3_2019 NSECE Home-based Provider Questionnaire Items - Overview and Comparison

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National Survey of Early Care and Education (NSECE): The Household, Provider, and Workforce Surveys

3_2019 NSECE Home-based Provider Questionnaire Items - Overview and Comparison

OMB: 0970-0391

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Attachment 3

2019 NSECE

Home-based Provider Questionnaire Items – Overview and Comparison

August 2018

Overview of Proposed 2019 NSECE Questionnaire and Changes from 2012 NSECE Questionnaire 1

Home-based Provider Item-level Comparison between 2012 NSECE and Proposed 2019 Questionnaire 7

Overview of Proposed 2019 NSECE Questionnaire and Changes from 2012 NSECE Questionnaire

2019 Category	2019 Construct	Key changes from 2012 to 2019
Section A: Location of Care	Child care program address confirmation	Addition of HB screener to identify home-based providers that are currently in operation and also those who are not currently serving children but were in the past. For this latter set of providers, screener collects information on when provider last served children and the main reason for no longer providing care.
	Update of child care program address, if necessary
	Screener: (Listed) Current provision of regular, paid care (Unlisted) Current provision of care
	Screener: Past provision of regular, paid care to children under age 13 who aren't R's own
	Screener: Date provider last cared for children under age 13 who aren't R's own
	Screener: Reasons for no longer providing regular, paid child care
	Type of location provider cares for children
Section B. Care Schedule and Rostering of Children if Small Provider	Rostering of children provider usually cares for	Rostering of children instructs respondents to list children using their initials only, rather than giving them the choice to enumerate children either using their names or initials, as it was done in 2019. To minimize potential duplication of listed initials, items identify each child using first initial and age in years and months. Item about children’s race was edited to reflect current OMB guidelines. Deletion of item that identifies any discount or add-on charged for care of each child.
	Each child's residence is same or different than provider's household
	Identification of provider’s relationship with each child’s family
	Hours provider cared for each child each day of last week
	Physical condition of each child that affects care
	Emotional, developmental or behavioral condition of each child that affects care
	Ethnicity of each child provider cares for
	Race of each child provider cares for
	Each child's language other than English at home
	Language spoken with each child while in care
	Help needed speaking with each child’s parents because of different languages
	Identification of each child’s care schedule
	When provider first started caring for each child
	Any payment received for care for each child
	Rate charged for care for each child

	Payment for each child received from other sources
	Payment source for each child's discount or subsidy
	Non-monetary compensation for care provided for each child
	Frequency of non-monetary compensation for each child
	Willingness to care for children without a prior relationship
	Number of additional children provider willing and able to care for
Section C: Enrollment	Number of children enrolled full and part time by age group	Update in wording of item about the number of additional children provider is willing and able to care for, so that it asks about current vacancies. Edit to item about children’s race to reflect current OMB guidelines. Minor edits to items that capture information about providers’ prior relationship with the families served. Addition of item that identifies providers who are related to all children for whom they do not receive any regular payment. Inclusion of four items that capture types of financial assistance provided to families. Deletion of item that identifies any discount or add-on charged for care of each child. Inclusion of item that captures number of children paid exclusively by their families. Edits to items regarding number of children whose parents have limited English proficiency and language used in program. Addition of items measuring number of children experiencing homelessness and food insecurity
	Number of additional children provider willing and able to care for
	Number of children with physical disability that affects care
	Number of children with emotional, developmental or behavioral condition that affects care
	Number of Hispanic children
	Number of children by race
	Number of children by hours they are cared for
	Relationship classification of children cared for and their families to provider
	Payment received for child care
	Number of children without regular payment
	Related to all children without regular payment
	No regular payment for any children
	One or different rates charged to families
	Any full-time rate for each age group
	Identification of highest rate for full-time care for each group
	Types of financial assistance provided to families
	Number of children paid for with no subsidies, discounts or scholarships
	English proficiency of children under care and their families
	Languages spoken directly with children
	Percentage of time speaking English

	Number of children experiencing homelessness	Addition of item measuring program participation in Child and Adult Care Food Program Addition of multiple items related to subsidies, including past and current enrollment of children receiving subsidies; fees paid by parents receiving subsidies; whether there is a limit on enrollment of children with subsidies; whether a family has made a request for the center to accept a subsidy; and comparison of experience serving private pay versus subsidy families. Deletion of item capturing number of children usually cared for that were not present.
	Number of children experiencing food insecurity
	Agencies pay for care
	Number of children funded by agencies/government programs
	Payment arrangement from agencies/government programs
	Community organization pays for care
	Number of children paid for by community organizations
	Participation in Child and Adult Care Food Program
	Fees paid by parents receiving subsidy
	Any program subsidy enrollment limit
	Any enrollment supported by subsidy
	Family requests subsidy to pay for care
	Comparison of children under care using private pay and using subsidy
	Transportation services provided
Section E: Schedule	Schedule of child care	Deletion of two items capturing additional types of care provided, specifically sick care for children and full-day activities for school- age children during the summer. Edits to items regarding comprehensive services so that information captured distinguishes (i) help provided to families to find services, (ii) provider’s payment for services; and (iii) provision of services on site.
	Fee for late pick up
	Number of children with variation in schedules and program treatment of variation in schedules
	Program paid for days a child does not attend
	Care provided during non-standard working hours
	Weeks spent providing care
	Care arrangement when provider is sick
	Last time provider unable to provide care due to illness
	Facilitation of comprehensive services for enrolled children by provider
	Any comprehensive services paid for by program
	Any comprehensive services provided on- site at program
Section F. Admissions/Mar keting	Number of children who left program	Wording of some items altered slightly to change year of reference from 2011 to 2018. Addition of item evaluating whether a child needed to be
	Number of children who entered program
	Care stopped due to child’s behavior
	Early pick up due to behavior problems
	Program listed with referral agency

	Children denied due to no vacancies	picked up early due to behavior problems. Deletion of two items capturing activities used to demonstrate care offered. Addition of item evaluating whether special needs child was kept from entering the program. Addition of items measuring participation in quality rating system and recent improvement in quality rating. Addition of item asking about experience conducting background checks. Inclusion of items that identify agencies that have inspected program.
	Program unable to care for special needs
	Program quality rating
	Program quality rating improved
	Experience with background checks
	Agencies that inspected the program
Section G. Care Provided	Time spent planning and engaging in activities	Deletion of item that captures when activity planning occurs. Update in response categories for children’s planned activities and revision from days to hours per day. Addition of various items capturing snacks or meals provided to children. Addition of item regarding children’s time spent with screens. Expansion of list of potential curriculum and inclusion of training for curriculum use. Addition of location of children’s physical activity. Addition of item measuring access to health consultant in the program. Expansion of professional development items, including additional information on coursework, format of health or safety training, separation of health and safety from other topics, professional development plan, time spent on professional development.
	Any snacks or meals provided to children
	Children’s time spent with screens
	Identification of curriculum used
	Received training to use curriculum
	Program sponsorship
	Time spent with other child care providers
	Provider aware of resources
	Provider has access to resources/professional development through schools/other programs
	Total time spent on all program activities beyond child care
	Identification of physical space used for child care
	Location of children’s physical activity
	Identification of reasons provider works with children
	Main responsibility when looking after children
	Professional organization membership
	Access to a family support resource/ mental health consultant/ guidance counselor
	Access to a health consultant
	Caregiver professional development

	Topic of most recent professional development activity	Replacement of Kessler Psychological Distress Scale with Center for Epidemiological Studies Depression Scale (CES-D7). Inclusion of four items from Bridget Hamre’s instructional approach/knowledge scale.
	Caregiver health and safety training
	Topic of most recent professional development activity, besides health and safety
	Professional development plan
	Professional development assistance
	Parental Modernity Scale – Traditional Belief Scale
	Center for Epidemiological Studies Depression Scale
	Bridget Hamre’s instructional approach/ knowledge
Section H. Help with Child Care	Identification of individuals who assist provider with child care	Substantive expansion to include a roster of people who helped the provider look after children last week, including several characteristics for each person reported.
	Hours worked by assisting caregiver
	Wage paid to assisting caregiver
	Name of assisting caregiver
	Age of assisting caregiver
	Any payment to assisting caregiver
	Assisting caregiver lives in household
	Years of paid ECE experience for assisting caregiver
	Any credential for assisting caregiver
	Any professional development for assisting caregiver
	Time spent directly caring for children
Section I. Household Characteristics	Number of people living in household	Substantial reduction of number of items because information on household members who help with care is captured in Section H.
	Age of other people living in household
	Relationship to other household member
	Other household member cared for outside household
	Identification of other household member having overlapping child care duties with provider
	Other household member present during provider care
	Hours spent assisting by other household member
	Hours other household member was in provider care with other children
	Hours household member was in respondent’s care while respondent looking after other children

	Number of household members by age group
	Any child in household cared for outside household
Section J. Provider Characteristics	Year of birth	Minor wording updates to items regarding currently enrollment in degree program and postsecondary majors. Disaggregation of question about state certification or CDA into two different items. Addition of item about experience providing different types of home-based care Update to items regarding ethnicity and racial identification to reflect current OMB guidelines. Inclusion of item regarding days affected by poor health. Addition of item regarding home ownership. Update of time frame for annual household income (from 2011 to 2018).
	Country of birth
	Year moved to United States
	Current marital status
	Educational attainment of caregiver
	Currently enrolled in degree program
	Educational field of study of caregiver
	ECE credentials
	Any training outside of higher education
	Years of ECE work experience
	Expected additional years caring for children
	Any work for a center, school or other organization
	Years of ECE work experience at a center
	Prior experience in different types of home-based care
	Characteristics of provider’s other current work for pay
	Characteristics of provider’s other previous work for pay
	Ethnicity
	Race
	Health insurance coverage
	Health status
	Days affected by poor health
	Provider owns home used to care for children
	Annual household income: Exact dollar amount
	Annual household income: Before/after tax
	Annual household income: Ranges
	Percentage of household income stemming from childcare work
Section K. Operations	Amount spent operating program	Update of time frame for amount spent operating program and types of income received (from 2011 to 2018). Prompts for item non-response on income sources.
	Sources of income from provider’s child care work
	Types of income received: Total income received

Home-based Provider Item-level Comparison between 2012 NSECE and Proposed 2019 Questionnaire

Abbreviations for the item eligibility columns:

Provider Size: LP – Large Provider Relationship Status: RB – Relationship-based

SP – Small Provider NRB – Non-relationship based

Category

Construct

2012 Questionnaire Item

2012 Item Eligibility – Provider Size

2012 Item Eligibility – Prior Relationship Status

2019 Questionnaire Item

2019 Item Eligibility

Section A: Location of Care

Child care program address confirmation

A1.

Our records indicate that your home address is (ADDRESS). Is that correct?

1  Yes

2  No

LP and SP

RB and NRB

Home-based item A1 has not changed.

All respondents

Update of child care program address, if necessary

A1a.

We are interviewing households and child care providers in various areas across the country. To make sure that your data are combined with others’ in your local area, I need to make sure I have your correct address.

What is your correct address?

LP and SP

RB and NRB

Home-based item A1a has not changed.

All respondents

Screener: Current provision of regular care to children under age 13 who aren't R's own

A1A1.

Do you look after children under age 13 who are not your own?

YES

LP and SP

RB and NRB

Home-based item A1A1 has not changed

Unlisted home-based providers

Screener: Current provision of regular, paid care to children under age 13 who aren't R's own

Item not included in 2012.

A1A1_M.

Do you provide paid care to children under age 13 who are not your own at least 5 hours each week?

1  Yes

2  No

Listed home-based providers

Screener: Past provision of regular, paid care to children under age 13 who aren't R's own

Item not included in 2012.

A_SCRN_2. Have you ever been paid to regularly care for children under age 13 who were not your own? (By regularly, we mean at least 5 hours each week.)

1  Yes

2  No

Listed home-based providers who are no longer providing care

Screener: Date provider last cared for children under age 13 who aren't R's own

Item not included in 2012.

A_SCRN_3. In what month and year did you last regularly provide paid care to children under age 13 who were not your own?

____Month ____ Year

Listed home-based providers who are no longer providing care

Screener: Reasons for no longer providing regular, paid child care

Item not included in 2012.

A_SCRN_4. How much did the following issues contribute to your decision to stop providing regular paid care to young children?

Very much

Somewhat

Not at all

a. Financial reasons

b. Difficulties complying with regulations and requirements

c. You didn’t feel you were helping parents and children

Listed home-based providers who are no longer providing care

Type of location provider cares for children

A1C1.

How would you describe the location where you look after children? Is it your home, the home of a child you care for, another kind of building, or does the location vary?

1. YOUR HOME

2. CHILD’S OWN HOME

3. SOMEWHERE ELSE (SPECIFY: _____________________)

4. LOCATION VARIES

LP and SP

RB and NRB

Home-based item A1C1 has not changed.

All LP and SP

Section B: Care Scheduling and Roster of Children If Small Provider

Number of children provider cared for last week

B1.

Throughout the survey, we will use the words “looking after children,” “taking care of children,” and “providing child care” interchangeably. Next are some questions about the care you provided last week to children who are not your own.

Altogether, how many children did you look after last week? Please include children who live with you if you are not their custodian or guardian. Please also include children who may have been over visiting, if you were the adult responsible for their safety.

Number of children

LP and SP

RB and NRB

Home-based item B1 has not changed.

All LP and SP

Number of children provider usually cares for, but not last week

B1A.

In addition to the children you just mentioned, how many other children do you usually look after for at least five hours a week that you did not watch last week?

