State CCDBG Plans to Promote Access to Early, Regular and Comprehensive Screenings

Dec 22, 2009


The Child Care and Development Block Grant (CCDBG) is the largest source of federal funding for child care available to states. Every two years, states must lay out their plans for using all CCDBG funds to help low-income families access child care and to improve the quality of child care for all children, including infants and toddlers. Below are examples of promising child care licensing, subsidy, and quality enhancement policies and initiatives supporting infant/toddler care as reported by states in their FFY 2008-2009 CCDBG plans.

Actions taken by states to promote access to early, regular, and comprehensive screenings included:


Coordinating and planning cross-agency health screening systems

  • Minnesota reported that the state's lead agency in overseeing CCDBG funds coordinated with other agencies, such as the state's health department, to provide health screening services. At minimum, state legislation required mandatory mental health screening for children from birth to age 3, who were in child protection services. The agencies developed a framework for a comprehensive health and developmental screening system funded by the state's Early Childhood Comprehensive Systems grant. The main target of the grant was to screen young children for various health risks at an early age and on a regular basis. Families were connected to culturally appropriate services and supports in their community as needed.
  • Georgia's child care agency similarly coordinated with other state agencies to screen infants for health-related concerns. For instance, the agency worked with the state's public health department to promote a free vision screening program called InfantSEE that targeted young children from ages six months to twelve months.

Providing comprehensive screenings and services for developmental delays

  • Kansas had a language intervention toolkit, which was used to assess and monitor infants and toddlers with language developmental delays and direct parents to infant/toddler Part C services.
  • Tennessee reported that a Health, Safety, and Inclusion Coordinator worked with the state's early intervention system to help parents of infants and toddlers with special education needs find resources.
  • Nevada worked with child care providers to offer speech screenings, consultations, and transition services for parents of developmentally delayed infants and toddlers.

Providing nurse health consultations

  • New Jersey reported that registered nurses were assigned to twenty-one counties to evaluate health care services for children in child care, particularly infants and toddlers. The nurses provided technical assistance to providers to improve the quality of health-related services. Training on CPR, First Aid, and other issues was provided.



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