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HomeMy WebLinkAboutC10-015 Community Services Block Grant Application and Plan2010-11 Community Services Block Grant (CSBG) Application and Plan DUE -JANUARY 27, 2010 PROGRAM PERIOD: March 1, 2010 To February 28, 2011 GRANTEE: Eagle County Health & Human Services, Eagle County Government FEDERAL OBJECTIVE. Identify Objectives} with an x 1. Employment 2. Education 3. Income Management 4. Housing 5. Emergency Services 6. Nutrition 7. Linkages with Other Pro rams x 8. Self-Sufficiency 9. Health TOTAL CSBG ALLOCATION REQUESTED 40 852 LIST OF SUBGRANTEES AND AMOUNT AWARDED: Use additional sheets if necessary. SUBGRANTEE NAME AMOUNT AWARDED SUBGRANTEE NAME AMOUNT AWARDED SUBGRANTEE NAME AMOUNT AWARDED SUBGRANTEE NAME AMOUNT AWARDED Page 1 of 18 CSBG Grant Year 2010-11 C10-01~ 2010-11 Community Services Block Grant (CSBG) Application and Plan DUE -JANUARY 27, 2010 NAME OF ELIGIBLE ENTITY: Health & Human Services, Eagle County Government ADDRESS OF ELIGIBLE ENTITY: POB 660, 501 Broadway Street address and mailing address if different from street address Eagle CO 81631 CitylTown State Zip Code CONTACT PERSONS INFORMATION: PRIMARY Contact Person for Eligible Entity: Jennie Wahrer Phone Number for Primary Contact Person: 970-328-2604 Use direct line number and/or extension Fax Number for Primary Contact Person: 970-328-2602 Email Address for Primary Contact Person: jennie.wahrer(a~eaglecounty.us PROGRAM Contact Person: Jennie Wahrer Phone Number for Program Contract Person: 970-328-2604 Use direct line number and/or extension Fax Number for Program Contact Person: 970-328-2602 Email Address for Program Contact Person: jennie.wahrer(a~eaglecounty.us FINANCIAL Contact Person: Rita Woods Phone Number for Financial Contract Person: 970-328-8817 Use direct line number and/or extension Fax Number for Financial Contact Person: 970-328-8829 Email Address for Financial Contact Person: rita.woods(a~eaglecounty.us Page 2 of 18 CSBG Grant Year 2010-11 Names, Phone Numbers, and Emails of County Commissioners for Eligible Entity: If a multi county entity list the names and phone numbers of all county commissioners in each of the counties for the multi county area. Use additional sheet if necessary Peter Runyon 970-328-8806 peter.runyon@eaglecounty.us Commissioner Name Phone Number Email Sara Fisher 970-328-8806 sara.fisher@eaglecounty.us Commissioner Name Phone Number Email Jon Stavney 970-328-8806 jon.stavney@eaglecounty.us Commissioner Name Phone Number Email Page 3 of 18 CSBG Grant Year 2010-11 CERTIFICATIONS: The grantee assures that activities implemented with CSBG funds will be: o used to accomplish the State CSBG Goal and Objective stated in the State Plan; and o within the requirements set forth in the Community Services Block Grant Act, Title IV of the Civil Rights Act, the Age Discrimination Act of 1975, the Rehabilitation Act of 1973, Public Law 103- 227, Part C, Environmental Tobacco Smoke, also known as the Pro-Children Act of 1994 (Act), Certification Regarding Drug-Free Workplace Requirements, Certification Regarding Lobbying, Certification Regarding Debarment, Suspension, and Other Responsibility Matters -Primary Covered Transactions, Office of Management and Budget (OMB Circular A110 and A122), and the current State of Colorado CSBG Plan. The grantee also assures that it will: o specifically consider, in a public meeting the designation of any local public or private entity to carry out the county community service activities under contract with the county, any local community action agency (CAA) which received federal fiscal 1981-82 funding; o consider, on the same basis as other non-governmental organizations, religious organizations to provide the CSBG services, so long as the program is implemented in a manner consistent with the Establishment Clause of the first amendment to the Constitution. Grantees shall not discriminate against an organization that provides assistance under, or applies to provide assistance, on the basis that the organization has a religious character. (Please review Sec.679 Operational Rule in the CSBG Act); o provide for coordination between community anti-poverty programs and ensure, where appropriate, that emergency energy crisis intervention programs under Title XXVI (relating to low- income home energy assistance) are conducted in such community; o provide, on an emergency basis, for the provision of such supplies and services, nutritious foods, and related services, as may be necessary to counteract conditions of starvation and malnutrition among low-income individuals; o coordinate, to the extent possible, programs with and form partnerships with other organizations serving low-income residents of the community and members of groups served, including religious organizations, charitable groups, and community organizations; o establish procedures under which aloes-income individual, community organization, or religious organization, or representative of low-income individuals that considers its organization, or tow- income individuals, to be inadequately represented on the CSBG board (or other mechanism) to petition for adequate representation; o in the case of public organizations, have a tripartite advisory board which shall have members selected by the organization and shall be composed so as to assure that not fewer than 1/3 of the members are persons chosen in accordance with democratic selection procedures adequate to assure that these members (a) are representative of low-income individuals and families in the neighborhood served, (b) reside in the neighborhood, and (c) are able to participate actively in the development, planning, implementation, and evaluation of program funded. o in the case of private non-profit entities, have a tripartite board that participates in the development, planning, implementation, and evaluation of the program to serve low-income Page 4 of 18 CSBG Grant Year 2010-11 communities. The board shall be composed so as to assure that (a) 1/3 of the members are elected officials, holding office on the date of selection, or their representatives, except that if the number of such elected officials reasonably available and willing to serve on the board is less than 1/3 of the membership of the board, membership on the board of appointive public officials or their representatives may be counted in meeting such 1/3 requirement; (b) not fewer than 1/3 of the members are person chosen in accordance with democratic selection procedures adequate to assure that these members are representative of low-income individuals and families in the neighborhood served, and each representative of low-income individuals and families selected to represent a specific neighborhood within a community resides in the neighborhood represented; and (c) the remainder of the