HomeMy WebLinkAboutAgenda - 02-01-2005-9cORANGE COUNTY
BOARD OF COMMISSIONERS
ACTION AGENDA ITEM ABSTRACT
Meeting Date: February 1, 2005
Action Agen-la
Item No. 9 -G
SUBJECT: Child Health Care Consultant Proiect Funded by Smart Start
DEPARTMENT: Health
PUBLIC HEARING: (Y/N) No
ATTACHMENT(S):
Project Proposal
Award Letter from OCPYC
INFORMATION CONTACT:
Rosemary Summers, ext 2411
TELEPHONE NUMBERS:
Hillsborough 732-8181
Chapel Hill 968-4501
Durham 688-7331
Mebane 336-227-2031
PURPOSE: To accept funds for the Child Health Care Consultant Project, authorize project
implementation and approve a new Public Health Nurse position funded by non-County
sources.
BACKGROUND: From 1994-2004, the Orange County Partnership for Young Children
(OCPYC) funded the "Child Care SHAPE Up Project" through Piedmont Health Services that
provided a nurse consultant to child care providers for services to children and the staff of the
centers. Over the last five years, decreases in State funding resulted in cuts to the program
that did not allow for a full-time nurse to be supported by the project funds. Piedmont Health
Services declined to continue the project for the 2004-05 grant year.
The OCPYC Board of Directors asked that the staff of the Partnership conduct an assessment
with the child care community regarding the continuing need and value of these services prior to
resubmission of a request for proposal (RFP) to the community. The assessment was
completed in late fall of 2004 and the OCPYC Board authorized an RFP to be issued for an
initial 6 month proposal for the remainder of this fiscal year with an anticipated one year renewal
for the following fiscal year (05-06) dependent on State budget allocations.
The Orange County Health Department submitted a proposal (Attachment 1) to the OCPYC for
the 18 month period beginning .January, 2005. The purpose of the project is to provide Child
Care Health Consultant services to promote healthy and safe environments for young children
in licensed child care centers and homes in Orange County. Providing these services in
licensed child care centers and homes helps assure that children who start school have
received appropriate health care and are well and ready to learn. A Public Health Nurse will
make available to child care providers a range of services that includes:
• policy development assistance to address health and safety issues
• review emergency care plans and provide technical assistance for special medical need
children
link families with special need children to early intervention or other needed services
assess access to preventive health care for children and help link families to services in
the community
collaborate with and provide education as needed for child care staff on health topics,
including such topics as diapering, hand washing, immunizations, asthma and allergies,
and food safety
Specific outcomes anticipated as a result of this project include:
• 90% of child care providers participating in trainings will demonstrate increased
knowledge on post-test scores
• 95% of children's health records reviewed by the consultant will show that the child has
up-to-date immunizations within 30 days of enrollment at the center
• 60% of children enrolled at sites that are referred for early intervention of health services
will receive services within 90 days of referral (service acceptance is voluntary)
This program fits well into the continuum of current services offered to children by the Health
Department. The Health Department currently offers child service coordination for children with
developmental delays for ages 0-5; intensive home visiting services for young and first time
mothers with high-risk factors with infants 0-3 months; well-child clinical services and as of
,January 3; primary care services for children up to age 21; screening of birth records for high-
risk factors and referral to appropriate services; and coordination and consultation for school
nursing services in both districts for school-age children. Many health departments across
North Carolina provide this service to child care centers in their counties, often through local
Smart Start partnership funding.
The Health Department is proposing adding one Permanent Full Time Public Health Nurse
position to carry out the project as described in the grant application. The position would be
authorized contingent upon receipt and continuation of non-county funds.
The OCPYC Board has signaled its commitment to the Child Health Care Consultant program
by specifically recruiting for this type of service outside of its usual proposal cycle and
identifying this program and the Health Department as among those eligible for multiple year
funding based on previous success in achieving high program standards and outcomes. While
funding levels may change, it is projected that health consultants in child care settings will
remain a top Partnership priority. As part of the ongoing monitoring of grantees, an extensive
annual evaluation is prepared for the OCPYC. The Board of Commissioners will receive a copy
of the annual evaluation that tracks project outcomes.
FINANCIAL IMPACT: The award from the OCPYC for the remainder of the 04-05 fiscal year is
$23,570 and the anticipated award (subject to State budget allocations) for 05-06 is $55,000.
This amount is adequate to cover the salary and benefits of a Public Health Nurse II and
provide travel and operational costs.
The Health Department would be contributing in-kind, nursing supervisory time for the position.
The following table reviews the anticipated breakdown of expenditures for the entire 18 month
period. Itemized detail can be found in Attachment 1, the grant proposal spreadsheets.
1105-6/05 7/05-6/06
Public Health
Nurse $18,990* $50,420
Operations $ 4,580 $ 4,580
Total $23,570 $55,000
* 4.5 month salary due to authorization & recruitment
RECOMMENDATION(S): The Manager recommends that the Board:
• Accept the funding for the Child Care Health Consultant Project in the amount of $23,570
for FY 04-05 from the Orange County Partnership for Young Children;
• Accept the funding in the amount of $55,000 for FY 05-06, contingent upon State
allocations;
• Authorize a new Permanent Full Time public health nurse position effective February 1,
2005, subject to the continuation of non-County funds;
0 Establish a grant ordinance for these purposes.
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Orange County Partnership for Young Children
CHILD CARE HEALTH CONSULTANT
PROJECT ABSTRACT
AGENCY INFORMATION:
Legal Name of Agency: Orange County Health Department
Type of Agency: Public
Federal ID#: 56-6000327
Application Contact:
Name: Darrell Renfroe MSW Title: Family Home Visiting Services Supervisor
Address: 300 W. Tryon Street, Hillsborough, North Carolina 27278
Telephone: (919) 245-2445 Fax: j919) 644-3312 E-Mail Address: drenfroe@co.orange.nc.us
Personal Health Services Director:
Name: Wayne Sherman, RN, MSPH Title: Personal Health Services Director
Address: 300 W. Tryon Street, Hillsborough, NC 27278
Telephone: (919) 245-2402 Fax: (919) 644-3312 E-Mail Address: wsherman(cr?,co.orange.nc.us
Fiscal Contact Information:
Name: Letitia Burns, MBA Title: Administrative Officer
Address: 300 W. Tryon Street, Hillsborough, North Carolina 27278
Telephone: (919) 245-2410 Fax: (919) 644-3007 E-Mail Address: lbums@co.orange.nc.us
Name of Agency Director: Rosemary L. Summers, MPH, DrPH Title: Health Director
Signature of Health Director
Date
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Orange County Partnership for Young Children
CHILD CARE HEALTH CONSULTANT
PROJECT ABSTRACT
Project Title: Child Care Health Consultant
Applicant: Orange County Health Department
Purpose of Project: This project provides Child Care Health Consultant services to promote healthy
and safe environments for young children in the 120 licensed child care centers and homes in Orange
County. To this end, the Public Health Nurse II will make available to child care providers a range of
services from policy assistance related to health and safety issues to linking staff, families and children
to community health resources. Furthermore, the nurse will address health and safety issues identified
through environmental rating scales being used for licensure (such as ECERS or FDCRS), thus
improving the health of children enrolled and improving the compliance with health regulations and
child care standards by child care centersihomes. The nurse will review emergency care plans and
offer technical assistance as needed to staff related to learning about diagnoses and learning technical
skills related to specific cares needed to maintain children with special medical needs in their child
care site. Families of special needs children in child care centers will be connected with early
intervention, Child Service Coordination, medical, and/or school system special services as indicated,
The nurse will assess access to preventive health care, insurance, and immunizations by enrolled
children and will be a liaison between child care providers, parents, and community health care
providers,
The American Academy of Pediatrics recommends that every child care center or family child care
home should have access to a child care health consultant who has expertise in child health and
development.' According to the NC Division of Child Development, there are -120 licensed centers
and home child care centers in Orange County, Child care providers surveyed through an Orange
County Partnership for Young Children review this year indicated that providers want more training,
especially on topics such as: diapering, hand washing, immunizations, CPR, identifying child abuse,
food and nutrition, infant related topics, asthma and allergies, safety, bloodbome pathogens and
infectious diseases." These areas of consultation needs mirror data reported by the NC Rated License
Assessment Project that show that across the state of NC child care providers' completing
environmental rating scales score lowest on these items (items identified especially low were related to
cross-contamination, diapering techniques, and hand washing practices)."'
Collaboration: This project will collaborate with Child Care Services Association staff to jointly
provide technical assistance, training and planning services related to health and safety issues/topics,
particularly focusing on centers/homes scoring low on environmental rating scales, The nurse will
honor existing contracts between OCHD and the Child Developmental Services Agency and Early
Head Start. Orange County Cooperative Extension Services will collaborate by sharing information,
resources, and materials (focusing on Child Care homes). The nurse will collaborate with other
programs within the Health Department, such as Child Service Coordination, Nutrition Services,
Immunization Tracking, Health Promotion and Education, and Environmental Health. The nurse will
serve on the Technical Assistance Advisory Council and the Orange County Preschool Interagency
council to coordinate activities. As the project develops, further collaborative relationships are
anticipated with preschool services of Orange County Schools and Chapel Hill Carrboro Schools,
Piedmont Health Services, private pediatricians, OPC Mental Health, and other agencies/individuals
with vested interests in the wellbeing of your children in child care settings.
Evaluation: The evaluation method will be through a variety of data collection and analysis along
with surveys and screening tools. Child care center/home staff will be surveyed annually regarding
their satisfaction of the services offered, They will also be given the opportunity to indicate areas of
to
assistance they may need that has not been available. The Child Care Health Consultant will create
tracking logs (for phone calls, site visits, records reviewed, Emergency Medical Plans reviewed) and
maintain training attendance rosters to track the following data:
? # of consultation phone calls from child care centers\homes requesting assistance and the type
of assistance requested.
? # of field visits to child care centers and homes and reason for site visit.
? # of health & immunization records reviewed (immunization compliance, medical homes,
insurance enrollment).
? # of children referred for early intervention/preschool services
? # of emergency medical plans reviewed and # of consultation services provided.
? # of children referred for care compared to timeliness and outcome of follow-up/treatment.
? # of child care center/home staff and families who receive health education training.
% of demonstrated knowledge gained by participants in trainings (compare pre- and post-test
scores of attendees).
Partnership Outcomes and Performance Standards: Improve early care and education services;
Preschool children with physical or mental health needs are identified prior to entering
kindergarten; Preschool children have access to consistent health care and have a primary care
provider or "medical home."
Specific Measurable Outcomes: 60% of Smart Start screening participants referred for care will
receive treatment; the participation ratio for Health Check project counties will be 70%; 60% of
participating preschool children will access consistent health care; 60% of the children in
participating programs will receive services within 90 days of referrals. Of the child care providers
participating in trainings, 95% will demonstrate increased knowledge on post-test scores and of
health records reviewed 90% will show up-to-date immunizations within :30 days of enrollment, by
June 30, 2005, the Child Care Health Consultant will contact 75% of all Orange County licensed
child care center and child care home directors in person to orient them to the scope of services
available.
Timetable for this Project: beginning date: January 1, 2005 ending date: June 30, 2006
Staff and Volunteers: 1 full time staff Position Title: Public Health Nurse II
Project Funding: Funds requested: $76,680 for 18 months
One-Time Start Up Costs: $1,890
Total Funds Requested:' $78,570
Total Matching Funds Provided: $9,000 for 18 months
In Kind Support: $9,000 for 18 months
Total Project Cost: $87,570 for 18 months
'Early Childhood Needs and Resources Report2003 Frank Porter Graham Child Development Institute, UNC.
"Child Care Consultation." American Academy of Pediatrics. 8 December 2004
http://www.healthychildcare.ora/CCHC.cfm
""Child Care S H.A.P.E.-Up Project:2004 Interview Results" Orange County Partnership for Young Children. Compass
Consulting Group, L.LC. 2004
"'Cassidy, Deborah et al "Summary of Lowest Scoring Items and Indicators of Each of the Environmental Rating Scales."
North Carolina Rated License Assessment Proiect University of North Carolina at Greensboro 25 October 2004 10
December 2004 http://web unce edu/ncrlap//pdf/Lowest Scoring items 10-25 04 ndf
Orange County Partnership for Young Children
PROJECT NARRATIVE
Project Title: Child Care Health Consultant
Applicant: Orange County Health Department
Target Population and Need: The target populations for this project are the child care providers of
the -120 Orange County licensed child care facilities (centers and homes) and the children aged birth
to 5 who are served in those programs. Approximately 34.4% of the 7,135 children (or 2400 children)
ages' birth to 4 living in Orange County are enrolled in licensed child care centers or homes'. Children
with special needs such as being medically fragile, having developmental delays, or being
disadvantaged are priority populations for this program as are the programs that serve them. The
American Academy of Pediatrics recommends that every child care center or family child care home
should have access to a child care health consultant who has expertise in child health and development,
and knowledge about the special needs of children in out-of-home child care settings who can provide
consultation and technical assistance on child health issues." Child care providers surveyed through an
Orange County Partnership for Young Children review this year indicated that an important need they
have is for more training. Workshop topics providers suggested included diapering and hand washing,
immunizations, CPR, identifying child abuse, food and nutrition, infant related topics, asthma and
allergies, safety, bloodborne pathogens and infectious diseases. The reasons cited for the need for
more training was "because we're dealing with children and we need to be well-educated about their
needs.""' hi fact, the data reported by the NC Rated License Assessment Project shows that across the
state of NC child care providers' completed environmental rating scales indicate that the lowest scored
items are in the areas of health and safety. Areas identified especially low were related to cross-
contamination, diapering techniques, and hand washing practices." All of these areas impact the
wellness of children in child care. From 1994-2004, the Orange County Partnership for Young
Children funded a similar model of child care health consultation services that was known as the
"Child Care SHAPE Up Project" through the Piedmont Health Services. With this project no longer
being funded, child care providers have limited access to medical technical assistance in Orange
County.
Project Description: A Public Health Nurse Child Care Health Consultant will provide consultation to
child care providers and parents to ensure safe and healthy child care environments. To this end, the
nurse will make available to all child care providers in licensed centers and homes the range of
services that they can access through this project from policy assistance related to health and safety
issues to linking staff, families and children to community health resources. The Child Care Health
Consultant will deliver these services by ongoing communication through telephone calls, mailings,
training sessions, and regular visits to child care centers and homes.
More specifically, the nurse will be available to:
? Assist child care administrators and community technical assistance groups in the development
and/or implementation of general policies and procedures regarding the management of
infectious diseases, fevers, use of medications, and policies related to being excluded due to
illness.
? Perform on-site assessments of the child care environment related to health safety issues and/or
assist with the implementation of improvement plans related to areas of need identified through
environmental rating scales.
? Educate families and providers about child development, mental and physical health, safety,
nutrition and oral health issues.
? Link providers and families with community health resources (such as Health Check/Health
Choice, early intervention, dental, and specialty health services).
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a Educate families regarding the importance of accessing routine health services through a
"medical home" primary health care provider.
Q Assist providers and parents with the development of individualized emergency medical plans
for children with identified health issues (such as seizures, asthma, bee sting allergies, etc.),
ensuring a system of communication exists among child care providers, parents, and medical
providers when health issues arise.
The person staffing this project will be a Public Health Nurse II working within the Orange County
Health Department and assigned to the Personal Health Services Division/Family Home Visiting
Services Section. Beckie Hermann, RN, Family Home Visiting Services Coordinator, will be the
supervisor for this position as a part of the team of 3 Public Health Nurse II and 4 Social Worker II
home visitors she currently supervises. Currently .25 FTE is funded through OCPYC to provide
emergency care plan development for young children with special health needs as a part of the Child
Service Coordination Enhancement Project at Orange County Health Department. As the Child Care
Health Consultant orients to the project, the currently funded activity will continue this aspect of the
position through June 30, 2005. It is planned that this specific duty will transition to the Child Care
Health Consultant's role as of July 1, 2005. One of many positive aspects of this position being part of
the Orange County Health Department is that there is a Medical Director on staff who oversees and
assists with writing of all health related protocols. Another positive aspect is that the Health
Department has years of experience providing School Nursing services, immunization review,
identification and linking of children with special needs to early intervention services, and providing
Communicable Disease investigation and intervention. Protocols and procedures already exist within
these programs that can easily be adapted for this project.
Proiect Time and Task Chart:
January -February 2005 March, April, May, June 2005 Jul 2005-June 2006
Recruit, Interview and Hire *Orient to OCHD and State Child Care *Implement program
Public Health Nurse Child Care Health activities as described
Health Consultant Position Consultant Training and Certification. in body of grant
*Meet Child Care Directors, Orange application.
County collaborating agency staff, and *Track health and
pertinent North Carolina Division of safety data as
Child Development and Division of described.
Public Health Staff as well as the *Evaluate participant
Regional child satisfaction and use of
Health Care Consultant (if position is project services (by
developed). 12/05 and 6/06).
*Collaborate with Child Special Services
Coordinator regarding established
emergency
medical plans (transition responsibility
by
7/1/05).
*Establish time line for service provision
for 2005-2006 (including training
calendar
activities).
2
q
Collaboration: The project nurse will collaborate with numerous community agencies on many
levels.. Within the Health Department, the project nurse will collaborate with staff in Child Service
Coordination, Nutrition, hnmunization Tracking, Health Promotion and Education, Communicable
Disease, School Nursing, and Environmental Health services by sharing of resources, expertise, and
information. This nurse will serve on the Technical Assistance Advisory Council and the Orange
County Preschool Interagency council to coordinate activities and share resources. The nurse will
collaborate with Child Care Services Association staff to jointly provide technical assistance, training
and planning services related to health and safety issues/topics, particularly focusing on centers/homes
scoring low on environmental rating scales. The nurse will honor existing contract and agreements
between OCHD and the Child Developmental Services Agency and will work with the local school
systems to ensure that children with delays and special needs access appropriate early intervention
services. OCHD currently partners with Early Head Start (EHS) regarding home visiting and health
issues. This partnership will continue to be carried out through matching components of this project
and working closely with the EHS Health/Nutrition Coordinator at the child care sites they are
currently partnered with to compliment/enhance work with the child care staff and family members of
these programs. Orange County Cooperative Extension Services has verbalized a desire to work
closely with this project, sharing information, resources, and materials (likely focusing on Child Care
homes). As the project develops, further collaborative relationships are anticipated with community
agencies such as Piedmont Health Services, private pediatricians, OPC Mental Health, and other
agencies/individuals with vested interests in the wellbeing of your children in child care settings.
Partnership Outcome(s) and Performance Standards:
Outcome: Improve early care and education services.
Outcome: Preschool children with physical or mental health needs are identified prior to entering
kindergarten.
? 60% of Smart Start screening participants referred for care will receive treatment.
Outcome: Preschool children have access to consistent health care and have a primary care provider or
"medical home".
? The participation ratio for Health Check project counties will be 70%.
? 60% of participating preschool children will access consistent health care.
Program Impact: Child Care Health Consultant programs that have been implemented in other
communities have demonstrated lowered incidence of illness and communicable diseases; increased
access to health care for children in child care centers, improved health and safety status and
compliance with health regulations and standards in the child care programs served! Children with
special needs such as "medically fragile children" and children with developmental delays will benefit
from having staff caring for them who are aware and trained appropriately to deal with their specific
needs as well as being connected to all the necessary services that are available to them. Fewer needy
and disadvantaged children will fall between the cracks and have a greater chance of getting the
services they need in order to be able to arrive at kindergarten ready to learn and achieve by having a
consultant available to review medical histories, case conference with child care providers, train staff
and family members on age appropriate health, developmental and behavioral expectations, and
provide follow up on positive findings through screenings. Child care staff and families will have a
link to connect them to resources when they have concerns about children. Furthermore, the nurse will
be providing services within the scope of services described above that are identified as priority by the
child care sites that have chosen to work with the project. Since providers will be accessing the
services they deem necessary for their staff, programs will be more likely to follow through with the
recommendations made, thus improving the quality of child care available to young children.
Program Outcomes: By June 30, 2005, the Child Care Health Consultant will contact 75% of all
Orange County licensed child care center and child care home directors in person to orient them to the
10
scope of services available. Of the children enrolled in participating child care sites who are referred
for early intervention or health services, 60% will receive services within 90 days of referral. Of the
child care providers participating in trainings, 90% will demonstrate increased knowledge on post-test
scores. In FY 05-06, 95% of health records reviewed will show up-to-date immunizations within 30
days of enrollment.
Outputs: This project will offer services to -120 licensed child care centers/homes in Orange County,
of which it is anticipated that at least 50 (50%) will participate in at least one service offered by the
child care health consultant. Staff from at least 30 sites (1/4 of the 120 licensed sites) will receive
technical assistance to improve environmental ratings related to health and safety. The nurse will
screen -250 health/immunization records (-10 sites likely to request immunization review).
Evaluation: Child care center/home staff will be surveyed annually regarding their satisfaction of the
services offered. They will also be given the opportunity to indicate areas of assistance they may need
that has not been available. The Child Care Health Consultant will create tracking logs (for phone
calls, site visits, records reviewed, Emergency Medical Plans developed) and maintain training
attendance rosters to track the following data:
? # of consultation phone calls from child care centers\homes requesting assistance and the type
of assistance requested.
? # of field visits to child care centers and homes and reason for site visit..
? # of health & immunization records reviewed (immunization compliance, medical homes,
insurance enrollment).
? # of children referred for early intervention/preschool services
? # of emergency medical plans reviewed and # of consultation services provided.
? # of children referred for care compared to timeliness and outcome of follow-up/treatment.
? # of child care center/home staff and families who receive health education training.
? % of demonstrated knowledge gained by participants in trainings (compare pre- and post-test
scores of attendees).
Consumer Involvement and Satisfaction: Participating child care providers will be surveyed
annually using a customer satisfaction survey approved by OCPYC. Providers will be asked to give
input on the effectiveness of services they are utilizing. The information gathered will be documented
in each Annual Report to OCPYC and used to guide ongoing programmatic improvements.
Budget Narrative: We are requesting Smart Start Funds in the amount of $21,680 for the period of
January 1- June 30, 2005, and $55,000 for July 1, 2005 - June 30, 2006 to cover salary and fringes for
one FTE Public Health Nurse II (Registered Nurse) with experience in pediatrics and community
settings as well as operating expenses such as phone, travel and postage. Note per the timeline of
hiring a nurse, this salary reflects 4.5 months of project service. The second year salary captures the
anticipated 2% cost of living raise anticipated for Orange County employees. Smart Start funds are
needed for this project because the services offered by a Child Care Health Consultant are not billable
services and are not supported through other funding sources at this time. Therefore, there are no other
federal or state dollars funding a project such as this in our agency. Since the starting minimum salary
for a Public Health Nurse H with the Orange County Health Department is $42, 954 and the average
cost for fringes is 15% of the salary, there will not be ample money left over to cover other expenses
such as mileage reimbursement and training. We are requesting $1,890 to help offset the costs of
training and materials for the six months (January 2005- June 2005) of the project. The Orange
County Health Department will provide $3,000 in matching funds for the first 6-month period and
$6,000 in matching funds for July 1, 2005 - June 30, 2006 as in kind costs for nursing supervision,
associated with the position. Other support needed will be in the form of guidance from the Orange
County Partnership for Young Children because from their ten-year history in funding this position as
4
well as the State Division of Public Health and the State Division of Child Development for their role
in child health in child care centers.
Early Childhood Needs and Resources Report 2003. Frank Porter Graham Child Development Institute, UNC.
" "Child Care Consultation" American Academy of Pediatrics 8 December 2004
http://www.healthychildcare.orpJCCHC.cfm
"' "Child Care S H A P.E.-Up Project:2004 Interview Results." Orange County Partnership for Young Children Compass
Consulflng Group, LLC, 2004
" Cassidy, Deborah et al. "Summary of Lowest Scoring Items and Indicators of Each of the Environmental Rating Scales."
North Carolina Rated License Assessment Project. University of North Carolina at Greensboro, 25 October 2004. 10
December 2004 hqp://web.uncg.edu/ncriap--/-pdf/Lowest Scoring Items 10-25 04.adf
"'Building Better Child Care Through Health Consultation." National Training Institute for Child Care Health Consultants.
The University of North Carolina at Chapel Hill. 07 December 2004 httn://www.sph.unc.edulcourses/childcare
child care health consultant match justification 2005
9
INNOVATION FUND BUDGET SUMMARY
Agency: Orange County Health Department 1 In-Kind` Cash" Mixed' Total
Project: I Child Care Health Consultant Funds Funds Match Funds Funds
Fiscal Year: 2005 Requested Amount Amount Amount Amount
Line Description
11 Personnel $18,990.00 $3,000.00 $21,990.00
12 Contracted Services $0.00
13 Total Personnel/Contracted Services $18,990.00 $3,000.00 $0.00 $0.00 $21,990.00
14 Office Supplies & Materials $600.00 $600.00
15 Service Related Supplies* $700.00 $700.00
16 Total Supplies & Materials $1,300.00 $0.00 $0.00 $1,300X0
17 Travels $1,200.00 $1,200.00
18 Communications & Postage $300.00 $300.00
19 Utilities $0.00
20 Printing & Bindings $0.00
21 Repair and Maintenance $0.00
22 Meeting/Conference Expense $0.00
23 Employee Training (no travel)* $300.00 $300.00
24 Classified Advertising $0.00
25 In-State Board Meeting Expense $0.00
26 Total Non-Fixed Operating Expenses $1,800.00 $0.00 $0.00 $1,800.00
27 Office Rent (Land, Buildings, etc.) $0.00
28 Furniture Rental $0.00
29 E of ment Rental (Phones, Computer, etc.) $390.00 $390.00
30 Vehicle Rental $0.00
31 Dues & Subscriptions $0.00
32 Insurance & Bonding $0.00
33 Books/Libra Reference Materials $0.00
34 Mortgage Interest and Bank Fees $0.00
35 Other Expenses (provide explanation) $0.00
36 Total Fixed Charges & Other Expenses $390.00 $0.00 $0.00 $0.00 $390,00
37 Buildings & Improvements $0.00 DO NOT USE
38 leasehold Improvements $0.00`. DO NOT USE
39 Fumiture/Non-Computer Eqpt., $500+ per item $600.00 $600.00
40 Computer Equipment/Printers, $500+ per item $0.00
41 FumiturelE t., under $500 per Item $490.00 $490.00
42 Total Property & Equipment Outlay $1,090.00 $0.00 $0.00 $0.00 $1,090.00
43 Purchases of Services $0.00
44 Contracts With Service Providers $0X0- DO NOT USE
45 SO ends/Scholarshl s/Bonuses $0.00
46 Grants/Cash Awards $0.00
47 Grants/Non-Cash Awards $0.00
48 Total Services/Contracts/Grants $0.00 $0.00 $0.00 $0.00
49 Total Participant Training Expense $0.00 $0.00 $0.00 $0.00 $0.00
50 Total Budgeted Expenditures $23,570.00 $3,000.00 $0.00 $0.00 $26,570.00
In-Kind funds refers to support provided b the agency housing this activit that is not aid for t hrough Smart Start dollars -
Cash funds refers to dollars used to support the project through a Federal grant, local government grant, foundation grant,
• ( Mixed funds refers to cash and in-kind funds that are blended with State dollars. This column is for reporting State dollars,
' refer to SS Cost principles I
jq-
Health
Child Care Health Consultant RFP for July 2005-June 2006
1 FTE Public Health Nurse II $50,420 (salary plus
Personnel OCPYC fringe)
Personnel county in-kind 12 hours/month nursing supervision I
Office Supplies & Materials OCPYC $500 for copy paper, printer cartridges, pens
Service Related Supplies
Travel IOCPYC 7200 miles x.375 = $2,700
Communications & Postage OCPYC $300 for mailings
& Binding
& Maintenance
I Employee Training (no travel) I OCPYC I 15300 for on-going training to keep PH Nurse up to date
hi-State Board Meeting Expense
Office Rent
Furniture Rental
Equipment Rental OCPYC $780 for land phone w/ voice mail and cell with voice mail
Vehicle Rental
Dues & Subscriptions
Insurance & Bonding
Books/Library Reference Materials
Mortgage Interest and Bank Fees
/Egpt., under $500 per, iteml
Eqpt./Printers, $500+ per item
[Eqpt., under $500 per item
of Services
With Service Providers
Grants/Cash Awards
Grants/Non-Cash Awards
Total Participant Training
child care health consultant match justification 2005-2006
j5
INNOVATION FUND BUDGET SUMMARY
Agency Orange County Health Department 1 In-Kind* Cash** Mixecl * Total
Project: I Child Care Health Consultant Funds Funds Match Funds Funds
Fiscal Year: 2005-2006 Requested Amount Amount Amount Amount
Line Description
11 Personnel _$50_,420.00
" $6,000.00 $56,420.00
12 Contracted Services $0.00
13 Total Personnel/Contracted Services $50,420.00 $6,000.00 $0.00 $0.00 $65,010.00
14 Office Supplies & Materials $500.00 $500.00
15 Service Related Supplies* $0.00
16 Total Su lies & Materials $500.00 $6.00 $0.00 $500.00
17 Travel' __$_2,700.00 $2,700.00
18 Communications & Postage $300.00 $300.00
19 Utilities $0.00
20 Printing & Binding' $0.00
21 Repair and Maintenance $0.00
22 Meeting/Conference Expense $0.00
23 Employee Training (no travel)' $300.00 $300.00
24 Classified Advertising $0.00
25 In-State Board Meeting Expense $0.00
26 Total Non-Fixed Operating Expenses $3,300.00 $0.00 $0.00 $3,300.00
27 Office Rent (Land, Buildings, etc.) $0.00
28 Furniture Rental $0.00
29 E ui ment Rental (Phones, Computer, etc.) $780.00 $780.00
30 Vehicle Rental $0.00
31 Dues & Subscriptions $0.00
32 Insurance & Bonding _ $0.00
33 Books/Libra Reference Materials $0.00
34 Mortgage Interest and Bank Fees _ $0.00
35 Other Expenses (provide explanation) $0.00
36 Total Fixed Charges & Other Ex enses $780.00 $0.00 $0.00 $0.00 $780.00
37 Buildings & Improvements $0.00. DO NOT USE
38 Leasehold Improvements _ $0.00 DO NOT USE
39 Fumiture/Non-Computer Eqpt., $500+ per item $0.00
40 Computer E ui ment/Printers, $500+ per item $0.00
41 Furniture/Egpt., under $500 per item $0.00
42 Total Property & Equipment Outlay $0.00 $0.00 $0.00 $0.00
43 Purchases of Services $0.00
44 Contracts With Service Providers $0.00. DO NOT USE
45 Stipends/Scholarships/Bonuses $0.00
46 Grants/Cash Awards $0.00
47 Grants/Non-Cash Awards $0.00
48 Total Services/Contracts/Grants $0.00 $0.00 $0.00 $0.00 $0.00
49 Total Particl ant Training Expense $0.00 $0.00 $0.00 $0.00 $0.00
50 Total Budgeted Expenditures $55,000.00 $6,000.00 $0.00 $0.00 $61,000.00
I I
In-Kind funds refers to support provided b the agency housing this activity that is not aid for through Smart Start dollars -
( Cash funds refers to dollars used to support the project through a Federal grant, local government grant, foundation grant,
• Mixed funds refers to cash and In-kind funds that are blended with State dollars. This column is for re orting State dollars,
I • refer to SS Cost principles
ORANGE COUNTY PARTNERSHIP FOR YOUNG CHILDREN
1829 E.. Franklin Sheet, Suite ¢oo-C Chapel Hill, NC 27514
Phone 919.967.9091 Fax g19g33.1o08 www. OrangeSmaltStart.org
December 21, 2004
r
Rosemary Summers
Director
Orange County Health Department
Child Care Health Consultant Project
300 W Tryon Street
Hillsborough, NC 27278
Dear Rosemary:
We are delighted to let you know that the Board of Directors has approved funding for
Child Care Health Consultant Project.
Your total award for FY 2004/05 is $23,570. The grant period will run from January 1,
2005 through June 30, 2005 and your award for 05/06 is $55,000 although it is contingent
upon continuation funding from the North Carolina General Assembly for Smart Start.
The terms of this grant will be detailed in the Contract between Orange County Health
Department and the Partnership that will be sent to you under separate cover. You will
also receive information outlining all reporting requirements and details on requesting
funds for the coming year.
If you have any questions, you may call Michele Rivest, Executive Director or Lisa
Herman, Finance Director at 967-9091. We look forward to working together this year to
ensure that young children in Orange County arrive at school healthy and ready to
succeed.
Sincerely,
Shar?oon R? ngwalt ?mr?
OCPYC Board President
lfl
BOARD
Fletcher Barber, Jr..
N.C. Cooperative Wendel,
Orange County Center
Lynn Blanchard
Carolina Center for Public Services
Iennifer Boer
Irowd inner Koundation
Bob Brizendine
Hillsborough Presbyterian
Jay Briar.
Attorney
Shirley Carraway
Orange County Schools
Dina Castro
Frank Porter Graham Child
DeMopmenl Iml9ule
Mark Chilton
EmPOWERment. Inc
Barbara Coatney
Chapel Hill/Card om City Schools
Pre WHead Stan Program
Nancy Coston
Departmenl
==5
Anita Farel
UNC School of public Health
Lisa Fischbeck
Church of the Advocate
Stephen Halkiotis
Orange County Commissioner
Rachel Hawkins
Piedmont We
John Link, Jr.
Orange County his ager
Mike Mather
Chapel HIII Training Outreach
Tom Maynard
OPC Mental Health
Neil Pedersen
Chapel HIII/Caobnm City Schools
Joann Reed
parent
Sharon Ringwalt
Orange County Preschool
Interagency Council
Sue Russell
Child Care Services Association
Kate Sanford
Chapel HIII Day Care Center
Brenda Stephens
Orange County Library
Rosemary Summers
Orange County Health Department
Sara Vidal
Parent
Michele Rivest
Executive Director
GIVING EVERY CHILD A V l IN ORANGE COUNTY
WZ