Community Assessment
Winnsboro
Ore City
Wood
Wills Point
Marion
Gilmer
Fruitvale
Grand
Saline
Van Zandt
Van
Mineola
Gladewater
LCDC Longview
Hallsville
Gregg
Smith
Murchison
Whitehouse
Athens
Bullard
Henderson
Karnack
Harrison
Lindale
Overton
Arp
Troup
Marshall
L & M Daycare
Kilgore
Chapel Hill
Malakoff
Harleton
Hawkins
Martins
Mill
Eustace
Upshur
Jefferson
West
Rusk
Tatum
Jacksonville
Anderson
Elysian Fields
Henderson
Carlisle
New
Summerfield
Waskom
Carthage
Rusk
Panola
Laneville
Cherokee
Westwood
Palestine
Westwood
Elkhart
Rusk
Alto
Wells
Region 7 ESC Head Start
2011-2012
Contents
Introduction
Summary & Analysis
Section 1: Demographic Profile ………………………………
Table 1: County Population – General Data
Table 2: Service Area Population by Race/Ethnicity and
Primary Language
Table 3: Racial/Ethnic Composition of Head Start Enrollment
Table 4: Demographics – Counties by Household Composition
Page
3
4
5
5
6
7
8
Section 2: Child Development Programs Serving Head Start
Eligible Children
Table 5: Available Child Care Programs by County
11
Section 3: Children with Disabilities
12
Table 6: Disabilities Services for Head Start Eligible Children
Section 4: Health, Education and Social Service Needs
4A: EDUCATION
Table 7: Year 1 to Year 2 Comparison: Head Start Parents
with a GED or Less
4B: HEALTH NEEDS
Table 8: Health Coverage among Head Start Counties
Table 9: Health Coverage of Head Start Families
Table 10: Head Start Enrollment by Health Indicators
Table 11: Health Providers for Families in Poverty (by County)
Table 12: Nutritional Needs by Counties
Table 13: Nutrition Referrals for Head Start Children
4C. SOCIAL SERVICE NEEDS
Table 14: Region 7 ESC Head Start Family Characteristics
Table 15: Family Services Received by Head Start Families
Table 16: Unemployment Rate by County
Table 17: Year 1 to Year 2 Comparison: Employment Rates
Section 5: Needs Identified by Head Start Families
Section 6: Needs Identified by Head Start Institutions
Section 7: Community Resources
APPENDIX A
List of Community Resources
APPENDIX B
2011-2012 Waiting List of Potential Slots
11
12
16
19
20-24
25-28
33
35
38
38
53
1|Page
Introduction
Program Overview
Region 7 Education Service Center Head Start/Early Head Start provides
comprehensive child development services to 2038 eligible children and their
families ages birth – 5 years. The program serves twelve counties located in
Northeast Texas. The counties include rural, semi-rural, and small urban areas.
Some moderate sized metropolitan areas such as Tyler, Longview, and Marshall are
located within counties served by the Head Start program. According to 2010 US
Census population estimates, counties within the Region 7 ESC Head Start service
area range from 10,000 (Marion) to over 120,000 (Gregg).
The mission of Region 7 Education Service Center Head Start is to empower
children and their families to develop knowledge and skills to be more successful,
self-sufficient members of the community by providing high quality, efficient,
comprehensive services that meet and exceed Head Start Standards.
The program operates the full day center-based option, as approved by the
Administration for Children and Families. Head Start services are provided through
collaborative partnerships with 45 local Independent School Districts (ISDs). Early
Head Start services are implemented through partnerships with 2 licensed child
care centers and are provided in Gregg and Harrison counties only, with a total
allocation of 132 participants. A partnership with one of our child care centers, All
My Children, ended in August 2011. Twelve slots were moved to L&M Christian
Daycare and four slots were moved to Longview Child Development Center.
In PY 2010-2011, the Head Start program served approximately 2,266 children and
2,209 families while 177 children and 155 families were served by the Early Head
Start program. Early Head Start services included recent expansion slots funded by
the American Recovery Reinvestment Act (ARRA).
Purpose:
This 2011-2012 Community Assessment update is in fulfillment of the requirements
of Head Start Performance Standard 45CFR 1305.3 which requires Head Start
grantees to assess the needs of their communities every three years, update
annually, and to identify characteristics of their community that will have an impact
on the agency planning and program development activities in the coming years.
This document will provide updated demographic data and relevant community
information to identify the strengths, needs and trends that impact on the design
and implementation of the current Region 7 ESC Head Start program. The report
also identifies and evaluates the resources available in the community for meeting
the needs of the Head Start population and assesses the extent to which these
needs are being met. Ultimately, the purpose of this report is to assist Region 7 ESC
Head Start in delivering high-quality services to meet the changing needs of its lowincome children and families.
The information from this assessment will be used in accordance with the Head
Start performance standards to reconsider, if necessary:
 the program’s philosophy, long- and short-range program objectives
 component services most needed
 program options that will be implemented
 areas for targeted recruitment
2|Page


appropriate locations for centers; and
selection criteria for types of children and families who will be given priority
for recruitment and selection
Acknowledgements
This assessment update was prepared by the Region 7 ESC Head Start Community
Assessment Team in November 2011. Region 7 ESC Head Start completed their
comprehensive Community Assessment in 2008.
2011-2012 Community Assessment Team:
Tracy Stewart- ERSEA Coordinator
Isha Brown- Program Design and Management Specialist
DeLisa Smith- Head Start Interface Specialist
Darell Hortman- Parent and Community Engagement Specialist
John Hurst- Parent and Community Engagement Specialist
Katie Burnett- Health and Safety Coordinator
Angie Hargett- Head Start Support
Debbie Spencer-Early Head Start/Disabilities Coordinator
Jackie Jones- Education Coordinator
Penny Bing- Nutrition Support
Peggy Churchman- Head Start Support
Karen Hurst- Mental Health Coordinator
Barbara Edmiston- Mental Health Specialist
Elaine Kirksey- Head Start Support
Hilary Stafford- Intern, Stephen F. Austin State University
Summary and Analysis
The majority of Region 7 ESC Head Start families are composed of single parents.
All Head Start counties, with the exception of two (Anderson and Marion) have
unemployment rates lower than Texas’ overall unemployment rate of 9.1%.
However, there was a considerable 2-3% increase in unemployment across the other
ten counties whose averages did not exceed the state-wide rate. The inability to find
employment can be detrimental to families who are already living in poverty. This
fact exacerbates when families do not have the education or skills to obtain
available employment. As a profile, a household with children headed by a singleparent who does not have a high school education would be relegated to low-wage,
low-quality employment.
