FY 2018/19 DISPARITY FUNDS PROGRAM PROPOSAL COVER PAGE

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Attachment A-2FY 2018/19 DISPARITY FUNDS PROGRAMPROPOSAL COVER PAGENote: Complete this form for each proposed project. Please refer to the Proposal SubmissionInstructions for clarification for any of the following questions.Section I. Grantee Information and Cover SheetPlease check the box that describes your organization Community Based Regional Center (RC)Organization (CBO),501(c)(3) CBO, non-501(c)(3) EIN or No EINa. Name of organization/Groupb. DatePediatric Therapy Network10-16-2018c. Primary contact (Name)Gina Gillumd. Mailing address1815 West 213 Street, Suite100, Torrance, CA 90501e. Primary e-mail addressf. Primary phone numberginag@ptnmail.org310.328.0276 x210g. Secondary contact email addressh. Secondary contact phone numberaracelie@ptnmail.org310-328-0276 x217i. Brief description of the organization/group (organization type, group mission, etc.).Pediatric Therapy Network is a 501(c)(3) nonprofit early child development and therapy centerthat provides innovative therapy to approximately 2,500 children a year. With locations inTorrance and Long Beach, PTN serves children with autism spectrum disorder, learningdisabilities, developmental delays, orthopedic and neurological challenges, and sports-relatedinjuries from all over Southern California.Section II. Proposal Summarya. Project titleEarly Identification and Referral Through DevelopmentalScreeningsb. Total amount requested 161,130c. Projected number ofindividuals impacted200d. Duration of project (months)9 monthse. RC(s) in the project catchmentarea(s)f. Did your organization receivefunding for a project in FY2017/18?Start date: 04/01/19Harbor Regional CenterTarget zip code(s) for Los Angeles County*: 90501,90502, 90503, 90504, 90505, 90710, 90744, 90804 Yes** No**If yes, provide the grant number and answer questions “f1” and “f2.”If no, skip to question “g.”Grant # (CBOs only): 17-C44f1. What is the current status ofyour project?End date: 12/31/19On target

Attachment A-2FY 2018/19 DISPARITY FUNDS PROGRAMPROPOSAL COVER PAGEf2. How is this proposal differentfrom your current project?While Pediatric Therapy Network (PTN) will continue toprovide its parent engagement and education programs tothe families at PTN, this proposal is different because thefocus will be in collaborating with Early Childhoodprofessionals to screen at-risk children for developmentaldelays. A system of direct referrals to Harbor RegionalCenter will be established using a family-centeredapproach.g. Will you be working with one or Yes***more CBO(s)?h. Will the project require Yes***aggregate data from the RC(s)? No No*Zip code information for Los Angeles County can be found at:https://www.dds.ca.gov/RC/regionMap.cfm?view laCounty***If yes, please provide letter(s) indicating that the CBO(s) and/or RC(s) have reviewed the proposal andare in support of collaboration.

Attachment A-2FY 2018/19 DISPARITY FUNDS PROGRAMPROPOSAL COVER PAGE

Attachment BFY 2018/19 DISPARITY FUNDS PROGRAMPROJECT INFORMATION1. Project TitleEarly Identification and Referral Through Developmental Screenings2. Select the target group(s) the project intends serve and provide a descriptionof each group. Check all that apply. Ethnicity: Hispanic, African American and Asian/Pacific Islander Language(s): English and Spanish Age group(s): 0 - 3 Socioeconomic: Families receiving subsidized childcare and families living near orbelow the federal poverty level Other:3. Which area(s) of focus does the project meet? Check all that apply. 1. Increase access to information about services available through the RC systemand processes to receiving those services. 2. Provide assistance during the intake process. 3. Empower consumers to advocate for needed services. 4. Increase access to services that meet the cultural and linguistic needs ofconsumers and their families. 5. Other (explain): Educate families and service providers4. Project Type Translation (equipment, translator services, translating brochures or materials,etc.) Outreach Workforce capacity (staff training, incentives for bilingual employees, etc.) Parent education (online or in person trainings, workshops, etc.) Promotores (para professionals to help develop relationships and trust with theRegional Center) Family/consumer support services (1:1 coaching, enhanced case management,service navigation, etc.) Other:5. What experience does the organization/group have working with the targetpopulation?Founded in Founded in 1996, PTN is an internationally recognized nonprofittherapeutic and early childhood development center committed to providingcomprehensive early intervention programs and innovative therapies to children withand at-risk for developmental delays, disabilities and medical conditions throughout

