Form ACF-700 Annual Report

CHILD CARE AND DEVELOPMENT FUND ANNUAL REPORT
ON SERVICES PROVIDED FROM OCTOBER 1, 20__ THROUGH SEPTEMBER 30, 20__
COMPLETE NAME OF TRIBAL LEAD AGENCY:
ADDRESS:

CONTACT PERSON:
Phone:

(A)

OMB Control Number: 0970-0430
Expiration Date: 10/31/2016

CATEGORY/TYPE OF CHILD CARE
CARE PROVIDED BY A CCDF PROVIDER –
CARE PROVIDED BY CCDF PROVIDER –
NO LICENSE CATEGORY AVAILABLE IN A
LICENSED OR REGULATED IN A
CHILD'S HOME BY
GROUP HOME BY
FAMILY HOME BY A
A
A
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
(J)
(K)
(L)

NonNonNonChild's
Family
Group
Relative
Relative
Relative
Center
Center
Relative
Relative
Relative
Home
Home
Home
TOTAL
E-Mail:
PART 1
1. Total number of families that received child care services this fiscal
year
2 a. Average number of children served each month
2 b. Total number of children that received services this fiscal year
3. Total number of children receiving services that fall into each age
category:
a. 0 up to 1 year
a.
a.
a.
a.
a.
a.
a.
a.
a.
a.
a.
a.
b. 1 year up to 2 years
b.
b.
b.
b.
b.
b.
b.
b.
b.
b.
b.
b.
c. 2 years up to 3 years
c.
c.
c.
c.
c.
c.
c.
c.
c.
c.
c.
c.
d. 3 years up to 4 years
d.
d.
d.
d.
d.
d.
d.
d.
d.
d.
d.
d.
e. 4 years up to 5 years
e.
e.
e.
e.
e.
e.
e.
e.
e.
e.
e.
e.
f. 5 years up to 6 years
f.
f.
f.
f.
f.
f.
f.
f.
f.
f.
f.
f.
g. 6 years up to 13 years
g.
g.
g.
g.
g.
g.
g.
g.
g.
g.
g.
g.
h. Total number of children 0 to 13 years (add Column A, 3a thru 3g)
h.
h.
h.
h.
h.
h.
h.
h.
h.
h.
h.
h.
i. 13 years and older
i.
i.
i.
i.
i.
i.
i.
i.
i.
i.
i.
i.
4. Number of children who received child care services
Because:
a. Their parent(s) worked
a.
b. Their parent(s) were in training or an education program
b.
c. Child received or needed protective services
c.
Because there was a Federal Emergency and:
d. Their parent(s) worked
d.
e. Their parent(s) were in training or an education program
e.
f. Child received or needed protective services
f.
5. Average number of hours of child care service provided per child per
month
6. Average monthly amount paid for child care service
a. Average monthly CCDF program subsidy per child
a.
a.
a.
a.
a.
a.
a.
a.
a.
a.
a.
a.
b. Average monthly parent copayment per child
b.
b.
b.
b.
b.
b.
b.
b.
b.
b.
b.
b.
7. Number of children served whose family income was:
a. at or below the poverty threshold for families of the same size
a.
b. above the poverty threshold but at or below 150 percent of the
b.
poverty threshold for families of the same size
c. above 150 percent of the poverty threshold but at or below 200
c.
percent of the poverty threshold for families of the same size
d. above 200 percent of the poverty threshold for families of the
d.
same size
8. Number of children served by payment type this fiscal year:
a. Grant/contract with provider
a.
a.
a.
a.
a.
a.
a.
a.
a.
a.
a.
a.
b. Certificate or voucher to parent and/or provider
b.
b.
b.
b.
b.
b.
b.
b.
b.
b.
b.
b.
c. Cash payment to parent
c.
c.
c.
c.
c.
c.
c.
c.
c.
c.
c.
c.
d. Tribally-operated center
d.
d.
d.
d.
d.
d.
d.
d.
d.
d.
d.
d.
Comments: (Please use the back of this sheet if necessary)
Public reporting burden for this collection of information is estimated to average 35 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.

CCDF grantees with 102-477 status are not required to complete the ACF-700 report.

PART 2
TRIBAL NARRATIVE QUESTIONS
1. Provide a brief description of the Tribe's quality improvement activities during the last fiscal year by answering the questions below. Please check all the boxes that apply. Under the "Describe"
field, identify the Tribal Lead Agency's accomplishments and best practices.
Prevention and control of infectious diseases (including immunizations)
 Prevention of sudden infant death syndrome (SIDS) and use of safe sleeping practices
 Administration of medication, consistent with standards for parental consent
 Prevention of and response to emergencies due to food and allergic reactions
 Prevention of shaken baby syndrome and abusive head trauma
 Emergency preparedness and response planning for emergencies resulting from a natural disaster or a human-caused event (such as violence at a child care facility)
 Handling and storage of hazardous materials and the appropriate disposal of bio contaminants
 Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water,
and vehicular traffic
 Precautions in transporting children (if applicable)
 First aid and cardiopulmonary resuscitation (CPR) certification
1a. What trainings did the Tribal Lead
 Family engagement
 Access to physical activity
Agency provide for child care
 Nutrition
 Promotion of child development
providers? Check all that apply.
 Language and literacy
 Caring for children with special needs
 Fiscal management
 Administration and program management
 Curriculum development and instruction
 Child care as a business
 Other topic(s) (List):
 None
Describe the trainings the Tribal Lead Agency provided during the fiscal year. In your narrative, please also include the number of providers trained during
the fiscal year:

1b. Did the Tribal Lead Agency support
child care providers in achieving any of
the following along a career pathway?
Check all that apply.

1c. How did the Tribal Lead Agency
assist providers in meeting health and
safety standards? Check all that apply.

1d. How did the Tribal Lead Agency
support and provide culturally
appropriate activities to children,
parents, and providers? Check all that
apply.

 Credit towards required training hours
 Certificate
 Credential
 Degree
 Other (List):
None
Describe the support given to providers in achieving credits, credentials, or degrees. In your narrative, please also include the number of providers who
received support from the Tribal Lead Agency to obtain credits, credentials, or degrees. (For example, providing educational opportunities to support a pathway
to professional development in early childhood development that enables providers to earn a Child Development Associate (CDA) credential, an AA or RA degree, etc.;
offering a Native language credential; or providing coaching to providers on dealing with children’s challenging behaviors.):

 Provide health and safety equipment/materials
 Grants/mini-grants for health and safety equipment/materials
 Classroom materials and resources
 Financial assistance in meeting licensing requirements
 Other (List):
 None
Describe how the Tribal Lead Agency assisted providers in meeting health and safety standards:

 Incorporation of Tribal language into child care settings
 Modified curriculum to reflect Tribal culture
 Served traditional Tribal foods in facilities
 Culturally-based training opportunities for parents and providers
 Culturally-based training to non-Tribal providers
 Other (List):
 None
Describe the Tribal Lead Agency’s support and provision of culturally appropriate activities:

1e. How did the Tribal Lead Agency
provide consumer education to parents
and providers? Check all that apply.

1f. Did any CCDF child care providers
participate in the following? Check all
that apply.

 Written materials, including newsletters, brochures, booklets, checklists, or handbooks about child care topics.
 Local/Tribal media
 Social media such as Facebook, Twitter, Instagram
 Guidance and Education from Child Care Resource and Referral Agencies
 Internet, including electronic media, publications, and webcasts about child care topics
 Postings on community bulletin boards
 Other (List):
 None
Describe the consumer education the Tribal Lead Agency provided to parents and child care providers:





 State system of assessing and improving quality such as Quality Rating Improvement System (QRIS)
 Tribal system of assessing and improving quality, such as QRIS
 Nationally-recognized accreditation
 Other (List):
 None
Describe the quality rating improvement system used. If none was selected, please explain why no quality rating improvement system is being used:

1g. Describe any other significant quality activities that occurred during the last fiscal year:

2. Did the Tribal Lead Agency coordinate activities with child care and early childhood development programs during the last fiscal year?
 Head Start
 Early Head Start
 Home visiting
 State Child Care Development Fund (CCDF)
 Child and Adult Care Food Program (CACFP)
 Summer Food Service Program
 Public health entities (including agencies responsible for immunizations and dental care)
 Temporary Assistance for Needy Families (TANF)
Check all that apply.
 Public-private partnerships
 Social services
 Employment services/Workforce development
 Other (List):
 None
Describe the coordinated activities during the fiscal year:

Early Head Start - Child Care Partnerships
 Pre-Kindergarten
 Public Education

3. Did the Tribal Lead Agency supplement the CCDF grant with dollars from other sources to help run the child care program during the last fiscal year? Check one.
 Yes
 No
 Tribal funds
 Grant/Foundation funds
Private donations
 State funds
 Other Federal funds
Describe the additional sources of funding and how they were used:
a. If yes, what other sources of
funding were used? Check all that
apply.

 Other (List):

4. Does the Tribal Lead Agency have any unmet technical assistance needs? Check one.
 Yes
 No
Describe the Tribal Lead Agency’s unmet technical assistance needs (up to five areas):

5. Did the Tribal Lead Agency use the Child Care Data Tracker to collect data during the last fiscal year? Check one.
 Yes (proceed to 5a)
 No (proceed to 5b)
Describe:
a. If yes, please include a description
of how the Tribal Lead Agency is
using the Child Care Data Tracker for
the ACF-700 report or other data
reporting and administrative efforts.
Describe:
b. If no, please describe why the
Tribal Lead Agency is not using the
Child Care Data Tracker.

6. In Section 5.1.1 of the Tribal Plan, Tribal Lead Agencies were asked to identify goals. The following questions will be related to the goals identified by the Tribal Lead Agency in the State Plan.
Describe the Tribal Lead Agency’s activities as they relate to progress towards your goals:
a. Please report on progress made
towards those identified goals.
Include a description of how the
Tribal Lead Agency is tracking and
measuring this progress.

b. As a result of progress made
towards the identified goals, did the
Tribal Lead Agency do any of the
following? Check all that apply.

7.

Additional Comments (Optional).
Please feel free to provide any
additional information about the
program that you would like to
include with this report. (For example,
initiatives, cultural activities,
testimonials, good news, and/or
stories.)

 Changes in current policies/procedures
 Provided technical assistance and/or training
 Increased number of monitoring visits
 Identified challenges
 Other (List):
 None
Describe the changes made as a result of progress made towards the identified goals:

Describe:

 Enforced compliance
 Set new goals