+--------------------+-------------------------+----------------------+
| ACF                | U.S. DEPARTMENT OF      |                      |
|                    | HEALTH AND HUMAN        |                      |
|                    | SERVICES                |                      |
|                    |                         |                      |
|                    | Administration on       |                      |
|                    | Children, Youth and     |                      |
|                    | Families                |                      |
+--------------------+-------------------------+----------------------+
| Administration     | **1. Log No:**          | **2. Issuance        |
|                    | ACYF-PI-CC-99-05        | Date:** May 19, 1999 |
+--------------------+-------------------------+----------------------+
| for Children       | **3. Originating        |                      |
|                    | Office:** Child Care    |                      |
|                    | Bureau                  |                      |
+--------------------+-------------------------+----------------------+
| and Families       | **4. Key Words:**       |                      |
|                    | Earmarks, FY 2000       |                      |
|                    | Discretionary Fund,     |                      |
|                    | Quality expansion       |                      |
|                    | activities              |                      |
+--------------------+-------------------------+----------------------+

**CHILD CARE AND DEVELOPMENT FUND\
PROGRAM INSTRUCTION**

+-------------+---+------------------------------------------------------+---+
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+-------------+---+------------------------------------------------------+---+
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+-------------+---+------------------------------------------------------+---+
| **BA        | I |                                                      |   |
| CKGROUND:** | n |                                                      |   |
|             | P |                                                      |   |
| *           | L |                                                      |   |
| *earmarks** | 1 |                                                      |   |
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|             | a |                                                      |   |
|             | c |                                                      |   |
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|             | i |                                                      |   |
|             | v |                                                      |   |
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|             | s |                                                      |   |
|             | . |                                                      |   |
+-------------+---+------------------------------------------------------+---+
| **Guidance  |   | PL 105-277 provides a new earmark of \$172,672,000   |   |
| on the**    |   | for additional quality activities. This earmark      |   |
|             |   | represents new, additional funding that Congress     |   |
| *           |   | appropriated above the basic \$1,000,000,000         |   |
| *Additional |   | authorized in the CCDBG Act. As this is new funding, |   |
| quality**   |   | we believe that this earmark represents an           |   |
|             |   | opportunity for Lead Agencies to expand into quality |   |
| **Expansion |   | improvement activities that they may not have been   |   |
| earmark**   |   | able to address in the past. The attachment to this  |   |
|             |   | PI is a compilation of examples of quality           |   |
|             |   | improvement activities as undertaken by some Lead    |   |
|             |   | Agencies. You may wish to consider them when         |   |
|             |   | planning activities for the funds being made         |   |
|             |   | available through the new additional quality         |   |
|             |   | expansion earmark.                                   |   |
|             |   |                                                      |   |
|             |   | As with all the earmarks, the additional quality     |   |
|             |   | expansion earmarked funds are to be used in addition |   |
|             |   | to the \"not less than 4%\" required to be spent on  |   |
|             |   | activities that improve the quality and availability |   |
|             |   | of child care.                                       |   |
|             |   |                                                      |   |
|             |   | This earmark is also above the quality requirement   |   |
|             |   | of the CCDBG Act, and the new earmark is created     |   |
|             |   | with new funds. Expenditures of this new earmark of  |   |
|             |   | additional quality expansion funds cannot be counted |   |
|             |   | towards meeting the \"not less that 4%\" quality     |   |
|             |   | expenditure requirement. We encourage States to use  |   |
|             |   | these additional dollars to enhance, not supplant,   |   |
|             |   | previous CCDF expenditures for quality that exceeded |   |
|             |   | the four percent minimum, and expenditures for       |   |
|             |   | quality from other Federal, State and local funds.   |   |
+-------------+---+------------------------------------------------------+---+
| *           |   | Activities undertaken using earmarked funds should   |   |
| *Describing |   | be included in the CCDF State Plan due to ACF in     |   |
| and**       |   | July. It is not necessary to separately identify     |   |
|             |   | activities in the Plan as being funded with          |   |
| **Reporting |   | earmarked funds. However, it should be noted that    |   |
| earmarks**  |   | the ACF 696 requires the separate reporting of       |   |
|             |   | earmarked funds.                                     |   |
+-------------+---+------------------------------------------------------+---+
| **Q         |   | Questions should be directed to your ACF Regional    |   |
| uestions:** |   | Office.                                              |   |
+-------------+---+------------------------------------------------------+---+

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Patricia Montoya
>
> Commissioner
>
> Administration on Children, Youth and Families

**GUIDANCE: EXAMPLES OF QUALITY EXPANSION ACTIVITIES**

**Background:**

States are faced with many challenges in making sure families have
access to child care that is affordable and of high quality. The new
quality earmark under the Child Care and Development Fund provides a
real valuable opportunity for States to develop strategies that meet the
increasing need for quality child care. This new earmark for FY 2000 of
\$172 million is above in addition to the CCDF required 4% quality
expenditure requirement. In addition, Congress has also continued the
earmarks for improving the quality of infant and toddler care and for
school-age and child care resource and referral activities.

In order to achieve and maintain self-sufficiency, parents must be able
to access safe, reliable child care programs. Coordination and
collaboration with other agencies and programs is extremely important to
meet the needs of children and families, to maximize resources and avoid
duplication. Linking child care programs with the health community,
including the Healthy Child Care America grantees, Head Start programs,
education and supportive services within the State and community will
help build a delivery system that provides high quality child care for
all children. An important part of the delivery system also includes
activities that support professional development, training, and
compensation for child care providers.

**Purpose of Guidance:**

The purpose of this document is to continue to disseminate provide
examples of state initiatives activities to enhance the quality of child
care services to children and families. This guidance does not contain
new rules or policies; rather, it is intended to be as a reference tool
to that offers examples of services, supports, and activities quality
initiatives that States may wish to consider in addition to activities
currently funded. activities. This guidance highlights some does not
attempt to identify all possible appropriate uses of the FY 2000 quality
earmark funds, but provides a list of State representative illustrative
examples of quality improvement activities in the following areas:

-   Professional Development and Compensation;

-   Grants to Providers/Local Communities;

-   Healthy Child Care America and Other Health Activities;

-   Special Needs/Inclusive Child Care;

-   Monitoring and On-Site Visits;

-   Infant and Toddler Programs; and

-   Quality Activities that Support Cultural Diversity

We encourage States to consult this guidance as they develop similar
efforts or other innovative approaches to provide quality initiatives
for children and families.

**Professional Development and Compensation:**

One of the best indicators of quality in early childhood programs is a
high level of provider training, education and professional development.
of providers. Research also shows that consistent care \-- where the
child is able to build a relationship with the provider over time \-- is
key to quality. Investments in professional development and increased
compensation help to promote employee retention and reduce turnover.
Recruiting new providers, in partnership with resource and referral
agencies or other organizations, is also necessary to developing an
expanded supply. A variety of approaches have included: the development
of professional publications; a director\'s credential, scholarships for
educators; distance learning opportunities, and incentives for providers
to attain accreditation through appropriate recognized bodies.

> ***Montana:***
>
> Montana\'s Merit Pay program is a training incentive program available
> to owners, operators and employees of registered or licensed child
> care facilities. Providers may choose to participate in either a 60 or
> 30 hour track of pre-approved training in early childhood education,
> child development or child related business practices during the year.
> Once their training plan is completed and verified, they receive
> either a \$400 (60 hours) or \$200 (30 hours) Merit Pay award. This
> popular program has proven to be highly successful in encouraging
> providers to better their education and skills in the early child care
> field.
>
> ***New York:***
>
> The New York State Office of Children and Family Services and the
> State University of New York (SUNY) Early Childhood Education &
> Training Program offer video conference training for child care
> providers. These trainings consist of live broadcasts of experts and
> child care providers and offer opportunities for interaction and
> activities to apply what participants have learned. The video
> conferences are free to child care providers and are designed for
> child care providers in a variety of settings. Through a number of
> statewide downlink sites approximately 5,000 people participate in
> each video conference training. The video conference series won the
> 1998 award for excellence and innovation from the National Association
> for Training and Professional Development.
>
> The video conference allows the State to reach some 5,000 individuals
> through each training via the numerous downlink sites across the
> State.
>
> ***North Carolina:***
>
> North Carolina has developed a pilot program (to go statewide July 1,
> 1999) which offers health insurance benefits to child care staff
> through the T.E.A.C.H. Early Childhood Health Insurance Program.
> Drawing on Using CCDF quality improvement funding, the State pays one
> third of the cost of individual health insurance for child care staff
> in eligible programs. In order for a center or home to be eligible,
> either: 1)all teaching and administrative staff must have a two or
> four year degree in early childhood education or child development, or
> 2) the center or home must have at least one staff member (depending
> on the size of the child care facility) participating in the
> T.E.A.C.H. Early Childhood Associate, Bachelor, or Model/Mentor
> Teacher Program.
>
> The program allows each center to choose its own health insurance
> coverage. The center or home must agree to cover one third of the cost
> of an individual health insurance plan for each eligible employee.
>
> ***Texas:***
>
> The Texas Workforce Commission has committed \$250,000 in CCDF funds
> for the continued publication of the *Texas Child Care Quarterly.*
> Since 1977 the journal has been mailed free of charge to all state
> regulated child care programs and family day homes in the state. Staff
> in these programs can use it to earn self-study training credit to
> meet state licensing requirements. Standard features include articles
> on child growth and development, hands-on activities for children,
> book and product reviews, regulatory information, and a four-page
> pullout parenting newsletter. The journal is also available to the
> general public by subscription.

**Grants to Providers/Local Communities:**

Grants and loan programs offer a variety of educational and quality
incentive opportunities for child care, early education and school age
staff. Grants also provide funding to expand and improve services to low
income families. Some states have provided grants to local communities
to reinforce their commitment to quality improvement. The amounts and
uses of these grants vary according to the needs of each local
community.

> ***Florida:***
>
> Through Florida\'s Caring for Kids Program, a mini-grant and loan
> program is assisting providers with expenses related to facility
> start-up and meeting licensing and accreditation standards.
> Mini-grants of up to \$500 are awarded to licensed and registered
> child care providers and up to \$250 to informal providers. Loans
> range from \$1,000 to \$10,000.
>
> ***Kansas:***
>
> Kansas offers grant funds to local communities to be used for eight
> different components: (1) Center-based establishment or expansion; (2)
> School-Age establishment or expansion; (3) Employer sponsored
> establishment or support \-- \$50,000 maximum available with 50% cash
> match required; (4) Center-based quality enhancement; (5) Family
> Resource Center establishment or expansion; (6) Provider training,
> recruitment and/or retention; (7) Head Start wrap around; and (8)
> Local Child Care Advisory Group Grants.
>
> **Maine:**
>
> The Office of Child Care and Head Start has developed and awarded two
> health pilot grants to determine the feasibility of incorporating Head
> Start Health Performance Standards into child care centers. This
> program was established to encourage collaboration between local Head
> Start Programs and child care centers, and to increase access to
> health screenings in child care centers. The goals of the pilot
> are: 1) to develop a health assessment, screening and evaluation
> process; 2) to work with parents to develop a plan to enhance their
> children\'s health; 3) to provide information to families about the
> importance of a medical home and health care resources; 4) to assist
> families in obtaining health insurance; 5) to connect child care
> programs with local resources; and 6) to use health information and
> resources to meet the individual needs of children.
>
> ***South Carolina:***
>
> South Carolina implemented three pilot grants to assess the status of
> the self-arranged (informal) care in the State\'s Advocates for Better
> Care (ABC) Child Care Program and to provide technical assistance to
> these providers. The purpose of the technical assistance grants is to
> enhance the quality of child care services by providing a voluntary
> on-site contact with non regulated providers participating in the ABC
> Child Care Program. Those Providers serving children from birth to 3
> years of age receive top priority for assistance. In addition, the
> State announced a new cash bonus for caregivers who that complete
> South Carolina's ABC Child Care Credential. A \$200 bonus is awarded
> to caregivers earning a 60-hour credential and a \$100 bonus is
> awarded to caregivers earning a 30-hour credential.

**Healthy Child Care America and Other Health Activities:**

To date, 51 States and/Territories have successfully implemented Healthy
Child Care Activities at the State and local level targeting activities
to improve the health and safety of children in child care. The Maternal
and Child Health Bureau provided the initial funding to States and
Territories in the amount of \$50,000 per year for three years, ending
in May 1999. In many States, CCDF Child Care and Development Fund
quality dollars are being used to support healthy child care
collaborative initiatives. Healthy Child Care America provides an ideal
opportunity for child care and health to collaboratively support safe,
nurturing child care environments for children; promote access to
medical services; and conduct outreach activities to enroll eligible
children in Medicaid and other health insurance programs under the State
Children's Health Insurance Program (CHIP). Many States make health
consultants available to child care programs as a way to ensure health
and safety, as well as to support health promotion. The Healthy Child
Care America programs have made outstanding progress and include
activities such as immunizations, health consultation, injury
prevention, health screening, nutrition and safety education. Some
specific state initiatives include:

> ***Alabama:***
>
> Healthy Child Care Alabama (HCCA) is focusing on decreasing the
> incidence of injury, illness, and death that occur in child care
> programs and improving the integration of health in out-of-home child
> care programs through direct consultation with child care providers.
> An automated system has been developed to track and analyze child care
> injury reports submitted to the Department of Human Resources. The
> automation of the injury reports will allows staff to analyze the data
> on a statewide or county basis and implement outreach prevention
> strategies for child care programs. This collaborative initiative is
> being supported by the Healthy Child Care America grants and the CCDF
> Child Care and Development Fund.
>
> ***Iowa:***
>
> Healthy Child Care Iowa (HI) links child health and child care
> programs and services within the context of the family support service
> system through state systems development activities. Through an
> Interagency Agreement between the Department of Human Services and the
> Department of Public Health, CCDF Child Care and Development Funds
> supports are used to place child care health consultants in each of
> the State\'s five (5) resource and referral agencies to provide
> technical assistance to child care programs. In addition, funds from
> the Social Security Disability Insurance support a community health
> consultant to work with the program activities.
>
> ***Missouri:***
>
> Healthy Child Care Missouri (HCCMO), a program of the Missouri
> Department of Health, funded by CCDF, Maternal and Child Health
> grants, and Health Systems Development grants, contracts with more
> than 100 local health departments to provide consultation and
> technical assistance to home and center-based child care providers. In
> a six-month period, nurse consultants provided approximately 1,000
> hours of free child care consultation and training services for 1,560
> child care facilities and 4,000 staff who care for approximately
> 26,000 young children.
>
> ***Pennsylvania:***
>
> Healthy Child Care Pennsylvania (HCCPA), and the Early Childhood
> Education Linkage System (ECELS), provide health professional
> consultation, training, and technical assistance to improve early
> childhood programs in Pennsylvania. These programs include child care
> centers, Head Start, family child care homes, group homes and nursery
> schools. Services include linkages between health professionals and
> child care programs for young children, telephone advice on health and
> safety issues, a video lending library, a quarterly newsletter *Health
> Link*, and health and safety training. CCDF Child Care and Development
> Funds and other funding sources are used to support the activities. of
> the Pennsylvania Healthy Child Care activities.
>
> **Mental Health:**
>
> Child care programs can promote healthy emotional development of young
> children by informing and guiding child care providers and families in
> ways that encourage sensitive and age-appropriate care. Training and
> technical assistance of providers in the area of mental health
> supports the early identification and intervention with children that
> have been exposed who reflect the ill effects of exposure to violence,
> substance abuse, child abuse and neglect, or other emotional and
> behavioral problems. Linkages between child care and mental health can
> play a key role in linking families to mental health services.
>
> ***California:***
>
> California\'s Mental Health Consultant Services Project proposal
> proposal focuses on the promotion of, inclusion of, and elimination of
> barriers for children with special behavioral and social needs. The
> Project will work to establish services to meet the identified mental
> health needs of the children and families served in child care
> programs by . Their objectives are to developing three mental health
> service models to address the special needs of children with
> challenging behaviors in child care settings. They will provide
> training on managing difficult behaviors, when and how to access
> mental health services child care providers; and training of mental
> health providers to work with children zero to five years of age
> within the child care setting. Strategies will be designed and
> facilitated to promote communication and collaboration between child
> care and mental health professionals and families; and assist
> low-income families to locate and utilize available funding for mental
> health and social services and promote mental health in child care
> setting by developing and coordinating services.
>
> ***Michigan:***
>
> Michigan has identified the need to strengthen links between child
> care settings and mental health services in two areas: 1) Child care
> consultation and 2) access to mental health direct services. To
> address these issues, funding through an Interagency agreement between
> the Michigan Family Independence Agency and the Michigan Department of
> Community Health, funding has been provided to create a regional child
> care consultation service. This direct service component will be
> staffed with a mental Health and a public health consultant. The
> public health consultant will provide or assure consultation,
> technical assistance and training for all child care providers, as
> well as build and maintain linkages between the child care and health
> communities. The mental health consultant will provide consultation
> services to child care providers, including appropriate screenings,
> recognizing behavioral symptoms, discussing child behavior, supporting
> parents, and training child care providers on how to deal with these
> symptoms.

**Special Needs/Inclusive Child Care:**

Access to resources, professional development activities, and technical
assistance is key to providing appropriate care for all children,
including children with special needs. States are developing several
strategies to offer this support to providers. Kansas, for example, is
examining the establishment of a one-time grant program to encourage and
enable child care providers to care for children with disabilities.
Other State initiatives that address the importance of inclusive child
care include:

> ***California:***
>
> In California, Project Exceptional was developed, produced and
> disseminated through with CCDF funds. This curriculum is specifically
> designed to increase the opportunities for children with disabilities
> to participate in typical child care and development programs. In
> addition, The Child Care Health Program Healthily has been expanded to
> include developmental disabilities and behavioral specialists. Through
> an in-state taller phone line, child care providers and parents
> receive information on health, safety, developmental, nutritional and
> behavioral concerns.
>
> ***Oregon:***
>
> The State of Oregon\'s Child Care Division (CCD) has committed CCDF
> funds to develop a strategic plan and a pilot project to improve
> access to child care for children with disabilities. This effort is
> also taking place between CCD and the local tribal communities. Oregon
> CCDF funds also support child care resource and referral services
> across the state to help families locate successful child care
> placements for children with special needs.

**Monitoring and On-Site Visits*:***

Monitoring, particularly through unannounced inspections, is an
effective strategy for ensuring quality care in child care settings.
States are using on-site visits not only to enforce standards but to
provide technical assistance to providers, as well. The standards that
are enforced are also important, for example, state requirements that
allow fewer infants and toddlers per provider can be key to improving
quality.

> ***Illinois:***
>
> Illinois hired 75 additional licensing staff, . This representing a
> 40% increase in total licensers. This and will allow the state to meet
> the requirement of one annual inspection visit per facility. In
> addition, at the end of three years, all licensers hired from outside
> the state government must have early childhood education or relevant
> experience. Within the Department of Social Services, if an individual
> wants to transfer internally from the Department of Social Services to
> the licensing unit, he/she must have 18 hours of training in early
> education.
>
> ***Maryland:***
>
> In Maryland, full day training workshops were provided for all
> monitoring staff on topics of infant/toddler development and behavior
> management to enhance their ability to provide technical assistance to
> family child care providers and center staff.
>
> ***Nebraska:***
>
> Beginning May 1, 1998, the State of Nebraska\'s Child Care Licensing
> Program began requiring annual/semi-annual unannounced inspection
> visits to all licensed child care programs. Centers and preschools
> licensed for 30 or more children receive two unannounced visits per
> year. Family child care homes, including those licensed through a self
> certification process, centers and preschools licensed for fewer than
> 30 children receive one unannounced visit each year. Aggregate
> information is available regarding the frequency of non-compliances
> noted at visits. Such data enables organizations delivering training
> to address actual deficiencies cited seen in child care settings.
> Conducting more frequent and unannounced visits to all child care
> programs provides a more accurate picture of the compliance history of
> programs and enables the specialists to provide more consultation and
> technical assistance to assist programs in meeting and exceeding
> licensing regulations.

**Infant and Toddler Programs:**

Recent brain research studies tells us reveal that warm, responsive
child care is critical to the development of young children. We know
that the quality of young children\'s experiences in the first three
years of life has a decisive, long lasting impact on their well-being
and ability to learn. In response to this information and with the
additional funding available to States to increase the supply of quality
care for infants and toddlers, States have targeted specific activities
for infants and toddlers. Activities include: training of child care
providers, program linkages with Head Start and Early Head Start
Programs, utilizing health consultants in child care programs, providing
start-up grants to providers for equipment and supplies, and hiring
infant- toddler specialists who are outstationed in the child care
resource and referral agencies to help parents make informed choices of
care. State examples include:

> ***Wisconsin:***
>
> The Wisconsin Office of Child Care, Department of Workforce
> Development has contracted with the Wisconsin Early Childhood
> Association to be the fiscal agent and coordinate a new Infant Toddler
> Initiative (ITI). The purpose of ITI is to develop and sustain an
> infant toddler teacher training, scholarship and enhanced compensation
> system. Funded with CCDF Infant /Toddler Quality Supply Building
> funds, it is designed to fit into or be the first stage of a larger
> initiative for all Wisconsin teachers and providers. The Wisconsin
> Head Start Association will be involved in the development of the ITI
> to ensure linkages with Early Head Start. It includes the development
> of an Infant-Toddler Credential which will be awarded upon completion
> of a required number of academic credits in infant toddler teacher
> core knowledge areas from a college or university in Wisconsin.
>
> ***Washington:***
>
> The State Department of Social and Health Services developed an
> interagency agreement with the Department of Health (DOH) to
> administer conduct outreach on infant and toddles activities through
> local public health jurisdiction pilot sites. DOH-sponsored will
> provide training and technical assistance will enable to the local
> jurisdictions that will to provide observation, consultation and
> technical assistance to local infant/toddler caregivers. This project
> will begin with 9 pilot sites, and will expand by at least 9 more
> sites in Fall 1999.

**Quality Activities That Support Cultural Diversity**:

The changing demographics of communities has led to a heightened
awareness and commitment by on the part of states to ensure culturally
competent child care systems. A culturally diverse child care setting
enriches the quality and educational experience for all children
enrolled.

> ***Minnesota:***
>
> The Minnesota Department of Children, Families & and Learning, were
> have solicited Requests for Proposals to improve the affordability and
> availability of a high quality and culturally responsive child care
> system in the State. Proposals may address provider recruitment in
> specific cultural communities; staff training in the area of cultural
> differences and anti-bias approaches; multicultural curriculum
> development; purchase of multicultural materials; outreach to specific
> cultural communities; technical assistance; parental outreach in
> cultural communities; training of trainers in the area of cultural
> competence; and mentoring programs.
>
> ***Washington:***
>
> The King County Diversity Inclusion Project was developed to improve
> the access to childhood services for families traditionally
> underserved. families. Two major accomplishments of the project have
> been to improve access of underserved families to child care services,
> and improve the cultural relevancy of child care programs. The project
> is administered through the child care resource and referral agency.
> An expanded database provides information on subsidy programs, Head
> Start, special needs, and related family services. Translation service
> is available to families where English is not the primary language.
> Training (197 hours) of training is provided to child care programs
> serving geographically and culturally diverse families. Special
> services, including mental health consultation and physical therapy
> services are provided on site. Materials are purchased to help
> programs in their delivery of care with respect to anti-bias,
> culturally relevant or multicultural programs and environments. The
> project is administered through the child care resource and referral
> agency.

**FACT SHEET: P.L. 105-73**

**ADDITIONAL FUNDS FOR RESOURCE AND REFERRAL, SCHOOL-AGE ACTIVITIES AND
ACTIVITIES TO INCREASE THE SUPPLY OF QUALITY CARE FOR INFANTS &
TODDLERS**

**BACKGROUND: AMOUNTS**

Column 1 of the table \"FY 1998 CCDF Discretionary Allocation Table\"
shows the revised amount of the Discretionary Funds \-- including the
additional funds appropriated by P.L. 105-78 \-- available to each State
and territory. In addition to appropriating these additional funds
Congress earmarked specific amounts for specific activities shown under
the column headed \"Earmarks\".

Lead Agencies must spend at least the amount shown in column 2 of the
allocation table on activities to increase the supply of quality child
care for infants and toddlers. Lead Agencies must spend at least the
amount in column 3 on planning, establishing, operating, expanding,
developing, and improving resource and referral activities and child
care services for school-age children. In the last FY Congress also
mandated the expenditure of funds for resource and referral and
school-age child care activities. However, the earmark for activities to
increase the supply of quality child care for infants and toddlers are
new this FY.

The amount of the additional appropriated funds is less than the amounts
Congress earmarked (i.e., requires) to be spent on the specified
activities. The earmarked amounts, however, apply against the total of
the Discretionary fund, not just the additionally appropriated amount.
Therefore, it may be necessary to reassess the funding of current
activities in order to meet the required level of spending for the
specified activities.

**SUGGESTED ACTIVITIES: INCREASING THE SUPPLY OF QUALITY INFANT/TODDLER
CARE**

Because activities to increase the supply of quality child care for
infant and toddlers are required for the first time this FY, we have
included two attachments which list suggested activities. The first list
represents suggestions from representatives of CCDF Lead Agencies for
possible activities. The second list summarizes some innovative programs
already underway. Lead Agencies have the flexibility to undertake other
activities to increase the supply of quality care for infant and
toddlers and are not limited to the activities suggested on either list.

**ACCESSING THESE ADDITIONAL FUNDS**

There is no separate \"application\" for the additional funds. These
funds are now included in the Discretionary Fund of your CCDF allotment
for FY \`98. To immediately access these funds submit an ACF 696 marked
\"**REVISED**\", enter **4/1/98** as the quarter beginning date and
complete only block (c) of line 8, \"Estimates for Next Quarter\" to
indicate how much of the additional funds you want in the 3rd quarter.
Revised ACF-696s for the 3rd quarter must be received by May 30, 1998.

The regular 4th quarter submission of the ACF-696 should reflect the
balance of these funds in the amount requested in the \"Estimates for
Next Quarter\" line. (Requests for the new funds can be filed at any
time during FY 98 and will be processed timely.)

**APPLICABLE RULES**

All existing statutory and regulatory provisions apply to the total of
FY \`98 Discretionary funding, including the new additional funds. For
example, all funding is included in the amounts against which the \"not
less than 4% quality\" requirement and 5% administrative caps apply.
Expenditures for the earmark to increase the supply of quality child
care for infants and toddlers are [in addition]{.underline} to any
expenditures to meet the \"not less than 4%\" quality requirement.

**AMENDING THE CCDF PLAN**

The Lead Agency must amend Part 5 of the State CCDF Plan to reflect the
activities it will undertake to increase the supply of quality infant
and toddler care in accordance with PL 105-78. It may also be necessary
to amend Part 5 to describe the resource and referral and school-age
activities required if the Plan does not currently reflect them. The
public hearing requirement does [not]{.underline} apply to the
amendment(s).

The amended Part 5 is to submitted to the ACF Regional Administrator
using the \"Amendments log\" as described in Program instruction
**ACYF-CC-PI-97-02.** A copy of amended Part 5 also should be submitted
to:

Child Care Bureau,\
HHH Building - Room 320F\
200 Independence Ave, S.W.\
Washington, D.C. 20201

The amended Part 5 must be received and approved by the ACF Regional
Office by May 30, 1998 in order to ensure that the additional funds will
be available in the 4th quarter.

**NON SUPPLANTATION**

Acceptance of funding indicates the Lead Agency\'s agreement that
expenditures for the two earmarks will [not]{.underline} supplant
current funding dedicated to resource and referral activities,
school-age activities or activities to increase the supply of child care
for infants and toddlers provided by the CCDF. Further, such acceptance
indicates that expenditures for the earmark to increase the supply of
quality child care for infants and toddlers are [in
addition]{.underline} to any expenditures to meet the \"not less than
4%\" quality requirement.

**REPORTING EXPENDITURES TO MEET THE EARMARK REQUIREMENT**

In order to ascertain that Lead Agencies have complied with the
statutory requirement to expend the earmarked amounts on the specified
activities, it will be necessary for Lead Agencies to separately report
amounts expended on resource and referral, school-age child care
activities and activities to increase the supply of quality infant and
toddler child care.

Amounts will be reported on the ACF 696 submitted for the last quarter
of each FY, beginning with the ACF 696 due no later than October 31,
1998 for the 4th quarter of FY \`98. Additional information on how to
report these expenditures will be contained in the \"Terms and
Conditions\" issued for these funds.

**QUESTIONS**

Any questions should be directed to your ACF Regional Office.

  ------------------- ----------------- ---------------- ---------------- -----------------
  **FY 1998 CCDF                                                          
  DISCRETIONARY                                                           
  ALLOCATION TABLE**                                                      

                      **Revised Total   **Infant And     **School Age     **Remaining Disc.
                      Appropriation**   Toddler Quality  Resource And     Funds: Not
                                        Activities**     Referral**       Earmarked**

  Earmarks            1,002,139,697     50,000,000       18,587,697       

  Training And        2,505,349                                           
  Technical Asst.                                                         

  Territorial         5,010,698         250,000          92,938           4,667,760
  Allocation                                                              

  Tribal Allocation   20,042,794                         371,764          

  Hawaii Disc. Award  999,945                                             

  Net Tribal          19,042,849        \*               371,764           
  Allocation                                                              

  State Allocation    974,580,855       49,750,000       18,122,995       906,707,861

  **State Breakouts**                                                     

  Alabama             20,594,870        1,051,318        382,976          19,160,576

  Alaska              2,024,844         103,364          37,654           1,883,827

  Arizona             19,542,807        997,613          363,412          18,181,782

  Arkansas            11,955,572        610,303          222,322          11,122,948

  California          122,775,634       6,267,400        2,283,098        114,225,137

  Colorado            10,988,700        560,946          204,343          10,223,411

  Connecticut         7,261,582         370,686          135,034          6,755,862

  Delaware            1,950,245         99,556           36,266           1,814,424

  Dist. Of Col.       1,879,892         95,964           34,958           1,748,971

  Florida             50,746,419        2,590,482        943,665          47,212,271

  Georgia             32,546,659        1,661,428        605,227          30,280,002

  Hawaii              3,877,452         197,934          72,104           3,607,413

  Idaho               5,191,433         265,011          96,539           4,829,885

  Illinois            37,776,630        1,928,406        702,483          35,145,743

  Indiana             18,206,102        929,377          338,555          16,938,169

  Iowa                9,046,211         461,787          168,220          8,416,202

  Kansas              8,889,607         453,793          165,309          8,270,506

  Kentucky            17,962,405        916,937          334,023          16,711,445

  Louisiana           26,091,557        1,331,911        485,191          24,274,456

  Maine               3,962,682         202,285          73,689           3,686,708

  Maryland            13,421,046        685,112          249,574          12,486,359

  Massachusetts       13,720,397        700,393          255,140          12,764,863

  Michigan            27,890,368        1,423,736        518,640          25,947,992

  Minnesota           13,097,575        668,599          243,558          12,185,418

  Mississippi         17,065,791        871,167          317,350          15,877,273

  Missouri            18,328,618        935,631          340,834          17,052,153

  Montana             3,214,624         164,099          59,778           2,990,747

  Nebraska            5,607,574         286,253          104,277          5,217,044

  Nevada              4,580,285         233,812          85,173           4,261,299

  New Hampshire       2,543,360         129,832          47,295           2,366,232

  New Jersey          18,833,346        961,397          350,219          17,521,730

  New Mexico          9,444,810         482,135          175,633          8,787,042

  New York            57,467,173        2,933,561        1,068,642        53,464,970

  North Carolina      28,162,506        1,437,628        523,701          26,201,177

  North Dakota        2,341,380         119,522          43,539           2,178,319

  Ohio                33,691,390        1,719,864        626,515          31,345,011

  Oklahoma            15,145,426        773,138          281,639          14,090,649

  Oregon              10,169,550        519,131          189,110          9,461,309

  **FY 1998 CCDF                                                          
  DISCRETIONARY                                                           
  ALLOCATION TABLE**                                                      

                      **Revised Total   **Infant And     **School Age     **Remaining Disc.
                      Appropriation**   Toddler Quality  Resource And     Funds: Not
                                        Activities**     Referral**       Earmarked**

  Puerto Rico         23,355,033        1,192,218        434,303          21,728,512

  Rhode Island        2,616,559         133,569          48,656           2,434,332

  South Carolina      17,849,366        911,167          331,921          16,606,278

  South Dakota        3,134,418         160,005          58,287           2,916,127

  Tennessee           20,623,594        1,052,785        383,510          19,187,300

  Texas               94,725,938        4,835,530        1,761,494        88,128,913

  Utah                9,482,112         484,039          176,326          8,821,747

  Vermont             1,717,064         87,652           31,931           1,597,484

  Virginia            19,523,227        996,613          363,048          18,163,565

  Washington          16,579,925        846,366          308,315          15,425,245

  West Virginia       7,609,261         388,435          141,500          7,079,326

  Wisconsin           14,841,288        757,612          275,984          13,807,692

  Wyoming             1,694,928         86,523           31,519           1,576,887

  **Sub Total         **974,580,855**   **49,750,000**   **18,123,005**   **906,707,851**
  States**                                                                

                                                                           

  **Territorial                                                           
  Breakout**                                                              

  American Samoa      983,522           49,071           18,242           916,208

  Guam                2,135,820         106,563          39,615           1,989,643

  N. Mariana          585,558           29,216           10,861           545,482

  Virgin Islands      1,305,798         65,150           24,220           1,216,427

  **Sub Total         **5,010,698**     **250,000**      **92,938**       **4,667,760**
  Territories**                                                           

                                                                           

  **Total States and  **979,591,553**   **50,000,000**   **18,215,943**   **911,375,611**
  Territories**                                                           

                                                                          

  \* Tribes not                                                           
  subject to this                                                         
  earmark                                                                 
  ------------------- ----------------- ---------------- ---------------- -----------------

**LIST OF SUGGESTIONS:\
ACTIVITIES TO INCREASE THE SUPPLY OF QUALITY CARE\
FOR INFANTS/TODDLERS**

Ensuring that families have access to safe, affordable and high quality
child care appropriate for infants and toddlers is a top priority for
the Child Care Bureau and the Department. We know that many of States,
Tribes and communities have implemented innovative and promising
practices for infants and toddlers. We offer these suggestions for your
consideration as you explore options for increasing the supply of
quality care for infants and toddlers. This list is not intended to be a
complete list of possible activities.

**HEALTH CONSULTATION IN CHILD CARE & OTHER HEALTHY CHILD CARE AMERICA
CAMPAIGN ACTIVITIES**

Rationale: The vulnerability of infants and toddlers to injuries and
infections as well as their rapid change in behavior makes regular and
frequent visits and contacts by health consultation extremely important
to the quality of their care. However, many child care providers caring
for infants have little or no access to health consultation.

Suggestions:

-   Outstation health consultants in child care resource and referral
    agencies to provide health consultation to child care programs
    caring for infants and toddlers.

-   Establish a \"warm line\" with a toll-free number where health
    consultants respond to inquiries from infant and toddler care
    providers.

-   Develop a network of health consultants to provide technical
    assistance, training, and disseminate information to infant and
    toddler providers on a regular basis.

-   Support collaborative activities underway in the 48 States, the
    District of Columbia, Republic of Palau and Puerto Rico to improve
    the health and safety of children in child care. Linking the child
    care and health community can help ensure that infants and toddlers
    are cared for in a safe environment and receive the health services
    they need.

**MONITORING OF CHILD CARE PROGRAMS**

Rationale: Frequent visits to child care programs caring for infants and
toddlers can help ensure that programs are meeting state and local
requirements as well as implementing appropriate child care practices
for infants and toddlers.

Suggestions:

-   Utilize state licensing or monitoring specialist to provide
    technical assistance during or as a follow-up to the licensing
    inspections.

-   Increase monitoring and unannounced inspections of child care
    settings.

**FAMILY CHILD CARE NETWORKS:**

Rationale: Infants and toddlers are more likely to be cared for in
family child care homes for a variety of reasons: home-like environment,
close proximity to the child\'s home, flexibility in the hours of
operation, meeting the needs of parents working nontraditional hours.

Suggestion:

-   Develop networks to provide outreach, technical assistance and
    ongoing support to family child care providers.

**TRAINING CURRICULUM**

Rationale: Pre-service and continuous training of providers will provide
the knowledge and skills needed to appropriately care for infants and
toddlers.

Suggestions:

-   Invest in pre-service and ongoing training that includes the care
    and development of infants and toddlers, and the identification of
    children exposed to violence or who are victims of child abuse and
    neglect.

-   Partner with mental health services to provide support and training
    to providers caring for infants with psychological, emotional or
    behavioral problems.

-   Partner with accredited institutions, health centers, nursing
    schools as a resource to educate and provide on-going training to
    providers.

-   Recruit and train providers caring for infants and toddlers with
    disabilities.

-   Provide to support to providers for integrating infants with special
    needs into child care.

**SCHOLARSHIPS/GRANTS**

Rationale: Financial assistance can enable providers to obtain on-going
training and education.

Suggestion:

-   Provide grants and scholarships to assist providers with meeting
    accreditation standards or health and safety requirements.

**MENTOR PROGRAMS**

Rationale: Mentoring programs can help build an infrastructure to
support and promote the healthy development of infants and toddlers.

Suggestions:

-   Develop mentoring programs for infant and toddler providers using
    accredited centers or organizations, Head Start Programs, licensing
    staff and the Department of Defense (DoD) program.

-   Provide opportunities and resources to train providers to interact
    with teen parents as part of the child care experience to promote
    parent involvement.

**STAFF-TO-CHILD RATIO**

Rationale: Lower ratios make infant and toddler care more costly than
care provided for older children.

Suggestion:

-   Set higher reimbursement rates for providers caring for infants and
    toddlers.

**CONTINUITY OF CARE FOR INFANTS/TODDLERS**

Rationale: Continuity of care is important to the emotional and physical
development of infants and toddlers.

Suggestions:

-   Fund demonstration projects that promote practices to allow infants
    to remain with the same provider throughout the first three years.

-   Increase wages for providers caring for infants and toddlers to
    reduce the high turnover rates.

**CHILD CARE RESOURCE AND REFERRAL AGENCIES**

Rationale: There are over 600 CCR&R programs in 49 States. They maintain
databases on all legally operating child care and have on-going access
to parents and providers. Each year CCR&Rs train nearly 350,000
individuals who work in child care programs.

Suggestion:

-   Partner with Child Care Resource and Referral Agencies to: train
    providers, conduct Medicaid outreach to ensure that infants and
    toddlers receive preventive care, and to expand the recruitment of
    infant and toddler providers.

**KITH AND KIN CHILD CARE**

Rationale: According to a report released by the Commerce Department\'s
Census Bureau, families with working mothers most often rely on fathers,
grandparents and other relatives for primary care of children under the
age of 5.

Suggestion:

-   Partner with child care resource and referral or other child care
    organizations to develop and implement a project to provide
    information, training, outreach to informal care providers.

**LINKAGES WTIH DEPARTMENT OF DEFENSE (DOD) CHILD CARE PROGRAMS**

Rationale: In an executive memorandum dated April 17, 1997 the President
directed the Department of Defense to share the military child care
expertise with the civilian child care programs. In response to the
directive DoD has established a 1-800 number (1-888-CDP-3040) for
programs to order DoD training materials and to receive information on
local DoD installation programs.

Suggestion:

-   Partner with the Department of Defense for staff training and
    monitoring of child programs

**LINKAGES WITH EARLY HEAD START PROGRAMS**

Rationale: Early Head Start (EHS) programs provide comprehensive child
development and family support services to low-income families with
children under age three. EHS will provide training to new and existing
grantees through a national Infant/Toddler Training and Technical
Assistance Network.

Suggestions:

-   Partner with EHS to train child care providers caring for infants
    and toddlers.

-   Partner with EHS to increase the supply of high quality child care
    for infants and toddlers.

-   Partner with EHS to enhance program services to child care programs
    caring for infants and toddlers.

**PURCHASE EQUIPMENT/MATERIALS**

Rationale: New recruits or current providers may need start-up or set-up
materials to provide a safe and nurturing setting for infants and
toddlers.

Suggestions:

-   Provide mini-grants to providers for the purchase of equipment and
    materials such as cribs, toys and developmental supplies.

-   Provide mini-grants to help providers meet health and safety
    standards.

**CHILD CARE SUBSTITUTES**

Rationale: Program funding and working long hours to meet the demands of
working parents, does not allow providers time to participate in
training and education.

Suggestions:

-   Provide financial assistance to programs caring for infants and
    toddlers. The funding will allow the programs to hire substitutes to
    care for children while staff participate in training and education.

-   Train substitutes to care for infants and toddlers.

