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HomeMy WebLinkAboutC02-088 US Dept. of HHSAPPLICATION FOR 12. DATE SUBMITTED: Applicant Identifier 08CH0023 C v-S Z FEDERAL ASSISTANCE 2. TYPE OF SUBMISSION . DATE RECEIVED BY STATE: State Apr etion Identifier Application Preapplication 6 Construction Construction 4. DATE RECEIVED BY FEDERAL AGE ' Federal Identifier }{ Non -Construction 0 Non -Construction 5. APPLICANT INFORMATION Legal Name: Health & Human Services Eagle County EHS Organizational Unit: Address (give city, county, state, and zip code) Name and telephone number of the person to be contacted on PO Box 660 matters 500 Broadway Kathleen Forinash 970-328-8858 Eagle, CO 81631 Eagle Executive Director 6. EMPLOYER IDENTIFICATION NUMBER (EIN) 7. TYPE OF APPLICANT (enter appropriate letter in ba c) a 8 4 6 0 0 0 7 6 2 A. State H. Independent School Dist. B. County I. State Controlled Institution of Higher Learning C. Municipal J. Private University 8. TYPE OF APPLICATION New Continuation Revision F] D. Township K. Indian Tribe E. Interstate L. Individual F. Intermunicipal M. Profit Organization If Revision, enter appropriate letter(s) in box(es): ❑ G. Special District N. Other (specify) A. Increase Award B. Decrease Award C. Increase Duration 9, NAME OF FEDERAL AGENCY D. Decrease Duration Other(specj&): HHS - Administration for Children & Families 10. CATALOG OF FEDERAL 9 3 . _ 6 0 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: DOMESTIC ASSISTANCE Eagle County Early Head Start TITLE: Early Head Start 12. AREAS AFFECTED BY PROJECT Eagle County, CO 13. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF: Start Date Ending Date a Applicant 3rd District b. Project 3rd District 8/01/2002 7/31/2003 i 15. ESTIMATED FUNDING 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. YES THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE a Federal $ 367,112 .00 TO THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON DATE b NO El PROGRAM IS NOT COVERED BY E.O. 12372 OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW b Applicant S 91,778 .00 c State S 0.00 d Local S 0.00 e Other S 0 .00 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? f Program Income S 0 .00 rlYes If "Yes," attach an explanation. El No g Total $ 458,890 .00 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE a Typed Name of Authorized Representative b Title c Telephone number Michael Gallagher f agle t$;�►r ounty Com 970-328-8605 b Signature of Auth 'zed epresenta .� �'yt a Date Signed �LOSP9v BUDGET INFORMATION -Non-Construction Programs OMB Approval No. 0348-0044 SECTION A - BUDGET SUMMARY Grant Program Function or Activity Catalog of Federal Domestic Assistance Estimated Unobligated Funds New or Revised Budget Federal Non -Federal Federal Non -Federal Total I. Program Operation 93.600 $363,659 $91,778 $455,437 2.T&TA 93.600 $3,453 $3,453 3. 4. 5. Totals $367,112 $91,778 $458,89t SECTION B - BUDGET CATEGORIES 6. Object Class Categories GRANT PROGRAM, F(INcrlON OR ACTIVIMV' Tot. I (1) ogram Operati (2) T&TA (;) (4) - — a. Personnel $175,550 $175,550 b. Fringe Benefits $76,853 $76,853 c. Travel $1,983 $1,983 d. Equipment e. Supplies $14,500 $14,500 f. Contractual $74,469 $74,469 g. Construction h.Other $20,304 $3,453 $23,75 i Total Direct Charges (sum of 6a $363,659 $3,453 $367,112 j. Indirect Costs k. TOTALS (sum of 6a - 6j) $363,659 $3,453 $367,112 7. Program Income Authorized for Local Reproduction Standard Form 424A (Rev. 7-97) Prescribed by OMB Circular A-10 08CH0023 / 0 2002 Health & Human Services Eagle County EHS Basic EHS Grant Application Continuation SECTION C - NON-FEDERAL RESOU (a) Grant Prog (b) Applicant (c) State ) Other S011rc (e) TOTALS 8. NFS $91,778 $91,778 9. 10. 11. 12. TOTAL (sum of lines 8 $91,778 $91,778 SECTION D - FORECASTED CASH N 13. Federal tal for 1st Ye Ist Quarter 2nd Quarter 3rd Quaver 4th Quarter $367,112 $91,778 $91,778 $91,778 $91,778 14. Non -Federal $91,778 $22,944 $22,944 $22,945 $22,945 15. TOTAL (sum of lines 13 -14 S458,890 $114,722 $114,722 $114,723 $114,723 SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PRO (a) Grant Program FUTURE FUNDING PERIODS (Years) (b) First (c) Second (d) Third (e) Fourth 16. 17, 18. 19. 20. TOTAL (sum of lines 16-19) SECTION F - OTHER BUDGET INFORMATION 21. Direct Charges: 22. Indirect Char, 23. Remarks: Authorized for Local Reproduction Standard Form 424A (Rev. 7-97) Pave 08CH0023 / 0 2002 Health & Human Services Eagle County EHS Basic EHS Grant Application Continuation Health & Human Services Eagle Court Program Approach Form O8CHOO23 / 000 / 2002 1. Funded Enrollment 1. Funded enrollment by program option: Center -based enrollment 0 Number of Pregnant Women: 0 Home -based enrollment 45 Combination option enrollment 0 Family child care enrollment 0 Other option enrollment 0 Total Enrollment 45 Il. Program Schedule 1. Program schedule number 1 2. Program option identification HB 3. Funded enrollment 45 Complete #4-9 for center -based, family child care, combination, and other options 4a. Number of classes/groups/family child care setttings 4b. Double session 5. Number of hours of classes/groups/FCC setttings per child, per day 6. Number of days of classes/groups/FCC settings per child, per week 7. Number of days of classes/groups/FCC settings per child, per year 8. Number of home visits per child, per year 9. Number of hours per home visit Complete #10-13 for home -based options 10. Number of home visits per child, per year 44 11. Number of hours per home visit 1.5 12. Number of hours per home -based socialization experience 2 13. Number of home -based socialization experiences per child, per year 24 4/01/2002 5:11:39 PM Health & Human Services Eagle Coun 08CH0023 / 000 / 2002 Line Item Budget For Head Start and Early Head Start 1 Program Managers & Content Area Experts $42.144 $0 $12,674 0.95 2 Teachers/Infant Toddler Teachers 3 Family Child Care Personnel 4 Home Visitors $93,460 $0 $0 3.00 5 Teacher Aides & Other Education Personnel 6 Health/Mental Health Services Personnel 7 Disabilities Services Personnel 8 Nutrition Services Personnel 9 Other Child Services Personnel 10 Program Managers & Content Area Experts 11 Other Family & Community Partnerships Personnel 12 Managers $26,903 $0 $9,360 0.70 13 Staff Development 14 Clerical Personnel 15 Fiscal Personnel $7,202 $0 $2,116 0.35 16 Other Administrative Personnel 4/01/2002 5:11:40 PM 2 Health & Human Services Eagle Coun 08CH0023 / 000 / 2002 Line Item Budget For Head Start and Early Head Start r HSlEHSCostfor Positron HSfHS Cost,for �firatning &.' Non -Federal Share Number, of Persons ; Program Op�rati_ons eehnrcar Assiskanca ;(Gash and in -kind) Employed Other Personnel �t ,ram 17 Maintenance Personnel 18 Transportation Personnel 19 Other Personnel $5,841 $0 $0 0.30 TOTAL PERSONNEL (6a) $175,550 $0 $24,150 5.30 4/01/2002 5:11:40 PM 3 Health & Human Services Eagle Coun 08CH0023 / 000 / 2002 Line Item Budget For Head Start and Early Head Start Position HS/EHS Cost for Program Operations �C s or Training & Technical Assistance Non -Federal Share (Cash and in -kind) b. FRINGE BENEFITS 1 Social Security(FICA), State Disability, Unemploym $13,430 $0 $1,717 2 Health/Dental/Life Insurance $53,240 $0 $5,441 3 Retirement $10,183 $0 $1,449 4 Other Fringe TOTAL FRINGE BENEFITS (6b) $76,853 $0 $8,607 c.TRAVEL 1 Staff Out -Of -Town Travel $1,983 $0 $0 TOTAL TRAVEL (6c) $1,983 $0 $0 d. EQUIPMENT 1 Office Equipment 2 Classroom/Outdoor/Home-based/FCC 3 Vehicle Purchase 4 Other Equipment TOTAL EQUIPMENT (6d) e. SUPPLIES 1 Office Supplies $1.150 $0 $0 2 Child and Family Services Supplies $10,592 $0 $0 3 Food Services Supplies 4/01/2002 5:11:41 PM 4 Health & Human Services Eagle Coun 08CH0023 / 000 / 2002 Line Item Budget For Head Start and Early Head Start f.CONTRACTUAL z, 1 Administrative Services(e.g.,Legal, Accounting) 2 Health/Disabilities Services 3 Food Service 4 Child Transportation Services 5 Training & Technical Assistance 6 Family Child Care 7 Delegate Agency Costs 8 Other Contracts $74,469 $0 $13,225 TOTAL CONTRACTUAL (6f) $74,469 $0 I $13,225 g. CONSTRUCTION 1 New Construction 2 Major Renovation 3 Acquisition of Buildings/Modular Unites TOTAL CONSTRUCTION (6g) 4/01/20025:11:41 PM 5 Health & Human Services Eagle Coun 08CH0023 / 000 / 2002 Line Item Budget For Head Start and Early Head Start Position HSIEHS Cost for Program Operations S-Co­s Ufor Training & Technical Assistance Non -Federal Share (Cash and in -kind) h. OTHER 1 Depreciation/Use Allowance $0 $0 $1,315 2 Rent $0 $0 $5,400 3 Mortgage 4 Utilities, Telephone $2,200 $0 $900 5 Building & Child Liability Insurance 6 Building Maintenance/Repair and Other Occupanc 7 Incidental Alterations/Renovations 8 Local Travel $13,243 $0 $0 9 Nutrition Services $0 $0 $400 10 Child Services Consultants 11 Volunteers $0 $0 $7,200 12 Substitutes (if not paid benefits) 13 Parent Services $0 $0 $29,861 14 Accounting & Legal Services 15 Publications/Advertising/Printing 16 Training or Staff Development $4,861 $3,453 $720 17 Other TOTAL OTHER (6h) $20,304 $3,453 $45,796 4/01/2002 5:11:42 PM 6 Health & Human Services Eagle Coun OBCH0023 / 000 / 2002 Line Item Budget For Head Start and Early Head Start Position HS/EHS Cost for os or Training & Non -Federal Share Program Operations Technical Assistance (Cash and in -kind) i. TOTAL DIRECT CHARGES $363,659 $3,453 $91,778 j. INDIRECT COSTS k. TOTALS - ALL BUDGET CATEGORIES $363,659 $3,453 $91,778 4/01/2002 5:11:42 PM 7 Health & Human Services Eagle Coun Other Cash and In -kind Funding Sources 08CH0023 1000 / 2002 Other Cash and In -Kind Funding Sources Value Federal Funding 1. Federal Child Development and Child Care funds $0 2. USDA Funds for Nutrition Services $0 3. Other Federal Funding ( $0 State Funding 4. State Preschool Programs $0 5. Other State Funding ( $0 Local Government Funding 6. School District Funding $0 7. Other Local Government Funding ( $0 Other Funding 6. Tribal Government Funding $0 9. Fund-raising Activities $0 10. Other ( $0 TOTAL $0 4/01/2002 5:11:42 PM Health & Human Services Eagle Coun Program Narrative 08CH0023 / 000 / 2002 4/01 /2002 5:11:43 PM 9 Eagle County Early Head Start Budget Justification - continuing application 4"1 year August 1, 2002 through July 31, 2003 a. PERSONNEL (object class 6a) Position - total Re Federal Early Head Start Director .8 Re .75 Re (Health Coordinator/Family & Community Partnerships) Family Services Coordinator .75 Re .55 Re (Disabilities Coordinator/Education Coordinator/home visitor supervisor) Home Visitors** 3.0 Re 3.00 Re Fiscal Tech 0.3 Re 0.30 Re Executive Director (Administrative) -0- Accountant -0- Group Socialization Assistance (5 hours per GS) 0.24 Re Child care provider for Policy Council/Parent Meetings 0.06 Re TOTAL 4.99 Re * as documented by time sheets. ** these home visitors serve 30 families. An additional 15 families are served by a contractor. non-federal .05 Re .20 Re -0- -0- .1 Ofte* .05 Re* 0.4 Re b. FRINGE BENEFITS (object class 6b) In addition to mandatory benefits, EHS provides health care coverage and life insurance for individuals and families. The average cost of coverage is $ 8835. Retirement benefits begin after one full year of employment. EHS's contribution is 6 % of gross salary. Fringe benefit costs are prorated according to the federal/non-federal allocation of Re. c. TRAVEL (object class 6 c) This item represents out of county travel by the Early Head Start Director and Family Services Coordinator to participate in regional meetings and for program coordination with the Roaring Fork portion of Eagle County which is separated from the Eagle River Valley by 55 miles and which must be reached by travel through another county. Federal Costs: 5015 miles @ .345/mile = 12731 24 meals @ 10.50/meal = 252 1,983 d. EQUIPMENT (object class 6d) No equipment purchases are planned for this program year. e. SUPPLIES (object class 6e) Consumable and non -capital durable supplies. Federal Costs: Office supplies $11,150 Home visitation materials 3,629 Parent Policy Council materials 813 Food for parent meetings and group socializations 6,000 Food for Health Advisory Committee 150 Socialization materials 2,000 Family & Staff reference materials 758 14,500 `14w/ Eagle County Early Head Start Budget Justification -'continuing application 4n1 year August 1, 2002 through July 31, 2003 E CONTRACTUAL (object class 6f) Home visitation for 15 families Program evaluator Specialized community services* 66,126 5,000 3,343 74,469 `Mental health, adult health, family literacy, nutritional consultation, dental services, family wellness, citizenship services - limited to services not available without cost to the family or the program. g. CONSTRUCTION (object class 6g). The program has no plans for construction costs. h. Other (Object Class 6h) Federal Costs: Utilities, Telephone : 4 cell phones @ $40/month, 4 replacement phones @ 70/ea TOTAL Local Travel : Client related - home visits Client related- home visits and group socialization EHS vehicle maintenance 6,108 miles @ .345 Personal car 32,830 miles @ .23 EHS vehicles 1,920 280 2,200 2,107 7,551 775 Client related - home visits 5,000 miles @ .46 and group socialization gpplicant fleet vehicles 2,810 Sub -TOTAL 43,938 miles 135243 Training: materials and presenters for a minimum of 20 training workshops for staff, parents and/or community partners including child care providers. 20 workshops @ 415.20 8,314 TOTAL Federal 23,757 Non -Federal Costs: Depreciation allowance: for 300 sq R of office space in a 14,500 sq ft building owned by the applicant. This building was remodeled in 1997 at a cost of $2.7 million. Depreciation is based on a 20 year schedule. 1,315 Rent: Community space for parent meetings & group socialization activities 165 meetings @ $60/meeting use Utilities : Standard telephone service for five phone lines is @ $18.75/mont Nutrition Services: Provided through CSU Extension as in -kind. Volunteers : 389.8 hours at an average of $25/hour Parent Services : Contributions by parents @ an average of $15/hour Donations by the community to training activities. Family Visitor Program: training, supplies, admin Personnel and fringe benefits TOTAL Non- Federal 5,400 h 900 400 7,200 29,861 720 13,225 32.757 91,778 J:IEARLY HEAD START\Budget12002-031bubget jus 02-03.wpd Eagle County Early Head Start 08YCO023/01 Project Description I. Objectives, Need of Assistance, and Geographic Area Objectives: No changes to program objectives. Policy Council, Community Partners and staff have revisited the objectives and find that they continue to fit the needs of early childhood in Eagle County. A. Family Program Objectives • to enhance parents ability to be better care givers and teachers of their own children. • to help parents meet their own goals. B. Child Development Objective • to enhance children's physical, social, emotional and cognitive development with a high quality, early intervention program for pregnant women and children birth to three. C. Community Development Program Objective • to engage community partners to develop strategies that result in effective use of resources to strengthen supports for pregnant women, children 0-3 and their families. D. Staff Development Program Objectives • to develop highly -trained, caring and adequately compensated program staff through development of a supportive, multi -agency, multi disciplinary partnership with parents. • to assure responsive high quality services for EHS families and for the overall community of pregnant women, young children and their families. Need for Assistance: Summary of significant changes in updated community assessment and Annual Self Assessment. Challenges: • Rotary Club Health Care project funds discontinued to expand pediatric health care screening, pediatric health care access, well -child services, and immunizations for low-income working families - has not been refunded at this time • The demand for infant -toddler child care exceeds the existing supply of licenced quality child care spaces • There is the need for additional child care professionals. Many providers choose to leave the field due to low salaries and limited benefits • It would be advantageous for child care providers to increase their level of training and education • Child care providers are limited in their ability to care for children with special needs • There is the need to examine and find solutions to the child care affordability issue 0 No CHP+ or providers. 