In the Pingree Center's main building, we serve 70 preschool children and and 80 elementary and secondary aged children, who are placed into classrooms of approximately 10-12 children. There is also a part time clinic program for up to 20 students. The children are separated into groups with a mix of age, cognitition and language abilities. The student to staff ratio ranges from a 2:1 to 5:1 ratio, based on the needs of the child. Some of the programs and activities are typical of a pre-school and elementary curriculum. Activities may include free-choice, play activities, games and gym time to instructional sessions, which range from attending and following-directions to calendar and pre-kindergarten activities. Teaching also occurs naturally throughout other activities such as social skills, which include dramatic play, social games that incorporate turn taking and sharing, and outdoor play. Additionally self-help and care routines such as snack, lunch, tooth brushing, toileting, and eating skills are a regular and integral part of daily activities.