Department of Health and Human Services 
OFFICE OF 
INSPECTOR GENERAL 
TECHNICAL ASSISTANCE 
FOR 
QUALITY CHILD CARE: 
REGIONAL OFFICE PERSPECTIVES 
JUNE GIBBS BROWN 
Inspector General 
OCTOBER 1999 
OEI-07-97-00422  OFFICE OF INSPECTOR GENERAL 
The mission of the Office of Inspector General (OIG) as mandated by Public Law 95-452, as 
amended by Public Law 100-504, is to protect the integrity of the Department of Health and 
Human Services programs as well as the health and welfare of beneficiaries served by them.  This 
statutory mission is carried out through a nationwide program of audits, investigations, 
inspections, sanctions, and fraud alerts.  The Inspector General informs the Secretary of program 
and management problems and recommends legislative, regulatory, and operational approaches to 
correct them. 
Office of Evaluation and Inspections 
The Office of Evaluation and Inspections (OEI) is one of several components of the Office of 
Inspector General.  It conducts short-term management and program evaluations (called 
inspections) that focus on issues of concern to the Department, the Congress, and the public.  The 
inspection reports provide findings and recommendations on the efficiency, vulnerability, and 
effectiveness of departmental programs. 
OEI's Region VII, Kansas City office prepared this report under the direction of James H. Wolf, 
Regional Inspector General.  Principal OEI staff included: 
REGION  HEADQUARTERS 
Deborah Walden, Project Leader  Linda Hall, Program Specialist

Tricia Fields, Program Analyst  Ann OConnor, Program Specialist

Ray Balandron, Program Analyst  Barbara Tedesco, Technical Support Staff

Perry Seaton, Program Analyst

To obtain copies of this report, please call the Kansas City Regional Office at (816) 426-3697. 
Reports are also available on the World Wide Web at our home page address: 
http://www.dhhs.gov/progorg/oei  E X E C U T I V E  S U M M A R Y

PURPOSE 
To determine the perceptions of Administration for Children and Families (ACF) regional office 
staff regarding technical assistance provided under contracts with ACF Child Care Bureau. 
BACKGROUND 
The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 repealed a number 
of child care programs and created a single, integrated Child Care and Development Block Grant 
for low-income families.  Program goals are to ensure accessibility and affordability of quality child 
care for working families by promoting parental choice, encouraging States to provide consumer 
education to parents, and helping States implement health, safety, licensing, and registration 
standards.  The program is funded for $20.9 billion for Fiscal Years 1996-2002. 
The ACF contracts with outside entities to provide technical assistance funded through this Grant. 
This technical assistance includes the coordination and support of regional and national 
conferences,  national workgroups, leadership forums, activities to improve health and safety, audio 
conference calls, and creation of the National Child Care Information Center.  In 1997, ACF 
augmented its technical assistance capabilities by creating the Child Care Technical Assistance 
Network, which went into effect in February 1998.  The expansion of technical assistance is 
reflected in funding which increased from $2.3 million in FY 95 to over $7 million in FY 98. 
The ACF Child Care Bureau and regional offices play important roles in the provision of technical 
assistance to State, Territory and Tribal grantees.  Based on historical relationships, the regional 
offices have continued contacts with the States covering the full range of operations.  They are also 
in a pivotal position to observe technical assistance and have knowledge of regional needs which 
serve as a bridge between national and local policy.  Therefore, we sought to obtain the insights of 
staff responsible for the Child Care and Development Block Grant in each of the regional offices. 
FINDINGS 
Regional offices want more information to better utilize the Child Care Technical Assistance 
Network 
Most regional office child care staff say the Child Care Technical Assistance Network addresses 
important child care issues and see the Network as a plus for child care.  However, they want more 
information regarding the Child Care Bureaus expectations of the Network projects and 
contractors, and how to better utilize Network resources. 
Regional meetings, targeted technical assistance, and national conferences are the most 
beneficial technical assistance formats to Regional Office staff 
When asked about the technical assistance they find most beneficial, staff in six regions say they 
benefit from regional meetings, seven identify national conferences, and four regions say targeted 
technical assistance.  They believe regional meetings and national conferences provide valuable 
opportunities for networking and sharing information, and that targeted technical assistance meets 
individual State and regional needs. 
i  Regional office staff have varying opinions of Network project operations 
Regional staff provided comments regarding the seven independent Network projects and the 
various resources associated with each of them.  The following chart summarizes regional office 
perceptions of the value of technical assistance based upon their experience with the projects and 
knowledge of them. 
Network Project  Regional Office Perceived Value 
National Child Care Information and  Valuable asset, improved information reported, 
Technical Assistance Center  being used more and more 
Child Care Technical Assistance 
Logistics Support Project  Much improved - some refinement needed 
Regional involvement delayed and varies from 
Healthy Child Care America Campaign  limited to extensive use 
Tribal Child Care Technical Assistance Center  Limited regional contact with contractor 
Child Care Partnerships Project  Little regional involvement and knowledge 
Child Care Inclusion Project for 
Children with Disabilities  Limited regional involvement 
Child Care Information Systems 
Technical Assistance Project  Well known and very valuable 
More detailed information on each project can be found in the body of the report. 
Regional office child care staff consider reimbursement rates, welfare reform, and gaps in 
service as the most critical issues deserving technical assistance 
When asked to identify critical issues that technical assistance should address, child care staff in the 
regions identified reimbursement rates, welfare reform, and gaps in service (i.e., infant/toddler or 
school-age child care).  Staff believe these issues are of both regional and national concern. 
RECOMMENDATIONS 
Regional office staff value the resources available through the Child Care Technical Assistance 
Network.  However, based on our analysis of their responses and comments, we recommend the 
ACF focus on the following approaches to enhance their program. 
- - Provide regional offices with additional information about technical assistance 
involving Network project expectations, contractor responsibilities, and ongoing 
work. 
- - Maintain and improve effective technical assistance formats. 
- - Focus technical assistance on issues suggested by regional office staff as critical. 
ii  Agency Comments 
The ACF concurs with our recommendations and describes various improvements in their technical 
assistance initiatives.  Their comments are included in Appendix B. 
iii
 TABLE OF CONTENTS

PAGE

EXECUTIVE SUMMARY

INTRODUCTION  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

FINDINGS

More Information Wanted to Better Utilize the Child Care Technical Assistance Network . . . . . .  5

Beneficial Technical Assistance Formats  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Opinions of Network Projects  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

  National Child Care Information and Technical Assistance Center 
  Child Care Technical Assistance Logistics Support Project 
  Healthy Child Care America Campaign 
  Tribal Child Care Technical Assistance Center 
  Child Care Partnership Project 
  Child Care Inclusion Project for Children with Disabilities 
  Child Care Information Systems Technical Assistance Project 

Critical Issues and Technical Assistance Needs  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  10

RECOMMENDATIONS  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  11

APPENDICES 
A. The Child Care Technical Assistance Network  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

B.  Agency Comments  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  B-1
 I N T R O D U C T I O N

PURPOSE 
To determine the perceptions of Administration for Children and Families (ACF) regional office 
staff regarding technical assistance provided under contracts with the ACF Child Care Bureau. 
BACKGROUND 
Legislation 
The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 repealed the 

Title IV-A child care programs (Aid to Families with Dependent Children/Job Opportunities and

Basic Skills Child Care, Transitional Child Care, and At-Risk Care) and created a single, integrated

Child Care and Development Block Grant (CCDBG), also called the Child Care Development

Fund, for low-income families.  Legislation requires the ACF to provide States, Territories, and

Tribes with technical assistance focused on the achievement of Child Care and Development Block

Grant program goals.  Program goals are to ensure accessibility and affordability of quality child

care for working families by promoting parental choice, encouraging States to provide consumer

education to parents, and helping States implement health, safety, licensing, and registration

standards. 

Funding 
Consolidation of all child care programs into the CCDBG dramatically increased the technical 
assistance funds available, from $2.3 million in FY95 and $2.6 million in FY96 to $6.6 million in 
FY97 and over $7 million in FY98.  The entire CCDBG program is funded for $20.9 billion for 
Fiscal Years 1996-2002, with $3.2 billion available in FY99. 
Technical Assistance Contracts 
The ACF initially awarded a contract for technical assistance to J&E Associates for Fiscal Years 
1993 and 1994.  The technical assistance provided through this contract focused on certificate 
payment programs mandated by newly enacted legislation.  This legislation required that States 
have a system capable of operating a certificate payment program in place by October 1, 1992  to 
allow parental choice in the selection of child care providers.  Under this contract, States and tribes 
were surveyed regarding their certificate program capabilities and technical assistance needs.  In 
addition, they conducted regional meetings and national child care conferences. 
Upon expiration of the contract with J&E Associates, ACF awarded a new 3-year contract to 
Trans-Management Systems Corporation (T-MSC) in cooperation with Collins Management 
Consulting.  With reauthorization of the Child Care and Development Block Grant in 1996, they 
))))))))))) 
1  extended this contract for an additional year.  Technical assistance provided under contracts with 
these companies included convening, supporting, and/or administering 
  State, territorial, and tribal work groups, 
 	annual conferences, such as National State Child Care Administrators Conferences, 
National American Indian and Alaska Native Child Care Conferences, and national 
leadership forums focused on specific issues related to child care, 
  regional child care conferences, and 
  the National Child Care Information Center. 
In addition to the J&E Associates and the T-MSC contracts, in 1994 the Child Care Bureau entered 
into an Intra-Agency Agreement with the Maternal and Child Health Bureau focused on improving 
the health and safety of child care.  As a result, the two Bureaus collaboratively launched the 
Healthy Child Care America Campaign in 1995, a nationwide initiative to promote health and safety 
in child care by building linkages between child care and health at the State and community levels. 
The scope of Campaign activities are targeted towards assisting State, Territory, and Tribal child 
care programs in developing and expanding linkages.  These activities are implemented through a 
partnership with the American Academy of Pediatrics.  Activities include: information 
dissemination and referral; staffing a toll free hotline to respond to inquiries; tracking State 
activities; publication of the Health Child Care America newsletter; and promoting involvement of 
health professionals in child care. 
Contractor responsibilities also encompass a multitude of logistical support activities associated 
with convening and coordinating workgroups and conferences, such as securing adequate meeting 
facilities, hotel accommodations and presenters, compiling invitation and participant lists, designing 
agendas, and providing advance notice of upcoming events.  They also provide travel arrangements 
and reimbursement for conference presenters, and in some instances (i.e., National State Child Care 
Administrators Conference) for some conference attendees. 
The National Child Care Information Center complements, enhances, and promotes child care 
linkages and serves as a mechanism for supporting quality, comprehensive services for children and 
families.  To carry out their work, it provides question and answer services, an Internet and digital 
library, collection and dissemination of information resources, and linkages to other websites and 
information sources.  Questions and requests for information received by the Center come from a 
variety of sources via telephone, fax, e-mail, and contacts at meetings and conferences.  The Center 
also publishes a website which is located at http://nccic.org.  This website serves as a starting point 
for child care information about State and tribal program activities, funding resources, 
organizations, child care research, welfare reform, health and safety, promising practices, leadership 
forums, conference calendars, and other child care resources.  The Information Center activities 
include 
 	dissemination of child care information in response to requests from States, 
Territories and Tribes, policymakers, parents, programs, organizations, 
child care providers, and the public. 
))))))))))) 
2     maintenance of the website. 
 	serving as the adjunct for the Educational Resources Information Center 
clearinghouse for child care via the National Child Care Information Center website. 
  publication of the Child Care Bulletin newsletter. 
In 1997, the ACF redesigned their technical assistance approach to address emerging child care 
issues and technical assistance needs.  Through this redesign the ACF created the Child Care 
Technical Assistance Network, which went into effect in February 1998.  This Network comprises 
seven independent projects, each awarded to an individual contractor.  The projects and contract 
awardees are the 
 	National Child Care Information and Technical Assistance Center 
(Collins Management Consulting, Inc.), 
 	Child Care Technical Assistance Logistics Support Project 
(Trans-Management Systems Corporation), 
 	Healthy Child Care America Campaign 
(Inter-agency agreement between the ACF, Child Care Bureau, and the Maternal and Child 
Health Bureau, implemented through the American Academy of Pediatrics), 
 	Tribal Child Care Technical Assistance Center 
(Native American Management Services, Inc.), 
  Child Care Partnerships Project (The Finance Project), 
 	Child Care Inclusion Project for Children with Disabilities 
(University of Connecticut Health Center ), and 
 	Child Care Information Systems Technical Assistance Project 
(SRA International, Inc.). 
These projects provide for continuation of the National Child Care Information Center, website, 
and Child Care Bulletin; the Healthy Child Care America Campaign; and logistical support services. 
These and the new technical assistance projects play a major role in continuing to address ongoing 
and emerging child care issues and technical assistance needs at both the national and State levels 
through national and regional conferences, forums, and audio conference calls.  Expanded 
information on the Network is provided in Appendix A. 
SCOPE AND METHODOLOGY 
In addition to the Child Care Bureau, the ACF regional offices are also routinely called upon to 
provide technical assistance to State, Territory, and Tribal grantees.  They have traditionally served 
))))))))))) 
3  in a bridging role to facilitate the development and application of national policy and operations at

the State and local levels.  In this function, the regions are well positioned organizationally and by

experience to observe technical assistance from the perspective of receiving and providing it. 

Therefore, we sought to obtain insights of ACF regional staff assigned Child Care and

Development Block Grant responsibilities regarding technical assistance provided under contracts

with the agency.

We conducted telephone interviews with ACF staff in each of the 10 regional offices who were 

identified by the Child Care Bureau as child care contacts because of their CCDBG

responsibilities.  Also, other regional staff identified by those contacts as having a strong child care

background and knowledge of the Child Care Technical Assistance Network were included in those

interviews.  While some of our questions specifically addressed technical assistance provided prior

to February 1998, most questions addressed technical assistance provided since February 1998

through the seven Child Care Technical Assistance independent projects.  We conducted the

interviews between February 23 and March 25, 1999, one year after implementation of the new

Network.

This is the third of three inspections to focus on various entities perceptions of Technical

assistance provided by the ACF, Child Care Bureau.  In two previous reports, 

Technical Assistance for Quality Child Care: State Administrators Perspectives and 

Technical Assistance for Quality Child Care: Child Care Community Perspectives, we address the

perceptions of State child care administrators, child care community leaders, and individuals

associated with improving and ensuring the quality of child care. 

We conducted our review in accordance with the Quality Standards for Inspections issued by the

Presidents Council on Integrity and Efficiency.

))))))))))) 
4  F I N D I N G S

Regional offices want more information to better utilize the Child Care Technical Assistance 
Network 
Regional office staff say they have received little guidance regarding how to utilize the new 
Network or how regional offices fit into the overall technical assistance structure and, as such, have 
not been in a good position to respond to States requests to them.  They emphasize the fact that 
they received only basic information about the new Network and the contractors responsibilities. 
Likewise, they would appreciate more information regarding what the contractors have to offer, 
how best to utilize it, and ongoing feedback or periodic updates on the status of the regional and 
national Network activities. 
Regional office child care staff indicate they first learned about the new Child Care Technical 
Assistance Network through a conference call with the Child Care Bureau.  They also indicate they 
were not previously given an opportunity to provide input into the development of the Network. 
Staff in seven regions see the Network as a positive change for technical assistance. Staff in nine 
regions also say the Network does address important child care needs and concerns, but one of the 
nine regions questions if technical assistance will become too fragmented as a result of it. 
Regional office staff initially received a two-page Fact Sheet about the Network from the Child 
Care Bureau.  This Fact Sheet contains basic information about each project, contractor names, 
and phone numbers.  As such, regional office staff comment that this information contains no 
specific contract details or information about contractor responsibilities, is very generic, and 
therefore insufficient for regional office purposes. Similar information is available to the general 
public through the National Child Care Information Center website and is distributed in conference 
participant packages.  Staff in one region indicates they have requested more specific information 
regarding Network contractor responsibilities from the Child Care Bureau, but at the time of our 
review, none had been provided. 
Staff in seven regional offices indicate they receive some feedback regarding the status of the 
Network projects.  However, one of these regions comments that the feedback is inconsistent and 
unsatisfactory, and another suggests they be provided with regular updates regarding Network 
activities, even if some contractors have nothing new to report. 
Regional meetings, targeted technical assistance, and national conferences are the most 
beneficial technical assistance formats to Regional Office staff 
Regional Meetings and Targeted Technical Assistance 
When asked about the technical assistance formats they find most beneficial, staff in six regions say 
they prefer regional meetings.  Those that prefer regional meetings comment that these events: 
provide opportunities for regional networking and sharing information; allow them to focus 
technical assistance on regional concerns and issues more narrowly; allow discussion of issues in 
more detail than do larger events; and are well received by regional grantees and participants.  Staff 
)))))))))))
5  in four of those six regions prefer large regional meetings and conferences over small ones because 
they impact more people.  Staff also comment that targeted technical assistance is most beneficial 
because it is designed to meet the individual needs of both States and regions. 
National Conferences 
Child care staff in seven regions are also positive about the National State Child Care 
Administrators Conferences held annually in Washington, D.C.  Staff comment these events are 
well-attended by State child care administrators and their staff, and are always a plus.  In contrast 
to regional meetings, national conferences bring State child care administrators from across the 
nation together in a networking environment.  However, regional staff express concern that no time 
is set-aside during these events for the administrators to meet separately from other participants, 
hindering their opportunities to openly discuss significant child care issues.  They also are 
concerned that regional office staff are often unable to attend national conferences due to 
insufficient regional travel funds, and that their role in administering the Child Care Development 
Block Grants is not discussed at these events. 
In addition, regional staff mention strengths and weaknesses of the State Issues Workgroup, audio 
conference calls, and Regional Coordinating Councils. 
State Issues Workgroup 
Another format for providing technical assistance is the State Issues Workgroup comprised of one 
State child care administrator from each of the 10 regions.  This group is funded with CCDBG 
technical assistance funds and meets quarterly to discuss child care issues and concerns. 
Child care staff in seven regions indicate they receive feedback from State administrators who 
participate in these workgroup meetings through occasional conversations, and at regional meetings 
of State child care administrators, or via conference calls with the CCB.  However, they note that 
no formal mechanism is in place for participating administrators to request input from other State 
administrators or regional office staff prior to workgroup meetings, or to provide feedback from 
those meetings.  Three regions also express concern regarding the role and responsibilities of the 
State administrator as a participant in the workgroup, and question whether participating 
administrators serve in a regional capacity representing all States in their region, or if they represent 
only their own individual State. 
Audio Conference Calls 
Regional offices have seen a reduction in the frequency of audio conference calls.  Their 
suggestions for improvement include holding monthly audio or video conference calls between the 
Child Care Bureau and regional offices, more advance notice of upcoming calls, and the 
coordination of those calls with other ACF components to avoid scheduling calls at the same time 
since many regional child care specialists work with other programs as well.  They also suggest that 
State child care administrators be given opportunities to provide input into conference call agendas. 
)))))))))))
6  Regional Child Care Coordinating Councils 
In early 1999, the Child Care Bureau made $5,000 in technical assistance funds available to each 
region for the establishment of regional child care coordinating councils.  Staff in eight regions 
indicate they are working to incorporate their new child care council with an existing Head Start 
council.  They believe this will avoid duplication of effort.  Most regions plan to use all or part of 
the funds to pay travel expenses to ensure State child care administrator participation in council 
meetings.  One of the remaining two regions indicates they discussed incorporating child care into 
an existing Head Start council, but decided to use the money to fund what they called regional 
cluster meetings.  Staff in the other regional office comment they have made no decisions 
regarding the establishment of a regional child care coordinating council and are unsure of the Child 
Care Bureaus expectations.  This is echoed by staff in another region who say the Child Care 
Bureau has established no parameters for regional coordinating councils and that they have 
received nothing in writing regarding the Bureaus expectations. 
Regional office staff have varying opinions of Network project operations 
Regional office staff provided us with their comments regarding the seven independent Network 
projects and the various technical assistance resources associated with each of them.  To provide 
information on regional application of contract activities and assistance, and areas where they 
identify project weaknesses, we list each project individually and identify particular findings related 
to our discussions with regional staff. 
The National Child Care Information and Technical Assistance Center 
Regional Office staff are using Information Center services more frequently and report 
improvements in the information available.  Staff in nine regions indicate they began utilizing the 
services of the National Child Care Information Center staff before February 1998 to request 
information regarding State practices and policies, national trends, successful child care program 
models, and conference resources.  Since then, they now report more frequent use of the Centers 
resources.  While they continue to contact the Center to search for information, more resources are 
now available, and the information is more current and focused. 
The ACF regional office staffs use of the Information Centers website has also increased.  Prior to 
February 1998, ACF regional office staff seldom accessed the Centers website.  Staff in two 
regional offices report the frequency with which they visited the Centers website prior to February 
1998 as weekly, one reports monthly access, one reports quarterly access, five indicate they 
seldom access the website, and one reports never accessing the website prior to that time. 
However, all staff are now accessing the website for information about what other regions and 
States are doing, to locate speakers, access reports, and as a starting point when searching for links 
to other child care information sources and groups.  Staff cite positive changes in the website, and 
note that the quality and quantity of the information has improved. 
All regional office staff report receiving the Child Care Bulletin, a newsletter published by the 
National Child Care Information Center before February 1998, and continue to receive it today. 
Staff in nine regions report they disseminate copies of the Bulletin to other ACF regional office 
)))))))))))
7  components, State administrators, Child Care Resource and Referral agencies, other Federal 
agencies (i.e., Womens Bureau), and conference participants.  They also distribute copies to 
various other individuals in response to specific questions and concerns addressed by information 
contained in Bulletin articles. 
Staff in seven regions noted changes in the Bulletin since February 1998.  Likewise, staff in five of 
those seven indicate the changes are beneficial, and some comment it now has a more professional 
look, and is now published quarterly in lieu of bi-monthly.  While two regions prefer bi-monthly 
publication, three state a preference for quarterly publication, and two say either frequency is fine. 
Staff in one region also comment that quarterly publication lends itself to higher quality articles. 
Staff in another region note Its a matter of content, not how often the Bulletin is published, and 
suggest the Child Care Bureau revisit topics previously featured in the Bulletin, and publish new 
information now available on those subjects. 
In June of 1998, the Child Care Bureau established 10 State Technical Assistance Specialist 
positions, which are administered by the National Child Care Information and Technical Assistance 
Center.  Based on information provided by the Information Center, the responsibilities of the 
technical assistance specialists include coordinating with ACF regional offices to determine the 
child care technical assistance needs of States, and coordinating and/or providing States with 
technical support.  They are also responsible for: developing and facilitating linkages among State 
programs; collecting information and resources for the Information Center; providing regional 
office staff with administrative support regarding tribal construction/renovation; attending Child 
Care Technical Assistance Network meetings; and participating in a variety of Information Center 
activities.  One State technical assistance specialist is assigned to each of the 10 regions. 
All regional child care staff indicate ongoing contact with their regional technical assistance 
specialist.  In most cases, initial contact was established shortly after the selection of the specialists 
for the purpose of getting acquainted, discussing State issues and technical assistance needs, 
establishing coordination, and arranging for visits with State child care administrators.  Most 
regional staff find meetings and conversations with the specialists helpful and indicate they are 
receiving feedback from them regarding their interaction with State grantees.  Regional office staff 
are also including the specialists in regional meetings with State administrators. 
While most regional office staffs comments indicate the State technical assistance specialists are a 
valuable contribution to the Child Care Technical Assistance Network, they express concern 
regarding the scope of their responsibilities.  One region questions whether or not the specialists 
should be providing State grantees with policy clarification.  Another region has requested copies 
of monthly activity reports submitted to the Child Care Bureau by their regional specialist, but has 
not received them.  They also comment that the Child Care Bureau is working more directly with 
State grantees through the specialists, and that regional offices are sometimes left out of the loop. 
Child Care Technical Assistance Logistics Support Project 
Overall, regional office staff are satisfied with logistical support services provided in connection 
with technical assistance events (i.e., participant lists, meeting facilities, hotel accommodations, 
grantee travel arrangements and reimbursement, etc.).  They were less satisfied with advance notice 
)))))))))))
8  provided to regional offices and participants regarding upcoming events.  Even so, all regional 
office staff note improvements in logistical services since February, 1998.  They now receive more 
advance notice of upcoming events, the quality of brochures and printed materials has improved, 
and brochures and printed materials have been updated. 
Healthy Child Care America Campaign 
Staff in four regions comment that it has taken a long time for the regions to get involved in the

Healthy Child Care America Campaign.  They note that despite strong efforts by the Child Care

Bureau to promote the Campaign, those efforts did not translate to the regional offices. 

Staff in 6 of the 10 regions are taking advantage of the technical assistance available through the

American Academy of Pediatrics.  Four of these offices note that specific information made

available through the Campaign is assisting them in providing technical assistance regarding health

and safety issues.  They believe that funds available through this contract, the support it 

receives from the Maternal and Child Health Bureau, and the information and materials available

are very helpful.  They note that States are responding positively to this Campaign. 

However, while three regions find the Healthy Child Care America Campaign helpful, they believe

some confusion still exists regarding how to work with other agencies to carry out its  mission.  As

such, most staff rely on State administrators to contact the project contractor.  Staff in other

regional offices say  they dont have a lot of direct interface with the contractor, that they get

the newsletters, but have no contact with the contractor, and that the campaigns link with the

child care side has weakened. 

Tribal Child Care Technical Assistance Center 
At the time of our interviews, regional office staff report only limited contacts with the Tribal Child 
Care Technical Assistance Center (TriTAC).  Staff in eight regions have contacted TriTAC to 
obtain assistance in planning regional meetings, gather conference materials, and acquire the names 
of potential regional conference speakers.  Child care staff in two regions offered suggestions for 
strengthening the technical assistance provided by this project.  Specifically, one region suggests 
TriTAC develop a How To manual for tribal child care administrators due to the high turnover 
rate in those positions.  Another suggests TriTAC focus on data collection, and cautions that they 
not overlook the provision of technical assistance to tribes with smaller grants. 
Public-Private Partnership Project 
Of the seven independent projects that make up the technical assistance Network, regional office 
staff are least familiar with the Public-Private Partnership Project.  As such, they believe little has 
been done to promote the project.  Accordingly, staff in nine regions say they need more 
information from the Child Care Bureau on public-private partnerships, examples of successful 
partnerships, and information about what is happening within their region.  They also note that 
most States already have public-private networks of their own.  However, regional office 
)))))))))))
9  perceptions of the impact this project has had are mixed.  One region cites impact, three regions 
cite no impact, and six are unsure. 
Child Care Inclusion Project for Children with Disabilities 
All regional office staff encourage States to submit applications for the Map to Inclusive Child 
Care project, designed to expand child care delivery systems for children with disabilities. 
However, in spite of these efforts, not all States will submit project applications this year.  Staff 
note that some States (particularly rural States) feel the work involved preparing the application is 
not worth the effort since only one State in each region is selected each year.  They also question 
why some technical assistance in this area is not being provided to all States.  While all regions are 
participating in the application review process for the Map, they have little involvement. 
Child Care Information Systems Technical Assistance Project 
Staff in the 10 ACF regional offices find the Child Care Information Systems (CCIS) Technical 
Assistance Project services useful.  They note that the project contractor has provided information 
regarding State practices and successful models, and has conducted workshops at the National 
State Child Care Administrators Conference and some regional conferences.  They report the 
project also provides States with immediate feedback on reporting problems.  However, one region 
comments that the Child Care Bureau is sending some reporting information directly to State 
grantees, leaving the regional offices out of the loop. 
Regional office child care staff consider reimbursement rates, welfare reform, and gaps in 
services critical child care issues 
When asked to identify critical issues that technical assistance should address, child care staff in 
four regions identified reimbursement rates, three welfare reform, and three gaps in service 
(i.e., infant/toddler or school-age child care).  Staff believe these issues are of both regional and 
national concern.  Other critical issues identified in at least two regions are: unregulated 
(i.e., in-home), pre-kindergarten, non-traditional, and wrap-around child care; blended funding 
streams; child care for the working poor; child care provider training and career development; and 
tribal child care facility construction.  Staff note all of these issues are of both regional and national 
concern. 
Most child care staff interviewed would prefer a more regionally driven agenda which addresses 
critical issues.  They also express concern with the lack of opportunity to provide input into the 
selection of issues addressed in technical assistance events.  They explain that while good 
information and materials are being provided, and they receive positive feedback from participants, 
some events are driven by a nationally mandated agenda which does not necessarily address 
regional technical assistance needs. 
)))))))))))
10  R E C O M M E N D A T I O N S

Information obtained from our surveys of regional office staff shows that ACFs child care 
technical assistance is a valuable asset in promoting quality child care and that regional staff are 
aware of the projects that incorporate various aspects of technical assistance.  However, regional 
staff note a number of deficiencies, particularly pertaining to insufficient information about the 
Network and regional offices involvement and participation.  Our overall impression is that, while 
regional office staff are familiar with the Child Care Technical Assistance Network and well 
positioned to facilitate technical assistance with the State components, more information will enable 
them to be more effective.  As such, we recommend ACF adopt the following approaches to 
further enhance their program. 
Provide regional offices with additional information about technical assistance 
The ACF should provide regional office child care staff with detailed information regarding 
 	 Child Care Bureau expectations for Network projects, regional coordinating councils, 
and State Issues Workgroup participants. 
  contractor responsibilities. 
  the status of Network projects. 
  how to best utilize the Network. 
  successful public-private partnerships. 
  child care reporting instructions. 
  State Issues Workgroup meetings. 
  upcoming events and conference calls. 
This information should be provided on an ongoing basis and not just a one-time activity. 
Maintain and Improve Effective Technical Assistance Formats 
The ACF should, as possible, seek to provide technical assistance in settings that regional office 
staff have identified as most conducive to sharing information.  As such, we recommend ACF 
continue to 
 	hold the annual National State Child Care Administrators Conference and allocate 
time for State Administrators to meet separately from other participants during those 
conferences. 
  provide technical assistance through regional meetings and conferences. 
  hold audio conference calls, but coordinate scheduling with other ACF components. 
  provide targeted technical assistance to State grantees. 
)))))))))))
11  Focus technical assistance on issues suggested by regional office staff 
To meet the technical assistance needs identified by regional office child care staff, we recommend 
that ACF address the following issues in future technical assistance events: 
  Provider reimbursement rates; 
  Welfare reform; and 
  Gaps in service. 
These needs complement those that were identified based upon our surveys with State 
Administrators and community organization contacts. 
AGENCY COMMENTS 
The ACF concurs with our recommendations and describes various improvements in their technical 
assistance initiatives.  Their comments are included in Appendix B. 
)))))))))))
12  A P P E N D I X  A

Child Care Bureau

Child Care Technical Assistance Network

Seven projects comprise the Child Care Technical Assistance Network (CCTAN) which the Child 
Care bureau has designed to address the needs of States, Territories, and Tribes administering the 
Child Care and Development Fund.  The seven projects include: 
National Child Care Information Center (NCCIC) 
The National Child Care Information Center (NCCIC), in collaboration with the ERIC 
Clearinghouse on Early child and Elementary Education, is the primary clearinghouse to support 
the development of expertise and dissemination of child care information.  An extensive database of 
child care information is maintained and resources are disseminated through information and 
referral services, an Internet website, bimonthly publication of the Child Care Bulletin, bimonthly 
mailings, resource rooms at conferences, and presentations at meetings and conferences.  A 
network of State Technical Assistance specialists, working with the ACF regional offices, provides 
on-site consultative support to State grantees.  NCCIC convenes a workgroup of national 
organizations to share information on current activities, priorities, and trends.  The Information 
Center also supports and helps track CCTAN activities.  This contract was awarded to Collins 
Management Consulting, Inc.  The Project Director is Ann Goldstein (800-616-2242 or 
703-938-6031, e-mail: agoldste@nccic.org).  The World Wide Web address for the National Child 
Care Information Center is: http://nccic.org. 
Child Care Technical Assistance Logistics Support Project 
The Logistical Support Project coordinates and supports national and regional child care events 
including national conferences for State, Territorial, and Tribal administrators.  Other activities 
include national leadership forums on critical child care issues such as Intergenerational Child Care 
and Child Care for Infants and Toddlers; quarterly State Issues Workgroup Meetings; and monthly 
audio conference calls on critical child care issues.  Each region will hold conferences focusing on 
areas of national and regional significance, child care and housing, infant/toddler issues, 
Head Start/child care collaboration, and public-private partnerships.  This contract is managed by 
Trans-Management Systems Corporation.  The Project Director is Vincent Gooden 
(202-639-4465, e-mail: goodenv@aol.com). 
Healthy Child Care America 
The Healthy Child Care America campaign is a collaborative effort of health care professionals, 
child care providers, and families working in partnership to improve the health and well-being of 
children in child care settings.  Program goals of the campaign are to implement a national 
campaign to assist States, Tribes, and communities to develop and strengthen linkages between 
)))))))))))
A - 1  child care providers, health professionals, and families, and to improve the health and safety of

children in child care settings.  Also, program activities and services include: provision of

information; local, State, and national contacts and resources; educational publications and

presentations (including a 46-page Blueprint for Action booklet and 10 Steps Communities Can

Take to Promote Safe and Healthy Child Care); pediatric representation at meetings/conferences;

descriptions of child care initiatives; funding and assistance for regional child care health and safety

initiatives; a child passenger safety training program; and a child care contact network.