**INNOVATIVE PROGRAMS IN INFANT/TODDLER CHILD CARE**

**CALIFORNIA:**

In 1985, the California Child Care Resource and Referral Network
(network) and the BankAmerica Foundation developed the Child Care
Initiative Project (CCIP) to address the shortage of licensed high
quality child care in California communities. CCIP successfully
developed infant/toddler caregiver recruitment and training projects
throughout the state. In an effort to expand these infant/toddler care
projects in the state, California\'s FY 97-98 budget targeted \$500,000
of CCDBG funds to increase the supply of licensed family child care
homes to provide infant/toddler care and child care during
non-traditional hours. Nine new project sites will be developed to
recruit child care providers, with an estimated average of 20-35 new
providers recruited at each site and more than 60 providers given
training and support. West/Ed will provide the training and consultation
to these new projects on infant/toddler care.

Additionally, California is using a portion of its CCDBG funds to train
TANF recipients as child care providers. The California Department of
Education will begin these two year pilot training projects in three
different areas of the state. The educational component will include
instruction on how to provide infant care, mildly sick child care, and
child care during non-traditional hours. Requirements for participation
include a minimum age of 18 years old, a demonstration of intentionality
of becoming a child care provider, and assessment of the candidates\'
suitability in the profession and training needs. The goal is for TANF
recipients to complete 24 units in early childhood education and 16
units in general education, in order for the participant to qualify for
a Child Development Teacher Permit at the end of the program.

**HAWAII:**

Hawaii developed a collaborative system of statewide services for the
inclusion of infants and toddlers with developmental disabilities and
other special needs into natural settings of child care and preschool
services in their communities. The target group is all infants and
toddlers in Hawaii eligible under Part H of the Individuals With
Disabilities Education Act, who met the eligibility criteria under the
CCDBG, and whose parents were in school or working and desired child
care for their children. Hawaii\'s Department of Human Services and
Department of Health are collaborating on this effort. The project is
funded from October 15, 1996 - May 31, 1998.

**MICHIGAN:**

To encourage the expansion of infant care, the Michigan Family
Independence Agency funded a pilot project in Jackson County in January,
1997. Child care providers were recruited in areas accessible to
low-income families to care for infants (under 12 months). Child Care
Network, a resource and referral agency serving Jackson County, was the
lead agency for this pilot. Their initial goal was to recruit 40
individuals in low-income areas and provide them with equipment and
training to become providers. The equipment includes one high chair, one
playpen, one crib (including mattress and bedding), and one set of
infant toys. Training includes CPR/First Aid training; basic child care
training (15 hours focused on child development, safety,
health/nutrition and professionalism in child care); and advanced child
care training (10 hours focused on infant and toddler development,
stress management, and special needs child care).

Statewide recruitment efforts for increasing infant care providers was
funded by Michigan\'s Family Independence Agency in October, 1997. The
Michigan 4C Association, the state resource and referral organization,
coordinates this project. The goal is to recruit 510 new providers who
have created at least one space for an infant from a low-income family.
Recruitment strategies include conducting outreach information sessions
to inform potential providers about the need for more infant care and
what is involved in becoming a regulated care provider; conducting a
media outreach campaign, inviting potential providers in the community
to care for infants; providing assistance in obtaining the appropriate
certificate for regulation; recruiting providers who are already
licensed or registered and encouraging them to care for at least one
additional infant; and attending provider orientation sessions conducted
by the Michigan Department of Consumer and Industry Services, Division
of Child Day Care Licensing, speaking about the need for more infant
care providers.

The Michigan 4C Association also administers the Enhanced Quality
Improvement Program (EQUIP) for the Family Independence Agency. This
statewide program awards grants ranging from \$500 to \$4,999 to child
care centers, family homes, group homes, and local 4C agencies to
improve the quality of child care to low-income families, increase
parental choice, provide consumer education, and increase capacity and
availability of child care. Special consideration is given to those
proposals that increase the number of infant care slots, odd-hour care,
and care for children with special needs.

OREGON:

Using CCDGB money, Oregon developed a collaborative pilot project
between the Oregon Child Care Division, Adult and Family Services and
the State Commission on Children and Families to increase the supply of
quality infant/toddler care in group child care homes. Local
partnerships were created to develop local strategies, including funding
for training, equipment, and licensing fees. Two licensing staff from
the Child Care Division provided technical assistance and support to
participants, facilitated provider and community networking, and
familiarized communities with licensing standards and goals. The State
Commission on Children and Families provided project oversight. The
pilot began in early 1997 and ended on December 31, 1997. It is
estimated that an additional 20-30 group child care homes have opened or
are now serving infants and toddlers as a result of the pilot projects,
increasing the number of infant/toddler slots in the state by 40-60.

**SOUTH DAKOTA:**

In late 1996, South Dakota received a planning grant to develop a state
infant-toddler training initiative. Regional and tribal public
information meetings were held to determine needs as well as strengths
and weaknesses in their current system and to provide input to the
planning of the project from a grassroots approach. After 9 months of
planning, the Bush Foundation awarded the state \$2.1 million for a
three year project, the South Dakota Infant/Toddler Training Initiative.
The state Office of Child Care Services is managing the project, and the
five regional Early Childhood Enrichment Programs (CCR&R\'s) have
contracts to coordinate the training in the regions.

Through the Initiative, up to 75 individuals will be trained to use the
West/Ed Infant-Toddler curriculum. The first \"train the trainer\" event
will be held in early May, 1998, and the final training will be held in
June, 1999. Each trainer is expected to complete West/Ed\'s four
training modules and become certified as a West/Ed trainer. Once
trained, these individuals must provide a minimum of 10 actual hours of
training per module to caregivers in their communities. With the
addition of these 75 trainers, South Dakota will have at least 100
infant/toddler trainers serving the regions by 1999.

South Dakota is supplementing the Bush Foundation grant with CCDF funds
for administration and coordination of the project; infant/toddler
resources for providers; and the purchase of West/Ed video sets for at
least 30 areas in the State for easy access by the trainers.