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32 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family ServicesContents1. Message from our Executive Director2. AFS at a Glance3. Mission and Vision4. AFS Leadership and Board of Directors5. Who We Served in 2023-20246. Fiscal Summary7. Agency-Wide Highlights8. AFS Divisions9. Donate10. Thank You© Alameda Family ServicesAll rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without permission in writing from the publisher.In MemoriamIn July 2024, Alameda lost 5 members of our beloved community, including two young boys who both attended AFS' Head Start Program, with one going on to attend kindergarten at Love Elementary. This tragedy rippled through the Alameda community and touched many lives both directly and indirectly.AFS Executive Director, Katherine Schwartz, was asked to speak at the memorial by Mayor Ezzy Ashcraft, and AFS went on to provide extensive mental health support both to the broader Alameda community and the Alameda Unified School District families and personnel directly impacted by this event.AFS oered a compassionate response through a number of interventions, providing struggling parents and caregivers the means to find the words to talk with each other and their children about the tragedy. School Board President Jennifer Williams and Mayor Ashcraft expressed their appreciation of AFS's immediate support at the Sunset Sip fundraiser on August 16, 2024, and many families and teachers also communicated their appreciation. A tragedy of this kind is diicult to overcome, the pain radiating around the community profound, but it was also incredibly moving that AFS and Alameda residents united to honor the memories of the five who lost their lives, beginning the healing process for all involved.

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54 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family ServicesKatherine Schwartz, LCSWExecutive DirectorDear Friends of Alameda Family Services,During the 2023–2024 year, Alameda Family Services (AFS) encountered unexpectedly high levels of unmet needs in the community, as well as operational expenses that required an immediate fiscal response. Food insecurity, teen depression and anxiety, as well as loneliness and isolation among seniors, have continued to be our biggest challenges, thereby increasing demands on our organization. AFS sta have overcome these diiculties not only because of their commitment to and compassion for the Alameda community, but also in very large part because our donors and sponsors provided such heartfelt financial support. This year was a heavy lift, and we could not have done it without you.The support Alameda Family Services receives from community members and businesses gives us the ability to be a critical safety net for Alameda. Last year I asked you to take great pride in what your contributions helped us to accomplish, that everything we do is a manifestation of your goodwill and faith in our work. As you read our 2023-2024 Annual Report, I hope you recognize the impact of your donation. Without your backing, many Alameda residents would have been left without services, the implications of which are profound. We are genuinely grateful for all the community support we have received. We really could not do it without you! I fervently hope that challenges abate in the coming year. But if they do not, the AFS team is ready to respond, encouraged by your unwavering support. Together we will strive to realize AFS’ vision of wellbeing for all! Warmest Wishes,Katherine Schwartz, LCSW1A Message from our Executive Director"Striving to manifest the AFS vision of well-being for ALL is only conceivable when done in partnership with all our supporters and collaborators."

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76 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family Services2AFS at a GlanceAlameda Family Services (AFS) is a comprehensive human services organization, active in Alameda and the East Bay, whose programs improve the educational, emotional, psychological, and physical health of children, youth, and families. We are composed of four main divisions—School-Based Services, Clinic and Community-Based Behavioral Healthcare Services, Crisis Services, and our Early Childhood Education and Family Support Services —all of which specialize in dierent aspects of needed care for members of our community. School-Based Services supports all Alameda Unified School District students, oering a range of services (counseling, medical, youth development, and outreach) to support youth struggling with various issues, both mild and acute. Clinic and Community-Based Behavioral Healthcare Services provides brief, sliding-scale counseling to families, individuals, couples, and groups. Clinical services also include psychological testing and home-based family therapy. This division also addresses the needs of students in private and charter schools to ensure AFS can reach all community youth in need. Crisis Services supports the city of Alameda with timely and responsive services that meet the needs of community members experiencing a mental health crisis. As part of this division, the Community Assessment Response and Engagement (CARE) Team is a 24/7 program that is operated in partnership with the Alameda Fire Department and which acts as the City of Alameda’s alternative to police response for individuals experiencing a mental health crisis. This division also provides case management and bridge therapy services to support community members as they navigate their recovery journeys. Early Childhood Education and Family Support Services delivers Head Start and Early Head Start as well as State funded preschool programming to low-income and at-risk children from birth to age five, as well as oers senior services and workforce development programming. This division also heads our Family Resource Center, a boon for locals searching for community resources that can aid in their wellbeing.We are excited to share the work we are doing, our achievements, our growth.

