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"content": "\u003cp class=\"p1\">\u003ca href=\"#episode-transcript\">\u003ci>View the full episode transcript.\u003c/i>\u003c/a>\u003c/p>\n\u003cp>Every child in California under 3 is entitled to early intervention services like physical, speech, and occupational therapy if they show signs that they need developmental support. Experts say getting these services early and in-person is critical for babies’ development, and that it can actually reduce the need for special education services later in life.\u003c/p>\n\u003cp>But many families aren’t receiving the care they need. KQED’s Daisy Nguyen explains why.\u003c/p>\n\u003cp>\u003cb>Links: \u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11980312/a-caregivers-guide-to-navigating-early-intervention-services\">‘Early Start’ 101: Here’s How Families Can Access Early Intervention Services for Younger Kids\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC5200793499\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp>\u003ci>This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/i>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevarra and welcome to the Bay. Local news to keep you rooted. Baby brains have lots to absorb early on. They’re learning how to walk and talk, and their brains are most adaptable in the first three years of life. That makes it a crucial period, because if the child shows signs of delays in their development, those first three years are the time to intervene.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Receiving early intervention services could really change the developmental path of a child. It could make a big difference, but it has to be given during this period.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>In California, babies are entitled to help from the state. They show signs of developmental delay, and it happens through a program known as Early Start. But many of the neediest families aren’t getting that help today. I talked with KQED early childhood education reporter Daisy Nguyen about the barriers to getting babies crucial, life altering services on time.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Reyna Balladares, is a foster parent who lives in the tenderloin.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Then she became a foster parent, during the pandemic. She told me that at the time when the, you know, the world was shutting down, she wanted to open up her home to help foster children. She first took care of a baby boy for about six months. And, I think that was a really good experience for her, even though ultimately, you know, that the child was placed in a different home.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And then she met this little girl, this newborn baby in 2021.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She told me that she just remembered the the baby’s smile and just how sweet her face was. How she lit up when she saw her second city.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>You know, it broke her heart that the situation, that in which this girl came to her. But the little glimmer of hope when she saw that the girl was making some progress in her development, really reinforced her desire to want to advocate for this, for this little girl.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When did Reyna start to notice this little girl struggling a little bit in her development?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She said this child was just slow to begin walking and talking. And I think because Reyna had raised two daughters, she had some personal experience.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She just felt something wasn’t right. And she she said she mentioned this to doctors who initially told her this is normal. That was slightly dismissive. But she was certain that there was something going on. And ultimately, after seeing specialists, it was confirmed to her that this little girl needed a lot of early intervention services, essentially to help her reach her potential. It was recommended that this little girl receives a physical therapy, speech therapy, occupational therapy, and feeding therapy.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>We’re talking about really important services that kids need very early on. And I mean, I have to imagine time is of the essence. Why was it so hard for Rina to get the services that she needed for this baby girl? Why did she have to push so hard?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>When I learned was just that the regional center has been overwhelmed, especially since the pandemic, with just a high caseload of children seeking services and probably some staffing shortages, not only at the regional center, but also with a shortage of early intervention providers. Families have to really push to get the services that they need in a timely manner and in the way that they want it to receive it, meaning if they want it to happen in the natural environment of the child.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Reyna said that what she stumbled upon was just a lot of resistance by the therapist to come to the tenderloin, where she lives. She told me that the regional center coordinators told her that the therapists were just afraid to come to the tenderloin because they felt unsafe.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What does Reyna say about what it was like to not have therapists willing to meet with her foster daughter in person?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She just felt it was unjust that it was because of where she lives. The therapists weren’t coming there to provide the services that her foster daughter crucially needed.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>What happened instead was that she was given an alternative, but it wasn’t what she wanted. So the Golden Gate Regional Center was telling her that she could take her foster child to the different clinics across San Francisco to make all these different appointments, which kind of stacked up during the week for her. She had to take a lot of time out of her working days.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>But the other alternative was to have these services done through zoom.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>It wasn’t ideal. She said her foster child would not respond to the therapist or just not want to sit in front of a screen.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I want to step back a little bit, Daisy, and talk a little bit more about what early intervention services are, what kind of services are we talking about? Exactly? And I know these services are also things that families are entitled to. Right.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Children with developmental delays are entitled to receive a host of early intervention services to enhance their ability to sit or walk or talk. The services could include physical therapy, speech therapy, occupational therapy. It could even include equipment that helps young children maintain or improve certain skills, or parents could also receive some counseling and training to support their child’s developmental needs.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Getting the services as early as possible is crucial for children. Experts say that’s because this is a period when children’s brain are rapidly developing, and so they’re more adaptable. So receiving early intervention services could really change the developmental path of a child. It could make a big difference.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>But it has to be given during this period. This is a federal program that’s administered in California by a network of nonprofit regional centers. So in the Bay area, the Golden Gate Regional Center is responsible for coordinating these services for families in San Francisco, Marin, and San Mateo County.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What are the bigger systemic problems with the state system for these early intervention services?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>This program has always been plagued by understaffing and underinvestment by the government. The therapist who would provide these services. They are not paid a competitive rate. The rates in which the providers get paid have never been as competitive as what the private market is able to pay for these services, and so they’re just less incentivized to to provide services through this program.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And so they’re in demand, which means that the number of families who who need the service, who requested these services and are eligible for these services have to kind of wait sometimes just to get it. The other issue is that they don’t get paid to travel to a family’s home.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>So as an alternative, what they’re able to offer to families is appointments in their offices or through telehealth, meaning appointments through zoom. And but for these some of these families, this is not what they considered an ideal way for their children to receive these services. They consider it substandard.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Coming up, how underfunding has hurt those who need the most help and how do we fix this? Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I want to talk more Daisy through, I guess, some of the consequences of this inadequate funding, as you were kind of just starting to talk about. What did you find?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Doctor Jennifer Albon is a pediatrician at UCSF.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>Most of my young patients are needing early intervention services.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>So she just is seeing, you know, growing geographic and socioeconomic disparities when it comes to who gets early intervention services in their home.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>I have many families who, like, live in certain neighborhoods of San Francisco, and the regional center has flat out told them and told us that there’s not providers who will go to your neighborhood, even within San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What does Doctor Albon say about the importance of providing this treatment in these children’s homes, but specifically no matter where they live?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She says it’s just more ideal because children learn best when they’re in familiar surroundings.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>You know, they get scared of coming into like, offices and other things like that. So it’s harder for them to participate when it’s not like their natural environments.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>The parents are also receiving some of the training themselves, so that for the rest of that week, when there’s no therapy, they’re able to practice what they’ve been trained to, you know, by the therapists to do.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>The goal for it to be kind of in their natural environment is that they have all of their regular things. And the and the therapists are showing the family what to do with what they have at home or in these natural environments.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And I should add that it is it’s a lot. It’s a law where it says that services should ideally be provided in the natural environment. The growth in online therapies have made it accessible for many people. But I think in the case with young children, it’s it’s created more inequities.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Will these issues that we’re talking about are systemic, as you described earlier, and they’re also not all new, but what can we do to fix this problem?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>I spoke with leaders of the regional centers, and they say that’s really like the you know, they recognize that this is a distressing situation that they’ve been trying to address for a long time, and they can’t compel therapists to see children in person if they’re just not getting, you know, they’re not being paid enough to do it. And so they’re really calling for greater investment by the state and federal government in the program.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>The state has been gradually been increasing the reimbursement rates for early intervention services. But this budget year, Governor Gavin Newsom wants to delay full implementation of the increases, and the regional center leaders are saying like they they really don’t think delay is a good idea, because increasing the rate is encouraging the therapists to do the work to go and see children in the natural environment. And also it’s encouraging them to to hire more people.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Ultra regional center services Sacramento and about 9 or 10 surrounding counties, and they receive some federal pandemic aid money to implement a pilot project, where they offered an incentive to therapists to go to underserved zip codes and also hard to reach areas in their region. And they noticed that these incentives, which is I think it was something like $200 per visit, that they saw an increase in the number of children seen in these underserved areas. So clearly, you know, money talks.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Coming back to Reyna Balladares, what is she going to do next?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Her foster child just turned three, which means she is, quote unquote, aged out of, early intervention services. And Raina believes that she could have made much more progress if she had received consistent services. Her daughter now will need more, special education services through the San Francisco Unified School District.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That is kind of heartbreaking, because it sounds like she wasn’t able to get the critical services she needed on time. But at the same time, Raina seems like this very active parent who knows a lot and who really pushed to make sure her kid got the services she needed. But I also imagine there’s probably lots of families who struggle to navigate these services, or maybe just don’t even have the time to and I mean, just maybe give up.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>I think that’s what compelled, Reyna to speak with me, because she would she wanted to speak out on behalf of those parents who you can imagine. I think having a child who, if you’re. Especially if you’re a first time parent, just absorbing the news that your child has a developmental delay. These families are often in crisis, and they don’t have the time to make constant calls to the regional center and push for these types of services.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Ultimately, Reyna wants to adopt the the baby girl, right?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She fell in love with this child.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She is much closer to getting the adoption approved bundle.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And when I met with them, I mean, you can just see this clear bond. And, she she just wants to do what’s best for this little girl.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Well, Daisy, thank you so much for breaking this down for us. I really appreciate it.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Yeah. No problem.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was Daisy Nguyen, an early childhood education reporter for KQED. This 38 minute conversation with Daisy was cut down and edited by our intern, Ellie Prickett-Morgan and our senior editor, Alan Montecillo. Maria Esquinca is our producer. She scored this episode and added all the tape music courtesy of the Audio Network. Special thanks as well to Carlos Cabrera-Lomelí.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>By the way, did you know that the Bay is listener supported? Meaning our funders are people just like you? So if you appreciate the value that the Bay brings to your life, consider becoming a KQED member. Just go to KQED.org/Donate. The Bay is a production of listener supported KQED in San Francisco. I’m Ericka Cruz Guevarra. Thanks for listening. Talk to you next time.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp class=\"p1\">\u003ca href=\"#episode-transcript\">\u003ci>View the full episode transcript.\u003c/i>\u003c/a>\u003c/p>\n\u003cp>Every child in California under 3 is entitled to early intervention services like physical, speech, and occupational therapy if they show signs that they need developmental support. Experts say getting these services early and in-person is critical for babies’ development, and that it can actually reduce the need for special education services later in life.\u003c/p>\n\u003cp>But many families aren’t receiving the care they need. KQED’s Daisy Nguyen explains why.\u003c/p>\n\u003cp>\u003cb>Links: \u003c/b>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11980312/a-caregivers-guide-to-navigating-early-intervention-services\">‘Early Start’ 101: Here’s How Families Can Access Early Intervention Services for Younger Kids\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC5200793499\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\u003c/div>",
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"content": "\u003cdiv class=\"post-content post-body\">\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp>\u003ci>This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevarra and welcome to the Bay. Local news to keep you rooted. Baby brains have lots to absorb early on. They’re learning how to walk and talk, and their brains are most adaptable in the first three years of life. That makes it a crucial period, because if the child shows signs of delays in their development, those first three years are the time to intervene.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Receiving early intervention services could really change the developmental path of a child. It could make a big difference, but it has to be given during this period.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>In California, babies are entitled to help from the state. They show signs of developmental delay, and it happens through a program known as Early Start. But many of the neediest families aren’t getting that help today. I talked with KQED early childhood education reporter Daisy Nguyen about the barriers to getting babies crucial, life altering services on time.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Reyna Balladares, is a foster parent who lives in the tenderloin.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Then she became a foster parent, during the pandemic. She told me that at the time when the, you know, the world was shutting down, she wanted to open up her home to help foster children. She first took care of a baby boy for about six months. And, I think that was a really good experience for her, even though ultimately, you know, that the child was placed in a different home.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And then she met this little girl, this newborn baby in 2021.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She told me that she just remembered the the baby’s smile and just how sweet her face was. How she lit up when she saw her second city.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>You know, it broke her heart that the situation, that in which this girl came to her. But the little glimmer of hope when she saw that the girl was making some progress in her development, really reinforced her desire to want to advocate for this, for this little girl.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When did Reyna start to notice this little girl struggling a little bit in her development?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She said this child was just slow to begin walking and talking. And I think because Reyna had raised two daughters, she had some personal experience.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She just felt something wasn’t right. And she she said she mentioned this to doctors who initially told her this is normal. That was slightly dismissive. But she was certain that there was something going on. And ultimately, after seeing specialists, it was confirmed to her that this little girl needed a lot of early intervention services, essentially to help her reach her potential. It was recommended that this little girl receives a physical therapy, speech therapy, occupational therapy, and feeding therapy.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>We’re talking about really important services that kids need very early on. And I mean, I have to imagine time is of the essence. Why was it so hard for Rina to get the services that she needed for this baby girl? Why did she have to push so hard?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>When I learned was just that the regional center has been overwhelmed, especially since the pandemic, with just a high caseload of children seeking services and probably some staffing shortages, not only at the regional center, but also with a shortage of early intervention providers. Families have to really push to get the services that they need in a timely manner and in the way that they want it to receive it, meaning if they want it to happen in the natural environment of the child.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Reyna said that what she stumbled upon was just a lot of resistance by the therapist to come to the tenderloin, where she lives. She told me that the regional center coordinators told her that the therapists were just afraid to come to the tenderloin because they felt unsafe.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What does Reyna say about what it was like to not have therapists willing to meet with her foster daughter in person?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She just felt it was unjust that it was because of where she lives. The therapists weren’t coming there to provide the services that her foster daughter crucially needed.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>What happened instead was that she was given an alternative, but it wasn’t what she wanted. So the Golden Gate Regional Center was telling her that she could take her foster child to the different clinics across San Francisco to make all these different appointments, which kind of stacked up during the week for her. She had to take a lot of time out of her working days.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>But the other alternative was to have these services done through zoom.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>It wasn’t ideal. She said her foster child would not respond to the therapist or just not want to sit in front of a screen.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I want to step back a little bit, Daisy, and talk a little bit more about what early intervention services are, what kind of services are we talking about? Exactly? And I know these services are also things that families are entitled to. Right.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Children with developmental delays are entitled to receive a host of early intervention services to enhance their ability to sit or walk or talk. The services could include physical therapy, speech therapy, occupational therapy. It could even include equipment that helps young children maintain or improve certain skills, or parents could also receive some counseling and training to support their child’s developmental needs.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Getting the services as early as possible is crucial for children. Experts say that’s because this is a period when children’s brain are rapidly developing, and so they’re more adaptable. So receiving early intervention services could really change the developmental path of a child. It could make a big difference.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>But it has to be given during this period. This is a federal program that’s administered in California by a network of nonprofit regional centers. So in the Bay area, the Golden Gate Regional Center is responsible for coordinating these services for families in San Francisco, Marin, and San Mateo County.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What are the bigger systemic problems with the state system for these early intervention services?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>This program has always been plagued by understaffing and underinvestment by the government. The therapist who would provide these services. They are not paid a competitive rate. The rates in which the providers get paid have never been as competitive as what the private market is able to pay for these services, and so they’re just less incentivized to to provide services through this program.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And so they’re in demand, which means that the number of families who who need the service, who requested these services and are eligible for these services have to kind of wait sometimes just to get it. The other issue is that they don’t get paid to travel to a family’s home.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>So as an alternative, what they’re able to offer to families is appointments in their offices or through telehealth, meaning appointments through zoom. And but for these some of these families, this is not what they considered an ideal way for their children to receive these services. They consider it substandard.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Coming up, how underfunding has hurt those who need the most help and how do we fix this? Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I want to talk more Daisy through, I guess, some of the consequences of this inadequate funding, as you were kind of just starting to talk about. What did you find?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Doctor Jennifer Albon is a pediatrician at UCSF.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>Most of my young patients are needing early intervention services.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>So she just is seeing, you know, growing geographic and socioeconomic disparities when it comes to who gets early intervention services in their home.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>I have many families who, like, live in certain neighborhoods of San Francisco, and the regional center has flat out told them and told us that there’s not providers who will go to your neighborhood, even within San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>What does Doctor Albon say about the importance of providing this treatment in these children’s homes, but specifically no matter where they live?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She says it’s just more ideal because children learn best when they’re in familiar surroundings.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>You know, they get scared of coming into like, offices and other things like that. So it’s harder for them to participate when it’s not like their natural environments.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>The parents are also receiving some of the training themselves, so that for the rest of that week, when there’s no therapy, they’re able to practice what they’ve been trained to, you know, by the therapists to do.\u003c/p>\n\u003cp>\u003cstrong>Dr. Jennifer Albon: \u003c/strong>The goal for it to be kind of in their natural environment is that they have all of their regular things. And the and the therapists are showing the family what to do with what they have at home or in these natural environments.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And I should add that it is it’s a lot. It’s a law where it says that services should ideally be provided in the natural environment. The growth in online therapies have made it accessible for many people. But I think in the case with young children, it’s it’s created more inequities.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Will these issues that we’re talking about are systemic, as you described earlier, and they’re also not all new, but what can we do to fix this problem?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>I spoke with leaders of the regional centers, and they say that’s really like the you know, they recognize that this is a distressing situation that they’ve been trying to address for a long time, and they can’t compel therapists to see children in person if they’re just not getting, you know, they’re not being paid enough to do it. And so they’re really calling for greater investment by the state and federal government in the program.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>The state has been gradually been increasing the reimbursement rates for early intervention services. But this budget year, Governor Gavin Newsom wants to delay full implementation of the increases, and the regional center leaders are saying like they they really don’t think delay is a good idea, because increasing the rate is encouraging the therapists to do the work to go and see children in the natural environment. And also it’s encouraging them to to hire more people.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Ultra regional center services Sacramento and about 9 or 10 surrounding counties, and they receive some federal pandemic aid money to implement a pilot project, where they offered an incentive to therapists to go to underserved zip codes and also hard to reach areas in their region. And they noticed that these incentives, which is I think it was something like $200 per visit, that they saw an increase in the number of children seen in these underserved areas. So clearly, you know, money talks.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Coming back to Reyna Balladares, what is she going to do next?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Her foster child just turned three, which means she is, quote unquote, aged out of, early intervention services. And Raina believes that she could have made much more progress if she had received consistent services. Her daughter now will need more, special education services through the San Francisco Unified School District.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That is kind of heartbreaking, because it sounds like she wasn’t able to get the critical services she needed on time. But at the same time, Raina seems like this very active parent who knows a lot and who really pushed to make sure her kid got the services she needed. But I also imagine there’s probably lots of families who struggle to navigate these services, or maybe just don’t even have the time to and I mean, just maybe give up.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>I think that’s what compelled, Reyna to speak with me, because she would she wanted to speak out on behalf of those parents who you can imagine. I think having a child who, if you’re. Especially if you’re a first time parent, just absorbing the news that your child has a developmental delay. These families are often in crisis, and they don’t have the time to make constant calls to the regional center and push for these types of services.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Ultimately, Reyna wants to adopt the the baby girl, right?\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She fell in love with this child.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>She is much closer to getting the adoption approved bundle.\u003c/p>\n\u003cp>\u003cstrong>Reyna Balladares: \u003c/strong>\u003cem>[speaking spanish]\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>And when I met with them, I mean, you can just see this clear bond. And, she she just wants to do what’s best for this little girl.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Well, Daisy, thank you so much for breaking this down for us. I really appreciate it.\u003c/p>\n\u003cp>\u003cstrong>Daisy Nguyen: \u003c/strong>Yeah. No problem.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>That was Daisy Nguyen, an early childhood education reporter for KQED. This 38 minute conversation with Daisy was cut down and edited by our intern, Ellie Prickett-Morgan and our senior editor, Alan Montecillo. Maria Esquinca is our producer. She scored this episode and added all the tape music courtesy of the Audio Network. Special thanks as well to Carlos Cabrera-Lomelí.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>By the way, did you know that the Bay is listener supported? Meaning our funders are people just like you? So if you appreciate the value that the Bay brings to your life, consider becoming a KQED member. Just go to KQED.org/Donate. The Bay is a production of listener supported KQED in San Francisco. I’m Ericka Cruz Guevarra. Thanks for listening. Talk to you next time.\u003c/p>\n\n\u003c/div>"
