naeyc fourth anniversary annual report...accreditation anniversary date, but the postmark date of...

18
NAEYC Fourth Anniversary Annual Report © 2015. National Association for the Education of Young Children. All rights reserved. NAEYC no longer accepts the Annual Report up to two (2) calendar months past a program’s accreditation anniversary date. The Annual Report will be accepted up to two (2) calendar months before the accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date. A program that needs additional time is permitted to submit the Annual Report up to one (1) calendar month after its anniversary date if it pays a late fee of $150. The following graphic further explains the Annual Report Submission Window that all programs must follow at this time.

Upload: others

Post on 20-Sep-2020

2 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

NAEYC Fourth Anniversary Annual Report

© 2015. National Association for the Education of Young Children. All rights reserved.

NAEYC no longer accepts the Annual Report up to two (2) calendar months past a program’s accreditation anniversary date. The Annual Report will be accepted up to two (2) calendar months before the accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date. A program that needs additional time is permitted to submit the Annual Report up to one (1) calendar month after its anniversary date if it pays a late fee of $150.

The following graphic further explains the Annual Report Submission Window that all programs must follow at this time.

Page 2: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

NAEYC Fourth Anniversary Annual Report

© 2015. National Association for the Education of Young Children. All rights reserved.

PURPOSE 

The purpose of the fourth anniversary Annual Report is to: Demonstrate preparedness for the Renewal process Ensure that accredited programs are continuing to meet the NAEYC Early Childhood Program Standards and Accreditation

Criteria. Increase the accountability of the NAEYC Accreditation system for children, families, and all customers of NAEYC

Accreditation. Provide NAEYC with the most up-to-date information related to the program’s current daily operations and overall

characteristics.

INSTRUCTIONS The Annual Report is due on the first, second, third, and fourth anniversary of a program’s accreditation (refer to the program’s accreditation certificate for this anniversary date). Failure to submit an Annual Report within the established submission window will result in the revocation of the program’s accreditation. In order to complete this report programs will need to refer to the criteria, which are available on The Online Resource Center Headquarters (TORCH) to support program quality improvement, in the publication NAEYC Early Childhood Program Standards and Accreditation Criteria (NAEYC # 9900), and in the NAEYC Self-Study Kit.

TABLE OF CONTENTS

Section 1: Program Information (Pages 2-3)

Section 2: Licensing/Regulation (Pages 4-5)

Section 3: Preparedness for Renewal Process (Pages 6)

Section 4: Continuous Quality Improvement Measures (Pages 7-10)

Section 5: Rights and Responsibilities (Pages 11)

Section 6: Fees for NAEYC Accreditation (Pages 12)

Section 7: Payment Information (Pages 13)

Section 8: Submission Instructions (Pages 14)

Section 9: Research Participation (Pages 15-17)

 

   

Page 3: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

© 20

Sec

Prog

ProgrLegal

Progr

DesThe DwrittenupdateProgra

Name

Title:

Phon

Email

AddAdditicontac

Name

Title:

Mult

NAEYAccredthe prA groupursuibudgeComp

My prNOTEbe obs

In addIf yesare seadmin If nece

Sec

Is a s N

If yes,author

Name

Relat

  

15. National

ction 1: P

gram Ident

ram Name: name to appear

ram ID#:          

ignated ProDesignated Progn correspondence NAEYC with cham Administrator

e:

e:

l:

itional Conional Contacts acts.

e:

tiple Progra

YC Accreditation ditation process,rogram that opeup can only be exing NAEYC Accr

et, administrationplete the informat

rogram is the oE: If “yes” is checserved during a s

dition to my pro, use the spaceeparate from yonistration, and/

essary, you may

urity Cleara

security clearano Yes – a security cleararity outside of yo

e:

ionship to prog

Association f

PROGRAM

ification

r on all correspon

ogram Admgram Administrace regarding the phanges to prograr for more inform

ntacts are authorized to

ams within

is granted to the all eligible group

erate during thexcluded from a preditation must nn, license and/or tion below to info

only program thked above, and ysite visit.

ogram, one or e below to list oour program. I/or license from

attach an additio

ance nce required up

If yes, provideance must be givur program.

gram:

for the Educa

M INFORM

ndence and offici

ministrator ator is responsibprogram's accredam information.

mation.

Fax:

o receive confide

Na

Tit

n the Same

overall programps a program ser

e summer and aprogram’s NAEYotify NAEYC of aother criteria.

orm NAEYC of ot

hat operates wiyour program off

more programsother programsInclude relevan

m your program

onal page to con

pon entry to thee the name andven prior to an an

 

ation of Young

MATION

ial documents fro

ble for receiving ditation and can See Clarification

ential programma

ame:

le:

Facility

m, and will not be rves must be repfter-school care

YC Accreditation iall separate prog

ther programs th

thin its facility. fers a summer ca

s operate withis that operate wnt information a

m.

ntinue your descr

e program? d phone numbennounced or una

g Children. A

om NAEYC, inclu

Secon

n on

The Secothe prograprogram i

Name:

Title:

Phone:

Email:

atic information fr

granted to indiviported and may be groups. if it is part of a se

grams that operat

at operate within

Yes amp option or af

n the same facwithin your proabout how all o

ription of separat

er for the propeannounced site v

Email:

Phone:

All rights reser

uding the NAEYC

dary Conta

ondary Contact am's accreditatioinformation.

rom NAEYC. Pr

idual classroomsbe observed duri

eparate program te within its facili

n your program’s

No fter-school care g

cility. Yesgram’s facility

other existing p

te programs that

er authority outsvisit, please provi

Annual

rved.

