211 Child Care COVID-19 Survey CS

2-1-1 Child Care is conducting a brief and important survey for the purposes of tracking availability of child care and programs impacted by COVID-19. This information will be shared with the the Office of Early Childhood and inform them of current operating status during the pandemic. Reporting this information will meet the licensing requirement of reporting program closure.

Please contact 211 Child Care at 1-800-505-1000 or email 211childcare@ctunitedway.org if you have any questions.

License Type*

License Number*

Please just enter the numeric part of you license number which should be three to five digits

Program Name*

Contact Name

First Last

Contact Phone Number

Contact Email

Is your facility a participant in the Child & Adult Care Food Program (CACFP)?

Yes
No

Current Program Operating Status*

Open
Closed or planning to close
Re-Opened planning to re-open

Date of Closure

Re-opening Date

211 Child Care COVID-19 Survey CS

Provider Open-Close Status CS