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{"sheet":"Intent to Expand Services - HCC","index":0,"n_rows":211,"n_cols":22,"rows_kept":211,"cut":false,"hidden":false,"merged":[[51,5,51,6],[52,5,52,6],[53,5,53,6],[54,5,54,6],[55,5,55,6],[55,3,55,4],[47,3,47,4],[48,3,48,4],[49,3,49,4],[50,3,50,4],[51,3,51,4],[52,3,52,4],[53,3,53,4],[54,3,54,4],[47,5,47,6],[48,5,48,6],[49,5,49,6],[50,5,50,6],[36,2,36,8],[45,5,45,6],[46,5,46,6],[45,3,45,4],[46,3,46,4],[29,2,30,8],[34,2,34,8],[16,3,16,4],[16,7,16,8],[17,3,17,4],[17,7,17,8],[18,3,18,4],[18,7,18,8],[19,7,19,8],[19,3,19,4],[31,2,31,8],[20,7,20,8],[0,1,0,10],[1,1,1,10],[2,1,2,10],[10,3,10,4],[15,3,15,4],[15,7,15,8],[14,7,14,8],[14,3,14,4],[103,8,104,8],[63,2,68,9],[78,2,83,9],[87,2,92,9],[114,2,119,9],[208,2,208,8],[125,4,125,6],[129,2,134,9],[140,2,145,9],[197,3,197,6],[198,3,198,6],[199,3,199,6]]}
[null,"DISTRICT OF NIPISSING SOCIAL SERVICES ADMINISTRATION BOARD (DNSSAB)"]
[null," LICENSED HOME CHILD CARE SERVICES"]
[null,"CWELCC START-UP GRANT APPLICATION FORM"]
[]
[null,null,"Thank you for your interest in the creation of new, affordable home child care spaces for children under the age of six in the "]
[null,null,"District of Nipissing.  For more information please refer to Start-Up grants section in the",null,null,null,null,"2024 CWELCC Guidelines"]
[]
[null,null,"Please submit completed CWELCC Start-Up Grant Application form, including number of active providers as at January 1st"]
[null,null,"and as of application date by email to ","csfundingrequest@dnssab.ca"]
[]
[null,null,"Application date (yy-mm-dd) :"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Application Date",{"$f":"IF(D11<>\"\",D11,\"\")","v":""},null,null,null,"Municipality"]
[null,null,"SECTION 1 : HOME CHILD CARE AGENCY INFORMATION",null,null,null,null,null,null,null,null,null,null,null,null,null,"Agency Legal Name",{"$f":"D15","v":0},null,null,null,"Bonfield"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Agency Operating Name",0,null,null,null,"Calvin"]
[null,null,"Agency Legal Name :",null,null,null,"Licence Number:",null,null,null,null,null,null,null,null,null,"Agency Address",0,null,null,null,"Chisholm"]
[null,null,"Agency Operating Name :",null,null,null,"Agency Type :",null,null,null,null,null,null,null,null,null,"Agency City",0,null,null,null,"East Ferris"]
[null,null,"Address :",null,null,null,"Auspice :",null,null,null,null,null,null,null,null,null,"Agency Postal Code",0,null,null,null,"Mattawa"]
[null,null,"City :",null,null,null,"Contact Person :",null,null,null,null,null,null,null,null,null,"Agency Municipality",0,null,null,null,"Mattawan"]
[null,null,"Postal Code :",null,null,null,"Position/Title :",null,null,null,null,null,null,null,null,null,"Licence Number",{"$f":"H15","v":0},null,null,null,"Nipissing North"]
[null,null,"Municipality :",null,null,null,"Email :",null,null,null,null,null,null,null,null,null,"Agency Type",{"$f":"H16","v":0},null,null,null,"Nipissing South"]
[null,null,null,null,null,null,"Phone :",null,null,null,null,null,null,null,null,null,"Agency Auspice",0,null,null,null,"North Bay"]
[null,null,null,null,null,null,"Program Type :","Indigenous (off-reserve)",null,null,null,null,null,null,null,null,"Agency Contact Person",0,null,null,null,"Papineau-Cameron"]
[null,null,null,null,null,null,"(if applicable)","Francophone",null,null,null,null,null,null,null,null,"Position/Title",0,null,null,null,"South Algonquin"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Email",0,null,null,null,"Temagami"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Phone",0,null,null,null,"West Nipissing"]
[null,null,"Does your agency have a standing Purchase of Service Agreement with DNSSAB?",null,null,null,null,"YES","NO",null,null,null,null,null,null,null,"Indigenous",false,null,null,null,"Other"]
[null,null,"If yes, is your agency enrolled in the Canada-Wide Early Learning and ",null,null,null,null,"YES","NO",null,null,null,null,null,null,null,"Francophone",false]
[null,null,"Child Care (CWELCC) System?",null,null,null,null,null,null,null,null,null,null,null,null,null,"Agreement with DNSSAB?",0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Enrolled in CWELCC?",0]