C Accreditation C

act

will be copied onon and can updat

Fax

rograms may nam

Name:

Title:

s within a programing a site visit. T

that has a separity and be able to

facility.

groups, these gro

s No and describe hrograms have

operate within y

side of your proide the name and

Report, Pag

Program ID

Certificate.

n all correspondete NAEYC with c

x:

me up to three (3

m. Throughout tThis includes gr

rate public identio demonstrate a

oups must be rep

how other exista separate nam

your program’s fa

ogram below.d phone number

ge 2 of 17

D #:

ence regarding changes to

3) additional

the NAEYC roups within

ity. A program separate

ported and may

ing programs me, budget,

acility.

r for the proper

Page 4: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

© 20

Sec

Prog

Conta

Stree

City:

Coun

Phon

Email

Mail

To be

Sa

Stree

City:

Coun

Email

Billi

To be

Sa

AttenThis in

Organ

Stree

City:

Coun

Email

Ship

To be

Sa

StreeNo P.O

City:

Coun

Email

  

15. National

ction 1: P

gram Addre

ct information wi

et Address:

ty:          

e:

l:          

ling Addres

used for written

ame as program

et Address:

ty:          

l:

ng Address

used for invoice

ame as program

tion:           ndividual must al

nization Name

et Address:

ty:          

l:

pping Addre

used for the ship

ame as program

et Address: O. Boxes accept

ty:

l:

Association f

PROGRAM

ess

ill be posted on t

ss

correspondence

m address

s

es sent to the pro

m address

lso be listed as th

(if different tha

ess

pment of all NAE

m address

ted

for the Educa

M INFORM

the NAEYC webs

e to the program.

ogram.

Same as m

he Designated P

an program nam

EYC Accreditatio

Same as m

 

ation of Young

MATION C

site when a prog

mailing address

Program Adminis

me):

n Materials.

mailing address

g Children. A

Continued

ram achieves NA

State:

Country

Fax:

Website

State:

Country

Phone:

 

trator, Secondary

State:

Country

Phone:

Same

State:

Country

Phone:

All rights reser

AEYC Accreditat

:

e:

:

ry Contact, or an

:

as billing addr

:

Annual

rved.

tion.

Su

Zip

Su

Zip

Additional Conta

Su

Zip

Fa

ress

Su

Zip

Report, Pag

Program ID

ite/dept/floor:

p:

ite/dept/floor:

p:

act on page 1.

ite/dept/floor:

p:

x:

ite/dept/floor:

p:

ge 3 of 17

D #:

Page 5: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

© 20

SecLice

PrograNAEY

OAppr

My

My

My

Lice

OAppr

My

My

O

The

With

Until

O

I ver

 

15. National

ction 2: Lensing/Regu

ams must be regYC Accreditation.

Option 1: My ropriate licensing

program is lice

program is lice

program’s licen

ense Number:  

Option 2: My propriate regulato

program is reg

program’s regu

Option 3: My p

e application pro

h: State:          

l the program be

1) The progra2) The Board3) My progra4) Upon regis

families threquireme

Option 4: My p

rify that:

1) The progra2) The Board3) My progra4) Upon regis

families threquireme

5) The progra6) The progra

backgroun

Association f

LICENSINulatory Sta

gulated by the ap Define the licen

program is licg bodies refer to

ensed by: State

ense-exempt, b

nse expires.

       

program is regory bodies refer to

ulated by:      

ulation expires.

program is lic

ocess for licen

Agency:      

ecomes licensed,

am administratord chair/president m is voluntarily istration of childreat the program isnts.

program is lic

am administratord chair/president m is voluntarily istration of childreat the program isnts; am has documenam will have comnd checks. In ad

for the Educa

NG/REGULatus (Includ

ppropriate licensinnsing/regulation

censed. state licensing a

e:           Age

but voluntarily li

No Yes

Sp

gulated. o public agencies

   

. No Y

cense-exempt,

sure was begu

   

I verify that:

r has reviewed thor owner has re

in compliance witen in the programs license-exempt

cense-exempt,

r has reviewed thor owner has re

in compliance witen in the programs license-exempt

ntation of fire andmpleted a criminaddition, the progra

 

ation of Young

LATION des program

ng/regulatory bostatus based on

agencies.

ncy:

icensed. N

– if yes, indica

pecialist Name

s such as a boar

Yes – if yes, ind

, eligible for li

un in: Month:

he state’s licensinviewed the stateth the state’s lice

m, my program pt, and informs fa

, and legally p

he state’s licensinviewed the stateth the state’s lice

m, my program pt, and informs fa

d health inspectioal background cham employs no i

g Children. A

ms that are

ody or in process the four options

with a:

No Yes

ate expiration d

e:

OR

rd of education o

icate expiration

OR

censure, and

Year:

ng requirements’s licensing requ

ensing requiremerovides families milies that the pr

OR

prohibited from

ng requirements’s licensing requ

ensing requiremerovides families milies that the pr

ons; and heck on all staff aindividual convict

All rights reser

e license ex

of obtaining a licbelow.

Full Licen Tempora Provision

Other:

ate:

or the military.

n date:

began the app

; uirements; ents; and with a copy of throgram is volunta

m licensure.

; uirements; ents; with a copy of throgram is volunta

and have complieted of a crime inv

Annual

rved.

xempt)

cense in order to

nse ary License nal License

Phone:

plication proc

he state’s licensinarily in complianc

he state’s licensinarily in complianc

ed with state andvolving sexual ab

Report, Pag

Program ID

o become an App

cess to becom

ng requirements,ce with the state

ng requirements,ce with the state

d federal law conbuse or child abu

ge 4 of 17

D #:

plicant for

me licensed.

, informs ’s licensing

, informs ’s licensing

ncerning use or neglect.

Page 6: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

© 20

 

Sec

Rep

NAEYcriticaCandiseriou

Prograexperiprogra

Any sregul Any iessento:

••

List thprogra

72-Ho

Dates

Nforms

Req

Progra

1.B.0

3.C.0

3.C.0

5.A.0

5.A.1

  

15. National

ction 2: L

orting on L

YC-Accredited prol incidents, suspeidacy and site visus issues of nonc

NOam staff must suiences any of tham quality status

suspension orlatory status

incident that dntial health or

• The death • A critical in

admitted to(whether trResponse

• Any unusu(such as buleaving the

• Any suspecat the progthrough the

he date(s) in whicam has experienc

our Notificatio

s Submitted:

/A - My progras in the past 12

uired Crite

am staff must su

9: No use of

2: Teaching

4: Teachingteachers library are

3: At least omanagingchildren. Wmight req

2:  Infants pla

Association f

LICENSIN

Licensing/R

ograms and progension or revocasit requirements compliance within

OTIFY WITHIbmit the 72- Houe following critica

s:

r revocation in

did or could har safety of any

of any child fronjury to any chio a hospital Emransported by tteam, programal incident invout not limited to

e facility alone) cted physical o

gram or by an ine program.

ch your program ced any of the in

on Form(s) Su

am has not sub2 months.

eria

bmit the 72-Hour

f physical punis

staff supervise

staff supervisecheck frequentea, or who are

one staff membg a blocked airwWhen the proguire CPR, one

aced to sleep o

for the Educa

NG/REGUL

Regulatory S

grams that have ation of license ofor NAEYC Accrn the last year or

IN 72 HOURSur Notification foral incidents that

n program’s li

ave compromy child, such a

om any cause ld that results i

mergency Roomthe Emergency

m, parent, or otholving a lack of o a child being

or psychologicandividual that th

submitted all appncidents or chang

bmitted

mitted any 72-

r Notification form

shment or othe

e infants and to

e children primtly on children napping; presc

ber who has a cway and provid

gram includes sstaff person w

on their backs

 

ation of Young

LATION

Status, Crit

submitted an Apr regulatory statu

reditation, a progr since its last ins

S rm if the programmay impact

icense or

mised the as but not limit

n the child beinm for treatment y Medical her individual)f supervision left unattended

al abuse of a chhe child met

plicable 72-Hourges noted above

Hour Notificatio

m if the program

er forms of phys

oddlers/twos by

arily by sight. Swho are out ofchool and kinde

certificate showding rescue breswimming and

who has succes

unless otherwi

g Children. A

tical Incide

pplication (Step 2us, and major ch

gram must maintaspection.

m Program using the

ted

ng

d or

hild

Exampl

••••

•••

r Notification and, appropriate not

Dates o

on

Dates S

N/A the past

is not meeting a

sical or psycho

y sight and sou

Supervision forf sight (e.g., thoergartners).

wing satisfactoreathing for infanwading and wh

ssfully complete

se ordered by

All rights reser

ents, and M

2) for NAEYC Accanges according

ain good standing

REPstaff must inform

e Self Report form

es of major ch

Change in owNew designatChange of locChange to therenovations, eIncorporation previously seCourt order oChange in geChange in theprogram or reMerge with an

d/or Self Reports tification must be

of Self Report

ubmitted:

- My program t 12 months.

any of the followin

ological abuse

und at all times

r short intervalsose who can us

ry completion onts and childrehen a child in thed training in C

a physician. 

Annual

rved.

Major Chang

creditation are reg to the followingg in its licensing

PORT WITHINm NAEYC of all mm.

hanges includ

wnership or vented program adcation e physical faciletc.) of a new age c

rved r legal action

eneral program e primary or seelated contact in existing prog

to NAEYC withine submitted imme

Form(s) Subm

has not submit

ng Required Crit

or coercion.

