In creating a force field analysis, I first had to look at the presenting problem of what I plan to change within my agency. For my field practice assignment, I am working in conjunction with my supervisor (Assistant Director) and the Director of the program on implementing changes to the provider’s contract. There are many policies and procedures that are being violated on the provider’s end of the contract that are in turn causing violations with the Department of Health and A.C.D. (Agency for Child Development). First I will give a brief history of the program and its presenting issues that we face with the providers. In consultation with my supervisor and other caseworkers, it was a unanimous decision that our provider’s contract needed to be revised. This has been an ongoing issue between the providers and the network. There are many providers that have been with the agency since its beginning twenty-five years ago, and a lot has changed in those twenty-five years. We have had complaints from parents for things that the providers are and are not doing. We have noticed violations against the Department of Health’s regulations and the agency’s policies and procedures. The Department of Health makes unannounced visits to the provider’s homes periodically. During these visits the files of the children are checked and all other requirements are checked as per the DOH guidelines. Providers have been found to be out of compliance during these visits with the DOH and with our agency. We believe that if the policies and procedures were adhered to more with consequences being enforced more there would be fewer violations with the providers. With this dilemma an assumption has been made that if we revise the provider’s contract and have it address some of the issues that we encounter during our home visits and the parent’s complaints we would have a more cohesive and productive child care network. Some of the issues that have been arising with the providers are that they are charging registration fees to the parents that we (caseworkers) as an agency register into the program. The families that qualify for the program are low-income families that are usually single parents. These parents should not be paying registration fees to the providers on top of paying a weekly fee to the agency. Many of the providers charge a registration fee between $20-$50 dollars per child. This is not a problem for children who are considered” Private”, which are children who do not come through the agency to the provider, but it is a problem for the children that the agency registers. Another issue that is reoccurring with the providers is the problem of accepting children over a certain age. Many providers insist on only having children who are over the age of two. They feel that children who are younger than two can no be incorporated into the daily activities of “circle-time”.
Other violations that have been noticed by the caseworkers in making home visits to the providers are unauthorized substitutes in the provider’s absence. Substitutes must be fingerprinted, given training in child safety and child abuse and have CPR training. Another problem would have to do with the providers being over capacity with their license. There are two types of licenses that a provider can have, one is for a capacity of five children between the ages of six weeks to twelve years old plus two children that are part-time and these are children that are in school full-time and come to the provider’s home after school. This would give the provider a capacity of seven. Then there are the providers who have a capacity of ten plus two with the same age groups giving the provider a capacity of twelve. The only thing that determines a provider’s license capacity is the space in the home. Many providers have between eight to fourteen children and the caseworkers are only privy of this when we make home visits, mainly unannounced home...
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