HomeMy WebLinkAboutCC Resolution 8523 (Child Care Services Grant)RESOLUTION NO. 3523
A RESOLUTION OF THE CITY COUNCIL OF THE CITY
OF SAN RAFAEL AUTHORIZING THE SUBMITTAL OF A
GRANT APPLICATION TO THE STATE DEPARTMENT OF
EDUCATION FOR $10,000.00 FOR AN AFTER SCHOOL
CHILD CARE SERVICES PLANNING GRANT
(FOR DIXIE AND MARY SILVEIRA SCHOOLS)
WHEREAS, the City of San Rafael is eligible to apply for State
Department of Education Grant Funds; and
WHEREAS, the State Department of Education has designated
$575,000.00 for planning grants to be administered under the State Child
Development Division; and
WHEREAS, the State Child Development Division has requested
applications for Child Care planning grants of $10,000.00.
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City
of San Rafael hereby authorizes application for said grant funds for 1991/92.
BE IT FURTHER RESOLVED that Pamela J. Nicolai, City Manager, is
hereby authorized to execute said grant application.
I, JEANNE M. LEONCINI, Clerk of the City of San Rafael, hereby certify
that the foregoing resolution was duly and regularly introduced and adopted
at a Reqular meeting of the City Council of said City, held on Monday the
7th day of October, 1991, by the following vote, to wit:
AYES: COUNCILMEMBERS: Boro, Thayer & Vice -Mayor Breiner
NOES: COUNCILMEMBERS: None
ABSENT: COUNCILMEMBERS: Shippey & Mayor Mulryan
p.A-x-� '
JE M. LEO CI , CITY CLERK
nRIGINAI
���
California Department of Education (Form 100)
APPi.ICATION FOR FEDERAL PLANNING GRANTS (FY 1991-92)
Submit 3 copies of the completed application package
(Sections I-V), each with original signatures.
Applications must be received by 5:00 p.m. on
October 15, 1991.
Return to:
Child Development Division
560 J Street, Suite 220
Sacramento, CA 95814
Attn: FEDERAL PLANNING GRANTS
COORDINATOR
IMPORTANT: A separate application
packet must be completed for each
site.
Please print or type all information.
SECTION IA
APPLICATION INFORMATION FACT SHEET
Project Number to be Completed by Agency
County
Vendor
Suffix PCA Number Year
Code
Number
2 � 1 N
9 11 1
6 1 3 12
I
15 b 9 �l
Federal
Identification Number
9 1 4 16
1 0 1
0 1 0 1 4 12 1
I
4/////////
Funding Source Program Type Amount Requested
FEDERAL PLANNING GRANTS FOR
CHILD DEVELOPMENT EXTENDED DAY PROGRAMS $10,000
Dates of Project Duration (From)I(To) JDate of Approval by
July 1, 1991 June 30, 1992 (Local Agency Board
I
Name of Applicant Agency or School District (Legal Status of Agency
City of San Rafael (see instructions) Municipality
Address (City County (Zip
P . 0 . Box 151560 San Rafael Marin 194915
Contact Person (Title Telephone ( )
Bill Scharf lChild Gare Prog.Manager 415-485-3386
Executive Officer/Superintendent Address Zip Telephone
Pamela Nicola iCity 5�.. n Rafael 94915 (41 5) 485-3070
_
Program Director Address P. 0. Box 151560 Zip Telephone
i
Bill Scharf City San Rafael 94915 (41-9-485-3386
CERTIFICATION: I hereby certify that all applicable state and federal rules and regulations
will be observed; that to the best of my knowledge, the information contained in this appli-
cation is correct and complete; and that the assurances on the reverse side of this form are
accepted as the basic conditions in the operations of this project/program for local partici-
pation and assistance.
Signature of Authorized Agent ITitle JDate
x # City Manager , ,'X1 10/1/91
`a J
GENERAL ASSURANCES
The signature of the authorized agent on the cover page acknowledges that the following general assurances will
be observed.
1. Program and services shall be in compliance
with Title VI and Title VII of the Civil
Rights Act of 1964, the California Fair
Employment Practices Act, and Chapter 4
(commencing with Section 30) of Division I
of Title 5, California Administrative Code.
A statement of compliance with Title VI of
the civil Rights Act of 1964 has been filed
with the Superintendent of Public
Instruction.
2. Program and services shall be in compliance
with Title IX (nondiscrimination on the
basis of sex) of the Education Amendments
of 1972.
3. Program and services shall be in compliance
with the affirmative action provisions of
the Education Amendments of 1972.
4. Programs and services shall be in
compliance with the Age Discrimination Act
of 1975.
5. Programs and services for handicapped
persons shall be in compliance with the
Education for All Handicapped Children Act
of 1975, Section 613(a) and Section 504 of
the Rehabilitation Act of 1973.
6. When federal funds are made available, they
will be used so as to supplement, and to
the extent practicable, increase the amount
of state and local funds that would, in the
absence of such federal funds, be made
available for the uses specified in the
State Plan, and in no case supplant such
state or local funds.
The applicant agency will comply with all
state and federal statutes, regulations,
program plans, and applications applicable
to each program under which federal or
state funds are made available through this
application, including but not limited to,
all provisions for staffing qualifications
and ratios, California Department of
Education directives, and contract terms.
a. The local agency will use fiscal control
and fund accounting procedures that will
ensure proper disbursement of, and
accounting for, state and federal funds
paid to that agency under each program.
9. The agency shall make reports to the state
agency or board and to the Secretary of
Education as may reasonably be necessary to
enable the state agency or board and the
Secretary to perform their duties and will
maintain such records and provide access to
those records as the state agency or board
or the Secretary deem necessary. Such
records shall include, but not be limited
to, records which fully disclose the amount
and disposition by the recipient of those
funds, the total cost of the activity for
which the funds are used, the share of that
cost provided from other sources, and such
other records as will facilitate an
effective audit. The recipient shall
maintain such records for five years after
the completion of the activities for which
the funds are used.
10. Any application, evaluation, periodic
program plan, or report relating to each
program will be made readily available to
parents and other members of the general
public.
11. Auditable records of each participating
school program will be maintained on file
at the district office. (TS 3944; CFR
220.56).
;12. The governing board has adopted written
procedures to ensure prompt response to
complaints from parents, members of
advisory committees, and members of other
yrvups, within 30 days, and has
disseminated these procedures to
parent/community groups in the agency's
service area. (T5 3951).
