ACF-800 Form
Child Care and Development Fund Annual Aggregate Report| CHILD CARE AND DEVELOPMENT FUND ANNUAL AGGREGATE REPORT FOR SERVICES PROVIDED FROM __________________ THROUGH __________________ |
OMB Approval Number: 0970-0150 Expires: 11/30/2009 |
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| Complete Name of Grantee Address: Contact Person, Phone & Email: |
(A) TOTAL |
CATEGORY/TYPE OF CHILD CARE | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARE PROVIDED BY A LICENSED OR REGULATED PROVIDER IN A | CARE PROVIDED BY A LEGALLY OPERATING PROVIDER (LICENSE CATEGORY UNAVAILABLE IN A STATE OR LOCALITY) IN A | |||||||||||
| (B) Child’s Home |
(C) Family Home |
(D) Group Home |
(E) Center |
CHILD’S HOME BY A | FAMILY HOME BY A | GROUP HOME BY A | (L) Center |
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| (F) Relative |
(G) Non-Relative |
(H) Relative |
(I) Non-Relative |
(J) Relative |
(K) Non-Relative |
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| 1. Number of families receiving child care services | ||||||||||||
| 2. Number of children receiving child care services | ||||||||||||
| Payment Methods: | ||||||||||||
| 3. Number of children served through grants or contracts | ||||||||||||
| 4. Number of children receiving child care services through certificates and/or cash | ||||||||||||
| 5. Of children served through certificates, number of children served through cash payments | ||||||||||||
| 6a. Number of child care providers receiving CCDF funding by type of care | ||||||||||||
| 6b. Total licensed capacity in centers and homes (No longer collected as of FFY 2003) | ||||||||||||
| 7. Estimated number of families receiving consumer education | ||||||||||||
| How is the estimated number of families receiving consumer education determined? | ||||||||||||
| Below, Indicate Methods Used on a Regular Basis: | ||||||||||||
| 8. Information to subsidized families concerning the choice of a certificate or grant/contract | Yes [ ] No [ ] Not Applicable [ ] |
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| 9. Resource and referral counseling | Yes [ ] No [ ] |
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| 10. List of legally operating child care providers | Yes [ ] No [ ] |
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| 11. Brochure, booklet or written material about types of care and quality of care | Yes [ ] No [ ] |
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| 12. Checklist of health and safety concerns | Yes [ ] No [ ] |
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| 13. Copies of child care regulatory information | Yes [ ] No [ ] |
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| 14. Familiarization with child care provider complaint policies (any method) | Yes [ ] No [ ] |
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| 15. Mass media such as: television, radio, internet sites, billboards, etc. | Yes [ ] No [ ] |
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| 16. Other (Please explain in next field) | Yes [ ] No [ ] |
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| If other indicated please explain. | ||||||||||||
| 17. Is this report based on pooled CCDF and non-CCDF funds? | ||||||||||||
| 18. If this report is based on pooled CCDF and non-CCDF funds, what is the percent of funds which are CCDF? | ||||||||||||
| 19. If this report is based on pooled CCDF and non-CCDF funds, please indicate which funds are included in the pool. | CCDF Funds: Do you include Pre-K funds as part of Match or MOE: Yes [ ] No [ ] State funds used to match Federal funds? Yes [ ] No [ ] MOE funds? |
Non-CCDF Funds: Yes [ ] No [ ] Title XX Yes [ ] No [ ] State-only child care funds Yes [ ] No [ ] Welfare to Work Yes [ ] No [ ] Title IV-B or Title IV-E Yes [ ] No [ ] Private/donated funds Yes [ ] No [ ] Food Stamp child care funds Yes [ ] No [ ] Non-compulsory school funds Yes [ ] No [ ] TANF funds not transferred into Discretionary Fund Yes [ ] No [ ] HUD child care funds Yes [ ] No [ ] Other: |
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| 20. State or Territory conducts routine unannounced inspections of regulated child care providers. (No longer collected as of FFY 2003) | ||||||||||||
| 21. Please enter explanatory comments regarding any of the data elements as appropriate. | (Optional) | |||||||||||
| 22. Please attach any reports, materials, information developed as a result of the use of CCDF quality funds. | (Optional) | |||||||||||