Community Report 2013

By stopping for a moment and looking back we see the larger patterns that we might miss in the daily bustle of trying to get things done.

_Horizons Foundation

When I reflect back on my eight years of work here at First 5 San Francisco, and the 15 year l ifespan of the First 5 movement, I see how our vision, values, and clear sense of purpose have led us to many successes. I am also very aware of the invaluable contributions of our committed and talented Commissioners, staff and partners and grateful to have been part of the effort.

In this year’s report to the community, I am pleased and proud to share our most recent accomplishments. I would also like to take this opportunity to highlight the approaches that have been critical levers for change and integral to our success. The outcomes we are seeing now among children and their caregivers, and in the reach and quality of our programs, is a direct result of our certainty that the change we desired had to be universal and for the benefit of all children. We knew we could not achieve such big, bold change on our own. Partnership has been essential to the scalability of our efforts. Finally, we understood early on that achieving change for children would mean engaging and supporting families, teachers, and others who care for children.

This has been our organization’s pathway toward improved school readiness in San Francisco. Now more than ever as we face potential pivot points in our work, as well as state and national opportunities to leverage our local initiatives, it is important for us to reflect on this pathway and allow it to sustain and guide our future journey.

In appreciation,

Laurel KloomokExecutive Director

A M E SSAG E FROM OU R EXECUTIVE D I R ECTOR

Message From Our Executive Director..................................................................p3

Our Vision ...................................................................................................................................p7 Our Investments....................................................................................................................p8

Our Programs & Services .................................................................................................p9

Increasing Access ..............................................................................................................p10

Enhancing Quality ............................................................................................................p12

Child Outcomes...................................................................................................................p16

Commissioners & Staff...................................................................................................p21

TAB LE OF CONTE NTS

4F I R ST 5 SAN FRANCISCO

Knowledge & Stewardship

With over $23 million invested, our work is grounded in promising and evidence-based practice to solve the complex problems that exist in our communities. We emphasize practical application of theory and research, collaboration within and across disciplines, and strong preparation of professional caring leaders. We also believe in using data to inform ongoing learning and improvements.

Respect & Integrity

Our staff, stakeholders and partners dem-onstrate exceptional performance, personal integrity and genuine commitment to im-proving the welfare of others. We respect and acknowledge the inherent strengths in our parents, providers and community orga-nizations – our partners in ensuring the well-being of children – so that they em-brace and believe in their own abilities to affect change.

Compassion

Above all , our passion for improving the well-being of San Francisco’s families and youngest residents drives all we do and creates a powerful , unifying force for our work. We are a department that espouses a unique set of programs honoring the holistic development of children and the contributions of every individual touching a child’s life; treating everybody, without exception, with justice, equity and respect.

6F I R ST 5 SAN FRANCISCO

All children will thrive in supportive, nurturing, and loving families and communities. They will start school eager to learn and grow with confidence and connections to families, community, and society.

From the start we held that our primary purpose was the well-being of San Francisco’s children. Reflection and local research brought additional clarity and even greater meaning to our mission for the children of San Francisco.

Need. A 2009 assessment of San Francisco’s kindergartners revealed that approximately 1 in 3 were not meeting school readiness benchmarks. Further, some groups of children were at much greater risk for low rates of school readiness and later school failure.

Opportunity. I f the f i rst f ive years are the most rapid years of a chi ld ’s development, and decades of brain science unequivocally affirms it is, then these ear ly years offer the s ingle greatest window of opportuni ty for breaking down barr iers and repositioning these children on a path to success with equal footing among their peers.

Promise. Faced with both need and tremendous opportunity, we had a moral and strategic imperative to leverage every investment and resource at the earliest possible point for wide-spread, sweeping change that would assure positive outcomes for all of San Francisco’s children.

