rm(list=ls()) install.packages(“quanteda”) install.packages(“readtext”) install.packages(“ggplot2”) library(readtext) library(quanteda) library(ggplot2) install.packages(“lattice”) library(lattice) — title: “First 5 Kern” output: slidy_presentation: default beamer_presentation: default —

## Package version: 2.1.1
## Parallel computing: 2 of 4 threads used.
## See https://quanteda.io for tutorials and examples.
## 
## Attaching package: 'quanteda'
## The following object is masked from 'package:utils':
## 
##     View

## `stat_bin()` using `bins = 30`. Pick better value with `binwidth`.

textplot_wordcloud(F5K2020dfm, color=c("blue", "green", "orange", "black", "brown", "purple"))

tstat1 <- textstat_frequency(F5K2020dfm)

library(ggplot2)
ggplot(tstat1[1:11, ], aes(x = reorder(feature, frequency), y = frequency)) +
  geom_point() +
  coord_flip() +
  labs(x = NULL, y = "Frequency")

dfm_tfidf(F5K2020dfm, scheme_tf = "prop") %>% round(digits = 2)
## Document-feature matrix of: 32 documents, 1,090 features (93.4% sparse) and 2 docvars.
##           features
## docs       kern counti receiv phone call mother desper need assist child
##   211.txt  0.01   0.02   0.01  0.01 0.06   0.01   0.01 0.01   0.02  0.00
##   AFRC.txt 0      0      0.02  0    0      0      0    0      0     0.01
##   BCDC.txt 0      0      0     0    0      0.01   0    0      0.01  0.00
##   BCRC.txt 0      0      0     0    0      0      0    0      0     0   
##   BIH.txt  0.01   0.01   0     0    0      0.01   0    0.00   0     0   
##   CHI.txt  0      0      0     0    0      0.00   0    0.01   0     0   
## [ reached max_ndoc ... 26 more documents, reached max_nfeat ... 1,080 more features ]
textplot_xray(kwic(F5K2020t, pattern=c("famil*", "home*", "child*", "student*", "parent*", "mother*", "mom*")))

library(ggplot2)
theme_set(theme_bw())
tplot <- textplot_xray(kwic(F5K2020t, pattern=c("famil*", "home*", "child*", "student*", "parent*", "mother*", "mom*")))
tplot + aes(color = keyword) + scale_color_manual (values = c("red", "blue", "green", "brown", "orange", "purple", "black")) + theme(legend.position = "none")

textplot_xray(kwic(F5K2020t, pattern=c("help", "servic*", "support", "assist*", "enrol*", "preschool", "program")))

library(ggplot2)
theme_set(theme_bw())
tplot <- textplot_xray(kwic(F5K2020t, pattern=c("help", "servic*", "support", "assist*", "enrol*", "preschool", "program")))
tplot + aes(color = keyword) + scale_color_manual (values = c("red", "blue", "green", "brown", "orange", "purple", "black")) + theme(legend.position = "none")

F5K2020k<-tokens_keep(F5K2020t, pattern=c("program*", "support*", "provid*", "refer*", "manag*",  "servic*", "help*", "assist*", "First 5 Kern", "parent*", "mother*", "father*", "specialist*", "doctor", "nurs*", "transport*", "schedul*", "enrol*", "preschool", "visit*", "health*", "attend*", "dental*", "child*", "infant*", "toddler*", "kid*", "Family Resource Center", "phone call*", "happi*", "satisf*", "good", "timely*", "famili", "home*", "school*", "class*", "student*", "learn", "workshop", "medic*", "babi", "resourc*"))

fcmat_d1 <- fcm(F5K2020k)
feat <- names(topfeatures(fcmat_d1, 10))
fcmat_news_select <- fcm_select(fcmat_d1, pattern = feat)

size <- log(colSums(dfm_select(F5K2020dfm, feat)))
set.seed(144)
textplot_network(fcmat_d1, min_freq = 0.8, vertex_size = size / max(size) * 3)

textplot_network(fcmat_news_select, min_freq = 0.8, vertex_size = size / max(size) * 3)