members are officials or members of business, industry, labor, religious, law enforcement, education, or other major groups and interest in the community served; o prohibit the purchase or improvement of land, or the purchase, construction, or permanent improvement (other than low-cost residential weatherization or other energy-related home repairs) of any building or facility with CSBG funds; o prohibit, including subcontractors, (a) any partisan or nonpartisan political activity or any political activity associated with a candidate, or contending faction or group, in an election for public or party office, (b) any activity to provide voters or prospective voters with transportation to the polls or similar assistance in connection with any such election, or (c) any voter registration activity. o prohibit that persons shall, on the basis of race, color, national origin or sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under, any program or activity funded in whole or in part with CSBG. Any prohibition against discrimination on the basis of age under the Age Discrimination Act or 1975 (42 U.S.C 6101 et seq.) or with respect to an otherwise qualified individual with a disability as provided in Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 12131 et seq.) shall also apply to any such program or activity. o participate in the Results-Oriented Management and Accountability (ROMA) System, and describe outcome measure to be used to measure performance in promoting self-sufficiency, family stability, and/or community revitalization; o make available for public inspection each plan prepared as part of the program planning process. The grantee may, at its initiative, revise any plan prepared for CSBG funding and shall furnish the revised plan to the Director of the Community Services Block Grant under the Department of Local Affairs. Each plan prepared for submission shall be made available for public inspection within the county and/or service area in such a manner as will facilitate review of, and comments on, the plan; o cooperate with the State, to determine whether grantee performance goals, administrative standards, financial management requirements, and other requirements of the State, in conducting monitoring reviews including (1) a full on-site review for each grantee at least once during each 3-year period, (2) on-site review for each newly designated grantee immediately after the completion of the first year in which funds were received, (3) follow-up reviews with grantees that fail to meet the goals, standards, and requirement established by the State, and (4) other reviews as appropriate, including reviews of grantees with other programs that have had other federal, State, or local grants terminated for cause. o make available appropriate books, documents, papers, and records for inspection, examination, copying, or mechanical reproduction on or off the premises upon reasonable request by the U.S. Page 5 of 18 CSBG Grant Year 2010-11 Controller General, the State, or their authorized representatives should an investigation of the uses of CSBG funds be undertaken; o in the case of county governments or subgrantees which receive a CSBG award in excess of $100,000, comply with the following three certifications related to the "Limitation on use of appropriated funds to influence certain Federal Contracting and financial transactions (P.L. 101- 121, Section 319 and USC Title 31 Section 1352)": 1. No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or any employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure Form to Report Lobbying," in accordance with its instruction. 3. The undersigned shall require that the language of this certification be included in the award document for subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. The grantee certifies to the best of its knowledge and belief, that it and its principals: a) are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; b) have not within athree-year period preceding this proposal been convicted or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public transaction; violation of Federal or State antitrust statues or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c) are not presently indicted for otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (b) of this certification; and d) have not within athree-year period preceding this application had one or more public transactions (Federal, State or local) terminated for cause or default. (If you are unable to certify to any of the statements in this certification, please attach an explanation to this application.) CONTRACTOR: If County Grantee: Chairman of the Board of County Commissioners must sign IfMulti-County Service Agency: Chairman of the Board of Directors with delegated contracting authority must sign. POSITION TITLE: Chairman of the Board of County Commissioners DAT ,,~ ~ ~~ l(~. Page 6 of 18 CSBG Grant Year 2010-11 TRIPARTITE BOARD For each eligible entity that receives Community Services Block Grant dollars there must be a tripartite board in place. The responsibilities of the tripartite board are very clear in the CSBG Act of 1998, Section 6766: "The eligible entity shall administer the community services block grant program through a tripartite board that fully participates in the development, planning, implementation, and evaluation of the program to serve low-income communities." The CSBG Act includes the Composition of the board which is to be determined using a democratic process: ~ 1/3 elected public officials or their representatives ~ 1/3 low-income individuals or their representative ~ 1/3 members business, industry, labor, religious, law enforcement, education or other major group of interest in the community served. The following page(s) must be filled out completely and returned with the application and plan. Include the date of most current by-laws: March 4, 2008 TRIPARTITE BOARD MINUTES: SEE APPENDIX Attach a copy of the CSBG Tripartite Board minutes of the meeting when the CSBG application was reviewed and approved by your CSBG Tripartite board. These minutes are not the minutes from the Board of County Commissioners. A QUORUM MUST BE PRESENT FOR THE APPROVAL OF THE APPLICATION AND PLAN BY THE TRIPARTITE BOARD. PROOF OF PUBLIC HEARING: SEE APPENDIX Attach a copy of the public notice, including the listing in the local newspaper for each county served, calling for public review and comment on your CSBG Application and Plan. MINUTES OF PUBLIC HEARING: SEE APPENDIX Attach a copy of the minutes of the Public Meeting when the CSBG Application was reviewed and approved by the Board of County Commissioners or Agency Executive Board. Page 7 of 18 CSBG Grant Year 2010-11 L ~~ O Q. L c L O ~ ~ ^~ W .~ ~_ O ~ ~ ~ Q ~ O m ~ H ~ _ "6 H ~ Q ~ a ..- ~ .~ F- o ~~ c ~, ~ ~ C Y N U ~ _~O ~ W ~ t ~ ~ N ~ U ~ (B .