HomeMy WebLinkAbout951977.tiffRESOLUTION
RE: APPROVE APPLICATION FOR FEDERAL ASSISTANCE TO U.S. DEPARTMENT OF
HEALTH AND HUMAN SERVICES FOR 1996 HEAD START GRANT AND AUTHORIZE
CHAIRMAN 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 an Application for Federal Assistance for
the 1996 Head Start Grant from the County of Weld, State of Colorado, by and through the Board
of County Commissioners of Weld County, on behalf of the Weld County Division of Human
Services, Family Educational Network of Weld County, to the U. S. Department of Health and
Human Services, commencing January 1, 1996, and ending December 31, 1996, with further terms
and conditions being as stated in said application, and
WHEREAS, after review, the Board deems it advisable to approve said application, 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 Application for Federal Assistance for the 1996 Head Start Grant from
the County of Weld, State of Colorado, by and through the Board of County Commissioners of
Weld County, on behalf of the Weld County Division of Human Services, Family Educational
Network of Weld County, to the U. S. Department of Health and Human Services be, and hereby
is, approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized
to sign said application.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 25th day of September, A.D., 1995.
BOARD OF COUNTY COMMISSIONERS
Deputy Cler (j' the Board
APPR D AS TO FOR
ounty Attorney'
D COUNTY, COLQRAD
arbara J. Kirkmey
C/
/aeorg_e E.18axter
onstance L. Harbert
p i
W. H. Wester
951977
HR0066
FAMILY EDUCATIONAL NETWORK OF WELD COUNTY
HEAD START PA 22
CONTINUATION GRANT
PROGRAM YEAR 1996
The Family Educational Network of Weld County (FENWC) provides a comprehensive
early childhood education program which focuses on early childhood development
and provides support to families within Weld County, supported by the Head Start
framework. FENWC works with various agencies to identify the needs of families,
and determines eligibility for funding sources. Programs are individualized so
that they are responsive to the needs of each family. The following services are
available to families and children through FENWC.
Education Services. Individual Development/Education Plans are
implemented to stimulate social, emotional, motor and intellectual
learning experiences, self-reliance, self-esteem and self confidence are
encouraged, thus a solid framework is established for future educational
success.
Health Services. The Health Component works in collaboration with various
agencies and private providers to provide a broad range of medical, dental
and mental health activities. Children with disabilities are identified,
and services are provided for them. Health and nutrition education is
provided to the parents to promote sound physical and mental child
development.
Family Services/Parent Involvement Services. FENWC considers parents an
integral part of the total staff. Parent participation is encouraged in
the decision -making process of their children's education, as well as
decisions concerning the over-all operation of the program. We support
parents in their role, and jointly develop goals for children.
Family Services works directly with various social agencies to obtain
needed assistance for families, and provide them with social services,
educational and employment training, to enable them to improve the quality
and condition of their lives.
The Family Educational Network of Weld County is committed to providing at -risk
children and families with a developmentally appropriate, comprehensive program
which will promote self-esteem, foster social -competence, develop independence,
and enable children and families to experience future lifetime successes.
The program objectives are:
1) To improve the child's health and physical abilities, including taking
appropriate steps to correct present physical and mental problems and to
enhance every child's access to an adequate diet. To improve the family's
attitude toward future health care and physical abilities.
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2) To encourage self-confidence, spontaneity, curiosity, and self-
discipline which will assist in the development of the child's social and
emotional health.
3) To enhance the child's mental processes and skills with particular
attention to conceptual and communications skills.
4) To establish patterns and expectations of success for the child, which
will create a climate of confidence for present and future learning
efforts and overall development.
5) To increase the child's and the family's ability to relate to each
other and to others.
6) To enhance the sense of dignity and self-worth within the child and
his family.
Funding for the Family Educational Network of Weld County comes primarily from
Federal Grants. Other funding sources come from the State of Colorado, passed
through local school districts, and from families that are willing to pay for
services.
Children may qualify in the following programs; The Head Start and Migrant Head
Start Programs, Colorado Pre-school Program, School Districts' Special Needs
Programs, and families paying for services.
The Family Educational Network of Weld County provides services to 388 Head Start
eligible children, ages 3-5, 152 Colorado Preschool Program children in 4 school
districts, and children who pay for services in Weld County. FENWC currently has
twelve sites located throughout Weld County.
I. OBJECTIVE AND NEED FOR ASSISTANCE
No additional information required.
II. RESULTS OR BENEFITS EXPECTED
There are no proposed changes to the program objectives established in the
refunding grant, submitted in September of 1994.
Progress made in meeting program objectives.
The following is a report on the progress made in meeting The Family
Educational Network of Weld County goals, as established within the
strategic plan.
Goal #1 - To have a facility designed to accommodate child care, parenting
classes and activities, socialization meeting areas and offices.
FENWC is currently converting an empty classroom into a Parent
Center. The Parent Center will be used for formal and informal
parent activities. Due to space constraints we will be unable to
provide for office space.
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Goal #2 - We will have a Parent Involvement Specialist on staff.
A Parent Involvement Specialist was hired, November 1995.
Goal #3 - To ensure that immunizations are available to children and that
all children are fully innnmized upon enrollment.
The
Goal #4 -
See
Health Specialist continues to immunize children in need.
Support staff and parents will have training in disabilities.
attached Parent Activity Calendar and Staff Training Plan.
Goal #5 - Provide a Developmentally Appropriate Environment in the
classrooms.
This goal has been completed.
Goal #6 - To provide an inclusive program for children with disabilities
with developmentally appropriate classrooms, transitioning activities and
parent & staff support.
This goal has been completed.
Goal #7 - Provide a substitute pool for classrooms.
This goal has been completed.
Goal #8 - All classes will be supported in order to enhance child and
family transition into the public school system.
This goal has been completed.
Following is the status of last years identified weaknesses.
A mental health professional shall be available, at least on a
consultation basis to the Head Start Program and to the children to Assist
in planning mental health program; and, Advise and assist in development
screening and assessment.
Complete
The program, except if it is a migrant program, has obtained a number of
applications during the recruitment process that is greater than the
enrollment opportunities anticipated to be available over the course of
the next enrollment year in order to select those with the greatest need
for Head Start Services.
Complete
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The grantee has developed and implemented a system to actively recruit,
train, and utilize volunteers in the program to the fullest extent
possible.
The Parent Involvement/Volunteer Specialist has reviewed and revised
the policy and procedures and will actively be engaged in carrying
out volunteer recruitment and training.
Following is a summary of identified (Parent Review) program weaknesses and
strategies taken to remedy the deficiencies.
ADMINISTRATION
Weaknesses:
Communication between parents and staff needs improvement.