13. The undersigned is authorized to file these
assurances for the applicant agency.
SECTION IB APPLICATION INFORMATION FACT SHEET (CONTINUED)
SITE INFORMATION FOR NEW PROGRAM
Name of Site Dixie Childrens Center
Site Priority Number 2 (If more than one application is being submitted)
Location of Site 1175 Idylberry Road
Street Address
San Rafael, CA 94903
City State Zip
Date new program established 9/3/91 (must be between 7/1/91 and 6/30/92)
month/day/year
County in which site is located Marin
Approximate number of children to be served by the program..;., 3 8
Hourly, daily, or weekly fee to be charged: $ g , n0 per hour / day / week Afterschool
7. 00 /Kinder gar t�q -rj)J7 one)
Funding 17.00/Full day (vacation day)
Does/will this site receive funds through a CDE/CDD contract for an School -Age Community
Child Care Services (Latchkey) Program?
r__1 Yes r--, No (check one)
u W
Has this site received previous Federal Planning Grant funds?
F, Yes No (check one)
x
Does/will this program receive state, local or other nonfederal funds?
r—� Yes r—i No (check one) If yes, briefly describe:
u u
Subcontractor Information ( if applicable) NOTE: Subcontracts must be on a nonprofit basis.
Name of proposed subcontractor: n/ a
a. Administrative address:
b. Contact Person: Phone:
C. Federal ID#:
Legal Status of Agency:
SECTION II
PROGRAM PROPOSAL
Please refer to Special Instructions. Section II -PROGRAM PROPOSAL, pages 8 and 9 for the
completion of this RRRM#M of3U*TVWpV1 icat ion. Limit your response for Section II to no more
than a total of four tvped Dazes.
1. SERVICE DELIVERY:
The child care program, which opened September 3, 1991, is,operating
year round at the Dixie Elementary School site,serving Kindergarten
through Fifth Grade children, age 5 - 11 years old. School day
hours are 7:00 a.m. to 8:15 a.m. and 11:30 to 6:30 p.m. Vacation
and non -school day hours are 7:00 a.m. to 6:30 p.m. The Dixie
Elementary School draws attendance from the immediate surrounding
neighborhood, in the Terra Linda area -of north San Rafael. The
socioeconomic make-up being middle to upper -middle class. In the
vast majority of households, both parents work full-time jobs, often
combined with long commute hours, making child care an essential
part of their daily lives. Data collected by the San Rafael Child
Care Task Force indicates that parents of school age children prefer
child care programs that are on or near the schools the children
attend, with this in mind the Dixie School District included an on-
site child care program as part of their plan for the new school
year. Before the doors to the new center opened, the program was
near capacity in the after school time. Offering a child care
program in conjunction with the school, Monday through Friday, for
30 children per day has met the current need of the working parents
in the area.
2. PROGRAM DESCRIPTION:
a).The City of San Rafael has been successfully operating self-
supporting, State licensed, school' -age child care programs since
September 1974. The Child Care Division operates eight extended
day, school-age centers and two preschool programs, serving
approximately 700 families The division has a Latchkey Contract
for $72,000 and over $35,000 in other funding, to help low income
and needy families with scholarship assistance.
A number of households participating in our program are single
parent families;the vast majority are two worker households. These
families depend on the child care center and local schools to act as
a liaison with community resources. The City of San Rafael has used
the resources in our community to build a quality child care
program. Local business groups, the Recreation Department, senior
citizen groups, the P.T.A., two school districts, parents and the
local Resource and Referral agency have all played an active role in
the development and continue growth of this organization.
A network of family services are'made available to parents and
staff. We have built a positive relationship with County and
private support agencies. We cdntract with the County Mental Health
Services for observation and evaluation of children when necessary
and refer families to appropriate support services. There are
several non-profit agencies in Marin able to provide family services
- at nominal or no cost. We also provide references for parents when
have children that are hearing impaired and staff that sign. We
believe that our centers provide an opportunity for special needs
children to participate in a wide range of activities, socialize in
a recreational setting and grow and develop to their potential. We
are fortunate to have a good rapport and affiliation with many
support agencies such as: Child Protective Services, the San Rafael
Police Department Juvenile Division, the County Mental Health
Department, and the local resource arid referral agency.
3. SELF-SUPPORTING PROGRAM PLAN
a). According to the Marin Child Care Council, the local resource
and referral agency, the local market rate for school age care is
$3.00/hour. We are able to offer lower rates due the size of our
program and in-kind support services from the City.
b). Our program is approximately completely self-supporting through
collected parent fees,the State Latchkey contract, C.P.S. referrals,
Alternative Payment Programs and money generated from private
sources Approximately 98' of our revenue is from parent fees.
Every year we survey our parents as to the quality of our program
and its affordability. Our rates are lower than the current market
rate for an extended day program in Marin County.
c). We currently receive close to $35,000 in funding from
alternative and private sources. In 1989-90 we received a one-time
$10,000 scholarship from the Amex Corporation, last year we received
$5000 from the Rex Foundation and will be seeking those funds again.
Through the Sar, Rafael Child Care Advisory Committee we are
educating local employers and business groups on ways they can help
their employees meet their child care needs. We are hopeful that
this education process will make more funds available from the
private sector in a variety of ways, from cafeteria plans for
emplo;7ees, where child care is a paid benefit to scholarship dollars
for low income families living in the San Rafael area. We are
continually seeking new ways to make raise funds to subsidize the
high cost of quality child care.
4. NEEDS ASSESSMENT
a).The City of San Rafael Recreation Department's Child Care
Division operates ten child care centers, two preschools serving
children age 2-5 years old -and eight school-age programs serving
children 5 - 11 years old. In addition to child care the S.R.
