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Program Quality Indicators = Quality Early Learning and Quality ...

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CHILDREN SERVICES<br />

PQI - BENCHMARK DATA FORM #2<br />

Date of Visit: Time of Visit: Visit #:_____________<br />

Name of Centre:___________________________________________________________<br />

Location:_________________________________________________________________<br />

Group Observed:<br />

Infant Toddler JK SAC: JK/SR<br />

Preschool: Nursery School/<strong>Early</strong> <strong>Learning</strong>/Preschool <strong>Learning</strong>/School Readiness<br />

Number of Children:<br />

Number of Staff:__________________<br />

PQI - Benchmark<br />

RATING- BENCHMARKS ACHIEVED<br />

Column - 1<br />

0 - 50%<br />

Column - 2<br />

51% - 99%<br />

Column - 3<br />

100%<br />

Column - 4<br />

100% & 50%<br />

Enhanced<br />

Column - 5<br />

100% &100%<br />

Enhanced<br />

Facilities<br />

Health,<br />

Hygiene &<br />

Safety<br />

Nutrition<br />

<strong>Program</strong>ming<br />

Staffing<br />

Site Visit Summary:<br />

All components of Column 3 have been met & “no” Action Plan is required.<br />

YES / NO<br />

Action Plan is required <strong>and</strong> to be prepared by program Supervisor/Executive Director & <strong>Program</strong><br />

<strong>Quality</strong> Coordinator by<br />

(Date).<br />

Comments:<br />

_________________________________________________________________________________________________<br />

_________________________________________________________________________________________________<br />

_________________________________________________________________________________________________<br />

_________________________________________________________________________________________________<br />

_________________________________________________________________________________________________<br />

_________________________________________________________________________________________________<br />

_________________________________________________________________________________________________<br />

_________________________________________________________________________________________________<br />

cc: Board of Directors<br />

--<br />

(This form completed <strong>and</strong> signed by <strong>Program</strong> <strong>Quality</strong> Coordinator.)

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