A2 How many places is this service licensed to provide at any one time? Note: These are places that are licensed or regulated by your State/Territory Government. If your service is not licensed, please record 000 as your answer. Number of places A3 What is the maximum number of children to whom care is offered AT ANY ONE TIME? Note: This number may be the same as in A2, however, places may not be available for use due to operational factors such as staffing levels or available Please use grid A if the maximum number of children does not vary by day of the week. Please use grid B if the maximum number of children varies by day of the week. Important: if this service does not offer care to a child of a particular age range or on a particular day, use “-“. Age ranges of children Maximum number of children 0 to 24 months 25 to 36 months 3 to 5 years 6 years or older Maximum number of children to whom care is offered does not vary by day of week Maximum number of children to whom care is offered varies by day of week: Monday Tuesday Wednesday Thursday Friday Saturday Sunday A4 For each day of the reference week on which child care was provided, please indicate the earliest time of day and the latest time of day that child care was available to children. The reference week is printed in the top right hand corner of the front page. Note: if the service opened and closed once a day during the reference week, please complete grid A only. If the service had multiple opening and closing times within a day, please complete grids A and B. Child Care provided on this day during the reference week? First Session Second Session Opening time Closing time Opening time Closing time Monday Tuesday Wednesday Thursday Friday Saturday Sunday A5 During the reference week, did this service have approval(s), exemption(s), or form(s) of formal permission that enabled a position to be occupied by a worker without holding the required early childhood education and care qualification(s)?
B4 Please record the number of children by age group who need additional assistance that is related to an underlying long-term health condition or disability in each of the following areas? Note: long-term means lasting for 6 months or more. Please also include any children less than 6 months of age with a health condition or disability affecting everyday life, if it is expected to last 6 months or more. Child age in years Learning and applying knowledge Mobility Self care Inter-personal interactions and relationships Other areas (including general tasks, domestic life and community, and social life) Total children needing assistance 0 to less than 1 year 1 to less than 2 years 2 to less than 3 years 3 to less than 4 years 4 to less than 5 years 5 to less than 6 years 6 to less than 7 years 7 to less than 8 8 to less than 9 years 9 to less than 10 years 10 to less than 11 years 11 to less than 12 years 12 years or over Section C – Preschool/Early Learning Programs C1 During the reference week, how many children were to a preschool/early learning program delivered by a different service? The reference week is printed in the top right hand corner of the front page. Please count each child only once. C2 During the reference week, did any of the workers in this service, including yourself, deliver or assist in delivering an in-house preschool/early learning program? Yes Continue No Go to Section D C3 During the reference week, was the in-house preschool/early learning program delivered based on a specific curriculum or framework? Select all that apply Yes (Early Years Learning Framework)
Yes (State/Territory curriculum or framework) Yes (other curriculum or framework) No Don’t know C4 During the reference week, was the in-house preschool/early learning program delivered by a teacher with university qualifications in a relevant early childhood education and care field? Yes No C5 Please record the number of children by age for each of the following. Note: for C5d long-term means lasting for 6 months or more. Child age in years C5a How many children are currently enrolled in the in-house preschool/early learning program program at this service? C5b During the reference week, how many children attended the preschool/early learning program program? C5c Of the children enrolled in the preschool/early learning program, how many do you anticipate will go to school the following year? C5d How many children enrolled in the in-house preschool/early learning program need additional assistance that is related to an underlying health condition or disability (i.e. lasting 6 months or more)? 3 to less than 4 years 4 to less than 5 years 5 to less than 6 years 6 or over Section D – Individual workers members and educators) Question number Question Answer D1 What is this staff member’s name? Please write in first name / surname / or other reference D2a What is this staff member’s age? Please write in age to the nearest whole year D2b What is this staff member’s gender? Please select the option that applies. Male, Female, Intersex or indeterminate D2c What is this member’s Indigenous status? Please select the option that applies. Aboriginal but not Torres Strait Islander origin, Torres Strait Islander but not Aboriginal origin, Both Aboriginal and Torres Strait Islander origin, Neither Aboriginal nor Torres Strait Islander origin, Not stated D3 Is the work of this staff member paid or unpaid. Please select the option that applies. Paid, Unpaid D4 During the reference week, what was the main type of work performed by this staff member? Refer to Explanatory Notes. Primary contact, Other contact, Management/Administration only, Other work D5 During the reference week, what was the main role performed by this worker?