Recreation Department offers after school sports programs., the
Homework Place, arts and crafts courses and numerous other classes
for school-age children at all of the school sites. There are also
a limited number privately run child care programs, sports programs
and several family day care homes. Some children attending our
programs receive funding from The Marin Child Care Council's
Alternative Payment Plan.
b.) The City of San Rafael Task Force needs assessment for clearly
indicates a need for more sc:.00l-age child care. The Dixie School
District carried out a rhnr_u h needs assessment before deciding to
open the new Dixie School in -which they addressed the need for child
care. It was at the distr=c-s request that we expanded our program
to include a new center at 7�_::ie In June, in order to determine
the size of the program at site we sent a survey to all of the
they need sick, after hours or late night, child care
b).Clir new program is modelled after our highly successful existing
programs geared to provide parents and children with a positive
child rare experience. The center offers a safe, warm and creative
environment where the growth and development of each child is
nurtured. Our philosophy is to offer a program focused on the whole
child; recreational in nature, we offer a diverse curriculum
providing an opportunity for social, physical, cognitive and
emotional growth. We provide a balance of child initiated and
teacher directed activities. The classroom follows a child -centered
design, with a range of experiences in activity centers which
encouraae and foster children's play. During play children are free
to creatively experiment,and develop personal experience in the
physical and social world in which they live. The children will
have access to numerous toys and games for both indoor and outside
play. They will see movies, participate in sports
activities,receive academic support, enjoy special guests, attend
weekly summer field trips, swim, play and socialize. Through each
of these activities the program will focus on the individual
development, of the child. offering opportunities to meet challenges,
fact: success, and build confidence within a safe, nurturing
cnpirOnment, The basis Of our philosophy is, time spent in child
:;are will be quality time, and each child will be given every
opportunity to mature and develop to their highest potential.
Local libraries, parks, recreation centers and other resources
are used to enrich and supplement the program,as well as variety of
de Dogs for the Blind, the Marin Mammal
organizations, such as: Gui
Center, the Marin Humane Society and the Boyd Junior Museum. Our
renters make the most of local resources, including soliciting from
local businesses donated supplies and small scholarships to offset
the high cost of maintaining a quality program.
Our centers offer a variety of creative arts activities,
including: collage, painting, drawing, computer graphics, sculpture
and photography. Drama, music and puppetry draw out the children's
personalities and 000perative skills, Story time instills in
children of love of literature and reading, An early and late
nutritious afternoon snack is part of our food program that includes
activities on healthy eating and good dental care. Our centers hold
daily assemblies and times for children to share their experiences
and daily lives. We celebrate the many and diverse cultures that
make up California and encourage children to not only accept and
treasure peoples cultural and racial differences, but also to
recognize our similarities as humans, to see the richness that our
colint_ry Shares where these cultures mix.
c) The site is licensed for 30 children, age 5 -11 years of age by
the State of California, Department of Social Services, Community
Care Licensing, The staff ratios and qualifications are at or above
those set by Title 22 and Community Care licensing for a child care
program, Currently, there is a full-time, on-site Director, a
full-time Head Teacher, and t-wo part-time assistant teachers.
d). Mainstreaming special needs children is in progress at all our
renters. The new Dixie site will continue this practice, All of
our centers are handicapped accessible. At our Gallinas site we
parents with children in the school district as well as doing some
local advertising, parents returned their surveys and we sent them
registration packets. Before we opened the doors at the site the
program was nearly full; t1he parent demand was twice. There are
currently 56 children enrolled in the program and we have between
23-32 children attending in the afternoons on any given day.
5. PARENT INVOLVEMENT
Open parent communication is -- goal the center will strive for
The staff sees parents every day when they drop off or pick up their
children. This is informal and often short but it establishes
rapport which is the basis for good communication, especially when
communication is needed on a more serious level. Parent conferences
are held by parent or staff request. During the year there will be
parent "back to school nights", parent pot -lucks, family nights and
a parent committee to encourage parent involvement in the center,
parent -child -staff interaction and family involvement with the
program. The center will provide parents with articles and books on
parenting and provide help in finding family support services. The
center will promote school functions and act as a liaison with the
school and parents. The center staff will provide homework
assistance which in turn ailows'working parents more quality time to
enjoy their children. renter staff will maintain open com=,inication
with school staff regarding all children, The daily curriculum will
include enrichment programs in science, computers, music, et al,
based on an assessment of child interest and needs. The staff will
encourage the children tc share school events, activities and
curriculum. The staff will provide many opportunities for children
to experience success aha develop self-confidence and self-esteem
which provide necessary support to take on academic challenge.
While the program is recreational in nature; the staff and
curriculum will enhance the child's social, emotional, physical,
intellectual and cultural development.
SECTION III -PROJECTED BUDGET FOR NEW PROGRAM_
PART A -Program Income
(Projected income for a 12 -month period)
INCOME TO SUPPORT PROGRAM
Tvpe of Income Amounts
Parent Fees $ 93,110
Donations and Grants **
Fund Raising
Other (specify)
Total Income $ 93,110
Brieflv describe the income sources for the oneoine DroEram on the reverse side.
The City receives almost $35,000 in scholarship funds, plus the current
Latchkey contract. Needy families are eligle for these funds as they are
PART B -Program Expenditures available.
(Projected expenditures for a 12 -month period)
OPERATING BUDGET
Expenditures
Staff Salaries
Staff Benefits
Supplies
Equipment
Contracted Services (specify)
Other (specify)
Total Expenditures
Amounts
$ 53,310
5,000
7,00,0
5,000
2_,000
500 (training)
1,000 (Office supplies)
5,800 (Facility rental)
13,500 (Administration)
$93,110
Brieflv describe the expenditures for the oneoine Droeram on the reverse side.
PART C -Grant Expenditures
(For start-up period. Grant funds must be expended by lune 30, 1992.)
PLANNED EXPENDITURES FOR THE 96.000 GRANT
Items Amounts
New furniture,shelves,etc. $5,000
Expendable supplies 2,500
Non -expendables 2,500
Total Grant Expenditures $ 10,00 0
Brieflv describe how the DroDosed Brant expenditures will be used by the Droeram on the
reverse side.
5
SECTION III -PROJECTED BUDGET (CONTINUED)
DESCRIPTIONS
PART A-Proeram Income Descriptions
For budgetary purposes annual revenue is based on full cost fees.
Scholarships are available for eligible families, as noted. The
Center budget is developed for 30 -children
15 Kindergarten (part day) x $35/wk for 38 weeks = $19950
28 After School (Gr.1-5) x $40/wk for 38 weeks = $42560
30 Full Day (vacation days) x $85/wk for 12 weeks = $30600
Total revenue = $93,110
PART B-Proeram Expenditure Descriptions
$53310 Staff salaries for site Director, Head Teacher, and two
assistant teachers.
$ 5000 Benefits, as negotiated by Child Care MAPE Unit.
$ 7000 Expendable supplies, such as daily snacks, art materials,
replenishable sports and games.
$ 5000 Nonexpendable equipment, such as computer/a-v equipment
major sports euipment, furniture, etc.
