Iowa Community
Empowerment
Annual
Report, State Fiscal Year 2005
July
1, 2004 through June 30, 2005
1.
Please submit the following
information utilizing the format provided. Additional pages and information may be included.
2.
The annual report is
due September 15, 2005.
3.
A completed and signed
original report should be submitted to the following address electronically
to the following email:
Iowa
Empowerment Board
Attn: Shanell Wagler
Office
of Empowerment, Department of Management
Room
12, Ground Floor
State
Capitol Building
Des
Moines, IA 50319
Name of Community Empowerment
Area: Tama County Empowerment Area
Counties/Area Served:
Tama
Website:
Current Board Chairperson:
Larry Vest Current Fiscal Agent:
John Adams
Signature:
Signature:
_____
Address: Tama Co. Board of Supervisors
Address: Tama Co. Auditor
P.O. Box 61, 104 W. State St. P.O. Box
61, 104 W. State St.
Toledo, IA 52342 Toledo,
IA 52342
Email: ljvest@netins.net
Email: jadams@tamacounty.org
Federal ID Number: 42-6005285
Contact Person for the
Community Empowerment Area: Lori Johnson,
Coordinator
(if different from the
Chairperson)
Address: Tama County Public Health & Home Care,
129 W. High Street, Toledo, IA 52342
Phone: 641-484-4788 FAX: 641-484-5447
A.
Number of Board Members
(Board Size) __11___
B.
Membership Identification.
Complete the table below for members on the CEA Board
Column 1 – Name of each board member, starting with Chairperson. Identify any other officers (as determined by your CEA board bylaws.)
Column 2 – Identify the member’s representing
the required membership. Note the Faith, Business or Consumer representative member
may also qualify as citizen/elected.
Column 3
-- Name of employing organization
of the member, occupation if self employed
Column 4 -- Name of services/program provided by
CE funds
Column 5 -- Place
a ‘X” for the board members who qualify as citizen/elected according to the definitions
of IAC for Community Empowerment, 349, Chapter I. (“Citizen” means a resident of the empowerment area, who is not an elected
official or a required representative for education, health, and human services,
or a paid staff member of an agency whose services fall under the plan or purview
of the community board. A citizen representative may also represent faith, consumer
or business.)
If the board does not
meet the membership representation criteria, attach the CEA board’s plan how they
will meet requirements.
| Column 1 |
Column 2 |
Column 3 |
Column 4 |
Column 5 |
|
Name | Representation | Name
of Employing Organization | Provider
of CE Services/Program | Citizen/Elected |
|
Chair: Larry Vest | Tama Co. Board of Supervisors | | No | X |
|
Billie Jean Snyder | Education | South Tama Co. School District | No | |
|
Michelle Gethmann | | Pied Piper Preschool & Daycare | | |
|
Annette Dunn | Required human services | Department of Human Services | | Not Applicable |
|
Vice Chair: Joyce Legg | Required health | Tama Co. Public Health & Home Care | | Not Applicable |
|
Richard Arp | Required education | | No | Not Applicable |
|
Rick Vesely | Required faith | United Presbyterian Church | No | X |
|
Greg Tingley | Required business | Pioneer Hi-Bred Int., Inc. | No | X |
|
Amy Ridout | Required consumer | | No | X |
|
Dr. Keith Myers | | Sac & Fox School District | No | |
|
Dal Lynn Sherburne | Required citizen | | | X |
|
| | | | |
|
| | | | |
|
| | | | |
b.
Organizational structure – please describe
your structure and how the board functions, communicates, plans and interacts
within the community.
Our Empowerment Board is comprised of 11 voting members.
Members represent the Board of Supervisors, Education, Human Services,
Health, Education, Faith, Business, consumer, and local county citizens.
Each person on the Board either lives or works in Tama County and is a
representative/advocate of our county.
The County strongly supports the Empowerment program by providing
the Coordinator through the Public Health Office and the Fiscal Agent is the County
Auditor.