Appropriate location of centers and targeted recruitment areas for enrollment slots
remain consistent across the twelve counties with the exception of Murchison Head
Start in Henderson County. Head Start data revealed that eligibility and enrollment
was limited in Murchison and greater needs existed at other sites. These slots were
reassigned to another site.
For Head Start families, education attainment levels are lower than for the general
population. From 2010-2011 to 2011-2012 program years, the percentage of
parents in the Region 7 ESC Head Start program with a GED or less increased in all
counties, except one. In one county, the comparable difference was as much as
29%. It is important to note also that there is a wide gap between those who do have
a high school diploma or GED and those who have some training or education
beyond this. Obtaining some sort of technical skills is an efficient way to improved
3|Page
employability. Community/technical colleges are accessible to all of the counties in
our service area.
The percent of uninsured children and severe lack of health providers continues to
be a concern. The highest percentage of uninsured children remains in Gregg, Rusk,
Smith and Upshur counties at 20% or greater. Marion and Rusk County showed no
increase in the number of doctors or dentists who accept Medicaid and in Marion
County alone there are no dentists currently accepting Medicaid.
Parenting skills was the greatest need identified by parents. Greater needs were
reported by Head Start families with regard to mental health services, which include
but are not limited to the effects of divorce on children, dealing with grief and loss,
and building and maintaining self-esteem in children. Consistent with the findings
in Region 7 ESC Head Start data, better education, employment and workforce
training, parenting classes and more Medicaid providers were the greatest needs
identified by the community institutions within the counties served by the program.
Measuring and reporting the effects of the recession continues to be a challenge,
although it is obvious the economic woes continue to exact a fierce toll on family
life, and children are suffering – emotionally, psychologically, and otherwise. It is
our hope that the information provided in the Community Assessment Update offers
a greater understanding of our community, its specific needs, and the unique role
the Region 7 ESC Head Start program serves in improving the lives of children and
families.
4|Page
Section 1: Demographic Profile of Service Area
The purpose of this section is to meet the requirement for “the demographic
make-up of Head Start eligible children and their families, including
estimated number, geographic location, and racial and ethnic composition.”
Geographically, Region 7 Head Start serves 12 counties located generally in the
East/North East part of Texas. The counties include rural, semi-rural, and small
urban areas. As the following data will show, these counties have a high percentage
of children and families living with high risk factors, including poverty and low
education attainment.
Racial and Ethnic Composition and Primary Language
Population change in the Region 7 Head Start service area varies widely as seen in
Table 1, from a predicted growth of 20% in Smith County to a predicted loss of 4%
in Marion County. Likewise, counties differ in the number of children under 5 years
old. Smith County has 16,358 children under the age of 5, while Marion County
has 538. The percentage of children under the age of 5 years does not vary that
much- ranging from 5.1% in Marion County to 8.4% in Gregg County. The 538
children in Marion County is a low number relative to other counties, but is a large
number of children for only 20 available slots, primarily because Marion County has
a considerable number of families with high risk factors.
Table 1: County Population – General Data
5|Page
Table 2 below summarizes the Region 7 ESC Head Start service area population by
race, ethnicity and primary language. The population is comprised of persons
identifying themselves in primarily three ethnic groups- White, Black, and Hispanic.
In all 12 counties, White is the majority ethnic group, ranging by county from 86%
to 61%. Black is the second largest ethnic group, ranging from 22% to 3%. The
third largest ethnic group is Hispanic, ranging from 21% to 3%. Primary language
being non-English, generally tracks slightly below the Hispanic population, ranging
by county from 3% to 15%.
Table 2: Service Area Population by Race/Ethnicity and Primary Language
The ethnic population of Head Start families varies significantly from the general
population- with proportionally under-representation of White families and overrepresentation of Hispanic and Black families. This is also reflected in “Primary
Language Not-English” being significantly higher in Head Start for most counties.
Only Marion County has about even population for both general and Head Start. All
other counties for Head Start range from 16% to 38% non-English. Presumably,
these patterns are due to fewer White families who are income-eligible and more
Hispanic and Black families who are income-eligible.
6|Page
Table 3: Racial/Ethnic Composition of Head Start Enrollment
Number of children by age, family and household composition
Demographics by county indicate that average household size does not vary muchfrom 2.09 persons in Marion County to 2.88 in Anderson County. Families living in
their current residence for less than one year range from 11% in Marion County to
29% in Gregg County. This data can indicate the number of people who move often,
which can be related to not paying rent and/or utilities. No correlative data is
available for Head Start Families as a sub-group.
7|Page
Table 4: Demographics – Counties by Household Family Composition
8|Page
Single-parent households throughout the Region 7 counties range from 15% in
Wood County to 21% in Anderson County. Head Start children living in singleparent households range from 44% in Van Zandt and Wood Counties to 82% in
Marion County. Head Start serves a significantly larger portion of children in
single-parent families than exists in the general population. Households with
grandparents as guardians range from 7% - 9% for county-wide population. Head
Start households with grandparent guardians range from 0% in Panola County to
8% in Rusk County. County-wide data and Head Start data for this subset is fairly
consistent.
9|Page
Persons living below the poverty line range from 15% in four counties to 24% in
Anderson County. Head Start families living below the poverty line range from
100% in Marion County to 77% in Upshur County. Head Start serves a significantly
higher percentage of families living below the poverty line.
Median
household/family income ranges from $31,210 in Marion County to $46,456 in
Panola County. This data indicates that Region 7 Head Start is serving counties
with a high percent of families living below the poverty line.
10 | P a g e
Section 2: Child Development Programs Serving Head
Start Eligible Children
The purpose of this section is to meet the requirement for a description of
“other child development and child care programs that are serving Head
Start eligible children, including publicly funded state and local preschool
programs, and the approximate number of Head Start eligible children
served by each”.
Table 5: Available Child Care Programs by County
Other Programs
County
ANDERSON
CHEROKEE
GREGG
HARRISON
HENDERSON
MARION
PANOLA
RUSK
SMITH
UPSHUR
VAN ZANDT
WOOD
Local ISDs¹
Licensed
Child Care
Centers²
3
5
3
6
4
1
1
6
6
2
5
3
9
10
49
21
9
2
7
6
53
7
12
7
State
Subsidized
Child Care
Slots²
561
916
4145
1608
896
46
244
370
4022
536
1140
368
Pre-K
Programs³
Region 7
Head Start
Slots¹
6
5
7
6
7
2
3
8
8
7
5
6
177
200
377
331
197
57
60
191
255
80
157
117
(1) 2011-2012 Region 7 Head Start Program data
(2) Texas Department of Family and Protective Services, Child Care Licensing,
http://www.dfps.state.tx.us/Child_Care/Search_Texas_Child_Care/ppFacilitySearch
DayCare.asp, Search criteria: ages served 3yr-4yr. Programs provided; accepts childcare subsidies
(3) 2011-2012 Region 7 ESC PEIMS Fall Collection Data
According to the Texas Department of Family and Protective Services, there were
nearly 200 organizations licensed to provide child care in the twelve counties served
by Region 7 ESC Head Start, accounting for 14,852 slots.