$ 2000 Contractual services, such as: custodial, field trip admissions,
and busses
$ 500 Staff training workshops, seminars
$ 1000 Office supplies, duplicating
$ 5800 Facility rental
$13500 Administrative fee: accounting, collection, insurance, payroll.
$93110 Total expenditures
PART C -Grant Expenditure Descriptions
$5000 Furniture, shelving,etc.: 1 desk @$500, 6 tables @ $200 = 1200,
2 adult chairs @ $100 ea.=200, 30 child chairs @ $50=1500,
$100 office supplies(scissors,etc.), $1500 for city crew
to build shelves, cubbies, paint, etc.
$2500 Start up materials for classroom i.e. paint, paper, board
games, balls, etc. (Expendable,short term equipment).
$2500 Start up non -expendable equipment,i.e. blocks, heavy duty
board games, phones, etc. (Long term, durable equipment).
$10000 Total grant expenditures
6
SECTION IV.
CERTIFICATION AND ASSURANCES
Certification:
A. State Certification
I hereby certify that (1) the information* reported in this application is, to the best
of my knowledge, complete and accurate, (2) the applicant agency named in this
application has authorized me, as its representative, to submit this application and
such authorization is recorded in the minutes of the agency governing board's meeting,
(3) the applicant agency is authorized to do business with the State of California,
(4) no current or former (within three years) State Department of Education employee
participated or assisted in the preparation or development of this application, and
(5) I will comply with all applicable laws, regulations and grant provisions and all
requirements attached to and referenced in the grant.
B. Federal Certification
I hereby certify that the federal grant monies will be used to increase the level of
state, local and other non-federal funds that would, in the absence of such federal
funds, be made available for the programs for which funds are provided and will in no
event supplant such state, local and other non-federal funds.
Assurances:
I hereby assure the California Department of Education, Child Development Division, that:
1) the child care facility to be used for this program is available and will be used
only for the Extended Day Program during the time period identified (including
such use during holiday and vacation periods);
2) the local restriction, if any, on the use of such space will be upheld;
3) the time periods when the space will be available for the child care program are
accurately listed;
4) there will be parent involvement in the development and implementation of the
program;
5) the applicant will seek to enroll racially, ethnically and economically diverse,
as well as handicapped children;
6) the site will be licensed as required by law, and the program will be operated
in compliance with all applicable local and State requirements;
7) the site has not previously been funded under PL 98-558 or PL 99-425; and
8) Before and After School Child Care Services will initially be offered at the new
site between the period of July 1, 1991 through June 30, 1992.
Signed Date
Authorized Representative
r.i+.y of qan Rafacl
Legal Name of Applicant Agency
7
.,..
....J
STATE OF CALIFORNIA
STATEMENT OF COMPLIANCE
STD. 19 (Rev. 3-87)
COMPANY NAME
City of San Rafael
SECTION V
The company named above (hereinafter referred to as "prospective contractor") hereby certifies, unless
specifically exempted, compliance with Government Code Section 12990 and California Administrative Code,
Title 2, Division 4, Chapter 5 in matters relating to the development, implementation and maintenance of a
nondiscrimination program. Prospective contractor agrees not to unlawfully discriminate against any employee
or applicant for employment because of race, religion, color, national origin, ancestry, physical handicap,
medical condition (cancer related), marital status, sex or age (over forty).
CERTIRCATION
I, the official named below, hereby swear that I am duly authorized to legally bind the prospective contractor to
the above described certification. I am fully aware that this certification, executed on the date and in the county
below, is made under penalty of perjury under the laws of the State of California.
NAME OF OFFICIAL
X
DATE EXECUTED
PROSPECTIVE CONTRACTOR SIGNATURE
PAM vl a Ni on a, Ri t.j� Mann rrcr_
EXECUTED IN rrHE COUNTY OF
NIP r i n
PROSPECTIVE CONTRACTOR TITLE
Bill Scharf, Child Care Manager
PROSPECTIVE CONTRACTOR FEDERAL EMPLOYER I.D. NUMBER
#946o00424
California Department of Education
Child Development Division
SECTION VI
CERTIFICATION REGARDING PROVISION
OF A DRUG-FREE WORKPLACE
I, on behalf of the contractor or grantee, do hereby certify
that the contractor or grantee will provide a drug-free workplace
by doing all of the following, as required by California Government
Code Section 8355, as a condition of the contract or grant:
(a) Publish a statement notifying employees that the unlawful
manufacture, distribution, dispensation, possession or use of a
controlled substance is prohibited in this person's or
organization's workplace and specifying the actions that will be
taken against employees for violations of the prohibition.
(b) Establish a drug-free awareness program to inform
employees about all of the following:
(1) The dangers of drug abuse in the workplace.
(2) The person's or organization's policy of maintaining a
drug-free workplace.
(3) Any available drug counseling, rehabilitation and
employee assistance programs.
(4 ) The penalties that may be imposed upon employees for drug
abuse violations.
(c) Require that each employee engaged in the performance of
the contract or grant be given a copy of the statement required by
subdivision (a) and that, as a condition of employment on the
contract or grant, the employee agrees to abide by the terms of the
statement.
The contractor or grantee understands that the contract or
grant may be subject to suspension of payments under the contract
or grant or termination of the contract or grant, or both, and the
contractor or grantee thereunder may be subject to debarment if the
California Department of Education determines that either of the
following has occurred:
(1) The contractor or grantee has made a false certification.
(2) The contractor or grantee violates this certification by
failing to carry out the requirements of subdivision (a)
to (c), inclusive, above.
Agency Name
City of SanRafael
Project Number(for State use only)
Name and Title of Authorized Representative
Pamela Nicolai, City Manager
Signature Date
X
NOTE: Refer to explanations and instructions on reverse side
of this page.
DRUG-FREE WORKPLACE
'Chapter 1170 (1990), the Drug -Free Workplace Act of 1990,
added Chapter 5.5 (commencing with Section 8350) to Division
1, of Title 2 of the Government Code. This law requires every
person or organization awarded a contract or grant for the
procurement of any property or services from any state agency
to certify that it will provide a drug-free workplace by doing
things specified in Section 8355.
The law further provides that each such contract or grant may
be subject to suspension of payments or its termination, and
the contractor subject to debarment from future contracting,
if the contractor or grantee has either (1) made a false
certification, or (2) violated the certification by failing
to carry out its requirements. The Department of General
Services will publish a list of individuals and organizations
whose contracts and grants have been cancelled for failure to
comply with the law.
The law does not require any contractor (or grantee) to ensure
that other businesses with which it subcontracts also provide
drug-free workplaces.
