#3. Child Care Provider Interview

PRIMARY CAREGIVER/ HOME VISITOR INTERVIEW
Survey Section

Question Item

Question Response

Staff Demographics/
Language spoken

What language or languages do you speak? ROWS

MARK ALL THAT APPLY
1 ENGLISH
2 SPANISH
3 CREOLE
4 MANDARIN
5 CANTONESE
6 JAPANESE
7 VIETNAMESE
8 OTHER (SPECIFY)
9 OTHER (SPECIFY)

Staff Demographics/
Language spoken

FOR EACH LANGUAGE SELECTED: How fluent are you 1. Fluent
Primary Caregiver and
in this language? COLUMN
2 Not fluent but can speak the language
Home Visitor CAPI
3 Can't speak the language but can
understand when someone else is speaking
4 Can neither speak nor understand the
language

New

Staff Demographics/
Languages used in
classroom

What languages are used for instruction in your class?

FACES
2006

"MARK ALL THAT APPLY
1. ENGLISH
2. SPANISH
3. VIETNAMESE
4. CHINESE
5. JAPANESE
6. KOREAN
7. A FILIPINO LANGUAGE
8. OTHER LANGUAGE (SPECIFY)
Please tell me what other languages are
used for instruction in this classroom?"

1

Primary Caregiver or
Home Visitor
PC/HV
Primary Caregiver and
Home Visitor CAPI

Primary Caregiver and
Home Visitor CAPI

Used in
prior
Study
EHSREP

PRIMARY CAREGIVER/ HOME VISITOR INTERVIEW
Survey Section

Question Item

Question Response

Staff Demographics

What is the highest level of school you have completed?

MARK ONE
1 Some high school
If you are still in school or no longer in school: Please tell us 2 High school graduate or GED
about the last year of schooling you finished.
3 Some college courses, but no degree
4 Two year college degree
5 Four year college degree
6 Some graduate school
7 Graduate degree

Staff Demographics

Have you had any of the following special child care training? a. A Graduate degree in Early Childhood Primary Caregiver and
Education or a related field
Home Visitor CAPI
b. A Baccalaureate degree in Early
Childhood Education or a related field
c. Associate degree in Early Childhood
Education or a related field
d. Child Development Associate (CDA)
credential
e. State-awarded preschool, infant/toddler,
family child care or home-based
certification, credential, or licensure that
meets or exceeds CDA requirements

2

Primary Caregiver or
Home Visitor
PC/HV
Primary Caregiver and
Home Visitor CAPI

Used in
prior
Study
EHSREP

SEHSP

PRIMARY CAREGIVER/ HOME VISITOR INTERVIEW
Survey Section

Question Item

Staff Demographics

Are you currently enrolled in any of the following special
child care trainings?

Question Response

Primary Caregiver or
Home Visitor
PC/HV
a Currently enrolled in an Early Childhood Primary Caregiver and
Education at an accredited institution of
Home Visitor CAPI
higher education
b. Currently enrolled in CDA training at an
accredited institution of higher education
c. Currently enrolled in a course of early
childhood training from some other
organization (not an accredited college or
university) that leads toward a state infanttoddler credential, the CDA, a family child
care certificate, or other credential
recognized in your state

3

Used in
prior
Study
SEHSP

PRIMARY CAREGIVER/ HOME VISITOR INTERVIEW
Survey Section

Question Item

Question Response

Staff Demographics

Are you of Spanish, Hispanic, or Latino origin?
Which one of these best describes you

Yes; No

Primary Caregiver or
Home Visitor
PC/HV
Primary Caregiver and
Home Visitor CAPI

Used in
prior
Study
FACES
2006

Primary Caregiver and
Home Visitor CAPI
Primary Caregiver and
Home Visitor CAPI

EHSREP

1 Mexican, Mexican American, Chicano,
Puerto Rican,
2 Cuban, or
3 another Spanish/Hispanic/Latino group?
(SPECIFY)
What is your race? You may name more than one if you like.
MARK ALL THAT APPLY
1. WHITE
2. BLACK OR AFRICAN AMERICAN
3. AMERICAN INDIAN OR ALASKA
NATIVE (SPECIFY)
4. ASIAN INDIAN
5. CHINESE
6. FILIPINO
7. JAPANESE
8. KOREAN
9. VIETNAMESE
10. ASIAN (NOT FURTHER SPECIFIED)
11. NATIVE HAWAIIAN
12. GUAMANIAN OR CHAMORRO
13. SAMOAN
14. OTHER PACIFIC ISLANDER
(SPECIFY)
15. DON’T KNOW
16. REFUSED
17. OTHER (SPECIFY) “Please tell me
what is your race?”

Staff Demographics

INTERVIEWER CODE WITHOUT ASKING

Male; Female

Program Implementation How many times a year do your managers or staff supervisors Never; _Times per year
conduct staff trainings?

4

SEHSP

PRIMARY CAREGIVER/ HOME VISITOR INTERVIEW
Survey Section

Question Item

Question Response

Program Implementation Does your Early Head Start program or grantee agency
provide any of the following:
a. Tuition reimbursement for relevant college courses
b. Workshop fees or other costs for outside training
c. Time during work hours for staff development activities
such as attending courses or workshops

Yes; No

Primary Caregiver or
Home Visitor
PC/HV
Primary Caregiver and
Home Visitor CAPI

Used in
prior
Study
SEHSP

Primary Caregiver and
Home Visitor CAPI
Primary Caregiver CAPI

New

Primary Caregiver and
Home Visitor CAPI
Primary Caregiver and
Home Visitor CAPI

New

Primary Caregiver and
Home Visitor CAPI

New

Primary Caregiver and
Home Visitor CAPI

FACES
2006

Yes; No
Program Implementation Do you have an individual development plan?