.

s by sound is pse the toilet ind

of pediatric firsten, is always prhe group has a

CPR is present

Report, Pag

Program ID

ges

equired to updateg timeframes. To

or regulatory sta

N 30 DAYS major programma

de, but are not

ndor dministrator

ity or ground (d

category that w

information econdary contanformation ram

n the past 12 moediately.

mitted

tted any Self R

teria listed below

permissible, as dependently, w

t-aid training, inresent with eaca special healthin the program

ge 5 of 17

D #:

e NAEYC of o meet upcomingatus by having no

atic changes

t limited to:

due to damage

was not

ct for the

onths. If your

Report forms in

w.

long as the ho are in a

ncluding ch group of h condition thatm at all times.

g o

e,

t

Page 7: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

© 20

Sec

The Sincludof Ev

2008

200

This deter Com‘No’ i

 If youAsse If youAssethat h

Surv

TeacDate for S

15. National

ction 3: P

Sources of Eviding the site vividence as liste

8 Sources of Ev

• Progr• Class

• Teach• Famil• Obser

08 Sources

quick test will armine if they ar

plete the chartif evidence doe

u marked ‘Yes’essment is align

u marked ‘No’ fessment may nhave been add

veys for Re

ching Staff Surv in order to be elf-Assessmen

Association f

PREPARE

dence for all Csit for renewal.

ed below.

vidence

am Portfolio room Portfolios

hing Staff Survy Survey rvable Criteria

of Evidenc

assist individuare aligned to th

s below by maes NOT exist in

for all criteria, ned to SOE200

for any criteria,ot be aligned to

ded to CPs and

enewal

veys and Famivalid for the sit

nt, sub folder d.

for the Educa

EDNESS F

Criteria have be. In preparatio

s

ey

ce Portfolio

als as they spoe current 2008

rking ‘Yes’ or ‘n portfolio.

Criterion 6.A.09 6.B.01 Formerly ev

Criterion 4.C.02 4.C.03 Formerly ev

indicating that08 and no furth

, indicating thato SOE2008. R the PP as a re

ly Surveys for Ste visit for rene. Survey Tools

ation of Young

FOR RENE

een updated asn for renewal, p

o Spot Chec

ot check a prog8 Sources of Ev

No.’ Mark ‘Yes

ProgEvidenc

  Yes

  Yesvaluated by Sta

ClassrCheck onEvidenc

  Yes

  Yesvaluated by Ch

t evidence is inher action is ne

t evidence doeRefer to the Traesult of the 200

Self-Assessmeewal. These su.

g Children. A

EWAL PR

s of September programs must

ck

ram’s Programvidence (SOE2

s’ if evidence ex

gram Portfolioce Included?s    No

s    Noaff File Evidenc

room Portfolione or two CPs oce Included?s    No

s    Noild File Evidenc

cluded within pcessary.

es not exist withansition to 200808 Sources of E

ent must be conurveys are avai

All rights reser

ROCESS

2008 and are t organize their

m Portfolio (PP)2008).

xists within the

o  

o  ce in SOE2006.

osonly 

o  

o  ce in SOE2006.

portfolios for th

hin portfolios fo8 Sources of EEvidence Upda

nducted within ilable within the

Annual

rved.

used to condur evidence acc

) and Classroom

portfolio for th

e criteria above

or the criteria abvidence Works

ate.

one (1) year oe TORCH Reso

Report, Pag

Program ID

ct all site visitsording to the 2

m Portfolios (C

e criterion indic

e, your program

bove, your prosheet for a list o

of the Renewal ource Library, f

ge 6 of 17

D #:

at this time, 008 Sources

CPs) to

cated. Mark

m’s Self-

gram’s Self-of all criteria

Materials Due folder 4. Tools

Page 8: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

Annual Report, Page 7 of 17 

© 2015. National Association for the Education of Young Children. All rights reserved. Program ID #:

Section 4: CONTINUOUS QUALITY IMPROVEMENT MEASURES

Instructions

To complete Section 4: Continuous Quality Improvement Measures, each of the 2008 Sources of Evidence should be complete with labeled pieces of evidence or completed summary forms. Reference your completed Sources of Evidence to answer the following questions. Notes:

• If your program has not completed the Teaching Staff and Family Surveys at this time, you may estimate the survey scores for each criterion by referencing information collected through alternative means. For example, if your program conducts its own survey of staff and families annually or collects feedback from staff and families through face-to-face meetings, information from these practices could inform estimates of survey scores. Note that the official Teaching Staff and Family Surveys for Self-Assessment must be conducted within one (1) year of your program’s Renewal Materials due date and results of these surveys will be reviewed by an NAEYC Assessor during the site visit for renewal.

• Do not exceed the space provided as you complete each question. Doing so will decrease the user-friendliness of this Annual Report.

• Do not attach evidence to these materials. Simply report on the evidence that you have collected throughout your program’s formal Self-Assessment.

   

Page 9: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

Annual Report, Page 8 of 17 

© 2015. National Association for the Education of Young Children. All rights reserved. Program ID #:

10.F.02 I-T-P-K Random TS, FS, PP

The annual evaluation processes include gathering evidence on all areas of program functioning, including:

a policies and procedures,

b  program quality,

c  children’s progress and learning, family involvement and satisfaction, and community awareness and satisfaction.

d A report of the annual evaluation findings is shared with families, staff, and appropriate advisory and governance boards, and the results are used as a basis for continuing successful activities and for changing those that need improvement.

Reference one piece of evidence for criterion 10.F.02 from the Program Portfolio. Complete the chart below to describe the piece of evidence. Do not attach evidence to these materials. Do not hesitate to utilize the “Other” choice in which you can describe a type of evidence that is not included on the list.

Written program annual evaluation plan Program annual evaluation report Self-Study or Self-Assessment Family and Teaching Staff Surveys Relevant page(s) from Employee Handbook Relevant page(s) from Parent Handbook Annual report Parent meeting agenda and/or minutes Other:______________________________________________________

Description of Evidence:

Complete the chart below with survey data for criterion 10.F.02 based on the results from the Teaching Staff Survey Results Spreadsheet.

