1. UCSF Child Care Status Report
Backup Care Proposal
A collaboration of CACSW and the Chancellor’s Advisory Committee on Child Care

2. Growth of On-Site Child Care
296
272
238
155
Lucia Opens
Kirkham Opens
MB Opens
125
LHTs expansion
FY02/ FY05/ FY07/ FY09/ FY10/11
*Meets Chancellor Bishop’s commitment from 2001 to increase child care slots by 300%

3. Current Child Care Enrollment
273 children being served at 3 campus centers (will be 296 when Lucia Center opens)
163 (60%) are School of Medicine
61 (22%) are Medical Center
49 (18%) split between other 3 schools
1,300 families on the wait list
46% need care for a child under 2 years of age

4. Enrollment Goal & Progress
UCSF Status
Current Enrollment
Enrollment Goal
Gap
Students, Residents, Postdocs
25%
20%
+5%
Staff
35%
40%
-5%
Faculty
45%

5. UCSF Demand 3-24 months 2-3 years 3-5 years Total WAIT LIST Kirkham 57
3-24 months
2-3 years
3-5 years
Total
WAIT LIST
Kirkham 57 97
154
Laurel Heights
289
266
185
740
Mission Bay
193 54 68
315
Lucia (infant center)
142
624
377
350
1351

6. Supporting Demand at UCSF
Increase capacity for child care slots to 2% of total UCSF population by 2014 for a total of 420 slots (an additional 124 slots)
Increase capacity to 3% in years 2014, and beyond
Permanent child care site at Mission Bay to coincide with hospital expansion in 2014

7. Back Up Care Proposal

8. Back Up Care: motives & models
On-going discussions with UCSF CACSW, Chancellor’s Advisory Committee on Childcare, CCFL and SACSW. Other peer institutions offer back up care programs.
Precedent with other UC campuses, notably UC Berkeley pilot program.

9. Peer Institutions Comparisons
UC Berkeley
UCSF
UCLA
Duke
Stanford GW
Yale
MIT
Students
35,838
2,693
39,500
13,662
19,535
24,900
13,470
10,253
Staff & Faculty
19,995
19,014
30,444
34,600
12,900
8,900
12,962
12,204
Total
55,833
21,707
69,944
48,262
32,435
33,800
26,432
22,457
Back Up Care Program
Yes No
In Home Care Offered
Yes 
Co-Pay Amount
$2- $4 per hour
n/a
none 
$7-$15
per hour 
$15 per hour
 $10 per hour
$7 - $15 per hour
$12-$16 per hour 
Center Based Care Offered
No 
Elder Care Offered
 No

10. Back Up Care: Key factors
Should serve a broad UCSF population (childcare model)
Very limited space and financial resources.
Recognition that any new program that is introduced should have its costs offset by user fees.

11. UC Berkeley Program: Background
Back-up Care Advantage Program Launched in March 2009 (S. Zedeck, Vice Provost Academic Affairs & Faculty Welfare)
Pilot program for ~300 Assistant Professors
Maximum 80 hours/year back-up care program
Co-pay Structure:
$2/hour per child for center-based care
$4/hour for up to 3 dependents for in-home
No annual service fee

12. UC Berkeley Program: Results
98 Assistant Professors or approximately one-third of eligible group registered
UC Berkeley used over 1,318 hours of care in the first program year
Represents 291 unique days saved in absenteeism
99% of all care provided was in-home
Average of 30 requests/month with 99.6% fill rate
Participants rated satisfaction with the back-up care program 4.8 out of 5

13. UC-wide interest

14. UCSF Pilot Program: Assumptions
250 of eligible UCSF population will utilize service.
Users will pay an annual service fee of $100 and co-pay for days utilizing service.
$6/hour in-home care
$15/day center-based care
Annual allowance of 15 days per employee per year.
Maximum of 50% of days for in-home care.

15. Program features
Back up care at Bay Area Bright Horizons full service centers:
San Francisco
Palo Alto
San Jose
Marin (before/after school care only)
Back up care at non-Bright Horizons network of providers nation-wide.
In-home care through network of in-home care agencies (child and adult care).
24x7 care and service availability.
Crisis Care Assist – rapid response program when national or local disaster and/or health emergencies impact availability of care.

16. Minimum Annual Program Cost
Funding Strategy
Minimum Annual Program Cost
Annual Service Fee
Co-Pay
Cost vs Recovery
$48,000
In-home and center based child and adult care
15 allowances annual per user
$50,000 -
Assumes co-pay to provider is $15/$25/day or $6/hour
$2,000

17. Pilot Program
Pilot a program for 250 UCSF faculty, staff, students, residents and postdocs.
Requires $100 annual service fee (covers cost of program).
Assign program management to CLS Family Services (during pilot program only).
Develop partnership with UC Berkeley, and possibly other UC sites, to leverage program goals and costs.
Identify funding contingency to fill gap if 250 do not register IF the university wants to make this investment.

18. Timeline January – February 2011
Negotiate contract with Bright Horizons Family Solutions
Requires 30 days advance notification
March 2011
Launch program
Open enrollment for all eligible UCSF populations
May 2011
Report on 3 month utilization statistics
June 2011
Pursue shared contract with UC Berkeley

19. Child Care and Early Education Adult Caregiving Support
Questions & Answers
Child Care and Early Education
School-Age Programs
Educational Advising
Adult Caregiving Support