##                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        texts(F5K)
## 211.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        A recent call to 2-1-1 was from a pregnant woman who was about to lose her home, due to insufficient funds to make her rent payment. The initial purpose of her call was to proactively seek out homeless resources, but the 2-1-1 operator was instead able to get her in touch with programs that offered financial assistance for rent. She was also connected to a Maternal-Child Outreach Program as well, in order to obtain perinatal care.
## AFRC.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    The Arvin FRC hosts regular parenting classes. One of the attending parents asked for help from the staff with an insurance issue. Her son’s medical bills were being denied payment because they said he had no insurance. Records had indicated the child was eligible for Medi-cal and the parent had applied, but the child was not receiving coverage. After a number of hours with the FRC staff member and the parent making phone calls, it was finally determined that a wrong code had been entered, the child had medical coverage and the bills were able to be paid.\n\nAnother story tells how the AFRC and the local school district worked together to assist a mother and her children who were living in a Domestic Violence shelter. The FRC advocate provided transportation for the children to get to school. The family was also able to obtain clothing and hygiene products from the FRC. Counseling referrals were made for the children as well. All of the assistance was paid off, as the children completed the school year with good attendance and their mother was able to qualify for a transitional housing program for two years.
## BCDC.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          First 5 Kern is one of the primary trainers in the county for ASQ (Ages & Stages Questionnaire) assessments. That special training was put to good use by the Blanton CDC staff with Joseph, who was enrolled there at 10 months of age. Initially he scored well, but over the coming months, he did not appear to be developing, struggling to hold himself up against furniture and not attempting to walk well into his 15th month of age. Their staff encouraged his mother to talk to her doctor about his lack of gross motor skills. Her doctor helped her in the assessment process with Kern Regional Center, Early Start Services and began receiving support through Bakersfield City Schools within a matter of weeks. Joseph is now crawling and taking steps and the Blanton Child Development staff is working along with his family on his Individualized Family Service Plan.
## BIH.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           A young woman, 22-years-old and 28-weeks pregnant, lived with severe developmental delays. She lived with the baby’s father in a highly stressful environment – ultimately becoming homeless. Staff at the Black Infant Health program connected the parents with community service referrals to acquire an apartment and establish in-home supportive services to assist them in the daily tasks and care of the infant. The child remains up-to-date on well-baby checkups and immunizations.
## CHI.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Victoria is a mother of two girls, ages fifteen and seventeen, who mean the world to her. She felt devastated that she could not afford to take them to the doctor when they needed medical attention. She resorted to buying over the counter medicine and treating the issue at home. Paying out of pocket for a doctor visit was the last option due to the cost. She sought the help of the Community Health Initiative (CHI) Program to see if they could help her obtain affordable health coverage. A Certified Enrollment Counselor helped her complete an application, and Victoria and her two daughters were eligible for the Medi-Cal Program. When she was notified, she was ecstatic. As soon as her application for health coverage was approved, she scheduled a medical, vision and dental check-up for both her daughters. She is grateful the CHI helped her obtain peace of mind now that both her daughters and she have health insurance.
## DDCC.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Discovery Depot is noted for being the first licensed child care center based at a homeless shelter in the entire state of California. The following two success stories demonstrate what they are able to accomplish not just for the children, but the entire family. Recently, a single mom enrolled her young toddler in the Infant Room. Mom was a little nervous about leaving her infant but really wanted to look for employment and housing. Within a few months and after attending several orientations with the Bakersfield Homeless Center jobs crew she was able to find a job. Mom has now received her voucher for housing and is waiting on an inspection so she can move with her daughter and start their new life. Her daughter is thriving in the Infant Room, she has bonded with all of the teachers and enjoys participating in the daily activities.possible solutions.
## DR.txt                                                                                                                                                                       The work performed by Differential Response is often in-depth, and cases can take months to resolve. In one particular story, what started as a General Neglect referral after a traffic stop for the lack of a car seat turned into a 229-day study in case management.\nIt involved  a family of four with two kids below the age of 7, and starts with a parent being cited for a lack of insurance or a license, and having their vehicle impounded. But when the case manager took on this case she quickly realized that this family had additional issues and many needs, unrelated to their vehicle.\nThe assigned Case Manager quickly identified that the family was having issues providing the basic needs for their children. Both mother and father were willing to work with the Case Manager and wanted to do what was best for their kids. Initially, the Case Manager provided the family with items to help stabilize and cover basic necessities for the family, such as food cards, food basket, hygiene kits, a voucher from Salvation Army and PG&E assistance through the emergency funds so the family would avoid impending shutoff.\nThe Case Manager later personally provided transportation for the family to appointments with medical specialists for the children and the social security office for the parents, provided translation services and also assisted in starting the process for an independent education program with the school district.\nAt the family’s request, the Case Manager was also able to refer the children to the STOP Program (Strive To Optimize Participation), which enables youth who normally cannot participate to participate in different programs and activities. The Case Manager was also able to help both mother and father find full time field work and child care. With the stable income the family was able to afford reliable transportation and the West Side Community Resource Center was able to supply the family with the proper car seats, so the initial referral reason could be addressed.\nAt the last home visit, the Case Manager verified that both children were now fully covered by MediCal and were up to date on all their vaccinations. Both children have also been supplied with backpacks and school supplies. Throughout case management the Case Manger provided the family with support, referrals, guidance and resources. Both mother and father have stated their gratitude and thanks to both the Case Manager and the Program, for all the help they have received.
## DSR.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       One local young student had not attended preschool because his mom was worried about him struggling in class because of his speech impediment. We were able to convince the mom to have her son attend our Summer Bridge program. In the beginning, the student struggled with making eye contact and interaction with other people, and he would often just wander around the classroom. After a couple of days, he started participating in group activities and centers. He learned how to share and follow directions. He loved to play with the manga tiles and the STEM problem-solving kits.
## DVRP.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  A 38-year-old mother of three children (ages 10, 7 and 4), came to the Domestic Violence Reduction Project to seek assistance in getting a restraining order. Emotionally abused throughout the six-year relationship with the father of her youngest child, the emotional abuse had escalated to physical violence. She shared an incident of an argument that had resulted in being pushed her up against a wall. As she struggled to steady herself and get away, he put his fist through a window and fled. He was arrested but not charged. On another incident, he whipped their child with a cable cord for going outside to play without permission. The Project assisted in filing the restraining order. The mother was granted the stay for three years, and the judge granted her sole custody (and “professionally supervised visitation” to the father twice monthly, along with mandatory domestic violence prevention classes). The orders remain until the father can show the court that he is no longer a danger to the child. The family can finally live in peace.
## EKFRC.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  In October a grandmother received word that she was going to become the primary care giver of her 4 grandchildren ranging in age from\n11 years to 16 months, so she turned to the East Kern Family Resource Center for help. The grandmother was introduced to our First 5 Case Manager and the preparation began. The grandmother was linked with Bags for Kids, an organization that provides clothing to children who have been misplaced from their home. Once the children arrived and got settled the case manager developed a family service plan with grandmother. This plan served as\norganization for the grandmother as to what needed to be done for the children and the steps she was going to take to meet the grand\nchildren’s needs.\nThrough developmental assessments and observations, it was determined that the 3 younger children are experiencing delays in their\ndevelopment and are being referred to SELPA and Kern Regional Center. In 2 months’ time, the grandmother has re-organized her household to accommodate the grandchildren and the grandchildren have begun to adjust to their new living situation in such a way that new skill development is happening.
## GCP.