PROGRAM POLICY & PROVIDER SERVICES COMMITTEE MEETING April 29 th, 2014, 3:30 p.m. ELC Board Room

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1 PROGRAM POLICY & PROVIDER SERVICES COMMITTEE MEETING April 29 th, 2014, 3:30 p.m. ELC Board Room I. Welcome & Introductions David Williams, Jr. Approval of Minutes Shaleen Fagundo II. Nurse Family Partnership Kate Flanigan Witte April Hille Carmen I. Galvis III. EHS/CCP update Pam Hollingsworth IV. ASQ Portal Dr. Christine Hughes V. VPK Assessment Update Kerry Allen VI. Public Comments VII. Adjourn David Williams, Jr. Shaleen Fagundo Mission: To promote high-quality school readiness, voluntary pre-kindergarten and after school programs, thus increasing all children s chances of achieving future educational success and becoming productive members of society. The Coalition seeks to further the physical, social, emotional and intellectual needs of Miami-Dade and Monroe County children with a priority toward the ages before birth through age 5.

2 PROGRAM POLICY & PROVIDER SERVICES COMMITTEE MEETING March 25 th, 2014; 3:30 P.M. ELC Board Room Committee Attendees: Committee Absentees: Staff Attendees: Shaleen Fagundo; Rick Beasley; the Hon. Cindy S. Lederman; Tina Carroll-Scott; Mara Zapata; David Williams, Jr.; Charles Auslander; Helene Good Abilio Rodriguez; Robert Eadie; Lucia Davis-Raiford; Mary Vanden Brock Evelio C. Torres, CEO; Jackye Russell; Pamela Hollingsworth; Trudy Azarsepandan; Kerry Allen; Georgia Thompson; Dr. Christine Hughes; Melody Mendez; Santiago Echemendia (Board Attorney) I. Welcome and Introductions Shaleen Fagundo S. Fagundo welcomed the Committee, staff and attendees. A quorum of 7 members was established. II. Approval of Minutes Shaleen Fagundo S. Fagundo moved the motion for the approval of meeting minutes from January 28 th, Motion unanimously passed. III. VPK Providers Probation Kerry Allen K. Allen began her presentation describing the VPK Readiness Rate process. Within 30 days of entering kindergarten, children are administered the Florida Kindergarten Readiness System Assessments (FLKRS) which comprises of two assessment tools. Early Childhood Observation System (ECHOS) is a 30 day observational assessment based upon 19 standards referenced from the Florida Standards for Four Year Olds. Florida Assessment for Instructional Reading (FAIR) is a language and literacy assessment conducted on the 26 th day of kindergarten assessing a child s ability to recognize upper and lower case letters and initial sounds. Results of these assessments determine the providers VPK Readiness Rate.

3 VPK Providers are statutorily mandated to conduct the VPK Assessment twice per year however in Dade and Monroe Counties the providers administer the complete assessment three times per year. VPK Assessment Period 1 is administered after the first four week of the school year. Scores are entered on-line by the end of October. VPK Assessment Period 2 is administered the second week of January. Scores are entered on-line by the end of February. VPK Assessment Period 3 is administered three weeks before the end of the program. Scores are entered on-line by the end of June. VPK Assessment results are used by providers to drive large and small group classroom instruction. Also, if a provider has been deemed a provider on probation for three continuous years they must use the data from the VPK Assessment to submit their Good Cause Exemption to the State of Florida. The committee recommended VPK Providers failing to enter assessment scores on-line will be given 30 days failure to comply would result in termination of their VPK contract. IV. EHS Child Care Partnership/ Funding opportunity Evelio Torres Pam Hollingsworth Mr. Torres announced the Early Head Start Child Care Partnership Federal Funding Opportunity. Five hundred million dollars will be available nationwide to fund more than 100,000 high quality Early Head Start slots for children birth to 37 months. The ELC is well poised to apply for this funding opportunity because of its role with CCDF (federal subsidy) distribution, quality programming and its strong position in the county serving providers, parents and children. P. Hollingsworth mentioned reaching out to childcare providers, Miami Dade College, Citrus Health, and others to form partnerships. P. Hollingsworth predicted writing a 100 plus page response. Mr. Auslander suggested the possibility of creating a friendly collaborative relationship with United Way. The Committee voted by majority for staff to move forward in applying for the EHS/CCP Grant. V. TAP Program Jackye Russell Jackye Russell presented an overview of the current status of the TAP program. TAPP is under enrolled and a number of these children (37) are not attending accredited programs. Ms. Russell presented an action plan created with MDCPS to address the following areas: alignment of bus routes to provide access to accredited childcare programs; TAPP staff will register children in accredited centers whenever possible; the ELC will provide a complete list of accredited centers to MDCPS; recruitment efforts for TAPP referrals will be increased; legal opinion regarding the addition of language to the RFP requiring TAPP child placement in accredited centers only, will be sought. Mr. Torres pointed out that one of challenges with the TAPP grant is the ELC does not have the totality of the grant. The Committee discussed the pros and cons of retaining the TAP grant. The Committee voted to give ELC CEO, Mr. Torres the final decision as to whether or not the ELC retains the TAPP grant.