Score for Criterion 10.F.02

Information learned from the Teaching Staff Survey

%1

Complete the chart below with survey data for criterion 10.F.02 based on the results from the Family Survey Results Spreadsheet.

Score for Criterion 10.F.02

Information learned from the Family Survey

%2

                                                            1  If your program has not yet completed this survey, see note within instructions on page 7 for guidance. 

Page 10: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

Annual Report, Page 9 of 17 

© 2015. National Association for the Education of Young Children. All rights reserved. Program ID #:

10.F.04 I-T-P-K  Random  TS, FS, PP 

a

The program offers staff and families opportunities to assist in making decisions to improve the program. Collaborative and shared decision making is used with all participants to build trust and enthusiasm for making program changes. Staff and families meet at least annually to consult on program planning and ongoing program operations.

Reference one piece of evidence for criterion 10.F.04 from the Program Portfolio. Complete the chart below to describe the piece of evidence. Do not attach evidence to these materials. Do not hesitate to utilize the “Other” choice in which you can describe a type of evidence that is not included on the list.

Written program evaluation plan Relevant page(s) from Parent Handbook Parent meeting agenda and/or minutes Documentation of parent committee Governance board meeting agenda and/or minutes Documentation of committee work Other:______________________________________________________

Description of Evidence:

Complete the chart below with survey data for criterion 10.F.04 based on the results from the Family Survey Results Spreadsheet. Score for Criterion 10.F.04

Information learned from the Family Survey

%2

Complete the chart below with survey data for criterion 10.F.04 based on the results from the Teaching Staff Survey Results Spreadsheet.

Score for Criterion 10.F.04

Information learned from the Teaching Staff Survey

%3

   

                                                            2 If your program has not yet completed this survey, see note within instructions on page 7 for guidance. 

10.F.03 I-T-P-K Random PP

a The program establishes goals for continuous improvement and innovation using information from the annual program evaluation. The program uses this information to plan professional development and program quality-improvement activities as well as to improve operations and policies.

Reference one piece of evidence for criterion 10.F.03 from the Program Portfolio. Complete the chart below to describe the piece of evidence. Do not attach evidence to these materials. Do not hesitate to utilize the “Other” choice in which you can describe a type of evidence that is not included on the list.

Written program evaluation plan Documentation of short-term and/or long-term strategic planning Relevant page(s) from Employee Handbook Relevant page(s) from Parent Handbook Parent meeting agenda and/or minutes Governance board meeting agenda and/or minutes Annual Report Other:______________________________________________________

Description of Evidence:

Page 11: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

Annual Report, Page 10 of 17 

© 2015. National Association for the Education of Young Children. All rights reserved. Program ID #:

10.F.05 I-T-P-K Emerging PP

a The program has an ongoing monitoring system to ensure that all program goals and requirements are met. The program has a data system that is used to collect evidence that goals and objectives are met. This evidence is incorporated in the annual program evaluation.

Reference one piece of evidence for criterion 10.F.05 from the Program Portfolio. Complete the chart below to describe the piece of evidence. Do not attach evidence to these materials. Do not hesitate to utilize the “Other” choice in which you can describe a type of evidence that is not included on the list.

Written program evaluation plan Documentation of short-term and/or long-term strategic planning Relevant page(s) from Employee Handbook Relevant page(s) from Parent Handbook Parent meeting agenda and/or minutes Governance board meeting agenda and/or minutes Annual Report Other:______________________________________________________

Description of Evidence:

   

Page 12: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

© 20

Sec

Prog

Right

Right

Right

Right

Right

Prog

Resp

Resp

Resp

Resp

Sign

  

15. National

ction 5: R

gram Right

t: To receiv• Phon• Ema• Accre

t: To receivprocedure• Mont• Bi-An

t: To accessStandards• NAEY• TOR

t: To providStandards• Subm• Subm

t: To withdr

gram Respo

ponsibility: TC•

ponsibility: T••

ponsibility: TR

ponsibility: TPi

nature

I have read an

I verify that theAcademy, I unmay be revoke

I verify that myApplication for

________Signature

Association f

RIGHTS A

ts

ve professional ne - (800) 424-2il - accreditatioeditation Progr

ve information fes. thly Accreditatinnual Accredita

s current, accus and AccreditaYC Academy W

RCH

e feedback to s and Accredita

mit Feedback omit feedback on

raw from the NA

onsibilities

To understand Childhood Prog• For inform

read mont• For curren

assessme

To Update NAE• Report ma• Notify NAE

Notification• Inform NA

ensure opreported a

To notify NAEYRequirements

To retain a copPostmark docuinformation is a

nd understand

e information snderstand that ed.

y program contr NAEYC Accre

____________

for the Educa

AND RESP

and timely sup2460, option 3,

on.information@ram Support Re

from the NAEY

on e-Updates eation Updates m

urate informatioation Criteria, iWebsite

the NAEYC regation Criteria.

on the Accreditan the accredita

AEYC Accredit

s

the NAEYC Agram Standard

mation about thethly Accreditationt versions of thnt tools and re

EYC of programajor programmaEYC of critical n form.