This weakness is addressed within the following Administrative
recommendation.
The disability information is incomplete on the Community Needs
Assessment.
The disability information will be added to the Community Needs
Assessment, by August 30, 1995.
Recommendations:
Post Policy Council Minutes on the Parent Board at each center.
Minutes are to be posted at each site per policies and procedures.
We will ensure that the minutes are posted at each center within one
week following the Policy Council Meetings, commencing October,
1995.
Add a "Policy Council Corner" in the newsletters recapping Policy Council
highlights.
A Policy Council Cornet will become part of the newsletter,
effective October, 1995.
Call or personally contact parents reminding them of trainings, parent
activities, center committee meetings, Policy Council meetings, etc.
Parents will receive a verbal reminder at least 24 hours prior to
activities from the Service Coordinators, as well as receiving
written notice.
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EDUCATION
Weakness:
No storage space.
Funding has been requested from the Department of Health and Human
Services, Head Start Bureau, Regions VIII and XII.
Recommendations:
Train parents and staff together so that they can work better (in all
component areas).
See Parent Involvement Response.
There needs to be broader training on cultural awareness of ethnic groups.
The 1995-96 FENWC training plan (attached) addresses multi -cultural
training. The proposed date for general staff training in November
22, 1995. The Education Specialist has also requested training from
the Head Start TASC. Spanish classes will be offered to staff.
More multi -cultural and music material need to be purchased for the
classrooms.
Program purchases will concentrate on multi -cultural and musical
materials and supplies for the classrooms.
More spanish spoken to the children who only speak spanish.
Spanish classes will be offered to staff. The program will also
provide multi -cultural training as previously mentioned. The
Education Specialist is also researching bilingual curriculum.
DISABILITIES
Recommendations:
Service Coordinators need more training in Disabilities
Services.
We have requested training the Regional Office/RAP on disabilities,
specifically; writing IEP's and classroom management. Per the
training plan the Service Coordinators will attend trainings with
the teaching staff. The proposed date for the training in November
20, 1995.
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Better communication is needed with the consultants with staff to provide
consistency of services for children.
FENWC will meet with the school districts and BOCES in order to
arrange to have monthly meetings with districts special education
staff.
Schedule staffings so that they do not conflict with staff trainings.
There will be staff in-service/training days offered on days other
than Mondays, so this problem will be alleviated. Parents have
typically requested Mondays for staffings so that the teachers are
able to attend the staffings. We will monitor staffing dates to
ensure that these do not conflict with regularly scheduled classes
and trainings.
HEALTH
Recommendations:
The health curriculum in the classrooms needs to be stronger,
maybe have nursing students provide lessons to children.
The Health Specialist will contact the UNC Nursing Department to
recruit willing students. Health Boxes will be developed and
distributed to the classrooms for educational instruction. The
program will also purchase health BINGO games for use in the
classrooms.
NUTRITION
Weakness:
Meals are not ethnically and culturally varied.
We are constantly working with the School Districts in an attempt to
rectify this situation. There have been trainings with the CACFP
and the districts. Further trainings and meeting facilitation have
been requested from Region VIII/TASC.
Recommendations:
Cafeteria meals should be 100X Family Style.
There is at least one item served family style at all meals eaten in
the cafeterias. At the last CACFP review it was reported that the
program does an excellent job incorporating family -style meal
service with the cafeteria style of the school districts.
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Have parents meet with every school District about menus, like it is done
in District 6.
Parents of all districts will be encouraged to meet with each
districts' Food Service Unit to review and revise menus. Meetings
will be scheduled to enable parents to participate.
PARENT INVOLVEMENT
Weaknesses:
Communication to all parents regarding activities and meetings is weak.
Policies and procedures have been put into place for better exchange
of information. Also, center staff is required to call parents 24
hours in advance of center or program activities.
Not all staff work with parents.
This has been addressed in the Program Training Plan. Staff will be
offered training on working with parents/volunteers.
Recommendations:
Train staff about parent involvement in developing
center/classroom activities, motivation parents, (parent involvement is
more than a job).
Again, this will be addressed with the training plan.
Train the Parent Involvement Specialist on motivating parents and staff,
and working with parents on special activities.
Parent Involvement Specialist training will be ongoing throughout
the year.
Post Policy Council minutes in each classroom and central office.
This recommendation has been added to the policies and procedures
manual.
Make a yearly calendar at the beginning of the year regarding parent
activities and trainings. Send updates and reminders to parents. Put
parent activities on classroom calendars.
The calendar is in the process of being created, and will be
approved at the September, Policy Council meeting.
Call all parents before activities as a reminder.
This issue has been addressed. Staff will remind parents of
activities.
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SOCIAL SERVICES, RECRUITMENT, SELECTION AND ELIGIBILITY
Weaknesses:
No waiting lists, except for one center.
Currently all centers are full. Three have waiting lists.
No follow-through on the Family Needs Assessment on family goals and
referrals.
Case -management training has been scheduled for October, 1995.
There will also be training for Program Integration which should
result in enhances services for families.
Recommendations:
Training on recruitment.
Training has been scheduled for November, 1995.
Advertise the program better, posters, cable advertisement, radio
advertisement and newspaper information more often than at the beginning
of the program year.
The recruitment policy has been updated and includes the
aforementioned recommendations.
Have the Service Coordinators make a minimum of 2 home visits for follow-
up, and to see if family needs have changed. The Family Needs Assessments
should be done in the home.
Closer monitoring of Family Needs Assessments.
Service Coordinators will make 2 home visits and the Family Needs
Assessments will be made in the home.
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BUDGET NARRATIVE
PROGRAM YEAR 1996
PROGRAM ACCOUNT 22
I. PERSONNEL (object class category 6.a)
Line items breakdowns I.A through I.I, Personnel and Fringe are on
the enclosed breakdown by position.
3. OCCUPANCY (object class category 6.h)
1. Rent Rent for the Island Grove Center
for 8 months at $150.00 per month for 8 months and the
modular in Gilcrest $912.00 per month.
2. Depreciation/use allowance Is figured by the net cost of the
buildings divided by 15 years.
3. Utilities Charges for heat, electricity, water, etc.
4. Telephone Charge for telephone services.
6. Child liability insurance Is figured at $3.79 per Head Start
Child attending the program.
7. Maintenance/repair Pays for labor and maintenance costs for the
upkeep and repair of the facilities.
8. Other Pays for the cost of storage for Head Start supplies and
equipment.
4. CHILD TRAVEL
2. Vehicle operating expenses Pays for the maintenance of vehicles
to include gas and oil and regular upkeep of vehicles
which transport the children. This also includes the
salaries and fringe amounts for the drivers and
dispatchers. (Transportation will be a one line item
charge in our new financial system coming on line in
1996. This is the reason for the change in how it is
put in the budget.)
