CCCC Child Care Center Update Form CCCC offers free child care referrals to parents in Kern County, California. Please complete the form below with your updated information so that we can update our records. Complete only the items that apply to your business. This form is for child care programs in Kern County, California only. Please note: On-line update information will be used by CCCC for child care referral purposes only. Information will not be shared with any other child care referral service. Director Name Business Name Street Address Zip Code Major Cross Streets (Example: 24th Street and F Street) Business phone number (Include area code) Phone number parents should call (Include area code) Same as business number Fax number (Include area code) Email address (Example: kisilva@kern.org) Current Openings: Please update your openings every 3 weeks Number of vacancies Date vacancy is expected --mm/dd/yy How many children are you licensed for? What ages do you care for? From to When applicable, please indicate weeks, months and/or years for ages. Do you prefer to care for a narrower age group? Yes No If "yes", what ages? From to When applicable, please indicate weeks, months and/or years for ages. Check all the days that you provide care and the start time and end time each day: Monday Tuesday Wednesday Thursday Friday Saturday Sunday What time do you provide care? Start time Select Time 12 A.M. (24 hour) 1 A.M. 2 A.M. 3 A.M. 4 A.M. 5 A.M. 6 A.M. 7 A.M. 8 A.M. 9 A.M. 10 A.M. 11 A.M. 12 P.M. 1 P.M. 2 P.M. 3 P.M. 4 P.M. 5 P.M. 6 P.M. 7 P.M. 8 P.M. 9 P.M. 10 P.M. 11 P.M. End time Select Time 12 A.M. (24 hour) 1 A.M. 2 A.M. 3 A.M. 4 A.M. 5 A.M. 6 A.M. 7 A.M. 8 A.M. 9 A.M. 10 A.M. 11 A.M. 12 P.M. 1 P.M. 2 P.M. 3 P.M. 4 P.M. 5 P.M. 6 P.M. 7 P.M. 8 P.M. 9 P.M. 10 P.M. 11 P.M. Do you operate All year long During the school year ONLY Summer ONLY Do you provide Before-and-After-School care? Yes No If "yes", what ages? Name(s) of Elementary School(s) near business Is there a school bus stop near your facility? Yes No If "yes", to which schools? Do provide transportation? Yes No If "yes", to which schools? Do provide transportation to/from child's home? Yes No What do you charge?: (This information is for CCCC internal purposes only and will not be given out to parents) Infant/Toddler (Age 0-23 months)$ per (full time) $ per (part time) Preschooler (Age 2-5 years) $ per (full time) $ per (part time) Kindergartener and up $ per (full time) $ per (part time) Can you, or persons on your staff, converse in a language other than English? Yes No If yes, please list languages Do you or your staff have any experience in providing care for children with special needs? Yes No If "yes", what training, experience and/or accomodations does you and your staff have? Would you like to share any other information about your child care center to help parents learn more about your program? Based on your knowledge of CCCC services, please grade the quality of services you received from CCCC. Excellent Very Good Average Fair Poor As a result of your experience with the Resource & Referral/Resource Library, what service-related improvements can you suggest? Thank you for taking the time to complete this form. Please click the Submit Form button to send us your information. This is a Manila site.
Please note: On-line update information will be used by CCCC for child care referral purposes only. Information will not be shared with any other child care referral service.
Director Name
Business Name
Street Address
Zip Code
Major Cross Streets (Example: 24th Street and F Street)
Business phone number (Include area code)
Phone number parents should call (Include area code) Same as business number
Fax number (Include area code)
Email address (Example: kisilva@kern.org)
Current Openings: Please update your openings every 3 weeks Number of vacancies Date vacancy is expected --mm/dd/yy
How many children are you licensed for?
What ages do you care for? From to When applicable, please indicate weeks, months and/or years for ages.
Do you prefer to care for a narrower age group? Yes No If "yes", what ages? From to When applicable, please indicate weeks, months and/or years for ages.
Check all the days that you provide care and the start time and end time each day: Monday Tuesday Wednesday Thursday Friday Saturday Sunday
What time do you provide care? Start time Select Time 12 A.M. (24 hour) 1 A.M. 2 A.M. 3 A.M. 4 A.M. 5 A.M. 6 A.M. 7 A.M. 8 A.M. 9 A.M. 10 A.M. 11 A.M. 12 P.M. 1 P.M. 2 P.M. 3 P.M. 4 P.M. 5 P.M. 6 P.M. 7 P.M. 8 P.M. 9 P.M. 10 P.M. 11 P.M.
Do you operate All year long During the school year ONLY Summer ONLY
Do you provide Before-and-After-School care? Yes No If "yes", what ages?
Name(s) of Elementary School(s) near business
Is there a school bus stop near your facility? Yes No If "yes", to which schools?
Do provide transportation? Yes No If "yes", to which schools?
Do provide transportation to/from child's home? Yes No
What do you charge?: (This information is for CCCC internal purposes only and will not be given out to parents) Infant/Toddler (Age 0-23 months)$ per (full time) $ per (part time)
Preschooler (Age 2-5 years) $ per (full time) $ per (part time)
Kindergartener and up $ per (full time) $ per (part time)
Can you, or persons on your staff, converse in a language other than English? Yes No If yes, please list languages
Do you or your staff have any experience in providing care for children with special needs? Yes No
If "yes", what training, experience and/or accomodations does you and your staff have?
Would you like to share any other information about your child care center to help parents learn more about your program?
Based on your knowledge of CCCC services, please grade the quality of services you received from CCCC.
As a result of your experience with the Resource & Referral/Resource Library, what service-related improvements can you suggest?
Thank you for taking the time to complete this form. Please click the Submit Form button to send us your information.