OU R VI S ION FOR CH I LD R E N

7F I R ST 5 SAN FRANCISCO

First 5 San Francisco Strategic Plan

Invested$23,327,793

OUR INVESTMENTS AND SERVICES

8F I R ST 5 SAN FRANCISCO

187 Funded Programs including:

135 Preschools

25 Family Resource Centers

5,845 Vision, Hearing, and Dental Screening

3,043 Developmental Screening

3,190 Providers Building Quality

8,201 Parents Supported

5,167 Three & Four-year-olds Prepared for School

Over 21,000 San Francisco Residents Served

Funded Agencies & Programs Family Support & Health

Funded Agencies & ProgramsChild Development

Community Based Preschool Providers

APA Family Support Services: Chinatown Neighborhood FRC, Visitacion Valley Strong Families Neighborhood FRC, and API Family Resource Center Network Population FRC

Bay View TLC Family Resource Center: Neighborhood FRC

Compass Community Services: Homeless Population FRC

Early Childhood Associates: Early Literacy Connections Project

Edgewood Parent University: Bayview Neighborhood FRC and Child Signature Program Family Engagement

Excelsior Family Connections: Neighborhood FRC

Family Service Agency: Pregnant/Parenting Teens Population FRC

Glide Foundation Tenderloin Center: Neighborhood FRC

Good Samaritan Family Resource Center: Neighborhood FRC

Gum Moon Residence Hall: Chinatown and Richmond Neighborhood FRCs

Homeless Prenatal Program: Homeless Population FRC

Instituto Familiar de la Raza, Inc.: Mission Family Resource Collaborative, Chicano/Latino Family Resource System Population FRC, and Child Signature Program Family Engagement

Our Family Coalition: LGBTQ Families Population FRC

Portola Family Connections: Neighborhood FRC

San Francisco Child Abuse Prevention Center: Families Exposed to Violence Population FRC and Talkline

San Francisco Department of Public Health: Parent Training Institute, Child Care Health Project, Early Childhood Mental Health Consultation Initiative, and San Francisco Health Plan Healthy Kids

San Francisco General Hospital, Department of Pediatrics: Multi-Disciplinary Assessment Center

San Francisco School Alliance: San Francisco Family Support Network

South of Market Child Care, Inc.: Neighborhood FRC

Sunset Neighborhood Beacon Center: Neighborhood FRC

Support for Families of Children with Disabilities: Population FRC, Inclusion Networks and Inclusion Access

Urban Services YMCA OMI: Neighborhood FRC

Urban Services YMCA Potrero Hill: Neighborhood FRC

Urban Services YMCA Western Addition: Neighborhood FRC

Wu Yee Children’s Services, Joy Lok: Chinatown Neighborhood FRC

1st Place 2 StartBright Horizons / Marin Day SchoolsBuen Dia Family School C5 Children’s School Catholic Charities CYOCentro Las OlasThe Land’s End School Chibi Chan Preschool Child’s Time CenterChinatown Community Chidlren’s CenterCity College of San Francisco Grace Cathedral Community Preschool Compass Family ServicesCongregation Beth Sholom Preschool Cross Cultural Family CenterEconomic Opportunity Council of San Francisco The Family School, Bernal Gateway Family Services Agency of San FranciscoFACESSFFranDelJA Enrichment CenterFriends of St. Francis Childcare Center, Inc.Glide Child Care and Family Support Good Samaritan Family Child Development CenterHappy Shalom School Holy Family Day HomeKai Ming, Inc. Little Children’s Developmental CenterLittle Footprints Preschool Corp.Little Tree PreschoolMartha Hills Learning CenterMission KidsMission Neighborhood Centers, Inc. Nihonmachi Little FriendsPacific Primary Portola Family ConnectionsPotrero Kids Presidio Knolls School Salvation Army Harbor House CenterSouth of Market Child Care, Inc.St. James PreschoolTelegraph Hill Neighborhood CenterTrue Sunshine Preschool CenterUtopia St. Thomas More PreschoolWah Mei SchoolWu Yee Children’s ServicesYMCA MissionYMCA Stonestown FamilyFCC - Milagros Acosta FCC - Selina ChenFCC - Juliya CherdakFCC - Sandy ChowFCC - Esperanza EstradaFCC - Julie FellomFCC - Monique GuidryFCC - Larisa Khazan FCC - Barbara ManzanaresFCC - Gayane MelikyanFCC - Song MoyFCC - Elena RamirezFCC - Marina SchmidtFCC - Tammy StriblingFCC - Delia SuarezFCC - Renee UnderwoodFCC - Philip YuanFCC - Sarah AlexanderFCC - Kim Garcia-Meza

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Children’s Council of San Francisco: PFA Provider Reimbursements, Family Child Care Quality Network, and CARES Plus

First 5 Santa Clara: Quality Rating Data System

First 5 Contra Costa: Race to the Top Regional Coordination

San Francisco Human Services Agency: CWages, Pathways Professional Development, and San Francisco Child Care Connections (SF3C)

San Francisco Unified School District, Early Education Department: Early Education Program Provider Reimbursements

Parents for Public Schools: Kindergarten Enrollment Outreach & Education

Performing Arts Workshop: PFA Arts Enhancement

United Way of the Bay Area, Raising a Reader: PFA Literacy Enhancement

West Ed: Quality Improvement Services, Quality Rating Services, and CSEFEL Teaching Pyramid Model Training and Support

OUR PROGRAMS

All four-year-old residing in the city is eligible to participate in the Preschool for All (PFA) Initiative led and administered by Fi rst 5 San Francisco . By bui ld ing on the ex ist ing ear ly care and education system and making high-quality early education available at low or no-cost, the initiative aims to expand access for the most vulnerable young residents, as well as middle class families for whom preschool is often just out of reach.

In the past nine years, the number of participating PFA sites has increased from 20 to 143 (as of December 2013) and over 21,000 four-year-olds have been served. A full 83% of San Francisco’s children now attend preschool, one of the highest rates in the nation. This steady expansion is also reaching targeted high need populations. In 2012-13, 64% of enrollments were low-income children whose families made less than $46,000 a year. Moreover, the proportions of African American and Latino enrollments is on the rise in our city, defying a national trend of declining preschool enrollment among Latinos.

The Family Resource Center (FRC) Initiative, jointly funded by First 5 San Francisco, the Department of Children, Youth and Their Families, and the Human Services Agency has established a comprehensive, coordinated system of family support that includes nearly 40 community-based agencies.

36+64+L64%

36%

PFA Enrol lments by Income Level : 2012-2013

Based on 3,292 four-year olds whose preschool enrollments were supported by PFA

Through universal in policy PFA is highly targeted in practice; 64% of enrollments are children whose families make less than $46,000 a year.

low incomechildren

other children

Between 2007-2008 and 2012-2013, participation by families from high need zip codes increased from 46% to 52%

Family Resource Centers

Reach Families with High Needs

6,120

2012-2013

2007-2008

Total from High Need Zip Codes

F I R ST 5 SAN FRANCISCO

Total Served

1,921

11,075

4,216

10

OU R R E SU LTS

First 5 San Francisco Investments are reaching those that need them most. 64% of PFA enrollments are children whose families make less than $46,000 a year. Family Resource Center participation rates from high need zip codes increased from 46% to 52% between 2007 and 2013.

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One big benefit of working with First 5 San Francisco has been their priority in organizing CBOs to work together and promote synergy among program offerings.

First 5 San Francisco Grantee

OU R STRATEG I E S

Targeted Universal Programs. Critics of universal programs cite concerns over blanket benefits and a “one-size-fits-all” approach. On the other end of the spectrum, targeted programs can be so narrow in their focus and requirements that they often miss those they seek to serve. Targeted Universalism, which guides nearly all of First 5 San Francisco’s work, encompasses the best of both approaches. It is inclusive of all groups, but is intentional in reaching out and addressing the needs of targeted populations while eliminating stigma.

Through this approach, we can more effectively engage families and have specifically tailored strategies in place from the moment they walk in the door.

It enables us to avoid added costs of eligibility determination and service fragmentation, include middle-class families often left out of the eligibility equation, and respond quickly to changing family status.

Finally, because it is a system intended for all, we believe more of the community now has a direct stake in sustaining that system and its future growth.

Partnership. San Francisco is home to a well established system of community-based organizations that provide high quality, culturally appropriate, and accessible services to local residents. In 2009, a mayoral task force for Community-Based Organizations made several recommendations for improved partnerships and oversight of the non-profit sector. Among these were to facilitate cross-departmental collaboration, develop collaborative funding guidelines, and reward collaboration within funded programs.

First 5 San Francisco took these recommendations to heart knowing that partnership would be key to breaking down barriers of access and creating universal systems of care that would provide lasting benefits to children and families.

1 in 3 programs are funded in collaboration with other public and private funders allowing us to leverage approximately $25million annually in additional funds.

Effect Triple P Classes

FRC Initiative parenting classes affect important aspects of healthy parent/child relationships.

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on Pre/Post Measures of Discipline Practices, Child Behavior

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Discipline Parent Perception ofChildren Behavior

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Assessments conducted during the FRC Initiative’s Triple P parenting classes show strong effects on many of the elements important to a healthy parent/child relationship in the early years. Since 2009, over 5,000 parents and caregivers have participated in Triple P or similar evidence-based parenting course that includes in-depth assessment of outcomes.

With millions invested in expanding facilities, enhancing curr icu lum, and t ra in ing teachers , the PFA In i t iat ive focuses on the strength of the caregiver child relationship as well as on the instructional techniques and overall program quality. As a direct result of this emphasis and investment, the quality of teacher child relationships and classroom instructions within PFA sites far surpasses that of other state and national initiatives.

Emotional Support Instructional SupportClassroom Organization

The quality of teacher/child interactions within PFA sites exceeds state and national average.

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5.54.9

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Class Assessment of Teacher/Interactions

PFA in Comparison to State and National Averages

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E N HANCI NG QUALITY: OU R R E SU LTS

In another demonstration of its commitment to quality, PFA has joined the national Quality Rating Improvement System Race to the Top Initiative (QRIS-RTT). Between September 2013 and February 2014, an independent consultant rated over 100 PFA preschools. All sites received a score of 3 or higher on the 5 Tiered rating system; almost half, 49%, scored at the highest Tiers 4 and 5.

First 5 San Francisco programs create quality environments where children can form early relationships with responsive and caring adults.

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47%

2%

QRIS-RTT Ratings for PFA Preschools

Based on 111 PFA Preschools that were rated as of January 30, 2014

PFA preschools have been rated at high levels of quality.

t ier 4

t ier 5

tier 3

13F I R ST 5 SAN FRANCISCO

First 5 San Francisco partners with us to honor children and families. They have been a tremendous resource and fund a wide variety of supports for our faculty.

First 5 San Francisco Grantee

Setting a Standard of Quality. Increasing access is an important factor, but alone it is not sufficient to fulfill our vision. Programs throughout the city must be of similarly high quality in order to produce the best possible results for all of San Francisco’s children. Funding universal systems has allowed us to work over time with our stakeholders to establish and monitor universal expectations of quality for all programs within those systems.

The city as a whole has been impacted by this deeper level of dialogue around quality. Programs, participants, and potential consumers across the city are more informed, can better define quality, and have increased accountability to one another.

Inspiring Excellence. Ensuring success for all children necessitates that we also nurture those who provide for our children and encourage them to reach their fullest potential .

We can best support ch i ldren by engaging thei r fami l ies , teachers , and prov iders .

We set h igh standards , bui ld in others the conf idence that they can meet those standards , and prov ide exper iences that wi l l re inforce thei r conf idence and ski l ls .

We bel ieve in the st rength of every indiv idual to meet thei r own needs and the needs of those in thei r care . At i ts best , our work helps others see , embrace , and enhance thei r own abi l i t ies .

E N HANCI NG QUALITY: OU R STRATEG I E S

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Letter-Word Recognition Applied Problems

HTKS Test

+2.24 points

Non PFA Children

PFA Children

+1.59 points

+6.34 points

PFA’s Effect on Early Literacy as Measured PFA’s Effect on Early Mathematics as Measured

PFA’s Effect on Self Regulation as Measured

by Scores on the Letter-Word Recognition Test by Scores on the Applied Problems Test

by Scores on the Head Toes Knees Shoulders Test

Early Literacy: PFA children demonstrated a 3 month advantage in early literacy skills, scoring on average, 2 points higher than non-PFA children.