[null,null,{"$f":"IF(R28=2,\"To qualify for funding, Service Providers must first have a standing service agreement with the District of Nipissing Social Services Administration Board. Please contact us via email at : csfundingrequest@dnssab.ca\",IF(R29=2,\"To qualify for CWELCC Start-Up Grant funding, Service Providers must also have a standing CWELCC agreement with the District of Nipissing Social Services Administration Board. Please also complete the CWELCC Application form available at : \",\"\"))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,"Nipissing District?",0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Increase to lic. cap?",0]
[null,null,"https://www.dnssab.ca/childrens-services/providers/guidelines-applications/cwelcc-providers/",null,null,null,null,null,null,null,null,null,null,null,null,null,"Providers at Jan 1",{"$f":"G43","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Providers at application",{"$f":"G44","v":0}]
[null,null,"Are the proposed new homes located in the Nipissing district?",null,null,null,null,"YES","NO",null,null,null,null,null,null,null,"Total Children Served"]
[null,null,{"$f":"IF(R30=2,\"Please apply for CWELCC Start-Up Grant with the System Service Manager where proposed new home are located.\",\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,"Operational by"]
[null,null,"Are the proposed new homes in excess of existing licensed capacity?",null,null,null,null,"YES","NO",null,null,null,null,null,null,null,"Needs Analysis?",0]
[null,null,{"$f":"IF($R$31 = 1, \"Please contact Lynn Démoré-Pitre at lynn.demore-pitre@dnssab.ca\", IF($R$31 = 2, \"Please complete Sections 2-5\", \"\"))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,"Needs Analysis Details",{"$f":"C64","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Low-income",false]
[null,null,"SECTION 2 : PROGRAM INFORMATION",null,null,null,null,null,null,null,null,null,null,null,null,null,"Special Needs",false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Indigenous",false]
[null,null,"PROPOSED EXPANSION OF SERVICES",null,null,null,null,null,null,null,null,null,null,null,null,null,"Black and other racialized",false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Children of newcomers",false]
[null,null,"Number of active providers as of January 1st of current year :",null,null,null,null,null,null,null,null,null,null,null,null,null,"Francophone",false]
[null,null,"Number of active providers as of application date :",null,null,null,null,null,null,null,null,null,null,null,null,null,"Targeted Group Details",{"$f":"C79","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Support Labour Market Details",{"$f":"C88","v":0}]
[null,null,"Additional Home Provider\n(name or identifier)","Address\n(street, town/city, postal code)",null,"Municipality",null,"# children to be served","Contract execution date*","Expected opening date*",null,null,null,null,null,null,null,"CWELCC Spaces",{"$f":"E100","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Maximum Grant",{"$f":"I100","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Play materials, equipment",{"$f":"I104","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Other funding sources?",0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Other funding - amount",{"$f":"I113","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Other funding Sources Details",{"$f":"C115","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Additional DNSSAB Funds?",0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fee Subsidy",false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LHCC",false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Other",false]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Expansion Challenges?",0]
[null,null,"* please advise DNSSAB of any changes following application date as funding may need to be recovered if home(s) do not open as expected"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Challenges and solution details",{"$f":"C130","v":0}]
[null,null,"New homes and spaces identified above expected to be operational by",null,null,null,null,{"$f":"IF(COUNTA(J47:J56)>0, MAX(J47:J56), \"\")","v":""},null,null,null,null,null,null,null,null,"Viability/Feasibility Details",{"$f":"C141","v":0}]
[null,null,"(must be within 3 months of application date)"]
[]
[null,null,"Has your agency conducted a needs analysis related to the proposed expansion?",null,null,null,null,"YES","NO"]
[null,null,"Please describe the steps taken (i.e. community survey, consultations, waitlist data, etc.)."]