For the purposes of this law, some applicable terms are
defined as follows:
"Drug-free workplace" means a site for the performance of work
at which the employees of the contractor or grantee are
prohibited from engaging in the unlawful manufacture,
distribution, dispensation, possession or use of a controlled
substance.
"Employee" means the employee of a contractor or grantee
directly engaged in the performance of work pursuant to a
contract or grant with a state agency.
"Controlled Substance" means a controlled substance in
schedules I through V of 'Section 202 of the Controlled
Substances Act (21 U.S.C. Sec. 812)
"Grantee" means the department, division or other unit of a
person or organization responsible for the performance under
the grant.
"Contractor" means the department, division or other unit of
a person or organization responsible for the performance under
the contract
NOTE: This form must be completed by the applicant and
submitted to the Child Development Division either with
the application package or within three (3) days of
receiving a verbal or written offer of a contract.
California Department of Educa6.on (Form 100)
APPLICATION FOR FEDERAL PLANNING GRANTS (FY 1991-92)
Submit 3 copies of the completed application package
(Sections I-V), each with original signatures.'*
Applications must be received by 5:00 p.m. on
October 15, 1991.
Return to:
Child Development Division
560 J Street, Suite 220
Sacramento, CA 95814
Attn: FEDERAL PLANNING GRANTS
COORDINATOR
IMPORTANT: A separate annlication
packet must be completed for each
site.
Please print or type all information.
SECTION IA
APPLICATION INFORMATION FACT SHEET
Project Number to be Completed by Agency
County Vendor Suffix PCA dumber Year
Code Number
2 11 N! 911 161 I 3121512 9 11
Federal Identification Number
9 1 4 l 6 l 0 l 0 ! 0 14 l 2 l 4 I
Funding Source Program Type Amount Requested
FEDERAL PLANNING GRANTS FOR
CHILD DEVELOPMENT EXTENDED DAY PROGRAMS $10,000
1
Dates of Project Duration (From) (To) Date of Approval by
July 1, 1991 June 30, 1992 Local Agency Board
Name of Applicant Agency or School District ILegal Status of Agency
City of San Rafael ! (see instructions) Municipality
Address City County Zip
P.O.Box 151560 San RafaelI 194915
Marin
Contact Person Title (Telephone ( )
Bill Scharf Child Care Prog..Managerl 415-485-3386
E,Lcutive Officer/Superintendent
Address
P . 0 . Box 151560
Zip
Telephone
Pamela Nicolai
City
San Rafael
94915
(IM 485-3070
Program Director
Address
P . 0 . Box 151560
Zip
Telephone
Bill Scharf
City
San Rafael
94915
�15 )485-3386
CERTIFICATION: I hereby certify that all applicable state and federal rules and regulations
will be observed; that to the best of my knowledge, the information contained in this appli-
cation is correct and complete; and that the assurances on the reverse side of this form are
accepted as the basic conditions in the operations of this project/program for local partici-
pation and assistance.
Signature of Authorized Agent
X
Title
City Manager
Date
10/1/91
SEVERAL ASSURANCES
The signature of the authorized agent on the cover page acknowledges that the following general assurances will
be observed.
1. Program and services shall be in compliance
with Title VI and Title VII of the Civil
Rights Act of 1964, the California Fair
Employment Practices Act, and Chapter 4
(commencing with Section 30) of Division I
of Title 5, California Administrative Code.
A statement of compliance with Title VI of
the civil Rights Act of 1964 has been filed
with the Superintendent of Public
Instruction.
2. Program and services shall be in compliance
with Title IX (nondiscrimination on the
basis of sex) of the Education Amendments
of 1972.
3. Program and services shall be in compliance
with the affirmative action provisions of
the Education Amendments of 1972.
4. Programs and services shall be in
compliance with the Age Discrimination Act
of 1975.
5. Programs and services for handicapped
persons shall be in compliance with the
Education for All Handicapped Children Act
of 1975, Section 613(a) and Section 504 of
the Rehabilitation Act of 1973.
6. When federal funds are made available, they
will be used so as to supplement, and to
the extent practicable, increase the amount
of state and local funds that would, in the
absence of such federal funds, be made
available for the uses specified in the
State Plan, and in no case supplant such
state or local funds.
7. The applicant agency will comply with all
state and federal statutes, regulations,
program plans, and applications applicable
to each program under which federal or
state funds are made available through this
application, including but not limited to,
all provisions for staffing qualifications
and ratios, California Department of
Education directives, and contract terms.
S. The local agency will use fiscal control
and fund accounting procedures that will
ensure proper disbursement of, and
accounting for, state and federal funds
paid to that agency under each program.
9. The agency shall make reports to the state
agency or board and to the Secretary of
Education as may reasonably be necessary to
enable the state agency or board and the
Secretary to perform their duties and will
maintain such records and provide access to
those records as the state agency or board
or the Secretary deem necessary. Such
records shall include, but not be limited
to, records which fully disclose the amount
and disposition by the recipient of those
funds, the total cost of the activity for
which the funds are used, the share of that
cost provided from other sources, and such
other records as will facilitate an
effective audit. The recipient shall
maintain such records for five years after
the completion of the activities for which
the funds are used.
10. Any application, evaluation, periodic
program plan, or report relating to each
program will be made readily available to
parents and other members of the general
public.
11. Auditable records of each participating
school program will be maintained on file
at the district office. (T5 3944; CFR
220.56).
12. The governing board has adopted written
procedures to ensure prompt response to
complaints from parents, members of
advisory committees, and members of other
groups, within 30 days, and has
disseminated these procedures to
parent/community groups in the agency's
service area. (T5 3951).
13. The undersigned is authorized to file these
assurances for the applicant agency.
SECTION IB APPLICATION INFORMATION FACT SHEET (CONTINUED)
SITE INFORMATION FOR NEW PROGRAM
Name of Site Mary Silveira Children's Center
Site Priority Number 1 (If more than one application is being submitted)
Location of Site 375 Blackstone Drive
Street Address
San Rafaal Q(Q(1-A
City State Zip
Date new program established 9/3/91
month/day/year
County in which site is located. Marin
(must be between 7/1/91 and 6/30/92)
Approximate.number of children to be served by the program:,fq
hourly, daily, or weekly fee to be charged: $7.0 0 per hourday week
Fundine -
/Kindergar��rc ayone)
1$87.00//Aft1er School Day
Does/will this site receive funds through a$CDEfCD contrad tbraantic%ool-Age Community
Child Care Services (Latchkey) Program?
uYes No (check one)
Has this site received previous Federal Planning Grant funds?
❑ Yes o No (check one)
Does/will this program receive state, local or other nonfederal funds?
n Yes r --i No (check one) If yes, briefly describe:
u bL-A
Subcontractor Information ( if applicable) NOTE
Name of proposed subcontractor: n/a
a. Administrative address:
b. Contact Person:
C. Federal ID#:
Legal Status of Agency:
3
Subcontracts must be on a nonprofit basis.
Phone:
SECTION II
PROGRAM PROPOSAL
Please refer to Svecial Instructions. Section II -PROGRAM PROPOSAL, pages 8 and 9 for the
completion of this section of the application. Limit vour response for Section II to no more
than a total of four tvned oaees.
I- SRRVi CR DELIVERY!
The child"caDP p�QQ_cram, which opened September 3, 1991, is operating
year round at the l"! Silveira Elementary School site,serving
Kindergarten through Fifth Grade children, age 5 - 11 years old.
School day hours are 7:00 a.m. to 8:15 a.m. and 11:30 to 6:30 p.m.
Vacation and non -school day hours are 7:00 a.m. to 6:30 p.m. The
newly reopened Mary Silveira Elementary School draws attendance from
the immediate surrounding neighborhood, in the Terra Linda area of
north San Rafael.' The socioeconomic make-up being middle to upper -
middle class. In the vast majority of households, both parents work
full-time jobs, often combined with long commute hours, making child
care an essential part of their daily lives. Data collected by the
San Rafael Child Care Task Force indicates that parents of school
age children prefer child care programs that are on or near the
schools the children attend, with this in mind the Dixie School
District included an on-site child care program as part of their
plan in reopening the school. Before the doors to the new center
opened, the program had to be expanded to meet the need.. Offering
a child care program in conjunction with the school, Monday through
Friday, for 45 children per day has met the current need of the
working parents in the area.
2. PROGRAM DESCRIPTION:
a).The City of San Rafael has been successfully operating self-
supporting, State licensed, school-age child care programs since
September 1974. The Child Care Division operates eight extended
day, school-age centers and two preschool programs, serving
approximately 700 families The division has a Latchkey Contract
for $72,000 and over $35,000 in other funding, to help low income
and needy families with scholarship assistance.
A number of households participating in our program are single
parent families;the vast majority are two worker households. These
families depend on the child care center and local schools to act as
a liaison with community resources. The City of San Rafael has used
the resources in our community to build a quality child care
program. Local business groups, the Recreation Department, senior
citizen groups, the P.T.A., two school districts, parents and the
local Resource and Referral agency have all played an active role in
the development and continue growth of this organization.
A network of family services are made available to parents and
staff. We have built a positive relationship with County and
private support agencies. We contract with the County Mental Health
Services for observation and evaluation of children when necessary
and refer families to appropriate support services. There are
several non-profit agencies in arin able to provide family services
at nominal or no cost. We also provide references for parents when
they need sick, after hours or late night child care .
children to participate in a wide range of activities, socialize in
a recreational setting and grow and develop to their potential. We
are fortunate to have a good rapport and affiliation with many
support agencies such as: Child Protective Services, the San Rafael
Police Department Juvenile Division, the County Mental Health
Department, and the local resourcd and referral agency.
3. SELF-SUPPORTING PROGRAM PLAN
a). According to the Marin Child Care Council, the local resource
and referral agency, the local market rate for school age care is
$3.00/hour. We are able to offer slightly lower rates due the size
of our program and in-kind support services from the City..
b). Our program is approximately completely self-supporting through
collected parent fees,the State Latchkey contract, C.P.S. referrals,
Alternative Payment Programs and money generated from private
sources Approximately 98% of our revenue is from parent fees.
Every year we survey our parents as to the quality of our program
and its affordability. Our rates are lower than the current market
rate for an extended day program in Marin County.
e). We currently receive close to $35,000 in funding from
alternative and private sources. In 1989-90 we received a one-time
$10,000 scholarship from the Amex Corporation, last year we received
$5000 from the Rex Foundation and will be seeking those funds again.
Through the San Rafael Child Care Advisory Committee we are
educating local employers and business groups on ways they can help
their employees meet their child care needs. We are hopeful that
this education process will make more funds available from the
private sector in a variety of ways, from cafeteria plans for
employees, where child care is a paid benefit to scholarship dollars
for low income families living in the San Rafael area. We are
continually seeking new ways to make raise funds to subsidize the
high cost of quality child care.
4. NEEDS ASSESSMEIM
a).The City of San Rafael Recreation Department's Child Care
Division operates ten child care centers, two preschools serving
children age 2-5 years old and eight school-age programs serving
children 5 - 11 years old. In addition to child care the S.R.
Recreation Department offers after school sports programs, the
Homework Place, arts and crafts courses and numerous other classes
for school-age children at all of the school sites. There are also
a limited number privately run child care programs, sports programs
and several family day care homes. Some children attending our
programs receive funding from The Marin Child Care Council's
Alternative Payment Plan.
b.) The City of San Rafael Task Force needs assessment for clearly
indicates a need for more school-age child care. The Dixie School
District carried out a thorough needs assessment before deciding to
open the new Mary Silveira School in which they addressed the need
for child care. It was at the districts request that we expanded
our program to include a new center at Mary Silveira. In August, in
order to determine the size of the program at this site we sent a
survey to all of the parents with children in the school district as
well as doing some local advertising, parents in turn returned their
b).Our new program is modelled after our highly successful existing
programs geared to provide parents and children with a positive
child care experience. The center offers a safe, warm and creative
environment where the growth and development of each child is
nurtured. Our philosophy is to offer a program focused on the whole
child; recreational in nature, we offer a diverse curriculum
providing an opportunity for social, physical, cognitive and
emotional growth. We provide a balance of child initiated and
teacher directed activities. The classroom follows a child -centered
design, with a range of experiences in activity centers which
encourage and foster children's play. During play children are free
to creatively experiment,and develop personal experience in the
physical and social world in which they live. The children will
have access to numerous toys and games for both indoor and outside
play. They will see movies, participate in sports
activities,receive academic support, enjoy special guests, attend
weekly summer field trips, swim, play and socialize. Through each
of these activities the program will focus on the individual
development of the child, offering opportunities to meet challenges,
face success, and build confidence within a safe, nurturing
environment. The basis of our philosophy is, time spent in child
care will be quality time, and each child will be given every
opportunity to mature and develop to their highest potential.
