Local Annual Report 2013-2014 - First 5 Associationfirst5association.org/.../uploads/2016/02/2013-14-AnnRpt-Tulare.pdf · First 5 Tulare County 2013-2014 Local Annual Report Table

Local Annual Report 2013-2014

ii.

First 5 Tulare County 2013-2014 Local Annual Report

Table of Contents

FOREWORD...................................................................................................................................... iv.

ACROSS THE COUNTY ................................................................................................................... v.

FISCAL DASHBOARD ..................................................................................................................... vi.

FIRST 5 TULARE COUNTY CONTRACTED PROGRAMS

Community Services Employment Training – South County Family Resource Centers ........... 2

County of Tulare Sheriff’s Department – Gang Awareness Parenting Project .......................... 4

Court Appointed Special Advocates – 0-5 Program ................................................................... 6

Court Appointed Special Advocates – Family Connections ....................................................... 8

Cutler-Orosi Joint Unified School District – Family Resource Center ...................................... 10

Cutler-Orosi Joint Unified School District – School Readiness Program ................................ 12

Family HealthCare Network – KinderCare Dental ................................................................... 14

Family Services of Tulare County – Addressing Child Trauma ............................................... 16

Family Services of Tulare County – Early Childhood Mental Health Program ....................... 18

Kaweah Delta Hospital Foundation – Pediatric Hospitalist Program ....................................... 20

Lindsay Unified School District – Lindsay Family Resource Center ........................................ 22

Parenting Network – Visalia Family Resource Center ............................................................. 24

Save the Children Federation, Inc. – Early Steps to School Success ..................................... 26

Sierra View Local Healthcare District – Breastfeeding Initiative .............................................. 28

Traver Joint Elementary School District – Traver School Readiness ...................................... 30

Tulare City School District – Comprehensive School Readiness Program ............................. 32

Tulare Community Health Clinic – Dental Screening, Varnish, and Education Program ....... 34

Tulare County Office of Education – School Readiness Improvement Project ....................... 36

Tulare Local Healthcare District – Breastfeeding Program ...................................................... 38

United Way of Tulare County – 2-1-1 Referral System ............................................................ 40

Visalia Unified School District – Ivanhoe First 5 Program ........................................................ 42

Woodlake Unified School District – Woodlake Family Resource Center ................................ 44

iii.

FIRST 5 TULARE COUNTY ADMINISTERED PROGRAMS

First 5 Tulare County Kits for New Parents .............................................................................. 48

First 5 Tulare County Special Project Grants ........................................................................... 50

First 5 Tulare County One-Time Capital and Planning Grants ................................................ 52

TABLE 1: 2013-2014 Cost per Client by Program ........................................................................ 53

iv.iv iv.

FOREWORD

First 5 Tulare County was established in 1998 when California voters passed Proposition 10

– The California Children and Families Act – which levied a 50-cent tax on each pack of cigarettes

and other tobacco products sold. Revenues generated from the tobacco tax are used to fund local

programs that promote early childhood development for children ages 0 to 5 in the areas of health

and wellness, early childcare and education, parent education and support services, and integration

of services.

A child’s brain develops more in the first five years than at any other time in their life. How

children are nurtured and cared for during their first years influences their emotional, physical and

intellectual environment and has a profound impact on how the brain is organized. The relationships

and contacts a child has with parents and caregivers significantly influence how a child will function in

school and later in life.

Our focus is on supporting children to be healthy, active learners who grow up in families and

communities that nurture them. For the year ending June 30, 2014, First 5 invested nearly $4.8

million in services for children and families in Tulare County. By year’s end, 24,640 children and

22,993 caregivers benefitted in some way from Proposition 10 funding. This report provides a

comprehensive overview of funded programs and the work done on behalf of these children and

families.

As always, we acknowledge the substantial efforts of funded providers. Without all they do,

accomplishments detailed in this report would not have been achieved. Data collection was made

possible by Mosaic Network, Inc. and their GEMS system. Barbara Aved and Associates analyzed

data from selected programs to provide greater depth to our understanding of outcomes.

As we celebrate the success of 2013-2014, First 5 Tulare County commissioners, staff, and

funded programs will continue their dedication to our youngest children and their families through a

family-focused, culturally-appropriate and community based approach.

v.

ACROSS THE COUNTY

In this report, we look back on 2013-2014 and see the tremendous impact that First 5

Tulare County funded services had on families served in the county.

First 5 staff continued to work with our data collection system to develop common

milestones that give us the ability to take a “big picture” view.

The following are examples of services provided by our funded providers in Tulare

County:

9,140 home visits were conducted.

2,154 families received home visits.

The Ages and Stages Questionnaire (ASQ Developmental Assessment) was

administered 469 times to 234 different children.

217 children were enrolled in health insurance by First 5 providers.

737 children attended First 5 funded preschool programs.

9,463 families received basic and emergency services.

5,453 hours of professional development training was provided to First 5 funded

program staff.

REVENUE:

EXPENDITURES:

FUND BALANCE:

vi.

Proposition 10 Revenue is generated by a state excise tax on tobacco products and accounts for the overwhelming majority of revenue for First 5 Tulare County. Investment Earnings are the net of interest earned at financial institutions and unrealized gains/losses on investments in the County Treasury. Other Revenue consist of miscellaneous refunds.

Government Accounting Standards require categorization of fund balance. Committed fund balance represents resources that are committed for executed contracts. Assigned fund balance represent resources intended for future contracts that have not yet been executed. Nonspendable fund balance represent the elements of fund balance that cannot be spent due to their form (i.e. deposits and prepaid expenses).

Program Expenditures make up the large majority of total expenditures and represent amounts that directly relate to programs for children ages 0 to 5 and their families. Data Management/Evalauation expenditures are for collection, analysis, and reporting of data generated by the programs. Administration expenditures represent amounts that centrally support the basic mission of the Commission.

Fiscal Dashboard for the Year Ending June 30, 2014

$5,518,854 (98.0%)

$104,215 (1.9%)

$6,141(.1%)

Prop. 10 Revenue

Investment Earnings

Other

$4,836,124 (85.2%)

$633,427 (11.2%)

$205,798 (3.6%)

Program

Administration

Data Management/Evaluation

$40,042 (.5%)

$6,310,649 (76.7%)

$1,878,795(22.8%)

Nonspendable

Committed

Assigned

FIRST 5 CONTRACTED PROGRAMS In 2013-2014, First 5 Tulare County funded a variety of programs which directly served

children from the prenatal stage through five years of age. Quantitative program data was

provided exclusively by the respective programs, and financial data and contract information

was acquired from Commission records. Outcome data was provided through a variety of client

assessments and analyzed for changes in participants.