Attachment BFY 2018/19 DISPARITY FUNDS PROGRAMPROJECT INFORMATIONLos Angeles County. The mission of PTN is to lead the way in helping children,families and communities reach full capabilities through innovative therapy, education,and research programs. PTN provides services to approximately 2,500 childrenannually with a staff of 186.PTN's primary goal is to establish a solid foundation for each child's growth anddevelopment by enhancing functional abilities and fostering independence throughtherapeutic and educational programs. To accomplish this goal, PTN offers a varietyof targeted innovative therapeutic interventions and programs including: EarlyIntervention, Early Head Start, Early Start Denver Model, Social Skills and CommunityIntegration, Individual Therapy, and Camp Escapades.Over the past two decades, PTN has not only established itself as a leading providerof early intervention and therapeutic services in Los Angeles County, but has alsobecome recognized as a trusted partner to the families we serve. We collaborate withmore than a dozen child- and family-focused organizations, including Harbor RegionalCenter (HRC), Women Infants and Children (WIC), LA County Policy Roundtable forChild Care and Development, First 5LA, Center for Nonprofit Management, Universityof Southern California, UCLA, local school districts, Long Beach Early InterventionCouncil, Long Beach Early Childhood Education Committee, and 211LA as well ashealth care providers (primary care, vision, dental, hearing) and others. Throughthese partnerships and collaborations PTN provides early intervention and therapeuticservices to children throughout Los Angeles County and ensures the children andfamilies served are connected to the resources and support they need.PTN’s staff reflects the diversity of our client population which is 41% Hispanic, 23%African American, 16% Asian/Pacific Islander, and 12% Caucasian. Children birth toage 3 account for approximately 20% of PTN’s client population. By engaging familiesearly and collaborating with HRC to help families better understand their child’sstrengths and areas of need, empower them through education and support, andencourage them to access and utilize needed services offered through the RegionalCenter, the proposed program will have a significant and lasting impact on long-termoutcomes—helping children and families reach their fullest potential.6. Explain how the target population(s) are underserved using POS data orother data as supporting evidence.PTN’s Early Identification and Referral through Developmental Screeings will serveparents and caregivers of children ages 0-3 with or at-risk for developmental delaysand disabilities throughout PTN’s and HRC’s service catchment area which includesthe South Bay as well as the Harbor, and Long Beach regions of Southeast LosAngeles County. In this region, 40% of children are Hispanic/Latino, 26% areCaucasian, 13% are Asian/Pacific Islander, and 12% are African American.The target population will include African American, Hispanic, and Asian/PacificIslander families, as well as those enrolled in PTN’s Early Head Start program and

