TBRI and Trauma-Informed Classrooms Consultation
Name of Child Care Center/Home Daycare
How is your center licensed?
Child Care Center
Home Day Care
What is your child care center/home daycare's current Stars rating?
1
2
3
Point of contact
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email Address
Please enter valid email address
Preferred Contact method
Phone
Email
Best Time for Lilyfield Staff to Contact you
Morning
Afternoon
Site Visit Preference
Virtual
In-Person
Best Day of the Week for Site Visit
Monday
Tuesday
Wednesday
Thursday
Friday
Best Day of the week for Consultation Calls:
Monday
Tuesday
Wednesday
Thursday
Friday
Best Time of the Day for Consultation Calls:
Morning
Afternoon
How many children are enrolled in your center?
How many foster children ages 0-8 years old have been enrolled in your child care center/home daycare in the past 12 months?
How many children are currently in OHS Custody?
How many children are currently on a safety plan through Family Centered Services?
How many children have been reunified with a biological parent within the past 12 months?
Please describe the child/children’s current behavior challenges (Please include strategies that have been utilized with the child/children.):
How many behavior incident reports have been completed in the past 30 days for the children identified above?
How many are on staff members do you employee?
How many staff members have completed the Director requirements?
How many staff member have completed the Master Teacher requirements?
How many employees have resigned or been terminated in the last 30 days?
How many employees have been hired in the past 30 days?
How many staff have received any type of Trust-Based Relational Intervention TBRI training?
Would you be interested in attending a TBRI classroom training? if so please select dates you could be available.
April 20, 2024 9:00 a.m.-3:00 p.m. Virtual
May 7th and 9th, 2024 5:00 p.m.-8:00 p.m. Exchange Office
May 21st and May 23rd , 2024 5:00 p.m.-8:00 p.m. Virtual
June 4th and 6th, 2024 5:00 p.m.-8:00 p.m. Exchange Office
June 15, 2024 9:00 a.m.-3:00 p.m. Virtual
July 9th and 11th, 2024 5:00 p.m.-8:00 p.m. Exchange Office
July 20, 2024 9:00 a.m.-3:00 p.m. Virtual
August 6th and 8th, 2024 5:00 p.m.-8:00 p.m. Exchange Office
August 24, 2024 9:00 a.m.-3:00 p.m. Virtual
September 3rd and 5th , 2024 5:00 p.m.-8:00 p.m. Exchange Office
September 21, 2024 9:00 a.m.-3:00 p.m. Virtual
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