144 d 14qw/ Eagle County Early Head Start 08YCO023/01 Project Description - page 2 Strengths: • Miles for Smiles dental services to Eagle County are now on annual schedule providing dental screening and some dental work. EHS children are accessing this service • One dentist provided services to EHS children with Medicaid. Other community resources assisted families in paying for dental treatment when families could not pay • Analysis and report of child care community issues in the Rural Resort Region of Colorado completed and released January 2002. Findings and recommendations offered • Child care quality expansion grant increased the number of licenced child care spaces for infants and toddlers in family child care homes and is enhancing quality infant toddler care in those homes through a comprehensive quality enhancement approach • Early Childhood Mental Health Pilot Program provides opportunities for childcare providers and parents to obtain information on how to enhance a child's emotional resiliency and how to respond to child behavior issues • Eagle County EHS has strategies and activities to support President Bush's National Priorities. Demographic Information: 2000 Population Estimate 41,659 (19% increase from 1999) Children under one year 711- (14% increase from 1999) Children 1-5 years 2,902 Geographic Area: No changes. Children living in poverty 437 Medicaid - 3 and under 387 (13 % increase) Prenatal program 220 II. Program Approach and Results or Benefits Expected Program Approach The Home -based program option has been reaffirmed by the Policy Council and Community Partners as being most responsive to family needs based on the community needs assessment and the availability of infant -toddler child care spaces. Rationale of approach remains the same as in original grant. Parents report that they would like opportunities to participate in different program options at different times while enrolled in Early Head Start. For example, parents of newborns and young infants who have not returned to work may opt for home -based services. Once a child is older and the parent returns to work or enters job training, the need for part -day care outside the home is often required. Ultimately, a parent may obtain a full-time job and at that point, a child will need to be in a full day, full year quality child care setting. Eagle County Early Head Start 08YCO0.23/01 Project Description - page 3 The program is committed to providing program options in meeting the expanding needs of parents for quality child care so they can work or attend education and/or training. In light of family goals that relate to self-sufficiency and ultimately result in the need for child care, the program over the next year will continue to explore and initiate partnerships and strategies to expand high quality comprehensive, full -day, full year child care services for low-income children and families. This will be accomplished by exploring a variety of funding sources and by contracting with child care partners to serve EHS eligible children. The primary objectives for launching child care partnerships are: ► Respond to changing needs of parents ► Offer increased options to eligible families but still offer parents routine home visits ► Provide continuity of care ► Enhance the quality of children's child care ► Link with partners to coordinate and maximize staff training ► Maximize funding and cost effectiveness Maximize use of facilities The program utilizes existing programs such as the Colorado Child Care Assistance Program (CLAP) which provides child care subsidy to families working and in training up to 225% of the federal poverty level. This partnership with CCAP, TANF and a local child care agency has resulted in full-time, full -year child care spaces for EHS eligible children. Because of long waiting list at existing child care centers, CCAP has begun pre -purchasing slots so that families eligible for CCAP have a higher priority for enrollment. Other collaborative community projects under the umbrella of the Eagle Valley Child Care Association are under way to decrease barriers to quality day care for all families in Eagle County. Early Head Start management continues to participate in this project and other local and state childcare partnerships. The program is committed to providing year long service. This decision is based on updated community needs assessment and Head Start Goals "2000" to have a full -year program option in every Head Start Program by FY 2004. Families have said that a full year program works best for their needs. Families do not receive time off from work or parenting during the summer months or typical school holidays. A full year program offers families consistency in relationships and builds upon trust. Having a positive and caring relationship on a continuing basis, parents feel they will have more energy to devote to