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WORK AND FAMILY PROGRAM CENTER
THE
HANDBOOK OF
CHILD AND
ELDER CARE
RESOURCES
UNITED
STATES
United States
OFFICE FREE
Office of
Personnel
Management
Office of
Workforce
Relations
OWR-02
June 1997
INTRODUCTON
Approximately 700,000 Federal employees have
work and family personnel flexibilities that help balance
children under the age of 13. At least an equal number
these responsibilities. This handbook is divided into
of Federal employees are estimated to have concerns
three parts: Child Care, Elder Care, and Work and
about their elderly parents and relatives. Balancing the
Family Programs.
competing demands of work and family is often difficult.
We have all experienced, or know someone who has
The child care part suggests practical steps to take in
experienced, the challenge of caring for a child or an
finding quality child care, including questions to ask
elderly parent, while also carrying out the
during the initial telephone screening and a checklist of
responsibilities of a job.
things to observe when visiting child care centers or
homes. It also provides a directory of resource and/or
The Handbook of Child and Elder Care Resources is
referral services around the country, and a list of Federal
intended to introduce you - employers and employees -
and national organizations that can help parents learn
to a number of organizations and resources that can help
about quality child care.
you meet that challenge.
The elder care part of the handbook explains a variety of
This handbook was developed primarily to put
community resources that are offered in many
employees in touch with the many free resource
communities around the country to help older adults
organizations and agencies around the country that can
function independently and discusses housing options,
help you meet dependent care needs. It also provides
financial and medical considerations, nursing homes,
practical tips on how to find quality child care,
and home health care agencies. It also provides a short
information about Federal personnel programs that can
summary of the services provided by Federal and
help to balance work and family responsibilities, and
national organizations which can help employees meet
places to call for further information on related topics,
their elder care needs.
such as obtaining financial assistance.
The last part provides information on OPM's Work and
The U.S. Office of Personnel Management (OPM) is
Family Program Center and Governmentwide personnel
committed to supporting Federal programs that assist
flexibilities, programs, policies, and leave options to
employees who are caring for children, disabled adults,
help employees balance their work and family demands.
and elderly parents and relatives, as well as providing
For sale by the U.S. Government Printing Office
Superintendent of Documents, Mail Stop: SSOP. Washington, DC 20402-9328
ISBN 0-16-049023-5
6-97
i
TABLE OF CONTENTS
Page
Introduction
i
Part I. CHILD CARE
Section 1: Types of Child Care
1
Child Care Centers
1
Child Care Homes
1
Child Care in Your Own Home
1
Before and After School Care
1
Vacation and Summer Programs
2
Sick Child/Back-Up/Emergency Care
2
Part-day Preschool Programs and Nursery Schools
2
Programs for Children with Special Needs
2
Head Start Program
3
Section 2: Finding Quality Child Care
4
Licensing and Accreditation
4
Licensing
4
Accreditation
4
The National Academy of Early Childhood Programs
4
The National Association for Family Day Care
5
Section 3: Practical Steps to Take in Finding Quality Care
6
Section 4: Monitoring the Quality of Care Selected
6
CHILD CARE APPENDICES
7
Appendix A:
Local Child Care Referral Agencies
8
Appendix B:
Staff/Child Ratios at Child Care Centers
25
Appendix C:
Telephone Interview Questions for Child Care Centers
26
Appendix D:
Telephone Interview Questions for Child Care Homes
28
Appendix E:
On-Site Interview
29
Appendix F:
Federally Sponsored Day Care Centers
32
Appendix G:
Financial Assistance for Low Income Parents
46
Appendix H:
Federal and National Child Care Organizations
50
6-97
iii
Part II.
ELDER CARE
Elder Care Locator
55
Section 1:
Community Resources
56
Adult Day Care Centers
56
Area Agencies on Aging
56
Assistive Devices
56
Case Management
56
Friendly Visitors
56
Home Adaptation
57
Home Chore Services
57
Home Delivered Meals
57
Home Health Care
57
Home Maintenance and Repair Programs
57
Homemaker Services
57
Hospice Care
57
Nutrition Services
57
Personal Emergency Response Systems
58
Respite Care
58
Senior Centers
58
Telephone Reassurance
58
Section 2:
Housing Options
59
Having a Parent Move in With You
59
Foster Care
59
Home Sharing
59
Adding an Accessory Apartment
60
ECHO Housing
60
Board and Care Homes
60
Congregate Housing
61
"Life Care" or Continuing Care Retirement Communities
61
Nursing Homes
62
Ombudsman
62
Nursing Home Telephone Interview
63
People to Talk to
63
Housing and Nursing Home Resources
63
Section 3:
Legal Considerations
65
Getting Your Affairs in Order
65
Personal Records File
65
Financial Records File
65
Legal Definitions
66
Power of Attorney
66
Durable Power of Attorney
66
Guardianships or Conservatorships
66
iv
6-97
Social Security Representative
66
Making a Will
66
Living Wills
66
Legal Aid
67
Section
4:
Financial Considerations
68
Social Security--The General Idea
68
What is Supplemental Security Income?
68
Signing Up
68
When Individuals Need Help Handling Their Benefits
68
Booklets Available
69
Additional Financial Resources
69
Finances for Women
69
Tax Information
69
Tax Assistance
70
Section 5:
Health Insurance
71
Medicare
71
Medicaid
71
QMB
71
Medigap
71
When Individuals Need Help Handling Their Benefits
71
Booklets Available
71
Medigap Resources
72
Section 6: Caregivers
73
ELDER CARE APPENDICES
75
Appendix A:
Area Agencies on Aging (Partial Listing)
76
Appendix B:
State Long-Term Care Ombudsman Offices
93
Appendix C:
Nursing Home Tips and Checklist
97
Appendix D:
Selecting a Home Health Care Agency Checklist
101
Appendix E:
Federal and National Elder Care Organizations
103
Appendix F:
Elder Care Resources
106
6-97
V
Part III. WORK AND FAMILY PROGRAMS
Section 1: OPM's Work and Family Program Center
111
Resources/Programs
111
Work and Family Speakers Bureau
111
Award for Outstanding Work and Family Programs
111
Interagency Adult Dependent Care Working Group
112
Child Support Enforcement Activities
112
Work and Family Clearinghouse
112
Workshops
112
Balancing Work and Family Lives
112
Working-at-Home or at an Alternative Work-site
112
Publications
112
A Study of the Work and Family Needs of the Federal Workforce
112
The Work and Family Kit
112
The Handbook of Child and Elder Care Resources
112
Report to The President: Balancing Work and Family Demands: The Federal Response
112
Balancing Work and Family Demands Through Telecommuting
113
Balancing Work and Family Demands Through Part-time Employment and Job Sharing 113
Work and Family Personnel Flexibilities Fact Sheets
113
How to Do a Fair
113
Personnel Research Bibliography on Workplace Practices and Programs
113
Section 2:
Personnel Flexibilities
114
Flexible and Compressed Work Schedules
114
Family-Friendly Leave Policies
114
Family and Medical Leave
114
Leave for Bone-Marrow or Organ Donation
115
Leave Sharing
115
Part-time Employment and Job Sharing
115
Telecommuting
115
Employee Assistance Programs
115
vi
6-97
Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a tabbed divider. Given our
digitization capabilities, we are sometimes unable to adequately
scan such dividers. The title from the original document is
indicated below.
Part I. Child Care
Divider Title:
=
Part I.
CHILD CARE
Choosing child care arrangements is a very personal
child care appendices for licensing and accreditation,
decision for parents. It is one of the most important
and a listing of State and local agencies that can help
decisions a parent can make since the care children
you locate child care centers in your area.)
receive influences their future development. This
section of the handbook describes the types of child
Child Care Homes
care available in most communities, how to find high
quality child care, and provides you with resources to
A child care home provides care for a small group of
use in your search for high quality care. It lists
children in the caregiver's home. These homes are
resource and/or referral services around the country
registered or licensed in most States. More and more
that can provide you with information about available
homes are becoming accredited by the National
child care. It describes Federal and national
Association for Family Day Care (NAFDC). (See the
organizations that can help you learn about quality
child care appendices for licensing and accreditation,
child care, and provides a bibliography related to
and a listing of State and local agencies that can help
finding quality child care. Finally, it gives information
you locate child care homes in your area.)
about a program that assists low-income parents in
obtaining child care.
Child Care In Your Own Home
This type of care takes place in your own home. The
Section 1:
caregiver may be a babysitter, a professional "nanny"
trained to care for young children, a student "au pair"
Types of Child Care
who lives in your home, or another caregiver who has
some experience with young children. Parents need to
check references carefully. When using in-home care,
There are three basic types of child care: child care
you become an employer, which requires special
centers, child care homes, and child care in your own
considerations. As an employer, you are responsible
home. This section describes these basic types and
for Federal Unemployment Insurance and Social
also outlines some additional child care programs that
Security taxes. In many States you must provide
may be available in your community: before and after
Workers' Compensation and State Unemployment
school care; vacation and summer programs; sick
Insurance.
child/back-up/emergency care; part-day preschool
programs and nursery schools; programs for children
with special needs; and the Head Start Program.
Before and After School Care
There are various options for before and after school
Child Care Centers
care. Programs in your community may be operated
by child care centers, recreation centers, churches, and
A child care center provides care for groups of
youth organizations, such as Young Men's Christian
children by a staff of caregivers. The staff have some
Association (YMCA), Young Women's Christian
type of early childhood education training. Centers
Association (YWCA), Boys Clubs of America, Girls
are generally licensed by the State and more centers
Inc., and Camp Fire, Inc. In many communities,
are earning accreditation through the National
schools provide after school care, sometimes called
Association for the Education of Young Children
"extended day care" programs. If your school does not
(NAEYC). Centers are either privately operated for
currently provide such a program, your school's
profit by a chain or individual, or operated by non-
principal or Parent Teachers Association (PTA) may
profit agencies, such as churches, public schools,
be aware of parents' associations that are working in
government agencies, or non-profit vendors. (See the
Types of Child Care
6-97
1
your community to get such programs started or to
Part-day Preschool Programs and
find other affordable quality options for school-age
care. The resource and referral agencies listed in child
Nursery Schools
care appendices will assist you in finding before and
Part-day preschool programs and nursery schools are
after school care. In addition, the School-Age Child
group child care programs which operate less than a
Care Project of the Wellesley College Center for
full day. These programs are located in a variety of
Research on Women and Project Home Safe located
settings, including churches, public schools, and child
in Appendix H can provide you with booklets and
care centers. State licensing regulations may be
other information on finding quality school-age care
different for programs operating less than a full-day
for your child.
schedule. This type of care, generally for children two
and a half to five years of age, provides an opportunity
for interaction with other children of similar ages.
Vacation and Summer
These programs usually follow the same academic
Programs
year and holiday schedules as the public schools.
Vacation and summer programs are usually for
school-age children, although in some areas they are
also available for preschool children. These programs
Programs for Children with Special
provide a variety of activities such as arts and crafts,
Needs
swimming, drama, and organized sports. Vacation or
Finding quality child care for children with disabilities
summer programs are often operated by the local
can be especially challenging for parents. However,
parks and recreation departments, community
information and assistance is available from national
organizations, and child care centers.
and community organizations and parent groups to
make the search easier. One of the organizations that
Sick Child/Back-Up/Emergency Care
can help parents of special needs children find child
care is the National Information Center for Children
All children get sick from time to time. Most child
care centers have policies about sick children and very
and Youth with Disabilities (NICHCY). It can send
few allow children with contagious diseases to attend.
you free of charge two very useful publications, A
Some day care centers set aside space to care for
Parent's Guide: Accessing Programs for Infants,
mildly ill children. These centers usually have a nurse
Toddlers, and Preschoolers with Disabilities and A
on staff or on call. The need for such sick child day
Parent's Guide: Accessing Parent Groups. NICHCY
care centers has produced many centers opened
can also send you a State Resource Sheet that lists the
around the country. To find out if there is a center in
addresses and phone numbers of the agencies and
your area, contact the National Association of Sick
organizations in your State that can assist parents of
Child Day Care Centers, 804-747-0100.
children with disabilities, and a National Resource
Sheet that lists addresses and phone numbers of the
Caregivers also can get sick. Child care centers
national disabilities organizations and clearinghouses.
generally make arrangements for substitutes when a
NICHCY's toll-free phone number is 1-800-695-0285.
caregiver is ill; however, if you choose a child care
home, you will need to ask if the caregiver has plans
It is also important to note that regardless of your
for someone to care for your child when the caregiver
child's specific disability, you may always call the
is sick. It is a good idea to plan for back-up care.
local office of any of the national disabilities
When looking for back-up care, you may want to
organizations, such as United Cerebral Palsy
consider child care centers and homes, neighbors,
Association, National Down Syndrome Society,
close friends, or local college students. Discuss your
Muscular Dystrophy Association, Spina Bifida
needs for back-up care with potential providers
Association of America, and March of Dimes Birth
Defects Foundation.
beforehand to be sure they will be available when you
need them. It is a good idea to complete the necessary
documents and decide on any fees before you need the
back-up care.
2
6-97
Types of Child Care
The staff of these and other disability organizations
generally know about the services provided in their
communities and can usually help parents even if their
child has a disability different from the one that is the
focus of the organization.
The Americans with Disabilities Act (ADA) covers
child care centers and family day care homes.
Information about the requirements of the ADA, as
well as informal guidance in understanding and
complying with the ADA, can be obtained by
contacting the U.S. Department of Justice, Public
Access Section of the Civil Rights Division, P.O. Box
66738, Washington, DC 20035-6738, 202-514-0301.
Head Start Program
Head Start is a nationwide Federally-funded early
childhood program for low-income preschool children,
primarily ages three to five. It is designed to provide
comprehensive services in preparation for public
school. Services include cognitive and language
development, medical, dental, mental health,
nutritional, and social services. The program places
particular emphasis on parental involvement. For
information about specific eligibility requirements,
contact your local department of social services.
Types of Child Care
6-97
3
Section 2:
information about the specific regulations in your
State. A summary of your State's child care
Finding Quality Child
regulations can also be obtained from The Children's
Foundation, (202) 347-3300
Care
Registration is a variation of licensing used by some
Matching the needs of your child and your own needs
States for child care homes. Registration relies more
with the child care available is a time-consuming
heavily on parents as monitors than does traditional
process. It often takes extra time and effort to find
licensing. Inspections are not usually required prior to
high quality care. This section can help you to find
registration, and States vary considerably in the
high quality care by explaining the role of licensing
degree to which registered homes are monitored.
and accreditation, and describing steps a parent can
take in evaluating child care centers or homes prior to
Accreditation
selecting one. It suggests questions to ask when you
Two organizations accredit child care-one accredits
phone ahead to child care centers or homes, offers
early childhood programs and the other accredits child
ideas of what to look for when visiting child care
care homes. The National Academy of Early
centers or homes, and describes how to monitor the
Childhood Programs (a division of the National
quality of care your child receives while in the center
Association for the Education of Young Children
or home you have selected. Especially useful is a
(NAEYC), accredits early childhood programs, child
checklist that can be copied and brought along on the
care centers, pre-schools, kindergartens, and before
initial visit to the centers or homes. The checklists can
and after school programs. The National Association
then be used in evaluating your choices after visits to
for Family Day Care (NAFDC) accredits child care
several centers or homes.
homes. A discussion of each of these organizations
follows.
Licensing and Accreditation
One means of determining a child care provider's
The National Academy of Early
commitment to quality is whether the provider is
Childhood Programs
licensed and accredited (or working toward
The National Academy of Early Childhood Programs
accreditation). Licensing indicates that minimum
(a division of the National Association for the
standards have been met, whereas accreditation means
Education of Young Children (NAEYC), accredits
that the child care provider has gone beyond the
child care centers that offer high quality services. The
minimum standards and is voluntarily striving to
accreditation process examines the total child care
achieve high quality care.
program; however, emphasis is placed on the quality
of interactions among staff and children and the
Licensing
developmental appropriateness of the curriculum--
Most States regulate child care centers by licensing;
what really happens to the children. Health and
some States also license child care homes. Licensing
safety, staffing, staff qualifications, communication
includes an on-site visit to assure that basic minimum
with families, physical environment, administration,
requirements (for health, safety, and child/staff ratios)
and nutrition and food service are all reviewed during
have been met and periodic inspections to monitor
accreditation, but primary consideration is given to the
continued compliance. This may include inspections
nature of the child's experience. Programs must be
by the local health department, the fire department,
operational for at least one year before accreditation
and the licensing agency. Keep in mind, however,
may be granted. More than 1,000 programs have
that States vary considerably as to the minimum
achieved accreditation and an additional 3,000
standards allowed. Also, certain categories of child
programs are in the process of becoming accredited.
care centers, such as church-sponsored centers and
Write NAEYC, 1834 Connecticut Avenue, NW.,
centers in public schools, are legally exempt from
Washington, DC 20009 for a list of accredited
licensing in some States. Most of the State licensing
programs.
offices listed in Appendix A can provide you with
4
6-97
Finding Quality Child Care
The National Association for Family
Day Care (NAFDC)
NAFDC accredits family day care homes that offer
high quality child care services. Accreditation is
granted to those home care providers who not only
meet the child care standards defined by State
licensing and registration agencies, but also have
demonstrated a commitment to reach beyond these
minimum requirements to achieve standards of
excellence. The dimensions of child care assessed by
NAFDC are safety, health, nutrition, interaction
between children and care provider, learning
environment, outdoor environment, and professional
responsibility. Write NAFDC, 1331-A Pennsylvania
Avenue, NW., #348, Washington, DC 20004 for a list
of accredited homes in your State. Include a self-
addressed stamped envelope.
Keep in mind that the accreditation process of the
National Association for the Education of Young
Children (NAEYC) process began operation in
September 1985 and the NAFDC began in June 1988.
Therefore, you may wish to ask if and when the child
care center/home is accredited.
Finding Quality Child Care
6-97
5
Section 3:
Section 4:
Practical Steps to
Monitoring the Quality
Take in Finding
of Care Selected
Quality Care
Once you select a child care center or home, you will
need to monitor the quality of care your child receives.
The first step in finding quality care is to identify
This can be accomplished when you:
several child care providers in your area. The agencies
listed in Appendix A of the Child Care Part can help
Involve yourself in your child's program and
you to identify your options. Once you have obtained
parent activities.
a list of several centers or homes, you may want to
phone them, using the suggested "telephone interview
Observe your child in the child care setting and
questions" found in Appendix B and Appendix D, to
discuss any problems as soon as they appear.
screen out those you are not interested in, and to begin
evaluating those you would like to consider further.
Ask your child what he or she does and how he or
You will then want to visit several centers and/or
she feels about the child care center and/or home.
homes to decide which is the best situation for your
Listen carefully to the responses. Follow up and
child. Consider the following topics below when
ask questions when you have concerns.
making a decision or following up. Consult the
appendix for additional information on each topic.
Drop in frequently to observe the number of
children and caregivers present, whether there is
TELEPHONE INTERVIEW
supervision at all times, the conditions of the
facility, and the daily activities.
ON-SITE INTERVIEW
Communicate with other parents in the program.
LOCAL CHILD CARE AGENCY
REFERRALS
6
6-97
Practical Steps to Take to Find and Monitor Quality Care
Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a tabbed divider. Given our
digitization capabilities, we are sometimes unable to adequately
scan such dividers. The title from the original document is
indicated below.
Child Care Appendices
Divider Title:
CHILD CARE APPENDICES
A. Local Child Care Referral Agencies
B. Staff/Child Ratios at Child Care Centers
C. Telephone Interview Questions for Child Care Centers
D. Telephone Interview Questions for Child Care Homes
E. On-Site Interview
F. Federally Sponsored Day Care Centers
G. Financial Assistance for Low Income Parents
H. Federal and National Child Care Organizations
Child Care Appendices
6-97
7
Appendix A:
Local Child Care Referral Agencies
Many communities around the country have free or
home providers in the caller's area. Other
low cost services which can help you locate quality
organizations do a computer search to match the
child care centers or child care home providers. The
specific needs of the caller with child care providers
listings in this section identify agencies and
who seem most able to meet those needs. (Keep in
organizations that can provide you with information
mind, however, that resource and referral agencies do
about child care providers in your area.
not recommend child care centers or homes.) Some
organizations are equipped to provide information
The listings do not include every child care referral
about vacancies and waiting lists. Some provide
service in each State. We have listed only a sampling
written materials that can help parents in choosing
of child care referral services in those metropolitan
quality care for their children.
areas with more than 1,000 Federal employees. If you
live in an area that is not listed, please note the Child
All of the organizations listed provide lists of licensed
Care Aware information below. You also can call the
child care centers or home providers free of charge
office at the State level (listed at the beginning of most
unless otherwise noted. They are listed alphabetically
of the State listings) or the child care referral service
by State, with the State office (where there is such an
nearest to your home or workplace for a referral to the
office) listed first, followed by the other organizations.
appropriate child care organization.
This is not intended to be a complete listing of all child
care referral agencies in each area, and inclusion in
The services offered by the organizations listed vary
this listing does not constitute an endorsement by the
considerably. Some of the organizations provide only
U.S. Office of Personnel Management.
a list of licensed child care centers and/or child care
Child Care Aware
Call Child Care Aware if you need to locate the child resource
and referral agency in your area.
1-800-424-2246
Monday - Friday
8:00 a.m. - 5:00 p.m.
Central Standard Time
Ask for a free brochure and checklist to help
8
6-97
Appendix A
ALABAMA
Tuscaloosa County Department of Human Resources
P.O. Box 70100
Department of Human Resources
3716 12th Avenue, E.
Office of Day Care
Tuscaloosa, AL 35407-0100
50 Ripley Street
(205) 554-1100
Montgomery, AL 36130-1801
(334) 242-1425
ALASKA
Calhoun County Department of Human Resources
Family and Youth Services
P.O. Box 1869
Anchorage Service Unit-Licensing Unit
1200 Noble Street
550 West 8th Avenue
Anniston, AL 36202-1869
Suite 201
(205) 231-8100
Anchorage, AK 99501
(907) 276-1450
Jefferson County Department of Human Resources
P.O. Box 11926
Child Care Connection
Birmingham, AL 35202-1926
201 Barrow Street
(205) 918-5100
Suite 103
Anchorage, AK 99501-2429
Houston County Department of Human Resources
(907) 278-2273
P.O. Box 2027
(Provides referral services for a sliding scale fee of
1605 Ross Clark Cr., SE.
$5 to $50 based on income.)
Dothan, AL 36302-2027
(205) 677-0400
Municipality of Anchorage Health and Human
Services
Lauderdale County Department of Human Resources
P.O. Box 196650
P.O. Box 460
Anchorage, AK 99519-6650
424 Veterans Dr.
(907) 343-6730
Florence, AL 35631-0460
(334) 764-4041
ARIZONA
Child Care Management
Arizona Department of Health Services
P.O. Box 18396
Office of Child Day Care Licensing
Huntsville, AL 35804
1647 E. Morten, Suite 230
(205) 533-5835
Phoenix, AZ 85020
(602) 255-1272
Gulf Regional Child Care Management Agency
601 Bel Air Boulevard
Child Care Resource and Referral
Mobile, AL 36606
1422 North 44th Street
(205) 450-2122
Suite 209
Phoenix, AZ 85008
Family Guidance Center
(602) 244-2678
1230 Perry Hill Road
Toll Free 1-800-932-7490 (In State)
Montgomery, AL 36109
(334) 244-0774
Tucson Association for Child Care, Inc.
1030 N. Alvernon Way
Child Care Resource Center
Tucson, AZ 85711
3766 Pepperell Parkway
(602) 881-8940
Opelika, AL 36801
(334) 749-8400
Appendix A
6-97
9
ARKANSAS
Early Childhood Services Shasta County
Office of Education
Arkansas Child Care Resource Center
3200 Adams Lane
101 E. Capitol, Suite 106
Redding, CA 96002
Little Rock, AR 72201
(916) 224-3200
(501) 682-4892
Toll Free 1-800-445-3316 (In State)
Child Action, Inc.
8795 Folsom Boulevard, Suite 101
CALIFORNIA
Sacramento, CA 95826
(916) 387-0510
Community Connection for Child Care
1921 19th Street
Mexican American Opportunity Foundation
Bakersfield, CA 93301
622 Alisal St. #5
(805) 861-5200
Salinas, CA 93905
(408) 757-0775
Central Valley Children's Services Network
Toll Free 1-800-339-9306
4962 East University Avenue, #101
Fresno, CA 93727
San Bernardino County Superintendent of Schools
(209) 456-8195
Child Development Services
601 North E Street
Child and Family Services
San Bernardino, CA 92410-3093
155 N Occidental Blvd.
(909) 387-3116
Los Angeles, CA 90026
(213) 427-2700
YMCA Child Care Resource Service
8787 Complex Dr., #400
Crystal Stairs, Inc.
San Diego, CA 92123-1401
5105 West Goldleaf Circle
Toll Free 1-800-481-2151
Los Angeles, CA 90056
(213) 299-0199
California Child Care Resource and Referral
Network
Community Resources for Children
111 New Montgomery Street, 7th Floor
1732 Jefferson St. #10
San Francisco, CA 94105
Napa, CA 94559
(415) 882-0234
(707) 253-0366
Children's Council of San Francisco
Bananas
One 2nd Street, 4th Floor
5232 Claremont Avenue
San Francisco, CA 94105-3407
Oakland, CA 94618
(415) 243-0700 or
(510) 658-0381
(415) 243-0111
Child Development Resource and Referral Center
Wu Yee Children Service
2500 Vineyard Ave., Suite 200
777 Stockton Street, Suite 202
Oxnard, CA 93030
San Francisco, CA 94108
(805) 485-7878
(415) 391-8993
(805) 487-4931
10
6-97
Appendix A
4-C Council of Santa Clara County
The Work and Family Resource Center
798 North First Street
1391 North Speer, Suite 400
San Jose, CA 95112
Denver, CO 80204
(408) 998-4900
(303) 534-2625
Marin Child Care Council
The Women's Center
555 N. Gate Dr.
424 Pine Street, #102
San Rafael, CA 94903
Ft. Collins, CO 80524
(415) 479-2273
(303) 484-1902
Children's Home Society
The Women's Center of Larimer County
1950 East 17th Street, Suite 150
565 North Cleveland
Santa Ana, CA 92701
Loveland, CO 80537
(714) 543-2273
(303) 663-2288
Children's Resource and Referral Program
CONNECTICUT
1124 Castillo Street
Santa Barbara, CA 93101-8988
Child Care Infoline
(805) 962-8988
United Way of Connecticut
1344 Silas Dene
Children's Resource and Referral Program
Rocky Hill, CT 06067
518 E. Main St.
(203) 522-4636
Santa Maria, CA 93454
(805) 925-1989
North Central Child Care Infoline for:
4C's of Sonoma County
Andover/Stafford
396 Tesconi Ct.
(203) 872-2626
Santa Rosa, CA 95401
Toll Free 1-800-203-1234
(707) 544-3084
Bristol
Family Resource and Referral Center
(203) 584-2244
509 West Weber Ave., Suite 104
Toll Free 1-800-505-1000
Stockton, CA 95203
(209) 948-1553
Hartford
Toll Free 1-800-526-1555
(203) 522-4636
Children's Home Society of California
New Britain
670 Joy Way
(203) 225-4233
Yuba City, CA 95993
(916) 673-7503
East Child Care Infoline for:
Toll Free 1-800-552-0400
74 West Main St.
COLORADO
Norwich, CT 06360
Toll Free 1-800-505-1000
City of Boulder Children's Services
P.O. Box 791
Danielson
Boulder, CO 80306
(203) 774-7257
(303) 441-3180
Middletown
(203) 346-6691
Appendix A
6-97
11
Norwich/New London
New Haven
(203) 886-0516
(203) 867-4150
Old Saybrook
Southwest Child Care Infoline for:
(203) 388-9941
83 East Ave., Suite 107
Putnam
Norwalk, CT 06851
(203) 928-6577
Toll Free 1-800-203-1234
Willimantic
Bridgeport
(203) 456-8886
(203) 333-7555
Northwest Child Care Infoline for:
Norwalk
(203) 853-2525
1525 Hamilton Ave.
Waterbury, CT 06706
Stamford
Toll Free 1-800-505-1000
(203) 324-1010
Danbury
DELAWARE
(203) 778-4636
Child Care Connection
New Milford
3511 Silverside Road
(203) 355-0023
Wilson Building, Suite 100
Wilmington, DE 19810
North Canaan
(302) 479-1660
(203) 824-5371
DISTRICT OF COLUMBIA
Torrington
(203) 482-9471
Department of Consumer and Regulatory Affairs
614 H Street, NW., Room 1035
Waterbury
Washington, DC 20001
(203) 759-2000
(202) 727-7226
South Central Child Care Infoline for:
FLORIDA
419 Wahalley Ave.
Florida Child Care Resource and Referral Network
New Haven, CT 06511
1282 Paul Russell Road
Toll Free 1-800-203-1234
Tallahassee, FL 32301
Toll Free 1-800-423-6786 (In State)
Ansonia
(203) 734-2573
GEORGIA
Gilford
Georgia Department of Human Resources
(203) 867-4150
Department of Regulatory Services
Child Care Licensing Section
Madison
No. 2 Peachtree Street, NW., 20th Floor
(203) 867-4150
Atlanta, GA 30303-3167
(404) 657-5562
Meriden
(203) 235-7974
12
6-97
Appendix A
Community Connection
Illinois Central College
850 College Station Road
The Child Care Connection
Athens, GA 30610
220-D 1 College Drive
(706) 353-1313
East Peoria, IL 61635
(309) 694-5197
Child Care Solution Resource and Referral Service
Toll Free 1-800-421-4371
1447 Peach Tree Street, NE., Suite 700
(Provides referral services for a sliding scale fee
Atlanta, GA 30309
depending on income.)
(404) 885-1585
(Provides referral services for a sliding scale fee of
YWCA Child Care Resource and Referral Services
$10 to $50 depending on income.)