Through community collaboration and development of interrelated services to provide

healthcare, dental care, quality childcare, parent education, and effective intervention for at-risk

families, Tulare County families were provided with the tools necessary to foster secure, healthy

and loving attachments as well as improved health status and access to care. Collectively, this

report provides information about funded programs and the impact they made on children and

families.

1

Community Services Employment Training South County Family Resource Centers

Agency: Community Services Employment Training

Contract Period: December 1, 2012 – June 30, 2016 Total Program Funding: Budget: $ 400,000 13/14 Expended: $99,260

Program Summary: CSET operated Family Resource Centers in Tulare and Earlimart.

Result Areas As Reported To The State Improved Family

Functioning Improved Child Development

Improved Health Improved Systems of Care

X

Finances Total Award FY 13/14 Expended % of Budget Expended

$400,000 $99,260 25%

Cost Benefit Personnel

Costs Administrative

Expense Program Expense

Cost Per Client

Indirect Cost Rate

$67,741 $3,387 $17,259 $954 10.3% Contract Compliance/Administrative: All reports were submitted on time and services were provided per the contract. Current Status/Update: The program is successfully on track for the 14/15 year.

2

Program Description

Community Services Employment Training (CSET) South County Family Resource Centers project provided direct case management services in Tulare and Earlimart.

Service Description

CSET staff offered Abriendo Puertas/Opening Doors, a parenting skills curriculum consisting of eight sessions, developed by and for low-income Latino parents with children ages zero through five. Case management was provided which included health insurance enrollment, early literacy activities, and referrals to all of CSET’s safety net services in addition to services provided by other agencies.

Outcomes

100 families received case management services. 531 home visits were conducted.

90 parents attended parenting classes. The program appears to have made an impact on parents’ understanding and behavior related to early literacy as evidenced by their use of library services following the sessions. They seemed to exhibit a little less understanding about the activities associated with helping their children get ready for kindergarten which suggests an area that may need a little more emphasis. The confidence parents reported in their parenting skills wasn’t measurably improved although it is likely due to the parents entering the program with a good deal of confidence in how they were parenting their children.

53 children were referred to a medical provider. 46 children were referred to a dental provider. 48 children were enrolled in a health insurance plan.

104* individuals were served by the program either through case management, basic and emergency services, or distribution of information.

Program staff completed 111 hours of staff development/training.

*Unduplicated client count was 104.

3

County of Tulare Sheriff’s Department Gang Awareness Parenting Project

Agency: County of Tulare Sheriff’s Department

Contract Period: July 1, 2012 – June 30, 2015 Total Program Funding: Budget: $489,917 13/14 Expended: $158,869

Program Summary: The project educated incarcerated parents and their significant others involved in gangs or living in a gang environment to the consequences of exposure to violence to the health and development of their children.




X

Finances Total Award FY 13/14 Expended % Expended

$489,917 $158,869 32%




Cost Per Client

Indirect Cost Rate

$50,822 $354 $107,693 $987 N/A Contract Compliance/Administrative: All reports were submitted on time and services were provided per the contract. Current Status/Update: The program is successfully on track for the 14/15 year.

4

Program Description

The County of Tulare Sheriff’s Department’s Gang Awareness Parenting Project addressed issues associated with gangs or violence and their overall impact on children ages zero through five in Northern Tulare County. Adults and Children Together (ACT), an evidence-based curriculum, was used to work with inmates and their families (outmates) through a weekly home visitation model. The project provided an eight-week parenting class to identified inmates who had children ages zero through five, who were at risk to exposure to violence, and who resided in Northern Tulare County.

Service Description

Home visits for the outmate and jail visits for the inmate occurred initially on a weekly basis and were adjusted as indicated by need over a six-month period. Each visit had a clear structure, set activities, and was thoroughly documented. The ACT curriculum was designed to help families from all backgrounds raise children without violence by providing basic information about child development; risk factors for violence and its consequences; protective factors; and skills for effective parenting. Goals and objectives were established and aligned with each inmate’s release plan.

Outcomes

161* clients enrolled in the program: 110 inmates and 51 outmates.

1,096 visits with inmates in jail were conducted; 646 home visits with outmates were conducted.

55 inmates (50%) experienced a reduction in stress as measured by the Parent Stress Index; 34 outmates (67%) experienced a reduction in stress as measured by the Parent Stress Index.

60 inmates (55%) increased their knowledge of the effects of violence on their children as measured by the ACT curriculum assessment tool; 45 outmates (88%) increased their knowledge of the effects of violence on their children as measured by the ACT curriculum assessment tool.

Staff participated in a combined total of 183 hours of staff development/training.


5

Court Appointed Special Advocates (CASA) 0-5 Program

Agency: Court Appointed Special Advocates (CASA)


Program Summary: Volunteer advocates were recruited and trained to work with children zero through five-years-of-age in the child welfare system. Activities focused on insuring children’s health was consistently monitored, helping to see that health needs were met, and assessing for developmental delays.




X


$405,000 $135,000 33%




Cost Per Client

Indirect Cost Rate


6

Program Description

Court Appointed Special Advocates (CASA) of Tulare County, a non-profit organization formed in 1984, advocated for children who were victims of abuse and neglect by training community volunteers to represent the children’s best interests and to be their voices in court.

Service Description

CASA conducted a variety of activities to advocate on behalf of abused and neglected children ages zero through five. CASA assured children were physically and emotionally healthy by providing case management/home visitation services utilizing agency staff and trained volunteers. CASA volunteers screened children for learning disabilities and developmental delays. Each volunteer advocate received 42 hours of training and eight hours of courtroom observation to become court appointed.

CASA staff provided training in the areas of mandated child abuse reporting, cultural diversity, and early childhood development to para-professionals, professionals, and other community members.

Outcomes

349* foster children ages zero through five were served by volunteer advocates and/or program staff.

The project met its goal of CASA children spending less time in foster care than children not assigned to CASA. It also met and exceeded the goal of the proportion of children assigned an advocate who had a permanent placement at the time the case was closed. It did not meet its goals, however, of CASA children having fewer placement changes than the average for other foster children in this age group. At times, an advocate was the one requesting a placement change out of the best interest of the child.

307 children were current on well-child exams and immunizations for the year.

262 children received dental exams.

1,511 home visits were completed by trained volunteer advocates.

45 Volunteer Advocates completed training.

Program staff completed 152.5 hours of staff development/training.


7

Court Appointed Special Advocates (CASA) Family Search and Engagement Operations

Family Connections Program

Agency: Court Appointed Special Advocates (CASA) Contract Period: November 1, 2013 – June 30, 2016

Total Program Funding: Budget: $224,614 13/14 Expended: $62,410 Program Summary:




X


$224,614 $62,410 28%




Cost Per Client

Indirect Cost Rate

$41,885 $1,550 $18,975 $294 N/A Contract Compliance/Administrative: All reports were submitted on time and services were provided per the contract. Current Status/Update: The program is successfully on track for the 14/15 year.