Yes; No

Program Implementation Do you have one-on-one supervision meetings, group
supervision meetings or both?

1. One-on-one supervision
2. Group supervision
3. Both
Yes; No

Program Implementation Are supervision meetings scheduled regularly?
Program Implementation How frequently do you have supervision meetings?

1. Once a month
2. Once every 1-3 months
3. Once every 4-6 months
4. Once a year
5. Never
Yes; No
1. Once a month
2. Two times a month
3. Three times a month
4. More than three times a month

Program Implementation Do you need to submit written lesson plans?
IF YES:
How often do you submit written lesson plans?

Program Implementation Have you been assigned a mentor?

Yes; No

5

New

New

PRIMARY CAREGIVER/ HOME VISITOR INTERVIEW
Survey Section

Question Item

Question Response

Program Implementation As part of your employment in this Early Head Start program Yes; No
do you have the following?

Primary Caregiver or
Home Visitor
PC/HV
Primary Caregiver and
Home Visitor CAPI

Used in
prior
Study
EHSREP

A. Educational stipends to cover workshops?
B. Retirement/pension plan?
C. Life insurance?
D. Paid maternity/paternity leave?
E. Paid health insurance?
F. Dental insurance?
G. Paid sick leave?
H. Paid holidays?
I. Paid vacations?

Program Implementation Please tell me the extent to which you agree or disagree with
the following statements:

1. Strongly disagree, 2. Disagree, 3.
Primary Caregiver and
Neutral, 4. Agree, 5. Strongly Agree, NA, Home Visitor CAPI
DK

1. Overall, our Early Head Start program has high morale

SEHSP
Work
Climate
Survey
(Modified)

2. Our Early Head Start program allows primary caregivers/
home visitors input into planning curriculum.
3. Our Early Head Start program helps primary caregivers/
home visitors to work effectively with children with
disabilities.
4. Our Early Head Start program helps primary caregivers/
home visitors to work effectively with families from different
cultural groups.

Physical Health

Now, let’s talk about your health. Would you say your health Excellent, very good, good, fair, or poor?
in general is . . .

6

Primary Caregiver and
Home Visitor CAPI

FACES
2006/EHS
REP

PRIMARY CAREGIVER/ HOME VISITOR INTERVIEW
Survey Section

Question Item

Question Response

Physical Health

Do you have any health concerns that interfere with your job? Yes, specify ; No

Primary Caregiver or
Home Visitor
PC/HV
Primary Caregiver and
Home Visitor CAPI

Used in
prior
Study
New

IF YES: What heath concerns interfere with your work?

Mental Health/ Well
Being

CES-D Short Form (20 items)

Rarely or never, some or a little of the time, Primary Caregiver and
occasionally or a moderate amount of time, Home Visitor CAPI
or most or all of the time

Radloff, L. S. (1977). The CES-D scale: A self-report
depression scale for research in the general population.
Applied Psychological Measurement, 1, 385-401
Sleep Individualization

During home visits, do encourage parents to provide adequate Yes; No
sleep for their infants/toddlers?
Are there sleep routines in place at your center?
Yes; No

Sleep Individualization
(center-based only)
Sleep Individualization IF YES: Do children take naps other than at the routine nap
(center-based only)
times?
Sleep Individualization How many naps do the children take in a typical day?
(center-based only)
Sleep Individualization How long does a typical nap usually last?
(center-based only)
Primary Caregiver/ Home Do you have any parents of current or former Head Start
Visitor Ratings
children employed in your center?

Primary Caregiver/ Home During this year and the past Early Head Start year, have
Visitor Ratings
parent volunteers in your center helped . . .
a. as classroom aides, or bus monitors or drivers?
b. with screening or child assessment?
c. as consultants or workshop leaders?
d. home visitors?
e. as interpreters for non-English speaking or limited Englishspeaking families?
f. in recruiting families?
g. mentor or encourage other families to participate?

7

EHSREP

Home Visitor CAPI

New

Primary Caregiver CAPI

New

Yes; No

Primary Caregiver CAPI

New

Number

Primary Caregiver CAPI

New

hh:mm, child does not nap

Primary Caregiver CAPI

New

Yes; No

Primary Caregiver CAPI

FACES
2006

Yes; No

Primary Caregiver CAPI

FACES
2006

PRIMARY CAREGIVER/ HOME VISITOR INTERVIEW
Survey Section

Question Item

Question Response

Primary Caregiver or
Home Visitor
PC/HV
Primary Caregiver CAPI

Used in
prior
Study
ECLS-B

Primary Caregiver/ Home In general, how often do families typically attend home visits 1. Often
Visitor Ratings
as scheduled? Would you say…
2. Sometimes
3. Rarely
4. Never

Home Visitor CAPI

New

Primary Caregiver/ Home In general, how often do families typically attend center based 1. Often
Visitor Ratings
visits as scheduled? Would you say...
2. Sometimes
3. Rarely
4. Never
Use of data
Do you have access to a computer?
Yes; No

Primary Caregiver CAPI

New

Primary Caregiver CAPI

New

Use of data

Do you have laptops for use during home visits?

Yes; No

Home Visitor CAPI

New

Use of data

Does your Early Head Start program have internet access?

Yes; No

Primary Caregiver and
Home Visitor CAPI

New

Primary Caregiver/ Home What percent of the children in your center have parents who Number- Percentage
Visitor Ratings
participate in
any of the following ways?
a. As classroom volunteers................................
b. As members of a parent council or other governing
bodies..............................
c. By doing maintenance, chores, or shopping for the
center............................................................
d. By helping at special events or
activities...................................................
e. By attending special events or activities, such as a children's
performance, holiday party, etc.....................

8