> ~ L ~ ~ ~ ~ ~ ~~ ~~ ._ O U 0 N N O 0 M cu O Z _~ C W N .~ W m ~' L L L O .~ c Q a M M M I- J W `~ Q ~ ~ r ~ ~ ~ ~ ~ C (6 ~ ~ ~ ~ W ~ H ~ O L ~ O rn O ~ O ~ O 0 U c~ ~ ~ ~ r- "'' H - U O - ~ C C O (~ O O L ~.~ ~, ~ ~ ~ Q~ Q _ O O O O C (n v- C~ "O O C~ U ~ - ~ ~ ~ (6 ~. ~ ~ ~ ~ > O N O O ~ Q _ , ~ ~ .v O ~ a > O ` ~ ~ Q cv ~ N .Q a d O cOn c0 O . ~ d Z ~ >+ ~ ~ ~ c cv U ~ U O > > LL c ~ a~ ~ 3o X X X ~- U J ~ Z Q ~ L > U '~ a ~ ~ U U O ~ L U ~ d m c 0 r d ~ c ti ~ c~ L Q (BAN (a ~ ~pp~f~ O ~ N ~ ~ ~ ° ~, p ~ ~ W ~ ~ ~ ~ ~ ~ ~ uS ~ ~ ~ a~ O a>O ~ ~ i Uo ~c~ co ~ ~ oo c°~° °rn ~ ~ ~ Z ~° J U ~ ca= ~~ ~ ~ ~ cam ~rn ~ X O N ~ ~ rn o - n ~ a~ o n° ~~ ~m ~ o`O-~~ -m ~o ~~0 °O>r~ m JZ WNOO~ ZdWrn U~Q~ r r r O ~ 00 0 ~ N Ql ~ (6 ~ ~ } C C~ r /C~~/~ v/ U W p TT V/ ~ TT V! ^^`` W Q T ~ ~ p ~ r ~ ~ ~ ~ = c ~ 2 _ 2 ~ _U ~ O ~ E cv ,~ ~, c O cv _O _ ~ L ~ U P ~ ~ r--~ ~'N ~ ~ (B O U O U~>, O U°~~ U ~~~ c~ .~ ti c~ Q W p W c U N (B = ~ LL N 3 ~ O U J ~ O (Q .` U ~ X X X a a~ C O M ~ U ~ ~L O ~ ~ O O ~ ~ ~ r ~ co U (0 (n ~ W Q ~ ~ Lf') ~ 00 r .~ ~ ~ ONO fn ~ CO L O CO N ~ ~ ~ CO CO ~ Q<.OUaO / ~ ~~p Vo0 (pU ~ X Z C'7 OC'7 a~Uoprn ~ v ~ ~m ~ ~O ~° ,L m vO B0 O Y ~~Uo ~Z (AdWrn c ( ~dWrn ~Wrn~rn ~~ ~~ o ~ r ~ O ~ N L ^~ LL //Lnn rv MVM ,W,^ VJ U COMMUNITY ACTION PLAN: 1. COMMUNITY NEEDS ASSESSMENT: See Appendix. 2. SERVICE DELIVERY SYSTEM: This project serves low-income, pregnant women and families of children from birth to age five with comprehensive child and family development services that result in improved family functioning and child development. The project uses a home visitation model and interfaces with community agencies for needed services. Parent education and parent support groups support enhanced parenting. Nursing, social work, mental health, and child development consultation is avail8ble to the program. Parenting classes are subcontracted. Health professionals and human service agencies refer families. Each child receives a health and developmental assessment. Family social and economic self-sufficiency goals are identified. Families are connected with community services that can meet their needs. Direct services include health practices education, child development modeling, support in obtaining community services, family management and parent skill development. The CSBG services outreaches to families who need help with financial needs, family management, obtaining and appropriately using health care for children and parents, and parenting issues. 3. LINKAGES: A. The program works with many agencies including but not limited to BrightStart - Eagle County's Early Childhood Council, Early Childhood Partners, Child Find, Head Start, Colorado Preschool Program, Early Head Start, Colorado Early Intervention, Literacy Programs, the Eagle County School District and Colorado West Mental Health to identify children and families in need of service who are "falling through the cracks" and/or may experience the "Cliff Effect" because of marginal poverty and who are not otherwise income eligible for Head Start and TANF. The program is located in Health & Human Services. This allows staff to easily work with public health, self-sufficiency, child support enforcement, and child welfare. Joint staffings with other early childhood programs provide shared information, referrals, case management and follow-up to assure appropriate utilization of community services. B. Program staff actively participates on the BrightStart -Eagle County Early Childhood Council, whose mission is to build a community system of early childhood services. This system is designed to assure effective delivery of service to low-income individuals and assist in a decrease in duplication of services. BrightStart has an extensive member's list that includes parents, businesses, school districts and County Government, health care providers including mental health and dental health, recreation districts, licensed child care providers, Head Start programs, early childhood special needs providers, representatives from juvenile and family court, and non-profit community organizations. Page 10 of 18 CSBG Grant Year 2010-11 4. COORDINATION WITH OTHER PUBLIC AND PRIVATE RESOURCES: Because this project is located within Health & Human Services, coordination with social services, public health, self-sufficiency programs and Early Childhood Service programs is readily achieved. Through coordination with in house and community agencies families are connected with services that provide nutrition, workforce information, low- income home energy assistance, self-sufficiency and family stability programs. The agency actively participates in the regional and local Early Childhood Council and the Child Find team. CSBG funds are used as a "last resort" for families who are service eligible but who are on the "waiting list" for other early childhood programs. 5 INNOVATIVE COMMUNITY AND NEIGHBORHOOD-BASED INITIATIVES: The agency Eagle County Health & Human Services is the lead in the BrightStart initiative -leading to additional community funding to meet the gaps in service. CSBG funds enhance the Family Supports area of BrightStart in providing home visitation services and parenting education. The program provides language and culturally sensitive services to both English and Spanish speaking families. Families have the opportunity to participate in a variety of parent education activities or parenting groups. The program emphasizes services that can bring families together to share successes and to problem solve. The program is knowledgeable in the many services available to parents of young children and share that information with families and other community agencies. The program promotes fatherhood by helping men become responsible, committed, and involved fathers through a number of strategies including support groups and curriculum. Curriculum is sensitive to the challenges of fatherhood, developing and supporting couple relationships, as well as enhancing early literacy of children. The program is involved in the National SPARC Literacy Strengthening Partnerships and Resources in Communities initiative, with the goal becoming a model of excellence for family literacy including child literacy and parent literacy development; parent leadership in their child's education; and active parental involvement in their child's literacy development. The program has also participated on a community team that effectively developed a system to screen children 0-5 for developmental and social emotional needs and to connect identified children with community early intervention services. The program contracts with Early Childhood Partners to provide evidenced based parenting classes including Incredible Years and Making Parenting a Pleasure. The Beyond Breaking Even! is a community collaboration to learn more about the "cliff effect" as it relates to self sufficiency, to discuss possible community solutions and to develop an action plan addressing identified gaps to present to local municipalities and organizations for budget year 2010. What is the `cliff effect"? For working families on work supports, a small increase in wages can result in a sharp reduction in benefits - often referred to as a "cliff' -leaving the worker no better off, and sometimes worse off, than before. Low-wage workers encounter the "cliff effect" as they strive to advance in the workplace. Page 11 of 18 CSBG Grant Year 2010-11 This Page intentionally left blank. 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O L .N ~ 7 C ~" O) ~L~ co=a c o ~~ ~ ~ ao ~- ~ c N -c w O p c0 N c9 w o` w ~ ~ ~ c~ ~ ~ c vi °~ o °= O O E O ~ (A C N U~ N C o~~ a» o O cLa ~_ ~ c ca o O (9 O (6 Q U D)'0 ~.- (ti L U c ~ ~ ~. a~ ~ ~ _ ~ L p ~ Q ~ ~ ~ ' N ~ ~ ] ~ ~ ~~ Q ~ ~ V L ~ ~ ~ Q. ~ ~ Q • ~ ~ ~ M ~ ~ ~ ~ ~ > ~ o O O °' ~ ~ Q" ~~ ~ o000 O CD N 00 ~• ~~cDOO ~Q-~ ~, Q~ c ~ O C U ~ O ~ C U f6 ~ ~ ~ ~ ~ ~ U ~ p ~~•~_ L O U ~ +`.• C ~ o O Z ~' •~ O c~ ~ Q ~ •~ L ~ ~ C Q. ~ ~ •U O ~ CB 'i .~ c0 ~ .~ O Q- ~ fn ~ ~ ~ • V C6 ~ ~ Y ~ ~ fn ~ p O-O to ~ C Q•> O a~ ~ O C ~ O O ~ ~ ~ O'p ~ OQ~ . ~ O ~ ~ ~ ~ N •~ t6 W }' U J L C6~~ d. v cn .~ t6~ Ca0 ~ U LL F- O N N E Y O ...~ (` L~ L ~ o ~+o-. Q~-' UO V O C ~- ~ ?i •C -O O ~ ~ 'D ~ '~ ~ N 'a N O ~ ~ ~ ~Q.n ~•~~ 3Q L._ O-- ,/~A ~ ~ N ~ ~ ~ O • C ~ L ~ VJ O O O~~ O ~"' U~~ m OL ~" ~ c U 3 ~ o•° ow ai.~•~c7~ a~ ~ ~-+~-+~~o~~EoUa Q ~ ~ ~ ~ -o °' ° . ±+ o ~~ ~ o~ ~~•3 moo.>a~oa ~ C ~ °~ o ~"- ° ~ C Z ~ ~U1 c a o m ~•-° O~"'oUooo`~ca~~ U> ~ m~iv `°~ c c ~ ac`a m O C.~•;~~~owU~~ L O O O O -O ~~ O_ N ~ O L ~ '~ '~ i- 7 C 0_ ~~ r r 0 _~ C1 ~ N N ~ O) ~ N ~ } C (0 OD U ~~ ~~ o ~ ~n o r' N N ~ ~ ~ N d } C (6 CO U Y C f~ d ~+ R C O w C d r C .~ d9 t4 a t COLORADO CSBG ROMA SUMMARY SHEET CONTRACTOR/SUBCONTRACTOR County/Multi County: Eagle Implementing Agency Health & Human Services, Eagle County Government (Each agency/subcontractor receiving CSBG dollars must complete this form) Implementing Agency Contact Person: Jennie Wahrer Complete Mailing Address, including zip: POB 660 Eagle Co 81631 Phone Number (970) 328-2604 Fax: (970) 328-2602 Email Address: lennie.wahrer(a~eaglecounty.us Program Period: 3/1/09 to 2/28/10 Select ONE National Indicator: 6.3 (see CSBG National Indicators sheet) (i.e. 1.2, 2.1,6.2, etc.) SELECT ONE FEDERAL OBJECTIVE ^ Employment ^ Nutrition X^ Linkages with Other Programs ^ Income Management^ Self-Sufficiency ^ Housing ^ Emergency Services ^ Education ^ Health SELECT ONE NATIONAL GOAL/OUTCOME: The National Goal and National Indicator should match. (i.e. National Indicator 1.2, National Goal 1) ^ Goal 1 Low-income people become more self-sufficient. (Family) ^ Goal 2 The conditions in which low-income people live are improved. (Community) ^ Goal 3 Low-income people own a stake in their community. (Community) ^ Goal 4 Partnerships among supporters and providers of services to low-income people are achieved. (Agency) ^ Goal 5 Agencies increase their capacity to achieve results. (Agency) X^ Goal 6Low-income people, especially vulnerable populations, achieve their potential by strengthening family and other supportive systems. (Family) LOW INCOME TARGET POPULATION: ONLY CHECK IF YOUR PROGRAM THAT IS FUNDED WITH CSBG DOLLARS SERVES ONLY SENIORS OR YOUTH. SENIORS YOUTH Program Director Signature: Date: Name and Title: Jennie Wahrer, HHS Assistant Director Children & Family Services Page 16 of 18 CSBG Grant Year 2010-11 T o O C fL4 ~ ~ .co o ~- a~ a~ ~ .C ~ ~ •` ~ ~«_- ~ ~ Q O ~ ~ c C i >,•C Q O ~ C_ U vim ~•n N ~ -C N ~ n ~ ~ ~ ~ N n U ~ Q -O Q T O)~ Q-C ~ C c~ ~ ~ c 0 o ` ~~~ m~ c a n O U O) ' '~ (a ~ ~" ~ C LLI (0 C U ~ ~ ~ C C "O N . 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Es~lo =.:o~~l;""; . s Early Childhood Assessment 2009 Executive Summary Eagle County, Colorado Profile of Eagle County Eagle County, Colorado, is a mountainous, rural area, home to the internationally popular Vail and Beaver Creek resort areas. The county is located on the western slope of the state, almost equidistant from the two major metropolitan centers of Denver and Grand Junction. Growth and Chancing Demographics Eagle County's growth has exploded over the last 20 years, from 21,928 residents in 1990, to a projected 57,942 in 2010. The population has increased 26 percent since 2000, compared with Colorado at 15.5 and the U.S. at 6.2 percent.l Eagle County's demographics are changing as a result: • 28.5% of residents are reportedly Hispanic, compared to Colorado at 20.2%. The county's percentage of foreign-born residents, 19.0%, is nearly twice that of the state at 10.1%. Z • An influx of baby boomers retiring to the county has resulted in an aging of the population. The 2000 median age of 31.3 years, has increased to 36.1, equal that of Colorado.3 • The county is attracting more young families, which resulted in a 36% increase in the number of children, ages 0-8, between 2000 and 2008.4 ~ COLORADO DEPARTMENT OF LOCAL AFFAIRS (2007) Z US CENSUS BUREAU (2005-2007) ' COLORADO DEPARTMENT OF LOCAL AFFAIRS (2000, 2009) COLORADO DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT Economics In 2007, the County's median household income was $73,440, compared with Colorado at $55,517.5 The 2008 median home price was $745,000, compared with Colorado's Front Range at $223,500.6' Eagle County is 1 of 11 counties considered to have the highest cost of living.$ The county's main economic drivers are second homes and tourism. The resort nature attracts wealthy, part-time residents, while the county is sustained on a service industry and middle class workforce, resulting in great income disparities. The combination of changing demographics, the rural resort nature, and the economic downturn are evident in local indicators: Eligibility for the Free and Reduced Lunch program increased from 20% of students in 2000, to 28% in 2007.9 • The June 2009 unemployment rate of 7.6%, equaled that of the state for the first time in nine years, up from lows of 2.0% in 2000 and 2.7% in 2006.10 Eagle County experienced 257 home foreclosures in the first 7 months of 2009, exceeding 179 in 2008 and 148 in 2007.11 5 US CENSUS BUREAU c ECONOMIC COUNCIL OF EAGLE COUNTY ' DENVER BUSINESS IOURNAL e COLORADO FISCAL POLICY INSTITUTE v ANNIE E. CASEY FOUNDATION 10 US DEPARTMENT OF LABOR ~~ SNOWMASS SUN, AUGUST 17, 2009 Housing Housing is a challenge in Eagle County since 50 percent of the workforce is in lower-to- middle income industries such as accommodation, food service, construction and retail. Eagle County lacks enough affordable housing to meet workforce demands, resulting in families expending a disproportionate share of their earnings on housing. The US Census Bureau reports that nearly half of county residents spend more than 30 percent of income on rent, iz exceeding the generally accepted financial guideline of no more than 25-30 percent. Local county and municipal governments strive to develop and maintain housing that is within the means of the workforce. Such programs include deed-restriction and down payment assistance for home buyers, and the leasing of affordable apartments for renters. Race/Ethnicity & Recent Immigration According to 2008 Census estimates, Eagle County's ethnic makeup is 68.9 percent White (non-Hispanic) and 28.5 percent Hispanic, compared with Colorado at 71.0 percent White (non-Hispanic) and 20.2 percent Hispanic. is Eagle County has a sizeable population of recent immigrants, many of whom are monolingual Spanish speakers. In fact, 35.3 percent of Eagle County students are English language learners, compared to ~Z US CENSUS BUREAU (2005-2007) 33181D Colorado at 12.4 percent. 