8

Program Description

Court Appointed Special Advocates (CASA) of Tulare County, a non-profit organization formed in 1984, advocated for children who were victims of abuse and neglect by training community volunteers to represent the children’s best interests and to be their voice in court. The CASA Family Search and Engagement Program also known as Family Connections was created to identify and engage family members in the lives of children in the foster care system. The program focuses on children who have few or no relationships with their extended family members.

Service Description

There is compelling evidence that children who have connections to their family have improved behavior, improved school performance, healthier relationships, and more hopefulness in their lives. The program provides permanency by connecting these children with as many appropriate family members, relative and non-relative, as possible. The first five months of the contract were dedicated to planning and implementation.

Outcomes

154* CASA staff, HHSA staff, and trained advocates received intensive training from the National Institute for Permanent Connectedness – Seneca Family of Agencies.

58* children ages zero through five were served by the program.

32 children ages zero through five were provided one or more successful family connections.

25 children ages zero through five maintained a family connection for six months.


9

Cutler-Orosi Joint Unified School District Family Resource Center

Agency: Cutler-Orosi Joint Unified School District


Program Summary: The family resource center for Cutler-Orosi provided family support services and referrals to specialty services, case management, developmental screenings, family literacy activities for parents and children, transportation services, and parent education classes.




X


$681,750 $223,367 33%




Cost Per Client

Indirect Cost Rate


10

Program Description

The Family Education Center was the family resource center for the communities of Cutler and Orosi. The program was based on four components of family literacy including: adult education, early childhood education, parenting education, and parent-child interaction. It provided a variety of services to families based on the unique needs of each family.

Service Description

Parents and teens took classes focused on health, child development, nutrition, and children’s social emotional well-being. Project staff developed curricula on health and safety-related topics in response to parents’ requests for information. Parents learned to actively engage with their children using books, games, and manipulatives. The evidenced-based curriculum Let’s Read Together was also used. Full case management services were available including resource and referral support, developmental and health screenings, and follow-up referrals.

Outcomes


80.5% of case-managed families accomplished one or more of their family goals.

51 parents attended parenting classes. The program met its goal that 80% of families participating would demonstrate an increase in knowledge as measured by the Parenting Wisely pre/post assessment.

19 children ages zero to three were provided early childhood education classes. Utilizing the Desired Results Developmental Profile – Infant and Toddler assessment, the program met its evaluation goal that 90% of children participating would show improvement between pre/posttest.


74 interactive literacy sessions were conducted for parents and their children. The California Even Start Parental Involvement Rating Scale indicated 80% of parents who participated increased their understanding of the importance of early literacy activities with their children and engaged in activities that promote school readiness. The early literacy portion of this program is one of the FRC’s strengths.

75 children were screened for developmental delays and one child at risk was referred for services.

549* individuals were served by the program either through case management, basic and emergency services, or distribution of information.



11

Cutler-Orosi Joint Unified School District School Readiness Program

Agency: Cutler-Orosi Joint Unified School District

Contract Period: July 1, 2012 through June 30, 2015 Total Program Funding: Budget: $270,932 13/14 Expended: $86,230

Program Summary: Home based child interactive activities were provided to preschool children not able to attend a center based program. A parent education component was also provided.




X


$270,932 $86,230 32%




Cost Per Client

Indirect Cost Rate

$78,672 $940 $3,529 $255 3.9% Contract Compliance/Administrative: All reports were submitted on time and services were provided per the contract. Current Status/Update: The program is successfully on track for the 14/15 year.

12

Program Description

The Cutler-Orosi School Readiness Program provided home based child interactive activities that included a parent education component. Families were actively engaged in early childhood development with their children in a school-year program. Additionally, the program provided individual intervention and in-class assistance for identified special needs children.

Service Description

Parents and children benefited from regular home visits that included early childhood development activities and parent education. A Health Aide provided health, dental, and vision screenings to preschool children and made referrals as appropriate, encouraging families to connect with a medical and dental home. The Outreach Aide provided transition activities to assist with kindergarten enrollment. The Child Development Aide provided classroom support for at risk preschool students being assessed for special needs. Center based preschool children were assessed for academic achievement utilizing the Desired Results Developmental Profile (DRDP).

Outcomes

31* children and their parents participated in home based childhood development activities. The California Even Start Parental Involvement Rating Scale indicated the majority of parents who participated in this project did increase their understanding of the importance of early literacy activities with their children and engaged in activities that promoted school readiness, one of the program’s desired outcomes. The early literacy portion of the program is one of its strengths.

307* children were assessed for academic readiness with the Desired Results Developmental Profile. As a result, seven children identified with special needs received in-class support. The final assessment for the children receiving in-class support showed the program had a positive impact on the children as all changes between the pre/post assessment showed improvement.

261 children received oral health screenings; 252 children received a health screening; 294 children received a vision screening.

Program Staff completed 72 hours of staff development/training.


13

Family HealthCare Network KinderCare Dental

Agency: Family HealthCare Network


Program Summary: The KinderCare Dental Program provided screenings and fluoride varnish at preschools, schools, WIC sites, and at other agencies working with young children.




X


$368,275 $119,325 32%




Cost Per Client

Indirect Cost Rate


14

Program Description

The Family HealthCare Network (FHCN) KinderCare Dental Program provided screening and varnish application to children at Head Starts, WIC sites, schools, and other agencies working with children ages zero through five. A referral system for those needing further care was implemented. Children were screened at FHCN clinics during well-child visits to integrate medical and oral health services. Children and parents were educated on the importance of good oral health as part of the program.

Service Description

Oral exams and varnish treatments, if applicable, at preschool sites or schools were provided by a registered dental hygienist. Parents received exam results and recommendations for further treatment when necessary. FHCN staff and school nurses provided assistance in making future dental appointments.

Outcomes

191 sites were visited.

8,162* children received oral health screenings.

5,075 children received a varnish application (62%).

2,814 children had signs of visible decay (35%).

650 children were referred to a dentist based on findings from the oral screenings.

19,365 children received oral health exams during their routine well-child doctor visits.


*Unduplicated client count was 8,162.

15

Family Services of Tulare County Addressing Child Trauma (ACT)

Agency: Family Services of Tulare County


Program Summary: Co-parent education and supervised visitation were provided to raise the awareness of divorcing parents about the impact of their behavior on their children, and to increase parents’ capacity to provide a safe and secure environment.




X


$275,083 $89,647 33%




Cost Per Client

Indirect Cost Rate


16

Program Description

Addressing Childhood Trauma (ACT) was a prevention, intervention, and treatment program for children and families with a history of violence or abuse or who were experiencing high-conflict separation and divorce. Within the program, First 5 Tulare County funding was targeted to specific prevention and intervention services for young children and their parents to promote effective, appropriate parenting skills, increase parents’ ability to maintain homes free from violence, and reduce emotional trauma.

