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i mos.)5 D-=s-,r=':=-”-*“of program operation.Numb** Numb** p^g Numb** On UMR*«l H*n4lesson <br />_ JL <br />Isnt* *"• • <br />CENTER LOCATION:Instructions: To complete this form, please refer to Minnesota Rules part 9503.0060, to determine the de:>cription and numbers of equipment required for thisage group. The quantity of equipment required is proportional to the list in 9503.0060. Please contact your licensor if you have questions regarding this requirement. All items of equipment counted must bo in good repair and on premise during hours of program operation.FURNITURE:"r“ "'S~H*nd Old**1 Tables (20 linear inches per child)2 Non-folding child site chairs with backs3 Cots (mats where applicable)*4 Low open shelves (one linear loot per ch*ld)5 Area rug or carpeting6 Partially enclosed quiet activity spaceLARGE MUSCLE PLAY (INDOOR): <br />LARGE MUSCLE PLAY (OUTDOOR): <br />ART AND MUSIC ACTIVITIES: <br />1 Large building blocks2 Large muscle equipment <br />1 Durable large muscle equipment 1 <br />». <br />FINE MOTOR DEVELOPMENT: <br />I 1. Manipulative toys <br />1 St4usic source <br />2 Music selections <br />3 Double eascl(s) <br />4. Rhythm instruments <br />1 Small blocks <br />2 Spontaneous dramatic play/ <br />Montesson Practical Lila area(s) <br />3 Accessories/E*ercises lor H2 above <br />4 Full-length mirror <br />Mufnb«r Numb«f Number On On Rmi Hand Oidor1 Clay or ptaydough2 Tempera or finger paints (non-tonic)3 Paper (colored and white)4 Paste (non tosic)5 Scraps, collage materials6 Paintbrushes7 Crayons8 Felt markers9 Blunt scissors10 Smocks <br />1 Pictures <br />2 Bulletin board <br />1 Facial tissue <br />2 Single service towels <br />3 Liquid hand soap <br />r Books <br />2 Cognitive developmental aqutpment <br />* One col lot eoch child in ottendonco fi¥o or mote horut <br />You are asked to supply the data on this form so that tha M»nnasota Dapartmanl of Humiil <br />Services may evaluate your agerKy'a request for license The infotmation provided twin be held <br />by the licensir>Q Division of the Minnesota Department of Human SenHcas. The Inforifiifion <br />Is classified as public, and will be open for Inspection at pen of i public licensing f?le.