14 According to the US Census Bureau, 19 percent of Eagle County residents are foreign born, which is nearly twice the state percentage of 10.1.1s Education In general, Eagle County residents have achieved higher educational levels than Colorado residents: Eagle County's High School graduation rate of adults, ages 25 and older, is 88.6% compared to Colorado at 84.0%; the county and state college graduation rate are 49.2% and 27.0% respectively,16 • Eagle County's 2009 high school graduation rate for Hispanic students was 69.3%, which is significantly higher than Colorado at 55.6 %." However, there are notable disparities: • 31.4% of Eagle County mothers have less than a high school education, compared with Colorado at 22.1%.18 The 2009 local graduation rate of Hispanics was 69.3%, compared to Caucasians at 90.9%.19 is ANNIE E. CASEY FOUNDATION (2007) is US CENSUS BUREAU (2005-2007) is IBID. ~~ EAGLE COUNTY SCHOOL DISTRICT (Does not include Basalt High School, which is outside this school district's boundaries) 18 ANNIE E. CASEY FOUNDATION (2007) 19 EAGLE COUNTY SCHOOL DISTRICT (Does not include Basalt High School, which is outside this school district's boundaries) 2 Earlv Childhood Svstem Extensive research on the early years of childhood has shown that well-targeted investments in physical, emotional, and intellectual development of a child result in healthy and successful outcomes for both the individual and the community.20 Historically, the approach to assuring an early childhood support system with developmental resources for young children and their parents has been fragmented, in both policy and practice. It has lacked a comprehensive and strategic approach to the coordination of partners, program design, financing, and measurable results. Advocates for children have realized that it is not just program improvement that is needed, but rather, a functioning system that includes coordinated organizations and layers of service with a delivery approach that supports and compliments parenting efforts. u In 2005, Eagle County began the coordination of its early childhood system with a community assessment, plan, and the formation of an early childhood council called BrightStart. BrightStart is composed of many community partner organizations and consumers. 20JANE M. HEALY, 2004 Z~ SMART START COLORADO W EBSITE BrightStart targets children ages 0 to 8, and mothers during pregnancy, and is organized into four subcommittees with charters.zz Bright Start coordinates its early childhood system through a framework that is consistent with a state initiative called Early Childhood Colorado. In its framework, Eagle County uses the following domains: 1) Family Supports 2) Social/Emotional Development 3) Early Intervention 4) Early Care and Learning 5) Health and Safety Since 2005, BrightStart subcommittees have worked toward common goals and as a result, have had several accomplishments. Accomplishments: • Increasing the number of affordable child care spaces. • Implementing quality improvement efforts among child care providers. • Bringing safety net dental services to the community. • Increasing the number of developmental screenings for children. • Increasing support services for new parents including home visitation programs. zz One BrightStart subcommittee addresses both the Family Supports, and Social/Emotional Development domains. Family Supports Domain The Family Supports domain focuses on services, resources, and education for parents. The goal is to promote a healthy home environment, and support the cognitive, behavioral, and physical development of children. Special programs are available for low income families, first- time parents, Spanish-speaking parents, young mothers, and families in crisis. Key Indicators • Between 2000 and 2008 there was a 36% increase in the age group birth-to- 8, in Eagle County.z3 • In 70.8% of local families with children under the age of 6, all parents work.24 • The percentage of children born to an unmarried female, under age 25, with less than a high school education is 8.8% in Eagle County, compared to 7.2% in Colorado.zs • The rate of teen births, ages 15-19, in Eagle County is 43.0/1,000, compared with Colorado at 37.2/1,000.26 • From 2003-2007, 90% of Eagle County teen births (ages 15-17), were to women of Hispanic ethnicity, compared to Colorado at 63%.27 • In Eagle County, 35.3% of students are English Language Learners, compared to Colorado at 12.4%.Za • During the 07-08 school year, 249 local students were served by the federally- defined McKinney-Vento Homeless Education Program.29 z3 COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT '° US CENSUS BUREAU (2005-2007) is ANNIE E. CASEY FOUNDATION (2007) zs COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (2008) ~~ COLORADO DEPARTMENT OF PUBLIC HELATH AND ENVIRONMENT 28 ANNIE E. CASEY FOUNDATION (2007) 29 ANNIE E. CASEY FOUNDATION The county's 2007 reported child abuse rate was 2.4 per 1,000 children, up from 1.6 per 1,000 in 2005, but still significantly lower than the state rate of 9.0 per 1,000.30 System BrightStart has a subcommittee that coordinates services, resources and education for families. Many members are providers of early childhood services, including Head Start, Early Head Start, Early Childhood Partners, The Literacy Project, Colorado West Regional Mental Health Services and others. Successes • Since 2005, two home visitation programs have started: Bright Beginnings provides a home visit to first-time parents and provides information on community resources; the Nurse Family Partnership provides ongoing nurse home visitation to low- income, first-time mothers. • In 2007, Eagle County Government increased eligibility for subsidized child care, from 185% of poverty to 225%, resulting in more children having access to child care.31 In 2008, the Network of Care website was launched to provide a single source of information on resources for local families and providers. • A tuition assistance program for low income families became available through Colorado Child Care Assistance Program. 