Staff-to-Child Ratio Compliance Checklist
Complete this checklist to document and ensure compliance with required staff-to-child ratios in your childcare setting.
Facility Name
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Assessment
*
Hour Minutes
AM
PM
AM/PM Option
Room/Group Name
*
Age Group of Children
*
Please Select
Infants (0-12 months)
Toddlers (13-36 months)
Preschool (3-5 years)
School Age (6+ years)
Mixed Age Group
Other
Number of Children Present
*
Number of Staff Present
*
Ratio Compliance Status
*
Compliant (meets or exceeds required ratio)
Non-Compliant (does not meet required ratio)
If Non-Compliant, describe corrective actions taken or needed
Additional Comments or Observations
Name of Person Completing Checklist
*
First Name
Last Name
Signature
*
Submit Checklist
Submit Checklist
Should be Empty: