Form ACF-118-A Plan Preprint

Child Care and Development Fund Tribal Plan

FY2012-2013 CCDF Plan Preprint for Tribes

Child Care and Development fund Tribal Plan Preprint (ACF-118-A)

OMB: 0970-0198

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Revised Draft for Public Comment – January 31, 2011

CHILD CARE AND DEVELOPMENT FUND
For
Tribe:
FFY 2012-2013

This Plan describes the CCDF program to be administered by the Tribes for the period 10/1/2011 –
9/30/2013. As provided for in the applicable statutes and regulations, the Tribal Lead Agency has the flexibility
to modify this program at any time, including amending the options selected or described herein.
For purposes of simplicity and clarity, the specific provisions printed herein of applicable laws and regulations
are sometimes paraphrases of, or excerpts and incomplete quotations from, the full text. The Tribal Lead
Agency acknowledges its responsibility to adhere to them regardless of these modifications.
Public reporting burden for this collection of information is estimated to average 120 hours per response,
including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the
collection of information. An agency may not conduct or sponsor, and a person is not required to respond to,
a collection of information unless it displays a currently valid OMB control number.

(Form ACF 118-A; OMB Approval Number: XXXX-XXXX, expires XXXXXX

TABLE OF CONTENTS
Part 1 – Administration
Section 1.1 – Contact Information
Section 1.2 – Administration through Contracts or Agreements
Section 1.3 – Estimated Funding
Section 1.4 – Indian Child and Indian Reservation or Service Area
Section 1.5 – Consortia
Section 1.6 – Program Integrity and Accountability
Part 2 – Developing the Child Care Program
Section 2.1 – Consultation in the Development of the CCDF Plan
Section 2.2 – Coordinating the Delivery of CCDF Services
Section 2.3 – Public Hearing Process
Section 2.4 – Public-Private Partnerships
Part 3 – Child Care Services Offered
Section 3.1 – Description of Direct Child Care Services
Section 3.2 – Limitations of In-Home Care
Section 3.3 – Certificate Payment System
Section 3.4 – Eligibility Criteria for Child Care
Section 3.5 – Priority Rules for Children
Section 3.6 – Payment Rates for Child Care Services
Section 3.7 – Sliding Fee Scale(s)
Part 4 – Procedures for Parents
Section 4.1 – How Families Apply for CCDF
Section 4.2 – Description of Procedures for Unlimited Parental Access
Section 4.3 – Record of Substantiated Parental Complaints
Part 5 – Activities and Services to Improve the Quality of Child Care
Section 5.1 – Quality Improvement Activities
Section 5.2 – Quality Improvement Goals
Part 6 – Health and Safety Requirements for Providers
Section 6.1 – Guidance and Background
Section 6.2 – Monitoring and Enforcement of Health and Safety Requirements
Section 6.3 – Exemptions for Health and Safety Requirements
Appendix 1
Appendix 2
Appendix 3
Appendix 4
Appendix 5

Assurances and Certifications
Child Count Declarations
Amendments Log
List of Certifications
Tribal Lead Agency Synopsis (Optional)

Required Attachments

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

Part 1 – Administration
This section provides information on how the CCDF program is administered, including the
designated Tribal Lead Agency, funding information, the administrative structure, program integrity
and accountability policies and strategies, coordination efforts, and procedures.
Section 1.1. – Contact Information
1.1.1. Official Name of Tribe as listed in the Federal Register or Tribal Consortium
Name of the Tribe:
Name of Tribal Chair/President/Leader:
Title:
Address:
City, State, Zip Code:
Telephone Number:
Fax Number:

1.1.2

What is the Lead Agency designated by the Tribe or Tribal consortium to administer
the CCDF program?
The agency shown below has been designated by the Tribe or Tribal consortium to
represent the Tribe or Tribal organization as the Tribal Lead Agency. The Tribal Lead
Agency agrees to administer the program in accordance with applicable Federal laws,
regulations and in accordance with provisions of this Plan, including assurances and
certifications appended hereto. (658D, 658E) See Assurances and Certifications
(Appendix 1)
Name of Lead Agency:
Address of Lead Agency:
City, State, Zip Code
Phone Number:
Fax Number:
Email Address and/or Web Address for Lead Agency:

1.1.3. Who is the CCDF administrator? Identify the CCDF Administrator, the day-to-day contact,
with responsibility for administering the Tribal CCDF program. This person(s) will serve as
the primary contact for ACF. ACF will send programmatic communications such as program
announcements, program instructions, and data collection instructions to the designated
contact identified here. If there is more than one designated contact with equal or shared
responsibility for administering the CCDF program, please identify the co-administrator or
entity with administrative responsibilities and include contact information. (98.16(a) and
(c)(1)

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

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PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

a) Contact Information for CCDF Administrator:
Name of Tribal CCDF Administrator:
Title of Tribal CCDF Administrator:
Address of Tribal CCDF Administrator:
Phone Number:
Public Phone Number (if different than above):
Fax Number:
Email Address:
b) Contact Information for CCDF Co-Administrator (if applicable):
Name of Tribal CCDF Co-Administrator:
Title of Tribal CCDF Co-Administrator:
Address of Tribal CCDF Co-Administrator:
Phone Number:
Fax Number:
Email Address:
Description of the role of the Co-Administrator:

Section 1.2. – Administration through Contracts or Agreements
The Tribal Lead Agency has broad authority to administer the program through other governmental,
non-governmental, or other public or private local agencies. Under the statute, the Tribal Lead
Agency remains the single point of contact and retains overall responsibility for the administration of
the CCDF program. (658D(b)(1)(A), 658E(c)(3)(C), 98.11, 98.16(c)(1))
Reminder: A consortium is not considered a non-governmental entity for purposes of this section,
but an entity of the Tribe.
1.2.1. Will the Tribal Lead Agency directly administer and implement all programs funded under
the Child Care and Development Fund? (98.16(c)(1)
Yes, the Tribal Lead Agency will administer and implement all of the programs funded
with CCDF funds. (If Yes, go to Section 1.3.1)
No, the Lead Agency will not directly administer and implement ALL programs funded
under the CCDF allocations. List the names of those agencies under the two options
provided.

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

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PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

a) Provision of child care services (including the payment to child care providers)
Table 1.2.1.1 – Name and Contact Information for Provision of Child Care Services
Name of Administrative Entity

Address of Administrative Entity

Name and Title of the Administrator:

Telephone (

)

-

Ext:

Fax Number (

)

-

Email Address:

b) Activities to improve the quality of child care described in Part 5 of this Plan, if
applicable
Table 1.2.1.2 Name and Contact Information for Quality Child Care Activities
Name of Administrative Entity

Address of Administrative Entity

Name and Title of the Administrator:

Telephone (

)

-

Ext:

Fax Number (

)

-

Email Address:

1.2.2. How will the Tribal Lead Agency maintain overall control of the CCDF-funded program
administered and implemented by the entities other than the Tribal Lead Agency?
Reminder: These descriptions should be 1-2 paragraphs or less and should provide
sufficient detail to enable a reader to understand how this process works or will work.

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

3

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

Section 1.3. – Estimated Funding
These are preliminary ESTIMATES for information and planning purposes and may increase or
decrease when updated data becomes available before the final grant awards are issued. Put in
the amounts of the total FY 2012 CCDF allocations (mandatory and discretionary) for the one-year
expenditure period (10/1/2011 thru 9/30/2012) that will be spent on all child care and related
services including funds spent on direct services, non-direct administration, and quality. Do not
include any carry-over funds from previous years.
1.3.1. Estimated FY 2012 CCDF Funding Allocation
What is your expected level of funding for the first year of the FY 2012 – FY 2013 plan
period? The Lead Agency estimates that the following amounts will be available for child
care services and related activities during the 1-year period from October 1, 2011 through
September 30, 2012. (98.13(a))
See the Office of Child Care Web site for FY 2012 Estimates.
http://www.acf.hhs.gov/programs/ccb/law/allocations/Tribal.htm
$

Estimated Federal Child Care & Development Fund

$

Other available funding

Reminder: Total administrative expenditures over the entire three-year liquidation
period may not exceed 15% of total expenditures, not including the base amount.