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98 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family Services3Our Mission, Vision and ValuesFoster healing, resiliency, and growth through the delivery of progressive and comprehensive services to individuals and families at all stages of life.AFS Strategic PlanThe AFS Strategic Plan Working Group created the Strategic Plan for 2024-2029 using a design process rooted and committed to the agency's Mission, Vision, and Core ValuesA community in which the wellbeing of all is realized.MISSIONVISIONCORE VALUESIntegrity, compassion, well-being, community, belonging.The Working Group’s engagements and data analysis revealed a critical theme regarding both systemic and personal experiences with racism and structural inequality that impact how many Alamedans experience life and wellness. Specifically, the eects of anti-Black racism and the cost of living were mentioned in multiple discussions. While acknowledging that many systemic challenges may lie outside the agency’s direct control, the Opportunity Statement below recognizes these challenges and underscores the agency’s commitment to navigate and disrupt them wherever possible.Alamedans want to experience belonging and wellness however, persistent biases and systemic inequality, further compounded by the high cost of living, continue to disproportionately harm and disadvantage community members.The 2024-2029 AFS Strategic Plan is viewable at www.alamedafs.org

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1110 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family Services4AFS Leadership and Board of DirectorsKatherine Schwartz, LCSW - Executive DirectorJanet Briggs - Chief Financial OicerHeather Little - Director of QI and Agency OperationsNadia Chargualaf - Human Resources DirectorJennifer Wu, Psy.D - Clinic and Community-Based Behavioral Health Services Division DirectorKyle Sinko, LCSW - School-Based Services Division DirectorLynne Moore-Kerr - Early Childhood Education and Family Support Services Division DirectorKaren Zeltzer, LCSW - Crisis Services Division DirectorFirdosh Vohra - Finance DirectorJono Soglin - PresidentThomasina Woida - Vice President Michael Essien - TreasurerGregory Canales - SecretaryMembers:Ingrid Castro-RodriguezJohanna HallRebecca JeschkeLinda LyonsCesy MartinezScott MeansRuth OrmsbySeung PaekSamantha Soogian - Head Start Policy Council RepresentativeAFS Leadership Board Oicers & Members"The agency's commitment to the community, families, and sta is what keeps me working here!"

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1716 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family Services7Agency-Wide HighlightsCARF AccreditationOn November 13, 2023, AFS participated in a rigorous, two-day CARF survey during which we shared our stories and our reasons for working at AFS, presented highlights on systems and services, and received guidance on avenues of improvement in order to better serve our clients. We were thrilled to learn that CARF awarded AFS the highest honor allowable by their institution, a full three-year accreditation. Agency dayOn October 18, 2023, AFS sta gathered at Christ Episcopal Church for their first all-day in-service meeting in three years. The purpose was manyfold: share successes within each division, hear reports from directors, celebrate sta anniversaries (which totaled over 475 years of service!) and discuss identity in conversation with Dr. Cheryl Williams-Jackson, a professor of Human Services at Modesto Junior College, a Mental Health Wellness Coach, and a long-standing member of our clinical team. We look forward to resuming this annual tradition and providing all our sta with the opportunity to celebrate our fortitude, heartfelt commitment, and many accomplishments.Sunset SipOn August 18, 2023, AFS hosted its second annual Sunset Sip fundraiser event in partnership with Urban Legend Cellars. The venue on the historic Alameda Point boasted amazing sunset views of San Francisco while more than 90 attendees enjoyed wine, dinner, and good company. The event brought in over $20k that will be used to supplement mental health supports and services valued by the Alameda community.

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1918 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family ServicesAFS Launches New Enhanced Care Management ServiceIn the spring of 2024 we stepped into the Enhanced Care Management space, a new statewide Medi-Cal benefit in which eligible clients will receive specialized one-on-one support for all their health and health-related needs. It is a vital service that ensures AFS clients receive care in support of fuller, healthier, and happier lives. We will be providing this service for families with youth up to age 21 and for individuals 21+. We have been focused on building this program and ensuring our community’s care management needs are met. Enhanced Care Management (ECM) is a healthcare benefit within Medi-Cal that provides intensive, coordinated care management to individuals with complex needs, including access to a dedicated "Lead Care Manager" who works with them to navigate their health services across dierent providers and community settings, aiming to improve their overall health outcomes by addressing both clinical and social needs; essentially, it's a highly personalized approach to managing care for high-need patients, often reaching them where they live, like at home or in a shelter.ECM is specifically designed for individuals with multiple chronic conditions, mental health issues, or social determinants of health that impact their ability to manage their health eectively and helps individuals who are facing challenges such as: • Mental, physical, and behavioral health issues• Food insecurities• Unstable housing• Transportation challenges• Employment and education assistance• Interactions with law enforcement or crisis intervention related to mental health and/or substance abuse• New moms• Transitioning home from hospitalization"Our assigned therapist was able to jump in and begin connecting with our families immediately. She has been an excellent thought partner for both me and my sta. She has made working, eective connections with some of our most challenging families and we are seeing positive shifts in our learners because of her support. Our therapist works with our learners and our families in such a caring and authentic way that families who have historically been reluctant to engage are connecting with her and nding pathways to engagement."A school administrator's testimonial"AFS is lled with amazing people with the collective passion for helping youth."

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2524 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family ServicesSchool-Based Health Centers (SBHC)AFS partners with Native American Health Services to provide medical and sexual health services at our School-Based Health Centers (SBHC) on two AUSD school campuses (Alameda High and Encinal Junior and Senior High), as well as a wellness center at Island High. These three centers, accessible for all AUSD youth and recent graduates on the island, allow AFS to better connect with and engage students in a number of comprehensive, no-cost, confidential oerings (such as medical services, mental health counseling, case management, health education, outreach, and youth leadership development). These services allow youth to flourish and achieve greater life success, and ease of access on campus and during school hours circumvents barriers that might otherwise prevent or discourage students from obtaining necessary care.Youth Leadership Development: Youth Advisory Board (YAB) InternshipOur SBHCs also serve as a platform for our Youth Advisory Board (YAB) internship program. Interested high school students take the lead in both identifying and addressing health and wellness topics most relevant to their communities (such as mental and sexual health, cultivating healthy relationships, and self-esteem/identity exploration). The YAB program has repeatedly demonstrated how critical youth voice and insight are to achieving youth empowerment. Across the three SBHCs, we had about 60 YAB interns in the 23-24 school year. A particularly noteworthy example is our YAB “You Are Loved” campaign, which takes place during Suicide Prevention and Awareness Month and continues to be one of our largest and most well-attended school-based behavioral health campaigns.Master’s-Level Internship ProgramAFS’s SBS internship program creates an opportunity for master’s-level students to acquire clinical experience while also increasing access to no-cost services for AUSD students, as these interns increase our capacity to provide—under the supervision of a licensed AFS clinical supervisor—individual and group therapy, assessments, crisis intervention, and case management.School-Based Counseling ServicesStudents referred for counseling services can take advantage of the embedded no-cost support system oered by SBS across every AUSD campus. SBS also stas youth case managers who help district youth and families connect to beneficial community resources. Longer-term therapy and intensive case management are also available to students who meet eligibility requirements for other funding streams. AFS successfully completed our first year providing intensive level Educationally Related Mental Health Services (ERMHS) services to students eligible under their Individuals Education Plans (IEPs.) ERMHS therapists see students across the district and support students in making significant progress towards their therapeutic and academic goals. Additionally, AFS is continuing to work closely with Alameda Unified School District around the Statewide Multi-payer School-Linked Fee Schedule in order to increase access and mental health funds for services. With AUSD being in cohort 1, we continue to learn and organize around how to tap into these beneficial resources for the 24-25 school year implementation. 66441990%5%40%24897%students were referred to school-based services for individual therapy, group therapy, family therapy, or case management. Out of those referred at the secondary levelAt the end of the school year, we had successfully engaged youth in on-going mental health services (individual therapy, group therapy, and/or case management). At the high school level, we were referredof youth and families received at least one meaningful service (crisis response, screening, drop-in, referral/resource, etc.) and/or were engaged in on-going mental health or case management services. At the Elementary level, this was atyouth for services, which comes from the school COST team, families, and self-referral. Of these youth, aboutidentified as BIPOC and nearly identified as being in the LGBTQ+ community. of youth and families received at least one meaningful service or were engaged in on-going mental health or case management services. HighlightsBroadly Supporting our Community’s Mental Health through Youth Development and Outreach