Number of children

LP and SP

RB and NRB

Home-based item B1A has not changed.

All LP and SP

Total number of children provider cares for

B1B.

Altogether, was that [SUM OF B1 AND B1A] different children you looked after last week OR usually look after for five hours or more per week?

1 YES

2 NO

LP and SP

RB and NRB

Home-based item B1B has not changed.

All LP and SP

Initials of children provider cared for last week

B2.

Please list the names or initials of each child that you looked after last week.

RB and NRB

B2_M.

Please list the initials of each child that you looked after last week.

All SP

Initials of each child provider usually cares for, but not last week

B3.

Please provide the names or initials of each child that you usually look after at least 5 hours per week, but that you did not look after last week.

RB and NRB

B3_M.

Please provide the initials of each child that you usually look after at least 5 hours per week, but that you did not look after last week.

All SP

Age of children provider cares for

B4. How old is [CHILD]?

Yrs
Mos

RB and NRB

Home-based item B4 has not changed.

All SP

Each child's residence is same or different than provider's household

B6. Do you and [CHILD] live in the same household?

1 Yes

2 No

RB and NRB

Home-based item B6 has not changed.

All SP

Prior personal relationship with each child's family

B7. Did you have a prior personal relationship with [CHILD]’s family before you started looking after (him/her)?

1 Yes

2 No

RB and NRB

Home-based item B7 has not changed.

All SP

Type of prior personal relationship with each child's family

B7a. What is your personal relationship to [CHILD]?

1 Parent without primary legal responsibility

2 Grandparent

3 Other blood relative

4 Family friend

5 Other Specify:

RB and NRB

B7a_M.

What is your personal relationship to [CHILD INITIALS/CHILD AGE]? 1 Parent without primary legal responsibility

2 Grandparent

6 Parent’s partner/spouse/girlfriend or boyfriend

7 Aunt/Uncle

8Cousin

3 Other blood relative

4 Family friend

9Not a relative

5 Other Specify: ____________

All SP

Confirmation of provider's grandparent relationship to each child

B7b.ii. So, [CHILD] is your grandchild?

1 Yes

2 No

RB and NRB

Home-based item B7b.ii has not changed.

All SP

Hours provider cared for each child each day of last week

B8.

Please provide the hours last week on Monday that you looked after [CHILD INITIALS/CHILD AGE].

For each care timeslot, enter start time and end time below. If you cared for child multiple times in the day, each session of care should be reported separately.

RB and NRB

Home-based item B8 has not changed.

All SP

Hours provider cared for each child each day of last week

B8D2.

Sometimes a child's schedule on a specific day is different from his or her regular schedule for that day of the week.

Which days last week, if any, was [CHILD INITIALS/CHILD AGE] schedule with you identical to her schedule with you last [Day]?

SELECT ALL THAT APPLY:

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY

NO IDENTICAL DAY

RB and NRB

Home-based item B8D2 has not changed.

All SP

Hours provider cared for each child each day of last week

B8C.

Was [CHILD 2 INITIALS/CHILD 2 AGE] schedule last Monday the same as another child's Monday schedule?

1 Yes

2 No

RB and NRB

Home-based item B8C has not changed.

All SP

Hours provider cared for each child each day of last week

B8C1.

Which child had the same Monday schedule?

1[INITIALS/AGE for child 1]

2[INITIAL/AGE for child 3]

RB and NRB

Home-based item B8C1 has not changed.

All SP

Physical condition of each child that affects care

B9. Does [CHILD] have a physical condition that affects the way you care for (him/her)?

1 Yes

2 No

RB and NRB

Home-based item B9 has not changed.

All SP

Emotional, developmental, or behavioral condition for each child that affects care

B10. Does [CHILD] have an emotional, developmental, or behavioral condition that affects the way you care for (him/her)?

1 Yes

2 No

RB and NRB

Home-based item B10 has not changed.

All SP

Ethnicity of each child provider cares for

B11. Is [CHILD] Hispanic or Latino?

1 Yes

2 No

RB and NRB

Home-based item B11 has not changed.

All SP

Race of each child provider cares for

B12. Which of the following is [CHILD]…? Select one or more.

1 White

2 Black or African-American

3 Another Race

RB and NRB

B12_M.

Which of the following is [CHILD NAME]…? Select one or more.

1 White

2 Black or African American

3  Asian

4  Mixed race, another race, or you are not certain

All SP

Each child's language other than English at home

B13. Does [CHILD] usually speak a language other than English at home?

1 Yes

2 No

RB and NRB

Home-based item B13 has not changed.

All SP

Language spoken with each child while in care

B13b. What language do you mostly use when you are with [CHILD]?

1 English

2 Spanish

3 other

RB and NRB

Home-based item B13b has not changed.

All SP

Help speaking with each child’s parents because of different languages

B13c. Do you need the help speaking with [CHILD]’s parents because you speak different languages?

1 Yes

2 No

RB and NRB

Home-based item B13c has not changed.

All SP

Provider regularly cares for each child at least 5 hours

B17. Do you look after [CHILD] regularly, that is, for at least five hours each week?

1 Yes

2 No

RB and NRB

Home-based item B17 has not changed.

All SP

Each child’s care schedule is the same each week

B18. Do you look after [CHILD] on the same schedule each week?

1 Yes

2 No

RB and NRB

Home-based item B18 has not changed.

All SP

Schedule of care for each child

B19.

What is that schedule? Beginning with [Day] morning (DATE) at 6am, when do you usually look after [CHILD]?

DISPLAY CHECK BOX “DO NOT LOOK AFTER CHILD ON THAT DAY”

1 Su
___ to ___
___ to ___

2 Mo
___ to ___
___ to ___

3 Tu
___ to ___
___ to ___

4 We
___ to ___
___ to ___

5 Th
___ to ___
___ to ___

6 Fr
___ to ___
___ to ___

7 Sa
___ to ___
___ to ___

RB and NRB

Home-based item B19 has not changed.

All SP

Schedule of care for each child

B19_1.

Is [Day] schedule the same as another day of the week? CHECK ALL THAT APPLY

1. TUESDAY

1 Yes 2 No

2. WEDNESDAY

1 Yes 2 No

3. THURSDAY

1 Yes 2 No

4. FRIDAY

1 Yes 2 No

5. SATURDAY

1 Yes 2 No

6. SUNDAY

1 Yes 2 No

RB and NRB

Home-based item B19_1 has not changed.

All SP

Number of hours provider cares for each child

B20. How many hours do you usually care for [CHILD]?

1 week

2 2 weeks

3 month

4 varies

RB and NRB

Home-based item B20 has not changed.

All SP

Reason for each child’s schedule of care

B21. Do you look after him/her based on his/her parent’s work schedule, unavailability of a regular caregiver or at other times?

1 Parent’s schedule

2 Unavailability

3 Other reasons/ times

RB and NRB

Home-based item B21 has not changed.

All SP

When provider first started caring for the each child

B22. In what year and month did you first start looking after [CHILD] on a regular basis? If you don’t remember the exact year or month when you first started looking after [CHILD] on a regular basis, please provide the age of the child when you first started looking after him/her.

 HAVE NEVER CARED REGULARLY FOR CHILD

1

Month
Year

or
2 Child’s age

Months
Years

RB and NRB

Home-based item B22 has not changed.

All SP

Any payment received for care for each child

B23. Do you usually receive payment for looking after [CHILD]?

1 Yes

2 No

RB and NRB

Home-based item B23 has not changed.

All SP

Rate charged for care for each child

B24. [IF B23=YES] How much do you charge [CHILD NAME]’s parents to look after[CHILD NAME]?

1 hourly

2 daily

3 weekly

4 monthly

5 other

RB and NRB

Home-based item B24 has not changed.

All SP

Any discount or add-on charged for care of each child

B24a. Does this amount reflect any large discount or add on? That is a discount or add on of 10% or more because of family circumstances (e.g., sibling discounts, unemployment) or services (e.g, extra hours care, transportation)?

1. YES, DISCOUNT

2. YES, ADD-ON

3. NO

4. OTHER (SPECIFY: )

RB and NRB

Item not included in 2019.

N/A

Payment for each child received from other sources

B24B. Is the amount of the payment you receive from the parent/guardian reduced because you receive payments on behalf of their child from another person, group, or public or private agency?”

1 Yes

2 No

RB and NRB

Home-based item B24B has not changed.

All SP

Payment source for each child's discount or subsidy

B24C. What person, agency or group pays you for the discount or subsidy? SELECT ALL THAT APPLY. (INTERVIEWER: USE CATEGORIES TO PROBE AS NEEDED.)

1.HEAD START, INCLUDING EARLY HEAD START

2. LOCAL GOVERNMENT (E.G, PRE-K FUNDING FROM LOCAL SCHOOL BOARD OR OTHER LOCAL AGENCY, GRANTS FROM CITY OR COUNTY GOVERNMENT)

3. CHILD CARE SUBSIDY PROGRAMS SUCH AS CCDF OR TANF (INCLUDING VOUCHER/CERTIFICATES, STATE CONTRACTS)

4. COMMUNITY ORGANIZATIONS (E.G., UNITED WAY, LOCAL CHARITIES OR OTHER SERVICES ORGANIZATIONS, NOT INCLUDING ANYTHING YOU’VE MENTIONED

EARLIER)

5. OTHER TYPES OF GOVERNMENT FUNDED PROGRAMS INCLUDING THE CHILD CARE AND ADULT FOOD PROGRAM

6. OTHER FAMILY MEMBER OR INDIVIDUAL

RB and NRB

Home-based item B24C has not changed.

All SP

Non-monetary compensation for care provided for each child

B25. Do you (also) receive anything in exchange for looking after [CHILD NAME]? For example, does [CHILD NAME]’s family buy you groceries, provide you transportation, take care of your children or do small repair jobs for you in exchange for your caring for [CHILD NAME]?

1 Yes

2 No

RB and NRB

Home-based item B25 has not changed.

All SP

Frequency of non-monetary compensation from each child

B26.

Do you receive this on a regular basis or just occasionally?

1. REGULAR

2. OCCASIONALLY

3. NEVER

RB and NRB

Home-based item B26 has not changed.

All SP

Willingness to care for children without a prior relationship

B27.

Would you be willing to regularly provide child care for a child with whom you did not have a prior personal relationship?

1  Yes

2  No

RB and NRB

Home-based item B27 has not changed.

SP that are RB

Number of additional children provider willing and able to care for

B28.

At this time, for how many more children would you be willing and able to regularly provide child care?

RB and NRB

Home-based item B28 has not changed.

All SP

Section C: Enrollment

Number of children enrolled by age group

C1A.

How many children do you look after in each of the following age groups?

Under 3 years

3-5 years, not yet in kindergarten

School-age (kindergarten and up)

RB and NRB

Home-based item C1A has not changed.

All LP

Definition of full-time enrollment by age group

C1A2 How many hours do you consider full-time enrollment for this age group?

__ Hours

1 No ‘full-time’ status defined

RB and NRB

Home-based item C1A2 has not changed.

All LP

Number of full-time children by age group

C1A1 How many children are currently enrolled full time in this age group?

RB and NRB

Home-based item C1A1 has not changed.

All LP

Number of additional children provider willing and able to care for

C1B. At this time, how many more children in this age group would you be willing and able to care for?

RB and NRB

C1B_M. At this time, how many vacancies do you have in this age group?

All LP

Total number of children cared for

C1C.

That means that you currently look after [FROM C1A: TOTAL CHILDREN UNDER AGE 13] children under age 13. Is that correct?

1  Yes

2  No

RB and NRB

Home-based item C1C has not changed.

All LP

Number of children with physical disability that affects care

C4.

How many of the children you look after have a physical condition that affects the way you look after them?

Number of children

RB and NRB

Home-based item C4 has not changed.

All LP

Number of children with emotional, developmental or behavioral condition that affects care

C5. How many of your children have an emotional, developmental or behavioral condition that affects the way you look after them?

Number of children

RB and NRB

Home-based item C5a has not changed.

All LP

Number of Hispanic children

C6.

Again thinking about all the children you look after regularly, about how many of the children are of Hispanic or Latino origin?

Number of children

RB and NRB

Home-based item C6 has not changed.

All LP

Number of children by race

C7.

As far as you know, how many of the children are….

Category	Number of Children
a. White
b. Black or African-American
c. Another race

RB and NRB

C7_M.

As far as you know, how many of the children who are not Hispanic or Latino are….

Category	Number of Children
a. White
b. Black or African-American
c. Asian
d. Mixed race, another race, or you are not certain

All LP

Number of children by hours they are cared for

C8.

How many children do you usually look after …

	Number
a. fewer than 20 hours each week?	1 
b. 21 to 39 hours each week?	1 
c. 40 hours or more each week?	1 

RB and NRB

C8_M.

How many children do you usually look after …

	Number
a. 20 hours or fewer each week?
b. 21 to 39 hours each week?
c. 40 hours or more each week?

All LP

Provider lives in same household of any child cared for

C9.

Do you live in the same household with any of the children you regularly look after? Please do not include children that you have custody of, but do include grandchildren, nieces, nephews, or unrelated children you do not have custody of. Your own children you do not have custody of should count here.

1  Yes

2  No

RB and NRB

Home-based item C9 has not changed.

All LP

Number of children who live in provider’s household

C9a.

How many of the [NUMBER FROM C1A/C1C] children you regularly look after live in your household?

Number of Children

RB and NRB

Home-based item C9a has not changed.

All LP

Any relation to children cared for

C10.

Are you related to any of the children you regularly look after?