Local libraries, parks, recreation centers and other resources
are used to enrich and supplement the program,as well as variety of
organizations, such as: Guide Dogs for the Blind, the Marin Mammal
Center, the Marin Humane Society and the Boyd Junior Museum. Our
centers make the most of local resources, including soliciting from
local businesses donated supplies and small scholarships to offset
the high cost of maintaining a quality program.
Our centers offer a variety of creative arts activities,
including: collage, painting, drawing, computer graphics, sculpture
and photography. Drama, music and puppetry draw out the children's
personalities and cooperative skills. Story time instills in
children of love of literature and reading. An early and late
nutritious afternoon snack is part' of our food program that includes
activities on healthy eating and good dental care. Our centers hold
daily assemblies and times for children to share their experiences
and daily lives. We celebrate the many and diverse cultures that
make up California and encourage children to not only accept and
treasure peoples cultural and racial differences, but also to
recognize our similarities as humans, to see the richness that our
country shares where these cultures mix.
c). The site is licensed for 45 children, age 5 -11 years of age by
the State of California, Department of Social Services, Community
Care Licensing. The staff ratios and qualifications are at or above
those set by Title 22 and Community Care licensing for a child care
program. Currently, there is a full-time, on-site Director, a
full-time Head Teacher, and three part-time assistant teachers.
d). Mainstreaming special needs children is in progress at all our
centers. The new Mary Silveira site will continue this practice.
All of our centers are handicapped accessible. At our Gallinas
site we have children that are hearing impaired and staff that sign.
We believe that our centers provide an opportunity for special needs
surveys and we sent them registration packets. Before we opened the
doors at the site the program was full; the parent demand was twice
that anticipated and we worked with the school to find additional
space to accommodate the demand. That done we increased the size
of the program from 28 to 45 children for the extended day. There
are currently 88 children enrolled in the program and we have
between 45-45 children attending in the afternoons on any given day.
5. PARENT INVOLVEMENT
Open parent communication is a goal the center will strive for .
The staff sees parents every day when they drop off or pick up their
children. This is informal and often short but it establishes
rapport which is the basis for good communication, especially when
communication is needed on a more serious level. Parent conferences
are held by parent or staff request. During the year there will be
parent "back to school nights", parent pot -lucks, family nights and
a parent committee to encourage parent involvement in the center,
parent -child -staff interaction and family involvement with the
program. The center will provide parents with articles and books on
parenting and provide help in finding family support services. The
center will promote school functions and act as a liaison with the
school and parents. The center staff will provide homework
assistance which in turn allows working parents more quality time to
enjoy their children. Center staff will maintain open communication
with school staff regarding all children. The daily curriculum will
include enrichment programs in science, computers, music, et al,
based on an assessment of child interest and needs. The staff will
encourage the children to share school events, activities and
curriculum. The staff will provide many opportunities for children
to experience success and develop self-confidence and self-esteem
which provide necessary support to take on academic challenge.
While the program is recreational in nature; the staff and
curriculum will enhance the child's social, emotional, physical,
intellectual and cultural development.
SECTION III -PROJECTED BUDGET FOR NEW PROGRAM
PART A -Program Income
(Projected income for a 12 -month period)
INCOME TO SUPPORT PROGRAM
TVDe of Income Amounts
Parent Fees $ 135,800
Donations and Grants **
Fund Raising
Other (specify)
Total Income $ 135,800
Brieflv describe the income sources for the onzoinz vroeram on the reverse side.
The City receives alsmost $35,000 in scholarship funds, plus the current
Latchkey contract. Needy families are eligible for funds.
PART B -Program Expenditures
(Projected expenditures for a 12 -month period)
OPERATING BUDGET
Exvenditures
Staff Salaries
Staff Benefits
Supplies
Equipment
Contracted Services (specify)
Other (specify)
Total Expenditures
Amounts
$ 78,000
6,000
8,nnn
4,nnn
g� nn
300 (training)
12,000(rent)
17,500(Admin)
$1,5.800
Brieflv describe the expenditures for the oneoine Droeram on the reverse side.
PART C -Grant Expenditures
(For start-up period. Grant funds must be expended by June 30, 1992.)
PLANNED EXPENDITURES FOR THE $6.000 GRANT
Items Amounts
New furniture,shelves,etc. $ 5,000
Expendible supplies 2,500
Non-expendible supplies 2,500
Total Grant Expenditures $ 10,000
Brieflv describe how the DroDosed Brant expenditures will be used by the Urogram on the
reverse side.
E
SECTION III -PROJECTED BUDGET (CONTINUED)
DESCRIPTIONS
PART A -Program Income Descriptions
For budgetary puroses annual revenue is based on full cost fees.
Scholarships are available for eligible families, as noted. The
center budget is developed for 45 children.
20 Kindergarten (part day) x$35/wk for 38 weeks = $26660
20 After School (Gr.1-5) x $40/wk for 38 weeks = $68400
25 Full Day (vacation days) x $85/wk for 38 weeks = $40800
Total revenue $135800
PART B -Program Expenditure Descriptions
$78000 Staff salaries for site Director, two head teachers, three
teaching assistants.
6000 Benefits, as negotiated by the Child Care MAPE Union.
8000 Expendable supplies, such as: daily snacks, art materials,
replenishable,short term supplies - balls; boardgames,etc.
5000 Nonexpendable items: computer, tv/audio visual equipment,
sports equipment, etc.
9000 Contractual services, custodial, field trip admissions and
bus rental, tec.
300 Staff workshops, seminars.
12000 Facility rental.
17500 Administration: accounting, collections, payroll,etc.
135800 Total expenditures.
PART C -Grant Expenditure Descriptions
$5000 New furniture, shelving,etc. Teachers desk $500, 6 tables
at $200-= $1200, 2 adult chairs @ $100 =$200, 30 child
chairs @ $50 ea.= $1500, $100 office supplies, $1500 for
city crew to build shelves, cubbies, paint, etc.
2500 Start up expendable materials i.e. arts/crafts, balls,
boardgames, etc.
2500 Startup materials forclassroom: Non -expendable, durable,
equipment: blocks, heavy duty board games, sports equipment,
phone,trikes, etc.
$10000 Total grant expenditures.
6
SECTION IV.