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2928 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family ServicesClinic and Community-Based Behavioral Healthcare Services Division"Alameda Family Services is a life-changing organization serving our community in so many ways."Behavioral Healthcare Services (BHCS) Program DescriptionAFS’ Clinic and Community-Based Behavioral Healthcare Services (BHCS) division provides brief, sliding-scale and Medi-Cal-funded counseling to families, individuals, couples, and groups at our Clement Avenue clinic in Alameda. BHCS’ continuum of clinical services also includes psychological testing, therapy provided at Alameda Point Collaborative, as well as home-based family therapy that focuses on attachment for parents of children ages 0-7 years and expectant mothers.By means of a generous grant from the City of Alameda, BHCS clinicians and professional therapists-in-training (the latter under the supervision of licensed sta) now also provide mental health support and services to private and charter-school students, allowing equitable access for every Alameda student..

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3130 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family ServicesIntensive Care Coordination (ICC)In July 2023, the BHCS division received new funding from Alameda County Behavioral Health to provide Intensive Care Coordination (ICC) services to Medi-Cal clients receiving mental health services. ICC is a comprehensive, team-based service designed for youth with complex behavioral health needs. ICC sta provide youth and caregivers assistance in accessing medical, educational, mental health, and social services and link them to vital resources. Treatment planning takes place during Child & Family Team meetings (known as CFTs) that include all relevant parties including natural supports. The service is holistic, robust, and highly family/youth centered.Psychological Testing Services BHCSs psychological testing is a collaborative, therapeutic complement to regular assessment services, helping us to gain greater insight into each client’s distinctive thought processes and unique manner of engaging with the world. Equitable Student Support (Charter/Private Schools)While AFS’s SBS division supports the entire AUSD district, AFS recognized that there were children outside the scope of the AUSD without access to mental health services. Through a partnership with the City of Alameda beginning in 2022, BHCS expanded its target population to include charter and private-schools to reach every child in Alameda, providing these campuses with access to more comprehensive mental health. 748 100% HighlightsTotal number of calls to the clinic intake line100% of Alameda Charter and Private school students have FREE access to mental health services, as needed.Narrative Therapy Training ProgramBHCS’ highly regarded Narrative Therapy Training Program (accredited by the American Psychological Association) is one of the few in California and oers premier family therapy services to Alameda County residents."AFS clinic therapists symbolize community, belonging, safety, security, clarity, and structure.""AFS Clinic therapists are a lifeline to people looking for support.""I feel welcomed, included, heard, supported, accepted, and understood by my clinic therapist."

