spacer20 4C for Children 4C for Children - the pioneering leader, advocate and resource
for high-quality early education and care
in Southwest Ohio, the Miami Valley and Northern Kentucky.

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Full Update for Ohio Child Care Programs

Fields in red are required.
Today's Date:
Name:(of provider or person completing update)
Business Name:
Location of program :
Street: Unit #
City: State: OH Zip:
Primary Phone:
Enrollment, Vacancies and Waiting List
Age Group
Number of vacancies or openings
Birth to 17 months
18 to 35 months
3 years to 5 years
School Age
Kindergarten and older
Rates per Age Group
Full-Time Fees
Part-Time Fees
0-17 months
18-35 months
3-5 years
In kindergarten and older Winter, Spring and Summer Breaks

Before and/or After School Care

General Information
Has this program closed or is it closing? If yes, please check why:
(check all that apply)
Funding cuts Location no longer available
Income too low Too many regulations
License revoked Voluntarily gave up license
License expired  
Age care begins:
Age care ends:
Days and Times Open
Day Shift
2nd Shift
Time Open
Time Closed
Time Open
Time Closed
Time Open
Time Closed

Step Up To Quality Rating

Other Accrediting Bodies
(Check all that apply)


Subsidy / Financial Assistance
(Check all that apply)

County subsidy voucher Scholarship
Multi-child discount No tuition fees
Negotiable fees Sliding scale fee
Care Available
(Check all that apply)
Open full year (12 months) After school, 1st grade & older
Open school year only Day care for before/after kindergarten
Open summer only (June, July, August) Rotating schedules
Open holidays Drop-in care
Before school, 1st grade & older Temp/emergency care
Program Policies
(Check all that apply)
Care ends at kindergarten Child must be toilet trained
Contract required Must live within school district
Interview required Families must be income-eligible
Child must have an identified special mental or physical need  
(check all that apply)
Fenced outdoor play area No smoking environment
No pets with fur in center No smoking during care
No pets Pool/waterfront
Outdoor pets only  
(check all that apply)
Staff member have certification in . . .

   First Aid    Health related degree (i.e., nurse)


Special Needs Facilities, Training or Experience
By law, providers are required to care for children with special needs if the accommodations are reasonable.
(check all that apply)
Allergy-asthma Speech-hearing
Emotional-behavioral Visual
Medical conditions Wheelchair accessible
  Transportation negotiable    Near these public transportation (Metro or School Bus) routes:
Name of area elementary school
Languages Spoken in center
(check all that apply)
English Sign language
Spanish Other ( )

Meals Provided
(check all that apply)

Breakfast Morning snack
Lunch Afternoon snack
Dinner Family provides

Care Available
(check all that apply)

Preschool full or part day Kindergarten education w/certified teacher
Head start Kindergarten and older summer care
Additional Fees
(check all that apply)
Deposit Registration/application fee
Supply fee  
(check all that apply)
Developmentally appropriate practices Faith-based curriculum
Mixed age groups Montessori
Parent co-op a.k.a. cooperative Reggio Emilia
Additional Funding
(check all that apply)
Early Head Start funding MR/DD funding
Head Start funding State Ohio Pre-K funding
Child Care Setting
Faith-based building (e.g., church or synagogue) College or university building
School building (e.g., elementary, middle school) None of the above
Workplace based (e.g., P&G, CHMC, Tri-Health, IRS)  

How many staff members does this site of care employ, as of today?

In the last six (6) months have you laid-off and not replaced a staff members? Yes No
If yes, how many?
If yes, please explain staff decrease:

Room Closure

In the last six (6) months have you closed any classrooms? Yes No
If yes, what was the capacity of closed classroom?
If yes, please explain room closure: