| 1. Is this a clean and tidy place? | 1 2 3 4 5 |
| 2. Do the children seem happy and enthusiastic? | 1 2 3 4 5 |
| 3. How are the children usually disciplined? | 1 2 3 4 5 |
| 4. Do the provider's children use this facility? | 1 2 3 4 5 |
| 5. How do the children interact with my child and others? | 1 2 3 4 5 |
| 6. How many children does the license cover? | 1 2 3 4 5 |
| 7. How many adults work here? | 1 2 3 4 5 |
| 8. How qualified are staff members? | 1 2 3 4 5 |
| 9. Do the children have their own space or "cubby"? | 1 2 3 4 5 |
| 10. Do the children nap and for how long? | 1 2 3 4 5 |
| 11. How much time do they spend watching television? | 1 2 3 4 5 |
| 12. How often do they get snacks? | 1 2 3 4 5 |
| 13. What type of snacks are served? | 1 2 3 4 5 |
| 14. Is the lunch menu nutritious? | 1 2 3 4 5 |
| 15. Will I receive menus on a weekly basis? | 1 2 3 4 5 |
| 16. Is the organized play educational? | 1 2 3 4 5 |
| 17. Are there any safety hazards, such as space heaters, uncovered plugs, etc.? | 1 2 3 4 5 |
| 18. Is a weekly schedule posted? | 1 2 3 4 5 |
| 19. Is there a weekly progress report? | 1 2 3 4 5 |
| 20. Are child safety locks in place where children may frequent? | 1 2 3 4 5 |
| 21. What's the policy for sick children? | 1 2 3 4 5 |
| 22. Are play items sterilized periodically? | 1 2 3 4 5 |
| 23. Can parents drop in unannounced? | 1 2 3 4 5 |
| 24. Does the home have pets? How many? | 1 2 3 4 5 |
| 25. Do the pets have access to the children? | 1 2 3 4 5 |
| 26. Is there a play area outdoors? | 1 2 3 4 5 |
| 27. What does the play equipment look like? | 1 2 3 4 5 |
| 28. Is the play equipment safe? | 1 2 3 4 5 |
| 29. Is the play area kept tidy with lawn care? | 1 2 3 4 5 |
| 30. How much attention is given to children at play? | 1 2 3 4 5 |
| 31. What does the provider do in case of emergency? | 1 2 3 4 5 |
| 32. Does this provider have space for my child? | 1 2 3 4 5 |
| TOtAL SCORE | _____ |