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3534 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family ServicesBridge TherapyAs a result of long waiting lists and lack of available therapists, as well as other obstacles, the wait time between a mental health crisis and beginning therapy services can be long. To bridge this gap, while clients work to access longer-term services, AFS utilizes MSW and MFT interns to provide approximately eight to twelve short-term supportive therapy sessions that starts within the same or next week as the crisis.. This helps with crisis de-escalation and stabilization while awaiting ongoing, longer term therapy. During the past year, Bridge therapy interns provided 340 hours of therapy to CARE Team clients.Trainings and ConsultationsIn addition to trainings and consultations provided to AFD, Crisis Services’ sta provided trainings on mental health, crisis de-escalation, motivational interviewing and substance use disorders to multiple outside agencies over the last year. These programs include Tuburcio Vasquez, On Lok, The Alameda County Food Bank. In May, we were thrilled to have begun clinically supporting Building Futures with Women and Children sta with contracted Crisis Services’ sta facilitation of and consultation to their weekly case conference/team meeting.Crisis Services began providing a full time mental health clinician onsite to Dignity Village, a 47-unit interim supportive housing community in Alameda that can serve up to 61 unhoused individuals.. This City funded position supports the mental health and well being of residents of Dignity Village, all of whom had previously been unhoused. The clinician’s presence supports residents and sta in the milieu, as well as providing regular individual and couple’s therapy. Mental health services where residents live is a big step in preventing residents becoming unhoused again and supports moving forward towards permanent housing. Data/Outcomes *Highlights* Client satisfaction surveys regarding received Clinical Case Manager (CCM) services are collected by an anonymous Google survey link that is emailed or texted to the clients upon completion of service239 26 100%80% 96 555 48 Total On-Call ConsultationsTotal youth callers that went to the hospital for mental health treatmentFelt their CCM was respectful.Felt their CCM was sensitive to their racial/cultural background.Felt their CCM listened to their needs.Felt their CCM provided new services and resources that matched their needs.Felt the support that they received from the CCM decreased their need to receive further emergency services.Felt the new CCM-recommended services were helpful.Total clients that had De-Escalation and safety plansTotal referrals receivedTotal adult callers that went to the hospital for mental health treatmentOn-Call Consultations DataClinical Case Manager (CCM) DataAwardsThe CARE Team with AFS’s support was awarded the Program of the Year from Alameda County’s EMS program. In addition, the Crisis Division Director was awarded the Citizen of the Year EMS award for her work on the CARE Team. This award represents the hard work of the entire team of Clinical Case Managers, On-Call Clinicians and interns who work tirelessly to support AFD and the community. Partnerships in 23-24Our partnerships include the City of Alameda, AFD, APD, Alameda Point Collaborative, the Alameda Unified School District, The Village of Love, Bessie Coleman Court, Dignity Village, and Building Futures for Women and Children.340Hours of therapy

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3736 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family ServicesAn elderly, unhoused man at the Village of Love (a City-run program) exhibited dicult behavior requiring the CARE Team. The Alameda Fire Department referred him to an AFS Clinical Case Manager. The Case Manager, both dedicated and patient, visited this man weekly, eventually gaining his trust. The man nally agreed to be taken to St. Vincent De Paul in Oakland to receive proper support. After a few days he was moved to a motel and is now receiving wrap-around services to aid in his journey toward a healthier and more stable life.CARE Team Success StoriesA 15-year-old youth in crisis was in need of the CARE Team. An AFS Clinical Case Manager connected this youth—and his family—to family therapy through AFS’ Behavioral Outpatient Clinic, as well as individual youth therapy through AFS’s School-Based Health Center, both services providing much-needed security and stability. After collaborative program sessions, the family reports the youth is better balanced, has improved mental health, and communicates more easily and readily. Since starting these services, there have been no further crisis calls.

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3938 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family ServicesEarly Childhood and Family Support (ECFS)"I'm so thankful to have Head Start in Alameda, my kids are better for it and were ready for Kindergarten!."Early Childhood and Family Support (ECFS) Program Description:The AFS Early Childhood and Family Support (ECFS) division provides high-quality child development and comprehensive health and family support services through a variety of program options designed to meet the individual needs of low-income and at-risk children and families. On-site child care and in-home support services funded by Head Start, Early Head Start (HS/EHS), California State Preschool, and General Child Care are oered at no-cost to qualifying expectant parents and families with children from birth to age five. ECFS also provides senior services, resources, referrals and workforce development programming at a variety of locations within the city of Alameda.Additionally, we created our Family Support Resource Center (FSRC) to empower and support individuals and families. The FSRC is a central hub, an all-in-one harbor for those seeking community resources. We both link clients to other organizations as well as bring resources to the Center for ease of access.