[]
[]
[]
[]
[]
[]
[]
[null,null,"Please provide a brief description of how this proposed expansion will create additional licensed full day child care spaces"]
[null,null,"for one or more of the following groups.  Please check all that apply."]
[null,null,"children living in low-income families"]
[null,null,"children with special needs"]
[null,null,"Indigenous children"]
[null,null,"Black and other racialized children"]
[null,null,"children of newcomers to Canada"]
[null,null,"Francophone children"]
[]
[]
[]
[]
[]
[]
[]
[null,null,"Please include a brief description of how this proposed expansion will support labour market participation,"]
[null,null,"including through flexible models of child care to support parents who are occasional, part-time or shift workers?"]
[]
[]
[]
[]
[]
[]
[]
[null,null,"SECTION 3 : ESTIMATED START-UP GRANT AND ADDITIONAL FUNDING REQUIREMENTS (IF APPLICABLE)"]
[]
[null,null,"Eligible home child care licensee applicants can receive a grant of up to $1,000 per CWELCC space created, to a maximum"]
[null,null,"of $6,000 per provider."]
[]
[null,null,"Number of eligible spaces to be created",null,{"$f":"SUM(H47:H56)","v":0},null,"Maximum grant ($1,000/space)",null,{"$f":"E100*1000","v":0}]
[]
[null,null,"Description of Eligible Expenses :"]
[]
[null,null,"Play materials, equipment, and furnishings (both indoors and outdoors) as outlined in ",null,null,null,null,null,0]
[null,null,"Section 19 of O.Reg. 137/15 under the Child Care and Early Years Act, 2014 that can be "]
[null,null,"transferred between home child care licensees as required."]
[]
[null,null,null,null,null,null,null,{"$f":"IF(I100>0,\"Total Eligible Expenses (cannot exceed \"&DOLLAR(I100,-2)&\")\", \"Total Eligible Expenses\")","v":"Total Eligible Expenses"},{"$f":"I104","v":0}]
[]
[null,null,"Is the agency seeking additional funding from other sources in order to support with ",null,null,null,null,"YES","NO"]
[null,null,"this project (i.e. provincial/federal one-time funding opportunities)?"]
[]
[null,null,"If yes, please provide amount and details :",null,null,null,null,"Amount from other sources :",0]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"Is the agency seeking additional funds from DNSSAB to support with daily operations?",null,null,null,null,"YES","NO"]
[null,null,"If yes, please check all that apply."]
[null,null,null,"Fee Subsidy"]
[null,null,null,"Licensed Home Child Care Grant"]
[null,null,null,"Other :"]
[]
[null,null,"Do you anticipate facing any challenges with the proposed expansion?",null,null,null,null,"YES","NO"]
[null,null,"If yes, please describe the anticipated challenges and proposed solutions."]
[]
[]
[]
[]
[]
[]
[]
[null,null,"SECTION 4 : PROGRAM VIABILITY/FEASIBILITY"]
[]
[null,null,"Please describe the steps that your agency has taken to determine program viability/feasibility of the proposed "]
[null,null,"expansion.  "]
[]
[]
[]
[]
[]
[]
[]
[null,null,"SECTION 5 : TERMS OF APPLICATION"]
[]
[null,null,"Please read and check each box to confirm agreement and understanding for each term and condition listed below."]
[]
[null,null,"I understand that CWELCC Start-Up Grant funding applications will be considered on a case-by-case basis.  Approval"]
[null,null,"is subject to the submission of a completed CWELCC Start-up Grant application form and supporting documents, "]
[null,null,"program eligibility, availability of funding and alignment with the Nipissing District's Early Years and Child Care "]
[null,null,"Service Plan including the local directed growth plan."]
[]
[null,null,"I confirm that the Agency wishes to apply for CWELCC Start-Up Grant funding and, as such, commits to participate in the"]
[null,null,"CWELCC system for the remainder of the current CWELCC agreement (March 31, 2026) and commits to maintaining number "]
[null,null,"of approved child care spaces in the service area until March 2026 even if the home child care licensee or capacity of the "]
[null,null,"home child care licensee changes prior to aforementioned date)."]
[]
[null,null,"I understand that this is an application to determine eligibility for CWELCC Start-Up Grant funding and that approved \n"]
[null,null,"agencies will be required to sign an amended Purchase of Service Agreement with the DNSSAB."]
[]
[null,null,"I understand that if the agency withdraws from CWELCC or ceases their operations, DNSSAB must recover the "]
[null,null,"start-up grant funding and return to the ministry as part of regular financial reporting processes."]
[]
[null,null,"I understand that any funding remaining unspent or not committed by December 31, or funding that was not used for its intended"]
[null,null,"purpose, must be recovered by the DNSSAB and returned to the ministry as part of the regular financial reporting processes."]
[]
[null,null,"I understand the CWELCC Start-Up Grant funding requirements as outlined in the Ministry of Education and DNSSAB"]
[null,null,"policies and guidelines and requirements set out under O. Reg 137/15."]
[]
[null,null,"I understand that the agency must provide sufficient and detailed financial information for review in accordance with the "]
[null,null,"funding, accountability and reconciliation process as determined by DNSSAB's policies, guidelines and reporting "]
[null,null,"requirements."]
[]
[null,null,"I understand that any adjustments and recoveries of funding will be determined at the discretion of DNSSAB’s "]
[null,null,"reconciliation process, policies and in accordance to Ministry of Education guidelines."]
[]
[null,null,"I understand that agency must provide access to the agency's financial information and acknowledges that DNSSAB will"]
[null,null,"conduct random financial compliance audits each year to ensure accountability and confirm compliance with terms, "]
[null,null,"conditions, requirements, policies and guidelines."]
[]
[null,null,"I understand that the agency must adhere to all requirements as set out in applicable legislation, regulation and local "]
[null,null,"requirements as provided in the DNSSAB's policies and guidelines."]
[]
[null,null,"To be considered, completed forms and supporting document(s) must be submitted to ",null,null,null,null,"csfundingrequest@dnssab.ca"]
[]
[null,null,"CERTIFICATION"]
[]
[null,null,"As a signing authority for this agency, by signing below I attest that I understand the implications of submitting"]
[null,null,"this application.  I further attest that the information included in this application and all applicable supporting "]
[null,null,"documents is accurate at the time of submission and that any funds provided through the CWELCC Start-Up"]
[null,null,"Grant program will be used only as intended and directed by DNSSAB and the Ministry of Education."]
[null,null,"I have authority to bind the agency."]
[]
[null,null,"Authorized Signing Officer:"]
[null,null,"Title :"]
[null,null,"Date (yyyy-mm-dd) :"]
[]
[]
[null,null,"NOTICE OF THE COLLECTION OF PERSONAL INFORMATION"]
[null,null,"The District of Nipissing Social Services Administration Board collects personal information under the legal authority of"]
[null,null,"the Child Care and Early Years Act, 2014, S.O. 2014, Chapter 11, Schedule 1, s 71 (1).  The information is used to determine"]
[null,null,"eligibility for CWELCC Start-Up Grants and other child care funding opportunities where applicable (i.e. General Operating"]
[null,null,"Grant, Fee Subsidy)"]
[]
[null,null,"QUESTIONS OR INQUIRIES ABOUT THIS COLLECTION, USE OR DISCLOSURE SHOULD BE ADDRESSED TO:"]
[null,null,"District of Nipissing Social Services Administration Board - Children’s Services Department "]
[null,null,"By email:  ","csfundingrequest@dnssab.ca"]