Healthy Start Site

Table of Contents

Healthy Start Site

Form Overview

On the Healthy Start Site form, the grantee provides details on grantee site location that is noted in the grant records as the main address for their grantee organization, service area and types of services their project provides.

The form will display as “Healthy Start Site” under the ‘Healthy Start Forms’ section on the left menu.

Applicable Report Types

Form	Report Types
Form	NCPR	NCCPR	PPER
Healthy Start Site	X	X	X

The report types are as follows:

New Competing Performance Reports (NCPR)
Non-Competing Continuation Performance Reports (NCCPR)
Project Period End Reports (PPER)

Pre-population

Sites data under Section 2: Healthy Start Sites will pre-populate from NCPR and NCCPRs to the next subsequent NCCPRs and PPERs. The grantee can update or delete the pre-populated sites in the NCCPRs and PPERs.

Form Sections

Healthy Start Site Detail Sheet

In this section, the grantee may expand the accordion menu to view the following details:

Instructions

Screenshot of Detail sheet

Section 1: Grantee Primary Organization

In this section, the grantee must answer the following question:

Project Name

The grantee may enter the Project Name in NCPR, and it prepopulates to subsequent NCCPRs and PPERs. The field remains editable in NCCPRs and PPERs.

Screenshot of Project name

Street Address

This is a required field, and the grantee must enter the Street Address of the organization.
The following validation will display on the data entry box: Provide a response for this field

City

This is a required field, and the grantee must enter the City name of the organization.
The following validation will display on the data entry box: Provide a response for this field

State:

This is a required field, and the grantee must select the organization State from the drop-down menu.
The following validation displays on the state dropdown box: Provide a response for this field

Zip Code:

This is a required field, and the grantee must enter the organization Zip Code.
This field will only accept 5 digit numeric entry and the following validation will display on the data entry box: Enter a 5 digit Zip Code.

screenshot of Zip code

Are HS services provided at the primary location?

This is a required field with Yes/No radio buttons, and the following validation displays on the radio buttons: Provide a response for this field

Select the state(s) in this organization’s service area:

This is a required field, and the grantee must select one or more states indicating what state(s) are included in their organization’s service area from the drop-down menu. For example, If the service area covers seven counties across two states, the grantee must select both states from the dropdown menu.

Screenshot of state selection

Service area for this organization primarily defined by:

This is a required field, and the following validation displays on the radio buttons: Provide a response for this field
The grantee must select one of the following options using the radio buttons and their selection informs the menu for the next questions:
- County
- Census Tract
- Zip Code
The grantees will have access to only one mode of reporting: County, ZIP Code, or Census Tract; it is not possible to select more than one type of service area.

Screenshot of Service area

Please select the all the counties covered by this organization’s service area. (Select all that apply)

This field will be disabled by default and will become enabled and required if the grantee has selected County or Census Tract in Service area for this organization primarily defined by field above.
The following validation will display on the data entry box: Provide a response for this field
The grantee must click on Add/Edit Counties link to open a modal window to select the counties in the grantee’s service area.
The modal window will display Counties data for the State(s) selected in Select the state(s) in this organization’s service area

Note: Add/Edit Counties link will be enabled if the grantee has selected County or Census Tract in Service area for this organization primarily defined by.

Please select all Census Tracts covered by this organization’s service area (Select all that apply)

This field will be disabled by default and will become enabled and required if the grantee has selected Census Tract in Service area for this organization primarily defined by field and have selected the counties in Please select all the names of all of the counties covered by this organization’s service area.
The following instruction text will display under the census tract question in parenthesis:
- Counties must be entered in the field above before selecting the census tracts.
The following validation will display on the data entry box: Provide a response for this field
The grantee must click on Add/Edit Census Tract link to open a modal window to select the counties in the grantee’s service area.
The modal window will display Census Tract data for the State(s) selected in Select the state(s) in this organization’s service area field, and their corresponding Counties selected in Please select all the names of all of the counties covered by this organization’s service area question for grantee to make the selection.

