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DocuSign Envelope ID: 1A43D806-0D44-4AC1-898C-3042FDBCA241 <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Results <br /> Next Year Pro-ected Results Measure 1: 90% Measure 2: 90% <br /> Program Activity Name Child Care Program Selection and Reimbursement <br /> Assist families who have been awarded scholarships with <br /> finding and selecting high-quality child care. Children receiving <br /> scholarships are required to be placed in 4-5 star licensed child <br /> care facilities. Scholarship counselors are trained to assist <br /> families in understanding their child care options and providing <br /> referrals. <br /> • Reimburse licensed, 4-5 star child care programs monthly for <br /> care used by approximately 120 children on scholarship <br /> (reimbursement amounts are set at the lesser of a child care <br /> program's tuition rate or a CCSA-set, maximum reimbursement <br /> rate, minus a parental contribution or "fee"). <br /> Program Goal Provide children access to high quality child care that will facilitate <br /> their growth and development <br /> Performance Measures 1. % of children receiving scholarships enrolled in licensed, 4-5 <br /> star child care facilities (assessed through ongoing data <br /> tracking, per child, of child care facilities attended and <br /> licensure status of these facilities) <br /> 2. Average star-rating of child care facilities used by children on <br /> scholarship (assessed through ongoing data tracking, per <br /> child, of child care facilities attended and licensure status of <br /> these facilities) <br /> Previous Year Program Measure 1: 100% Measure 2: 4.8 <br /> Results <br /> Current Year Estimated Measure 1: 95% Measure 2: 4.3 <br /> Results <br /> Next Year Projected Results Measure 1: 95% Measure 2: 4.3 <br /> PROGRAM INFORMATION 1/27/2017 8:51:47 AM () <br />