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|Home Visiting PROGRAMS |

|REPORTS CHECKLIST |

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|ANNUAL CALENDAR OF SUBMISSION DATES |

|SFY 2020 |

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| | |6/4/19 |

| |home visiting programs Proposal Request for Proposal | |

| |Submission Deadline | |

| | | |

| | | |

| |Narrative Reports | |

| |Semi-annual program report | |

| |(grants ending June 30th) |1/31/2020 |

| |Final Narrative Report | |

| |(grants ending June 30th) |7/31/2020 |

| | | |

| |Finance Reports | |

| |SEMI-ANNUAL FINANCE REPORT |1/31/2020 |

| |(grants ending June 30th) | |

| |Final Finance Report | |

| |(Grants ending June 30th) |9/30/2020 |

| | |5/14/2020 |

| |Budget Amendments | |

| | | |

| |(No Later than 45 days from the end of the grant award period) | |

| |Single audit report (if required) |As available |

SFY2020

Maryland State Department of Education

Division of Special Education/Early Intervention Services

SFY 2020 Home Visiting Program Grant Application

PROPOSAL FACE SHEET

GRANT FUNDING PERIOD: July 1, 2019 – June 30, 2020

GRANTEE NAME:

PROGRAM VENDOR:

LOCAL GRANTEE AGENCY CONTACTS:

AGENCY DIRECTOR:

TITLE:

ADDRESS:

PHONE: FAX:

E-MAIL

FISCAL OFFICER:

TITLE:

ADRESS:

PHONE: FAX:

E-MAIL:

Send copy of all correspondence addressing financial

issues to the fiscal officer ____ Yes ____No

PROGRAM SERVICES COORDINATOR:

TITLE:

ADDRESS:

PHONE: FAX:

E-MAIL:

Send copy of all correspondence addressing program

issues to the early childhood coordinator ____ Yes ____No

___________________________________ _____________________

Signature (Agency Director) Date

Maryland State Department of Education

Division of Special Education/Early Intervention Services

SFY 2020 Home Visiting Grant Program

GRANT PROPOSAL DESCRIPTION

|Name of Grant Program |Home Visiting |

|Dissemination Date |April 23, 2019 |

|Deadline |June 4, 2019 |

|Purpose |To offer home based support to children and their families as a means for: |

| |strengthening the parent-child bond; |

| |promoting healthy child development; |

| |promoting school readiness; and |

| |enhancing family functioning. |

|Eligible Applicant |Recipients of Home Visiting funds awarded through the Division of Early Intervention and |

| |Special Education Services (DEI/SES), Maryland State Department of Education (MSDE) during |

| |SFY 2019. |

|Total State General Funds Available |Total funding awarded to each grantee will equal the total amount granted as indicated on the|

| |SFY 2020 Reporting Matrix. |

|Award Notification |Targeted date for notification of awards is July 1, 2019 |

|Grant Period |July 1, 2019– June 30, 2020 |

|Fund Use |Grant funds must be used for the provision of home visitation services to support families as|

| |described in the proposal matrix and narrative. |

|Required Proposal |All proposals must include: |

|Components |proposal cover sheet signed and dated by the local Agency Director; |

| |completion of the service projection and description of activities sections of the SFY 2020 |

| |Report Matrix; |

| |program narrative; |

| |detailed budget, including other funding sources supporting home visitation services; and |

| |State grant assurances. |

| | |

| |*Note: Budget Instructions |

| |Enter the total budget amount minus administrative cost on page C-1-25 Grant Budget Form |

| |(cell 02 Special Prog./02 Contract Services). Enter administrative cost in cell 02 Special |

| |Program/08 Transfer. The maximum allowance for administrative cost is 5%. |

|Reporting Requirements |Grantees must submit the following to the designated DEI/SES Fiscal Liaison: |

| |Semi-Annual Program Report (SFY 2020 Proposal/ Reporting Matrix) and Semi-Annual Financial |

| |Report due January 31, 2020; |

| |Annual Program Report (SFY 2020 Proposal/Reporting Matrix/Addendum) due July 31, 2020; and |

| |Annual Financial Report due September 30, 2020. |

|Monitoring Activities |Grantees are responsible for monitoring performance of the designated home visiting services |

| |vendor, including review of quantitative data, qualitative reports and progress towards |

| |credential renewal if appropriate. |

|Submission |Grant applications must be submitted by 4:00 p.m. on June 4, 2019, and may be either in the |

|Requirements |form of a pdf attachment (preferred) or as a hard copy sent via regular mail service, to: |

| | |

| |Nancy Vorobey, Early Childhood Consultant |

| |Performance Support and Technical Assistance |

| |Branch |

| |Division of Special Education/Early Intervention |

| |Services |

| |Maryland State Department of Education |

| |200 West Baltimore Street |

| |Baltimore, MD 21201 |

| |nancy.vorobey@ |

|Technical Assistance |For questions regarding proposal content, please contact: |

| | |

| |Nancy Vorobey, Early Childhood Consultant |

| |Phone: (410) 767-0234 |

| |Email: nancy.vorobey@ |

| | |

| |For questions regarding fiscal requirements, contact the Fiscal Liaison for your region: |

| | |

| |Region 1 (Allegany, Frederick): |

| |Roslyn Hodnett |

| |Phone: (410) 767-0246 |

| |Email: roslyn.hodnett@ |

| | |

| | |

| |Region 1 (Garrett, Washington): |

| |Cheryl Edwards |

| |Phone: (410) 767-7512 |

| |Email: cheryl.edwards@ |

| | |

| |Region 2 (Howard, Montgomery, Prince George’s): |

| |Alicia Palmer |

| |Phone: 410-767-0946 |

| |Email: alicia.palmer@ |

| | |

| |Region 3 (Baltimore City, Baltimore County): |

| |Roslyn Hodnett |

| |Phone: (410) 767-0246 |

| |Email: roslyn.hodnett@ |

| | |

| |Region 4 (Calvert, Charles): |

| |Cheryl Edwards |

| |Phone: (410) 767-7512 |

| |Email: cheryl.edwards@ |

| | |

| |Region 5 (Caroline, Dorchester, Kent, Queen Anne’s, Somerset, Wicomico) |

| |Alicia Palmer |

| |Phone: (410) 767-0946 |

| |Email: alicia.palmer@ |

Maryland State Department of Education

Division of Special Education/Early Intervention Services

SFY 2020 Home Visiting Grant Program

Program Narrative

1. Program Description:

Provide a narrative describing your program. Include significant changes, major program accomplishments and program challenges occurring during SFY 19. Elaborate on lessons learned and strategies employed to achieve resolution.

2. Credentialing Status (if applicable):

As applicable, please indicate the credentialing status of the evidence-based home visiting model being implemented and describe current efforts to maintain credentialing status. Attach a copy of documentation of status, as appropriate.

3. Monitoring:

Provide a description of the agency monitoring procedures (fiscal and programmatic) during SFY 19. Describe all forms of technical assistance and interventions provided. Define plans for monitoring during SFY 20. Identify needs for technical assistance from Maryland State Department of Education.

Maryland State Department of Education

Division of Early Intervention and Special Education Services

SFY 2020 Healthy Families

Report Matrix

|Type of Program: Home Visiting |Program Vendor: |

|Program Name: Healthy Families |

|Target Population (to be served by program): |

|SFY 2020 Funding Level: Home Visiting Model: Healthy Families |

Healthy Families Maryland (HFM) is a comprehensive, voluntary home visiting program modeled after the nationally renowned initiative Healthy Families America (HFA). The national goals are the foundation for successful service provision which ultimately aims to prevent child maltreatment through early intervention. These national goals include:

• Promotion of healthy child growth and development;

• Strengthening the parent-child relationship; and

• Enhancing family functioning by teaching problem solving skills, building trusting relationships and the improving family support system.

Maryland’s Eight Results for Child Well-Being were established to identify the most effective way to address a child’s social, emotional, and physical health. Four of the result areas correspond to the national goals developed by HFA. These results areas include: Babies Born Healthy, Healthy Children, Children Enter School Ready to Learn and Children Safe in their Families and Communities. The particular performance measures which have been selected will enable local programs to align priorities, goals and monitoring efforts with the State.

Service Projections

| | |

|Indicate the targeted number of families to be assessed | |

| | |

|Indicate the targeted number of families to receive home visiting services | |

|1 |2 |3 |4 |5 |

| Results for | State Indicator | Performance Measures |Description of Activities/Services |Performance Measures |

|Child Well-Being | | | |ACHIEVED |

|Babies Born Healthy |Infant Mortality |Deaths occurring to infants ................
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