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4140 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family ServicesIntakes, assessments and case management HS/EHS New Orleans TripYolanda Duarte, Daniel Javes, Lynne Moore-Kerr, Yunia Renteria, and Belkis Gowhary were selected to present on a Self-Awareness workshop at the National Head Start Association's Parent and Family Engagement Conference on December 6, 2023 in New Orleans. Over 85 people from across the country attended the training.100%91%98%98%96%95%1050254148012722111983012787 Highlightsof children had insurance coverage and a source of continuous and accessible health careActivity bags to support early learningof children were up-to-date on all immunizations for their ageK-2nd Grade school readiness Teen internshipAssistance in securing entitlement benefitLiteracy and language support Job training and employmentIn-home support services to childrenMental health support servicesChild health and wellness support servicesHousing and services to the unhousedof children were up-to-date on their EPSDT preventive and primary health careof the infants/toddlers were up-to-date and received oral dental careof children age 3-5 had a professional Dental Examof children age 3-5 received preventative dental careCalifornia Department of Education’s Contract Monitoring ReviewECFS participated in and passed its California State Preschool Program review the week of November 13, 2023. The program was applauded for the quality of teacher-student interaction and for having such a warm and caring classroom environment.The Circle of SecurityThis program year AFS-ECFS implemented The Circle of Security as its parenting curriculum which focuses on training providers with many dierent backgrounds to help caregivers connect with the children in their lives. The Circle of Security is a visual tool used as part of interventions for caregivers which focus on helping them reflect upon children’s attachment needs in order to promote secure attachment with a child. From intimate attachment a child and person draws strength and enjoyment of life and through what they contribute gives strength and enjoyment to others.Parent-Student Teacher Aide Training ProgramTo support parents and high school students interested in entering the field of early childhood development, ECFS has expanded its Parent-Student Teacher Aide (PSTA) training program by doubling the number of opportunities oered from four to eight. This three-year training program oers professional development, a teaching mentorship, reimbursement for college coursework, and paid part-time employment at one of our five childcare centers. ECFS Sta Ensure Child Health, Wellness and Resiliency!The Family Resource Center provided:By the end of the program year:52352463921 Medi-Cal/Medicare, Calfresh Social Security applicationsOngoing case managementBasic needs, food, clothing, transportationMental health and relationship supportAssisted living, long term and hospice careThe ECFS Family Resource Center also provides senior care support for individuals 50 years and older. By the end of the program year, senior care supports provided: Family Support ServicesOur Family Resource Center, located at the Alameda Housing Authority’s Esperanza Complex, provides comprehensive case management services designed to empower and support individual adults, couples, and families. The center serves as a centralized hub oering information single point access to community-based resources. Funding to support the our Early Learning Childcare Network Mobile Resource Center was provided by First 5-Alameda and funding from the Alameda County Youth & Families Outreach Program and the award of a California Family Resource Association grant supported outreach activities and service delivery.450 Activity bags for parents in support of early learning176 K-2nd Grade school readiness support143 Assistance in securing entitlement benefit248 Crisis intervention and urgent support services 92 Housing support and services to the unhoused58 Ongoing case management 66 Nutritional services, resources and referrals30 Mental health support services56 Health and wellness support services

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4342 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family ServicesMental Health and Disability ServicesThe ECFS Division works in collaboration with many partners including AFS’ Clinic & Community-Based Behavioral Health Care Division, Regional Center of the East Bay, Alameda Unified School District, and USCF-Benio Children's Hospital to ensure children with developmental or behavioral concerns receive early and eective identification and intervention. By the end of the program year: 72% of our direct service sta received assistance from a mental health consultant through observation and consultation40 children enrolled received special education servicesHealth and Chronic ConditionsWith guidance from our Health Advisory Committee, ECFS works with parents and health care providers to ensure child health, wellness, and resiliency and creates action plans designed to provide quality care to children with chronic conditions. 100% of children had insurance coverage and a source of continuous and accessible health care93% of children were up-to-date on all immunizations for their age97% of children were up-to-date on their EPSDT preventive and primary health care57 children were diagnosed and received medical treatment for a chronic health conditionDental Care and TreatmentIn partnership with the Alameda County Public Health Department, Asian Health Services, La Clinca De La Raza, and local dental care providers, ECFS provides on-site dental exams, oral health education, preventative care, and assistance to families with establishing a dental home for all children enrolled.95% of children age 0-36 months were up-to-date and received oral dental careOf children age 3-5 years:98% received preventative dental care98% had a professional dental exam44% of those examined needed dental treatment49% of those needing treatment received treatment57 children were diagnosed and received medical treatment for a chronic health conditionSenior ConnectionsIn partnership with the Alameda Recreation & Parks Department’s Mastick Senior Center, our Family Resource Center provided information, resources, referrals and case management services specifically designed for individuals over 50 years of age.50 Application assistance for benefit programs57 Ongoing case management209 Crisis intervention for critical/urgent needs87 Housing and services to the unhoused40 Basic needs, food, clothing, transportation36 Mental health and relationship support21 Assisted living, long term and hospice careParent-Student Teacher Aide Training ProgramTo support parents and high school students interested in entering the field of early childhood development, AFS-ECFS has expanded its Parent-Student Teacher Aide (PSTA) training program by doubling the number of opportunities oered from 4 to 8. This three-year training program oers professional development, teaching mentorship, reimbursement for college coursework and paid part-time employment at one of our five childcare centers. Using Pay-Based CurriculumThrough the implementation of the Creative Curriculum, Anti-Biased Curriculum, the Center for Social and Emotional Foundations of Early Learning Pyramid Model, and developmentally appropriate researched based teaching practices, our teachers and early child care specialists created individual child education plans in collaboration with parents. These plans were designed to support children in developing skills that support school readiness in the areas of: Approaches to Learning, Social and Emotional Development, Language and Communication, Literacy, Cognitive Development, Mathematics Development, Scientific Reasoning, and Perceptual, Motor, and Physical Development to promote secure attachment with a child. From intimate attachment a child and person draws strength and enjoyment of life and through what they contribute gives strength and enjoyment to others.We Love the OutdoorsAs part of our ongoing program improvement to support child health and wellness, we promote the use of outdoor learning environments. Our teachers received guidance and professional development in implementing the Creative Curriculum with fidelity that encouraged cooperative play and learning across all of the developmental domains in alignment with the State California Foundations for Early Learning and the Head Start Early Learning Outcomes Framework.

