VALUE IN PRESCHOOL Application for Providers

Transcription

1 VALUE IN PRESCHOOL Application for Providers Congratulations on considering applying to be a VIP Provider! VIP providers will be the demonstrated high quality child care providers in Sonoma County, helping to raise the standards for all child care providers in our community. For the purposes of the application, VIP Provider means licensed preschool or licensed family child care provider; 3-5 year old children means children of that age not currently attending Kindergarten. By submitting a completed, signed VIP Provider Application, you are agreeing that you have read and understood the following: 1. The first year of the program, , qualified providers must be located in the attendance areas of the following schools: Bellevue Union School District: Bellevue, Kawana, Meadow View, Taylor Mountain; Roseland School District: Roseland, Sheppard; Santa Rosa City School District: Brook Hill, Burbank, Lehman, Lincoln, Monroe, Steele Lane, Doyle Park, Biella. In following years, the program may expand to the following school service areas: Cinnabar School District: Cinnabar Cloverdale Unified School District: Jefferson Healdsburg Unified School District: Healdsburg Elementary Horicon School District: Horicon Petaluma City School District: McDowell, McKinley Sonoma Valley Unified School District: Flowery, El Verano, Dunbar, Sassarini 2. In order to qualify for the program, participating providers must meet one of two standards of high quality: Gold Tier = NAEYC or NAFCC Accreditation Silver Tier = CLASS average score of med-high, and ECERS or FCCERS average score of 5 with no score lower than a 3. Program will schedule providers for assessment after application has been received and the center/provider has been accepted into the program. 3. Participating providers must agree to the following Initial quality assessments (ECERS or FCCERS and CLASS) if in Silver Tier Implement quality improvement activities Complete required program paperwork Participate in First 5 evaluation Demonstrate ability to access community resources and implement ongoing professional development plans Demonstrate knowledge/experience in coordinating access and referrals to social services for low-income families Value in Preschool Application for Providers

2 Offer a strong parent engagement component Maintain good standing with Community Care Licensing Offer a minimum of a 1:8 ratio during a 3-hour per day preschool program for 3 and 4- year olds. This requirement would not apply to the rest of the school day in the program, if the program is open more hours during the day. Have a minimum of year old children in a preschool classroom. Comply with VIP attendance procedures. Providers must report any changes to VIP staff within 5 business days of the time change occurs Please attach documents (when applicable) such as: Program Handbook Rate Sheet Contract Program Philosophy Any policies that may be in addition to the handbook Examples of Parent Engagement activities (newsletters, s, parent-teacher conferences) Examples of Community Resources access for Parents (e.g. links on website, handouts) Accreditation Program Assessments (ECERS, FCCERS, CLASS) Staff resumes Please include, along with this application form: VIP Site Application form Profile Sheet for VIP Staff for every staff member of each classroom Mail the application to 4Cs at the address at the bottom of the page Applicant s Signature I certify that all information provided is true and correct. Intentional incorrect information could lead to penalties including, but not limited to, exclusion from the Value in Preschool Program (VIP). I authorize VIP to share my application information with the VIP funders, including First 5 Sonoma County for the purpose of keeping my site informed of incentives and other opportunities through VIP and for the purpose of evaluation and countywide VIP program improvement. DIRECTOR/OWNER SIGNATURE: PROGRAM NAME: Value in Preschool Application for Providers

3 Profile Sheet for VIP Classroom Staff Please complete one sheet for every staff of each classroom Program Name Classroom (if multiple classrooms) First Name Last Name Early Childhood Education Employment What year did you begin working in the ECE field? What year did you begin at THIS site? Since you began in ECE, how many years have you worked in family child care or centers? years in centers years in family child care Comments: Education Please check only one box What is the highest level of education you have completed? Less than high school diploma/ged High school diploma/ged Some college courses AA or AS BA or BS Graduate Degree Degree is in ECE or Child Development Degree NOT in ECE or Child Development How many ECE units have you completed? Comments: _ Permit Level Do you have a California Child Development Permit? No Yes, Expires / / Assistant Teacher Associate Teacher Teacher Master Teacher Site Supervisor Program Director Other Have you received certified pediatric First Aid training? No Yes, Expires / / Have you received certified pediatric CPR training? No Yes, Expires / / Please detail other certificates, trainings and relevant experiences : _ Value in Preschool Application for Providers