4 VI. School Readiness Provider: Mc Donald s Playworld Shaleen Fagundo Santiago Echemendia S. Fagundo reported that the Provider Peer Review Panel met with Marcia Carty, owner of McDonald s Play World on March 12 th to discuss the probationary status of her center s DCF license (through August 2014) and the center s history of licensing violations. The PPRP voted to recommend that the Coalition place McDonald s Playworld on probationary status coterminous with its DCF probationary status. As well, McDonalds Playworld is (1) required to retain a credentialed Director while (2)training an alternate credentialed director, (3) enter into an agreement with Miami Children s Initiative to improve its licensing status and (4) report any Class 3 or 4 violations received by DCF to the Coalition. Failure to adhere to these requirements (between now and August 14, 2014) will result in the suspension of the program s School Readiness Contract The Committee voted to accept the PPRP s recommendation. VII. ELC Child Health & Safety Policy Santiago Echemendia S. Echemendia proposed to the Committee revisions to ELC Child Health and Safety Policy. The Committee discussed and voted on the following additions and revisions to the ELC Child Health and Safety Policy: A) Transfer of ownership: (Language lifted from the current Early Learning Bill) The owner of a child care facility, family child care 408 home, or large family child care home may not transfer ownership 409 to a relative of the operator if the operator has had his or her 410 license suspended or revoked by the department pursuant to s , has received notice from the department that reasonable 412 cause exists to suspend or revoke the license, or has been 413 placed on the United States Department of Agriculture National 414 Disqualified list. For purposes of this paragraph, "relative" 415 means father, mother, son, daughter, grandfather, grandmother, 416 brother, sister, uncle, aunt, cousin, nephew, niece, husband, 417 wife, father-in-law, mother-inlaw, son-in-law, daughter-in-law, 418 brother-in-law, sister-in-law, stepfather, stepmother, stepson, 419 stepdaughter, stepbrother, stepsister, half-brother, or half 420 sister B) Depending on the seriousness of the violation, the Coalition s Executive Director has the discretion to bypass the Provider Peer Review Panel and bring the provider directly to Programs and Provider Services Committee. VIII. Meeting Adjourn

6 Working Together to Ensure Healthier Families Nurse-Family Partnership Overview

7 Overview 3 Cover this gray area with one of the 8 provided filmstrip photo JPG files. Nurse-Family Partnership is An evidence-based, community health program Transforming lives of vulnerable first-time mothers living in poverty Improving prenatal care, quality of parenting and life prospects for mothers by partnering them with a registered nurse Copyright Nurse-Family Partnership. All rights reserved.

8 Research 4 Trials of the Program Dr. Olds research & development of NFP continues today 1977 Elmira, NY Participants: 400 Population: Low-income Caucasian Studied: Semi-rural area 1988 Memphis, TN Participants: 1,139 Population: Low-income African Americans Studied: Urban area 1994 Denver, CO Participants: 735 Population: Large portion of Hispanics Studied: Nurse and paraprofessionals Copyright Nurse-Family Partnership. All rights reserved.

9 Overview 5 Cover this gray area with one of the 8 provided filmstrip photo JPG files. Program Goals Improve pregnancy outcomes Improve child health and development Improve parents economic selfsufficiency Key Program Components First-time, at-risk mothers Registered nurses Intensive services (intensity, duration) Focus on behavior Program fidelity (performance management system) Why Nurses? Knowledge, judgment and skills High level of trust, low stigma Credibility and perceived authority Nursing theory and practice at core of original model Copyright Nurse-Family Partnership. All rights reserved.

10 6 Cover this gray area with one of the 8 provided filmstrip photo JPG files. Eligibility Criteria: No previous live births. Low income/ eligible for Medicaid 25 years of age or younger. Less than 28 weeks pregnant. Reside in the targeted zip code. Copyright 2011 Nurse-Family Partnership. All rights reserved.

11 7 Cover this gray area with one of the 8 provided filmstrip photo JPG files. How it works The program lasts from pregnancy until the child is 2 years of age. voluntary. Each visit lasts about 1 to 1 ½ hours. Pregnancy visits: Weekly for the first month than every two weeks. Postpartum visits: Weekly for the first six months than every two weeks. Infancy and Toddler visits: Every two weeks until the child is 21 months old than once a month until the child s second birthday. Each nurse will have a max caseload of 25 clients. Copyright 2011 Nurse-Family Partnership. All rights reserved.