In addition to the Head Start program, the Texas Education Agency documents that
there are 471 pre-K classrooms in the Region 7 ESC service area that provide some
type of early childhood preschool program to over 7,000 students. The number
served by unregulated child care providers is unknown.
11 | P a g e
Section 3: Children with Disabilities
The purpose of this section is to meet the requirement for describing “the
estimated number of children with disabilities four years old or younger,
including types of disabilities and relevant services and resources provided
to these children by community agencies.”
In program year 2010-11, Region 7 ESC Head Start served 2,443
children, of whom 235 (10%) had a diagnosed disability. Of the preschool
Head Start children with a diagnosed disability, 185 had speech or
language impairments, 8 had health impairments, 2 were autistic, 2 had
visual impairments, and 9 had non-categorical/developmental delays.
100% of these children received special services and had an IEP/IFSP. Of
the Early Head Start children with a diagnosed disability, 5 had speech
or language impairments, 1 had health impairments, and 14 had noncategorical/developmental delays. None of the children were identified as
autistic or having visual impairments. 100% of the children received
early intervention services and had an IFSP. The following table shows
the distribution of children by school district for 2011-2012.
Table 6: Disabilities Services for Head Start Eligible Children
EHS/HS Disability **
ISD by County
ANDERSON
PALESTINE ISD
ECI
Number*
*ECI 40
WESTWOOD
ISD
CHEROKEE
*ECI 50
JACKSONVILLE
ISD
NEW
SUMMERFIELD
ISD
RUSK ISD
GREGG
GLADEWATER
ISD
KILGORE ISD
*ECI 327
7.1%
**Disability
# per Type
county
**
5
Speech or Language Impairment
1
Orthopedic Impairment
1
Autism
**
1
Speech or Language Impairment
3
Speech or Language Impairment
4
1
Speech or Language Impairment
Visual Impairment, including blind
10
Speech or Language Impairment
6
Speech or Language Impairment
**
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EHS/HS Disability **
ISD by County
ECI
Number*
LONGVIEW ISD
LONGVIEW
LCDC
HARRISON
ELYSIAN
FIELDS ISD
HALLSVILLE
ISD
HARLETON ISD
KARNACK ISD
*ECI 74
**Disability
#
Type
per county
7
Speech or Language Impairment
3
More Information Needed
9
Speech or Language Impairment
19
Non-categorical/developmental delay
1
Health Impairment
2
No Status Entered
1
Other Impairment (Non Cat)
**
1
Speech or Language Impairment
L&M
CHRISTIAN
DAYCARE
MARSHALL ISD
HENDERSON
*ECI 75
EUSTACE ISD
MALAKOFF ISD
MURCHISON
ISD
*ECI 8
PANOLA
*ECI 32
CARTHAGE ISD
4
Speech or Language Impairment
2
2
2
1
1
1
3
8
1
1
7
Speech or Language Impairment
More Information Needed
Non-categorical/developmental delay
Orthopedic Impairment
Evaluated – No disability found
More Information Needed
Referred for Evaluation
Speech or Language Impairment
Orthopedic Impairment
Visual Impairment
More Information Needed
2
1
1
6
2
1
1
1
Speech or Language Impairment
Health Impairment
No Status Entered
Speech or Language Impairment
Speech or Language Impairment
Speech or Language Impairment
More Information Needed
No Status Entered
3
3
Speech or Language Impairment
More Information Needed
4
1
1
Speech or Language Impairment
More Information Needed
Evaluated-No Disability Found
**
ATHENS ISD
MARION
JEFFERSON ISD
7.1%
**
**
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EHS/HS Disability **
ISD by County
RUSK
HENDERSON
ISD
LANEVILLE
ISD
TATUM ISD
WEST RUSK
ISD
SMITH
BULLARD ISD
ECI
Number*
*ECI 71
*ECI 382
**Disability
#’s per Type
county
**
2
Speech or Language Impairment
2
More Information Needed
1
Speech or Language Impairment
TROUP ISD
WHITEHOUSE
ISD
*ECI 77
GRAND SALINE
ISD
MARTINS MILL
ISD
VAN ISD
WILLS POINT
ISD
*ECI 73
Speech or Language Impairment
Speech or Language Impairment
4
Speech or Language Impairment
4
1
1
1
1
3
1
Speech or Language Impairment
Autism
Referred for Evaluation
Speech or Language Impairment
Autism
Speech or Language Impairment
Orthopedic Impairment
5
1
1
1
1
1
Speech or Language Impairment
Referred for Evaluation
More Information Needed
Speech or Language Impairment
Referred for Evaluation
More Information Needed
1
1
2
2
1
2
Speech or Language Impairment
Visual impairment, including blind
More Information Needed
Speech or Language Impairment
More Information Needed
Speech or Language Impairment
2
1
1
1
Speech or Language Impairment
More Information Needed
Referred for Evaluation
Speech or Language Impairment
**
ORE CITY ISD
VAN ZANDT
FRUITVALE
ISD
1
2
**
CHAPEL HILL
ISD
UPSHUR
GILMER ISD
7.1%
**
*Texas Department of Assistive and Rehabilitative Services, Early Childhood Intervention
Services http://www.dars.state.tx.us/ecis/
(1) Region 7 Head Start Program 2011-2012data
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Speech or language impairment continues to be the largest type of disability,
followed by non-categorical developmental delay and orthopedic impairment.
Seventy three percent of the diagnosed disabilities are speech and language
impairment. Counties with the largest numbers of children with disabilities enrolled
in ECI include Gregg County with 327 and Smith County with 382. Harrison,
Panola, Rusk and Upshur counties had slight increases as well. Gregg County
showed the greatest increase with 140 more students receiving ECI services than in
the previous 2010-2011 school year.
There is continuous need for partnership with Early Childhood Intervention.
Disabilities staff across all ESC systems will collaborate with ECI and provide
recruitment information for children that are aging out of ECI. The disability staff
will also ensure a smooth transition for those exiting ECI and entering into Head
Start.
Currently 7.1% of the Region 7 Early Head Start enrollment consists of children
with disabilities. We will continue to collaborate with LEA Special Education Staff
(Directors, Speech Therapists, Diagnosticians Etc.) and other campus staff to
ensure students receiving special education services have the opportunity to apply
for Head Start. All information when possible will be provided in dual-language
mediums.