Service Description

The ACT Program consisted of three components. In Co-Parenting Education classes, a therapist facilitated groups of separating/divorcing parents focused on increased cooperation and communication, increased understanding of the adverse impacts of divorces on children, and reducing children’s exposure to conflict between parents. Facilitated Supervised Visitation included a monitor present to participate in the visits between children and non-custodial parents to help parents increase skills and develop stronger family relationships. In court-ordered Supervised Visitation services, the monitor was present to ensure no risk or harm was brought upon the child.

Outcomes

125* parents participated in the co-parenting education program. Pre/posttest results note that parents going through divorce demonstrated increased parenting skills and relationships with the child’s other parent, meeting and exceeding the project evaluation goal that 70% will show an increase in knowledge as measured by the pre/posttest.

29* parents received facilitated supervised visitation services.

37* parents received court-ordered supervised visitation services.

Staff participated in a combined total of 263 hours of professional development/training.

According to the satisfaction survey on the whole, parents in the program this year expressed higher satisfaction levels and rated the program elements slightly higher than the group last year. (This of course may reflect differences between the two groups of participants and/or positive changes to the program.) Participants consider this program of value as the overall satisfaction level was relatively high, and most (two-thirds) would be likely to recommend it to others.


17

Family Services of Tulare County Early Childhood Mental Health Program

Agency: Family Services of Tulare County


Program Summary: Family Services provided therapeutic interventions with children, psycho-educational interventions with parents, and educational activities to increase awareness of developmental stages.




X


$660,000 $191,678 29%




Cost Per Client

Indirect Cost Rate


18

Program Description

The Family Services Early Childhood Mental Health Program provided bilingual interventions for young children and their parents in need of mental health services at family resource centers and other community sites. Therapists also gave presentations and trainings to staff and members of the community.

Service Description

The program provided early childhood mental health services in the communities of Cutler-Orosi, Goshen, Lindsay, Pixley, and Woodlake. Program staff collaborated with family resource centers and Family HealthCare Network in the communities served. Training and professional development was facilitated for staff, project partners, and the community to better recognize when there is a need for therapeutic services.

Outcomes

227* children and parents were screened and identified for services.

The Eyeberg Child Behavior Inventory assessment showed that 12% of the children scored above the cutoff score in Intensity, which showed a great deal of improvement in parents’ reports of their children’s negative behaviors, and 24% in Problem Scores, i.e. the problem scores were rated by the parents as having a lower impact. The improvements shown with the Eyeberg tool at posttest are encouraging.

The Axis V, which assessed the child’s emotional and social functioning, indicated that the children made improvements in the six areas between the pre/post assessment with the largest statistically significant improvement in the area for forming relationships and mutual engagements. Most of the changes suggest an increase in functioning at the time of the post assessment.

The Parent-Infant Relationship Global Assessment Scale (PIR GAS) indicated that 88.9% of the children showed improvement between the pre/post assessment. The PIR GAS, for children birth to age three, allows for a judgment about the relationship, classified as ranging from adapted to severely impaired.

The Global Assessment of Functioning (GAF) tool indicated that 85.7% of the children showed improvement between the pre/post assessment. The GAF rates parent-child relationships and the general functioning of the four to five-year-old age group children on a continuum of mental/emotional health measures.

4,409 hours of therapeutic services were provided in five communities.



19

Kaweah Delta Hospital Foundation Pediatric Hospitalist Program

Agency: Kaweah Delta Health Care District

Contract Period: July 1, 2013 – June 30, 2015 Total Program Funding: Budget: $1,700,000 13/14 Expended: $850,000

Program Summary: Funds assisted the hospital with pediatric hospitalist coverage to provide around-the-clock physician services for hospitalized children and when needed for those presenting in the Emergency Department.




X

Finances Total Award FY 13/14 Expended % of Budget Expended $1,700,000 $850,000 50%

Cost Benefit

Personnel Costs

Administrative Expense

Program Expense

Cost Per Client

Indirect Cost Rate

N/A N/A $850,000 $473

N/A

Contract Compliance/Administrative: All reports were submitted on time and services were provided per the contract. Current Status/Update: The program is successfully on track for the 14/15 year.

20

Program Description

The Kaweah Delta Hospital Foundation Pediatric Hospitalist Program provided around-the-clock physician services at the hospital to meet inpatient and outpatient needs of children.

Service Description

Six pediatric hospitalists covered a 24-hour span with two doctors available during the day. They took part in high-risk deliveries and were assigned sick newborns, premature births, drug-exposed infants, and more critical cases. Among the pediatricians in the hospitalist program are two neonatologists, sub-specialists caring for the sickest babies, and a pediatric cardiologist. This coverage allowed children and their families to remain in the area instead of seeking needed care outside of Tulare County.

Outcomes

4,192 children were born at the hospital in 2013-2014.

1,798* children younger than six (unduplicated) were treated by a hospitalist.

8,446 inpatient encounters were provided to children ages zero through five admitted to the hospital. An encounter is defined as a patient/doctor contact (duplicated).

205 Emergency Department consultations were provided by the hospitalists.

Average length of stay for children in the Neonatal Intensive Care Unit was 8.9 days.

Average length of stay for all other newborns and children younger than six was 1.9 days.


21

Lindsay Unified School District Lindsay Family Resource Center

Agency: Lindsay Unified School District


Program Summary: The Lindsay Family Resource Center provided basic family support services, case management, insurance application assistance, home visiting, and parent education.




X


$678,750 $218,988 32%




Cost Per Client

Indirect Cost Rate


22

Program Description

The Lindsay Family Resource Center operated in the community of Lindsay. The focus was to provide support relevant to the needs of families with children ages zero through five that would lead to healthier, happier, and more productive lives. The major components of the program were comprehensive case management and specialized health related case management.

Service Description

Lindsay First Steps offered a variety of services to promote mental health, education, and awareness of community resources for children and families. Families received needs-based assessments which were used to create family service plans. Case managers then linked families to services based on their plans. Many families participated in a variety of parent education courses.

Outcomes

151 families received case management services. 1,195 home visits were conducted.

78.8% of case managed families accomplished one or more of their family goals.

127 parents attended parenting classes.


1,134* individuals were served by the program either through case management, basic and emergency services, or distribution of information.

Program staff completed 1,036 hours of staff development/training.


23

Parenting Network Visalia Family Resource Center

Agency: Parenting Network


Program Summary: This program provided information and referral, counseling, case management, family support, basic and emergency services, and advocacy. Families of children with disabilities and special needs were also served.




X


$810,750 $265,010 33%




Cost Per Client

Indirect Cost Rate

$221,110 $31,230 $12,670 $41 N/A Contract Compliance/Administrative: All reports were submitted on time and services were provided per the contract. Current Status/Update: The program is successfully on track for the 14/15 year.