AEYC of updateen communica

as soon as poss

YC immediatelymay affect a p

py of all forms sumentation is aacceptable for

my program’s

submitted in thismy program’s

tinues to meet editation (Step

____________

 

ation of Young

PONSIBIL

pport from NAE, option 1. Mon

@naeyc.org esources

YC Academy re

emailed to primmailed to progr

on about the NAncluding relate

garding the NA ation System tion criteria via

tation process

ccreditation prods and Accredite NAEYC Accron e-Updates ahe NAEYC Earsources, visit T

mmatic changeatic changes wincidents that m

es to contact ination between tsible with the S

y if Candidacy rogram’s maint

submitted to NAacceptable for se-mail submiss

rights and resp

s form is accurpursuit of NAE

all of the eligib2).

_________

g Children. A

LITIES

EYC. nday - Friday, 9

garding update

mary and seconram mailing ad

AEYC Accredited assessment

AEYC Accredita

a TORCH Crite

at any time.

ocess and accetation Criteria areditation proceand bi-annual Arly Childhood PTORCH.

es and critical iwithin 30 days umay impact pro

formation for thhe program an

Self Report form

Requirementstain status as a

AEYC and retasubmissions bysions.

ponsibilities.

rate. If false orEYC Accreditati

bility requireme

________ Title 

All rights reser

9:00 AM to 5:0

es on the NAEY

ndary contacts dress provided

tation process tools and reso

ation process a

ria Feedback a

ess the most cand related assess, visit the NAAccreditation U

Program Standa

ncidents accorusing the Self Rogram quality s

he primary andnd NAEYC. Chm.

are no longer a currently NAE

ain documentaty mail and a co

r misleading infion will cease a

ents for NAEYC

____________

Annual

rved.

00 PM ET

YC Accreditatio

provided to NAd to NAEYC.

and the NAEYources.

and the NAEYC

and TORCH Di

current versionssessment toolsAEYC AcademUpdates. ards and Accre

rding to the appReport form. status within 72

d secondary cohanges to conta

met. Failure toEYC-Accredited

tion verifying thopy of sent e-m

formation is evand/or my prog

C Accreditation,

____________

Report, Pag

Program ID

on system, pol

AEYC.

C Early Childh

C Early Childho

scussions

s of the NAEYC and resources

my Website freq

editation Criteri

propriate timefr

2 hours using th

ntact of your pact information

o meet Candidad program.

he date of all sumail with date an

ver provided to gram’s current a

, as reported in

______

ge 11 of 17

D #:

icies, and

ood Program

ood Program

C Early s. quently and

a and related

rames.

he 72 Hour

rogram to should be

acy

ubmissions. nd time stamp

the NAEYC accreditation

n the

 

Page 13: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

Annual Report, Page 12 of 17 

© 2015. National Association for the Education of Young Children. All rights reserved. Program ID#:

Section 6: FEES FOR NAEYC ACCREDITATION

NAEYC is phasing in an improved fee structure that will better assist programs in long-term budgeting for accreditation costs. Refer to your program’s Valid Until date printed on the NAEYC Accreditation Certificate to determine the fee to include along with the Annual Report. For more information, refer to www.naeyc.org/academy and click on Fees.

Note: Additional fees associated wi

Valid Until Dates January 2016 and Later

$550 10 - 60 children

$650 61 - 120 children

$775 121 - 240 children

$885 241 - 360 children

Add $150 for every additional 120 children.

Note: Programs that successfully maintain accreditation over time will not pay additional renewal fees. The Annual Accreditation fee will be due annually, including on the fifth anniversary of accreditation.

The accreditation fee is calculated based on the number of children enrolled in a program at the time this form is submitted. If the number of children changes for a defined portion of the year (for example, altered program operation during the summer), the program should report the number of children that typically applies throughout the majority of the school year. Programs will be billed for supplemental fees (according to the chart above) if program enrollment is inaccurately reported during the accreditation process. Reference the following rules to determine the number of children that determines the accreditation fee for your program.

• Each child is only counted once. • Each child of eligible age (birth through kindergarten) that is part of an eligible group is counted. All eligible groups MUST be included in your

program’s NAEYC Accreditation. Note that groups are not eligible if more than 50% of the children are school age (first grade and beyond). • For programs with hourly care or drop-in care groups in which the total number of children enrolled in the group exceeds the maximum

licensing capacity of the group, only the maximum licensing capacity of the group is counted. Add the maximum licensing capacity of any drop-in care groups to the total number of children, if applicable.

Age Category Number of Children Enrolled

Infant (birth to 15 months)          

Toddler/Twos (12 to 36 months)          

Preschool (30 months to 5 years)          

Kindergarten (public or private)          

TOTAL Number of Children:

This form will not be processed until NAEYC receives the applicable fee.

Late Fee

If the program submits the Annual Report up to one (1) calendar month past the accreditation anniversary due date, a late fee of $150 must be included with the payment. Please note that this form will not be accepted unless NAEYC receives the applicable fee within one (1) calendar month past the accreditation anniversary due date.

I acknowledge that this form is being submitted up to one (1) calendar month past the accreditation anniversary due date and the $150 late fee is included with the payment.

    

Page 14: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

Annual Report, Page 13 of 17 

© 2011. National Association for the Education of Young Children. All rights reserved. Program ID #:

Section 7: PAYMENT INFORMATION

Choose ONE method of payment and include applicable information below.

Check

Check Number:

Name on Checking Account:

Attach check to this form If check is sent under separate cover, program ID number or other identifying information must be included on the check.