DARS funding appropriation for Early Childhood Intervention (ECI) services for
fiscal years 2012 and 2013 was about 14 percent less than funding levels for the
program in 2011. As a result, DARS narrowed eligibility criteria for the ECI
program. Effective September 1, 2011, these new criteria included a delay of at least
25% in one or more areas of development (motor, communication, cognition, socialemotional or self-help) in order for a child to be receive services. This was slightly
more delay than would have been required in the past. The new eligibility criteria
applied to children who enrolled in the program on September 1, 2011 or after.
(Source: Department of Assistive and Rehabilitative Service 2010 Annual Report,
www.dars.state.tx.us)
Due to changes with ECI being so recent, the program hasn’t noticed a definite
impact at this time. However, we anticipate these new criteria will have some
repercussions for children to qualify and receive special education services.
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Section 4: Health, Education and Social Service Needs
The purpose of this section is to provide “data regarding the education,
health, nutrition, and social service needs of eligible Head Start children and
their families.”
4A. Education
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17 | P a g e
2010-2011 Region 7 Head Start COR data show the most gains in the areas of
Social/Emotional Learning, Creative Arts and Science. For the 2011-2012 year a
new assessment has been implemented to closer match the new Head Start
mandates. Teaching Strategies GOLD measures all areas on the HS Early Learning
Framework. In the Fall 2011 window assessment, early data indicates the areas of
Mathematics, Cognitive and Language are the areas for growth while fine motor
skills and Social/Emotional development are showing early gains.
Average education level of parents
According to the US Department of Education, Texas ranks 47 th out of 50 states in
terms of English literacy levels (Source: US Department of Education). Region 7 Head
Start service area includes counties with persons who have relatively low education
attainment. Persons with less than a high school diploma comprise 20% of adult
residents in Smith County to 36% of Anderson County. Persons with a high school
diploma but no college comprise 28% of adult residents of Anderson County to 36%
of Upshur County. Generally, less than half of adult residents have any college
background. For Head Start families, education attainment levels are lower than for
the general population. The following chart represents the education
attainment levels of adults in the twelve Region 7 ESC Head Start counties.
Texas State Data Center
http://txsdc.utsa.edu/Resources/Decennial/2000/DP2_4/County/tab-002.txt
18 | P a g e
The chart below represents the highest levels of education attained by Region 7 ESC
Head Start parents.
Source: Child Plus PIR Audit Report 9730, as of October 2011
Gregg, Cherokee, and Harrison Counties continue to have the highest percentage of
Head Start parents with a GED or less.
Table 7: Year 1 to Year 2 Comparison: Head Starts Parents with a GED or Less
County
2010/11 Parents,
GED or Less¹
%
Anderson
35%
Cherokee
39%
Gregg
24%
Harrison
22%
Henderson
24%
Marion
15%
Panola
19%
Rusk
6%
Smith
20%
Upshur
26%
Van Zandt
23%
Wood
24%
Source: ¹Region 7 ESC Head Start program data
²Child Plus PIR Audit Report 9730, as of October 2011
2011/12 Parents,
GED or Less²
%
41%
52%
48%
43%
32%
12%
25%
35%
31%
29%
37%
41%
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The percentage of parents in the Region 7 ESC Head Start program with a GED or
less increased in all counties, except Marion. In Rusk County, the comparable
difference from last program year was as much as 29%.
There are more parents with a HS diploma or GED (958) than those with less than a
HS diploma (824). However, there is much more of a considerable difference in the
number of parents with a HS diploma or GED (824) versus those parents with an
associate degree, vocational school, or some college (109).
4B. Health and Nutrition
Table 8: Health Coverage among Region 7 ESC Head Start Counties
County
ANDERSON
CHEROKEE
GREGG
HARRISON
HENDERSON
MARION
PANOLA
RUSK
SMITH
UPSHUR
VAN ZANDT
WOOD
% of
Uninsured
Children
16.6
17.7
24.7
16.3
16.7
15.5
15.9
23.8
24.4
22.6
16.4
16.5
Enrolled in Medicaid
Rank/
#
%
12
4,594
38.6
2
5,845
43.2
1
11,872 36.3
5
6,302
38.2
3
7,158
38.0
4
702
31.7
10
1,863
32.6
9
3,925
32.6
8
17,582 31.6
11
3,438
35.1
7
3,985
30.3
12
3,048
35.6
6
Enrolled in CHIP
Rank/
#
%
12
741
6.2
11
1,098 8.1
2
2,187 6.7
8
1,028 6.2
10
1,480 7.8
3
167
7.5
5
311
5.4
12
888
7.4
6
3,788 6.8
7
639
6.5
9
1,019 7.7
4
770
9.0
1
Source: The Annie E. Casey Foundation, Kids Count Data Center’ 2009,
http://datacenter.kidscount.org/data/bystate/StateLanding.aspx?state=TX
This data cohort is enrolled students, grades PK-12 for each county. The highest
percentage of uninsured children are in Gregg, Rusk, Smith and Upshur Counties
at 20% or greater, as was evidenced in results from the 2010-2011 Community
Assessment information. The number of children enrolled in Medicaid and CHIP
increased in every county with the exception of Marion County. This increase was
over a 2 year period as evidenced from the Annie E. Casey Foundation Kids Count
Data Center reports from 2007 and 2009.
20 | P a g e
Table 9: Health Coverage of Head Start families by County
County
% of
Uninsured
Children
ANDERSON
CHEROKEE
GREGG
HARRISON
HENDERSON
MARION
PANOLA
RUSK
SMITH
UPSHUR
VAN ZANDT
WOOD
14%
1%
17%
11%
14%
4%
10%
14%
11%
7%
15%
28%
Enrolled in
Medicaid or
CHIP
%
86%
99%
83%
89%
86%
96%
90%
86%
89%
93%
85%
72%
Source: 2011-2012 Region 7 ESC Head Start ChildPlus PIR Audit Report – Health
Insurance, as of November 2011
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Table 10: Head Start Enrollment by Health Indicators
Enrollment by Health Indicators
2010-11¹
2011-12²
Total Children with Health Insurance
2231
1957
Medicaid
1966
1703
State Child Health Insurance Program (SCHIP)
75
62
CHIP/Medicaid
2041
1910
State-Only Funded Insurance
5
3
Private Health Insurance
170
162
Other Insurance not Listed
15
14
Children with No Insurance
212
288
Children with Continuous Ongoing Care
299
880
Children on Schedule with Preventive and Primary
2392
1113
Care
Children Receiving a Dental Exam
2108
1774
Children Referred for Mental Health Services
44
16
Received Mental Health Services
27
16
Children with Diagnosed Disabilities
211
124
Source: ¹ 2010-2011 Region 7 ESC Head Start PIR, Grant Level Summary Report, data
reflect number of children at enrollment
² 2011-2012 Region 7 ESC Head Start PIR, data as of November 2011
Table 11: Health Providers for Families in Poverty (by Counties)
County
ANDERSON
CHEROKEE
GREGG
HARRISON
HENDERSON
MARION
PANOLA
RUSK
SMITH
UPSHUR
VAN ZANDT
WOOD
Head Start
Households
Below
Poverty¹
85%
84%
90%
93%
88%
100%
85%
87%
82%
77%
78%
79%
Doctors²
Dentists²
30
8
28
27
16
3
12
15
47
17
17
18
23
9
101
104
14
0
2
7
104
63
16
6
¹Child Plus Management Report 2004
²Texas Medicaid & Healthcare Partnership,http://opl.tmhp.com/ProviderManager/AdvSearch.aspx
The above referenced chart refers to the number of doctors and dentists who accept
Medicaid and perform Texas Health Steps Exams. The number of providers who
take Medicaid and CHIP rose in every county with the exception of Marion and Rusk
counties. Medical providers increased in both of these counties, but the number of
dental providers stayed the same with 0 and 7 respectively. This data confirms the
severe lack of dental providers in these counties. The data indicates that these
providers do Texas Health Steps medical and dental exams, but does not single out
specific age groups. Texas Health Steps exams are performed on infants through age
21.