24

Program Description

Parenting Network provided an array of family resource center services within the City of Visalia. They focused on intensive case management and home visitation to link children and families to appropriate resources. The program served families with typically developing children as well as those with special needs.

Service Description

Services included case management, food pantry distributions, parent education, CPR/first aid training, sign language classes, parent-to-parent support groups, and referrals to health, dental, and counseling services.

Families of children with special needs received assistance with the Individual Education Plan (IEP) and 504 systems, with staff attending meetings with families as well as providing help to fill out paperwork.

Upon entry into the program, families identified goals and next steps to stabilize their lives.

Outcomes


79.6% of case-managed families accomplished one or more of their family goals.

152 parents attended parenting classes and achieved a 64% completion rate. The project met its goal of 80% of families demonstrating an increase in knowledge gained, as measured by the Parenting Wisely assessment tool.

387 children were referred to a medical provider. 380 children were referred to a dental provider.




25

Save the Children Federation, Inc. Early Steps to School Success

Agency: Save the Children Federation, Inc.

Contract Period: September 1, 2012 – June 30, 2015 Total Program Funding: Budget: $825,000 13/14 Expended: $275,147

Program Summary: Program activities included early childhood education services, education services for parents, home-school connections, and ongoing staff training for community childhood educators.




X


$825,000 $275,147 33%




Cost Per Client

Indirect Cost Rate

$53,335 N/A $196,799 $748 10% Contract Compliance/Administrative: All reports were submitted on time and services were provided per the contract. Current Status/Update: The program is successfully on track for the 14/15 year.

26

Program Description

Save the Children’s Early Steps to School Success (ESSS) program provided prenatal educational services, educational services to children, early language development, and social and emotional development activities. The ESSS program provided services in Alpaugh, Farmersville, Pleasant View School in Poplar, Sunnyside School in Strathmore, Terra Bella, and Tipton.

Service providers were bicultural/bilingual, and services were provided during home visits for infants along with school-based activities for toddlers and preschoolers.

Service Description

Activities included child playgroups and storybook hours for children ages two through five; regular home visits two times per month; a book bag exchange program; child portfolios developed collaboratively with families to build knowledge and skill on the part of parents in observing, documenting, assessing, and promoting their children’s early learning and literacy development; and regularly scheduled parent/child support and education groups. Pregnant women received monthly home visits. The visits focused on prenatal health and care, understanding a baby’s developmental progress, helping new parents to provide an appropriate environment for their infants, and support for smoking cessation and substance abuse issues as needed.

Outcomes

368* children and their parents were enrolled in the program. 2,298 home visits were conducted.

The Ages and Stages Questionnaire screening tool was administered 469 times to 151 children. Six children that exhibited developmental concerns were referred for early intervention services.

At ages three and five, ESSS uses the Peabody Picture Vocabulary Test to measure a child’s receptive vocabulary acquisition. The three-year-olds tested at the 80% or above range. The five-year-olds tested at the 75% or above range.

Children whose primary language is Spanish were assessed for receptive vocabulary acquisition at age three using the Preschool Language Scale. Those children tested at the 95.5% range or above.

Parents reported reading to their children a total of 54,749 times.



27

Sierra View Local Healthcare District Breastfeeding Initiative

Agency: Sierra View Local Healthcare District


Program Summary: The hospital is in the process of becoming a “Baby Friendly” hospital by improving the role of maternity services to enable mothers to breastfeed.




X


$529,929 $218,789 41%




Cost Per Client

Indirect Cost Rate


28

Program Description

The Sierra View Local Healthcare District Breastfeeding Initiative was a comprehensive effort to improve services to enable mothers to breastfeed babies for the best start in life. Service improvements were implemented consistent with the process to be accredited as a Baby Friendly hospital.

Service Description

The hospital formed a breastfeeding task force and educated members regarding lactation services and supports. Presentations were provided at community events to heighten awareness and emphasize the importance of breastfeeding. In-services were provided to physician office staff members. The contents of the maternity services gift pack were reviewed to eliminate baby formula and include information on the benefits of breastfeeding.

Outcomes

1,589* children were born at the hospital in 2013-2014. Every delivering mother received information regarding the benefits of breastfeeding.

70.5% of new mothers exclusively breastfed during their hospital stay.

Sierra View completed the third level toward Baby Friendly designation and applied to begin the final phase.



29

Traver Joint Elementary School District Traver School Readiness

Agency: Traver Joint Elementary School District


Program Summary: A preschool program was provided for three and four year-olds within the school district.




X


$150,000 $49,934 33%




Cost Per Client

Indirect Cost Rate

$44,326 $3,600 $2,008 $1,040 N/A Contract Compliance/Administrative: First 5 staff assisted the provider to search for alternate parenting education topics to better meet parent needs. All reports were submitted on time and services were provided per the contract. Current Status/Update: The program is successfully on track for the 14/15 year.

30

Program Description

Traver Joint Union Elementary School District provided a preschool program for three and four- year-olds within the district. Classroom instruction took place on the Traver Elementary School campus and ran for 35 weeks, beginning in September and concluding early June. The program implemented the National Education Goals Panel guidelines for school readiness and ensured that all goals and standards were addressed in their curriculum planning.

Service Description

Preschool classes were provided three times a week. The four-year-old class sessions occurred in the morning, and the three-year-old class session occurred in the afternoon. Parenting classes were also offered once each semester for an eight-week series. The program required all parents to participate in the Early Family Literacy Reading Program and read to their child 10 minutes per day, five days a week.

Outcomes

35* children were served in the preschool classroom – three-year-old children (14) and four-year-old children (21). This program has made a measurable impact on children's development. The evaluation goal of 90% of children participating in early childhood education will show improvement between pre and posttest was met for the majority of the developmental areas measured by the DRDP. Relative to the other areas of positive change, the percentage of children scoring at levels of mastery in the language and literary development and math domains, similar to last year, suggests the curriculum could be strengthened even more in these two areas.

13* parents completed the parent component.

Parents reported reading to their children a total of 781 hours for the program year.

Staff members participated in a total of 140 hours of staff development/training.


31

Tulare City School District Comprehensive School Readiness Program

Agency: Tulare City School District


Program Summary: Four components were provided: two preschool classes for children three to five-years-of-age with special needs; four after-school preschool classes were offered for typically developing children; one traditional hours classroom for typically developing children; and monthly staff development training and weekly coaching from an Occupational Therapist.




X


$803,722 $265,439 33%




Cost Per Client

Indirect Cost Rate

$225,685 N/A $39,754 $1,735 3.73% Contract Compliance/Administrative: All reports were submitted on time and services were provided per the contract. Current Status/Update: The program is successfully on track for the 14/15 year.

