DA Form 5246-R "Child Development Services (Cds) Report"

What Is DA Form 5246-R?

This is a military form that was released by the U.S. Department of the Army (DA) on July 1, 1989. The form, often mistakenly referred to as the DD Form 5246-R, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

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REPORTING PERIOD
REPORTS CONTROL
ARMY CHILD DEVELOPMENT SERVICES (CDS) REPORT
SYMBOL
For use of this form, see AR 608-10; the proponent agency is DCSPER
CSGPA 1717
to
(Month and Year)
(Month and Year)
SECTION I - CHILD DEVELOPMENT SERVICES
SUMMARY - CHILD DEVELOPMENT CENTER
/FAMILY CHILD CARE
/SUPPLEMENTAL PROGRAMS & SERVICES
(CDS)
(CDC)
(FCC)
(SPS)
PART I - INSTALLATION/MACOM IDENTIFYING DATA
A. INSTALLATION
B. MACOM
C. MACOM CODE
D. SUBORDINATE COMMAND CODE
E. CDS COMPLETE MAILING ADDRESS (Include ZIP Code)
F. TELEPHONE NUMBER
G. PROPONENT FOR CDS
(Include AUTOVON and Commercial No.)
(e.g. ACS PSD)
H. NAME/GRADE/TITLE OF CDS COORDINATOR
I. SIGNATURE OF CDS COORDINATOR
PART II - FISCAL DATA
TOTAL DOLLARS
A. CDS FUNDING SOURCE
$
(CDC, FCC and SPS Systems)
1. APPROPRIATED FUNDS
$
$
2. NONAPPROPRIATED FUNDS
$
3. NONAPPROPRIATED FUNDS (User Fees)
$
4. USDA CHILD CARE FOOD PROGRAM/OCONUS FOOD SUBSIDY
$
5. DONATIONS/GRANTS
B. CDS OPERATIONAL COSTS
$
(CDC, FCC and SPS Systems)
$
1. PERSONNEL SALARIES & BENEFITS
$
2. FOOD SERVICE
$
3. EQUIPMENT & SUPPLIES
4. OTHER
$
FY
C. FUNDS COMMITTED FOR RENOVATION EFFORTS
FY
$
D. FUNDS PROGRAMMED FOR NEW CONSTRUCTION
DA FORM 5246-R, JUL 1989
APD LC v1.01ES
REPORTING PERIOD
REPORTS CONTROL
ARMY CHILD DEVELOPMENT SERVICES (CDS) REPORT
SYMBOL
For use of this form, see AR 608-10; the proponent agency is DCSPER
CSGPA 1717
to
(Month and Year)
(Month and Year)
SECTION I - CHILD DEVELOPMENT SERVICES
SUMMARY - CHILD DEVELOPMENT CENTER
/FAMILY CHILD CARE
/SUPPLEMENTAL PROGRAMS & SERVICES
(CDS)
(CDC)
(FCC)
(SPS)
PART I - INSTALLATION/MACOM IDENTIFYING DATA
A. INSTALLATION
B. MACOM
C. MACOM CODE
D. SUBORDINATE COMMAND CODE
E. CDS COMPLETE MAILING ADDRESS (Include ZIP Code)
F. TELEPHONE NUMBER
G. PROPONENT FOR CDS
(Include AUTOVON and Commercial No.)
(e.g. ACS PSD)
H. NAME/GRADE/TITLE OF CDS COORDINATOR
I. SIGNATURE OF CDS COORDINATOR
PART II - FISCAL DATA
TOTAL DOLLARS
A. CDS FUNDING SOURCE
$
(CDC, FCC and SPS Systems)
1. APPROPRIATED FUNDS
$
$
2. NONAPPROPRIATED FUNDS
$
3. NONAPPROPRIATED FUNDS (User Fees)
$
4. USDA CHILD CARE FOOD PROGRAM/OCONUS FOOD SUBSIDY
$
5. DONATIONS/GRANTS
B. CDS OPERATIONAL COSTS
$
(CDC, FCC and SPS Systems)
$
1. PERSONNEL SALARIES & BENEFITS
$
2. FOOD SERVICE
$
3. EQUIPMENT & SUPPLIES
4. OTHER
$
FY
C. FUNDS COMMITTED FOR RENOVATION EFFORTS
FY
$
D. FUNDS PROGRAMMED FOR NEW CONSTRUCTION
DA FORM 5246-R, JUL 1989
APD LC v1.01ES
SECTION I - CHILD DEVELOPMENT SERVICES
SUMMARY - CHILD DEVELOPMENT CENTER
/FAMILY CHILD CARE
/
SUPPLEMENTAL PROGRAMS & SERVICES
(CDS)
(CDC)
(FCC)
(SPS) (Cont'd)