5. Field trips Pays for the costs of field trips for all Head
Start children. Field trips include a trip to the Denver
Zoo and local attractions such as the Pumpkin Farm,
libraries, etc.
6. Disabilities travel Pays for transportation for children with
disabilities to appointments, etc.
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5. STAFF TRAVEL
1. Out-of-town (6.c) Pays for out-of-town travel for national and
regional training conferences and work shops. Travel
costs include the payment of registration, mileage of
$.25 per mile, per diem of $25.00 per day, and lodging.
The out-of-state conferences that will be attended are
as follows: National Head Start Conference, and 4 staff
members; The National Association of Education for the
Young Child (NAEYC), 1 staff member; High/Scope
Validators Training, 2 staff members, and the Region
VIII Head Start Training Conference.
2. Local travel (6.h.) Pays mileage at $.25 per mile for staff to
travel to the sites for monitoring and training
purposes. Mileage also reimburses staff for recruitment
of eligible Head Start participants, home visits, in
state training and meetings etc.
6. NUTRITION AND FOOD (object class category 6.h)
1. Children's food Pays for food for children not eligible through the
Child Adult Care Food Program for USDA reimbursement for
meals.
2. Adult's food Pays for meals for teaching staff and volunteers
participating in meal time activities. The Child Adult
Care Food Program reimburses the program for children's
meals.
3. Other nutrition Pays for the costs of food projects in the
classroom.
7. FURNITURE AND EQUIPMENT (object class category 6.d)
5. Equipment/maintenance/repair Pays for costs incurred for classroom
and office repair and maintenance, i.e.; laminating
machine, copy machine
8. SUPPLIES (object class category 6.e)
1. Office/copying/postage Pays for program costs for office
supplies and activities, which include; pens, pencils,
paper, etc., copying and postage costs.
2. Cleaning Pays for cleaning supplies for the office space and
classrooms.
3. Classroom Pays for classroom supplies to include; teaching
materials, construction paper, paint, scissors, etc.
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4. Medical/dental Covers the costs for medical and medical supplies
for children and classrooms, i.e.; first aide kits,
toothbrushes, etc.
5. Kitchen Kitchen supplies include, temp -stacks, thermometers etc.
6. Disabilities supplies Include special supplies needed for children
with disabilities such as; special utensils, chairs etc.
9. OTHER CHILD SERVICES
4. Medical/dental screening/care Pays for the costs of first aid
kits, thermometers, ice packs, disinfectant, band aides,
cotton balls, DIAL -R Screening Assessment Tool, etc.
5. Mental health assessment/care Covers the costs of Mental Health
Services via contract with Weld Mental Health.
8. Other Services This pays for our contract with ABC Child Development
Services.
10. OTHER PARENT SERVICES
1. Parent activities (6.h) Costs incurred for Parent Policy
Council meetings, Center Committee meetings, Parent
Trainings, Resource Materials, etc.
2. Out-of-town (6.c) Pays for 2 parents to attend the Region VIII Head
Start Training Conference and for 2 parents to
attend the NHSA National Training Conference.
3. Local travel (6.h) Reimbursement at $.25 per mile for parents
traveling to Parent Policy Council Meetings, State
Parent Association meetings and other out -of town
trainings and meetings.
4. Other parent services This money is dedicated to Parent Literacy
Activities.
11. OTHER (object class category 6.e)
6. Subscriptions/memberships Pays for professional and early
childhood related publications, and memberships to
professional organizations related to early childhood
and Head Start.
7. Printing/advertising Expenditures for printing enrollment and
attendance forms, brochures, etc. Advertising costs are
related to program marketing, hiring and recruitment.
8. T and TA See PA 20 Budget Narrative
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9. Other T and TA Pays for staff and program training and technical
assistance above and beyond the realm of PA 20 funds.
Which include financial assistance for staff to attend
college level classes at the local community college.
14. Other
12. INDIRECT COSTS
Pays for our Management Information System (Data
Processing) support and the cost for upgrading the
current system in order to remain current with
technology and compatible with the county supported
system. No one piece of equipment will cost more than
$5,000.00.
1. Indirect costs These are overhead cost charged to the program
through Weld County. They are compiled and identified
in the Weld County 0MB A-87 Cost Allocation Plan that has
been provided for you. The cost is figured by taking the
total amount allocated to Head Start, $132,041, and
subtracting out the building use cost of $15,283. The
amount left is then divided in half and shared equally
by the Head Start and Migrant Head Start programs.
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PROGRAM NARRATIVE
PROGRAM ACCOUNT 20
PROGRAM YEAR 1996
The Family Educational Network of Weld County (FENWC) is dedicated to staff
development and training. Training occurs at various levels such as attending
workshops and conferences, formal training and on the job training in the
classroom setting. The Family Educational Network of Weld County is prepared to
provide training in a variety of fashions in order to meet the different needs
and learning styles of staff.
Staff members will be sent to two major training conferences offered by the
Colorado Association for the Education of Young Children (CAEYC) in the spring
and the fall, as well as other training conferences offered by Region VIII and
other pertinent agencies.
FENWC is focusing on the CDA process, and having all classroom staff (including
Teacher Assistants) certified with a minimum CDA.
Attached is the program training plan for program year 1996. FENWC currently is
devising a personal and professional training plan for individual staff members.
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BUDGET AND BUDGET NARRATIVE
PROGRAM ACCOUNT 20
Parent Involvement Specialist
Pays for training for the Parent
Involvement/Volunteer Specialist,
component relative.
$ 500.00
Family Service Specialist
Pays for training for the Family Service
Specialist, component relative
Health Specialist
Pays for training for the Health
Specialist, component relative.
Special Needs
Pays for training for the Special
Needs Tech, component relative
Education Specialist
Pays for training for the Education
Specialist, component relative
Support Staff
Pays for job training for clerical
and support staff, program related
Service Coordinators
Pays for Service Coordinator training
necessary to perform job duties,
determined on an individual basis.
CAEYC (2)
Pays -for 10 staff to attend each of
the Spring and Fall conferences
CDA (10 staff)
Pays for 10 staff to obtain their
CDA
Books, Supplies & Miscellaneous Costs
Pays for the cost for books and
supplies for staff educational/training
support.
500.00
500.00
500.00
500.00
500.00
4350.00
2000.00
5400.00
1479.00
Pays for the cost of consultants required
per the attached training plan. 4,127.00
TOTAL, 20, 356.00
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Family Educational Network of Weld County
Parent Activity Calendar 1995-96
September
9/28/95 Open House @ District Six centers 11-6pm
9/29/95 Head Start opens
**** DRAFT ****
October
10/16/95
November
11/9/95
11/14/95
11/17/95
11/18/95
11/27/95
December
12/6/95
12/11/95
12/12/95
January
1/9/96
1/22/96
1/23/96
1/24/96
TBA
TBA
February
2/8/96
2/19/96
TBA
2/9or2/15
March
TBA
3/6/96
3/11/96
April
4/4/96
4/11/96
4/13/96
4/22/96
5/4/96
5/13/96
TBA
June
TBA
July
7/4/95
CPR Training 8:00am - 4:00pm location: TBA
Nutrition Workshop 6:30pm - 7:30pm @ Jefferson Center
Dental Workshop
PPC Retreat/training (SAVI report)
PPC Retreat/training
Health training/First Aide
Community Resources - info nite
CPR training 8:00am - 4:00pm
Christmas Skating Party @ Warnoco West 6:30pm - 8:30pm
Child Abuse training
First Aide 8:00am - 12:00am
Parent/Teacher conferences
Parent/Teacher conferences
SillyCize
Parent trainings -EA
Dental Workshop
CPR Training
Parent Trainings - EA
PPC - Valentine Social
Parent Trainings - EA
Substance Abuse/Domestic Violence training
First Aid/Health Training
Child Development Training - ME
Nutrition Training 6:30pm - 7:30pm
Parent/Vol Appreciation BBQ
CPR Training 8:00am - 4:00pm
PPC - Cinco de Mayo Fundraiser
First Aid/Health Training
Cara y Corazon training
Cara y Corazon training
Independence Stampede
951977
Leticia Galindo, Chairperson
Career Development Committee July 31, 1995
Tere Keller-Amaya, Director
1995-96 Program Training Plan
Please share the following training calendar with CDC, for approval.
This training plan has been developed following the format from, "Developing A
Head Start Training Plan," by the, U.S. Department of Health and Human Services,
Administration for Children and Families, Administration on Children, Youth and
Families, Head Start Bureau.
The information used to identify training needs were, staff and parent surveys,
monitoring reports, program self -assessment, staffing needs assessment, program
(State) regulatory changes, and advisement of the supportive specialists.
By comparing and analyzing the aforementioned information, program training needs
were developed.
I am also proposing to have six mandatory staff in-service dates in order to meet
training needs. Some training will also take place at Monday Staff Meetings one
time per month. The tentative in-service days are; October 27, November 21 & 22,
February 2, March 22, and April 5
951977
Required Trainings:
(training necessary to meet requirements of the
Performance Standards)
Component Integration
coordination of services
Behavior Management Strategies
Disabilities
writing IEP's
classroom management skills
Multi -Cultural Training
language incorporation
sensitivity
curriculum
Case Management Skills
Recruitment Strategies
CDA
Program Improvement Trainings:
(training to improve the quality of the
program)
Spanish
Team -Building
conflict resolution
problem solving
communication skills
maintaining a positive attitude
Performance Standards Review
Program Enrichment Trainings: (training that will enrich the program and
staff)
Stress Management
Public Relation Strategies
Computer Skills
951977
TRAINING TOPIC
October, 27, 1995
Sept., Oct., Nov., Jan., Feb.,
March, April
November 21, 1995
November 22, 1995
September 1995
ISeptember 1995
October 1995, ongoing
January 1996
October Staff Meeting & each
staff meeting thereafter for a 3
year period.
November 21, 1995
to
a
H
t
Id
4+
.0
0
ID
GI
CIN
N
N
U
it
0W E
TBD CDI & RAP
Weld BOCES
Jim Stevenson
a
P+
F
H
U
�
Dominique Tavernier
H
U
pa
Mollie Erbes
TBD Aims Community College
Ernie Andrade
Director and Specialists I
Leslie Dawkins/CDI
H
A
U
Component Integration
Behavior Management Strategies
"Skill Streaming"
Disabilities
Writing IEP's
Classroom Management
Multi -cultural Training
Language Incorporation
Sensitivity
Curriculum
Case Management Skills
IRecruitment Strategies
CDA
4
En
.N
C
a
a
V)
Team Building
Conflict Resolution
Problem Solving
Communication Skills
Maintaining a Positive
Attitude
Performance Standards Review
Stress Management l
Public Relations Strategies
** For staff interested in Computer Skills, this may be arranged with the computer lab at DHS.
951977
KEY STAFF TO ATTEND VARIOUS TOPICS
Component Integration
Behavior Management
Disabilities
Multi -Cultural Training
Case Management
Recruitment Strategies
CDA
Spanish
Team Building
Performance Standard
Review
Stress Management
Public Relations
Computer Skills
One session for Administrative Unit/integrating component
plans.
One session for all staff
Teachers and Service Coordinators
Teachers and Service Coordinators
Teachers and Service Coordinators
Service Coordinators
Services Coordinators
Teacher Aides
Interested staff (12 staff members, minimum)
All staff
All staff
All staff
Interested staff
Interested staff
**Any staff member may attend any training, listed above.
951977
.APPENDIX C
OMS ADOTIVal Ne. O3at-ODB3
.-. • ,Vie 137,'1
FEDERAL ASSISTANCE
2 DATE SUBMITTED
p I
°°`MI Tenets 08CH0020
I. ME OF SulMISSION:
Acoircalron
O Con„ryc,ion
y -y Non-Con,tttrc,.On
Preen*location
O Construelion
O Non -Construction
3 DATE RECEIVED EY STATE
Slate AOOICSICn Twirls,.
08CH0020
4 DATE RECEIVED EY FEDERAL AGENCY
Federal Tonal.4A
S. APPLICANT INFORMATION
Legal Name
Weld County Division of Human Services
Orgamaau.onal Unit
Family Educational Network of Weld County
Address ,give cnv. county, stele. and b0 code;
1551 North 17th Avenue
P.O. Box 1805
Greeley, CO 80632
Nam• end teMdlone number al the pariah la be contacted on mallets Involving
ThIS aOOI.calion (give Ansacodsl
Walter J. Speckman, Exectutive Director
(970) 353-3800
S EMPLOYER IDENTIFICATION NUYSER (EINt
I. TYPE OF APPLICANT: Isnler • wropnal• hire m Dail U
A Stets H Independent Schaal Get
8
4
6
0
0
0
8
1
3
B Course" I Slate CWII,sd Institution el SRpnet L•etretq
C Municipal J Prwa1S Unhand`,
0 Towns** K Indian Tuba
E. Interstate L Individual
F Interinuncloal M Profit Organisation
G Specyl District N Other ISDKIIY)
S. TYPE OF APPLICATION:
O New (X] Continuation
II Nev4gn. MIN aoo,Opgb TIN TO In boxiest.
A Increase Award B Decrease Award
0 DECODES Duration Other IEa crly)'
■
■
C Increase
a Rewsron
Duration
F. NAME Of FEDERAL AGENCY:
DHHS
1e CATALOG OF FEDERAL ASSISTANCE NUDISMDOMESTIC9
3
• 6
0
0
" DESCRIPTIVE TITLE OF APPLICANTS PROJECT;
PY96 PA22 & PA 20 Head Start Grant
71TtE- Head Start
12. AREAS AFFECTED lY PROJECT (van. cOunnes. ,Ialy. eft.)
I2. PROPOSED PROJECT.
II, CONGRESSIONAL DISTRICTS OF.
Start Date
1/1/96
Ending Due
12/31/96
a Aopbcant
b Ptolacl
IS. ESTIMATED FUNDING-
IS IS APPLICATION SUBJECT TO REVIEW ST STATE EXECUTIVE ORDER 12371 PROCESS?
a Federal
$ ,00
.1 ,509 ,970
a YES THIS PREAPPL CATIOWAPPLICATION WAS MADE AVAILABLE TO THE
STATE EXECUTIVE ORDEN 12372 PROCESS FOR REVIEW ON
b ADotcam
B 377,494.00
DATE
C Stns
S PO
b NO
MI
PROGRAM IS NOT COVETED BY E O. 12372
d Local
S .00
O OR PROGRAM HAS NOT BEEN SELECTED BT STATE FOR REVIEW
e OIMee
s 00
I Program income
$ 00
IV IS THE APPLICANT OELINOUENT ON ANY FEDERAL DEBT?
o TOTAL
f 1,887,464.00
OYes It 'Yes/ attach an evpitinlnn. ®No -
Ti. TO THE BEST OF MY KNOWLEDGE AND BELIEF. ALL DATA IN I TON ARE TRVE AND CORRECT- TN! DOCUYdV1' ;bra SKIN 6PIT.::
AUTHORIZED BY THE GOVERNING BODY OF THE APPt KENT AN - I 1TT ME ATTACHED ASSURANCES IF THE ESSIETA;)PY IS STEELED
�.,
a Typed Name al ADlhonzeQ R at ,
Dale Hall, Chair, County Boatyl f Co s ioaars
sT4i sWnba
197056-4000
we of Authorized Re r! slab QZ'O^ ?=
• Date SignJd
N
OI ions Twig LI2410142
A. ,tivnrizsn Inn I nrel Onnrnrl r ,rtinn
LanciarC�ryM1'7 Presented DvO A.y. -..1t A-102102
ar= .-
APPLICATION FUR
FEDERAL 1►SSISTANCE
it Clarl wt..mc
OMI twenaral as. 03aMrai
r'r•t is fOft.paae
4a..ca.w'
Camersegban
X�E .e•lawmcmem
a•.ae_Ta.aa
CCale_ e:cn
C •._-Co.
I O.It iICitvw n CUTE
. 3ars own iv PIMM nat..3*MCT
Iamarse aw.ees
08CH0020
Stat. ao_cwot Cameos
08O10020
vt4r& crnaa
S a...1G\.IT Ma3..an3M
I'WelCounty Division of Human Services
14'rR r0..z sire =were vat. see ea =cue
1501 North 17th Avenue
P.O. Box 1805
Greeley, CO 80632
1 F.e•W,!. •afwm.ea roe .u.Yn ten,
C.oA.aa.a._ um.
Family Educational Network of Weld County
Kinn U.0 INiIq_ nuns a' .14 mosm Ie IS comic en mann
tin eacens.a. Ign.. a Set
Walter J. 5peckman, Executive Director
(303) 353-3800
el4I-1 6; 0I0I0 I8 11I31
L :TaE 3a :+.i.Cailcre
r W.
nap Cenu..aoan rte' Oe.ra
•-•.C•. e^r aapapuu *neon rn Mamma C
44-.4.1....am 3 Semen A-ro C Intees weals,
scraaa. wutm Ott Itescert
?. TTef Y a►ooc.orr: lent - ...a,. 7.i.. w Oval
1
a 3t.4 - ____43.-. Seel/ Omit
9 Ca...n I Slam Ca.^o.a, ..een.r.s, d V_ Loa.. -r.1
sawn.eo
E. Inforaa..
F Niarl..rnay.
G Sacs .,uct
• I.+e.• urw. nn
t a'.a._. Tno.
L les.a..r
u 3rafn Omarnaa.e,
n Otnw 15a.c. n
1. moat W 'EOIJ.-I A.C. .CY
DHHS
'I ISTK3C =I alpfey 03.tsnc
aiSL..c2 missal*
-E Head .Start
610la
It LAW ✓'ScTfl It rep.JiCT Ith.y COuvmet. Lain. SC.I
r1. 01S:.al. rn :17.0 o• ✓rtJCadli .e0J tc:
PY 96 PA 22 & PA20 Head Start Grant
r.CaCEn ase'sr. r. CO-CSI3siC•al 014741= =I
Lan :.-etnq Jae
1/1/;6 12/31/96
: '1. ESTtl..n: ^.114044.0'
5Da.CanI
S
1,509,970 w
-377,494
: Sara
00
Lan
-CC
! vin_ S
.00
a Feint
4
is IS APPLIC.L110,1 sue.:K TC Melt* IT start atcunve DROOP Inn a.CC13S
a t55 T1ri5 Eas- sresama- csno.. was usCE avayfd` !C
STATE tt—corn E OaCEtt 12372 a.0:7S5 00a =VIEW ='r
CATS
a 'c O •aoaa..4 S 'CT wv59EO 3T 2 ] :::T2
Ca aapGF_u waS hCT 9E_?. SELEC7-.G 9T T3. a ;Ca 3EVIEW
' i.agr..I. +•ea.. S
p TCaL
2 1,887,464 "09
Ir. IS rent A..uCsa.r OtIJ..ouOIl On a_. •EDEMA, atrn
Oye. It ley' allaC, an na..na.as
1.a
a. 'c 1.f Ur O/ r e••0l•e.2DC2 MO 45110. all Oars, 1St t'.r3 V.uCjrtt.a..fyetyrtn sat Thus a -c =Fetal. n.S OOClaata.r ..at SKIM DULY
.un.0_ZS0 "114 OC+LAr..c 0630. aI Tnf altrearn a.n0 inf arjtswr weti. =_.e, win. Mt *nog, al.SUPWCIS i Tnt LSSISTANCZ IS 'twanOIC
r T.cea •...V at 4.404.44. a.t.aan.lw I O T... C Tea.S.rnar
P.C:.Charrperson ,(970)352-0159
r
- Pat Ponce
1 Sana..w O 440
1.-.V. COnle
Authorized foe Local R.oeaduction
a 0A. Sri.*
3..4/4_6 ^T t .-t 4-14 •
tVeyl.a S. CFO- V- Via• a. 1.14
951977
SECTION C - NON-FEDERAL RESOURCES
(a)Grant Program
(b)APPLICANT
(c)STATE
(d)OTHER SOURCES
(e)TOTALS
8.
PA 22
$372,405
$372,405
9.
PA 20
$5,089
$5,089
10.
11.
12.
TOTALS
$377,494
$377,494
SECTION D - FORCASTED CASH NEEDS
13.
Federal
Total for 1st Year
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
$1,509,970
$452,991
$452,991
$150,997
$452,991
14.
Non -Federal
$377,494
$113,248
$113,248
$37,750
$113,248
15.
TOTAL
$1,887,464
$566,239
$566,239
$188,747
$566,239
SECTION E - BUDGET ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
(a)Grant Program
FUTURE FUNDING PERIODS (YEARS)
(b)FIRST
(c)SECOND
(d)THIRD
(e)FOURTH
16.
PA22
$1,489,614
$1,549,199
$1,611,167
$1,675,613
17.
PA20
$20,356
$21,170
$22,017
$22,898
18.
19.
20.
TOTALS
$1,509,970
$1,570,369
$1,633,184
$1,698,511
SECTION F - OTHER BUDGET INFORMATION
(Attach Additional Sheets if Necessary)
21.
22.
23.
DIRECT CHARGES:
INDIRECT CHARGES:
REMARKS
PART IV PROGRAM NARRATIVE(ATTACH PER INSTRUCTION)
951977
PART III - BUDGET INFORMATION
SECTION A - BUDGET SUMMARY
Grant Program
Estimated Unobligated Funds
New or Revised Budget
Function
or Activity
(a)
Federal
Catalog No.
(b)
Federal
(c)
Non -Federal
(d)
Federal
(e)
Local Cash/In-kind
Non -Federal
(0
Total
(g)
1. PA22
93.600
$
$
$1,489,614
$372,405
$1,862,019
2. PA20
93.600
$20,356
$5,089
$25,445
$0
$0
$0
5. TOTALS
$
$
$1,509,970
$377,494
$1,887,464
SECTION B - BUDGET CATEGORIES
6. Object Class Categories
- Grant Program, Function or Activity
Total
(5)
(1) PA22
(2) PA20
(3) USDA
(4) LOCAL CASH
a. Personnel
$700,402
$147,683
$848,085
b. Fringe Benefits
$215,414
$51,671
$267,085
c. Travel
$9,000
$9,000
d. Equipment
$0
e. Supplies
$75,737
$30,000
$105,737
f. Contractual
$65,305
$65,305
g. Construction
$0
h. Other
$365,377
$20,356
$150,000
$94,176
$629,909
i. Total Direct Charges
$0
j. Indirect Charges
$58,379
$58,379
k. TOTALS
$1,489,614
$20,356
$150,000
$323,530
$1,983,500
7. Program Income
$
$
$
$
$
951977
HEAD START LINE -ITEM BUDGET
Total Cash'.
ACYF
I. PERSONNEL
(Object class category 6.a)
A. Administrative
1. Executive Director
GRANTEE/DELEGATE 08CH0020
-Federa
Local Cash/
In -Kind
C'
Percent
Admini-
strative
1
$17,308
100
2. Fiscal Manager
$7,751
100
1
3. Head Start Director
$27,282
100
1
4. Bookkeeper
5. Administrative Assista
(Office Mgr)
6. Secretary
(Office tech)
7. Center Director
$4,778
100
1
$16,351
100
1
$11,105
50
1
A. Fiscal Tech.
$7,941
100
1
B. Personnel Tech.
$2,776
100
1
C. PBX Operator
$2,986
100
1
D.
E.
'151977
$16,768
HEAD START LINE -ITEM BUDGET
GRANTEE/DELEGATE 08CH0020
Total Cash
ACYF
Non -Federal
Local Cash/
In -Kind
Percent:.
Admini_
strati ve
1
B. COORDINATION
1. Education Coordinator
2. Director/Education
Coordinator
3. Health Coordinator
$16,768
1
4. Social Services
Coordinator
$16,815
1
5. Parent Involvement
Coordinator
$15,517
1
6. Social Services/Parent
Involvement Coordinator
7. Disabilities Coordinat
(Hcp. Spec)
8. Health/Disabilities
Coordinator
$14,728
1
9. Nutrition Coordinator
A. Site Manager
$26,180
5
1
B. Service Coordinators
$146,397
10
C.
951977
HEAD START LINE -ITEM BUDGET
C. Education
GRANTEE/DELEGATE
Non —Federal
Local Ca chi
In -Kind
08CH0020
19
1
1. Teacher
$181,643
$125,315
$77,847
$53,706
2. Teacher Aide
19
1
3. Home Vistor
4. Substitutes
5. Other Education Staff
(Office Tech)
D. Health
1. Health Aide
2. Other Health Staff
E. Nutrition
1. Cook
2. Nutritionist
$2,344
1
3. Other Nutrition Staff
(Lunch Aides)
F. Social Services
1. Social Service Aide
$37,636
$16,130
19
2. Other Social Service Staff
G. Parent Involvement
1. Parent Involvement Aide
2. Other Parent involvement
Staff
951977
HEAD START LINE -ITEM BUDGET
GRANTEE/DELEGATE
08CH0020
A
Total Cash
ACYF
H. Maintenance
$2,013
B.'.
Non -Federal
Local Cash/
In -Kind
Percent
Admini
strative
1
1. Custodian
2. Other Maintenance Staff
I. Transportation
1. Bus Driver
2. Bus Aide
3. Other Transportation
Staff
J. Dual Roles
1. Family Worker
2. Teacher Aide/
Bus Driver
3. Other Disabilities
Staff
A.
B.
C.
D.
TOTAL PERSONNEL
$700,402
$147,683
11
951977
HEAD START LINE -ITEM BUDGET
GRANTEE/DELEGATE
08CH0020
B
Non -Federal
Local Cash/
$70,060
$11,298
2. FRINGE BENEFITS
(object class category 6.b)
1. Social Security
2. State Disability
3. Unemployment
4. Worker's Compensation
5. Health/Dental/Life Insurance
6. Retirement
$4,913
$792
$29,572
$55,920
$54,949
$7,266
$24,422
$7,893
TOTAL FRINGE
$215,414
$51,671
16
3. OCCUPANCY
(object class category 6.h)
1. Rent
$8,496
$40,000
5
2. Depreciation/Use Allow
3. Utilities
$7,738
5
$14,131
5
4. Telephone
5. Building Insurance
6. Child Liability Insurance
7. Maintenance/Repair*
8. Renovation*
$9,205
25
$2,044
$25,312
5
9. Other Occupancy
$1,024
5
TOTAL OCCUPANCY
$67,950
$40,000
7
951977
HEAD START LINE -ITEM BUDGET GRANTEE/DELEGATE
08CH0020
Non -Federal
Local Cash/
Percent
Administrativ
4. CHILD TRAVEL
1. Contract/Rental
2. Vehicle Maintenance/Repair
3. Vehicle Insurance
4. Vehicle Operating Expenses
5. Field Trips
6. Disabilities Travel
$228,681
$94,176
7. Other Child Travel
TOTAL CHILD TRAVEL
$228,681
$94,176
0
5. STAFF TRAVEL
1. Out -of -Town (6.c)
2. Local (6.h)
TOTAL STAFF TRAVEL
6. NUTRITION AND FOOD (object class category 6.h)
1. Children's Food
$6,500
50
$20,674
$27,174
5
$0
16
$2,598
2. Adult's Food
$14,000
3. Other Nutrition
$6,825
TOTAL NUTRITION & FOOD
7. FURNITURE & EQUIPMENT (object class category 6.d)
1. Vehicle Purchase
$23,423
$0
0
2. Office
3. Classroom/Outdoor
4. Kitchen
5. Equip/Maintenance/Repair*
6. Other Furniture/Equipment
TOTAL FURNITURE & EQUIP
$0
$0
0
951977
HEAD START LINE -ITEM BUDGET
8. SUPPLIES (object class category 6.e)
1. Office/Copying/Postage
2. Cleaning
3. Classroom/Home base
$8,500
$3,400
GRANTEE/DELEGATE
08CH0020
C
Percent
...........................: ............................
Administrati
100
5
$50,172
$30,000
4. Medical/Dental
$2,000
$3,939
$3,000
$4,726
5. Kitchen
6. Disabilities Supplies
7. Other Supplies
TOTAL SUPPLIES
$75,737
$30,000
8
9. OTHER CHILD SERVICES
(object calls category 6.h)
1. Education Consultant
2. Substitutes
3. Volunteers(Education)
4. Med./Dental/Screening/Care
5. Mental Health Assess./Care
$9,450
$20,855
5,214
6. Nutrition Consultant
7. Speech Therapy
8. Disabilities Services
9. Other Services
$35,000
8,750
2.
TOTAL OTHER CHILD SERV.
$65,305
$13,964
0
951977
HEAD START LINE -ITEM BUDGET
10. OTHER PARENT SERVICES
GRANTEE/DELEGATE 08CH0020
A
Total Cash
ACYF
$2,000
Percent
Administrative
1. Parent Activities (6.h)
Parent Travel
2. Out -of -Town (6.c)
3. Local (6.h)
4. Other Parent Services
$2,500
$2,500
$5,000
TOTAL OTHER PARENT SERV.
$12,000
$0
0
11. OTHER (object class category 6.h)
1. Audit
2. Legal (6.h)
3. Theft Bond
4. General Liability Insurance
5. Payroll/Accounting
6. Subscriptions/Memberships
7. Printing/Advertising
8. T&TACDA
$1,976
$5,950
$5,500
100
9. Other T & TA
$14,856
10. Other Training
11. Disabilities Training
12. Other Disabilities
13. Volunteers(Not Education)
14. Other DP
$7,223
TOTAL OTHER
$35,505
$0
17
12. INDIRECT COSTS
1. Indirect Costs
$58,379
$58,379
0
100
TOTAL INDIRECT SERVICES
$0
100
951977
HEAD START LINE -ITEM BUDGET
GRANTEE/DELEGATE
08CH0020
$1,509,970
$377,494
12
Non -Federal
Local Cash/
In -Kind
13. TOTALS
ALL BUDGET CATEGORIES
TOTAL BUDGET (Cols A+B)
$1,509,970
$377,494
12
TOTAL ACYF BUDGET
(A + B + C below)
A. Program Funds
$1,489,614
B. Disabilities Services
C. T&TA
TOTAL NON—FEDERAL BUDGET
$20,356
Cash $323,530
In -Kind $53,964
951977
6. Length of employment. Indicate the average number of employment
hours per year for the following positions:
Position
Hours/Year
Dual Role (Y)es or (N)
Center Director
2,080
N
Education Coordinator
2,080
N
Health Coordinator
2,080
N
Social Services Coordinator
2,080
N
Parent Involvement
Coordinator
2,080
N
Disabilities Coordinator
351977
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS - PRIMARY COVERED TRANSACTIONS
By signing and submitting this grant application, the applicant, defined as the primary
participant in accordance with 45 CFR Part 76, certifies to the best of its knowledge
and belief that it and its principals:
(a) are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by any Federal
Department or agency;
(b) have not within a three-year period preceding this proposal been convicted
of or had a civil judgment rendered against them for commission of fraud or a criminal
offense in connection with obtaining, attempting to obtain, or performing a public
(Federal, State, or local) transaction or contract under a public transaction; violation
of Federal or State antitrust statutes or commission of embezzlement, theft, forgery,
bribery, falsification or destruction of records, making false statements, or receiving
stolen property;
(c) are not presently indicted or otherwise criminally or civilly charged by a
governmental entity (Federal, State, or local) with commission of any of the offenses
enumerated in paragraph (1)(b) of this certification; and
(d) have not within a three-year period preceding this application/proposal had
one or more public transactions (Federal, State, or local) terminated for cause or
default.
The inability of a person to provide the certification required above will not necessarily
result in denial of participation in this covered transaction. If necessary, the
prospective participant shall submit an explanation of why it cannot provide the
certification. The certification or explanation will be considered in connection with the
Department of Health and Human Services' (HHS) determination whether to enter into
this transaction. However, failure of the prospective primary participant to furnish a
certification or an explanation shall disqualify such person from participation in this
transaction.
The prospective primary participant agrees that by submitting this proposal, it will
include the clause entitled "Certification Regarding Debarment, Suspension,
Ineligibility, and Voluntary Exclusion - Lower Tier Covered Transactions,: provided
without modification in all lower tier covered transactions and in all solicitations for
lower tier covered transactions.
(Revised 4/9/92)
'519'77
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND
VOLUNTARY EXCLUSION - LOWER TIER COVERED TRANSACTIONS
(To Be Supplied to Lower Tier Participants)
By signing and/or submitting this grant application, the prospective lower tier
participant, as defined in 45 CFR Part 76, certifies to the best of its knowledge and
belief that it and its principals:
(a) are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from participation in this transaction by any federal
department or agency.