1  Yes

2  No

RB and NRB

Home-based item C10 has not changed.

All LP

Number of children by type of relationship with provider

C10a.

How many of these children are your….?

Relationship	Number of Children
Grandchild
Niece/Nephew
Child of Spouse/Partner/Boyfriend or Girlfriend
Your own child you do not have custody of
Cousin
Other relationship ________________
Other relationship _______________

RB and NRB

C10a_M.

How many of these children are your….?

Relationship	Number of Children
Grandchild
Niece/Nephew
Child of Spouse/Partner/Boyfriend or Girlfriend
Your own child you do not have custody of
Cousin
Other blood relative
Family friend
Not a relative
Other relationship _________

All LP

Related to all children cared for

C10b.

So are you related to ALL of the children you regularly look after?

1  Yes

2  No

RB and NRB

Home-based item C10b has not changed.

All LP

Prior personal relationship with families of children cared for

C11.

Did you have personal relationships with the families of any of the other children you look after before you began looking after them?

1  Yes

2  No

RB and NRB

C11_M.

Please think about the children you look after but are not related to. Did you have personal relationships with any of their families before you began caring for them?

1  Yes

2  No

All LP

Number of children with prior personal relationships

C11a.

What is the number of children whose families you had a prior personal relationship with? Please do not include any children you are related to.

Number of Children

RB and NRB

C11a_M.

What is the number of children whose families you had a prior personal relationship with but aren’t related to?

Number of Children

All LP

Related or had a prior personal relationship with all children cared for

C11b.

So are you related to or did you have a prior personal relationship with ALL of the children you care for?

1  Yes

2  No

RB and NRB

Home-based item C11b has not changed.

All LP

Payment received for child care

C12.

Do you receive payment for looking after all [NUMBER FROM C1A/C1C] of the children you care for? Please include payments from parents and family members as well as from government agencies or other organizations.

1  Yes

2  No

RB and NRB

Home-based item C12 has not changed.

All LP

Number of children without regular payment

C12a.

How many children do you look after without receiving regular payment?

Number of Children

RB and NRB

Home-based item C12a has not changed.

All LP

Related to all children without regular payment

Item not included in 2012.

C_relall_nopay. Are you related to all of the children you look after without receiving regular payment?

1  Yes

2  No

All LP

No regular payment for any children

C12b.

So you do not receive regular payment for any of the children you currently look after, is that correct?

1  Yes

2  No

RB and NRB

Home-based item C12b has not changed.

Unpaid LP

One or different rates charged to families

C12C.

Do you charge just one rate to all families, or do you have different rates?

1 ONE RATE

2 DIFFERENT RATES

RB and NRB

Home-based item C12C has not changed.

Paid LP

Any full-time rate for each age group

C12C1.

Do you have a rate that you charge families for full-time (or maximum hours of ) care for the following ages?

Infants less than 12 months old? HAVE A RATE NO RATE AVAILABLE

2 year olds? HAVE A RATE NO RATE AVAILABLE

4 year olds? HAVE A RATE NO RATE AVAILABLE

School-age children? HAVE A RATE NO RATE AVAILABLE

RB and NRB

Home-based item C12C1 has not changed.

Paid LP

Highest rate for full-time care for each age group

C12C_2.

What is the highest rate you are currently charging families for full-time care [AGE GROUP FROM C12C1], without any subsidies? [If you do not have a full-time rate, please report the rate for the greatest number of hours per week that you offer.]

$ __________ per

RB and NRB

Home-based item C12C_2 has not changed.

Paid LP

Highest rate for full-time care for each age group

C12c_3.

Is that per

1 hour

2 ½ day

3 full day

4 week

5 month

6 term/semester/quarter

7 year

8 other (please specify) ______________________

RB and NRB

Home-based item C12C_3 has not changed.

Paid LP

Number of hours per day in rate charged

C12C_4.

How many hours is that?

RB and NRB

C12C_4_M.

How many hours is that per day?

Paid LP

Number of hours per week in rate charged

C12C_5.

How many hours does that cover?

RB and NRB

C12C_5_M.

How many hours per week does that cover?

Paid LP

Number of hours per week in rate charged

C12C_6.

How many hours per week does that cover?

RB and NRB

Home-based item C12C_6 has not changed.

Paid LP

Number of weeks in rate charged

C12C_6a.

How many weeks is that?

RB and NRB

Home-based item C12C_6A has not changed.

Paid LP

Number of weeks in rate charged

C12C_7A.

How many weeks is that?

RB and NRB

Home-based item C12C_7A has not changed.

Paid LP

Number of hours per week in rate charged

C12C_7B.

How many hours per week does that cover?

RB and NRB

Home-based item C12C_7B has not changed.

Paid LP

Weekly equivalent of rate charged

C12C_8A.

What is the weekly equivalent of that rate?

RB and NRB

Home-based item C12C_8A has not changed.

Paid LP

Number of hours per week in rate charged

C12C_8B.

How many hours per week does that cover?

RB and NRB

Home-based item C12C_8B has not changed.

Paid LP

Types of financial assistance provided to families

Item not included in 2012.

C_affordcare Do you have any of the following to help families afford the care you offer…

Sliding fee scale

1  Yes

2  No

Scholarships

1  Yes

2  No

Other discounts such as for siblings, children of staff members or members of an affiliated organization or congregation

1  Yes

2  No

Payment plans

1  Yes

2  No

Paid LP

Any discount or add-on included in rate

C12C_9.

(Does this rate/Do these rates) reflect any large discount or add on? That is a discount or add on of 10% or more because of family circumstances (e.g., sibling discounts, unemployment) or services (e.g, reduced services or hours, extra hours care, transportation)?

1. YES, DISCOUNT

2. YES, ADD-ON

3. NO

4. OTHER (SPECIFY: )

5. DK/REF/BLANK

RB and NRB

Item not included in 2019.

N/A

Number of children paid for only by their families

Item not included in 2012.

C_PARPAY

How many children in your program are paid for only by their families with no subsidies, discounts, or scholarships?

_________ Number of children

Paid LP

Number of children speaking a language other than English at home

C13.

How many of the children you look after speak a language other than English at home?

Number of children

RB and NRB

Home-based item C13 has not changed.

All LP

Percentage of children speaking a language other than English at home

C13_1.

What percent of the children you look after usually speak a language other than English at home?

% of children

RB and NRB

Home-based item C13_1 has not changed.

All LP

Number of children whose parents have limited English proficiency

Item not included in 2012.

C_parnoeng.

How many of the children in this classroom have parents or guardians who would not be able to speak with a teacher, in English, about their children’s experiences?

_________ Number of children

All LP

Percentage of children’s families requiring interpreter

C13B_1.

What percent of your families do you need the help of an interpreter or a child to speak with?

% of families

RB and NRB

Home-based item C13B_1 has not changed.

All LP

Languages spoken directly with children

C13d.

What languages do you speak when working directly with children?
SELECT ALL THAT APPLY.

1  English

2  Spanish

3  Other SPECIFY:

RB and NRB

C13d_M.

What languages do you or other staff speak when working directly with children?
SELECT ALL THAT APPLY.

1 English

2 Spanish

3 Other SPECIFY: ___________________________________

All LP

Percentage of time speaking English

C13e.

What percentage of the time do you speak English?

RB and NRB

C13e_M. How often is a language other than English spoken when children are being cared for?

 Other languages rarely spoken

 Other languages spoken throughout the day, but main language is English

 English and other language(s) spoken almost equally

 English is not the main language

All LP

Number of children experiencing homelessness

Item not included in 2012.

C_homeless.

In the past year, has your program served any young children who were experiencing homelessness, for example, by living in a shelter or because their families did not have a regular place to stay? Please answer to the best of your knowledge.

1  Yes

2  No

3  Don’t know

LP and SP that are NRB or FCC designated

Number of children experiencing food insecurity

Item not included in 2012.

C_foodinsec. As far as you know, how many children in this classroom sometimes don’t have enough food to eat at home because there is not enough money to buy it?

_______

All LP and SP

Agencies pay for care

C15.

Does a federal, state or local agency or group such as a human services or education agency or department, a welfare, employment or training program or United Way pay part or all of the cost for any of the children you look after?

1  Yes

2  No

LP and SP

NRB

C15_M.

Does a federal, state or local agency or group such as a human services or education agency or department, a welfare, employment or training program pay part or all of the cost for any of the children you look after?

1 Yes

2 No

LP and SP that are NRB or FCC designated

Number of children funded by agencies/government programs

C15a.

Please report the number of children you look after, if any, who are funded by dollars from each of these agencies or government programs.

1. State pre-kindergarten

LP and SP

NRB

Home-based item C15a1 has not changed.

LP and SP that are NRB or FCC designated and report receiving funding in C15_M.

Number of children funded by agencies/government programs

C15a.

Please report the number of children you look after, if any, who are funded by dollars from each of these agencies or government programs.

2. Head Start, including Early Head Start

LP and SP

NRB

Home-based item C15a2 has not changed.

LP and SP that are NRB or FCC designated and report receiving funding in C15_M.

Number of children funded by agencies/government programs

C15a.

Please report the number of children you look after, if any, who are funded by dollars from each of these agencies or government programs.

3. Local Government (e.g, Pre-K funding from local school board or other local agency, grants from city or county government)

LP and SP

NRB

Home-based item C15a3 has not changed.

LP and SP that are NRB or FCC designated and report receiving funding in C15_M.

Number of children funded by agencies/government programs

C15a.

Please report the number of children you look after, if any, who are funded by dollars from each of these agencies or government programs.

4. Child Care subsidy programs such as CCDF or TANF (including voucher/certificates, state contracts)

LP and SP

NRB

C15a_M.

Please report the number of children you look after, if any, who are funded by dollars from each of these agencies or government programs.

4. Child Care subsidy programs such as CCDF or TANF, or STATE PROGRAM NAME (including voucher/certificates, state contracts)

_____ < 3 years

______ 3-5 years

______school-age (Kindergarten and up)

LP and SP that are NRB or FCC designated and report receiving funding in C15_M.

Number of children funded by agencies/government programs

C15a.

Please report the number of children you look after, if any, who are funded by dollars from each of these agencies or government programs.

5. Title I

LP and SP

NRB

Home-based item C15a5 has not changed.

LP and SP that are NRB or FCC designated and report receiving funding in C15_M.

Number of children funded by agencies/government programs

C15a.

Please report the number of children you look after, if any, who are funded by dollars from each of these agencies or government programs.

6. Community organizations (e.g., United Way, local charities or other services organizations, not including anything you’ve mentioned earlier)

LP and SP

NRB

Item not included in 2019.

LP and SP that are NRB or FCC designated and report receiving funding in C15_M.

Number of children funded by agencies/government programs

C15a.

Please report the number of children you look after, if any, who are funded by dollars from each of these agencies or government programs.

7. Other types of government funded programs including the Child Care and Adult Food Program

LP and SP

NRB

Home-based item C15a7 has not changed.

LP and SP that are NRB or FCC designated and report receiving funding in C15_M.

Payment arrangement from agencies/government programs

C15b.

Do the government agencies or programs that pay you…

1. contract with you for a guaranteed number of slots

LP and SP

NRB

Home-based item C15b1 has not changed.

LP and SP that are NRB or FCC designated and report receiving funding in C15_M.

Payment arrangement from agencies/government programs

C15b.

Do the government agencies or programs that pay you…

2. pay you for vouchers or subsidies to specific eligible parents

LP and SP

NRB

C15b_M.

Do the government agencies or programs that pay you…

2. pay you for vouchers or subsidies for specific eligible children

LP and SP that are NRB or FCC designated and report receiving funding in C15_M.

Payment arrangement from agencies/government programs

C15b.

Do the government agencies or programs that pay you…

3. pay the parents directly

LP and SP

NRB

Item is not included in 2019.

LP and SP that are NRB or FCC designated and report receiving funding in C15_M.

Payment arrangement from agencies/government programs

C15b.

Do the government agencies or programs that pay you…

4. have some other payment arrangement

SPECIFY:__________________________________

LP and SP

NRB

Home-based item C15b4 has not changed.

LP and SP that are NRB or FCC designated and report receiving funding in C15_M.

Community organization pays for care

Item not included in 2012.

C_commorg.

Does a community organization such as the United Way or a church or charity pay part or all of the cost for any of the children you look after?

1  Yes

2  No

LP and SP that are NRB or FCC designated

Number of children paid for by community organizations

Item not included in 2012.

C16a. How many children are paid for by community organizations?

___ < 5 years

____ School-age (kindergarten and up)

LP and SP that are NRB or FCC designated and reported funding in C_commorg.

Fees paid by parents receiving subsidy

Item not included in 2012.

C_subfees. (PRC3) Do parents receiving child care subsidies pay any of the following fees to your program?

Diaper, snacks or other supplies fees

1 Yes

2 No

Co-pays

1 Yes

2 No

Tuition for days or hours not covered by subsidy payment

1 Yes

2 No

Fees in addition to co-pays to make up for low subsidy reimbursement rates

1 Yes

2 No

LP and SP that are NRB or FCC designated and reported serving any children with subsidies in C15a_M (> 0 for any part)

Any program subsidy enrollment limit

Item not included in 2012.

C_sublimit. Do you limit the number of children with child-care subsidies that you enroll at any one time?

1  Yes

2  No

LP and SP that are NRB or FCC designated and reported serving any children with subsidies in C15a_M (> 0 for any part)

Any enrollment supported by subsidy

Item not included in 2012.