22 | P a g e
Table 12: Nutritional Needs by Counties
County
Free, Reduced
Lunch Program
(1)
SNAP
formerly
Food Stamps (1)
WIC
(1)
#
%
#
%
#
%
ANDERSON
5,024
63
2,945
26.1
1,430
43.4
CHEROKEE
6,303
78.6
3,910
30.6
1,973
56.5
13,734
61.6
7,678
24.8
4,190
46.2
7,450
62.1
4,311
27
1,744
42.9
6,668
67.9
5,079
28.6
2,021
42.4
MARION
934
82.1
621
29.6
276
50
PANOLA
1,836
52.6
1,088
20.2
638
43.6
4,845
67.4
2,333
20.6
1,341
43
20,379
61.6
11,782
22.4
6,378
42.2
3,884
57.1
2,363
25.7
903
36.2
5,320
56.5
2,302
18.7
1,092
34.4
3,539
60.9
1,861
23.2
940
41.3
GREGG
HARRISON
HENDERSON
RUSK
SMITH
UPSHUR
VAN ZANDT
WOOD
(1) Data from: The Annie E. Casey Foundation, Kids Count Data Center 2009-2010,
http://datacenter.kidscount.org/data/bystate/StateLanding.aspx?state=TX
According to the 2011 Nation’s Report Card, the percentage of students eligible for
free lunch continues to increase. This is consistent with Region 7 ESC Head Start
data. This data cohort includes enrolled students, grades PK-12 for each county.
Percentages of students eligible for free, reduced lunch program increased in each
county - from 2.6% to as much as 9.6% in Panola County. Counties with high
percentages of children participating in the Free and Reduced Lunch Program
include Cherokee, Henderson, Marion, and Rusk.
High percentages of families participating in WIC are found in Anderson, Cherokee,
Gregg, Harrison, Henderson, Panola, Rusk, Smith and Wood Counties- all exceeding
40%. The total number of families receiving WIC services for the 2010-2011 program
year were 1134.
23 | P a g e
Table 13: Nutrition Referrals for Head Start Children
Total Head
Food
Start
Dental Hct/Hgb
Lead
Allergies
Enrollment
ANDERSON
177
43%
2%
05%
3%
CHEROKEE
200
29%
4%
0
1%
GREGG
377
35%
5%
1%
2%
HARRISON
331
41%
4%
0
5%
HENDERSON
197
23%
1%
0
.5%
MARION
57
42%
3%
0
1%
PANOLA
60
43%
3%
0
0
RUSK
191
32%
2%
.5%
0
SMITH
255
27%
1%
.7%
3%
UPSHUR
80
20%
5%
0
1%
VAN ZANDT
157
40%
3%
2%
2%
WOOD
117
23%
0
0
.8%
Data from Region 7 ESC Head Start 2010-2011 program data
County
Overweight
85% or
above¹
28%
18%
18%
18%
27%
17%
20%
37%
24%
45%
26%
23%
Underweight
5%
or under
1%
7%
6%
4%
9%
5%
1%
3%
2%
2%
7%
6%
The prevalence of obesity among US preschool-aged children is at an all-time high.
More than 20% of the nation’s preschool-aged children are overweight or obese.
Obesity prevention has been designed to improve nutrition, physical activity and
weight outcomes for children enrolled in Head Start.
The table above shows the number of children from the 2010-2011 program year
who were overweight at 85% or above.
Numbers range from 17% to 45% among
the Region 7 Head Start counties.
Childhood obesity is a Head Start priority and the nutrition component is providing
nutrition parent trainings to all twelve counties. In the training childhood obesity is
addressed with a brief oral presentation, along with various written material
distributed to those families in attendance. Individualized parent conferences are
offered to all families.
Of equal importance is the referral for dental concerns. Five of the twelve counties
(Anderson, Harrison, Marion, Panola and Van Zandt) had referrals for dental
concerns at 40% or greater.
24 | P a g e
4C. Social Services
Table 14: Region 7 ESC Head Start Family Characteristics
Family Characteristics
Total Head Start families served
Two-parent families
Single-parent families
Employment: Two-parent families
Both parents Employed
One Parent Employed
Both parents not working (unemployed, disabled)
Employment: Single-parent families
Parent/Guardian is employed
The parent/guardian is not working (unemployed, disabled)
Job Training/School: Two-parent families
Both Parents in Job Training or School
One parent in Job Training or School
Neither parent in Job Training or School
Job Training/School: Single-parent families
Parent in Job Training or School
Parent Not in Job Training or School
Highest Level of Education Obtained by Parent(s)
Less than High School Graduate
High School Graduate or GED
Some College, Vocational School, Associate Degree
Bachelor’s or Advanced Degree
Federal or Other Assistance Received
Families Receiving TANF
Families Receiving SSI
Families Receiving WIC services
Source: Region 7 ESC Head Start PIR 2010-2011
2364
918
1446
150
375
393
678
768
12
38
868
97
1349
770
838
699
57
29
133
1134
The majority of local Head Start families are headed by single parents. Of the Head
Start families served during 2010-11, 39% were two-parent families and 61%were
single-parent families. The majority of Head Start families had one or both parents
who were employed at the time of enrollment. The Head Start program served 179
homeless children, 7.5% of the population.
25 | P a g e
WIC was the community service most used by Head Start families, with nearly 50%
of families receiving nutritional services through WIC. Other services used most
frequently by Head Start families include parenting education, health education and
emergency basic needs. The following chart shows the number of services received
by type.
Table 15: Family Services Received by Head Start Families
Family Services Received
2010-2011¹
Emergency Basic Needs – food, clothing, shelter
429
Housing Assistance – subsidies, utilities, repair
63
Acquired Housing
39
Mental Health Services
187
English as a Second Language
204
Adult Education
298
Job Training
163
Substance Abuse Prevention or Treatment
18
Child Abuse and Neglect Services
230
Domestic Violence Services
78
Child Support Assistance
19
Health Education (including Prenatal Education)
1513
Assistance to Families of Incarcerated Individuals
42
Parenting Education
1751
Marriage Education
79
Families Receiving WIC
1134
¹ Region 7 ESC Head Start PIR 2010-2011
² 2011-2012 ChildPlus Report 991, PIR Addendum Worksheet; data as of
November 2011
2011-2012²
202
19
14
28
52
79
37
8
43
3
9
307
2
323
1
853
Types of Employment
The unemployment rate for the Region 7 Head Start service area is about average for
the state. However, a significant number of Head Start families are receiving social
services, with many of them receiving more than one service. With low educational
attainment and many living below the poverty line, and households that are not
excessively large (on average), low wages are the indicated reason for poverty. Low
wages can result from low/semi-skilled workers. Major occupational areas include
education, health/medical, warehousing, and laborer. Our service area has
adequate post-secondary institutions, including community/technical colleges that
can provide training and skills related to local and regional workforce needs. These
institutions may play a key role in preparing residents in a time efficient and cost
effective manner for improved wages through improved training and skills.
26 | P a g e
Table 16: Unemployment Rate by County
(1) Unemployment Rate: Texas Workforce Commission, Texas Labor Market Review,
September 2011
(2) Child Plus Management Report 2004 – Eligibility Income, as of November 2011
Data indicates consistency with regard to homeless Head Start families across all 12
counties with the exception of Smith County at 8.6%.
27 | P a g e
The following table shows the rising unemployment rates within the past year.
Among the 12 counties, unemployment has rose 2-3% within the past year. It is
important to note that Anderson, Cherokee, and Marion Counties all exceed the
national unemployment rate of 9.1 %.
Table 17: Year 1 to Year 2 Comparison: Employment Rates
County
Unemployment
2009-2010¹
ANDERSON
CHEROKEE
GREGG
HARRISON
HENDERSON
MARION
PANOLA
RUSK
SMITH
UPSHUR
VAN ZANDT
WOOD
Level
1,158
1,218
2,584
1,539
1,529
257
514
1,051
4,888
852
1,150
932
%
5.7
6.0
4.1
5.6
4.7
5.2
4.0
4.4
5.0
4.3
4.5
5.2
Unemployment
2011²
Level
2,014
1,783
4,541
2,663
3,064
468
952
1,695
7,713
1,508
1,935
1,508
%
9.7%
9.3%
7.0%
8.7%
9.0%
9.8%
7.3%
7.5%
8.3%
7.3%
8.0%
9.0%
(1) Bureau of Labor Statistics, 2008:
ftp://ftp.bls.gov/pub/special.requests/la/laucnty08.txt
(2) Unemployment Rate: Texas Workforce Commission, Texas Labor Market Review, Sep
2011, http://www.tracer2.com/admin/uploadedPublications/2002_TLMR-Sep11.pdf
28 | P a g e
The information listed below includes data reflecting the number of children that
the Mental Health staff served during the 2010-2011 program year and the 20112012 program year as of October 2011.
Number of Mental Health referrals served by Region 7 ESC Head Start
Number of Mental Health referrals to outside Mental Health Professionals
29 | P a g e
Information listed above indicates data showing the percentage of children that were
referred to outside Mental Health professionals for further assistance for both last
academic school year and the current school year as of October, 2011.
It is evident in the data that Van Zandt County appears to have a high level of
Mental Health needs. Part of this could possibly be due to a lack of Mental Health
resources in the community. It may be helpful to also compare the Disability
referrals and parent needs for Van Zandt County. It is also important to note that
Cherokee County appeared to have a high number of Mental Health needs last year
but none reported for this current year.
30 | P a g e
In the 2010-2011 program year, 960 fathers/father figures participated in organized
and regularly scheduled activities. Data indicates a significant variation between
counties regarding father/father figure participation. Data ranges from 74% for
Henderson County to as low as 13% in Upshur County. Further study to determine
strategies to increase father involvement in counties with low percentages may be
indicated in this area.
Source: Region 7 ESC Head Start 2010-2011 PIR Report
31 | P a g e
Risk Factors
The following chart reviews eight potential risk factors of county residents in the
Region 7 Head Start service area. They are:
 Education, less than GED/high school diploma
 Primary language is not English
 Persons living below the poverty line
 Single-parent households
 Living a residence for less than one year
 Unemployment rate
 Grandparent as guardian
 No associate degree
At the 25% level, two factors dominate- indicating that 25% of families in these
counties have less than high school diploma and primary language is not English.
Nine of the 12 counties are represented in this range. The data indicates that 20%
of families in the following counties have 4 risk factors: Anderson, Cherokee, and
Gregg. The additional risk factors are single-parent households and people living in
poverty. 20% of families in Harrison County have 3 risk factors. A few counties
have low levels of education and high levels of non-English speakers- but moderate
poverty rates. These include Gregg, Van Zandt and Wood. As a profile, a household
with children, headed by a single parent who does not have a high school education,
would be relegated to low-wage, low-quality employment. This could lead to another
factor- changing residence (moving) often- sometimes due to inability to pay rent
and/or utilities. Unemployment and Grandparent guardians are relatively stable
across our service area. No Associate Degree is included, because obtaining
technical skills is an efficient way to improved employability, and entry into some
programs does not require a high school diploma or GED. Community/Technical
colleges are accessible to all of the counties in our service area.
32 | P a g e
Section 5: Needs Identified by Head Start Families
The purpose of this section is to identify “the education, health, nutrition,
and social service needs of Head Start eligible children and their families as
defined by families of Head Start eligible children. . .”
Region 7 ESC Head Start Parent Surveys, as of September 2011
Data indicates greater needs reported by Head Start families with regard to
mental health services, with the greatest significance occurring in Anderson and
Wood Counties. These mental health services selected by Head Start families
include, but are not limited to: Effects of divorce on children, Dealing with grief
and loss, and Building and maintaining self-esteem in children.
Families within the 12 counties consistently report parenting skills as a need.
Perhaps additional research in this area would identify greater opportunities
within the community to meet this need.
Data reported from Panola County is inconsistent from data reported in all other
12 counties. This may be a result of a much smaller representation of Head
33 | P a g e
Start enrollment in this county, whereby sample size is not great enough to
compare to other sources.
Adult education appears to be a greater need expressed by families in Anderson
County. Perhaps additional research into determining if this need is consistent
with adult education providers in this county is warranted.
Region 7 ESC Head Start Parent Surveys, as of September 2011
Data for Early Head Start families (Gregg and Harrison Counties) indicated a greater
need for Parenting Skills. These needs identified by Early Head Start parents
include, but are not limited to: Being a single parent, Communicating with children,
and Discipline vs. Punishment.
34 | P a g e
Section 6: Needs Identified by Community Institutions
The purpose of this section is to identify “the education, health, nutrition,
and social service needs of Head Start eligible children and their families as
defined by . . . institutions in the community that serve young children”
Institution
Needs identified





East Texas Council of Governments,
Peggy Collier
(903) 984-8641 ext. 253


Child Protective Services
Jackie Geer
(903) 589-6600
Gregg County Sheriff’s Department
Lt. Haddox
(903) 236-8400
Early Childhood Intervention (ECI) Tyler
Sheila Matson
(903) 597-5067
Increased training for workforce
Secondary education for working
adults
Employers who will help pay for
increased education
opportunities
Better education should provide
better pay grades
Implementation of a region-wide
National Career Readiness
Certificate initiative. Through
such an initiative, workforce skill
levels for area jobseekers can be
documented, which will enhance
the competitiveness of business
and industry in East Texas.
Provision of quality child care
services for working low-income
families.
Need for transportation for
working families particularly in
rural counties

Employment/better employment




More recruitment for jail officers
Family Violence
Crime - thefts/burglaries
More health providers that
accept Medicaid
More Dentists
Better way for parents to identify
and access community providers
Parenting classes for Parents,
Foster Parents and guardian
Grandparents
More transportation
More respite





Region 7 Head Start counties have a high rate of poverty. One of the most requested
goals for help from our families is for increased education. This is also a need identified
by our community institutions. ECI mentions the reoccurring need for more Medicaid
and now dental providers- a need also indicated by Region 7 Health & Nutrition data. In
addition, ECI noted that parenting classes for all types of guardians are needed. Region
35 | P a g e
7 Head Start data confirmed this need- as this was the highest ranking need expressed
by Head Start parents on the Family Service Agreements.
Section 7: Community Resources
The purpose of this section is to identify “resources in the community that
could be used to address the needs of Head Start eligible children and their
families, including assessments of their availability and accessibility.”
Region 7 ESC Head Start has extensive partnerships with community organizations,
local schools, faith-based organizations, and early childhood agencies and programs
throughout our twelve county service area.
Region 7 Head Start Data (ChildPlus Report 9911)
Parenting education, health education, and clothing assistance were the resources
accessed most by Head Start parents throughout all 12 counties.
36 | P a g e
Appendix A
Community Resource
ACCESS
Anderson County Housing
Authority
Anderson County Sp. Ed. Co-op
Angel Food Ministries
Bean, Renee DO,PA
Brown, Wayne Dr.
Camp, Vicki OD
Child Care Subsidy/ Services
Court Drive Church of Christ
Cox, Mary PHD
Crisis Center of Anderson County
Dundas, Glenn MD
Family Smiles
French, Dean MD
Garcia, Michael MD
Henry Smith Families Inc.
Herrington, Carol M DDS
Klein John, MD
Klein, Martin MD
Kolstad, C. L. DDS
Literacy Council of Palestine
Living Alternative of Palestine
Luce, Patricia H. MDPA. FAAP
Mills, Allen,MD
Mitchell, Georgeann, PSY,D.LCSW
Palestine Public Library
Palestine Resource Center
Palestine YMCA
Ricard, Brandy
Ross, John, MD
Sacred Heart Catholic Church
Sanctuary House
Smith, Alan D.
Smith, Mike DO
St. Philips Episcopal Church
St. Vincent DePaul Sacred Heart
(Church)
Stevener, Ronald OD
Texas Dept. of Health Palestine
Texas Work Force Center
Trinity Valley Community College
Wardell, Davida MD
Westmoreland, Forrest
Resource Type
Social Service
Social Service
Head Start Site
< No Site >
< No Site >
County
Anderson
Anderson
Health Center
Mental Health
Center
Social Service
Social Service
Doctor
Doctor
Doctor
Social Service
Social Service
Health Center
Social Service
Doctor
Dentist
Doctor
Doctor
Social Service
Dentist
Doctor
Doctor
Dentist
Social Service
Social Service
Doctor
Doctor
Mental Health
Center
Social Service
Social Service
Social Service
Doctor
Doctor
Social Service
Social Service
Doctor
Doctor
Social Service
Social Service
< No Site >
Anderson
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
<
<
<
<
<
<
<
<
<
<
<
No
No
No
No
No
No
No
No
No
No
No
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
>
>
>
>
>
>
>
>
>
>
>
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
Doctor
Health Center
Social Service
Social Service
Doctor
Dentist
<
<
<
<
<
<
No
No
No
No
No
No
Site
Site
Site
Site
Site
Site
>
>
>
>
>
>
Anderson
Anderson
Anderson
Anderson
Anderson
Anderson
37 | P a g e
WIC-Palestine
Anderson County Extension
Cook, Ronald J., DDS
Elkhart High School
Meyers, Jamie, DDS
Paint Palestine Pink
Palestine Regional Hospital
Principal Of Education In Train
Gold Eye Clinic
Hardin, Stephen, PAC
Witte, Thomas L.
Hearn, Julie
Angelina Pediatrics
Childrens Clinic of Lufkin
Fercowicz, Andrew Dr.
Kool Smiles Lufkin
Griffin, Fred
Angelina County-Cities Hth Dist
Kittley, Rima, MD. FAAFP
Memorial Express Lab
Rima Kittley, Dr.
Kool Smiles Shreveport LA
Lablanc, Eric
Atlanta Clinic
Adecco Employment
Always Affordable Dental Center
Ault, Kristin DO
Black, Stacy
Cameron, Charles MD
Carol T . McCuistion
Cherokee County Health Dept.
Community Action
Courthouse -Cherokee
Escalona-Cruz, Jackie, M.D.
Folden, Larry Dr.
Food and Maintenance
Department
German, John Dr.
Good Samaritan
Guy, Warren Dr.
Hopson, Billie S. , M,ED
Jacksonville Housing Authority
Jennings, Ryan DR.