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11981473/atencion-temprana-infantil-california\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>In California, \u003ca href=\"https://my.clevelandclinic.org/health/diseases/14814-developmental-delay-in-children\">babies and toddlers with developmental delays\u003c/a> are entitled to receive a host of early intervention services to enhance their ability to sit, walk, talk or feed themselves. The services include physical therapy, speech therapy, occupational therapy or even equipment that helps young children maintain or improve certain skills. Parents and caregivers can also receive counseling and training to support their child’s needs.\u003c/p>\n\u003cp>\u003ca href=\"https://sites.ed.gov/idea/early-learning-early-childhood/#:~:text=The%20Individuals%20With%20Disabilities%20Education,and%20related%20services%20when%20children\">State and federal law guarantee early intervention services\u003c/a> through a program called Early Start because they help young children reach their potential and reduce the need for special education services when they enter school.\u003c/p>\n\u003cp>[aside postID=news_11979071 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-02-KQED-1-1020x680.jpg']\u003ca href=\"https://www.cdc.gov/ncbddd/actearly/whyActEarly.html\">Getting the services as early as possible is crucial\u003c/a> for these children, experts say because their brains are the most adaptable during the first three years of life. The services should ideally be provided in the child’s home, daycare or other “natural environments” because \u003ca href=\"https://www.pacer.org/ec/early-intervention/natural-environments.asp\">young children learn best when they’re in familiar surroundings.\u003c/a>\u003c/p>\n\u003cp>But advocates tell KQED they’re seeing\u003ca href=\"https://www.kqed.org/news/11979071/californias-low-income-families-face-barriers-to-in-home-therapy-for-infants-with-developmental-delays\"> growing geographic and economic disparities\u003c/a> in who gets early intervention services in their natural environment — that is, these services aren’t being made equally available to all kids.\u003c/p>\n\u003cp>So, if you’re worried your child may have a developmental delay or have already encountered issues while trying to access these kinds of services for your family, here’s what you need to know about navigating the state’s Early Start system.\u003c/p>\n\u003ch2>\u003cstrong>How do I get started with securing Early Start services for my kid?\u003c/strong>\u003c/h2>\n\u003cp>A pediatrician, parent or even daycare provider can \u003ca href=\"https://arcanet.org/your-regional-center/\">contact their local regional center\u003c/a> to ask for early intervention services through Early Start.\u003c/p>\n\u003cp>Regional centers are nonprofit agencies that contract with the California Department of Developmental Services (DDS) to:\u003c/p>\n\u003cul>\n\u003cli>Evaluate a child for a developmental delay or disability.\u003c/li>\n\u003cli>Determine if the child is eligible for early intervention services.\u003c/li>\n\u003cli>Arrange for those services.\u003c/li>\n\u003c/ul>\n\u003cp>\u003ca href=\"https://www.dhcs.ca.gov/provgovpart/Prop-56/Pages/Prop56-Screenings-Developmental.aspx\">Medi-Cal, the state’s Medicare program, covers developmental screenings\u003c/a> during wellness checks for children at 9 months, 18 months and 30 months of age. The screening uses a standardized set of questions to see if a child’s motor, cognitive, social and emotional development are on track for their age. However, \u003ca href=\"https://first5center.org/blog/department-of-health-care-services-releases-2021-preventive-services-report\">data shows that the developmental screening rates for young children in Medi-Cal are very low\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>If you suspect your child isn’t meeting his or her developmental milestones, don’t be afraid to ask about any concerns you have. Reyna Balladares, a foster parent profiled in our story about early intervention, says that when she noticed her foster child was slow to begin walking and talking, doctors told her that what was happening with the girl was normal. A specialist eventually evaluated the toddler and determined that she, in fact, needed physical therapy, speech-language therapy, occupational therapy and feeding therapy.\u003c/p>\n\u003cp>“You have to be very conscious if something different is going on with the child,” Balladares says, “and we have to advocate for [them].”\u003c/p>\n\u003ch2>\u003cstrong>Who’s eligible for Early Start?\u003c/strong>\u003c/h2>\n\u003cp>\u003ca href=\"https://www.dds.ca.gov/wp-content/uploads/2023/04/SIP_Early-Start_English.pdf\">A child under 3 years old is qualified for early intervention services through Early Start (PDF) \u003c/a>if they’re diagnosed as being at risk for developmental delays or if they have a developmental delay “of at least 25%” that affects their:\u003c/p>\n\u003cul>\n\u003cli>Cognitive development (thinking and learning).\u003c/li>\n\u003cli>Speech development.\u003c/li>\n\u003cli>Physical and motor development, including their vision and hearing.\u003c/li>\n\u003cli>Social and emotional development.\u003c/li>\n\u003cli>Adaptive development (everyday living skills like eating or dressing).\u003c/li>\n\u003c/ul>\n\u003ch2>\u003cstrong>How much does Early Start cost?\u003c/strong>\u003c/h2>\n\u003cp>There is no charge for regional centers to evaluate for a developmental delay, determine a child’s eligibility and arrange for early intervention services.\u003c/p>\n\u003cp>However, they are “technically funders of last resort,” according to \u003ca href=\"https://calbudgetcenter.org/resources/understanding-how-infants-and-toddlers-with-disabilities-or-developmental-delays-receive-support/\">a report by the California Budget and Policy Center\u003c/a>. This means regional centers will only pay for services that are not covered by Medi-Cal or private insurance plans or while families wait for their insurance plan or Medi-Cal to approve the service.\u003c/p>\n\u003ch2>\u003cstrong>What are the rights of parents and caregivers for accessing Early Start services for a child?\u003c/strong>\u003c/h2>\n\u003cp>After being referred, regional centers have up to 45 days to evaluate the child, determine if they’re eligible for early intervention services, and propose an Individualized Family Service Plan (IFSP) that lays out the services that the child needs.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Mariah Martinez, care coordinator manager, Support for Families of Children With Disabilities\"]‘Keep pushing to move the process along.’[/pullquote]Mariah Martinez, a care coordinator manager with the San Francisco-based nonprofit Support for Families of Children With Disabilities, suggests filling out the referral form (which you can find on each regional center’s website) and emailing it to the regional center, so you can begin documenting the process from the start.\u003c/p>\n\u003cp>“Once the regional center emails you back with the confirmation that they received it, then that’s when the timeline begins,” she says.\u003c/p>\n\u003cp>If the process then goes beyond 45 days, caregivers can contact their caseload manager or the officer of the day at the regional center to get an update on the status of their case, Martinez says.\u003c/p>\n\u003ch2>\u003cstrong>What if I’m not getting timely services?\u003c/strong>\u003c/h2>\n\u003cp>As frustrating as it sounds, parents and caregivers often have to call their regional center coordinator repeatedly. “Keep pushing to move the process along,” Martinez says. She also suggests reaching out to their child’s pediatrician or medical social worker, a family resource center (\u003ca href=\"https://sfdec.org/family-resource-centers/\">there are more than two dozen of these\u003c/a> located throughout neighborhoods in San Francisco, for example) or advocacy groups like Support for Families of Children With Disabilities to assist in communicating with their service coordinator.\u003c/p>\n\u003cp>“We try our best to get families connected to them,” she says. “And for the majority of time, I believe we’re pretty successful at getting them some sort of update regarding their case or if there’s anything else that the regional center needs from them. That way, the process goes a little bit smoother for them.”\u003c/p>\n\u003cp>Also, the First 5 Association of California offers a “Help Me Grow” program in each of the state’s 58 counties to help identify a family’s child development needs.\u003c/p>\n\u003ch2>\u003cstrong>What if I disagree with the service plan? Or if my child was denied Early Start services?\u003c/strong>\u003c/h2>\n\u003cp>The DDS suggests first talking with your service coordinator or asking the leadership of the regional center to review and reconsider their decision.\u003c/p>\n\u003cp>The next step after this could be seeking mediation or a due process hearing with the\u003ca href=\"https://www.dgs.ca.gov/OAH\"> Office of Administrative Hearings\u003c/a>. Martinez recommends “getting everything written down” so families will have documentation of their attempts to get services.\u003c/p>\n\u003cp>Martinez says it’s a good idea to seek legal advice from the \u003ca href=\"https://www.disabilityrightsca.org/what-we-do/programs/office-of-clients-rights-advocacy-ocra\">Office of Clients’ Rights Advocacy\u003c/a> before filing an appeal or complaint with the state. The OCRA has an attorney or advocate assigned to each regional center and is run by Disability Rights California.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "In California, babies and toddlers with developmental delays are entitled to a host of early intervention services that experts say are crucial during the first three years of life when their brains are the most adaptable.",
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"title": "'Early Start' 101: Here's How Families Can Access Early Intervention Services for Younger Kids | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11981473/atencion-temprana-infantil-california\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>In California, \u003ca href=\"https://my.clevelandclinic.org/health/diseases/14814-developmental-delay-in-children\">babies and toddlers with developmental delays\u003c/a> are entitled to receive a host of early intervention services to enhance their ability to sit, walk, talk or feed themselves. The services include physical therapy, speech therapy, occupational therapy or even equipment that helps young children maintain or improve certain skills. Parents and caregivers can also receive counseling and training to support their child’s needs.\u003c/p>\n\u003cp>\u003ca href=\"https://sites.ed.gov/idea/early-learning-early-childhood/#:~:text=The%20Individuals%20With%20Disabilities%20Education,and%20related%20services%20when%20children\">State and federal law guarantee early intervention services\u003c/a> through a program called Early Start because they help young children reach their potential and reduce the need for special education services when they enter school.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://www.cdc.gov/ncbddd/actearly/whyActEarly.html\">Getting the services as early as possible is crucial\u003c/a> for these children, experts say because their brains are the most adaptable during the first three years of life. The services should ideally be provided in the child’s home, daycare or other “natural environments” because \u003ca href=\"https://www.pacer.org/ec/early-intervention/natural-environments.asp\">young children learn best when they’re in familiar surroundings.\u003c/a>\u003c/p>\n\u003cp>But advocates tell KQED they’re seeing\u003ca href=\"https://www.kqed.org/news/11979071/californias-low-income-families-face-barriers-to-in-home-therapy-for-infants-with-developmental-delays\"> growing geographic and economic disparities\u003c/a> in who gets early intervention services in their natural environment — that is, these services aren’t being made equally available to all kids.\u003c/p>\n\u003cp>So, if you’re worried your child may have a developmental delay or have already encountered issues while trying to access these kinds of services for your family, here’s what you need to know about navigating the state’s Early Start system.\u003c/p>\n\u003ch2>\u003cstrong>How do I get started with securing Early Start services for my kid?\u003c/strong>\u003c/h2>\n\u003cp>A pediatrician, parent or even daycare provider can \u003ca href=\"https://arcanet.org/your-regional-center/\">contact their local regional center\u003c/a> to ask for early intervention services through Early Start.\u003c/p>\n\u003cp>Regional centers are nonprofit agencies that contract with the California Department of Developmental Services (DDS) to:\u003c/p>\n\u003cul>\n\u003cli>Evaluate a child for a developmental delay or disability.\u003c/li>\n\u003cli>Determine if the child is eligible for early intervention services.\u003c/li>\n\u003cli>Arrange for those services.\u003c/li>\n\u003c/ul>\n\u003cp>\u003ca href=\"https://www.dhcs.ca.gov/provgovpart/Prop-56/Pages/Prop56-Screenings-Developmental.aspx\">Medi-Cal, the state’s Medicare program, covers developmental screenings\u003c/a> during wellness checks for children at 9 months, 18 months and 30 months of age. The screening uses a standardized set of questions to see if a child’s motor, cognitive, social and emotional development are on track for their age. However, \u003ca href=\"https://first5center.org/blog/department-of-health-care-services-releases-2021-preventive-services-report\">data shows that the developmental screening rates for young children in Medi-Cal are very low\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If you suspect your child isn’t meeting his or her developmental milestones, don’t be afraid to ask about any concerns you have. Reyna Balladares, a foster parent profiled in our story about early intervention, says that when she noticed her foster child was slow to begin walking and talking, doctors told her that what was happening with the girl was normal. A specialist eventually evaluated the toddler and determined that she, in fact, needed physical therapy, speech-language therapy, occupational therapy and feeding therapy.\u003c/p>\n\u003cp>“You have to be very conscious if something different is going on with the child,” Balladares says, “and we have to advocate for [them].”\u003c/p>\n\u003ch2>\u003cstrong>Who’s eligible for Early Start?\u003c/strong>\u003c/h2>\n\u003cp>\u003ca href=\"https://www.dds.ca.gov/wp-content/uploads/2023/04/SIP_Early-Start_English.pdf\">A child under 3 years old is qualified for early intervention services through Early Start (PDF) \u003c/a>if they’re diagnosed as being at risk for developmental delays or if they have a developmental delay “of at least 25%” that affects their:\u003c/p>\n\u003cul>\n\u003cli>Cognitive development (thinking and learning).\u003c/li>\n\u003cli>Speech development.\u003c/li>\n\u003cli>Physical and motor development, including their vision and hearing.\u003c/li>\n\u003cli>Social and emotional development.\u003c/li>\n\u003cli>Adaptive development (everyday living skills like eating or dressing).\u003c/li>\n\u003c/ul>\n\u003ch2>\u003cstrong>How much does Early Start cost?\u003c/strong>\u003c/h2>\n\u003cp>There is no charge for regional centers to evaluate for a developmental delay, determine a child’s eligibility and arrange for early intervention services.\u003c/p>\n\u003cp>However, they are “technically funders of last resort,” according to \u003ca href=\"https://calbudgetcenter.org/resources/understanding-how-infants-and-toddlers-with-disabilities-or-developmental-delays-receive-support/\">a report by the California Budget and Policy Center\u003c/a>. This means regional centers will only pay for services that are not covered by Medi-Cal or private insurance plans or while families wait for their insurance plan or Medi-Cal to approve the service.\u003c/p>\n\u003ch2>\u003cstrong>What are the rights of parents and caregivers for accessing Early Start services for a child?\u003c/strong>\u003c/h2>\n\u003cp>After being referred, regional centers have up to 45 days to evaluate the child, determine if they’re eligible for early intervention services, and propose an Individualized Family Service Plan (IFSP) that lays out the services that the child needs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Mariah Martinez, a care coordinator manager with the San Francisco-based nonprofit Support for Families of Children With Disabilities, suggests filling out the referral form (which you can find on each regional center’s website) and emailing it to the regional center, so you can begin documenting the process from the start.\u003c/p>\n\u003cp>“Once the regional center emails you back with the confirmation that they received it, then that’s when the timeline begins,” she says.\u003c/p>\n\u003cp>If the process then goes beyond 45 days, caregivers can contact their caseload manager or the officer of the day at the regional center to get an update on the status of their case, Martinez says.\u003c/p>\n\u003ch2>\u003cstrong>What if I’m not getting timely services?\u003c/strong>\u003c/h2>\n\u003cp>As frustrating as it sounds, parents and caregivers often have to call their regional center coordinator repeatedly. “Keep pushing to move the process along,” Martinez says. She also suggests reaching out to their child’s pediatrician or medical social worker, a family resource center (\u003ca href=\"https://sfdec.org/family-resource-centers/\">there are more than two dozen of these\u003c/a> located throughout neighborhoods in San Francisco, for example) or advocacy groups like Support for Families of Children With Disabilities to assist in communicating with their service coordinator.\u003c/p>\n\u003cp>“We try our best to get families connected to them,” she says. “And for the majority of time, I believe we’re pretty successful at getting them some sort of update regarding their case or if there’s anything else that the regional center needs from them. That way, the process goes a little bit smoother for them.”\u003c/p>\n\u003cp>Also, the First 5 Association of California offers a “Help Me Grow” program in each of the state’s 58 counties to help identify a family’s child development needs.\u003c/p>\n\u003ch2>\u003cstrong>What if I disagree with the service plan? Or if my child was denied Early Start services?\u003c/strong>\u003c/h2>\n\u003cp>The DDS suggests first talking with your service coordinator or asking the leadership of the regional center to review and reconsider their decision.\u003c/p>\n\u003cp>The next step after this could be seeking mediation or a due process hearing with the\u003ca href=\"https://www.dgs.ca.gov/OAH\"> Office of Administrative Hearings\u003c/a>. Martinez recommends “getting everything written down” so families will have documentation of their attempts to get services.\u003c/p>\n\u003cp>Martinez says it’s a good idea to seek legal advice from the \u003ca href=\"https://www.disabilityrightsca.org/what-we-do/programs/office-of-clients-rights-advocacy-ocra\">Office of Clients’ Rights Advocacy\u003c/a> before filing an appeal or complaint with the state. The OCRA has an attorney or advocate assigned to each regional center and is run by Disability Rights California.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "californias-low-income-families-face-barriers-to-in-home-therapy-for-infants-with-developmental-delays",
"title": "Why These California Families Aren't Receiving Vital Early Development Services",
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"headTitle": "Why These California Families Aren’t Receiving Vital Early Development Services | KQED",
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"content": "\u003cp>When the world shut down during the pandemic, Reyna Balladares decided to open her apartment in San Francisco’s Tenderloin neighborhood to a foster child.\u003c/p>\n\u003cp>A single mother of two grown daughters, Balladares heard from a social-worker friend about the challenges of finding a home for foster children and wanted to help.\u003c/p>\n\u003cp>Balladares took care of a baby boy for six months, and then in 2021, she got paired up with a newborn girl. As months went by, Balladares noticed she was slow to begin walking and talking.[pullquote size=\"medium\" align=\"right\" citation=\"Reyna Balladares, foster parent and San Francisco resident\"]‘They’re afraid to come to this community.’[/pullquote]A pediatrician recommended that the girl get physical, speech, occupational and feeding therapy to support her development. Balladares was referred to \u003ca href=\"https://www.dds.ca.gov/services/early-start/\">Early Start\u003c/a>, California’s early intervention program for infants and toddlers with developmental delays, which approved the treatments.\u003c/p>\n\u003cp>However, getting connected to certain therapists took months.\u003c/p>\n\u003cp>When Balladares asked a program coordinator about the long wait, she learned few therapists were willing to make house calls to her neighborhood, which has been at the center of the city’s homelessness and \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">drug crisis\u003c/a>.\u003c/p>\n\u003cp>“They’re afraid to come to this community,” she said.\u003c/p>\n\u003cp>And that kept the girl from getting the services she was entitled to receive.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California established Early Start in 1986 in response to a federal law guaranteeing early intervention services for children under 3, regardless of their families’ income levels. A network of nonprofit regional centers is responsible for determining a child’s eligibility for developmental support and arranging those services.\u003c/p>\n\u003cp>Getting services early on is crucial, \u003ca href=\"https://www.cdc.gov/ncbddd/actearly/whyActEarly.html\">experts say,\u003c/a> because babies’ brains are more adaptable during the first three years of life, and the intervention can head off the need for special education services later on.\u003c/p>\n\u003cp>The law also requires that children receive the services in their home, daycare or other “natural environments” as much as possible because young children learn best \u003ca href=\"https://www.pacer.org/ec/early-intervention/natural-environments.asp\">when they’re in familiar surroundings\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11977975\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11977975 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED.jpg\" alt=\"A collection of kids' toys sits on a beige and blue table beside a white wall.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A small table and chair with children’s toys in Reyna Balladares’ home in San Francisco on Feb. 26, 2024. \u003ccite>(Kathryn Styer-Martínez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Advocates tell KQED they see a growing divide between who gets quality services and who doesn’t.\u003c/p>\n\u003cp>“There’s vast inequities,” said Jennifer Albon, a pediatrician who treats children with high health care needs at UCSF Medical Center at Mount Zion.\u003c/p>\n\u003cp>She said several patients who live in the Tenderloin and other low-income districts like the Bayview did not receive at-home therapies because the Golden Gate Regional Center, which coordinates early intervention services in San Francisco, San Mateo and Marin counties, couldn’t find providers willing to see children there.[pullquote size=\"medium\" align=\"right\" citation=\"Jennifer Albon, pediatrician, UCSF Medical Center at Mount Zion\"]‘Families who are well-resourced and live in nicer areas, those are the only families who are getting that care in their natural environment, even though [they don’t have] the most need.’[/pullquote]“The regional center has flat-out told them and told us that there’s no providers who will go to your neighborhood,” she said. “Families who are well-resourced and live in nicer areas, those are the only families who are getting that care in their natural environment, even though [they don’t have] the most need.”\u003c/p>\n\u003cp>Child care centers in the Tenderloin are also impacted.\u003c/p>\n\u003cp>Heidi Lamar, director of Compass Children’s Center, said when she noticed a therapist had stopped showing up to work with a child, she reached out to a case manager at Golden Gate Regional Center or GGRC.\u003c/p>\n\u003cp>The case manager replied in an email message to Lamar: “The provider is not coming anymore because she was shoved onto the sidewalk by someone on the street while walking to Compass. She had previously been yelled at, cursed at, and followed by a man on a bicycle while walking to Compass on another occasion.”\u003c/p>\n\u003cp>The case manager acknowledged increased difficulty finding providers willing to go to the Tenderloin.[aside postID=news_11958841 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/08/230822-HOME-HEALTHCARE-WORKER-LM-KQED-1020x680.jpg']“We can’t compel therapists to provide services in situations where they don’t feel safe,” the case manager wrote. “We just keep our fingers crossed that the providers don’t drop the families entirely.”\u003c/p>\n\u003cp>The Tenderloin has long been plagued by drug dealing, homelessness and mental illness — conditions that residents and business owners say \u003ca href=\"https://www.sfchronicle.com/sf/article/tenderloin-little-saigon-homeless-18601130.php\">have worsened since the pandemic\u003c/a>, despite city efforts to increase safety in the area.\u003c/p>\n\u003cp>It’s also a refuge for thousands of lower-income and immigrant families who come seeking affordable housing and social support from organizations like Compass. Another child care center — Wu Yee Children’s Services — hires a “street usher” to escort kids to playgrounds in the neighborhood.\u003c/p>\n\u003cp>“I’m sure you’ve seen in the news our neighborhood is struggling. There were two daytime shootings outside our school building in the last few months,” Lamar said. “But this is where we work every day; this is where our children and our families live. We have to serve them. We have to find a way.”\u003c/p>\n\u003cp>Frustrated by the delay in services, Lamar hired a speech and language pathologist to work on-site with children who have difficulty communicating.\u003c/p>\n\u003cp>Another parent, Ashley Chac, said she waited nine months to get a GGRC coordinator to respond to her request for occupational and physical therapy for her 1 1/2-year-old daughter.[pullquote size=\"medium\" align=\"right\" citation=\"Heidi Lamar, director, Compass Children’s Center\"]‘ … This is where we work every day, this is where our children and our families live. We have to serve them. We have to find a way.’[/pullquote]Chac said she’s upset about missing early intervention during a stage when it can make the greatest impact on her daughter’s development.\u003c/p>\n\u003cp>“Time is of the essence for her,” Chac said. “I’m mad that we fell through the cracks.”\u003c/p>\n\u003cp>Eric Zigman, executive director of the GGRC, said he’s keenly aware of providers’ reluctance to serve certain neighborhoods and calls it a distressing situation. He said his hands are tied as long as the state pays providers less than the market rate for their services.\u003c/p>\n\u003cp>“Until those rates are changed, we can’t control every action of every provider,” Zigman said.\u003c/p>\n\u003cp>Inadequate funding and a shortage of providers have limited regional centers’ ability to improve access and delivery of Early Start services, according to \u003ca href=\"https://calbudgetcenter.org/resources/california-can-better-support-infants-toddlers-with-disabilities-or-developmental-delays/\">a 2022 analysis of the program by the California Budget & Policy Center\u003c/a>.\u003c/p>\n\u003cp>Early Start’s problems have raised enough of a concern that the federal Office of Special Education Programs deemed California “\u003ca href=\"https://sites.ed.gov/idea/idea-files/2023-spp-apr-and-state-determination-letters-part-c-california/\">needs assistance\u003c/a>” to improve outcomes for children who receive early intervention services.\u003c/p>\n\u003ch2>Pushing back against Zoom therapy\u003c/h2>\n\u003cp>Advocates say that a growing reliance on telehealth is also leading to substandard care.\u003c/p>\n\u003cp>California allowed remote delivery of early intervention services at the beginning of the pandemic to ensure children continued to receive care. But as the threat of COVID-19 subsided, advocates said the practice continued.\u003c/p>\n\u003cp>Intervening early and in the child’s home should be the “gold standard,” said Amy Westling, executive director of the Association of Regional Center Agencies. However, the regional centers have a hard time finding providers and paying them a competitive rate, she said.\u003c/p>\n\u003cp>“If the service can’t be provided in the natural environment or we can’t identify a provider to do so, we don’t want to say then, ‘We’re not going to offer some alternative,’” Westling said.\u003c/p>\n\u003cp>Left without choices, Balladares tried virtual therapy, but she couldn’t get her foster daughter to focus or respond to the therapist. She said children need to form relationships in person in order to learn.\u003c/p>\n\u003cp>“Nothing replaces a person-to-person relationship, especially for a child,” she said.[pullquote size=\"medium\" align=\"right\" citation=\"Amy Westling, executive director, Association of Regional Center Agencies\"]‘If the service can’t be provided in the natural environment or we can’t identify a provider to do so, we don’t want to say then, ‘We’re not going to offer some alternative.”[/pullquote]In the end, Balladares had to cut back her work hours to take the girl to multiple appointments at different clinics each week.\u003c/p>\n\u003cp>“Running with [her] from one place to another, sometimes trying to make two different appointments in one day … then rushing home to prepare our meals,” she said. “She was exhausted, and so was I.”