conception and implementation · program development on november 16, 2009, new fees announced for...
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The Empower Program – A successful application of State resources to improve Arizona child care
environments and improve the lives of Arizona children and their families.
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Introductions Bonnie Williams, MA
Early Care andEducation Manager,Bureau of Nutrition andPhysical Activity
3 years withBNPA/ADHS
30+ years in Early Careand Education
Empower stakeholdersince inception
Flossie A. Wagner
State Licensing Surveyor,Bureau of Child CareLicensing
15 years withBCCL/ADHS
Empower DevelopmentTeam member sinceinception
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Conception and Implementation
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Empower Program history/synopsis
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http://www.azdhs.gov/documents/prevention/nutrition-physical-activity/empower/empower-healthy-opportunity-for-az-children.pdf
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Program development On November 16, 2009, new fees announced for all licenses
Empower pilot program introduced concurrently
Participation was voluntary for all licensed facilities.
If registered, licensees were entitled to a reduced licensing fee (50%) at the time of renewal.
By implementing the identified best practices, the following discounts were available:
Capacities of 60 or more children reduced fees of $7,800 to $3,900;
Capacities of 11-59 children reduced fees of $4,000 to $2,000;
Capacity of 10 or fewer children reduced fees of $1,000 to $500.
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Community response Acceptance of the program by the child care
community was overwhelming.
Arizona child care licenses are renewed every three years.
In the first six months, 403 facilities enrolled
Only 5 declined enrollment
1,427 additional facilities enrolled even without a license fee due immediately
Empower became a permanently funded program at ADHS in 2012.
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Partnership & the Bureaus
Arizona Department of Health Services
Licensing
Bureau of Child Care Licensing
Regulatory foundation
Connections to child care
community
Direct contact with providers
(technical assistance)
Prevention
Bureau of Nutrition and
Physical Activity
Fee subsidy, brochures,
external resources
Bureau of Tobacco & Chronic Disease
Fee Subsidy, brochures/info
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Positive Outcomes for ADHSBureau of Child Care Licensing
Bureau of Nutrition & Physical Activity
Fees fund the licensing and regulation process
50% paid by licensee
50% paid through Nutrition & Physical Activity grants, Tobacco & Chronic Disease funding
Access to additional resources for centers & homes
Opportunity to partnership with community
Increased access to children and their families
Opportunity to help programs improve practices relating to nutrition & physical activity
Data collected allows limited resources to be applied more effectively for long-term benefit
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Positive Outcomes for ADHSBureau of Tobacco & Chronic Disease
Children’s Environmental Health
Increased access to children and their families
Opportunity to help programs improve outreach to families
ASHLine
Second-hand smoke & Third-hand smoke information
ADHS Public Health Preparedness Division is home to the SunWiseprogram
The Empower program allowed expansion of SunWise program dissemination to children ages 0-5 years
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http://www.azdhs.gov/preparedness/epidemiology-disease-control/sunwise/index.php
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Empower Program Includes “10 Ways to Empower Children to Live Healthy Lives,”
which is a list of best practices that child care facilities must follow to become an official ADHS Empower Center.
Standard 1: Physical Activity and Screen Time Standard 2: Sun Safety Standard 3: Breastfeeding Standard 4: Child and Adult Care Food Program (CACFP) Standard 5: Fruit Juice Standard 6: Family-Style Meals Standard 7: Oral Health Standard 8: Staff Training Standard 9: Arizona Smokers’ Helpline (ASHLine) Standard 10: Smoke-Free Environment
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http://www.azdhs.gov/prevention/nutrition-physical-activity/empower/index.phphttp://www.azdhs.gov/prevention/nutrition-physical-activity/empower/index.php#resources-policies-physical-actvityhttp://www.azdhs.gov/prevention/nutrition-physical-activity/empower/index.php#resources-policies-sun-safetyhttp://www.azdhs.gov/prevention/nutrition-physical-activity/empower/index.php#resources-policies-breastfeedinghttp://www.azdhs.gov/prevention/nutrition-physical-activity/empower/index.php#resources-policies-food-programhttp://www.azdhs.gov/prevention/nutrition-physical-activity/empower/index.php#resources-policies-fruit-juicehttp://www.azdhs.gov/prevention/nutrition-physical-activity/empower/index.php#resources-policies-family-mealshttp://www.azdhs.gov/prevention/nutrition-physical-activity/empower/index.php#resources-policies-oral-healthhttp://www.azdhs.gov/prevention/nutrition-physical-activity/empower/index.php#resources-policies-staff-traininghttp://www.azdhs.gov/prevention/nutrition-physical-activity/empower/index.php#resources-policies-ashlinehttp://www.azdhs.gov/prevention/nutrition-physical-activity/empower/index.php#resources-policies-smoke-free-campus
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Bureau of Child Care Licensing 23 Licensing Surveyors statewide
Over 2500 licensed facilities (centers, homes)
Required regulatory inspections:
Centers: 1 per year (annual compliance)
Homes: 2 per year (annual & mid-year compliance)
Other inspections done as needed
Monitoring
Complaint investigations
Modification
Unlicensed inspections – alleged unlawful child care12
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Licensing Inspection Overview Physical plant
Building, playground & equipment
Administrative
staff and children’s files
records
management practices
Classroom Environment
Empower Standards
99% of licensed facilities are currently registered with Empower Program
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Licensing staff functions Empower Assessments
Completed during the annual compliance inspection
Surveyors recommend that providers complete the assessment independently
Surveyors are available to answer questions, clarify Standards
Assessments are not regulatory – no punitive action attached
Surveyors ensure that data entry is completed for Empower Facilities
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Assessment – data entryPaper form Direct online input
Generally paper is more conducive for regulatory process
Director can finish at her own pace
Surveyor can continue regulatory inspection
iPad used during inspection
Allows directors time to reflect, assess and come to a conclusion
Very convenient
Data is immediately loaded to digital storage
Assessments are not misplaced or forgotten
Frequently Surveyors will:
Enter data while on-site
Allow director to complete on iPad during exit interview
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Empower Assessment form
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Empower SurveyMonkey entry
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Functions for Nutrition and Physical Activity staff Collect and analyze data
Coordinate resources
Provide training, training resources
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Outreach functions Develop additional
community resources
Connect community resources with facility staff
Encourage implementation of best practices
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Home Settings Licensed Child Care Group Homes (CCGH) (ADHS)
Training and/or technical assistance with almost 300 licensed homes over 2-year period
Provide resource kit to support nutrition education, physical activity and family-style meals
Certified Family Child Care (FCC) Homes (DES) Almost 600 FCC Homes must register with Empower as part
of new contract agreement with DES (Department of Economic Security) and FCC providers
Training and/or technical assistance for supervisory staff
Provide resource kit to support nutrition education, physical activity and family-style meals (supported with SNAP-Ed funds)
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Updates to Materials Update of Empower Guidebook (3rd edition) in July
2016
Focus on standards, rationale and policy samples
Updated Empower Pack Kit (November 2016)
Copy of revised Empower guidebook
Copy of Active Play! (Dr. Diane Craft)
Updated collateral pieces such as magnets, posters, window clings and additional marketing and promotional materials
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Updates to Website Keep website relevant and current
Moved Teacher Activities here from guidebook
Moved Family Handouts here from guidebook
Awareness of five ‘lenses’
Center and home settings
Children with special health care needs/disabilities
Language and cultural accommodations
Multi-age grouping
Family engagement
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State-Systems Change Funding from Nemours Early Care and Education Learning
Collaboratives (ECELC) (Empower PLUS+) was impetus for intensive focus on obesity prevention
Sustainability goal grew from ECELC experience
Empower is compatible with ‘like’ quality improvement initiatives
Consistent messaging
It’s all about relationships
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ECE System CoordinationEmpower is compatible with…
Quality First (FTF QIRS system)
Head Start/Early Head Start Performance Standards
ECE accreditation systems
AZ Early Learning Standards (3-5 year olds)
AZ Infant/Toddler Guidelines (0-3 year olds)
Teaching Strategies Gold and other assessment/ongoing progress monitoring systems
ECE curriculum approaches
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ECE System ElementsArizona Department of Health Services (ADHS)
Bureau of Child Care Licensing (BCCL)
*Licensed Child Care Centers
*Licensed Child Care Group Homes (CCGH)
Bureau of Women and Children’s Health
*Material, Infant and Early Childhood Home Visiting (MIECHV)
Bureau of Nutrition and Physical Activity (BNPA)
*Women, Infants and Children (WIC)
*Arizona Nutrition Network (SNAP-Ed)
*Empower Program
Arizona Department of Economic Security (DES)
*Certified Family Child Care Homes FCC)
*Certified In-Home Child Care
*Arizona Early Intervention Program (AzEIP-Part C)
*Child Care and Development Block Grant (CCBDG)
*Child Care Development Fund
*State Plan
*DES Child Care Subsidy
First Things First (FTF)
*Quality First (QRIS)
*Other Initiatives and Programs
Tribes
*Child Care and Certificate Program
*Head Start/Early Head Start
Head Start/Early Head Start
*Regional Grantees, Delegates, Tribal, Migrant
*Performance Standards (federal regulations, local decision-making)
*Child Care Partnerships
Arizona Department of Education (ADE)
Child and Adult Care Food Program (CACFP)
*Alternative Approval Home
Early Childhood Education/Early Childhood Special Education
*Early Learning Standards (ELS) 3-5
*Infant Toddler Developmental Guidelines (ITDG) 0-3
*Preschool Development Grant (PDG)
*Preschool Special Education (Part B, Section 619)
Local Education Agencies (LEA)/Public Schools/Charter Schools
*various early education programs/free/tuition
*special funding/projects
Many other quality initiatives which may be local, state, national, international
Montessori
Faith-based
Professional Association (NAEYC, NAFCC, etc.)
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Questions?Answers…
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For further information: Empower website
Bureau of Child Care Licensing website
Bureau of Nutrition & Physical Activity
Bureau of Tobacco & Chronic Disease
Bonnie Williams
Flossie A. Wagner
www.AZDHS.gov
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http://www.azdhs.gov/prevention/nutrition-physical-activity/empower/index.phphttp://www.azdhs.gov/licensing/childcare-facilities/index.phphttp://intranet.hs.azdhs.gov/divisions/phs-prevention/nutrition-physical-activityhttp://www.azdhs.gov/prevention/tobacco-chronic-disease/index.phpmailto:[email protected]:[email protected]://www.azdhs.gov/http://www.azdhs.gov/http://www.azdhs.gov/
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November ECE Networking Call- Arizona Empower Program Audio
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