Form SFN1130 "Enrollment and Staffing Schedule" - North Dakota

What Is Form SFN1130?

This is a legal form that was released by the North Dakota Department of Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2011;
  • The latest edition provided by the North Dakota Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form SFN1130 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Human Services.

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Download Form SFN1130 "Enrollment and Staffing Schedule" - North Dakota

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Provider:
Clear Fields
HOUR BY HOUR ENROLLMENT AND STAFFING SCHEDULE
Address:
FOR GROUP CHILD CARE
ND DEPARTMENT OF HUMAN SERVICES/CFS
Date Form Completed:
SFN 1130 (Rev. 9-2011)
New License:
Renewal:
Unannounced
Review:
License Number:
Expiration Date:
Compliance:
Yes
No
TIME OF THE DAY (6 a.m. - 6 - p.m.)
AGE CATEGORY CHILD RATIO
MAXIMUM NUMBER OF CHILDREN
MAXIMUM GROUP SIZE
SCHEDULED PER DAY
6 a.m.
7 a.m.
8 a.m.
9 a.m.
10 a.m.
11 a.m.
12 Noon
1 p.m.
2 p.m.
3 p.m.
4 p.m.
5 p.m.
6 p.m.
Number of Children Scheduled:
Birth to 18 months
Number of Staff Present:
Cannot Exceed Ratio 1:4
X .25
Required Caregivers:
Number of Children Scheduled:
18 months - 36 months
Number of Staff Present:
Cannot Exceed Ratio 1:5
X .20
Required Caregivers:
Number of Children Scheduled:
3 Year Olds
Number of Staff Present:
Cannot Exceed Ratio 1:7
X .14
Required Caregivers:
Number of Children Scheduled:
4 Year Olds
Number of Staff Present:
Cannot Exceed Ratio 1:10
X .10
Required Caregivers:
Number of Children Scheduled:
5 Year Olds
Number of Staff Present:
Cannot Exceed Ratio 1:12
X .08
Required Caregivers:
Number of Children Scheduled:
6 - 12 Year Olds
Number of Staff Present:
Cannot Exceed Ratio 1:18
X .05
Required Caregivers:
Number of Children Scheduled:
Special Needs Children
Number of Staff Present:
When More Than Usual Care
Use Developmental Age
Required Caregivers:
TOTAL
NUMBER OF CHILDREN SCHEDULED
NUMBER OF STAFF PRESENT
REQUIRED CAREGIVERS
Provider:
Clear Fields
HOUR BY HOUR ENROLLMENT AND STAFFING SCHEDULE
Address:
FOR GROUP CHILD CARE
ND DEPARTMENT OF HUMAN SERVICES/CFS
Date Form Completed:
SFN 1130 (Rev. 9-2011)
New License:
Renewal:
Unannounced
Review:
License Number:
Expiration Date:
Compliance:
Yes
No
TIME OF THE DAY (6 a.m. - 6 - p.m.)
AGE CATEGORY CHILD RATIO
MAXIMUM NUMBER OF CHILDREN
MAXIMUM GROUP SIZE
SCHEDULED PER DAY
6 a.m.
7 a.m.
8 a.m.
9 a.m.
10 a.m.
11 a.m.
12 Noon
1 p.m.
2 p.m.
3 p.m.
4 p.m.
5 p.m.
6 p.m.
Number of Children Scheduled:
Birth to 18 months
Number of Staff Present:
Cannot Exceed Ratio 1:4
X .25
Required Caregivers:
Number of Children Scheduled:
18 months - 36 months
Number of Staff Present:
Cannot Exceed Ratio 1:5
X .20
Required Caregivers:
Number of Children Scheduled:
3 Year Olds
Number of Staff Present:
Cannot Exceed Ratio 1:7
X .14
Required Caregivers:
Number of Children Scheduled:
4 Year Olds
Number of Staff Present:
Cannot Exceed Ratio 1:10
X .10
Required Caregivers:
Number of Children Scheduled:
5 Year Olds
Number of Staff Present:
Cannot Exceed Ratio 1:12
X .08
Required Caregivers:
Number of Children Scheduled:
6 - 12 Year Olds
Number of Staff Present:
Cannot Exceed Ratio 1:18
X .05
Required Caregivers:
Number of Children Scheduled:
Special Needs Children
Number of Staff Present:
When More Than Usual Care
Use Developmental Age
Required Caregivers:
TOTAL
NUMBER OF CHILDREN SCHEDULED
NUMBER OF STAFF PRESENT
REQUIRED CAREGIVERS
Provider:
SFN 1130 (Rev. 9-2011)
Page 2 of 2
Address:
Date Form Completed:
New License:
Renewal:
Unannounced
Review:
License Number:
Expiration Date:
Compliance:
TIME OF THE DAY (6 p.m. - 6 - a.m.)
Yes
No
AGE CATEGORY CHILD RATIO
MAXIMUM NUMBER OF CHILDREN
12
6 p.m.
7 p.m.
8 p.m.
9 p.m.
10 p.m.
11 p.m.
Midnight
1 a.m.
2 a.m.
3 a.m.
4 a.m.
5 a.m.
6 a.m.
MAXIMUM GROUP SIZE
SCHEDULED PER DAY
Number of Children Scheduled:
Birth to 18 months
Number of Staff Present:
Cannot Exceed Ratio 1:4
X .25
Required Caregivers:
Number of Children Scheduled:
18 months - 36 months
Cannot Exceed Ratio 1:5
Number of Staff Present:
X .20
Required Caregivers:
Number of Children Scheduled:
3 Year Olds
Number of Staff Present:
Cannot Exceed Ratio 1:7
X .14
Required Caregivers:
Number of Children Scheduled:
4 Year Olds
Number of Staff Present:
Cannot Exceed Ratio 1:10
X .10
Required Caregivers:
Number of Children Scheduled:
5 Year Olds
Cannot Exceed Ratio 1:12
Number of Staff Present:
X .08
Required Caregivers:
Number of Children Scheduled:
6 - 12 Year Olds
Number of Staff Present:
Cannot Exceed Ratio 1:18
X .05
Required Caregivers:
Number of Children Scheduled:
Special Needs Children
Number of Staff Present:
When More Than Usual Care
Use Developmental Age
Required Caregivers:
TOTAL
NUMBER OF CHILDREN SCHEDULED
NUMBER OF STAFF PRESENT
REQUIRED CAREGIVERS
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