self-sufficiency versus struggling to provide the very basics of life for their families. Year round service also provide year long education and outreach with parents and partner organizations. Results or Benefit Expected: The program has been working with an evaluator in developing a strengths based survey (Parent Assets Survey) measuring provider perceptions of the parents they serve. The development of 11� lq■d Eagle County Early Head Start 08YCO023/01 Project Description page - 4 the Parent Assets Survey follows recent trends in home -based services results measurement, particularly as it is exemplified in the Early Head Start National Evaluation. The Parent Assets Survey measures short-term changes that may occur as a direct consequence of home visitation services and does -not attempt to assess benefits from resources to which the parent may be referred, e.g., employment counseling, child care, or medical or mental health treatment. The Parent Assets Survey uses the assessment process to: • Improve intervention by assisting visitors by identifying those assets that can be used to address vulnerabilities; • Inform administrators by helping them recognize when intervention is getting results; • Informs parents about their inner resources; • Help families reach their potential. In addition a database has been developed to measure program outcomes. Both are being implemented and initial baseline data is being produced. These tools were developed to improve evaluation quality by producing results -based conclusions about program performance. Results - based conclusions show quantitatively how the program contributed to family well-being and improved the quality of life in the community versus budget related findings (e.g., the number of services provided and clients served with the available budget) and service -related findings (e.g., the extent to which best -practice service standards was followed.) Reporting on results and benefits next year will be based on the Parents Assets Survey and the outcome database. Current outcomes: Family Development: ✓ Improved family self-esteem • Parents are serving as a resource to other parents • Friendships developed • Parents set Family Plan goals • Parents advocating for their children and family • 3 parents completed GED. ✓ Decreased language & cultural barriers EHS services are provided in primary language and by culturally competent staff • Parent participation in ESL classes • Families that speak English, Mono -lingual Spanish and bilingual all work together at group socializations and Policy Council meetings. 1"0;1j 10 / Eagle County Early Head Start 08YC0023/01 Project Description page - 5 ✓ Increased parent participation and knowledge in shared governance • Policy Council approved the budget and the Continuation Grant; • Self -assessment procedure and time line developed with participation of PC, community, staff. PC, community, and staff participate in the process and findings are used to examine the effectiveness and progress of goals, objectives and Federal regulations • Parent involvement in all aspects of planning and implementation • Active & operative Policy Council with ongoing training • Parent Involvement in child care partnerships, purchasing of additional vehicles and the remodeling plans of the permanent group socialization in Basalt. Child Development: ✓ Enhanced parent -child relationships ✓ Increased opportunities for stimulation of cognitive, physical, social and emotional development ✓ Increased parental nuturance and consistency in care giving ✓ Coordinate Family Plan with the IFSP for children with disabilities ✓ Increase in transitions to quality child care programs • One partnership with a child care provider provides 3 annual scholarships for preschool spaces for 3 year olds transitioning from EHS • HS provides priority for 3 year olds from EHS to transition into program • Multiple child care agency partnership providing infant- toddler child care spaces full-time and full -year to EHS eligible children and families • Increased awareness of child development opportunities available during typical daily routines. Community Development: ✓ Increase community capacity to meet needs of pregnant women, children and their families • Child Find partnership, staff participate in ongoing developmental, hearing, vision, and health screens • Community collaborative efforts including Early Head Start, Eagle County Health and Human Services and the Eagle Care Clinic (indigent health care clinic) developed efforts to assure that pregnant women receive care. Indigent health care sliding fee scales are available for families with incomes between the medicaid rate of 133% and 185% federal poverty level. Once allocated public health prenatal dollars are expended, prenatal clients use this fee scale for a reasonable self -pay plan. 11"M, \qUo-i Eagle County Early Head Start 08YC0023/01 Project Description page - 6 ✓ Increase community collaboration in effectively and efficiently addressing the needs of families with young children • Child care partnerships provide full-time, full -year infant -toddler child care spaces for EHS eligible children and families • Partnership developed with Colorado Mountain College, the Literacy Program, Colorado Extension, Head Start and Early Head Start to provide and link ESL, an enrichment program for children while their parents are in ESL class, parent child literacy program and group socialization experiences • Development of an Eagle County Child Care Strategy that identifies elements to increase capacity, affordability,. quality and funding options for child care • Recruitment of children & families is an ongoing process. The program works closely with public assistance, WIC, and prenatal staff of H&HS and other agencies in the recruitment and the application process; • Shared community assessments and service updates • Early Childhood Mental Health Task Force initiated; providing pilot services to preschool children with intent to expand services to children birth to three • Contracts and MOU's developed and implemented with various community partners • Shared Health Services Advisory Committee with Head Start Program • Formal collaboration agreement with Part C, ongoing collaboration, EHS provides service coordination for Part C eligible children enrolled in EHS. Staff Development Outcomes: IF/ Increase program quality • All staff received 3% cost of living adjustment March 7, 2002 • Reflective supervision continues and includes home visits and review of video taped visits to monitor and implement child development and health, disabilities services, individualization, family partnership building, and performance standards • Home Visitors have reached a level of competency; rapport and family partnerships have been established with families in the program • Work -plans and curriculum revised based on self -assessment and ongoing monitoring • Time lines and responsibilities developed and implemented to meet deadlines for various program needs, i.e., self -assessment, community assessment, resource management, staff management • HSFIS used as a tracking tool, more training is needed. ,%loo/ \"Mv/ Eagle County Early Head Start 08YCO023/01 Project Description page - 7 ✓ Acquisition core child development competencies • Six week pre -service training developed • Annual training program developed based on individual and group needs with ongoing educational opportunities provided on a routine basis; • 66% of home visitor staff have completed CDA education - others have degrees • Participation by staff in numerous educational opportunities including but not limited to Region VIII Managing for Quality; Nurturing Potential; Early Childhood Institute; Diversity of Cultures; Region VIII Early Head Conference; West Ed Training; DSQIC audio conferences; Early Brain Development with Bruce Perry; Department of Education Service Coordination Training; CDI trainings e.g., Teen Parents, Building Family Plans; and Maternal Depression. Eagle County Early Head Start Program 4th Year Continuation Grant Budget (continued funding for home visitation program) August 1, 2002 to July 31, 2003 Approved by the Policy Council: 1 � ICY C `Z Date: Ck— aLvrS Date: © Date: �� —TE %to k9 R ) Date: Date: Date: Date: Date: 3 -M-oa U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES COMPENDIUM OF REQUIRED CERTiFI CA TIONS AND ASSURANCES ASSURANCES - NON -CONSTRUCTION PROGRAMS Note: Certain of these assurances may not be applicable to your projector program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, 1 certify that the applicant: 1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient.to pay the non -Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 5. Will comply with the intergovernmental Personnel Act of 1970 (42 U.S.C. 42784763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM=s Standards for a Merit System of Personnel Administration (5 CFR 900, Subpart F). 6. Will comply with all Federal statutes relating to non-discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the bases of race, color or national origin; (b) Title iX of the Education Amendments of 197Z as amended (20 U.S.C. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex, (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), which prohibits discrimination on the basis of handicaps, (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. 6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to non-discrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to non-discrimination on the bases of alcohol abuse or alcoholism; (g) 523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as amended, relating to confidentiality of the alcohol and drug abuse patient records, (h) Title Vll of the Civil Rights Act of 1968 (42 U.S. C. 3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing, (1) any other non-discrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and (j) the requirements of any other non-discrimination statute(s) which may apply to the application. 7. Will comply, or has already complies, with the requirements of Titles 11 and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or Federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. 20 8. Will comply with the provisions of the Hatch Act (5 U.S. C. 1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds. 9. Will comply, as applicable, with the provisions of the Davis -Bacon Act (40 U.S.C. 276a to 276a-7), the Copeland Act (40 U. S. C. 276c and 18 U. S. C. 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. 327-333), regarding labor standards .for Federally assisted construction subagreements. 10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to. participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more. 11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514, (b) notification of violating facilities pursuant to EO 11738, (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. 1451 et seq.); (0 conformity of Federal actions to State (Clear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. 7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205) 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. 469a-1 et seq.). 14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance. 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. 2131 et seq.) pertaining to the care, handling, and treatment of wa nn blooded animals held for research, teaching, or other activities supported by this award of assistance. 16. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. 4801 et seq.) which prohibits the use of lead based paint in the construction or rehabilitation of residence structures. 17. Will cause to be performed the required financial and compliance audits in accordance with the single Audit Act of 1984. 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program. 21 DRUG -FREE WORKPLACE REQUIREMENTS GRANTEES OTHER THAN INDIVIDUALS By signing and/or submitting this application or grant agreement, the grantee is providing the certification set out below. This certification is required by regulations implementing the Drug -Free Workplace Act of 1988, 45 CFR, Part 76, Subpart F. The regulations published in the January. 31, 1989 Federal Register, require certification by grantees that they will maintain a dnig-free workplace. The certification set out below is a material representation of fact upon which reliance will be placed when HHS determines to award the grant. False certification or violation of the certification shall be grounds for suspension of payments, suspension or termination of grants, or govemment-wide suspension or debarment. Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If known, they may be identified in the grant application. if the grantee does not identify the workplaces at the time of application, or upon award, if there is no application, the grantee must keep the identity of the workplace(s) on file in its office and make the information available for Federal inspection. Failure to identify all known workplaces constitutes a violation of the grantee's drug -free workplace requirements. Workplace identifications must include the actual address of buildings (or parts of building) or other sites where work under the grant takes place. Categorical descriptions may be used (e.g. all vehicles of a mass transit authority of State highway department while in operation, State employees in each local unemployment office, performers in concert halls or radio studios). if the workplace identified to HHS changes during the performance of the grant, the grantee shall inform the agency of the change(s), it previously identified the workplaces in question (see above). Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug -Free Workplace common rule apply to this certification. Grantees' attention is called, in particular, to the following definitions from these rules: "Controlled substance" means a controlled substance in Schedules 1 through V of the Controlled Substances Act (21 USC 812) and as further defined by regulations (21 CFR, 1308.11 through 1308.15). "Conviction" means a finding of guilt (including a plea of nolo contendere) or imposition of sentence, or both, by any judicial body charged with the responsibility to determine violations of the Federal of State criminal drug statutes; "Criminal drug statute" means a Federal or non -Federal criminal statute involving the manufacture, distribution, dispensing use, or possession of any controlled substance; "Employee" means the employee of a grantee directly engaged in the performance of work under a grant including: (i) All "direct change" employees; (ii) all "indirect charge" employees unless their impact of involvement is insignificant to the performance of the grant, and (N) temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. This definition does not include workers not on the payroll of the grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent contractors not on the grantee's payroll, or employees of subrecipients or subcontractors in covered workplaces). The grantee certifies that it will provide a drug -free workplace by. a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; 22 u b) Establishing a drug -free awareness program to inform employees about: (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug -free workplace; (3) Any available drug counseling, rehabilitation, employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of be statement required by paragraph (a); d) Notifying the employee in the statement required by paragraph (a) that as a condition of employment under the grant, the employee will (1) Abide by the terms of the statement; and (2) Notify the employer of any criminal drug statute conviction fora violation occurring in the workplace no later than five days after such conviction; e) Notifying the agency in writing within ten days after receiving notice under subparagraph (d)(2), from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant-, Taking one of the following actions within 30 days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted: (1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency. g) Making a good faith effort to continue to maintain a drug -free wnodplace through implementation of paragraphs (a) through (0. 23 �qw� CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE Public Law 103-227, also known as the Pro -Children Act of 1994 (Act), requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health, day care, early childhood development services, education or library services to children under the age of 18, if the services are funded by Federal program either directly or - through State or local governments, by Federal grant, contract, loan, or .loan guarantee. The law also applies to children's services that are provided in indoor facilities that are constructed, operated, or maintained with such Federal funds. The law does not apply to children's services provided in private residences; portions of facilities used for inpatient drug or alcohol treatment, service providers whose sole source of applicable Federal funds in medicare of medicaid; or facilities where WIC coupons are redeemed. Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity. By signing this certification, the offeror/contractor (for acquisitions) or applicant/grantee (for grants) cerfifies that the submitting organization will comply with the requirements of the Act and will not allow smoking within any portion of any indoor facility used for the provision of services for children as defined by the Act. The submitting organization agrees that it will require that the language of this certification be included in any subawards which subrecipients shall certify accordingly. 24 \V� PEM CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS -PRIMARY COVERED TRANSACTIONS By signing and submitting this proposal, the applicant, defined as the primary participant in accordance with 45 CFR Part 76 certifies to the best of his or her knowledge and believe that it and its principals: (a) are not presently debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from covered transaction by any Federal Department or agency; (b) have not within a 3year period preceding this proposal been convicted or had a civil judgement rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction: violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statement, or receiving stolen property; (c) are not presently indicted or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification; and (d) have not within a 3-year period preceding this application/proposal had one or more public transaction (Federal, State or local) terminated for cause or default. The inability of a person to provide the certification required above will not necessarily result in denial of participation in this covered transaction. If necessary, the prospective participant shall submit an explanation of why it cannot provide the certification. The Department of Health and Human Services' (HHS) determination whether to enter into this transaction. However, failure of the prospective primary participant to fumish a certification or an explanation shall disqualify such person from participation in this transaction. The prospective primary participant agrees that by submitting this proposal, it will include the clause entitled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions," provided below without modification in all lower tier covered transactions. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION - LOWER TIER COVERED TRANSACTIONS (TO BE SUPPLIED TO LOWER TIER PARTICIPANTS) By signing and submitting his lower tier proposal, the prospective lower tier participant, as defined in 45 CFR, Part 76, 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 participation in this transaction by any Federal department or agency. (b) where the prospective lower tier participant is unable to certify to any of the above, such prospective participant shall attach an explanation to this proposal. The prospective lower tier participant further agrees by submitting this proposal that it will include this clause entitled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion . Lower Tier Covered Transactions," without modification in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 25 CERTIFICATION REGARDING LOBBYING FOR CONTRACTS, GRANTS, LOANS AND COOPERATIVE AGREEMENTS The undersigned certifies to the best of his or her knowledge and belief, that: (1) No Federal appropriate 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, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, 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 influencing or attempting to influence an officer or employee or an agency, a member of congress, an officer or employee of congress, or an 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 instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed Men this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 135Z title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty or not less than $10,000 and not more than $100,000 for each such failure. Wi ath"vecertificatton nd assurances. Signature of ying Dat Title Applicant Organization 26 4 i DISTRIBUTION Originals to: 1. Contract Book 2. 3. 4. i Copies to 1. Accounting 2. 3. 4.