Early Childhood Development Services ANNUAL REPORT

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The Annual Report collects program utilization and reporting data for the following programs: Early Childhood Enhancement Grant; Utilization of funding from April 1, 2015 to March 31, 2016. Supported Child Care Grant; Utilization of funding from April 1, 2015 to March 31, 2016. To complete the Annual Report the following steps must be followed: 1. The following documentation must be completed and submitted on or before Wednesday, May 11, 2016 in the manner required. Child Care Facility profile (Page 2) Current Board of Directors list if applicable (Please submit the list with your submission of the Annual Report). Early Childhood Enhancement Grant Reporting - Child Care Facility Wage/Salary (Pages 3&4) Supported Child Care Grant Reporting (Page 5) Annual Year End Financial Statements or Financial Information (Financial Information Form Page 6). If you have any questions, please consult with your Early Childhood Development Consultant (ECDC) in the completion of this form. Please Note: If the Annual Report is not received by Wednesday, May 11, 2016, future funding installments may be suspended. Please contact your ECDC immediately if you cannot meet this deadline. Where an organization operates multiple sites, an Annual Report must be completed for each full-day or partday licensed child care facility site. 2. Please ensure all funding amounts received are reported, reflecting the total grant funding received through the ECEG and / or the SCCG. Facilities that have not followed the grant distribution criteria outlined in the Terms and Conditions of the ECEG and the Terms and Conditions of the SCCG, may be required to submit additional information on how they will meet the grant distribution criteria. These facilities may be required to provide reports on a quarterly basis until such time as they demonstrate they have met the distribution criteria and may be subject to Audit. 3. Please note the following requirements must be met to be eligible for continued grant funding: The child care facility must have a valid license to operate and be in compliance with the Care Act and Regulations. Failure to comply with the Care Act and Regulations may result in suspension or cancellation of gran funding. This Annual Report and its attached information is used to monitor the funding allocation, and measure utilization. The information provided must be accurate and completed in full. Licensees may be required to provide additional information specific to the distribution and usage of grant funding 4. According to the Funding Agreement: Section 7.00 evaluation, audit, review by the Minister (7.03) The Minister or an authorized representative or agent of the Minister may, at the Minister s sole discretion, and at its own cost and expense, conduct an evaluation, inspection or audit of the funding, financial and operating records of the Licensee, and any program provided by the Licensee under this Agreement. Such evaluation, inspection or audit may include, without limitation, a review of the management and financial practices of and the services provided by the Licensee. Any Licensee records relating to such reviews will be made available upon demand and without limitation. ~ 1 ~

Child Care Facility Profile Please complete the following: (PLEASE PRINT) The child care facility name and mailing address as currently filed with the Registry of Joint Stocks. Contact Person: Phone Number: Registered Name of the Operator: Date of current registry with Joint Stocks (YYYY/MM/DD): Child Care Facility Name: Civic Address City/Town: Postal Code: Phone Number: County: E-Mail: Fax Number: Please Note: This will be the address that is used by the Department for mailing purposes. Mailing Address: (If different than Civic Address) City/Town: County: Postal Code: Facility located in a School: Yes No For this section, please provide the operational Information for the Current Year (2016) Your Child Care Facility s fiscal year: Total License Capacity: Hours of Operation: Date of Fall Opening (YYYY/MM/DD): Date of Christmas Break From (YYYY/MM/DD): Date of Summer Break From (YYYY/MM/DD): To (YYYY/MM/DD): To (YYYY/MM/DD): Other Closures (e.g. March Break) From (YYYY/MM/DD): Child Age Group Current Daily Fees Children with Special Needs Enrolled (as of today) License Capacity: Enrollment: Children s Average Daily Attendance the week of February 22 to 26, 2016: Full To (YYYY/MM/DD): Infant Toddler Preschool School Age Part Full Part Full Part Before School Lunch After School Is your centre unionized? Yes No Is your centre grandparented? Yes No Does your centre have a retention/recruitment policy? Yes No If Yes, describe Does your centre provide a discount for siblings? Yes No If Yes, describe Does your centre provide a discount for staff children? Yes No If Yes, describe I (We), the undersigned, do hereby certify that all the information provided is true and complete to the best of my (our) knowledge and belief. Director (Printed Name) Director (Signature) Date Chair of Board (Printed Name) Chair of Board (Signature) Date Operator (Printed Name) Operator (Signature) Date ~ 2 ~

