Taking a Good Look at Ourselves An Update from the Management Team at
The Learning Center for Families ANNUAL REPORT 2008 - 2009
Research has shown that the years from prenatal development through thirtyIndex: Programs 1
six months of age furnish a window of opportunity for enriching infant and toddler development that can provide lifelong positive outcomes. However, for the young child, this crucial time can also be a period of heightened
vulnerability to stressors such as poor health, developmental complications,
poverty and/or, less than optimal home environments. The Learning Center
Funding Announcements 5
for Families offers two great programs to ensure the success of our youngest citizens. Early Intervention provides
Child Find 6
services to children who are
Achievements 7 Highlights 8 Personnel 9 Quality Indicators 11
developmental delay or who have a condition strongly linked with developmental delay such as Down Syndrome, Cerebral Palsy or extreme prematurity. TLC for Familiesâ€™ early intervention team includes nurses, special educators, psychologists, licensed clinical social workers, and speech, physical & occupational therapists. The team works with each family based on their child's and family's individual needs. Services are provided in the home, at the child's day care or in one of our five family centers. Early
serves pregnant women and children ages birth to three. It is a comprehensive family development program that promotes the physical, cognitive, social and emotional growth of infants and toddlers while assisting their parents in achieving greater degrees of self sufficiency. Families are chosen based on seriousness of need. Outreach is conducted throughout our service area to ensure that we can reach the families who traditionally slip through the cracks.
Early Head Start combines weekly home visits with child-family play groups to help families reach their goals.
REVENUES The Learning Center for Families has been called upon to serve an ever more complicated case load of vulnerable pregnant women, infants and toddlers. In FY 2008 - 09, the major contracts, government and private funding sources were as follows: Utah Baby Watch Early Intervention (BWEI) The number of children in Washington County with special needs grew exponentially every year since we opened. However beginning in December 2008, we actually saw our population drop 10% from 2007. This resulted in a significant cut to our contract. Our base grant from the Utah Department of Health was decreased 18.6% from $632,100 in 08 to $514,460 for 09. Utah Medicaid & CHIP A portion of our funding for early intervention services in Utah comes through the Medicaid system. The downturn in the economy resulted in a surge of children who were on Medicaid. Therefore, In FY 09, our Medicaid collections were up an astounding $195,316 from 08 for a total of $224,586. Childrenâ€&#x;s Health Insurance Program (CHIP) brought in an additional $46,000, an increase of $27,500 over the previous year. Family Fees The Utah Legislature has imposed a sliding scale Family Participation Fee structure for families receiving certain early intervention services. Despite so many families losing their jobs this year, we actually received $470 more than last year in Family Fees, $4,130, a 12% increase over 08. Arizona Early Intervention Program (AzEIP) Whereas the Utah Baby Watch contract is a set amount regardless of the number of children served, the Arizona Early Intervention program (AzEIP) paid a monthly flat rate for each enrolled child regardless of the number of services provided per child. The monthly rate paid by Arizona was $453.71, unchanged from the previous year. Although we saw fewer children in Utah than 2008, we actually averaged 5 more children per month in Arizona in 08 - 09, increasing our revenue by $13,997 from the previous year for a total of $224,586. 2
BOARD OF DIRECTORS Anita Painter
Linda Baker Wokersâ€™ Compnesation Fund of Utah Vice President George Graff, CPA Hafen, Buckner, Everett, & Graff Treasurer Marjorie Hafen
Christa Biasi LUSD#9 School Board
Early Childhood Specialist
Stephanie Pickett Policy Council Liaison
Aaron Randall, Attorney Hughes, Thompson, Randall & Mellen, PC.
Ginger West Advocate
Early Head Start Early Head Start is a federal to local program. The Early Head Start Fiscal Year runs from January 1 - December 31. After years of no appreciable Cost of Living Awards, we received 4.90% COLA in FY 09. We were also awarded a Washington $38,540 Program Improvement grant to renovate County our playgrounds boosting our grant for FY 09 to suffered $605,344, a 10% increase over last year. serious Private Grants and Donations The Learning Center for Families has been fortunate to have been awarded several grants and gifts in FY 08 - 09.
United Way Dixie In July 2008, a $60,000 grant was awarded to TLC from United Way Dixie to be used for program operations through June 2010. This was the second largest grant given by this organization and reflects United Way Dixie‟s strong commitment to helping our community‟s most vulnerable children succeed. In FY 09 we utilized $27,500 of the total funding.