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         A set of grandparents came to their office stating that their daughter’s life was spiraling out of control as she became more addicted to\nmethamphetamine. The minor was less than a year old and the mother could not properly care for her on a day to day basis. The mother frequently left the infant with grandparents, but would insist on taking her back, even when the mother was impaired. The grandparents filed for a general guardianship and the mother objected at the hearing. The grandparents asked for a drug test from the mother and when she agreed to do it,\nit was made an order of the court. The mother later did not drug test as ordered, which is an automatic find of a “dirty” test. The grandparents then filed\nfor an ex parte temporary guardianship and appeared in court again. The mother again appeared in court to object, but the grandparents were\ngranted the temporary guardianship. The temporary guardianship will stay in place for a trial in a few months. Grandparents have told both the mother and the court that visitation between mother and baby can start as soon as she produces a “clean” drug test. Grandparents are an example of many of this program’s clients: they would like nothing better than to return the child to its mother when she can provide a safe and stable environment for the minor; that just can’t be now.
## GSR.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Through the success of the First 5-funded “Tell Me A Story” Program, Greenfield School Readiness has made great strides in serving new families and supplying them with needed programs. One such program is the new Papyrus Literacy Program. The program helps and encourages parents with 0-5 aged students to understand the importance of reading and literacy for future growth. Families meet with program advisers and parents and\nstudents are given 0-5 age-appropriate books to learn the fun of reading together. All materials for the program are bilingual (English &\nSpanish). The program completed its first session on December 19th to much praise.\nDuring the last class session, several pre-school teachers were surprised at the increase of growth and student engagement in class because of the Literacy Program. One girl moved from 1.8 to 3.2 reading level over the 10 week period. Parents stated that the program helped them build a better relationship with their children and learn together. They said the culture of learning at home has changed their lives. They didn’t want the program to end.\nThe “Tell Me A Story” program has expanded to serve two additional school sites within the GUSD, to much praise from parents and educators alike.
## HLP.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Among the events held by the Health Literacy Program are Parent & Child Workshops. Participating parents have talked about the benefits they are receiving from attending the workshops, such as making better food choices for their families and making sure they do some sort of exercise together throughout the week. The stories that come directly from the parents are very powerful and encourage other parents to look forward to what they may learn. The program encourages parents and their children to make healthier meal choices and many parents observe how surprised they were at how receptive their children were to trying new options, as well as just how much their own food choices impact those of their children.\n\nAnother parent had the courage to share her feelings at a parent and child interactive workshop, saying, “I have learned a lot on the workshops. I do not want my daughter to think it is ok to be obese like me. I have lost 50 pounds, cooking more vegetables and having less sugary drinks. I want to be a good example for my daughter. We go to the park more now and I do not eat big portions. I want to continue losing weight and eating good.”
## IWFRC.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Recently, a single father caring for four children (two under the age of 5) was brought to the Family Resource Center by someone from one of the churches in town. The family had many struggles at the time, including housing needs and an intrusive, estranged mother with a chemical dependency. Many bills were in the mother’s name, including their lease and the benefits for the children from DHS, which the mother was keeping. The father had to stop working to take care of the children, they had no transportation, and the mother was threatening to take the children.\nThe FRC was able to set up transportation to the father to apply for housing and enroll in WIC. They also helped the father navigate the courts to obtain custody and file a restraining order, as well as re-file through DHS to have the children’s benefits transferred. They then helped establish a schedule of wellness checks, dental care and immunizations for the children, as well as health checkups for the father.\nThe children were also referred to preschool and kindergarten, and the FRC’s Summer Bridge program, which he completed successfully. The children were assessed with the Ages & Stages Questionnaires, and the father signed up for nutrition classes in the home through the FRC, helping to teach his entire family the benefits and importance of preparing more healthy meals.\nThe father has since reported that their lives have improved very much with the help of the case management program and he is leaning so much about how to handle things better now. The family attends a local church and have bonded well with each other despite the trauma of not have their mother in the home. At this time the family is much better than when they entered case management, but the family continues to be enrolled in the program for further assistance and more stability.
## KCCDHN.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Recently a school nurse utilized our Nurse Referral Program for her three year old special needs student. This child had complained of pain during school hours and an assessment revealed the child had decay on every tooth. KCCDHN was able to help the school nurse communicate with the parent (who only spoke Spanish) and worked with our contracted pediatric dental office to relay the essential information needed to help the child. Between our program, parent, school nurse and pediatric dental office’s staff, an appointment was expedited with UCLA and transportation was offered. The school nurse was very grateful to our staff member and thanked her personally when our program provided services at her school site.\n\nAnother story starts with one of the many school site visits throughout the region. On a follow up visit to one school in Delano, in order to check the progress of their oral health care of the children who participated in their earlier dental clinic, the staff found a little boy who struggled with brushing his teeth. It became obvious this child did not know what to do with the toothbrush: how to hold it properly, or brush his teeth. She had to show him literally how to hold it and brush correctly and reinforce the importance of brushing twice a day in order to have healthy teeth. One of the important aspects about KCCDHN is their ability to educate children early on about the importance of healthy teeth and smiles. They are also able to give\nchildren the tools they need to accomplish this task (a toothbrush, a cleaning, a fluoride treatment, and a dental referral, if needed) as well as impressing upon them the importance of having healthy teeth so they can eat healthy food, sleep well, stay focused in school (no toothaches), and have happy smiles.
## KRVFRC.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Recently, a mother came into the KRVFRC with concerns that one of her children was not developing on target and possibly has autism. The mother was abused severely as a child and is developmentally delayed as well, and her parenting skills were likely impacted by her past trauma. The family was struggling, after moving from another state and lacking a strong support system. The FRC was able to arrange a visit by a school nurse for the child in question to assess any developmental delays. They also enrolled the mother in a 12-week Nurturing Parenting class, and even set her up for tutoring to obtain her GED. Additionally, it has helped the family settle in and even develop a local support system.
## LVSRP.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               One of their successful programs is their annual “Kindergarten Institute” workshops for parents to help them be better prepared for their children to\nstart school. We had several parents at these workshops who were surprised by how rigorous kindergarten is now. We review the standards for Kindergarten and parents were unaware that things like colors and counting to ten are not taught in Kindergarten because they are skills that children are now expected to have when they start school. Each of these parents shared with the staff leading the workshops that they felt that they had a lot of things to work with their child on, and were very appreciative of the tools, resources, and books provided to them to help with that. Hopefully they were able to use them, and their children will be entering Kindergarten ready to succeed shortly.
## MAS.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Drowning is the leading cause of accidental death for children under the age of 5 in California, and is a persistent concern in Kern County with our lakes of course the often-deadly Kern River. This program provides not just education, but an opportunity to expose children to water safety and swimming basics at a young age. A mother of a toddler recently enrolled her child, who was terrified even to get his face wet. After participation in Make A Splash, the program instructor was able to help him overcome his fears by week two. Through diligent follow through of his mother, the child participated in the full series of lessons. Now the family can be assured that their child is as safe as possible around and in the water (including taking baths and even swim playfully) without feeling panicked.\nThe program also provides training in pediatric CPR/AED and first aid, and its staff works with local Head Start and State Preschool sites to provide Parent Water Safety Workshops during the summer months.
## MCFRC.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         A single mom of young children came to the FRC for help. The client had just moved into town after leaving an abusive relationship. She\nwas broken but wanted to provide stability and safety for her daughters. Starting off she was staying with her parents without a job, car,\nand no help from the father of her children. This mom was determined though. We set some S.M.A.R.T. Goals and the case manager\ngot to see her accomplish every one of them. She landed a job! Working hard and saving her money, she was able to move into a place\nof her own and not have to depend on her parents. Knowing her girls had been through a lot with the toxic relationship between her and\ntheir father, she put them in counseling and now they have the support they need to get through each day. She is now in a place of\nhappiness and safety and has met someone and is enjoying their healthy relationship. The last time the case manager spoke with the\nclient, the client was so excited because she just bought a car. She is an awesome example of what we want to see come from the\nfamilies that we work with through First 5’s support! We connected her with Greater Bakersfield Legal Assistance, Behavioral Health and\nFamily Law in Bakersfield for full custody of her children.
