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NAEYC First through Third 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.
NAEYC First through Third Anniversary Annual Report
© 2015. National Association for the Education of Young Children. All rights reserved. Program ID#:
PURPOSE
The purpose of the Annual Report is to: 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: Program Schedule (Pages 6-7)
Section 4: Group Information (Pages 8)
Section 5: Meeting the NAEYC Standards and Criteria (Pages 9-10)
Section 6: Designated Program Administrator Qualifications (Pages 11)
Section 7: Teaching Staff Qualifications (Pages 12-15)
Section 8: Rights and Responsibilities (Pages 16)
Section 9: Fees for NAEYC Accreditation (Pages 17)
Section 10: Payment Information (Pages 18)
Section 11: Submission Instructions (Pages 19)
Section 12: Research Participation (Pages 20-24)
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LICENSINulatory Sta
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program is regory bodies refer to
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program is lic
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Agency:
ecomes licensed,
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program is lic
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for the Educa
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gulated. o public agencies
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in compliance witen in the programs license-exempt
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in compliance witen in the programs license-exempt
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Report, Pag
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© 20
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15. National
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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
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OTIFY WITHIbmit the 72- Houe following critica
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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
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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
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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
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r Notification form
shment or othe
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LATION C
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r Notification and, appropriate not
Dates o
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Supervision forf sight (e.g., thoergartners).
wing satisfactoreathing for infanwading and wh
ssfully complete
se ordered by
All rights reser
2) for NAEYC Accanges according
ain good standing
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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
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ological abuse
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ry completion onts and childrehen a child in thed training in C
a physician.
Annual
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PORT WITHINm NAEYC of all mm.
hanges includ
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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#
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 24
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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
Annual Report, Page 6 of 24
© 2015. National Association for the Education of Young Children. All rights reserved.
Section 3: PROGRAM SCHEDULE
Program Closures
My program operates 12 months/year. OR My program operates less than 12 months/year. • The program begins serving children on / / . • The program ends on / / .
Indicate the dates your program will be closed for the next 12 months. Begin with the current month and place an X over the dates in each month in which your program will be closed.
Month Dates Closed Year
Select the current month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
20 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Check if program is closed for the entire month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
20 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Check if program is closed for the entire month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
20 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Check if program is closed for the entire month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
20 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Check if program is closed for the entire month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
20 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Check if program is closed for the entire month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
20 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Check if program is closed for the entire month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
20 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Check if program is closed for the entire month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
20 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Check if program is closed for the entire month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
20 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Check if program is closed for the entire month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
20 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Check if program is closed for the entire month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
20 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Check if program is closed for the entire month
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
20 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Check if program is closed for the entire monthNote that NAEYC will not conduct site visits on Federal Holidays, including New Year’s Day, Birthday of Martin Luther King, Jr., Washington’s Birthday, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, and Christmas Day. For more information on Federal Holidays, refer to the U.S. Office of Personnel Management.
© 20
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NOTEand a
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15. National
ction 3: P
urs of Opete the days of th
rogram is open
Open
ning
ing
e Categoriage category sers and toddler/two
ers/twos on the dplete the following
EYC Defined Ae ranges for eachprogram flexibilitycategory that ap
within the overlapges.)
ant: birth - 1
ddler/Two:
eschool: 30
ndergarten: private kinde
E: Children withinfter-school care
ditional Infany special circ
ot exceed the spa
Association f
PROGRAM
ration e week your prog
24 hours/day,
Monday
: a.m. p.m.
: a.m. p.m.
es Servedrved by the progros, the NAEYC Aday of the site visg chart to identify
Age Categorieh of the age catey. Programs canpplies to children pping portion of t
5 months
12 - 36 mon
0 months - 5
enrolled in ergarten
n all eligible groue groups.
formation umstances rega
ace provided.
for the Educa
M SCHED
gram operates a
7 days a week
Tuesday
: a.m. p.m.
: a.m. p.m.
d ram must be rep
Assessor must hasit. y the age catego
es egories overlap n choose the
whose ages the age
nths
5 years
a public
ups a program se
arding your progr
ation of Young
ULE Conti
and time of day y
k
Wednes
: a.m. p.m.
: a.m. p.m.
presented in at leave the opportun
ries served by yo
My prograNEVER se
this age cate
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erves must be rep
ram’s schedule t
g Children. A
inued
your program ope
sday T
east one group onnity to observe at
our program and
am rves egory.
Check ONE of t
Indicainfant
Indicatoddle
Indicapresc
Indicakinder
ported. This inc
that may affect th
All rights reser
ens and closes e
Thursday
: a.m. p.m.
: a.m. p.m.
n the day of the st least one group
d when each age
My pSOMETIM
this age
the appropriate
ate all timeframs are NOT serv
ate all timeframers/twos are NO
ate all timeframhoolers are NO
ate all timeframrgartners are N
cludes children
he scheduling of
Annual
rved.
each day.