1.3.2. Estimated Amount of Funds to be used for Construction or Renovation
This Application does not give approval to spend funds on construction or renovation. Funds
for this purpose cannot be spent until a Tribe has applied for and received approval, through
a separate application process, from the Administration for Children and Families.
As a part of the separate construction/ renovation application process, a Tribe must show
that adequate facilities are not otherwise available to carry out child care programs, and that
the lack of facilities will inhibit future program operations. Furthermore, a Tribe cannot
reduce the level of child care services, as compared to the preceding fiscal year, in order to
spend funds on construction or renovation. Procedures regarding the separate
construction/renovation application process are contained in CCDF-ACF-PI-2010-03, dated
April 7, 2010 and regulations at 45 CFR 98.2 and 98.84.
Will the Tribal Lead Agency use 2012 funds for construction?

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

Yes

No

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PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

If yes, the Tribal Lead Agency estimates that the following amount of CCDF funds awarded
in FY 2012 will be used for construction or renovation purposes:
$

(Insert the amount you will set aside for construction from FY
2012 allocation).

Section 1.4. - Indian Child and Indian Reservation or Service Area
1.4.1

Child Count
The Tribal Lead Agency determines the number of Indian children, under age 13, who
reside on or near the reservation, or service area (defined in Appendix #2)
The Tribal Lead Agency may not count any children who are included in the Child
Count of another CCDF Tribal Lead Agency. The Tribal Lead Agency is required to
confer with all other CCDF Tribal Lead Agencies that have overlapping or neighboring
service areas. (98.81(a)(4), 98.81 (b)(4).
Complete and attach the “Child Count Declaration” at Appendix #2.

1.4.2. Indian Child
Identify which Indian child(ren) will be counted in your child count. and where (see service
area, below) the Tribal Lead Agency will provide services. (658O(c)(2)(B), 98.80(e),
98.81(b)(2)(i) and (ii), 98.81(b)(3)(ii), 98.81(b)(4))
Reminder: While Tribes have some flexibility in defining “Indian Child,” the definition
must be limited to children from federally recognized Indian Tribes, consistent with the
Child Care and Development Block Grant Act’s definition of Indian Tribe.
The Tribal Lead Agency defines Indian child as:

1.4.3. Indian Reservation or Service Area
Programs and activities are to be carried out for the benefit of Indian children living on or
near the Indian reservation. The service area therefore must be within a reasonably close
geographic proximity to the borders of a Tribe’s reservation (with the exception of Tribes in
Alaska, California, and Oklahoma). Tribes that do not have reservations must establish
service areas within reasonably close geographic proximity to the area where the Tribe’s
population resides. ACF will not approve an entire state as a Tribe’s service area.
(658O(c)(2)(B), 98.80(e), 98.81(b)(2)(i) and (ii), 98.81(b)(3)(ii), 98.83(b))
Reminder: Tribes can limit services within the reservation boundaries or can go beyond
the reservation boundaries (EXAMPLE: "permanent residence is within the reservation
boundaries, however the participant is attending school outside of the reservation area",
or "resides within 20 miles of the reservation boundaries", etc.).
CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

5

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

The Tribal Lead Agency defines the Service Area as:

Section 1.5. – Consortium
A consortium representing more than one Indian Tribe may be eligible to receive CCDF funds on
behalf of a particular Tribe. The Consortium Lead Agency must list all participating Tribes and
include an attachment with separate demonstrations (e.g. resolutions) from each Tribal consortium
member indicating that the consortium has the authority to seek funding on behalf of its constituent
Tribes. If there is any change in the consortium membership, the Tribal Lead Agency must
notify ACF through an amendment to the Plan.
1.5.1. Are you a Tribal Consortium?
Yes. If yes, a Tribal consortium must provide a list of its participating member Tribes
and include demonstrations; for example, Tribal Resolutions from these participating
members indicating that the consortium has the authority to seek funding on their
behalf. (98.80(c)(1), 98.81(b)(8)(i))
These demonstrations are provided as Attachment (ENTER ATTACHMENT #)
Reminder: For Alaska Native Regional Nonprofit Corporations, the list and
demonstrations are for purposes of Discretionary Funds only.

No. Skip to 1.6

1.5.2. A Tribal consortium must describe how it coordinates services on behalf of its participating
member Tribes. Include a brief summary of how the consortium is coordinating services
(including direct services) on behalf of its participating members (or “constituent” members
in the case of Alaskan entities). (98.81(b)(8)(ii),98.83(c)(1))
Describe coordination efforts:

Section 1.6. – Program Integrity and Accountability
Program integrity is defined to include efforts established by a tribal government that ensure
effective internal controls to reduce programmatic or financial risks in the administration of CCDF
funds. The Tribal Lead Agency is responsible for designing internal controls systems to facilitate
monitoring programs and services, ensuring compliance with the rules of the program, and
overseeing the expenditure of all funds. Accountability measures should address strategies to
strengthen program integrity and to reduce and prevent fraud and misspent funds.
CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

6

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

(98.11(b), 98.60(i))
Reminder: As the recipient of Federal funds, Tribal Lead Agencies are responsible for ensuring that
adequate procedures are in place to ensure that funds reach eligible children and families. Tribal
Lead Agencies have flexibility how to achieve this objective, including working with the Tribal fiscal
office and other partners. Strengthening internal controls can improve the overall efficiency of the
CCDF program, which can enhance services to parents and providers. These questions are being
asked to gain a deeper understanding how Tribes are exercising their options to fulfill their
responsibilities for program integrity and accountability.

1.6.1. What policies and procedures does the Tribal Lead Agency have in place that ensure the
administration of CCDF funds in accordance to all Federal and Tribal rules and regulations?
For example, fiscal checks and balances, internal controls, ensuring adequate
documentation exists for all transactions, including eligibility determinations, etc. Please
describe:

1.6.2. What current or future strategies, if any, does the tribal Lead Agency have in place to
prevent and reduce fraud and/or misspent funds? For example, reviewing attendance or
billing records for accuracy, auditing provider records, conducting case record reviews, etc.
Please describe:

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

7

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

Part 2 – Developing the Child Care Program
Section 2.1. – Consultation in the Development of the CCDF Plan
Lead Agencies are required to consult with the appropriate agencies providing child care and early
childhood development services (98.12., 98.14(a)(b), 98.16(d)).
Definition: Consultation involves the meeting with or otherwise obtaining input from an appropriate
agency in the development of the Tribal Plan. At a minimum, the description must state which
representatives of the Tribal community (or Tribal communities in the case of a consortium) were
consulted. (658D(b)(2), 98.12(b), 98.16(d))
2.1.1. Describe how the Tribal Lead Agency consulted with the following Agencies/Entities
in developing the CCDF Plan.
a) Lead agencies are REQUIRED (cite) to consult with representatives of local
government including: local human services, education, or public health agencies :
Describe the consultation effort in the development of this Plan:

b) Many Tribal Lead Agencies consult with additional entities – if you elect to
consult with the entities listed below, please describe.

•

Tribal/State agency (agencies) responsible for public education, including Tribal/State
pre-kindergarten programs and inclusion programs for children with special needs.

•

Tribal/State/Local agency responsible for Head Start programs.

•

Federal, State, local, Tribal, and/or private agencies providing child care and early
childhood development services

•

Public health (including the agency responsible for immunizations and programs that
promote children’s emotional and mental health)

•

Tribal/State agency responsible for employment services/workforce development

•

Tribal/State agency responsible for child welfare

•

Other

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

8

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

Section 2.2. – Coordinating the Delivery of CCDF Services
Tribal Lead Agencies are required to coordinate with other Tribal, Federal, State, and local child
care, early childhood development programs, including such programs for the benefit of Indian
children. (98.14(a), 98.16(d))
2.2.1. Describe how the Tribal Lead Agency is coordinating the delivery of CCDF-funded child care
services with other Tribal, Federal, State, and local child care, early childhood development
programs, and before and after-school care services. (658D(b)(1)(D), 658O (c)(2)(A),
98.16(d), 98.82(b))

2.2.2. Describe the results of the Tribal Lead Agency’s required coordination activities with
agencies responsible for:
•

Public Health (including the agency responsible for immunizations)

•

Public Education

•

Employment services or workforce development

•

State Temporary Assistance for Needy Families (TANF) agency and/or Tribal TANF
agency

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

9

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

Section 2.3. – Public Hearing Process
2.3.1. The Tribal Lead Agencies are required to conduct public hearings no earlier than January 1,
2011 and no later than June 30, 2011. Public notice regarding the hearing(s) must be
provided at least 20 days prior to the hearing and must be made available throughout the
Tribal Lead Agency’s Service Area.
Reminder – Public Hearing notice must be at least 20 days before the date of the
hearing(s).The hearings are meant to solicit public comment and input into the services
that will be provided through the CCDF program. The Tribal Lead Agencies shall make
the contents of the plan available to the public in advance of the hearing.
(98.14(a)(c)(3))
Describe the public hearing process held to provide the Tribe or member Tribes, in the case
of a Tribal consortium, an opportunity to comment on the provision of child care services
under the Tribe’s (or Tribal consortium) Plan. (658D(b)(1)(C), 98.14(c), 98.16(e))
a) List the date(s) of the public hearing notice (at least one public hearing is required):
/
/
(Month, Date, Year)
b.) How was the community made aware of the public hearing? Examples include: parent
newsletter, tribal/local media, posting on bulletin boards, etc.

c.) Describe how the Tribal Lead Agency made available the contents of the Plan
throughout the service area prior to the public hearing?

d.) List the date(s) and location(s) of the hearing(s) (Month, Date, and Year)
/
/
(Month, Date, Year)
Location(s):

e.) Describe how input from the public hearing(s) was taken into consideration.