\u003c/p>\n\u003cp>After two years of therapies, Balladares said, the toddler hasn’t made as much progress as she hoped. After turning 3 last month, she is no longer eligible to receive services under Early Start and will require more therapies through the San Francisco Unified School District.\u003c/p>\n\u003cp>Critics say some therapists or their agencies are exploiting a loophole in the law that allows telehealth services if the child’s parents or guardians agree to the arrangement.\u003c/p>\n\u003cp>“How people took advantage of that was they said to the parent, ‘We can see your child next week virtually, but if we see them in person, it will take several months,’” said Elaine Westlake, a physical therapist who has been demanding a clearer policy on the use of telehealth for Early Start services. “So, of course, the parent says, ‘Well, I guess virtual.’”\u003c/p>\n\u003cp>Westlake said she saw a growing problem when parents in the Tenderloin wondered why she was the only therapist making home visits while others offered their services remotely. She thinks providers are leaning on telehealth because it saves on travel time. What’s more, Medi-Cal pays the same amount whether services are delivered remotely or in person.[aside postID=news_11961256 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/09/023_KQED_LaBombaPreschool_04202023-1020x680.jpg']“It’s plain economics because you can see one child after the other [via telehealth],” Westlake said.\u003c/p>\n\u003cp>Westlake said she is not compensated for the time she spends driving to a child’s home or daycare for each physical therapy appointment. She’s seen the positive impact of that effort. Two recent patients were born prematurely and spent months in neonatal intensive-care units.\u003c/p>\n\u003cp>“When they came home from the hospital, the parents were afraid to even move them,” Westlake said. Now, she said, both children are walking, running and climbing.\u003c/p>\n\u003cp>“That never would have happened if I had not seen them in person,” Westlake said.\u003c/p>\n\u003cp>New York’s health department recently \u003ca href=\"https://www.health.ny.gov/community/infants_children/early_intervention/docs/eip_telehealth_guidance_document.pdf\">issued guidance on using telehealth\u003c/a> after the state’s comptroller \u003ca href=\"https://www.health.ny.gov/community/infants_children/early_intervention/docs/eip_telehealth_guidance_document.pdf\">issued an audit\u003c/a> that found many eligible children didn’t receive early intervention services or faced delays. The guidance lays out scenarios where telehealth is allowed and requires that early intervention providers document how they delivered the services.\u003c/p>\n\u003cp>Lawmakers there are also considering a 5% increase in payments for in-person services and an extra 4% for serving hard-to-reach or underserved areas.\u003c/p>\n\u003cp>In Northern California, a pilot project funded by the American Rescue Plan aimed at boosting in-person therapies showed promising results, according to Lori Banales, executive director of Alta California Regional Center, which serves Sacramento and nine surrounding counties.\u003c/p>\n\u003cfigure id=\"attachment_11978893\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11978893 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Reyna Balladares and her 3-year-old foster child in San Francisco on March 9, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The project offered $200 incentives for therapies done in underserved areas, in languages other than English or during hours that would accommodate parents’ work schedules, Banales said. Furthermore, $10,000 internship grants also helped early intervention providers to hire more bilingual therapists.\u003c/p>\n\u003cp>“We know that this works. Money does talk,” she said.\u003c/p>\n\u003cp>While California has been gradually raising reimbursement rates for providers, Gov. Gavin Newsom wants to delay fully funding the increases to save $1 billion in the next budget year as he moves to close a $38 billion shortfall. That would hinder ongoing efforts to grow the workforce and could lead to longer waits for services, according to\u003ca href=\"https://lao.ca.gov/reports/2024/4837/DDS-Budget-021324.pdf\"> a report by the state Legislative Analyst’s Office\u003c/a>.[pullquote size=\"medium\" align=\"right\" citation=\"Lori Banales, executive director, Alta California Regional Center\"]‘The very rapid growth puts a lot of pressure on a system where there’s just not enough clinicians. So I think there’s a lot of work to be done to close some of those gaps at this point.’[/pullquote]Some recent policy changes included hiring more regional center coordinators to lower caseloads and expanding eligibility for Early Start services, which is expected to add 10% more children into a program currently serving 56,000 infants and toddlers.\u003c/p>\n\u003cp>Westling said that’s a lot of change all at once.\u003c/p>\n\u003cp>“The very rapid growth puts a lot of pressure on a system where there’s just not enough clinicians,” she said. “So, I think there’s a lot of work to be done to close some of those gaps at this point.”\u003c/p>\n\u003cp>Until reform takes hold, Westlake urges her fellow therapists to uphold their code of ethics and care for kids in their natural environments — just as they did before telehealth came along.\u003c/p>\n\u003cp>“We did it before, and we can certainly do it again,” she said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "In California, infants and toddlers with developmental delays qualify for in-home therapy through the Early Start program. Yet families in low-income neighborhoods, like the Tenderloin and the Bayview, face barriers as therapists refuse to provide services there, forcing parents to choose between inconvenient travel or remote therapy.",
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"title": "Why These California Families Aren't Receiving Vital Early Development Services | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When the world shut down during the pandemic, Reyna Balladares decided to open her apartment in San Francisco’s Tenderloin neighborhood to a foster child.\u003c/p>\n\u003cp>A single mother of two grown daughters, Balladares heard from a social-worker friend about the challenges of finding a home for foster children and wanted to help.\u003c/p>\n\u003cp>Balladares took care of a baby boy for six months, and then in 2021, she got paired up with a newborn girl. As months went by, Balladares noticed she was slow to begin walking and talking.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>A pediatrician recommended that the girl get physical, speech, occupational and feeding therapy to support her development. Balladares was referred to \u003ca href=\"https://www.dds.ca.gov/services/early-start/\">Early Start\u003c/a>, California’s early intervention program for infants and toddlers with developmental delays, which approved the treatments.\u003c/p>\n\u003cp>However, getting connected to certain therapists took months.\u003c/p>\n\u003cp>When Balladares asked a program coordinator about the long wait, she learned few therapists were willing to make house calls to her neighborhood, which has been at the center of the city’s homelessness and \u003ca href=\"https://www.kqed.org/news/11972898/2023-was-san-franciscos-deadliest-year-for-drug-overdoses-new-data-confirms\">drug crisis\u003c/a>.\u003c/p>\n\u003cp>“They’re afraid to come to this community,” she said.\u003c/p>\n\u003cp>And that kept the girl from getting the services she was entitled to receive.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California established Early Start in 1986 in response to a federal law guaranteeing early intervention services for children under 3, regardless of their families’ income levels. A network of nonprofit regional centers is responsible for determining a child’s eligibility for developmental support and arranging those services.\u003c/p>\n\u003cp>Getting services early on is crucial, \u003ca href=\"https://www.cdc.gov/ncbddd/actearly/whyActEarly.html\">experts say,\u003c/a> because babies’ brains are more adaptable during the first three years of life, and the intervention can head off the need for special education services later on.\u003c/p>\n\u003cp>The law also requires that children receive the services in their home, daycare or other “natural environments” as much as possible because young children learn best \u003ca href=\"https://www.pacer.org/ec/early-intervention/natural-environments.asp\">when they’re in familiar surroundings\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11977975\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11977975 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED.jpg\" alt=\"A collection of kids' toys sits on a beige and blue table beside a white wall.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240301-EARLY-START-DEVELOPMENTAL-DELAYS-KSM-08-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A small table and chair with children’s toys in Reyna Balladares’ home in San Francisco on Feb. 26, 2024. \u003ccite>(Kathryn Styer-Martínez/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Advocates tell KQED they see a growing divide between who gets quality services and who doesn’t.\u003c/p>\n\u003cp>“There’s vast inequities,” said Jennifer Albon, a pediatrician who treats children with high health care needs at UCSF Medical Center at Mount Zion.\u003c/p>\n\u003cp>She said several patients who live in the Tenderloin and other low-income districts like the Bayview did not receive at-home therapies because the Golden Gate Regional Center, which coordinates early intervention services in San Francisco, San Mateo and Marin counties, couldn’t find providers willing to see children there.\u003c/p>\u003c/div>",
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"content": "‘Families who are well-resourced and live in nicer areas, those are the only families who are getting that care in their natural environment, even though [they don’t have] the most need.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The regional center has flat-out told them and told us that there’s no providers who will go to your neighborhood,” she said. “Families who are well-resourced and live in nicer areas, those are the only families who are getting that care in their natural environment, even though [they don’t have] the most need.”\u003c/p>\n\u003cp>Child care centers in the Tenderloin are also impacted.\u003c/p>\n\u003cp>Heidi Lamar, director of Compass Children’s Center, said when she noticed a therapist had stopped showing up to work with a child, she reached out to a case manager at Golden Gate Regional Center or GGRC.\u003c/p>\n\u003cp>The case manager replied in an email message to Lamar: “The provider is not coming anymore because she was shoved onto the sidewalk by someone on the street while walking to Compass. She had previously been yelled at, cursed at, and followed by a man on a bicycle while walking to Compass on another occasion.”\u003c/p>\n\u003cp>The case manager acknowledged increased difficulty finding providers willing to go to the Tenderloin.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“We can’t compel therapists to provide services in situations where they don’t feel safe,” the case manager wrote. “We just keep our fingers crossed that the providers don’t drop the families entirely.”\u003c/p>\n\u003cp>The Tenderloin has long been plagued by drug dealing, homelessness and mental illness — conditions that residents and business owners say \u003ca href=\"https://www.sfchronicle.com/sf/article/tenderloin-little-saigon-homeless-18601130.php\">have worsened since the pandemic\u003c/a>, despite city efforts to increase safety in the area.\u003c/p>\n\u003cp>It’s also a refuge for thousands of lower-income and immigrant families who come seeking affordable housing and social support from organizations like Compass. Another child care center — Wu Yee Children’s Services — hires a “street usher” to escort kids to playgrounds in the neighborhood.\u003c/p>\n\u003cp>“I’m sure you’ve seen in the news our neighborhood is struggling. There were two daytime shootings outside our school building in the last few months,” Lamar said. “But this is where we work every day; this is where our children and our families live. We have to serve them. We have to find a way.”\u003c/p>\n\u003cp>Frustrated by the delay in services, Lamar hired a speech and language pathologist to work on-site with children who have difficulty communicating.\u003c/p>\n\u003cp>Another parent, Ashley Chac, said she waited nine months to get a GGRC coordinator to respond to her request for occupational and physical therapy for her 1 1/2-year-old daughter.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Chac said she’s upset about missing early intervention during a stage when it can make the greatest impact on her daughter’s development.\u003c/p>\n\u003cp>“Time is of the essence for her,” Chac said. “I’m mad that we fell through the cracks.”\u003c/p>\n\u003cp>Eric Zigman, executive director of the GGRC, said he’s keenly aware of providers’ reluctance to serve certain neighborhoods and calls it a distressing situation. He said his hands are tied as long as the state pays providers less than the market rate for their services.\u003c/p>\n\u003cp>“Until those rates are changed, we can’t control every action of every provider,” Zigman said.\u003c/p>\n\u003cp>Inadequate funding and a shortage of providers have limited regional centers’ ability to improve access and delivery of Early Start services, according to \u003ca href=\"https://calbudgetcenter.org/resources/california-can-better-support-infants-toddlers-with-disabilities-or-developmental-delays/\">a 2022 analysis of the program by the California Budget & Policy Center\u003c/a>.\u003c/p>\n\u003cp>Early Start’s problems have raised enough of a concern that the federal Office of Special Education Programs deemed California “\u003ca href=\"https://sites.ed.gov/idea/idea-files/2023-spp-apr-and-state-determination-letters-part-c-california/\">needs assistance\u003c/a>” to improve outcomes for children who receive early intervention services.\u003c/p>\n\u003ch2>Pushing back against Zoom therapy\u003c/h2>\n\u003cp>Advocates say that a growing reliance on telehealth is also leading to substandard care.\u003c/p>\n\u003cp>California allowed remote delivery of early intervention services at the beginning of the pandemic to ensure children continued to receive care. But as the threat of COVID-19 subsided, advocates said the practice continued.\u003c/p>\n\u003cp>Intervening early and in the child’s home should be the “gold standard,” said Amy Westling, executive director of the Association of Regional Center Agencies. However, the regional centers have a hard time finding providers and paying them a competitive rate, she said.\u003c/p>\n\u003cp>“If the service can’t be provided in the natural environment or we can’t identify a provider to do so, we don’t want to say then, ‘We’re not going to offer some alternative,’” Westling said.\u003c/p>\n\u003cp>Left without choices, Balladares tried virtual therapy, but she couldn’t get her foster daughter to focus or respond to the therapist. She said children need to form relationships in person in order to learn.\u003c/p>\n\u003cp>“Nothing replaces a person-to-person relationship, especially for a child,” she said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In the end, Balladares had to cut back her work hours to take the girl to multiple appointments at different clinics each week.\u003c/p>\n\u003cp>“Running with [her] from one place to another, sometimes trying to make two different appointments in one day … then rushing home to prepare our meals,” she said. “She was exhausted, and so was I.”\u003c/p>\n\u003cp>After two years of therapies, Balladares said, the toddler hasn’t made as much progress as she hoped. After turning 3 last month, she is no longer eligible to receive services under Early Start and will require more therapies through the San Francisco Unified School District.\u003c/p>\n\u003cp>Critics say some therapists or their agencies are exploiting a loophole in the law that allows telehealth services if the child’s parents or guardians agree to the arrangement.\u003c/p>\n\u003cp>“How people took advantage of that was they said to the parent, ‘We can see your child next week virtually, but if we see them in person, it will take several months,’” said Elaine Westlake, a physical therapist who has been demanding a clearer policy on the use of telehealth for Early Start services. “So, of course, the parent says, ‘Well, I guess virtual.’”\u003c/p>\n\u003cp>Westlake said she saw a growing problem when parents in the Tenderloin wondered why she was the only therapist making home visits while others offered their services remotely. She thinks providers are leaning on telehealth because it saves on travel time. What’s more, Medi-Cal pays the same amount whether services are delivered remotely or in person.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It’s plain economics because you can see one child after the other [via telehealth],” Westlake said.\u003c/p>\n\u003cp>Westlake said she is not compensated for the time she spends driving to a child’s home or daycare for each physical therapy appointment. She’s seen the positive impact of that effort. Two recent patients were born prematurely and spent months in neonatal intensive-care units.\u003c/p>\n\u003cp>“When they came home from the hospital, the parents were afraid to even move them,” Westlake said. Now, she said, both children are walking, running and climbing.\u003c/p>\n\u003cp>“That never would have happened if I had not seen them in person,” Westlake said.\u003c/p>\n\u003cp>New York’s health department recently \u003ca href=\"https://www.health.ny.gov/community/infants_children/early_intervention/docs/eip_telehealth_guidance_document.pdf\">issued guidance on using telehealth\u003c/a> after the state’s comptroller \u003ca href=\"https://www.health.ny.gov/community/infants_children/early_intervention/docs/eip_telehealth_guidance_document.pdf\">issued an audit\u003c/a> that found many eligible children didn’t receive early intervention services or faced delays. The guidance lays out scenarios where telehealth is allowed and requires that early intervention providers document how they delivered the services.\u003c/p>\n\u003cp>Lawmakers there are also considering a 5% increase in payments for in-person services and an extra 4% for serving hard-to-reach or underserved areas.\u003c/p>\n\u003cp>In Northern California, a pilot project funded by the American Rescue Plan aimed at boosting in-person therapies showed promising results, according to Lori Banales, executive director of Alta California Regional Center, which serves Sacramento and nine surrounding counties.\u003c/p>\n\u003cfigure id=\"attachment_11978893\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11978893 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/240309-EARLY-START-DEVELOPMENTAL-DELAYS-MD-01-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Reyna Balladares and her 3-year-old foster child in San Francisco on March 9, 2024. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The project offered $200 incentives for therapies done in underserved areas, in languages other than English or during hours that would accommodate parents’ work schedules, Banales said. Furthermore, $10,000 internship grants also helped early intervention providers to hire more bilingual therapists.\u003c/p>\n\u003cp>“We know that this works. Money does talk,” she said.\u003c/p>\n\u003cp>While California has been gradually raising reimbursement rates for providers, Gov. Gavin Newsom wants to delay fully funding the increases to save $1 billion in the next budget year as he moves to close a $38 billion shortfall. That would hinder ongoing efforts to grow the workforce and could lead to longer waits for services, according to\u003ca href=\"https://lao.ca.gov/reports/2024/4837/DDS-Budget-021324.pdf\"> a report by the state Legislative Analyst’s Office\u003c/a>.\u003c/p>\u003c/div>",
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"content": "‘The very rapid growth puts a lot of pressure on a system where there’s just not enough clinicians. So I think there’s a lot of work to be done to close some of those gaps at this point.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Some recent policy changes included hiring more regional center coordinators to lower caseloads and expanding eligibility for Early Start services, which is expected to add 10% more children into a program currently serving 56,000 infants and toddlers.\u003c/p>\n\u003cp>Westling said that’s a lot of change all at once.\u003c/p>\n\u003cp>“The very rapid growth puts a lot of pressure on a system where there’s just not enough clinicians,” she said. “So, I think there’s a lot of work to be done to close some of those gaps at this point.”\u003c/p>\n\u003cp>Until reform takes hold, Westlake urges her fellow therapists to uphold their code of ethics and care for kids in their natural environments — just as they did before telehealth came along.\u003c/p>\n\u003cp>“We did it before, and we can certainly do it again,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "maternity-group-care-for-and-by-black-people-is-improving-outcomes-in-oakland",
"title": "Maternity Group Care for and by Black People Is Improving Outcomes in Oakland",
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"content": "\u003cp>Things didn’t go as planned when DeAnna Jones, 31, delivered her first child in Oakland three years ago.\u003c/p>\n\u003cp>She wanted to have a natural birth, but early contractions led doctors to medically induce her labor a week earlier than her due date. Her daughter’s birth turned out well, but she wished she had known more going into the experience.\u003c/p>\n\u003cp>“I did have a birth plan, and getting induced was not part of that,” Jones said. “So when it came at 39 weeks to be induced, I was like, okay … but I didn’t necessarily say why or can I wait until I’m actually 40 weeks or things that I probably should have asked.”\u003c/p>\n\u003cfigure id=\"attachment_11968844\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968844\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-023-JY-qut.jpg\" alt=\"Two African American women smiles as they go over a chart.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-023-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-023-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-023-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-023-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-023-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">BElovedBIRTH Black Centering midwife Chantal Davis (left) holds up an infographic on decision making alongside program director Jyesha Wren (right) during a group care session for expectant Black mothers at the Alameda Wellness Center in Oakland on Wednesday, Nov. 8, 2023. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Jones didn’t feel mistreated during her experience at the Wilma Chan Highland Hospital Campus, but it gave her pause when she became pregnant again.\u003c/p>\n\u003cp>So Jones was excited when, around eight weeks into her second pregnancy, she was invited to participate in a group perinatal care program that’s trying to improve the patient experience for Black women like her who live in Alameda County. The program, called BElovedBIRTH Black Centering, is resulting in healthier births and prompting state officials to look into expanding it to other public hospitals in California.\u003c/p>\n\u003cp>The program groups up to a dozen Black women in similar stages of pregnancy and offers them care from a team of Black doctors, midwives, doulas, nutritionists, breastfeeding experts and other wellness professionals. Participants receive a range of services before, during and after giving birth — from childbirth education to mental health support and social services.\u003c/p>\n\u003cfigure id=\"attachment_11968845\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968845\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-014-JY-qut.jpg\" alt=\"African American women smile as they sit in a circle and listen to one of them speak.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-014-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-014-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-014-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-014-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-014-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Latasha Dixon (center) acts out a decision-making scenario during a BElovedBIRTH Black Centering group care session for expectant Black mothers at the Alameda Wellness Center. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The program also harnesses donations from the community to give away fresh produce, baby supplies, postpartum meal deliveries and pregnancy portraits with a professional photographer.\u003c/p>\n\u003cp>“We have really adopted the ‘it takes a village’ mindset and the commitment to say, okay, if we know better, we have to do better,” said Jyesha Wren, a midwife and director of the program.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jyesha Wren, director, BElovedBIRTH Black Centering\"]‘We have really adopted the ‘it takes a village’ mindset and the commitment to say, okay, if we know better, we have to do better.’[/pullquote]Wren, along with the Alameda Health System, which operates Highland Hospital and other community health centers, and the Alameda County Public Health Department, launched the program in 2020 to address the alarming rate of pregnancy-related deaths and complications affecting Black women. So far, the $3.5 million public-private initiative has served more than 200 patients who qualify for Medi-Cal because of their low income.\u003c/p>\n\u003cp>American women are dying during pregnancy or in the year after \u003ca href=\"https://www.commonwealthfund.org/blog/2022/us-maternal-mortality-crisis-continues-worsen-international-comparison\">at a far higher rate than in other wealthy nations\u003c/a>, and \u003ca href=\"https://www.cdc.gov/healthequity/features/maternal-mortality/index.html\">Black women are three times as likely to die\u003c/a> from giving birth as white mothers.\u003c/p>\n\u003cp>While California’s maternal mortality rate has been \u003ca href=\"https://www.cmqcc.org/research/maternal-mortality-review-ca-pamr/ca-pamr-recent-data\">lower than the rest of the \u003c/a>country in the last decade, \u003ca href=\"https://www.nber.org/system/files/working_papers/w30693/w30693.pdf\">a landmark study of babies born in the state (PDF)\u003c/a> between 2007 and 2016 found that childbirth is riskier for Black women, regardless of their socioeconomic status. The study, which examines birth, death and hospitalization records with income tax and demographic data, found that high-income Black mothers have the same risk of dying in the first year after giving birth as the poorest white mothers.\u003c/p>\n\u003cp>“There are many factors that may be driving this, but the primary factor behind all of that is racism in all of its forms, whether that’s structural or institutional or interpersonal racism,” said Kim Harley, a researcher at UC Berkeley’s School of Public Health. “We see that impacting the whole life course of Black birthing people, and it’s shown in the outcomes that they have during pregnancy.”\u003c/p>\n\u003cfigure id=\"attachment_11968851\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968851\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-019-JY-qut.jpg\" alt=\"A pregnant African American woman looks on as someone handles a catheter in a room with chairs.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-019-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-019-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-019-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-019-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-019-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">DeAnna Jones watches as BElovedBIRTH Black Centering team members demonstrate a balloon catheter procedure during birth at a group care session for expectant Black mothers at the Alameda Wellness Center. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>More recently, a survey of 2,400 mothers by the U.S. Centers for Disease Control and Prevention found that \u003ca href=\"https://www.cdc.gov/vitalsigns/respectful-maternity-care/index.html\">one in five women said they had been mistreated \u003c/a>while receiving maternity care. Mistreatment was reported most often by Black, Hispanic and multiracial moms and those with public or no insurance. What’s more, almost half of the women surveyed said they held back in asking questions or sharing concerns with their providers because they didn’t want to “make a big deal” or not feeling confident that they knew what they were talking about.\u003c/p>\n\u003ch2>A unique model of care\u003c/h2>\n\u003cp>BElovedBIRTH combines several strategies, such as having a doula provide nonmedical support during a birth, that \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10292163/\">has been shown to improve outcomes\u003c/a> for Black mothers and their babies.\u003c/p>\n\u003cp>While typical prenatal checkups last about 15 minutes and can leave parents feeling rushed and overwhelmed, BElovedBIRTH takes a different approach. Participants partake in group prenatal care, also known as centering, where they get two hours to learn about what’s happening to their bodies and ask questions.\u003c/p>\n\u003cfigure id=\"attachment_11968848\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968848\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-028-JY-qut.jpg\" alt=\"A pregnant woman is laying down and receiving prenatal care from another woman.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-028-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-028-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-028-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-028-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-028-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Midwife Chantal Davis finishes checking Taj’ae Harris’ baby’s heartbeat during a checkup at BElovedBIRTH Black Centering’s group care session for expectant Black mothers at the Alameda Wellness Center. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>BElovedBIRTH participants meet twice a month at a clinic located in a former shopping mall in East Oakland, but the setting feels nothing like a medical office. Portraits of pregnant Black people hang on the wall and mellow Afrobeat music plays in the background. There’s a lounge filled with books where women sip tea and chat with each other.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11965919,news_11943821,news_11958841\"]During a recent visit, six women, including DeAnna Jones, took turns going behind a room divider where a nurse measured their blood pressure and their baby’s heartbeat.\u003c/p>\n\u003cp>Then, they formed a circle to learn from a team of Black midwives and doulas about different methods for speeding up labor and the pros and cons of each one. They also role-played what it might be like if their deliveries don’t go as planned.\u003c/p>\n\u003cp>Dressed in a T-shirt that exposed her full belly, Jones went over a scenario where she was admitted to the hospital with high blood pressure. A midwife suggested speeding up contractions with medication or a balloon-like device to widen her cervix.\u003c/p>\n\u003cp>Jones weighed the risks and benefits of using either method or doing nothing at all and asked: “Is there a possibility that I can wait a little bit?” A doula stepped in and asked if she needed more time to discuss the options.