Go to Home Page for Child Care Resources Licensed Child Care CENTER Update
Centers, Preschools, B&A School Programs, MSRPs, Head Start, etc.

 If have filled out this form SINCE October 1, 2007 and have no major changes: 
Check out the "QUICK UPDATE!" 

Confidentiality - Provider information collected by Child Care Resources staff related to the referral database will be kept for staff and/or parent utilization only. CCR does not sell or share child care provider/program or parent names, addresses, phone numbers, or any other personal information to any outside agencies for solicitation purposes.

Please "Tab" though this update. (Pressing "Enter" will submit form!)
Contact Information

 

 This update form is for child care center programs  licensed by the State of Michigan in the counties of Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, St. Joseph and Van Buren.

Date: 
Program Name
Phone Number (please include area code)
Director's Name
Your Name 
E-Mail Address
Address, City, Zip
Web Site

What two "major" streets intersect (cross each other) nearest your center?
Food - Meals and Snacks
Please check box if you provide...  Meals Snacks
Please check box if children provide... Meals Snacks
Would you accommodate a child with a special diet?  Yes No
Do you have a pool or are you on a lake/pond?
Yes Pool/Lake/Pond No Pool/Lake/Pond
Is the yard fenced?
Yes Fence No Fence
Is smoking permitted in the building at any time during the day?
Yes Smoking No smoking
Do you have pets in your center? 
Yes Pets No Pets
Do you use a written contract/handbook and keep necessary financial records?
Yes Contract/Handbook & Records No Contract/Handbook & Records
Do you provide transportation to and/or from School (with your own vehicle)?
Yes transportation No transportation
Program Information
Of the following, what (if any) do you offer:
All Day Kindergarten (on site) AM/PM Kindergarten (Wrap Around)
Summer Camp Multi-School Bussing
Elementary School Grades (on site)
Program Environment Please mark all that apply to your program environment. 
Hold down the "Ctrl" button and click:

Do you use a purchased curriculum or specific approach to learning?
Yes No

Comments regarding curriculum or learning approach:

Do you provide half-day Preschool programs? 
Yes half-day Preschool No half-day Preschool
If "Yes" is wrap around care available?
Yes No
Do you provide child care?
Full Time Child Care Part Time Child Care
Do NOT provide child care (preschool only)
Days program is open. Check all that apply:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Hours program is open:
Very Earliest Very Latest

Do you provide care Year round or School year only?
Do you provide Before- and After-School care?
Yes No
If "Yes" what ages? 
Would you accommodate a full time family with a rotating schedule? 
Yes Rotating schedule No Rotating schedule
  • Would you take a child on a "drop in" basis? (Pre-planned, but inconsistent schedule of care.)
Yes Drop In No Drop In
  • Would you accept a child for Emergency care? (Quick hire, long and short term care)? 
Yes Emergency Care No Emergency Care
  • Respite care: Will you take children with special needs who need short term care?
Yes Respite Care No Respite Care
  • Migrant care: Will you take children on a temporary/seasonal basis?
Yes Migrant Care No Migrant Care
Yes Holiday Care No Holiday Care
Child Care Center License #
License #
Expiration Date
Date Issued
Do you charge fees for care?
Yes, Fees  No Fees
Sliding Fee Scale MSRP
Parent Co-op Scholarship
Head Start
Will you accept Direct Payments from the Department of  Human Services (DHS)?
Yes No NA
Do you offer a sibling discount for more than one child in a family?
Yes No NA
Program Affiliation: 

 
Church College Public School
Independent Public Other
Is your program…
For Profit Non Profit
CHILDREN WITH SPECIAL NEEDS: Do you or any of your staff have experience in any of the following areas:

 
ADD/ADHD Asthma/Breathing Cerebral Palsy
Hearing Impaired Visually Impaired Seizure Disorder
Autism Down Syndrome Bipolar
Sensory Integration
Building is Physical Handicap Accessible
Other, please list
Do you or anyone on your staff speak a language other than English?
Yes No
If "Yes", what language(s)?
Please answer "Yes" or "No" to the following statements:
  • All Lead teachers attend more than 12 hours of training annually
 Yes, more than 12 hours No
  • At least 50% of Lead Teachers have CDA 
 Yes CDA No CDA
  • At least 50% of Lead Teachers have an Associates in Early Ed.,  Bachelors or Masters in Early Ed.
 Yes No
  • Is your program Accredited ?
Yes No
If "Yes" specify Accreditation:
School District: School District name:
Elementary School(s) children in your area attend: Please list the individual elementary school names:
Vacancies

Ages of children accepted in program 

 Youngest to Oldest
VACANCIES: How many Full Time (FT) or Part Time (PT) vacancies do you have for each group?
  • INFANT: FT   PT         
  • TODDLER: FT   PT
  • PRESCHOOLER:  FT   PT
  • KINDERGARTEN: FT   PT
  • SCHOOL AGER: FT   PT
  • Total openings (all ages)
Program capacity:   

Rates This information is used for statistical purposes only.
Full Time Part Time (Hourly Rates Only)
What do you charge for an Infant? Week Day Hour Hour
What do you charge for a Toddler? Week Day Hour Hour
What do you charge for a Preschooler? Week Day Hour Hour
What do you charge for a Kindergartner? Week Day Hour Hour
What do you charge for a School Ager? Week Day Hour Hour
School Age Summer Program
Do you offer a School Age Summer program? Yes, please complete the following No. Thank you! Please make any comments below and click on submit.
Dates of School Summer program Starting date End
School Age Summer program Hours
Ages of children for Summer program Youngest to Oldest
Do you provide transportation during the summer? Yes No
Description of your Summer program:

Comments: