1. Model (Please check only one. Complete separate forms for different collaboration models.)
One Agency, Multiple Funders
– HS/CC/PreK A single program or agency blends/braids funds and program requirements from multiple sources at a single site.
Multiple Agencies Partner 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.)
Child Care/Early Head Start
Child Care/Head Start
Child Care/PreK
Child Care/Head Start/PreK
Head Start/PreK
3. Partnership Initiated By
Child Care
Head Start/Early Head Start
PreK
Other (specify): _________________________________________
If this is an Early/Head Start collaboration, please indicate the program option & number of Early/Head start hours:
Center based; part day expanded to full day through collaboration
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
Champaign Early Childhood Center/Champaign Co. HS/West (capacity 72)
Public School
16 HS/CC
22HS/CC/PreK
Community Day Care Center (capacity 35)
Child Care Center
8EHS/CC
18 HS/CC
Marilyn Queller Center (capacity 83)
Child Care Center
18 HS/CC
Location
Setting
# Infants
# Toddlers
# Preschool
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?
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?
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? 2005
Were there any problems identified?
No
Yes
NA
r. When was the agency's last licensing visit? 10/27/05
Were any problems identified?
No
Yes
NA
s. When was the agency's last DHS monitoring visit?_____________
Were any problems identified?
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):Items were already in place
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
We pay certified teachers comparable to school districts.
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 N.A.
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
a. When did the collaboration begin?
1997
b. Are regular written management reports required to support the collaboration? If yes, explain below.
Nothing different than part-day.
No
Yes
c. Are there regular required meetings between collaboration partners? If yes, explain below.
No
Yes
d. Is there written documentation to support the content of meetings?
No
Yes
e. Does the program/collaboration have a written planning process that includes all partners?
No
Yes
f. Does the collaboration have a written decision making process?
No
Yes
g. Why did the collaboration begin?
To meet the needs of low-income working families.
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 Curriculum
No
Yes
All
Collab
b. Does the program do child screening?
If yes, what instrument is used?
Ages & Stages
How often are screenings done? Within 45 days of Enrollment
No
Yes
All
Collab
c. Does the program do ongoing child assessment? If yes, what instrument is used? Creative Curriculum Developmental Continuum
How often is assessment done? 3 times each school year
No
Yes
All
Collab
d. Does the program take field trips? If yes, how often? Varies by classroom
No
Yes
All
Collab
e. Does the program have family support staff/case managers?
If yes, what is their caseload? 36-40 children
How often do they make home visits? As needed
How frequent are family contacts? At least monthly
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):
Upon contact by the family or recognition by the classroom staff or HS family advocate regarding a crisis, the HS family advocate helps parents assess the family's situation, identify needs or goals and the action steps to resolve the situation or support the parent, person responsible and timeline. The family advocate follows up with the parent to assess the outcome of the action steps, including the services from any referrals.
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).
None.
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?
Costs for services of each funding source are allocated to that revenue stream: for example, extending hours and weeks for child care services are allocated to child care revenues; the add-on for a certified teacher is allocated to PreK revenues, food costs are allocated to CACFP, etc.
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?
Each full day classroom is staffed with 2 full-time teachers and 1 full-time teacher aide.
In classrooms serving PreK students, 1 teacher is 04 (early childhood) teacher certified.
Staff salaries are split between HS, CC and PreK (as applicable).
The Agency employs all staff and the Head Start site director supervises them.
Salaries and benefits are offered per the union contract
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 for collaboration staff is the same as for all Head Start staff. No training specific to collaboration in necessary.
21. Please give any other details about your collaboration that you believe are important, but not covered elsewhere.
None
22. If you could start your collaboration over again, knowing what you know now, what would you do differently?
Better ensure that parents understand that fees are for child care, not Head Start services.
23. What advice do you have for agencies/homes starting new collaborations?
Ensure that all eligibility requirements are aligned.
Establish a strong relationship with the local child care subsidy agency.
Copyright 2005 Collaboration Model Description. Template.
HS State Collab Office.10.05