\u003c/p>\n\u003cp>Jones said, “Yes,” seemingly relieved to have that choice.\u003c/p>\n\u003cfigure id=\"attachment_11968849\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968849\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-016-JY-qut.jpg\" alt=\"An African American woman holds a natal chart in front of a class.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-016-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-016-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-016-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-016-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-016-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Doula Mysti Dyse holds up a chart displaying cervix dilation during a BElovedBIRTH Black Centering group care session for expectant Black mothers at the Alameda Wellness Center. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The purpose of the exercise was to empower patients to make informed decisions.\u003c/p>\n\u003cp>“These things may seem kind of simple and basic, but the sad reality is that in most medicalized health care, they’re not happening,” Wren said.\u003c/p>\n\u003cp>“There’s no time for them to get information. There’s no time for them to be actually taking charge of their health care in that way and knowing what’s going on with their bodies and making their decisions and having them respected.”\u003c/p>\n\u003cfigure id=\"attachment_11968850\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968850\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-007-JY-qut.jpg\" alt=\"An African American woman smiles as she sits in front of a whiteboard with writing on it.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-007-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-007-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-007-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-007-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-007-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">BElovedBIRTH Black Centering Program Director Jyesha Wren holds a group care session for expectant Black mothers at the Alameda Wellness Center. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In an independent survey of Black moms who participated in the program, the majority said they felt less stressed during pregnancy and more prepared to advocate for themselves.\u003c/p>\n\u003cp>Taj’ae Harris, 20, said before coming here, much of what she knew about childbirth came from TikTok and YouTube.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Taj’ae Harris, program participant\"]‘I’ve been learning a lot of things, like the steps, like coping during labor, different tools being used, different things to ask the doctors, different things to make you feel safe.’[/pullquote]“But then actually coming in here and learning even more stuff, it all, like, pieced together,” she said. “So I’ve been learning a lot of things, like the steps, like coping during labor, different tools being used, different things to ask the doctors, different things to make you feel safe.”\u003c/p>\n\u003cp>Meanwhile, Jones said she feels more confident as she prepares for her second delivery.\u003c/p>\n\u003cp>“I wish I had this program then, but now that I’m in it, I’m excited and ready to go,” she said.\u003c/p>\n\u003cp>An ongoing study led by Harley, the reproductive epidemiologist at UC Berkeley, found that the BElovedBIRTH participants’ babies had a higher rate of being born at full term and with a healthy birth weight than other Black babies born at Highland, which is Alameda County’s main public hospital.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The California Department of Health Care Services, which administers Medi-Cal, is exploring ways to make a program like BElovedBIRTH financially sustainable so it can be implemented in other public health systems.\u003c/p>\n\u003cp>The program would expand the state’s recent efforts to\u003ca href=\"https://www.cdph.ca.gov/Programs/CFH/DMCAH/PEI/Pages/default.aspx\"> improve health equity for new parents and babies\u003c/a>. The state already expanded postpartum care and access to doulas for Medi-Cal patients. It’s starting to offer unconditional cash, ranging from $600 to $1000 per month, to pregnant people in certain communities who are at high risk for preterm birth or postpartum complications. The state’s pilot project is an expansion of \u003ca href=\"https://pretermbirthca.ucsf.edu/expecting-justice\">a San Francisco experiment that provides extra cash and doula care for Black and Pacific Islander pregnant people\u003c/a> — two groups that have the highest preterm birth rate in the city.\u003c/p>\n\u003cp>The state is also putting pressure on perinatal care providers to comply with a law requiring that their workers undergo unconscious bias training.\u003c/p>\n\u003cfigure id=\"attachment_11968854\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968854\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-025-JY-qut.jpg\" alt=\"Five African American women sit in a room, smiling and conversing.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-025-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-025-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-025-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-025-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-025-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">From left to right: Monique Gomez, Taj’ae Harris, and Latasha Dixon attend a BElovedBIRTH Black Centering group care session for expectant Black mothers alongside midwife Chantal Davis and doula Mystic Dyse at the Alameda Wellness Center. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But two years after that law took effect, \u003ca href=\"https://www.kqed.org/news/11965919/california-hospitals-ignored-bias-training-despite-high-black-maternal-death-rate\">an investigation by the state Department of Justice\u003c/a> found only 17% of those providers began training their employees.\u003c/p>\n\u003cp>Wren said mandating unconscious bias training is a step in the right direction, but she thinks advancing health equity will also require empowering pregnant Black people so that they can demand a higher standard of care and holding health care providers accountable.\u003c/p>\n\u003cp>“It really is a matter of life and death for our health system to do things differently because we know that if we continue to deliver health care in the way that we have, we’ll continue to have preventable morbidity and mortality,” she said.\u003c/p>\n\u003ch2>A legacy of fighting for health equity\u003c/h2>\n\u003cp>Wren says the BElovedBIRTH Black Centering is thriving because of grassroots support in a community with a tradition of activism. It draws inspiration from the Black Panthers Party, which operated more than a dozen free medical clinics for Black communities in Oakland and elsewhere in the 1960s and 70s.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Jyesha Wren, director, BElovedBIRTH Black Centering\"]‘It really is a matter of life and death for our health system to do things differently because we know that if we continue to deliver health care in the way that we have, we’ll continue to have preventable morbidity and mortality.’[/pullquote]They “really recognized the health impacts of racism in all of its forms and the need to do community-centered health care work that was by and for us,” she said.\u003c/p>\n\u003cp>The Oakland area also benefits from having a larger than usual pool of Black midwives, doulas and maternity care providers.\u003c/p>\n\u003cp>Wren credits the former head of Highland Hospital’s Maternal and Child Health department for taking the unusual step in the 1980s of including midwives in the labor and delivery room. That wasn’t common practice then but has since been shown to lower birth complications. The move created a robust midwife department, and some of its staff members are now supporting BElovedBIRTH participants.\u003c/p>\n\u003cfigure id=\"attachment_11968855\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968855\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-003-JY-qut.jpg\" alt=\"A wall full of photos, cards, messages.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-003-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-003-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-003-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-003-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-003-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Pregnancy portraits fill the walls of BElovedBIRTH Black Centering at the Alameda Wellness Center. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The doctor who advocated for midwives was James Jackson. His son, James E.T. Jackson, is now CEO of Alameda Health System.\u003c/p>\n\u003cp>“He understood their value, and what the Beloved program has shown is that the cohort model and working with midwives and doulas create a safe space for these mothers that they did not have before,” he said.\u003c/p>\n\u003cp>Alameda Health System is encouraged by the outcomes, the younger Jackson said and is looking to expand the program to other ethnic groups experiencing disproportionate rates of maternal and infant mortality.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A new group prenatal care program called BElovedBIRTH Black Centering is resulting in healthier births and prompting state officials to look into expanding it to other public hospitals in California.",
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"title": "Maternity Group Care for and by Black People Is Improving Outcomes in Oakland | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Things didn’t go as planned when DeAnna Jones, 31, delivered her first child in Oakland three years ago.\u003c/p>\n\u003cp>She wanted to have a natural birth, but early contractions led doctors to medically induce her labor a week earlier than her due date. Her daughter’s birth turned out well, but she wished she had known more going into the experience.\u003c/p>\n\u003cp>“I did have a birth plan, and getting induced was not part of that,” Jones said. “So when it came at 39 weeks to be induced, I was like, okay … but I didn’t necessarily say why or can I wait until I’m actually 40 weeks or things that I probably should have asked.”\u003c/p>\n\u003cfigure id=\"attachment_11968844\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968844\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-023-JY-qut.jpg\" alt=\"Two African American women smiles as they go over a chart.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-023-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-023-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-023-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-023-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-023-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">BElovedBIRTH Black Centering midwife Chantal Davis (left) holds up an infographic on decision making alongside program director Jyesha Wren (right) during a group care session for expectant Black mothers at the Alameda Wellness Center in Oakland on Wednesday, Nov. 8, 2023. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Jones didn’t feel mistreated during her experience at the Wilma Chan Highland Hospital Campus, but it gave her pause when she became pregnant again.\u003c/p>\n\u003cp>So Jones was excited when, around eight weeks into her second pregnancy, she was invited to participate in a group perinatal care program that’s trying to improve the patient experience for Black women like her who live in Alameda County. The program, called BElovedBIRTH Black Centering, is resulting in healthier births and prompting state officials to look into expanding it to other public hospitals in California.\u003c/p>\n\u003cp>The program groups up to a dozen Black women in similar stages of pregnancy and offers them care from a team of Black doctors, midwives, doulas, nutritionists, breastfeeding experts and other wellness professionals. Participants receive a range of services before, during and after giving birth — from childbirth education to mental health support and social services.\u003c/p>\n\u003cfigure id=\"attachment_11968845\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968845\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-014-JY-qut.jpg\" alt=\"African American women smile as they sit in a circle and listen to one of them speak.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-014-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-014-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-014-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-014-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-014-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Latasha Dixon (center) acts out a decision-making scenario during a BElovedBIRTH Black Centering group care session for expectant Black mothers at the Alameda Wellness Center. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The program also harnesses donations from the community to give away fresh produce, baby supplies, postpartum meal deliveries and pregnancy portraits with a professional photographer.\u003c/p>\n\u003cp>“We have really adopted the ‘it takes a village’ mindset and the commitment to say, okay, if we know better, we have to do better,” said Jyesha Wren, a midwife and director of the program.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Wren, along with the Alameda Health System, which operates Highland Hospital and other community health centers, and the Alameda County Public Health Department, launched the program in 2020 to address the alarming rate of pregnancy-related deaths and complications affecting Black women. So far, the $3.5 million public-private initiative has served more than 200 patients who qualify for Medi-Cal because of their low income.\u003c/p>\n\u003cp>American women are dying during pregnancy or in the year after \u003ca href=\"https://www.commonwealthfund.org/blog/2022/us-maternal-mortality-crisis-continues-worsen-international-comparison\">at a far higher rate than in other wealthy nations\u003c/a>, and \u003ca href=\"https://www.cdc.gov/healthequity/features/maternal-mortality/index.html\">Black women are three times as likely to die\u003c/a> from giving birth as white mothers.\u003c/p>\n\u003cp>While California’s maternal mortality rate has been \u003ca href=\"https://www.cmqcc.org/research/maternal-mortality-review-ca-pamr/ca-pamr-recent-data\">lower than the rest of the \u003c/a>country in the last decade, \u003ca href=\"https://www.nber.org/system/files/working_papers/w30693/w30693.pdf\">a landmark study of babies born in the state (PDF)\u003c/a> between 2007 and 2016 found that childbirth is riskier for Black women, regardless of their socioeconomic status. The study, which examines birth, death and hospitalization records with income tax and demographic data, found that high-income Black mothers have the same risk of dying in the first year after giving birth as the poorest white mothers.\u003c/p>\n\u003cp>“There are many factors that may be driving this, but the primary factor behind all of that is racism in all of its forms, whether that’s structural or institutional or interpersonal racism,” said Kim Harley, a researcher at UC Berkeley’s School of Public Health. “We see that impacting the whole life course of Black birthing people, and it’s shown in the outcomes that they have during pregnancy.”\u003c/p>\n\u003cfigure id=\"attachment_11968851\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968851\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-019-JY-qut.jpg\" alt=\"A pregnant African American woman looks on as someone handles a catheter in a room with chairs.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-019-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-019-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-019-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-019-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-019-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">DeAnna Jones watches as BElovedBIRTH Black Centering team members demonstrate a balloon catheter procedure during birth at a group care session for expectant Black mothers at the Alameda Wellness Center. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>More recently, a survey of 2,400 mothers by the U.S. Centers for Disease Control and Prevention found that \u003ca href=\"https://www.cdc.gov/vitalsigns/respectful-maternity-care/index.html\">one in five women said they had been mistreated \u003c/a>while receiving maternity care. Mistreatment was reported most often by Black, Hispanic and multiracial moms and those with public or no insurance. What’s more, almost half of the women surveyed said they held back in asking questions or sharing concerns with their providers because they didn’t want to “make a big deal” or not feeling confident that they knew what they were talking about.\u003c/p>\n\u003ch2>A unique model of care\u003c/h2>\n\u003cp>BElovedBIRTH combines several strategies, such as having a doula provide nonmedical support during a birth, that \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10292163/\">has been shown to improve outcomes\u003c/a> for Black mothers and their babies.\u003c/p>\n\u003cp>While typical prenatal checkups last about 15 minutes and can leave parents feeling rushed and overwhelmed, BElovedBIRTH takes a different approach. Participants partake in group prenatal care, also known as centering, where they get two hours to learn about what’s happening to their bodies and ask questions.\u003c/p>\n\u003cfigure id=\"attachment_11968848\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968848\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-028-JY-qut.jpg\" alt=\"A pregnant woman is laying down and receiving prenatal care from another woman.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-028-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-028-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-028-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-028-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-028-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Midwife Chantal Davis finishes checking Taj’ae Harris’ baby’s heartbeat during a checkup at BElovedBIRTH Black Centering’s group care session for expectant Black mothers at the Alameda Wellness Center. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>BElovedBIRTH participants meet twice a month at a clinic located in a former shopping mall in East Oakland, but the setting feels nothing like a medical office. Portraits of pregnant Black people hang on the wall and mellow Afrobeat music plays in the background. There’s a lounge filled with books where women sip tea and chat with each other.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>During a recent visit, six women, including DeAnna Jones, took turns going behind a room divider where a nurse measured their blood pressure and their baby’s heartbeat.\u003c/p>\n\u003cp>Then, they formed a circle to learn from a team of Black midwives and doulas about different methods for speeding up labor and the pros and cons of each one. They also role-played what it might be like if their deliveries don’t go as planned.\u003c/p>\n\u003cp>Dressed in a T-shirt that exposed her full belly, Jones went over a scenario where she was admitted to the hospital with high blood pressure. A midwife suggested speeding up contractions with medication or a balloon-like device to widen her cervix.\u003c/p>\n\u003cp>Jones weighed the risks and benefits of using either method or doing nothing at all and asked: “Is there a possibility that I can wait a little bit?” A doula stepped in and asked if she needed more time to discuss the options.\u003c/p>\n\u003cp>Jones said, “Yes,” seemingly relieved to have that choice.\u003c/p>\n\u003cfigure id=\"attachment_11968849\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968849\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-016-JY-qut.jpg\" alt=\"An African American woman holds a natal chart in front of a class.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-016-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-016-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-016-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-016-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-016-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Doula Mysti Dyse holds up a chart displaying cervix dilation during a BElovedBIRTH Black Centering group care session for expectant Black mothers at the Alameda Wellness Center. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The purpose of the exercise was to empower patients to make informed decisions.\u003c/p>\n\u003cp>“These things may seem kind of simple and basic, but the sad reality is that in most medicalized health care, they’re not happening,” Wren said.\u003c/p>\n\u003cp>“There’s no time for them to get information. There’s no time for them to be actually taking charge of their health care in that way and knowing what’s going on with their bodies and making their decisions and having them respected.”\u003c/p>\n\u003cfigure id=\"attachment_11968850\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968850\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-007-JY-qut.jpg\" alt=\"An African American woman smiles as she sits in front of a whiteboard with writing on it.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-007-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-007-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-007-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-007-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-007-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">BElovedBIRTH Black Centering Program Director Jyesha Wren holds a group care session for expectant Black mothers at the Alameda Wellness Center. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In an independent survey of Black moms who participated in the program, the majority said they felt less stressed during pregnancy and more prepared to advocate for themselves.\u003c/p>\n\u003cp>Taj’ae Harris, 20, said before coming here, much of what she knew about childbirth came from TikTok and YouTube.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘I’ve been learning a lot of things, like the steps, like coping during labor, different tools being used, different things to ask the doctors, different things to make you feel safe.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“But then actually coming in here and learning even more stuff, it all, like, pieced together,” she said. “So I’ve been learning a lot of things, like the steps, like coping during labor, different tools being used, different things to ask the doctors, different things to make you feel safe.”\u003c/p>\n\u003cp>Meanwhile, Jones said she feels more confident as she prepares for her second delivery.\u003c/p>\n\u003cp>“I wish I had this program then, but now that I’m in it, I’m excited and ready to go,” she said.\u003c/p>\n\u003cp>An ongoing study led by Harley, the reproductive epidemiologist at UC Berkeley, found that the BElovedBIRTH participants’ babies had a higher rate of being born at full term and with a healthy birth weight than other Black babies born at Highland, which is Alameda County’s main public hospital.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The California Department of Health Care Services, which administers Medi-Cal, is exploring ways to make a program like BElovedBIRTH financially sustainable so it can be implemented in other public health systems.\u003c/p>\n\u003cp>The program would expand the state’s recent efforts to\u003ca href=\"https://www.cdph.ca.gov/Programs/CFH/DMCAH/PEI/Pages/default.aspx\"> improve health equity for new parents and babies\u003c/a>. The state already expanded postpartum care and access to doulas for Medi-Cal patients. It’s starting to offer unconditional cash, ranging from $600 to $1000 per month, to pregnant people in certain communities who are at high risk for preterm birth or postpartum complications. The state’s pilot project is an expansion of \u003ca href=\"https://pretermbirthca.ucsf.edu/expecting-justice\">a San Francisco experiment that provides extra cash and doula care for Black and Pacific Islander pregnant people\u003c/a> — two groups that have the highest preterm birth rate in the city.\u003c/p>\n\u003cp>The state is also putting pressure on perinatal care providers to comply with a law requiring that their workers undergo unconscious bias training.\u003c/p>\n\u003cfigure id=\"attachment_11968854\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968854\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-025-JY-qut.jpg\" alt=\"Five African American women sit in a room, smiling and conversing.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-025-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-025-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-025-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-025-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-025-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">From left to right: Monique Gomez, Taj’ae Harris, and Latasha Dixon attend a BElovedBIRTH Black Centering group care session for expectant Black mothers alongside midwife Chantal Davis and doula Mystic Dyse at the Alameda Wellness Center. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But two years after that law took effect, \u003ca href=\"https://www.kqed.org/news/11965919/california-hospitals-ignored-bias-training-despite-high-black-maternal-death-rate\">an investigation by the state Department of Justice\u003c/a> found only 17% of those providers began training their employees.\u003c/p>\n\u003cp>Wren said mandating unconscious bias training is a step in the right direction, but she thinks advancing health equity will also require empowering pregnant Black people so that they can demand a higher standard of care and holding health care providers accountable.\u003c/p>\n\u003cp>“It really is a matter of life and death for our health system to do things differently because we know that if we continue to deliver health care in the way that we have, we’ll continue to have preventable morbidity and mortality,” she said.\u003c/p>\n\u003ch2>A legacy of fighting for health equity\u003c/h2>\n\u003cp>Wren says the BElovedBIRTH Black Centering is thriving because of grassroots support in a community with a tradition of activism. It draws inspiration from the Black Panthers Party, which operated more than a dozen free medical clinics for Black communities in Oakland and elsewhere in the 1960s and 70s.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘It really is a matter of life and death for our health system to do things differently because we know that if we continue to deliver health care in the way that we have, we’ll continue to have preventable morbidity and mortality.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>They “really recognized the health impacts of racism in all of its forms and the need to do community-centered health care work that was by and for us,” she said.\u003c/p>\n\u003cp>The Oakland area also benefits from having a larger than usual pool of Black midwives, doulas and maternity care providers.\u003c/p>\n\u003cp>Wren credits the former head of Highland Hospital’s Maternal and Child Health department for taking the unusual step in the 1980s of including midwives in the labor and delivery room. That wasn’t common practice then but has since been shown to lower birth complications. The move created a robust midwife department, and some of its staff members are now supporting BElovedBIRTH participants.\u003c/p>\n\u003cfigure id=\"attachment_11968855\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11968855\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-003-JY-qut.jpg\" alt=\"A wall full of photos, cards, messages.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-003-JY-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-003-JY-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-003-JY-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-003-JY-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/12/20231108-Alameda-Black-Maternal-Health-003-JY-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Pregnancy portraits fill the walls of BElovedBIRTH Black Centering at the Alameda Wellness Center. \u003ccite>(Juliana Yamada/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The doctor who advocated for midwives was James Jackson. His son, James E.T. Jackson, is now CEO of Alameda Health System.\u003c/p>\n\u003cp>“He understood their value, and what the Beloved program has shown is that the cohort model and working with midwives and doulas create a safe space for these mothers that they did not have before,” he said.\u003c/p>\n\u003cp>Alameda Health System is encouraged by the outcomes, the younger Jackson said and is looking to expand the program to other ethnic groups experiencing disproportionate rates of maternal and infant mortality.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Feds Plan Higher Pay for Head Start Teachers Amid Severe Staff Shortage",
"headTitle": "Feds Plan Higher Pay for Head Start Teachers Amid Severe Staff Shortage | KQED",