32

Program Description

The Tulare City School District Comprehensive School Readiness Program had four components: two special services preschool classes for young children with special needs, one class for typically developing children, four “after-school” preschools from 3:00 p.m. to 5:00 p.m. two days per week for 20 students.

Service Description

Students screened and identified with special needs were enrolled in special services preschool classes and placed on Response to Intervention or Individual Education Plans. Students received an array of services including access to an occupational therapist, psychologist, social worker, and speech therapist.

The “after-school” preschool was for underserved students to better prepare them for kindergarten the following school year. Students at Maple Preschool were provided a positive, structured preschool experience. Teachers received monthly staff training and weekly coaching by the Occupational Therapist.

Outcomes

58* students attended special services preschool. Average attendance was 93%. In general, the children with special needs showed considerable improvement between pre/post assessments in the developmental areas measured by the Desired Results Developmental Profile, validating the positive impact of the program.

21* students attended the typically developing preschool at Maple School. 74* students attended “after school” preschool. The Desired Results Developmental Profile indicated that the children improved significantly in all of the areas, ranging between an increase of 71% to 122% change. Overall, the children showed over a 100% change. The program is strong and has made a measurable impact on children’s development.

Preschool teachers completed 345 hours of staff development/coaching provided by the Occupational Therapist.


33

Tulare Community Health Clinic Dental Screening, Varnish, and Education Program

Agency: Tulare Community Health Clinic


Program Summary: Oral health screenings for preschool and kindergarten students were conducted at 32 school sites. Those with visible decay were referred for treatment.




X


$81,725 $22,103 27%




Cost Per Client

Indirect Cost Rate

$3,500 N/A $15,721 $13 15% Contract Compliance/Administrative: All reports were submitted on time and services were provided per the contract. Current Status/Update: The program is successfully on track for the 14/15 year.

34

Program Description

The Tulare Community Health Clinic (TCHC) Dental Screening, Varnish, and Education Program provided oral health assessments and fluoride varnish to preschool and kindergarten students at 32 school sites. All students that were assessed received a toothbrush and a dental education coloring book. Parents of students requiring further treatment were notified. Referrals were made and bus tokens were provided to those with transportation needs.

Service Description

TCHC provided oral health screenings for preschool and kindergarten children in their service area. A dentist and dental assistant identified children requiring further treatment and referrals were made to TCHC Dental Clinic due to the proximity to the sites served and the policy of treating regardless of ability to pay. If a child had a different dental home, information was given to the parent, and school staff followed up.

Outcomes

32 sites were visited.

1,693* children received an oral health screening.

1,533 children were treated with a fluoride application (90.5%).

739 children had visible signs of decay (44%).

740 children were referred to a dentist based on findings from the oral screening.


35

Tulare County Office of Education School Readiness Improvement Project

Agency: Tulare County Office of Education


Program Summary: Training was provided to selected early care and education providers to strengthen the quality of services.




X


$689,662 $226,874 33%




Cost Per Client

Indirect Cost Rate


36

Program Description

The Tulare County Office of Education developed the School Readiness Improvement Program to strengthen the quality in early care and education classrooms by providing training and coaching to licensed family and center based providers. A parent education component was also included.

Service Description

Two cohorts of 15 providers were selected to receive site specific training and coaching on topics such as curriculum support, classroom management, community resources, environmental support, parent partnership support, technical support, inclusion support, special needs referrals, and strategies for linking parents to their local school districts. Participants also learned to administer various screening tools to develop strong learning plans for each child. Parents of children in the participating programs received a minimum of 12 trainings on a variety of topics related to parenting healthy, successful young children.

Outcomes

28 early childhood education providers were assessed utilizing the Classroom Assessment Scoring System. The participants improved their scores in all three domains. The area of greatest improvement was in the domain of Classroom Organization, which resulted in a 17% change, Emotional Support showed an 11.5% change, and Instructional Support showed a 10.4% change. The project’s evaluation goal of “80% of participants would increase their baseline score” was met and exceeded as the cumulative score improved for 25 of the 28 teachers (89%)

590* teachers and supervisors attended monthly trainings

149* parents attended monthly trainings

Five coaches attended a total of 462 hours of combined professional development/ training for the year.


37

Tulare Local Healthcare District Breastfeeding Program

Agency: Tulare District Healthcare System


Program Summary: First 5 funding supported the hospital’s breastfeeding program to increase breastfeeding within the hospital and strategies with mothers and babies at home, as well as their efforts in achieving the Baby Friendly designation.




X

Finances Total Award FY 13 /14 Expended % of Budget Expended

$636,954 $175,596 28%




Cost Per Client

Indirect Cost Rate

$160,400 N/A $15,196 $151 N/A Contract Compliance/Administrative: All reports were submitted on time and services were provided per the contract. Current Status/Update: The program is successfully on track for the 14/15 year.

38

Program Description

The Tulare Local Healthcare District’s Breastfeeding Project educated mothers on breastfeeding at the prenatal stage, after children were born, and during home visits after leaving the hospital. The staff received lactation training to better assist in these efforts. All efforts were conducted consistent with the process to be accredited as a Baby Friendly hospital.

Service Description

Lactation education was offered to all new mothers while inpatients at the hospital. Within a week of going home, nurse home visitation was offered with approximately 440 mothers accepting the service. The visit included a full assessment of mother and newborn along with breastfeeding and parenting education. An in-house education program on the subject of breastfeeding, Breastfeeding and Beyond, was provided for appropriate staff.

Outcomes

1,163* children were born at the hospital in 2013-2014. Every delivering mother received information regarding the benefits of breastfeeding.

63% of new mothers exclusively breastfed during their hospital stay.

453 new mothers received a home visit within the first week of discharge from the hospital. 46% were still exclusively breastfeeding and 36% more were doing some breastfeeding.

112 expectant mothers received breastfeeding education during classes which included a tour of the birthing center.

Tulare Regional Medical Center entered the final phase of the process for designation as a Baby Friendly hospital.



39

United Way of Tulare County 2-1-1 Referral System

Agency: United Way of Tulare County


Program Summary:




X


$70,734 $61,199 86.5%




Cost Per Client

Indirect Cost Rate


40

Program Description

2-1-1 is a national social service hotline to help people find organizations that can help them. United Way of Tulare County is the lead agency for the local 2-1-1 program.

Service Description

2-1-1 Tulare County is a free, confidential, 24/7 service available in multiple languages. The service is also available on the internet. The three-digit calling number connects community members with valuable resources such as mental health, housing, utility assistance, food, and clothing.

Outcomes

10,029* total calls were received on the toll free information and referral access line.

There were 9,592* unique hits on the 2-1-1 website.

860 follow-up calls were made to callers to inquire about the success of the service they were seeking.

1,298 resources were added to the database and an additional 3,323 were updated.

