Home Maintenance Checklist



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|Home Visiting PROGRAMS |

|REPORTS CHECKLIST |

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|ANNUAL CALENDAR OF SUBMISSION DATES |

|SFY 2021 |

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| | |5/27/2020 |

| |home visiting programs Proposal Request for Proposal | |

| |Submission Deadline | |

| | | |

| | | |

| |Narrative Reports | |

| |Semi-annual program report | |

| |(grants ending June 30th) |1/31/2021 |

| |Final Narrative Report | |

| |(grants ending June 30th) |7/31/2021 |

| | | |

| |Finance Reports | |

| |SEMI-ANNUAL FINANCE REPORT |1/31/2021 |

| |(grants ending June 30th) | |

| |Final Finance Report | |

| |(Grants ending June 30th) |9/30/2021 |

| | |5/14/2021 |

| |Budget Amendments | |

| | | |

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

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

SFY2021

Maryland State Department of Education

Division of Special Education/Early Intervention Services

SFY 2021 Home Visiting Program Grant Application

PROPOSAL FACE SHEET

GRANT FUNDING PERIOD: July 1, 2020 – June 30, 2021

GRANTEE NAME:

LOCAL MANAGEMENT BOARD/LOCAL LEAD 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

HOME VISITING GRANT PROGRAM COORDINATOR:

TITLE:

ADDRESS:

PHONE: FAX:

E-MAIL:

Send copy of all correspondence addressing program

issues to the HV program coordinator ____ Yes ____No

PROGRAM VENDOR & CONTACT INFORMATION:

TITLE:

ADDRESS:

PHONE: EMAIL:

___________________________________ _____________________

Signature (LMB Director) Date

Maryland State Department of Education

Division of Special Education/Early Intervention Services

SFY 2021 Home Visiting Grant Program

GRANT PROPOSAL DESCRIPTION

|Name of Grant Program |Home Visiting |

|Dissemination Date |April 2, 2020 |

|Deadline |May 27, 2020 |

|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 2020. |

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

| |SFY 2021 Reporting Matrix. |

|Award Notification |Targeted date for notification of awards is July 1, 2020 |

|Grant Period |July 1, 2020– June 30, 2021 |

|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 2021 |

| |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 2021 Proposal/ Reporting Matrix) and Semi-Annual Financial |

| |Report due January 31, 2021; |

| |Annual Program Report (SFY 2021 Proposal/Reporting Matrix/Addendum) due July 31, 2021; and |

| |Annual Financial Report due September 30, 2021. |

|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 May 27, 2020, 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): |

| |Gary Richardson |

| |Phone: (410) 767-0775 |

| |Email: gary.richardson@ |

| | |

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

| |Jamalden Gowans |

| |Phone: 410-767-0262 |

| |Email: jamalden.gowans@ |

| | |

| |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) |

| |Jamalden Gowans |

| |Phone: (410) 767-0262 |

| |Email: jamalden.gowans@ |

Maryland State Department of Education

Division of Special Education/Early Intervention Services

SFY 2021 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 2020. 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 20. Describe all forms of technical assistance and interventions provided. Define plans for monitoring during SFY 2021. 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 2021 Home Visiting

Report Matrix

|Grantee: |Program Vendor: |

|Home Visiting Model: |Target Population (to be served by program): |

|SFY 2021 Funding Level: |

| |

|Other funding sources (check all that apply) |

|MIECHV ( GOC/LMB ( Local Government ( Other (please specify) ( _______________________________ |

Home visiting is a prevention strategy used to support families to promote infant and child health, foster educational development and school readiness, and help prevent child abuse and neglect. Goals for home visiting programs are to:

• improve maternal and child health,

• prevent child abuse and neglect,

• encourage positive parenting, and

• promote child development and school readiness.

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 goals of evidence-based home visiting program models. 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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