"content": "\u003cp>The Biden administration wants to significantly raise the salaries of Head Start teachers to reverse the staffing shortage that it says is threatening the future of the early education program for children from lower-income families.\u003c/p>\n\u003cp>Under a proposed rule change \u003ca href=\"https://public-inspection.federalregister.gov/2023-25038.pdf\">published Monday on the Federal Register (PDF)\u003c/a>, Head Start teachers would have to be paid as much as preschool teachers in their local school district. That could mean an average increase of $10,000 per year for more than 27,500 Head Start staffers in California.\u003c/p>\n\u003cp>“For too long, our skilled and passionate Head Start workforce has been underpaid, which has impacted the program’s ability to retain and recruit qualified teachers,” Xavier Becerra, the secretary of the U.S. Department of Health and Human Services, said in a statement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The change is necessary to ensure young children get reliable care and equal access to high-quality early education, advocates told KQED.\u003c/p>\n\u003cp>Head Start has been plagued by understaffing and high turnover rates since classrooms reopened after the pandemic shutdowns. A survey conducted by the National Head Start Association last month found that 15% of classrooms were closed due to high vacancy rates.\u003c/p>\n\u003cp>Members who responded to the survey cited low compensation as the main reason Head Start teachers — most of whom have at least a bachelor’s degree — were leaving for better-paying jobs at public schools or other sectors.\u003c/p>\n\u003cp>The national average salary for Head Start teachers was $39,096 per year, while the average pay for preschool teachers in a public school setting was $53,200 and $65,210 for kindergarten teachers, according to U.S. Bureau of Labor statistics.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Xavier Becerra, secretary, U.S. Department of Health and Human Services\"]‘For too long, our skilled and passionate Head Start workforce has been underpaid, which has impacted the program’s ability to retain and recruit qualified teachers.’[/pullquote]The pay gap goes as far as 25% in Stanislaus County in the Central Valley, according to a comparison of school district and Head Start salaries conducted by the county’s Office of Education.\u003c/p>\n\u003cp>“There’s a stark difference, and that’s without going into the fact that Head Start teachers work year-round while K–12 teachers get winter, spring and summer breaks,” said Tony Jordan, executive director of the office’s Child & Family Services Division.\u003c/p>\n\u003cp>Wu Yee Children’s Services, the largest provider of Head Start programs in San Francisco, has a 17% vacancy rate and a low pool of substitute teachers, even though salaries range between $28 to $40 per hour thanks to additional funding from the city, said the center’s executive director, Monica Walters.\u003c/p>\n\u003cp>“With those wages, we’re still not attracting the people that we need, and they’re not staying because of all the other costs of living [in San Francisco],” she said.\u003c/p>\n\u003cp>The low pay, combined with the physically and emotionally demanding work, is driving high turnover rates, which affects the quality of care for young children.\u003c/p>\n\u003cp>“We all know that when kids don’t have the same teacher day after day or year over year, they don’t know what to expect,” Walters said. “Parents don’t know who they’re going to be talking to in the classroom, and that really affects outcomes for the kids.”\u003c/p>\n\u003cp>The lack of staffing is leading to longer wait lists. This year, California received funding to cover nearly 95,000 slots, but only about 85,000 children are enrolled, according to Melanee Cottrill, executive director of Head Start California.\u003c/p>\n\u003cp>Besides poor pay, she said many families don’t meet the income requirements to enroll in Head Start because the federal poverty guidelines are “unrealistically low” in California. For example, a family of four must have an annual income of $30,000 to qualify for Head Start.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11965328,news_11964236,news_11959904\"]That’s why many early education programs combine funding from the California State Preschool Program, which provides subsidized early care and education for 3- to 5-year-old children. The income limit to qualify for the program — $96,000 for families of four — is higher than Head Start’s.\u003c/p>\n\u003cp>Higher reimbursement rates from the state program have helped programs like Izzi Early Education, the largest Head Start provider in San Mateo County, to increase their teachers’ salaries to about $38 per hour — which is about $5 less than what kindergarten teachers in the region earn hourly, said the program’s director, Angel Barrios.\u003cbr>\nShe applauds the proposed rule change that would put Head Start teachers on the same pay scale as elementary school teachers.\u003c/p>\n\u003cp>“That is our goal. We’re getting very close to it, but we’re not there yet,” Barrios said.\u003c/p>\n\u003cp>She said that since the pandemic, some of her teachers have moved as far away as Sacramento — and still commute back for work — because they couldn’t afford to live in San Mateo County.\u003c/p>\n\u003cp>To develop a pipeline of new teachers, her program offered Head Start parents and those interested in entering the profession a stipend to take child development classes and obtain permits to work in classrooms. Apprentices who want to continue their education receive free tuition from local colleges.\u003c/p>\n\u003cp>So far, 37 people have received their entry-level credentials, allowing Izzi to fill vacancies and open all of its classrooms this year, Barrios said.\u003c/p>\n\u003cp>“You have to be creative, innovative and … one of the ways that we were able to do that was to create this pipeline and include parents in our program,” she added.\u003c/p>\n\u003cp>The proposed rules also include important changes to improve mental health support and benefits such as paid leave, as well as support services for families enrolled in Head Start. The public has 60 days to submit comments on the proposed rules.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Biden administration wants to significantly raise the salaries of Head Start teachers to reverse the staffing shortage that it says is threatening the future of the early education program for children from lower-income families.\u003c/p>\n\u003cp>Under a proposed rule change \u003ca href=\"https://public-inspection.federalregister.gov/2023-25038.pdf\">published Monday on the Federal Register (PDF)\u003c/a>, Head Start teachers would have to be paid as much as preschool teachers in their local school district. That could mean an average increase of $10,000 per year for more than 27,500 Head Start staffers in California.\u003c/p>\n\u003cp>“For too long, our skilled and passionate Head Start workforce has been underpaid, which has impacted the program’s ability to retain and recruit qualified teachers,” Xavier Becerra, the secretary of the U.S. Department of Health and Human Services, said in a statement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The change is necessary to ensure young children get reliable care and equal access to high-quality early education, advocates told KQED.\u003c/p>\n\u003cp>Head Start has been plagued by understaffing and high turnover rates since classrooms reopened after the pandemic shutdowns. A survey conducted by the National Head Start Association last month found that 15% of classrooms were closed due to high vacancy rates.\u003c/p>\n\u003cp>Members who responded to the survey cited low compensation as the main reason Head Start teachers — most of whom have at least a bachelor’s degree — were leaving for better-paying jobs at public schools or other sectors.\u003c/p>\n\u003cp>The national average salary for Head Start teachers was $39,096 per year, while the average pay for preschool teachers in a public school setting was $53,200 and $65,210 for kindergarten teachers, according to U.S. Bureau of Labor statistics.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The pay gap goes as far as 25% in Stanislaus County in the Central Valley, according to a comparison of school district and Head Start salaries conducted by the county’s Office of Education.\u003c/p>\n\u003cp>“There’s a stark difference, and that’s without going into the fact that Head Start teachers work year-round while K–12 teachers get winter, spring and summer breaks,” said Tony Jordan, executive director of the office’s Child & Family Services Division.\u003c/p>\n\u003cp>Wu Yee Children’s Services, the largest provider of Head Start programs in San Francisco, has a 17% vacancy rate and a low pool of substitute teachers, even though salaries range between $28 to $40 per hour thanks to additional funding from the city, said the center’s executive director, Monica Walters.\u003c/p>\n\u003cp>“With those wages, we’re still not attracting the people that we need, and they’re not staying because of all the other costs of living [in San Francisco],” she said.\u003c/p>\n\u003cp>The low pay, combined with the physically and emotionally demanding work, is driving high turnover rates, which affects the quality of care for young children.\u003c/p>\n\u003cp>“We all know that when kids don’t have the same teacher day after day or year over year, they don’t know what to expect,” Walters said. “Parents don’t know who they’re going to be talking to in the classroom, and that really affects outcomes for the kids.”\u003c/p>\n\u003cp>The lack of staffing is leading to longer wait lists. This year, California received funding to cover nearly 95,000 slots, but only about 85,000 children are enrolled, according to Melanee Cottrill, executive director of Head Start California.\u003c/p>\n\u003cp>Besides poor pay, she said many families don’t meet the income requirements to enroll in Head Start because the federal poverty guidelines are “unrealistically low” in California. For example, a family of four must have an annual income of $30,000 to qualify for Head Start.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>That’s why many early education programs combine funding from the California State Preschool Program, which provides subsidized early care and education for 3- to 5-year-old children. The income limit to qualify for the program — $96,000 for families of four — is higher than Head Start’s.\u003c/p>\n\u003cp>Higher reimbursement rates from the state program have helped programs like Izzi Early Education, the largest Head Start provider in San Mateo County, to increase their teachers’ salaries to about $38 per hour — which is about $5 less than what kindergarten teachers in the region earn hourly, said the program’s director, Angel Barrios.\u003cbr>\nShe applauds the proposed rule change that would put Head Start teachers on the same pay scale as elementary school teachers.\u003c/p>\n\u003cp>“That is our goal. We’re getting very close to it, but we’re not there yet,” Barrios said.\u003c/p>\n\u003cp>She said that since the pandemic, some of her teachers have moved as far away as Sacramento — and still commute back for work — because they couldn’t afford to live in San Mateo County.\u003c/p>\n\u003cp>To develop a pipeline of new teachers, her program offered Head Start parents and those interested in entering the profession a stipend to take child development classes and obtain permits to work in classrooms. Apprentices who want to continue their education receive free tuition from local colleges.\u003c/p>\n\u003cp>So far, 37 people have received their entry-level credentials, allowing Izzi to fill vacancies and open all of its classrooms this year, Barrios said.\u003c/p>\n\u003cp>“You have to be creative, innovative and … one of the ways that we were able to do that was to create this pipeline and include parents in our program,” she added.\u003c/p>\n\u003cp>The proposed rules also include important changes to improve mental health support and benefits such as paid leave, as well as support services for families enrolled in Head Start. The public has 60 days to submit comments on the proposed rules.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>About 30% of Head Start programs in California are not located within walking distance from a public transit stop, according to \u003ca href=\"https://www.civicmaps.org/head-start-transit-map\">a report and interactive map \u003c/a>released Monday by advocates calling on transit planners to improve access to the nation’s main early childhood education program for lower-income families. [pullquote size=\"medium\" align=\"right\" citation=\"Abigail Seldin, co-founder, Seldin / Haring-Smith Foundation\"]‘Anybody who’s tried to walk 2,000 feet with a squirming toddler understands intuitively, understands viscerally, why this is so important.’[/pullquote]The National Head Start Association and the Seldin / Haring-Smith Foundation’s Civic Mapping Initiative measured the proximity of local transit stops to Head Start centers across the country.\u003c/p>\n\u003cp>In California, almost 600 out of 1,900 Head Start centers are more than 0.2 miles (or 2,000 feet) away from a public transit stop, which researchers consider beyond walking distance for a preschooler.\u003c/p>\n\u003cp>“Anybody who’s tried to walk 2,000 feet with a squirming toddler understands intuitively, understands viscerally, why this is so important,” said Abigail Seldin, a co-founder of the mapping initiative.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lack of transportation was identified as one of the top reasons income-eligible families don’t enroll or stay enrolled, according to a \u003ca href=\"https://nhsa.org/wp-content/uploads/2022/04/Head-Start-United-Removing-Barriers-to-Access-for-Children-and-Families-1.pdf\">nationwide survey of Head Start programs in 2021\u003c/a>.\u003c/p>\n\u003cp>Challenges around transportation access are linked to gentrification. Some Head Start centers built decades ago are in areas that are no longer affordable for families that are income-eligible for the federally subsidized, early learning program, the survey found.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://www.google.com/maps/d/embed?mid=1rO36W8FQeOoyc2R8_43Mj9Kt8g_1So8&ehbc=2E312F\" width=\"640\" height=\"480\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The analysis also discovered that nationally, 42% of Head Start centers have a transit stop within walking distance for a toddler and that another 19% are located within a mile of a bus stop. It’s close enough that a transit agency could reconfigure a route to accommodate families and Head Start staffers trying to get there. [aside postID=news_11943982 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/02/RS63080_02172023_ksuzuki_tkprogress-121-qut-1-1020x678.jpg']Seldin said she hopes the data will lead transit planners to rethink how they can better serve families with young children, as the Memphis Area Transit Authority in Tennessee has done by moving bus stops nearer to three Head Start centers in their service area.\u003c/p>\n\u003cp>“Why should we make it difficult for families to access the number one anti-poverty program in America,” she said. “Ensuring transit access for families seems like a slam dunk way to ensure the success of families participating in that program.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lack of transportation was identified as one of the top reasons income-eligible families don’t enroll or stay enrolled, according to a \u003ca href=\"https://nhsa.org/wp-content/uploads/2022/04/Head-Start-United-Removing-Barriers-to-Access-for-Children-and-Families-1.pdf\">nationwide survey of Head Start programs in 2021\u003c/a>.\u003c/p>\n\u003cp>Challenges around transportation access are linked to gentrification. Some Head Start centers built decades ago are in areas that are no longer affordable for families that are income-eligible for the federally subsidized, early learning program, the survey found.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://www.google.com/maps/d/embed?mid=1rO36W8FQeOoyc2R8_43Mj9Kt8g_1So8&ehbc=2E312F\" width=\"640\" height=\"480\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The analysis also discovered that nationally, 42% of Head Start centers have a transit stop within walking distance for a toddler and that another 19% are located within a mile of a bus stop. It’s close enough that a transit agency could reconfigure a route to accommodate families and Head Start staffers trying to get there. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Seldin said she hopes the data will lead transit planners to rethink how they can better serve families with young children, as the Memphis Area Transit Authority in Tennessee has done by moving bus stops nearer to three Head Start centers in their service area.\u003c/p>\n\u003cp>“Why should we make it difficult for families to access the number one anti-poverty program in America,” she said. “Ensuring transit access for families seems like a slam dunk way to ensure the success of families participating in that program.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>When Nancy Harvey opened a daycare out of her West Oakland home nearly two decades ago, she wanted to give kids in her neighborhood a high-quality preschool.\u003c/p>\n\u003cp>She was up for the challenge, but what she wasn’t prepared for was the low pay and lack of benefits: two things she took for granted when she worked in marketing and taught in private schools.\u003c/p>\n\u003cp>“A retirement plan was essential for anyone that worked a job and I couldn’t understand how this very valuable industry did not have that,” Harvey said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As workers across occupations walked off the job during this \u003ca href=\"https://www.kqed.org/news/11963717/amid-kaiser-strike-a-look-at-the-biggest-union-walkouts-in-california-recently\">remarkable year of strikes\u003c/a>, a union representing 40,000 home-based child care providers like Harvey approved a landmark deal, which included a roughly 20% pay increase and unprecedented benefits. It was a big moment for a labor movement largely led by immigrants and women of color — two groups whose domestic work has \u003ca href=\"https://www.epi.org/blog/black-womens-labor-market-history-reveals-deep-seated-race-and-gender-discrimination/\">historically been undervalued and excluded \u003c/a>from labor protection laws.\u003c/p>\n\u003cp>Since child care in the United States is largely privatized, home-based providers are considered self-employed small business owners. But those who serve lower-income families have long argued they should be classified as public employees since their salaries depend on reimbursements from the state. In California, two-thirds of families who receive child care subsidies send their kids to home-based daycares.\u003c/p>\n\u003cp>For years, these providers complained \u003ca href=\"https://cscce.berkeley.edu/workforce-index-2020/the-early-educator-workforce/early-educator-pay-economic-insecurity-across-the-states/\">they were paid so little that they \u003cem>themselves\u003c/em> qualify for public assistance\u003c/a>.\u003c/p>\n\u003cp>“It spoke pretty loudly as to what folks really thought of child care providers, that we were just folks that they could use and not necessarily think about our well-being and our future,” Harvey said.\u003c/p>\n\u003cp>For Harvey, her involvement started with a knock on her door not long after she started her daycare. A union rep came in the middle of the children’s nap time and pitched unionizing as a strategy to improve pay and gain benefits. She said she didn’t hesitate to sign up.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Nancy Harvey, child care provider, West Oakland\"]‘We have set them aside long enough and we can’t do that.’[/pullquote]Organizing isn’t easy for home-based workers because they work independently, but Harvey said she felt a duty to speak up for her industry because many providers were in the same situation she was in, but were too busy to effect change.\u003c/p>\n\u003cp>It took two decades of organizing — a lot of it done during nap time — before Child Care Providers United \u003ca href=\"https://www.gov.ca.gov/2019/09/30/governor-newsom-signs-legislation-allowing-child-care-providers-the-right-to-unionize/\">won the right in 2019 to collectively bargain\u003c/a>. The union represents 40,000 home-based child care providers. It is a partnership between two chapters of the Service Employees International Union locals and the American Federation of State, County and Municipal Employees.\u003c/p>\n\u003cp>But just as Harvey and other providers got ready to negotiate their first contract with the state, the pandemic hit, greatly intensifying their economic insecurity. As essential workers, many home-based providers kept their doors open, but still struggled to pay their bills. They said they were seeing lower revenues due to enrollment declines and higher costs due to inflation.\u003c/p>\n\u003cfigure id=\"attachment_11963691\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11963691\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-800x533.jpg\" alt=\"A person speaks into a megaphone in front of a group of people.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Nancy Harvey speaks during a rally to bring attention to a gas leak Felton Institute employees say went unaddressed for more than a year outside of Felton’s Sunshine Community Center in San Francisco’s Mission District on Aug. 10, 2023. Felton Institute is a nonprofit serving children and families in the Bay Area. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It was at that point that people really recognized the fact that, hey, this industry is important,” Harvey recalled. “We have set them aside long enough and we can’t do that.”\u003c/p>\n\u003cp>The union reached its first contract in 2021, securing $100 million for health care, plus funding for training and pandemic relief. \u003ca href=\"https://laborcenter.berkeley.edu/many-california-family-child-care-providers-will-now-be-better-able-to-afford-health-care/\">In one survey\u003c/a>, many home-based providers reported delaying or not getting needed health care because they couldn’t afford out-of-pocket costs.\u003c/p>\n\u003cp>Gaining the health care fund was bittersweet for Patricia Moran, a daycare owner in San José. She said a fellow provider and member of the negotiation team was diagnosed with lung cancer during the talks and didn’t live long enough to see it.\u003c/p>\n\u003cp>“I knew providers who were going to Mexico, crossing the border for cheaper medical care and going so fast and coming back so fast they would sometimes get into car accidents,” she said.\u003c/p>\n\u003cp>Moran, Harvey and dozens of providers bargained for the second contract this past year. They spent nights and weekends negotiating and held union demonstrations, including rallies outside the Capitol and the governor’s mansion.\u003c/p>\n\u003cfigure id=\"attachment_11963692\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11963692\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-800x533.jpg\" alt=\"A person stands by a window and looks at the camera.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Patricia Moran stands in her child care facility in San José on Oct. 2, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I remember I slept like two hours because, in my daycare, some parents are bringing children at 5 o’clock in the morning,” Moran said. “I was like, OK, I’m going to sleep. Maybe, maybe not. No, I’m going to stay awake.”\u003c/p>\n\u003cp>The organizing paid off. Last month, the state finalized \u003ca href=\"https://www.kqed.org/news/11961256/newsom-signs-bills-boosting-child-care-for-struggling-californians-and-providers\">a landmark $2 billion deal \u003c/a>to give them their largest pay raise to date and launch the nation’s first retirement fund for unionized child care workers. The $80 million fund made California the first of \u003ca href=\"https://www.clasp.org/wp-content/uploads/2023/04/4.3.2023_Unionizing-Home-Based-Providers-to-Address-the-Child-Care-Crisis.pdf\">11 states with home-based child care worker unions (PDF) \u003c/a>to offer this benefit.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Patricia Moran, child care provider, San José\"]‘I knew providers who were going to Mexico, crossing the border for cheaper medical care and going so fast and coming back so fast they would sometimes get into car accidents.’[/pullquote]Overall, the push to unionize child care workers has had more success in some states than others. Seven other states, for example, had granted that right to home-based child care providers before backing out, \u003ca href=\"https://www.clasp.org/wp-content/uploads/2023/04/4.3.2023_Unionizing-Home-Based-Providers-to-Address-the-Child-Care-Crisis.pdf\">according to the Center for Law and Social Policy (PDF)\u003c/a>.\u003c/p>\n\u003cp>It helped that in California, a record number of women in the state Legislature made \u003ca href=\"https://womenscaucus.legislature.ca.gov/news/2023-03-30-ca-legislative-women%E2%80%99s-caucus-announces-2023-priority-bill-package\">child care funding a priority in the 2023–24 budget year. \u003c/a>\u003c/p>\n\u003cp>State Sen. Nancy Skinner, an East Bay Democrat who chairs the Legislative Women’s Caucus, said funding was urgently needed because many child care programs permanently closed after the pandemic.\u003c/p>\n\u003cp>“So we just saw this collapse that affected not only families, obviously, and the little kids that really deserve good child care, but also affected California’s employers and our economy,” she said.\u003c/p>\n\u003cp>But perhaps the biggest victory is that they got the state to \u003ca href=\"https://calbudgetcenter.org/resources/californias-subsidized-child-care-providers-are-overdue-for-pay-raise/\">fundamentally change the way it pays\u003c/a> providers of subsidized child care programs so that they’ll get closer to earning a fair wage, whether they’re in the union or not.\u003c/p>\n\u003cp>That means, the benefit will extend to larger state-funded child care centers.\u003c/p>\n\u003cp>“They fought for the entire system … which is incredibly tremendous for all of us,” said Nina Buthee, executive director of the advocacy group EveryChild California.\u003c/p>\n\u003cp>Buthee said she hopes better pay will encourage more private daycares to serve families who qualify for child care subsidies.\u003c/p>\n\u003cp>[aside label='More on Affordable Child Care' tag='child-care']“It’s really a huge step forward in terms of equity when you think about who our workforce is,” said Brandy Jones Lawrence, a senior analyst at the Center for the Study of Child Care Employment at the University of California, Berkeley.\u003c/p>\n\u003cp>“It’s also a huge step forward in our commitment to systemic reform,” she added\u003cem>.\u003c/em>\u003c/p>\n\u003cp>Harvey said these gains were long overdue. She’s ecstatic about the changes and hopes child care workers in other states will follow in her union’s footsteps.\u003c/p>\n\u003cp>At 61 years old, she said she feels more secure about retiring in a few years.\u003c/p>\n\u003cp>“We think of a retirement plan as a pot of money that’s going to help you survive. And if you don’t have that, then how are you going to survive?” she said. “I’m glad that the state of California heard our cry.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Nancy Harvey opened a daycare out of her West Oakland home nearly two decades ago, she wanted to give kids in her neighborhood a high-quality preschool.\u003c/p>\n\u003cp>She was up for the challenge, but what she wasn’t prepared for was the low pay and lack of benefits: two things she took for granted when she worked in marketing and taught in private schools.\u003c/p>\n\u003cp>“A retirement plan was essential for anyone that worked a job and I couldn’t understand how this very valuable industry did not have that,” Harvey said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As workers across occupations walked off the job during this \u003ca href=\"https://www.kqed.org/news/11963717/amid-kaiser-strike-a-look-at-the-biggest-union-walkouts-in-california-recently\">remarkable year of strikes\u003c/a>, a union representing 40,000 home-based child care providers like Harvey approved a landmark deal, which included a roughly 20% pay increase and unprecedented benefits. It was a big moment for a labor movement largely led by immigrants and women of color — two groups whose domestic work has \u003ca href=\"https://www.epi.org/blog/black-womens-labor-market-history-reveals-deep-seated-race-and-gender-discrimination/\">historically been undervalued and excluded \u003c/a>from labor protection laws.\u003c/p>\n\u003cp>Since child care in the United States is largely privatized, home-based providers are considered self-employed small business owners. But those who serve lower-income families have long argued they should be classified as public employees since their salaries depend on reimbursements from the state. In California, two-thirds of families who receive child care subsidies send their kids to home-based daycares.\u003c/p>\n\u003cp>For years, these providers complained \u003ca href=\"https://cscce.berkeley.edu/workforce-index-2020/the-early-educator-workforce/early-educator-pay-economic-insecurity-across-the-states/\">they were paid so little that they \u003cem>themselves\u003c/em> qualify for public assistance\u003c/a>.\u003c/p>\n\u003cp>“It spoke pretty loudly as to what folks really thought of child care providers, that we were just folks that they could use and not necessarily think about our well-being and our future,” Harvey said.\u003c/p>\n\u003cp>For Harvey, her involvement started with a knock on her door not long after she started her daycare. A union rep came in the middle of the children’s nap time and pitched unionizing as a strategy to improve pay and gain benefits. She said she didn’t hesitate to sign up.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Organizing isn’t easy for home-based workers because they work independently, but Harvey said she felt a duty to speak up for her industry because many providers were in the same situation she was in, but were too busy to effect change.\u003c/p>\n\u003cp>It took two decades of organizing — a lot of it done during nap time — before Child Care Providers United \u003ca href=\"https://www.gov.ca.gov/2019/09/30/governor-newsom-signs-legislation-allowing-child-care-providers-the-right-to-unionize/\">won the right in 2019 to collectively bargain\u003c/a>. The union represents 40,000 home-based child care providers. It is a partnership between two chapters of the Service Employees International Union locals and the American Federation of State, County and Municipal Employees.\u003c/p>\n\u003cp>But just as Harvey and other providers got ready to negotiate their first contract with the state, the pandemic hit, greatly intensifying their economic insecurity. As essential workers, many home-based providers kept their doors open, but still struggled to pay their bills. They said they were seeing lower revenues due to enrollment declines and higher costs due to inflation.\u003c/p>\n\u003cfigure id=\"attachment_11963691\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11963691\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-800x533.jpg\" alt=\"A person speaks into a megaphone in front of a group of people.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/230810-FeltonInstituteRally-21-BL-KQED.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Nancy Harvey speaks during a rally to bring attention to a gas leak Felton Institute employees say went unaddressed for more than a year outside of Felton’s Sunshine Community Center in San Francisco’s Mission District on Aug. 10, 2023. Felton Institute is a nonprofit serving children and families in the Bay Area. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It was at that point that people really recognized the fact that, hey, this industry is important,” Harvey recalled. “We have set them aside long enough and we can’t do that.”\u003c/p>\n\u003cp>The union reached its first contract in 2021, securing $100 million for health care, plus funding for training and pandemic relief. \u003ca href=\"https://laborcenter.berkeley.edu/many-california-family-child-care-providers-will-now-be-better-able-to-afford-health-care/\">In one survey\u003c/a>, many home-based providers reported delaying or not getting needed health care because they couldn’t afford out-of-pocket costs.\u003c/p>\n\u003cp>Gaining the health care fund was bittersweet for Patricia Moran, a daycare owner in San José. She said a fellow provider and member of the negotiation team was diagnosed with lung cancer during the talks and didn’t live long enough to see it.\u003c/p>\n\u003cp>“I knew providers who were going to Mexico, crossing the border for cheaper medical care and going so fast and coming back so fast they would sometimes get into car accidents,” she said.\u003c/p>\n\u003cp>Moran, Harvey and dozens of providers bargained for the second contract this past year. They spent nights and weekends negotiating and held union demonstrations, including rallies outside the Capitol and the governor’s mansion.\u003c/p>\n\u003cfigure id=\"attachment_11963692\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11963692\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-800x533.jpg\" alt=\"A person stands by a window and looks at the camera.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED-1920x1280.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231002-ChildCareLaborMovement-003-BL-KQED.jpg 2000w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Patricia Moran stands in her child care facility in San José on Oct. 2, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I remember I slept like two hours because, in my daycare, some parents are bringing children at 5 o’clock in the morning,” Moran said. “I was like, OK, I’m going to sleep. Maybe, maybe not. No, I’m going to stay awake.”\u003c/p>\n\u003cp>The organizing paid off. Last month, the state finalized \u003ca href=\"https://www.kqed.org/news/11961256/newsom-signs-bills-boosting-child-care-for-struggling-californians-and-providers\">a landmark $2 billion deal \u003c/a>to give them their largest pay raise to date and launch the nation’s first retirement fund for unionized child care workers. The $80 million fund made California the first of \u003ca href=\"https://www.clasp.org/wp-content/uploads/2023/04/4.3.2023_Unionizing-Home-Based-Providers-to-Address-the-Child-Care-Crisis.pdf\">11 states with home-based child care worker unions (PDF) \u003c/a>to offer this benefit.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Overall, the push to unionize child care workers has had more success in some states than others. Seven other states, for example, had granted that right to home-based child care providers before backing out, \u003ca href=\"https://www.clasp.org/wp-content/uploads/2023/04/4.3.2023_Unionizing-Home-Based-Providers-to-Address-the-Child-Care-Crisis.pdf\">according to the Center for Law and Social Policy (PDF)\u003c/a>.\u003c/p>\n\u003cp>It helped that in California, a record number of women in the state Legislature made \u003ca href=\"https://womenscaucus.legislature.ca.gov/news/2023-03-30-ca-legislative-women%E2%80%99s-caucus-announces-2023-priority-bill-package\">child care funding a priority in the 2023–24 budget year. \u003c/a>\u003c/p>\n\u003cp>State Sen. Nancy Skinner, an East Bay Democrat who chairs the Legislative Women’s Caucus, said funding was urgently needed because many child care programs permanently closed after the pandemic.\u003c/p>\n\u003cp>“So we just saw this collapse that affected not only families, obviously, and the little kids that really deserve good child care, but also affected California’s employers and our economy,” she said.\u003c/p>\n\u003cp>But perhaps the biggest victory is that they got the state to \u003ca href=\"https://calbudgetcenter.org/resources/californias-subsidized-child-care-providers-are-overdue-for-pay-raise/\">fundamentally change the way it pays\u003c/a> providers of subsidized child care programs so that they’ll get closer to earning a fair wage, whether they’re in the union or not.\u003c/p>\n\u003cp>That means, the benefit will extend to larger state-funded child care centers.\u003c/p>\n\u003cp>“They fought for the entire system … which is incredibly tremendous for all of us,” said Nina Buthee, executive director of the advocacy group EveryChild California.\u003c/p>\n\u003cp>Buthee said she hopes better pay will encourage more private daycares to serve families who qualify for child care subsidies.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It’s really a huge step forward in terms of equity when you think about who our workforce is,” said Brandy Jones Lawrence, a senior analyst at the Center for the Study of Child Care Employment at the University of California, Berkeley.\u003c/p>\n\u003cp>“It’s also a huge step forward in our commitment to systemic reform,” she added\u003cem>.\u003c/em>\u003c/p>\n\u003cp>Harvey said these gains were long overdue. She’s ecstatic about the changes and hopes child care workers in other states will follow in her union’s footsteps.\u003c/p>\n\u003cp>At 61 years old, she said she feels more secure about retiring in a few years.\u003c/p>\n\u003cp>“We think of a retirement plan as a pot of money that’s going to help you survive. And if you don’t have that, then how are you going to survive?” she said. “I’m glad that the state of California heard our cry.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>As a social worker connecting residents to public assistance programs in Marin County, Amy Gramajo frequently helps families apply for free or low-cost child care.\u003c/p>\n\u003cp>Those families typically qualify for subsidized child care, but they wind up waiting for months, or even years before they land an open spot at a child care program.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Amy Gramajo, social worker, Marin County\"]‘I don’t have any close family nearby to help me. If the center closes I don’t think I can maintain a full-time job or continue paying for an apartment here.’[/pullquote]The shortage of affordable child care in one of the most expensive counties in the Bay Area is weighing heavily on Gramajo. A center where she sends her 5- and 8-year-old daughters for child care is at risk of closing after losing its lease last month, putting dozens of working parents like her on edge about whether they’ll be able to find alternative care.\u003c/p>\n\u003cp>“I don’t have any close family nearby to help me. If the center closes I don’t think I can maintain a full-time job or continue paying for an apartment here,” she said.\u003c/p>\n\u003cp>For five decades, the Fairfax-San Anselmo Children’s Center has played a vital role in the lives of hundreds of lower-income families who rely on its early education and after-school programs. It’s one of just a few subsidized child care centers in Marin. Parents and students cherish the close-knit community and the fact that it’s located in a county park at the foot of Mount Tamalpais, giving children ample space to play outside.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We’re surrounded by all these amazing trees and hiking trails, just being so close to nature is such an important part of any human’s development,” said Vesta Torres, 29, one of several teachers who started coming to the center as babies and who now work there to raise the next generation of kids.\u003c/p>\n\u003cp>For single or working parents with school-age kids, the center crucially fills in the gap during the afternoon hours or periods when school is out. Eva Polony said the center helped her get through the pandemic by providing a place for her teenage sons to go. The center also supervised her sons’ online learning while she was at work.\u003c/p>\n\u003cfigure id=\"attachment_11961419\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11961419 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-020-BL-KQED.jpg\" alt=\"A group of children on mats watch an adult in front of them.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-020-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-020-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-020-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-020-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-020-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-020-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Annie Hanna teaches a yoga class for children at the Fairfax San Anselmo Children’s Center. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“They are here for the essential workers and then some,” she said. “They’re just the foundation for families to keep working and to be able to feel secure. You know your kids’ needs are gonna be met.”\u003c/p>\n\u003cp>But the center’s future is uncertain.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Eva Polony, resident, Marin County\"]‘They are here for the essential workers and then some. They’re just the foundation for families to keep working and to be able to feel secure. You know your kids’ needs are gonna be met.’[/pullquote]Its aging buildings have structural issues that led the Ross Valley School District, which owns the campus, to terminate the center’s lease on Aug. 31. The school board president, Shelley Hamilton, said \u003ca href=\"https://www.youtube.com/watch?v=B2mxmguLyVw&t=1457s\">at a recent hearing\u003c/a> that there were no immediate plans to evict the nonprofit organization that runs the center, but by operating without a lease, the group was exposing itself to increased safety and liability risks.\u003c/p>\n\u003cp>The center was holding out hope that the county Office of Education would buy the property and lease it back to the center. The office scrapped its plan, however, after a building inspection report concluded it might cost at least $14 million to bring the property up to current safety standards — an amount that John Carroll, the superintendent of Marin County schools, said his office doesn’t have.\u003c/p>\n\u003cp>Heidi Tomsky, the center’s executive director, disputes the findings of the report. She said inspectors were holding the buildings to more stringent standards reserved for schools, rather than for a licensed child care program like the Fairfax-San Anselmo Children’s Center.\u003c/p>\n\u003cfigure id=\"attachment_11961416\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11961416 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-005-BL-KQED.jpg\" alt=\"A person with long hair interacts with two children in an outdoor setting.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-005-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-005-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-005-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-005-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-005-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-005-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Executive Director Heidi Tomsky works with children on an art project at the Fairfax-San Anselmo Children’s Center. The center is one of the few to offer low-cost, subsidized child care in Marin County and is facing eviction after losing its lease on Aug. 31. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Under state law, child care centers undergo random inspections by the Department of Social Services’ Community Care Licensing division to ensure they meet all health and safety requirements.\u003c/p>\n\u003cp>“We know that the buildings need renovations. I’m not quite sure or convinced yet that they’re unsafe to the standard that some people believe they are,” Tomsky said.\u003c/p>\n\u003cp>She added that closing the center would create a ripple effect for the parents who send their kids there, many of whom are gardeners, house cleaners and restaurant and grocery store workers in the area.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Heidi Tomsky, executive director, Fairfax-San Anselmo Children’s Center\"]‘Losing child care means likely that a family will lose their job, which will impact their housing, which will impact their food, which will impact their … whole entire economic security.’[/pullquote]“Losing child care means likely that a family will lose their job, which will impact their housing, which will impact their food, which will impact their … whole entire economic security,” Tomsky said.\u003c/p>\n\u003cp>Marin County is already one of the most expensive places to live in California, so the cost of child care is just as high.\u003c/p>\n\u003cp>\u003ca href=\"https://unitedwaysca.org/realcost/\">A recent report by the United Ways of California\u003c/a> found that nearly a quarter of households in Marin don’t earn enough to meet basic needs, including housing, food, transportation and child care.\u003c/p>\n\u003cp>Over the last five years, the average price for preschool in Marin has gone up nearly 40% to $2,315 a month, and up to $2,600 per month for infant care, according to Aideen Gaidmore, executive director of the Marin Child Care Council.\u003c/p>\n\u003cp>The high cost of child care is why more than 900 children are on a waitlist her agency maintains for subsidized child care, Gaidmore said. That means they qualify for low-cost or free child care, but there’s no guarantee they’ll get it because of insufficient funding, staffing or facilities to serve them.\u003c/p>\n\u003cfigure id=\"attachment_11961417\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11961417\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-011-BL-KQED.jpg\" alt=\"A building and play area with children and adults in it.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-011-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-011-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-011-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-011-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-011-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-011-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Children play at the Fairfax San Anselmo Children’s Center in the Deer Park area of Fairfax. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There are families who are eligible, but will never be pulled off that list for whatever reason,” she said.\u003c/p>\n\u003cp>Increased state funding and federal pandemic aid for child care have helped her agency to serve hundreds more families in the last two years, Gaidmore said, but the number of available slots hasn’t kept pace with demand.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Aideen Gaidmore, executive director, Marin Child Care Council\"]‘There are families who are eligible, but will never be pulled off that list for whatever reason.’[/pullquote]There have been attempts locally to boost access to early education for Marin’s underserved children.\u003c/p>\n\u003cp>In 2016, a proposal \u003ca href=\"https://www.marincounty.org/depts/rv/election-info/past-elections/page-data/tabs-collection/past2016/nov-8/measure/measurea\">to raise the local sales tax by a \u003c/a>quarter-cent to raise about $12 million per year for the cause received 63% of votes, falling short of the two-thirds majority needed to pass. (A local taxpayer group \u003ca href=\"https://www.marincounty.org/depts/rv/election-info/past-elections/page-data/tabs-collection/past2016/nov-8/measure/measurea\">argued in voters’ pamphlets \u003c/a>that if the measure passed “many will flock to Marin for free child care.”)\u003c/p>\n\u003cp>Left with limited resources, local nonprofits such as the Marin Community Foundation instead focused on \u003ca href=\"https://www.marincf.org/buck-family-fund-grants/economic-opportunity/access-to-quality-child-care\">funding $1.5 million each year on financial assistance, particularly for single, working parents and training early educators\u003c/a> in subsidized programs. The philanthropic organization will phase out the program so it can develop and implement a strategic plan to expand access to child care in Marin.\u003c/p>\n\u003cp>[aside label='More on Bay Area Child Care' tag='child-care']Gaidmore said her agency used \u003ca href=\"https://www.whitehouse.gov/briefing-room/statements-releases/2022/10/21/fact-sheet-american-rescue-plan-funds-provided-a-critical-lifeline-to-200000-child-care-providers-helping-millions-of-families-to-work/\">federal pandemic aid\u003c/a> to help family child care homes get properly licensed to increase the kind of facilities set up for infant care. It’s also administering a guaranteed income program for 21 entry-level early educators, giving them $8,000 in stipends per year over a three-year period.\u003c/p>\n\u003cp>“We wanted to focus on teachers who were just coming into the field and how we could encourage them to stay there,” Gaidmore said. “We know that they’re the lowest paid. So it made more sense to bring that in.”\u003c/p>\n\u003cp>As for the nearly 90 families enrolled at the Fairfax-San Anselmo Children’s Center, Gaidmore said she’s trying to secure funding to minimize potential child care disruption for them.\u003c/p>\n\u003cp>“Our concern is really supporting those families in any way we can, and obviously the teachers and staff of the center,” she said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The shortage of affordable child care in one of the most expensive counties in the Bay Area is weighing heavily on Gramajo. A center where she sends her 5- and 8-year-old daughters for child care is at risk of closing after losing its lease last month, putting dozens of working parents like her on edge about whether they’ll be able to find alternative care.\u003c/p>\n\u003cp>“I don’t have any close family nearby to help me. If the center closes I don’t think I can maintain a full-time job or continue paying for an apartment here,” she said.\u003c/p>\n\u003cp>For five decades, the Fairfax-San Anselmo Children’s Center has played a vital role in the lives of hundreds of lower-income families who rely on its early education and after-school programs. It’s one of just a few subsidized child care centers in Marin. Parents and students cherish the close-knit community and the fact that it’s located in a county park at the foot of Mount Tamalpais, giving children ample space to play outside.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We’re surrounded by all these amazing trees and hiking trails, just being so close to nature is such an important part of any human’s development,” said Vesta Torres, 29, one of several teachers who started coming to the center as babies and who now work there to raise the next generation of kids.\u003c/p>\n\u003cp>For single or working parents with school-age kids, the center crucially fills in the gap during the afternoon hours or periods when school is out. Eva Polony said the center helped her get through the pandemic by providing a place for her teenage sons to go. The center also supervised her sons’ online learning while she was at work.\u003c/p>\n\u003cfigure id=\"attachment_11961419\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11961419 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-020-BL-KQED.jpg\" alt=\"A group of children on mats watch an adult in front of them.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-020-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-020-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-020-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-020-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-020-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-020-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Annie Hanna teaches a yoga class for children at the Fairfax San Anselmo Children’s Center. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“They are here for the essential workers and then some,” she said. “They’re just the foundation for families to keep working and to be able to feel secure. You know your kids’ needs are gonna be met.”\u003c/p>\n\u003cp>But the center’s future is uncertain.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Its aging buildings have structural issues that led the Ross Valley School District, which owns the campus, to terminate the center’s lease on Aug. 31. The school board president, Shelley Hamilton, said \u003ca href=\"https://www.youtube.com/watch?v=B2mxmguLyVw&t=1457s\">at a recent hearing\u003c/a> that there were no immediate plans to evict the nonprofit organization that runs the center, but by operating without a lease, the group was exposing itself to increased safety and liability risks.\u003c/p>\n\u003cp>The center was holding out hope that the county Office of Education would buy the property and lease it back to the center. The office scrapped its plan, however, after a building inspection report concluded it might cost at least $14 million to bring the property up to current safety standards — an amount that John Carroll, the superintendent of Marin County schools, said his office doesn’t have.\u003c/p>\n\u003cp>Heidi Tomsky, the center’s executive director, disputes the findings of the report. She said inspectors were holding the buildings to more stringent standards reserved for schools, rather than for a licensed child care program like the Fairfax-San Anselmo Children’s Center.\u003c/p>\n\u003cfigure id=\"attachment_11961416\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11961416 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-005-BL-KQED.jpg\" alt=\"A person with long hair interacts with two children in an outdoor setting.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-005-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-005-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-005-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-005-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-005-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-005-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Executive Director Heidi Tomsky works with children on an art project at the Fairfax-San Anselmo Children’s Center. The center is one of the few to offer low-cost, subsidized child care in Marin County and is facing eviction after losing its lease on Aug. 31. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Under state law, child care centers undergo random inspections by the Department of Social Services’ Community Care Licensing division to ensure they meet all health and safety requirements.\u003c/p>\n\u003cp>“We know that the buildings need renovations. I’m not quite sure or convinced yet that they’re unsafe to the standard that some people believe they are,” Tomsky said.\u003c/p>\n\u003cp>She added that closing the center would create a ripple effect for the parents who send their kids there, many of whom are gardeners, house cleaners and restaurant and grocery store workers in the area.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘Losing child care means likely that a family will lose their job, which will impact their housing, which will impact their food, which will impact their … whole entire economic security.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Losing child care means likely that a family will lose their job, which will impact their housing, which will impact their food, which will impact their … whole entire economic security,” Tomsky said.\u003c/p>\n\u003cp>Marin County is already one of the most expensive places to live in California, so the cost of child care is just as high.\u003c/p>\n\u003cp>\u003ca href=\"https://unitedwaysca.org/realcost/\">A recent report by the United Ways of California\u003c/a> found that nearly a quarter of households in Marin don’t earn enough to meet basic needs, including housing, food, transportation and child care.\u003c/p>\n\u003cp>Over the last five years, the average price for preschool in Marin has gone up nearly 40% to $2,315 a month, and up to $2,600 per month for infant care, according to Aideen Gaidmore, executive director of the Marin Child Care Council.\u003c/p>\n\u003cp>The high cost of child care is why more than 900 children are on a waitlist her agency maintains for subsidized child care, Gaidmore said. That means they qualify for low-cost or free child care, but there’s no guarantee they’ll get it because of insufficient funding, staffing or facilities to serve them.\u003c/p>\n\u003cfigure id=\"attachment_11961417\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11961417\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-011-BL-KQED.jpg\" alt=\"A building and play area with children and adults in it.\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-011-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-011-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-011-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-011-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-011-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/230913-ChildCareCenterEviction-011-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Children play at the Fairfax San Anselmo Children’s Center in the Deer Park area of Fairfax. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There are families who are eligible, but will never be pulled off that list for whatever reason,” she said.\u003c/p>\n\u003cp>Increased state funding and federal pandemic aid for child care have helped her agency to serve hundreds more families in the last two years, Gaidmore said, but the number of available slots hasn’t kept pace with demand.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘There are families who are eligible, but will never be pulled off that list for whatever reason.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>There have been attempts locally to boost access to early education for Marin’s underserved children.\u003c/p>\n\u003cp>In 2016, a proposal \u003ca href=\"https://www.marincounty.org/depts/rv/election-info/past-elections/page-data/tabs-collection/past2016/nov-8/measure/measurea\">to raise the local sales tax by a \u003c/a>quarter-cent to raise about $12 million per year for the cause received 63% of votes, falling short of the two-thirds majority needed to pass. (A local taxpayer group \u003ca href=\"https://www.marincounty.org/depts/rv/election-info/past-elections/page-data/tabs-collection/past2016/nov-8/measure/measurea\">argued in voters’ pamphlets \u003c/a>that if the measure passed “many will flock to Marin for free child care.”)\u003c/p>\n\u003cp>Left with limited resources, local nonprofits such as the Marin Community Foundation instead focused on \u003ca href=\"https://www.marincf.org/buck-family-fund-grants/economic-opportunity/access-to-quality-child-care\">funding $1.5 million each year on financial assistance, particularly for single, working parents and training early educators\u003c/a> in subsidized programs. The philanthropic organization will phase out the program so it can develop and implement a strategic plan to expand access to child care in Marin.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Gaidmore said her agency used \u003ca href=\"https://www.whitehouse.gov/briefing-room/statements-releases/2022/10/21/fact-sheet-american-rescue-plan-funds-provided-a-critical-lifeline-to-200000-child-care-providers-helping-millions-of-families-to-work/\">federal pandemic aid\u003c/a> to help family child care homes get properly licensed to increase the kind of facilities set up for infant care. It’s also administering a guaranteed income program for 21 entry-level early educators, giving them $8,000 in stipends per year over a three-year period.\u003c/p>\n\u003cp>“We wanted to focus on teachers who were just coming into the field and how we could encourage them to stay there,” Gaidmore said. “We know that they’re the lowest paid. So it made more sense to bring that in.”\u003c/p>\n\u003cp>As for the nearly 90 families enrolled at the Fairfax-San Anselmo Children’s Center, Gaidmore said she’s trying to secure funding to minimize potential child care disruption for them.\u003c/p>\n\u003cp>“Our concern is really supporting those families in any way we can, and obviously the teachers and staff of the center,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Gov. Gavin Newsom has signed a series of early education bills that will boost California’s publicly funded child care and preschool programs right as federal pandemic relief for child care providers runs out at the end of September.\u003c/p>\n\u003cp>The state is budgeting about $2 billion to cover a roughly 20% pay raise for providers who look after the children of parents with lower income — their first salary bump in five years — and extend a few pandemic-era policies that helped them keep their doors open.\u003c/p>\n\u003cp>By signing these bills, Newsom also signed off on establishing \u003ca href=\"https://www.kqed.org/news/11957166/california-close-to-launch-80-billion-dollar-child-care-worker-retirement-plan\">the nation’s first retirement fund for the union representing more than 40,000 family child care providers\u003c/a> and continuing to pay for their health care and professional training.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Nina Buthee, executive director, EveryChild California\"]‘My hope — and the intention of a lot of these rate increases — is to be able to give a living wage to teachers and those individuals working directly with young children.’[/pullquote]“This is a pretty substantial investment acknowledging that early educator workers are underpaid, that they do need more funding, that they are a vital part of the workforce,” said Nina Buthee, executive director of the advocacy group EveryChild California.\u003c/p>\n\u003cp>The state is also extending a few pandemic-era policies that were initially funded by the federal government, including lowering, and in many cases eliminating, “family fees” that families with lower-income must pay to receive state-subsidized child care; and reimbursing providers based on enrollment rather than attendance.\u003c/p>\n\u003cp>Additionally, delinquent fees will be forgiven. For years, advocates \u003ca href=\"https://www.kqed.org/news/11947683/subsidized-child-care-fees-could-be-going-up-in-july-heres-what-to-know\">have criticized these fees as inequitable and unaffordable\u003c/a>. Families had to pay up to 25% of their income, or as much as $600 a month, per child. Advocates worried that if the state reintroduces the fees after waiving them during the pandemic, it would cause families to drop out of state-funded child care programs.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>These changes will help stabilize California’s beleaguered child care industry over the next 18 months, Buthee said, until broader reform takes hold to solve the shortage of child care in California. When the $24 billion in federal aid for the child care industry in all 50 states ends, an estimated 13,500 child care programs might close in California and child care could be disrupted for more than 84,000 children across the state, according to a \u003ca href=\"https://tcf-ccs-map.netlify.app/assets/factsheets/Child%20Care%20State%20Fact%20Sheet%20-%20California.pdf\">report (PDF)\u003c/a> by The Century Foundation. California hasn’t spent all the federal aid, and is issuing another round of stipends ranging from $500 to $3,000 before the end of November.\u003c/p>\n\u003cp>As part of its contract agreement with the union Child Care Providers United, the state has set a timeline for overhauling its reimbursement system so subsidized child care providers are more fairly paid.\u003c/p>\n\u003cp>These providers have long complained that the state was underpaying them by basing voucher rates on what parents were paying for child care at least five years ago. As a result, the payments failed to reflect the current costs of living and didn’t adequately cover the true cost of providing child care.[aside postID=\"news_11947683,news_11957166,news_11955866\" label=\"Related Stories\"]Zonia Sanchez, a family child care provider from Palmdale who helped negotiate the new contract, said she looks forward to collaborating with the state to develop the new payment system.\u003c/p>\n\u003cp>“We are grateful to the legislature and governor for listening to us, a woman of color-led workforce, and working with us to enact this historic contract,” she said in a statement. “Truly transforming California’s child care system is the goal of this contract.”\u003c/p>\n\u003cp>The rate increases negotiated by the union will extend to all state-funded child care programs, Buthee said, adding that she hopes the changes will incentivize programs that might have hesitated to serve families who qualify for subsidies and enroll them.\u003c/p>\n\u003cp>“My hope — and the intention of a lot of these rate increases — is to be able to give a living wage to teachers and those individuals working directly with young children,” Buthee said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom has signed a series of early education bills that will boost California’s publicly funded child care and preschool programs right as federal pandemic relief for child care providers runs out at the end of September.\u003c/p>\n\u003cp>The state is budgeting about $2 billion to cover a roughly 20% pay raise for providers who look after the children of parents with lower income — their first salary bump in five years — and extend a few pandemic-era policies that helped them keep their doors open.\u003c/p>\n\u003cp>By signing these bills, Newsom also signed off on establishing \u003ca href=\"https://www.kqed.org/news/11957166/california-close-to-launch-80-billion-dollar-child-care-worker-retirement-plan\">the nation’s first retirement fund for the union representing more than 40,000 family child care providers\u003c/a> and continuing to pay for their health care and professional training.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This is a pretty substantial investment acknowledging that early educator workers are underpaid, that they do need more funding, that they are a vital part of the workforce,” said Nina Buthee, executive director of the advocacy group EveryChild California.\u003c/p>\n\u003cp>The state is also extending a few pandemic-era policies that were initially funded by the federal government, including lowering, and in many cases eliminating, “family fees” that families with lower-income must pay to receive state-subsidized child care; and reimbursing providers based on enrollment rather than attendance.\u003c/p>\n\u003cp>Additionally, delinquent fees will be forgiven. For years, advocates \u003ca href=\"https://www.kqed.org/news/11947683/subsidized-child-care-fees-could-be-going-up-in-july-heres-what-to-know\">have criticized these fees as inequitable and unaffordable\u003c/a>. Families had to pay up to 25% of their income, or as much as $600 a month, per child. Advocates worried that if the state reintroduces the fees after waiving them during the pandemic, it would cause families to drop out of state-funded child care programs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>These changes will help stabilize California’s beleaguered child care industry over the next 18 months, Buthee said, until broader reform takes hold to solve the shortage of child care in California. When the $24 billion in federal aid for the child care industry in all 50 states ends, an estimated 13,500 child care programs might close in California and child care could be disrupted for more than 84,000 children across the state, according to a \u003ca href=\"https://tcf-ccs-map.netlify.app/assets/factsheets/Child%20Care%20State%20Fact%20Sheet%20-%20California.pdf\">report (PDF)\u003c/a> by The Century Foundation. California hasn’t spent all the federal aid, and is issuing another round of stipends ranging from $500 to $3,000 before the end of November.\u003c/p>\n\u003cp>As part of its contract agreement with the union Child Care Providers United, the state has set a timeline for overhauling its reimbursement system so subsidized child care providers are more fairly paid.\u003c/p>\n\u003cp>These providers have long complained that the state was underpaying them by basing voucher rates on what parents were paying for child care at least five years ago. As a result, the payments failed to reflect the current costs of living and didn’t adequately cover the true cost of providing child care.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Zonia Sanchez, a family child care provider from Palmdale who helped negotiate the new contract, said she looks forward to collaborating with the state to develop the new payment system.\u003c/p>\n\u003cp>“We are grateful to the legislature and governor for listening to us, a woman of color-led workforce, and working with us to enact this historic contract,” she said in a statement. “Truly transforming California’s child care system is the goal of this contract.”\u003c/p>\n\u003cp>The rate increases negotiated by the union will extend to all state-funded child care programs, Buthee said, adding that she hopes the changes will incentivize programs that might have hesitated to serve families who qualify for subsidies and enroll them.\u003c/p>\n\u003cp>“My hope — and the intention of a lot of these rate increases — is to be able to give a living wage to teachers and those individuals working directly with young children,” Buthee said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "How San Francisco Is Graduating More Black Early Educators — and Why It Matters",
"headTitle": "How San Francisco Is Graduating More Black Early Educators — and Why It Matters | KQED",
"content": "\u003cp>One sunny morning in mid-July, dozens of people filled the Bayview Opera House, in the heart of San Francisco’s historically Black neighborhood, to celebrate the 39 women and men who graduated from a training program for Black early childhood educators. The audience sang “Lift Every Voice and Sing,” watched Mayor London Breed deliver the commencement address, and cheered as the graduates walked across the stage to receive their certificate of completion — each one wearing graduation stoles with the words “Black Grads Matter.”\u003c/p>\n\u003cp>Their achievements were a cause for celebration because of the high expectations riding on this city-funded program: to increase the number of Black early educators in San Francisco so they can help Black infants, toddlers and preschoolers gain the skills necessary to succeed in kindergarten and beyond.\u003c/p>\n\u003cp>“This is about changing lives, this is about changing the future of African Americans in San Francisco,” the mayor said at the graduation ceremony, hailing the program as an effective investment of her signature \u003ca href=\"https://www.dreamkeepersf.org/\">Dream Keeper Initiative\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11955861\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://ww2.kqed.org/news/rs67037_230714-educatorgraduation-19-bl-kqed/\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11955861\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67037_230714-EducatorGraduation-19-BL-KQED.jpg\" alt=\"A person stands on stage and speaks at a podium with their hand raised.\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67037_230714-EducatorGraduation-19-BL-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67037_230714-EducatorGraduation-19-BL-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67037_230714-EducatorGraduation-19-BL-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67037_230714-EducatorGraduation-19-BL-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67037_230714-EducatorGraduation-19-BL-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67037_230714-EducatorGraduation-19-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Josiane Stokes sings ‘Lift Every Voice and Sing’ during a graduation ceremony for the Black Early Childhood Educator Career Pipeline at the Bayview Opera House in San Francisco on July 14, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Creating a Black early childhood educator pipeline\u003c/h2>\n\u003cp>Breed and Supervisor Shamann Walton co-founded the initiative in 2021 after the police killing of George Floyd sparked demands for police reform and a rethinking of policies that \u003ca href=\"https://sf.gov/sites/default/files/2023-07/AARAC%20Reparations%20Final%20Report%20July%207%2C%202023.pdf\">contributed to decades of inequities (PDF)\u003c/a> and the decline of San Francisco’s Black population. They began by \u003ca href=\"https://www.kqed.org/news/11862094/sf-mayor-breed-unveils-plan-for-reinvesting-120-million-from-police-into-black-communities\">steering $60 million annually in Police Department funding\u003c/a> toward helping Black residents start businesses and take out loans to buy homes. At the time, Walton called the initiative “a first step towards true reparations for the Black community here in San Francisco.”\u003c/p>\n\u003cp>About $1.6 million from that fund was also set aside to support \u003ca href=\"https://www.childrenscouncil.org/support-us/key-initiatives/apprenticeship-program-pipeline-for-black-early-childhood-educator-career-development/\">the Pipeline for Black Early Childhood Educator pilot program\u003c/a>. Je Ton Carey, who oversees the program for the nonprofit Children’s Council San Francisco, said it’s already showing promising results. Over the past two years, 62 out of about 80 participating students obtained associate teaching permits in early childhood education from City College of San Francisco and have gone on to work in classrooms, start their own family child care business or pursue higher degrees. Recently, the city approved an additional two years of funding for the program.[aside postID=news_11935433,news_11929082,news_11948690,news_11948419 label='Child Care Costs']“This is huge, and why that’s important is because when you look at the data, when you look at the research, you see the decline of folks entering this field,” Carey said.\u003c/p>\n\u003cp>Even though there’s high demand for well-trained early childhood educators,\u003ca href=\"https://www.kqed.org/news/11948419/care-cant-wait-californias-child-care-workers-demand-better-funding-for-essential-services\"> low pay can make it hard to attract or retain people in the profession\u003c/a>. Fewer students are enrolling in early childhood education programs, \u003ca href=\"https://www.naeyc.org/sites/default/files/globally-shared/downloads/PDFs/accreditation/higher-ed/brief_-_covid_higher_ed_survey_results_fall_2021.pdf\">according to a 2021 survey of 400 colleges (PDF)\u003c/a> conducted by the National Association for the Education of Young Children, and \u003ca href=\"https://www.edsurge.com/news/2022-02-23-why-are-colleges-hesitant-to-train-more-early-childhood-educators\">some colleges stopped offering early education certification programs\u003c/a> because they don’t want to steer their students into careers that don’t pay a living wage.\u003c/p>\n\u003cp>To bring more Black students into the profession, San Francisco’s pipeline program covers tuition, provides $10,000 in stipends, laptops, a flexible class schedule, regular check-ins with a case manager and other forms of support over the course of 10 months.\u003c/p>\n\u003cp>For some of the program’s participants, however, the stipend and free classes they received through the training wasn’t enough to offset the high cost of living in San Francisco. Twenty-three out of 40 students in the first cohort dropped out of the pipeline program, many of them citing financial reasons.\u003c/p>\n\u003cp>“These are folks who’ve been impacted by the housing crisis, impacted by economic conditions that have pushed them out of San Francisco and they’re hoping that this opportunity will stabilize them,” Carey said.\u003c/p>\n\u003cp>In the second year, 39 out of 40 students stuck it out. Carey thinks more students succeeded because the program provided more help, such as transportation and child care during classes. One student, for example, was experiencing homelessness. Carey said her staff helped the woman find temporary housing until she was able to graduate and find work at a child care center.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Why ‘Black Grads Matter’\u003c/h2>\n\u003cp>San Francisco is trying to fix the broader early education workforce issue \u003ca href=\"https://www.kqed.org/news/11948690/business-tax-provides-crucial-funding-for-early-childhood-education-and-care-in-san-francisco\">by using a local business tax\u003c/a> to both pay teachers higher salaries and to lower child care costs for families. But in order to see that pay bump, teachers have to meet certain criteria: They must be trained to offer high-quality care and teaching to young kids, and agree to serve lower-income families.\u003c/p>\n\u003cp>The problem is only 10 out of 287 family child care businesses that meet those requirements are Black-owned, according to the city’s Department of Early Childhood.\u003c/p>\n\u003cp>“That number is too low,” Carey said.\u003c/p>\n\u003cp>The disparity underscores the need to diversify the workforce, she said, because all children, and especially Black children, benefit from having Black role models in the classroom.\u003c/p>\n\u003cp>Research shows that Black students who have even one Black teacher during elementary school are \u003ca href=\"https://www.nber.org/papers/w25254\">more likely to graduate high school\u003c/a> and enroll in college and less likely to be \u003ca href=\"https://www.educationnext.org/teacher-race-and-school-discipline-suspensions-research/\">removed from the classroom as a form of discipline\u003c/a>.\u003c/p>\n\u003cp>“There’s something about affirming a child’s culture when there is a teacher that represents them in a classroom … that understands their experiences, their family … there’s something around that that has impacted Black children’s success,” Carey said.\u003c/p>\n\u003cfigure id=\"attachment_11955858\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://ww2.kqed.org/news/rs67029_230714-educatorgraduation-03-bl-kqed/\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11955858\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67029_230714-EducatorGraduation-03-BL-KQED.jpg\" alt='A black, green, yellow and red striped graduation stole with the words \"Class of 2023\" and \"Black Grads Matter\" written on it.' width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67029_230714-EducatorGraduation-03-BL-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67029_230714-EducatorGraduation-03-BL-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67029_230714-EducatorGraduation-03-BL-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67029_230714-EducatorGraduation-03-BL-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67029_230714-EducatorGraduation-03-BL-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67029_230714-EducatorGraduation-03-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Graduate Maryetta Jefferson, 60, poses for a photo outside of the Bayview Opera House in San Francisco on July 14, 2023, before a graduation ceremony for the Black Early Childhood Educator Career Pipeline. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The hope is that having more Black early educators will help narrow persistent educational disparities in San Francisco. The \u003ca href=\"https://go.boarddocs.com/ca/sfusd/Board.nsf/files/CG5V977F8741/%24file/6_28_22%20-%20SFUSD%20Student%20Performance%20Analysis.pdf\">most recent data from San Francisco Unified School District (PDF)\u003c/a> shows only 43.8% of Black children were deemed ready for kindergarten, compared to nearly 70% of white and 67.6% of Asian American children.\u003c/p>\n\u003cp>Kindergarten readiness is a major concern among education advocates and policymakers because research shows children who enter kindergarten behind \u003ca href=\"https://bipartisanpolicy.org/download/?file=/wp-content/uploads/2019/09/Early-Childhood-Report_36-years-later_September-2019.pdf\">are likely to stay behind throughout their educational careers (PDF)\u003c/a>. At SFUSD, Black students graduate high school and attend college at lower rates than the district’s Asian American and white students.\u003c/p>\n\u003cp>A panel of early education experts formed by the Children’s Council concluded \u003ca href=\"https://www.childrenscouncil.org/wp-content/uploads/2023/02/Childrens-Council-SF-AAECEP-White-Paper-Nov-2022-final.pdf\">in a 2021 report (PDF)\u003c/a> that the city’s early education systems weren’t supporting Black children enough.\u003c/p>\n\u003cp>Because 90% of a child’s brain develops during the first five years of life, the report said, Black children need high-quality early education and care because it “can serve as a positive intervention that allows a child’s brain to overcome the stresses of poverty, hunger, violence, housing instability and economic racism.”\u003c/p>\n\u003cp>The onus falls on Black early educators, then, to nurture these children and chart their social-emotional, cognitive and physical development to ensure they have the foundational skills for kindergarten, said Dr. Patricia Sullivan, who taught most of the classes to this year’s program cohort.\u003c/p>\n\u003ch2>‘I found a passion that I didn’t know I had’\u003c/h2>\n\u003cp>Like some of the students in the cohort, Sullivan started out providing child care out of her home before she went back to school to obtain degrees in developmental psychology and early childhood education.\u003c/p>\n\u003cp>The importance of being a Black teacher in the classroom, and being the first in her family to graduate to college, isn’t lost on Sullivan.[pullquote size=\"medium\" align=\"right\" citation=\"Matthew Sullivan\"]‘I get to see them grow. I get to see them go from being little sprouts to tall giants that can actually change the world.’[/pullquote]“For some students in classes that I teach at [San Francisco State University and City College], I’m the first Black professor they’ve ever seen,” she said. “For this group, it was really important to not only show them that someone could be in higher education and be Black, but that, you know, this stuff is not as hard as you think.”\u003c/p>\n\u003cp>Besides teaching 12 core units of child growth and development to the cohort, Sullivan facilitated discussions about the Black experience and how to respond to and care for children who have experienced neglect, abuse, violence, family separation, racism and other traumas. \u003ca href=\"https://www.first5california.com/en-us/articles/how-toxic-stress-can-affect-childrens-development/\">Emerging research\u003c/a> has found that toxic stress from these types of trauma can disrupt children’s brain development and undermine their ability to learn.\u003c/p>\n\u003cp>“First, we talked about how we got this way. And then, how do we find a way to make sure that when we’re helping kids grow, that we are avoiding some of these dangerous pitfalls, barriers and situations that could cause trauma and how could we get around them? And then if we can’t get around them, how do we help people get past them?”\u003c/p>\n\u003cp>Among this year’s cohort is Djimon Asberry. The 25-year-old said those lessons validated her decision to become an early educator. Asberry had plans to become a nurse after graduating from a historically Black college in east Texas two years ago, but a summer job caring for babies and toddlers at a daycare made her realize that she could make a difference in a child’s life.\u003c/p>\n\u003cp>“I found a passion that I didn’t know I had,” she said.\u003c/p>\n\u003cp>In the pipeline program, Asberry said, having a Black professor and an all-Black cohort created a supportive environment where everyone pushed each other to do their best.\u003c/p>\n\u003cp>“It’s not ‘no, you’re not going to finish,’ you’re going to finish, you’re going to be successful,” she said. “Because they understand everybody has a life, everybody goes through things but they still push and encourage you and check on you every month to make sure your mind and mental [health] is correct so you’re able to finish.”\u003c/p>\n\u003cp>Asberry recently got a job as a substitute teacher at a Head Start program, but she’s thinking of taking more classes so she can one day open her own daycare.\u003c/p>\n\u003cfigure id=\"attachment_11956701\" class=\"wp-caption aligncenter\" style=\"max-width: 1100px\">\u003ca href=\"https://ww2.kqed.org/news/230727-educator-graduation-01-kqed/\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11956701\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/230727-Educator-Graduation-01-KQED.jpg\" alt=\"A group of African-American women pose for a photo in a large indoor space.\" width=\"1100\" height=\"733\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/230727-Educator-Graduation-01-KQED.jpg 1100w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/230727-Educator-Graduation-01-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/230727-Educator-Graduation-01-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/230727-Educator-Graduation-01-KQED-160x107.jpg 160w\" sizes=\"(max-width: 1100px) 100vw, 1100px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The graduating class and San Francisco Mayor London Breed at a graduation ceremony for the Black Early Childhood Educator Career Pipeline at the Bayview Opera House in San Francisco on July 14, 2023. \u003ccite>(Courtesy of Children's Council of San Francisco)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Another student was Sullivan’s own 35-year-old son, Matthew, who had been helping out at his mother’s daycare, Baby Steps Nature School, for years before enrolling in the pipeline program. He said although he went to art school and has a bachelor’s degree in Recreation, Parks and Tourism Administration, he wants to one day run the family business.\u003c/p>\n\u003cp>“I just think that there’s value in doing this kind of work,” he said.\u003c/p>\n\u003cp>The infants under his care “make this worthwhile because I get to see them grow. I get to see them go from being little sprouts to tall giants that can actually change the world.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>One sunny morning in mid-July, dozens of people filled the Bayview Opera House, in the heart of San Francisco’s historically Black neighborhood, to celebrate the 39 women and men who graduated from a training program for Black early childhood educators. The audience sang “Lift Every Voice and Sing,” watched Mayor London Breed deliver the commencement address, and cheered as the graduates walked across the stage to receive their certificate of completion — each one wearing graduation stoles with the words “Black Grads Matter.”\u003c/p>\n\u003cp>Their achievements were a cause for celebration because of the high expectations riding on this city-funded program: to increase the number of Black early educators in San Francisco so they can help Black infants, toddlers and preschoolers gain the skills necessary to succeed in kindergarten and beyond.\u003c/p>\n\u003cp>“This is about changing lives, this is about changing the future of African Americans in San Francisco,” the mayor said at the graduation ceremony, hailing the program as an effective investment of her signature \u003ca href=\"https://www.dreamkeepersf.org/\">Dream Keeper Initiative\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11955861\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://ww2.kqed.org/news/rs67037_230714-educatorgraduation-19-bl-kqed/\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11955861\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67037_230714-EducatorGraduation-19-BL-KQED.jpg\" alt=\"A person stands on stage and speaks at a podium with their hand raised.\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67037_230714-EducatorGraduation-19-BL-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67037_230714-EducatorGraduation-19-BL-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67037_230714-EducatorGraduation-19-BL-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67037_230714-EducatorGraduation-19-BL-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67037_230714-EducatorGraduation-19-BL-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67037_230714-EducatorGraduation-19-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Josiane Stokes sings ‘Lift Every Voice and Sing’ during a graduation ceremony for the Black Early Childhood Educator Career Pipeline at the Bayview Opera House in San Francisco on July 14, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Creating a Black early childhood educator pipeline\u003c/h2>\n\u003cp>Breed and Supervisor Shamann Walton co-founded the initiative in 2021 after the police killing of George Floyd sparked demands for police reform and a rethinking of policies that \u003ca href=\"https://sf.gov/sites/default/files/2023-07/AARAC%20Reparations%20Final%20Report%20July%207%2C%202023.pdf\">contributed to decades of inequities (PDF)\u003c/a> and the decline of San Francisco’s Black population. They began by \u003ca href=\"https://www.kqed.org/news/11862094/sf-mayor-breed-unveils-plan-for-reinvesting-120-million-from-police-into-black-communities\">steering $60 million annually in Police Department funding\u003c/a> toward helping Black residents start businesses and take out loans to buy homes. At the time, Walton called the initiative “a first step towards true reparations for the Black community here in San Francisco.”\u003c/p>\n\u003cp>About $1.6 million from that fund was also set aside to support \u003ca href=\"https://www.childrenscouncil.org/support-us/key-initiatives/apprenticeship-program-pipeline-for-black-early-childhood-educator-career-development/\">the Pipeline for Black Early Childhood Educator pilot program\u003c/a>. Je Ton Carey, who oversees the program for the nonprofit Children’s Council San Francisco, said it’s already showing promising results. Over the past two years, 62 out of about 80 participating students obtained associate teaching permits in early childhood education from City College of San Francisco and have gone on to work in classrooms, start their own family child care business or pursue higher degrees. Recently, the city approved an additional two years of funding for the program.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This is huge, and why that’s important is because when you look at the data, when you look at the research, you see the decline of folks entering this field,” Carey said.\u003c/p>\n\u003cp>Even though there’s high demand for well-trained early childhood educators,\u003ca href=\"https://www.kqed.org/news/11948419/care-cant-wait-californias-child-care-workers-demand-better-funding-for-essential-services\"> low pay can make it hard to attract or retain people in the profession\u003c/a>. Fewer students are enrolling in early childhood education programs, \u003ca href=\"https://www.naeyc.org/sites/default/files/globally-shared/downloads/PDFs/accreditation/higher-ed/brief_-_covid_higher_ed_survey_results_fall_2021.pdf\">according to a 2021 survey of 400 colleges (PDF)\u003c/a> conducted by the National Association for the Education of Young Children, and \u003ca href=\"https://www.edsurge.com/news/2022-02-23-why-are-colleges-hesitant-to-train-more-early-childhood-educators\">some colleges stopped offering early education certification programs\u003c/a> because they don’t want to steer their students into careers that don’t pay a living wage.\u003c/p>\n\u003cp>To bring more Black students into the profession, San Francisco’s pipeline program covers tuition, provides $10,000 in stipends, laptops, a flexible class schedule, regular check-ins with a case manager and other forms of support over the course of 10 months.\u003c/p>\n\u003cp>For some of the program’s participants, however, the stipend and free classes they received through the training wasn’t enough to offset the high cost of living in San Francisco. Twenty-three out of 40 students in the first cohort dropped out of the pipeline program, many of them citing financial reasons.\u003c/p>\n\u003cp>“These are folks who’ve been impacted by the housing crisis, impacted by economic conditions that have pushed them out of San Francisco and they’re hoping that this opportunity will stabilize them,” Carey said.\u003c/p>\n\u003cp>In the second year, 39 out of 40 students stuck it out. Carey thinks more students succeeded because the program provided more help, such as transportation and child care during classes. One student, for example, was experiencing homelessness. Carey said her staff helped the woman find temporary housing until she was able to graduate and find work at a child care center.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Why ‘Black Grads Matter’\u003c/h2>\n\u003cp>San Francisco is trying to fix the broader early education workforce issue \u003ca href=\"https://www.kqed.org/news/11948690/business-tax-provides-crucial-funding-for-early-childhood-education-and-care-in-san-francisco\">by using a local business tax\u003c/a> to both pay teachers higher salaries and to lower child care costs for families. But in order to see that pay bump, teachers have to meet certain criteria: They must be trained to offer high-quality care and teaching to young kids, and agree to serve lower-income families.\u003c/p>\n\u003cp>The problem is only 10 out of 287 family child care businesses that meet those requirements are Black-owned, according to the city’s Department of Early Childhood.\u003c/p>\n\u003cp>“That number is too low,” Carey said.\u003c/p>\n\u003cp>The disparity underscores the need to diversify the workforce, she said, because all children, and especially Black children, benefit from having Black role models in the classroom.\u003c/p>\n\u003cp>Research shows that Black students who have even one Black teacher during elementary school are \u003ca href=\"https://www.nber.org/papers/w25254\">more likely to graduate high school\u003c/a> and enroll in college and less likely to be \u003ca href=\"https://www.educationnext.org/teacher-race-and-school-discipline-suspensions-research/\">removed from the classroom as a form of discipline\u003c/a>.\u003c/p>\n\u003cp>“There’s something about affirming a child’s culture when there is a teacher that represents them in a classroom … that understands their experiences, their family … there’s something around that that has impacted Black children’s success,” Carey said.\u003c/p>\n\u003cfigure id=\"attachment_11955858\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003ca href=\"https://ww2.kqed.org/news/rs67029_230714-educatorgraduation-03-bl-kqed/\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11955858\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67029_230714-EducatorGraduation-03-BL-KQED.jpg\" alt='A black, green, yellow and red striped graduation stole with the words \"Class of 2023\" and \"Black Grads Matter\" written on it.' width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67029_230714-EducatorGraduation-03-BL-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67029_230714-EducatorGraduation-03-BL-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67029_230714-EducatorGraduation-03-BL-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67029_230714-EducatorGraduation-03-BL-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67029_230714-EducatorGraduation-03-BL-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/RS67029_230714-EducatorGraduation-03-BL-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Graduate Maryetta Jefferson, 60, poses for a photo outside of the Bayview Opera House in San Francisco on July 14, 2023, before a graduation ceremony for the Black Early Childhood Educator Career Pipeline. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The hope is that having more Black early educators will help narrow persistent educational disparities in San Francisco. The \u003ca href=\"https://go.boarddocs.com/ca/sfusd/Board.nsf/files/CG5V977F8741/%24file/6_28_22%20-%20SFUSD%20Student%20Performance%20Analysis.pdf\">most recent data from San Francisco Unified School District (PDF)\u003c/a> shows only 43.8% of Black children were deemed ready for kindergarten, compared to nearly 70% of white and 67.6% of Asian American children.\u003c/p>\n\u003cp>Kindergarten readiness is a major concern among education advocates and policymakers because research shows children who enter kindergarten behind \u003ca href=\"https://bipartisanpolicy.org/download/?file=/wp-content/uploads/2019/09/Early-Childhood-Report_36-years-later_September-2019.pdf\">are likely to stay behind throughout their educational careers (PDF)\u003c/a>. At SFUSD, Black students graduate high school and attend college at lower rates than the district’s Asian American and white students.\u003c/p>\n\u003cp>A panel of early education experts formed by the Children’s Council concluded \u003ca href=\"https://www.childrenscouncil.org/wp-content/uploads/2023/02/Childrens-Council-SF-AAECEP-White-Paper-Nov-2022-final.pdf\">in a 2021 report (PDF)\u003c/a> that the city’s early education systems weren’t supporting Black children enough.