A. Healthy Children
D. Children Ready
to Succeed in School
B. Secure & Nurturing Families E. Safe & Supportive Communities
| Community Indicator(s) |
Identify the State
Results Linked to the Indicator by A, B, C, D, E |
|
Immunization compliance % | A |
|
# of children covered by Hawk-I | A |
|
# of children born in Tama Co. # children tested for lead # children with high lead levels | A |
|
# of families completing pre survey on proper nutrition # of families completing post survey on proper nutrition | A |
|
# enrolled in preschools (utilized immunization card
audit statistics) | B, E |
|
# of families
participating in parenting programs | A, C, D, E |
|
# of licensed and/or registered childcare providers.
# of alternative daycare providers | A, C, D, E |
Based
on the adopted indicators, please list the priorities identified in your community
plan.
| Community
Empowerment Area Identified Priorities: |
|
Healthy
Children |
|
Secure
& Nurturing Families |
|
Secure
& Nurturing Child Care Environments |
|
Children Ready
to Succeed in School |
|
Safe &
Supportive Communities |
| Identify the
Community Empowerment Area Indicators |
Identify
Source of data for each Indicator |
Baseline Data (date &
numerical value) * |
Sub-Sequent
Year’s Data (Trend Line)* Identify Year |
Goal (numerical
value & projected timeline) |
Progress Update
(Analysis) | ||
|
Immunization compliance % | Public
Health Office-Immunization Compliance with the State | February 2000 immunization compliance rate of (0 - 24 months) – 71.88% | FY 05– 100% | FY 04 – 100% | FY 03 – 90 % | Children in Tama County remain at the State average for
completion of immunizations prior to age 2. | |
|
# of children covered by Hawk-I | Carla
Andorf-MICA | June 2000 - 23 enrolled 237
eligible | FY 04 – data unavailable | FY 03 – 61 enrolled in April 2003 | June 2000 - 23 were enrolled
- 237 eligible In
April 2003 848 children were enrolled in Medicaid with 61 enrolled in HAWK-I.
Enrollment continues to increase-79% that are eligible are enrolled, up for 10%
in 2000. | ||
|
# of children born in Tama Co. # children tested for lead #
children with high lead levels | IDPH-Vital
Statistics Lead
Care Coordinator-Jacqueline Pippin | From 7/94 to 6/99 - 763 children were screened. 174 had a high lead level In 1995, 236 children were born in Tama County. 63.98% of them were tested at least once before the age of 6 years; 18.54% were elevated.
Of the Medicaid-enrolled children, 64.65% were tested; 24% were elevated. | FY
05- Live
Birth Info N/A- July
04 -June 05 - 442 were tested. 45 showed high lead levels | FY 04 Live Birth Info N/A– July 03 – June 04 – 350 were tested. 65 showed high lead levels | FY 03 –459 live births - January 03 – June 03 159 were tested. | Annually | FY 04 - From 7/94 to 6/99 - 763 children were screened. 174 had a high lead level In 1995, 236 children were born in Tama County. 63.98% were tested at least once before the age of 6 years; 18.54% were elevated. Of the Medicaid-enrolled children, 64.65% were tested; 24% were elevated. 2004 – 19% of those screened showed high lead levels. Are seeing an increase in the number of children tested and having high lead levels. Parents are becoming more aware and are having their children tested. 2005-10% of those screened showed high lead levels. We continue to see an increase in the number of children tested. Parents are still becoming more aware and continue to have their children tested with ongoing education and outreach with physicians, families, and the community at large. |
|
# of families completing pre survey on proper nutrition # of families completing post survey on proper nutrition | Year 2001 results will be baseline
not developed yet | FY
05- 14
families were serviced with 12 completing the pre & post survey | FY 04 – 16 families were served and completed pre&
post survey | FY 03 – 10 families 10 completed pre & post surveys | Annually | FY 04 - Year 2001 results will be baseline not developed yet 2004 – Pre & Post Survey statistical data will be available in October 2004. 2005-
the Family Nutrition Specialist resigned in December 04, a replacement has not
been hired yet. | |
|
· # enrolled in preschools (utilized immunization card audit statistics) | Public
Health Office-Immunization Card Audit | FY 2000 enrollment 273 children | FY04 – 421 | FY 03 - 410 | FY 2000 enrollment 273 children 2004 – Preschool enrollment shows an increase as more preschool opportunities become available 2005
– Preschool enrollment continues to increase as more opportunities become available.
| ||
|
·
# of families participating
in parenting programs | Pat Shank-MICA Joyce Legg-TCPH&HC | FY 2000 Baseline will be our pre-survey results FY
2002 – Stork’s Nest enrollment | FY-05 13
families (14 children) were enrolled in MICA's home-based Early Head Start program. 47 were enrolled in Tama Healthy Families; 44 were enrolled in center-based Head Start
pre-school. 206 enrolled in Stork’s Nest Program | FY 04 – 16 families were enrolled in MICA's Early Head Start Program. 30 families were enrolled in the Healthy Families Program. 184 enrolled in Stork’s Nest Program | FY 03 – 14 families were enrolled in MICA’s Early Head Start Program. 39 children were enrolled in MICA’s Head Start Program. 19 families were enrolled in Tama Healthy Families Parents as Teachers Program 100 enrolled in Stork’s Nest | Parent participation
continues to increase as opportunities are becoming available, parents are continuing
to request for more opportunities to be provided. See Infant Toddler
Specialist and Stork’s Nest Program. We continue to see
an increase in enrollment in the Healthy Families and Stork’s Nest Programs. | |
|
·
# of licensed and/or registered childcare providers. | Jerri
Leighton-Coordinator | Baseline is number of licensed, registered daycare providers: · 7 preschools/ day care centers · 25 registered home care providers No
alternative or special needs providers | FY
05 74
total child care providers (both registered and non-registered) enrolled with
CCR&R ·
37 Registered Child Development Homes ·
7 preschools/day care centers ·
30 non-registered providers 16
providers willing to do 2nd and 3rd shift care 35
providers willing to care for special needs children | FY 04– ·
35 Registered Child Development Homes ·
5 preschools/day care centers ·
18 non-registered providers 11 providers willing to do 2nd and 3rd
shift care | FY 03 – ·
34 Registered Child Development Homes ·
7 preschools/day care centers ·
28 providers willing to care for special needs children ·
4 providers willing to do 2nd and 3rd shift care | Annually | With
the continued support of a local partnership between CCR&R and the Empowerment
Boards local CCR&R services provided by the Child Care Consultant has increase
enrollment of child care provider by 21 % (16 new child care provider) |
· If actual data is not available, please insert NA and provide an explanation in the Progress Update column.
SECTION V – Collaborative Efforts
Describe
at least two (2) successful collaborative efforts within the community empowerment
area during the last year that promote healthy and successful children 0-5 and
their families.
FAMILY
# 1: The family was initially only involved with AEA267. They had an infant that
was born with a hip abnormality and qualified for Early Access services.
During a particuly stressful period for this family, respite services were
offered in addition to services provided by other agencies, including MICA and
Mental Health. The family applied for Early Head Start and
enrolled the child at Kids Corner for 2 hours a week of respite services. The family was accepted into the Early Head
Start Program. The three agencies involved
with the child work together to coordinate services to promote the child’s development
as well as help the family with various issues that come up. In a survey about the respite services, the
mother reports the following as the benefits of the respite program for her child:
It is good for low-income families so the kid’s can get ready to be with other
kids.
FAMILY # 2: This family has a two-year-old child with some developmental delays. They were in the middle of a medical crisis with the mother, in addition to some financial concerns. The Public Health Nurse coordinated a visit between herself, the MICA family support person/interpreter, and the AEA 267 Early Childhood Teacher to meet with the family to address the various issues. Medical appointments were coordinated, transportation and childcare were arranged, and follow up visits were made on the initial visit. The child was referred to Early Access and qualified for Early Access services. The family used preschool scholarship money to have their daughter attend Kids Corner two mornings a week. The AEA Teacher consulted with the Kids Corner teachers and with the parents to provide activities to promote her development.
The Infant Toddler Development Specialist (ITDS) was
referred to a mother and her newborn baby by the Public Health nurse who, after
making her postpartum home visit, was concerned about possible maternal depression.
On the 1st home visit with the ITDS, the mother revealed that she didn't think
she could raise her daughter and felt like giving up. The ITDS helped this mother schedule an appointment
at the Mental Health Clinic for the following day. She began receiving treatment, including medication.
On subsequent visits, the ITDS referred this mother to possible jobs when
she indicated she needed to find employment.
The mother followed up on referrals, and she was hired for a job that she
greatly enjoys. Recently this mother has shared that she feels
so much better about herself and her ability to be a mother. The ITDS is happy to report a strong, loving
bond now exists between the mother and her baby daughter.
•Input - what has been
invested in financial and non-financial resources? (dollars invested,
number of staff, etc)
•Output - what was produced or changed as an
effect of the effort put forth? (number served or trained, number
of events, number meeting program outcome, etc)
•Quality - How qualified and efficiently was
the activity or service delivered? (percent of qualified staff, percent
of customers satisfied, cost or rate per unit, ratio of staff to children, etc)
•Outcome - What was the change in conditions
for the people served? (percent meeting
the outcome, percent gaining knowledge, percent making change in condition, etc)
All columns should have
quantitative or numerical data.
Early
Childhood Services Provided (Coincide w/ Budget Line Items) |
How
Much Was Invested?(Input Measures) |
How
Much Was Done or Produced?(Output Measures) |
How
Well Did We Do It?(Quality/ Efficiency
Measures) |
What
Was the Change In Conditions for Those We Served? (Outcome Measures) |
Child
Care Consultant/materials/coordination | $17,343.15Which
includes:
| The following outcomes or services where provided in the empowerment
area as a result of the support of a local Child Care Consultant program: ·
56 individual childcare provider recruitment contracts. ·
55 enrollment packages distributed to child care providers ·
91 in home visits to child care providers. ·
98 follow up home visits to child care providers 289 face-to-face and
2421 indirect contacts made related to childcare or empowerment (which may included providers, parents and community members). | As a result of continued support
for a local Child Care Consultant program the number of child care providers in
the community increased by sixteen (16) childcare providers. There are a total of 74 childcare providers
in Tama County. Total
childcare providers: Local Child Care Resources
and Referral services where available to families and the community to assist
in accessing childcare needs as well as providing parents with childcare services.
In the fiscal year 2005 CCR&R provided fifty eight (58) child care
referrals to parents in the empowerment area.
This reflects a 75% increase from last fiscal year. We contribute this increase to the availability of a local Child
Care Consultant in the community | With the available services of a
local Child Care Consultant tacked the following results and or effects that the
program had on the community: ·
CCR&R
increase enrollment by 21% as a result to the recruited of the local Child Care
Consultant. ·
Available
childcare slots increased by eighty (80) providing child care options for parents
to maintain and seek employment. ·
Home
visits to Child Development Homes and centers conducted by the Child Care Consultant
resulted in a 96% of providers visited by the CC Consultant to be 85% in compliance
with the state regulation and/or center licensing guidelines. 100% of the 91 homes
visited by the CC Consultant received resource and or materials that promoted
quality standards in business practice, health and safety and /or child development
practices |
Equipment Enhancement | -0- | See FY 03 Annual Report | See FY 03 Annual Report | Carry over funding from previous year.