We saw many
the recession. families leave the area in search of work. Per estimated Census data,
IHC Health Care Foundation At the conclusion of FY 08, we had received a gift of $11,500 from the Intermountain Health Care Foundation to take care of the primary health and mental health care needs of our families who were without health payment resources. The funding period was through 2009 and those funds continued to be expended in 08 - 09 providing for emergency health care funds for our families participating in the Early Head Start program. Episcopal Diocese For FY 09, the Episcopal Diocese granted us $10,000. These funds are used to cover the cost of mental health evaluations and treatment for uninsured children who are showing signs of autism. Some of these funds are also being used to provide home-based mental health treatment for families without a source of mental health care coverage who are in crisis, such as women with postpartum depression. 3
The county population actually decreased from 08—09. shrinking our public resources and creating an increasing demand for private and corporate sponsorship.
Target Corporation We received $1,500 to support early literacy efforts and purchase books for our families and library. Parents continue to be encouraged to take home books and read to their children. They also earned books as door prizes at every parent meeting. Despite a difficult year for fund raising and an equally
Christmas Families More than 50% of our total enrollment for all our programs are households earning less than the Federal Poverty guidelines. Many of these families earned their living from the construction industry. The slowdown in housing made Christmas 2008 especially tough for a lot of our families. We put out a call for help and received $2,499 to provide Christmas for 32 families- all of whom were unable to get holiday assistance from any other organization.
challenging time for procuring
In-Kind Support Early Head Start requires that we procure a 25% match in non-Federal funds- or $151,336. This was easily matched by using a combination of donations of volunteer labor and goods as well as a donation from United Way Dixie, bringing our in-kind total to an astounding $198,115.
Revenue All Sources
revenues (including inkind support) were up $128,178 over FY 2008.
Funding Announcements In October, November and December of 2009, TLC was awarded four new grants and contracts: Early Head Start Expansion In a highly competitive process, $774,470 was awarded to serve an additional 72 low-income pregnant mothers, infants and toddlers and expanding our service area into Beaver Dam and Littlefield, Arizona. Our program keeps expanding yet our funding canâ€™t keep up. Our challenge as we go forward is to find the critical dollars needed to help all the vulnerable pregnant women, infants and toddlers in Washington County and the Arizona Strip.
First Things First $281,802 was awarded from an Arizona state funded initiative to provide comprehensive home visiting services to 36 low-income pregnant women, infants and toddlers living in northern Mohave County. AzEIP In a competitive process, a new fee - for - service contract was awarded to serve infants and toddlers with delays and disabilities living on the northwestern Arizona Strip as well as the communities of Moccasin and Fredonia in Coconino County. BWEI ARRA Funding A $94,435 stimulus grant was awarded for serving children with delays that cushioned the draconian contract cut from our Utah Baby Watch contract. Expenditures As would be expected from a service-based program, our largest expense is our people. In FY 2009, $1,380,168 was spent on wages and benefits. We were able to keep our benefits expenses down without impacting our employees by increasing the deductible and self insuring through a Health Reimbursement Account (HRA). At $224,715, the second largest area of expenditures was for Program Services. $92,411 of those expenditures were in Contract Services, which includes nurses, LCSWs and Physical Therapy. Our next largest expense is occupancy. In, FY 09 expenditures for all programs totaled $1,907,565. This represents $133,201 in expenditures over FY 08. 5
Expenditures all Programs
In 2003, Congress passed the Child Abuse Prevention and Treatment Act, CAPTA, requiring all states to come up Child Find Having solid partnerships with other agencies and the medical profession has paid off in helping us recruit families for our programs. Early Intervention 234 children were referred to the Utah early intervention program In FY 2009 down slightly from 2008 and reflective of the drop in overall population in our area. Parents of former and current children receiving early intervention services bested physicians as our most consistent referral source. Division of Child and Family Servicesâ€&#x; referrals rose 33% from the year previous. Our enrollment in our Arizona early intervention program remained flat. BWEI & AzEIP Annual Enrollment
with a system for referring infants and toddlers who have come to the attention of child protective services to early intervention programs for
This year the number of
referrals from CPS
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun AZ
Utah Early Intervention Referrals July 1, 2008 - June 30, 2009
Utah Early Intervention Referrals July 1, 2007â€”June 30, 2008 We just donâ€™t
Physician/Health Care Provider Sibling in EI Program
capacity in our
EHS Another EI Program
CPS Worker Hospital
to keep up with
Brochure/Flyer/Poster Community Organization
School Child Care Provider 0
We receive many
Early Head Start Our TLC-EHS program was overwhelmed with applications for enrollment. Our Policy Council members posted information about the program county-wide. Despite the numerous posters and brochures, word of mouth was the main conduit of information about the services available for the families of low-income pregnant women, infants and toddlers. At the end of 2009, we had 85 children on the waitlist.
heartbreaking calls every day of parents who are desperate
Achievements TLC Awards The following staff and parents were our winners for the annual awards that are recognized by the Utah Head Start Association: Volunteer of the Year- Ginger West Support Staff of the Year- Raquel Adams Creative Learning Concept- Cleola Bess
to enroll their child in our EHS program and we can do
Family Services Worker- Heidi Cooper nothing more
Educator of the Year- Kris Evans Beating the Odds- John West
than add them
Utah Head Start Association Awards In October TLC-EHS swept 3 of the 8 awards at the Utah State Head Start Association Annual Awards Banquet: John West, Beating the Odds, Cleola Bess, Creative Learning, and Kris Evans, Educator of the Year. 7
to our bulging wait list.
A variety of Parent Training Sessions were held in FY 08 - 09 that focused on topics such
Highlights Sibshops 2009 was our eleventh year to host our popular Sibshops. Brothers and sisters can feel neglected when there is a sibling with a special need in the home. Sibshops give them a chance to talk about their feelings and learn that they are not alone– a day when they can feel „special‟ too. We hosted one Sibshop every quarter. Our parents reported being very pleased with this program.
as Family Exercise & Activities, First Aid & CPR, Stress Reduction, Outdoor Cooking, Basic Car Repair, Coping with Temper Tantrums, Brain Gym, Quick, Easy and Inexpensive Meals, and Family Nutrition
Preparing Children for Kindergarten Our Learning Consultants focused on activities that will enhance our babies success once they enter kindergarten. The activities included early literacy for the children, informing families of community supports, emphasizing the role of parents as the primary educators of their children and preparing families to be advocates and leaders. Parent Activities Dozens of Family Unity Activities were held throughout the year. One of our very most successful was the September Annual Day of Caring sponsored by Albertsons. The store employees went all out providing a carnival and food. In addition to the Day of Caring we also had the following parent activities: 30 Parent Committee meetings- 10 each in Hildale, Hurricane and St. George Monthly Early Head Start Policy Council meetings Annual Swimming Party Trunk „er Treat Party Colorado City/Hildale Family Garden Planting Spring and Winter Graduations 8
In addition, several parents attended both local, state and national trainings that focused on helping them help their children.
In 2009 we were able to contract with a Compliance Coordinator which has brought a new dimension to adhering to the
Fatherhood Dozens of TLC fathers and community supporters met for an eveninglong strategic planning session where they mapped out multiple areas where they can make a difference in their childrenâ€&#x;s lives and change our community. In an upside to the serious unemployment problem in the communities we serve, there was a dramatic increase in the number of fathers attending play groups, home visits and family activities. Personnel Nothing is more important to our agency than the recruitment, training, supervision and retention of our human resources. Restructuring In preparation for the influx of new programs, expanded programs and additional funding for FY 2010, TLC management, in conjunction with the Planning Committee, developed four new positions: Compliance Coordinator, Education Coordinator, Disabilities Coordinator and a n Executive Secretary. We were also able to add a full time Fiscal Officer. These additions added a new dimension to the quality of the services we provide.
thousands of regulations in our 3 contracts: Baby Watch, AzEIP and EHS
Staff Development At the end of FY 2009, all of our front-line staff participated in a week long training in Growing Great Kids, a parent-coached training based on empathic parenting. Five staff members received their Baby Watch credentials, a designation by the Utah Department of Health which certifies that the early interventionist has completed all course work and a portfolio outlining the provision of services to infants and toddlers with disabilities. One staff member completed the Play Project training and is certified to supervise others in this best practice treatment for autism. 9
Eight staff enrolled in college courses, subsidized by TLC for Families, that enhance their skills in early childhood development. Outreach
Staff Retention The economy has been a efforts are blessing and a curse. We have had very low staff paying off. turnover, and when their has been, we have had dozens Physicians of extremely qualified candidates seeking positions. With the and other restructuring, we were able to add 5 new employees before fiscal year end. We lost one employee prior to her completion of her medical probationary period. One other employee left in 2009. At the end of theare FY 09, we had 43 employees and 9 contractors a 16% personnel increase from FY 08. the primary Volunteers source of Not enough can be said about our dedicated unpaid staff, our true bluefor volunteers. FY 09 saw a surge in the number of volunteers referrals who helped us with our mission. Volunteers worked as Board and our programs. Policy Council members, child tenders, clerical help, on maintenance projects and hosted many of our Parent Activities. The Division The Volunteer Center of Washington County was instrumental in finding matches for our needs. Easter Seals underwrote two longof Child and term staff who worked on maintenance and clerical projects. The Department of Workforce Services underwrote a fulltime facilities Family aide. Dixie State College dental hygiene program has provided Services invaluable assistance to us. We continue to benefit from the services of Stefani Watson, a volunteer audiologist, and Dr. Paul Protective Gooch, our volunteer optometrist who meet with our children monthly. Services D
â€œNo exercise is better for the human heart than reaching down to lift up another person.â€? Tim Russert paraphrasing Bernard Metlzer. We had more volunteers this year than ever. Their help gave us record in-
epartment are Quality Indicators kind support
Single Audit not far The FY 09 audit was rigorously conducted by behind. Hinton Burdick, CPAs. We received a 100% clean
for our EHS grant.
audit with no management recommendations. This reassures us that TLC operates with systems and procedures in place to ensure compliance with all financial requirements for all our contracts. Annual Self Assessment Every year, we conduct a thorough â€œlook seeâ€? to evaluate if we are meeting the more than 1700 requirements of the Head Start It is imperative Performance Standards. The annual self that resources assessment conducted in July of 2009 found very few issues that needed improvement. All concerns were quickly rectified. for vulnerable
Early Head Start Program Information Report Our annual PIR, which complies information specific to our Early Head Start program through August of 09, indicated that: A total of 93 pregnant women, infants and toddlers were served with an average monthly enrollment of 62 participants. 74% of our children were up-to-date on their immunizations. 84% of children were up-to-date on their well baby checkups. 87% of children and pregnant women had a medical home identified with 90 days of enrollment. 70% of children and pregnant women had a dental home. 14 children and 2 pregnant women received mental health evaluations. 44% of the children were identified as being developmentally delayed. 100% of the children received developmental, health, vision and hearing screening within 45 days of enrollment.
pregnant women, infants and toddlers be utilized in such a way that the best outcomes are obtained. In supporting No Child Left Behind, we must send children who
Facilities We added additional space at our La Verkin facility in anticipation of the Expansion grant that we received at the end of 09. Beaver Dam Elementary School agreed to let us use a classroom for free in anticipation of our expanding our services into Beaver Dam. We renovated 4 of our playgrounds using 11
are learning ready into our school systems.
â€œIt lies within our reach. . . to
EHS program improvement funds. The Friends of TLC Foundation hired an architect who has designed a 20,000 square foot building for our new St. George site.
change the futures of disadvantaged children. The children who today are at risk of growing into unskilled, uneducated adults, unable to help their own children to realize the American dream can, instead, become productive participants in a twenty-firstcentury America whose aspirations they will share.â€? Lisbeth B. Schorr
Budget for FY 2010 The Budget Committee worked hard during the spring and into summer to set the budget for all programs for FY 2010. An integrated set of spreadsheets were designed by fiscal staff to help track costs over multiple allocations. FY 2010 proves to be a banner year for TLC with over $1,000,000 in new funding. The following budget was drafted and passed by the Board of Directors and the Policy Council: Anticipated Revenue FY 10 Medicaid Collections (Utah)
CHIP Collections (Utah)
Parent Fee Collections (BWEI Only)
Early Head Start Contract
Early Head Start Expansion
Early Head Start Stimulus
First Things First
Total Other Funding Anticipated
Total all revenue
FY 10 Budgeted Baby Watch
Early Head Start
Total expenditures 1,049,251 per program
Total Projected Expenditures
First Things First