Early Childhood Enhancement Grant (ECEG) - Utilization period April 1, 2015 to March 31, 2016 Total ECEG Funding Amount Received 2015-2016 (Refer to 2015/16 notification letter) Wages and Benefits Minimum of 80% ECEG funding has been spent on Wages/Statutory Benefits/ Extended Benefits Y N 1) Amount of ECEG spent on wages $ 2) Amount of ECEG spent on statutory benefits $ Employer s cost of the statutory group benefits associated with the increased wages provided as a result of this grant. Statutory group benefits are Employment Insurance (EI) and Canada Pension Plan (CPP); 3) Amount of ECEG spent on extended benefits $ Worker s Compensation; Employer s contribution to paid maternity leave (in excess of EI); Dental coverage; Extended health care coverage; Paid sick days; Life Insurance; and Retirement/pension plan. Please list Extended Benefits and provide a total cost of each Benefit: e.g.: Medical Plan $2,000.00 Are benefits provided in lieu of enhanced wages? Y N *Please Note for the purpose of the Annual Report, please use the following definitions: Base Wage/Salary: is the wage per hour or annual salary that is paid by the Child Care Facility; according to the Child Care Facility Policy; which may include years of service, responsibilities, experience. This Base Wage/Salary does not include any funding received through the ECEG. ECEG Amount: is the enhancement added to the Child Care Facility s Base Wage, according to the Terms and Conditions of the ECEG 2015-2016, and is in addition to the Base Wage which is set by the Child Care Facility. Staff Position/Title & Age group Example: Director Classification Number Hours worked Classification / Training Level Base Wage/Salary (Please see above for Definition) ECEG Amount (Please see above for Definition) Total Wage/Salary/ Hour Total Wage/Salary/ Year 1785 III 31,773.00 7140.00 38,913.00 ECE/Toddler 2080 II 15.80 3.00 18.80 ECE/Preschool 750 Entry 11.30 1.50 12.80 ~ 3 ~

Additional rows for wages and ECEG, if required; Early Childhood Development Services Staff Position/Title & Age group Classification Number Hours worked Classification / Training Level Base Wage/Salary (Please see above for Definition) ECEG Amount (Please see above for Definition) Total Wage/Salary/ Hour Total Wage/Salary/ Year ~ 4 ~

Professional Growth and Training Minimum 5% ECEG funding has been spent on Professional Growth / Training Y N *Please note: Training/ Workshops over 20 hours in length and Mandatory Training (First Aid, CPR, Orientation, and Food Handlers) are not eligible under the Terms and Conditions of the Early Childhood Enhancement Grant (ECEG) 1) Workshops / Training Workshops Please List: Professional Growth Courses/Workshops/Conferences attended for the period April 1, 2015 - March 31, 2016 Name of Professional Growth Course/Workshop/Conference Total Cost Mentorship Other Details 2) Resources *Please note: Maximum of $500.00 to be allocated per facility to resources (April 1, 2015 March 31, 2016) 3) Substitute ECE Educator 4) Travel *Please note: Maximum of $1,000.00 to be allocated per facility to Travel (April 1, 2015 March 31, 2016) Operations Maximum of 15% ECEG funding has been spent on Child Care Facility Operations Y N Operations *Please note: Operational funding does not include Capital Costs I (We), the undersigned, do hereby certify that all the information provided is true and complete to the best of my (our) knowledge and belief. Signing below, I (We) agree that the funding provided under the 2015-2016 ECEG was spent in accordance with the Terms and Conditions of the Terms and Conditions of the Early Childhood Enhancement Grant. Director (Printed Name) Director (Signature) Date Chair of Board (Printed Name) Chair of Board (Signature) Date Operator (Printed Name) Operator (Signature) Date ~ 5 ~