4 Have you attended a training on or participated in any of the following programs? DRDP (Desired Results Developmental Profile), CSEFEL California Preschool Foundations, California Preschool Curriculum Framework, ECERS FCCERS, CLASS. C3 (Child Care Connections) Program, Family Child Care Home Education Network CCIP (Child Care Initiative Project). Please explain any other child development or child care management-related training or experience that may be relevant (you may attach another sheet of paper if necessary): Applicant s Signature I certify that all information provided is true and correct. Intentional incorrect information could lead to penalties including, but not limited to, exclusion from the Value in Preschool Program (VIP). I authorize VIP to share my application information with the VIP funders, including First 5 Sonoma County for the purpose of keeping my site informed of incentives and other opportunities through VIP and for the purpose of evaluation and countywide VIP program improvement. LEAD TEACHER: DIRECTOR/OWNER SIGNATURE: PROGRAM NAME: Value in Preschool Application for Providers

5 VIP Site Application Today s Date / / Program Name Program Address City Zip Mailing Address City Zip School Attendance Area Director/Owner s First Name Last Name: Phone 1 ( ) Work Other Phone 2 ( ) Work Other Website (if applicable) For Centers: How many classrooms are you applying to become VIP classrooms? Please complete a Profile Sheet for VIP Classroom Staff on each staff member working in the classroom or Family Child Care Home. What months does this program operate? Year-round Not year round: from to month month What are the regular hours of operation for this program? Monday through Friday from am to pm Other This program is also open: (check all that apply) Early (before 7:00 am) Late (after 6:00 pm) Weekends Between midnight and 5:00 am Comments: How many children is this program licensed to serve? (Please attach copy of license) Value in Preschool Application for Providers

6 For Centers: How many classrooms operate in this facility? Of these, how many serve 3-4 year olds? How many children are currently enrolled in this facility? Of enrolled children, please indicate the number in each age category. Please provide actual numbers. Birth to 23 months 2 yrs to 2years 11 months 3 to 5 years old School age (K-6) Number of children under age 5 with special needs. For Family Child Care Providers, how many 3 to 5 year old children do you have enrolled? Facility License number: Licensed since : (date) / / Which best describes the facility: Family Child Care Private, for profit center Private, non-profit center Public center For Centers: Which best describes this center? Please check all that apply Private State Preschool CDE General Child Care HeadStart/Early HeadStart Other Does this program have a preschool component of at least 3 hours per day? Yes No If yes, do you, are you able to have a ratio of 1:8 during those 3 hours? Yes No Hours of the preschool program? From to # of days per week Does this program currently serve subsidized children? If yes, please explain number of children and type of subsidy Does this program have an ongoing professional development plan? Yes (please attach) No Is your program currently accredited (NAEYC or NAFCC)? Yes (attach certificate) No Has your program been accredited in the past? I f yes, attach certificate or explain time and type of accreditation: Has your program been formally assessed with one of the following rating tools: (check all that apply) ECERS FCCERS CLASS Other (please explain: ) Applicant s Signature I certify that all information provided is true and correct. Intentional incorrect information could lead to penalties including, but not limited to, exclusion from the Value in Preschool Program (VIP). I authorize VIP to share my application information with the VIP funders, including First 5 Sonoma County, for the purpose of keeping my site informed of incentives and other opportunities through VIP and for the purpose of evaluation and countywide VIP program improvement. DIRECTOR/OWNER SIGNATURE: Value in Preschool Application for Providers