12 8 Cover this gray area with one of the 8 provided filmstrip photo JPG files. 34 Target zip codes: Target Areas OPA LOCKA N.W. MIAMI N.E. MIAMI DOWNTOWN S.W. MIAMI HOMESTEAD CORAL GABLES COCONUT GROVE Copyright 2011 Nurse-Family Partnership. All rights reserved.

13 9 Cover this gray area with one of the 8 provided filmstrip photo JPG files. Program Evaluation The program has an evaluation component that allows implementing agencies to track their progress. The Nurse Home Visitors collect data, which is entered into a clinical information system managed by the NFP national office. Agency staff can review reports regularly to evaluate program quality. Reports can help sites improve the quality of their services as well as provide accountability to the community about the difference the Nurse- Family Partnership is making. Copyright 2011 Nurse-Family Partnership. All rights reserved.

14 10 Cover this gray area with one of the 8 provided filmstrip photo JPG files. Next Steps Staffing Two nurses currently accepting referrals One nurse in training Goals Four nurses accepting referrals 100 Clients in 6-9 months Copyright 2011 Nurse-Family Partnership. All rights reserved.

15 Screening & Assessment Dr. Christine Hughes Director of Research, Evaluation & Assessment

16 Screening in School Readiness All children in School Readiness Program must be screened within 45 days of enrollment in School Readiness AND annually in their birth month From the ELC s School Readiness contract: The Provider agrees to participate in the SR child screening process designed to identify children in need of further evaluation for special needs. The Provider agrees that all SR children aged birth to five years, who have parent s/guardian s consent will receive the Coalition approved screening tool (Questionnaire) within 45 days of child s entry into the program and annually as long as the child remains in the program. The Provider agrees that children identified with special needs are referred to the needed therapeutic services.

17 ASQ-3 in Provider Portal Online system where provider enters data for each child in School Readiness Program Each month, provider should do ASQ-3 for children with a birthday in that month. Then, enter the data in the Portal to determine if referral or follow-up is necessary.

18 Portal Updates Data in Provider Portal continues to be cleaned. Information changes color to: yellow (when a child is due in the current month) red (when a child is past due) Automated s have been built to remind providers which children will need an ASQ each month.

19 Referral Information All children with scores in the Monitoring Zone or beyond the Referral cutoff will be referred to Citrus Health Network If a provider or a parent has a developmental concern about a child for any reason: call the ELC s Warm-Line at ELC Screening & Assessment Specialists have developed an ASQ-3 training to be hosted monthly

20 Assessment in School Readiness ELC is beginning the Spring 2014 data collection for E-LAP and LAP-D assessments Assessors will be calling programs who were involved in the Fall 2013 data collection in April Assessments are planned for late April May 2014

21 VPK Assessment Update

22 VPK Assessment Grant Florida Department of Education requested proposals, from early learning coalitions and school districts, to support VPK providers administrating the VPK Assessment and provide technical assistance to identified Providers on Probation (POPs). Early Learning Coalition of Miami-Dade/Monroe was awarded $194, for fiscal year : a) Provide DOE prescribed assessment training to VPK Providers 1.How to Administer the VPK Assessment 2.Instructional Implications of the VPK Assessment 3.Standards for Four Year Olds 4.Integrating the Standards: Phonological Awareness b) Monitor VPK programs to insure the VPK Assessment is administered with validity and reliability. c) Monitor VPK programs to insure the VPK Assessment children scores are entered on-line at Bright Beginnings d) Analyze coalition level data from Bright Beginnings to identify strengths and weaknesses of VPK providers related to the implementation of the VPK Assessment e) Utilizing data to create action plans to provide targeted training and technical assistance to VPK providers f) Create a Teacher s Circle Facebook page, for VPK providers, illustrating successful VPK instructional strategies in the areas of: 1.Social Emotional Development 2.Classroom Behavior Management 3.Teaching dual language learners 4.Literacy 5.Math 6.Science Mini-Conference for POPs: One (1) session in Dade and one (1) in Monroe-each 4.5 hours in length a) Conference Topics 1.Dual Language Learners 2.Classroom Behavior Management b) Attendees will receive.4 CEUs and a Standards for Four Year Olds Book Staffing: Two (2) Trainer/Mentors: 1.Provide DOE VPK prescribed trainings-minimum of 4 sessions per week and 1 Saturday per month 2.Monitor and Mentor Year 3 POPs and VPK providers Six (6) Monitor/Mentors: Mentor and monitor Year 1 and 2 POPs and VPK providers