No payments paid this fiscal year. |
Training & Retainment | Kids
Corner - $4,275 Pied Piper - $930.40 Total = $5,205.14 | Kids
Corner - 16 staff participated in this program.Pied
Piper - had 11 employees take 1˝ hours in training in First Aide & CPR and a
total of 17 attending training classes. | Kids
Corner had 25 different staff members in 04-05 and 32 different staff members
in 03-04. Pied
Piper had 20 staff members in 04-05
and 19 members in 03-04. | Kids
Corner had 7 less staff members left Kids’ Corner in 04-05 than in 03-04.They
developed a staff incentive program to help decrease the number of staff turn
over. Pied Piper received money from empowerment to aid us in our trainings and keep current on any changes in education. |
A & G | $1,587.00 | NA | NA | General Liability Insurance for Empowerment Board |
Provider Incentives – CCR &
R | $1,813.00 | Forty (40) Providers
home and/or center staff participated in the program. | This was a continuation
of programming conducted in FY 2004. | Carry over funding
from previous 2004 was used for final program expenses for FY 04The Incentive program allowed the provider the opportunity to earn points for best practices demonstrated in the childcare environments. Which can be used to purchase items to enhance the childcare environment. |
Training Sessions – CCR &
R | $2,075.00Child
Net | One Child Net training
series was held for Child Development Home Providers | Seven (7) Child Development
Home Providers participated in the 10 lesson Child Net Training. | 90% enrolled in the training completed
all 10 lesson of the Child Net Training completing 25 hours of contact training
hours. Quality in the child care environment
will improve as a result of the Child Net Training as reported in the post evaluation
give to staff a the completion of the training.
|
Class Room Equip & Furniture | -0- | See FY 03 Annual Report | See FY 03 Annual Report | Carry over funding from previous year.
No payments paid this fiscal year. |
SECTION VII – Performance Measures: Community Empowerment School
Ready funds
All
columns should have quantitative or numerical data
. School Ready Services Provided (Coincide w/ Budget Line Items) |
How
Much Was Invested?(Input Measures) |
How
Much Was Done or Produced?(Output Measures) |
How
Well Did We Do It?(Quality/ Efficiency
Measures) |
What
Was the Change In Conditions for Those We Served? (Outcome Measures) |
Home Visitation | $20,752.81 | 169 Home visits; 91 hours154
unduplicated clients were serviced. | Parents are given education regarding appropriate newborn care and available
resources. | Pre & Post Survey to be developed.
100% of the clients seen were given contact/resources available in county
and referrals made as needed. |
Health Care Coordination | $10,683.88 | Coordination – 163.25 hours provided Healthy
Families Coordinator ·
3 Quarterly Empowerment Coordinator
meetings were attended, 1 being an ICN ·
1 Regional Empowerment Coordinator Meeting · Monthly Contact with Representative Horbach and Senator Putney | Allows for referrals/follow-up referrals, documentation, and necessary
meetings to avoid duplication but provide appropriate services. Provides reminders/recall coordination, follow-up for immunizations, lead, and well child screenings. Coordinator attended all required meetings. | Immunization compliance – 100%100% of the clients needing follow-up were completed. High lead
level follow-up held to assure homes were remediated and children in need of well
child screenings were followed-up. Coordinator – Empowerment Board submitted Annual Report on a timely basis. Empowerment Board is informed at each meeting which includes: updates from the state, provider presentations of services provided, updates from the providers receiving funding status of programs, and Board appreciation once a year. |
Infant Toddler Specialist | $33,535.55 | 47 families were served with 244 home visits. 7 attended a 4 session parenting class.3 attended socializations. | There was no staff turnover. There
was a 12-week period of limited services due to staff maternity leave.ITDS averaged 27 home visits/ month during 9 months of services. | Ages and Stages developmental screening questionnaires were completed
at 6, 12, 18, 24, 30 and 36 months of age for each child enrolled. Nine children were identified as having a
concern in one or more area(s) of development. All nine were referred to Area Education Agency 267 and are now
receiving early intervention services.Surveys of families enrolled reported gains in parenting knowledge of
9 on a scale of 1-10 |
Family Nutrition Specialist | $6,641.20 | 143.5 hours were provided.14 Families were served with 12 completing the program. | Staff member resigned December 31st, and County Extension Education
Director unavailable. | Information Unavailable |
Stork’s Nest | $5,124.89 | 206 are enrolled | Encourage healthy behaviors during pregnancy, offers pregnancy and new
parenting education/support by a rewards system. | Continue to see a dramatic increase in the need and use of the Stork’s
Nest Program. 735% increase from the initial
enrollment. |
|
Healthy Families Mini
Grant Coordinator | $969.04 | See FY 04 Annual Report | See FY 04 Annual Report | Finalized Healthy Families Mini Grant Coordinator program from previous fiscal year. |
Dental Hygienist | $3,903.37 | Children Screened: 323Fluoride Varnish applied:188 Dental Referrals: 31 MICA Dental Vouchers: 3 | $4,000/542 services=$7.38 per service(Services are defined as fluorides, screenings, and referrals.) | A
dental hygienist is available at most WIC clinics in Tama. WIC clinics are held twice a month in Tama. A change in staff occurred in July with a
new hygienist, Terry Ramsey Smith, completing services. It is difficult to find a substitute hygienist
for the clinic, which can result in a few clinics per year without one. |
Interpreter | $234.99 | 37 ˝ hours | 37 ˝ hours | Was able to communicate with families to make sure services were appropriate
and referrals made to appropriate agencies, and client understood and followed
through with appropriate services. |
Developmental Screening | $3,027.84 | Approximately 10-15 children are screen developmentally each month.
5-10 additional family contacts are made to discuss developmental and/or
other parenting concerns. | Families are seen on an individual basis at Clinic. The developmental
screening is done by an Early Childhood Special Education Teacher. | Developmental screenings are available 2 days each month at Clinic. By early screening, children in need of Early Access
services can be identified and families can be referred to the appropriate agencies
sooner. |
A & G | $2,110.00 | NA | NA | Liability Insurance for Empowerment Board & Coordinator’s Time for
2 months. |
Preschool & Respite Scholarships | $979.89 | Preschool:The children that attended Kid’s Corner participated
in a classroom experience with then appropriate teacher: child ration for their
age group. 6
children used the Preschool Scholarship Program for the 2004-2005 year. Respite: The families that used this program had their children
attend Kids Corner for either emergency respite for medical appointments or for
general respite services. 5 children used the Respite Scholarship Program for
the 2004-2005 year. | Preschool: These children had an opportunity to participate in an age-appropriate
early childhood curriculum. Respite: These children participated in a classroom experience with the appropriate
teacher: child ratio for their age group. | Preschool: |
Dues & Memberships | $100.00 | NA | NA | Local Area Coordinator was able to access Iowa’s Child Website to receive
additional information. |
Lead Care Coordination | $2,426.87 | 103.75 hours.05 FTE | 442 were tested. 45 showed high lead levels. | Increase in the number of children tested and having high lead levels
due to parents becoming more aware and having their children tested. |
Identify and briefly
describe other funding or support (as appropriate) the community empowerment area
has been successful in obtaining and applying toward the community plan. Identify funds (actual cash amount) that come
directly to and flow through the community empowerment area to support the community
plan. Identify value of in-kind as calculated
according to usual and customary accounting principles (convert to cash value)
that supports the community empowerment area’s community plan.
Source |
Cash Value |
Source |
In-Kind
Cash Value |
|
AEA 267-Interagency Meetings | | 2 hours a month X $25/hour | 600 |
|
Sub-Committee Meetings | | 1.25 hours X 8 members X $25/hour | 250 |
|
Empowerment Board Meeting Attendance | | 68 members X $25/hour | 1,700 |
|
AEA 267-Attendance at Empowerment Board
Meetings | | 1 hour bi-monthly X $25/hour | 150 |
|
Pied Piper-Attendance at Empowerment
Board Meetings | | 6 meetings and mileage for Co-Director | 66 |
|
Kids Corner-Attendance at Empowerment
Board Meetings | | Attended local empowerment meetings
as a board member | 78 |
|
Health Families Sub-Committee | | 1.5 hours/mo X 12 months X 6 members
X $25/hour | 2,700 |
|
MICA Space-3 socializations | | | 150 |
|
Staff time-work at Stork’s Nest | | | 800 |
|
Meeting Space | | 5 meetings X $25 | 125 |
|
Office Space for Empowerment Coordinator | | $600/month X 12 months | 7,200 |
|
| | Childcare Resource & Referral | 12,004 |
|
Reining Center | | | |
|
Space – 4 parenting classes | | | 200 |
Stitch
& Go Quilt Group | | 74
quilts quilted X $14/each35 quilts quilters’ provided the supplies X $20/each | 1,036 700 |
TOTAL | | TOTAL | $27,759 |