3o EAGLE COUNTY GOVERNMENT, HHS DEPARTMENT, CHILD PROTECTIVE SERVICES 31 This program underwent a budget cut in October 2009, and the eligibility level was reduced to 150Y of poverty. 4 Family Supports domain, continued .. . Gaps According to BrightStart partners, families are increasingly in need of services, especially with the downturn in the economy. Many do not qualify for governmental programs based on poverty guidelines, which are the same across the country, regardless of the cost of living. For those who do qualify, local safety net systems have limited capacity and are being strained. The county still lacks affordable child care. It is estimated that Eagle County families spend 20-30 percent of their discretionary income on child care, which may prevent some from being able to fully participate in the workforce. Recently, subsidize childcare was subject to a county budget cut, reducing eligibility to from 225 to 150 percent of the federal poverty level. Subcommittee Goals 1. To assure that parents have access to parenting information and community resources. 2. To assure that families receive comprehensive early childhood services. 3. To promote local self-sufficiency initiatives. 4. To connect at-risk children and their families with services, prior to the start of kindergarten. 5. To improve the skills of early childhood providers. Social/Emotional Domain It is critical to the well being of children that they be able to regulate their emotions and manage their interactions in ways that are socially acceptable. The behavioral competence of young children is a strong predictor of academic performance, and if left unaddressed, difficulties will likely continue and become more serious with age. Consequently, timely identification of children with behavioral issues is critical to delivering appropriate early intervention services. 3z Indicators In Eagle County, 36% of Early Head Start Children (ages 0-3) have been identified as having social or emotional difficulties.33 • 31.2% of local children, ages 1 to 14, have been identified with social- emotional issues, compared to the state at 27.2%.34 System Many BrightStart partners conduct social/emotional screenings as part of their routine work with clients. The same partners coordinate a BrightStart subcommittee toward increasing the availability of developmental screenings within the community. The subcommittee is currently targeting local medical providers, to provide a developmental screening during a preventive health exam, when other developmental milestones are assessed. This includes asocial/emotion screening, using the state-recommended ABCD model. Several providers plan to offer this service in 2010. 3~ 1. SQUIRES, D. BRICKER, E. TWONBLY, "USER'S GUIDE FOR THE AGES AND STAGES QUESTIONNAIRE" 3a EAGLE COUNTY EARLY CHILDHOOD SERVICES 34 COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (2006- 2007) Social/Emotional domain, continued .. . Children who are identified with social/emotional issues may be referred to counseling services or to Child Find, which is a program under the federal Individuals with Disabilities Act. It is Child Find's role to further evaluate and refer children to early intervention or special education services. Gaps BrightStart partners have identified the following gaps in community support of parents, toward the healthy social and emotional development of their children. The county lacks a formal behavioral screening and follow-up system. According to several national medical associations,3s all children should receive three developmental screenings, including assessments for social and emotional difficulties, before the age of five. Early identification of maternal depression and more resources for intervention and support are needed, including peer groups and post-partum home visits. There are virtually no bilingual/bicultural mental health services available with the county. A network of professionals including psychiatrists, are needed to address the spectrum of mental health issues that can negatively impact families. 3s AMERICAN MEDICAL ASSOCIATION, AMERICAN ACADEMY OF PEDIATRICS, AMERICAN ACADEMY OF NEUROLOGY. Successes • Since 2006, BrightStart has implemented new parenting classes, and home visitation programs including Bright Beginnings and Nurse Family Partnership. In 2006, BrightStart partners began coordinating a community screening /referral program to increase the early identification of children with social and emotional issues. BrightStart is supporting Eagle Care clinic in implementing the state- recommended ABCD model, which screens children during a preventive health exam, when they are assessed for other developmental milestones. Other medical providers are scheduled to start providing this service in 2010. Subcommittee Goals 1. To ensure parents have access to information on parenting and community resources. 2. To ensure parents of newborns receive in-person information on parenting and community resources. 3. To ensure that families receive comprehensive services to prevent child abuse and neglect, and promote social and emotional development. 4. To increase the number of at-risk children and their families connected with services prior to kindergarten. 5. To improve the skills of early childhood providers, to enhance child growth and development. 36 This domain is addressed by Brightstart's family Supports and Social/Emotional Subcommittee. Earlv Intervention Domain Early intervention services address the needs of children with disabilities by enhancing their family's ability to support development, learning, and participation in home and community life. Early intervention programs utilize principals such as: All children are unique, with their individual strengths and talents; The presence of a special need is not the defining characteristic of any child; All children have the right to belong, be welcomed, and participate fully in the typical places and activities of their communities, and; The lives of families are enhanced when they are successful in maintaining their ordinary lives and relationships. Key Indicators • Nationally, the prevalence of children with a disability (ages 0-18) is 16%- 18%.37 163 of Eagle County residents, ages 5- 15 reportedly have a disability, which equates to 2.5% of the age group, compared to Colorado at 4.8%.38 The low prevalence may be a result of under identification. 9.8% of Eagle County school-age children were enrolled in special education during 2008, compared to Colorado at 9.7%.39 • In 2008, Child Find screened 324 county children: 39 qualified for the Early Intervention program and 8 qualified for special education services.40 3i F. P GLASCOE PH. D., H.L SHAPIRO MD, "DEVELOPMENTAL, BEHAVIORAL PEDIATRICS ONLINE." 