Site Monitoring Visits, Technical Assistance Visits, and Related Documentation

Site Visit Monitoring (SMV) Report Template (revised September 2022) Note: This report will be used for site monitoring visits starting July 1, 2022.

SMV Glossary (revised May 2019)

Action Plan Template (revised September 2022)
Action Plan Template (revised September 2022)

Site Monitoring Visits and Action Plan Fact Sheet Note: The New York State Education Department  (NYSED) is sharing the information below with subgrantees as a reminder of the purpose and expectations of Site Monitoring Visits (SMVs) conducted by the Technical Assistance Resource Centers (TARCs) and/or NYSED and the follow up Action Plans that are required when areas of partial and non-compliance are identified. This information should be shared with program, partners, and fiscal staff.

Technical Assistance (TA) Report Template (10/4/19)  Note: TARC staff or consultants must conduct on-site technical assistance (TA) visits when more intense assistance is necessary. It is anticipated that approximately 10-15% of programs may require an on-site TA visit during any program year. TA visits are targeted assistance visits and may not be combined with a monitoring visit. The three-hour technical assistance site visits shall be based on the needs of the individual program. Areas of technical assistance may include alignment of program activities with the regular school day, academic curricula, and program objective; effective communication with building administrators and faculty, professional development for staff; engagement of parents, families and the community’ recruitment and retention of student participants; use of Quality Self-Assessment Tool; collection and entry of data for the federal Annual Performance Report, and other program administration issues.

Evaluability Checklist PDF Version
Evaluability Checklist Word Version

Advisory Board documents

• AB Membership Agreement & Scheduling Organizer
• AB Meeting Agenda & Action Planner

Lesson Plan

• Lesson Plan Template (revised 08/2022)

Personnel Activity Reports (PARs)
Note: PARs are mandatory reports that must be completed for each employee of the program that verifies the percentage of time worked and paid through the 21st CCLC program.  NYSED requires that PARs are completed monthly or semi-annually.

• Personnel Activity Report (PAR) Multiple Funding Sources (updated 4.3.20)
• Personnel Activity Report (PAR) Single Source Funding Source

Program Activity Implementation Review (PAIR)
Note: NYSED requires that the program director or site coordinator conduct a formal review for each program activity offered at least twice a year. Use of this particular form, while not required, is highly recommended, as it is based on out-of-school time research.

• Program Activity Implementation Review (PAIR) template (May 2019)

Standard Enrollment Forms

• Standard Enrollment Form (English) (revised 10/8/21)
• For translated versions of the Student Enrollment form, you can visit: https://www.nys21cclc.org/forms. The form is translated in Arabic, Bengali, Chinese Simplified, French, Haitian Creole, Korean, Russian, Spanish, and Urdu.

MWBE Documents (updated July 2022)

MWBE Compliance Checklist (updated July 2022)

MWBE Compliance Report for Grants (M/WBE 104G) Note: Due July 31st annually

Round 8 Composite Budget (updated July 2022)

For other fiscal documents, such as the FS-10 (Budgets), FS-10-A (Budget Amendments), FS-25 (Request for Funds) and FS-10-F (Final Expenditure Reports), please visit the Forms section on the Grants Finance’s website.

21st CCLC Fiscal Flowchart   Note: This chart will help subgrantees understand how fiscal documents are processed through NYSED. All fiscal forms are available on NYSED’s Grants Finance’s page. Additional forms for 21st CCLC are posted below. You can seek further assistance from your Resource Center.

Financial Management and Allowability Fact Sheet (i.e. Allowable and Unallowable Costs) Note: NYSED created this document as a reminder of requirements under the current RFP and updated Education Department General Administrative Regulations (EDGAR).

The Field Trip reminder (September 2019) applies to all sub-grantee programs. It contains critically important information that affects both attendance hours and use of 21st CCLC funds.

Program Director's Progress Briefs
Note: The Progress Briefs are derived from the required Mid-Year Reports that are completed by Program Managers/Directors annually.

• 2021 Program Director's Progress Brief (9/10/21)
• 2020 Program Director’s Progress Brief (4/28/21)

Timelines

• Round 7 Program and Evaluation Timeline (September 2021-September 2022) (Revised 3/8/22)
• Round 8 Program Activity Timeline (July 2022-September 2023) (Revised 8/10/22)

Data and Reporting

• EZReports Program Resources
• For additional training videos and webinars, please visit: https://www.ezreports.org/NewYork. Go to Support tab > Training Videos. There you can access NYSED Webinars (led by RCs, NYSED, MI and/or TK) as well as other EZReports Webinars (State trainings, Full trainings, General, Setup, Administration, etc.)
• NYS 21st CCLC’s Statewide Data Collection System (revised 9/9/20)

Program Modification Request Fact Sheet (revised February 2022)
This above document will serve to provide clarity to subgrantees of the process in submitting a program modification request for NYSED review and approval. We ask that subgrantees ask their RC to review their request and any supporting documentation prior to sending to NYSED. Once cleared by the RC, the subgrantee can send it to NYSED. Due to website accessibility requirements, below are Word and PDF versions of the request form and supporting documentation. However, when submitting a request subgrantees must use the Word versions when applicable (with the exception of program site form and partnership agreement).

Program Modification Request Form (Word) (updated July 2022)

Participating Schools form  (updated July 2022)

Program Site Form (updated July 2022)

Sample Partnership Agreement (updated July 2022)

If a program modification requires a budget amendment, please use the FS-10A, which is available on the Forms section on the Grants Finance’s website.