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4544 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family ServicesC. The total number of children and families served, the average monthly enrollment (as a percentage of funded enrollment), and the percentage of eligible children served.The program served 191 children during this reporting period. Average monthly enrollment for the program year was 84.24%. Needed facility improvement, expansion of the State of California's implementation of Transitional Kindergarten and ongoing teacher shortages are circumstances that have impacted our ability to meet our funded enrollment. AFS-ECFS is actively participating in the OHS Funded Enrollment Initiative and has developed a targeted program improvement plan to address enrollment concerns.Of the 191 children served, 53% reported speaking a language other than English at home and 93.7% of the children enrolled were from families with incomes below the poverty level, in foster care, homeless, or categorically eligible for services with priority of non-eligible families going to those under 130% of the Federal Poverty Line.D. The results of the most recent review by the Secretary and the financial audit.The independent audit completed in 2023 found no compliance issues.E. The percentage of enrolled children that received medical and dental exams.By the end of the program year, 100% of enrolled children had insurance and an established medical home and 97% were determined up-to-date according to Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) preventive health and oral health care guidelines. Fifty-seven children were diagnosed with and received medication treatment for a chronic health condition and 93% were up-to-date on their immunizations.F. Information about parent involvement activities.ECFS builds collaborative partnerships with parents to establish mutual trust and identify family goals, strengths, and necessary services. As part of this ongoing partnership, we oer parents the opportunity to explore their strengths, develop individualized goals, set realistic timetables, and create strategies to help with school readiness and lifelong learning. Examples of support oered to parents include parenting curriculum activities (i.e., creating participation opportunities), receiving child developmental screenings and assessments, sharing information about preventative health care and child nutrition, assistance with job training, English Language Learner courses, and emergency support services. Additionally, our Family Resource Center (FRC), which serves as a centralized hub of information and a single point of access to community-based services, provides comprehensive case management designed to assist and empower youth and their families.ECFS also hosts monthly Parent Committee meetings for all programs at our child care centers and during group socializations. Elected parents and community representatives from each site and program actively participate in our monthly Policy Council-Parent Advisory Committee. Health Advisory Committee meetings take place quarterly and members provide ongoing assistance and guidance. Parent workshops and a variety of training opportunities are oered throughout the year in collaboration with our FRC, and our family service workers help parents support their children’s eorts to meet established individualized school-readiness goals A. Total amount of public and private funds received and the amount from each source:Head Start / Early Head Start Program InformationAFS is excited and proud to share our Head Start/Early Head Start program information in this year's annual report. AFS operates Early Childhood Education classrooms, which are an integral and highly valued part of the continuum of services that we oer to Alameda families. Each Head Start agency shall make available to the public a report published at least once in each fiscal year that discloses the following information from the most recently concluded fiscal year, except that reporting such information shall not reveal personally identifiable information about an individual child or parent:report available to the public disclosing information from the most recently concluded fiscal year. This data is detailed below.Funding SourceBasic OperationsCost of Living AdjustmentQuality ImprovementProgram ImprovementTraining Technical AssistanceNon-Federal ShareHead Start (OHS) $1,988,858 $111,376 $36,227 $124,368 $20,620 $539,270 Early Head Start (OHS) $2,275,965 $48,923 $648,913 $124,369 $45,580 $605,449 California State Preschool Program $924,516 N/A N/A N/A N/A N/ACalifornia Child Care Contractors $487,501 N/A N/A N/A N/A N/AChild-Adult Care Food Program $149,055 N/A N/A N/A N/A N/AYouth & Families Outreach (ACHC) $148,962 N/A N/A N/A N/A N/ALow Income Investment Fund $104,737 N/A N/A N/A N/A N/ACommunity Care Licensing $29,462 N/A N/A N/A N/A N/ACity of Alameda - Senior Services $25,000 N/A N/A N/A N/A N/AQuality Counts (QRIS) $19,108 N/A N/A N/A N/A N/ADonations & Contributions $20,000 N/A N/A N/A N/A N/ATotal Budget$5,991,440 $93,110 $158,862 $248,737 $66,200 $1,037,487 B. An explanation of budgetary expenditures and a proposed budget for the fiscal year (July 1 2023 to June 30, 2024) $6,788,044 $20,000 $6,808,044 Total Public Funds (FY 23-24)Total Private Funds (FY 23-24)Total (FY 23-24)

