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<br /> 1EMOGRAPHICS .w What (data11 1willyou need to collectI order
<br /> 1accurately describe your population *including demographics • gender, 1 1
<br /> ethnic background) 1 / 1 thefunder 1Section t What are thepieces 1
<br /> information 1 qualify1 11 for your targetpopulation? i l " do you document t1
<br /> need for services 1 heir "unacceptable condition requirmgy change" Section 13192
<br /> ProgramThe : Crisis Nursery Program collects client data in many different ways, *in order to meet a
<br /> variety of funder requirements. Client data 'including age, gender, race, economic level,
<br /> education lev6l,, parenting situation (i . e. single, dual, grandparents, guardian etc.) is collected on
<br /> every family served. The information is compiled on a monthly basis and put into a data
<br /> spreadsheet that is used for reporting to funders. Monthly, quarterly, and year-end reports are
<br /> provided upon request based on the specific requirements of each fander.
<br /> All families complete an intake/assessment process to deten-nine the level of their crisis and the
<br /> ability of the Crisis Nursery
<br /> services is clearly documented • 1 the intake form and incorporated 1 • the Family SupportPlan —
<br /> The
<br /> Program is a primary prevention program • • tt • services before abuseor
<br /> neglect• takesplace.,
<br /> - - • / " universal qualification • t make .a family ineligible • •
<br /> screening,be verified abuseand/or neglect prior to service implementation based on the DC&F background'
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<br /> REPORTING: hat will you do with this information to show thatchange 1 .
<br /> occurred ? 1 ' will youor present 1 1 the consumer, the 1 1 1
<br /> program, 1 1 the community ? How will 1u 'use this information tounprove your
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