The URL can be used to link to this page

Browse Search

Home My WebLink About20032633.tiff RESOLUTION RE: APPROVE RENEWAL FORM FOR CHILD AND ADULT CARE FOOD PROGRAM AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Renewal Form for the Child and Adult Care Food Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, Family Educational Network of Weld County, and the Colorado Department of Public Health and Environment, commencing October 1, 2003, and ending September 30, 2004, with further terms and conditions being as stated in said renewal form, and WHEREAS, after review, the Board deems it advisable to approve said contract, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Renewal Form for the Child and Adult Care Food Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, Family Educational Network of Weld County, and the Colorado Department of Public Health and Environment be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said renewal form. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 15th day of September, A.D., 2003. BOARD OF COUNTY COMMISSIONERS WEL UNTY, COLORADO ATTEST: factiS4 't i ,i •O1,7/ David E. Long, Chair Weld County Clerk to the Board � EXCUSED I /j� � Robert D. asden, Pro-Tem +� leile ; to the Board i�r/ is6 V,Gj. --! J. eile ; . V eD ASj M: EXCUSED Willia/ H. Jer oun y Attor y "A Glenn Vaad Date of signature: I `e7S 2003-2633 HR0074 00 HSC 5y STATE OF COLORADO Bill Owens, Governor Douglas H.Benevento,Executive Director 4.00 coto Dedicated to protecting and improving the health and environment of the people of Colorado yF 4300 Cherry Creek Dr.S. Laboratory Services Division Denver,Colorado 80246-1530 8100 Lowry Blvd. *laze • Phone(303)692-2000 Denver,Colorado 80230-6928 TDD Line(303)691.7700 (303)692-3090 Colorado Department Located in Glendale,Colorado of Public Health http://www.cdphe.state.co.us and Environment CERTIFICATE AND STATEMENT OF AUTHORITY &TRUTH OF APPLICATION (The second page of this document must be signed) The Child and Adult Care Food Program(CACFP) rules and regulations 7CFR 226.6(15)(b) requires that all renewing institutions certify that all information on the application is true and correct.The regulation also requires the name, mailing address,and date of birth of the institution's Executive Director,the Chairman of the Board of Directors,the Owner,the responsible principals,and the responsible individuals. The agreement between the CDPHE-CACFP states on page 3, "The Contractor's governing body is responsible for the administration of the center(s)listed in"Attachment B,"which is incorporated herein by this reference..." In addition,the agreement also states on page 5,section 12, points A-E, 'The Contractor shall keep full and accurate records pertaining to its food service as a basis for its claims for reimbursement and,for the State and Federal audit and review purposes...."Therefore,the Contractor needs to ensure that the CACFP Program regulations(7 CFR 226)and all appropriate State regulations and policies are met at all times during the operation of the CACFP. I,(We),the undersigned,state that the child care center(s) listed on Attachment B of the Agreement(CACFP 300)or the Multiple-Site Summary Sheet is an integral part of,and therefore under the direct control of,the governing body of the following organization: weld County Division of Human Services Family Educational Network fo Weld County Legal Name of the Organization Trade Name of the Organization(Complete only if doing business as[d/b/a1) Whose address is: P.O. Box :1805 (Street Address) Greet Pv(C'dy) (Sr(Cite) A R(970 ) 353-3800 ( ) (Telephone) (Fax) - This organization is: For Profit Corporation❑ Non-Profit Corporation 5 Limited Liability Corporation❑ Sole Proprietorship❑ Public Entity❑ Partnership❑ Church❑ We further certify that all funds relating to the Child and Adult Care Food Program (CACFP)will be subject to the control of the duly constituted governing body of the above-named organization,business,or church and that all funds received for the operation of the CACFP will be used exclusively for the purpose for which they were received.We also understand that failure to do so could result in termination of the CACFP agreement and the placement of the institution we represent andany responsible principals and responsible individuals on the National Disqualified List. We further understand that if an institution is placed on the National Disqualified List,the institution,and all of its responsible principals and responsible individuals are prohibited from future participation in the CACFP. We, as responsible principals and responsible individuals for the above mentioned organization certify that all the information in this application is true and correct to the best of our knowledge and that the undersigned individual(s)whose name(s)and signature(s) appears below is authorized to sign the Claim for Reimbursement and is fully empowered to enter into any agreement with the Colorado Department of Public Health and Environment, Child and Adult Care Food Program(CDPHE-CACFP); and may act for the above mentioned center,or sponsor of centers, in preparing and signing documents and reports pertaining to the management of the CACFP. ]iCACFPConomn\FORMS\Aemnl Forms Mammal Forms FYe<\CSA&TAdoc 71003 ' CERTIFICATE AND STATEMENT OF AUTHORITY&TRUTH OF APPLICATION Page 2 • SIGNATURE PAGE Center's Legal Name: Family Educational Network of Weld County THIS BOX MUST BE SIGNED! OWNER/CHAIRMAN OF THE BOARD/EXECUTIVE DIRECTOR/PASTOR Address other than the Center's address: vid E. Long (Printed (9/ 5/2003) .. � (Signature) Phone number other than the Center's phone number: Chair, Board of County mmissioners ( ) - (Title) 9/24/1953 (Birth Date-MMIODIYY) THIS BOX MUST BE SIGNED! CENTER DIRECTOR T Address if different from the Center's main address: (Printed Name) (signature) Phone number if different from the Center's main phone number: ( ) (Birth Date-MMIDDIYY) AUTHORIZED REPRESENTATIVE I Address if different from the Center's main address: Tere Keller—Amaya (Printed Name) (Sgn°/Iure) Phone number if different from the Center's main phone number: Director ( ) (T ) to ‘ \\ S`‘(Birth Date iWDbIYY) AUTHORIZED REPRESENTATIVE 2 Address if different from the Center's main address: Julie Mallory (Printed Name) S�fL `R ° iCia90 -(Sgna Phone number if different from the Center's main phone number: Health Specialist ( ) - (Tge) H ) ii ) Lo�S' (Birth Date-MMIDD/YY) When there is a change of responsible principles or individuals as listed above,it shall be the responsibility of the center or sponsor of centers to request from the CDPHE-CACFP office,forms to register the change.An Authorized Representative is a responsible individual,other than the center director, who has been authorized to sign the Claim for Reimbursement forms on behalf of the above listed organization.The signature of the Authorized Representative on the Claim for Reimbursement must match one of the signatures on this form or the Claim for Reimbursement cannot be processed and your reimbursement will be delayed. 1.\CACFPCommon\FORMS\Rene eal Fo,nn\Rencwal Forms FY04\CSA&TAdoc 7/003 Renewal Form CDPHE-CACFP October 1, 2003- September 30, 2004 Dear Center CACFP Representative: This form reflects the most current information the Colorado Department of Public Health and Environment,Child and Adult Care Food Program (CDPHE-CACFP)has on file concerning your center and its participation in the CACFP. Please review the form and verify the accuracy of the information. Make the necessary corrections(in red ink)to those items that are not correct and/or no longer applicable. Sign and return the form to the CDPHE-CACFP by Friday,September 5,2003. If you have any questions,please contact Sheila Sharpe or Shawna Morgan-Johnson at 303-Q92-2330. 1. CENTER/SPONSOR INFORMATION Name and Address: WELD COUNTY Agreement Number:65103-05 FAMILY EDUC NETWORK OF WELD CO PO BOX 1805 Federal Tax ID Number: 84-6000813 L GREELEY, CO 80632-1805 2, I have reviewed this form and certify c that the information it contains' correct. �,,///1��ppp ��b ,,�tl Print Name:, 1l lit e. Mn I 'or.-{ Signature: O U.t4C `,NV ""I- 3. MAILING ADDRESS ((\\vv 1 If you would like your reimbursement check mailed to an address different from the above,your W-9 form must reflect the correct address. Call the CACFP if you have any questions. 4. Number of Centers: 15 County Weld Authorized Representative: 1. TERE KELLER-AMAYA 2.JULIE MALLORY Center Telephone: (970)353-3800 Alternate Telephone: Fax: (970)356-3975 5. Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Months Approved for CACFP Participation: 6. Commodities::`lu Cash-In-Lieu of Commodities: 7• Number of Shifts:2 8. License Capacity: 618 9. Does center care for infants? Yes No License Number. N/A Bkfst AM Sn Lun PM Sn Sup Late Sr License Expiration Date: 8/31/2005 �4`I Meals Approved: "r .. @ ),u Timely Renewal: N Does Center claim infants on the CACFP? Hours: 6:30A-6:00P (up to first birthday) 10. Is this a pricing program? Yes No Days Open: MON-SAT Yes No `, 'r 11.Center contracts meal service? Yes n No!! 12.Contractor's Name: 5 SCHOOL DISTRICTS 13, Food Service Contract Expiration t,q: (please list additional contractors on the back) (please list additional dates on the back) Date: 5/23/2003 14. Meals are:Prepared at the center f�l' Prepared off-site 15. Age Range of Participants: 0 to 5 16. FOR,'PROFIT CENTERS'OI LY '' Step 1 -Shawna/Shelia'.,, Step=2-Specialist ! -. Fbllow-up'Information According to our records,your center has packet Packef Incomplete Title XIX or XX contracts with these counties. f0lloW-il `I+' Please update as necessary. Received; � P' Iniliai Date County I Expiration Date All Forms.Received`. Inhlal c ^Date Forms Missing: PersonPContacted (�j card'Sent: or Date Form Ltr Sent . ' ate =Renewatcompleto: . Date: — Initial CardSent,(?)(see'slep'1): already sent _,send Child and Adult Care Food Program RENEWAL SPONSOR OF CENTERS APPLICATION 65103-05 05 WELD COUNTY FAMILY EDUC NETWORK OF WELD CO PO BOX 1805 GREELEY,CO 80632-1805 1. Does your organization or do any facilities under your administration now participate in, or has it participated in, any publicly-funded programs (including the Child and Adult Care Food Program) in the last seven (7) years? ® Yes ❑ No (If yes, please list names of all programs and dates of participation.) 2. If approved as a Sponsor of CACFP centers,will your organization provide the CACFP to currently un-served centers and children? NO 3. List the number of CACFP participating centers in each category under your administration: Nonprofit Child Care Centers - 13 . Head Start Centers Nonprofit Adult Day Care Centers Early Head Start Centers Outside School Hours Centers 15 Migrant Head Start Centers After School At-Risk Snack Programs For Profit Title XX Child Care Centers Emergency Shelters Serving Homeless Children For Profit Tile XIX Adult Day Care Centers 4. List the total number of participants enrolled at CACFP participating centers under your administration: Nonprofit Child Care Centers 603 Head Start Centers Nonprofit Adult Day Care Centers Early Head Start Centers Outside School Hours Centers 266 Migrant Head Start Centers After School At-Risk Snack Programs For Profit Title XX Child Care Centers Emergency Shelters Serving Homeless Children For Profit Tile XIX Adult Day Care Centers 5. All centers must be visited at least three times a year with no more than six months between visits.Two of the site visits must be conducted unannounced. All of the unannounced visits must be conducted during approved meal times. All site visits must be conducted during normal operating hours of the facility. The person doing the site visits must present photo identification that shows that the person is an employee of the sponsoring organization. A person from the sponsoring organization who is a recognized authority and has food program responsibility and knowledge of the CACFP should be assigned to do all site visits. The first site visit must occur during the first six week of operation.All non-school sponsored outside-school-hours centers must be monitored at least six times a year. If they are in session only nine months, they must be visited four times. Please describe how you will meet this requirement, including who will be responsible for the visits as well as an approximate schedule of when the visits will be made for fiscal year 2004. (Attach a separate page if necessary). You must use the CDPHE-CACFP Site Visit Form to conduct all required visits.A copy of this form will be enclosed in your approval packet. J:\CACFPCommon\FORMS\Aenewal Fortns\Renewal Forms FY04'APPLSOC04.doe 6. Please describe your procedure for following up on problems discovered during monitoring visits. (Attach a separate page if necessary). See Attached 7. Sponsors are responsible for collection, maintenance, and review of the records for each center. Please describe the system you will use for collecting, maintaining, and reviewing the following records: (Attach separate page if necessary). A. Income Eligibility Forms (IEFs) B. Records of Meals Served (ROMS) C. Menus See Attached D. Production Records E. Food Receipts and Invoices F. Claims for reimbursement 8. All center staff that will work with CACFP must receive initial training as well as annual training regarding the food program and nutrition. Please describe how you will train staff regarding the record keeping, administrative, and food service duties of the food program. Please include dates and topics to be covered. • (Attach separate page, if necessary). See Attached 9. Before you bring on a new center, you will be required to conduct a pre-approval visit.The pre-approval visit must be conducted unannounced. You must use the CDPHE-CACFP site visit form (which is enclosed in this packet if you are a new applicant, or will be enclosed in your approval packet if you are renewing) to conduct this visit. A copy of the completed form must be submitted before you will be approved to claim meal reimbursement for a new center. Please describe how you will conduct your pre-approval visits including who will be responsible for conducting them. See Attached 10. List all sponsor personnel who will be involved in administering the CACFP using the chart below. Complete chart as specified, recording the duties of personnel listed in ADMINISTRATIVE DUTIES directly related to the CACFP. Administrative duties include managing finances and operation of CACFP. Do not include food preparation or serving duties. (Attach additional pages if necessary). SPONSOR STAFFING PATTERN FOR CACFP ADMINISTRATIVE DUTIES A. B. C. D. E. Position CACFP Administrative Duties Annual Percentage of Annual CACFP- Salary Time Spent on Related Salary Includes IEFs,ROMS,Menu and Production CACFP Duties Only Records,Claims for Reimbursement,menu planning,site visits,and training.Do not include food preparation or meal service. (Column C x Column D) Administrator (or equivalent) Asst.Administrator (or equivalent) Clerical Support (or equivalent) Other(specify) Site visits Other(specify) Site visits Total CACFP-Related Labor 11. Your sponsorship must have a policy that restricts other employment by employees that interferes with their CACFP responsibilities. Please attach a copy of this policy. See Attached 12. List all administrative budget expenses for CACFP related activities only using the chart below. Annual CACFP Administrative Budget(for CACFP related activities only)* CACFP-Related Labor(enter total from above). Do not include labor for food $ preparation or meal service. _ Office Supplies (including reproduction costs) $ Postage $ Transportation for Facility Monitoring (include mileage multiplied by$0.20) $ Telephone $ Office Rental/Mortgage Payment and Maintenance $ Utilities for Office Area $ Other(specify) $ Total CACFP Administrative Budget $ * No more than 15% of CACFP reimbursement may be used to cover administrative expenses. 13. List all food service operations expenses for CACFP related activities only using the chart below. Annual CACFP Budget for Food Service Operations at Facilities under Your Administration (for CACFP related activities only) Food Purchases $ Food Service Labor(salaries of cook and/or staff preparing or serving meals) $ Food Service Contractor Fee $ 180,000 Non-food Supplies (napkins, straws, dishwashing detergent, etc.) $ Maintenance for Food Preparation, Storage, and Service Areas f $ Rent/Mortgage Payment for Food Preparation, Storage, and Service Areas $ _ Utilities $ j Other(specify) $ Total CACFP Food Service Operating Budget $ 180,000 14. List all sources of cash income specifically for the food service including CACFP reimbursement. SOURCE 1 INCOME AMOUNT 1 CACFP reimbursement $ 250,000 Head Start/Migrant Head Start $ 270,000 $ Total Food Service Income (including CACFP reimbursement) $ 520,000 I certify that the information on this application and any other application materials is true to the best of my knowledge; that I will accept final and administrative and financial responsibility for ail Child and Adult Care Food Program operations at at centers under my sponsorship.I further certify that reimbursement will be claimed only for meals served to enrolled participants,that the CACFP will be available to alt eligible participants without regard to race,color national origin,Sex,'age,or disability at the approved food service facilities. I also certify that these facilities have the capability for the meal service planned for the number of participants anticipated to he served,or the meals provided by a food service management company comply with CACFP regulations.Additionally, I certify that the institution applying for CACFP participation,has not been,nor have any of the sites for which the institution will be claiming CACFP meal reimbursement monies or any of the institution's or sites'principals,been disqualified from participation in any other publicly-funded program forviolating that program's requirements and thatnone have been convicted of,or concealed certain crimes indicating a lack ofbusiness integrity. Publicly-funded program"means any program or grant funded by federal, state,or local government. I understand that this information is being given in connection with the receipt of Federal funds and that deliberate misrepresentation may subject me to prosecution under applicable State and Federal criminal statutes. Signature of Center Director or Authorized Representative Date ti (#1ta DEPARTMENT OF HUMAN SERVICES Family Educational Network of Weld County 1551 NORTH 17TH AVENUE PO BOX 1805 IGREELEY, CO 80632 (970)353-3800 O FAX(970)356-3975 COLORADO CACFP Renewal #5. The person responsible for conducting the site visits will be our part-time dietitian, Joyce Johnson. The monitoring visits will be done on a quarterly basis. #6. Follow up for problems discovered during the monitoring visits will be addressed as follows. The issue will be brought to the attention of the Health Specialist,who will address it with the appropriate people. The centers also have a nutrition concern form that can be completed any time there is a concern. #7. - A. Income Eligibility Forms: Income eligibility forms are completed at the beginning of the school year. B. Records of Meals Served: Teaching staff complete the ROMS and turn them into the Health Specialist. The information is complied for the meal claim form. C. Menus: Menus are formulated with the appropriate school district and approved by Parent Policy Council. D. Production Records: Production records are completed by the school district cooks and reviewed by the Health Specialist. E. Food Receipts and Invoices: Invoices are approved by the Director and sent to the fiscal officer for payment and recording purposes. F. Claims for reimbursement: A report from the Health Specialist is given to the Director. The Director completes the form and sends it in for reimbursement. #8. Center staff receives training in September. New staff hired after September,receives training at new hire training and on the job training. #9. At this time, we may be opening a new center in Ft. Lupton. Joyce Johnson will contact the pre-approval visit and complete the pre-approval visits form. If there are any concerns, they will be addressed and corrected prior to the center opening. 2003-2004 WELD COUNTY HEADSTART FOODSERVICE MONITORING SCHEDULE September October November December Gilcrest 19 Milliken 3 Jefferson 7 Platteville 24 Madison 10 East Memorial 11 CDSI 16 Centennial 17 Hudson 13 Island Grove 30 Dos Rios 17 St. Peters 19 Frederick 23 January February March Island Grove 9 Gilcrest 12 Frederick 12 CDSI 13 Platteville 12 Jefferson 19 Dos Rios 15 Milliken 20 East Memorial 23 Centennial 15 Madison 26 Hudson 31 St. Peters 27 April May June Island Grove 2 Hudson 11 CDSI 6 Jefferson 18 Dos Rios 20 East Memorial 18 Centennial 20 Frederick 20 Platteville 23 Madison 27 Gilcrest 23 Milliken 28 St. Peters 28 Monitoring Visits by: Joyce E. Johnson, MA Weld County Nutrition Consultant A. No employee of the Central Purchasing Division shall have any Interest in any enterprise or organization doing business with Weld County. SECTION L_(l l^`ION XI B. Neither the Treasurer nor employees oftheTreasurers office shall have any /� proprietary interest in any financial institution in which the County PAY SYSTEM maintains deposits. SALARY POLICY In the event a question arises as to possible conflict of Interest between any Weld County participates In various salary surveys. Salaries are set by the County officer,member of an appointed hoard,or employee,and any enterprise Board of County Commissioners after full consideration Is given to: or organization doing business with Weld County,the question will be presented to the County Council for review,investigation,decision and resolution. The _ present pay rates compared to labor market competitors. The judgment and decision of the Council shall be considered final and shall be made - competitive job market may vary by job classification or specific a matter of public record. Conflicts of interest In government employment are jobs. also governed by State law.Sections 24-18-101 to 113,and 24-18-201 to 205, • ability to pay. C.R.5. Employees should consult with the Weld County Attorneys Office for • benefit and supplemental pay policies. guidance to determine whether a possible conflict of Interest exists. . supply/demand situation for personnel needs. SEAT BELT USE • supply/demand situation in the labor market, • employees expectations. All drivers will wear seat belts while operating County vehicles or when operating personal vehicles on County business. Drivers will be responsible to Insure that The salaries are established during the budget process annually to be effective all passengers in the vehicle have fastened their seat belts while the vehicle is - with the January pay period (December 16 -January 15). Salary levels and in motion. - classifications once set by the Board arc not adjusted during the fiscal year. SMOKING POLICY Once salary levels are adopted, a pay table Is distributed annually to all Smoking is prohibited in all County buildings and County vehicles. Smoking Is departments. All employees and the public have access to the pay tables for prohibited within fifty(50)feet of any entrance to all County buildings. . Information. OBJECTIVES OF THE PAY SYSTEM The pay system has been developed to provide equity,Increased productivity, competitive compensation to employees,and to provide management with a resource to measure and reward performance. Objectives of the system Include: A. Equity. To assure that all eligible employees have an opportunity to compete for and receive the awards of the system. B. Productivity. To establish a system that rewards performance so as to Increase productivity. t C. Competitive Compensation. To assure that employees compensation is competitive within the area. D. Management Resource.To provide management with a meansto administer and accomplish the organizational goals and objectives. PAY SYSTEM CONCEPTS The pay system concepts Include: • This Re,,ision:118-0 49 Effective Date:W-24-2000 Mks R''son:1194 50 Effective Pate:10-24-2000 Because e-mail is County property,the County has the right to inspect and review any e-mail or other data stored on County computers/equipment. 5CT COUNTY STATIONERY FOR CHARITABLE SOLICITATIONS staff Is responsible for monitoring electronic mail through regular Weld County encourages Its employees to participate in worthwhile community computer/network maintenance. Additionally,Count officials may inspect and activities. However,the County believes that an employee's decision to support copy e-mail and computer records when there are indications of Improriety by a charitable agency cause,or other appeal is a private one and should in no way an employee,when substantive information must be located and no other means be influenced by an employee's position within the County. • are readily available, or when necessary for conducting County business. Supervisors may review the contents of an employee's electronic mail without The USG of County stationery for direct solicitation of employees implies support the employee's consent. by the County and may be viewed by some employees as coercive. The only • appeal which has County approval and for which County stationery may be used Employees using e-mail should refer to the Weld County Internet Acceptable Use for soliciting other County employees is the United Way Campaign of Weld Policy in the Weld County Administrative Manual. County. I PERSONNEL RECORDS OI ITSIDE EMPLOYMENT Personnel Services is the custodian of all official personnel/p ayroll records for An employee may engage in outside employment if there is no Interference with s file in Personnel assigned working hours and duties,no real or apparent conflicts of interest with current and past employees of Weld County. The employee Services will bethe official file for all legal actions,employment references,or any assigned responsibilities, and if approved by the Department Head/Elected other official inquiries. Colorado law requires that the files be restricted from Official. EXCEPTIONS: When prohibited by the County Home Rule Charter or by access by anyone other than an individual who has a direct interest,i.e.the Resolution of the Board of Commissioners. employee or his supervisor(s). Each employee has access to his own records. APPEARANCE/DRESS The employee may authorize a third party access to his record with written Weld County requires all employeesto present a professional image to the public authorization signed by the employee which specifies exactly what items can be and our customers. Accordingly,each employee Is required to wear appropriate accessed or released.Without additional signed authorization,Weld County will attire. Employees working in an office environment with public contact are not only confirm employment and length of employment with Weld County. Inquiries authorized to wear blue denim Jeans (blue-Jeans)to work. Shorts are not that are authorized by employees or former employees from prospective authorized to be worn by any County employees while at work. If uniforms arc employers will be answered based on the final evaluation of the employee,of provided employees may be required to wear them. Certain jobs In the County which*he employee should have a copy.Information will not be provided without have specific safety requirements,such as hard hats and steel toed shoes. the employees permission. While on duty County employees are not permitted to wear any visible body piercing ornamentation except on the ears. • Changes In personal data(e.g.marital status,number of dependents,address, telephone number,benefit coverage,work authorization status)may affect the Employees found in violation of this policy can be sent home without pay to employee's pay or employment. Therefore, it is most important that an change Into proper attire and could be subject to further disciplinary action. employee report appropriate changes as soon as possible. USE OF PRIVATE AUTO $OLICITATION5 Some positions require,as a condition of employment,the use of the employee's Unless authorzed by the County,solicitations on County premises arc subject vehicle in conducting assigned duties.Employees will be reimbursed mileage.The to the following rules: - County is not liable fqr damage which may occur to your vehicle while on County business. A. Solicitations by Employees: Because of the disruption to business, no materials shall be distributed to and no solicitation shall be made of any CONFLICT OF INTEREST employee In any public area within the premises. Any solicitation must be - Section 16-9 of the Weld County Home Rule Charter states that,no County confined to non-work and non-public areas and during non-working time. officer,member of an appointed Board,or employee shall have any Interest in B. Solicitations by Nan-Employees: Non-employees may not-solicit on the any enterprise or organization doing business with Weld County which might Interfere with the unbiased discharge of his duty to the public and the best County premises for any reason whatsoever. Interest of the County.. This restriction shall not apply where the officer, member of an appointed Board,oremployee's department has no directcontact or business transaction with any such enter3prise or organization. Specifically. This Revision:11541 47 Effective Pate:10-24-2000 This Re/Won:118-0 q5 Effective Date:10-24-2000 ChildChild.4tittAdOltParelijod Program r RENEWAL AUDIT QUESTIONNAIRE Place center or sponsor of centers label in this area. Organizations receiving Federal funds are required to be audited.The information requested on this form will help us satisfy those requirements. It may be helpful to have someone in your accounting or business office,or someone on your board who is familiar with auditing procedures, prepare this questionnaire. Please return this form even if you do not currently receive Federal funds. 1. Do you contract*with an accounting firm to conduct an audit of your center/sponsor of centers? a Yes LI No If your center/sponsor of centers is part of another organization,does the organization have an A: Yes ❑ No organization-wide audit? The term"organization-wide audit"means an audit of all funds received by an organization, including federal,state,local,and private funds.The audit must include a random sampling of all federal funds received by the organization,and it must be conducted by an independent auditor. 2. Is a review of the CACFP included in that organization-wide audit? in Yes ❑ No 3. What is the legal name of the organization being audited? Weld County Government - 4. What federal funds does your organization receive other than CACFP?(Examples: National School Lunch Program,Child Care Assistance Payments[Title XX],etc.) List: Dollar Amount received per year: $ Head Start 2,678,203 s Migrant Head Start 1 ,843,988 Older Americans Act s 562,082 Wagner/Peyser s 547,488 $ Workforce Investment Act — 859,283 6. What is the total annual budget for the organization identified in Question#4?(Include all federal,state,and`other"funds). 10,575,149 7. When does your organization's fiscal year begin and end? From 2 31 8. Does your organization have fiscal year end schedules (finanda!statements)? Yes ❑ No 9. Does your organization have computerized records? raYes ❑ No *Al!audit contracts must include the paragraph on the reverse side of this form. Questionnaire prepared by: Marilyn Carlino - Date: 8/20/2003 Title: Fiscal Officer, WCDHS Phone Number: 97(1-353-3Rlf ext. 135f1 O'VR' J'1CACFr'Cu,.ur.1FOR/ASlRenewal FomalRenewat Forms FY641AUD0UES-Ctr.da 51211033 RENEWAL C1/7/1a AdietCa ad ( • CIVIL RIGHTS COMPLIANCE REVIEW 65103-05 05 WELD COUNTY FAMILY EDUC NETWORK OF WELD CO PO BOX 1805 GREELEY,CO 80632-1805 The Colorado Department of Public Health&Environment,Child and Adult Care Food Program is required to conduct a pre-award civil rights compliance review of centers or sponsors of centers applying for CACFP participation.Please complete the following information: 1. List the percentages for each radal/ethnic group in the community served by your center.Usually this information can be obtained from the local School District Chamber of Commerce,Census Bureau,or Public Ubrarv.If you have more than one center,combine this information for all centers. 1 % American Indian or Alaskan Native 7 7 % Hispanic(a person of Mexican,Puerto Rican,Cuban, Asian or Pacific Islander Central or South American,or other Spanish culture _4__% Black(not of Hispanic origin) 72 or origin,regardless of race) % White(not of Hispanic origin) 2. Count the actual number of children enrolled in your center for each group listed below.Write the number in the space provided.If you have more than one center,combine this information for all centers. 0 American Indian or Alaskan Native 7 7 Hispanic(a person of Mexican,Puerto Rican,Cuban, Q Asian or Pacific Islander Central or South American,or other Spanish culture Black(not of Hispanic origin) or origin,regardless of race) 21 White(not of Hispanic origin) 3. Do you do any activities to assure that minority populations and grassroots organizations have an equal opportunity to participate or are informed about changes in the Program?Yes x No If yes,please check all that apply: X Distribution of brochures of Program information at public locations X Public service announcements in local newspaper,on radio,or on television(circle media type used) Paid advertisements in local newspapers Other,please explain: The CACFP requires all advertising about the food program to contain a nondiscrimination statement.Do or will the items you checked above include the following.nondiscrimination statement?Yes X No The U.S.Department of Agriculture(USDA)prohibits discrimination in its programs and activities on the basis of race,color,national origin,gender,religion, age,or disability.Person with disabilities who require alternative means for communication of program information(Braille,large print,audiotape,etc.)should contact the USDA's TARGET Center at(202)720-2600(voice and TDD). To file a complaint of discrimination,write USDA,Director,Office of Civil Rights,Room 326-W,Whitten Building,1400 Independence Avenue,SW,Washington, D.C.20250-9410,or call(202)270-5964(voice and TDD).USDA is an equal opportunity provider and employer. 4. Is membership in a specific organization required before children can be enrolled?Yes No X If yes,please explain: 5. Have you ever been found to be in noncompliance of the Civil Rights laws by any federal agency?Yes No )if yes,please explain: I assure the Colorado Department of Public Health and Environment,Child and Adult Care Food Program that all enrolled participants in the Child and Adult Care Food Program at the center(s)described on the application forms are served the same meals,at no separate charge regardless of race,color, national origin, gender,religion,age,or disability,and there is no discrimination in the course of the meals service. �ct 9/0103 Sig re of Center Director or Authorized Rep entative Date CAC USE ONLY Signature of State CDPHE-CACFP Program Director Date J:ICACFPCommon\FORMS1Renewal Forms\Renewal Forms FY041Civil Rights-Ctr.doc }! .i RENEWAL GbfilSfiangfr111fiukCa;FaodR44rfpranf r*c CIVIL RIGHTS COMPLIANCE REVIEW 65103-05 05 WELD COUNTY FAMILY EDUC NETWORK OF WELD CO PO BOX 1805 GREELEY,CO 80632-1805 The Colorado Department of Public Health&Environment,Child and Adult Care Food Program is required to conduct a pre-award civil rights compliance review of centers or sponsors of centers applying for CACFP participation.Please complete the following information: 1. Ust the percentages for each racial/ethnic group in the community served by your center.Usually this information can be obtained from the local School District Chamber of Commerce,Census Bureau,or Public Library.If you have more than one center,combine this information for all centers. 1 % American Indian or Alaskan Native 27 °/D Hispanic(a person of Mexican,Puerto Rican,Cuban, _ 1 % Asian or Pacific Islander Central or South American,or other Spanish culture Black(not of Hispanic origin) or origin,regardless of race) 72 % White(not of Hispanic origin) 2. Count the actual number of children enrolled in your center for each group listed below.Write the number in the space provided.If you have more than one center,combine this information for all centers. U American Indian or Alaskan Native 77 Hispanic(a person of Mexican,Puerto Rican,Cuban, U Asian or Pacific Islander Central or South American,or other Spanish culture 5— Black(not of Hispanic origin) 21 or origin,regardless of race) White(not of Hispanic origin) 3. Do you do any activities to assure that minority populations and grassroots organizations have an equal opportunity to participate or are informed about changes in the Program?Yes X No If yes,please check all that apply: X Distribution of brochures of Program Information at public locations X Public service announcements in local newspaper,on radio,or on television(circle media type used) Paid advertisements in local newspapers Other,please explain: The CACFP requires all advertising about the fcod program to contain a nondiscrimination statement.Do or will the items you checked above include the following nondiscrimination statement?Yes A No The U.S.Department of Agriculture(USDA)prohibits discrimination in its programs and activities on the basis of race,color,national origin,gender,religion, age,or disability.Person with disabilities who require altemative means for communication of program information(Braille,large print,audiotape,etc.)should contact the USDA's TARGET Center at(202)720-2600(voice and TDD). To file a complaint of discrimination,write USDA,Director,Office of Civil Rights,Room 326-W,Whitten Building,1400 Independence Avenue,SW,Washington, D.C.20250-9410,or call(202)270-5964(voice and TDD).USDA is an equal opportunity provider and employer. 4. Is membership in a specific organization required before children can be enrolled?Yes_ Nom_ If yes,please explain: 5. Have you ever been found to be in noncompliance of the Civil Rights laws by any federal agency?Yes No X If yes,please explain: I assure the Colorado Department of Public Health and Environment,Child and Adult Care Food Program that all enrolled participants in the Child and Adult Care Food Program at the center(s)described on the application forms are served the same meals,at no separate charge regardless of race,color, national origin, gender,religion,age,or disability,and there is no discrimination in the course of the meals service. Li QA o i I IC) QC7 9'l 2)o SI. a re of Center Director or Authorized Repres ative Date CAC :USE ONLY Signature of State CDPHE-CACFP Program Director Date J:ICACFPCommonlFORMS\Renewal Fomis\Renewal Forms FY041CMI Rights-Cir.doc ATTACHMENT B - PARTICIPATING CENTERS/SITES Listing of all centers/sites participating in the CACFP Agreement#: 65103-05 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES (Mustput Beplhning BILLIE MARTINEZ License# : 81834 & Endmg Times) Bkfst AM Snk Lunch PM Snk Supper Late Snk 1050 37TH ST LicenseCap : 50 Times Times Times Times Times Times EVANS, CO 80620 LicenseExp Date : 5/31/2003 0730-0830 1100-1200 0230-0245 0430-0500 Telephone : (970)506-1797 Meals are Prepared:On-site Off-site Send Nutrition Education Mtrl To:❑ Main Office Contact Person:DOROTHY PEREZ ❑Above Address Age Range of Children: 0 - 5 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES CENTENNIAL License#: 81833 (,Niu t'Ru uegigB� nnmEndinglTirr upl, Bkfst AM Snk Lunch PM Snk Supper Late Snk 1400 37TH ST LicenseCap : 50 Times Times Times Times Times Times EVANS, CO 80620 LicenseExp Date: 1/17/2004 0730-0830 1130-0100 0230-0330 0430-0500 Telephone : (970)3393085 Meals are Prepared:On-site a Off-site Send Nutrition Education Mtrl To:❑ Main Office Contact Person:CLAUDIA TAPIA El Above Address Age Range of Children: 0 - 5 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES DOS RIOS License#: 81829 (Mtt S1t atf iri '&Endthg�Timeg) Bkfst AM Snk Lunch PM Snk Supper Late Snk 2201 34TH ST LicenseCap : 50 Times _ Times Times Times Times Times EVANS, CO 80620 LicenseExp Date : 5/31/2003 0730-0845 1100-1230 0230-0245 0430-0500 Telephone : (970)330-3220 Meals are Prepared:On-site Off-site Send Nutrition Education Mtrl To:❑ Main Office Tac: A� �Ni fEZ 1::1 Above Address Contact Person.('AT 3N00VAE Age Range of Children: 0 - 5 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES EAST MEMORIAL License#: 81830 ( 'dst4puL064.0. .44'Ending T.irYes) Bkfst AM Snk Lunch PM Snk Supper Late Snk 614 E 20TH ST LicenseCap : 50 Times Times Times Times Times Times GREELEY, CO 80631 LicenseExp Date: 5/31/2003 0730-0830 1100-1200 0230-0245 0430-0500 Telephone : (970)352-9478 Meals are Prepared:On-site a Off-site Send Nutrition Education Mtrl To:❑ Main Office Contact Person:KAREN WAGGONER ❑Above Address Age Range of Children: 0 - 5 I ATTACHMENT B - PARTICIPATING CENTERS/SITES Listing of all centers/sites participating in the CACFP Agreement#: 65103-05 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES FREDERICK License# : 66816 (Mustput beginning &;'Ending Tirnbs,). Bkfst AM Snk Lunch PM $hk Supper Late Snk 340 MAPLE LicenseCap : 54 Times Times Times Times Times Times FREDERICK, CO 80530 LicenseExp Date : 8/31/2003 0730-0830 1100-1230 0230-0245 0430-0500 Telephone: (970)833-2230 Meals are Prepared:On-site Off-site Send Nutrition Education Mtrl To:❑ Main Office Contact Person:ANGELA LEWELLEN ❑ Above Address Age Range of Children: 0 - 5 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES GILCREST License#: 85080 (Musttp`I gt?i ing &Eri'ding Tlr') Bkfst AM Snk Lunch PM Snk Supper Late Snk 1175 BIRCH LicenseCap : 15 Times Times Times Times Times Times GILCREST, CO 80623 LicenseExp Date: 5/31/2003 0730-0830 1100-1230 0230-0245 0430-0500 Telephone : (970)737-6767 Meals are Prepared:On-site Off-site Send Nutrition Education Mtrl To:❑ Main Office Contact Person:KAYE WRIGHT ❑Above Address Age Range of Children: 3 - 5 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES GRAND JUNCTION License# : 04252 (I iusrpu .eginning$Ending fr,es): Bkfst AM Snk Lunch PM Snk Supper Late Snk GRAND JUNCTION, CO LicenseCap : 42 Times Times Times Times Times Times LicenseExp Date : 7/31/2003 0730-0800 1130-1200 0230-0245 0430-0500 Telephone : (970)434-7112 Meals are Prepared:On-site ffi Off-site Send Nutrition Education Mtd To:❑ Main Office Ifer� ( 10 T'r El Above Address Contact Person:!-LARCNCC IIRRRINCTON Age Range of Children: 0 - 5 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES (1G ustTp t!Beglnritng.&Ending Tim es) HUDSON License# : 81828 Bkfst AM Snk Lunch PM Snk Supper Late Snk 300 W BEECH LicenseCap : 50 Times Times Times Times Times Times HUDSON, CO 80642 LicenseExp Date : 5/31/2003 0730-0930 1130-1245 0230-0330 0430-0500 Telephone : (970)536-0440 Meals are Prepared:On-site 21 Off-site • Send Nutrition Education Mtrl To:❑ Main Office Contact Person:GWEN CERRETTO O Above Address Age Range of Children: 0 - 5 ATTACHMENT B - PARTICIPATING CENTERS/SITES Listing of all centers/sites participating in the CACFP Agreement#: 65103-05 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES (Must put Begimm4&;Eliding Times): ISLAND GROVE VILLAGE License# : 85077 Bkfst AM Snk Lunch PM Snk Supper Late Snk 119 14TH AVE LicenseCap : 15 Times Times Times Times Times Times GREELEY, CO 80631 LicenseExp Date : 3/31/2004 0730-0930 1130-1230 0230-0330 0430-0500 Telephone : (970)352-2627 Meals are Prepared:On-site Off-site Send Nutrition Education Mtrl To:❑ Main Office �y�,�' ( �'�l°�(eZ ❑Above Address Contact Person'PENAHE- Me Age Range of Children: 0 - 5 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES JEFFERSON License#: 81831 (Mltst put Begin niiI &Ending Tilm'es); Bkfst AM Snk Lunch PM Snk Supper Late Snk 1315 4TH AVE LicenseCap : 30 Times Times Times Times Times Times GREELEY, CO 80631 LicenseExp Date: 10/31/2003 I 0730-0930 1130-1245 0230-0330 0430-0500 Telephone : (970)356-7408 Meals are Prepared:On-site M Off-site Send Nutrition Education Mtrl To:❑ Main Office Contact Person:MELINDA CASTILLO ❑Above Address Age Range of Children: 0 - 5 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES {fiuep6Beginning&,Ending Tines) MADISON License#: 81832 Bkfst AM Snk Lunch PM Snk Supper Late Snk 24TH AVE &6TH ST LicenseCap : 50 Times Times Times Times Times Times GREELEY, CO 80631 LicenseExp Date : 6/30/2003 0730-0900 1130-1230 0230-0245 0430-0500 Telephone : (970)353-2796 Meals are Prepared:On-site M Off-site Send Nutrition Education Mtrl To:❑ Main Office Contact Person:LARA WILEY ❑Above AddressAge Range of Children: 0 - 5 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES MILLIKEN License# : 85079 acIA DIENginning &.;EndingfTiri esj Bkfst AM Snk Lunch PM Snk Supper Late Snk 300 BROAD LicenseCap : 30 Times Times Times Times Times Times MILLIKEN, CO 80543 LicenseExp Date : 1/31/2004 0730-0900 1130-1230 0230-0300 0430-0500 Telephone : (970)587-2888 Meals are Prepared:On-site Off-site Send Nutrition Education Mtrl To:❑ Main Office Contact Person:MABEL TAPIR 0 Above Address Age Range of Children: 3 - 5 ATTACHMENT B - PARTICIPATING CENTERS/SITES Listing of all centers/sites participating in the CACFP Agreement#: 65103-05 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES OLATHE License# : 03811 (Must put Beginning &Ending Times)', Bkfst AM Snk Lunch PM Snk Supper Late Snk OLATHE, CO LicenseCap : 35 Times Times Times Times Times Times LicenseExp Date : 7/26/2003 0730-0800 1130-1200 0230-0245 0430-0500 Telephone : (970)323-5301 Meals are Prepared:On-site Off-site Send Nutrition Education Mtrl To:❑ Main Office vC ' ANN M'S'G�e. ❑Above Address Contact Person: Age Range of Children: 0 - 5 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES PLATTEVILLE ELEMENTARY License# : 05994 (vnusf� `i't�Begimm�g aidln 5TtfnSu Bkfst AM Snk Lunch PM Snk Supper Late Snk PLATTEVILLE, CO LicenseCap : 50 Times Times Times Times Times Times LicenseExp Date : 4/9/2003 0730-0803 1100-1200 1130-1200 0230-0245 0430-0500 Telephone : (970)785-2271 Meals are Prepared:On-site Off-site Send Nutrition Education Mtrl To:❑ Main Office Contact Person:KAYE WRIGHT ❑Above Address Age Range of Children: 3 - 5 MEAL SERVICE SCHEDULE OR MEAL TIME RANGES CMkstp ST. PETERS Bkfst AM Snk Lunch License#: 1509085 'Lynch iig &EndlnkTtttti PM Snk u Supper Late Snk 1112 9TH AVE LicenseCap : 14 Times Times Times Times Times Times GREELEY, CO LicenseExp Date : 1/31/2004 0800-0830 1000-1030 1200-1230 0330-0400 Telephone : (970))356-2110 Meals are Prepared:On-site Off-site Send Nutrition Education Mtrl To:❑ Main Office Contact Person:'JULfEt ;lb ❑Above Address Age Range of Children: 3 - 7 HEADSTART MENU S e tember, 2003 ' Monday 1st Tucs'ay-2nd 11'ednesda) 3rd Thursd.J -4th; Frieay Breakfast: Breakfast: Breakfast: Breakfast Labor Day French Toast Sticks 2 each Cereal 1 each Sausage Biscuit'A each Doughnut 1 each Diced Pears h cup Diced Peaches% cup Orange Juice''cup M..It- Apple Juice'A cup (h;1 L NO SCHOOL 1%White Milk-'A pint 1%White Milk-'A pint Lunch: Lunch: Lunch: Lunch: Burrito 1 each Pizza Slice I each Chicken Nuggets 4 each Hamburger on a,Bun'A W/salsa 1/8 cup Tossed Salad%cup Seas,Noodles'%cup each Rice Pilaf''h cup Ranch Dressing 1 oz Sliced Carrots'/.cup Seas.Green Beans'/.cup Sliced Carrots%,cup Diced Pears% cup Diced Pears'/.cup Diced Peaches Y cup Cinn.Applesauce'/,cup 1%Variety Milk-1 pint 1%White Milk-'h pint 1%White Milk- % pint 1%White Milk-'pint Snack: Snack: Snack: Snack: Doughnut I each Bagel'each Cereal Gogurt I each Apple Juice'A cup 1%White Milk '' int 1%White Milk %pmt Apple Juice%cup _ a " 'St ' -In, &tea a err Lilt - 1 `sh : tday' ni.h Breakfast Breakfast: Breakfast: Breakfast: Breakfast: Breakfast Pizza 1 each Pancakes 1 each Cereal 1 each Sausage Biscuit'A each Doughnut 1 each Orange Juice%1 cup Diced Pears''cup Diced Peaches''cup Orange Juice'A cup M AL Apple Juice''cup 11tikr.— 1%White Milk-''pint 1%WhiteMilk-''pint 1%White Milk-'A pint Lunch: Lunch: Lunch: Lunch: Lunch: Chili,Chips&Cheese Turkey Cheese Sub Sand Chicken Patty Sandwich Chef Salad'A cup Hot Ham Slice 1 'A oz Sweet Potato Bread 1 oz 'A each 'A each Ranch Dressing 1 oz Scallop Potatoes%cup Seasoned Corn%cup Seasoned Corn%cup Baked Fries%.cup Diced Turkey 1 oz Dinner Roll 1 oz Diced Peaches/cup Diced Pears''/,cup Fresh Orange Half%.cup Shred.Ched Cheese%oz Fruit Mix''A cup 1%White Milk-'A pint I%Variety Milk-'A pint 1%White Milk-'A pint Biscuit V2 each 1%White Milk-'pint Snack: Snack: pack: Mand Orange/Pineapple% Snack: Gogurt 1 each Doughnut 1 each Cheese&Crackers 1%White Milk-'A pint Cereal 1 each Apple Juice'''A pt Apple Juice`'cup 1%White Milk-''A pint Snack: 1%White Milk-'pint Bagel''each 1%White Milk-''A pint R _ A_ AjirtI. ,. 4 4 Head Start Menu for Regional Program ___ _ _ _ _ „ _ ______ _ _ _ ___ „Tuesday= 'Vednssd-ay: =Thursday >Fridal- _- 8 9 10 11 Breakfast: Breakfast: Breakfast: Breakfa • Pancakes w/syrup, strawberries, Center Director's Choice . Breakfast pizza, fruit, milk Breakfast sandw' , fruit 'nice, milk Snack: Snack: r r Snack: Animal crackers, milk Cracker, fruit juice Salted pretzel, milk C' e ' c 's choice 15 16 17 18 Breakfast: Breakfast: Breakfast: Breakfast: Pancake on a stick, peaches, milk Egg and sausage handful, fruit juice, Muffin w/cheese stick, fruit Center Director's choice •� cocktail,milk Snack: Snack: Cereal bar, fruit juice 'ack; Snack: Center Director's choice • G ala• coo a-s, milk Fruit muffin, fruit juice 22 23 24 25 Breakfast: a_- t, ea t: Breakfast: Breakfast: Bagel w/cream cheese, applesauce, P y. - - -, fruit juice Breakfast burrito,peaches, milk Yogurt, cinnamon toast,milk milk Snack: Snack: Snack: Snack: Home run milk snack Corn muffin, fruit juice Center Director's choice Peanuts, fruit juice 29 . : — Breakfast: Pan, . . l.q i eo a ti d:r:4 . ast sandwich, fruit, milk 1 .e :e�. : .� Snack: i 1g-5 c Animal crackers, milk 4111.-41W- s:. f ' • 3 March 2191 aT ke 44 Monday Tuesday Wednesday Thursday Friday 0 HAMBURGER/ PIZZA I-,Cl tliR( tU9dA(E To Salad O j Oven Fries Cutie Pie N Chilled Fruit x milk CD 11 Milk 2 NO CALZONEJSauce CHID & Crackers FIESTA PIZZA BAKED CHEESE Green Beans Fresh Veggies Mexi-corn SANDWICH SCHOOL Chilled Peaches Cornbread Fruit Cobbler Fresh Veggies CFd3 Cookie Fruit It-‘ Mllk Applesauce Milk Milk ' Mitk !f 4-- —8' 9 SAUSAGE, CHEESE O'PIZZA SUB SANDWICH ROAST TURKEY NACHOS SUPREMt & EGG PATTY Vegetables Fries Mashed Poiatoes(Gravy Tossed Green Salad Sandwich Fresh Fruit Pickle Slices Hot Roll Fruit B „� Oven Fries Birthday Cake Strawberries & Cranberry Sauce Cinnamon Bread r '';31s Fresh Fruit Milk Peaches Mixed Fruit • Milk Milk Milk ' Vi 13 14 e 15 • 16 Sec; Choice SPAGH£TTIlMeat TURKEY DEI.1 SANDWWCH SOFT SHELL BEEF TACO MANAGER'S Eiema FRENCH TOAST Sauce Oven Foes Corn STICKS Veggies Pickle Spear Trail Mix =c, Sausage French Bread Chilled Peaches Cooke `' CHOICE J Potato Triangle Fruit Milk Milk r iii'' i Oranges Milk 19 20 21 22 23 S ,SpringBreak • . 1 26 271 281 29 30 70 C A\jakTfJ IFISN ,Head Start Menu for Regional Program 'Tuesday : — _ 'V':'edtresdaY - �'liursday k'rida�= 8 � 9 10 11' Breakfast: Breakfast: Breakfast: Breakf Pancakes w/syrup, strawberries, milk Center Director's choice Breakfast pi»a,fruit,milk Breakfast sandwich it juice,milk unch: Lunch:' Lunch: Chicken nu ts- gashed potatoes, Hot picket pizza, corn,pineapple and Sub sandwich, salad, salad dressing, Ha err • raisins, or roll milk grapes,milk strawb es and h ana,milk ,�ket lk ' Snack: ` Snack: 3 4, Snack= x , pretzel,€ 1k ''i r'-' '' Animal crackers,milk CrackerWitjuice , Ce Aire is choice 15 1a. 16 17 1 18 °Breakfast > Breakfast: Bre • at;i Breakfast: Pancake on a sticj peaches,milk Egg and sausage handful,fruit juice, Muf w/cheesy o �'rui cktail, Center Director's choice ' l�'k e. Lunch: Pasta an `�ahra sauce,:pea ples, unc • Lunch li - Center Director's choice milk Mexican '3 r :. elatin w/fruit, Chee burger,to ots,§t�berries Snack: Snack:' rmlk and b ,milkz: Center Director's choice Cereal bar, fruit jwct ar ,, ,a r S c.+ {.s,milk mit mullet-tit 22 23 24 ‘- ,r-* 25 Breakfast: : u e z `t: ',: eakfast - Breakfast: Bagel w/cream cheese, applesauce, ®tze ese, fruit juice Breakfast burrito,peaches,milk Yogurt, cinnamon toast,milk milk Lunch: Lunch: Lunch: Lunch: On€ - ans,cinnamon rolls, Chicken strips, mashed potatoes, gravy, Bagel and tuna sandwich, celery and Turkey sandwich,potatoes, fruit juice, pineapple and grapes,crackers,milk cherries,milk tomato,apples,milk milk Snack: I Snack: Snack: Snack: Home run milk snack Corn muffin,fruit juice Center Director's choice Peanuts, fruit juice 29 ma•y^, } Breakfast: Pane Y . t� r 9 B- akfast sandwich, fruit,milk ,h s Lunch: Chic q s 'ets .+ eburger,French files,gelatin w/ gei9 i ' s fruit,milk w ,'� s�' Snack: v'',<Jilin - Animal crackers,milk i de*,- STATE OF COLORADO °` '` ;` ' +' DEPARTMENT pF HUMAN SERVICES f'- ! DMSION OF CHILD CARE 1575 SHERMAN STREET: " DENVER,COLORADO 80703.1714 ,f . ., ¢ , r, PERMANENT CHILD CARE LICENSE ,,I 4 Y (kAi* r IProvider ID: 81834 `�1 � ` Service Type DAY,C IRE cETITER ' >.- - > s;FAMILY ED NETWORK OF.WELD CO B MARTIL'0CAI0Ni :ill',:::::',(1;-;-:;::::it%•:::1::::.1::'':',:c! P.O. BOX 1805 GREELEY, COLORADO 80632 1Op0,37$TREET '' EVANS, COLORADO 60620 ,: u Y r fi!..� COUNTY;WELD e . '3,5 n e "t. ₹ f.-7,,,i,„!14.,, a,r r - License Effective Date;03-28-2003 k;'-, .. , a ..c� I r 7G r�lx5"I The licensee must comply at all times with the Child Care Act and the ivies and standards of the De ' rtme r d Pa Ptaf Hut tan r�k ,,,3 ti 'a Services.The licensed premises and its records must be available forins *4` pectroq,atell trmeg b H- R iart snt of &� `,,, Human Services or its authorized representatives.This licensers valid only for the location address lis .. xt w tedkabpve antl 1s ", not transferableto any other person,organization or location.The licensee must surrender t�l(S Iicensep then , �., y�'" Department of Human Services upon denial, revocation or suspension. �a =r ;ip '{ Numbers and ages of children cared for at the.licensed premises must not at any time exceed.. A.30 children of the age 2 years 6 months to 7 years 0 months Other conditions and restrictions: . 4 2i,1:,. `1 'r( - t yR4 x'ji r^4 Unique conditions: `. f 1 P•uce Stickers Below I „` Year 't2/:•424041.1:‘:;l_ • ANNVERSAR1fgTE EXECUTIVE DIRECTOR r.., Y TM THIS LICENSE MUST BE POSTED IN A PROMINENT LOCATION ON THE LICENSEDREM PISES Y✓ T ••L-_.- .... .. ..,. . .�.u( F. .� ..�....w.........�..�.......�.t+..w�o.,.ar ryu:..✓,.arrr..w....w•y.......r r...a.�—•...��..�r� .�.—...�...�.�..�..��.._..`_...___._ .t rY.'..�'1'- '�T':S.n•.' :T,%Ir�i.'r14.v'r J,iF,nvy�M,w'.�,e ilYi.("ld kri L 4..A...:. �„•y. +�..:.r.n.. mom..,cr, .vr � - }i�H��:w,;•.:., i 46w,"..:, n .,.y,ir ef` ..� ,...: q�eyyk,°.. �°f�' `!ti'�#F : - l�R+,,y�ti �...yiFe!?> *�;,.uq� l�r.,•a'n+.fn►+�r.*7n k- ...•,r,�et�hre•cr, r:.�'+,�`+ rxr.+�+r•„e.n�w.!�„� k�,•rt>•5i�2nYr,. , � �•-wG��•,�'!,T�r+;te�N :{ ; tr}K ,,� i} gw�nr ',5e��M"t�q {Y'txrTvei1� M�ii :.'. �•092,1,41A W N,)a.; Ni 1'4 SS/r eiIk tF.I'')` 0114411,10 rir:IE''W L e A.4 b t.r .•‘•, 4 p:" • .t'ie^1 POlf i�..,.�' •,�Aj+Jr }. -•'� wp r•lt sr � � e� hsr.11 d,�r�SA+a'+. A^.rdt". led t! rsr j,Sy w ;+Y fI•/ /.�N4(wP um , ,46 , 7 wn vii to ' ,�iS9 ! ah 1 `-:#' K 't 1,Lo �y" " Fue r' •t il•.io•d i �w�r^�Lir,. rL.a� � I�- �� r,Jy,'}��' rFS'�i'��.')Rr�Hth�rt i1IE�aK��nn 431nwV�4mfe1!�frtnP�.e�* �+hr i ? n W ) fe�++ Ar ) bt 1 4RAh1NFt ) NR nwue n, ac.�wA a°tr ww r n.a4 awaw.'i Dvr DENVER, COLORADO 80203-1714 . .•. • PERMANENT CHILD CARE LICENSE License Number: 81834 Facility Type: DAY CARE CENTER J J FAMILY EDUCATIONAL NETWORK OF WELD CO ,ICENSED LOCATIQN: P. 0. BOX 1805 341 14 AVENUE GREELEY, CO 80632 GREELEY 80631 County: WELD License Effective Date: 05-09-1995 The licensee must comply at all times with the Child Care Act and the rules and standards of the Department of Human Services. The licensed premises and its records must be available for inspection at all times by the Department of Human Services or its authorized representatives. This license is valid only for the location address listed above and is not transferable to any other person, organization or location. The licensee must surrender this license to the Department of Human Services upon denial, revocation or suspension. Numbers and ages of children cared for at the licensed premises must not at any time exceed: 10 CHILDREN OF THE AGE 2 MONTHS TO 1 YEAR 6 MONTHS 10 CHILDREN OF THE AGE 1 YEAR TO 3 YEARS • 30 CHILDREN OF THE AGE 2 YEARS 6 MONTHS TO 5 YEARS Other conditions and restrictions: Place Stickers Below • % ll [fi` ✓rte r� #11 .o • • • -.vt »..i 4 r-. .. ... t . ..- wr.auv....,.n w - ry..: '` y..► ..•!^'y',•�:: .' '. U., t>i 0..t:IJiIx"'YM.l'..A`C4',4.lNASAA5FM u�Fi.�hA4 NSLky.t tL'.I. fiF' Y F L 1 ..e a...bw nw- arum •s.M o-wr"`�" at,i.^.:k A ri7a4 77+ '"r'Sell ECUTIYE DIRECTOR.,•w ...., ... _w M "-- ,..,. . .�.. 'DATE .OF'ISSUANCE"- — T Gt t lan l.&u. STATE OF COLORADO DEPARTMENT OF HUMAN SERVICES DIVISION OF CHILD CARE G.J ; 1575 SHERMAN STREET DENVER, COLORADO 80203-1714 PERMANENT CHILD CARE LICENSE License Number. 81833 Facility Type DAY CARE CENTER FAMILY ED NETWORK WELD CENTENNIAL LICENSED LOCATION: P 0 BOX 1805 1400 37 STREET GREELEY, CO 80632 EVANS 80620 County: WELD License Effective Date 12-12-1995 ' The licensee must comply at all times with the-Child Care Act and the rules and standards of the Department of Human Services. The licensed premises and its records must be available for inspection at all times by the Department of Human Services or its authorized representatives. This license is valid only for the location address listed above and is not transferable to any other person, organization or location. The licensee must surrender this license to the Department of_Human Services upon denial, revocation or suspension. Numbers and ages of children cared for at the licensed premises must not at any time exceed: 10 CHILDREN OF THE AGE 2 MONTHS ¶ O 1 YEAR 6 MONTHS 10 CHILDREN OF THE AGE 1 YEAR TO .3 YEARS 30 CHILDREN OF THE AGE 2 YEARS 6 MONTHS TO 6 YEARS Other conditions and restrictions: Place Stickers Below 4.; Oft gasi, `��f � 11-19-1999 EXECUTIVE D R DATE OF ISSUANCE 'in vv. rrnn"nn tR m.r T\n mn'rnrr T•T ♦ m,f ',T1TD1.TT T M A'rTALT n\T I'tlt T Tl.DkICCT1 DDD}.TICDC :. Colorado Department of Human Services Please subni response letter to: Page 1 of 1 Division of Chid Care Cheryl Estdck 1575 Shemmn Street,Fast Floor Office of Child Care Denver,CO 80203-1714 PO Bar 336066 Greeley CO 80633 REPORT OF INSPECTION License ft 81833 Name of facility: FENWC—Centennial Address: 1400 37th Street city Evans zip code:80620 Canty Weld Purpose ofvMt: Supervisory Division Representative: Cheryl Estrick Date: 01-17-2003 Person Interviewed: Claudia Tapia The: Center Director The following Items were observed and are violations of the Minimum Rules and Regulations for. Child Care Centers • No violations observed at time of visit I have read and understand the above violations. I all send written verification of the correction of these violations by N/A. If I have any problems campMhg the corrections bythis date,Iva respond in writing and state the planned date of completion. At that time a follow-up letter MN be sent all corrections have been made. Signature: ( GL/L/i/GJ1CJQr iL(�Ol2 Date. D 1 ' 17' O �- Tab and position: l_�fir r I t&. dO-C If you feel a regulation presents undue hardship or that it has begs too stringently applied,you have a right to appeal(see regulation number 7.701.13 of the General Rules for Child Care Fannies). 11 t. �f: STATE OF COLORADO f ti4 °^� DEPARTMENT OF HUMAN SERVICES G DIVISION OF CHILD CARE "� ;� ,' 1575 SHERMAN STREET DENVER, COLORADO 80203-1714 i ]y�� . PERMANENT CHILD CARE LICENSES" ` License Number: 81829 Facility Type DAY CARE CENTER hr{ r I FMLY EDUCATIONAL NTWK WELD CO DOSRIOS LICENSED LOCATION: #" • 80 BOX 1805 2201 >sti 34TH ST ?- GREELEY, CO 80632s EVANS :t0-4,4,4'Y ,4' 80620 County; WELD License Effective Date. 05-16-1995 `-x r` The licensee must comply at all times with the Child Care Act and the rules and standards 7 " .Department of Human Services. The licensed premises and its records must be available for 'inspec I at all times by the Department of Human Services or its authorized representatives. This licens ;t ,-* , F -'valid only.for the address listed above and is not transferable' to any other person, " p, £ £ �, R NV -, organization or location. The,licensee must surrender this license to the Department of unman .x4 a £1 hZ 4,I Services"upon denial, revocation or suspension. ` P ; Numbers and ages of children cared for at the licensed premises must not at any time exceed:' : ,1,, i ,koz,310,CHILDREN.OF THE AGE 2 MONTHS TO 1 YEAR 6' MONTHS 10 CHILDREN OF THE AGE 1 YEAR TO 3 YEARS � `f,- 4' RO CHILDREN OF THE`.AGE 2 YEARS 6 MONTHS TO 5 YEARS 3 1', . `t Othe ;conditions and restrictions: . ° N h t. , y 11 '' )'�''r I L k tl7 df„, o-.ciit i l ( ,M }4. lG 4 e ch- 'i r�' " Place Stickers Below � , r Yyy ,Y t "15• ,,'t, d�/£ _ _ . 7 z" ,4, r. � �y,, r6�� e,i �„., ,�> '��' , +X z r ' • s["se�•'- A' 7, fir ,I rl Vii' s; �h� �• '�kY. .g Fitz. k _p �* l n '4. ti lig. ,A: :: rµ I CL, , i $ '4tb h £ 9,-yx .y °�>w+,t9 t t - iTY '�Y.,� ��"^Y �`, cV i '� x a T Y Y` t Y K� { N'r t �.«'',r• My Y' N4 , S ,6, Una v , 4 `� o-i {4'�u f{. I sus f 9 ��—�p` au .,k,..!-,,,,,T.,14 M rs r a 'IL/":1;''''''' a e d'c LP yg'�9'" �dP..1N° Y� �t,'M i a i ,R1 fl s r au0 K s a 1'0,�≥ f,M1 J"44 "J ^} n ,Ns�,A 'ti tM v ��hAnk 1 ' �� Y lt i Y v k � F' �` yF L H,1 �6 `ate i ,, I A � 1 sw rt { r .C v v 0�.i J4 �Pg� Ws.1 9a i 6 irI r M 4E s ro - o , r V Y $' $ xx�� +�, 5,p', ,, x a f +ass:. 'A•� , J�'e _ 'fa13 iv.kri'ge d. `' � � � � k �I ,`,t 4h t',•1 Yt Er a,,"'h e'rf � Lk •.yi` �tlf;i � "(44-.47„,"-,r k' yx',,,,1$1,1`..` 2• 1$µM X $'' 'ik 3' , 1. W�,� ��`S .,`,,T.,4 E14,,,,,�;;�'� ,'35 J' , 'y i �, ,„�L�„,2� „.y `{,u4� Nu.: l z. iq..... ..el r r.L { .p' :q;�:. { y��' `Y:`>f ya '' i ti ,� K { 'hwd. . . .. r , . kc��is , v � .?� ..,.., •I n, i ,�. � 1,. '�;�11" a4ti„' .1�.1s Itl1,{, y,,.f ., ,..,.1".,X�. ..„,. ., r• .. �_ ,„, .. ,,_.._.L ,£ .. ..., f".".-‘?"-•,. I oF,co o STATE OF COLORADO `= R; DEPARTMENT OF HUMAN SERVICES DIVISION OF CHILD CARE 1575 SHERMAN STREET irk 4/.1E, A`' DENVER, COLORADO 80203-1714 PERMANENT CHILD CARE LICENSE License Number: 81830 Facility Type: DAY CARE CENTER FAMILY EDUCATIONAL NETWORK OF WELD Co LICENSED LOCATION: P 0 BOX 1805 614 E 24TH ST GREELEY, CO 80632 GREELEY 80631 County: WELD License Effective Date: 05-30-1995 The licensee must comply at all times with the Child Care Act and the rules and standards of the Department of Human Services. The licensed premises and its records must be available for inspection at all times by the Department of Human Services or its authorized representatives. This license is valid only for the location address listed above and is not transferable to any other person, organization or location. The licensee must surrender this license to the Department of Human Services upon denial, revocation or suspension. Numbers and ages of children cared for at the licensed premises must not at any time exceed: 10 CHILDREN OF THE AGE 2 MONTHS TO 1 YEAR 6 MONTHS 10 CHILDREN OF THE AGE 1 YEAR TO 3 YEARS 30 CHILDREN OF THE AGE 3 YEARS TO 5 YEARS Other conditions and restrictions: Place Stickers Below pF•COO X .• yy *1876 * $69en4-stet- 07-31-1995 CUTIVE DIRECTOR DATE OF ISSUANCE THIS LICENSE MUST BE POSTED IN A PROMINENT LOCATION ON THE LICENSED PREMISES rr ra,nia.ni STATE OF COLORADO DEPARTMENT OF HUMAN SERVICES DIVISION OF CHILD CARE F.4 i • 1575 SHERMAN STREET DENVER, COLORADO 80203-1714 PERMANENT CHILD CARE LICENSE License Number. 66816 Facility Type: DAY CARE CENTER FAMILY EDUCATION NETWORK WELD CO LICENSED LOCATION: P.O. BOX 1805 340 MAPLE GREELEY, CO 80632 FREDRICK 80530 County: WELD License Effective Date: 08-23-1995 The licensee must comply at all times with the Child Care Act and the rules and standards of the Department of Human Services. The licensed premises and its records must be available for inspection at all times by the Department of Homan Services or its authorized representatives. This license is valid only for the location address listed above and is not transferable to any other person, organization or location. The licensee must surrender this license to the Department of Human Services upon denial, revocation or suspension. Numbers and ages of children cared for at the licensed premises must not at any time exceed: 10 CHILDREN OF THE AGE 2 MONTHS TO 1 YEAR 6 MONTHS 14 CHILDREN OF THE AGE 1 YEAR TO 3 YEARS 30 CHILDREN OF THE AGE 2 YEARS 6 MONTHS TO 6 YEARS Other conditions and restrictions POST WAIVER LETTER WITH LICENSE Place Stickers Below '512'�g �, lJ I: 44 ,x. `' i 5,v •A 77 IlLe • * 1816-r ��: ca 10-31-1995 EtECUTIVE DIRECTOR DATE OF ISSUANCE TUTR T iruwcP MINT RP PfI.CTPin 71.4 A PR(1MTNP.NT TI 'A TTf1N (1N THA. T.TCVHSP.T7 PRPMTSPS of STATE OF COLORADO clec, DEPARTMENT OF HUMAN SERVICES � ., . . �. o DIVISION OF .CHILD CARE * ^49 i * 1575 SHERMAN STREET " •r[ * DENVER, COLORADO 8 0203-1 714 PERMANENT CHILD CARE LICENSE License Number: . 85080 Facility Type: PRESCHOOL FAMILY EDUCATIONAL NTWK GILCRES WELD - ,LICENSED LOCATION: 1175 BIRCH GREELEY, CO 80631 - GILCREST 80623 . - .County: WELD License Effective Date: 05-05-1995 The licensee must comply at all times with the Child Care Act and the rules and standards of the Department of Human Services. The licensed premises and its records must be available for inspection at all times by the Department of Human Services or its authorized representatives. _ This license is valid only for the location address listed above and is not transferable to any other person, organization or location. The licensee must surrender this license to the Department of Human Services upon denial, revocation or suspension. Numbers and ages of children cared for at -the licensed premises must not at any time exceed: 15 CHILDREN OF THE AGE 3 YEARS TO 6 YEARS - - Other conditions and restrictions:. Place Stickers Below i% 13Si \, sw >2 •1 f• k i t ^<3 f •,Ir 11 ✓� �i�?,t!vL� 11-15-1996 CUTIVE DIRECTOR DATE OF ISSUANCE THIS LICENSE MUST BE POSTED IN A.PROMINENT LOCATION ON THE LICENSED PREMISES �F. , STATE OF COLORADO DEPARTMENT OF HUMAN SERVICES DIVISION OF CHILD CARE 1575 SHERMAN STREET .;y . DENVER, COLORADO 80203-1714 PERMANENT CHILD CARE LICENSE License Number: 05994 Facility Type: PRESCHOOL FAMILY EDUCATION NETWORK PLATTEVILLE LICENSED LOCATION; P 0 BOX 1805 1202 MAIN GREELEY, CO 80632 PLATTEVILLE 80632 County: WELD License Effective Date: 10-10-1996 The licensee must comply at all times with the Child Care Act and the rules and standards of the Department of Human Services. The licensed premises and its records must be available for inspection at all times by the Department of Human Services or its authorized representatives. This license is valid only for the location address listed above and is not transferable to any other person, organization or location. The licensee must surrender this license to the Department of Human Services upon denial, revocation or suspension. Numbers and ages of children cared for at the licensed premises must not at any time exceed: 15 CHILDREN OF THE AGE 3 YEARS TO 6 YEARS Other conditions and restrictions: Place Stickers Below MdN \ , 'I\ ktI/ Y• �2 Er 1� �� M li t,(4.9, 11-15-1996 IVE DIRECTOR DATE OF ISSUANCE THIS LICENSE MUST BE POSTED IN A PROMINENT LOCATION ON THE LICENSED PREMISES arrUbIL-Ai •---'ter , STATE OF COLORADO ov co DEPARTMENT: OF HUMAN SERVICES mg co � o DIVISION 'OF CHILD CARE � G'J • 1575 SHERMAN STREET � DENVER, COLORADO 80203-1714 PERMANENT CHILD CARE LICENSE License Number. 81828 Facility Type: DAY CARE CENTER FAMILY EDUCATIONAL NETWORK HUDSON LICENSED LOCATION: P 0 BOX 1805 300 BEECH GREELEY, CO 80632 HUDSON 80642 County: WELD License Effective Date: 05-30-1995 The licensee must comply at all times with the Child Care Act and the rules and standards of the Department of Human Services. The licensed premises and its records must be available for,inspection at all times by the Department of Human Services or its authorized representatives. This license is valid only for the location address listed above and is not transferable to any other person, organization or location. The licensee must surrender this license to the Department of Ruffian Services upon denial, revocation or suspension. Numbers and ages of children cared for at the licensed premises must not at any time exceed: 10 CHILDREN OF THE AGE 2 MONTHS TO 1 YEAR 6 MONTHS 10 CHILDREN OF THE AGE 1 YEAR TO 3 YEARS 30 CHILDREN OF THE AGE 3 YEARS TO 5 YEARS Other conditions and restrictions: Place Stickers Below a !/ h a y" t *690-tnet- 06-30-1995 CUTIVE DIRECTOR DATE OF ISSUANCE THIS LICENSE MUST BE POSTED IN A PROMINENT LOCATION ON THE LICENSED PREMISES oF•�o�o STATE OF COLORADO =g ^` DEPARTMENTN OF HUMAN SERVICES • �e' DIVISIO OF CHILD CARE 1575 SHERMAN STREET "v 76 ` DENVER, COLORADO 80203-1714 w PERMANENT CHILD CARE LICENSE , ''' License. Number: 85077 . ' � � ,Facility Type:.:pRESCH00L ISLAND. GROVE HEAD START CENTER - LICENSED LOCATION: P 0 BOX 1805 119 14TH AVE GREELEY, CO 80631 - GREELEY. 80631 Y County WELD ;} License Effective Date: 03-15-1995 x , rR The licensee must comply at all times with the Child Care Act and the rules and standards of the ' ''' ": Department of Human Services. The licensed premises and its records must be available for inspection at all times by the Department of Human Services or its authorized representatives. This license is valid only for the location address listed above and is not transferable to any other person, organization or Location: The licensee must surrender this license'to the Department of Human. Services upon denial, revocation or suspension. Numbers and ages of children.cared for at the licensed premises must not at any time exceed: 20 CHILDREN OF THE AGE 3 YEARS TO 6 YEARS Other conditions and restrictions: Place Stickers Below 11-03-2000 EXECUTIVE DI TOR DATE OF ISSUANCE THIS LICENSE MUST BE POSTED IN A PROMINENT LOCATION ON THE LICENSED PREMISES EFFLBICRl a 4 :;ti •:rt "s byx �`4 r,� .r;,r. - 4- --v-.7":"."--- ‘ �, , ,r STATE OF COLORADO ter/" I, DEPARTMENT OF HUMAN SERVICES o� DIVISION'OE CHILD iCARE - VJ_ • 1575 SHERMAN STREET DENVER, COLORADO S0203-1714 • PERMANENT, CHILD CARE LICENSE ' License Number. 81831 Facility Type: DAY CARE CENTER FAMILY EDUCATIONAL NETWORK OF WELD CO LICENSED LOCATION: "P-. -4 AVENUE GREELEY;-CO 80632 GREELEY: • 80631 ; County:. WELI3 License Effective Date: 01-01-1995' The licensee must comply at all times with the Child Care.Act and the,rules and standardPof the Department of Human:Services. The licensed premises and its.records must be available for inspection at all times by the Department of Human Services or its authorized representatives. This license is valid only for the location'address listed above and it not transferable to any other person, organization or location. The licensee must surrender this license to the Department of Human Services upon denial, revocation or suspension. Numbers and ages of children cared for at the licensed premises must not at any time exceed: 30 CHILDREN OF THE AGE 2 YEARS 6 MONTHS TO 5 YEARS Other conditions and restrictions: Place Stickers Below p4•COlO r1lJJM s+ `�AMR1 , 'p C' . 4444,4s4 44i till w tileny,ig , ♦ ... 1876 11-30-1995 ECUTIVE DIRECTOR,: DATE OF ;ISSUANCE THIS LICENSE MUST 'BE'POJ-TED'IN A PROMINENT LOCATION ON THE LICENSED PREIvII$ES' tr r Uasi.xi STATE OF COLORADO ''��'� DEPARTMENT OF HUMAN SERVICES �' DIVISION OF CHILD CARE :'•ca ; 1575 SHERMAN STREET ii� DENVER, COLORADO 80203-1714 PERMANENT CHILD CARE LICENSE License Number: 81832 Facility Type: DAY CARE CENTER FAMILY EDUCATNAL NTWK WELD CO MADISON LICENSED LOCATION: P. 0. BOX 1805 500 24TH AVE GREELEY, CO 80632 GREELEY 80631 County: WELD License Effective Date: 06-14-1995 The licensee must comply at all times with the Child Care Act and the rules and standards of the Department of Human Services. The licensed premises and its records must be available for inspection at all times by the Department of Human Services or its authorized representatives. This license is valid only for the location address listed above and is not transferable to any other person, organization or location. The licensee must surrender this license to the Department of Human- Services upon denial, revocation or suspension. Numbers and ages of children cared for at the licensed premises must not at any time exceed: 10 CHILDREN OF THE AGE 2 MONTHS TO 1 YEAR 6 MONTHS 10 CHILDREN OF THE AGE 1 YEAR TO 3 YEARS 30 CHILDREN OF THE AGE 2 YEARS 6 MONTHS TO 6 YEARS Other conditions and restrictions Place Stickers Below ter - .;71's O4 C• a ir t 44 # • a * 41876 4 Oada• ientdri1/41. • t5 11-19-1999 EXECUTIVE DI R DATE OF ISSUANCE TTST° TTlt).Te4 UTTiT an DCWCTRTI TN A PRnMTNR.NT If1rATIOT4 ON THE LICENSED PREMISES STATE OF COLORADO DEPARTMENT OF HUMAN SERVICES „ DIVISION OF CHILD CARE •:�;?.J • - 1575 SHERMAN STREET DENVER, COLORADO 80203-1714 / PERMANENT CHILD CARE LICENSE License Number: 85079 Facility Type PRESCHOOL MILLIKEN HEAD START WELD COUNTY LICENSED LOCATION: P 0 BOX 1805 300 BROAD STREET GREELEY, CO 80632 - MILLIKEN 80543 County: WELD License Effective Date 01-03-1996 The licensee must comply at all times with the Child Care Act and the rules and standards of the Department of Human Services. The licensed premises and its records must he available for inspection at all times by the Department of Human Services or its authorized representatives. This license is valid only for the location address listed above and is not transferable to any other person, organization or location. The licensee must surrender this license to the Department of Human Services upon denial, revocation or suspension. - Numbers and ages of children cared for at the licensed premises must not at any time exceed: 30 CHILDREN OF THE AGE 2 YEARS 6 MONTHS TO 6 YEARS Other conditions and restrictions: Place Stickers Below ` s ' 7 .$OF7Co,I.. ,,t 1 yr.y., 4 , 2744440cneveit- *ca 03-22-1996 IVE DIRECTOR DATE OF ISSUANCE THIS LICENSE MUST BE POSTED IN A PROMINENT LOCATION ON THE LICENSED PREMISES Received: 6/11 /2003 6:37; ->HUMAN SERVICES; #106; Page 2 • 08/11/03 15:45 FAX 9703230273 _ OLATHEHEAD START Lit10Y • Condo Department or Human SaMoa. � : Division of CMtd Cara 1575 Shaman Street.Flns Floor Denver.CO SC203-1714 - I A REPORT OF INSPECTION r }Q _n fir.. z WP' ' ' Licenser. 3811 ¢/� Name or faaaay.FENWC—Olathe Migrant Head start t - (J J Address:290 Hap Ct t X11 - : City Olathe Zip code: e1425 County Montrose 4,6.: Avri Puryoae as due:Change ofService Request /r v ecc entYrve: Startle Hudsoli �oi r+ a ohndan R Rr 1' any ,._. rya: Person Internalised: Susie Whiteside Title: Teacher The following item ware observed and are violations or the Mh7lmum Rubs and Regulations for Child Care Centers This facility is interested in looking at bow they can use the current office as a classroom if needed and how the different classrooms can be licensed for capacity for different age groups, depending on what age groups are present in the migrant population durittg.any one Season:, I. The current office has 513.67 square feet of usable child care space, leaving 83.17 square feet for. • some office area irr this building. The room;,on the eastside of the modular, is okayed for 17 preschool age children 2 1/2 to 6 years. There are 2 toilets and sinks in the immediate vicinity. This space CAN NOT be used for infants Or Toddlers secondary to lack of a hand washing sink in the room, no"clean sink" to prepare bottles/food for infants and toddlers. The office space could not be used if-the area was infant Or toddler space because of people corning and going in the • space. � 2. The current preschool room on the west side of the"office cu modular" has 596.84 square feet of usable space. There are 2 cinlrs within the rooms one"clean"and one"hand washing- dirty" sink. There are 2 toilets and 2 sinks in the immediate vicinity. This room is okayed for 19-preschool age 2 1/s to 6yrs; or 10 infants-ages 6 weeks to 18 months; or 13 toddlers-ages 12 months and walking independently and 3 years. 3. The North-South running modular is larger than the above building(HI boil al r r rooms in this building have 2 sinks and there is a bathroom in each room with onto let and one sink. The square footage of 621.73 will allow.13 toddlers in either room or 10 infants in either ,f,,n, i t. , room. The rooms are large enough for a capacity of 20 preschool children each, but can only be ' okayed for a maximum of 15 preschool age children in either room because of the one toilet and sink. This building is the best to use for infants and toddlers secondary to the laundry and • "kitchen" prep area being between the 2 rooms and prevents preparing bottles/cereal in this building and having to transport to the other building. ANY TIME III CENTER CHANGES THE CURRENT ROOM CONFIGURATION A Lrt ER or INTENT NEEDS TO BE SENT TO THE AREA LICENSING SPECIALIST- irk_ I have u nde+sta nd eie' vbtatbns. I vn$t send vfltan veltwtian of the oanectien of these vioialime problems completing the corrections by this data:,I will by the above safari, t i have be sent slating ea eoneWons have been made. -.[J/(J/(J�aP�aid in writing and state The planned data or oomplaeon. At 7++a[time a fellow-up letter ma Sgrvtrra. . . L �4+'ir � _ Data: '2.& 9/ Cfc) rele and paella; rC fel If you furl 0 regulation presents undue tom:shl * ; 7.701.13 of die General Rubs for Child Cam Facilities). been too sa41p0Ny applied,you haw t date to appeal(see s'e'gulalnn number ',Fyn Received: 8/11 /2003 23:08; ->HUMAN SERVICES; 8110; Page 1 Aug-12-03 08:19am From-GJ MIGRANT CTR 9704347744 T-245 P.01/01 F-785 '" , ,4, - nN V b 1 A I t %Jr teLawM + ^ ,:. wy i' ate - 4, DEPARTMENT OF HUMAN SERVICES fJ ar ' 6.? '. DIVISION CF CHILD CARE - «f,:' • 1675 S.FtERMAN STREET Ica • DENVER,cOLPRADA84 2 0 3-1 71 4 .:;i i:':g*.'".,{.;'•..is':-.. :At1.1'� {*iirN^ >. . `.-N. . .[/ij .� • < PERMANENT(MILD CARE LiCENSE I Provider IQ: 4252. •• . " '-''`38r`vlcoType: DAY CARE,CENTER . FENWC GRAND JCT MIGRANT HEADSTART LOCATION: P.O. BOX 1805 t.- -' 3093E 1/4 ROAD,:; GREELEY, COLORADO 80632 GRAND JUNCTION, COLORADO 81504 ' . COUNTY: MESA i.. . . . License Effective Date:07-30-2002 • 'k The licensee must comply at all times with.the Child Care Actandthe rules and standards of the.Department of Human Services,The licensed premises and its records malt b@'a: t`lable for Inspection at all times by the Department of Human Services or Its authorized representatives;Ttiiq NeenseIs valid-only for the location address listed above and is not transferable to any other person,organiiatiori'or locitiori..the licensee meet surrender this license to the Department of Human Services upon denial, revocation or suspension. • Numbers and ages of children cared for at the licensed premises moat not at any time exceed: 18 children of the age 0 years 2 months to 1 years 6.months :':51 children of the age 2 years 6 months to 6.years 0 months 30 children of the age 1 years 0 months to 2 years 6 months Other conditions and restrictions: Unique conditions: ,er' :.: . ;.:, :e.,Y •Place Stickers Below :v: y,'3 .. "4 J 8,- v h s '5 t, rr `Rr a r atlas 'ANNIVERSARY DATE EXECUTIVE DIRECTOR . . THIS LICENSE MUST SE POSTED IN A.PROMINENT LOCATION ON THE LICENSED PREMISES p°•„ STATE OF COLORADO «,`.%` '"�^ DEPARTMENT OF HUMAN SERVICES ''w{vt s ,5:4**- DIVISION OF CHILD CARE /87- 1575 SHERMAN STREET DENVErLORADO 80203-1714 PERMANENT CHILD CARE LICENSE • Provider ID: 1509085 Service Type : DAY CARE CENTER FENWC - ST PETERS LOCATION; P.O. BOX 1805 1112 9 AVENUE GREELEY, COLORADO 80632 GREELEY, COLORADO 80631 COUNTY: WELD License Effective Date:01-21-2003 The licensee must comply at all times with the Child Care Act and the rules and standards of the Department of Human Services.The licensed premises and its records must be available for inspection at all times by the Department of Human Services or its authorized representatives.This license is valid only for the location address listed above and is not transferable to any other person,organization or location.The licensee must surrender this license to the Department of Human Services upon denial, revocation or suspension. Numbers and ages of children cared for at the licensed premises must not at any time exceed: 14 children of the age 3 years 0 months to 7 years 0 months Other conditions and restrictions: warm Unique conditions: Place Stickers Below\ ' Year q. ANNIVERSARY DATE rrww EXECUTIVE DIRECTOR THIS LICENSE MUST BE POSTED IN A PROMINENT LOCATION ON THE LICENSED PREMISES MEMORANDUM DATE: September 15, 2003 ITO: Weld County Board of County Commissioners O FROM: Walter J. Speckman, Exec. Director, Division COLORADO of Human Services SUBJECT: Agreement Between the State of Colorado Department of Public Health & Environment Child Adult Care Food Program and the Family Educational Network of Weld County Presented before the Weld County Board of County Commissioners for approval is the annual agreement between the State of Colorado, Department of Public Health and Environment Child Adult Care Food Program and the Family Educational Network of Weld County for reimbursement of meals served to children in the Head Start and Migrant and Seasonal Head Start Programs. For further information please contact Tere Keller-Amaya at extension 3342. 2003-2633 Hello