Purchase Order

Purchase Order Number:

Name on Purchase Order:

Attach purchase order to this form. If purchase order is sent under separate cover, program ID number or other identifying information must be included on the purchase order.

Credit Card

VISA MasterCard Amex

Credit Card Number:

Credit Card Expiration Date: Month:           Year:

Name on card/checking account or purchase order holder:

Card billing address:

City: State: Zip:

Country:

I authorize NAEYC to charge the above credit card at the amount of $

Signature: Programs who do not wish to provide their credit card information at this time may pay by phone, 1-800-424-2460, option 3, option 1.

International ACH

International ACH Number:

Name on International ACH:

Signature:

NAEYC Information for Transfer:

Account Number:   2000013841458 Routing Number: 121000248 Swift Code: WFBIUS6S

International Wire Transfer

International Wire Transfer Number:

Name on International Wire Transfer:

I acknowledge that a $20 fee is included with the payment for processing.

Signature:

NAEYC Information for Transfer:

Account Number: 2000013841458 Routing Number: 121000248 Swift Code: WFBIUS6S

Page 15: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

Annual Report, Page 14 of 17 

© 2012. National Association for the Education of Young Children. All rights reserved. Program ID #:

Section 8: SUBMISSION INSTRUCTIONS

Mail completed form with payment to:

Annual Report P.O. Box 96037

Washington, DC 20090-6037

E-Mail completed form with payment to:

[email protected]

NAEYC will ONLY accept Annual Reports through e-mail if a credit card payment is included. Programs paying via check or purchase order are not eligible to submit via -email.

Faxed Annual Reports will not be accepted.

NAEYC accepts the postmark date or the e-mail sent date as the submission date. NAEYC recommends that programs obtain written confirmation of receipt of all forms sent to NAEYC P.O. Boxes. Please discuss tracking options with your local Post Office. NAEYC is not able to sign for materials that are delivered to a P.O. Box by an individual courier such as UPS or FedEx. Similarly, NAEYC recommends that programs save a copy of any automated e-mail replies as confirmation of receipt of all forms emailed to NAEYC.

Copy this form for your program’s records before submission. NAEYC will not return this form to the program.

   

Page 16: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

© 20

 

Sec

Informknowchildhprofesidentikeepi Progrprojecqualit By prhow cfor co

Add

This intime. T

Why d R P P B F

Corpo N P P

If the

A N

Is you A S C

What

What

U

What

F P

12. National

ction 9: R

mation gathereledge. As we phood programsssional developfied in any wayng work of indi

rams may havect. If you havetyassurance@n

oviding this vocriteria are metontinuous qualit

itional Prog

nformation will beThe information

did your prograRequired for rec

art of state Qurestige and recelieve in NAEYamilies expect

orate Structureonprofit rivate corporatublic Agency:

school dist

program is mil

Army avy

ur program recAccreditation Fa

tate Quality RaConsultant  

year did your

best describes

Urban

is your progra

ull Day (more tart Day (up to

Association f

RESEARC

d on our applicput together inf

s in ways that hpment, researcy. In keeping wividual program

e opportunities concerns abonaeyc.org.

luntary demogt and whether cty improvemen

gram Inform

e used to help NAn you provide w

am seek NAEYceiving funding ality Rating ancognition YC’s mission fo

it 

e: (must choose

tion (for profit)

trict milit

litary, please sp

eiving technicaacilitation Projeating and Impro

program begin

s your program

m schedule? (

than 6 hours/da6 hours a day)

for the Educa

CH PARTIC

cation forms anformation abou

have never beech, and programwith the professms confidential.

to engage in reut the use of in

raphic informatcertain criteria nt and guides p

mation

AEYC better supwill NOT affect yo

YC Accreditatio

d Improvemen

or improving qu

e one)

ary colle

pecify the bran

al assistance frect ovement Syste

operation?    

m site location?

Rural

If your program

ay)

ation of Young

CIPATION

nd during the siut programs acen achieved befm developmensional ethics of.

esearch projecnformation gath

tion, your progpose challenge

professional dev

pport programs inour NAEYC Acc

n: (check all th

t System (QRIS

uality of care fo

ege/university

nch:

Air Force Marines

om: (choose o

m (QRIS)

     

(choose only o

m offers multiple

24 hour Full Year

g Children. A

N

ite visit will beccross the nationfore. Ideas that. At no time wf Institutional R

cts, but will at thhered during th

ram provides des for programsvelopment, res

n Self-Study andcreditation statu

hat apply)

S)

or young childre

other   

nly one)

one)

Subu

e options, choo

All rights reser

come part of a n we will be ablat emerge fromwill individual prResearch Board

hat time be fulle accreditation

data that helps s with various csearch and pro

d to evaluate the us in any way.

en

urban

ose all that app

Annual

rved.

national data ble to fully descr

m the work of prrograms, teachds in universitie

y informed of tn process, plea

NAEYC gain acharacteristicsgram developm

effectiveness of

Coast Gua

ply)

Part Year

Report, Pag

Program ID

base of early chribe aspects ofrograms will guhers, children oes, NAEYC is c

he scope and nse email

a better unders. This informatment.

NAEYC Accredi

ard

Military base

ge 15 of 17

D #:

hildhood f early uide or families be committed to

nature of the

standing of tion is used

itation over

 

Page 17: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

© 20

 

Sec

Add

Do yo

B D

Which

C E F

Is you

P C

Defin M

(the teprogra

M M

Cha

What

Of the

W B S

Of theprogr

E S C

Do an

H V O S B N A

Do yo

M M

12. National

ction 9: R

itional Prog

ou offer any of

efore or after sDrop-in care

h characteristic

Campus-based mployer-sponsaith-based

ur program loca

ublic school (PCollege or unive

e your license/My program is li

My pro My pro My pro

erm regulated refam is licensed an

My program is nMy program is n

racteristic

number of ch

e children enro

White or Caucaslack or African panish/Hispan

e children enroam:

nglish:           panish:          

Chinese:          

ny enrolled chil

Hearing impairmVisual impairmeOrthopedic hand

peech & languehavioral:      eurological dis

ADHD:          

ou serve specia

Military families Migrant Workers

Association f

RESEARC

gram Inform

these services

school care

cs describe you

sored

ated in a:

P-12) ersity campus

/regulation statcensed/regulat

ogram is licenseogram is licenseogram is regulafers to programs nd regulated by anot licensed bunot licensed an

s of Enrolle

ildren are enro

olled in your pro

sian, Non-Hisp American, Noic/Latino

olled in your pro

ldren have any

ment:           ent:           dicaps:           age disorders:   

sorders:          

al populations?

s

for the Educa

CH PARTIC

mation

s? (check all tha

ur program: (ch

US Gov Tribal n

us based on thted: ed. e-exempt but vted that are not licen

another body, pleut is eligible for d is not eligible

ed Children

olled in your pro

ogram (birth thr

panic n-Hispanic

ogram (birth thr

French:     German:   Hmong:    

y of the followin

         

?

ation of Young

CIPATION

at apply)

Back up care Summer cam

hoose all that a

Migrant servic Military State Pre-Kin

vernment facilitnation

he options belo

voluntarily licen

nsed but under tease choose licelicensure

e for licensure

n

ogram (birth thr

rough kinderga

rough kinderga

                   

ng special need

Teen parents Homeless Fa

g Children. A

N Continue

mp/vacation pro

apply)

ces

ndergarten

ty (not military)

ow:

sed.

the regulation of,ensed and regula

rough kinderga

arten), what nu

Asian Ame Othe

arten), what nu

Vietn Khme Italia

ds? If so, how

Down Emot Autis Learn Main Ment Othe

milies

All rights reser

ed

grams

) Militar Alaska

for example, puated.)

arten)? mber of them

n/Pacific Islandrican Indian/Ala

er: (please spec

mber of them

namese: er: n:

many?

n Syndrome: tional disturban

sm, spectrum dning disabilitiestenance care dtally disabled/d

er, specify:

Annual

rved.

Bilingual PIf yes what lang

Parent coo Head Start Hospital-af

ry facility an native villag

ublic school syste

are:

der aska Native/Nacify)    

speak the follo

nce:       disorders:        s:           diseases (diabedevelopmentally

Not applica Other, spec

Report, Pag

Program ID

rograms: guages beside

operative t ffiliated

e None

ems, or the milita

ative American

owing language

Portuguese: Other:  

 

etes, HIV) :  y delayed:

able cify:        

ge 16 of 17

D #:

es English:

of the above

ary. If your

es during your

     

 

Page 18: NAEYC Fourth Anniversary Annual Report...accreditation anniversary date, but the postmark date of the Annual Report submission must be on or before the accreditation anniversary date

© 20

 

 

Sec

Prog

Does

C E

For pservic

Does cours

Does Direct

What

How m

Tuitio

Gove

Emplo

Supp

Privat

How mprogr

12. National

ction 9: R

gram Fundi

your program

Child Care Subsarly Head Star

rograms not opces? Yes

the program asework? Ye

the program at Loan? Ye

was your prog

much funding d

on/Fees: $        

ernment Grants

oyers of familie

ort from spons

te donors: $    

many children am through sc

Association f

RESEARC

ing

receive any of

sidies rt

perated by sch No

administrator ores No

administrator ores No

gram’s total inc

did you receive

 

s or Subsidies:

es served: $    

oring organiza

     

enrolled (in agholarships, slid

for the Educa

CH PARTIC

f the following t

Head Start Child and A

ool districts, do

r any member o Don’t know

r any member o Don’t know

ome in the last

e from the follow

$          

     

tions: $          

e groups birth ding fee scales

ation of Young

CIPATION

types of public

t Adult Care Foo

oes your progra

of the teachingw

of the teachingw

t fiscal year?

wing sources:

through kinder, or public subs

g Children. A

N Continue

funding? (Che

od Program

am subcontrac

g staff receive p

g staff receive lo

In-kind co

Private F

Fundrais

Other, sp

rgarten) receivesidies?

All rights reser

ed

ck all that appl

Pre-Ki Other

if yes, plea

ct with the scho

publicly funded

oan forgivenes

ontributions: $

Foundation Gra

sing: $          

pecify : $

e need-based f

Annual

rved.

y)

indergarten Fupublic funds (f

ase specify:    

ool district to pro

scholarship su

ss from a feder

$

ants: $        

financial assist

Report, Pag

Program ID

nding federal, state o

     

ovide Pre-Kind

upport for posts

al Perkins, Sta

tance to attend

ge 17 of 17

D #:

r local)

dergarten

secondary

afford, or

your