## MVCCP.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        The Care Coordination Project was able to help one family access the behavioral Assessment that the family wished for their daughter. Their insurance was not covering the assessments and the family was very afraid of a lag in coverage making the move to a new insurance service. The Care Coordinator was able to make the family’s insurance company aware to this barrier for services and they were able to help her navigate successfully to secure the services the family wanted for their daughter. The insurance company was unaware there was a barrier in place.
## MVIP.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       A 24 month old boy was acting out, crying and banging at the closet door at one of the MVIP nurses bi-weekly home visits. When asked mother what the toddler was wanting, she said, “A felt hanger. He likes to eat them.” Mother explained that this had been going on for about a month. The RN explained to mother to distract and redirect toddler to another activity, i.e., favorite toy or read a book. Just as a precaution the MVIP nurse also directed a call to a pediatrician for a consult for possible medical vs behavior issue. The nurse reported concerns to the pediatrician via home visit report. The toddler was seen by pediatrician and labs were drawn, showing that the toddler was very anemic and he was given new prescription for an iron supplement. The pediatrician’s diagnosis was that the toddler was having cravings for non-food items, known as “PICA”, due to the deficiency of iron. Iron is needed to build healthy red blood cells. Continue support and follow-up is needed to evaluate the effectiveness of treatment and to check for complications.
## NFP.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 “M.J.” is a 26 year old mother of a 10 month old son and has a history of mental health illness. A month after the birth of her son, she shared with her nurse that she was not feeling connected with the baby. She also gave her nurse more information about her past mental health diagnosis and that she had at one time been in the Kern Linkage Program. The nurse informed her about a new outreach program through Behavioral\nHealth & Recovery Services, formally known as Mental Health, where a worker would come to her home and talk/evaluate her. The client stated she would be open to someone going to her home. The nurse made the referral and a worker went out to see M.J. two weeks later. The worker was\nable to get the client re-enrolled into the Kern Linkage Program and M.J. is waiting for an appointment with the psychiatrist. The nurse has addressed M.J.’s feelings of disconnect with her son by introducing PIPE (Partners in Parenting Education) lessons, Love Needs a Safe Base and Floor time. M.J. is much more interactive with her son and he has met all of his developmental milestones!
## NPCLC.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        We have a four year old boy that recently began our co-op preschool program. He had been diagnosed with autism and began our class having a therapist come with him to observe and assist throughout the day. His mom stated that she has a goal of being able to have him in a mainstream kindergarten classroom instead of a center specifically for children with autism. When he began class he had a lot of trouble following directions. If he was not able to do what he wanted he would throw tantrums and scream loudly when he got upset. He also struggled with fine motor skills and basic academic knowledge. He was not able to use scissors, hold a pencil properly, or identify most letters or numbers. During carpet time, he had difficulty focusing and spent much of the time talking or attempting to roll around on the floor. Over time, we have seen a major improvement in his progress. He has been attending our class for five months and has made great strides. Tantrums happen on a rare occasion and if there are any issues during class then they can usually be resolved within one minute. He has learned how to cut without any assistance and is able to not only hold a pencil, but he can write his full name on his own. We have worked to wean him down from having his therapists in the class room by slowly having them come on fewer days per week. After five months he no longer had a helper in the classroom with him. We are happy to see so many positive changes thus far and we are\nconfident that he will be successful when moving on to Kindergarten.
## RSNC.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         A child was recently referred through the Infant Development Program (IDP) operated by Kern County Superintendent of Schools (KCSOS) because the  maternal grandmother shared that she was very concerned of how would her grandson would be able to obtain the mobile equipment he needed. When the Family Advocate from Richardson met with referred child’s maternal grandmother at her home, the grandmother shared all the obstacles she has gone through since she took custody of the child from birth because of the mother’s history with CPS.\nThe child was diagnosed with Cerebral Palsy at the age of 6 months. The social worker from the Valley Children’s Hospital in Madera referred the child to Kern Regional Center where they evaluated the child and he met the requirements to receive Early Intervention services.\nThe FA met with the grandmother to offer the Collaborative’s services and explained how they would work together to improve the child’s quality of life. This started with obtaining a walker for her grandson, and the FA was there when she made the call to KRC and CCS to help her with the language barrier. The FA was able to accompany the grandmother to several appointments to meet with the doctors that traveled up from UCLA to evaluate children. The walker was approved, as was a wheelchair, which required additional appointments for measurements and fittings, which the FA was also able to help coordinate. This outcome came at the perfect time because the child has been evaluated by the school district and he will soon start attending school. Grandma is so thankful because the child will be able to attend school with minimal problems in his new wheelchair. The FA also provided the family CHiPs for Kids to help the grandma provide toys for the children.
## SHS.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            During the initial encounters with a case-managed family in need of a variety of social service referrals, the case manager was able to refer the parent to attain assistance with clothing through Operation School Bell for her school-age children. Mom followed through, and during the month of September, the children attended the event to receive clothing. Mom was further assisted with center-based enrollment for her four-year old daughter. Through just four weeks, the child, who speaks only Spanish, has already began to say words in English, as she consistently is exposed to the English language during class. She is adapting well to the routines, and she engaged in the centers with her instructors and her peers. The younger sibling has hearing loss and has been referred for a speech evaluation per low results in the Ages and Stages Questionnaire. Activities were given to promote growth. Mom has also begun attending a Nutrition Workshop to gain skills for the benefit of her family’s health, food planning, budgeting and development. As a result of her continued involvement, volunteering, and participation in the program, she continues to successfully reach her SMART goals. Her child continues to do well in class as well, and monitoring will continue per the case manager to make sure relevant services are accessed and follow through occurs.
## SSCDC.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               We had a mother enroll her two daughters in our program, who had never been away from their mother before. They had a very hard time adjusting. They were very scared after witnessing frequent domestic violence and going through a hard parental separation. Mom wanted to enroll them in Small Steps so she could attend counseling and also look for a job. Neither of the young girls wanted to be comforted by staff and were very withdrawn, not interacting with other children or their teachers. It took some time and a great deal of effort on the part of the teachers but now the children are thrilled and walk in the door everyday with smiles. They interact with the teachers and other children and have started communicating. Their development physically and emotionally has been remarkable. Mom has also found a job and is now working. With Small Steps support this family is now thriving.
## SSEC.txt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  One little boy with challenging behaviors attends the Special Start for Exceptional Children program. It is not uncommon for him to throw toys, run from teachers, and have tantrums. He often refuses to eat, mostly due to a deficiency and lack of appetite (due to long-term use of a gastrostomy (feeding) tube). To assist students with behavioral issues, a teacher implemented “Tucker Turtle”; an anger management technique that provides a place for students to “take a break.” Tucker Turtle is a friend to talk to when the children feel sad, angry, or even happy. The little boy was first introduced to Tucker in the midst of a tantrum. After a couple of months, he sought out Tucker on his own – even, on one occasion, relaxing so much he fell asleep. Tucker Turtle has become a buddy to the children. Taking Tucker a step further, staff initiated “Caring Hearts for Tucker” where children could place a paper heart on Tucker when they were caught doing a good deed. The little boy was so moved by the process of Tucker that he was heard exclaiming that “the hearts make Tucker smile!” Although his behaviors still surface occasionally, now he hesitates before making a negative choice. Special Start for Exceptional Children is a program of Caring Corner, a special education preschool for medically fragile children.
## F5K2020.xlsx.1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               A participant came into the BIH Program because she was a first time mother looking for support and guidance. At the time of enrollment, she was unemployed, living in a small home with her parents and a number of other family members, and she was morbidly obese and suffering from Type 1 Diabetes. Her blood sugar levels were uncontrolled, she was not taking her shots of insulin regularly, and she had little to no knowledge of healthy cooking habits or the effect certain types of food and beverages have on a person’s blood sugar levels.  Her BIH Coordinator immediately scheduled her for nutritional information sessions with the Kern County Public Health’s Certified Nutritionist. Her program incentives were also tailored for her needs, and with the help of the program’s goal setting model, she was empowered to make better nutritional choices, drink more water, get more exercise and work out a system for taking her insulin medication on time each day. She eagerly implemented several new changes into her lifestyle, and she eventually gave birth to a healthy baby girl. Additionally, through encouragement and linkages to community resources, she also got a job and her own apartment and she is thriving both as a mother and as an individual.
## F5K2020.xlsx.2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                One three and a half-year old female is currently enrolled in the program. She was born premature and suffers from Gastroesophageal Reflux Disease (GERD), Failure to Thrive (FTT), and a Metabolic Disorder causing her to be intolerant of protein. She has been hospitalized several times for complications of FTT and GERD since birth. While at Special Start, she is monitored closely for aspiration. She is dependent for ADL’s (diaper, feeding, clothing). Her weight is monitored on a weekly basis due to FTT. She began attending center-based activities during non-traditional hours at Special Start when she was only 4 Months old. She graduated from both the infant and toddler programs. Since then, she has been involved in group time and other activities centered around her age and abilities. She has access to adaptive equipment and seating to maintain health and safety while participating in activities, therapy, and treatments administered by nursing staff.
## F5K2020.xlsx.3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         One recent client is a 29 year old mother of four children. Susie* and her boyfriend had been in a dating relationship for about two years and have a one-year old child together. Susie also has three children from a prior relationship, all under the age of 12. She came in as a walk-in at the Family Justice Center seeking assistance with a restraining order and child custody orders after a serious violent incident, which included being whipped with an extension cord and beat with a broomstick on her head and back. Her boyfriend also threatened to kill her while holding two large kitchen knives against her chest – all in front of the children. Her boyfriend was charged three felonies for assault, domestic violence and criminal threats. Greater Bakersfield Legal Assistance filed a temporary restraining order for Susie, which also gave her sole custody of the child they share and no visitation in the meantime. GBLA assisted her through hearing postponments and eventually bring the case before the court. The court granted Susie a 3-year restraining order against her boyfriend and sole custody of their minor children to Susie. Her boyfriend was ordered to have professionally supervised visitation. In addition to protecting Susie and her 1 year old child they share, her 3 other children are indirectly protected from witnessing further abuse by having him no longer be in their home due to the restraining order. *Name has been changed to protect our client’s identity
## F5K2020.xlsx.4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Discovery Depot is noted for being the first licensed child care center based at a homeless shelter in the entire state of California. The following two success stories demonstrate the opportunities and empowerment for families when they have daily access to quality childcare for their little ones.  Recently, one of the parents in the Preschool room was able to move out of the homeless shelter dorms and into a new home. She also found a job that provides for her and her family. Having her children in quality child care during the day helped her take the steps she needed to seek housing and work.  Also, one of the parents in the infant toddler room is striving for new and better opportunities for her future and her daughters’ best interest. She has been at the shelter for about 5 months and is currently working on paying her debts to be able to get housing and her license. She is also seeking help to go back to school and obtain her G.E.D diploma. This parent is constantly asking questions and advice from the childcare staff to help her daughters grow and reach their fullest potential.  We are proud to be a part of her accomplishments and help her with any support she may need.
## F5K2020.xlsx.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                At one of our recent Fluoride Varnish clinics a child (who was enrolled in special education) was identified with cavities. The parent scheduled an appointment with one of our contracted pediatric dentist’s for an exam and x-rays. During the exam appointment the pediatric dentist requested clearance from the child’s medical doctor, who also identified a tonsil issue. The doctor would provide a clearance only after the child had their tonsils removed. Surgery was performed and the child was able to continue services approximately a year later. The parent wanted to continue dental treatment through KCCDHN, received a new exam and x-rays, and a referral from the school nurse to begin dental treatment.
## F5K2020.xlsx.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Kern County received a phone call from a mother in desperate need of assistance for her child that has been constantly bullied at school. The caller stated that she felt helpless, and went into detail of her son’s horrific circumstances. She stated that no one seems to assist her with her son’s bullying and was seeking any other resources that may perhaps prioritize her son’s case. Call Specialist attentively listened to her needs and began to assure her that she would locate resources that would be able to help and guide her to the proper services. Call Specialist referred the caller to KCSD Bully Prevention Program. Call Specialist was able to follow up with caller regarding the bully prevention, and the caller was pleased to notify Call Specialist that she received help from the Kern County Superintendent of Schools office. The caller was beyond grateful with the resource provided. She thanked Call Specialist and guaranteed she’d call 211 again when in need of information. Call Specialist expressed fulfillment in knowing 211 and the school district were able to assist the mother concerning such a difficult situation that occurs daily in our children’s society.
## F5K2020.xlsx.7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Parents were very intrigued about the “vegetarian patty” we introduced, which featured six grains we had as samples and reviewed the health benefits of grains with the kids. Families were able to take some grains, herbs, onions, mushrooms and the recipe home. The families were appreciative, indicating their eagerness to incorporate more vegetables and grains in their diet.  Another parent commented that her daughter is picking out different foods at the store after tasting something different at a previous workshop. “My daughter wanted to buy the same apples we ate here last time at the store, she would only eat grapes before.” The healthy choices and ideas presented at these workshops are giving parents and children new ideas about foods to try and buy that they might not have if they had not been exposed to them at the parent workshop.  The Health Literacy Program holds Parent & Child Workshops, which discuss making better food choices for their families and initiating family exercises together throughout the week. The stories that come directly from the parents are very powerful, while the program encourages parents and their children to make healthier meal choices and many parents observe how surprised they were at how receptive their children were to trying new options, as well as just how much their own food choices impact those of their children.
## F5K2020.xlsx.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Blanton Child Development Center has an enterprising person as a teen parent this year. She is a mother of a 10-month-old daughter and immersed herself in the Community School supportive offerings of Jobs Plus, Child Development Academy and the Medical Assistant Program. She will make part-time money in the Jobs-Plus program run through Community Schools. She will probably work 6-10 hours a week for extra spending money though this jobs skills program. Her busy schedule shows us that she is a parent that organizes her time, her studies, and genuinely shows interests in her future goals. She is a senior and hopes to graduate in the spring. Her two after-school courses matriculate into college units. Her goal is to work in the medical field. She is rarely absent and volunteers her time as one of our Parent Board members. We are very proud of the initiative and interest she has in being a good mother, an excellent student and conscientious employee.
## F5K2020.xlsx.9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              One of the new children who recently started in the School Readiness classroom came in not speaking. The preschool teacher stated the child would point to indicate his needs and wants. The mother of the children requested a speech referral, and the child now uses short words and sounds to respond. The children in the class watch out for their fellow student, and really enjoy being with the child in the classroom, and his speech continues to improve.
## F5K2020.xlsx.10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Through the success of the First 5-funded “Tell Me A Story” Program, Greenfield School Readiness has made great strides in serving new families and supplying them with needed programs. One such program is the new Papyrus Literacy Program. The program helps and encourages parents with 0-5 aged students to understand the importance of reading and literacy for future growth. Families meet with program advisers and parents and students are given 0-5 age-appropriate books to learn the fun of reading together. All materials for the program are bilingual (English & Spanish). The program completed its first session on December 19th to much praise.  During the last class session, several pre-school teachers were surprised at the increase of growth and student engagement in class because of the Literacy Program. One girl moved from 1.8 to 3.2 reading level over the 10 week period. Parents stated that the program helped them build a better relationship with their children and learn together. They said the culture of learning at home has changed their lives. They didn’t want the program to end.  The “Tell Me A Story” program has expanded to serve two additional school sites within the GUSD, to much praise from parents and educators alike.  Often, the Greenfield Family Resource Center can work with families to help them overcome their own obstacles. Recently they had a family facing difficulty in attending a program at one of their school sites. Mom was facing transportation issues and sought an advocate’s help to come up with a transportation plan so child could attend class. Mom and the Advocate were able to analyze the GET Bus schedules to find a bus route that can be used for child to attend center-based class and an alternative transportation plan with another family member that has a vehicle. Mom was very happy to finally feel like she has more control over her situation and is happy her child can attend class regularly now.
## F5K2020.xlsx.11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  The Care Coordination Project was able to help one family access the behavioral Assessment that the family wished for their daughter. Their insurance was not covering the assessments and the family was very afraid of a lag in coverage making the move to a new insurance service. The Care Coordinator was able to make the family’s insurance company aware to this barrier for services and they were able to help her navigate successfully to secure the services the family wanted for their daughter. The insurance company was unaware there was a barrier in place.
## F5K2020.xlsx.12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                A 24 month old boy was acting out, crying and banging at the closet door at one of the MVIP nurses bi-weekly home visits. When asked mother what the toddler was wanting, she said, “A felt hanger. He likes to eat them.” Mother explained that this had been going on for about a month. The RN explained to mother to distract and redirect toddler to another activity, i.e., favorite toy or read a book. Just as a precaution the MVIP nurse also directed a call to a pediatrician for a consult for possible medical vs behavior issue. The nurse reported concerns to the pediatrician via home visit report. The toddler was seen by pediatrician and labs were drawn, showing that the toddler was very anemic and he was given new prescription for an iron supplement. The pediatrician’s diagnosis was that the toddler was having cravings for non-food items, known as “PICA”, due to the deficiency of iron. Iron is needed to build healthy red blood cells. Continue support and follow-up is needed to evaluate the effectiveness of treatment and to check for complications.
## F5K2020.xlsx.13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  One of our students is 4 years old. He started our program in October, never having been in a school setting at all and speaking very little English. He is very quiet and doesn’t speak much but after just a few months he is thriving in class. He participates when asked, is kind to others, and follows the flow of the class well. Some improvements we would like to see this student work towards is communicating, move on his own without being prompted, and engaging more with his peers. We believe he will accomplish this by continuing to come to class and that he will be ready for kindergarten in the fall.
## F5K2020.xlsx.14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          One of the mothers in the program is 22 year old with good support from the father of the child. Her goal was to exclusively breastfeed but she was struggling with the anxiety and fatigue by day 4. Both parents felt very anxious and worried that baby was not “eating constantly” and were concerned that their baby was losing weight. The public health nurse encouraged both parents to relax, take deep breaths and to take a break while she held baby for a few minutes, and engaged the parents in general conversation and noticed both parents settle down. When baby began to show hunger cues the nurse recognized an opportunity to witness their breastfeeding technique, and reassure Mom that everything she and the baby were doing was proper and praised her effort. She suggested that offering the baby the breast at every awakening or sign of alertness or hunger cue for a day or two would encourage her milk supply to increase. Due to baby’s weight loss, the nurse reviewed with parents the need for feeding every 1-1.5 hours, reviewed signs to watch that the baby was feeding enough, and helped identify opportunities to feed. She also arranged for another home visit three days later to assess baby’s weight and feeding. During this follow up home visit, Mom seemed much more relaxed happy and the nurse noted a weight gain of 14 ounces in just three days. Both Mom and Dad were still anxious at times, but settling into their roles and happy to see improvement.
## F5K2020.xlsx.15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    The mother of a 3-year-old child recently came to the Richardson Special Needs Collaborative and shared with the Family Advocate that her daughter had been diagnosed with Autism. The mother was unsure of services that are available for her child since her child exited the Early Start program. The mother explained that she has called school district to enroll her daughter in a preschool setting but has not been successful, and was asking the Richardson Special Needs Collaborative for assistance. The parent also shared that she is concerned about the child’s behavior and placement due to child’s disability. The parent reported that the child is anxious because she was familiar with her routine and not having educational tools available was causing more behavioral issues. Also, in the home environment there are employment issues due to dad ability to work because he was in accident at his previous employment.  The Family Advocate worked with the parent to create goals and put the family on the right track. The first step was obtaining a meeting at the school to review assessments done by the Special Education team, and they then proceeded to enroll the child in speech therapy. The parent was then able to apply for Social Security Benefits with some assistance, accompanying the parent on multiple appointments with the SS office. Finally, the parents last goal was to obtain behavioral therapy. The parent was advised by the Family Advocate to call her primary doctor to request a referral through her insurance. She took all the proper steps and the child was approved for behavioral services. The parent asked the Family Advocate for assistance with a behavioral provider and they assisted the parent in scheduling a tour of the office and even came along to visit the facility. Her daughter started services a few weeks after, and since then, the parent has reported that her child is very successful, happy and continues to make progress in all areas. The Family Advocate additionally assisted the family by referring them for food baskets. It appears this has been a successful experience for the family.
## F5K2020.xlsx.16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    One recent case is of a family of six, including a mother, father, and four children – two of which were under five. The client is a stay at home mother and the father works full time earning minimum wage. The mom was interested in getting her 4 year old daughter enrolled into the School Readiness Initiative Preschool Program and obtaining workshops that can help parents support their children at school and in the home. The child was enrolled on to SRI Preschool program and the 2-year old was placed on waiting list.  Additionally, the mother was almost done with high school in Los Angeles county, but moved to Kern County before obtaining high school diploma. Mother was referred to Wasco Adult School for her diploma, after our case manager assisted in reaching out to LA County SD to be able to obtain her past school records. The family was also referred to Operation School Bell, where the two oldest children obtained school clothes, and the Shafter Christmas store for Christmas gifts for the children at 90% off retail price. Both of the youngest children obtained dental screening from the Kern County Children’s Dental Networks, and the mother actively volunteered at the SRI Preschool and attended workshops such as Mandated Child Abuse Reporter, Sexual Abuse Mandated Reporter, Suicide Prevention, Clean Home Healthy Life, Kindergarten Registration, and Childhood Depression. She received an award of outstanding participation and parent involvement during SRI Fall graduation, and her family is stable at this time.
## F5K2020.xlsx.17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               One child recently joined us at Small Steps a month after his little brother enrolled. This child is now enrolled in the Toddler classroom; he currently has an IFSP in communication. Therapist, teachers, and mom have been working together through several therapy sessions throughout the week to help him master his goals. When he first started in the toddler class he would do a lot of solitary play, there was minimal interaction with peers. Throughout time being at Small Steps he is now interacting with his classmates. He works at the sensory table using the same materials with other peers. He engages in parallel play sharing toys with others. He used to carry his pacifier at all times throughout the day in his mouth. He is now able to minimize the pacifier usage to just nap time. This child has significantly increased his use of language and is now able to communicate throughout the day. He is able to ask for help when needed or ask for more food during lunch and snack time. We have noticed a lot of changes in his development. He continues to increase his verbal usage to communicate his wants and needs. We are happy with the process he has made and will continue to work with him, mom, and the therapist to make sure he continues to master his goals.
## F5K2020.xlsx.18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          We had a family of three to come stay with us. A Mom and 2 small children, a boy and a girl. The boy was 3. He was very angry and had many emotions. They were homeless fleeing domestic violence living out of a van before they came here to stay. While Mom would prepare a meal he would scream the entire time. If you made eye contact with him he would yell at you to stop looking at him. A simple good morning greeting, he would reply with something negative. Mom got a job and found a preschool/daycare for him. It was rough at first the school called constantly to have him picked up because he could not follow the rules or guidelines. He was very mean to the other children in the shelter. He was tough! With empathy, compassion and much patience we were able to break through with him. This family was part of our transitional housing program. They stayed in the shelter for 5 months. They were able to find permanent housing and by the time they left the little boy was able to greet all of us properly. It was wonderful to see that he was willing to open up to trust again. He was happy and is now doing amazing in preschool. He would laugh and play with other children as 3 year old should be able to.
## F5K2020.xlsx.19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               The husband of a case managed mom has mental issues that escalated and caused a crisis. The Family Advocate (FA) supported mom with crisis information and referrals, and supported mom as she went to court to advocate for her husband to receive mental health services. The father is now receiving services and is n longer in the home, keeping the family in a safe environment. In addition, the Family Advocate is helping mom with referrals to counseling for the family.  Another case-managed parent was having difficulty clearing her older child’s hair from lice. She missed quite a bit of school. She came to the Arvin Family Resource Center frustrated, believing that the school nurse was wrong and there was no lice and that she had to leave work early. The Family Advocate modeled how to look through child’s hair and showed her what the nits looked like. She helped her remove many nits. The parent also received products to help control the lice from returning. The child has now been attending school and is free of lice.
## F5K2020.xlsx.20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Last year, a student in our center-based program had difficulties with transitions, whether we left the classroom for PE, music, or the cafeteria. When it came time to go, the student would hide or plunk down on the floor, requiring the teacher or aide to gently coax the student into joining the rest of the class. This year, the student’s final year in preschool, the student enjoys being asked to be the line leader and the special friend of a shy classmate. The “responsibility” of helping others has contributed to the student’s maturity, the ability to adapt to other surroundings, and to the overall enjoyment of school and new friends.
## F5K2020.xlsx.21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            In August 2015, the EKFRC staff was formally introduced to this little one a few weeks after she was born. We came to know about her while her mom was receiving case management services during her pregnancy. After the client successfully completed the Differential Response program, she was transitioned into our First 5 program where we began supporting the client with her new baby’s development. During the first year, the client shared with the case manager that this is the first child she has been able to enjoy raising. Unfortunately, this client was making some poor lifestyle choices with her older children that resulted in the children being removed from her custody permanently. Even though today this client’s life is not where she has dreamt it to be, she has learned and continues to learn how to live within her means, she values creative thinking and appreciates her child. Over the past 3 years this client has provided her child learning opportunities that didn’t cost much money but provided her child with the necessary learning skills that will last her the rest of her life. On the day of her child’s 3rd birthday, the client came to the office of the EKFRC to enroll her child into our center base program. The client wanted to make sure her child would not miss out on this learning opportunity. Even though this little one was the youngest in the class, she was ready to be in the classroom. This year the child will be in our graduating class of 2020! She continues to be the youngest chronologically in the class but is a leader and model in the classroom for the children who are not as skill ready as she is.
## F5K2020.xlsx.22 Recently, a local family of four with two children under five was referred to us by WIC. The older child was having speech problems and was behind on well checks/immunizations, the family lacked reliable transportation and were having trouble with budgeting and paying bills on time; and there was an issue with the family’s benefits as they were no longer receiving food stamps and needed food. The father was working full time but the mother was unemployed. We enrolled the family in case management services through Prop 10 and provided them with referrals and transportation for medical care, dental care and DHS appointments, and the family was also assisted with HEAP application for an overdue utility bill. We connected them to the Salvation Army for food and clothes for the children. The case manager referred the older child to Kern Regional Center for his speech problem (where he was enrolled in services) and also referred both children to a pediatrician for well check and immunizations and to the dentist. When the older child went to the doctor for his well check, it was discovered that he had a problem with his ears and was referred by the pediatrician to a specialist out of town. The family was transported by the case manager out of town for the child’s appointments due to their lack of reliable transportation. The child had some ear tubes put in his ears and after a while and with the speech therapy, the child can hear better and is able to also speak better. Later, the child was also referred to preschool, and the mother reported that the child likes preschool and is doing great. The child speaks much better and engages in conversation with the family and case manager during home visits. The children were assessed with the Ages & Stages Questionnaires appropriate for their ages and parents were provided with activities to assist the children in meeting developmental milestones. Case manager provided emotional support to family as needed and mother learned to manage her stress and depression that were brought on by the speech problems her child had and other problems. Presently, the family is enrolled in Medi-Cal, the children are current with their well checks, immunizations and dental care and the older child is continuing to receive speech therapy. The family’s living conditions and relationship have improved greatly, and the family seems happier, with more positive attitude. This family has made significant progress in the time they have been enrolled in case mismanagement and exit planning will begin in the next couple of months to transition the family out of case management services.
## F5K2020.xlsx.23                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            We have had the chance to help a mother with four children in the home. The mother had concerns that one child was not developing in the milestones of communication, with a possible learning disability, and the child had persistent nightmares. It was possible that the child was experiencing trauma from being abused by its father and was acting out in anger to their siblings. Two of the children were twins and when she gave birth, one twin was much smaller and not physically developing as much as the other. We were able to obtain a meeting with the school nurse and although a development assessment did not show significant delays, we were able to refer both mother and child to College Community Services (CCS) to address the sleep issues and hitting and emotional outbursts. They were both able to receive in-home services. We were also able to provide the family with food cards and connect them to Southfork Special services & Kern Regional Center for counseling, as well as the Southfork School superintendent to set up an IEP. A doctor’s appointment was made to get all necessary immunizations for the oldest child to attend Kindergarten as well. The smaller twin was referred to a local family doctor and has now been referred to Valley Children’s in Madera for potential spinal damage. MOB has had to carry the family load with most of the responsibility and very little help from family. The stress was very obvious with the family and as time has gone on with all the support, mom is becoming stronger and more resilient to the stressors the family presents.
## F5K2020.xlsx.24                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   One local parent made the decision of removing his child from our center based classroom because his child is being seen by a speech therapist and he is having a hard time adjusting to school. FRC staff spoke with the parent and the parent was determined to drop his child from classroom because the child kept on crying every time mother will drop him off. Staff told the mother that is common that children cry for the first few weeks of school because they are getting familiar with the environment, staff, and other children. The child’s speech teacher recommend our classroom to the parent without realizing he was already enrolled with us. We were all able to work together to keep the child enrolled, continue their speech therapy and work with the family to bring the best services to her child and provide a room for the therapist to work with the child one-on-one in the same building.
## F5K2020.xlsx.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Recently, a single dad of three children (the mother is incarcerated) came to us for assistance. He continues to make such amazing progress I wanted to update his story. He is participating in the Single Parent Project, which he says, “has been eye-opening and life-changing!” He recently attended a field trip to College of the Canyons, where he met with three counselors for over an hour, went through the steps for enrollment, and has started taking classes online. He also continues to be actively engaged in his case management and is focused on completing his FSP/S.M.A.R.T. goals. One of his children is enrolled in the preschool scholarship program, and it’s reported she is close to being potty trained and is learning her numbers and letters and progressing tremendously. All of the FRC staff has rallied around this Dad, we are so very proud of his progress!
## F5K2020.xlsx.26                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Recently, one of our case managers has been working with a wife and mother to a beautiful child of 3-years old. Unfortunately, client has no immediate support system, however, has found the support within her case manager. With continuous case management and building rapport, the client has opened up about her past trauma and history of homelessness. The client was faced with many challenges, starting with housing insecurity, but she is elated to have an opportunity to start freshly again and set positive goals for her and her family. She has inquired about many of our resources to help her with housing, parenting and education. She is also interested in becoming a better mother for her child to help her baby reach developmental milestones. None the less, she is also eager to enroll back into school and begin a new journey. Our case management services have also been able to provide support, resources, and contacts for her to obtain proper assistance for her son’s learning disabilities. Although the client has not reached all of her goals yet, she has maintained a positive attitude and is learning how important it is to have a voice and advocate for herself and her children.
## F5K2020.xlsx.27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            A parent had filled out a scholarship request for our preschool program prior to the announcement that we would be First 5 funded. When I called her to let her know that we were able to offer her daughter preschool at no cost, she was so very thankful and told us how this would be a huge financial relief to her family. The family had decided to make some sacrifices to be able to afford preschool at a potentially discounted rate (using the STOP program), but learning that there would be no cost at all was a true blessing to them.
## F5K2020.xlsx.28                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Drowning is the leading cause of accidental death for children under the age of 5 in California, and is a persistent concern in Kern County with our lakes of course the often-deadly Kern River. This program provides not just education, but an opportunity to expose children to water safety and swimming basics at a young age. Every year, this program receives notes of thanks and recognition of its importance for the community.  “We are income household eligible. These programs ensure my child to participate in the life saving skills. These programs allow my child to be part of programs and not be left out. Water can be dangerous and I learned very important information to help my child.”  “I am grateful for these programs; we are a low-income family and these programs help my children participate and enjoy themselves in life-saving skills.”  “Thank you for this free CPR class. We need it so bad for all people involved. This CPR has helped me in many ways.”  “I’m thankful that the class is free. I hope you can keep providing this class for other people in the future. Thank you.”  The program also provides training in pediatric CPR/AED and first aid, and its staff works with local Head Start and State Preschool sites to provide Parent Water Safety Workshops during the summer months.
## F5K2020.xlsx.29                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Victoria is a mother of two girls, ages fifteen and seventeen, who mean the world to her. She felt devastated that she could not afford to take them to the doctor when they needed medical attention. She resorted to buying over the counter medicine and treating the issue at home. Paying out of pocket for a doctor visit was the last option due to the cost. She sought the help of the Community Health Initiative (CHI) Program to see if they could help her obtain affordable health coverage. A Certified Enrollment Counselor helped her complete an application, and Victoria and her two daughters were eligible for the Medi-Cal Program. When she was notified, she was ecstatic. As soon as her application for health coverage was approved, she scheduled a medical, vision and dental check-up for both her daughters. She is grateful the CHI helped her obtain peace of mind now that both her daughters and she have health insurance. The Community Health Initiative of Kern County is a program of the Mercy Foundation-Bakersfield
## F5K2020.xlsx.30                                                                                                                                                                                                                                                                                                                                                                                                                                                             A family of six consisting of a father, mother and four children all under eight years old were recently referred to Differential Response services with allegations of neglect.  The allegations stated that the children were dirty, had lice and had medical issues. The mother often changed stories about why or how children were ill and/or injured. The home was reported filled with mold, causing illness among the children. During the initial home visit, the case manager noted that the home was overwhelmingly cluttered and disorganized. The CM worked with the family to develop goals to improve their living conditions, including researching new housing options and for the parents to de-clutter and maintain house cleanliness.The family extended services with case management with new and similar goals due to extra needed support as they began seeing progress. The parents were receptive to learning more about positive discipline, natural and logical consequences and other positive behavior strategies – an area they had struggled with through the years. The mother was also referred for and completed nutrition education classes at the Indian Wells Valley Family Resource Center during case management as many members of the family experienced excess weight concerns. Another victory for the family thanks to advocacy from the DR case manager was accessing necessary mental health care for the mother and two of her daughters. The mother also worked with the case manager to research Kern Regional Center services for two of the four children.  At the start of services, the mother was difficult to re-direct from blaming home issues on external sources. Over time, the case manager observed that conversations throughout case management shifted to positive and constructive ways of approaching difficult situations. At the end of services, living conditions were significantly improved, though the family struggled to maintain consistency in the daily cleaning schedule. The case manager worked with the property owner to have the mold removed from under the bathtub and other necessary repairs. At the service completion, the family was stable and successfully linked to needed resources.
## F5K2020.xlsx.31                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       GBLA is happy to finally have obtained letters and orders of guardianship for two of our clients who are loving grandparents of two little girls. We opened the case in March 2018 and we represented at many court hearings, including a trial. The case, which spanned 18 months, saw worsening addictive behaviors for both the mother and father, and a strengthening of resolve by the grandparents to provide a loving and stable environment for the girls.  This case was illustrative of the fact that many people starting out on a guardianship think that they can resolve things quickly by creating a strong motivation for a parent to “straighten themselves out” and experience family reunification. Despite mother’s earnestly stated desire to get herself clean for her girls’ sake, she has suffered relapse after relapse. Father has not addressed domestic violence issues which he has.  While these grandparents have not given up their desire to see mother’s (or father’s) recovery happen, they have learned that they are in this for the long haul and have been able to help the family to start recovery from their roller-coaster existence during this trying time.LVSRP  Recently, one of the families that we have worked with many times over the past few years unfortunately had their children taken into foster care. Although this was a very tragic situation for all involved, the resources that have been put in place through the Family Resource Center, School Readiness Initiative, and the school district proved to be invaluable to the family. We were able to connect school aged children to services quickly in their foster homes, offer support to mom to help her begin the process of hopefully reunifying her family, provide support to the sister who has some of the younger children, and connect the father of one of the children to the co-located services provided by Child Support Services to be able to get custody. During this very difficult and intense process we continually provided support and resources to the family, and the entire situation really exemplified one of the key benefits of family resource centers as a safety net for our children and families.
##                 Program        Year
## 211.txt             211 FY2018-2019
## AFRC.txt           AFRC FY2018-2019
## BCDC.txt           BCDC FY2018-2019
## BIH.txt             BIH FY2018-2019
## CHI.txt             CHI FY2018-2019
## DDCC.txt           DDCC FY2018-2019
## DR.txt               DR FY2018-2019
## DSR.txt             DSR FY2018-2019
## DVRP.txt           DVRP FY2018-2019
## EKFRC.txt         EKFRC FY2018-2019
## GCP.txt             GCP FY2018-2019
## GSR.txt             GSR FY2018-2019
## HLP.txt             HLP FY2018-2019
## IWFRC.txt         IWFRC FY2018-2019
## KCCDHN.txt       KCCDHN FY2018-2019
## KRVFRC.txt       KRVFRC FY2018-2019
## LVSRP.txt         LVSRP FY2018-2019
## MAS.txt             MAS FY2018-2019
## MCFRC.txt         MCFRC FY2018-2019
## MVCCP.txt         MVCCP FY2018-2019
## MVIP.txt           MVIP FY2018-2019
## NFP.txt             NFP FY2018-2019
## NPCLC.txt         NPCLC FY2018-2019
## RSNC.txt           RSNC FY2018-2019
## SHS.txt             SHS FY2018-2019
## SSCDC.txt         SSCDC FY2018-2019
## SSEC.txt           SSEC FY2018-2019
## F5K2020.xlsx.1      BIH FY2019-2020
## F5K2020.xlsx.2     SSEC FY2019-2020
## F5K2020.xlsx.3     DVRP FY2019-2020
## F5K2020.xlsx.4     DDCC FY2019-2020
## F5K2020.xlsx.5   KCCDHN FY2019-2020
## F5K2020.xlsx.6    Two11 FY2019-2020
## F5K2020.xlsx.7      HLP FY2019-2020
## F5K2020.xlsx.8     BCDC FY2019-2020
## F5K2020.xlsx.9      DSR FY2019-2020
## F5K2020.xlsx.10     GSR FY2019-2020
## F5K2020.xlsx.11   MVCCP FY2019-2020
## F5K2020.xlsx.12    MVIP FY2019-2020
## F5K2020.xlsx.13   NPCLC FY2019-2020
## F5K2020.xlsx.14     NFP FY2019-2020
## F5K2020.xlsx.15    RSNC FY2019-2020
## F5K2020.xlsx.16     SHS FY2019-2020
## F5K2020.xlsx.17   SSCDC FY2019-2020
## F5K2020.xlsx.18     WSN FY2019-2020
## F5K2020.xlsx.19    AFRC FY2019-2020
## F5K2020.xlsx.20    BCRC FY2019-2020
## F5K2020.xlsx.21   EKFRC FY2019-2020
## F5K2020.xlsx.22  IWVFRC FY2019-2020
## F5K2020.xlsx.23  KRVFRC FY2019-2020
## F5K2020.xlsx.24   LHFRC FY2019-2020
## F5K2020.xlsx.25   MCFRC FY2019-2020
## F5K2020.xlsx.26    SENP FY2019-2020
## F5K2020.xlsx.27   WSOLC FY2019-2020
## F5K2020.xlsx.28     MAS FY2019-2020
## F5K2020.xlsx.29     CHI FY2019-2020
## F5K2020.xlsx.30      DR FY2019-2020
## F5K2020.xlsx.31     GCP FY2019-2020

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