The Healthy Child Care America campaign is sponsored by the U.S. Department of Health and

Human Services, Child Care Bureau and Maternal and Child Health Bureau, and is coordinated in

partnership with the American Academy of Pediatrics.  The Program Manager is 

Sheryl Nelson.  For more information, please call 888-227-5409 or send an e-mail message to

childcare@aap.org.

Tribal Child Care Technical Assistance Center (TriTAC) 
The Tribal Child Care Technical Assistance Center will provide targeted technical assistance to 
over 500 Tribes supported by the Child Care and Development Fund.  Technical assistance under 
this contract supports Indian Tribes and tribal organizations in their efforts to increase the 
availability and quality of child care, develop more coordinated delivery systems, foster program 
linkages with State and local programs, and improve child care opportunities for families, 
providers, and tribal communities.  Tribal grantees will assist in their child care capacity building 
efforts through the following activities: a toll-free information and referral line; maintenance of a 
database with information on tribal child care programs including promising practices and available 
resources; development of software packages for data reporting and program management; a 
TriTAC home page; a semi-annual newsletter; an annual national tribal child care conference; 
cluster and on-site technical assistance; and coordination of training activities with the regional 
offices and other contractors.  This contract is managed by Native American Management Services, 
Inc.  The Project Director is Linda Kills Crow (918-287-2692, e-mail: kills@fullnet.net).  For more 
information contact TriTAC at (800-388-7670 or e-mail: tritac2@aol.com). 
Public-Private Partnership 
Public-private partnerships have become an important vehicle for drawing together the resources 
and know-how needed to expand the supply and improve the quality of care for Americas children. 
Many States and communities have already established public-private partnerships to improve the 
quality, supply, and access to care for working families.  The Child Care Partnership Project was 
established to promote and nurture innovative practices and partnerships.  This project will provide 
information and technical assistance to State child care administrators as they work with businesses, 
philanthropic organizations, and other groups to build and sustain partnerships. 
Activities for the Child Care Partnership Project include: identifying and tracking existing practices 
for promoting public-private partnerships at both the State and community levels; developing a 
series of written technical assistance materials to guide the formation and implementation of 
successful public-private partnerships; conducting a national conference on public-private 
)))))))))))
A - 2  partnerships for State administrators; and providing periodic updates to State child care grantees 
about information collected and produced under this contract. 
The work of the Child Care Partnership Project is carried out by The Finance Project, in 
collaboration with the Families and Work Institute and the National Governors Association.  For 
additional information on the Child Care Partnership Project, contact The Finance Project.  The 
Project Manager is Sharon Deich (202-628-4200, e-mail: sdeich@financeproject.org).  World 
Wide Web address for the Child Care Partnership Project is: http://nccic.org/ccpartnerships. 
Child Care Inclusion Project for Children with Disabilities 
The Map to Inclusive Child Care Project offers an important opportunity to ensure that children 
with disabilities, ages birth through 12, will have access to child care alongside their typically 
developing peers.  Fueling the project is the premise that efforts to support child care providers in 
accommodating the individual needs of youngsters with disabilities can go hand-in-hand with 
improvements in the quality of care for all children. 
In the first year of the Map to Inclusive Child Care Project, 10 States have been selected to receive 
technical assistance to address child care delivery for children with disabilities.  The 10 States 
selected for 1998 are: Region I - Vermont, Region II - New Jersey, Region III - Maryland, Region 
IV - Tennessee, Region V - Indiana, Region VI - New Mexico, Region VII - Iowa, Region VIII -
Utah, Region IX - California, and Region X - Oregon.  The Map to Inclusive Child Care staff will 
assist teams from each of these States to conduct a strategic planning process through which 
priorities and work plans will be developed to address the needs of each State. 
The contractor for this project is the University of Connecticut Health Center, in partnership with 
the National Conference of State Legislators, the National Child Care Association, the Federation 
of Children with Special Needs, the National School Age Care Alliance, and Zero to Three.  The 
Project Director is Mary Beth Bruder, Ph.D., (860-679-4632, e-mail:Bruder@NSO1.UCHC.EDU). 
Child Care Information System Project (CCIS) 
The Child Care Information System Project (CCIS) provides technical assistance to meet the Child 
Care and Development Fund reporting requirements.  The CCIS project supports a national child 
care automation conference, a State and Territory technical workshop, model documentation for 
systems design, an Internet web homepage, and a child care automation resource center.  The 
CCIS project will be assisted by a Functional Requirements Organizing Group made up of 10 
States.  The contractor for this project is SRA International, Inc. with a subcontract to Ellsworth 
Associates, Inc.  For information contact David Baker, Project Director, Child Care Automation 
Resource Center (888-821-6997, e-mail: ccarc@eaint.com).  The World Wide Web address for the 
CCIS project is: http://www.acf.dhhs.gov/programs/ccb/systems/index.htm. 
)))))))))))
A - 3  A P P E N D I X  B

Agency Comments

)))))))))))
B - 1
 )))))))))))
B - 2
 )))))))))))
B - 3
 )))))))))))
B - 4
 )))))))))))
B - 5
 )))))))))))
B - 6