(b) where the prospective lower tier participant is unable to certify to any of
the above, such prospective participant shall attach an explanation to this proposal.
The prospective lower tier participant further agrees by submitting this proposal that
it will include this clause entitled "Certification Regarding Debarment, Suspension,
Ineligibility, and Voluntary Exclusion - Lower Tier Covered Transactions," without
modification in all lower tier covered transactions and in all solicitations for lower tier
covered transactions.
(Revised 4/9/92)
951 977
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Certification Regarding Drua-Free Workolace Requirements
Grantees Other Than Individuals
By signing and/or submitting this grant application, the grantee is providing the
certification set out below.
This certification is required by regulations implementing the Drug -Free Workplace Act of 1988,
45 CFR Part 76, Subpart F. The regulations, published in the May 25, 1990 Federal Register,require
certification by grantees that they will maintain a drug -free workplace. The certification set out below
is a material representation of fact upon which reliance will be placed when the Department of Health
and Human Services (HHS) determines to award the grant. If itislater determined that the grantee
knowingly rendered a false certification or otherwise violates the requirements of the Drug -Free
Workplace Act, HHS, in addition to any other remedies available to the Federal Government, may take
action authorized under the Drug -Free Workplace Act. False certification or violation of the certification
shall be grounds for suspension of payments, suspension or termination of grants, or govemmentwide
suspension or debarment.
Workplaces under grants, for grantees other than individuals, need not be identified on the
certification. If known, they may be identified in the grant application. If the grantee does not identify
the workplaces at the time of application, or upon award, if there is no application, the grantee must
keep the identity of the workplace(s) on file in its office and make the information available for Federal
inspection. Failure to identify all known workplaces constitutes a violation of the grantee's drug -free
workplace requirements.
Workplace identifications must include the actual address of buildings (or parts of buildings)
or other sites where work under the grant takes place. Categorical descriptions may be used (e.g., all
vehicles of a mass transit authority or State highway department while in operation, State employees
in each local unemployment office, performers in concert halls or radio studios.)
If the workplace identified to HHS changes during the performance of the grant, the grantee
shall inform the agency of the change(s), if it previously identified the workplaces in question (see
above).
Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug -
Free Workplace common rule apply to this certification. Grantees' attention is called, in particular, to
the following definitions from these rules:
"Controlled substance" means a controlled substance in Schedules I through V of the
Controlled Substances Act (21 USC 812) and as further defined by regulation (21 CFR 1308.11
through 1308.15).
"Conviction" means a finding of guilt (including a plea of nolo contendere) or imposition of
sentence, or both, by any judicial body charged with the responsibility to determine violations of the
Federal or State criminal drug statutes;
"Criminal drug statute" means a Federal or non -Federal criminal statute involving the
manufacture, distribution, dispensing, use, or possession of any controlled substance;
"Employee" means the employee of a grantee directly engaged in the performance of work
under a grant, including: (i) All "direct charge" employees; (ii) all "indirect charge" employees unless
their impact or involvement is insignificant to the performance of the grant; and, (iii) temporary
personnel and consultants who are directly engaged in the performance of work under the grant and
who are on the grantee's payroll. This definition does not include workers not on the payroll of the
grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent
contractors not on the grantee's payroll; or employees of subrecipients or subcontractors in covered
workplaces).
The grantee certifies that it will or will continue to provide a drug -free workplace by:
(a) Publishing a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession or use of a controlled substance is prohibited in the grantee's workplace and
specifying the actions that will be taken against employees for violation of such prohibition;
51977
Page [ of
HHS--Certification Regarding Drug -Free Workplace Requirements
(b) Establishing an ongoing drug -free awareness program to inform employees about:
(1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug -
free workplace; (3) Any available drug counseling, rehabilitation, and employee assistance programs;
and, (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the
workplace;
(c) Making it a requirement that each employee to be engaged in the performance of the grant
be given a copy of the statement required by paragraph (a);
(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of
employment under the grant, the employee will:
(1) Abide by the terms of the statement; and, (2) Notify the employerin
nowriting
later his
or her
conviction for a violation of a criminal drug statute occurring in the workplace
ive
calendar days after such conviction;
(e) Notifying the agency in writing, within ten calendar days after receiving notice under
subparagraph (d)(2) from an employee, or otherwise receiving actual notice of such conviction.
Employers of convicted employees must provide notice, including position title, to every grant officer
or other designee on whose grant activity the convicted employee was working, unless the Federal
agency has designated a central point for the receipt of such notices. Notice shall include the
identification number(s) of each affected grant;
(f) Taking one of the following actions, within 30 calendar days of receiving notice under
subparagraph (d)(2), with respect to any employee who is so convicted:
(1) Taking appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or, (2)
Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation
program approved for such purposes by a Federal, State, or local health, law enforcement, or other
appropriate agency;
(g) Making a good faith effort to continue to maintain a drug -free workplace through
implementation of paragraphs, (a), (b), (c), (d), (e) and (f).
(Revised 4/9/92)
331977
CERTIFICATION REGARDING LOBBYING
Certification for Contracts, Grants, Loans,
and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of
the undersigned, to any person for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer or employee of Congress,
or an employee of a Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal grant, the making of any Federal loan, the
entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of any Federal contract, grant, loan, or cooperative
agreement.
(24 If any funds other than Federal appropriated funds have been paid or will be paid
to any person for influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or an employee
of a Member of Congress in connection with this Federal contract, grant, loan or
cooperative agreement, the undersigned shall complete and submit Standard Form-
LLL, "Disclosure Form to Report Lobbying", in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included
in the award documents for all subawards at all tiers (including subcontracts,
subgrants, and contracts under grants, loans, and cooperative agreements) and that
all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed
when this transaction was made or entered into. Submission of this certification is
a prerequisite for making or entering into this transaction imposed by section 1352,
title 31, U.S. Code. Any person who fails to file the required certification shall be
subject to a civil penalty of not less than $10,000 and not more than $100,000 for
each such failure.
WELD COUNTY BOARD OF COMMISSIONERS
Organization
CHAIRMAN 095/95
Au orized Signature Title Date
DALE K. HALL
(Revised 4/9/92),
351977
f' mEmoRAnDum
Dale K. Hall, Chairman
Whit Board o£ County Comissioners September 22, 1995
To Date
Walter J. Speckman, Executive Director, Human Services /(%.
COLORADO From
Head Start Continuation Grant FY 1996
Subject
Enclosed for Board approval is the Basic Head Start Continuation Grant. The
Grant is between the U.S. Department of Health and Human Services and Weld County
Division of Human Services for 1996 calendar year.
If you have any questions, please telephone me at 353-3800, extension 3317.
951977
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