Friday
: a.m. p.m.
: a.m. p.m.
site visit. For exp containing infan
category is in se
rogram MES serves e category.
e boxes for eac
mes during whic
ved:
mes during whicOT served:
mes during whicOT served:
mes during whicNOT served:
from groups th
a site visit.
Report, Pag
Program ID#
Saturday
: a.m. p.m.
: a.m. p.m.
xample, if a progrnts and one grou
ession.
MA
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ch
ch
ch
ch
hat operate duri
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Sunday
: a.m. p.m.
: a.m. p.m.
ram serves up containing
My program ALWAYS rves this age category.
y:
ing the summer
y
r
© 20
Sec
Sum
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Infan
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Do a
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15. National
ction 4: G
mmary of G
se report on all elcategories that ap
Age Catego
nt Group(s)
dler/Two Group
chool Group(s)
ergarten Group
d Age Group(s
ny children in t
s, how much tim all of th most o someti never
ellite Locat
complete this se
ogram with sate1. Hav2. Loc3. The4. One5. One6. One
ellite Site A
et Address:
ellite Site A
et Address:
Association f
GROUP IN
roups
ligible groups yopply to each grou
ories
p(s)
)
p(s)
s)
this program sp
me do the childhe time of the time imes
tions
ction if any of the
ellite location mve no more thacation is within e satellite locate Program Adme Budget e Public Identit
Address 1
Address 2
for the Educa
NFORMAT
ur program serveup. Direct questi
Part Da(meet
peak languages
dren in this prog
e groups are hou
must meet the fan 2 satellite loc5 mile radius
tion/s enroll 60 ministration
ty
ation of Young
TION
es. Refer to Clarions about how t
# of ay Groups for <5 hrs)
s other than En
gram typically s
used in a satellite
following criterications
or fewer childr
g Children. A
rification on Grouto report on group
F
nglish? No
speak a langua
e location.
a:
ren
State:
State:
All rights reser
ups to determineps within your pr
# of Full Day Group
(meet for ≥5 hrs)
TOTAL of all
o Yes – T
age other than
Annual
rved.
e how many grourogram to 1-800-
ps )
groups:
The children sp
English?
Sui
Zip
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Report, Pag
Program ID#
ups your program-424-2460, option
Total Grou
peak:
ite/dept/floor:
p:
ite/dept/floor:
p:
ge 8 of 24
#:
m serves and the n 3, option 1.
# of ups
Annual Report, Page 9 of 24
© 2015. National Association for the Education of Young Children. All rights reserved. Program ID#:
Section 5: MEETING NAEYC STANDARDS AND CRITERIA
Topic Area 10.F. Program Evaluation, Accountability and Continuous Improvement
Please report on all four of the criteria listed below and provide comments on what your program has done in the past 12 months to continue to meet and maintain these criteria. You may refer your program’s policies, systems, and procedures found in your Program Portfolio related to routine monitoring of program performance to ensure program accountability, continuous program improvement, and enhanced outcomes for children, but you are not required to do so.
Criterion Rating Comments
10.F.02: 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.
Meet
Do Not Meet
10.F.03: 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.
Meet
Do Not Meet
10.F.04: 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.
Meet
Do Not Meet
10.F.05: 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. (This criterion is an Emerging Practice.)
Meet
Do Not Meet
© 20
Sec
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Annual Report, Page 11 of 24
© 2015. National Association for the Education of Young Children. All rights reserved. Program ID#:
Section 6: DESIGNATED PROGRAM ADMINISTRATOR QUALIFICATIONS The Designated Program Administrator is responsible for receiving written correspondence regarding the program's accreditation and can update NAEYC with changes to program information. See Clarification on Program Administrator for more information.
Name:
Select one of the following options as it best relates to the administrators qualifications.
A. Has at least a baccalaureate degree with 24 credits in ECE, CD, ElEd or EC Spec Ed AND 9 credits in administration, leadership, or management.
B. Has plan in place to meet the qualifications outlined in Option A within 5 years.
C. Meets the alternative pathway – must document a total of 100 points across all 3 categories: education, administrator experience and relevant training or credentials.
D. Does not meet the qualifications described in A, B, or C. Describe the plans if any, in place toward meeting A, B, or C listed above:
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Annual Report, Page 17 of 24
© 2015. National Association for the Education of Young Children. All rights reserved. Program ID#:
Section 9: 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: Addition t
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.
Annual Report, Page 18 of 24
© 2015. National Association for the Education of Young Children. All rights reserved. Program ID#:
Section 10: 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, option1.
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
Annual Report, Page 19 of 24
© 2015. National Association for the Education of Young Children. All rights reserved. Program ID#:
Section 11: 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:
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.
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