C_subenroll. (SU_1) In the past year, have you had a child whose enrollment was supported by child care subsidy dollars, such as [STATE PROGRAM NAME]?

1  Yes

2  No

LP and SP that are NRB or FCC designated and did NOT report serving any children with subsidies in C15a_M

Family requests subsidy to pay for care

Item not included in 2012.

C_asksub. (SU_2) In the past year, have you had a family ask to use child care subsidies to pay for a child’s enrollment in your program?

1  Yes

2  No

LP and SP that are NRB or FCC designated and did NOT report serving any children with subsidies in C15a_M

Comparison of private pay and subsidy – Reliability of payment

Item not included in 2012.

C_subcompare . (SU_3) Many providers have perceptions or experiences of the child care subsidy system whether or not they are currently receiving child care subsidies. How would you compare the experience of serving families who pay your fees themselves with families who are participating in the subsidy system in terms of…

a. Reliability of payment

Subsidy much more

Subsidy somewhat more

Subsidy and private pay about the same

Private pay somewhat more

Private pay much more

LP and SP that are NRB or FCC designated

Comparison of private pay and subsidy – Amount of money received

Item not included in 2012.

C_subcompare. (SU_3) Many providers have perceptions or experiences of the child care subsidy system whether or not they are currently receiving child care subsidies. How would you compare the experience of serving families who pay your fees themselves with families who are participating in the subsidy system in terms of…

b. Amount of money your program receives for a child

Subsidy much more

Subsidy somewhat more

Subsidy and private pay about the same

Private pay somewhat more

LP and SP that are NRB or FCC designated

Comparison of private pay and subsidy – Administrative requirements

Item not included in 2012.

C_subcompare. (SU_3) Many providers have perceptions or experiences of the child care subsidy system whether or not they are currently receiving child care subsidies. How would you compare the experience of serving families who pay your fees themselves with families who are participating in the subsidy system in terms of…

c. Paperwork or other administrative requirements

Subsidy much more

Subsidy somewhat more

Subsidy and private pay about the same

Private pay somewhat more

Private pay much more

LP and SP that are NRB or FCC designated

Comparison of private pay and subsidy – Ease of filling vacancies

Item not included in 2012.

C_subcompare. (SU_3) Many providers have perceptions or experiences of the child care subsidy system whether or not they are currently receiving child care subsidies. How would you compare the experience of serving families who pay your fees themselves with families who are participating in the subsidy system in terms of…

d. Ease of filling vacancies

Subsidy much more

Subsidy somewhat more

Subsidy and private pay about the same

Private pay somewhat more

Private pay much more

LP and SP that are NRB or FCC designated

Transportation services provided

C16.

Do you provide any transportation services for children coming to or going from your care?

1  Yes

2  No

LP and SP

NRB

Item not included in 2019.

N/A

Number of children usually cared for that were not present

C17.

Thinking about yesterday or the last regular day you looked after children, approximately how many of the children under age 13 you usually take care of on that day of the week were not with you? Your best estimate is fine

CHILDREN

LP and SP

NRB

Item not included in 2019.

N/A

Section E: Schedule

Schedule of child care

E1.

Beginning with last Monday/Tuesday/Wednesday/Thursday/Friday/Saturday/Sunday, please provide the hours last week that you looked after at least one child who is not your own. If last week was a holiday or vacation week, please report information for the last usual week.

NRB

E1_M.

Beginning with last Monday/Tuesday/Wednesday/Thursday/Friday/Saturday/Sunday, please provide the hours last week that your program looked after at least one child who is not your own. If last week was a holiday or vacation week, please report information for the last usual week.

All LP

Schedule of child care

E1a.

Was there an additional time slot you looked after children on Monday/Tuesday/Wednesday/ Thursday/Friday/Saturday/Sunday?

	Start Time		End Time
Time slot 1	:	AM/PM	:	AM/PM
Time slot 2	:	AM/PM	:	AM/PM
Time slot 3	:	AM/PM	:	AM/PM

NRB

Home-based item E1a has not changed.

All LP

Schedule of child care

E1A_1. DISPLAY CHECK BOX “DID NOT LOOK AFTER CHILDREN THAT DAY”

Were there other days that week that you had the same hours of caring for children as last Monday?

1. Tuesday

2. Wednesday

3. Thursday

4. Friday

5. Saturday

6. Sunday

NRB

Home-based item E1a_1 has not changed.

All LP

Schedule of child care

E1_2.

Please provide the hours that you looked after children last (DAY OF WEEK)?

DISPLAY CHECK BOX “CLOSED THAT DAY”

	Start Time		End Time
Time slot 1	:	AM/PM	:	AM/PM
Time slot 2	:	AM/PM	:	AM/PM
Time slot 3	:	AM/PM	:	AM/PM

NRB

Home-based item E1_2 has not changed.

All LP

Fee for late pick up

E2.

Do you charge an extra fee if a parent is late to pick up a child after the agreed-upon time?

1  YES

2  NO

LP and SP

NRB

Home-based item E2 has not changed.

LP and SP that are NRB or FCC designated

Program allows variation in care schedule

E3.

Do you permit parents to use care on schedules that vary from week to week?

1  Yes

2  No

3  DK/REF

LP and SP

NRB

Home-based item E3 has not changed.

LP and SP that are NRB or FCC designated

Number of children with varying schedules

E3a.

How many of the children you look after have schedules that vary from week to week?

Number of children

LP and SP

NRB

Home-based item E3a has not changed.

LP and SP that are NRB or FCC designated

Program allows variation in paid hours of care

E3c.

Do you permit parents to pay for and use varying numbers of hours of care each week?

1  Yes, at their convenience

2  Yes, from a set of schedule options

3  Yes, beyond a minimum number of hours

4  No

5  DK/REF

LP and SP

NRB

Home-based item E3c has not changed.

LP and SP that are NRB or FCC designated

Number of children with varying paid hours of care

E3d.

How many of the children in your program have variation in the number of paid hours of care each week?

Number of children

LP and SP

NRB

Home-based item E3d has not changed.

LP and SP that are NRB or FCC designated

Program paid for days a child does not attend

E3f.

Are you paid for days that children are scheduled to come but do not, because of illness, vacation, or other personal reasons outside of your control?

1  Yes

2  No

LP and SP

NRB

Home-based item E3f has not changed.

LP and SP that are NRB or FCC designated

Care provided on weekends

E4.

On weekends, do you look after children you are not related to or that you don’t have custody of?

1  Yes

2  No

LP and SP

NRB

Home-based item E4 has not changed.

LP and SP that are NRB or FCC designated and reported offering weekend care in B8/B19 or E1_M.

Care provided on week nights

E5.

Do you look after children that you are not related to or that you don’t have custody of between 7pm and 11pm on week nights (CAPI: IF NEEDED: /WEB: for example, Sunday to Thursday)?

1  Yes

2  No

LP and SP

NRB

Home-based item E5 has not changed.

LP and SP that are NRB or FCC designated and reported offering evening care in B8/B19 or E1_M.

Over-night care provided

E6.

Do you take care of children other than your own between 11pm and 6am on week nights

1  Yes

2  No

LP and SP

NRB

Home-based item E6 has not changed.

LP and SP that are NRB or FCC designated and reported offering nighttime care in B8/B19 or E1_M.

Weeks spent providing care

E7.

How many weeks per year do you look after children other than your own who are under age 13?

Number of weeks

LP and SP

NRB

Home-based item E7 has not changed.

LP and SP that are NRB or FCC designated

Additional types of care provided

E8. In the past 12 months, have you provided any of the following types of care…?

	Yes	No
1. sick care for children you care for anyway	1 	2 
2. full-day activities for school-age children during the summer	1 	2 

LP and SP

RB and NRB

Item not included in 2019.

N/A

Care arrangement when provider is sick

E10.

The last time you were sick, what arrangements did you make for the children you normally look after? SELECT ALL THAT APPLY

1 You told parents you could not look after children

2 You had someone else come to take care of the children

3 You sent the children to a different location

4 You took care of the children anyway

5 You never get sick

6 Something Else: ____________________________________________

LP and SP

RB and NRB

Home-based item E10 has not changed.

All LP and SP

Last time provider unable to provide care due to illness

E10a.

When was the last time that you were unable to look after a child because you

were sick?

Month___ Year ____

LP and SP

RB and NRB

Home-based item E10a has not changed.

All LP and SP

Comprehensive services – health screenings

E13a. In the past 12 months, have you helped find any of the following kinds of help for children that you look after? Health screening, such as for medical, dental, vision, hearing, or speech?

1 YES

2NO

LP and SP

RB and NRB

Home-based item E13a has not changed for small and relationship-based providers.

All LP and SP

Comprehensive services – developmental assessments

E13b. In the past 12 months, have you helped find any of the following kinds of help for children that you look after? Development assessments (checking whether the child is on-track with regard to their physical, emotional or social conditions)?

1 YES

2NO

LP and SP

RB and NRB

Home-based item E13b has not changed for small and relationship-based providers.

All LP and SP

Comprehensive services – therapeutic services

E13c. In the past 12 months, have you helped find any of the following kinds of help for children that you look after? Services such as speech therapy, occupational therapy, or services for children with special needs
available to children?

1 YES

2NO

LP and SP

RB and NRB

Home-based item E13c has not changed for small and relationship-based providers.

All LP and SP

Comprehensive services – counseling services

E13d. In the past 12 months, have you helped find any of the following kinds of help for children that you look after? Counseling services for children or parents?

1 YES

2NO

LP and SP

RB and NRB

Home-based item E13d has not changed for small and relationship-based providers.

All LP and SP

Comprehensive services – social services

E13e. In the past 12 months, have you helped find any of the following kinds of help for children that you look after? Social services to families such as housing assistance, food
stamps, financial aid, or medical care?

1 YES

2NO

LP and SP

RB and NRB

Home-based item E13e has not changed.

All LP and SP

Any comprehensive services paid for by program

Item not included in 2012.

E_payservice.

Do you pay for any services for children that you look after, such as health screening, developmental assessments, services for children with special needs, or counseling?

1  Yes

2  No

All LP and SP

Any comprehensive services provided on-site at program

Item not included in 2012.

E_onsiteserv.

Do you provide any health screening, developmental assessments, services for children with special needs, or counseling on-site at your program?

1  Yes

2  No

All LP and SP

Section F: Admission/Marketing

Number of children who left program

F1.

During January through March of 2011, how many children did you stop looking after? Include children whose parents withdrew their children from care as well as children you didn’t want to look after anymore.

LP and SP

RB and NRB

F1_M.

During January through March of 2018, how many children did you stop looking after? Include children whose parents withdrew their children from care as well as children you didn’t want to look after anymore.

All LP and SP

Number of children who entered program

F2.

During January through March of 2011, how many new children did you start looking after?

LP and SP

RB and NRB

F2_M.

During January through March of 2018, how many new children did you start looking after?

All LP and SP

Care stopped due to child’s behavior

F3.

In the past year, have you told a parent that you wouldn’t look after their child anymore because of problems with the child’s behavior?

1. YES

2. NO

LP and SP

RB and NRB

Home-based item F3 has not changed.

All LP and SP

Early pick up due to behavior problems

Item not included in 2012.

F_earlypickup In the past year, have you asked a parent to pick up a child early because of problems with the child’s behavior?

1  Yes

2  No

All LP and SP

Program listed with referral agency

F4.

Do you list your services with a resource and referral agency to try to find new children to look after?

1 Yes

2 No

LP and SP

NRB

Home-based item F4 has not changed.

LP and SP that are NRB or FCC designated

Activities used to demonstrate care offered

F6. Which of the following do you do to help parents understand what kind of care you offer?

	Yes	No
a. Invite families looking for care to visit and observe	1 	2 
b. Tell parents about your overall quality rating (for example, accreditation, tiered reimbursement)	1 	2 

LP and SP

NRB

Item not included in 2019.

N/A

Children denied due to no vacancies

F9.

In the past year, have you turned away children who wanted to enroll because you did not have an empty slot?

1  Yes

2  No

3  CHILDREN ARE PLACED ON A WAITING LIST

LP and SP

NRB

Home-based item F9 has not changed.

LP and SP that are NRB or FCC designated

Program unable to care for special needs

Item not included in 2012.

F_sp_adm. In the past year, have you turned away a child because the child had special needs that you weren’t prepared to meet?

1  Yes

2  No

LP and SP that are NRB or FCC designated

Program quality rating

Item not included in 2012.

F_QRIS1. Does your program have an overall quality rating from [NAME OF LOCAL/STATE QRIS; or a QRIS]?

1  Yes

2  No

3  I don’t know

4  Not eligible for rating

LP and SP that are NRB or FCC designated

Program quality rating improved

Item not included in 2012.

F_QRIS1a. In the past two years have you moved from one rating to a better one?

1  Yes

2  No

LP and SP that are NRB or FCC designated

Experience with background checks

Item not included in 2012.

F_BKGD. We are interested in your experiences completing background checks required for providing child care in your home. How much do you agree or disagree with the following statements: [Strongly Agree, Agree, Disagree, Strongly Disagree]

a. Background checks on staff protect me and the children I care for.

b. Background checks cause delays in my ability to hire new staff.

d. Some providers are uncomfortable with having to do background checks on their family members and other people who live in their household.

LP and SP that are NRB and reported serving any children with subsidies in C15a_M (> 0 for any part)

Agencies that inspected the program

Item not included in 2012.