\u003c/p>\n\u003cp>Because 90% of a child’s brain develops during the first five years of life, the report said, Black children need high-quality early education and care because it “can serve as a positive intervention that allows a child’s brain to overcome the stresses of poverty, hunger, violence, housing instability and economic racism.”\u003c/p>\n\u003cp>The onus falls on Black early educators, then, to nurture these children and chart their social-emotional, cognitive and physical development to ensure they have the foundational skills for kindergarten, said Dr. Patricia Sullivan, who taught most of the classes to this year’s program cohort.\u003c/p>\n\u003ch2>‘I found a passion that I didn’t know I had’\u003c/h2>\n\u003cp>Like some of the students in the cohort, Sullivan started out providing child care out of her home before she went back to school to obtain degrees in developmental psychology and early childhood education.\u003c/p>\n\u003cp>The importance of being a Black teacher in the classroom, and being the first in her family to graduate to college, isn’t lost on Sullivan.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“For some students in classes that I teach at [San Francisco State University and City College], I’m the first Black professor they’ve ever seen,” she said. “For this group, it was really important to not only show them that someone could be in higher education and be Black, but that, you know, this stuff is not as hard as you think.”\u003c/p>\n\u003cp>Besides teaching 12 core units of child growth and development to the cohort, Sullivan facilitated discussions about the Black experience and how to respond to and care for children who have experienced neglect, abuse, violence, family separation, racism and other traumas. \u003ca href=\"https://www.first5california.com/en-us/articles/how-toxic-stress-can-affect-childrens-development/\">Emerging research\u003c/a> has found that toxic stress from these types of trauma can disrupt children’s brain development and undermine their ability to learn.\u003c/p>\n\u003cp>“First, we talked about how we got this way. And then, how do we find a way to make sure that when we’re helping kids grow, that we are avoiding some of these dangerous pitfalls, barriers and situations that could cause trauma and how could we get around them? And then if we can’t get around them, how do we help people get past them?”\u003c/p>\n\u003cp>Among this year’s cohort is Djimon Asberry. The 25-year-old said those lessons validated her decision to become an early educator. Asberry had plans to become a nurse after graduating from a historically Black college in east Texas two years ago, but a summer job caring for babies and toddlers at a daycare made her realize that she could make a difference in a child’s life.\u003c/p>\n\u003cp>“I found a passion that I didn’t know I had,” she said.\u003c/p>\n\u003cp>In the pipeline program, Asberry said, having a Black professor and an all-Black cohort created a supportive environment where everyone pushed each other to do their best.\u003c/p>\n\u003cp>“It’s not ‘no, you’re not going to finish,’ you’re going to finish, you’re going to be successful,” she said. “Because they understand everybody has a life, everybody goes through things but they still push and encourage you and check on you every month to make sure your mind and mental [health] is correct so you’re able to finish.”\u003c/p>\n\u003cp>Asberry recently got a job as a substitute teacher at a Head Start program, but she’s thinking of taking more classes so she can one day open her own daycare.\u003c/p>\n\u003cfigure id=\"attachment_11956701\" class=\"wp-caption aligncenter\" style=\"max-width: 1100px\">\u003ca href=\"https://ww2.kqed.org/news/230727-educator-graduation-01-kqed/\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11956701\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/230727-Educator-Graduation-01-KQED.jpg\" alt=\"A group of African-American women pose for a photo in a large indoor space.\" width=\"1100\" height=\"733\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/230727-Educator-Graduation-01-KQED.jpg 1100w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/230727-Educator-Graduation-01-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/230727-Educator-Graduation-01-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/07/230727-Educator-Graduation-01-KQED-160x107.jpg 160w\" sizes=\"(max-width: 1100px) 100vw, 1100px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The graduating class and San Francisco Mayor London Breed at a graduation ceremony for the Black Early Childhood Educator Career Pipeline at the Bayview Opera House in San Francisco on July 14, 2023. \u003ccite>(Courtesy of Children's Council of San Francisco)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Another student was Sullivan’s own 35-year-old son, Matthew, who had been helping out at his mother’s daycare, Baby Steps Nature School, for years before enrolling in the pipeline program. He said although he went to art school and has a bachelor’s degree in Recreation, Parks and Tourism Administration, he wants to one day run the family business.\u003c/p>\n\u003cp>“I just think that there’s value in doing this kind of work,” he said.\u003c/p>\n\u003cp>The infants under his care “make this worthwhile because I get to see them grow. I get to see them go from being little sprouts to tall giants that can actually change the world.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "California Close to Launching $80 Million Child Care Worker Retirement Fund",
"headTitle": "California Close to Launching $80 Million Child Care Worker Retirement Fund | KQED",
"content": "\u003cp>California is one step closer to creating the nation’s first retirement fund for family child care providers after they overwhelmingly approved a new contract with the state, Child Care Providers United, \u003ca href=\"https://childcareprovidersunited.org/\">the union representing 40,000 of these workers\u003c/a>, announced late Monday.\u003c/p>\n\u003cp>The deal, which still needs to be approved by the Legislature and signed by Gov. Gavin Newsom this summer, would provide an $80 million retirement fund for an underpaid workforce that is dominated by women of color. This would make California the first of 11 states with family child care unions to offer such a plan.\u003c/p>\n\u003cp>“We’re exceedingly happy,” said Nancy Harvey, a 61-year-old family child care provider in West Oakland who helped negotiate the deal. “This is a historic moment for child care providers, not only here in California, but throughout the nation.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A little over 50% of family child care providers in California are 50 years old or older, yet less than a quarter of them have any retirement savings, \u003ca href=\"https://cscce.berkeley.edu/publications/report/early-educator-compensation/\">according to research\u003c/a> from the Center for the Study of Child Care Employment at UC Berkeley.[pullquote size=\"medium\" align=\"right\" citation=\"Nancy Harvey, family child care provider\"]‘We’re exceedingly happy. This is a historic moment for child care providers, not only here in California, but throughout the nation.’[/pullquote]“It’s really a huge step forward in terms of equity when you think about who the workforce is,” said Brandy Jones Lawrence, a senior analyst at the UC Berkeley center.\u003c/p>\n\u003cp>She said improving work conditions will raise the quality of care for California’s youngest residents.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>If an educator is worrying about whether or not they’re going to be able to put food on the table or if they’re going to get their lights turned back on, they’re not going to be able to bring their whole self and all that they know and need to be for children at this age. … when [they’re] feeling much more professionally supported I think that they can show up the way they need to be.”\u003c/p>\n\u003cp>Family child care providers are small-business owners who care for children out of their homes. There are \u003ca href=\"https://cscce.berkeley.edu/wp-content/uploads/2022/10/CSCCE-California-ECE-Profiles-FCCs.pdf\">more than 24,700 (PDF)\u003c/a> licensed family child care providers in the state. When license-exempt carers are added (family members, friends or neighbors who care for children), that number rises to about 40,000, according to the union.\u003c/p>\n\u003cfigure id=\"attachment_11957186\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11957186\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/RS64819_015_KQED_EachOneTeachOneChildCare_04262023-qut.jpg\" alt=\"A woman with long, black braids and a brown hoodie plays with a baby in a sunhat in the backyard on a sunny day.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS64819_015_KQED_EachOneTeachOneChildCare_04262023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS64819_015_KQED_EachOneTeachOneChildCare_04262023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS64819_015_KQED_EachOneTeachOneChildCare_04262023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS64819_015_KQED_EachOneTeachOneChildCare_04262023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS64819_015_KQED_EachOneTeachOneChildCare_04262023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A little over 50% of family child care providers in California are 50 years old or older, yet less than a quarter of them have any retirement savings, according to research from the Center for the Study of Child Care Employment at UC Berkeley. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For 16 years, family child care workers sought to form a union to improve their pay and obtain benefits such as health care, a retirement plan and access to professional development training.\u003c/p>\n\u003cp>In 2019, they won the right to collectively bargain by successfully arguing that they’re employees of the state because they receive public funding for serving lower-income families who qualify for subsidized care.[pullquote size=\"medium\" align=\"right\" citation=\"Shannon Benjamin, family child care provider\"]‘To finally set a plan to reimburse us for the entirety of our costs each month, means I can keep my doors open with the confidence that I can make ends meet and feel the dignity of my work.’[/pullquote]The contract deal addresses one of their biggest demands: a promise and a timeline from the state to overhaul the way providers get paid for subsidized child care.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11948419/care-cant-wait-californias-child-care-workers-demand-better-funding-for-essential-services\">Family child care workers have long complained\u003c/a> that the state calculates reimbursement rates for subsidized child care based on outdated market prices. They’re currently paid based on rates from at least five years ago. The rates neither reflect the true cost of care nor keep pace with current costs of living, making it hard for these workers to stay financially afloat, according to an \u003ca href=\"https://calbudgetcenter.org/resources/californias-child-care-providers-need-a-substantial-pay-raise/\">analysis by the California Budget and Policy Center\u003c/a>.\u003c/p>\n\u003cp>Providers frequently set their prices below their true costs to fill the gap between what parents can afford — and what the government pays for subsidized care.\u003c/p>\n\u003cp>Under the new contract, the state will provide $600 million in temporary rate increases over two years until a new payment system takes effect. The increases represent a 20% average rate increase, but vary slightly by region. A family child care provider in the Bay Area, for example, will receive an additional $211 a month per child, while a license-exempt provider will get an extra $148.[aside label='More on Child Care' tag='child-care']“This rate increase, and most importantly, the state’s commitment to finally set a plan to reimburse us for the entirety of our costs each month, means I can keep my doors open with the confidence that I can make ends meet and feel the dignity of my work,” said Shannon Benjamin, a provider from Carson in Southern California and a member of the union’s bargaining committee, said in a statement.\u003c/p>\n\u003cp>While the new contract represents major progress, more sweeping changes are needed to ensure that all early childhood educators are making a living wage and can afford to stay in the profession, industry observers like Lawrence said.\u003c/p>\n\u003cp>She estimates that less than a quarter of the family child care workforce is represented by the union, while the larger majority of workers are not because they don’t receive public funding.\u003c/p>\n\u003cp>Once union-represented providers are paid for the true cost of care, she asked, “How then are we going to reproduce or recreate a system that actually gets to all of the educators … and treat [early childhood education] like the public good that it is, like elementary education, where everyone has access and it’s based on the costs of the care?”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California is one step closer to creating the nation’s first retirement fund for family child care providers after they overwhelmingly approved a new contract with the state, Child Care Providers United, \u003ca href=\"https://childcareprovidersunited.org/\">the union representing 40,000 of these workers\u003c/a>, announced late Monday.\u003c/p>\n\u003cp>The deal, which still needs to be approved by the Legislature and signed by Gov. Gavin Newsom this summer, would provide an $80 million retirement fund for an underpaid workforce that is dominated by women of color. This would make California the first of 11 states with family child care unions to offer such a plan.\u003c/p>\n\u003cp>“We’re exceedingly happy,” said Nancy Harvey, a 61-year-old family child care provider in West Oakland who helped negotiate the deal. “This is a historic moment for child care providers, not only here in California, but throughout the nation.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘We’re exceedingly happy. This is a historic moment for child care providers, not only here in California, but throughout the nation.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“It’s really a huge step forward in terms of equity when you think about who the workforce is,” said Brandy Jones Lawrence, a senior analyst at the UC Berkeley center.\u003c/p>\n\u003cp>She said improving work conditions will raise the quality of care for California’s youngest residents.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>If an educator is worrying about whether or not they’re going to be able to put food on the table or if they’re going to get their lights turned back on, they’re not going to be able to bring their whole self and all that they know and need to be for children at this age. … when [they’re] feeling much more professionally supported I think that they can show up the way they need to be.”\u003c/p>\n\u003cp>Family child care providers are small-business owners who care for children out of their homes. There are \u003ca href=\"https://cscce.berkeley.edu/wp-content/uploads/2022/10/CSCCE-California-ECE-Profiles-FCCs.pdf\">more than 24,700 (PDF)\u003c/a> licensed family child care providers in the state. When license-exempt carers are added (family members, friends or neighbors who care for children), that number rises to about 40,000, according to the union.\u003c/p>\n\u003cfigure id=\"attachment_11957186\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11957186\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/RS64819_015_KQED_EachOneTeachOneChildCare_04262023-qut.jpg\" alt=\"A woman with long, black braids and a brown hoodie plays with a baby in a sunhat in the backyard on a sunny day.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS64819_015_KQED_EachOneTeachOneChildCare_04262023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS64819_015_KQED_EachOneTeachOneChildCare_04262023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS64819_015_KQED_EachOneTeachOneChildCare_04262023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS64819_015_KQED_EachOneTeachOneChildCare_04262023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS64819_015_KQED_EachOneTeachOneChildCare_04262023-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A little over 50% of family child care providers in California are 50 years old or older, yet less than a quarter of them have any retirement savings, according to research from the Center for the Study of Child Care Employment at UC Berkeley. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For 16 years, family child care workers sought to form a union to improve their pay and obtain benefits such as health care, a retirement plan and access to professional development training.\u003c/p>\n\u003cp>In 2019, they won the right to collectively bargain by successfully arguing that they’re employees of the state because they receive public funding for serving lower-income families who qualify for subsidized care.\u003c/p>\u003c/div>",
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"content": "‘To finally set a plan to reimburse us for the entirety of our costs each month, means I can keep my doors open with the confidence that I can make ends meet and feel the dignity of my work.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The contract deal addresses one of their biggest demands: a promise and a timeline from the state to overhaul the way providers get paid for subsidized child care.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11948419/care-cant-wait-californias-child-care-workers-demand-better-funding-for-essential-services\">Family child care workers have long complained\u003c/a> that the state calculates reimbursement rates for subsidized child care based on outdated market prices. They’re currently paid based on rates from at least five years ago. The rates neither reflect the true cost of care nor keep pace with current costs of living, making it hard for these workers to stay financially afloat, according to an \u003ca href=\"https://calbudgetcenter.org/resources/californias-child-care-providers-need-a-substantial-pay-raise/\">analysis by the California Budget and Policy Center\u003c/a>.\u003c/p>\n\u003cp>Providers frequently set their prices below their true costs to fill the gap between what parents can afford — and what the government pays for subsidized care.\u003c/p>\n\u003cp>Under the new contract, the state will provide $600 million in temporary rate increases over two years until a new payment system takes effect. The increases represent a 20% average rate increase, but vary slightly by region. A family child care provider in the Bay Area, for example, will receive an additional $211 a month per child, while a license-exempt provider will get an extra $148.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This rate increase, and most importantly, the state’s commitment to finally set a plan to reimburse us for the entirety of our costs each month, means I can keep my doors open with the confidence that I can make ends meet and feel the dignity of my work,” said Shannon Benjamin, a provider from Carson in Southern California and a member of the union’s bargaining committee, said in a statement.\u003c/p>\n\u003cp>While the new contract represents major progress, more sweeping changes are needed to ensure that all early childhood educators are making a living wage and can afford to stay in the profession, industry observers like Lawrence said.\u003c/p>\n\u003cp>She estimates that less than a quarter of the family child care workforce is represented by the union, while the larger majority of workers are not because they don’t receive public funding.\u003c/p>\n\u003cp>Once union-represented providers are paid for the true cost of care, she asked, “How then are we going to reproduce or recreate a system that actually gets to all of the educators … and treat [early childhood education] like the public good that it is, like elementary education, where everyone has access and it’s based on the costs of the care?”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Families With Young Children Face Increased Hardship After Pandemic Relief Policies End",
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"content": "\u003cp>Pandemic-era policies like eviction moratoriums, the expanded child tax credit, increased food stamp benefits and free school meals helped decrease hardship for families with young children.\u003c/p>\n\u003cp>Yet when many of those programs were discontinued, these same families saw an increase in hardship.\u003c/p>\n\u003cp>These are the latest findings from the RAPID survey, a national survey of parents and guardians with children from birth to 5 years old, conducted by researchers at the Stanford Center for Early Childhood. The group has collected answers to survey questions from 14,357 parents of young children nationwide every month between April 2020 and April 2023. Questions asked included whether parents could pay for food, child care and housing.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Philip Fisher, director, Stanford Center on Early Childhood\"]‘If we’re concerned about the well-being of kids, we should be concerned about the well-being of adults in the lives of children.’[/pullquote]“The combination, where you have higher prices to pay for basic things like food and gas and you have these tax credits and other payments that went away, that’s where you see people really falling over the edge,” said Philip Fisher, director of the Stanford Center on Early Childhood.\u003c/p>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/Screenshot-2023-07-17-at-1.14.52-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-11955877\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/Screenshot-2023-07-17-at-1.14.52-PM-800x478.png\" alt=\"A graph from the RAPID survey showing families reporting hardship over time.\" width=\"800\" height=\"478\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/Screenshot-2023-07-17-at-1.14.52-PM-800x478.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/Screenshot-2023-07-17-at-1.14.52-PM-1020x609.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/Screenshot-2023-07-17-at-1.14.52-PM-160x96.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/Screenshot-2023-07-17-at-1.14.52-PM.png 1196w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Fisher said researchers found what he calls a “chain reaction to hardship” — when parents can’t afford to pay for child care or food in a given week, that causes them higher levels of distress, and then their children begin struggling.\u003c/p>\n\u003cp>[aside postID=\"news_11947683,news_11952349,news_11949679\" label=\"Related Posts\"]“If we’re concerned about the well-being of kids, we should be concerned about the well-being of adults in the lives of children,” Fisher said. “Policies that support families’ economic stability and sufficiency are critical for supporting children’s early learning, and when we see those policies go away, we’re placing additional burden on the education system to make up for the ground that’s lost for families having this kind of hardship.”\u003c/p>\n\u003cp>Advocates for families with young children in California said that though the survey is nationwide, California policymakers can learn from it and put in place more policies to help children from an early age.\u003c/p>\n\u003cp>“Families with infants and toddlers have largely been told, ‘You’re on your own,’” said Stacy Lee, chief learning officer and senior managing director for early childhood at the advocacy organization Children Now. “The more we can do earlier on to support families, we know that that results in good outcomes for our children.”\u003c/p>\n\u003cp>Lee said she applauds California legislators and the governor for funding or expanding several programs in this year’s budget that will help low-income families, such as increasing subsidies for child care and capping the amount families have to pay for subsidized child care to 1% of their income. In addition, she mentioned that a budgeted increase for CalWORKs, a public assistance program that provides cash aid to low-income families with children, and CalFresh, the state’s food stamp program, and expanding free school meals to summertime will all help the lowest-income families.\u003c/p>\n\u003cp>“But there are still a large number of families out there who may not fit that criteria and will see continuing challenges to navigate life in the coming year,” Lee said.\u003c/p>\n\u003cp>Lee said programs that help alleviate poverty for families have a clear effect on children’s education.\u003c/p>\n\u003cp>“We all know that it makes it harder for children to concentrate at school if they’re hungry,” she said.\u003c/p>\n\u003cp>“I believe that this data makes clear that poverty is a policy choice,” said Mayra Alvarez, president of The Children’s Partnership, a nonprofit children’s advocacy organization based in Los Angeles. “During the pandemic, rules were put in place to make accessing services and programs easier for families. We have to ask ourselves, why can’t it always be this way?”\u003c/p>\n\u003cp>Alvarez said it is urgent for California to do something to help young children keep health insurance now that pandemic-era requirements to keep continuous Medi-Cal coverage have ended. She said an estimated 2 million to 3 million Californians could lose coverage, including between 800,000 and 1 million children. A law passed last year will allow children to keep Medi-Cal coverage from birth to age 5, but it won’t be implemented until 2025.\u003c/p>\n\u003cp>“This delay in implementation places thousands of children at risk of losing coverage unnecessarily, and it’s why we, alongside many partners, are asking the administration to move forward with implementation as quickly as possible,” Alvarez said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://edsource.org/2023/families-with-young-children-face-increased-hardship-after-pandemic-relief-policies-end/693962\">This story originally appeared in EdSource.\u003c/a>\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“If we’re concerned about the well-being of kids, we should be concerned about the well-being of adults in the lives of children,” Fisher said. “Policies that support families’ economic stability and sufficiency are critical for supporting children’s early learning, and when we see those policies go away, we’re placing additional burden on the education system to make up for the ground that’s lost for families having this kind of hardship.”\u003c/p>\n\u003cp>Advocates for families with young children in California said that though the survey is nationwide, California policymakers can learn from it and put in place more policies to help children from an early age.\u003c/p>\n\u003cp>“Families with infants and toddlers have largely been told, ‘You’re on your own,’” said Stacy Lee, chief learning officer and senior managing director for early childhood at the advocacy organization Children Now. “The more we can do earlier on to support families, we know that that results in good outcomes for our children.”\u003c/p>\n\u003cp>Lee said she applauds California legislators and the governor for funding or expanding several programs in this year’s budget that will help low-income families, such as increasing subsidies for child care and capping the amount families have to pay for subsidized child care to 1% of their income. In addition, she mentioned that a budgeted increase for CalWORKs, a public assistance program that provides cash aid to low-income families with children, and CalFresh, the state’s food stamp program, and expanding free school meals to summertime will all help the lowest-income families.\u003c/p>\n\u003cp>“But there are still a large number of families out there who may not fit that criteria and will see continuing challenges to navigate life in the coming year,” Lee said.\u003c/p>\n\u003cp>Lee said programs that help alleviate poverty for families have a clear effect on children’s education.\u003c/p>\n\u003cp>“We all know that it makes it harder for children to concentrate at school if they’re hungry,” she said.\u003c/p>\n\u003cp>“I believe that this data makes clear that poverty is a policy choice,” said Mayra Alvarez, president of The Children’s Partnership, a nonprofit children’s advocacy organization based in Los Angeles. “During the pandemic, rules were put in place to make accessing services and programs easier for families. We have to ask ourselves, why can’t it always be this way?”\u003c/p>\n\u003cp>Alvarez said it is urgent for California to do something to help young children keep health insurance now that pandemic-era requirements to keep continuous Medi-Cal coverage have ended. She said an estimated 2 million to 3 million Californians could lose coverage, including between 800,000 and 1 million children. A law passed last year will allow children to keep Medi-Cal coverage from birth to age 5, but it won’t be implemented until 2025.\u003c/p>\n\u003cp>“This delay in implementation places thousands of children at risk of losing coverage unnecessarily, and it’s why we, alongside many partners, are asking the administration to move forward with implementation as quickly as possible,” Alvarez said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://edsource.org/2023/families-with-young-children-face-increased-hardship-after-pandemic-relief-policies-end/693962\">This story originally appeared in EdSource.\u003c/a>\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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}
},
"baycurious": {
"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/news/series/baycurious",
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"order": 3
},
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"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
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}
},
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"id": "bbc-world-service",
"title": "BBC World Service",
"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
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"apple": "https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2",
"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/californiareport",
"meta": {
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"source": "kqed",
"order": 8
},
"link": "/californiareport",
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"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
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}
},
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"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"officialWebsiteLink": "/podcasts/closealltabs",
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"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
"site": "radio",
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},
"link": "/radio/program/code-switch-life-kit",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"meta": {
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"source": "kqed",
"order": 9
},
"link": "/forum",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
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"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"here-and-now": {
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
"site": "news",
"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
"spotify": "https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"
}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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