ATSDR Safe Child Care Siting Survey

Attachment B. ATSDR Safe Child Care Siting Survey (text)

Form Approved

OMB No. 0923-0047

Exp. Date 05/31/2016

Public reporting burden of this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS- D-74, Atlanta, Georgia 30333; ATTN:PRA (0923-0047).

The Agency for Toxic Substances and Disease Registry (ATSDR) would like you to participate in a short survey to help us better understand how your agency approaches child care licensing processes. Your responses will be completely confidential. Please mark your responses for each question directly on the questionnaire.

1. What agency(s) are responsible for licensing childcare / early learning facilities within your state?

2. To what extent does your program interact with your state's child care licensing program?

Not at all

Very Little

A moderate amount

A great amount

3. How frequently do you work with the child care licensing program within your state?

Once per year

Several times per year

Once per month

Several times per month

On a weekly basis

On a daily basis

4. Does the child daycare licensing program in your state perform or require inspections of childcare facilities?

Yes

No

I don't know

5. If yes, who is responsible for performing these inspections? If yes, who is responsible for performing these inspections?

6. If applicable, describe the types of projects, programs, and issues you work on with your state's child care licensing program.

7. If applicable, describe any programs in your state that help ensure that childcare / early learning centers are not built or located near places where environmental contaminants are a concern.

8. Have you ever worked with your state's child care licensing program or a facility operator because a child care center was placed on or adjacent to a hazardous site or in a building with hazardous substances?

Yes

No

If yes, please describe

9. Have you ever worked with a child care licensing program or a facility operator because a child care center had problems with drinking water quality?

Yes

No

If yes, please explain.

10. Please describe any barriers to working with child care licensing programs in your state.

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