PART III
A. ADMINISTRATIVE STAFF (Complete 1 - 5 on each administrative position identified in 1.)
1. POSITION IDENTIFIED (Check appropriate block) (Fill in items a., b., and c.)
CDC COORDINATOR
SPS DIRECTOR
CDC DIRECTOR(s)
SA/LK PROGRAM SPECIALIST
FCC DIRECTOR
ASSISTANT PROGRAM DIRECTOR
FCC OUTREACH WORKER
EDUCATION SPECIALIST
FOOD SERVICE MANAGER
PROGRAM OPERATIONS SPECIALIST
a. NAME
b. FACILITY MAILING ADDRESS
c. AUTOVON/COMMERCIAL TELEPHONE NO.
2. TITLE/GRADE
YEAR OF EMPLOYMENT
GS
UA
3. SERIES
a. 1701
d. 1101
b. 1702
e. 189
f. OTHER
c. 1710
4. PERCENT OF TIME SPENT ON EACH POSITION WHEN DOUBLE FUNCTIONED
a. PERCENT OF TIME ON FIRST POSITION AND TITLE
b. PERCENT OF TIME ON SECOND POSITION AND TITLE
c. SOLE RESPONSIBILITY
YES
NO
5. TRAINING (Specify dates and nature of training)
a. CFSC ENTRY LEVEL COURSE
b. CDS ANNUAL TRAINING WORKSHOP
c. ARMY AND DOD SPONSORED TRAINING
d. LOCAL PROFESSIONAL DEVELOPMENT TRAINING
e. NO TRAINING
f. CFSC CDC DIRECTOR COURSE
g. MACOM SPONSORED TRAINING
h. HQDA CDS SPONSORED TRAINING
TOTAL NUMBERS
B.
1. APF STAFF POSITIONS (full time equivalent)
2. NAF STAFF POSITIONS (full time equivalent)
DA FORM 5246-R, JUL 1989
APD LC v1.01ES
2
SECTION I - CHILD DEVELOPMENT SERVICES
SUMMARY - CHILD DEVELOPMENT CENTER
/FAMILY CHILD CARE
/SUPPLEMENTAL PROGRAMS & SERVICES
(CDS)
(CDC)
(FCC)
(SPS) (Cont'd)
PART IV - SERVICES
TOTAL NUMBERS
A. CDS CHILD DEVELOPMENT CENTER SYSTEM
1. CDC'S
2. CHILD CAPACITY
3. CHILD CAPABILITY
4. CHILD AGE GROUP ENROLLMENT
5. PROGRAM TYPES/AVERAGE DAILY ATTENDANCE
a. FULL-DAY PROGRAM
b. PART-DAY PRESCHOOL AGE PROGRAM
c. PART-DAY SCHOOL AGE PROGRAM
d. HOURLY PROGRAM
e. SPECIAL NEEDS PROGRAM SERVICES
B. CDS FAMILY CHILD CARE (FCC) HOMES
1. CDS CERTIFIED FCC HOMES
2. CHILD CAPACITY
3. CHILD AGE GROUP ENROLLMENT
C. CDS SUPPLEMENTAL PROGRAMS AND SERVICES (SPS)
1. PROGRAMS OFFERED (Check all that apply)
a. SA/LK
b. SHORT TERM ALTERNATIVE CHILD CARE
c. VOLUNTEER CHILD CARE IN UNIT SETTINGS
d. PARENT CO-OPS
e. SPS HOMES
f. CIVILIAN CHILD CARE
g. CONTRACT CHILD CARE
h. SICK CHILD CARE
i. PRIVATE ORGANIZATION
j. SPECIAL INTEREST PROGRAMS
k. BABY SITTER TRAINING & REFERRAL
l. FOSTER GRANDPARENT
m. OTHER
2. TOTAL ENROLLMENT