F_INSP

In the past 12 months, have the following agencies inspected your program or come to monitor the quality of services?

a. Health department

1Yes 2No

b. Licensing agency

1Yes 2No

LP and SP that are NRB and reported serving any children with subsidies in C15a_M (> 0 for any part)

Category

Construct

2012 Questionnaire Item

2012 Item Eligibility – Provider Size

2012 Item Eligibility – Prior Relationship Status

2019 Questionnaire Item

2019 Item Eligibility

Section G: Care Provided

Activity planning for children

G1.

Do you plan the daily activities of the child(ren) you look after?

1  Yes

2  No

LP and SP

RB and NRB

Home-based item G1 has not changed.

All LP and SP

When activity planning occurs

G2.

When do you plan the activities of the child(ren) you look after?

1  While caring for children

2  Time when children are not present

3  Don’t make specific plans

LP and SP

RB and NRB

Item not included in 2019.

N/A

Time spent planning activities for children

G3.

How much time do you spend each week planning children’s activities?

Hours per week

LP and SP

RB and NRB

Home-based item G3 has not changed.

All LP and SP

Time spent on children’s planned activities

G3_ECE.

How many days last week did you do any of the following as a planned activity with the children younger than kindergarten age? Please enter 0 if you did not do these things with children any day last week, or if they were done, but they had not been planned.

If last week was a holiday or vacation week, please report information for the last usual week.

A. Learning activities that you planned for child(ren) such as learning letters and reading or numbers and counting ________ DAYS

LP and SP

RB and NRB

G3_ECE_M.

We would like you to tell us about a typical day in your program for children under 5 years old. Not including lunch or nap breaks, how much time do the children spend in the following kinds of activities? How about (READ ITEM)? Would you say the children spend no time, half an hour or less, about one hour, about two hours, or three hours or more in (READ ITEM AGAIN)?

A. Learning activities done with the whole group

1  No time

2  Half an hour or less

3  About one hour

4  About two hours

5  Three hours or more

All LP and SP

Time spent on children’s planned activities

B. Free time for children to read or explore on their own _______________DAYS

LP and SP

RB and NRB

B. Learning activities done with small groups or individuals

1  No time

2  Half an hour or less

3  About one hour

4  About two hours

5  Three hours or more

All LP and SP

Time spent on children’s planned activities

C. Vigorous activity in games that you organize and supervise _________DAYS

LP and SP

RB and NRB

C. Free time for children to play, read, or explore

1  No time

2  Half an hour or less

3  About one hour

4  About two hours

5  Three hours or more

All LP and SP

Time spent on children’s planned activities

D. Vigorous activity that the children select and do without direct supervision ___--DAYS

LP and SP

RB and NRB

D. Vigorous activity indoors or outdoors

1  No time

2  Half an hour or less

3  About one hour

4  About two hours

5  Three hours or more

All LP and SP

Time spent on children’s planned activities

E. Singing and movement planned in advance ___DAYS ____

LP and SP

RB and NRB

E. Singing and movement planned in advance

1  No time

2  Half an hour or less

3  About one hour

4  About two hours

5  Three hours or more

All LP and SP

Time spent on children’s planned activities

F. Helping children with basic needs such as eating,

toileting/diapering, or getting dressed. DAYS

LP and SP

RB and NRB

Item not included in 2019.

N/A

Any snacks or meals provided to children

Item not included in 2012.

G_FOOD.

What food do you provide the children in your care?

a. Snacks

1  Yes

2  No

b. Meals such as breakfast, lunch, or dinner

1  Yes

2  No

All LP and SP

Participation in Child and Adult Care Food Program

Item not included in 2012.

C_CACFP. (CACFP1) [If meals provided:] Does your program participate in the Child and Adult Care Food Program?

1  Yes

2  No

3  Not eligible

LP and SP who reported ‘yes’ in G_FOOD part b.

Children’s time spent with screens

Item not included in 2012.

G_SCREEN. [In this program] on most days, how much time do children spend doing something with a screen, such as watching TV or a movie, or working or playing a game on a computer or tablet?

1 1 ½ hours or more

2 30 minutes to 1 ½ hours

3 Less than 30 minutes

4 Children do not use screens while in this program

All LP and SP

Time spent on children’s planned activities

G3_SA.

How many days last week did you do any of the following as a planned activity with the children kindergarten age or older? Please enter 0 if you did not do these things with children any day last week, or if they were done, but they had not been planned. If last week was a holiday or vacation week, please report infromation for the last usual week.

A. Learning activities that you planned for child(ren) such as learning reading, math or science _______________DAYS

B. Free time for children to do homework or read on their own _______________DAYS

C. Vigorous activity in games that you organize and supervise _______________DAYS

D. Vigorous activity that the children select and do without direct supervision _______________DAYS

E Free time for social activities or socializing with other children _______________DAYS

LP and SP

RB and NRB

Item not included in 2019.

Any curriculum used

G3A.

Do you use a curriculum or prepared set of learning and play activities?

1. YES

2. NO

LP and SP

NRB

Home-based item G3A has not changed.

All LP and SP

Name of curriculum used

G3B.

What is the name of the curriculum or prepared activities you use?

1. ❑ Creative Curriculum for Infants, Toddlers, and Twos

2. ❑ High/Scope for Infants and Toddlers

3. ❑ Program for Infant/Toddler Care (PITC)

4. ❑ Creative Curriculum for Preschool

5. ❑ High/Scope for Preschoolers

6. ❑ Opening the World of Learning (OWL)

7. ❑ An approach, such as Montessori or Project Approach

8. ❑ A curriculum I developed myself

9. ❑ Another curriculum (Please specify: _______________________)__

LP and SP

NRB

G3B_M.

What is the name of the curriculum or prepared activities you use?

NOTE: Refer to instrument item G3B_M for complete list of curricula available to respondent.

All LP and SP who reported using a curriculum in G3A

Received training to use curriculum

Item not included in 2012.

G_CURRTRAIN. Have you received 4 or more hours of training on how to use this curriculum?

1  Yes

2  No

All LP and SP who reported using a curriculum in G3A

Program sponsorship

G4.

Are you sponsored by an organization (for example, a church, Head Start or Catholic Charities) that organizes family child care in your area or are you part of a family child care provider network?

1  Yes, Sponsored by an organization

2  Yes, part of a provider network

3  Neither

LP and SP

NRB

Home-based item G4 has not changed.

All LP and SP

Time spent with other child care providers

G5.

Do you ever meet with other people who are looking after children? You might do this to let the children spend time with other children, to spend time yourself with other adults, or to learn about how to help children grow and learn.

1  Yes

2  Yes, but not regularly

3  No

LP and SP

RB and NRB

Home-based item G5 has not changed.

All LP and SP

Provider aware of resources

G5a.

Do you know of places where you could meet with other people who are looking after children or learn about how to help children grow and learn?

1  Yes

2  No

LP and SP

RB and NRB

Home-based item G5a has not changed.

All LP and SP

Provider has access to resources/professional development through schools/other programs

G5d.

Do you have any formal or informal relationships with schools or programs that give you access to resources or professional development for looking after children under age 13?

1. YES

2. NO

LP and SP

RB and NRB

Home-based item G5d has not changed.

LP and SP that are NRB or FCC designated

Time spent on program activities beyond child care

G6_M

A. We understand that caring for children in their home or yours can take time outside of the hours you spend with the children, to plan your program, buy supplies, keep records, etc. Please estimate how many hours you spend doing any of the following activities for the children you care for.

Buying supplies and food for child(ren)

Hours

 1 per year
 2 per month
 3 per week

LP and SP

NRB

Home-based item G6_M part A has not changed.

LP and SP that are NRB or FCC designated

Time spent on program activities beyond child care

G6_M.

B. We understand that caring for children in their home or yours can take time outside of the hours you spend with the children, to plan your program, buy supplies, keep records, etc. Please estimate how many hours you spend doing any of the following activities for the children you care for.

Cleaning and maintaining the space

Hours

 1 per year
 2 per month
 3 per week

LP and SP

NRB

Home-based item G6_M part B has not changed.

LP and SP that are NRB or FCC designated

Time spent on program activities beyond child care

G6_M.

C. We understand that caring for children in their home or yours can take time outside of the hours you spend with the children, to plan your program, buy supplies, keep records, etc. Please estimate how many hours you spend doing any of the following activities for the children you care for.

Planning your activities with the child(ren)

Hours

 1 per year
 2 per month
 3 per week

LP and SP

NRB

G6_M.

Planning the children’s activities

Hours

 1 per year
 2 per month
 3 per week

LP and SP that are NRB or FCC designated

Time spent on program activities beyond child care

G6_M.

D. We understand that caring for children in their home or yours can take time outside of the hours you spend with the children, to plan your program, buy supplies, keep records, etc. Please estimate how many hours you spend doing any of the following activities for the children you care for.

Doing record keeping, billing, administrative tasks

Hours

 1 per year
 2 per month
 3 per week

LP and SP

NRB

Home-based item G6_M part D has not changed.

LP and SP that are NRB or FCC designated

Time spent on program activities beyond child care

G6_M.

E. We understand that caring for children in their home or yours can take time outside of the hours you spend with the children, to plan your program, buy supplies, keep records, etc. Please estimate how many hours you spend doing any of the following activities for the children you care for.

Participating in education, training or professional meetings

Hours

 1 per year
 2 per month
 3 per week

LP and SP

NRB

Home-based item G6_M part E has not changed.

LP and SP that are NRB or FCC designated

Time spent on program activities beyond child care

G6_M.

F. We understand that caring for children in their home or yours can take time outside of the hours you spend with the children, to plan your program, buy supplies, keep records, etc. Please estimate how many hours you spend doing any of the following activities for the children you care for.

Communicating with parents outside of your regular program hours

Hours

 1 per year
 2 per month
 3 per week

LP and SP

NRB

Home-based item G6_M part F has not changed.

LP and SP that are NRB or FCC designated

Time spent on program activities beyond child care

G6_M.

G. We understand that caring for children in their home or yours can take time outside of the hours you spend with the children, to plan your program, buy supplies, keep records, etc. Please estimate how many hours you spend doing any of the following activities for the children you care for.

Marketing your child care services

Hours

 1 per year
 2 per month
 3 per week

LP and SP

NRB

Home-based item G6_M part G has not changed.

LP and SP that are NRB or FCC designated

Time spent on program activities beyond child care

G6_M.

H. We understand that caring for children in their home or yours can take time outside of the hours you spend with the children, to plan your program, buy supplies, keep records, etc. Please estimate how many hours you spend doing any of the following activities for the children you care for.

Any other activity you spend time on for children you look after

Hours

 1 per year
 2 per month
 3 per week

LP and SP

NRB

Home-based item G6_M part H has not changed.

LP and SP that are NRB or FCC designated

Total time spent on all program activities beyond child care

G6_M.

I. We understand that caring for children in their home or yours can take time outside of the hours you spend with the children, to plan your program, buy supplies, keep records, etc. Please estimate how many hours you spend doing any of the following activities for the children you care for.

How many hours would you say you spend on all of these activities combined, per month?

LP and SP

NRB

Home-based item G6_M part I has not changed.

LP and SP that are NRB or FCC designated

Number of rooms used for child care

G6a.

Aside from bathrooms or kitchens, how many rooms do you use when you are looking after children? ___________ Number of rooms

LP and SP

NRB

Home-based item G6a has not changed.

LP and SP that are NRB or FCC designated

Number of child care rooms used for provider family

G6b.

How many of these rooms do you use for regular living space for you and your family when the children are not there? ___________ Number of rooms

LP and SP

NRB

Home-based item G6b has not changed.

LP and SP that are NRB or FCC designated

Location of children’s physical activity

Item not included in 2012.

G_physact. Where do children participate in vigorous physical activity?

In the indoor space for regular care

1 Yes

2 No

In my own outdoor space (e.g., backyard)

1 Yes

2 No

In nearby public outdoor space (e.g., public park or parking lot)

1 Yes

2 No

LP and SP that are NRB or FCC designated

Main reason for working with children

G7a.

What is the main reason that you look after children?

1 It is my personal calling or career

2 It is a step toward a related career

3 To earn money

4 To have a job that lets me work from home

5 To help children

6 To help children’s parents

7. OTHER (SPECIFY: _____________________________________)

LP and SP

RB and NRB

G7a_M.

What is the most important reason that you look after children?

1 It is my personal calling or careeR

2 It is a step toward a related career

3 To earn money

4 To have a job that lets me work from home

5 To help children

6To help children’s parents

9 TO WORK AND TAKE CARE OF MY CHILDREN AT THE SAME TIME

7 OTHER (SPECIFY: _____________________________________)

All LP and SP

Secondary reason for working with children

Item not included in 2012.

G_REASON2 What is the second most important reason that you look after children?

1 It is my personal calling or careeR

2 It is a step toward a related career

3 To earn money

4 To have a job that lets me work from home

5 To help children

6 To help children’s parents

9 TO WORK AND TAKE CARE OF MY CHILDREN AT THE SAME TIME

7 OTHER (SPECIFY: _____________________________________)

All LP and SP

Main responsibility when looking after children

G7b.

What do you see as your main responsibility when looking after children? RECORD VERBATIM AND CODE

1 Help their development

2 Keep them safe/ out of trouble

3 Provide them love and nurturing

4 Teach them values

5 Help them learn so they can do well in school

6.OTHER (SPECIFY:_____________________________)

LP and SP

RB and NRB

G7b_M.

What do you see as your main responsibility when looking after children?

1 Help their development

2 Keep them safe/ out of trouble

3 Provide them love and nurturing

4 Teach them values

5 Help them learn so they can do well in school

8 Provide children’s basic needs such as meals and transportation

9 Support children’s wellbeing

6OTHER (SPECIFY:_____________________________)

All LP and SP

Professional organization membership

G7c.

