre-K (4 years)
Kindergarten (5 years)
School-Age (6 years & older)
Private Pay Enrollment
Number of Private Pay Children Enrolled
Infant (0-11 months)
Toddler (12 - 23 months)
Twos (2 years)
Preschool (3 years)
Pre-K (4 years)
Kindergarten (5 years)
School-Age (6 years & older)
Age Range
Youngest
Oldest
Capacity
Desired Capacity
Licensed Capacity
Business Policies/Practices
Early Learning Guidelines (ELG)
Oklahoma Professional Development Registry (OPDR)
Children's Screen Time
Program Evaluation
Program Policies
Learning Environment
Registration Fee
Supply Fee
Funding Sources
DHS Subsidy
Private Pay
Sliding Scale
Military Subsidy
Cherokee Nation Subsidy
Other Tribal Subsidy
Special Needs
Inclusion:
Inclusion:
Behavioral
Developmental
Medical
Physical
Customized Data
Does the program receive tribal funding (other than subsidy) - if yes, please enter tribe(s):
Are you or do you have staff who are Hispanic or Latino?
Yes
No
Do you or the staff speak fluent Spanish?
Yes
No
How many direct care staff do you typically employ?
Off-Site Disaster Contact:
Name & Relationship
Phone
Contact Information