3. SERVICES OFFERED (Check all that apply)
a. PARENT EDUCATION
b. VOLUNTEER SERVICES
c. RESOURCE & REFERRAL
d. CENTRAL ENROLLMENT
PART V - UTILIZATION DATA
PERCENTAGE OF TOTAL
TOTAL NUMBERS
CDS ENROLLMENT
A. SPONSORS (Include both parents where applicable)
1
0
0
1. E1 - E4 PATRONS
2. E5 - E9 PATRONS
DA FORM 5246-R, JUL 1989
3
APD LC v1.01ES
SECTION I - CHILD DEVELOPMENT SERVICES
SUMMARY - CHILD DEVELOPMENT CENTER
/FAMILY CHILD CARE
/SUPPLEMENTAL PROGRAMS & SERVICES
(CDS)
(CDC)
(FCC)
(SPS) (Cont'd)
PART V - UTILIZATION DATA
(Cont'd)
PERCENTAGE OF TOTAL
TOTAL NUMBERS
CDS SPONSORS
3. 01- 04 PATRONS
4. 05 - 10 PATRONS
5. CIVILIAN PATRONS
PERCENTAGE OF TOTAL
TOTAL NUMBERS
CDS ENROLLMENT
1
0
0
B. CHILD AGE GROUP ENROLLMENT
1. INFANTS
2. TODDLERS
3. PRESCHOOL AGE
4. SCHOOL-AGE
C. FAMILY STRUCTURE
1. CDS PATRONS WITH TWO OR MORE CHILDREN ENROLLED
2. CDS PATRONS WHO ARE SOLE PARENTS
3. SA/LK PATRONS WHO ARE SOLE PARENTS
4. ACTIVE DUTY COUPLES WHO ARE CDS PATRONS
5. ACTIVE DUTY COUPLES WHO ARE SA/LK PATRONS
D. OFF-POST RESIDENT PATRONS
PART VI - REMARKS
DA FORM 5246-R, JUL 1989
APD LC v1.01ES
4
SECTION II - CHILD DEVELOPMENT SERVICES
CHILD DEVELOPMENT CENTER SYSTEM
(CDS)
PART I - FISCAL DATA
TOTAL DOLLARS
$
A. CENTER OPERATIONAL COSTS
B. FEES
1. RATE STRUCTURE BASIS (Check all applicable boxes)
a. TOTAL FAMILY INCOME
b. AGE OF CHILD
c. N/A
d. SPONSOR RANK
e. MULTIPLE CHILD DISCOUNT
f. FLAT RATE
PERCENTAGE
2. MULTIPLE CHILD DISCOUNT RATE
a. SECOND CHILD
b. THIRD CHILD
c. EACH ADDITIONAL CHILD
TOTAL DOLLARS/CENTS
3. MOST FREQUENTLY PAID HOURLY RATE PER CHILD
$
$
4. MOST FREQUENTLY PAID WEEKLY RATE PER CHILD
$
5. MOST FREQUENTLY PAID MONTHLY RATE PER CHILD
6. PRESCHOOL MONTHLY RATE PER CHILD
a. 5 DAY PROGRAM
$
b. 3 DAY PROGRAM
$
c. 2 DAY PROGRAM
$
7. PART DAY SCHOOL-AGE MONTHLY RATE PER CHILD
b. AFTER SCHOOL
a. BEFORE SCHOOL
c. BEFORE AND AFTER SCHOOL
PART II - PERSONNEL
TOTAL NUMBERS
PERCENTAGE OF STAFF
A. REGULARLY SCHEDULED FULL TIME AND PART TIME EMPLOYEES IN THE FULL DAY PROGRAM
B. REGULARLY SCHEDULED FULL TIME AND PART TIME EMPLOYEES IN THE HOURLY PROGRAM
C. INTERMITTANT-ON-CALL EMPLOYEES IN CDC
DA FORM 5246-R, JUL 1989
APD LC v1.01ES
5
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