'a US CENSUS BUREAU (2005-2007) 3s ANNIE E. CASEY FOUNDATION ao EAGLE COUNTY SCHOOL DISTRICT System The Individuals with Disabilities Education Act (IDEA) is a federal law, which mandates early intervention services for young children and their families. Child Find is the federal program under the IDEA that is responsible for locating, identifying, evaluating, and referring young children with disabilities. In Eagle County, Child Find is coordinated through the school district. Eligible children ages 0-3 are referred to Early Intervention Colorado, which contracts locally with Mountain Valley Developmental Services in Glenwood Springs. Children ages 3-5 receive individualized preschool special education services through the school district. Many organizations within Eagle County's early childhood system, including Early Childhood Partners, Head Start, Early Head Start and some primary health care providers provide initial developmental screenings in order to help better identify children with disabilities at an earlier age. Successes • In 2006, BrightStart began coordinating a community screening program to increased the number trained screeners in early childhood settings. In 2008 BrightStart collaborated with Early Childhood Partners to provide community outreach around the new developmental screening sites. • In 2008, the school district increased the Child Find Coordinator's time to 20 hours per week, to meet the increased demand for follow-up assessments resulting from community screenings. Early Intervention domain, continued .. . Gags According to national medical associations, including the American Academy of Pediatrics, all children should be screened for developmental disabilities at least three times before the age of five. BrightStart partners have identified a need for more developmental screening programs countywide, in multiple early childhood settings. With a lack of primary health care for children in families who are uninsured, many children are not receiving this as a part of their preventive primary care visits. Subcommittee Goals 1. To increase the number of children who are regularly screened in all areas of development. 2. To increase the number of children with special needs who receive consistent early learning services and support. 3. To increase the coordination of services and other types of support for young children who have special needs and their families. 4. To increase inclusive experiences for children with disabilities and their families such as; 1) having a sense of belonging and membership, 2) enjoying positive social relationships and friendships, and 3) being given the opportunity to reach their full potential. Earlv Care and Learning Domain High-quality learning experiences that occur early in life, set the foundation for lifelong learning and are a strong predictor of success in school. Early Care and Learning activities support working families by focusing on child care, after school programs, and classrooms for young children. Key Indicators • In 70.8% of local families with children under the age of 6, all parents are in the work force.41 Eagle County is only meeting 17% of the need for infant and toddler child care spaces (ages 0-2).42 Eagle County is meeting the child care needs of 75% of children ages 2-5. 43 94.7% of local kindergartners are enrolled in a full-day program, which is significantly higher than Colorado at 39.0%.~ System BrightStart has an Early Care and Learning subcommittee that meets monthly and works to 1) increase the number licensed child care spaces, 2) improve the quality of child care services, and 3) recruit and retain a trained workforce that is formally educated in the Early Childhood field. Additionally, BrightStart is a partner of the Rural Resort Region Early Childhood Council, which provides professional development funding for early childhood providers and Qualistar rating preparation for child care facilities. °1 US CENSUS BUREAU (2005-2007) °Z EAGLE COUNTY GOVERNMENT EARLY CHILDHOOD SERVICES (2009) e3 181 D. 04 ANNIE E. CASEY FOUNDATION (2007) Early Care and Learning domain, continued .. . Successes Since 2005, BrightStart has improved the quality of early learning services by: • Providing professional development incentives to child care providers. • Providing sign-on and referral bonuses to the early childhood workforce. • Adding 818 affordable licensed child care spaces by: 1) Underwriting spaces with county dollars; 2) Providing grants to child care facilities toward increasing their number of spaces; and 3) Assisting private homes in becoming licensed. • Providing market rates to child care facilities that enroll low income children who qualify for the Colorado Child Care Assistance Program. Gaps According to BrightStart partners, there are still gaps in both the quality of early learning services and the capacity to meet the need. Only seven percent of local early childhood teachers have a degree in the Early Childhood field, and the teacher turnover rate is 37 percent annually. Only 12 percent of local child care facilities are either quality rated or accredited.45 In terms of capacity, there is still a large demand for infant care, where only 17% of the need is being met.46 Subcommittee Goals 1. To ensure children have quality child care experiences that promote their development. 2. To ensure that child care providers demonstrate quality. 3. To ensure that program capacity, afFordability, and diversity meets family needs. 4. To ensure the number of licensed child care spaces meet the demand. 5. To ensure that affordable child care is available, without compromising quality. 6. To increase the number of teachers with a formal education in Early Childhood. 7. To maintain a qualified workforce in child care centers, homes and after- school programs. °$ EAGLE COUNTY GOVERNMENT'S EARLY CHILDHOOD SERVICES (2009) as IBID. 9 Health and Safety Domain A lack of access to health care for medically-underserved individuals has been identified as one of the top health issues by the county's public health agency. Residents without health insurance, and families with Medicaid or CHP+ insurance lack adequate access to primary care, dental care, specialty care and bilingual mental health care. Eagle County's mountainous topography and rural nature make it difficult to access services in other counties, especially with extreme winter weather conditions. • In 2008, there were 900 live births in Eagle County: 9.0% were low birth weight, compared to Colorado at 8.9%; 10.5% were pre-term, compared to Colorado at 9.6%; and 72.7% of mothers had received first trimester prenatal care, compared to Colorado at 74.7%, sz n Key Indicators • An estimated 29.2% of county residents have no health insurance, which is nearly twice the rate of the state at 15.8%.47 • In Eagle County, 48.2% of third graders have a history of dental caries and nearly 18% have untreated decay.48 Between 2003 and 2008, an average of 58 children were born every year, to local teen mothers (ages 15-19). The 2008 teen birth rate was 43 per 1,000 compared to Colorado at 37.2 per 1,000, ss For local children ages 0-8, there are an average of 4 deaths per year. The leading causes are perinatal conditions like congenital malformations. Injuries are a distant second.54 • The overweight rate for the WIC In Eagle County, between 11 and 12 population, ages 2-5, is 10.1%, children, a es 0-8 are hos )talized compared to Colorado at 8.2% g p (measured as equal to or above the 95`h annually with a serious injury. The percentile for weight).49 leading cause is falls.ss • The county's breastfeeding initiation rate is 96.1%, higher than Colorado's at 88.4°/D, so • Ina 2006 compliance study, 87% of local kindergartners had meet state immunization requirements, compared to Colorado at 85°/D.sl °~ COLORADO DEPARTMENTOF PUBLIC HEALTH AND ENVIRONMENT (2007- 2005) 08IBID.(2003-2007) °9IBID.(2008) so Colorado Department of Public Health and Environment (2003-2007) s'IBID. (2006) sz COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (2008) s'IBID.(2003-2008) 5°IBID.(2000-2008) ssIBID.(2003-2006) 1~ Health and Safety Domain, continued .. . System Considering its rural nature, Eagle County has a relatively high number of medical providers with great diversity in the type of care available. However, only a couple of physician practices will serve the uninsured, Medicaid and CHP+ recipients. There is an indigent care clinic within the county, Eagle Care, which is operated by the Vail Valley Medical Center (a private hospital). Eagle Care has expanded over the years but still struggles to meet the tremendous need. The county's public health agency fills a few gaps by providing low-cost immunizations and family planning services on a sliding fee scale. Gaps BrightStart partners have identified gaps in the areas of access to primary health care, dental care, mental health care, and programs that address childhood obesity. Access to primary health care in the context of a medical home is one of the critical needs for the county's young children. The American Academy of Pediatrics defines "medical home" as an approach to providing comprehensive primary care that is accessible, family-centered, coordinated, continuous, compassionate, and culturally effective. The medical record stays in one place and a relationship is developed with one provider, familiar with a child's medical history. Many local health services for children are fragmented, given the high rate of uninsured residents and a lack of Medicaid and CHP+ providers. Another system gap is the availability of low-income dental care. County partners secured a dental van that visits the county biannually but does not serve children under age five. There is only one local dentist that accepts Medicaid but services to small children are limited. No dentists accept CHP+ Community Health Centers (CHC) that provide primary and dental care to individuals who are considered "medically- underserved" do exist in neighboring counties, but can be more than an hour's drive away, over a mountain pass to the east and through a canyon to the west. While a local CHC is the vision of Eagle County Government and other health care organizations, the realization is probably several years away. In terms of mental health, Colorado West Regional Mental Health Center operates local clinics that provide services on a sliding fee scale and accept Medicaid. However, the availability of bilingual therapists within the county is extremely limited. Finally, while childhood obesity is on the rise, the county lacks nutrition education resources for families whose incomes are too high to be eligible for county WIC nutrition services. Successes • In 2007, BrightStart provided start-up funding for a university dental van to come to the county twice a year, and screen, then provide treatment to children ages 5-18. • In 2008, Eagle County Public Health, a BrightStart partner, received a grant to provide fluoride varnish to low income children ages 0-3. • In 2009, BrightStart funded a program to provide restorative dental services for uninsured children ages 2-5. • In 2008, Eagle County Government's Early Childhood Services secured a Nurse Family Partnership (NFP) grant for home visitation to low income, first- time mothers. • In 2009, BrightStart funded a new safety program, which provides free car seats, including installation and education toward reducing the risk of injuries associated with vehicular crashes. • In 2009, BrightStart received new funding and began coordinating a lead screening program for children who are at risk of lead poisoning, and are either Medicaid eligible or otherwise from a low income family. The program will target 136 children under age six, annually. Subcommittee Goals 1. To ensure 100% of low income, uninsured pregnant women receive early prenatal care. 2. To ensure that children with Medicaid, CHP+, and those who are uninsured have a Medical Home. 3. To reduce the incidence of dental caries among children. 4. To increase the use of good oral health practices. 5. To prevent childhood obesity in 90% of young children. 6. To ensure all children are safe in community settings. 12 Acknowledgements This assessment was conducted in cooperation with Eagle County's early childhood council, BrightStart, and its subcommittees: Family Supports and Social/Emotional Development Olga Wilkins, Co-Chair: Eagle County Health & Human Services, Children and Family Services Julia Kozusko, Co-Chair: Colorado West and Early Childhood Partners. Early Intervention Rosie Moreno, Co-Chair: Eagle County Health & Human Services, Children and Family Services Sharon Thompson, Co-Chair: Eagle County School District, Child Find Early Care and Learning Jeanne McQueeney, Co-Chair: Early Childhood Partners, Caring For Kids Chad Young, Co-Chair: Vail Recreation District Health and Safety Beth Reilly, Chairperson: Early Head Start This assessment was commissioned by Eagle County Government, and specifically the Early Childhood Services Program within the Children and Family Services Division of the Department of Health & Human Services. Suzanne Vitale: Executive Director Eagle County Department of Health & Human Services Sherri Almond: Director Children and Family Services Division Department of Health & Human Services Jennie Wahrer, RN: Assistant Director Children and Family Services Division Department of Health & Human Services Funding was provided by BrightStart, Eagle County Government's Early Childhood Services, and a grant from the United Way. ~~ y p .. S~ t Y ~~~5~ ~~ Ea ~~a z~~ ~:~-gtm ~"~o-s;ntg kia`s 13