Are you a member of a professional association, such as a state or national family child care association, or a union such as Service Employees International Union, American Federation of Teachers, American Federation of State, County and Municipal Employees (AFSCME) or the Teamsters?

1  YES

2  NO

LP and SP

NRB

Home-based item G7c has not changed.

LP and SP that are NRB or FCC designated

Children’s time spent with screens

G9.

While the children you are taking care of are with you, how often do they use something with a screen, such as a TV, computer or electronic game?

1  Every day

2  2-3 times per week

3  2-4 times per month

4  Once a month or less

5  Never

LP and SP

RB and NRB

Item not included in 2019.

N/A

Access to a family support resource/ mental health consultant/ guidance counselor

G12.

Do you have access to a family support resource/mental health consultant/guidance counselor to help you with issues that parents raise?

1  Yes

2  No

LP and SP

RB and NRB

Home-based item G12 has not changed.

All LP and SP

Access to a health consultant

Item not included in 2012.

G_HEALTHCON. Do you have access to a health consultant or nurse who can help with nutrition, allergies, or other health-related issues?

1  Yes

2  No

All LP and SP

Caregiver professional development

G15A (In the past 12 months, have you done any of the following to improve your skills or gain new skills in working with children?) …Had help from a home-visitor or coach

1. YES

2. NO

LP and SP

RB and NRB

Home-based item G15A has not changed.

All LP and SP

Caregiver professional development

G15B (In the past 12 months, have you done any of the following to improve your skills or gain new skills in working with children?) …Went to a workshop sponsored by a community agency or family child-care network

1  Yes

2  No

LP and SP

RB and NRB

Home-based item G15B has not changed.

All LP and SP

Caregiver professional development

G15B1.

Was that a single workshop or a series of several sessions?

1. SINGLE WORKSHOP

2. WORKSHOP SERIES

LP and SP

RB and NRB

G15B1_M.

Did you attend a series of two or more workshops?

1  YES

2  NO

All LP and SP who reported attending a workshop in G15B.

Caregiver professional development

G15C

(In the past 12 months, have you done any of the following to improve your skills or gain new skills in working with children?) Took a course about caring for children at a college or university which was offered for credit

1  Yes

2  No

LP and SP

RB and NRB

Home-based item G15C has not changed.

All LP and SP

Caregiver professional development

G15D

(In the past 12 months, have you done any of the following to improve your skills or gain new skills in working with children?) Participated in another type of activity?

1  Yes

2  No

LP and SP

RB and NRB

Home-based item G15D has not changed.

All LP and SP

Topic of most recent professional development activity

G15D1.

What other types of activities have you participated in the last 12 months to help you maintain or improve your skills in looking after children?

LP and SP

RB and NRB

Home-based item G15D1 has not changed.

All LP and SP who reported participating in another type of activity in G15D.

Caregiver health and safety training

Item not included in 2012.

G_HS In the past 12 months, have you participated in a health or safety training?

1  YES

2  NO

All LP and SP who reported participating in any activity in G15A – G15D

Caregiver health and safety training

Item not included in 2012.

G_HSONLINE Did you participate in any on-line health or safety trainings in the past year?

1  YES

2  NO

All LP and SP who reported ‘yes’ in G_HS

Topic of most recent professional development activity, besides health and safety

G16.

What would you say was the main topic of the most recent activity you participated in to improve or gain skills in working with children?

HOW TO MAINTAIN A SAFE AND HEALTHY ENVIRONMENT IN YOUR HOME

HELPING CHILDREN BE READY FOR SCHOOL OR IMPROVE THEIR SCHOOL PERFORMANCE

HELPING CHILDREN IMPROVE THEIR BEHAVIOR AND SELF-CONTROL

HOW TO COMMUNICATE WELL WITH CHILDREN’S PARENTS AND ASSIST WITH ANY FAMILY PROBLEMS

PROVIDING HELP FOR CHILDREN WITH SPECIAL PHYSICAL, DEVELOPMENTAL, EMOTIONAL OR BEHAVIORAL NEEDS

PROVIDING HELP FOR CHILDREN WHO DO NOT SPEAK ENGLISH AS THEIR FIRST LANGUAGE

LP and SP

RB and NRB

G16_M. Please think about the topics addressed in your activities to improve or gain skills in working with children. Aside from health and safety, what topic was most recently addressed in an activity you participated in? For example, working with families, preparing children to do well in school, techniques for discipline and managing children, or some other topic?

1 NO TOPICS OTHER THAN HEALTH AND SAFETY

2 COGNITIVE DEVELOPMENT, INCLUDING EARLY READING OR MATH

4 HELPING CHILDREN’S SOCIAL OR EMOTIONAL GROWTH, INCLUDING HOW TO BEHAVE WELL.

5 PHYSICAL DEVELOPMENT AND HEALTH

6 HOW TO WORK WITH FAMILIES

7 SERVING CHILDREN WITH SPECIAL PHYSICAL, EMOTIONAL OR BEHAVIORAL NEEDS.

8 WORKING WITH CHILDREN WHO SPEAK MORE THAN ONE LANGUAGE

9 PLANNING ACTIVITIES THAT MEET THE NEEDS OF THE WHOLE CLASS

10 WORKING WITH CHILDREN FROM DIFFERENT RACES, ETHNICITIES AND CULTURES

11 OTHER ___________________________ Please specify what the main topic of the most recent activity you participated in to improve or gain skills in working with children was.

LP and SP who said yes to any item G15A – G15D

Caregiver professional development

Item not included in 2012.

G_SKILLOBS

Did any of your courses completed in the past 12 months include an opportunity for you to demonstrate skills related to supporting children’s development and be observed?

1  Yes

2  No

LP and SP who said yes to any item G15A – G15D

Professional development plan

Item not included in 2012.

G_PDPLAN In the past 12 months, have you done any of the following to improve your skills or gain new skills in working with children? Developed or updated a plan for your professional development with the help of an advisor?

1  Yes

2  No

LP and SP who said yes to any item G15A – G15D

Caregiver professional development

Item not included in 2012.

G_CULTTRAIN In the past 12 months, have you received any training on strategies for working with children of different races, ethnicities or cultures?

1  Yes

2  No

LP and SP who said yes to any item G15A – G15D

Professional development assistance

Item not included in 2012.

G_PDASST.

In the past 12 months, did you receive any of the following types of assistance with the costs of improving your skills, for example, from a local or state agency, a college or university, or another organization?

1. Assistance with direct costs such as tuition or registration fees

1 YES 2  NO

2. (During the past 12 months, did you receive) Help with other costs of participation such as travel or child care for your own children

1 YES 2  NO

LP and SP who said yes to any item G15A – G15D

Parental Modernity Scale – Traditional Belief Scale

G17A.

In my opinion, children should always obey their parents. (Would you say you strongly disagree, disagree, neither agree or disagree, agree, or strongly agree?)

LP and SP

RB and NRB

Home-based item G17A has not changed.

All LP and SP

Parental Modernity Scale – Traditional Belief Scale

G17B.

In my opinion, children will not do the right thing unless they must. (Would you say you strongly disagree, disagree, neither agree or disagree, agree, or strongly agree?)

LP and SP

RB and NRB

Home-based item G17B has not changed.

All LP and SP

Parental Modernity Scale – Traditional Belief Scale

G17C.

In my opinion, the most important thing to teach children is absolute obedience to whomever is the authority.

LP and SP

RB and NRB

Home-based item G17C has not changed.

All LP and SP

Parental Modernity Scale – Progressive Belief Scale

G17D.

In my opinion, a child’s ideas should be considered in family decisions. (Would you say you strongly disagree, disagree, neither agree or disagree, agree, or strongly agree?)

LP and SP

RB and NRB

Home-based item G17D has not changed.

All LP and SP

Parental Modernity Scale – Progressive Belief Scale

G17E.

In my opinion, children have a right to their own point of view and should be allowed to express it. (Would you say you strongly disagree, disagree, neither agree or disagree, agree, or strongly agree?)

LP and SP

RB and NRB

Home-based item G17E has not changed.

All LP and SP

Parental Modernity Scale – Progressive Belief Scale

G17F.

In my opinion, children should be allowed to disagree with their parents if they feel their own ideas are better. (Would you say you strongly disagree, disagree, neither agree or disagree, agree, or strongly agree?)

LP and SP

RB and NRB

Home-based item G17F has not changed.

All LP and SP

Parental Modernity Scale – Traditional Belief Scale

G17G.

In my opinion, children will be bad unless they are taught what is right. (Would you say you strongly disagree, disagree, neither agree or disagree, agree, or strongly

LP and SP

RB and NRB

Home-based item G17G has not changed.

All LP and SP

Parental Modernity Scale – Traditional Belief Scale

G17H.

In my opinion, children should always obey the teacher. (Would you say you strongly disagree, disagree, neither agree or disagree, agree, or strongly agree?)

LP and SP

RB and NRB

Home-based item G17H has not changed.

All LP and SP

Parental Modernity Scale – Progressive Belief Scale

G17I.

In my opinion, it is alright for a child to disagree with his or her own parents. (Would you say you strongly disagree, disagree, neither agree or disagree, agree, or strongly agree?)

LP and SP

RB and NRB

Home-based item G17I has not changed.

All LP and SP

Parental Modernity Scale – Progressive Belief Scale

G17J.

In my opinion, parents should go along with the game when their child is pretending something. (Would you say you strongly disagree, disagree, neither agree or disagree, agree, or strongly agree?)

LP and SP

RB and NRB

Home-based item G17J has not changed.

All LP and SP

Kessler Psychological Distress Scale

G20a.

We’d like to know how people taking care of children feel about life. During the past 30 days, how often did you feel?

...so sad that nothing could cheer you up? Would you say…

1 All of the time

2 Most of the time

3 Some of the time

4 A little of the time

5 None of the time

LP and SP

RB and NRB

Item not included in 2019.

N/A

Kessler Psychological Distress Scale

G20b.

We ’d like to know how people taking care of children feel about life. During the past 30 days, how often did you feel?

…nervous?

1 All of the time

2 Most of the time

3 Some of the time

4 A little of the time

5 None of the time

LP and SP

RB and NRB

Item not included in 2019.

N/A

Kessler Psychological Distress Scale

G20c.

We ’d like to know how people taking care of children feel about life. During the past 30 days, how often did you feel?

..restless or fidgety?

1 All of the time

2 Most of the time

3 Some of the time

4 A little of the time

5 None of the time

LP and SP

RB and NRB

Item not included in 2019.

N/A

Kessler Psychological Distress Scale

G20d.

We ’d like to know how people taking care of children feel about life. During the past 30 days, how often did you feel?

...hopeless?

1 All of the time

2 Most of the time

3 Some of the time

4 A little of the time

5 None of the time

LP and SP

RB and NRB

Item not included in 2019.

N/A

Kessler Psychological Distress Scale

G20e.

We ’d like to know how people taking care of children feel about life. During the past 30 days, how often did you feel?

...that everything was an effort?

1 All of the time

2 Most of the time

3 Some of the time

4 A little of the time

5 None of the time

LP and SP

RB and NRB

Item not included in 2019.

N/A

Kessler Psychological Distress Scale

G20f.

We ’d like to know how people taking care of children feel about life. During the past 30 days, how often did you feel?

...worthless?

1 All of the time

2 Most of the time

3 Some of the time

4 A little of the time

5 None of the time

LP and SP

RB and NRB

Item not included in 2019.

N/A

Center for Epidemio-logical Studies Depression Scale-7

Item not included in 2012.

G_CESD7. Please indicate how often you have felt this way during the past week by checking the appropriate box for each question.

1. I did not feel like eating; my appetite was poor

Rarely or none of the time (less than 1 day)

Some or a little of the time (1-2 days)

Occasionally or a moderate amount of time (3-4 days)

All of the time (5-7 days)

All LP and SP

Center for Epidemio-logical Studies Depression Scale-7

Item not included in 2012.

G_CESD7. Please indicate how often you have felt this way during the past week by checking the appropriate box for each question.

2. I had trouble keeping my mind on what I was doing.

Rarely or none of the time (less than 1 day)

Some or a little of the time (1-2 days)

Occasionally or a moderate amount of time (3-4 days)

All of the time (5-7 days)

All LP and SP

Center for Epidemio-logical Studies Depression Scale-7

Item not included in 2012.

G_CESD7. Please indicate how often you have felt this way during the past week by checking the appropriate box for each question.

3. I felt depressed.

Rarely or none of the time (less than 1 day)

Some or a little of the time (1-2 days)

Occasionally or a moderate amount of time (3-4 days)

All of the time (5-7 days)

All LP and SP

Center for Epidemio-logical Studies Depression Scale-7

Item not included in 2012.

G_CESD7. Please indicate how often you have felt this way during the past week by checking the appropriate box for each question.

4. I felt that everything I did was an effort.

Rarely or none of the time (less than 1 day)

Some or a little of the time (1-2 days)

Occasionally or a moderate amount of time (3-4 days)

All of the time (5-7 days)

All LP and SP

Center for Epidemio-logical Studies Depression Scale-7

Item not included in 2012.

G_CESD7. Please indicate how often you have felt this way during the past week by checking the appropriate box for each question.

7. My sleep was restless.

Rarely or none of the time (less than 1 day)

Some or a little of the time (1-2 days)

Occasionally or a moderate amount of time (3-4 days)

All of the time (5-7 days)

All LP and SP

Center for Epidemio-logical Studies Depression Scale-7

Item not included in 2012.