Attachment BFY 2018/19 DISPARITY FUNDS PROGRAMPROJECT INFORMATIONother Early Chilhood Education programs in the community. The program aims toassist HRC in reducing identified disparities among the African American, Hispanic,and Asian/Pacific Islander populations related to: 1) lack of understanding of HRCservices; 2) low authorization of POS; and 3) low utilization of POS.In addition, PTN’s Early Head Start program served approximately 163 pregnantmothers and children birth to age three in 2017- 2018. Among these families, 100%live at or below the Federal Poverty Line (FPL) within HRC’s service area andapproximately 80% are Hispanic, 3% are African American, 12% are white, 3% aremulti-racial and 2% are Asian/Pacific Islander. The program will target PTN’s EHSfamilies and other early education settings in the community serving as a bridge to: 1)increase access to standardized developmental screenings and referrals to HRCservices among low-income African American, Hispanic and Asian/Pacific Islanderfamilies; and 2) increase access to HRC services among this demographic notcurrently served by HRC; and 3) provide family services management.Lastly, Early Head Start Performance Standards require Pediatric Therapy Network’sprogram to provide comprehensive family and child development services. The EarlyHead Start Program is required to enroll 10% of their funded slots with children withdisabilities, provide developmental screenings and family services management.PTN’s Early Head Start program consistently maintains an enrollment of children withdisabilities at 16% or higher. Expanding the developmental screenings and familyservices management model to 200 children being served in subsidized earlychildhood education settings would not only benefit the children and families, but alsofoster a systemic approach in direct referrals to HRC.7. How will the project address the identified POS disparity?The Centers for Disease Control and Prevention (CDC) indicate 1 in 4 Californiachildren under the age of six are at moderate- or high-risk for developmental,behavioral, or social delays. Furthermore, the National Center for Health Statisticsrecently released findings from the National Health Interview Survey (2016) that statethe prevalence of children ages 3-17 years old diagnosed with autism, as well asdevelopmental delays and other developmental disabilities increased from 5.76% tonearly 7% over the past two years.According to HRC’s Report on Demographic and Expenditure Data for Fiscal Year2016-2017, 41% of their clients are Hispanic, 23% are White/Caucasian, 13% areOther/Multi, 12% Asian, and 11% are African American. The primary languages of theclients served are English (78%) and Spanish (17%). “Per capita authorizedexpenditures for clients who live with their families and are birth to age three arehighest for Asian clients and lowest for African American clients.”Studies from the U.S. Department of Education, the CDC, as well as the AmericanAcademy of Pediatrics (AAP) indicate early intervention improves long-term health,

Attachment BFY 2018/19 DISPARITY FUNDS PROGRAMPROJECT INFORMATIONlanguage, cognitive and social/emotional development outcomes. However, timing iscritical as nearly 85% of brain development occurs during the first three years of achild’s life. The key is to identify issues early and connect them to the right therapeutictreatment so they can achieve their fullest potential. Sadly, research shows thatchildren in low-income families, particularly ethnic minorities, have a higherprevalence of developmental delays and disabilities, are less likely to have issuesidentified and addressed early, and are more likely to lack access to qualitytherapeutic treatment and early intervention services.8. How is the proposed project unique or different from a current effort (e.g.,strategies, activities, goal) in this catchment area? If the project is similar to acurrent effort, how will the proposed project expand on the current effort?PTN’s Early Identification and Referral through Developmental Screening program isa collaborative approach to increase access to standarized developmental screeningsin the Early Childhood Education field. By collaborating with multiple early childhoodprograms that provide subsidized child care and no-cost early childhood educationprograms, this effort will reach the most at risk children and families. There are266,276 children receiving childcare in LA County. The goal of the program is toaddress disparities identified by HRC among African American, Hispanic andAsian/Pacific Islander families related to: 1) Lack of Understanding of HRC services;2) low authorization of POS; and 3) low utilization of POS.PTN’s Parent Engagement through Education and Support program has beensuccessful in providing services for children and families already receiving regionalcenter services. However, PTN recognizes that with our therapeutic and earlychildhood education expertise, we are in a unique position to help identify concerns atan early age, address them by referring the families to HRC, and provide EarlyIntervention services. PTN’s Early Identification and Referral through DevelopmentalScreening program will further enable PTN to provide the comprehensive serviceschildren and families deserve.By increasing availability of developmental screenings to at risk children and familiesin the HRC catchment areas and through targeted collaborations with early childhoodservice providers, PTN will develop a systematic approach of providingdevelopmental screenings and family services management. This will address themost vulnerable children and families by engaging families through a trusted serviceprovider, providing the developmental screenings and providing the appropriate familyservices management.The overall objectives of the program include 1) Providing parents and earlychildhood providers of children ages 0-3 with knowledge, skills, confidence andsupport they need to identify developmental delays while providing support they needto access available resources and needed services; and 2) Improving access forfamilies serviced by early childhood programs by creating surveys and administeringthem to parents and caregivers of early childhood program participants to identify

