| 1
|
Report month and year
|
C
|
7
|
Yes
|
Required format is mm/yyyy. Example: October 2024 must be entered as 10/2024.
|
| 2
|
Vendor number/submission code1
|
C
|
7-8
|
Yes
|
Example: Vendor number Z987 and submission code 000 is entered as Z987000.
|
| 3
|
Family Identification/Case Number (FICN)
|
C
|
Max. 15
|
Yes
|
Only letters A-Z (both upper and lower case are acceptable) and numbers 0-9 are allowed. For each family you must report the FICN.
|
| 4
|
Head-of-Household Last Name
|
C
|
Max. 50; Min. 1
|
Yes
|
Only letters, hyphens, spaces, and apostrophes are allowed.
|
| 5
|
Head-of-Household First Name
|
C
|
Max. 50; Min. 1
|
Yes
|
Only letters, hyphens, spaces, and apostrophes are allowed.
|
| 6
|
Head-of-Household Middle Initial
|
C
|
1
|
No
|
This field must be included in the file, even if it is blank.
|
| 7
|
Head-of-Household Zip Code
|
N
|
9
|
Yes
|
Numbers only; do not include dash. Example: 999999999 (Five-digit Zip Code + 4 digit extension)
|
| 8
|
TANF/CalWORKs Cash Aid Recipient?
|
C
|
1
|
Yes
|
3 valid entries are: Y (yes), N (no), or U (unknown).
|
| 9
|
Family Income Greater Than 85 Percent of the State Median Income Level?
|
C
|
1
|
Yes
|
3 valid entries are: Y (yes), N (no), or U (unknown).
|
| 10
|
Family Size
|
N
|
2
|
Yes
|
Numbers only; 0-9
|
| 11
|
Family Income
|
N
|
4
|
Yes
|
Numbers only; 0-9; no decimals.
|
| 12
|
Reason for Receiving Services
|
C
|
1
|
Yes
|
Only 9 valid entries: A, B, C, D, E, F, G, H, J, and V.
|
| 13
|
Head-of-Household FIPS Code
|
N
|
5
|
Yes
|
This field must contain five digits. Example: 06001, 06003. Leading zero must be included.
|
| 14
|
Family Start Date
|
Date
|
10
|
Yes
|
Required format is mm/dd/yyyy (include the slashes). Example: September 2, 2024, must be entered as 09/02/2024.
|
| 15
|
Child's Last Name
|
C
|
Max. 50; Min. 1
|
Yes
|
Only letters, hyphens, spaces, and apostrophes are allowed.
|
| 16
|
Child's First Name
|
C
|
Max. 50; Min. 1
|
Yes
|
Only letters, hyphens, spaces, and apostrophes are allowed.
|
| 17
|
Child's Middle Initial
|
C
|
1
|
No
|
This field must be included in the file, even if it is blank.
|
| 18
|
Child's Ethnicity
|
C
|
1
|
Yes
|
2 valid entries; Y (yes) or N (no).
|
| 19
|
Child's Race: American Indian or Alaskan Native
|
C
|
1
|
Yes
|
2 valid entries; Y (yes) or N (no).
|
| 20
|
Child's Race: Asian
|
C
|
1
|
Yes
|
2 valid entries; Y (yes) or N (no).
|
| 21
|
Child's Race: Black or African American
|
C
|
1
|
Yes
|
2 valid entries; Y (yes) or N (no).
|
| 22
|
Child's Race: Native Hawaiian or Other Pacific Islander
|
C
|
1
|
Yes
|
2 valid entries; Y (yes) or N (no).
|
| 23
|
Child's Race: White
|
C
|
1
|
Yes
|
2 valid entries; Y (yes) or N (no).
|
| 24
|
Child's Gender
|
C
|
1
|
Yes
|
2 valid entries; M (male) or F (female).
|
| 25
|
Child's Date of Birth
|
Date
|
10
|
Yes
|
Required format is mm/dd/yyyy (include the slashes). Example: September 2, 2023, must be entered as 09/02/2023.
|
| 26
|
Child has an IEP or IFSP
|
C
|
1
|
Yes
|
2 valid entries: Y (yes) or N (no).
|
| 27
|
Child's Primary Language
|
N
|
2
|
Yes
|
This field must contain 2 digits or be left blank. Example: 02, 04, etc. Leading zero must be included. See list of language codes on CCD-26 Confidential Application for Child Development Services and Certification of Eligibility form, Data Definitions.
|
| 28
|
Child is English Learner
|
C
|
|
Yes
|
3 valid entries; Y (yes), N (no), or blank.