G_CESD7. Please indicate how often you have felt this way during the past week by checking the appropriate box for each question.

8. I was sad.

Rarely or none of the time (less than 1 day)

Some or a little of the time (1-2 days)

Occasionally or a moderate amount of time (3-4 days)

All of the time (5-7 days)

All LP and SP

Center for Epidemio-logical Studies Depression Scale-7

Item not included in 2012.

G_CESD7. Please indicate how often you have felt this way during the past week by checking the appropriate box for each question.

10. I could not "get going."

Rarely or none of the time (less than 1 day)

Some or a little of the time (1-2 days)

Occasionally or a moderate amount of time (3-4 days)

All of the time (5-7 days)

All LP and SP

Bridget Hamre’s instructional approach/ knowledge

Item not included in 2012.

G_HAMRE1.

A small group of children is painting on paper at a table. One child asks if they can paint some rocks they collected earlier in the day. The best thing to do is:

1 Get the rocks and let the child paint them.

2Tell them rocks aren’t for painting.

3Tell them it would make too much of a mess.

4Tell the child that is something they can do at home, not at school.

All LP and SP

Bridget Hamre’s instructional approach/ knowledge

Item not included in 2012.

G_HAMRE2.

A child is crying at drop-off because she misses her mom. Which of the following is most likely to help the child in that moment:

1 Let the child sit alone for a while until she calms down

2 Talk with the parent to figure out what happened

3 Encourage the child’s friends to try to distract her

4 Spend time with her until the child feels better

All LP and SP

Bridget Hamre’s instructional approach/ knowledge

Item not included in 2012.

G_HAMRE3.

A child hits another child. The most effective response is to:

1 Separate the children by moving the child who was hit into another center

2 Remind the child that hands are not for hitting, then help re-engage him in an activity

3 Ignore the behavior

4 Tell the child’s parents about the misbehavior

All LP and SP

Bridget Hamre’s instructional approach/ knowledge

Item not included in 2012.

G_HAMRE4.

A child is trying to put together a puzzle that is too difficult for her. The best thing to do is:

1 Sit with her and give her hints that help her complete the puzzle.

2 Provide her a puzzle that is easier for her to complete.

3 Encourage her to keep trying it on her own.

4 Complete the puzzle for her as a demonstration.

All LP and SP

Section H: Help with Child Care

Any help with children cared for

H1.

Does anyone from outside of your household ever help you look after children who are not your own while those children are with you?

1  Yes

2  No

LP and SP

NRB

H1_M.

Does anyone ever help you look after the children in your care? Please include any people you pay to help you as well as any family members or others who help you without receiving payment

1  Yes

2  No

All LP and SP

Number of people helping care for children

Item not included in 2012.

H_NUMHELP. How many people helped you look after children last week?

__ # of people assisting

LP and SP who reported having help in caring for children in H1_M

Number of people helping care for children

H2.

How many different people currently help you look after children?

LP and SP

NRB

Item not included in 2019.

N/A

Educational attainment of assisting caregiver

H3_1.

(Does this person/How many of these people) have:

a 2-year college degree? ______

a 4-year college degree? ______

state certification in education or child development? __________

d. 5 or more years experience working with children under age 13 (other than raising their own children)? ________

LP and SP

NRB

Item not included in 2019.

N/A

Hours worked by assisting caregiver

H3_2.

How many work:

a. 30 or more hours per week? ________

b. 10 or fewer hours per week? ________

LP and SP

NRB

Item not included in 2019.

N/A

Wage paid to assisting care giver

H3_3.

What is the highest wage that you pay [this person/any of these people]?

Amount __ per

1 hour

2 day

3 week

4 month

5 year

6 Other

LP and SP

NRB

Item not included in 2019.

N/A

Name of assisting caregiver

Item not included in 2012.

H_HELPNAME. Please tell me the initials of each person over 12 years old who helped you care for children last week.

LP and SP who reported having help in caring for children in H1_M

Age of assisting caregiver

Item not included in 2012.

H_HELPAGE. How old is this person?

LP and SP who reported having help in caring for children in H1_M

Hours worked by assisting caregiver

Item not included in 2012.

H_HELPHOUR. How many hours did this person help look after the children in your care last week?

LP and SP who reported having help in caring for children in H1_M

Any payment to assisting caregiver

Item not included in 2012.

H_HELPPAY. Do you regularly pay this person to help you care for the children in your care?

LP and SP who reported having help in caring for children in H1_M

Wage paid to assisting care giver

Item not included in 2012.

H_HELPWAGE. What wage do you pay this person? $_______ per [hour/day/week/month]

LP and SP who reported having help in caring for children in H1_M

Assisting caregiver lives in household

Item not included in 2012.

H_HELPLIVE. Does this person live in your household?

1 Yes

2 No

LP and SP who reported having help in caring for children in H1_M

Educational attainment of assisting caregiver

Item not included in 2012.

H_HELPED. How much schooling has [s/he] completed? [select categories]

LP and SP who reported having help in caring for children in H1_M

Years of paid ECE experience for assisting caregiver

Item not included in 2012.

H_HELPCARE. How many years has [s/he] done paid work caring for children under age 13?

LP and SP who reported having help in caring for children in H1_M

Any credential for assisting caregiver

Item not included in 2012.

H_HELPCDA. Does [s/he] have a CDA?

1 Yes

2 No

LP and SP who reported having help in caring for children in H1_M

Any professional development for assisting caregiver

Item not included in 2012.

H_HELPTRAIN. In the last 12 months, has [s/he] received any training or education in caring for young children?

1 Yes

2 No

LP and SP who reported having help in caring for children in H1_M

Time spent directly caring for children

Item not included in 2012.

H_TIMECARE. How many hours last week did you spend directly caring for children?

________ Hours last week

LP and SP who reported having help in caring for children in H1_M

Section I: Household Characteristics

Number of people living in household

I1a. Not including yourself, how many other people live in your household?

Name/initials

LP and SP

RB and NRB

Item not included in 2019.

N/A

Age of other person living in household

I1b. How old is []? IF NEEDED: Your best guess is fine.

LP and SP

RB and NRB

Item not included in 2019.

N/A

Relationship to other household member

I1d. What is your relationship to []?

1 SPOUSE /PARTNER

2 PARENT OR PARENT-IN-LAW

3 CHILD

4 SIBLING OR SIBLING-IN-LAW

5 OTHER RELATIVE

6 NON-RELATIVE

LP and SP

RB and NRB

Item not included in 2019.

N/A

Other household member cared for outside household

I1f.

Is [] regularly cared for by someone outside of the household, for example, in a pre-school or by a neighbor?

1 Yes

2 No

LP and SP

RB and NRB

Item not included in 2019.

N/A

Other household member assists with child care

I1h.

Does [] ever help you look after children?

Please include only help caring for children, and not other help such as billing or shopping for your work looking after children.

1 Yes

2 No

LP and SP

RB and NRB

Item not included in 2019.

N/A

Other household member cares for children

I1l.

[Aside from helping you when you are looking after children], does [] look after children under age 13 who are not his/her own? .

1  YES

2  NO

LP and SP

RB and NRB

Item not included in 2019.

N/A

Other household member cares for same children as provider

I1l.i.

Are any of those the same children that you regularly look after?”

1  YES

2  NO

LP and SP

RB and NRB

Item not included in 2019.

N/A

Other household member present during provider care

I2.

Last week, was [hhmem] with you at any times when you were caring for these children?

1  Yes

2  No

LP and SP

RB and NRB

Item not included in 2019.

N/A

Hours spent assisting by other household member

I2b.

How many hours last week did [hhmem] assist you in looking after children?

__________ Number of hours

LP and SP

RB and NRB

Item not included in 2019.

N/A

Hours other household member was in provider care with other children

I2d.

How many hours last week was [hhmem] in your care at the same time that you were looking after other children?

__________ Number of hours

LP and SP

RB and NRB

Item not included in 2019.

N/A

Number of household members by age group

Item not included in 2012.

I_HHM. Not including yourself, how many people in your household are in the following age categories:

Under age 6

Ages 6 through 12

Ages 13-17

Ages 18 – 65

Age 66 or older

All LP and SP

Any child in household cared for outside household

Item not included in 2012.

I_OUTCARE. [Does the child/do all of the children] under age 6 regularly receive care from someone outside of the household, for example, in a pre-school or by a neighbor? By regularly, we mean 5 hours per week or more.

1 Yes

2 No

All LP and SP

Hours other household member was in provider care with other children

Item not included in 2012.

I_HHCC.

How many hours last week were you caring for at least one of your household’s children under 6 at the same time that you were looking after other children?

__________ Number of hours

All LP and SP

Section J: Provider Characteristics

Year of birth

J1.

These next questions are about you personally. In what year were you born?

LP and SP

RB and NRB

Home-based item J1 has not changed.

All LP and SP

Country of birth

J2.

In what country were you born?

LP and SP

RB and NRB

Home-based item J2 has not changed.

All LP and SP

Year moved to United States

J2a.

In what year did you move to the U.S. to stay?

LP and SP

RB and NRB

Home-based item J2a has not changed.

All LP and SP

Current marital Status

J3. What is your current marital status?

1 Never married, not living with a partner

2 Married or living with a partner

3 Separated

4 Divorced

5 Widowed

LP and SP

RB and NRB

Home-based item J3 has not changed.

All LP and SP

Educational attainment of caregiver

J4.

What is the highest grade or level of schooling that you have ever completed?

1  8th GRADE OR LESS

2  9th-12th GRADE NO DIPLOMA

3  HIGH SCHOOL GRADUATE OR GED COMPLETED

4  SOME COLLEGE CREDIT BUT NO DEGREE

5  ASSOCIATE DEGREE (AA, AS)

6  BACHELOR’S DEGREE (BA, BS, AB)

7  GRADUATE OR PROFESSIONAL DEGREE

LP and SP

RB and NRB

Home-based item J4 has not changed.

All LP and SP

Currently enrolled in degree program

J5.

Are you currently enrolled in a degree program?

1  Yes

2  No

LP and SP

NRB

J5_M.

Are you currently enrolled in a degree program at a college or university?

1  Yes

2  No

LP and SP that are NRB or FCC designated and reported some college or higher in J4.

Educational field of study of caregiver

J5a.

What was your major for the highest degree you have or have studied for?

1 ELEMENTARY EDUCATION

2 SPECIAL EDUCATION

3 CHILD DEVELOPMENT OR PSYCHOLOGY

4 EARLY CHILDHOOD EDUCATION OR EARLY OR SCHOOL-AGE CARE

5 OTHER ________________________________

LP and SP

NRB

J5a_M.

What was your major for the highest degree you have or have studied for?

1 ELEMENTARY EDUCATION

2 SPECIAL EDUCATION

3 CHILD DEVELOPMENT,PSYCHOLOGY, OR FAMILY STUDIES

4 EARLY CHILDHOOD EDUCATION OR EARLY OR SCHOOL-AGE CARE

8 CHILD CARE MANAGEMENT

6 NURSING, REGISTERED NURSE

7 BUSINESS, GENERAL COMMERCE

5 OTHER ________________________________

LP and SP that are NRB or FCC designated and reported some college or higher in J4.

ECE credentials

Item not included in 2012.

J_CDA. Do you have a Child Development Associate (CDA) certificate?

1  YES

2  NO

LP and SP that are NRB or FCC designated and reported some college or higher in J4.

ECE credentials

Item not included in 2012.

J_CERT. Do you have a state certification or endorsement for early care and education?

1  YES

2  NO

LP and SP that are NRB or FCC designated and reported some college or higher in J4.

Credits earned from college coursework

J7.

In the past 12 months, how many credits have you earned for college coursework focusing on child development, education or early childhood?

Number of credits

LP and SP

NRB

Item not included in 2019.

N/A

ECE credentials

J8.

Do you have a state certification or endorsement for early care and education/school-age care, such as a certificate from the state or a Child Development Associate (CDA) certificate?

1 YES

2 NO

LP and SP

NRB

Item not included in 2019.

N/A

ECE credentials

J9.

Do you have some form of certification as a special education teacher or elementary school teacher?

1  YES

2  NO

LP and SP

NRB

Home-based item J9 has not changed.

LP and SP that are NRB or FCC designated and reported some college or higher in J4.

Any training outside of higher education

J10.

Do you have any training outside of higher education in child development or early care and education?

1  YES

2  NO

LP and SP

NRB

Home-based item J10 has not changed.

LP and SP that are NRB or FCC designated and reported some college or higher in J4.

Years of ECE work experience

J12.

How long have you been caring for children under age 13, not including raising any of your own children?

Years and

Months

LP and SP

RB and NRB

Home-based item J12 has not changed.

All LP and SP

Expected additional years caring for children

J13.

How many more years do you expect to look after children who are not your own, whether at your home or theirs?

Number of years

LP and SP

RB and NRB

J13_M.

How many more years do you expect to provide paid care to children who are not your own, whether at your home or theirs?

Number of years

All LP and SP

Any work for a center, school or other organization

J13a1.

Have you ever worked as an employee of a center, school or other organization serving children under age 13?

1 YES

2 NO

LP and SP

NRB

Home-based item J13a1 has not changed.

LP and SP that are NRB or FCC designated

Years of ECE work experience at a center

J12a.

How many years did you care for children under age 13 as an employee of a center or other organization serving children?

Years and

Months

LP and SP

NRB

Home-based item J12a has not changed.

LP and SP that are NRB or FCC designated

Types of child care provided in past 10 years

Item not included in 2012.

J12b.