Attachment BFY 2018/19 DISPARITY FUNDS PROGRAMPROJECT INFORMATIONbarriers to accessing care and inform future program and service needs for AfricanAmerican, Hispanic and Asian/Pacific Islander families as measured by surveys.The Early Identification and Referral Through Developmental Screening programconsists of three primary components: Parent and Service Provider Education, FamilySupport and Workforce Capacity.Parent and Service Provider Education support efforts will be dedicated to reachingunderserved families throught the communities served by HRC and promoting theprogram and HRC services to the early childhood commuity service providers in theHRC catchment area. Families and caregivers will be engaged through their trustedservice providers and be provided education presentations about typical developmentand developmental delays as well as HRC services. The trainings will be provided atno-cost and will provide childcare and meals. The trainings will be provided by abilingual-bicultural presenter. The presentations will be delivered in the languagerespresentative of the majority population served and will accomodate otherlanguages via translation as needed. The developmental screening and educationpresentations will take place in the community at the early education locations andPTN. After the presentations, families will sign-up and provide consent to administerthe developmental screening using the ASQ and ASQ:SE. A parent survey will bedeveloped and administered after every parent presentation to assess theunderstanding of child development, developmental screenings and familiarity of HRCservices.Family Support efforts will be focused on using a comprehensive family centerdapproach to engaging families and their children. Families will be engaged throughthe developmental screening process through their trusted early childcare provider.Appointments will be set to conduct the developmental screenings using the ASQ andASQ:SE tools at their early childhood settings or a trusted location of their choice.Families will be provided their children’s results and will be provided follow-upservices through family services management. Each family without concerns will beprovided information to continue to promote continued growth for typically developingchildren. Each family with borderline concerns will be placed on a montoring schedulefor a 6 month follow-up and be provided with targeted developmental activities andchildren with identified concerns will be referred to HRC upon parent consent. Thefamilies of children with identified concerns will be asked for their consent to beformally discussed at a multidisciplinary team meeting composed of a mental healthprofessional, registered dietician, early childhood education professional, familyengagement professional, health specialist and a disabilities specialist. Thismultidisciplinary team will use a holistic and individualized approach to design a familyservices management plan for follow-up in order to address family related barriershindering any referral to HRC. A family services manager will be assigned to workwith families that require a care plan. Families will be provided with copies of theirresults of the ASQ and ASQ:SE as well as a summary of their care plan. At the

Attachment BFY 2018/19 DISPARITY FUNDS PROGRAMPROJECT INFORMATIONrequest of the family, a family services manager will be assigned to help them alongtheir process to successfully accessing HRC. PTN will use a database system tocollect all records of ASQ and ASQ:SE results as well as referrals made to HRC.Family services managers will provide status notes in the database. All data relatedinformation will be presented in aggregate form to PTN and HRC.Workforce Capacity will be enhanced by collaborating with the Early Care andEducation professionals in the PTN and HRC communities to become more aware ofthe importance of developmental surveillance. Meetings will be held with identifiedearly chilhood administrators serving children and families through subsidizedsources to explain the benefit of the program. Once the benefit has been establishedwith the partners, an MOU will be executed with such partners to conductdevelopmental screening at their sites. The early childcare partner administrators willbe our champions in promoting our project to not only parents and caregivers, butalso the direct line staff of teachers working with the children and families at theirlocations. Early childhood professionals in the field will be engaged in the process ofdevelopmental screening as they are key professionals who often spend more than 6hours a day, 5 days a week working with children. Their input is invaluable inassessing and addressing children’s development. At minimum, one meeting withadministrators and one meeting with teaching staff will take place at each location.PTN will collaborate with HRC to design a presentation of their services for theidentified early childhood professionals from these sites. These presentations will takeplace up to two times per year. The Regional Center (RC) system is something thatearly childhood professionals are not exposed to in their professional education andtherefore these professionals are not formally educated in the RC systems orservices. Pre- and post-surveys will be administered to the early childhoodprofessionals working at the partner sites at the beginning of the project and at theend of the project to assess knowledge of developmental surveilance and knowledgeof how to access the RC.As a community provider with a long history of supporting the whole family, PTN ishighly respected and trusted not only within the professional commuity, but alsoamong the parents and caregivers of the children we serve.

PROPOSAL COVER PAGE Note: Complete this form for each proposed project. Please refer to the Proposal Submission . Select the target group(s) the project intends serve and provide a description of each group. Check all that apply. . Head Start Program is required to enroll 10% of their funded slots with children with

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