Provider Annual Update

Facility Name / Center Name

Provider / Director Name

Confirm Contact Information

Email

Phone

Street Address

City

Zip Code

Confirm Childcare Information

Tuition Rates

EX: infants @ $1,000 / month ; toddlers @ $800 / month ; preschool @ $600 / month

How is tuition charged?

Monthly

Weekly

Other

Do you accept DCF Child Care Subsidy?

Yes

No

Any other discounts available?

EX: sibling discounts, student discounts, employee discounts, etc. If none, type N/A

Any other recent changes?

EX: scholarship children changing classrooms, children aging up, new or closed classrooms in your facility, etc. If none, type N/A

Provider Expectations & Responsibilities

Be a licensed childcare provider or center.

Maintain standards of health and safety set forth by KDHE and Child Care Licensing. If Raising Riley deems a facility's operations reflect issues regarding health and safety or non-compliance notices on the KDHE CCL portal, then a suspension from this partnership could result. This suspension will be the length of the time a notice of non-compliance for health and safety issues remains on the KDHE CCL portal.

Located in Manhattan City Limits and/or Riley County.

Must complete and submit the Childcare Scholarship Request for Payment form monthly for payment. Payment will be made directly to provider. The form can be found at www.raisingriley.com under the Provider Information tab.

Allow a Raising Riley representative to visit home / center / classroom for a CLASS observation up to twice a year.

Notify Raising Riley of any changes in scholarship family or employment status, additional tuition assistance, the number of hours a child is in care, or intent to exit a scholarship child. Raising Riley scholarships will not be used to "hold" spots for children in care.

OPTIONAL Release of Contact Information

Parents rely on the information provided on the Raising Riley website when seeking childcare options. For families to be considered to receive scholarships from Raising Riley, they must attend care at a partnering childcare provider. Raising Riley continuously gathers appropriate and updated information to share with families.

By selecting this, you are giving consent to allow Raising Riley to release your contact information as a licensed childcare provider to parents seeking childcare.

Date of submission

By selecting this checkbox and submitting this form, you are agreeing to the following statement:

"I certify that the information listed above is accurate to the best of my knowledge."