There are many types of home-based care for children. Which of the following have you provided at any time in the past ten years?

a. unpaid care to a relative for at least five hours weekly

1Yes 2No

b. paid care for a family you had a prior relationship with, at least five hours weekly

1Yes 2No

c. paid care for families you had no prior relationship with, at least five hours weekly

1Yes 2No

d. licensed or regulated child care, not including license-exempt care

1Yes 2No

LP and SP that are NRB or FCC designated

Any additional work for pay

J14.

Do you do any work for pay (in addition to caring for these children)? Please include work in your own or a family business.

1  Yes

2  No

LP and SP

RB and NRB

Home-based item J14 has not changed.

All LP and SP

Type of additional work for pay

J15.

What kind of work do you do (in addition to looking after these children)? If you have more than one job, please report the one where you work the most hours. What is your title or name of your job?

Job/Usual duties: ___________________

LP and SP

RB and NRB

Home-based item J15 has not changed.

All LP and SP who reported working for pay in addition to caring for children in J14

Hours worked at other job

J15A.

About how many hours do you usually work at that job each week?

LP and SP

RB and NRB

J15A_M. About how many hours do you usually work each week in that job other than taking care of young children in your home?

All LP and SP who reported working for pay in addition to caring for children in J14

Other job

work schedule

J15A_1. How far in advance do you usually know what days and hours you will need to work?

1) one week or less

(2) between 1 and 2 weeks

(3) between 3 and 4 weeks

(4) 4 weeks or more

LP and SP

RB and NRB

Home-based item J15A_1 has not changed.

All LP and SP who reported working for pay in addition to caring for children in J14

Wage received from other job

J15B.

About how much are you paid at that job?

$________

1 per hour

2 per day

3 per week

4 per year
5 other: ___________

LP and SP

RB and NRB

Home-based item J15B has not changed.

All LP and SP who reported working for pay in addition to caring for children in J14

Years of experience at other job

J15C.

How long have you had that job?

Years and

Months

LP and SP

RB and NRB

Home-based item J15C has not changed.

All LP and SP who reported working for pay in addition to caring for children in J14

Any work beyond home-based child care

J17.

Have you ever worked for pay other than caring for children in your own home or in theirs?

1  YES

2  NO

LP and SP

RB and NRB

Home-based item J17 has not changed.

All LP and SP who did NOT report working for pay in addition to caring for children in J14

Previous job prior to child care

J18a.

What was the last job that you had before caring for children at home?

LP and SP

RB and NRB

Home-based item J18a has not changed.

All LP and SP who did NOT report working for pay in addition to caring for children in J14

When last job was

J18b.

When did you last work at that job?

Month

Year

LP and SP

RB and NRB

Home-based item J18b has not changed.

All LP and SP who did NOT report working for pay in addition to caring for children in J14

Hours worked at previous job

J18c.

About how many hours did you usually work at that job each week when you stopped working there?

LP and SP

RB and NRB

Home-based item J18c has not changed.

All LP and SP who did NOT report working for pay in addition to caring for children in J14

Wage received from previous job

J18d.

About how much were you paid at that job?

1 per hour

2 per day
3 per week
4 per year
5 other: ___________

LP and SP

RB and NRB

Home-based item J18d has not changed.

All LP and SP who did NOT report working for pay in addition to caring for children in J14

Ethnicity

J19.

Are you of Hispanic or Latino descent?

1  YES

2  NO

LP and SP

RB and NRB

J19_M. What is your ethnicity?

1 Hispanic or Latino

2 Not Hispanic or Latino

All LP and SP

Race

J20.

Which of the following are you? Please select one or more.

1 White

2 Black or African American

3 Asian

4 Native Hawaiian or Other Pacific Islander

5 American Indian or Alaska Native

6 OTHER

LP and SP

RB and NRB

J20_M. What is your race? (Select one or more.)

5 American Indian or Alaska Native

3 Asian

2 Black or African American

4 Native Hawaiian or Other Pacific Islander

1 White

All LP and SP

Most proficient language spoken

J21.

What language do you feel most comfortable speaking?

1  English

2  Spanish

3  Other: ___________________

LP and SP

RB and NRB

Item not included in 2019.

N/A

Any languages spoken other than English

J21a.

Do you speak any other languages?

1  YES

2  NO

LP and SP

RB and NRB

Item not included in 2019.

N/A

Other languages spoken

J21b.

What else do you speak?

1  English

2  Spanish

3  Other: ____________________________________________

LP and SP

RB and NRB

Item not included in 2019.

N/A

Health insurance coverage

J21c.

What kind of health insurance or health care coverage do you have for yourself? (CAPI: CODE ALL MENTIONS, USE CATEGORIES TO PROBE AS NEEDED). [WEB: Please check all that apply]

1PRIVATE HEALTH INSURANCE PLAN FROM YOUR OWN OR YOUR SPOUSE’S EMPLOYER

2 PRIVATE HEALTH INSURANCE PLAN PURCHASED DIRECTLY

3 PRIVATE HEALTH INSURANCE PLAN THROUGH A STATE OR LOCAL GOVERNMENT OR COMMUNITY PROGRAM

4 Private health insurance plan through your spouse or partner’s employment

5MEDICAID

6MEDICARE

7 MILITARY HEALTH CARE/VA OR CHAMPUS/TRICARE/CHAMP-VA

8 NO COVERAGE OF ANY TYPE

9OTHER (SPECIFY)

LP and SP

RB and NRB

J21c_M.

What kind of health insurance or health care coverage do you have for yourself? Please check all that apply]

1PRIVATE HEALTH INSURANCE PLAN FROM YOUR OWN EMPLOYER

2 PRIVATE HEALTH INSURANCE PLAN PURCHASED DIRECTLY

3 PRIVATE HEALTH INSURANCE PLAN THROUGH A STATE OR LOCAL

GOVERNMENT, A HEALTH INSURANCE EXCHANGE, OR COMMUNITY PROGRAM

4 Private health insurance plan through your spouse or partner’s employment

5MEDICAID

6MEDICARE

7 MILITARY HEALTH CARE/VA OR CHAMPUS/TRICARE/CHAMP-VA

8NO COVERAGE OF ANY TYPE

9OTHER (SPECIFY)

All LP and SP

Health status

J22.

Overall, would you say your health is excellent, very good, fair, or poor?

1  Excellent

2  Very good

3  Fair

4  Poor

LP and SP

RB and NRB

Home-based item J22 has not changed.

All LP and SP

Days affected by poor health

Item not included in 2012.

J_POORHLTH. During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation?

_____ Days

All LP and SP

Provider owns home used to care for children

Item not included in 2012.

J_OWNHOME.

Do you own the home where you care for children?

1  Yes

2  No

All LP and SP

Annual household income: Exact dollar amount

J23.

Approximately what (was/will be) your total household income in 2011? Please include income from looking after children, wages and salaries earned by you or other adults in your household. Also include government assistance, gifts, or other income you may have had.

Dollars

LP and SP

RB and NRB

J23_M.

Approximately what was your total household income in 2018? Please include your income from looking after children, and the wages and salaries earned by you or other adults in your household. Also include government assistance, gifts, or other income you may have had.

Dollars

All LP and SP

Annual household income: Before/after tax

J23a.

Was that before or after taxes and deductions?

1  before taxes or deductions

2  after taxes or deductions

LP and SP

RB and NRB

Home-based item J23a has not changed.

All LP and SP who entered a dollar value in J23_M

Annual household income: Ranges

J23b.

It can be difficult to remember or report these numbers and an approximate range is ok. Would you say your total household income in 2011 before taxes or deductions (is/will be)…

1 less than $15,000

2 $15,001 to $25,000

3 $25,001 to $35,000

4 $35,001 to $50,000

5 $50,001 to $65,000

6  $65,001 or more

LP and SP

RB and NRB

J23b_M. Please be assured that your responses to this and all other questions in this survey will not be revealed to any person or agency except in summary form for all study participants combined. Would you say your total household income in 2018 before taxes or deductions was…

1 less than $15,000

2 $15,001 to $25,000

3 $25,001 to $35,000

4 $35,001 to $50,000

5 $50,001 to $65,000

6 $65,001 or more

All LP and SP who did NOT enter a dollar value in J23_M

Percentage of household income stemming from childcare work

J24.

Approximately how much of your household income in 2011 (came/will come) from your work taking care of children?

1 All

2 Almost all
2 More than half
3 About half
4 Less than half
5 Very little

6None

LP and SP

RB and NRB

J24_M.

Approximately how much of your household income in 2018 (came/will come) from your work taking care of children?

1 All

2 Almost all
3 More than half
4 About half
5 Less than half
6 Very little

7None

All LP and SP

Section K: Operations

Amount spent operating program

K4.

Altogether, how much (did/will) you spend to look after children during 2011, for example, on food, equipment, supplies, wages for assistants, or payments for other services? Your best guess will be fine.

1 Under $250
2 $251 to $750
3 $751 to $1,500
4 More than $1,500

LP and SP

RB and NRB

K4_M.

Altogether, how much (did/will) you spend to look after children during 2018, for example, on food, equipment, supplies, wages for assistants, or payments for other services? Your best guess will be fine.

1 Under $250
2 $251 to $750
3 $751 to $1,500
4 More than $1,500

All LP and SP who reported being paid for child care in J24_M

Types of income received: Parent fees

K5a.

The following is a list of types of income that people who care for children might receive. Please indicate how much you (will receive altogether/received in 2011), if any, from each of the following categories for caring for children.

Payments by parents (including late fees, field trips, diapers, transportation, registration, etc.)

$___________

 1 per year

 2 per month

 3 per week

LP and SP

RB and NRB

K5_M part a.

The following is a list of types of income that people who care for children might receive. Please indicate how much you (will receive altogether/received in 2018), if any, from each of the following categories for caring for children.

Payments by parents (including late fees, field trips, diapers, transportation, registration, etc.)

$___________

 1 per year

 2 per month

 3 per week

All LP and SP who reported being paid for child care in J24_M

Types of income received: Parent fees

Item not included in 2012.

K5_M part a2.

You didn’t specify an amount for Payments by parents (including late fees, field trips, diapers, transportation, registration, etc.). Did you receive any income from this source in 2018?

 1 Yes

 2 No

All LP and SP who reported being paid for child care in J24_M

Types of income received: Reimbursements from government agencies

K5b.

Reimbursements from governmental agencies (vouchers/certificates, contracts, Pre-k, public school districts, Child and Adult Care Food Program (USDA)

$___________

 1 per year

 2 per month

 3 per week

LP and SP

RB and NRB

K5_M part b.

Reimbursements from governmental agencies (vouchers/certificates, contracts, Pre-k, public school districts, Child and Adult Care Food Program (USDA)

$___________

 1 per year

 2 per month

 3 per week

All LP and SP who reported being paid for child care in J24_M

Types of income received: Reimbursements from government agencies

Item not included in 2012.

K5_M part b2

You didn’t specify an amount for Reimbursements from governmental agencies (vouchers/certificates, contracts, Pre-k, public school districts, Child and Adult Care Food Program (USDA)). Did you receive any income from this source in 2018?

All LP and SP who reported being paid for child care in J24_M

Types of income received: Payments from other individuals or groups

K5c.

Payments from other individuals or groups (family members, charity, employers, churches)

$___________

 1 per year

 2 per month

 3 per week

LP and SP

RB and NRB

K5_M part c.

Payments from other individuals or groups (family members, charity, employers, churches)

$___________

 1 per year

 2 per month

 3 per week

All LP and SP who reported being paid for child care in J24_M

Types of income received: Payments from other individuals or groups

Item not included in 2012.

K5_M part c2.

You didn’t specify an amount for Payments from other individuals or groups (family members, charity, employers, churches). Did you receive any income from this source in 2018?

All LP and SP who reported being paid for child care in J24_M

Types of income received: Other types of income

K5d.

Other types of income

$___________

 1 per year

 2 per month

 3 per week

LP and SP

RB and NRB

K5_M part d.

Other types of income

$___________

 1 per year

 2 per month

 3 per week

All LP and SP who reported being paid for child care in J24_M

Types of income received: Other types of income

Item not included in 2012.

K5_M part d2.

You didn’t specify an amount for Other types of income. Did you receive any income from this source in 2018?

All LP and SP who reported being paid for child care in J24_M

Types of income received: Total income received

K5e.

That means that you received about [TOTAL] for caring for children under age 13 last year, is that correct?

 Yes

 No

LP and SP

RB and NRB

K5_M part e.

That means that you received about [TOTAL] for caring for children under age 13 last year, is that correct?

 Yes

 No

All LP and SP who reported being paid for child care in J24_M

Types of income received: Total income received

K5f.

About how much would you say you (received/will receive altogether) in 2011 for looking after children under age 13?

$___________

LP and SP

RB and NRB

K5_M part f.

About how much would you say you (received/will receive altogether) in 2018 for looking after children under age 13?

$___________

All LP and SP who reported being paid for child care in J24_M

Types of income received: Total income received

Item not included in 2012.

Understanding the financial challenges and opportunities of providing home-based care is critical to better understanding the true cost that families and providers pay to care for children. Please indicate which of the following best describese the amount you received altogether in 2018 for looking after children under age 13.

1 Under $2500
2 $2501 to $7500
3 $7501 to $10,500
4 More than $10,500

All LP and SP who reported being paid for child care in J24_M

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title	2019 NSECE Home-based Questionnaire Items – Overview and Comparison
Author	Cameron Koch
File Modified	0000-00-00
File Created	2021-01-20

3_2019 NSECE Home-based Provider Questionnaire Items - Overview and Comparison