Note: Add/Edit Census Tract link will be enabled if the grantee has selected Census Tract in Service area for this organization primarily defined by field.

Please select all the ZIP codes covered by this organization’s service area (Select all that apply)

This field will be disabled by default and will become enabled and required if the grantee has selected Zip Code in Service area for this organization primarily defined by field above.
The following validation will display on the data entry box: Provide a response for this field
The grantee must click on Add/Edit Zip Codes link to open a modal window to select the counties in the grantee’s service area.
The modal window Codes data for the State(s) selected in Select the state(s) in this organization’s service area

Note: Add/Edit Zip Codes link will be enabled if the grantee has selected Zip Codes in Service area for this organization primarily defined by field.

Screenshot of Select zip code

Please check all services provided

This is a required field, and the grantee must check all the services from the available checkbox options that are provided across its service area. For example, if HS Site 1 provides doula services and HS Site 2 provides care to incarcerated persons, the grantees must indicate that these services are provided by their grantee organization.
The following validation will display on the checkboxes: Provide a response for this field

Screenshot of Select all services provided

Section 2: Healthy Start Sites

In this section, the grantee enters the data for the Healthy Start Sites and a minimum of one site is required.

A note will display under the blue header Section 2: Healthy Start Sites as follows:

If the Grantee Primary Organization identified in Section 1 provides services or is the only site that provides services, the grantee enters that information again in Section 2.

Site 1

In this section, the grantee must enter the following information for each site.

Project Manager Name

This is a required field, and the grantee must enter the project manager name for the site. The following validation will display on the data entry box: Provide a response for this field

Project Name

This is a required field, and the grantee must enter the project name for the site. The following validation will display on the data entry box: Provide a response for this field

The grantee must enter the name that identifies the site where Healthy Start services are delivered (for example, "Healthy Start for Babies"). If there is no site-level name, the grantee can enter the Grantee Primary Organization name entered in Section 1.

Street Address

This is a required field, and the grantee must enter the street address of the site. The following validation will display on the data entry box: Provide a response for this field

City

This is a required field, and the grantee must enter the city of the site. The following validation will display on the data entry box: Provide a response for this field

State

This is a required field, and the grantee must enter the state of the site. The following validation will display on the data entry box: Provide a response for this field

Zip Code

This is a required field, and the grantee must enter the zip code of the site. This field will only accept 5 digit numeric entry and the following validation will display on the data entry box: Enter a 5 digit Zip Code

+Add Row: Grantee must click this button to add another site.

x Delete: Grantee must click this to delete a site.

Screenshot of section 2

The grantee must click on Save or Save and Continue buttons before navigating away from this form to ensure all data entered is saved successfully.

The Save button will save the validated information captured in the form and the grantee will remain on the same form.
The Save and Continue button will save the validated information and the grantee will navigate to the next form.
The Go to Previous Form button will navigate the grantee to the previous form without saving any previously unsaved information.

Form-Level Rules and Validations

Service area counties, census tract, and zip code questions accept inputs using the Add/Edit links made available for corresponding questions.
For Please select all the counties covered by this organization's service area question, the Add/Edit Counties link will be available only when the grantee selects one or more state(s) on the Select the state(s) in this organization's service area question, answers Census Tract OR County to the Service area for this organization primarily defined by
For Please select all Census Tracts covered by this organization's service area question, the Add/Edit Census Tracts link will be available only when the grantee,
- Selects one or more state(s) on the Select the state(s) in this organization's service area
- Selects Census Tract to the Service area for this organization primarily defined by
- Selects one or more counties on the Please select all the counties covered by this organization's service area
For Please select all the ZIP codes covered by this organization's service area question, the Add/Edit Zip Codes link will be available only when the grantee selects one or more state(s) on the Select the state(s) in this organization's service area question, and answers Zip Code to the Service area for this organization primarily defined by question.

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Healthy Start Site