739 Roosevelt Road
Building 8, Suite 210
HAWAII
Glen Ellyn, IL 60137
(708) 790-8137
People Attentive to Children (Patch)
(Provides referral services for a sliding scale fee
2850 Paa Street, Suite 130
depending on income.)
Honolulu, HI 96819
(808) 839-1988
YWCA of Rockford
YWCA Child Care Resource and Referral
IDAHO
220 S. Madison St.
Rockford, IL 61104
Department of Health and Welfare
(815) 966-9791
Family and Community Services
Toll Free 1-800-872-9780
P.O. Box 83720
(Provides referral services for a sliding scale fee
3rd Floor
depending on income.)
Boise, ID 83720
(208) 334-5700
Community Child Care Connection
1004 N. Milton St.
Child Care Connections
Springfield, IL 62702
950 N. Cole Road
(217) 525-2805
Boise, ID 83704
Toll Free 1-800-676-2805
(208) 322-4453
(Provides referral services for a sliding scale fee
(Provides referral services for a sliding scale fee
depending on income and family size.)
depending on income.)
Child Care Resource Service
ILLINOIS
University of Illinois
274 Bevier Hall
Illinois Department of Children
905 S. Goodwin St.
and Family Services
Urbana, IL 61801
100 W. Randolph, Suite 6-100
(217) 333-3252
Chicago, IL 60601
Toll Free 1-800-325-5516
(312) 814-5524
(Provides referral services for a sliding scale fee
depending on income.)
Cook County Child Care
Resource and Referral Service
4753 N. Broadway, Suite 1200
Chicago, IL 60640
(312) 769-8000
(Provides referral services for a sliding scale fee
depending on income.)
Appendix A
6-97
13
YWCA of NE Illinois and McHenry Counties - Child
Child Care Resources Center
Care Resource and Referral Service
P.O. Box 789
2133 Belvedere Road
Cedar Rapids, IA 52406
Waukegan, IL 60085
(319) 366-7632
(708) 662-8670
Toll Free 1-800-332-5289
Toll Free 1-800-244-5376
(Provides referral services for a sliding scale fee
Community Child Care Resource and Referral
depending on income.)
Services
2804 Eastern Avenue
INDIANA
Davenport, LA 52803
(319) 324-1302
Family & Social Services Administration
Toll Free 1-800-369-3778
Division of Family and Children
(Provides referral services for a sliding scale fee of
402 W. Washington Street, Room W-364
$0 to $30 depending on income.)
Indianapolis, IN 46204
(317) 232-4469
Polk County Child Care Resource Center
(Provides a listing of child care providers for a
City View Plaza, Suite H
charge of 15 cents per page.)
1200 University
Des Moines, IA 50314
Child Care of Allen County
(515) 286-3536
2000 Wells Street
Ft. Wayne, IN 46808
4-C's
(219) 423-1498
202 S. Linn Street
P.O. Box 2876
Child Care Resource and Referral Program YWCA
Iowa City, IA 52244
4460 Guion Road
(319) 338-7684
Indianapolis, IN 46254
(Provides referral services for a sliding scale fee of
(317) 299-2273
$0 to $12.50 depending on income.)
4 C's (Community Coordinated Child Care)
KANSAS
425 N. Michigan Street, Suite 208
South Bend, IN 46601
ERC/Resource and Referral
(219) 289-7815
1002 S.W. Garfield, Suite 109
Toll Free 1-800-524-4533
Topeka, KS 66604
(913) 357-5171
4-C's for the Wabash Valley
633 Cherry St.
Child Care Association of Wichita/Sedgwich
Terre Haute, IN 47807-3121
Counties
(812) 232-3952
1069 Parklane Office Park
(Provides referral services for a $15 fee.)
Wichita, KS 67218
(316) 682-1853
IOWA
KENTUCKY
Iowa Commission on Children, Youth, and Families
Department of Human Services
Division of Licensing and Regulation
5th Floor, Hoover Building
275 E. Main Street
Des Moines, LA 50319
CHR Building, 4th Floor
(515) 281-3974
Frankfort, KY 40621
(502) 564-2800
14
6-97
Appendix A
Child Care Council of Kentucky
The Child Care Connection
880 Sparta Court, Suite 100
P.O. Box 10480
Lexington, KY 40504
Portland, ME 04104
(606) 254-9176
(207) 871-7449
(Monday, Wednesday, Friday 10 am - 3 pm)
Community Coordinated Child Care
1215 S. 3rd Street
MARYLAND
Louisville, KY 40203
(502) 636-1358
LOCATE Child Care
Maryland Committee for Children
LOUISIANA
608 Water Street
Baltimore, MD 21202
Department of Social Services
(410) 625-1111
License Bureau
(Provides referral services for a $5 fee.)
P.O. Box 3078
Baton Rouge, LA 70821
Prince George's Child Care
(504) 922-0015
Resource Center
(Provides referral listing for 25 cents a page.)
9475 Loftsford Road, Suite 202
Landover, MD 20785
Child Care Information, Inc.
(301) 772-8400
P.O. Box 45212, Department 223
Baton Rouge, LA 70895
Child Care Connections
(504) 293-8523
332 W. Edmonston Dr.
Toll Free 1-800-762-7929
Rockville, MD 20852
(301) 279-1773
Agenda For Children
(Provides referral services for a $15 fee.)
P.O. Box 51837
New Orleans, LA 70151
MASSACHUSETTS
(504) 586-8509
State Office for Children
Child Care Services of NW Louisiana, Inc.
One Ashburton Place, 11th Floor
209 Milan, Suite C
Boston, MA 02108
Shreveport, LA 71101-7228
(617) 727-8900
(318) 227-1812
Child Care Circuit
MAINE
190 Hampshire Street
Lawrence, MA 01840
Department of Human Services
(508) 686-4288
Child and Family Services
State House Station 11
Child Care Connection
Augusta, ME 04333
Family Services of Central Massachusetts
100 Grove Street
Penquis Child Care Services
Suite 102
120 Cleveland Street
Worchester, MA 01605
Bangor, ME 04401
(508) 757-3880
(207) 941-2843
(Provides referral services for a nominal fee.)
(Provides referral services for a $5 fee.)
Appendix A
6-97
15
MICHIGAN
MINNESOTA
Department of Social Services
Greater Minneapolis Day Care Association
Child Day Care Licensing Unit
Child Care Resource and Referral Inc.
Grand Tower Suite 1212
1628 Elliot Avenue S.
P.O. Box 30037
Minneapolis, MN 55404
Lansing, MI 48909
(612) 341-2066
(517) 373-8300
(Provides referral services for a sliding scale fee of
$0 to $35 depending on income.)
Child Care Network
1100 N. Main Street, Suite 201
Child Care Choices
Ann Arbor, MI 48104
30 South 6th Avenue
(313) 761-6040
St. Cloud, MN 56301
(612) 251-5081
The Child Care Coordinating Council of
Toll Free 1-800-288-8549
Detroit/Wayne Co. Inc.
(Provides referral services for a sliding scale fee of
2751 East Jefferson, Suite 420
$0 to $35 depending on income.)
Detroit, MI 48207
(313) 259-4411
Division of Licensing
Department of Human Services
Michigan 4-C Association
444 Lafayette Road N.
2875 Northwind Drive
St. Paul, MN 55155-3842
Suite 200
(612) 296-3971
East Lansing, MI 48823
(517) 351-4171
Resources for Child Care, Inc.
450 N. Syndicate, Suite 5
Greater Flint/Thumb Area 4-C Association
St. Paul, MN 55104
310 E 3rd Street - 5th Floor
(612) 641-0332
Flint, MI 48502
(Provides referral services for a sliding scale fee of
(810) 232-0145
$0 to $45 depending on income and family size.)
Kent County Coordinated Child Care
MISSISSIPPI
233 E. Fulton Street, Suite 107
Grand Rapids, MI 49503
State Department of Health
(616) 451-8281
Child Care Facilities Licensing
(Provides enhanced referral for $25.)
P.O. Box 1700
Jackson, MS 39215-1700
Child Care Resource and Referral of Kalamazoo
(601) 960-7613
268 B. Kilgore
Toll Free 1-800-737-7613 (In State)
Kalamazoo, MI 49001
(616) 349-3296
MISSOURI
(One mailing is provided free of charge.)
Boone County Division of Family Services
Office for Young Children
601 Business 70 West #217
P.O. Box 30161
Columbia, MO 65203
Lansing, MI 48909
(314) 882-9180
(517) 887-6996
16
6-97
Appendix A
Department of Health
NEBRASKA
Child Care Unit
Central District Health Office
Nebraska Department of Social Services
P.O. Box 570
301 Centennial Mall South
1001-A Southwest Blvd.
P.O. Box 95026
Jefferson City, MO 65102-0570
Lincoln, NE 68509-5026
(314) 751-2891
(402) 471-3121
YWCA of Kansas City, Missouri
Lincoln/Lancaster County Health Department
1000 Charlotte Street
Child Care Connection
Kansas City, MO 64106
3140 N. St.
(816) 842-7538
Lincoln, NE 68510
(402) 441-8026
Child Day Care Association
2031 Olive Street
Department of Social Services
St. Louis, MO 63103
1215 South 42nd Street
(314) 241-3161
Omaha, NE 68105
(Provides referral services for $25.)
(402) 595-3452
Dept. Of Health Bureau
NEVADA
Child Care
111 North 7th Street
Child Care Licensing Bureau
St. Louis, MO 63101
711 E. 5th Street
(314) 340-7210
Carson City, NV 89710
(702) 687-5911
Council of Churches Resource
and Referral Service
Privilege License Division
615 N. Glenstone
400 East Stewart Avenue
Springfield, MO 65802-3947
P.O. Box 1900
(417) 865-8497
Las Vegas, NV 89101
(702) 229-6281
Bureau of Child Care Safety
and Licensure
Clark County Social Services
P.O. Box 777
1600 Pinto Lane
1414 W. Elsinbale
Las Vegas, NV 89106
Springfield, MO 65801-0777
(702) 455-3894
(417) 895-6541
Washoe County Social Services
MONTANA
P.O. Box 11130
Reno, NV 89520-0027
Montana Department of Family Services
(702) 328-2300
P.O. Box 8005
48 N. Last Chance Gulch
NEW HAMPSHIRE
Helena, MT 59604
(406) 444-5900
New Hampshire Bureau of Child Care Licensing
6 Hazen Drive
Concord, NH 03301
(603) 271-4624
Appendix A
6-97
17
Family Works Child Services of New Hampshire
Urban League
99 Hanover Street, Box 448
779 Bergen Ave.
Manchester, NH 03105
Jersey City, NJ 07306
(603) 668-1920
(201) 420-6360
($15 charge for a referral.)
Ocean County
Family Works
CHS Child Care
500 Amherst Street
761 River Ave., Suite-B
Nashua, NH 03063
Lakewood, NJ 08701
(603) 889-7189
(908) 905-6363
($15 charge for a referral.)
Essex County
NEW JERSEY
15 South Monn Ave., 3rd Fl.
East Orange, NJ 07018
Tri-County Child Services
(201) 266-5100
10 Washington Street
Bridgeton, NJ 08302
City of Newark
(609) 451-8100
Office of Children
110 William Street
Somerset County
Newark, NJ 07102
The Child Care Connection, Inc.
(201) 242-8369
PeopleCare Building
(201) 733-7976
120 Finderne Avenue, Suite 105
Bridgewater, NJ 08807
Sussex County
(908) 725-4428
NORWESCAP, Inc.
100 Sparta Ave.
Burlington County Community Action Program
Newton, NJ 07860
718 S. Route 130
(201) 383-3461
Burlington, NJ 08016
(609) 267-7674
Atlantic County Women's Center
P.O. Box 311
Camden County Division for Children
Northfield, NJ 08225
1300 Admiral Wilson Boulevard
(609) 646-1180
Camden, NJ 08109
(609) 968-4260
North Jersey 4C's
22 Mill Street, Suite 2200
United Way of Monmouth County
Patterson, NJ 07501
1415 Wycoff Road
(201) 684-1904
Farmingdale, NJ 07727
(908) 938-2250
Warren County
Catholic Charities Child Care Channels
Bergen County Department of Human Services
700 Sayre Avenue
Office for Children
Phillipsburg, NJ 08865
Administration Bldg.
(908) 454-2074
Court Plaza South, Rm. 114 W.
21 Main Street
Morris County
Hackensack, NJ 07601
Children's Services of Morris County, Inc.
(201) 646-3694
855 State Route 10, Suite 114
Randolph, NJ 07869
(201) 927-6060
18
6-97
Appendix A
EIRC/SRCCRC
NEW YORK
606 Delsea Drive
Sewell, NJ 08080
New York State Child Care Coordinating Council
(609) 582-8282
130 Ontario St.
Albany, NY 12206
The Child Care Connection, Inc.
(518) 463-8663
2425 Pennington Road
Trenton, NJ 08638
Child Development Support Corporation
(609) 737-3945
1213 Fulton Street
Brooklyn, NY 11216
Programs for Parents, Inc.
(718) 398-6738
56 Grove Avenue
Verona, NJ 07044
Child Care Coalition of the Niagara Frontier
(201) 857-5171
1160 Main Street
Buffalo, NY 14209
NEW MEXICO
(716) 885-8505
Child Care Licensing Bureau
Child Care Council of Suffolk
Children, Youth, and Family Department
60 Calvert Avenue
P.O. Drawer 5160
Commack, NY 11725-3228
Santa Fe, NM 87502-0516
(516) 462-0303
(505) 827-7684
Day Care Council of Nassau County
CARINO Child Care Resource and
54 Washington Street
Referral of the YWCA
Hempstead, NY 11550
7201 Paseo del Norte, NE
(516) 358-9250
Albuquerque, NM 87113
(505) 822-9922
Capitol District Child Care
Coordinating Council, Inc.
Las Cruces Child Care Resources and Referral
91 Broadway
New Mexico State University
Menands, NY 12204
30001 Box 3 CUR
(518) 426-7181
Las Cruces, NM 88003-0001
(505) 646-1165
Child Care, Inc.
275 Seventh Avenue, 15th Floor
Roswell Child Care Resource and Referral
New York, NY 10001
P.O. Box 3038
(212) 929-4999
Roswell, NM 88202-3038
(505) 622-9000
Chinese-American Planning Council
480 Broadway, 2nd Floor
Child Care Resource and Referral Project
New York, NY 10013
Santa Fe Community College
(212) 941-0030/0038
P.O. Box 4187
Sante Fe, NM 87502-4187
Day Care Council of New York, Inc.
(505) 471-8200
10 E. 34th Street, 6th Floor
New York, NY 10016
(212) 213-2423
Appendix A
6-97
19
Mid-York Child Care Coordinating Council
Child Care Resource and Referral of
c/o Cornell Cooperative Extension
Wake County, Inc.
Oneida County
3901 Barrett Dr., Suite 104
121 2nd Street
Raleigh, NC 27609
Oriskany, NY 13424
(919) 571-1420
(315) 736-3394
Division of Child Development
Dutchess County Child
P.O. Box 29553
Development Council, Inc.
Raleigh, NC 27626-0553
70 Ocerocker Rd.
(919) 662-4499
Poughkeepsie, NY 12603
(914) 473-4141
NORTH DAKOTA
Western NY Child Care Council, Inc.
Children and Family Services
595 Blossom Rd., Suite 120
Department of Human Service State Capitol
Rochester, NY 14610
600 E. Boulevard Avenue
(716) 654-4720
Bismarck, ND 58505-0268
Toll Free 1-800-743-KIDS (In State)
(701) 328-3580
Schenectady County Child Care Council
Tri Valley Opportunity
c/o Carver Day Care Center
500 Stanford Road
700 Craig Street
Grand Forks, ND 58203
Schenectady, NY 12307
Toll Free 1-800-KIDS-ETC
(518) 374-8031
(Provides referral services for a sliding scale fee of
$0 to $25 depending on income.)
Onondaga County Child Care Council
3175 East Tennessee Street
Lakes and Prairies Child Care Resource
Syracuse, NY 13210
and Referral
(315) 446-1220
715 11th St. N., Suite 402
Moorehead, MN 56561-0919
NORTH CAROLINA
Toll Free 1-800-452-3646
(Provides referral services for residents of North
Buncombe County Child Development
Dakota for a sliding scale fee of $0 to $20 depending
50 S. French Broad Avenue, Suite 148
on income.)
Asheville, NC 28801
(704) 255-5725
OHIO
Child Care Resources, Inc.
Child Day Care Licensing Section
700 Kenilworth Avenue
65 E. State Street, 5th Floor
Charlotte, NC 28204
Columbus, OH 43266-0423
(704) 376-6697
(614) 466-3822
(There is a $10 charge for a directory that lists child
Child Care Information and Referral
care services state-wide.)
United Day Care Services
1200 Arlington Street
4C's
Greensboro, NC 27406
1225 East McMillian Street
Cincinnati, OH 45206
(513) 221-0033
20
6-97
Appendix A
Starting Point for Child Care and Early Education
Oregon Child Care Network
3135 Euclid Avenue, Suite #200
1900 Front Street, NE
Cleveland, OH 44115
Salem, OR 97303
(216) 431-1818
Toll Free 1-800-342-6712
(Puts caller in touch with resource and referral
Action for Children
services in any part of the state.)
78 Jefferson Avenue
Columbus, OH 43215
PENNSYLVANIA
(614) 224-0222
Department of Public Welfare
Child Care Clearinghouse
Central Region Daycare
414 Valley Street
DPW Complex 2
Dayton, OH 45404
Lanco Lodge Building 25
(513) 461-0600
Harrisburg, PA 17105
(717) 772-7078
YW Child Care Connections
Toll Free 1-800-222-2117
1018 Jefferson Avenue
Toledo, OH 43624
Hollidaysburg Community Service Center
(419) 255-5519
P.O. Box 319
(Provides referral services for a sliding scale fee of
Hollidaysburg, PA 16648
$0 to $25 depending on income.)
(814) 695-5616
OKLAHOMA
Department of Public Welfare
Southeast Region Day Care
Office of Child Care
502 State Office Building
Department of Human Services
1400 Spring Garden Street
P.O. Box 25352
Philadelphia, PA 19130-4088
Oklahoma City, OK 73125
(215) 560-2541
(405) 521-3561
Toll Free 1-800-346-2929
Child Care Connection
Department of Public Welfare
3024 Paseo Drive
Western Region Day Care
Oklahoma City, OK 73103
701 State Office Building
(405) 525-3111
300 Liberty Ave.
Pittsburgh, PA 15222
OREGON
(412) 565-5175
Toll Free 1-800-222-2149
Metro A.M.A. Family Day and Night Care
P.O. Box 11243
Department of Public Welfare
Portland, OR 97211
NE Region Day Care
(503) 285-0493
339 Slate Office Bldg.
100 Lackawanna Avenue
Child Care Information Service
Scranton, PA 18503
3533 Sairziew Industrial Drive
(717) 963-4371
Salem, OR 97302
Toll Free 1-800-222-2108
(503) 585-2491
Toll Free 1-800-289-5533
Selinsgrove Community Service Center
(Provides referral services for residents of Marion,
P.O. Box 500
Polk and Yamhill counties.)
Selinsgrove, PA 17870
(717) 374-2675
Appendix A
6-97
21
RHODE ISLAND
TEXAS
Day Care Licensing
Texas Department of Protective and
Department for Children, Youth, and Families
Regulatory Services
610 Mt. Pleasant Avenue
P.O. Box 149030
Providence, RI 02908
Austin, TX 78714-9030
(401) 277-4741
(512) 438-4800
Options for Working Parents
Texas Department of Protective and
30 Exchange Terrace
Regulatory Services
Providence, RI 02903
6200 I-40 West
(401) 272-7510
Amarillo, TX 79116-3700
(806) 354-5327
SOUTH CAROLINA
Texas Department of Protective and
Department of Social Services
Regulatory Services
Day Care Licensing Unit
2621 Avenue E East, Suite 200
P.O. Box 1520
Arlington, TX 76011
Columbia, SC 29202
(817) 640-9600
(803) 734-5740
Texas Department of Protective and
Department of Social Services
Regulatory Services
Day Care Licensing Unit
1111 W. Ledbetter, Suite 400
776 N. Jeffries Boulevard, Suite F
Dallas, TX 75224
Walterboro, SC 29488
(214) 951-7902
(803) 549-5508
Texas Department of Protective and
SOUTH DAKOTA
Regulatory Services
P.O. Box 16017
Department of Social Services
Mail Code 175-6
Office of Child Protection
Houston, TX 77222-6017
510 North Campbell St.
(713) 767-2600
P.O. Box 2440
Rapid City, SD 57701
Texas Department of Protective and
(605) 394-2434
Regulatory Services
12500 San Pedro
Department of Social Services
San Antonio, TX 78216
Office of Child Protection
(210) 333-2004
300 East 6th Street
Sioux Falls, SD 57102-0490
UTAH
(605) 367-5460
Department of Community and Economic
TENNESSEE
Development
Governor's Office of Child Care
Department of Human Services
324 South State, Suite 230
Child Care Resource and Referral Services
Salt Lake City, UT 84111
400 Deaderick Street
(801) 538-8733
Nashville, TN 37248-9810
(615) 313-4820 (Davis County residents)
Toll Free 1-800-462-8261 (for other residents)
22
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Appendix A
VERMONT
Loudoun County Department of Social Services
102 Heritage Way NE
Department of Social and Rehabilitation Services
Suite 200
Division of Licensing and Regulation
Leesburg, VA 22075
Children's Day Care Unit
(703) 777-0353
103 South Main Street
Waterbury, VT 05671-2401
City of Manassas Department of Social Services
(802) 241-2158
8955 Center Street
Manassas, VA 22110
Child Care Resource and Referral Center
(703) 361-8277 or
of Chittenden County
(703) 631-0499
28 Commerce Street
Williston, VT 05495
The Planning Council
(802) 863-3367
130 West Plume Street
Norfolk, VA 23510
VIRGINIA
(804) 627-3993
Alexandria Office for Early Childhood Development
Council of Community Services
2525 Mt. Vernon Avenue
P.O. Box 598
Alexandria, VA 22301
Roanoke, VA 24004
(703) 838-0874
(703) 982-2345
Toll Free 1-800-354-3388 (outside Roanoke)
Arlington Child Care Office
1801 North George Mason Drive
WASHINGTON
Arlington, VA 22207
(703) 358-5101
Child Care Resources
15015 Main Street, Suite 206
Office for Children, Youth, and Family Services
Bellevue, WA 98007
116 W. Jefferson Street
(206) 461-3207
Charlottesville, VA 22902
(804) 977-4260
Benton-Franklin Community Action Committee
Toll Free 1-800-488-4260
720 West Court, 2nd Floor
Pasco, WA 99301
Montgomery County Department of Social Services
(509) 547-1718
P.O. Drawer Box 789
Christiansburg, VA 24073
Family Care Resources
(703) 382-6990
525 East Mission Ave.
Spokane, WA 99202
Child Care Resource System
(509) 482-0996
Fairfax County Office for Children
(Provides referral services for a sliding scale fee of
3701 Pender Drive
$5 to $25 depending on income.)
Fairfax, VA 22030
(703) 359-5860
Tacoma-Pierce County Child Care
Resource and Referral Service
Falls Church Department of Housing
747 Market Street
and Human Services
10th Floor, Rm. 1036
300 Park Avenue
Tacoma, WA 98402
Falls Church, VA 22046
(206) 591-2025
(703) 241-5005
Appendix A
6-97
23
Resource and Referral Network
Department of Health and Human Services
917 Pacific Ave., Suite 301
P.O. Box 108
Tacoma, WA 98402-4421
Parkersburg, WV 26102
(206) 383-1735
(304) 485-8461
Toll Free 1-800-446-1114
WISCONSIN
Child Care Resource Referral
1313 NE 134th Street
Child Care Information and Referral
Vancouver, WA 98685
1545 East Broadway Dr.
Toll Free 1-800-845-0956
Appleton, WI 54915
(414) 734-0966
Catholic Family and Child Care Services
Child Care Resource and Referral
Community Coordinated Child Care of Dane County
5301 - C Tieton Drive
3200 Monroe Street
Yakima, WA 98908
Madison, WI 53711
(509) 965-7109
(Provides referral services for a sliding scale fee of
$0 to $15 depending on income.)
WEST VIRGINIA
Community Coordinated Child Care of Milwaukee,
Central Child Care of West Virginia
Ozaukee, Washington, Waukeesha Counties
1204 Virginia St., East
116 East Pleasant St.
Charleston, WV 25301
Lower Level
(304) 340-3667
Milwaukee, WI 53212
(414) 562-2676
Department of Health and Human Resources
(Provides referral services for a sliding scale fee of
Bureau of Social Services
$0 to $35 depending on income.)
4198 Washington Street West
Charleston, WV 25313
Child Care Resource and Referral
(304) 558-4098
683 N. Main St., Suite-F
P.O. Box 1100
Department of Health and Human Resources
Oshkosh, WI 54902
Day Care Center
(414) 426-8920
3135 16th Street Road
Toll Free 1-800-316-8884
Huntington, WV 25701
(Provides referral services for a sliding scale fee of
(304) 528-5800
$0 to $25 depending on income.)
24
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Appendix A
Appendix B:
Staff/Child Ratios at Child
Care Centers*
The National Association for the Education of Young
For three-year olds, a group of 14 children should be
Children provides the following guidelines for staff/child
supervised by one instructor for every seven children
ratios at child care centers. To the extent possible, the
(1:7); a group of 16 children by one instructor for every
care you choose should follow these guidelines.
eight children (1:8); a group of 18 children by one
instructor for every nine children (1:9); and a group of
For infants (birth-12 months), a group of six infants
20 children by one instructor for every ten children
should be supervised by one teacher for every three
(1:10). It is recommended that four-year olds have one
infants (1:3). Eight infants is the maximum number of
instructor for every eight children (1:8) in a group of 16;
infants recommended and should be cared for by one
one instructor for every nine children in a group of 18
caregiver for every four children (1:4). A group of six
(1:9); and one instructor for every 10 children in a group
toddlers (12-24 months) should have one instructor for
of 20 (1:10).
every three toddlers (1:3); for a group of eight, one
instructor for every four children (1:4); for a group of
A group of 16 five-year olds should be supervised by
10, one instructor for every five children (1:5); and for a
one teacher for every eight children (1:8); a group of 18
group of 12, one instructor for every four children (1:4).
children by one teacher for every nine children (1:9);
and a group of 20 children by one teacher for every ten
For two year olds (24-30 months), a group of eight
children (1:10). In the 6-to 8-year old age bracket, a
children should be supervised by one teacher for every
group of 20 children should be supervised by one
four children (1:4); for a group of 10 children, one
teacher for every 10 children (1:10); a group of 22 by
teacher for every five children (1:5); and for a group of
one teacher for every 11 children (1:11); and a group of
12 children, one teacher for every six children (1:6). A
24 children by one instructor for every 12 children
group of ten 2 1/2-year olds (30-36 months) should
(1:12).
have one instructor for every five children (1:5); for a
group of 12, one instructor for every six children (1:6);
For 9-to 12-year olds, 24 children should be supervised
and for a group 14, one instructor for every seven
by one instructor for every 12 children (1:12) and 28
children (1:7).
children by one instructor for every 14 children (1:14).
Recommended staff/child ratios within group size.
Group Size
Age of Children
6
8
10
12
14
16
18
20
22
24
28
Infants (birth to 12 mos.)
1:3
1:4
Toddlers (12 to 24 mos.)
1:3
1:4
1:5
1:4
2-year-olds (24 to 30 mos.)
1:4
1:5
1:6
2 1/2-year-olds (30 to 36 mos.)
1:5
1:6
1:7
3 -year-olds
1:7
1:8
1:9
1:10
4-year-olds
1:8
1:9
1:10
5-year-olds
1:8
1:9
1:10
6 to 8 year-olds
1:10
1:11
1:12
9 to 12 year-olds
1:12
1:14
*Smaller group sizes and lower staff-child ratios have been found to be strong predictors of compliance with indicators of quality
such as positive interactions among staff and children and developmentally appropriate curriculum. Variations in group sizes and
ratios are acceptable in cases where the program demonstrates a very high level of compliance with criteria for interactions,
curriculum, staff qualifications, health and safety, and physical environment.
Appendix B
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25
Appendix C:
Telephone Interview Questions
for Child Care Centers
The telephone interview questions provided below can help you to screen the child care centers/homes. There are
separate questions for centers and homes. They can help you determine whether the provider's services meet your
needs and your child's needs, and also help you reduce the amount of time spent actually visiting the child care
providers. Before beginning your telephone interviews, you may want to make a few copies of these forms and have
them available when calling the centers/homes on your list.
Name of center:
Phone number:
Name of person answering the questions:
Address:
Tell the person answering the phone your name and the age of the child needing care. Ask if he or she has time to
answer a few questions. If not, ask when it would be a good time to call back.
1.
Do you have any openings?
If not, do you anticipate having openings in the near future?
2.
Is the center licensed?
By whom?
3.
Is the center accredited?
If not, does the center plan to pursue accreditation?
4.
What is the cost per week? $
What does this include? (e.g., snacks, meals, diapers)
5.
Are there any extra costs?
6.
Is transportation available?
To and from what locations?
7.
What days and hours is care available?
8.
Does the center close for vacations, holidays, staff training, or other reasons?
9.
Is sick care available?
What are the policies regarding sick children?
10.
How many children in each group?
11.
How many caregivers for each group?
(See Appendix B for recommended staff/child ratios)
12.
What is the total number of caregivers in the center?
26
6-97
Appendix C
13.
How many caregivers have left the center during the past year?
14.
What are the education and training requirements for the caregivers?
15.
What meals are served?
16.
Is there a safe outside play area?
17.
What are some sample activities that my child would be involved in?
18.
How does the center communicate the curriculum to the parents?
19.
Is there a weekly and/or daily written plan available to parents?
20.
Does the center provide written policies?
21.
Are parents permitted to visit their children unannounced at any time during the day?
Add other questions you may have:
If the basic information sounds like it will meet your needs, ask when you can visit. Be sure to make your
appointment for a time the children will be present.
Sounds O.K.
Maybe
Not for me
Date and time for visit
Directions
Appendix C
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27
Appendix D:
Telephone Interview Questions for Child Care Homes
Name of caregiver:
Phone number:
Address:
Tell the caregiver your name and the age of the child needing care. Ask if he or she has time to answer a few
questions. If not, ask when it would be a good time to call back.
1.
Do you have any openings?
If not, do you anticipate having openings in the near future?
2.
Is your home licensed?
By whom?
3.
Is your home accredited?
If not, do you plan to pursue accreditation?
4.
What is the cost? $
What does this include? (e.g., snacks, meals, diapers)
Are there any extra costs?
5.
What days and hours is care available?
6.
If you are sick or on vacation, are there provisions for backup care?
7.
What do you do when a child is sick?
8.
How many other children are cared for in your home?
(See Appendix B for recommended staff/child ratios)
9.
What meals are served?
10.
Is there a safe outside play area?
11.
What are some sample activities that my child would be involved in?
12.
Are parents permitted to visit unannounced any time during the day?
Add other questions you may have:
If the basic information sounds like it will meet your needs, ask when you can visit. Be sure to make your
appointment for a time the children will be present.
Sounds O.K.
Maybe
Not for me
Date and time for visit
Directions
28
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Appendix D
Appendix E:
On-Site Interview
The on-site visit will allow you to make your final
In two parent homes, both parents should try to
decision. It is best to visit several different child care
visit.
sites to give you a basis for comparison. Start with the
providers who interested you most after your telephone
Avoid asking questions that tell the provider what
interviews. Be sure to allow enough time for a thorough
you want to hear such as "You always hold babies
visit. You may wish to use the following points, as well
when you feed them, don't you?" Instead, ask
as the checklist that follows, to observe and evaluate the
open-ended questions such as "How do you feed
child care centers/homes. You may want to make a few
the babies?"
copies of the checklist and take them along when
visiting the centers/homes.
If you are able to see children arriving for the day
or leaving at the end of the day, you can see how
Schedule a time to visit when the program is "in
other parents and the staff relate to each other.
session" and the children are awake. Avoid the early
You will also be able to see how other children
afternoon hours when most children are napping.
feel about coming to the center/home and leaving.
ON-SITE INTERVIEW CHECKLIST
Center/Home Provider:
Phone number:
Address:
How does it LOOK?
1.
Is it clean, colorful, and in good repair?
2.
Is there a safe outside place to play?
3.
Is it "child proof"?
Medicines and cleaning supplies are out of reach.
The fire evacuation plan is satisfactory.
Electrical outlets are covered or above children's reach.
4.
Are there different areas for each activity and are you satisfied with the amount of space for each?
5.
Are there at least 35 square feet per child of usable playroom floor space inside and at least 75 square feet per
child of outside play space?
6.
Are there sufficient number and variety of toys that will appeal to your child and that are in good condition?
7.
Are the meals nutritious? Do they include foods your child will eat? (Ask to see a weekly menu.)
Appendix E
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29
How does it SOUND?
1.
Do the children's voices sound happy and are they at a reasonable noise level?
2.
Are the caregivers' voices calm and caring?
3.
Is there children's music or singing at some time during the day?
The STAFF:
1.
Are the caregivers actively involved with the children, not talking to each other, doing paperwork, or
"chores"?
2.
Are good health habits followed (hand washing, diaper changing)?
3.
Are the parents encouraged to make unscheduled visits?
4.
Do the caregivers establish rules that children can follow?
5.
Do the caregivers spend time holding and talking to the children?
6.
Are the caregivers warm and friendly toward the children?
7.
Do the caregivers treat each child as an individual?
8.
Is there a schedule of activities posted?
9.
Is the discipline fair and consistent without yelling or hitting?
10.
Are the children supervised at all times?
11.
Do the caregivers talk to the children frequently, pleasantly, and in a way the children can understand?
The CHILDREN:
1.
Do the children seem to be comfortable, happy, and enjoying themselves?
2.
Are the children encouraged to be independent, allowed to "do it myself"?
3.
Is there a balanced schedule that includes active and quiet times, group and individual times, and indoor and
outdoor play?
4.
Are the children comforted when needed?
5.
Are the children actively engaged in a variety of "hands-on" activities appropriate to their age and interests?
6.
Are the children allowed to make choices among a variety of activities and learning opportunities?
30
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Appendix E
How do YOU Feel?
1.
Do you feel your child will be well cared for?
2.
Do you feel the home/center is safe and cheerful?
3.
Do you feel your child can learn here?
4.
Would you feel comfortable leaving your child here?
5.
Would you feel comfortable calling or visiting unannounced at any time?
6.
Would you feel comfortable talking and working with the caregivers?
If, after the visit, you are considering sending your child to this center or home, ask for several references, preferably
parents of children already participating. You will want to contact these parents and ask them about their experiences
with the center/home.
Appendix E
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31
Appendix F:
Federally Sponsored Day
Care Centers
Many Federal agencies sponsor on-site child care
ALASKA
centers for their employees. Agencies are authorized by
40 U.S.C. 490(b) to provide, free of charge for rent or
*Tundra Tykes Child Care
services, space for child care centers on the conditions
Federal Building and U.S. Courthouse
that: (1) space is available; (2) child care services will be
545 East 5th Avenue
provided to a group of individuals of whom at least 50
Anchorage, AK 99501
percent of the children enrolled in the center have one
(907) 276-8953
parent or legal guardian who is a Federal employee; and
(3) priority for available child care services will be given
Kodiak Bears Child Development Center
to Federal employees.
U.S. Coast Guard Support Center
P.O. Box 195091
Approximately 800 child care centers are sponsored by
Bldg N-41 Mary Island Way
Department of Defense (DoD), mostly on military
Kodiak, AK 99619-5091
installations. Contact DoD's Office of Family Policy,
(907) 487-5482
Support, and Services at (703) 697-7191 for
information about these centers.
*Gold Creek Play 'n Learn
Federal Building
More than 200 child care centers are sponsored by other
709 W. 9th Street
Federal Government agencies. These centers are listed
Juneau, AK 99802
below alphabetically by State. Those marked with an
(907) 586-7529
asterisk are in Federal buildings that are controlled by
the General Services Administration (GSA). See
ARIZONA
Appendix H for a description of GSA's role in Federal
child care and a listing of GSA Regional Coordinators.
Trudeau Child Development Center/YMCA
VA Medical Center
ALABAMA
1601 S. 6th Avenue
Tucson, AZ 85723
Marshall Child Development Center (NASA)
(602) 792-1450 Ext. 5388
P.O. Box 938, Bldg. 4494
Marshall Space Flight Center, AL 35812
CALIFORNIA
(205) 544-8609
Judy Janisse Child Development Center
Child Educare, Inc. -VA Medical Center
NASA Dryden Flight Research Facility
3701 Loop Road
P.O. Box 2073, B4850
Tuscaloosa, AL 35404
Edwards, CA 93523
(205) 554-2939
(805) 258-2883
32
6-97
Appendix F
Tot's Landing Child Development Center (FAA)
Cherub Child Care Center
5125 Central Avenue
VA Outpatient Clinic
Fremont, CA 94536
853 Center Avenue
(510) 713-8713
Martinez, CA 94553
(510) 228-5800
Smokey Kids
Placerville Range Station
*GEO Kids
4260 Eight Mile Road
US Geological Survey
Camino, CA 95709
345 Middlefield Road
(916) 647-2327
Menlo Park, CA 94025
(415) 329-4234
Sequoia National Forest
Cannell Meadow Ranger District 1010
Ames Child Care Center
11380 Kernville Road
NASA Ames Research Center
Kernville, CA 93238
Mail Stop T-20-D
(619) 376-6710
Moffett Field, CA 94035-1000
(415) 604-4184
Child Educational Center (NASA)
Jet Propulsion Laboratory
Two Rock Child Development Center
140 Foothill Boulevard
U.S. Coast Guard Training Center
LaCanada, CA 91011
Petaluma, CA 94952-5000
(818) 354-3418
(707) 765-7334
*Ziggurate Child Development Center
*Cottage Kids Children's Center
Chet Hollifield Federal Building
Federal Building
24000 Avila Road
2800 Cottage Way
Laguna Niguel, CA 92656
Sacramento, CA 95825
(714) 360-2004
(916) 971-4134
Seaside Child Development Center
Rainbows End Children's Center
VA Medical Center
Six Rivers National Forest
5901 East Seventh Street
Lower Trinity Ranger District
Long Beach, CA 90822
Salyer, CA 95563
(310) 597-3592
(916) 629-3237
*Harry Pregerson Child Care Center
Cheryl Andersen-Sorensen Child Care Center
Roybal Federal Building
VA Medical Center
255 East Temple Street
4150 Clement Street
Los Angeles, CA 90012
San Francisco, CA 94121
(213) 894-1556
(415) 751-8511
Lassen National Forest
Rocking "K" Children's Center
Hat Creek Ranger District
Klamath National Forest
P.O. Box 12
1030 S. Main Street
McArthur, CA 96056
Yreka, CA 96097
(916) 336-6897
(916) 842-2901
Appendix F
6-97
33
Integrated Support Command Alameda CDC
*Advantage Learning Center
Bldg. 2, Hudson & Eagle Streets
155 Van Gordon Street
Coast Guard Island
Lakewood, CO 80226
Alameda, CA 94501-5100
(303) 914-5482
(510) 437-2740
Junior Jets (FAA/DOT)
Just Plane Kids
2176 17th Ave
2555 E. Ave. P
Longmont, CO 80501
Palmore, CA 93550
(303) 682-2543
(805) 265-8231
CONNECTICUT
SCT Child Center
PO Box 261518
Coast Guard Academy Child Development Center
San Diego, CA 92196
18 Farnsworth Street
(619) 538-1008
New London, CT 0630-4195
(806) 443-2401
The Whistle Stop Child Development Center
VA Medical Center
*Small Wonders
Palo Alto, CA 94304
William R. Cotter Federal Building
(415) 852-3497
135 High Street
Hartford, CT 06103
*Hawthorne Childcare Center
(203) 525-8798
95 Hawthorne Street
San Francisco, CA 94105
DELAWARE
(415) 882-9157
Employee Association Child Care Center
*Little Aviators Child Development Center
VA Medical Center
15000 Aviation Blvd.
601 Kirkwood Highway
Hawthorne, CA 90261
Wilmington, DE 19805
(301) 536-2905/2906
(302) 633-5358
COLORADO
DISTRICT OF COLUMBIA
*Clever Kids Learning Center
*Commerce Kids
Federal Building/Colonnade Center
Department of Commerce Child Care Center
1244 Speer Boulevard, #170
Herbert Clark Hoover Building
Denver, CO 80204
15th and Pennsylvania Avenue, NW.
(303) 844-2428
Washington, DC 20230
(202) 482-3224
*Custom House Children's Center
Federal Building/Custom House
*DOL Child Development Center
721 19th Street, Rm. B65
200 Constitution Avenue, NW., Rm 1453
Denver, CO 80204
Washington, DC 20210
(303) 844-6514
(202) 219-8553
*Clever Kids Learning Center
*DOT Day Care Center, Inc.
Denver Federal Center, Bldg. 64
800 Independence Avenue, SW.
P.O. Box 25466
Washington, DC 20591
Denver, CO 80225
(202) 267-7672
(303) 232-7638
34
6-97
Appendix F
*Early Environments Child Development Center
*National Office Child Development Center
Environmental Protection Agency
IRS Building
401 M Street, SW.
1111 Constitution Avenue, NW.
Washington, DC 20460
Washington, DC 20224
(202) 260-7290
(202) 622-4340/8672
*Energy Child Development Center
*Our Kids Inc.
Department of Energy
U.S Coast Guard/DOT
Forrestal Building
Transport Building
1000 Independence Avenue, SW.
c/o Commandant (G-CAS-2)
Washington, DC 20585
2100 2nd Street, SW.
(202) 586-6800
Washington, DC 20593
(202) 267-6075
*Fingerprints Child Development Center
General Services Administration
*The Owl School
18th and F Streets, NW., Room 1028
Department of Education/GSA
Washington, DC 20405
7th & D St., SW, Room 1620
(202) 501-1945
Washington, DC 20407
(202) 401-0466
*FTC Child Care Center
Federal Trade Commission
Smithsonian Early Enrichment Center
6th and Pennsylvania Avenue, NW., Room 136
900 Jefferson Drive, SW
Washington, DC 20580
Washington, DC 20560
(202) 326-2088
(202)357-4079
*HHS Child Development Center
Smithsonian Early Enrichment Center
Department of Health and Human Services
National Museum of American History
200 Independence Avenue, SW., Room 100 F
14th and Constitution, NW.
Washington, DC 20201
Washington, DC 20560
(202) 488-3362
(202) 357-4079 (infants and toddlers)
(202) 786-2531 (ages 3-5)
*Just Us Kids
Department of Justice
*US Kids Child Development Center
625 Indiana Avenue, NW.
Combined Federal Agencies
Washington, DC 20004
1425 New York Avenue, NW.
(202) 219-3200
Washington, DC 20005
(202) 233-4623
* USDA Child Development Center
Department of Agriculture
*Creative Child Development Center
Auditor's Building
Department of Housing and Urban Development
201 14th Street, SW.
451 7th Street, SW
Washington, DC 20250
Room B-278
(202) 205-1133
Washington, DC 20410
(202) 708-1935
*FERC Child Development Center -Bright Horison
888 First St., NE
*Prodigy Child Development Center
Washington, DC 20426
Department of State
(202) 208-0610
2401 E Street, NW, Room L105
Washington, DC 20522-0101
(202) 663-3555
Appendix F
6-97
35
Bank Board Small Savers CCC
*Summit Child Care Center
1700 G Street, NW
Peachtree Summit
Washington, DC 20552
401 W. Peachtree Street, NE., Box 26
(202) 906-6312/13
Atlanta, GA 30308
(404) 331-1600
FDIC Child Development Center
550 17th St., NW, F100
*Shadyland Child Development Center IRS
Washington, DC 20429
2355 Chamblee Tucker Road
(202) 898-7067
Chamblee, GA 30341
(770) 451-3488
Little Scholars Child Development Center
601 East Capitol St., SE
*Prodigy Child Development Center
Washington, DC 20003
FAA Little Flyers, Inc.
(202) 547-5222
1701 Columbia Ave
College Park, GA 30337
Tiny Findings Child Development Center
(404) 305-6950
General Accounting Office
441 G Street, NW Room 1194
Precious One Child Development Center
Washington, DC 20548
49 Woolsey Road
(202) 512-3122
Hampton, GA 30226
(770) 210-7290
VAMC Child Care Center
One Michigan Ave.
HAWAII
Washington, DC 20422
(202) 298-5638
*Rainbow School
P.O. Box 50043
Thurgood Marshall Child Development Center
Honolulu, HI 96850
1 Columbus Circle NE, Room 200
300 Ala Moana Blvd.
Washington, DC 20544
Honolulu, HI 96813
(202) 273-4310
(808) 537-1951
FLORIDA
*Prince Kuhio Child Care Center
PJKK Federal Building
Tutor Time Child Care Systems, Inc. (NASA)
300 Ala Moana Blvd.
A Ave & 5th Street
Honolulu, HI 96850
Kennedy Space Center, FL 33309
(808) 537-9351
(407) 453-3100
Toll Free 1-800-275-1235
IDAHO
Jumping Jax Child Development Center
Avery Day Care Association
15 Aviation Ave
Idaho Panhandle National Forest
Hilliard, FL 32046
Avery Ranger District, HC Box 1
(302) 633-5358
Avery, ID 83802-9702
(208) 245-4517
GEORGIA
Island Park Child Care
*The Downtown Child Development Center
Targhee National Forest
57 Forsythe Street, NW. Suite 200
Island Park Ranger District
Atlanta, GA 30303
Island Park, ID 83429
(404) 331-7508
(208) 558-7778
36
6-97
Appendix F
Lowman Day Care
Hines Child Care Center
Boise National Forest
VA Medical Center
Lowman Ranger District
Edward Hines, Jr. Hospital
HC 77 Box 3020
Hines, IL 60141
Lowman, ID 83637
(708) 216-2071
(208) 259-3330
Paul K. Kennedy Child Care Center
Creative Cub
VA Medical Center - Building 48
Payette National Forest
North Chicago, IL 60064
P.O. Box 1845
(847) 578-3896
McCall, ID 83638
(208) 634-0626
Argonne Child Development Center
Dept. of Engergy - Argonne National Laboratory
Priest Lake Day Care Association
Argonne, IL 60439-4832
Idaho Panhandle National Forest
Priest Lake Ranger District
INDIANA
HCR 5, Box 207
Priest River, ID 32856-9612
*Day Nursery Federal Center
(208) 443-2512
Minton-Capehart Federal Building
575 N. Pennsylvania Street
ILLINOIS
Indianapolis, IN 46204
(317) 226-5487
*CCC Learning Center - Customs House
610 S. Canal Street
IOWA
Chicago, IL 60607
(312) 353-8686
Eagles Loft - USDA
2715 Dayton Ave.
*CCC Learning Center
Ames, IA 50010
Everett Dirksen Federal Building
(515) 232-8299
219 S. Dearborn Street
Chicago, IL 60604
*Uncle Sam's Developmental Day School
(312) 427-3342
Federal Building
210 Walnut Street, Room 109
*CCC Learning Center
Des Moines, IA 50309
Ralph H. Metcalf Federal Building
(515) 284-6650
78 West Van Buren Street
Chicago, IL 60604
VA Child Care Center
(312) 886-0834
1515 West Pleasant - Building 9
Knoxville, IA 50138
Quality Care Learning Center for Children
(515) 828-5094
VA Medical Center
Danville, IL 61832
KANSAS
(217) 431-6582
Colmery O'Neil Child Care Center
Lutheran General Children's Day Care
VA Medical Center
O'Hare Office Plaza
2200 Gage Boulevard
2300 East Devon
Topeka, KS 66622
Suite 171
(913) 273-4384
Des Plains, IL 60018
(847) 803-5181
Appendix F
6-97
37
*Uncle Sam's Academy for Tots
*Child Development Center
Federal Building U.S. Courthouse
Department of Energy
500 South State
19901 Germantown Road
Kansas City, KS 66101
Germantown, MD 20545
(913) 551-6690
(301) 903-8600
Top Flight Kids Learning Center
Goddard Child Development Center
FAA/DOT
NASA Goddard Space Flight Center
300 S. Rogers Road
Building 90, Mail Code: 200.9
Olathe, KS 66062
Greenbelt, MD 20771
(913) 273-4384
(301) 286-8588
KENTUCKY
*Greenwood Nursery School & Kindergarden
6525 Belcrest Road, Room G-80
*The Treasure House Child Care Center
Hyattsville, MD 20782
IRS Service Center
(301) 436-4283
203 West River Center Blvd.
Covington, KY 41011
Healthy Beginnings Child Development Center
(606) 292-2770
Public Health Service
5510 Fishers Lane
*Uncle Sam's Place Child Care Center
Rockville, MD 20852
600 Martin Luther King, Jr. Place
(301) 443-0161
Louisville, KY 40202
(502) 625-7207
*Bureautots Child Care Center
Commerce - Census Bureau
MARYLAND
Silver Hill Executive Plaza Building
3701 St. Barnabus Road
*Social Secure-A-Kiddie Child Care Center
Suitland, MD 20746
Social Security Administration
(301) 899-0501
300 Greene Street, 1-P-9 South
Baltimore, MD 21201
*White Flint Country Day
(410) 966-0401
Nuclear Regulatory Commission
11545 Rockville Pike
*Social Secure-A-Kiddie Child Care Center - Woodlawn
Rockville, MD 20852
Social Security Administration
(301) 415-7841
2B2 Operations Building
6401 Security Boulevard
*Executive Child Development Center
Baltimore, MD 21235
National Institutes of Health
(410) 965-3232
6006 Executive Boulevard
Rockville, MD 20852
*Fallon Federal Child Care Center
(301) 496-9411
200 West Lombard Street, Suite A
Baltimore, MD 21201
*Little Explorers Child Development Center
(410) 727-1785
National Oceanic & Atmospheric Admin.
1315 East-West Highway
*Discovery School at HCFA
Silver Spring, MD 20910
HCFA HQ Building
(301) 713-2657
7500 Security Blvd.
Baltimore, MD 21235
(410) 786-2938
38
6-97
Appendix F
*Sunny Days Early Learning Center
Child Development Center
Department of Agriculture
U.S. Coast Guard Air Station
4700 River Road
Otis Air Force Base
Riverdale, MD 20737
5205 ENT St.
(301) 864-0714
Cape Cod, MA 02542-5024
(508) 968-6450
Childkind, Inc.
NIH-HHS, Bldg. T-46
Y's Kids at Bear Hill Child Care Center
Bethesda, MD 20892
VA Medical Center,
(301) 496-8357
Building 20
Northampton, MA 01060
NIST Child Care Center
(413) 586-5648 or
Bowman House, Bldg. 308
(413) 584-4040 Ext. 2290
Gaithersburg, MD 20899
(301) 975-2152
Tot Spot Child Care Center
VA Medical Center
Parents of Preschoolers, Inc. (POPI)
1400 VFW Parkway
9000 Rockville, Bldg. 1B05
West Roxbury, MA 02132
Bethesda, MD 20892
(617) 323-7700 Ext. 5340
(301) 496-5144
The Tyke Site Inc.
Quality Time Early Learning Center
VA Medial Center
8601 Adelphi Road
940 Belmont St.
College Park, MD 20746
Brockton, MA 02401
(301) 713-6890
(508) 583-4500
MASSACHUSETTS
TSC Child Development Center
65 Broadway
ANSC Child Care Corporation
Cambridge, MA 02142
*IRS Child Care Center
(617) 494-2298
310 Lowell Street, Stop 237
Andover, MA 01810
MICHIGAN
(508) 474-5431
Corner Cottage Child Care Center
*Government Center Child Care Corporation
VA Medical Center
JFK Federal Building, Room G-54
2215 Fuller Road
Boston, MA 02203
Ann Arbor, MI 48105
(617) 565-4065
(313) 995-1001
*Government Child Care Center Corporation
*Little White House Child Care Center
Thomas P. O'Neill Federal Building
Battle Creek Federal Center
10 Causeway Street
100 N. Washington Street
Boston, MA 02222
Battle Creek, MI 49017
(617) 565-7295
(616) 963-5598
Small World Child Care Center
Sparky's Nest - VA Medical Center
VA Medical Center
5500 Armstrong Road
150 South Huntington Ave., Bldg. 9
Battle Creek, MI 49016
Boston, MA 02130
(616) 966-5600 Ext. 5555
(617) 232-8286
Appendix F
6-97
39
*Children's World
MISSOURI
PV McNamara Federal Building
477 Michigan Avenue
*Bannister Complex Child Development Center
Detroit, MI 48226
Bannister Complex, Building 52
(313) 226-4999
1500 East Bannister Road
Kansas City, MO 64131
MINNESOTA
(816) 926-1616
University Nursery School Downtown
*601 Federal Complex Child Care Inc.
Federal Courthouse and Custom House
601 East 12th Street
515 West 1st Street
Kansas City, MO 64106
Duluth, MN 55802
(816) 426-3895
(218) 723-1667
*Rainbow Castle
Community Child Care Center
Robert A. Young Federal Building
VA Medical Center
1222 Spruce Street
One Veterans Drive - Building 68
St. Louis, MO 63103
Minneapolis, MN 55417
(314) 539-3437
(612) 725-2271
*Just U.S. Kids
Kinderhaus Child Care Center
Federal Records Center Complex
VA Medical Center
9700 Page Blvd., Building 100
4801 8th Street North
Overland, MO 63132
St. Cloud, MN 56303
(314) 538-4016
(612) 252-6499
*Uncle Sam's Kids
*Kinderplatz
Federal Center Building 104E
Whipple Federal Building
4300 Goodfellow
1 Federal Drive, Room G-25
St. Louis, MO 63120
Ft. Snelling, MN 55111-4007
(314) 263-3437
(612) 725-3481
MONTANA
Farmington Heirport Child Care Center
80 Locust Street
Powell Child Care Association
Farmington, MN 55024
Clearwater National Forest
(612) 463-2022
Powell Ranger District
Lolo, MT 59847
MISSISSIPPI
(208) 942-3113, Ext. 141
*Little Acorns Child Development Center
Flathead Working Parents Room
McKoy Federal Building
1935 Third Ave East
100 West Capitol Street, Rm. 125
Kalispell, MT 59901
Jackson, MS 39269
(406) 758-5212
(601) 965-4999
NEBRASKA
Stennis Child Development Center (NASA)
John C. Stennis Space Center Rd., H Bldg. 2120
*Centennial Mall Child Care Center
Stennis Space Center, MS 39529
100 Centennial Mall North, Rm. 104
(601) 688-3224
Lincoln, NE 68508
(402) 437-5757
40
6-97
Appendix F
*Edward Zorinsky Children's Center
Brooklyn VA Day Care Center
Edward Zorinsky Federal Building
VA Medical Center
215 N. 17th Street, Room 1003
800 Poly Place
Omaha, NE 68103
Brooklyn, NY 11209
(402) 221-4000
(718) 836-6600
NEW JERSEY
Castleland Day Care
VA Medical Center
NAFEC Association Child Development Center
Castle Point
1st Floor, Technical Building
Route 9-D
Atlantic City International Airport
Castle Point, NY 12511
Atlantic City, NJ 08405
(914) 831-1639
(609) 485-5429
Governor's Island Child Development Center
Cape May Child Development Center
US Coast Guard Support Center
U.S. Coast Guard Training Center
Governors Island
1 Munro Ave, Building 299
Building 110
Cape May, NJ 08204-5002
Governor's Island, NY 10004-5000
(609) 898-6922/0822
(212) 668-6499
Li'l Tykes Learning Center
Montrose Child Care Center
386 Tremont Ave
FDR VA Hospital
East Orange, NJ 07018
Montrose, NY 10548
(201) 676-1000 Ext. 2578
(914) 737-4400 Ext. 2714
Newark Federal Kids-Care, Inc.
*Fed Kids Child Care Center
Peter W. Rodino, Jr. Federal Building
Jacob K. Javits Federal Building
970 Broad Street, Rm. 107
26 Federal Plaza
Newark, NJ 07102
New York, NY 10278
(201) 645-3024
(212) 264-4277
NEW MEXICO
Northport Employees Day Care Center
VA Medical Center
Shandiin Child Development Center
Northport, NY 11768
Pennsylvania & M Streets
(516) 261-4400 Ext. 7452
Albuquerque, NM 87116
(505) 845-5013
*Blue Ribbon Child Development Center
Kenneth B. Keating Federal Building
NEW YORK
and Courthouse
100 State Street
*Club Federal Child Care Center
Rochester, NY 14614
Leo W. O'Brien Federal Building
(716) 546-7070
1 Clinton Plaza, B-38
Albany, NY 12207
*Salvation Army Clinton Street Day Care
(518) 431-4338
100 South Clinton Street
Room 169
Dandy Lion Day Care Center
Post Office Box 7196
VA Medical Center
Syracuse, NY 13260
Albany, NY 12208
(315) 423-9165
(518) 462-1425
Appendix F
6-97
41
HANCI at VA
*Cleveland Federal Kid Child Care Center
130 LeBrun Road, Bldg. #3
Anthony J. Celebrezze Federal Building
Buffalo, NY 14215
1240 East 9th Street
(716) 862-4702
Post Office Box 99825
Cleveland, OH 44199
Kids Quarters
(216) 522-4453
VA Medical Center Syracuse
800 Irving Ave
Lewis Little Folks, Inc. (NASA)
Syracuse, NY 13220
21000 Brookpark Rd.
(315) 477-4596
Mail Stop: LLF-1
Lewis Research Center
Vet's Kids Child Care Center
Cleveland, OH 44135
VA Medical Center
(216) 433-5264
423 East 23rd Street
New York, NY 10010
Miami Valley Family Care Center
(212) 951-3435
VA Medical Center
4100 West Third Street
Learning Center -VA Medical Center
Dayton, OH 45428
400 Fort Hill Avenue
(513) 268-0336
Canandaigua, NY 14424
(716) 394-2000 Ext. 4225
OKLAHOMA
NORTH CAROLINA
The Launching Pad
Mike Monroney Aeronautical Center
First Environments Early Learning Center
Child Learning Center
104 Alexander Drive, Bldg. 20
6101 Southwest 66th Street
Research Triangle Park, NC 27709
Oklahoma City, OK 73169-6979
(919) 541-1361
(405) 954-4901
OHIO
OREGON
Future Environments Child Development Center
*Growing Oaks Child Care Center
123 West Nixon
EPA Building
Cincinnati, OH 45220
200 SW 35th Street
(513) 861-7368
Corvallis, OR 97333
(503) 754-4368
Interagency Employee Corporation
Child Care Center
*Oak Street Child Development Center
VA Medical
The Bus Barn
17273 State Route 104
540 Oak Street
Chillicothe, OH 45601
Eugene, OR 97401
(614) 772-7086
(503) 344-0241
*Childtime Children's Center
*Children's Holladay Center
John W. Peck Federal Building
Federal Building
550 Main Street
P.O. Box 362
Room 1016
BPA-SPR-2
Cincinnati, OH 45202
Portland, OR 97208
(513) 684-2046
(503) 230-4114
42
6-97
Appendix F
*Joyful Noise Child Care Center, Inc.
Rainbow Learning Center
333 SW 1st Street, Suite A
VA Lebanon, Bldg. #3
Portland, OR 97204
1700 South Lincoln Ave
(503) 326-6827
Lebanon, PA 17042
(717) 228-6091
Vermont Hills Family Life Center
3710 SW Veterans Hospital Road
Learning Station Child Care Center
Portland, OR 97207
VA Medical Center
(503) 721-7830
6B Cayuga Circle
Altoona, PA 16602
PENNSYLVANIA
(814) 940-7834
*Academy for Early Learning Center
PUERTO RICO
VA Medical Center/ Federal Building
5000 Wissahicken Ave.
Borniquen Child Development Center
Philadelphia, PA 19114
U.S. Coast Guard Air Station
(215) 951-5554
Aquadilla, Puerto Rico 00604-9999
(809) 890-8494
*Sound Start Child Care Center
11511 Roosevelt Boulevard, DP 701
Kid's Place Child Development Center
Philadelphia, PA 19154
U.S. Coast Guard Greater Antilles Section
(215) 516-2144
P.O. Box S-2029
San Juan, Puerto Rico 00903-2029
*Wee The People Day Care Center, Inc.
(787) 729-7799
William Moorhead Federal Building
1000 Liberty Avenue
SOUTH CAROLINA
Pittsburgh, PA 15222
(412) 281-1330
*Bright Horizons Children's Center
Strom Thurmond Federal Building
*The Learning Tree Child Care Center
1835 Assembly Street, Room 113
William F. Greene Federal Building
Columbia, SC 29201
600 Arch Street, Rm. 1211
(803) 253-3050
Philadelphia, PA 19106
(215) 627-1081
SOUTH DAKOTA
Child Time VA Medical Center
Wonder Years VA Child Care Center
1400 Blackhouse Hill Road
2501 West 22nd Avenue, Bldg. 5
Coatesville, PA 19320
Sioux Falls, SD 57105
(610) 380-4339
(605) 333-6877
*East Mountain Child Care Center
Cottonwood Day Care Center, Inc.
1150 Mountain Drive
VA Medical Center
Wilkes Barre, PA 18702
Ft Meade, Bldg. #85
(717) 831-51540
Ft. Meade, SD 57741
(605) 347-7094
Highland Drive Child Care Center
70-180 Highland Drive
Pittsburgh, PA 15206
(412) 365-4444
Appendix F
6-97
43
TENNESSEE
UTAH
Bright Futures Child Care Center
First Friends Child Care Center
VA Medical Center MurFreesboro
VA Medical Center
3400 Lebanon Rd.
500 Foot Hill Blvd.
Murfreesboro, TN 37130
Salt Lake City, UT 84148
(615) 893-7065
(801) 582-2511
Flying Start Child Care Center
Puddle Jumpers Child Development Center
3194 Independent Drive
802 North 2200 West
Memphis, TN 38118
Salt Lake City, UT 84148
(901) 368-8595
(801) 536-0993
*Chappell Child Development Center - IRS
*OSC Child Care Center IRS Service Center
5333 Getwell Road, Mail Stop 91
P.O. Box 9162
Memphis, TN 38118
Ogden, UT 84409
(901) 546-2220
(801) 625-7547
TEXAS
VERMONT
*Future Stars Child Development Center - IRS
Twin River Children Center
3819 South IH 35
VA Medical Center Building 9
Austin, TX 78741
White River Junction, VT 05009-0001
(512) 460-8233
(802) 295-3907
*Stars and Tykes
*Y's Time Children's Center
207 South Houston Street
75 Lower Weldon Street
Dallas, TX 75202
St. Albans, VT 05478
(214) 748-1894
(802) 517-3214
*A Child's Place - Fort Worth Federal Center
VIRGINIA
501 Felix Street, Bldg. 240
Fort Worth, TX 76115
Langley Child Development Center
(817) 334-5228
NASA Langley Research Center
Building 1231, Mail Stop 263
Space Family Education, Inc.
Hampton, VA 23681-0001
NASA Johnson Space Center
(804) 864-4826
2101 NASA Road 1, Bldg. 210
Houston, TX 77058
*Federal Children's Center of No. Virginia, Inc.
(713) 483-4734
U.S. Geological Survey
530 Huntmar Park Drive, Suite 800 B
*Concorde School Child Care Center
Herndon, VA 22070
2001 Louisiana Avenue
(703) 471-2821
Houston, TX 77002
(713) 759-0440
VA Medical Center Child Care Center
1970 Roanoke Boulevard, Bldg. 77
First Wings
Salem, VA 24153
16606 JFK Blvd.
(703) 342-4716
Houston, TX 77032
(713) 230-7065
44
6-97
Appendix F
Pentagon Child Development Center
VA Child Care Center
200 Boundary Channel Drive
77 Wainwright Drive
Arlington, VA 22202
Walla Walla, WA 99362
(703) 521-0223
(509) 527-6102
*Enchanted Treasures Child Enrichment Center
Little Anchor Child Care Center
114 Lake View Parkway
7600 Sand Point Way, Bldg. 6, NE
PO Box 5383
Seattle, WA 98115
Suffolk, VA 23435
(206) 526-6352
(804) 686-7050
WEST VIRGINIA
WASHINGTON
*Little Eagle Child Care Center
*Country Day School at Willow Place
Route 9, Needy Road
400 15th Street, SW, Bldg. 812
P.O. Box 1208
Auburn, WA 98001
Martinsburg, WV 25401
(206) 939-0234
(304) 264-7132
*Cradle to Crayon Child Development Center
Lasting Impressions Child Development Center
1815 Black Lake Boulevard, SW.
FBI Complex
Olympia, WA 98502
Clarksburg, WV 26306
(360) 754-6428
(304) 625-3930
*The Learning Landscape
*METC KIDS
1167 Jadwin Avenue
3610 Collinsferry Road
Richland, WA 99352
Morrgantown, WV 26505
(509) 946-4609
(304) 285-5423
*Green Tree Child Care Center
WISCONSIN
1200 6th Avenue, Suite 200
Seattle, WA 98101
Milwaukee VA Child Care Center (YMCA)
(206) 553-8212
Clement J. Zablocki VA Medical Center
Milwaukee, WI 53295-1000
*La Petite Academy
(414) 384-6446
4735 E. Marginal Way South
Seattle, WA 98134
Kids and Company -VA Medical Center
(206) 764-3492
500 East Veterans Street
Tomah, WI 54660
*Little Aviators - FAA Child Care Center
(608) 372-1694
1602 Raymond Avenue
Renton, WA 98055
VA Kids Center VA Medical Center
(206) 204-5990
2500 Overlook Drive
Madison, WI 53705
*Little Eagles Child Care Center
(608) 255-6184
1000 Second Avenue, Suite 204
Seattle, WA 98104
* These child care centers are in GSA-controlled space. For further
(206) 382-9869
information, you may contact the child care center directly or call one
of the GSA Regional Child Care Coordinators.
Appendix F
6-97
45
Appendix G:
NEWS
Financial Assistance for
Low-Income Parents--Child
Care and Development
Block Grant Program
In September 1991, the Department of Health and
ARKANSAS
Human Services' Administration for Children and
Arkansas Department of Human Services
Families implemented the Child Care and Development
P.O. Box 1437 - Slot 604
Block Grant Program to provide assistance to low-
Little Rock, AR 72203-1437
income families in obtaining child care services for their
Contact: Bobbie Ferguson (501) 682-8763
children. The program is designed to help States provide
child care services to low-income families by improving
CALIFORNIA
the quality and availability of child care services,
Superintendent of Public Instruction
increasing the availability of early childhood
California State Department of Education
development and before-and after-school care programs,
560 J Street, Room 220
and providing financial assistance to parents.
Sacramento, CA 95814
Contact: Janet Poole (916) 322-6233
A key feature of the program is that its emphasis is on
the importance of parental choice in child care, and
COLORADO
permits parents to choose from a broad range of child
Department of Social Services
care providers, including child care centers, family home
Office of Child Care Services
providers, relatives, and neighbors. The address and
1575 Sherman Street
phone number of each State block grant program office
Denver, CO 80203
is listed below.
Contact: Grace Hardy (303) 866-5958
ALABAMA
CONNECTICUT
Alabama Department of Human Resources
Connecticut Department of Human Resources
50 Ripley Street
25 Sigourney St.
Montgomery, AL 36130
Hartford, CT 06106
Contact: Frances Arnold (334) 242-1310
Contact: Randall Wong (860) 424-5060
ALASKA
DELAWARE
Department of Community and Regional Affairs
Delaware Department of Health and Social Services
333 W. 4th Avenue, Suite 220
CT Building
Anchorage, AK 99501-2341
1901 North DuPont Highway
Contact: Jan Brewer (907) 269-4500
New Castle, DE 19720
Contact: Dave Loughery (302) 577-4439
ARIZONA
Child Care Administration
DISTRICT OF COLUMBIA
Department of Economic Security
Office of Early Childhood Development
P.O. Box 6123, Site Code 801/ A
117 14th Street, NW.
Phoenix, AZ 85005-6123
Washington, D.C. 20005
Contact: Toni Zablicki (602) 542-4248
Contact: Pamela Ellison (202) 727-1839
46
6-97
Appendix G
FLORIDA
KENTUCKY
Department of Health and Rehabilitative Services
Department for Social Services
Children and Family Program Office
Program Management
2811 Industrial Plaza
275 East Main Street
Tallahassee, FL 32301
CHR Building, 6W
Contact: Sandi Harris or Linda Thomas
Frankfort, KY 40621-0001
(904) 488-4062
Contact: Cliff Jennings (502) 564-6750
GEORGIA
LOUISIANA
Georgia Department of Human Resources
Louisiana Department of Social Services
DFCS Family Support Unit
Child Care Assistance Program
2 Peachtree Street, NW., Suite 12-400
P.O. Box 3776
Atlanta, GA 30303-3180
Baton Rouge, LA 70821
Contact: Delores Woodward (404) 657-3434
Contact: William Ludwig (504) 342-6715
HAWAII
MAINE
Office of Children and Youth
Maine Department of Human Services
State Capitol, Governor's Office
State House, Station 11
415 S. Beretania St., Rm. 417
Augusta, ME 04333
Honolulu, HI 96802
Contact: Barbara Collier (207) 287-3707
Contact: Elisabeth Chun (808) 586-0110
MARYLAND
ILLINOIS
Maryland Department of Human Resources
Illinois Department of Children and Family Services
Child Care Administration
406 East Monroe Street, Station 55
2701 N. Charles Street
Springfield, IL 62701-1498
Baltimore, MD 21218
Contact: Sue Howell (217) 785-2519
Contact: Barbara Smith-Hamer
(410) 361-2560
INDIANA
Indiana Social Services Administration
MASSACHUSETTS
Government Center South
Massachusetts Executive Office of Health
402 West Washington Street, Room W461
and Human Services
Indianapolis, IN 46204
1 Ashburton Place, Room 1109
Contact: Janet Deahl (317) 232-4454
Boston, MA 02108
Contact: Janet George (617) 727-0077
IOWA
Iowa Department of Human Services
MICHIGAN
Hoover State Office Building, 5th Floor
Michigan Department of Social Services
Des Moines, IA 50319-0114
Child Day Care Division
Contact: Rosemary Norlin (515) 242-5994
235 South Grand Aveaue
P.O. Box 30037
KANSAS
Lansing, MI 48909
Kansas Department of Social and
Contact: Sue Allen (517) 373-0356
Rehabilitation Services
915 SW Harrison Street
MINNESOTA
Topeka, KS 66612-1570
Minnesota Department of Human Services
Contact: Selma Hunter-Gordon
Human Services Building
(913) 296-3959
444 Lafayette Road
St. Paul, MN 55155-3842
Contact: Barbara O'Sullivan (612) 296-3971
Appendix G
6-97
47
MISSISSIPPI
NEW MEXICO
Mississippi Department of Human Services
Department of Children, Youth, and Families -
4777 Megaraevers Blvd.
Division of Preventative Services
Jackson, MS 39213
Child Care Bureau
Contact: David Buchanan (601) 362-9892
1422 Paseo de Peralta
P.O. Drawer 5160
MISSOURI
Santa Fe, NM 87502-5160
Missouri Department of Social Services
Contact: Jacqueline Lowe (505) 827-7680
Division of Family Services
P.O. Box 88
NEW YORK
615 Howerton Ct.
New York State Department of Social Services
Broadway State Office Building
Services and Community Development
Jefferson City, MO 65109
40 North Pearl Street
Contact: Gregory A. Vadner (573) 751-3221
Albany, NY 12243
Contact: JoAnn Friedell (518) 474-9454
MONTANA
Montana Department of Family Services
NORTH CAROLINA
P.O. Box 8005
NC Department of Human Resources
Helena, MT 59604
Division of Child Development
Contact: Boyce Fowler (406) 444-5900
P.O. Box 29553
Raleigh, NC 27626-0553
NEBRASKA
Contact: Barbara Spaulding (919) 662-4499
Nebraska Department of Social Services
P.O. Box 95026
NORTH DAKOTA
Lincoln, NE 68509-5026
North Dakota Department of Human Services
Contact: Debra Mabry-Strong (402) 471-3121
State Capitol - Judicial Wing
600 East Boulevard Avenue
NEVADA
Bismark, ND 58505
Nevada Department of Human Resources
Contact: Sue Satterthwaite (701) 328-2310
505 E. King, Room 600
Carson City, NV 89710
OHIO
Contact: Jerry Allen (702) 687-4730
Ohio Department of Human Services
Child Care Office
NEW HAMPSHIRE
65 East State Street, 5th Floor
New Hampshire Department of Health
Columbus, OH 43215
and Human Services
Contact: Sharon Chuvalas (614) 466-3822
6 Hazen Drive
Concord, NH 03301-6521
OKLAHOMA
Contact: Carol Mooney (603) 271-4343
Oklahoma Department of Human Services
Sequoyah Memorial Office Building
NEW JERSEY
P.O. Box 25352
New Jersey Department of Human Services
Oklahoma City, OK 73125
CN 700
Contact: Julie Wherry (405) 521-4266
22 Warren St.
Trenton, NJ 08625
Contact: Theresa Castro (609) 292-9220
48
6-97
Appendix G
OREGON
UTAH
Child Care Division
Utah Department of Human Services
Employment Department
120 North 200 West, Room 325
875 Union Street
Salt Lake City, UT 84103
Salem, OR 97311
Contact: Julie Olson (801) 538-3968
Contact: Janis Elliot (503) 378-8420
VERMONT
PENNSYLVANIA
Vermont Department of Social and
Pennsylvania Department of Public Welfare
Rehabilitation Services
Bureau of Child Day Care Services
103 South Main Street
Box 2675
Waterbury, VT 05671-2401
Harrisburg, PA 17105
Contact: Chris Mulvaney (802) 241-2120
Contact: Dr. Richard Fiene (717) 772-2099
VIRGINIA
RHODE ISLAND
Virginia Council on Child Day Care and Early
Rhode Island Department of Human Services
Childhood Programs
600 New London Avenue
730 East Broad Street
Cranston, RI 02920
9th Floor
Contact: Barbara Gianola (401) 277-1337
Richmond, VA 23219
Contact: Mary Ellen Verdu (804) 371-8603
SOUTH CAROLINA
South Carolina State Health and Human Services
WEST VIRGINIA
Finance Commission
West Virginia Department of Health
P.O. Box 8206
and Human Resources
1801 Main Street
State Capitol Complex
8th Floor -Zip 29201
Room B850, Bldg. 6
Columbia, SC 29202-8206
Charleston, WV 25305
Contact: Dottie C. Garvey (803) 253-6154
Contact: Kay Tilton (304) 558-7980
SOUTH DAKOTA
WISCONSIN
South Dakota Department of Social Services
Wisconsin Department of Health
700 Governors Drive
and Social Services
Pierre, SD 57501-2291
P.O. Box 7851
Contact: Bobbi Brown (605) 773-4766
1 West Wilson Street
Madison, WI 53707
TENNESSEE
Contact: Kay Hendon (608) 266-8200
Tennessee Department of Human Services
Citizens Plaza - 14th Floor
WYOMING
400 Deaderick Street
Wyoming Department of Family Services
Nashville, TN 37248-9810
Hathaway Building
Contact: Janet Camp (615) 313-4820
3rd Floor
2300 Capitol Avenue
TEXAS
Cheyenne, WY 82002-0490
Texas Department of Human Services
Contact: Maureen Clifton (307) 777-7561
P.O. Box 149030
Austin, TX 78714-9030
Contact: Clarissa Olsen (512) 438-3343
Appendix G
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49
Appendix H:
Federal and National Organizations
Federal and national organizations can provide you with
Mid-Atlantic Region :
information about child care. This section briefly
DE, MD, PA, VA, WV
describes some of these organizations and gives
GSA Child Care Coordinator
addresses and phone numbers to contact for materials
Wannamaker Building
and further information.
100 Penn Square East (3PB)
Philadelphia, PA 19107-3396
FEDERAL ORGANIZATIONS
(215) 656-5994
The following Federal organizations can provide
Southeast Sunbelt Region:
information to assist you in obtaining quality child care:
AL, FL, GA, KY, MS, NC, SC, TN
GSA Child Care Coordinator
General Services Administration
Suite 2400 - 4PMFC
18th and F Streets, NW., Room 6119
401 W. Peachtree Street, NW.
Washington, DC 20405
Atlanta, GA 30365
(202) 205-7233
(404) 331-1851
The General Services Administration's (GSA) Office of
Great Lakes Region:
Work Place Initiatives is the focal point for the
IL, IN, MI, MN, OH, WI
establishment of child care centers in GSA-controlled
GSA Child Care Coordinator
space. The Office oversees more than 100 child care
10243 Echo Hill Drive
centers and provides directors, staff, and board members
Brecksville, OH 44141
with advice and technical assistance on the successful
(216) 522-4963
operation of quality child care programs. The Office
enhances Federal agencies' ability to provide ongoing
The Heartland Region:
quality child care by collecting and disseminating
IA, KS, MO, NE
information through a network of Regional Child Care
GSA Child Care Coordinator
Coordinators. You may contact the following GSA
Federal Building - 6PMFB
Regional Child Care Coordinators for further
1500 East Bannister Road
information:
Kansas City, MO 64131-3088
(816) 926-7741
New England Region :
CT, MA, ME, NH, RI, VT
Greater Southwest Region:
GSA Child Care Coordinator
AR, LA, NM, OK, TX
10 Causeway St., 9th Flr. (1PE)
GSA Child Care Coordinator
Boston, MA 02222-1077
819 Taylor Street, Room 12A26
(617) 565-7312
Fort Worth, TX 76102
(817) 978-8451
Northeast and Caribbean Regions:
NJ, NY, PR, VI
Rocky Mountain Region:
GSA Child Care Coordinator
CO, MT, ND, SD, UT, WY
26 Federal Plaza (2PB)
GSA Child Care Coordinator
New York, NY 10278
P.O. Box 25006, DFC
(212) 264-1268
Denver, CO 80225-0006
(303) 236-8014 ext. 264
50
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Appendix H
Pacific Rim Region:
develop effective dependent care programs. Other
AZ, CA, HI, NV
OPM responsibility includes the management of
GSA Child Care Coordinator
the Employee Assistance Program which
450 Golden Gate Ave.
traditionally have assisted Federal employees in
3rd Floor West (9PTW)
dealing with the pressures of family and work life.
San Francisco, CA 94102
(415) 522-3472
Department of Health and Human Services
Administration for Children,
Northwest/Arctic Region:
Youth, and Families
AK, ID, OR, WA
200 Independence Avenue, SW.
GSA Child Care Coordinator
Washington, DC 20201
400 15th Street, SW (10A)
(202) 245-0347
Auburn, WA 98001
(206) 931-7700
The Department of Health and Human Services'
Administration for Children, Youth, and Families
National Capital Region:
administers two programs relating to child care:
District of Columbia; Prince George's County,
Head Start and the Child Care and Development
Montgomery County, MD; Fairfax County, Loudoun
Block Grant Program. Head Start is a nationwide
County, Prince William County, Arlington County, and
early childhood program for low-income preschool
the cities of Fairfax, Falls Church, and Alexandria, VA
children, designed to provide comprehensive
GSA Child Care Coordinator
services in preparation for public school. Your local
Regional Office Building
department of social services can provide
7th & D Streets, SW - Room 7013
information about eligibility for Head Start. The
Washington, DC 20407
Child Care and Development Block Grant program
(202) 205-7255
helps low-income families obtain child care services.
Internal Revenue Service
Office of Personnel Management
1111 Constitution Avenue, NW.
Theodore Roosevelt Building
Washington, DC 20224
1900 E Street, NW., Room 7315
Washington, DC 20415-0001
The Internal Revenue Service (IRS) provides free
(202) 606-5520
tax information and services to help taxpayers,
including a toll free telephone service (toll free
The Office of Personnel Management's (OPM) Work
telephone numbers are printed in your local
and Family Program Center assists Federal agencies in
telephone directory), tax information publications,
developing programs which address the needs of
tax assistance and educational programs, and
employees with family responsibilities. During the past
audiovisual instructional materials that are available
several years, OPM has expanded and reinforced
on loan to groups.
existing policies designed to assist employees in
balancing their work and family responsibilities. These
Publications of interest to parents include #503:
efforts include: developing flexible leave policies for
Child and Dependent Care Expenses; and #929:
parental and family responsibilities; establishing leave
Tax Rules for Children and Dependents. These
sharing programs for employees with medical
publications can be ordered by calling toll free 1-
emergencies; promoting the use of flexible and
800-TAX-FORM (1-800-829-3676). You can also
compressed work schedules, flexiplace, part-time
order IRS Publication #910: Guide to Free Tax
employment, and job sharing; and conducting a variety
Services, which is a catalog of tax services and free
of educational activities to encourage agencies to
publications.
Appendix H
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51
NATIONAL ORGANIZATIONS
The National Association of Child Care Resource
and Referral Agencies (NACCRRA) can provide
information about child care resource and referral
The following national organizations provide
agencies around the country. Contact NACCRRA's
information that can assist you in finding quality child
Child Care Aware for a list of resource and referral
care:
agencies in your area.
National Association for the Education of Young
Bank Street College of Education Work and
Children (NAEYC)
Family Life Programs
1509 16th Street, NW.
610 W. 112th Street
Washington, DC 20036
New York, NY 10025
(202) 232-8777
(212) 222-6700
Toll Free 1-800-424-2460
Bank Street College researches and reports on work
The National Association for the Education of Young
and family problems and productivity. It provides
Children (NAEYC) is a nonprofit organization of more
referrals, distributes the publication, Investing in
than 80,000 child care professionals and others
Quality Child Care, and publishes a newsletter,
dedicated to the goal of improving the quality of services
Work and Family Life: Balancing Job and
provided to young children and their families. NAEYC
Personal Responsibilities.
meets this goal by (1) providing educational
opportunities and resources to promote the professional
Educational Resources Information Center
development of those working for and with young
(ERIC)
children, and (2) working to increase public knowledge
Clearinghouse on Elementary and Early
and support for high quality early childhood programs.
Childhood Education
The NAEYC's National Academy of Early Childhood
University of Illinois
Programs accredits early childhood programs.
805 W. Pennsylvania Avenue
Urbana, IL 61801
To obtain a copy of NAEYC's Resource Catalog,
(217) 333-1386
containing an extensive listing of brochures, books,
videos, and posters, call or write the NAEYC. Examples
The Educational Resources Information Center's
of NAEYC publications include: Young Children, a
(ERIC), supported by the U.S. Department of
bimonthly journal; Accreditation Criteria and
Education, Office of Educational Research and
Procedures of the National Academy of Early
Improvement, is a national information system
Childhood Programs - Revised Edition;
designed to provide users with ready access to an
Developmentally Appropriate Practice in Early
extensive body of education-related literature.
Childhood Programs Serving Children From Birth
ERIC's Clearinghouse on Elementary and Early
Through Age 8; and Teaching Preschoolers: It Looks
Childhood Education contains a variety of reports of
Like This in Pictures (1990). Parents may request a
interest to parents, including Infant Child Care,
complimentary brochure entitled How to Choose a
Infant Day Care: The Critical Issues, Approaches
Good Early Childhood Program by sending a self-
to School-Age Child Care, and Planning for Parent
addressed, stamped, business-size envelope to NAEYC
Participation in Schools for Young Children.
at the address listed above.
These and similar reports can be obtained free of
charge from the clearinghouse.
National Association of Child Care Resource and
Referral Agencies (NACCRRA)
1319 F Street N.W.
Washington, DC 20004
(202) 393-5501
Child Care Aware: Toll Free 1-800-424-2246
52
6-97
Appendix H
Child Care Action Campaign
National Association for Family Day Care
330 Seventh Avenue, 17th Floor
(NAFDC)
New York, NY 10011
1331-A Pennsylvania Avenue, NW., Rm. 348
(212) 239-0138
Washington, DC 20004
Toll Free 1-800-359-3817
The Child Care Action Campaign seeks to inform the
public about child care problems, solutions, and services
The National Association for Family Day Care
available through government, corporations, and
(NAFDC), an organization representing family and
individuals. It publishes information including issue
group home child care providers throughout the
summaries, a newsletter, and a series of fact sheets on
United States, serves as a networking system for
child care topics.
family day care. NAFDC accredits family day care
homes that offer high quality child care services.
Project Home Safe
You can obtain a list of accredited homes in your
American Home Economics Association
State by sending a stamped self-addressed envelope
1555 King Street
to NAFDC.
Alexandria, VA 22314
Toll Free 1-800-252-SAFE
National Information Center for Children and
Youth With Disabilities (NICHCY)
Project Home Safe is a national education and advocacy
P.O. Box 1492
program addressing the issue of latchkey children.
Washington, DC 20013-1492
Sponsored by the American Home Economics
(202) 884-8200
Association, a non-profit organization, and the
Toll Free 1-800-695-0285
Whirlpool Foundation, the project provides materials,
training, and other resources to help parents and
The National Information Center for Children and
communities respond to the important issue of children
Youth with Disabilities (NICHCY) is a national
who are left unsupervised while parents are at work.
information and referral clearinghouse, supported
Parent materials that are distributed free of charge
through a Cooperative Agreement with the U.S.
include pamphlets on assessing readiness for and
Department of Education. NICHCY staff can
preparing for self-care, tips on self-care safety and
answer questions regarding disability issues, refer
activities, and suggestions for finding appropriate
callers to other disability organizations, and send
school-age child care.
information packets and fact sheets such as those
mentioned under the Programs for Children with
The Children's Foundation
Special Needs section.
725 15th Street, NW., Suite 505
Washington, DC 20005-2109
School-Age Child Care Project
(202) 347-3300
Wellesley College Center for
Research on Women
The Children's Foundation is a national non-profit
Wellesley, MA 02181-8259
organization whose efforts include increasing the
(617) 235-0320 Ext. 2546
availability of affordable, quality child care. It provides
training and assistance to parents and child care
The School-Age Child Care Project is a non-profit
providers across the country. A publications list will be
resource and consultation organization that can
sent upon request. In addition, The Children's
provide information about school-age child care,
Foundation will send a summary of the child care
including startup, development, and assessment of
regulations in your state if you send a stamped self-
school-age child care programs. A publications list
addressed envelope with your request.
will be sent upon request.
Appendix H
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53
Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a tabbed divider. Given our
digitization capabilities, we are sometimes unable to adequately
scan such dividers. The title from the original document is
indicated below.
Part II. Elder Care
Divider Title:
Part II.
ELDER CARE
When a parent* suddenly becomes dependent upon an
nursing home is not the only choice and is frequently
adult child, the problems facing the family can be
not a necessity. The housing section is followed by
emotionally draining and complex. Elder care is a broad
sections on legal, financial, and health considerations.
field that recognizes the role of the adult caregiver as one
The last section offers information on taking care of the
that provides essential services to an older adult. Often
caregiver. Six appendices follow with information
caregivers do not recognize their role as a caregiver nor
including a partial listing of area agencies on aging, a list
do they realize that help may be available in the
of State long-term care ombudsman offices, nursing
community to assist an older person. This section of the
home tips and a checklist, a checklist on selecting a
handbook attempts to introduce you to the various
home health care agency, a list of Federal and national
issues that face many adults as they age. From choosing
organizations that provide elder care information and/or
a home to dealing with the complexities of social
services, and a list of elder care resources. The resource
security income, elder care encompasses a wide range of
list includes publications noted throughout the text as
complicated issues. You may not need to consult each
well as new information not found elsewhere in this
topic of this section. Chances are your questions can be
handbook.
answered by consulting one part of the elder care
section. However, the information provided here might
Please note the Elder Care Locator information below.
be useful to you in the future. Many of the problems
The Locator is a toll free number operating nationwide
associated with elder care could be prevented or made
for people with elder care problems. It is operated by
easier if parents and children recognize potential
the National Association of Area Agencies on Aging
difficulties and plan accordingly should any trouble
with funds from the Older Americans Act of 1992 (PL
arise.
102-375). The trained elder care operators can determine
who you need to contact and give you local referral
There are six sections in the handbook. The first section
numbers. If your parents live far away, the Elder Care
explains the range of resources that are offered in many
Locator can give you information for their area.
communities to help older adults function independently.
The second section introduces you to the many housing
*For editorial convenience, the phrase "parent-child" is used
options available to older adults besides living
throughout the text; however, it is recognized that employees may
independently in one's own home. Keep in mind that a
care for an elderly friend or relative.
Elder Care Locator
If you're concerned about an older person, and
don't know where to turn for information, the
Elder Care Locator can help you. Call the
1-800 number listed below.
1-800-677-1116
Monday - Friday
9:00 a.m. - 11:00 p.m. (Eastern Standard Time)
Elder Care
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55
Section 1:
Community Resources
Many people associate the aging process with the need
Availability - AAAs are located in every State. The
for nursing home care. In fact, most aging adults do not
types of services they offer will differ. The Handbook
need nursing home care. Instead, many older adults can
has a partial list of AAA addresses and telephone
remain independent but frequently need assistance with
numbers in Appendix A.
various daily living tasks. Communities throughout the
United States offer varied services for its aging
Assistive Devices
populations. Check with the social services office of
Assistive devices are services and products that can be
your parent's local government to determine which
purchased or rented to help people function better at
services are available in his or her area. Utilizing these
home. These may include devices for persons with
community resources can help your parent live more
hearing and/or visual impairments and those who need
comfortably and remain independently in his or her
help in walking or moving about.
home. In addition, older adults who have chosen an
alternative living arrangement, such as congregate
Availability - Assistive devices may be available from
housing, can use these services as an additional tool to
medical equipment rental stores or electronic product
make daily living simpler. The list below will familiarize
retail stores. Several States have assistive device
you with some of the community resources that may be
distribution programs operated by the State
available in your parent's area and suggest the general
rehabilitation agency for the disabled.
availability of these services across the country.
Remember, you must contact the local government
where your parent resides to determine if these services
Case Management
are available in his or her area. See Appendix F for a list
Case management is a method of assessing a person's
of community resources.
total care needs, arranging for necessary services, and
coordinating the delivery. Since care problems rarely
occur one at a time and services may be fragmented, this
Adult Day Care
service can be used by caregivers to coordinate a care
Adult day care centers offer a variety of health care and
plan.
social services for people who need assistance with
personal care such as grooming or toiletting, but not
Availability - While availability varies, case
around-the-clock care. Round trip transportation may
management services are becoming more widely
be provided to the center where people may spend a few
available. Contact your parent's Area Agency on Aging
hours or all day.
for information.
Availability - Adult day care center availability varies.
The centers may be operated by hospitals, nursing
Friendly Visitors
homes, religious organizations or privately owned care
Friendly visitors are volunteers who regularly visit older
centers. Contact your parent's Area Agency on Aging
persons who may need companionship. They may read,
for information.
write letters, run local errands, etc. for the older person.
Availability - Friendly visitors are usually provided by a
Area Agencies on Aging
religious or voluntary organization. Contact your
The Area Agencies on Aging (AAA) provide access to a
parent's church or synagogue or the Visiting Nurses
variety of services to older persons in communities
Association to see if the service exists in their
throughout the United States. These services include:
community.
information and referral, homemaker/home health aides,
transportation, congregate care and home delivered
meals, chores, and other supportive services.
56
6-97
Community Resources
Home Adaptation
maintenance, home repairs, and help with emergencies
Home adaptation means making changes to your
such as frozen pipes. No major improvements or
parent's home to accommodate his or her changed needs.
cosmetic changes are included. Some programs will
Adaptation may include small changes like installing
help you work with contractors.
grab bars, or major changes such as widening doorways
for wheelchairs or installing a bathroom on the first floor
Availability - These programs are widely available.
of the home.
Contact your parent's Area Agency on Aging for
information.
Availability - You need a good contractor and a good
idea of what your parent wants done. Seek advice from
Homemaker Services
professionals you know you can rely on, such as an
Homemaker services include assistance with grooming
occupational therapist, before hiring anyone to do major
and dressing, and help with meal preparation, food
jobs.
shopping, or light housekeeping.
Home Chore Services
Availability - Homemaker services are widely available.
Home chore services offer minor household repairs,
Contact your parent's Area Agency on Aging for
household cleaning, and yardwork.
information.
Availability - Home chore services are widely available.
Hospice Care
Contact your parent's Area Agency on Aging for
Hospice is a special kind of care for terminally ill people
information.
and their families. It does not focus on recovery through
medical treatment, but instead helps people cope with
Home-Delivered Meals
the physical and emotional pain of dying from a clearly
Home-delivered meals or "meals-on-wheels" is a service
terminal illness. Hospice care may be given at home or
that delivers hot, nutritious meals once or twice a day,
in a hospice facility, and may be provided by or
usually five days per week. Most home-delivered meal
supplemented by trained volunteers. Insurance coverage
programs can accommodate special diets.
for hospice care varies. Medicare will provide benefits
to patients who are diagnosed as being terminally ill, but
Availability - Home-delivered meals are widely
patients receiving hospice benefits waive their regular
available. Contact your parent's Area Agency on Aging
Medicare coverage while they are under hospice care.
for information.
Availability - Availability varies from State to State.
Home Health Care
Contact your parent's Area Agency on Aging for
information. You can also contact you parent's State
Home health care covers a wide variety of medical
hospice or home care association, the Foundation for
services provided by such professionals as nurses or
Hospice and Homecare (202) 547-6586, or the Hospice
physical therapists.
Association of America (202) 546-4759.
Availability - Home health care is widely available.
Contact your parent's Visiting Nurses Association or
Nutrition Services
Area Agency on Aging. See Appendix D of this part of
Nutrition services provide people with inexpensive,
the Handbook for a helpful checklist on selecting a home
nutritious meals in group settings such as senior centers,
health care agency. See Appendix F for a list of home
churches, synagogues, or senior housing. Nutrition sites
health care resources.
may provide transportation.
Home Maintenance and Repair
Availability - Nutrition services are widely available.
Programs
Contact your parent's Area Agency on Aging or senior
center for information.
Home maintenance and repair programs (usually
sponsored by nonprofit organizations) provide home
Community Resources
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57
Personal Emergency Response Systems
Senior Centers
(PERS)
Senior centers offer older people an opportunity to
PERS are emergency alert button devices that are placed
socialize and a place to meet. They offer a wide variety
in the home and can be pressed to summon help from
of social, educational, and recreational programs. Some
emergency response centers such as hospitals or 800
senior centers provide transportation services.
numbers.
Availability - Senior centers are widely available.
Availability - Approximately ten national companies
Contact your parent's Area Agency on Aging for
manufacture PERS. They may not be readily available
information.
in all areas.
Telephone Reassurance
Respite Care
Telephone reassurance is offered by volunteers who
Respite care provides short-term relief to people who
arrange to talk to older persons daily to ensure that "all
care for an older person at home. The respite can be for
is well." This service is especially helpful to people who
a few hours or several days. It may be provided at
live alone.
home, at adult day care centers, or at hospitals
overnight.
Availability - Availability varies in communities.
Contact your parent's Area Agency on Aging, church or
Availability - Respite care services are widely available.
synagogue, or Visiting Nurses Association.
Contact your parent's Area Agency on Aging for
information.
This information is reprinted with permission from the American
Association of Retired Persons' publication Tomorrow's Choices.
58
6-97
Community Resources
Section 2:
Housing Options
O-π
Many people assume that a nursing home is the only
Questions for the Parent
option for older adults who can no longer live alone in
their own homes. However, there are many housing
Does your son or daughter want you to move in? If
alternatives. The information listed below will
not, and you move in anyway, will the emotional
familiarize you with some of these options. The
strain be too much on you?
questions that follow each section suggest what you
How will living expenses be shared?
and/or your parent might consider before selecting an
What will you use for transportation? Will you
alternative living arrangement.
have easy access to shopping, a place of worship,
friends, and other interests of your own?
Having a Parent Move in With You
Do you have friends in the area where your children
live? Are there people close by with whom you can
For many people, having a parent move in with them is
create friendships?
the best choice when living alone is no longer possible
Will you be able to accommodate your child's
for the older person. For other people, it can be a
lifestyle?
difficult choice (sometimes the poorest of the available
Will you be able to live with your children's
options). If you are considering such an arrangement,
children?
you need to talk seriously with your immediate family
Can your children afford to have you live with
and your parents to understand how each one of them
them?
feels. You also need to be sure to express all your
How will your presence affect family relationships?
feelings about the situation. Talk with friends whose
How much time will you expect your child to spend
parents live with them and try to understand what it's
with you?
like for them. Think through the questions listed below
for both parents and children and discuss the issues
together before agreeing to this living arrangement.
Foster Care
Foster care is a social service that places an older person
Questions for the Adult Child
who is in need of a modest amount of daily assistance
into a warm home environment. The costs vary, and
Do you want your parent to move in? Have you
may be covered by the State social services program.
been honest in expressing your feelings about it?
The older person may be expected to contribute to the
If you don't want your mother or father to move in,
stipend paid to the family providing the foster care. The
but it must happen anyway, will you be able to
availability of this program is limited. Contact your
handle it?
Area Agency on Aging for more information. (See
How much time can you spend with your parent?
Appendix A).
Have you explained what your weeks and weekends
are like?
Home Sharing
Do you expect your parent to do chores around the
As an alternative to moving into your home, your parent
house? Is this a reasonable expectation? Have you
may want to consider sharing their home with others,
talked to your parent about what to expect and
moving into someone else's home, or finding a new
why?
house that can accommodate them and several other
Can you afford it?
people of your choice. Shared households can be
Are you aware of local services that could help you
arranged either by sharing expenses or by exchanging
through difficult situations?
services or rent. For example, a homebound homeowner
Housing Options
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59
might prefer having someone do housework, shopping,
How will your parent divide costs like taxes and
yardwork, or other errands in exchange for free lodging.
utilities between himself or herself and the renter?
This sort of arrangement should be put in writing, so
Will your parent be able to manage the
there are no misunderstandings later.
responsibilities of a landlord?
Will your parent be able to find tenants?
Consider these issues:
Before your parent searches for a tenant, consider
Do local zoning laws in your parent's community
whether he or she wants a companion, someone who
permit two or more unrelated people to share a
provides home services, or just a renter. If your parent
house? Check with your local zoning or planning
needs help around the house, some tenants may be
board.
willing to exchange services for rent. Any arrangement
Will your parents want to share their home or move
for exchange of services in lieu of rent should be put in
to share another's home?
writing as part of the rental agreement.
How will your parent's personality fit with a
potential housemate's?
ECHO Housing
How will sharing affect your parent's finances?
If you and your parent don't wish to live together,
How will your parent resolve differences that arise?
having your parent live in a cottage on your property
What will new income do to your parent's eligibility
might be a workable alternative. Elder Cottage Housing
for certain public benefits like Supplemental
Opportunity (ECHO for short) units are small, self-
Security Income and Food Stamps?
contained, portable housing units that can be placed in
What will your parent's responsibility be if his or
the back or side yard of a single family house. They
her housemate becomes ill?
were first manufactured in Australia to enable parents to
remain near their adult children and families. ECHO
Adding an Accessory Apartment
units provide closeness, while retaining privacy for both
Another way your parent can remain at home is to add a
parties. The cost of ECHO housing is less than a new
separate, self-contained apartment unit to his or her
home. For example, companies in California and
house, called an accessory apartment. This allows your
Pennsylvania offer completely installed one-bedroom
parent to stay in his or her house but not be alone, and
units with more than 500 square feet of living space for
the rental income will provide him or her with additional
around $25,000.
living resources. Creating a new kitchen, bath and
access are usually the most expensive changes to be
Consider these issues:
made; however, your parent's home may only require
minor changes to accommodate an accessory unit.
Do zoning laws restrict this type of structure?
Check with your local zoning or planning board.
Before your parent starts building, you might
Is there adequate yard space for both structures?
consider:
What will the local tax treatment be? Will it add to
the value of your property?
Do zoning laws allow accessory apartments? Check
Are utility hook-ups available?
with your parent's local zoning or planning board
before making plans.
Board and Care Homes
Will the cost of the renovation, increased utility
Board and care homes go by many names (including
bills, higher taxes, and insurance premiums be
personal care homes, residential care facilities, assisted
covered in the rent your parent receives?
living, and domiciliary care). In exchange for rent,
Will the benefit of having someone nearby be worth
generally they provide room, meals, laundry and
the expenses?
housekeeping, and regular contact with staff to ensure
Will your parent expect his or her tenant to be a
that "all is well." The daily contact with staff is what
companion or will your parent have a
distinguishes "board and care" homes from the more
landlord/tenant relationship?
familiar boarding houses. Your parent would share this
Is sufficient parking available?
home, of course, with a number of other residents.
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Visit the home with your parent before a decision is
What in-house services are available? (Look for
made. Look at the private room your parent may
services such as occupational and physical therapy,
occupy. Ask lots of questions about the services and
counseling, recreational and social activities, a
evaluate the staff. Ask for references and check the
library, and daily telephone monitoring.)
home's record with the local or State licensing agency.
Do services like physical therapy cost extra? Be
sure to check for all costs in advance.
Consider these issues:
What are the policies on bringing personal
furniture?
Will your parent have privacy and independence?
Are pets allowed?
Is common space available?
How does your parent feel about the overall
How much will it cost, including add-ons to the
atmosphere of the facility?
rent?
Is it near public transportation, places of worship,
"Life Care" or Continuing Care
and shopping?
Retirement Communities (CCRCs)
Can your parent's special dietary needs be met?
Does the home comply with local licensing, fire, and
Continuing care communities offer the benefit of
zoning laws? Is it licensed by the State?
independent living in apartments and houses, but with
What are the arrangements for sharing bathrooms?
health care services and a nursing facility on the
Will your parent have to climb stairs?
premises. Payment for nursing care and many other
services is sometimes made in advance.
Are there security locks on each room?
Will your parent have access to a telephone?
Are pets allowed? Who will care for them?
The cost of a continuing care community can be high.
The entrance fee can range from $50,000 to $250,000
(which may or may not be refundable) and you must
Congregate Housing
also pay monthly fees (that can increase while you are a
Congregate housing is usually an apartment complex
resident).
that provides each tenant a full apartment, serves meals
in a central dining room, and provides housekeeping
The difference between a continuing care community
services. It is different from board and care homes
and board and care homes or congregate housing is that
because the individual units include kitchens and
continuing care communities provide a commitment to
because it provides a professional staff that may include
take care of residents regardless of any changes in their
social workers, counselors, or nutritionists.
health, for as long as a person resides in the community.
Today, most congregate housing facilities are sponsored
If your parent is considering a move to a continuing care
by non-profit agencies and range in size from 35 to 300
community, BE CAUTIOUS. Some continuing care
living units. You may find congregate housing facilities
communities have financial problems. You may wish to
listed under "Retirement Communities" in your local
review the facility's financial statement with an attorney
telephone directory.
or accountant and note its cash reserves and its policy
for using them. Check with the local or State Long-
The rents vary, and Federal subsidies often help cover a
Term Care Ombudsman and the Better Business Bureau
portion of rental fees.
or the Consumer Protection Office in the CCRC's
locality to be sure it has not generated complaints of any
Consider these issues:
kind.
Is transportation to stores, places of worship, and
Consider these issues:
other services available?
Can the facility accommodate your parent's special
How complete is the nursing facility? What services
dietary needs?
does it provide?
Is there adequate security for your parent's personal
What medical costs does the contract cover?
belongings?
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61
What is the policy for transferring residents between
advance planning for this eventuality is critical. Only
apartments and the nursing facility?
when a nursing home patient becomes impoverished
Is the management open and responsive to resident
does Medicaid begin to pay the cost of nursing home
concerns?
care.
Do the fees cover all of your parent's costs?
Does your parent have to pay extra for anything
Before entering a nursing home, ask
(such as laundry)?
yourself:
Are places of worship nearby?
Is transportation to needed services, like grocery
Have you explored thoroughly with your parent the
stores, available?
home and community-based options described in
Is there access to a telephone?
this book?
What is the refund policy for deposits and entrance
How will your parent meet the expenses?
fees? How is the amount of the refund calculated?
How will your parent cope with the institutional
When is your parent entitled to receive a refund?
atmosphere? The loss of independence?
Is the home convenient for visiting by family and
Nursing Homes
friends?
Nursing homes are for people who need extensive and
Is the home clean and odor free?
extended health or personal care. Many people live in
Can the home ensure the security of your parent's
nursing homes unnecessarily because they thought they
possessions?
had no other alternatives. Nursing homes are intended
What levels of care are available? Are they
only for those who are seriously ill--not for people who
appropriate to your parent's needs?
feel they have no other options.
Ombudsman
There are two levels of care:
To help you in selecting the right nursing home for your
parent, consider contacting the local ombudsman. The
Skilled Nursing--is for persons who need intensive
ombudsman program is a significant part of the nursing
care, 24 hour-a-day supervision, and treatment by a
home system. Federal law requires each State Agency
registered nurse under the direction of a physician.
on Aging to have an Office of the Long-Term Care
Ombudsman, and more than 500 local ombudsman
Nursing Facility--is for persons who need 24 hour-
programs now exist nationwide.
a-day supervision under the direction of a registered
nurse and a physician.
These offices provide help and information to older
Americans, their families, and friends regarding long-
The level of care required is determined by a person's
term care facilities. The local ombudsman also can help
physician. In addition, many States require and conduct
to ensure that your parent receives good care throughout
pre-screening of potential nursing home residents to
his or her stay. Keep in mind that the ombudsman
determine the level of care needed. Your parent's local
cannot advise you on one particular nursing home, but
social service agency or the admissions person at any
will supply current information regarding nursing homes
nursing home can direct you to the agency that makes
near you or your parent.
this determination.
Ombudsman functions include:
There are about 20,000 nursing homes in the United
States, serving about 5% of the older population. The
Visiting nursing homes on a regular basis;
chances are about one in four that an individual will
Receiving and investigating complaints made by or
need to reside in a nursing home at some time in his or
on behalf of nursing home residents and working to
her life. The cost for staying one year in a nursing home
resolve the problems;
generally ranges between $20,000 and $48,000.
Referring unresolvable problems or findings of
Medicare and private medigap insurance plans
serious violations of standards in a nursing home
reimburse very little of the cost. An extended stay in a
facility to State Health Departments for action; and
nursing home can wipe out a family's savings, so
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Providing information on licensed long-term care
families and nursing home facilities. You can find them
facilities in the State or local area including the
through your State Agency on Aging.
number and nature of complaints against a facility,
the results and conclusions of the investigation into
Housing and Nursing Home Resources
these complaints, and advice on what to look for as
The following resources may be of help when
tell-tale signs of good care in facilities.
considering housing options:
See Appendix B for a list of State long-term care
Staying at Home: A Guide to Long-Term Care and
ombudsman offices.
Housing -- -American Association of Retired Persons
Publication No. D14986
See Appendix C for a list of helpful tips and a checklist
Tomorrow's Choices - Preparing Now for Future
that can be used when you visit nursing homes.
Legal, Financial, and Health Care Decisions --
American Association of Retired Persons
Nursing Home Telephone Interview
Publication Number D-13479
Once you identify what you want and need in a home,
Nursing Home Life: A Guide for Residents and
simply telephoning some of the nursing homes on your
Families -- American Association of Retired
list may eliminate the need to visit them. Some of the
Persons, Publication Number D-13063
key questions that you may ask over the phone to
facilities are:
American Association of Retired Persons
(AARP) Fact Sheets on Nursing Homes:
Is the nursing home certified for participation in the
Medicare or Medicaid programs?
Title
Publication No.
What are the facility's admissions requirements for
residents?
New Protections of Nursing
D13713
What is the "typical profile" of a resident in the
Home Residents' Rights
facility? For example, if a family member requires
temporary rehabilitation services and the nursing
Encountering Problems in
D13714
home specializes in Alzheimer's disease care, it's
Nursing Homes
probably not a good match.
Does the nursing home require that a resident sign
Medicaid Discrimination and
D13715
over personal property or real estate in exchange for
Consumer Rights
care?
Does the facility have vacancies, or is there a
The Nursing Home Regulatory
D13716
waiting list?
System
People To Talk To
Long-Term Care Ombudsman
D13717
Your family (or a trusted advisor) about their
Program
reactions to the plans your parent is making;
At least one person who lives in the type of facility
Write to AARP to obtain a free copy of the above
your parent is contemplating;
publications. Include the title and publication
The Better Business Bureau and Consumer
number.
Protection Office in the area where the facility or
service is located, to check on its reputation;
AARP Fulfillment
An attorney if your parent will be required to sign a
601 E Street, NW.
contract; and
Washington, DC 20049
State and local Long-Term Care Ombudsman
Programs that are set up to investigate complaints
Continuing Care Retirement Community: A
and mediate disputes between residents and/or their
Guidebook for Consumers - American Association
of Homes for the Aging
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6-97
63
The Continuing Care Consumer Brochure: A Life
Guide to Choosing a Nursing Home (HCFA-
Style Offering Security and Independence,
02174) - Department of Health and Human
American Association of Homes for the Aging
Services, Health Care Financing Administration
Living Independently: Housing Choices for Older
People (brochure) - American Association of
Write to HHS for a free copy:
Homes for the Aging
Choosing a Nursing Home: A Guide to Quality
HHS - HCFA
Care (brochure) - American Association of Homes
6325 Security Boulevard
for the Aging - Publication No. CF015
Baltimore, MD 21207
The Nursing Home and You: Partners in Caring
for a Relative with Alzheimer's Disease - American
Association of Homes for the Aging
With the exception of the Nursing Home Telephone Interview
information, the housing alternative information was borrowed from
Write to the American Association of Homes for the
two American Association of Retired Persons publications:
Tomorrow's Choices and Nursing Home Life: A Guide For
Aging to receive a copy of the above publications:
Residents and Families and is reprinted here with permission from
AARP.
AAHA Publications
901 E Street, NW., Suite 500
Washington, DC 20004-2037
64
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Housing Options
Section 3:
Legal Considerations
When an aging family member suddenly needs help
Location of will or trust;
with daily living tasks or must enter a nursing home,
Location of birth certificate and certificates of
the emotions of such a change can interfere with a
marriage, divorce, and citizenship;
family's ability to make decisions. The decision
List of employers and dates of employment;
making process can seem overwhelming, particularly
Education and military records;
if legal concerns are involved. While dealing with
Religious affiliation, name of church or
your parent's legal concerns may seem difficult, you
synagogue, and names of clergy (if desired);
need not feel overburdened. The best defense against
Memberships in organizations and awards
confusion and uncertainty in coping with legal issues
received;
is to prepare ahead for change. The information in
Names and addresses of close friends, relatives,
this section offers some suggestions for preparing you
doctors, and lawyers or financial advisors; and
and your parents for the day they may need your
Requests, preferences, or prearrangement for
assistance in handling their legal affairs. "Getting
burial.
Your Affairs in Order" provides an easy process for
aging parents to organize their legal affairs should
A family member or friend should know the location
they need assistance later on. The second part defines
of this personal records file and the location of all
legal terms that relate to the aging field. Regardless of
important papers and documents, although it is not
your circumstances, everyone should read this section
necessary to reveal the contents of wills or trusts.
and become familiar with the legal issues that affect
many aging adults and their children.
Financial Records File
In making a financial records file, list information
GETTING YOUR AFFAIRS IN
about insurance policies, bank accounts, deeds,
ORDER
investments, and other valuables, using this outline:
Relatives and friends sometimes must help older
people manage their legal or financial affairs
Sources of income and assets (pension funds,
temporarily or even gradually assume these
interest income, etc.);
responsibilities. Often the person who provides care
Social Security and Medicare information;
has little knowledge of vital information and records.
Investment income (stocks, bonds, property);
If papers are in order, the task is much simpler.
Insurance information (life, health, and property),
with policy numbers;
Although each situation is different, the following
Bank accounts (checking, savings, and credit
suggestions can help most people begin creating a
union);
financial and personal records file.
Location of safe deposit boxes;
Copy of most recent income tax return;
Personal Records File
Liabilities--what is owed to whom and when
payments are due;
A personal records file should include the following
information:
Mortgages and debts -- how and when paid;
Credit card and charge account names and
numbers;
Full legal name;
Property taxes; and
Social Security number;
Location of personal items such as jewelry or
Legal residence;
family treasures.
Date and place of birth;
Names and addresses of spouse and children (or
location of death certificates if any are deceased);
Legal Considerations
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65
Having this information available can help you or a
or her well-being. All guardianships must be
family member plan for any change in later years--
approved by a court and actions taken by a guardian
retirements, a move, a death in your family--and can
are overseen by the court.
help you or a family member make wise decisions.
Social Security Representative
LEGAL DEFINITIONS
In the event an elder cannot sign a Social Security
Many communities offer legal services. For those
check, the Social Security office will appoint a person,
elderly who are unable to manage their own affairs
institution, or community association as
appropriately, legal and/or protective services may be
representative payee. The name on the Social Security
needed. Such services are designed to safeguard the
check is changed from the direct beneficiary's to the
rights and interests of older persons, to protect them
payee's, and the payee is then responsible for
from harm, to protect the property of older persons,
distributing the money on behalf of the beneficiary.
and to provide advice and counsel to older persons and
Social Security checks can also be directly deposited
their families in dealing with financial and business
in most situations.
concerns. Older persons and their families should
become familiar with the following legal terms.
Making a Will
A will is a legal declaration of how the deceased wants
Power of Attorney
his or her money, property, and other possessions
This is a legal device which permits one individual
disposed of after death. A will also can be used to
(the Principal) to give to another person (the attorney-
determine guardianship of minor children and to set
in-fact) the authority to act on his or her behalf. The
up trusts for heirs who may have an inadequate
person with power of attorney is then authorized to
knowledge of how to manage inherited money or
handle banking and real estate, pay bills, incur
property.
expenses and handle a wide variety of legal affairs for
a specific period of time. This can continue
Without a doubt, every person with property of any
indefinitely as long as the person granting power of
value should have a will. However, many people
attorney remains competent and is capable of granting
delay thinking about death and then die intestate, that
power of attorney. This kind of power of attorney
is, the State distributes their estate according to the
expires when the Principal becomes comatose,
laws of the State. When drawing up a will, an
mentally incompetent, or dies.
individual should make a list of his or her resources
and clarify and write down his or her wishes. The
Durable Power of Attorney
elder must choose an executor and witness to the will.
Most people feel more secure knowing that, in the
The elder also has the responsibility to review it
event of incapacity, a trusted person and not the courts
periodically, to keep it up-to-date, and to see that it is
will make decisions and carry out their wishes. A
stored in a safe place. You should know where your
Durable Power of Attorney gives a specified person
elder's will is kept.
this right despite the physical or mental incompetence
of the elder. It terminates only upon the death of the
Living Wills
grantor (Principal) or if revoked by a legally appointed
A living will is a document that allows people to state,
guardian or by the grantor if he or she remains
while they are still able, their wishes regarding the use
competent.
of extraordinary measures or procedures to keep them
alive when it is evident that they are dying. The living
Guardianships or Conservatorships
will may also appoint someone else (a relative, friend
A guardianship or conservatorship, arranged through
or attorney) to direct health care if the person signing
an attorney, blocks a person from acting on his or her
the living will is unable to do so.
own behalf. This arrangement is useful when a person
is in-capable of managing financial and/or personal
In most cases, people who sign living wills want to be
affairs, or does not know that he or she is managing
certain that they will not receive unwanted or
poorly and this incapability poses a major threat to his
unwarranted treatment if death is near and they have
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Legal Considerations
no reasonable expectation of recovering. Others may
want to make clear that they want to be at home when
death is imminent, or that they want to donate their
organs after death. Currently, 38 States and the
District of Columbia have recognized the Living Will
as legally binding under most circumstances.
Legal Aid
There are a few programs that will provide low-cost
legal services to elders. Legal aid offices are set up to
provide low income individuals with legal services if
they meet eligibility guidelines. Elders can sometimes
receive help with government forms, tax forms, wills,
etc., from retired attorneys, volunteers from the Bar
Association or paralegals who are supervised by an
attorney. Some States have toll free telephone
numbers that elders can call and talk with an attorney.
Contact your local AAA or senior center for further
information on these programs.
These definitions were borrowed from The Partnership Group, Inc.
and are reprinted here with their permission.
Legal Considerations
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Section 4:
Financial Considerations
The information in this section briefly discusses
3- Disability Benefits provide protection against the loss
financial considerations that you and your parent may
of family income due to the disability of a breadwinner.
wish to consider. The information is in no way intended
as financial advice nor as a comprehensive overview of
What is Supplement Security Income?
older adult financial concerns. Instead, this section is
SSI is short for Supplemental Security Income. It pays
intended to introduce you to or remind you of some
monthly checks to people who are 65 or older or
common financial topics that concern older adults.
disabled, or blind and who have low incomes and few
assets. SSI isn't just for adults. Monthly checks can go
Most of the information concerns Social Security
to disabled and blind children, too. People who get SSI
income. To receive additional information on any topics
usually get food stamps and Medicaid, too.
listed below contact the Social Security Administration.
The Social Security Administration can answer many
The amount of SSI money your parent receives depends
questions about the Social Security system and can send
on where your parent lives. The basic SSI check is the
you free informative brochures on its programs. Refer
same nationwide. However, many States add money to
to the resources listed at the end of the Social Security
the basic check. Call the Social Security
and health insurance sections for a partial listing of these
Administration's toll free number - 1-800-772-1213 - to
publications.
find out the amounts for your parent's State.
SOCIAL SECURITY
Signing Up
For disability, survivors, and SSI benefits, your parent
Social Security--The General Idea
should apply as soon as he or she is eligible. When
The basic idea behind Social Security is a simple one.
signing up for retirement, Social Security asks that an
An individual pays taxes to the system during his or her
individual do so about three months before he or she
working years, and the individual and members of his or
wants the benefits to start.
her family receive monthly benefits when he or she
retires or becomes disabled. Or, survivors collect
When Individuals Need Help Handling
benefits when an individual dies.
Their Benefits
Sometimes Social Security or SSI recipients are not able
Here's An Important Point: Social Security is not
to handle their own financial affairs. In those cases, the
intended to be an individual's only source of income.
Social Security Administration turns to a relative, a
Instead, it is meant to be used to supplement the
friend, or another interested party to handle a person's
pensions, insurance, savings, and other investments
Social Security matters. This person becomes the
accumulated during the working years.
"representative payee." All Social Security or SSI
benefits due are made payable in the payee's name on
There are three types of Social Security benefits:
behalf of the beneficiary. Contact the Social Security
Administration for more information.
1- Retirement Benefits provide retirement income to
retired workers and their families.
2- Survivors Benefits provide income security to family
members upon the death of a breadwinner.
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Financial Considerations
Department of Health and Human Services
For further information about any
Social Security Administration
Baltimore, MD 21235
Social Security Program or to apply
Toll Free 1-800-772-1213
Call SSA's Toll Free Number
ADDITIONAL FINANCIAL
RESOURCES FOR WOMEN
1-800-772-1213
Women and Money: The Independent Woman's Guide
to Financial Security for Life, by Frances Leonard
Monday - Friday
7 a.m. - 7 p.m.
To receive a copy of this book, write to the Older
(Eastern Standard Time)
Women's League at the address below and include a
check or money order for $12.95.
or
Contact your local Social
OWL
Security office
666 11th Street, NW., Suite 700
Washington, DC 20001
Tax Information
BOOKLETS AVAILABLE
The following list of tax publications may be useful in
The Social Security Administration produces many
understanding the often complex tax laws that govern an
publications and fact sheets designed to help explain
older adult's money. You may need to contact a lawyer
to receive additional assistance.
these programs to you or your elders. Here is a list of
some you may find helpful:
Contact the Internal Revenue Service toll free at 1-800-
Retirement - A guide to Social Security retirement
829-3676 to order the following free tax guides:
benefits
Tax Information for Older Americans- Publication
Disability - A guide to Social Security disability benefits
No. 554
Social Security Benefits and Equivalent Railroad
Survivors - A guide to Social Security survivors benefits
Retirement Benefits- Publication No. 915
Credit for the Elderly or the Disabled -Publication
Medicare - A guide to the Medicare program
No. 524
Tax Information for Survivors, Executors, and
Supplemental Security Income - A guide to the SSI
Administrators - Publication No. 559
program
Pension and Annuity Income -Publication No. 575
Child and Dependent Care Expenses -Publication
Understanding Social Security - A comprehensive
No. 503
explanation of all the Social Security Programs
Tax Rules for Children and Dependents -
Publication No. 929
A Guide For Representative Payees - A guide for
Tax Counseling for the Elderly Handbook
representative payees
Publication No. 1114
Guide to Free Tax Services - Publication No. 910
To obtain free copies of the above, call or write the
Social Security Administration:
Financial Considerations
6-97
69
Tax Assistance
Contact the IRS toll free at 1-800-829-1040 to receive
assistance in filling out tax forms for older persons. The
IRS will refer you to a volunteer tax assistant in your
area.
UNTIED STATUES OF AMERICA
1021 GOLD WE
ONE
address *******
MIN
LEEHI
arras
ONE QUIGM ALDO
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Financial Considerations
Section 5:
Health Insurance
The information listed below briefly describes
you think your parent may qualify, contact his or her
Government funded health insurance programs for older
State or local medical assistance (Medicaid) agency,
adults. To receive further information on any of these
social services office, or welfare office for information.
programs contact the Social Security Administration toll
free at 1-800-772-1213 or contact your local Social
Medigap
Security office.
Medicare provides basic health care coverage, but it
doesn't pay all medical expenses, and it doesn't pay for
Medicare
most long-term care. For this reason, many private
Medicare is our country's health insurance program for
companies sell insurance to fill the gaps in Medicare
people 65 or older, certain disabled people under 65, and
coverage. This kind of insurance is often called
people of any age who have permanent kidney failure. It
"Medigap" for short. Contact the Health Care
provides basic protection against the cost of health care,
Financing Administration's Medigap Hotline toll free at
but it doesn't cover all medical expenses.
1-800-638-6833 for more information on Medigap.
Medicare has two parts: Hospital Insurance (Part A)
When Individuals Need Help Handling
and Medical Insurance (Part B). Hospital Insurance
Their Benefits
helps pay for inpatient hospital care, skilled nursing
See the section Financial Considerations for an
facility care, home health care, and hospice care. It is
paid for by the payroll tax Federal Insurance
explanation of the representative payee system.
Contribution Act (FICA) that also pays for Social
Security. Medical Insurance helps pay for doctors'
Booklets Available
services, outpatient hospital services, ambulance
The Social Security Administration (the organization
services, diagnostic tests, therapies, durable medical
that provides information about the Medicare program)
equipment, medical supplies, and prosthetic devices.
and the Health Care Financing Administration (the
Medical Insurance is financed by monthly premiums
organization that administers the Medicare program)
paid by people who choose to enroll.
produce many publications and fact sheets designed to
help explain these programs to you or your parents.
Medicaid
Here is a list of some you may find helpful:
Many people think that Medicaid and Medicare are two
different names for the same program. But actually,
Medicare - A straight-forward guide to the Medicare
Medicaid is a State-run program designed primarily to
program.
help the elderly and others with low income and little or
You Should Know About QMB - A guide to the
no resources. Each State has its own rules about who is
QMB program.
eligible and what is covered under Medicaid. However,
A Guide for Representative Payees - A guide for
all States cover basic inpatient and outpatient medical
representative payees.
services, and various additional services may be
provided at the option of the individual States.
Write or call the Social Security Administration for a
free copy of the above publications:
QMB
If your parent gets Medicare, and has little income or
Social Security Administration
Public Information Distribution Center
resources, he or she may be eligible for the "Qualified
Public Affairs Office, P.O. Box 17743
Medicare Beneficiary" -- or QMB -- Program. If your
Baltimore, MD 21235
parent qualifies, the State he or she lives in will pay their
Toll free 1-800-772-1213
Medicare premiums, deductibles, and coinsurance. If
Health Insurance
6-97
71
The Medicare 1996 Handbook - A handbook of the
Medigap Resources
Medicare program.
1996 Guide to Health Insurance for People With
Medicare
Medicare: Hospice Benefits - A guide to the
Health Care Financing Administration
medical and support services available to Medicare
beneficiaries with terminal illnesses.
Write or call the Health Care Financing Administration
for a free copy:
Medicare and Advance Directives - A guide to
what action elders need to take to make sure that
Medicare Publications
decisions made now - in advance of becoming ill -
Health Care Financing Administration
will be followed in the event they become physically
6325 Security Boulevard
or mentally unable to communicate their wishes
Baltimore, MD 21207
about the type of treatment they wish to receive or
Toll Free 1-800-638-6833
who can make those decisions.
8:00 a.m. - 8:00 p.m.
Write or call the Health Care Financing Administration
Medigap: Medicare Supplemental Insurance - A
to obtain a free copy of the above publications:
Consumer's Guide - American Association of
Retired Persons Publication Number D-14042
Medicare Publications
Health Care Financing Administration
Before You Buy: A Guide to Long-Term Care
6325 Security Boulevard
Insurance - American Association of Retired
Baltimore, MD 21207
Persons Publication No. D-12893.
Toll Free 1-800-638-6833
8:00 a.m. - 8:00 p.m.
Write to AARP for a free copy of the above
Eastern Standard Time
publications. Include the title and publication number.
AARP Fulfillment
601 E Street, NW.
Washington, DC 20049
72
6-97
Health Insurance
Section 6:
Caregivers
Sometimes it is difficult for a caregiver to remember that
Your agency's Employee Assistance Program (EAP)
he or she has needs that should be met. Often, a
may be helpful in assisting you with problems or
caregiver does not even realize that he or she is a
concerns you may be experiencing as a caregiver. An
caregiver. Ask yourself the following questions:
EAP counselor also can direct you to the appropriate
resources that will help your parent. In addition to the
Am I concerned about the safety or welfare of an
listings in this book, there are many other resources
aging relative or friend?
available to help caregivers do their jobs. If you would
Do I help an older person from time to time with
like to receive a fact sheet on caregiving, a pamphlet
household tasks such as grocery shopping, paying
titled "Caregiving: 1st Line of Defense," or a resource
bills, or house cleaning?
list of national organizations that offer free or low-cost
Am I providing personal care -- bathing, feeding,
resources, contact the Older Women's League (OWL) at
grooming -- to an older adult who needs assistance
1-800-TAKE OWL from 9:00 a.m. - 5:00 p.m. (eastern
in these areas?
standard time). The OWL is a non-profit organization
that seeks to educate the public about issues affecting
If you answered YES to any of these questions, you are
middle-aged and older women.
a caregiver. Caregiver is a term describing a person
who is concerned about or provides assistance to
another because of physical or mental limitations. A
This section of the book was written with the assistance of the
caregiver can help anyone -- a child, a disabled person,
Older Women's League.
or an aging individual. However, this handbook is
intended to help people like yourself, caregivers of
older adults.
Caregivers
6-97
73
Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a tabbed divider. Given our
digitization capabilities, we are sometimes unable to adequately
scan such dividers. The title from the original document is
indicated below.
Elder Care Appendices
Divider Title:
ELDER CARE APPENDICES
A. Area Agencies on Aging (Partial Listing)
B. State Long-Term Care Ombudsman Offices
C. Nursing Home Tips and Checklist
D. Selecting a Home Health Care Agency Checklist
E. Federal and National Elder Care Organizations
F. Elder Care Resources
Elder Care Appendices
6-97
75
Appendix A:
Area Agencies on Aging (Partial Listing)
Area Agencies on Aging (AAA) are located in
ALABAMA
approximately 300 communities throughout the United
States and are there to assist you in obtaining services
Alabama Commission on Aging
for your elderly parent or relative. Among the variety of
770 Washington Avenue, Suite 470
questions the AAA staff can answer for you are:
RSA Plaza
Montgomery, AL 36130
What types of day care or nursing care are available
(205) 242-5743
in my parent's community?
Toll Free 1-800-243-5463 (In State)
How can I arrange to have meals delivered to my
East Alabama Commission Area Agency on Aging
parent's home?
P.O. Box 2186
Anniston, AL 36202
Can transportation be provided to bring my parent
(205) 237-6741
to doctor appointments?
Toll Free 1-800-239-6741 (In State)
How can I find someone to help my parent with
Jefferson County Office of Senior Citizens
household chores and home maintenance?
2601 Highland Avenue South
Birmingham, AL 35205
Where can my parent get financial counseling?
(205) 325-1416
Where can my parent get legal counseling?
North Alabama Regional Council of
Governments Area Agency on Aging
How can I arrange for my parent's Social Security
402 Lee Street, NE.
check to be deposited directly into his or her
P.O. Box C
checking account?
Decatur, AL 35602
(205) 355-4515
How can I learn whether my parent is covered by
Medicaid and what types of services are covered?
Southern Alabama Regional Council on Aging
230 North Oates Street
To keep the handbook to a manageable size, we have
Dothan, AL 36302
listed only those AAAs in metropolitan areas which
(205) 793-6843
have more than one thousand Federal employees. They
Toll Free 1-800-239-3507 (In State)
are listed alphabetically by State. If the AAA in your
parent's community is not listed in this directory, you
Top of Alabama Regional Council of
can phone the Eldercare Locator toll free at 1-800-677-
Governments Area Agency on Aging
1116, the State AAA office, or the AAA in your own
115 Washington Street
local community to obtain the phone number of the
Huntsville, AL 35801
AAA in your parent's community.
(205) 533-3330
76
6-97
Appendix A
South Alabama Regional Planning
Pima Council on Aging
Commission/Area Agency on Aging
5055 E. Broadway
651 Church Street, P.O. Box 1665
Bldg. C-104
Mobile, AL 36633-1665
Tucson, AZ 85711
(205) 433-6541
(520) 790-7262
Central Alabama Aging Consortium
ARKANSAS
818 South Perry Street, Suite 1
Montgomery, AL 36104
Division of Aging and Adult Services
(205) 240-4666
Arkansas Department of Human Services
7th and Main Street
South Central Alabama Development
P.O. Box 1437, Slot 1412
Commission/Area Agency on Aging
Little Rock, AR 72203
5900 Carmichael Place
(501) 682-2441
Montgomery, AL 36117
(205) 244-6903
Area Agency on Aging of Western Arkansas
P.O. Box 1724
West Alabama Planning and Development Council
Fort Smith, AR 72902
Area Agency on Aging
(501) 783-4500
4200 Highway 69 N., Suite 1
Toll Free 1-800-737-1827
N. Port, AL 35476
(205) 333-2990
Carelink
Toll Free 1-800-239-4049 (In State)
700 Riverfront Drive
P.O. Box 5988
ALASKA
N. Little Rock, AR 72119
(501) 372-5300
Alaskans Commission on Aging
Toll Free 1-800-482-6359 (In State)
Department of Administration
8:00 a.m. 4:30 p.m.
333 Willoughby Aveaue, P.O. Box 110211
Juneau, AK 99811-0211
Arkansas Area Agency on Aging of Southeast Arkansas
(907) 465-3250
709 East 8th Avenue
P.O. Box 8569
ARIZONA
Pine Bluff, AR 71611
(501) 534-3268
Aging and Adult Administration
Toll Free 1-800-264-3260
Department of Economic Security
7:30 .m. - 5:00 p.m.
1789 W. Jefferson Street, 2SW, 950A
Phoenix, AZ 85007
CALIFORNIA
(602) 542-4446
Toll Free 1-800-362-3474 (In State)
Department of Aging
1600 K Street
Area Agency on Aging - Region I
Sacramento, CA 95814
1366 E. Thomas Road, Suite 108
(916) 322-3887
Phoenix, AZ 85014
(602) 264-2255
Kern County Office on Aging
1415 Truxton Avenue
Intertribal Council of Arizona, Inc.
Bakersfield, CA 93301
4205 N. 7th Avenue, Suite 200
(805) 861-2445
Phoenix, AZ 85013
(602) 248-0071
Appendix A
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77
Fresno-Madera Area Agency on Aging
Central Coast Commission for Senior Citizens
2220 Tulare Street, Suite 1200
208 W. Main Street, Suite B
Fresno, CA 93721
Santa Maria, CA 93454-5027
(209) 488-3821
(805) 925-9554
Toll Free 1-800-287-8722 (In State)
Sonoma County Area Agency on Aging
City of Los Angeles Department of Aging
940 Hopper Avenue
600 S. Spring Street, Suite 900
Santa Rosa, CA 95403
Los Angeles, CA 90014
(707) 524-7250
(213) 890-9600
Toll Free 1-800-634-6516 (In State)
Department of Aging
Children's and Community Services
Los Angeles County Area Agency on Aging
102 S. San Joaquin Street
3175 W. 6th Street, Suite 400
P.O. Box 201056
Los Angeles, CA 90020
Stockton, CA 95201
(213) 738-4004
(209) 468-3780
Area 4 Agency on Aging
Solano-Napa Agency on Aging, Inc.
2862 Arden Way, Suite 101
601 Sacramento St., Suite 1401
Sacramento, CA 95825
Vallejo, CA 94590
(916) 486-1876
(707) 644-6612
Office for Aging and Community Services
COLORADO
Monterey County Department of Social Services
1000 S. Main Street, Suite 202
Aging and Adult Services
Salinas, CA 93901
Department of Social Services
(408) 755-8490
110 16th St.
Denver, CO 80202
Office on Aging
(303) 620-4147
San Bernardino County
686 East Mill Street
Pikes Peak Area Agency on Aging
San Bernardino, CA 92415-0640
15 South 7th Street
(909) 387-2412
Colorado Springs, CO 80905
(719) 471-2096
San Diego County Area Agency on Aging
9335 Hazard Way, Suite 100
Denver Regional Council of Governments
San Diego, CA 92123
2480 W 26th Avenue, Suite 200B
(619) 495-5885
Denver, CO 80211
Toll Free 1-800-339-4661 (In County)
(303) 455-1000
San Francisco City and County Commission on Aging
Larimer County Office on Aging
25 Van Ness Avenue, Suite 650
1525 Blue Spruce
San Francisco, CA 94102
Fort Collins, CO 80524
(415) 864-6051
(303) 498-6800
Council on Aging of Santa Clara County, Inc.
Pueblo Area Agency on Aging
2115 The Alameda
1120 Court Street, Suite 101
San Jose, CA 95126
Pueblo, CO 81003
(408) 345-4532
(719) 583-6611
78
6-97
Appendix A
CONNECTICUT
FLORIDA
Connecticut Department on Aging
Program of Aging and Adult Services
25 Sigourney St.
Department of Elder Affairs
Hartford, CT 06106
Building E - Room 317
(860) 424-5360
1317 Winewood Boulevard
Toll Free 1-800-443-9946 (In State)
Tallahassee, FL 32399-0700
(904) 922-5297
Southwestern Connecticut Area
Agency on Aging
Area Agency on Aging of Broward County, Inc.
25 Van Zant Street
5345 NW. 35th Avenue
Suite 15-8
Ft. Lauderdale, FL 33309
Norwalk, CT 06855
(305) 484-4357
(203) 853-7189
Area Agency on Aging of South Central Florida
North Central Connecticut Area Agency on Aging
2285 First St.
2 Hartford Square W
Fort Myers, FL 33901-2895
Suite 101
(813) 332-4233
Hartford, CT 06106
(203) 724-6443
Mid-Florida Area Agency on Aging, Inc.
P.O. Box 141380
Eastern Connecticut Area Agency on Aging
Gainesville, FL 36214
401 W. Thames Street, Upper Road
(904) 378-6649
Norwich, CT 06360
Toll Free 1-800-262-2243 (In State)
(203) 887-3561
8:00 a.m. - 5:30 p.m.
Western Connecticut Area Agency on Aging
Northeast Florida Area Agency on Aging, Inc.
255 Bank St., 2nd Flr.
590 S. Ellis Rd.
Waterbury, CT 06702
Jacksonville, FL 32254
(203) 757-5449
(904) 786-5111
DELAWARE
Alliance for Aging, Inc.
9500 South Dadeland Boulevard
Division on Aging
Suite 400
Department of Health and Social Services
Miami, FL 33156
Oxford Bldg.
(305) 670-6500
256 Chapman Rd., Suite 200
New Ark, DE 19720
Northwest Florida Area Agency on Aging, Inc.
(302) 577-4791
6706 North 9th Avenue
Toll Free 1-800-223-9074
Building A, Suite 1
8:00 a.m. - 4:30 p.m.
Pensacola, FL 32504-7398
(904) 484-5150
DISTRICT OF COLUMBIA
Tampa Bay Regional Planning Council
District of Columbia Office on Aging
Area Agency on Aging
441 4th St., NW
9455 Koger Boulevard
Suite 900 S.
Hendry Building
Washington, D.C. 20005
St. Petersburg, FL 33702
(202) 724-5622
(813) 577-5151
Appendix A
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79
Area Agency on Aging for North Florida
Middle Georgia Regional Development Center
2639 North Monroe Street, Suite 145-B
Area Agency on Aging
Tallahassee, FL 32303
175-C Emery Hwy.
(904) 488-0055
Macon, GA 31201
(912) 751-6160
West Central Florida Area Agency on Aging
5911 Breckenridge Pkwy., Suite B
HAWAII
Tampa, FL 33610
(813) 623-2244
Executive Office on Aging
Toll Free 1-800-336-2226 (In State)
Office of the Governor
335 Merchant Street, Room 241
GEORGIA
Honolulu, HI 96813
(808) 586-0100
Office of Aging
Toll Free 1-800-468-4644 (In State)
2 Peachtree Street, NE., Suite 18,403
Atlanta, GA 30303
Elderly Affairs Division
(404) 364-2626
715 S. King Street, #500
Honolulu, HI 96813
Sowega Council on Aging, Inc.
(808) 523-4545
Area Agency on Agency
309 Pine Avenue
IDAHO
Albany, GA 31701
(912) 432-1124
Idaho Commission on Aging
700 W. Jefferson, Rm. 108
Northeast Georgia RDC Area Agency on Aging
P.O. Box 83720
305 Research Drive
Boise, ID 83720-0007
Athens, GA 30610
(208) 334-3833
(706) 369-5650
ILLINOIS
Atlanta Regional Commission
Aging Services Division
Illinois Department on Aging
200 Northcreek, Suite 300
421 East Capital Avenue, #100
3715 Northside Parkway
Springfield, IL 62701-1789
Atlanta, GA 30327
(217) 785-3356
(404) 364-2626
Toll Free 1-800-252-8966 (In State)
Central Savannah River Area Regional
Chicago Department on Aging
Area Agency on Aging
510 North Pestigo Court, 3A
2123 Wrightsboro Road
Chicago, IL 60611
P.O. Box 2800
(312) 744-4016
Augusta, GA 30914-2800
(706) 737-1823
Suburban Area Agency on Aging
1146 Westgate, Suite LL112
Lower Chattahoochee Regional Development Center
Oak Park, IL 60301-1054
Area Agency on Aging
(708) 383-0258
1428 2nd Avenue
Columbus, GA 31902-1908
Central Illinois Agency on Aging, Inc.
(706) 649-7468
700 Hamilton Boulevard
Peoria, IL 61603
(309) 674-2071
80
6-97
Appendix A
NW Illinois Area Agency on Aging
Area 2 Agency on Aging/REAL Services
638 Hollister Avenue
1151 S. Michigan St.
Rockford, IL 61108
P.O. Box 1835
(815) 226-4901
South Bend, IN 46634
(219) 233-8205
Project LIFE Area Agency on Aging
Toll Free 1-800-552-2916 (In State)
2141 West White Oaks Dr.
Suite C
West Central Indiana Economic Development District
Springfield, IL 62704
1718 Wabash Avenue
(217) 787-9234
P.O. Box 359
Toll Free 1-800-252-2918 (In State)
Terre Haute, IN 47808
(812) 238-1561
INDIANA
Toll Free 1-800-489-1561
Aging/In-Home Services
IOWA
Division of Aging and Rehabilitative Services
402 W. Washington Street, Room W454
Department of Elder Affairs
P.O. Box 7083
Clemens Bldg., 3rd Flr.
Indianapolis, IN 46207-7083
210th Street
(317) 232-7020
Des Moines, IA 50319
Toll Free 1-800-545-7763
(515) 281-5187
SW Indiana Regional Council on Aging
Heritage Area Agency on Aging
7 S.E. Martin Luther King Jr. Boulevard
6301 Kirkwood Boulevard, SW.
P.O. Box 3938
P.O. Box 2068
Evansville, IN 47737-3938
Cedar Rapids, IA 52406
(812) 464-7800
(319) 398-5559
Toll Free 1-800-253-2188 (In State)
Great River Bend Area IX Agency on Aging
Northeast Area III Council on Aging, Inc.
P.O. Box 3008
Aging and Inhome Services
Davenport, IA 52808-3008
201 E. Rudisill Blvd.
(319) 324-9085
Suite 208
Toll Free 1-800-551-7323
Fort Wayne, IN 46806
(219) 426-0060
Aging Resources of Central Iowa
Toll Free 1-800-552-3662
5835 Grand Ave., Suite 106
Des Moines, IA 50312-1439
Area 1 Agency on Aging
(515) 255-1310
Lake County Economic Opportunity Council
5518 Calumet Avenue
KANSAS
Hammond, IN 46320
(219) 937-3500
Department on Aging
Docking State Office Building, Rm. 150
Central Indiana Council on Aging
915 SW. Harrison
4755 Kingsway Drive
Topeka, KS 66612-1500
Suite 200
(913) 296-4986
Indianapolis, IN 46205-1560
Toll Free 1-800-432-3535
(317) 254-5465
Appendix A
6-97
81
Wyandotte-Leavenworth Area Agency
Capital Area Agency on Aging
on Aging
Carrollton Office Bldg.
9400 State Avenue
6554 Florida Blvd., Suite 121
Kansas City, KS 66112
P.O. Box 66038
(913) 596-9231
Baton Rouge, LA 70806-6038
(504) 922-2525
Jayhawk Area Agency on Aging
1195 Buchanan, Suite 103
East Baton Rouge Council on Aging
Topeka, KS 66604
5790 Florida Boulevard
(913) 235-1367
Baton Rouge, LA 70806
(504) 923-8012
Central Plains Area Agency on Aging
510 North Main Street
New Orleans Council on Aging
Wichita, KS 67203
2475 Canal Street, Suite 400 Zip-70119
(316) 383-7298
P.O. Box 19067
New Orleans, LA 70179-0067
KENTUCKY
(504) 821-4121
Division of Aging Services
Caddo Council on Aging, Inc.
Cabinet for Human Resources
4015 Greenwood Rd.
5th Floor West, CHR Building
Shreveport, LA 71109-6422
275 East Main Street
(318) 632-2090
Frankfort, KY 40621
Toll Free 1-800-256-3003 (In State)
(502) 564-6930
8:00 a.m. - 4:30 p.m.
Bluegrass Area Agency on Aging
MAINE
699 Perimeter Dr.
Lexington, KY 40517
Bureau of Elder and Adult Services
(606) 266-6873
Department of Human Services
State House, Station 11
Kentucky Regional Planning and
35 Anthony Avenue
Development Agency
Augusta, ME 04333-0011
11520 Commonwealth Drive
(207) 624-5335
Louisville, KY 40299
(502) 266-6084
Southern Maine Area Agency on Aging, Inc.
P.O. Box 10480
LOUISIANA
Portland, ME 04104
(207) 775-6503
Governor's Office of Elderly Affairs
Toll Free 1-800-427-7411 (In State)
P.O. Box 80374
4550 North Boulevard, 2nd Floor
MARYLAND
Baton Rouge, LA 70806
(504) 925-1700
Maryland Office on Aging
State Office Building
Kisatchie Delta Area Agency on Aging
301 West Preston Street, Room 1004
P.O. Box 12248
Baltimore, MD 21201
Alexandria, LA 71315
(410) 225-1100
(318) 487-5454
Toll Free 1-800-243-3425
82
6-97
Appendix A
Baltimore City Commission on Aging
Elder Services of Merrimack Valley, Inc.
Retirement Education--CARE
360 Merrimack Street, Building 5
34 Market Pl., 3rd Flr., Suite 300
Lawrence, MA 01843
Baltimore, MD 21202
(508) 683-7747
(410) 396-4932
Toll Free 1-800-892-0890 (In State)
Baltimore County Department of Aging
Greater Springfield Senior Services, Inc.
611 Central Avenue
66 Industry Avenue
Towson, MD 21204
Springfield, MA 01104
(410) 887-2594
(413) 781-8800
Toll Free 1-800-649-3641 (In State)
Area Agency on Aging
Anne Arundel County
MICHIGAN
2666 Riva Rd., Suite 400
Annapolis, MD 21401
Office of Services to the Aging
(410) 222-4464
611 West Ottawa St.
Toll Free 1-800-492-2499 (In State)
P.O. Box 30026
Lansing, MI 48909
Washington County Commission on Aging
(517) 373-8230
9 Public Square
Hagerstown, MD 21740
Detroit Area Agency on Aging
(301) 790-0275
1100 Michigan Building
220 Bagley Street
Prince George's Aging Services Div.
Detroit, MI 48226-1410
Department of Family Services
(313) 222-5330
5012 Rhode Island Avenue
Hyattsville, MD 20781
Valley Area Agency on Aging
(301) 699-2696
711 North Saginaw Street, Room 325
Flint, MI 48503
Montgomery County Government
(810) 239-7671
Division of Elder Affairs
3950 Ferrara Dr.
Area Agency on Aging of Western Michigan
Wheaton, MD 20906
1279 Cedar Street, NW.
(301) 468-4443
Grand Rapids, MI 49503
(616) 456-5664
MASSACHUSETTS
Tri-County Office on Aging
Executive Office of Elder Affairs
3315 S. Penn. Ave.
One Ashburton Place, 5th Floor
Lansing, MI 48910-0714
Boston, MA 02108
(517) 887-1440
(617) 727-7750
Toll Free 1-800-882-2003 (In State)
MINNESOTA
Boston Commission on Affairs of the Elderly
Board on Aging
Boston Hall, Room 806
444 Lafayette Road, 4th Floor
Boston, MA 02201
St. Paul, MN 55155-3843
(617) 635-3993
(612) 296-2770
Toll Free 1-800-333-2433 (In State)
Appendix A
6-97
83
Arrowhead Area Agency on Aging
Central Missouri Area Agency on Aging
330 Canal Park Drive
Parkade Center, Suite 216 B
Duluth, MN 55802
1121 Business Loop - 70 East
(218) 722-5545
Columbia, MO 25201
Toll Free 1-800-232-0707 (In State)
(314) 443-5823
8:00 a.m. - 5:00 p.m.
Mid-America Regional Council
Central Minnesota Council on Aging
Department of Aging Services
600 25th Avenue South, Suite 206
600 Broadway
St. Cloud, MN 56301
300 Rivergate Center
(612) 253-9349
Kansas City, MO 64105
Toll Free 1-800-333-2433 (In State)
(816) 474-4240
8:00 a.m. - 4:30 p.m.
Southwest Missouri Office on Aging
Metropolitan Council Area Agency on Aging
317 Park Central East
230 East Fifth Street
P.O. Box 50805
St. Paul, MN 55101
Springfield, MO 65805
(612) 291-7428
(417) 862-0762
Toll Free 1-800-497-0822 (In State)
MISSISSIPPI
8:30 a.m. - 4:45 p.m.
Council on Aging
St. Louis Area Agency on Aging
Division of Aging and Adult Services
634 N. Grand Avenue
750 N. State St.
Suite 721
Jackson, Mississippi 39202
St. Louis, MO 63103
(601) 359-4929
(314) 658-1168
Toll Free 1-800-345-6347 (In State)
MONTANA
Area Agency on Aging of Southern Mississippi
1020 32nd Avenue
Governor's Office on Aging
Gulfport, MS 39501
State Capitol Building
(601) 868-2326
Helena, MT 59620
Toll Free 1-800-444-8014
(406) 444-3111-0801
Toll Free 1-800-332-2272 (In State)
Central Mississippi Area Agency on Aging
1170 Lakeland Drive
Area VII Agency on Aging
Jackson, MS 39296
1445 Avenue B
(601) 981-1516
Post Office Box 21838
Billings, MT 59102
MISSOURI
(406) 252-4812
Toll Free 1-800-758-4812
Division of Aging
8:00 a.m. 4:30 p.m.
Department of Social Services
615 Howerton Court
Area VIII Agency on Aging Cascade County
P.O. Box 1337
501 Day Dr.
Jefferson City, Missouri 65109
Great Fall, MT 59404
(314) 751-3082
(406) 454-6990
Toll Free 1-800-235-5503
7:3- a.m. - 11:00 p.m.
84
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Appendix A
NEBRASKA
NEW JERSEY
Nebraska Department on Aging
Division on Aging
301 Centennial Mall South
Department of Community Affairs
P.O. Box 95044
CN 807 South Broad and Front Streets
Lincoln, NE 68509-5044
Trenton, NJ 08625-0807
(402) 471-2306
(609) 292-0920
Toll Free 1-800-942-7830 (In State)
Toll Free 1-800-792-8820 (In State)
Lincoln Area Agency on Aging
Atlantic County Division on Aging
129 N. 10th Street, Room 241
1333 Atlantic Avenue, 3rd Floor
Lincoln, NE 68508-3648
Atlantic City, NJ 08401
(402) 441-7070
(609) 345-6700 ext. 2804
Toll Free 1-800-247-0938 (In State)
Toll Free 1-800-982-7587 (In State)
Northeast Nebraska Area Agency on Aging
Hunterdon County Office on Aging
White Stone Building
6 Gauntt Place
P.O. Box 1447
Flemington, NJ 08822
Norfolk, NE 68702
(908) 788-1362
(402) 370-3454
Toll Free 1-800-792-8820 (In State)
Toll Free 1-800-672-8368
8:00 a.m. - 5:00 p.m.
Monmouth County Office on Aging
Hall of Records Annex
Eastern Nebraska Office on Aging
Freehold, NJ 07728
7400 Court Bldg.
(908) 431-7450
808 S. 74th Plaza, Suite 200
Omaha, NE 68114-4676
Bergen County Division on Aging
(402) 444-6444
21 Main Street
Court Plaza South
NEVADA
West Wing, Room 109 W.
Hackensack, NJ 07601-7000
Department of Human Resources
(201) 646-2625
Division for Aging Services
Toll Free 1-800-792-8820 (In State)
340 North 11th Street, Suite 203
Las Vegas, NV 89101
Passaic County Office on Aging
(702) 486-3545
675 Goffle Road
Hawthorne, NJ 07506
NEW HAMPSHIRE
(201) 881-4950
Toll Free 1-800-223-0556 (In State)
Division of Elderly and Adult Services
115 Pleasant St.
Hudson County Office on Aging
Annex Bldg. 1
Department of Human Services
Concord, NH 03301
567 Pavonia Avenue
(603) 271-4394
Jersey City, NJ 07306
Toll Free 1-800-351-1888 (In State)
(201) 915-1171
Appendix A
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85
Middlesex County Office on Aging
Albany County Department for the Aging
841 Georges Road
112 State Street, Room 710
No. Brunswick, NJ 08902
Albany, NY 12207-2005
(908) 745-3293
(518) 447-7177
Somerset County Office on Aging
Broome County Office for Aging
P.O. Box 3000
County Building, Government Plaza
Summerville, NJ 08876
P.O. Box 1766
(908) 231-7176
Binghampton, NY 13902
(607) 778-2411
Ocean County Office on Aging
239 Washington St.
Erie County Department of Senior Services
P.O. Box 2191
95 Franklin Street
Toms River, NJ 08754
Buffalo, NY 14202-3963
(908) 929-2091
(716) 858-8526
Mercer County Office on Aging
Orange County Office for the Aging
640 S. Broad Street, P.O. Box 8068
30 Matthews Street, Suite 201
Trenton, NJ 08650-0068
Goshen, NY 10924-1531
(609) 989-6661
(914) 294-5151, Ext. 1560
Toll Free 1-800-792-8820 (In State)
Niagara County Office for the Aging
NEW MEXICO
Switzer Building
100 Davison Road
State Agency on Aging
Lockport, NY 14094-3396
La Villa Rivera Building
(716) 439-7833
228 East Palace Avenue
Santa Fe, NM 87501
New York City Department for the Aging
(505) 827-7640
2 Lafayette Street
Toll Free 1-800-432-2080
New York, NY 10007
(212) 442-1322
City of Albuquerque Area Agency on Agency
714 7th Street, SW.
Dutchess County Office for the Aging
Albuquerque, NM 87102
488 Main Street
(505) 764-6400
Poughkeepsie, NY 12601-3489
(914) 486-2555
North Central New Mexico Economic Development
District Area Agency on Aging
Monroe County Office for the Aging
P.O. Box 5115
375 Westfall Road
Sante Fe, NM 87502
Rochester, NY 14620-4678
(505) 827-7313
(716) 274-8181
NEW YORK
Metropolitan Commission on Aging
(Onondaga County)
New York State Office for the Aging
421 Montgomery Street
Empire State Plaza
Syracuse, NY 13202-2911
Agency Building 2
(315) 474-7011
Albany, New York 12223
(518) 474-4425
Toll Free 1-800-342-9871 (In State)
86
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Appendix A
Department of Community Services
OHIO
800 Park Avenue
Utica, NY 13501
Ohio Department of Aging
(315) 798-5770
50 West Broad Street - 9th Floor
Toll Free 1-800-541-0151 (In State)
Columbus, OH 43215-5928
(614) 466-5500
NORTH CAROLINA
Area Office on Aging 10B, Inc.
Division of Aging
1550 Corporate Woods Parkway
693 Palmer Drive
Suite 100
Caller Box 29531
Uniontown, OH 44685
Raleigh, North Carolina 27626-0531
(216) 896-9172
(919) 733-3983
Toll Free 1-800-421-7277 (In State)
Toll Free 1-800-662-7030 (In State)
Council on Aging, Cincinnati Area
Land of Sky Regional Council
Holiday Office Park, Suite 1100
25 Heritage Drive
644 Linn Street
Asheville, NC 28806
Cincinnati, OH 45203
(704) 251-6622
(513) 721-1025
Centralina Area Agency on Aging
Western Reserve Area Agency on Aging
P.O. Box 35008
925 Euclid Avenue, Suite 600
Charlotte, NC 28235
Cleveland, OH 44115
(704) 372-2416
(216) 621-8010
MidCarolina Area Agency on Aging
Central Ohio Area Agency on Aging
P.O. Drawer 1510
174 E. Long Street
Fayetteville, NC 28302
Columbus, OH 43215
(910) 323-4191
(614) 645-7250
Toll Free 1-800-662-7030 (In State)
Toll Free 1-800-589-7277
Piedmont Triad Council of Governments
Area Agency on Aging, PSA #2
Area Agency on Aging
6 South Patterson Blvd.
2216 W. Meadowview Road, Suite 201
Dayton, OH 45402
Greensboro, NC 27407-3480
(513) 341-3000
(910) 294-4950
Toll Free 1-800-258-7277 (In State)
NORTH DAKOTA
Area Agency on Aging of Northwestern Ohio
2155 Arlington Avenue
Aging Services Division
Toledo, OH 43609
Department of Human Services
(419) 382-0624
1929 N. Washington Street
P.O. Box 7070
District XI Area Agency on Aging
Bismark, ND 58507-7070
25 East Boardman Street
(701) 328-2577
Youngstown, OH 44503
Toll Free 1-800-472-2622
(216) 746-2938
Appendix A
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87
OKLAHOMA
Lehigh County Area Agency on Aging
P.O. Box 1548
Aging Services Division
Allentown, PA 18105
Department of Human Services
(610) 820-3034
312 North East 28th Street, Zip 73105
P.O. Box 25352
Greater Erie Community Action Committee
Oklahoma City, OK 73125
18 W. Ninth Street
(405) 521-2281
Erie, PA 16501
(814) 459-4581 Ext. 400
Areawide Aging Agency, Inc.
3200 NW 48th Street, Suite 104
Dauphin County Area Agency on Aging
Oklahoma City, OK 73112
25 S. Front Street
(405) 942-8500
Harrisburg, PA 17101-2025
(717) 255-2790 (accept collect calls)
Tulsa Area Agency on Aging
Toll Free 1-800-801-3070 (In State)
110 S. Hartford
Tulsa, OK 74120-1820
Lancaster County Office of Aging
(918) 596-7688
50 N. Duke Street
P.O. Box 83480
OREGON
Lancaster, PA 17608-3430
Senior and Disabled Services Division
(717) 299-7979
500 Summer Street, NE., 2nd Floor N.
Salem, OR 97310-1015
Philadelphia Corporation for Aging
(503) 472-6113
642 N. Broad Street
Toll Free 1-800-282-8096
Philadelphia, PA 19130-3409
(215) 765-9040
Lane Council of Governments
Senior Services Division
Allegheny County Department of Aging
1025 Willamette, Suite 200
441 Smithfield Street, 3rd Floor
Eugene, OR 97401
Pittsburgh, PA 15222
(541) 687-4038
(412) 350-4234
Multnomah County Aging Services Division
Berks County Area Agency on Aging
421 SW 5th Avenue, 3rd Floor
County Services Center
Portland, OR 97204
633 Court Street
(541) 248-3646
Reading, PA 19601-4303
(610) 478-6500
Mid-Willamette Valley Senior Services
P.O. Box 12189
Lackawanna County Area Agency on Aging
Salem, OR 97309
200 Adams Avenue, Suite 300
(503) 371-0352
Scranton, PA 18503
(717) 963-6740
PENNSYLVANIA
Luzerne/Wyoming Bureau for Aging
Pennsylvania Department of Aging
111 N. Pennsylvania Boulevard
RCSOB, 7th Floor
Wilkes Barre, PA 18701
400 Market Street
(717) 822-1158
Harrisburg, PA 17101-2301
Toll Free 1-800-252-1512 (In State)
(717) 783-1550
88
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Appendix A
York County Area Agency on Aging
TENNESSEE
141 W. Market Street
York, PA 17401
Tennessee Commission on Aging
(717) 771-9610
500 Deaderick St.
Toll Free 1-800-632-9073 (In State)
Andrew Jackson Bldg., 9th Flr.
Nashville, TN 37243-0860
RHODE ISLAND
(615) 741-2056
Department of Elderly Affairs
Southeast Area Agency on Aging
160 Pine Street
Southeast Tennessee Development District
Providence, RI 02903-3708
25 Cherokee Boulevard
(401) 277-2858
P.O. Box 4757-0757
Toll Free 1-800-322-2880
Chattanooga, TN 37405
(423) 266-5781
SOUTH CAROLINA
East Tennessee Human Resource Area Agency on
South Carolina Commission on Aging
Aging
200 Arbor Lake Dr.
408 N. Cedar Bluff Road, Suite 150
Suite 301
Knoxville, TN 37923
Columbia, SC 29223
(423) 691-2551
(803) 737-7500
Toll Free 1-800-868-9095 (In State)
Delta Area Agency on Aging
125 North Main St.
Central Midlands Regional Planning
Memphis, TN 38103-2084
Council/Area Agency on Aging
(901) 576-6600
236 Stoneridge Drive
Columbia, SC 29210
Greater Nashville Area Agency on Aging
(803) 771-0887
501 Union Street, 6th Flr.
Nashville, TN 37219-1705
South Carolina Appalachian Council of Governments -
(615) 862-8828
Area Agency on Aging
50 Grand Avenue
TEXAS
P.O. Box Drawer 6668
Greenville, SC 29606
Department on Aging
(803) 242-9733
1949 IH-35 South
P.O. Box 12786
Trident ElderLink, Inc.
Austin, TX 78711-3702
Area Agency on Aging
(512) 444-2727
4500 Leeds Avenue
Toll Free 1-800-252-9240
Suite 210
Charleston, SC 29405
West Central Texas Council of Governments
(803) 745-1710
1025 E. North 10th Street, P.O. Box 3195
Abilene, TX 79604
SOUTH DAKOTA
(915) 672-8544
Office of Adult Services and Aging
Capital Area Planning Council
700 Governors Drive
Area Agency on Aging
Pierre, SD 57501-2291
2520 Interstate Highway 35, S., Suite 100
(605) 773-3656
Austin, TX 78704
(512) 443-7653
Appendix A
6-97
89
Panhandle Area Agency on Aging
Alamo Area Agency on Aging
415 W. 8, P.O. Box 9257
118 Broadway, Suite 400
Amarillo, TX 79105-9257
San Antonio, TX 78205
(806) 372-3381
(210) 222-1845
Toll Free 1-800-642-6008
Bexar County Area Agency on Aging
Coastal Bend Area Agency on Aging
118 Broadway, Suite 400
2910 Leopard Street, P.O. Box 9909
San Antonio, TX 78205
Corpus Christi, TX 78469
(210) 222-1845
(512) 883-5743
Toll Free 1-800-421-4636 (In State)
Ark-Tex Council of Governments
Area Agency on Aging
Dallas Area Agency on Aging
911 N. Bishop Rd.
2121 Main, Suite 500
Building A, Centre West
Dallas, TX 75201-4321
White Village, TX 75501
(214) 741-5244
P.O. Box 5307
Texarkana, TX 75505
Rio Grande Area Agency on Aging
(903) 832-8636
1100 North Stanton, Suite 610
El Paso, TX 79902
Heart of Texas Council of Governments
(915) 533-0998
300 Franklin Avenue
Toll Free 1-800-333-7082
Waco, TX 76701
(817) 752-3240
Tarrant County Area Agency on Aging
4200 S. Freeway, Suite 630
North Texas Area Agency on Aging
Forth Worth, TX 76115
4309 Jacksboro Highway, Suite 200
(817) 927-6411
P.O. Box 5144
Wichita Falls, TX 76307
Houston-Harris County Area Agency on Aging
(817) 322-5281
8000 N. Stadium Drive, 3rd Floor
Houston, TX 77054
UTAH
(713) 794-9001
Division of Aging and Adult Services
Houston-Galveston Area Agency on Aging
Department of Human Services
3555 Timmons Lane, Suite 500
P.O. Box 45500
P.O. Box 22777
Salt Lake City, UT 84145-0500
Houston, TX 77027
(801) 538-3910
(713) 627-3200
Salt Lake County Aging Services
S. Plains Association of Governments
2001 South State Street, Suite S-1500
1323 58th Street, P.O. Box 3730
Salt Lake City, UT 84190-2300
Lubbock, TX 79412
(801) 468-2480
(806) 762-8721
Toll Free 1-800-858-1809
VERMONT
Lower Rio Grande Valley Area Agency on Aging
Department of Aging and Disabilities
4900 N. 23rd Street
103 S. Main Street
McAllen, TX 78504
Waterbury, VT 05671-2301
(210) 682-1109
(802) 241-2400
Toll Free 1-800-365-6131 (In State)
Toll Free 1-800-642-5119
90
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Appendix A
VIRGINIA
Prince William Area Agency on Aging
7987 Ashton Avenue
Virginia Department for the Aging
Suite 231
700 East Franklin Street
Manassas, VA 22110
10th Floor
(703) 792-6400
Richmond, Virginia 23219-2327
(804) 225-2271
Southeastern Virginia Areawide Model Program
Toll Free 1-800-552-4464
7 Koger Executive Center
Suite 100 - York Building
Alexandria Agency on Aging
Norfolk, VA 23502-4121
2525 Mount Vernon Avenue, Unit #5
(804) 461-9481
Alexandria, VA 22301-1159
(703) 838-0920
Peninsula Agency on Aging, Inc.
739 Thimble Shoals Boulevard
Arlington Area Agency on Aging
Suite 1006
1801 N. George Mason Drive
Newport News, VA 23606-3562
Arlington, VA 22207-1999
(804) 873-0541
(703) 358-5030
Capital Area Agency on Aging
Jefferson Area Board for Aging
24 East Cary Street
2300 Commonwealth Drive
Richmond, VA 23219-3796
Suite B-1
(804) 343-3000
Charlottesville, VA 22901
Toll Free 1-800-989-2286 (In State)
(804) 978-3644
Toll Free 1-800-277-5222 (In State)
League of Older Americans, Inc.
706 Campbell Avenue, SW.
Rappahannock-Rapidan Area Agency on Aging
P.O. Box 14205
401 S. Main Street
Roanoke, VA 24038-4205
Culpeper, VA 22701
(540) 345-0451
(540) 825-3100
WASHINGTON
Fairfax County Area Agency on Aging
12011 Government Center Parkway
Aging and Adult Services Administration
Suite 720
Department of Social and Health Services
Fairfax, VA 22035-1104
P.O. Box 45600
(703) 324-5411
Olympia, WA 98504-5600
Toll Free 1-800-552-4464 (In State)
(360) 493-2500
Toll Free 1-800-422-3263 (In State)
Shenandoah Area Agency on Aging
207 Mosby Lane
Seattle-King County Division on Aging
Front Royal, VA 22630-2611
618 2nd Avenue
(540) 635-7141
Suite 1020
Seattle, WA 98104-2232
Loudoun County Area Agency on Aging
(206) 684-0684
751 Miller Drive SE
Toll Free 1-800-972-9990 (King County)
Suite D2
Leesburg, VA 22075
Eastern Washington Area Agency on Aging
(703) 777-0257
W 1101 College Avenue, Room 365
Toll Free 1-800-552-4464
Spokane, WA 99201-2096
(509) 458-2509
Appendix A
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91
Pierce County Aging and Long Term Care
Appalachian Area Agency on Aging
8811 S. Tacoma Way
1612 N. Walker Street, P.O. Box 1432
Tacoma, WA 98499-4591
Princeton, WV 24740
(206) 591-7219
(304) 425-1147
Toll Free 1-800-642-5769 (In State)
Northwestern Area Agency on Aging
Southwest Washington Agency on Aging
105 Bridge St. Plaza, P.O. Box 2086
7414 NE Hazel Dell Avenue
Wheeling, WV 26003
P.O. Box 425
(304) 242-1800
Vancouver, WA 98666-0425
Toll Free 1-800-924-0088
(360) 694-6577
Toll Free 1-800-752-8899 (In State)
WISCONSIN
Yakima Indian Area Agency on Aging
Bureau on Aging
P.O. Box 151
Division of Community Services
Toppenish, WA 98948
P.O. Box 7851
(509) 865-5121
Madison, Wisconsin 53707
(608) 266-2536
WEST VIRGINIA
New Ventures of Wisconsin, Inc.
Commission on Aging
Area Agency on Agency
Holly Grove
3601 Memorial Drive
1900 Kanawha Boulevard, East
Madison, WI 53704
Charleston, WV 25305-0160
(608) 249-6670
(304) 558-3317
Milwaukee County Department on Aging
WVSC Metro Area Agency on Aging
235 W. Galena Street, Suite 180
West Virginia State College
Milwaukee, WI 53212-3923
Wallace Hall
(414) 289-6874
P.O. Box 518
Institute, WV 25112
WYOMING
(304) 766-3374
Wyoming Division on Aging
Upper Potomac Area Agency on Aging
Wyoming Department of Health
Airport Road, P.O. Box 869
Hathaway Building, Room 139
Petersburg, WV 26847
Cheyenne, WY 82002-0480
(304) 257-1221
(307) 777-7986
Toll Free 1-800-442-2766
92
6-97
Appendix A
Appendix B:
State Long-Term Care Ombudsman Offices
ALABAMA
CONNECTICUT
Commission on Aging
Elderly Services Division
RSA Plaza Suite 470
Department of Social Services
770 Washington Avenue
25 Sigourney Street
Montgomery, AL 36130-1851
Hartford, CT 06106
(334) 242-5743
(806) 424-5360
Toll Free 1-800-243-5463 (In State)
DELAWARE
ALASKA
Division of Aging
Office of the LTC Ombudsman
1113 Church Avenue
Older Alaskans Commission
Milford, DE 19963
3601 C Street, Suite 260
(302) 422-1386
Anchorage, AK 99503-5209
Toll Free 1-800-223-9074
(907) 563-6393
Toll Free 1-800-478-9996 (In State)
DISTRICT OF COLUMBIA
Legal Counsel for the Elderly
ARIZONA
601 E Street, NW. - 4th Floor, Building A
Aging and Adult Administration
Washington, DC 20049
1789 West Jefferson, 950A
(202) 662-4933
Phoenix, AZ 85007
(602) 542-4446
FLORIDA
Department of Elder Affairs
ARKANSAS
501 South Calhoun, Carlton Bldg.
Division of Aging and Adult Services
Tallahassee, FL 32399-0001
P.O. Box 1437, Slot 1417
(904) 488-6190
Little Rock, AR 72203-1437
(501) 682-2441
GEORGIA
Office of Aging
CALIFORNIA
2 Peachtree Street, NE., Suite 18.403
Department on Aging
Atlanta, GA 30303
1600 K Street
(404) 894-5336
Sacramento, CA 95814
(916) 323-6681
HAWAII
Toll Free 1-800-231-4024
Hawaii Office on Aging
Office of the Governor
COLORADO
250 S. Hotel St., Suite 107
Legal Center Colorado Ombudsman Program
Honolulu, HI 96813
455 Sherman Street, Suite 130
(808) 586-0100
Denver, CO 80203
(303) 722-0300
Appendix B
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93
IDAHO
MAINE
Office on Aging
Legal Services for the Elderly
State House Room 108
P.O. Box 2723
Boise, ID 83720
72 Winthrop St.
(208) 334-2220
Augusta, ME 04338-2723
(207) 623-1797
ILLINOIS
Department on Aging
MARYLAND
421 East Capitol Avenue
Office on Aging
Springfield, IL 62701
301 West Preston Street, Room 1202
(217) 785-3143
Baltimore, MD 21201
(410) 225-1083
INDIANA
Department of Human Services Administration
MASSACHUSETTS
P.O. Box 7083
Executive Office of Elderly Affairs
Indianapolis, IN 46207-7083
1 Ashburton Pl., 5th Flr.
(317) 232-7134
Boston, MA 02108
Toll Free 1-800-622-4484
(617) 727-7750
IOWA
MICHIGAN
Department of Elder Affairs
Citizens for Better Care
Clemens Building, 3rd Flr.
416 N. Homer Street
200 10th St.
Suite 101, Alpha Building
Des Moines, IA 50309
Lansing, MI 48912-4700
(515) 281-5187
(517) 336-6753
Toll Free 1-800-292-7852
KANSAS
Department on Aging
MINNESOTA
Docking State Office Building
Office of Ombudsman for Older Minnesotans
Room 150
444 Lafayette Road
Topeka, KS 66612-1500
St. Paul, MN 55155-3843
(913) 296-4986
(612) 296-0382
Toll Free 1-800-432-3535 (In State)
Toll Free 1-800-657-3591
KENTUCKY
MISSISSIPPI
Division for Aging Services
Council on Aging and Adult Services
275 East Main Street, 5th Floor W.
750 N. State St.
Frankfort, KY 40621
Jackson, MS 39202
(502) 564-6930
(601) 359-4929
Toll Free 1-800-372-2291 (In State)
MISSOURI
LOUISIANA
Division of Aging
Governor's Office of Elderly Affairs
Department of Social Services
4550 N. Boulevard 2nd Floor
P.O. Box 1337
Baton Rouge, LA 70806-14013
Jefferson City, MO 65102
P.O. Box 80374
(314) 751-3082
Baton Rouge, LA 70898-0374
(504) 925-1700
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Appendix B
MONTANA
NORTH CAROLINA
Office on Aging
Department of Human Resources
P.O. Box 4210
Division of Aging - CB-29531
Helena, MT 59604
693 Palmer Drive
(406) 444-4676
Raleigh, NC 27626-0531
Toll Free 1-800-332-2272
(919) 733-3983
NEBRASKA
NORTH DAKOTA
Department on Aging
Aging Services Division
P.O. Box 95044
Department of Human Services
301 Centennial Mall South
P.O. Box 7070
Lincoln, NE 68509-5044
Bismarck, ND 58507-7070
(402) 471-2306
(701) 328-2577
Toll Free 1-800-472-2622 (In State)
NEVADA
Department of Human Resources
OHIO
Division for Aging Services
Department of Aging
340 North 11th Street, Suite 203
50 West Broad Street, 9th Floor
Las Vegas, NV 89101
Columbus, OH 43215-5928
(702) 486-3545
(614) 466-1221
Toll Free 1-800-282-1206 (In State)
NEW HAMPSHIRE
Division of Elderly and Adult Services
OKLAHOMA
115 Pleasant Street
Department of Human Services
Concord, NH 03301-3843
Aging Services Division
(603) 271-4375
312 NE 28
Toll Free 1-800-442-5640 (In State)
Oklahoma City, OK 73105
(405) 521-6734
NEW JERSEY
Office of the Ombudsman for the Institutionalized
OREGON
Elderly Dept. Of
Office of LTC Ombudsman
Community Affairs
2475 Lancaster Drive NE, #B-9
101 S. Broad St., CN807
Salem, OR 97310
Trenton, NJ 08625-0807
(541) 378-6533
(609) 292-8016
Toll Free 1-800-522-2602 (In State)
Toll Free 1-800-624-4262 (In State)
PENNSYLVANIA
NEW MEXICO
Department of Aging
State Agency on Aging
Long Term Care Ombudsman
LaVilla Rivera Building, 4th Floor
400 Market St., 7th Flr.
228 East Palace Avenue
Harrisburg, PA 17101-1195
Santa Fe, NM 87501
(717) 783-7247
(505) 827-7640
PUERTO RICO
NEW YORK
Governor's Office for Elderly Affairs
Office for the Aging
Call Box 50063 - Old San Juan Station
Empire State Plaza
San Juan, PR 00902
Agency Building, #2
(809) 721-8225
Albany, NY 12223-1251
(518) 474-7329
Appendix B
6-97
95
RHODE ISLAND
VERMONT
Department of Elderly Affairs
Department of Aging and Disabilities
160 Pine Street
103 South Main Street
Providence, RI 02903-3708
Waterbury, VT 05671-2301
(401) 277-2858
(802) 241-2400
Toll Free 1-800-642-5119 (In State)
SOUTH CAROLINA
Office of the Governor
VIRGINIA
Ombudsman Division
Department for the Aging
1205 Pendleton Street
700 Centre 10th Floor
308 Brown Building
700 E. Franklin Street
Columbia, SC 29201
Richmond, VA 23219-2327
(803) 734-0457
(804) 225-2271
Toll Free 1-800-552-3402 (In State)
SOUTH DAKOTA
Department of Social Services
WASHINGTON
Office of Adult Services and Aging
State Ombudsman Program
700 Governor's Drive
1200 South, 336th Street
Pierre, SD 57501-2291
Federal Way, WA 98003-7454
(605) 773-3656
(206) 838-6810
Toll Free 1-800-422-1384 (In State)
TENNESSEE
Commission on Aging
WEST VIRGINIA
500 Deaderick St.
Commission on Aging
Andrew Jackson Bldg., 9th Flr.
State Capitol Complex/Holly Grove
Nashville, TN 37243-0860
1900 Kanawha Blvd.
(615) 741-2056
Charleston, WV 25305
(304) 558-3317
TEXAS
Department on Aging
WISCONSIN
P.O. Box 12786, Capitol Station
Board on Aging and LTC
1949 South IH 35, Third Floor
214 North Hamilton Street
Austin, TX 78711
Madison, WI 53703
(512) 444-2727
(608) 266-8944
Toll Free 1-800-252-2412 (In State)
WYOMING
UTAH
Wyoming Senior Citizens, Inc.
Division of Aging and Adult Services
P.O. Box 94
Department of Human Services
756 Gilcrest St.
P.O. Box 45500
Wheatland, WY 82201
Salt Lake City, UT 84145-0500
(307) 322-5553
120 North 200 West, Room 401
Salt Lake City, UT 84103
(801) 538-3910
96
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Appendix B
Appendix C:
Nursing Home Tips and
Checklist
Keep these suggestions in mind when visiting a nursing home:
Visit a nursing home more than once and during different times of the day.
Make an appointment to meet with the administrator or admissions director for your first visit and ask for a
guided tour of the facility.
Make sure that you are given the opportunity to talk to residents and observe conditions in the nursing home by
yourself.
Meet with members of the nursing home family council, which is composed of family members of the facility's
residents. If the nursing home doesn't have a family council, ask to speak with family members of residents of the
facility.
Review the facility's fire safety training program.
Nursing Home Checklist
When you visit a nursing home, you should carry this checklist with you. It will help you to compare one facility
with another, but remember to compare facilities certified in the same category; for example, a skilled nursing facility
with another skilled nursing home. Because nursing homes may be licensed in more than one category, always
compare similar types of service among facilities.
Home A
Home B
Look at Daily Life
Home A
Home B
1.
Do residents seem to enjoy being with staff?
2.
Are most residents dressed for the season and time of day?
3.
Does staff know the residents by name?
4.
Does staff respond quickly to resident calls for assistance?
5.
Are activities tailored to residents' individual needs
and interests?
Appendix C
6-97
97
Home A
Home B
6.
Are residents involved in a variety of activities?
7.
Does the home serve food attractively?
8.
Does the home consider personal food likes and dislikes in
planning meals?
9.
Does the home use care in selecting roommates?
10.
Does the home have a resident's council? If it does,
does the council influence decisions about resident life?
11.
Does the home have a family council? If it does,
does the council influence decisions about resident life?
12.
Does the facility have contact with community groups,
such as pet therapy programs and Scouts?
Look at Care Residents Receive
Home A
Home B
1.
Do various staff and professional experts participate
in evaluating each resident's needs and interests?
2.
Does the resident or his or her family participate
in developing the resident's care plan?
3.
Does the home offer programs to restore lost
physical functioning (for example, physical,
occupational, speech and language therapy)?
4.
Does the home have any special services that meet
your needs? For example, special care units for
residents with dementia or with respiratory problems?
5.
Does the home have a program to restrict the use
of physical restraints?
6.
Is a registered nurse available for nursing staff?
98
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Appendix C
Home A
Home B
7.
Does the nursing home have an arrangement with a
nearby hospital?
Look at How the Nursing Home Handles Payment
Home A
Home B
1.
Is the facility certified for Medicare?
2.
Is the facility certified for Medicaid?
3.
Is the resident or the resident's family informed
when charges are increased?
Look at the Environment
Home A
Home B
1.
Is the outside of the home clean and in good repair?
2.
Are there outdoor areas accessible for residents to use?
3.
Is the inside of the home clean and in good repair?
4.
Does the home have handrails in hallways and grab
bars in bathrooms?
5.
When floors are being cleaned, are warning signs
displaced, or are areas blocked off to prevent accidents?
6.
Is the home free from unpleasant odors?
7.
Are toilets convenient to bedrooms?
8.
Do noise levels fit the activities that are going on?
9.
Is it easy for residents in wheelchairs to move around
the home?
10.
Is the lighting appropriate for what residents are doing?
11.
Are there private areas for residents to visit with family,
visitors, or physicians?
Appendix C
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99
Home A
Home B
12.
Are residents' bedrooms furnished in a pleasant manner?
13.
Do the residents have some personal items in their
bedrooms (for example, family pictures, souvenirs, a chair)?
14.
Do the residents' rooms have accessible storage areas for
residents' personal items?
Other Things to Look For
Home A
Home B
1.
Does the home have a good reputation in the community?
2.
Does the home have a list of references?
3.
Is the home convenient for family or friends to visit?
4.
Does the local ombudsman visit the facility regularly?
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Appendix C
Appendix D:
Selecting a Home Health Care Agency
CHECKLIST
Name of Agency:
Address:
Phone Number:
Referral Service:
I. Services
daily min
medicare
for
yes
no
length of
cost per
reimbursable
relative's
visit
visit
current
yes
no
condition
Nursing
Physical Therapy
Speech Therapy
Occupational Therapy
Social Work
Personal Care
(bathing, grooming)
Chore Services
(light housekeeping)
II. Staffing
Number of Supervisors:
Number of Registered Nurses (RN's):
Number of Licensed Practical Nurses (LPN's):
Number of Home Health Aides:
Is certification required for aides?
Number of training hours for aides:
Appendix D
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101
Number of required in-service training hours:
Average length of employment for aides:
How often is a supervisory visit made to the home?
How are cases supervised by the director of nursing?
III. General
Yes
No
State licensed (if required by State)
Medicare/Medicaid certified
Written job description for each position
List of Board of Directors or Advisory Committee Available
Agency auspices:
hospital based:
public:
private:
other:
Geographic area served:
IV. Evaluation
complete after service has been terminated
very
moderately
not at all
1.
How comfortable was your elder with the staff who came
to the home?
2.
How informed were you of the treatment plan?
3.
How informed were you of the progress?
4.
How well were your questions answered?
5.
How well were scheduled visits kept?
6.
How well do you feel your elder's physical needs were met?
7.
How willing was the staff to speak with you about your
elder's care?
8.
Overall, would you want to call upon this agency again should the need arise?
yes, definitely
possibly
definitely not
(This checklist was borrowed from The Partnership Group, Inc. and is reprinted here with their permission.)
102
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Appendix D
NEWS
Appendix E:
Federal and National
Elder Care Organizations
A number of Federal and national organizations can
about Medigap insurance (health insurance to
provide you with information about elder care issues
supplement Medicare). It also takes reports of
such as housing, health care, and legal matters. Some
suspected Medigap and Medicare fraud.
of those organizations are listed below; however, this
is not an exhaustive list. Each organization's mission,
National Institute on Aging
address, and telephone number is included. Many of
Department of Health and Human Services
the organizations offer free publications that address
Building 31, Room 5C27
numerous aging issues. There may be a charge for
31 Center Dr. MSC2292
some materials. Contact the organizations to obtain a
Bethesda, MD 20892-2292
list of available publications.
(301) 496-1752
Publication Service:
FEDERAL ORGANIZATIONS
Toll Free 1-800-222-2225
The National Institute on Aging (NIA), part of the
Administration On Aging
National Institutes of Health, is the Federal
U.S. Department of Health and Human Services
Government's principal agency for conducting and
330 Independence Avenue, SW.
supporting biomedical, social, and behavioral research
Washington, DC 20201
related to aging processes and the diseases and special
(202) 619-0641
problems of older people. The Public Information
Office prepares and distributes information about
The Administration on Aging (AoA) is the focal point
issues of interest to older people.
and advocacy agency for older persons and their
concerns at the Federal level. It develops Federal
Social Security Administration
Government policy and programs and coordinates
Office of Public Inquiries
community services for older people. AoA assists
6401 Security Boulevard
State and Area Agencies on Aging in developing
Baltimore, MD 21235
community services to meet the social and human
(410) 965-1234
service needs of older persons.
Information Service:
Toll Free 1-800-772-1213
Health Care Financing Administration
7500 Security Boulevard
The Social Security Administration is the Federal
Baltimore, MD 21244-1850
Government agency responsible for the Social
(410) 786-3000
Security retirement, survivors, and disability
Medigap Hotline: Toll Free 1-800-638-6833
insurance program, as well as the Supplemental
Security Income program. Social Security
The Health Care Financing Administration (HCFA)
Administration offices, which are located in every
coordinates the Federal Government's participation in
State, are listed in the telephone directory under
Medicare and Medicaid. HCFA also sponsors health
"Social Security Administration" or "U.S.
care quality assurance programs such as the Medigap
Government." A toll free service is also available
Hotline. The Medigap Hotline answers questions
throughout the Nation.
Appendix E
6-97
103
NATIONAL ORGANIZATIONS
Commission on Legal Problems of the Elderly -
American Bar Association
740 15th St., NW
Alzheimer's Association
Suite 1000
Washington, D.C. 20005
919 North Michigan Avenue
(202) 662-8690
Chicago, IL 60611
(312) 335-8700
Dedicated to assisting senior citizens and their
Information and Referral:
families with health-related legal issues.
Toll Free 1-800-272-3900
Foundation for Hospice and Homecare
513 C Street, NE.
The Alzheimer's Association is a voluntary
Washington, DC 20002-5809
organization that sponsors public education programs
(202) 547-6586
and offers supportive services to patients and families
who are coping with Alzheimer's disease (AD). A 24-
hour toll free hotline provides information about AD
The Foundation for Hospice and Homecare promotes
and links families with nearby chapters, which are
hospice and home care, establishes responsible
familiar with community resources and can offer
standards of care, develops programs that ensure the
practical suggestions for daily living.
proper preparation of caregivers, educates the public,
and conducts research on aging, health, and social
policies.
American Association of Homes for the Aging
Suite 500
Health Insurance Association of American
901 E Street, NW.
555 13th St., NW
Washington, DC 20004-2037
Suite 600-E
(202) 783-2242
Washington, DC 20036-3998
(202) 824-1600
The American Association of Homes for the Aging
(AAHA) is the national nonprofit organization
National Insurance Consumer Helpline:
Toll Free 1-800-942-4242
representing more than 4,500 not-for-profit nursing
homes, continuing care retirement communities,
The Health Insurance Association of America offers
senior housing facilities, and community service
information to the public about all aspects of health
agencies for the elderly. AAHA is headquartered in
and disability insurance. Through the Helpline, the
Washington, DC, with regional offices in Albany,
Association provides information to consumers about
Orlando, Chicago, and Denver.
a wide range of health insurance issues, including
American Association of Retired Persons
continuation of group health benefits, major medical,
601 E Street, NW.
Medicare supplements, and long-term care insurance.
Washington, DC 20049
(202) 434-AARP
Legal Counsel for the Elderly, Inc.
601 E Street, NW.
Suite 4A
The American Association of Retired Persons (AARP)
Washington, DC 20049
is a nonprofit membership organization of persons 50
(202) 434-2151
and older dedicated to addressing their needs and
interests. AARP seeks through education, advocacy,
and service to enhance the quality of life for all by
The Legal Counsel for the Elderly, Inc., a nonprofit
helping older persons achieve lives of independence,
agency sponsored by the American Association of
Retired Persons, is a national support center
dignity, and purpose.
specializing in the delivery of legal services to older
persons.
104
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Appendix E
National Association of Area Agencies on Aging
Older Women's League
1112 16th Street, NW.
666 11th Street, NW.
Suite 100
Suite 700
Washington, DC 20036
Washington, DC 20001
(202) 296-8130
(202) 783-6686
The National Association of Area Agencies on Aging
The Older Women's League (OWL) is a national
(NAAAA) is a private, non-profit association
membership organization addressing the special
representing 670 Area Agencies on Aging throughout
concerns of midlife and older women. OWL works to
the country. NAAAA's mission is to advocate for the
provide mutual support for its members to achieve
needs of seniors in their communities and to provide
economic and social equity for its constituents, and to
technical assistance in the planning of community
improve the image and status of older women. OWL
based services.
bridges the gap between the women's groups and
organizations representing aging to achieve these
National Council on the Aging
goals.
409 Third Street, SW.
Suite 200
United Seniors Health Cooperative
Washington, DC 20024
1331 H Street, NW.
(202) 479-1200
Suite 500
Washington, DC 20005
The National Council on the Aging, a nonprofit,
membership organization for professionals and
United Seniors Health Cooperative is a nonprofit
volunteers, serves as a national resource for
organization which helps people understand issues of
information, technical assistance, training, and
aging such as good health, health insurance
research relating to the field of aging. Its key goal is to
(Medicare, Medicaid, Medigap, and major medical),
deliver services that enhance or extend independent
housing options, and caregiving. It has developed a
living.
specialty of counseling people on insurance needs,
including long-term care insurance. Write for
additional information.
Appendix E
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105
Appendix F:
Elder Care Resources
Unless otherwise stated, you can obtain one free copy
Social Security Benefits and Equivalent Railroad
of each publication listed below by contacting the
Retirement Benefits - Publication No. 915
author and/or organization listed. To order a
Credit for the Elderly or the Disabled -
publication in bulk, contact the organization to obtain
Publication No. 524
the cost, if any, for multiple copies.
Tax Information for Survivors, Executors, and
Administrators - Publication No. 559
Community Resources
Pension and Annuity Income - Publication No.
575
Community Services for Older People Living at
Child and Dependent Care Expenses -
Home (brochure) - American Association of
Publication No. 503
Homes for the Aging - Publication No. CF015
Tax Rules for Children and Dependents -
Publication No. 929
Write: AAHA Publications
Tax Counseling for the Elderly Handbook -
901 E Street, NW., Suite 500
Publication No. 1114
Washington, DC 20004-2037
Guide to Free Tax Services -Publication No. 910
Include the title, publication number, and a self-
Phone: Toll Free 1-800-829-3676 to receive a free
addressed, business-sized, stamped envelope.
copy of the IRS tax guides listed above.
All About Hospice: A Consumer's Guide
Women and Money - The Independent Woman's
Foundation for Hospice and Homecare
Guide to Financial Security for Life, by Francis
Leonard
Write: Foundation for Hospice and
Homecare
Write: OWL
519 C Street, NW.
666 11th Street, Suite 700
Washington, DC 20002-5809
Washington, DC 20001
Include a self-addressed, 52 cent stamped envelope.
Include a check or money order for $12.95.
Financial
Health Insurance
Understanding Social Security
Retirement
Medicare
Disability
You Should Know About QMB
Survivors
Medicare: Hospice Benefits
Supplemental Security Income
Medicare and Coordinated Care Plans
A Guide For Representative Payees
Medicare: Coverage for Second Surgical
Opinion
Phone: Toll Free 1-800-772-1213 to receive the free
Medicare Coverage of Kidney Dialysis and
Social Security publications listed above.
Kidney Transplant Services: A Supplement to
Your Medicare Handbook
Tax Information for Older Americans -
Publication No. 554
Call Toll Free 1-800-772-1213 - to receive the free
Medicare publications listed above.
106
6-97
Appendix F
The Medicare 1993 Handbook Department of
Staying at Home: A Guide to Long-Term Care
Health and Human Services - Publication No.
and Housing - American Association of Retired
HCFA-10050
Persons - Publication No. D14986
1993 Guide to Health Insurance for People With
Medicare - Department of Health and Human
Write: AARP Fulfillment
Services - Publication No. HCFA-02110
601 E Street, NW.
Medicare and Advance Directives - A guide to
Washington, DC 20049
making sure the elder's wishes about the types of
medical treatment received are followed and the
Include the title and publication number.
person designated is allowed to make decisions on
the elder's behalf should he or she become
All About Home Care: A Consumer's Guide -
physically or mentally unable to communicate
Foundation for Hospice and Homecare
those wishes.
Write: Foundation for Hospice and Homecare
Write or Call:
519 C Street, NW.
Medicare Publications
Washington, DC 20002-5809
Health Care Financing Administration
6325 Security Boulevard
Include a self-addressed stamped 52 cent envelope.
Baltimore, MD 21207
Toll Free 1-800-638-6833
Housing
8:00 a.m. - 8:00 p.m.
Continuing Care Retirement Community: A
Before You Buy - A Guide to Long-term Care
Guidebook for Consumers - American
Insurance - American Association of Retired
Association of Homes for the Aging -
Persons -Publication No. D12893
Publication No. CF012 - $4.00 per copy
Medigap: Medicare Supplemental Insurance - A
(payable by check
Consumer's Guide - American Association of
The Continuing Care Consumer Brochure: A
Retired Persons - Publication No. D13133
Life Style Offering Security and
Independence - American Association of Homes
Write: AARP Fulfillment
for the Aging - Publication No. CF013
601 E Street, NW.
Living Independently: Housing Choices for
Washington, DC 20049
Older People (brochure) American Association of
Homes for the Aging - Publication No. CF0154
Include the title and publication number for the AARP
publications listed above.
Write: AAHA Publications
901 E Street, NW., Suite 500
Home Care
Washington, DC 20004-2037
How to Choose a Home Care Agency: A
Include the title and publication number for the three
Consumer's Guide and Home Care Bill of Rights
AAHA publications listed above. Include a self-
- The National Association for Home Care -
addressed, business-size, stamped envelope for the
Publication No. C005
two brochures.
Write: The National Association for Home Care
Staying at Home: A Guide to Long-Term Care
519 C Street, NE.
and Housing - American Association of Retired
Washington, DC 20024-5809
Persons - Publication No. D14986
Include the title, publication number, and a self-
addressed, stamped envelope.
Appendix F
6-97
107
Write: AARP Fulfillment
Long-Term Care Ombudsman
601 E Street, NW.
Program
D13717
Washington, DC 20049
Write: AARP Fulfillment
Include the title and publication number.
601 E Street, NW.
Washington, DC 20049
Long Distance Caregiving
Include the title and publication number for the
Miles Away and Still Caring: A Guide for Long-
AARP fact sheets.
Distance Caregivers - American Association of
Retired Persons - Publication No. D12748
Choosing a Nursing Home - A Guide to Quality
Care (brochure) - American Association of
Write: AARP Fulfillment
Homes for the Aging -Publication No. CF015
601 E Street, NW.
Washington, DC 20049
The Nursing Home and You: Partners in Caring
for a Relative with Alzheimer's Disease -
Include the title and publication number.
American Association of Homes for the Aging -
Publication No. CF016 $6.00 per copy (payable
Long Term Care
by check)
Care Management: Arranging for Long Term
Care - American Association of Retired Persons -
Write: AAHA Publications
Publication No. D13803
901 E Street, NW., Suite 500
Making Wise Decisions for Long Term Care -
Washington, DC 20004-2037
American Association of Retired Persons -
Publication No. D12435
Include the title, publication number and a self-
addressed, stamped envelope for the brochure.
Write: AARP Fulfillment
601 E Street, NW.
Guide to Choosing a Nursing Home Department
Washington, DC 20049
of Health and Human Services - Publication No.
HCFA-02174
Include the title and publication number.
Write: Health Care Financing Administration
Nursing Homes
6325 Security Boulevard
Baltimore, MD 21207
Nursing Home Life: A Guide for Residents and
Families - American Association of Retired
Persons - Publication No. D13063
General Overviews
AARP Fact Sheets on Nursing Homes:
Tomorrow's Choices: Preparing Now For
Future Legal, Financial, and Health Care
Title
Publication No.
Decisions - American Association of Retired
New Protections of Nursing
Persons - Publication No. D13479
Home Residents' Rights
D13713
Write: AARP Fulfillment
Encountering Problems in
601 E Street, NW.
Nursing Homes
D13714
Washington, DC 20049
Medicaid Discrimination and
Include the title and publication number.
Consumer Rights
D13715
The Nursing Home Regulatory System
D13716
108
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Appendix F
Resource Directory for Older People
National Institute on Aging, Department of
Health and Human Services
Phone: Toll Free 1-800-222-2225
Books on Elder Care
Adult Day Care: A Practical Guidebook and
Manual, Lenore Tate and Cynthia Brennan,
Haworth Press, 1988
Caregiver Support Groups in America,
National Council on the Aging, 1990
Housing Options and Services for Older Adults,
Ann Gillespie and Katrinka Smith, Sloan - ABC-
CLIO, 1990
The 36-hour Day: A Family Guide to Caring
for Persons With Alzheimer's Disease, Related
Dementing Illnesses, and Memory Loss in Later
Life - Nancy Mace and Peter Rabins, Johns
Hopkins University Press, 1991
You and Your Aging Parent: the Modern
Family's Guide to Emotional, Physical, and
Financial Problems - 3rd Edition Barbara
Silverstone and Helen Kandel Hyman, Pantheon
Books, 1989
Appendix F
6-97
109
Clinton Presidential Records
Digital Records Marker
This is not a presidential record. This is used as an administrative
marker by the William J. Clinton Presidential Library Staff.
This marker identifies the place of a tabbed divider. Given our
digitization capabilities, we are sometimes unable to adequately
scan such dividers. The title from the original document is
indicated below.
Part III. Work and
Family Programs
Divider Title:
Part III.
WORK AND FAMILY
PROGRAMS
Section 1:
OFFICE OF PERSONNEL MANAGEMENT'S (OPM)
WORK AND FAMILY PROGRAM CENTER
The Work and Family Program Center (Center) provides leadership in developing work and family policies, practices,
guidance, information, and technical assistance to agencies in developing comprehensive family-friendly programs.
To help employees with responsibilities for children and elderly relatives, the Center encourages the use of flexible
work schedules and sites; leave programs (leave sharing, leave banks, leave for medical conditions and family
responsibilities); part-time employment and job sharing; telecommuting; Employee Assistance Programs; on-site
child development centers; and information and referral services. The Center works with the General Service
Administration's (GSA) Office of Workplace Initiatives to provide information about Federal child care center
programs and telecommuting.
On July 11, 1994, President Clinton issued a memorandum challenging Federal agencies to create a "family-friendly"
model workplace by expanding work arrangements, including job sharing and part-time employment, alternative
work schedules and telecommuting. On June 21, 1996, President Clinton reaffirmed his strong commitment to help
families in the Federal workplace by issuing another memorandum to executive departments and agencies directing
them to review their family-friendly programs, expand such programs to the extent feasible, and report on their
progress. Both memoranda direct OPM to work with agencies to create a family friendly work place culture. To help
agencies, managers, and employees balance work and personal life demands, the Center offers the following
resources/programs, workshops and publications.
Resources/Programs
Work and Family Speakers Bureau - The Bureau lists speakers, who at no cost, can address topics such as
Alzheimer's disease and related disorders, dependent care resource and referral services, child and adult day care
centers, child care financial assistance, long-term care for older people, single parenting, medicare and medicaid,
latchkey children, selecting quality day care, child safety, etc. The list is an excellent source for identifying lunch-
time, panel, and keynote speakers on work and family program topics.
Award for Outstanding Work and Family Programs - The OPM Director's Award recognizes those Federal
organizations that are providing innovative and effective work and family programs. It is intended to encourage
the establishment and improvement of effective work and family programs throughout the Government and to
publicize exemplary work and family programs as models for other Federal agencies.
OPM's Work and Family Program Center
6-97
111
Interagency Adult Dependent Care Working Group - This group promotes and provides awareness of Federal
elder care programs and activities that help employees care for an older relative or friend. The working group
meets bi-monthly to exchange ideas, share information, and hear guest presentations on elder care issues.
Information and knowledge presented at these meetings can be replicated by agencies to address and incorporate
elder care programs and activities for their employees.
Child Support Enforcement Activities - The Center and the Department of Health and Human Services (HHS)
Office of Child Support Enforcement (OSCE) conduct seminars, distribute child support information kits, and
promote awareness of issues and resources to help Federally-employed custodial parents who are having
difficulty collecting child support payments and to ensure that Federal employees meet their child support
responsibilities. The Center and OCSE work collaboratively in support of Executive Order 12953 (February
1995) which calls for the Federal Government to become a model employer in the enforcement of child support.
Work and Family Clearinghouse - The Clearinghouse contains current work and family research studies,
examples of work and family programs and survey instruments, and child and elder care resource and referral
information. Agencies may phone or visit the Center to obtain information from the Clearinghouse.
Workshops
Balancing Work and Family Lives - This workshop provides a general overview of such programs as
alternative work schedules leave, telecommuting, part-time employment and job sharing, and various child and
elder care resources that help employers understand the changing workforce demographics and the need for work
and family programs.
Working -at-Home or at an Alternative Work-site - This workshop gives an overview of Federal
telecommuting initiatives, benefits, pitfalls, and tools available to help build and support agency programs.
Publications
A Study of the Work and Family Needs of the Federal Workforce (April 1992) - A report to the U.S. Congress
that assesses the use of work and family flexibilities and discusses measurements and recommendations to
increase the effectiveness of work and family programs.
The Work and Family Kit * (March 1995) - The Kit is a comprehensive tool that provides agencies and
employees with resource information and guidance on family-friendly programs, practices, policies and cost-
neutral measures to help employees balance work and family needs. The Kit outlines the key components of a
successful agency work and family program and gives specific "how-to" guidance that agencies might undertake
to get programs such as alternative work schedules, part-time employment, job sharing, telecommuting, leave
programs and child and elder care resources and referral information off and running.
The Handbook of Child and Elder Care Resources * - The Handbook provides employees, managers, and
employee assistance program counselors with information about organizations and agencies across the country
that can help employees with their dependent care needs. The Handbook also includes sections on child care,
elder care, and personnel flexibilities that can help employees balance work and family demands.
Balancing Work and Family Demands: The Federal Response - A Report to the President* (January 1995) -
A report to the President on the progress made to help all employees meet their work and family responsibilities.
The report was in response to the President's July 1, 1994 directive to expand family-friendly work arrangements
and the U.S. Department of Labor "Working Women Count" Survey.
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OPM's Work and Family Program Center
Balancing Work and Family Demands Through Telecommuting* (September 1995) - The booklet outlines
the key elements that agencies, managers, and employees need to consider when establishing and/or participating
in a telecommuting program. Some topics covered include: reasons that agencies offer telecommuting; the basic
components of a telecommuting program, and personnel policies and issues that apply to telecommuting
employees. The booklet also provides a list of resources, a sample agreement between an agency and a
telecommuter, and answers to frequently asked questions about telecommuting.
Balancing Work and Family Demands Through Part-Time Employment and Job Sharing* (September
1995) - The booklet outlines and provides tips on how to successfully manage and/or participate in part-time
employment and job sharing. Some topics covered include: defining part-time employment and job-sharing;
benefits for permanent part-time employees such as leave, retirement, health and life insurance; and how a
reduced schedule affects personnel issues such as pay, adverse actions/grievances, service credit and reduction in
force.
Work and Family Personnel Flexibilities Fact Sheets - A series of fact sheets are available on topics, such as
Alternative Work Schedules (AWS), Federal Employees Family-Friendly Leave Act and Sick Leave Recredit,
Leave for Adoption and Bone-Marrow or Organ Donation, Family and Medical Leave Act (FMLA), Federal
Leave Sharing Programs, Telecommuting, Part-time Employment and Job Sharing, and OPM's Work and Family
Program Center and Publications. These fact sheets are available at the Center or through OPM's FedFax
document information system. FedFax is an on-line system available 24 hours a day, 7 days a week service that
provides information to callers instantly by using a touch-tone telephone or fax machine handset and dialing any
one of the numbers listed below which is nearest to you.
Atlanta, GA (404) 331-5267
Detroit, MI (313) 226-2593
Washington, DC (202) 606-2600
Denver, CO (303) 969-7764
San Francisco, CA (415) 744-7002
How to Do a Fair - A Guide to Successfully Putting on a Child or Elder Care Fair The Guide provides step-
by-step instructions, including sample letters and forms, to assist agencies in conducting a successful child and/or
elder care fair.
Personnel Research Bibliography on Workplace Practices and Programs (July 1996) - This bibliography
presents public and private research on work place practices and programs that include alternative/flexible work
schedule arrangements, telecommuting/flexiplace, and job sharing.
Publications that have an asterisk (*) are available on OPM's ONLINE computer bulletin board at (202) 606-4800.
To use the bulletin board, you need a computer, communication software, a modem, and a telephone line. These
publications will be listed under the Work and Family/Flexiplace Forum. Agencies may also obtain copies of any
Work and Family publication on computer disk in WordPerfect format by sending a blank diskette and postage-paid,
self-addressed envelop to:
OPM Work and Family Program Center
Theodore Roosevelt Building
1900 E Street, N.W., Room 7315
Washington, D.C. 20415-0001
For further information, contact the Office of Personnel Management, Work and Family Program Center at (202)
606-5520.
OPM's Work and Family Program Center
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SECTION 2:
PERSONNEL FLEXIBILITIES
The Federal Government offers its employees many
Are incapacitated by physical or mental illness,
personnel flexibilities that can help in balancing work
injury, pregnancy, or childbirth;
and family responsibilities. The list below contains a
Would, because of exposure to a communicable
short description of these Federal personnel programs.
disease, jeopardize the health of others while on the
For further information about these programs, contact
job; or
your agency's personnel office. Agency personnel
Must be absent from work for adoption-related
offices will also be able to tell you about other programs
activities.
offered at your workplace.
In addition, you may use a limited amount of sick leave
Flexible and Compressed Work
to--
Schedules
Provide care for a family member who is
Flexible and compressed work schedules allow Federal
incapacitated as the result of physical or mental
employees to adjust their work schedules to
illness, injury, pregnancy, childbirth, or medical,
accommodate changing family needs. Flexible work
dental, or optical examination or treatment; or
schedules give employees considerable leeway in setting
Make arrangements necessitated by the death of a
arrival and departure times at work, provided that they
family member or attend the funeral of a family
are present during a fixed "core time" and their schedule
member.
is not disruptive to supervisors and co-workers. Under
a compressed work schedule, employees can complete
A full-time employee may use up to 40-hours (5 days) of
their 80-hour biweekly work requirements in less than
sick leave each leave year for family care and
10 workdays. For example, they may work eight 10-
bereavement purposes. An additional 64-hours (8 days)
hour days and have two days off per pay period.
may be used as long as at least 80-hours of sick leave is
Flexible and compressed work schedules are established
maintained in the employee's sick leave account. Part-
on an agency-by-agency basis. (See 5 U.S.C. 6120 -
time employees and employees with uncommon tours of
6133; 5 CFR part 610, subpart D.)
duty are also covered, and the amount of sick leave they
may use for these purposes is prorated.
Family-Friendly Leave Policies
Federal leave policies can work together to help you
Family and Medical Leave
manage your work and family responsibilities. Here are
Under the Family and Medical Leave Act of 1993
some examples of how employees may use leave when
(FMLA), covered employees are entitled to a total of 12
facing a personal, medical, or family emergency.
administrative workweeks of unpaid leave (leave
without pay) during any 12-month period for--
Annual Leave
Annual leave is designed to provide vacation periods for
The birth of a son or daughter and care for a
rest and relaxation and time off for your personal
newborn (within 1 year after the birth);
business or family needs. Annual leave must be
scheduled and approved in advance to the extent
The placement of a son or daughter with an
possible.
employee for adoption or foster care (within 1 year
Sick Leave
after placement);
Sick leave may be used when you--
Receive medical, dental, or optical examination or
The care for a spouse, son, daughter, or parent of the
treatment;
employee with a serious health condition; and
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Personnel Flexibilities
Your own serious health condition that makes you
Telecommuting
unable to perform the functions of your position.
Telecommuting permits Federal employees to work-at-
home or at other approved sites away from their offices
Upon return from FMLA leave, you must be returned to
for all or part of the workweek. This program assists
the same or equivalent position. While on FMLA leave,
employees who need flexibility in work scheduling and
you are entitled to maintain health benefits coverage. If
commuting. For example, flexiplace assignments can
on leave without pay under the FMLA, you are
benefit an employee coordinating dependent care
responsible for paying the employee share of the health
responsibilities, a handicap making it difficult to travel,
benefits premium.
or a long commute from home to the conventional office.
(See OPM's booklet, Balancing Work and Family
You may choose to substitute annual leave for unpaid
Demands through Telecommuting, OLRWP-15.)
leave under the FMLA. You may also substitute sick
leave in those situations in which the use of sick leave is
Employee Assistance Programs
permitted.
Employee Assistance Programs (EAP's) are ideally
suited to assist employees with dependent care problems
Leave for Bone-Marrow or Organ Donation
and other marital, family, legal, financial, substance
As a Federal employee, you are entitled to use seven
abuse, and emotional difficulties. EAP's, available to all
days of paid leave each calendar year (in addition to
Federal employees, provide confidential counseling and
annual or sick leave) to serve as a bone-marrow or organ
referral services to employees and, where feasible, family
donor.
members. EAP's also play a key role in educating the
workforce on a variety of health and assistance topics,
Leave Sharing
such as substance abuse, AIDS, money management,
If you have a medical emergency and have exhausted
parenting, and emotional or psychiatric illness.
your own leave, the leave transfer program allows other
Federal employees to donate annual leave to you. There
may also be a leave bank program where you work.
These bank programs allow members (those who
contribute a specific amount) to apply for leave from the
leave bank in the event of a medical emergency.
(For these leave policies, see 5 U.S.C. 6307-6387;
5 CFR part 630, subparts D-E, I-J, and L.)
Part-time Employment and Job Sharing
Part-time employment is the answer for many
employees who are successfully balancing work and
family responsibilities. Nearly 50,000 permanent
Federal employees are working part-time in agencies
across the country. Job sharing, a relatively new idea, is
steadily gaining ground. (When two part-time
employees fill one full-time position, the employees are
job sharing.) Each Federal agency determines where
part-time or shared jobs are appropriate, and what work
schedules will be set. Full-time employees at any grade
level may request a shift to a part-time schedule. (See
OPM's booklet, Balancing Work and Family Demands
through Part-time Employment and Job Sharing,
OLRWP-16, and 5 U.S.C. 3401 - 3408; 5 CFR part
340, subparts A and B.)
Personnel Flexibilities
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