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

10

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

Section 2.4. – Public-Private Partnerships
2.4.1. Describe any activities, including planned activities, to encourage public-private
partnerships, which promote private-sector involvement in meeting child care needs.
(98.16(d))
Reminder: Provide examples of partnerships or planned activities with the business
community or other private organizations such as foundations. Note - If there are no
businesses, foundations, and/or philanthropic organizations within the Tribal Lead
Agencies service area please indicate.

Describe:

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

11

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

Part 3 – Child Care Services Offered
This section focuses on the child care assistance program. Tribal Lead Agencies are asked to
describe their efforts to inform parents about the subsidy program and application policies and
procedures, eligibility criteria, how Tribal Lead Agencies ensure continuity of care and parental
choice of high quality settings for families, and sliding fee scale and payment rate policies and
procedures.

Section 3.1. – Description of Direct Child Care Services
REMINDER: Non-Exempt Tribes are required to operate a certificate program. Certificates
must permit parents to choose from a variety of child care categories including center-based
care, group home care, family child care and in-home care. (98.30(e)) Exempt Tribes are not
required to operate a certificate program unless the Tribe chooses to include such services
and the associated requirements in its program (98.81(b)(5)
Please check the appropriate box - Tribal Lead Agency Funding Status:
Exempt
Non-Exempt (CCDF allocations equal to or greater than $500,000 for a fiscal
year)
3.1.1. The Tribal Lead Agency offers direct child care services through (check all appropriate
boxes): (658A(b)(1), 658E(c)(3)(A)&(B), 658P(5)&(6), 98.16(g)(1), 98.30, 98.50)
a) A Certificate Program
Yes, as a Non-exempt Tribe, we operate a Certificate Program as required.
Yes, as an Exempt Tribe we are not required but have chosen to operate a
Certificate Program. Exempt Tribes may choose to select “Yes” if you
provide the full categories of child care.

Reminder: The term “certificate” and “voucher” are used interchangeably
but for the purposes of the Tribal Plan Preprint we have chosen to make a
distinction between the two terms. The term certificate is used to
designate the program that allows parents a full range of providers. The
term voucher is used for Exempt Tribes who operate like a certificate
program, but offer parents fewer choices than the four categories of care.

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

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PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

b) A voucher Program (for Exempt Tribes Only)
The Lead Agency has the option to limit the categories of care offered to parents. The
Lead Agency has chosen to offer the following child care categories of care:
Center-based

Group-home

Family-home

In-home

c) Grants or Contracts for child care slots
Yes Describe and identify any limitation:

d) Tribally-operated center(s)
Yes. Describe the following:
• The number and locations of the Tribally operated centers
• The types of services offered (e.g. full-time, part-time, after school, etc.)
• The number of and ages of children serviced by the center

3.1.2. Are all of the child care services identified in 3.1 above available throughout the entire
service area? (658E(a), 98.16(g)(3))
Reminder: The Tribal Lead Agency is not required to offer CCDF services, or the same
services, throughout the entire reservation or service area. If all services are not offered
throughout your defined service area, indicate which services are not available and the
area where the services are not offered. FOR EXAMPLE: You may be only offering infant
care in only one village or in one center on your reservation
Yes, If yes describe:

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

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PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

No, If no, explain why:

Section 3.2. – Certificate Payment System
A child care certificate means a certificate, that may be a check, or other disbursement that is
issued by the Tribal Lead Agency to a parent who may use it to pay for child care services from a
variety of providers (including center-based, group home, family and in-home child care) or as a
deposit for services. (658E(c)(2)(A)(iii)), 658P(2), 98.2, 98.30, 98.16(k))
Reminder: Responses should provide sufficient detail to enable a reader to understand how the
Tribal Lead Agency Certificate Payment System works.

3.2.1. Briefly describe the overall child care certificate payment process.
Include at a minimum:
a) A description of the child care certificate OR attach a copy of the certificate

b) How does the Tribal Lead Agency inform parents that the child care certificate permits
them to choose from a variety of child care categories, including child care centers, child
care group homes, family child care homes, and in-home providers? (98.30(e)(2)).
Check all options that the Tribe has chosen to implement.
Certificate form provides information about choice of providers
Consumer education is provided at the time of application
Information is provided by child care resource and referral agencies
Agency Web site:
Other. Describe
c) If the Tribal Lead Agency is also providing child care services through grants and
contracts, explain how it ensures that parents offered child care services are given the
option of receiving a child care certificate.

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

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PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

Section 3.3. – Limitations of In-Home Care
All Non-Exempt Tribal Lead Agencies must allow for in-home care (i.e., care provided in the child’s
own home) but may limit its use. (98.16(g)(2), 98.30(3)(1)(iv)) Will the Tribal Lead Agency limit the
use of in-home care in any way?

Yes. If checked, what limits will the Lead Agency set on the use of in-home care?
Check all limits the Lead Agency will choose to establish.
Restricted based on minimum number of children in the care of the
provider to meet minimum wage law or Fair Labor Standards Act
Restricted based on provider meeting a minimum age requirement
Restricted based on hours of care (certain number of hours, nontraditional work hours)
Restricted to care by relatives
Restricted to care for children with special needs or medical condition
Restricted to in-home providers that meet some basic health and safety
requirements
Other. Describe

No

Section 3.4. – Eligibility Criteria for Child Care
In order to be eligible for services, children must (1) be under the age of 13, or under the age of 19
if the child is physically or mentally disabled or under court supervision; (2) reside with a family
whose income is less that 85 percent of the State’s median income for a family of the same size;
and (3) reside with a parent(s) who is working or attending job training or an educational program;
or (4) if the child is receiving or be receiving or needs to receive protective services. (658E(c)(3)(B),
658P(3), 98.20, 98.80(f), 98.81(b)(1))
3.4.1. How does the Tribal Lead Agency define the following eligibility terms?
•

Residing with -

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

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CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

•

in loco parentis (refers to an individual who assumes parental status and responsibilities
for another child) -

3.4.2. Eligibility Criteria Based Upon Age
a) The Tribal Lead Agency serves children from __________(weeks/months/years) to
________years (maximum age is through age 12).
b) Does the Tribal Lead Agency allow CCDF-funded child care for children age 13 and
above but below age 19 who are physically and/or mentally incapable of self-care?
(658E(c)(3)(B), 658P(3), 98.20(a)(1)(ii))
Yes, and the upper age is
incapacity.

. Provide a definition of physical and mental

No
c) Does the Tribal Lead Agency allow CCDF-funded child care for children age 13 and
above but below age 19 who are under court supervision? (658P(3), 658E(c)(3)(B),
98.20(a)(1)(ii))
Yes, and the upper age is

.”

No
3.4.3. Eligibility Criteria Based Upon Work, Job Training, or Educational Program
a) How does the Tribal Lead Agency define “working” for the purposes of eligibility?
Provide a narrative description below.
Reminder: Lead Agencies have the flexibility to include any work-related activities in
its definition of working, including periods of job search.

•

Working -

b) Does the Tribal Lead Agency provide CCDF child care assistance to parents who are
attending job training? (98.16(g)(5), 98.20(b))
Reminder – Lead Agencies have the flexibility to include any training or educationrelated activities in its definition of job training or education, including study time.

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Yes. If yes, how does the Tribal Lead Agency define “attending job training for the
purposes of eligibility? Provide a narrative description below.
•

Describe job training, to include attendance requirements if applicable:

No
c) Does the Tribal Lead Agency provide CCDF child care assistance to parents who are
attending an educational program? (98.16(g)(5), 98.20(b))
Reminder – Lead Agencies have the flexibility to include any education-related
activities in its definition of education, including study time.
Yes. If yes, how does the Tribal Lead Agency define “educational program” for the
purposes of eligibility? Provide a narrative description below.
•

Describe educational program, to include attendance requirements if applicable:

No
3.4.4. Eligibility Criteria Based Upon Receiving or Needing to Receive Protective Services
a) Does the Lead Agency provide child care to children in protective services?
(98.16(f)(7), 98.20(a)(3)(ii)(A) & (B))
Reminder – Lead Agencies have the flexibility to define protective services beyond
formal child welfare or foster care cases, including but not limited to, homeless
children. If the Lead Agency provides CCDF-funded child care to children in foster
care whose foster care parents are not working, or who are not in education /training
activities for CCDF purposes, these children are considered to be in protective
services and should be included in this definition.
Yes. If yes, how does the Lead Agency define “protective services” for the
purposes of eligibility? Provide a narrative description below.

No

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b) Does the Tribal Lead Agency waive, on a case-by-case basis, the co-payment and
income eligibility requirements for cases in which children receive, or need to receive,
protective services? (658E(c)(3)(B), 658P(3)(C)(ii), 98.20(a)(3)(ii)(A))
Yes
No
c) Does the Tribal Lead Agency provide CCDF-funded child care to children in foster care
whose foster care parents are not working, or who are not in education/training
activities? (98.20(a)(3)(ii), 98.16(f)(7))
Yes (This means that for CCDF purposes, the Tribal Lead Agency considers these
children to be served under the protective services eligibility category.)
No
d) Does the Tribal Lead Agency provide respite child care to children in protective
services? 98.16(f)(7)
Reminder: If yes, you must include respite care under your definition of protective
services.
Yes, and respite care is included under the Tribe’s definition of protective services.

No

3.4.5. Income Eligibility
By Statute, all eligible children must be under the age of 13 and reside with a family whose
income does not exceed 85% of the Grantee Median Income (GMI) for a family of the same
size. (658E(c)(3)(B), 658P(4), 98.20, 98.80(f), 98.81(b)(1))
a) How does the Lead Agency define “income” for purposes of eligibility determination?
(98.16(g)(5), 98.20(b))
Reminder: The Tribe has flexibility in developing its definition of income.
•

Income –

b) The law states that Tribes may establish income eligibility for child care under CCDF up
to 85% of the Grantees Median Income (GMI). Indicate whether the Tribal Lead Agency

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has selected to use the State or a Tribal Median Income to establish eligibility.
(658E(c)(3)(B), 658P(4), 98.20, 98.80(f), 98.81(b)(1))
Tribal Median Income (TMI) for a family of the same size residing in the area served
by the Tribal Lead Agency.
•

(Include effective date of Tribal Median Income

or

State Median Income (SMI) for a family of the same size.
•

Include effective date AND source of State Median Income

•

State

Effective date of SMI

c) Provide the CCDF income eligibility limits. Income limits must be provided in terms of
GMI (State Median Income or Tribal Median Income, as selected above), even if Federal
poverty level is used in implementing the program. (98.20(a)(2))
Complete column (a) and (b) of the matrix below based on the definition of GMI selected
above (TMI or SMI). Complete column (c) ONLY IF the Tribal Lead Agency is using
income eligibility limits lower than 85% of the GMI (i.e., State or Tribal Median
Income).
3.4.5. – Grantee Median Income (GMI) Matrix
Family
Size

(a)
100% of GMI
($/month)

(b)
85% of GMI
($/month)

(c)
Income eligibility, less than 85%
GMI, if used to limit eligibility
($/month)

1
2
3
4
5
6
7
8

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3.4.6. Additional CCDF Eligibility Criteria or Definition
Has the Tribal Lead Agency established additional eligibility criteria, for example higher
income limits in one part of the tribal service area? (658E(a), 98.16(g)(5), 98.20(b))
Yes, and the additional eligibility criteria that the Tribal Lead Agency has established
are: (Terms must be defined in Appendix # ____
No

Section 3.5. – Priority Rules for Children
At a minimum, CCDF requires Lead Agencies to give priority for child care services to children with
special needs. Prioritization of CCDF-services is not limited to eligibility determination (i.e.,
establishment of a waiting list or ranking of eligible families in priority order to be served). Lead
Agencies may fulfill priority requirements in other ways, such as higher payment rates for providers
caring for children with special needs. (658E(c)(3)(B), 98.44(b))
Reminder: Responses under Section 3.5 should provide sufficient detail to enable a
reader to understand the Tribal Lead Agency’s priority rules.
3.5.1. Priority Rules for Children with Special Needs
Reminder: Lead Agencies have the flexibility in how they define “special needs”. Lead
Agencies are not limited in defining children with special needs to only those children with
physical or mental disabilities (e.g., with formal Individual Education Plan (IEP) required
under the Individuals with Disabilities Act (IDEA). Lead Agencies could consider children in
the child welfare system, children of teen parents, or homeless children as examples of
children with special needs.
a) How does the Tribal Lead Agency define “children with special needs?”

b) Describe how the Tribal Lead Agency will give priority for child care services to children
with special needs (658E(c)(3)(B), 98.44(b)
_____________________

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3.5.2. Additional Eligibility Criteria or Priority Rules
a) Does the Tribal Lead Agency have additional eligibility criteria or priority rules ?
(658E(c)(3)(B), 98.16(g)(5), 98.20(b))
Yes, and the following are the additional eligibility criteria or priority rules. Terms
must be defined in (b) below.
No

b) Define and describe the additional priority rules or categories provided in 3.5.2a.

Section 3.6. – Payment Rates for Child Care Services
Lead Agencies are required to establish payment rates for child care services that ensure eligible
children equal access to comparable care (658E(c)(4), 98.16(l) and 98.43(b)(2)).
3.6.1. Provide a copy of your payment rates as Attachment 3.6.1. For Tribally Operated Centers
and those offering direct services through grants or contracts, complete 3.6.3 below)
The attached payment rates were or will be effective as of:
Reminder: The attached payment rates should reflect all the rates that cover the variety of
care offered in your program. Tribal Lead Agencies are reminded that payment rates
cannot be based on a family’s eligibility or circumstances. This means that the Lead
Agency may not establish payments for TANF families that differ from the payments for
child care for the working poor, or for families in education or training.
Reminder for Tribally Operated Centers: For Lead Agencies that only offer direct
services through a tribally-operated center In lieu of a payment rate schedule, the Tribe
could provide information about its CCDF budget, including the average cost of providing
care per child, or information about what the center would charge a non-subsidized child
for care.
3.6.2. Are the payment rates provided in Attachment 3.6.1 used in all parts of the Tribal Service
Area?
Yes
No. Attach other payment rates (e.g. as Attachment 3.6.1.), indicate their effective dates
and describe or list the geographic areas where they are used

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3.6.3

Does the Tribal Lead Agency provide child care services only through a tribally-operated
center(s) or grants and contracts?
Yes, if yes attach information on cost of care per child, budget information or other
documentation regarding the cost of child care services (e.g. as Attachment 3.6.1)
No.

3.6.4. Market Rate Survey Requirements
Tribal Lead Agencies are required to establish payment rates for child care services that
ensure eligible children equal access to comparable care. At a minimum, Lead Agencies
are required to show how payment rates are adequate based on a local market rate survey
conducted no earlier than two years prior to the effective date of the currently approved Plan
(i.e., conducted no earlier than 10/1/10 and no later than 9/30/11).
ACF recognized that market rate surveys may not be feasible for some Tribal Lead
Agencies. Lead Agencies have three options for fulfilling the local Market Rate Survey
requirements. Lead Agencies have the option of 1) conducting its own local Market Rate
Survey, 2) using the State’s local Market Rate Survey, or 3) providing alternative
documentation in lieu of a local Market Rate Survey if selected criteria are met. Select the
option that best fits the circumstances of your Tribal Child Care Program and provide the
requested information for the option selected..
Which option does the Tribal Lead Agency use in fulfilling the local Market Rate Survey
requirements? Please select only ONE option.
Option 1 - The Lead Agency conducts its own Market Rate Survey?
If Yes, include the following:
The date of the local child care market rate survey(s):

/

/

Required: Describe how are the payment rates adequate to ensure equal
access based on the results of the market rate survey (i.e., the relationship
between the attached payment rates and the market rates observed in the
survey). What additional facts (if any) were used, in addition to the market rate
survey, to set the attached payment rates? (98.16(l), 98.43)

Option 2 - The Lead Agency uses the State’s local Market Rate Survey?
If Yes, include the following:
Name of State:
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Date (including the year) of the survey:

/

/

Required: Describe how are the payment rates adequate to ensure equal
access based on the results of the market rate survey (i.e., the relationship
between the attached payment rates and the market rates observed in the
State(s) survey(s)). What additional facts (if any) were used, in addition to the
market rate survey(s), to set the attached payment rates? (98.16(l), 98.43)

Option 3 - The Lead Agency will provide alternative documentation in lieu of a local
Market Rate Survey. Lead Agencies must meet at least one of the following criteria
in order to select this option.
Criteria 1. Check if:
The Tribal Lead Agency has documented that it funds CCDF direct services
solely in settings outside the scope of a market rate survey including;
(a) an Exempt Tribal Lead Agency providing CCDF direct services solely in
Tribally operated facility(ies) and does not provide services through
certificates/vouchers, grants, or contracts; and
(b) a Tribal Lead Agency funds CCDF direct services solely in unregulated
home-based settings such as in-home care (i.e., care in the child’s own home) or
family, friend and neighbor care, and does not fund any CCDF services in
centers, regulated family child care homes or regulated group homes.
If checked. Provide the documentation or a description indicating that the
Tribal Lead Agency funds CCDF services solely in Tribally operated facility(ies)
and does not provide services through certificates/vouchers, grants, or contracts;
or provides direct services solely in unregulated home-based settings and does
not provide any services through centers or regulated homes.
Documentation included in attachment #
Or
Describe:
Criteria 2. Check if:
The Tribal Lead Agency has documented that all child care providers in the
service area that would potentially be included in a market rate survey (a) serve
only children receiving CCDF subsidies, and (b) serve no private-pay children.

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If yes, provide the documentation describing how the Tribal Lead Agency
determined that all providers serve only children receiving CCDF subsidies and
serve no private-pay children including a description of all relevant provider types
(e.g., centers, family child care homes, etc) that were examined.

3.6.5. For Non-Exempt Tribes Only – If the payment rates do not reflect individual rates for the
full range of providers -- center-based, group home, family home, and in-home care—
explain how the choice of the full range of providers is made available to parents:

Reminder: If your rates do not cover all categories of providers (i.e. center, family
home, group home, in home) you must explain how parents will have access to the full
range of providers, (i.e. if your rates only cover center, how will parents request
subsidies for family home providers?)
Remember, non-exempt Lead Agencies must operate a certificate program and offer
access to all 4 categories of care.

3.6.6. Will the Tribal Lead Agency provide any type of tiered reimbursement or differential rates on
top of its base reimbursement rates for providing care for subsidized children? Check which
types of tiered reimbursement, if any, the Tribal Lead Agency has chosen to provide.
Differential rate for nontraditional hours. Describe
Differential rate for children with special needs as defined by the State/Territory.
Describe
Differential rate for infants and toddlers. Describe
Differential rate for school-age programs. Describe
Differential rate for higher quality as defined by the State/Territory. Describe
Other differential rate. Describe

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Section 3.7. – Sliding Fee Scale(s)
CCDF requires families to share in the cost of subsidized child care (658(E)(5),98.42). The Tribal
Lead Agency must establish a sliding fee scale that details each family’s contribution(s) (i.e., “copayment”). The sliding fee scale must vary based on income and the size of the family.
3.7.1. Provide a copy of the Tribal Lead Agency’s sliding fee scale for child care services as
Attachment 3.7.
•

The attached sliding fee scale will be effective as of: _

.

3.7.2. Does the Tribal Lead Agency use other factors in addition to income and family size to
determine each family’s contribution to the cost of child care? (658E(c)(3)(B), 98.42(b))
Yes, and describe those additional factors:
No
3.7.3. Is the same sliding fee scale provided in attachment 3.7 in response to question 3.7.1.
above in use in all parts of the Tribal service area? (658E(c)(3)(B), 98.42)
Yes
No, and other scale(s) are provided as attachment

.

3.7.4. The Tribal Lead Agency may waive co-payments for families whose incomes are at or below
the poverty level for a family of the same size. (98.42(c))
Reminder – Tribal Lead Agencies are reminded that the co-payments may be waived
for only two circumstances – for families at or below the poverty level or on a case-bycase basis for children falling under the definition of “protective services” (as defined in
3.4.4).
ALL families, including those with incomes at or below the poverty level for families of
the same size, ARE required to pay a fee.
NO families with income at or below the poverty level for a family of the same size ARE
required to pay a fee. Identify what Fiscal Year and Data source was used to determine
the poverty level.
SOME families with income at or below the poverty level for a family of the same size
ARE NOT required to pay a fee.
Provide a description of the families at or below the poverty level that are not required to
pay a fee:

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3.7.5. The following is an explanation of how the co-payments required by the Tribal Lead
Agency’s sliding fee scale(s) are affordable:(98.43(b)(3))

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Part 4 – Procedures for Parents
In this section the Tribal Lead Agency should provide a complete description of the application
process for families, the procedures for providing parents with unlimited access to their children
while they are in the care of a CCDF provider (658E(c)(2)(D), (658D(b)(1)(A), (658E(c)(3)(B),
98.16(h), 98.30), and how the Tribal Lead Agency maintains substantiated parental complaints and
how such information is made available to the public upon request (658E (c)(2)(C), 98.32).
Section 4.1. – How Families Apply for CCDF
4.1.1. Describe how parents are informed of the availability of child care services under CCDF.
(658E(c)(2)(A), 98.30(a))
The description must include:
•

How parents are informed of the availability of child care services and of available child
care options?

•

Where and how applications are made?

•

Who makes the eligibility determination?

•

How is eligibility documented and verified?

4.1.2. Describe how the Tribal Lead Agency document and verify any of the following information
from the applicant. (658K(a)(1), 98.70(a), 98.71(a))

4.1.3. TANF Agency’s Criteria/Definitions Regarding Inability to Obtain Care
How Does the Tribal Lead Agency Inform Parents who Receive TANF (Temporary
Assistance for Needy Families) Benefits About the Exception to the Individual Penalties
Associated with the TANF Work Requirement?
The regulations at 98.33(b) require the Tribal Lead Agency to inform parents who receive
TANF benefits about the exception to the individual penalties associated with the work
requirement for any single custodial parent who has a demonstrated inability to obtain
needed child care for a child under 6 years of age. Lead Agencies must coordinate with
TANF programs to ensure, that TANF families with young children will be informed of their
right not to be sanctioned if they meet the criteria set forth in the TANF statute and Plan.
In fulfilling this requirement, the following criteria or definitions are applied by the TANF
agency—which include both the Tribal TANF agency and the State TANF agency-- to
determine whether the parent has a demonstrated inability to obtain needed child care:

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Reminder: The TANF agency, not the Child Care Tribal Lead Agency, is responsible for
establishing the following criteria or definitions. These criteria or definitions are offered
in this Plan as a matter of public record. This question is for informational purposes.
a) Identify the TANF agency(ies) that established these criteria or definitions:
State(s) TANF Agency:
Tribal TANF Agency:
b) Provide the following definitions established by the TANF agency.
•

“Appropriate child care”:

•

“Reasonable distance”:

•

“Unsuitability of informal child care”:

•

“Affordable child care arrangements”:

c) How are parents who receive TANF benefits informed about the exception to individual
penalties associated with the TANF work requirements?
In writing
Verbally
Other:

4.1.4. Is the application process for child care under CCDF different for families receiving
TANF? (98.16(g)(4))
Yes. If yes, please describe:
No
Section 4.2. – Description of Procedures for Unlimited Parental Access
The Lead Agency shall have in procedures to ensure that providers receiving CCDF funds afford
parents unlimited access to their children, and access to the providers caring for their children,
during normal hours of provider operation and whenever the children are in the care of the provider.
(658E(c)(2)(B), 98.31, 98.16(n))
Describe how the Lead Agency ensures that parents have this access:

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Section 4.3. – Record of Substantiated Parental Complaints
•

Describe in detail how the Tribe maintains a record of substantiated parental complaints about a
child care provider that were found to be true. (658E(c)(2)(C), 98.32, 98.16(m))

•

Describe in detail how the substantiated parental complaints that were found to be true are
available to the public on request, including who should be contacted to receive them.
(658E(c)(2)(C), 98.32, 98.16(m))

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PLAN FOR: _________________________________________________________________
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Part 5 – Activities and Services to Improve the Quality of Child Care
In this section, Tribal Lead Agencies are asked to describe their goals and plans for the
implementation of child care quality improvement activities. Core elements of CCDF include quality
investments and support systems for programs and staff. Tribes are encouraged, regardless of
size, to take an intentional approach to quality improvement – assessing the current quality of care
available and the training and TA needs of providers; investing their quality funds and efforts in
accordance with the needs; and reviewing the success of their activities to improve quality and
making adjustments as necessary.
The Tribal Lead Agency should consider its goals for a child care quality improvement system for all
families, not just those receiving assistance under CCDF. (658G, 658E(c)(3)(B), 98.16(h), 98.51,
98.83(f))
Reminder – CCDF regulations require non-exempt Lead Agencies (those receiving
$500,000 or more) to spend not less than 4 percent on quality activities. These activities
may include, but are not limited to; activities designed to provide comprehensive
consumer education, increased parental choice, and to improve the availability and
quality of child care services.
Exempt Lead Agencies (those receiving less than $500,000 are strongly encouraged to
spend CCDF funds on quality activities but are not required to meet the 4 percent
provision.
5.1.

Quality Improvement Activities
5.1.1. How does the Tribal Lead Agency learn about the quality of care currently offered and
the training and TA needs of providers? (Note: Tribes may make their own decisions about
how to determine their needs and make investments. For technical assistance purposes,
OCC would like to learn how Tribes perform these functions – from the use of formal tools to
determine the quality of programs to more informal methods to learn about the needs of
relative caregivers.)

5.1.2. Describe the quality improvement activities the Tribal Lead Agency intends to
implement during this plan period. Tribes may use the table below OR provide a narrative
description:

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Table 5.1. – Planned Quality Activities for the Upcoming Biennium- (May be used in
Lieu of Narrative Response.)
a) Training and Professional Development Opportunities for Providers
Training Topics
Child Development
Infant and toddler child care
Physical Activity and Nutrition
Language and Literacy
Inclusive child care
Health and safety
Social-emotional development
Fiscal management
Administration and program management
Curriculum development and instruction
Child Care as a business
Other, describe:
Strategies for Making Training Accessible
Grants or stipends for attending training events
Time off to attend training
Make substitute providers available
Other, describe:
Training Outcomes
Certificate
Credential
Degree
Credit towards required training hours
Other, describe:

b) Assisting Providers in meeting Licensing and Health and Safety Standards
Provide health and safety materials/equipment
Grants/mini-grants for health and safety equipment/materials
Classroom materials and resources

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Financial assistance in meeting licensing requirements
Other, describe:

c) Consumer Education
Resource and referral services
Resource library for parents and providers
Newsletters for providers and parents
Parent handbooks
Toy lending library
Internet-based consumer education on quality child care
Other, describe:
d) Staff Compensation & Financial Incentives for Programs
Supplement wages of staff
Bonuses to recruit providers caring for infants/toddlers or other areas of provider
shortages
Increase staff compensation in blended Child Care/Head Start programs
Bonuses to higher quality programs
Implement cash and non-cash career-ladder incentives
Other, describe:
e) School-Age Child Care Activities
(Note: all activities must have a direct link to child care)
Cultural activities with elders (e.g., regalia making)
Culturally-based summer youth programs
Mentoring program
Drug prevention program
Teen pregnancy prevention programs
Other, describe:

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f)

Culturally Relevant Activities
Tribal language immersion programs
Integration of storytellers in child care programs
Cultural training opportunities for parents and providers
Cultural training to non-Native providers
Other, describe:

g) Quality Support for Programs
Grants to programs to expand quality activities
Health Consultation or other related activities
Assessment of classroom practice
Integrating children with special needs (creating inclusive child care settings)
Higher rates for programs caring for infants and toddlers
Other, describe:
5.1.3. Does Tribal Lead Agency have quality improvement initiatives specifically for relative
caregivers or other small home-based providers that are not described in your answers
above:
Yes. If yes, describe:
No
5.1.4

Tribes are required to spend a specific amount on School-Age Care and /or Resource and
Referral services to fulfill the requirement know as Discretionary Targeted Funds. See the
Office of Child Care Website for the FY 2012 estimates.
http://www.acf.hhs.gov/programs/ccb/law/allocations/current/tribal2011/2011_est_alloc.htm
How does the Tribal Lead Agency intend to use these funds?
Describe: ____________

5.2.

Quality Improvement Goals
In the upcoming Biennium, describe the Tribal Lead Agency’s goals for improving the quality
of care in your program. (Answers will inform the training and technical assistance provided
by OCC.)

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Part 6 – Health and Safety Requirements for Providers
Activities to Ensure the Health and Safety of Children in Child Care This section is intended to
collect information on how Tribal Lead Agencies meet the statutory and regulatory provisions
related to the health and safety requirements for the CCDF program and how the requirements are
effectively enforced. The Personal Responsibility and Work Opportunity and Reconciliation Act of
1996 (Public Law 104-193) requires that in lieu of any licensing and regulatory requirements
applicable under State and local law, the U.S. Department of Health and Human Services develop
minimum child care standards for Indian Tribes and Tribal Organizations receiving funds under the
Child Care and Development Fund. The Minimum Tribal Child Care Standards were first published
in April 2000 after three years of consultation with Tribes and tribal organizations, These voluntary
guidelines represent the baseline from which all programs should operate to ensure that children
are cared for in healthy and safe environments and that their basic needs are being met. We are
aware that many Tribes may currently exceed the minimum standards. Each set of standards is
organized in three sections that correspond with the basic CCDF health and safety standards: (1)
policies, practices, and caregiver training; (2) building and premises; and (3) infection control.
Tribal Lead Agencies still maintain the option of using the voluntary Minimal Tribal Child Care
Standards or Tribal, State, or local licensing or regulatory requirements.
Reminder: A Tribal Lead Agency has the option, to exempt the following relatives from some or all
of its health and safety requirements: grandparents, great-grandparents, siblings if living in a
separate residence, aunts, and uncles (see Section 6.3). (658)(4)(B), 98.41(g)):

Section 6.1 Compliance with CCDF Health and Safety Requirements
Table 6.1.1 What standards have the Tribe adopted for the following categories of care?
Tribal Lead Agencies still maintain the option of
For each requirement checked, identify
using the voluntary Minimal Tribal Child Care
which providers must meet the requirement.
Standards or Tribal, State, or local licensing or
(Reminder: Non-Exempt Tribal Lead
regulatory requirements.
Agencies must have at least one check box
in each category of care)
Check all that apply.

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

34

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

Centerbased

Group
home

Family
home

In-home

HHS Minimum Child Care Standards
Tribal Standards
State Licensing Standards
Identify State(s):________________________
Local Licensing Standards or requirements
Identify Local entity: ____________________
Other
Identify Other: _________________________
6.1.2 Does the Tribal Lead Agency exempt relative providers from health and safety requirements?
Yes.

If yes, identify exempt relative providers

No.

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

35

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

Section 6.2 Compliance with CCDF Requirements for Health and Safety
Each Tribal Lead Agency shall certify that there are in effect, within the Tribal, State or local law,
requirements designed to protect the health and safety of children that are applicable to child care
providers of services for which assistance is provided under CCDF. Such requirements shall
include the prevention and control of infectious diseases (including immunization), building and
physical premises safety, and minimum health and safety training appropriate to the provider
setting. These health and safety requirements apply to all providers caring for children receiving
CCDF services. (658E(c)(2)(F), 98.41)
6.2.1. Check the health and safety requirements for prevention and control of infectious
disease that are in effect for child care providers of services for which assistance is
provided under CCDF. For example, these requirements may be included as part of the
Tribal Child Care Standards, State licensing requirements, the Minimum Tribal Child Care
Standards or local requirements(658E(c)(2)(F)(i), 98.41(a)(1)
Table 6.2.1 Health and Safety Requirements for the Prevention and Control of Infectious
Disease
Tribal Lead Agencies have flexibility to set
For each requirement checked, identify
requirements for their programs. Check all
which providers must meet the requirement.
requirements that the Lead Agency has chosen to
(Reminder: Non-Exempt Tribal Lead
Agencies must have at least one check box
implement:
in each category of care)
Check all that apply.
CenterGroup
Family
In-home
based
home
home
Physical exam or health statement for
providers
Physical exam or health statement for
children
Tuberculosis check for providers
Tuberculosis check for children
Provider immunizations
Child immunizations
Hand-washing policy for providers and
children
Diapering policy and procedures
Providers to submit a self-certification or
complete health and safety checklist
Providers to meet the requirements of
another oversight entity that fulfill the CCDF
health and safety requirements
Other: Describe

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

36

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

6.2.2

Check the health and safety requirements for building and physical premises safety,
including policies and practices to protect from environmental hazards, in effect for child
care providers of services for which assistance is provided under CCDF. (658E(c)(2)(F)(ii),
98.41(a)(2))
Table 6.2.2 Health and Safety Requirements for Building and Physical Premises Safety
For each requirement checked, identify
which providers must meet the requirement.
(Reminder: Non-Exempt Tribal Lead
Tribal Lead Agencies have flexibility to set
Agencies
must have at least one check box
requirements for their programs. Check all
in
each category of care)
requirements that the Lead Agency has chosen
Check all that apply.
to implement:
CenterGroup
Family
In-home
based
home
home
Building inspection
Fire inspection, safety and evacuation
policy
Accessibility for people with disabilities
Health inspection
Compliance with inaccessibility of toxic
substances policy
Compliance with lead paint policy
Compliance with safety policy for bodies of
water, including swimming pools
Compliance with safe sleep policy,
including SIDS prevention
Compliance with transportation policy
Providers to submit a self-certification or
complete health and safety checklist
Providers to meet the requirements of
another oversight entity that fulfill the CCDF
health and safety requirements
Tobacco Exposure Reduction
Other: Describe

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

37

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

6.2.3

Check the health and safety requirements for health and safety training in effect for
child care providers of services for which assistance is provided under CCDF.
(658E(c)(2)(F)(iii), 98.41(a)(3))

Table 6.2.3. Health and Safety Requirements for Health and Safety Training
Tribal Lead Agencies have flexibility to set requirements for their programs. Check all requirements
that the Lead Agency has chosen to implement:
PreOnHealth and Safety Training Requirements
Service Going
Child Care
CPR
Centers
First Aid
Training on Infectious Diseases
SIDS Prevention (i.e., Safe Sleep)
Medication Administration
Mandatory Reporting of Suspected Abuse or Neglect
Child Development
Supervision of Children
Behavior Management
Nutrition
Breastfeeding
Tobacco Exposure Reduction
Physical Activity
Working with Children with Special Needs or Disabilities
Emergency Preparedness and Response
Other. Describe

Group Home
Child Care

CPR
First Aid
Training on Infectious Diseases
SIDS Prevention (i.e., Safe Sleep)
Medication Administration
Mandatory Reporting of Suspected Abuse or Neglect
Child Development
Supervision of Children
Behavior Management
Nutrition
Breastfeeding
Tobacco Exposure Reduction
Physical Activity
Working with Children with Special Needs or Disabilities
Emergency Preparedness and Response
Other. Describe

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

38

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

Table 6.2.3. Health and Safety Requirements for Health and Safety Training
Tribal Lead Agencies have flexibility to set requirements for their programs. Check all requirements
that the Lead Agency has chosen to implement:
PreOnHealth and Safety Training Requirements
Service Going

Family
Home Care

CPR
First Aid
Training on Infectious Diseases
SIDS Prevention (i.e., Safe Sleep)
Medication Administration
Mandatory Reporting of Suspected Abuse or Neglect
Child Development
Supervision of Children
Behavior Management
Nutrition
Breastfeeding
Physical Activity
Tobacco Exposure Reduction
Working with Children with Special Needs or Disabilities
Emergency Preparedness and Response
Other. Describe

In-Home Child
Care Providers

CPR
First Aid
Training on Infectious Diseases
SIDS Prevention (i.e., Safe Sleep)
Medication Administration
Mandatory Reporting of Suspected Abuse or Neglect
Child Development
Supervision of Children
Behavior Management
Nutrition
Breastfeeding
Tobacco Exposure Reduction
Physical Activity
Working with Children with Special Needs or Disabilities
Emergency Preparedness and Response
Other. Describe

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

39

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

Section 6.3. Monitoring and Enforcement of Health and Safety Requirements
The Tribal Lead Agency is required to certify that procedures are in effect to ensure that child care
providers caring for children receiving CCDF services comply with the applicable health and safety
requirements. (658E(c)(2)(G), 98.41(d))
Describe the Tribal Lead Agency policies for effective enforcement of requirements
applicable to child care program funded under CCDF. We realize that some tribal programs
may be required to be licensed by the State or other entity and therefore the enforcement of the
licensing requirements is carried out by the State. Check the appropriate boxes below that best
describes the visits (announced and unannounced), background checks and any other enforcement
policies and practices that govern Tribal child care programs.
6.3.1. Are announced and/or unannounced visits in its policies as a way to effectively enforce the
applicable child care requirements? (658E(c)(2)(E), 658E(c)(2)(G), 98.40(a)(2), 98.41(d))
Yes. If “Yes” please refer to the chart below and check all that apply.
No
Licensing enforcement is carried out by the State or other outside entity. Please identify
the State or other entity. If you checked this box, you are not required to complete table
6.3.1
Table 6.3.1. – Information on Monitoring and Inspections
Frequency of Routine
Frequency of Routine
Provider Categories
Announced Visits
Unannounced Visits
Center-Based
Once a Year
Once a Year
More than Once a Year
More than Once a Year
Less than Once a Year
Less than Once a Year
Once Every Two Years
Once Every Two Years
Other: Describe
Other: Describe
Family Home

Once a Year
More than Once a Year
Less than Once a Year
Once Every Two Years
Other: Describe

Once a Year
More than Once a Year
Less than Once a Year
Once Every Two Years
Other: Describe

Group Home

Once a Year
More than Once a Year
Less than Once a Year
Once Every Two Years
Other: Describe
Once a Year
More than Once a Year
Less than Once a Year
Once Every Two Years
Other: Describe

Once a Year
More than Once a Year
Less than Once a Year
Once Every Two Years
Other: Describe
Once a Year
More than Once a Year
Less than Once a Year
Once Every Two Years
Other: Describe

In-Home

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

40

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

6.3.2. Are background checks used to effectively enforce and monitor health and safety
requirements?
Yes. If yes, please refer to the chart below and check all that apply.
Reminder: Some Tribal Lead Agencies have agreements with the State or Tribal entities
that conduct the background check of providers. Example: The Tribal Lead Agency has
entered into and agreement with the Tribe to conduct background checks. The Tribe’s
background check consists of both and FBI and DOJ check.

No
Table 6.3.2. Background Checks (Check all that apply)
For each requirement checked, identify
which providers must meet the requirement.
(Reminder: Non-Exempt Tribal Lead
Tribal Lead Agencies have flexibility to set
Agencies must have at least one check box
requirements for their programs. Check all
in each category of care)
requirements that the Lead Agency has chosen
Check all that apply.
to implement:
CenterGroup
Family
In-home
based
home
home
Child Abuse Registry
Tribal Criminal Background
Federal Background - either Federal Bureau
of Investigation (FBI) and/or Department of
Justice (DOJ) (e.g., fingerprint)
Sex Offender Registry

6.3.3. What other methods either directly or indirectly, does the Tribal Lead Agency use to
effectively enforce CCDF health and safety requirements?
Reminder: Examples may include requiring providers to submit plans to correct
violations cited during monitoring; Tribal Lead Agency provides technical assistance on
how to correct the violation or the prevention of such violations, Tribal Lead Agency has
an agreement with the State to enforce compliance with CCDF health and safety
requirements, etc.

Describe:

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

41

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

6.3.4. Does the Tribal Lead Agency disseminate information to parents and the public,
about child care program compliance records?

Yes. Describe

No

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

42

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

APPENDIX 1
CCDF PROGRAM ASSURANCES AND CERTIFICATIONS

The Tribal Lead Agency is designated by the Tribe (or Tribal consortium) to represent the Tribe (or
Tribal organization).
The Tribal Lead Agency agrees to follow the Federal laws and regulations that apply to the CCDF
program and to follow this Plan, when approved, including the following assurances and
certifications.
The Tribal Lead Agency assures that:
(1) Upon approval, it will have in effect a program that complies with the provisions of the
Plan printed herein, and is administered in accordance with the Child Care and
Development Block Grant Act of 1990 as amended, Section 418 of the Social Security
Act, and all other applicable Federal laws and regulations. (658D(b), 658E(a),
98.15(a)(1))
(2) The parent(s) of each eligible child within the Tribe or Tribal service area who receives
or is offered child care services for which financial assistance is provided is given the
option either to enroll such child with a child care provider that has a grant or contract for
the provision of the service or to receive a child care certificate. (658E(c)(2)(A)(i), 98.2,
98.30, 98.15(a)(2)) [Exempt Tribal Lead Agencies are not required to operate
certificate programs.]
(3) In cases in which the parent(s) elect(s) to enroll the child with a provider that has a grant
or contract with the Tribal Lead Agency, the child will be enrolled with the eligible
provider selected by the parent to the maximum extent practicable. (658E(c)(2)(A)(ii),
98.15(a)(3), 98.30)
(4) The child care certificate offered to parents shall be of a value commensurate with the
subsidy value of child care services provided under a grant or contract.
(658E(c)(2)(A)(iii), 98.15(a)(4), 98.30) [Exempt Tribal Lead Agencies are not required
to operate certificate programs.]
(5) The Tribe, or Tribal consortium, will coordinate, to the maximum extent feasible, with the
Tribal Lead Agency(ies) in the State(s) in which the child care programs or activities will
be carried out. (98.12, 98.14(a)&(b), 98.81(b)(3)(i), 98.82)
(6) Tribal Child Care and Development Fund (CCDF) programs and activities will be carried
out for the benefit of Indian children on an Indian reservation (except for Programs
located in Alaska, California, or Oklahoma). (98.81(b)(3)(ii), 98.83(b))
(7) With respect to State and local regulatory requirements (or Tribal regulatory
requirements), health and safety requirements, payment rates, and registration
CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

43

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

requirements, State or local (or Tribal) rules, procedures or other requirements
promulgated for the purpose of the CCDF will not significantly restrict parental choice
from among categories of care or types of providers. (658E(c)(2)(A), 98.15(a)(5),
98.15(p), 98.30(e)&(f), 98.40(b)(2), 98.41(b), 98.43(d), 98.45(d))
The Tribal Lead Agency certifies that:
(1) It has procedures in place to ensure that providers of child care services for which
assistance is provided under the Child Care and Development Fund (CCDF) afford
parents unlimited access to their children and to the providers caring for their children
during the normal hours of operations and whenever such children are in the care of
such providers. (658E(c)(2)(B), 98.15(b)(1), 98.31)
(2) It maintains a record of substantiated parental complaints and makes information
regarding such complaints available to the public on request. (658E(c)(2)(C),
98.15(b)(2), 98.32)
(3) It will collect and disseminate to parents of eligible children and the general public,
consumer education information that will promote informed child care choices.
(658E(c)(2)(D), 98.15(b)(3), 98.33)
(4) There are licensing requirements in effect that are applicable to child care services
provided within the area served by the Tribal Lead Agency pursuant to 98.40.
(98.15(b)(4), 98.40)
(5) There are—under Tribal, local, or State law—requirements in effect designed to protect
the health and safety of children; these requirements are applicable to child care
providers that provide services for which assistance is made available under the CCDF.
(658E(c)(2)(F), 98.15(b)(5), 98.41)
(6) Procedures are in effect to ensure that child care providers that provide services for
which assistance is provided under the CCDF comply with all applicable health and
safety requirements. (658E(c)(2)(G), 98.15(b)(6), 98.41)
(7) Payment rates under the CCDF for the provision of child care services will be sufficient
to ensure equal access for eligible children to comparable child care services in the
Tribe or Tribal service area that are provided to children whose parents are not eligible
to receive assistance under this program or under any other Federal or State child care
assistance programs. (658E(c)(4)(A), 98.15(b)(7), 98.43)
(8) By the end of each three-year funding period (expenditure period for each Federal fiscal
year’s grant funding), the Tribe must have expenditures that are equal to grant funds
received for that fiscal year. (98.67(c))

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

44

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

APPENDIX 2
CHILD COUNT DECLARATION

Name of Tribal Lead Agency:
This certifies that the number of Indian children under age 13 who reside on or near the reservation
or service area is:
(number)
This count shows the number of Indian children under age 13 as of (date)

Signature of Individual Authorized to
Act for the Tribe/Title

Type or Write Name/Title

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

Date

Federal Fiscal Year


45

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

CHILD COUNT DECLARATION
(P.L. 102-477 Tribe)
Name of Tribal Lead Agency:
This certifies that the number of Indian children under age 13 (as defined in the CCDF section of
the 102-477 plan) who reside on or near the reservation or service area (as defined in the CCDF
section of the 102-477 plan) is:
(number)

This count shows the number of Indian children under age 13 as of

.
Date

Signature of Individual Authorized to
Act for the Tribe/Title

Type or Write Name/Title

Date

Federal Fiscal Year


REQUEST FOR REALLOTTED TRIBAL DISCRETIONARY FUNDS
The Tribal Lead Agency named above requests Discretionary Funds that may be available
through the reallotment process.
Yes
No

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

46

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

APPENDIX 3
AMENDMENTS LOG
Child Care and Development Fund Plan
For the period: 10/1/2011 –9/30/2012
GRANTEE NAME:

Section Amended

Effective/Proposed
Effective Date

Grantee
Signature and
Date Submitted to
ACF

ACF Approving Official’s
Signature and Date

Instructions:
(1) Tribal Lead Agency completes the first 3 columns and sends a photocopy of this log (showing
the latest amendment sent to ACF) and the amended section(s) to the ACF Regional contact. A
copy of the log, showing the latest amendment pending in ACF, is retained in the Tribal Lead
Agency’s Plan.
(2) ACF completes column 4 and returns a photocopy of the log to the Tribal Lead Agency.
(3) The Tribal Lead Agency replaces this page in the Plan with the copy of the log received from
ACF showing the approval date.
(4) Program Instruction CCDF-ACF-PI-2009-01 provides specific details and timelines specific to
the plan amendment process.
Reminder: This process depends on repeated subsequent use of the same log page over
the life of the Plan. At any time the log should reflect all amendments, both approved and
pending in ACF. The Tribal Lead Agency is advised to retain those “old” plan pages that
are superseded by amendments in a separate appendix to its Plan.
CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

47

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

APPENDIX 4
LIST OF CERTIFICATIONS

New Tribal CCDF applicants must complete and submit the following certifications as Appendix 4 of
their Tribal plan preprint:
•

Assurance of compliance with Title VI of the Civil Rights Act of 1964

•

Certification regarding debarment (includes definitions for use with the certification of
debarment)

•

HHS certification regarding drug-free workplace requirements

•

Certification of compliance with the Pro-Child Act of 1994

New applicants should contact their ACF Regional Office to obtain copies of the required
certifications.
Current Tribal Lead Agencies were previously required to submit these certifications with their 2year plan preprint. Therefore, the certifications do not need to be submitted again. Tribes are
reminded that even if they have changed their Tribal Lead Agency, the certifications apply to the
successor agency.

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

48

PLAN FOR: _________________________________________________________________
CHILD CARE & DEVELOPMENT FUND SERVICES
Plan Period: 10/1/11 - 9/30/13

APPENDIX 5
(OPTIONAL)
TRIBAL LEAD AGENCY SYNOPSIS

Funding Status (Check appropriate box based on current CCDF allocation)
Exempt (CCDF allocations less than $500,000)

Yes

No

Non-Exempt (CCDF allocations equal to or greater than $500,000)

Yes

No

Tribal Consortia (Tribal Lead Agency operating as a consortium

Yes

No

477 Tribe (Currently operating under an approved 477 Plan

Yes

No

Description of Direct Child Care Services (Check all that apply)
Center-Based
Group Home
Family-Home
Yes
No
Yes
No
Yes
No
Grants or Contracts for child care slots
Yes
No
Tribally-Operated Centers
Yes
No
Number of Centers #:
Type of Services
Full-time

In-Home
Yes

Part-time

No

After-School

Quality – Does the Lead Agency Provide the following:
Conduct assessment of quality needs of the providers

Yes

No

Provide Training and Professional Development for Providers

Yes

No

Assist Providers in meeting licensing requirements

Yes

No

Culturally Relevant Activities

Yes

No

School-Age Child Care Activities

Yes

No

Announced visits to enforce H & S Requirements

Yes

No

Background Checks to screen providers

Yes

No

Sanctions for noncompliant with H &S requirements

Yes

No

Health and Safety (H & S) - Does the Tribal Lead Agency use:

Highlight of Quality Activities: Accomplishment and Best Practices(Attach Narrative):
Provide a brief description of the Tribe’s Quality Activities, for example accomplishments and best
practices identified by the Tribal Lead Agency.

CCDF Plan Effective Date: October 1, 2011
Amended Effective: [Insert Date as Amended]

49


File Typeapplication/pdf
File TitleCCDF Revised Draft for Public Comment – January 31, 2011 (Tribal)
SubjectCCDF Revised Draft for Public Comment – January 31, 2011 (Tribal)
AuthorOffice of Child Care, Administration for Children and Families,
File Modified2011-01-31
File Created2011-01-31

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