CERTIFICATION AND ASSURANCES
Certification:
A. State Certification,
I hereby certify that (1) the information reported in this application is, to the best
of my knowledge, complete and accurate, (2) the applicant agency named in this
application has authorized me, as its representative, to submit this application and
such authorization is recorded in the minutes of the agency governing board's meeting,
(3) the applicant agency is authorized to do business with the State of California,
(4) no current or former (within three years) State Department of Education employee
participated or assisted in the preparation or development of this application, and
(5) I will comply with all applicable laws, regulations and grant provisions and all
requirements attached to and referenced in the grant.
B. Federal Certification
I hereby certify that the federal grant monies will be used to increase the level of
state, local and other non-federal funds that would, in the absence of such federal
funds, be made available for the programs for which funds are provided and will in no
event supplant such state, local and other non-federal funds.
Assurances:
I hereby assure the California Department of Education, Child Development Division, that:
1) the child care facility to be used for this program is available and will be used
only for the Extended Day Program during the time period identified (including
such use during holiday and vacation periods);
2) the local restriction, if any, on the use of such space will be upheld;
3) the time periods when the space will be available for the child care program are
accurately listed;
4) there will be parent involvement in the development and implementation of the
program;
5) the applicant will seek to enroll racially, ethnically and economically diverse,
as well as handicapped children;
6) the site will be licensed as required by law, and the program will be operated
in compliance with all applicable local and State requirements;
7) the site has not previously been funded under PL 98-558 or PL 99-425; and
8) Before and After School Child Care Services will initially be offered at the new
site between the period of July 1, 1991 through June 30, 1992.
Signed X Date
Authorized Representative
r,,i+.y of .4an RafaAl
Legal Name of Applicant Agency
7
STATE OF CALIFORNIA
STATEMENT OF COMPLIANCE
STD. 19 (Rev. 3-87)
COMPANY NAME
City of San Rafael
SECTION V
The company named above (hereinafter referred to as "prospective contractor") hereby certifies, unless
specifically exempted, compliance with Government Code Section 12990 and California Administrative Code,
Title 2, Division 4, Chapter 5 in matters relating to the development, implementation and maintenance of a
nondiscrimination program. Prospective contractor agrees not to unlawfully discriminate against any employee
or applicant for employment because of race, religion, color, national origin, ancestry, physical handicap,
medical condition (cancer related), marital status, sex or age (over forty).
CERTIFICATION
I, the official named below, hereby swear that I am duly authorized to legally bind the prospective contractor to
the above described certification. I am fully aware that this certification, executed on the date and in the county
below, is made under penalty of perjury under the laws of the State of California.
NAME OF OFFICIAL '
A Pamal a Yi nnl aif'i tVTr MnnazPr
DATE EXECUTED I
EXECUTED IN `rHE COUNTY OF
Mari n
PROSPECTIVE CONTRACTOR SIGNATURE
PROSPECTIVE CONTRACTOR TITLE
Bill Scharf, Child Care Manager
PROSPECTIVE CONTRACTOR FEDERAL EMPLOYER I.D. NUMBER
#946000426.
v .3n
California Department of Education
Child Development Division
SECTION VI
CERTIFICATION REGARDING PROVISION
OF A DRUG-FREE WORKPLACE
I, on behalf of the contractor or grantee, do hereby certify
that the contractor or grantee will provide a drug-free workplace
by doing all of the following, as required by California Government
Code Section 8355, as a condition of the contract or grant:
(a) Publish a statement notifying employees that the unlawful
manufacture, distribution, dispensation, possession or use of a
controlled substance is prohibited in this person's or
organization's workplace and specifying the actions that will be
taken against employees for violations of the prohibition.
(b) Establish a drug-free awareness program to inform
employees about all of the following:
(1) The dangers of drug abuse in the workplace.
(2) The person's or organization's policy of maintaining a
drug-free workplace.
(3) Any available drug counseling, rehabilitation and
employee assistance programs.
(4) The penalties that may be imposed upon employees for drug
abuse violations.
(c) Require that each employee engaged in the performance of
the contract or grant be given a copy of the statement required by
subdivision (a) and that, as a condition of employment on the
contract or grant, the employee agrees to abide by the terms of the
statement.
The contractor or grantee understands that the contract or
grant may be subject to suspension of payments under the contract
or grant or termination of the contract or grant, or both, and the
contractor or grantee thereunder may be subject to debarment if the
California Department of Education determines that either of the
following has occurred:
(1) The contractor or grantee has made a false certification.
( 2 ) The contractor cr grantee violates this certification by
failing to carry out the requirements of subdivision (a)
to (c), inclusive, above.
Agency Name
City of SanRafael
Project Numberaor state use only)
Name and Title of Authorized Representative
Pamela Nicolai, City Manager
Signature Date
X
NOTE: Refer to explanations and instructions on reverse side
of this page.
DRUG-FREE WORKPLACE
Chapter 1170 (1990), the Drug -Free Workplace Act of 1990,
added Chapter 5.5 (commencing with Section 8350) to Division
1, of Title 2 of the Government Code. This law requires every
person or organization awarded a contract or grant for the
procurement of any property or services from any state agency
to certify that it will provide a drug-free workplace by doing
things specified in Section 8355.
The law further provides that each such contract or grant may
be subject to suspension of payments or its termination, and
the contractor subject to debarment from future contracting,
if the contractor or grantee has either (1) made .a false
certification, or (2) violated the certification by failing
to carry out its requirements. The Department of General
Services will publish a list of individuals and organizations
whose contracts and grants have been cancelled for failure to
comply with the law.
The law does not require any contractor (or grantee) to ensure
that other businesses with which it subcontracts also provide
drug-free workplaces.
For the purposes of this law, some applicable terms are
defined as follows:
"Drug-free workplace" means a site for the performance of work
at which the employees of the contractor or grantee are
prohibited from engaging in the unlawful manufacture,
distribution, dispensation, possession or use of a controlled
substance.
"Employee" means the employee of a contractor or grantee
directly engaged in the performance of work pursuant to a
contract or grant with a state agency.
"Controlled Substance" means a controlled substance in
schedules I through V of Section 202 of the Controlled
Substances Act (21 U.S.C. Sec. 812)
"Grantee" means the department, division or other unit of a
person or organization responsible for the performance under
the grant.
"Contractor" means the department, division or other unit of
a person or organization responsible for the performance under
the contract
NOTE: This form must be completed by the applicant and
submitted to the Child Development Division either with
the application package or within three (3) days of
receiving a verbal or written offer of a contract.