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• 8 children passed and 2 failed or scored within the caution zone of the ASQ screening. A "fail or caution" score indicates a possible developmental delay and need for additional evaluation. • Results were shared with all the parents. For the children that scored below passing, teachers provide individualized activities to help the child develop and increase their skills in the low scoring categories. Likewise, a referral to Early Steps is facilitated upon parent request and signed permission. Parents have 30 days after the child is enrolled in the program to submit a record for up- to-date immunizations and a physical. All children submitted these documents and are up-to-date. Vision and hearing screenings are attempted for all children enrolled for forty-five (45) days. In an attempt to detect possible deficiencies, we use the SPOT vision screener and Welch Allyn OAE screener. Likewise a thorough review of the child's physical is conducted in search of concerns previously observed and noted by the pediatrician and/or parent. For any concerns, exhibited by a failed screening, doctor or parent, follow-up and a referral is initiated. Children are referred to their pediatrician or specialist for necessary treatment. Goal #2: Maintain funded enrollment of 22 infant and toddlers at RCMA Whispering Pines CDC. Baseline: 2014-2015 Program Year was 100%. Outcome: Whispering Pines maintained the funded enrollment with twenty-four (24) infants and toddlers enrolled during this period. We will continue to make enrollment of infants and toddlers a priority as qualifying families apply for the program. Goal #3: To continuously improve the quality of child care, family services, and staff professional development by maintaining accreditation through a nationally recognized accrediting agency for the upcoming program year and through regular use of ongoing monitoring and classroom observation tools. Baseline: Certificate of Accreditation from the National Accreditation Commission (NAC), Program Quality Assessment (PQA). Outcome: Teachers receive ongoing training to increase their knowledge of infant and toddler milestones. Trainings received during this period for development and safety include the following: o Lesson Planning o Conscious Discipline for Infants and Toddlers o Creative Learning Using Treasure Baskets o Proper Use of Fire Extinguisher • The Program Quality Assessment (PQA) tool is used to evaluate the classroom setting in the areas of Learning Environment, Daily Routine, Adult -Child Interaction, and Curriculum Planning and Child Observation using a 1 to 5 scale. The average infant/toddler classroom score is 3.92. This score indicates that we meet expectations in overall classroom environment. The area of greatest strength is Curriculum Planning and Assessment with a score of 4.75 Likewise, the area of improvement is Learning Environment with a 3.33 score. We continue to provide teacher training, and implement strategies and materials in the classroom to increase the scores. P186