|
| 29
|
Child Start Date
|
Date
|
10
|
Yes
|
Required format is mm/dd/yyyy (include the slashes). Example: September 2, 2023, must be entered as 09/02/2023.
|
| 30
|
Services Type and Length
|
C
|
1
|
Yes
|
4 valid entries; A- Direct Services Full- Time; B- Direct Services Part-Time; C- Subcontracted Services Full-Time; D- Subcontracted Services Part-Time
|
| 31
|
Provider FEIN/SSN
|
N
|
9
|
Yes
|
Numbers only; do not include dashes (-).
|
| 32
|
Provider FIPS Code
|
N
|
5
|
Yes
|
This field must contain five digits. Example: 06001, 06003. Leading zero must be included.
|
| 33
|
Provider Zip Code
|
N
|
9
|
Yes
|
Numbers only; do not include dash. Example: 999999999 (Five-digit Zip Code + 4 digit extension)
|
| 34
|
QRIS Participation
|
C
|
1
|
Yes
|
The field must contain a single digit.
The ten valid entries are:
0 – No. Provider is eligible but does not participate in a QRIS.
1 – Yes. Provider does participate in a QRIS and tier rank is 1.
2 – Yes. Provider does participate in a QRIS and tier rank is 2.
3 – Yes. Provider does participate in a QRIS and tier rank is 3.
4 – Yes. Provider does participate in a QRIS and tier rank is 4.
5 – Yes. Provider does participate in a QRIS and tier rank is 5.
6 – Yes. Provider does participate in a QRIS but is not rated yet.
7 – The State has an operating QRIS in the Provider's area, but the Provider is not eligible to participate.
8 – The State does not have an operating QRIS in the Provider area.
9 – The State has an operating QRIS in the Provider's area but information is currently unavailable at the Provider level.
|
| 35
|
Accreditation Status
|
C
|
1
|
Yes
|
The field must contain a single digit.
Six valid entries are:
0 – No
1 – Yes: National Accreditation
2 – Yes: State Accreditation
3 – Yes: Other Accreditation (not National or State Level)
4 – Yes: Level/Type of Accreditation Unavailable
9 – NA: Information Currently Unavailable
|
| 36
|
Type of Child Care
|
N
|
2
|
Yes
|
This field must contain 2 digits. Example: 02, 04, etc. Leading zero must be included.
8 valid entries are:
02- Licensed family child care home
03- Licensed large family child care home
04- Licensed center-based care
05- License-exempt in child’s home by a relative
06- License-exempt in child’s home by a non-relative
07 -License-exempt outside the child’s home by a relative
08- License-exempt outside the child’s home by a non-relative
11- License-exempt center-based care
|
| 37
|
Program Code 1
|
C
|
4
|
Yes
|
Program Code 1 is required.
8 valid entries are:
C2AP, C3AP, CAPP, CCTR, CFCC, CHAN, CMAP, CMIG
|
| 38
|
Program Code 2
|
C
|
4
|
No
|
This field should only contain data if the child receives services from more than one program code. This field must be included in the file, even if it is blank.
|
| 39
|
Program Code 3
|
C
|
4
|
No
|
This field should only contain data if the child receives services from more than two program codes. This field must be included in the file, even if it is blank.
|
| 40
|
Attendance Status 1
|
N
|
2
|
Yes
|
Attendance Status 1 is required. This field is the attendance for program code 1.
This field must contain two digits. Leading zero must be included
9 valid entries are:
01 – Child enrolled but did not attend any day due to program closure
02 – Child enrolled but did not attend any day; program is open and operating
03 – Child attended all enrolled days with zero absences
04 – Child attended 1–5 day(s) in the month
05 – Child attended 6–10 days in the month
06 – Child attended 11–15 days in the month
07 – Child attended 16–20 days in the month
08 – Child attended 21+ days in the month
09 – Alternative Payment Program – No Need
Note- 09 must be used with C2AP, C3AP, CAPP, CMAP
|
| 41
|
Attendance Status 2
|
N
|
2
|
No
|
This field is the attendance for program code 2 and should only contain data if the child receives services from more than one program code. This field must be included in the file, even if it is blank.
|
| 42
|
Attendance Status 3
|
N
|
2
|
No
|
This field is the attendance for program code 3 and should only contain data if the child receives services from more than two program codes. This field must be included in the file, even if it is blank.
|
| 43
|
Services Date
|
Date
|
10
|
Yes
|
Required format is mm/dd/yyyy (include the slashes). Example: September 2, 2024, must be entered as 09/02/2024.
|