Air Force EFMP Respite Child Care – How it Works Presented by Bonnie Storm, Senior Director, Exceptional Family Member Respite Care © 2013 Child Care Aware ® of America 9/21/2018 Presented to: USAF EFMP Respite Care Agencies Location: San Diego, CA

EFMP Respite ChildCare Guiding Principles Eligibility Accessibility Quality (training and screening) Parent choice Outreach & technical assistance © 2013 Child Care Aware ® of America 2

Why EFMP Respite Child Care? Families with exceptional children have unique challenges that are magnified by deployments Many participating families have children with autism (37%) & developmental delays (20%); placement in a CDC or FCC can be challenging Families enrolled in EFMP need respite child care provided by specially trained and screened providers © 2013 Child Care Aware ® of America 3

USAF EFMP Respite Child Care 12 hours of respite child care per month/per EFM child are available for eligible AF families with children diagnosed as moderate or severe (up to age 18) and their siblings (up to age 13) EFMP Respite Child Care is provided at no cost to the family © 2013 Child Care Aware ® of America 4

Program Eligibility Air Force families stationed at one of these designated locations (Phase I): Charleston AFB Charleston, SC AF Academy, Peterson & Schriever AFB Colorado Springs, CO JB Pearl Harbor-Hickam Honolulu, Hawaii JB Langley-Eustis Norfolk, VA JB San Antonio San Antonio, TX JB Lewis-McChord Tacoma, WA JB Andrews, JB Anacostia- Greater Washington, DC Bolling, Pentagon & Ft. Meade © 2013 Child Care Aware ® of America 5

USAF families stationed at these locations (Phase II): . Program Eligibility USAF families stationed at these locations (Phase II): . Creech & Nellis AFBs Las Vegas, NV Davis-Monthan AFB Tucson, AZ Eglin AFB & Ft. Walton Beach, FL Hurlburt Field JB Elmendorf-Richardson Anchorage, AK Fairchild AFB Spokane, WA Minot AFB Minot, ND © 2013 Child Care Aware ® of America 6

USAF families stationed at these locations (Phase II, Part 2): Program Eligibility USAF families stationed at these locations (Phase II, Part 2): Moody AFB Valparaiso, GA Offutt AFB Omaha, NE Shaw AFB Columbia, SC Scott AFB St Louis, MO Tinker AFB Oklahoma City, OK Travis AFB Solano County, CA Robins AFB Warner Robins, GA Wright-Patterson AFB Dayton, OH © 2013 Child Care Aware ® of America 7

USAF families stationed at these locations (Phase III): Program Eligibility USAF families stationed at these locations (Phase III): Barksdale AFB Bossier City, LA Keesler AFB Biloxi, MS MacDill & Patrick AFBs South, FL Luke AFB Tempe, AZ Maxwell AFB Montgomery, AL Kirtland AFB Albuquerque, NM Beale AFB Los Angeles, CA Dyess AFB Abilene, TX Sheppard AFB Wichita Falls, TX © 2013 Child Care Aware ® of America 8

USAF families stationed at these locations (Phase III, Part 2): Program Eligibility USAF families stationed at these locations (Phase III, Part 2): Goodfellow AFB San Angelo, TX Laughlin AFB Del Rio, TX Seymour-Johnson AFB Goldsboro, NC Pope Field Fayetteville, NC Tyndall AFB Panama City, FL Grand Forks AFB Grand Forks, ND Hanscom AFB Boston, MA Altus AFB Altus, OK Vance AFB Enid OK © 2013 Child Care Aware ® of America 9

Parent Services © 2013 Child Care Aware ® of America 10

EFMP Respite Child Care Goals for Parents Provide enhanced referrals for qualified Air Force families seeking respite child care Serve eligible Air Force families in the service delivery area Provide eligible families with a choice of 3 types of respite child care to meet their needs: In-home care Licensed family child care Licensed child care centers/special needs child care facilities © 2013 Child Care Aware ® of America 11

How the program works - The Parent’s Perspective Points of entry Eligibility determination Enhanced referral Application etc. Provider selection © 2013 Child Care Aware ® of America 12

Step 1 – Marketing to Parents EFMP Respite Child Care flyer & brochure EFMP staff Military hospitals Children, Youth & Teen programs © 2013 Child Care Aware ® of America 13