Additional rows for Professional Development courses., if required; Name of Professional Growth Course/Workshop/Conference Total Cost ~ 6 ~

Supported Child Care Grant (SCCG) Utilization period April 1, 2015 March 31, 2016 (Please complete this section if your centre received the Supported Child Care Grant in 2015/16) Total SCCG Funding Amount Received 2015-2016 (Refer to 2015/16 notification letter) Amount of SCCG funding spent directly on costs related to the delivery of an inclusive program: (a) Additional Staffing Statutory Benefits Extended Benefits (b) Approved Resources/ Equipment (c) Approved PD/ Training TOTAL (a+b+c) SCCG Salary Amounts: Staff Position/Title Classification Number Hours worked Classification / Training Level Total Wage/Salary/ Hour Total Wage/Salary/ Year Example: 1785 III 38,913.00 Resource teacher Coordinator 2080 II 18.80 Support staff 750 Entry 12.80 Please List: Educational and Resource Materials purchased utilizing SCCG funding for the period April 1, 2015 - March 31, 2016 Educational Equipment/Resource Materials Total Cost ~ 7 ~

Please List: Professional Development and training attended utilizing SCCG funding for the period April 1, 2015 March 31, 2016 Name of Course/Workshop/Conference Total Cost I (We), the undersigned, do hereby certify that all the information provided is true and complete to the best of my (our) knowledge and belief. Signing below, I (We) agree that the funding provided under the 2015-2016 SCCG was spent in accordance with the Terms and Conditions of the Supported Child Care Grant Director (Printed Name) Director (Signature) Date Chair of Board (Printed Name) Chair of Board (Signature) Date Operator (Printed Name) Operator (Signature) Date ~ 8 ~

This year, we are requiring all centres to use the template provided below to provide data on revenues and expenditures. If centres have audited financial statements, we will need the statements to follow the format below. If required, copy the information from the financial statements into the template. Financial Information Fiscal Year end 2015 (Please indicate your facility s fiscal year) Revenue: Provincial Grant (ECEG) Provincial Grant (SCCG) Provincial Grant (Child Development Centre) Other Grants Provincial Subsidy (Subsidized Parental Fees) Parent Fees Donations Fundraising Other (Specify): Other (Specify): Expenses: Staff: Salaries / Wages Statutory / Extended Benefits Training / Professional Development Total Revenue Premises Costs: Rent / Lease Mortgage General Repairs/Maintenance Property Tax Contracted Services (Snow Removal, Landscaping, etc) Contracted Cleaning/Janitorial Services Utilities: Heat Electricity / Power Water Sewer Telephone / Fax / Internet Cable Supplies/Materials: Equipment Purchases (phone, computer, TV, etc) Program Supplies/Materials (Books, Crafts etc) Cleaning/Janitorial Supplies Food/Groceries Maintenance: Cleaning / Janitorial Snow removal/ Landscaping Insurance Administration Vehicle Expenses Advertising / Marketing / Promotion Bad Debts Service Charges: Bank Service Charge Interest Expense Accounting / Legal / Audit Fees Capital Cost Allowance/Amortization Other: Total Expenses _ Net Income (Loss) Prepared by: I (We), the undersigned, do hereby certify that all the information provided is true and complete to the best of my (our) knowledge and belief. Signing below, I (We) agree that financial information is for the year ending 2015, and is in accordance with Section 7.00 (Evaluation, audit, review by the minister (703) ) of the Funding Agreement previously signed by the undersigned. Director (Printed Name) Director (Signature) Date Chair of Board (Printed Name) Chair of Board (Signature) Date Operator (Printed Name) Operator (Signature) Date ~ 9 ~