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Community Child Care Resources, Inc. Children in Centers Children's Services Advisory Committee <br /> F. PROGRAM EVALUATION (Entire Section F not to exceed two pages) <br /> 1 . DEMOGRAPHICS : What information (data elements) will you need to collect in order to <br /> accurately describe your target population including demographics (age, gender, and ethnic <br /> background) required by the funder in Section H? What are the pieces of information that <br /> qualify them for your target population ? How do you document their need for services or <br /> their "unacceptable condition requiring change" from Section 111 ? <br /> Data Elements Needed to Describe Target Population <br /> 1 . Families with children 0-5 years old <br /> 2 . Residence in Indian River County <br /> 3 . Income no greater than 200% of the Federal Poverty Guideline <br /> 4. Employment and/or school no less than 30 hours per week <br /> 5 . Participation in required parent programs <br /> 6. Payment of tuition on a sliding fee scale <br /> Qualifying Documentation; <br /> 1 . Driver' s License <br /> 2 . Social Security for parents and child, or green card for non-citizens. <br /> 3 . Six weeks of pay stubs <br /> 4 . Most current W-2 Form <br /> 5 . Court order child support payments <br /> 6. Proof of paid college registration and number of semester credits <br /> 7 . Immunization Record <br /> 8 . Birth Certificate of enrolling child <br /> CCCR uses Quick Books Pro and ProCare software programs to document and track the above. Each <br /> child has a folder with application, copies of qualifying documentation, and parent <br /> contract/permissions. Employment and income status is spot checked throughout the year. <br /> 2. MEASURES : What data elements will you need to collect to show that you have achieved <br /> (or made progress toward) your Measurable Outcomes in Section D ? What tools or items <br /> are you using as measures (grades, survey scores, attendance, absences, skill levels) for your <br /> program ? Are you getting baseline information from a source on your Collaboration List in <br /> Section E? Are there results from your Activities in Section D that need to be documented? <br /> How often do you need to collect or follow-up on this data? <br /> Measurement Elements: Goal l (To acquire school readiness skills,) <br /> a. Ages and Stages developmental screening tool for infants/toddlers, administered fall and spring. <br /> b. Speed Dial R developmental assessment for preschoolers, administered fall and spring. <br /> c. DECA assessment for (emotional/social), ages 2-4 years, administered fall, spring and as needed. <br /> d. Kindergarten Transition Form, completed spring prior to kindergarten. <br /> e. Tracking CCCR children through the school system (see collaboration list) fall of kindergarten. <br /> Measurement Elements: Goal 2 (Program Quaho) <br /> a. Standards of Quality Report, submitted quarterly by CCCR directors documenting staff turnover, <br /> teacher salaries, student: teacher ratios, and staff in-service hours . <br /> b. Copies of center accreditation, licensing, Director' s credentials, Gold Seal , and liability insurance <br /> kept on file in the CCCR office. <br /> Application for 2004-2005 service period 11 <br />