Step 2 – Parent Application Documents https://faps.americasteamforchildcare.org/website/Default.aspx?Efmp=1 Self-certification Statement © 2013 Child Care Aware ® of America 14

Step 3 – Working with Parents (In-take) Initial call Follow-up (preferably in person) Basic information Initial forms Start Enhanced Referral Enhanced Referral list Follow-up forms e.g., medication log, emergency forms, etc. Answer questions On-going Follow-up Provider selected or more referrals Additional questions © 2013 Child Care Aware ® of America 15

Step 4 –Parents Choose Providers Parent choice In-home provider (trained & screened) Licensed family child care provider Licensed child care center/licensed special needs child care facility Getting to Know My Child Form Agency uses information to select the best providers for family Providers visit with family and child before care Follow up: offer additional referrals © 2013 Child Care Aware ® of America 16

Provider Services © 2013 Child Care Aware ® of America 17

Step 1 - Marketing to Providers Provider flyer Local colleges/universities Air Force Base Family Member Employment Program Office Schools Hospitals Local provider associations © 2013 Child Care Aware ® of America 18

Step 1a –Provider Sources Word of mouth/parent referral Child’s tutor or aide (e.g., Tri-care ECHO) Nursing programs/vendor providers College students University interns/practicum students Senior centers/groups P-T Staff at school age programs Craig's list etc. © 2013 Child Care Aware ® of America 19

Step 2 –Program Selling Points to Providers Employs flexible hours & schedule Provides professional training Makes a difference in families’ lives Builds close lasting relationships Supplies a supplemental income © 2013 Child Care Aware ® of America 20

Step 3 – Selecting & Screening Providers Interview Sample questions Review education/qualifications Verifying references Record written or oral references Comprehensive background screening Federal Bureau of Investigation (FBI) fingerprint check State Criminal History Repositories check Child abuse & neglect registry Sex offender registry © 2013 Child Care Aware ® of America 21

Step 4 –Training Providers Pre-service training CPR First Aid Medication Dispensation Child Abuse Identification and Reporting Special Needs Training 2 trainings in the first year 4 trainings per year, after the first year Program orientation © 2013 Child Care Aware ® of America 22

Step 5 – Provider Application and Rates EFMP Provider Application documentation W-9 Tax Form License, if applicable Voided check for electronic deposit Agency establishes rates based on provider’s qualifications, education, and experience and establishes a second EFM rate and sibling rate © 2013 Child Care Aware ® of America 23

Step 6 – Matching Providers to Parents What to consider: Family dynamics Child’s diagnoses Time/days of the week Type of provider parent prefers If a viable provider is not available, the agency will work with the parent and EFMP staff to locate and train an acceptable provider © 2013 Child Care Aware ® of America 24

Step 7 – Paying Providers Attendance sheet – 5th of each month National Programs payment department - process payments within 7-10 business days First payment sent via check, then direct deposit Inaccurate, attendance sheets will be returned and will delay payment © 2013 Child Care Aware ® of America 25

Providers are monitored quarterly while the child is in care Step 8 – Monitoring Providers are monitored quarterly while the child is in care Site visit monitoring forms Monitoring should be unannounced © 2013 Child Care Aware ® of America 26

Step 9- Technical Assistance Training In-service and pre-service Specialized training for special situations, e. g., feeding tube assistance (often provided by parent) Monitoring Licensed, quarterly In-child’s home, quarterly Technical Assistance (TA) Provide resources /kits to check out Provide feedback during or after monitoring Provide TA via telephone or email © 2013 Child Care Aware ® of America 27

Words from a Parent “Respite Care has been a wonderful gift! It has been such a relief to know my boys, aged three and one, are being taken care of while either I or my husband and I get to get some time. We have…a wonderful respite provider who provides such peace of mind… it’s nice to know the kids are in such capable hands. …It is a huge burden that has been lifted… we greatly appreciate it. .. It keeps us sane! Thank you for the service to our family!” Travis AF parent © 2013 Child Care Aware ® of America 28

Michelle Obama, the First Lady: “As a grateful nation, it is our sacred responsibility to stand by our Military children just as they and their families stand by us – from improving the schools where they learn, to strengthening the communities where they love, to supporting the parents and guardians who are raising them.” June 2010 © 2013 Child Care Aware ® of America 29