United Way 2-1-1 staff participated at 86 community events to inform Tulare County residents of the service.



41

Visalia Unified School District Ivanhoe First 5 Program

Agency: Visalia Unified School District


Program Summary: Preschool classes for three and four year-olds were provided as well as home visits to mothers and infants in the community.




X


$323,834 $102,314 32%




Cost Per Client

Indirect Cost Rate

$96,263 N/A $2,581 $512 3.5% Contract Compliance/Administrative: All reports were submitted on time and services were provided per the contract. Current Status/Update: The program is successfully on track for the 14/15 year.

42

Program Description

Visalia Unified School District Ivanhoe Elementary School continued the community developed school readiness program previously funded in collaboration with First 5 California. The program served families in the Ivanhoe area that had a new baby born; families with children zero up to age three; and preschoolers aged three and four. Parents were encouraged to participate in their children’s learning as well.

Service Description

Home visits were provided to families with a newborn child. On-going visits continued up to each child’s third birthday at which time they were enrolled in preschool at the school site. Home visits included: early literacy, activities to enrich cognitive development, a developmental assessment, and assistance in addressing issues/removing obstacles specific to school readiness. Parents were encouraged to attend the monthly parent workshops. Preschool classes were provided five days per week for all three and four-year-olds.

Outcomes

37* new birth families were visited in 2013-2014.

33* children from zero to age three received home visits.

70* parents attended monthly parenting workshops.

60* children ages three and four attended preschool classes five times per week. The evaluation goal of “100% of children will demonstrate growth” was met as the project clearly demonstrated significant improvement among the children utilizing the Desired Results Developmental Profile pre/post-test.

20 children received vision and hearing screenings from the school nurse.



43

Woodlake Unified School District Woodlake Family Resource Center

Agency: Woodlake Unified School District

Contract Period: July 1, 2012– June 30, 2015 Total Program Funding: Budget: $678,750 13/14 Expended: $200,096

Program Summary: The program provided direct services and case management including developmental screenings, health assessments, health insurance enrollment, prenatal classes, and support groups.




X


$678,750 $200,096 29%




Cost Per Client

Indirect Cost Rate


44

Program Description

The Woodlake Family Resource Center offered a variety of family support, health, and parent education activities to children and families in the community primarily through classes offered at the center and case management services with a focus on home visiting.

Service Description

The case manager and other staff screened for health and developmental issues and provided case management/home visitation services. The results of the screenings and home visits guided case managers in making appropriate referrals. Case managers followed up to ensure families were linked with services.

Strong relationships and collaboration with other community organizations enabled the family resource center to facilitate service integration while assisting families with their needs. Application assistance for health insurance programs was provided, and specialized prenatal classes using the Comenzando Bien curriculum were conducted.

Outcomes


105 children were referred to a medical provider. 89 children were referred to a dentist. 49 children were enrolled in a health insurance plan.

31 pregnant women completed prenatal education classes. The Comenzando Bien curriculum continues to be well regarded by participants and demonstrated knowledge gain in most of the areas surveyed. In some cases the relatively low percentage change in knowledge between pre/posttests is most likely attributable to the baseline knowledge women appear to already have at the beginning of the sessions.

83 children received a developmental screening (Ages and Stages Questionnaire).




45

46

FIRST 5 ADMINISTERED PROGRAMS These programs are administered internally by First 5 staff. The Kit for New Parents is a

partnership with First 5 California. First 5 California provides each county with a specific

number of kits relative to their county’s birth rate. First 5 Tulare County received approximately

7,000 kits to distribute to parents of young children. Additionally, First 5 Tulare County adds

items to enhance the kits such as an oral health kit, a listing of local resources, and poison

control information.

The Special Project Grants program was established to allow flexibility in funding one-

time, smaller grants that do not rise to the level of the larger competitive projects.

The Capital Grant program supported existing organizations by providing one-time

funding to purchase equipment with a value greater than $5,000 per item or for building

renovation or construction projects valued at $5,000 or greater. Equipment purchases and

building projects must have a useful life of at least five years.

The Planning Grant program fostered collaboration and service integration among

existing organizations by funding activities that lead to expanded or enhanced services, lead to

implementation of promising or innovative new services, or promote initiatives addressing

significant needs of young children and pregnant women.

47

First 5 Tulare County Kits for New Parents

Agency: First 5 Tulare County


Program Summary: First 5 California produced the Kit for New Parents containing information, advice, and useful tips first-time parents need to best prepare for the joys and challenges that lie ahead. First 5 Tulare County customized kits by adding an oral health kit and local resource sheet to each one.




X


$48,005 $44,211 92.1%




Cost Per Client

Indirect Cost Rate

$0 $0 $ N/A None Contract Compliance/Administrative: N/A Current Status/Update: First 5 Tulare County continues to reach out to community partners to ensure access to the kits is readily available.

48

Program Description

First 5 Tulare County distributed Kits for New Parents throughout Tulare County through partners including hospitals, pediatricians, OBGYNs, the Tulare County Office of Education, the County of Tulare Health and Human Services Agency, and First 5 Tulare County-funded providers.

Service Description

Each Kit for New Parents contained DVDs covering such topics as bonding, communication, health, nutrition, childcare, safety inside and outside the home, discipline, children’s health development, and how to communicate with caregivers. In addition to the DVDs, the Kit for New Parents also contained a book to encourage parents to read to their children, the Parents’ Guide which linked parents to resources and services in their community, the What to Do When Your Child Gets Sick book, an oral health kit, and brochures and pamphlets with local resources.

Overall Program Goals

The overall goal of Kits for New Parents was to provide parents with tools and resources in order to provide their children with safe environments, keep them healthy, and promote school readiness.

Outcomes

In 2013-2014, First 5 partners distributed 6,225 Kits to parents throughout Tulare County. Of those, 4,487 (72%) were in English and 1,738 (28%) were in Spanish.

Kits were distributed to the following partners:

4.4% to school districts/schools

4.7% to private physicians

7.3% to clinics

10.8% to community-based organizations

11.9% to county departments

61% to hospitals

49

First 5 Tulare County Special Project Grants The First 5 Tulare County Special Project Grant Program funded activities, purchases, and events consistent with the Commission’s strategic plan and which did not fall under other funding programs. Special Project Grants have variable terms depending upon the unique goals of each grant. Tulare Community Health Clinic - Prenatal Patient Orientations: 60 prenatal patients benefited from a prenatal and pediatric care orientation provided by the Tulare Community Health Clinic. During the orientation patients met pediatricians allowing them to select their child’s physician.

$7,200

Kaweah Delta Hospital Foundation - Specialty Clinics Furnishings: The grant funds were used to purchase furnishings, an activity center, and media equipment for pediatric specialty clinics located at the Multiservice Center in Visalia.

$7,537

CSUF, Central California Children’s Institute - Training Sponsorship: Grant funds were used for a training session about Autism Spectrum Disorder and a specific model to promote development for children.

$1,600

TCOE, Early Childhood Education Programs - TCOE Audiometers: Grant funds were used to purchase 10 audiometers for hearing screens of TCOE Early Child Education students.

$9,516

Three Rivers Community Services District - Our Place Shade Sails: Grant funds were used to fund a portion of the purchase and installation of a permanent shade structure for Our Place Playground in Three Rivers.

$14,322

Tulare County Child Abuse Prevention Council-8th Annual Cynthia Lockhart-Mummery Conference: Sponsorship of child abuse prevention conference focusing on creating trauma-informed communities for approximately 300 individuals.

$1,000

The Blanket Ladies - 2013 Project Support: Grant funds were used to purchase fabric, binding, and other supplies to be used by volunteers to make blankets, hats, bibs, etc. for young children to be distributed through Family Resource Centers, domestic violence shelters, CASA, and other programs serving families.

$5,000

George McCann Memorial Catholic School - George McCann Early Education Project: Grant funds were used to acquire furniture, materials, and supplies for one preschool classroom and a language arts curriculum for one transitional kindergarten classroom.

$8,590

50

Tulare Community Health Clinic - Reach Out and Read at TCHC: Funds were used to purchase age-appropriate books for children age six months to five-years-old to be given to them at well child visits.

$13,750

Hyde Park Preschool - Hyde Park Technology Project: Grant funds were used to purchase LeapPad tablets and age-appropriate learning software for approximately 45 preschoolers.

$2,436

Visalia Parks and Recreation Foundation: Funds were used to sponsor a portion of the cost for a community-wide Fourth of July celebration in Visalia with anticipated of 8,000 including approximately 1,500 children age five and under.

$2,000

Down Syndrome Association of Central California - 5 & Under Reception: Grant funds were used to organize and conduct an event in Visalia for young children with Down syndrome and their families.

$1,200

Enchanted Playhouse Theatre Company - Production Sponsorship: Sponsorship and funding support for eight performances of “The Adventures of Peter Cottontail” for approximately 350 young children and their families.

$2,500

Eagle Booster Club-Three Rivers Early Learning Improvements: Grant funds were used to update and strengthen the kindergarten program at Three Rivers School by providing academic materials, classroom equipment and supplies, and technology.

$8,000

Happy Hearts Children’s Center - Happy Hearts Technology: Grant funds were used to purchase LeapPad tablets and age-appropriate learning software for approximately 40 preschoolers.

$10,180

Children’s Ark Learning Center - Children’s Ark Learning Center Technology: Grant funds were used to upgrade classroom technology by purchasing iPads, televisions for use as story boards, and other equipment to allow preschoolers to become familiar with technology in a learning setting in order to be better prepared for kindergarten.

$9,800

TOTAL $104,631

51

First 5 Tulare County One-Time/Capital and Planning Grants The First 5 Tulare County One-Time Capital and Planning grants program was created as a way to support projects that did not involve on-going program services. There was a need for capital and planning grants to round out endeavors where providers had secured funding for operations from other sources.

Tulare Community Health Clinic: Two Fetal monitors were purchased to replace outdated equipment and two exam rooms were renovated to be ADA compliant.

$24,489

Lindsay Unified School District: Lindsay Unified installed two large shade structures over existing play areas to bring the play areas into compliance with licensing requirements and provide safe and extended outdoor education time for the children.

$78,910

River Kids LLC: Imagination playground blocks were purchased, consisting of large, lightweight, soft pieces in a variety of shapes that children use for free play that promotes cognitive development and encourages children to play together

$4,760

Save the Children Federation: Save the Children produced a training video on best practices for serving families through home visitation to be used to train Save the Children staff, family resource center case managers, Home Based Head Start teachers, and other who work with families in their homes. Home visiting in rural communities with limited resources was the focus.

$38,250

Sunny Acres Preschool: This project consisted of renovations to modify the preschool building to improve lighting, line of sight for teachers to better observe the children, and air circulation. Ceiling insulation and a shade screen over an existing play structure were included.

$17,389

Family HealthCare Network: This project provided two ultrasound machines to be utilized on prenatal patients allowing doctors to assess the health of mothers and fetuses and the progress of pregnancies. One machine was purchased for the Visalia Bridge Street site and the second was for their Porterville clinic.

$30,400

Kaweah Delta Hospital Foundation: This project provided two ultrasound machines to be utilized on prenatal patients allowing doctors to assess the health of mothers and fetuses and the progress of pregnancies. One machine was purchased for their Exeter clinic and the second was for their Lindsay clinic.

$30,400

TOTAL $224,598

52

PROVIDER PROGRAM

COSTPER

CLIENT

United Way of Tulare County 2-1-1 Program $3

Tulare Community Health Clinic Dental Screening, Varnish & Education $13

Family HealthCare Network KinderCare Dental $15

Parenting Network Visalia Family Resource Center $41

Sierra View Local Healthcare District Breastfeeding Initiative $138

Woodlake Union School District Woodlake Family Resource Center $167

Lindsay Unified School District Lindsay Family Resource Center $193

Tulare Local Healthcare District Breastfeeding Program $198

Cutler-Orosi Joint Unified SD School Readiness Program $281

Tulare County Office of Education School Readiness Improvement Project $385

Court Appointed Special Advocates 0-5 Program $387

Cutler-Orosi Joint Unified SD Family Resource Center $407

Family Services of Tulare County Addressing Child Trauma (ACT) $469

Kaweah Delta Hospital Foundation Pediatric Hospitalist Program $473

Visalia Unified School District Ivanhoe First 5 Program $512

Save the Children Federation, Inc. Early Steps to School Success $535

Family Services of Tulare County Early Childhood Mental Health $844

Community Services Employment Training South County Family Resource Centers $952

County of Tulare Sheriff's Department Gang Awareness Parenting Project $987

Court Appointed Special Advocates Family Connections $1,076

Traver Joint Elementary SD Traver School Readiness $1,427

Tulare City School District Comprehensive School Readiness $1,810

Table 1: 2013-2014 Cost per Client by Program

53

FIRST 5 TULARE COUNTY

COMMISSIONERS

Cheryl L. Duerksen, Ph.D., Chair Connie Smith, Chair-Elect

Maureen Bianco Phil Cox Jason Britt

Steve Beargeon Christine A. Nelson, M.D.

FIRST 5 TULARE COUNTY STAFF

Aaron Cooper Michele Morrow

Rose Froyd Sterling Bishop

Larry Gonzales

Documents

Local Annual Report 2013-2014 - First 5 Associationfirst5association.org/.../uploads/2016/02/2013-14-AnnRpt-Tulare.pdf · First 5 Tulare County 2013-2014 Local Annual Report Table