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4746 FY 2023-2024 Annual Report - Alameda Family ServicesFY 2023-2024 Annual Report - Alameda Family ServicesG. AFS’s eorts to prepare children for kindergarten.Ensuring children are ready for kindergarten is an essential part of ECFS’ daily work. In partnership with the AUSD, and also as the coordinating member of the City of Alameda's Early Learning Community Network, ECFS promotes early learning initiatives, encourages parent engagement, and provides services that better support children to meet developmental milestones and achieve school readiness. We establish school readiness goals to keep our sta and children (as well as parents) on track so that by kindergarten children possess the skills, knowledge, and attitudes necessary for success in school and for later learning and life.Of the 191 children served, 93.7% of the children enrolled were from families with incomes below the poverty level, in foster care, homeless, or categorically eligible for services with priority of non-eligible families going to those under 130% of the Federal Poverty Line.managed feelings, actions, and behavior with the support of familiar adults.developed and maintained personal and cooperative relationships with peers and playmates. developed strategies to manage feelings, actions, and words appropriately and with decreasing dependence on adults.developed secure, engaging relationships with familiar adults for support, comfort, and getting their needs met.understood and responded to increasingly complex language from others for learning, engaging, and expressing needs/wants.understood and responded to increasingly complex language from others for learning, engaging, and expressing needs/wants.progressed in their ability to recognize, reproduce, extend, and create patterns.demonstrated understanding of similar/dierent attributes by matching and sorting objects and people.developed their small muscles in play, exploration, and completing routine tasks.demonstrated knowledge of nutrition by communicating healthy food choices and how foods help our bodies grow. attended to, understand, and respond to increasingly complex language from others for learning, engaging, expressing needs/wants.attended to, understand, and respond to increasingly complex language from others for learning, engaging, expressing needs/wants.developed their small muscles in play, exploration, and completing routine tasks.initiated and engaged in physical activities of increasing levels of intensity for sustained periods of time.of dual language learners demonstrated increased competency in their home language while simultaneously developing proficiency in English. Infants 0 to 18 months:Preschoolers age 3-5 yearsToddlers age 19-26 months80% 63% 79% 90% 78% 100% 81% 10% 81% 90% 90% 40% 73% 63% managed feelings, actions, and behavior with the support of familiar adults.developed secure, engaging relationships with familiar adults for support, comfort, and getting their needs met.demonstrated understanding of similar/dierent attributes by matching and sorting objects and people.developed their small muscles in play, exploration, and completing routine tasks.47% 64% 53% 57% 64%

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