1. Model (Please check only one. Complete separate forms for different collaboration models.)
One Agency, Multiple Funders A single program or agency blends/braids funds and program requirements from multiple sources at a single site.
Multiple Agencies Partner – various school districts & child care centers Two or more agencies, which are separate legal entities, partner to serve children at a single site.
Partnering with Family Child Care A program or agency partners with family child care home providers.
2. Collaboration Type (Check all that apply to this collaboration model.)
If this is an Early/Head Start collaboration, please indicate the program option & number of Early/Head start hours:
Center based; part E/HS, full day CC
6. Number of Children Served Full-Day/Year by Location, Setting & Age
Setting includes: Head Start/Early Head Start site; Child care center; Family child care homes; Public/private school system; Other (explain/describe)
Location
Setting
# Infants
# Toddlers
# Preschool
5044 S. Wabash, Chicago, IL 60615(capacity 215)
Child Care Center
20 CC/HS
20 CC/HS
60
20 CC/HS
40 CC/HS/PreK
7. Total number of children served by organization
0-150
151-500
501-2000
2001-6000
6001+
8. Total number of children served by partner’s organization (if applicable). Note: this means an early care & education partner with whom you are collaborating. Agencies that checked “One Agency, Multiple Funders” in question 1, page 1 of this survey will NOT complete this question.
0-50
51-150
151-300
301+
9. Funding used to support full-day/year services (Check all that apply.)
Federal Early/Head Start
State Early Childhood Block Grant from IL State Board of Education
State Early Childhood Block Grant from School District (including Chicago Public Schools)
State Child Care Assistance Program through contract with IL Dept. of Human Services
State Child Care Assistance Program through local Child Care Resource & Referral Agency certificate program
Parent Fees
Other (Specify): ____________
10. Administration/Management (Check either yes, no or not applicable – NA – for each item.)
a. Does the collaboration have a legal written agreement/contract?
No
Yes
NA
b. Other than a contract, does the collaboration have a written partnership plan?
No
Yes
NA
c. Are there written monitoring/oversight procedures?
No
Yes
NA
d. Are there written procedures for communication among partners?
No
Yes
NA
e. Is there a written cost allocation plan/budget for the collaboration?
No
Yes
NA
f. Is there a written training/professional development plan?
No
Yes
NA
g. Do job descriptions reflect staff' collaboration responsibilities?
No
Yes
NA
h. Is there a shared computerized MIS system?
No
Yes
NA
i. Do the partners share business operations & equipment costs?
No
Yes
NA
j. Do the partners purchase transportation jointly?
No
Yes
NA
k. Is there a competitive written RFP process for partner selection?
No
Yes
NA
l. Is there an ongoing advisory group for the collaboration?
Policy Council
No
Yes
NA
m. Did the partnership develop out of a broad based community planning process?
No
Yes
NA
n. Are parents involved in the collaboration planning & evaluation processes?
Via Policy Council
No
Yes
NA
o. Does the collaboration have a written evaluation process?
No
Yes
NA
p. Has the agency had any audit findings in the past 3 years?
No
Yes
NA
q. When was the agency's last federal monitoring review?
May 2004
Were there any problems identified?
No
Yes
NA
r. When was the agency's last licensing visit?
Jan. 2006
Were any problems identified?
No
Yes
NA
s. When was the agency's last DHS monitoring visit?
Sept. 2005
Were any problems identified?
Corrected
No
Yes
NA
11. Has the collaboration had an impact on the partner’s internal practices with regard to (check yes or no for each item):
a. Parent Decision Making
No
Yes
b. Parent Education
No
Yes
c. Parent Involvement
No
Yes
d. Family Support Services
No
Yes
e. Staff Salaries
No
Yes
f. Employee Benefits
No
Yes
g. Management Practices/Structure
No
Yes
h. Staff Training/Professional Development
No
Yes
12. Program Services (Make 2 checks for each item – 1 to indicate which partner is primarily responsible for direct service delivery and the other to indicate which children receive that service – all or just the collaboration children.)
Services Provided
Partner Responsible for Direct Service Delivery
Children Receiving Services
a. Child education services
E/HS
CC
PreK
Other
All
Collab
b. Family support services
E/HS
CC
PreK
Other
All
Collab
c. Health services
E/HS
CC
PreK
Other
All
Collab
d. Mental health services
E/HS
CC
PreK
Other
All
Collab
e. Parent education/involvement
E/HS
CC
PreK
Other
All
Collab
f. Transportation services
E/HS
CC
PreK
Other
All
Collab
g. Nutrition services
E/HS
CC
PreK
Other
All
Collab
h. Transition services
E/HS
CC
PreK
Other
All
Collab
i. Disabilities services
E/HS
CC
PreK
Other
All
Collab
j. Parent home visits
E/HS
CC
PreK
Other
All
Collab
k. Sick child care N.A.
E/HS
CC
PreK
Other
All
Collab
l. Parent conferences
E/HS
CC
PreK
Other
All
Collab
m. Non-traditional hours service N.A.
E/HS
CC
PreK
Other
All
Collab
13. Primary objectives for beginning this collaboration (check all that apply)
Enhance family health services
Enhance the quality of children’s education services
Expand services into new communities
Extend service hours
Improve & maximize staff training/professional development
Link early care & education systems in the community
Maximize funding and cost effectiveness
Maximize use of facilities
Offer increased service options
Offer parents home visits
Respond to parents’ changing needs
Serve a wider age range of children
Extend days of service
Serve siblings in one program
Provide more economically & culturally diverse programming
Increase the number of children served
Provide continuity of care
Improve staff compensation packages
14. Collaboration Development & Management
14.b-f. N.A. – one agency, multiple funders; collaboration operation supported by E/HS management system requirements
a. When did the collaboration begin?
Fall 2000
b. Are regular written management reports required to support the collaboration? If yes, explain below. N.A.
No
Yes
c. Are there regular required meetings between collaboration partners? If yes, explain below. N.A.
No
Yes
d. Is there written documentation to support the content of meetings? N.A.
No
Yes
e. Does the program/collaboration have a written planning process that includes all partners? N.A.
No
Yes
f. Does the collaboration have a written decision making process? N.A.
No
Yes
g. Why did the collaboration begin?
See reasons listed in #13
h. How were partners selected? N.A.
i. When there is a disagreement or conflict, how is it resolved with partners? N.A.
j. When a decision has to be made about the collaboration, how is this done with partners? N.A.
k. Explain how often reports & meetings are done/held: N.A.
15. Program Components: Please answer the following questions about your collaboration program. Show in column 2 which partner is responsible for each program component. Check which children receive the program component in the last 2 columns - either all children in the classroom(s) or just the collaboration children.
Responsible Partner
Children Receiving Services
a. Does the program use a standardized curriculum?
If yes, which curriculum? Creative Curricula
No
Yes
All
Collab
b. Does the program do child screening?
If yes, what instrument is used? ESI, Denver, ASQ
How often are screenings done? Annual- 1st 45 days
No
Yes
All
Collab
c. Does the program do ongoing child assessment? If yes, what instrument is used? CCDC, NRS, PALS, PPVT, DECA
How often is assessment done? at least 3X/year; on tools’ schedules
No
Yes
All
Collab
d. Does the program take field trips? If yes, how often? periodically, based on curricula
No
Yes
All
Collab
e. Does the program have family support staff/case managers?
If yes, what is their caseload? 30-35
How often do they make home visits? Min. 2X/yea
How frequent are family contacts? Min. weekly
No
Yes
All
Collab
f. BRIEFLY describe your collaboration program’s social service delivery, if you have one, for example explain your crisis intervention and/or referral process(es):
Extensive data/info collection at intake with parents, per HSPPS. Goal setting in 1st 45 days with minimum of 2X/year reviews/updates on goals. Parent support group, grandparent group, male involvement activities throughout the year. Computers available for job search & resume creation. Crisis staffings, as needed, to respond to family concerns. Small emergency fund available for crisis intervention. Extensive community partnerships available for referrals, as family needs arise.
Answer the following questions IN AS FEW WORDS as possible, still giving a picture of how your collaboration works. Use bullet point lists whenever possible.
16. List/describe any other program components included in the collaboration that are not described in items 12 and 15 (pages 3-4).
Birth to age 5 services in one location.
Continuity of care for EHS children allows consistent caregiver relationships for 1 st 3 years in center.
Arts component provides access to art, music, dance activities in classrooms, led by professional artists. Performances at the center throughout the year.
17. Please describe how budgeting and cost sharing among funding sources is done. How do you decide how costs will be shared? What are the financial arrangements between partners?
All funding in one agency. Costs are allocated per grant applications/awards and by services assigned to funding sources.
18. Please explain how your collaboration is staffed. Include classroom and support staff and tell how this is changed/different from your regular program. Who funds the staff’s salaries? Who supervises the staff and who employs them? What salaries and benefits are offered collaboration staff and is this different from other staff?
Staff are allocated according to funding source services, i.e., 04 certified teacher paid by PreK, family support & health staff by E/HS, etc. All staff work for the Ounce and fund management is done at central office – not visible to children, staff or families.
19. Please tell about your written agreement, if you have one. Include: what the agreement covers (section titles); term (what the time period is); if finances are part of the agreement and how these were figured; etc.
N.A.
20. Please describe the training system for your collaboration. Include what kind of training is done, how costs are shared among funding sources and/or partners, and how it has changed since the collaboration began.
Training requirements are integrated & one annual training schedule provides access to all staff for trainings provided by funding partners.
21. Please give any other details about your collaboration that you believe are important, but not covered elsewhere.
The Ounce's opinion is that the goals of the funding sources (child care – allow parents to work, E/HS – support/educate children & families, PreK – support/educate children) are not fully compatible. This incompatibility creates the Ounce tension & conflict about which regulations to follow in some situations.
22. If you could start your collaboration over again, knowing what you know now, what would you do differently?
Remember to educate staff & keep them informed about all funder requirements.
23. What advice do you have for agencies/homes starting new collaborations?
Don't underestimate the management & administrative time it takes to deal with the funder relationships.
Create/maintain the systems needed to meet the various overlapping and, at times, inconsistent regulations.
Don't be afraid to try! The various funders will help you get things set up ad the additional funding allows for a much higher quality program to be offered. It's worth the struggle!
Copyright 2005 Collaboration Model Description. Template.
HS State Collab Office.10.05