Early Mathematics: PFA children demonstrated a 3-4 month advantage in mathematics, scoring on average, 1.6 points higher than non-PFA children. The scores for Spanish-speaking PFA children were even higher.

Children who participated in First 5 San Francisco’s PFA Initiative, entered kindergarten significantly ahead of their peers in early math, early reading, and social skills.

Healthy Development: PFA chi ldren scored on average 6.34 points higher than non-PFA children in the area of self-regulation and social-emotional development. The scores for Spanish-speaking PFA children were almost twice as much, with Spanish speaking PFA children scoring on average, 12.09 points higher than non-PFA children.

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CH I LD OUTCOM E S: OU R R E SU LTS

First 5 San Francisco is a strength-based organization willing to problem solve the tough issues.

While First 5 San Francisco has clearly produced results that matter through its targeted universal approach and uncompromising commitment to quality, we are not just looking at what we have accomplished. We are also looking at areas where there is potential for future growth and deeper impact, including:

Maximizing local, state, and national momentum As the rest of the country starts to engage deeper in the conversation about quality preschool and family support as a means to ensure achievement for all children, First 5 San Francisco has an opportunity to leverage new enthusiasm, resources and learning toward more lasting solutions to our city’s complex social challenges.

Expanding early intervention system Children who have special health care or learning needs or who are at risk of developmental delays need the additional support and time offered by early identification. In parallel to our PFA and FRC Initiatives, we seek to develop a more comprehensive, coordinated and high quality system that connects parents and providers to information, resources and referrals for all San Francisco children 0-5 who may be at risk for developmental delays or who may need help accessing child development supports.

Engaging through data and informationWork in this area is two-fold and starts with using the data we have to more effectively answer questions of importance to our stakeholders. It wil l also involve putting data back into the hands of the providers and parents who can benefit from even greater access, informed decision making, and the power to choose. Data that is easy to use, relevant and thought provoking is the next step in inspiring a shared responsibil ity for innovation and improvement.

OU R STRATEG I E S MOVI NG FORWAR D

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First 5 San Francisco Grantee

20F I R ST 5 SAN FRANCISCO

Suzanne Giraudo, Commission ChairPsychologist Clinical Director, California Pacific Medical Center

Linda Asato, Executive Director California Child Care Resource & Referral Network

Malia Cohen, Supervisor Board of Supervisors

Mary Hansell, Director Maternal, Child and Adolescent Health, Department of Public Health

Anda K. Kuo, Director of Pediatric LeadershipUCSF School of Medicine

Lynn Merz, Executive Director Mimi and Peter Haas Fund

Betty Robinson-Harris, Chair Child Development Committee, School Improvement Committee/ER&D

Michele Rutherford, Program Manager Child Care Policy & Planning, Department of Human Services

Maria Su, Director Department of Children, Youth and Their Families

Laurel Kloomok, Executive Director laurel@first5sf.org

Derik Aoki, MPH Senior Program Officer derik@first5sf.org

Tracy Fong, Fiscal Administrator tfong@first5sf.org

Shelli Rawlings-Fein, Family Support Program Officer shelli@first5sf.org

Theresa Zighera, Evaluation Officer tzighera@first5sf.org

Ingrid Mezquita, Senior PFA Program Officer ingrid@first5sf.org

Lisa Lee, PFA Tech. Asst. Coordinator llee@first5sf.org

Yeshey Beyene, PFA Tech. Asst. Coordinator ybeyene@first5sf.org

Maria Allis, PFA Tech. Asst. Coordinator mallis@first5sf.org

Wei-min Wang, PFA Program Coordinator wwang@first5sf.org

Xavier Morales, PFA Data Analyst xmorales@first5sf.org

Matthew Rector, PFA Program Associate mrector@first5sf.org

Winnie Kwei, PFA Program Associate wkwei@first5sf.org

Jonathan Rubinsky, PFA Program & Communications Associate jrubinsky@first5sf.org

Kahala Drain, Administrative Coordinatorkdrain@first5sf.org

COM M I SS ION E R S AN D STAFF

First 5 San Francisco1390 Market Street , Sui te 318San Francisco , CA 94102P: 415 934 4849F: 415 554 8404www.f i rst5sf .org