Literacy Council of Jacksonville
McInnis, Justin MD
Health Center
Social Service
Dentist
Mental Health
Center
Dentist
Social Service
Health Center
Mental Health
Center
Social Service
Doctor
Doctor
Dentist
Social Service
Doctor
Doctor Health
Center
Doctor
Dentist
Doctor
Health Center
Doctor
Health Center
Doctor
Dentist
Dentist
Dentist
Social Service
Dentist
Doctor
Dentist
Doctor
Health Center
Social Service
Doctor
Dentist
Social Service
Social Service
Dentist
Mental Health
Center
Social Service
Doctor
Social Service
Doctor Health
Center
< No Site >
Elkhart Head Start
Elkhart Head Start
Elkhart Head Start
Anderson
Anderson
Anderson
Anderson
Elkhart Head Start
Elkhart Head Start
Elkhart Head Start
Anderson
Anderson
Anderson
Elkhart Head Start
Palestine Head Start
Palestine Head Start
Palestine Head Start
Westwood Head Start
< No Site >
< No Site >
Anderson
Anderson
Anderson
Anderson
Anderson
Angelina
Angelina
< No Site >
< No Site >
Rusk Head Start
Wells Head Start
Wells Head Start
Wells Head Start
Wells Head Start
< No Site >
Elysian Fields Head
Start
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
Angelina
Angelina
Angelina
Angelina
Angelina
Angelina
Angelina
Caddo Parish
Caddo Parish
<
<
<
<
No
No
No
No
Site
Site
Site
Site
>
>
>
>
Cherokee
Cherokee
Cherokee
Cherokee
<
<
<
<
No
No
No
No
Site
Site
Site
Site
>
>
>
>
Cherokee
Cherokee
Cherokee
Cherokee
Cass
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
38 | P a g e
Ocker, Jerry DDS
Proctor, Matt, MD
Ragland, Jane, MD
Singletary Memorial Library
The Almond Tree
The Chaparral Center
The Fig Tree
Verhelle, Kendra, MD
Weaver, Austin
Westbrook, Bradley
Womack, Beverly
Central Baptist Jacksonville
First United Methodist Church
Mission House Bullard
Patty Taylor (Bill Marsh Realty)
H.O.P.E (HOPE)
Dentist
Doctor
Doctor
Social Service
Social Service
Social Service
Social Service
Doctor
Doctor
Dentist
Mental Health
Center
Social Service
Social Service
Social Service
Social Service
Social Service
Mullins, Ryan Dr.
Doctor
Carson, Billy
Crisis Center
Colberg E
Dentistry for Children
Dr. Sckay
Family Circle Dental
South Dallas Dental Smiles
David Simonak
Doctor
Mental Health
Center Social
Service
Doctor
Dentist
Dentist Health
Center
Health Center
Doctor
Dentist
Dentist
Doctor Dentist
Health Center
Mental Health
Center
Doctor
Dentist
Doctor
Dentist
Dentist
Doctor
David W. Simonak, M.D.
Doctor
Fontenot, Patricia Peterson
Doctor
Alexander, Terri W. PNP
All Smiles - Kilgore
Ancor Health Center Longview
Ancor Pediatrics
Attorney General
Doctor
Dentist
Doctor
Doctor
Social Service
Cunningham, Michelle
Jackson, Brent
Morris, Mark, MD
WIC-Jacksonville
Arnold, Ingrid E., MD
Children's Dental Care
Children's Dentistry
Children's Medical Center Dallas
<
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>
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Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Bullard Head Start
Bullard Head Start
Bullard Head Start
Bullard Head Start
Jacksonville - Fred
Douglas Head
New Summerfield
Head Start
Rusk Head Start
Rusk Head Start
Cherokee
Cherokee
Cherokee
Cherokee
Cherokee
Rusk Head Start
Rusk Head Start
Rusk Head Start
Cherokee
Cherokee
Cherokee
Rusk Head Start
< No Site >
< No Site >
< No Site >
< No Site >
Cherokee
Dallas
Dallas
Dallas
Dallas
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
Longview - JohnstonMcQueen Head
Longview - JohnstonMcQueen Head
Wills Point Head
Start
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
Dallas
Dallas
Dallas
Dallas
Dallas
Dallas
Cherokee
Cherokee
Cherokee
Dallas
Dallas
Gregg
Gregg
Gregg
Gregg
Gregg
39 | P a g e
Bagnell, Kristi Dr.
Baker, Deidra, RNC, WHNP
Baker, Steve Dr. ,DDS
Bartlett, Genie, RN, MSN, FNP-C
Boggs, Linda C., NP
Britton, Donna FNP
Brockway, Jason, MD
Brown, Oscar, MD
Buckner Children & Family Svc
Caring and Sharing Center
Chaikin, Samantha, DO
Chin, Anita J., M.D.
Chris Mack DDS
Community Connections
Community Outreach Mission
Cotton, James DDS
Davis, Donna, MD
Diagnostic Clinic Of Longview
Dolive, Brian Dr.
Dr Darr DDS
East Texas Council
East Texas Ed. Opportunity Center
Fadal, Ronald N., DDS
Fite, John Dr.
Gail Thomas, MS, LD
Gentry, Elisa, FFNP
Good Shepard Family Health
Center
Good Shepherd Family - Mobberly
Good Shepherd Medical Center
Gregg County Courthouse
GSMC Dept. of Audiology
GSMC Gladewater
Heaton Eye Associates
Herbeck, Gregory, MD
HHS-Gregg Co
Hollis, William MD
Holman, Todd R., MD
Horne, Justin R., DDS
Hudson, Micahel, MD
Hunter, Carla S., MD
Ihionkhan, Christopher, MD
Kilgore College Counseling Center
Kilgore College-Longview
Kilgore Crisis Center
Kirk, John, MD
Klein, Leigh Ann, RN, WHNP-C
Doctor
Doctor
Dentist
Doctor
Doctor
Doctor
Doctor
Doctor
Social Service
Social Service
Doctor Mental
Health Center
Doctor
Dentist
Mental Health
Center Social
Service
Social Service
Dentist
Doctor
Doctor
Dentist
Dentist
Social Service
Social Service
Dentist
Dentist
Doctor
Doctor
Doctor
Health Center
Social Service
Doctor
Doctor Health
Center
Doctor
Doctor
Social Service
Doctor
Doctor
Dentist
Doctor
Doctor
Doctor
Social Service
Social Service
Social Service
Doctor
Doctor
<
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<
<
No
No
No
No
No
No
No
No
No
No
No
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
>
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>
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
< No Site >
< No Site >
< No Site >
Gregg
Gregg
Gregg
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No
No
No
No
No
No
No
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No
No
No
Site
Site
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Site
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Site
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Site
Site
Site
Site
Site
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Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
<
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<
No
No
No
No
No
Site
Site
Site
Site
Site
>
>
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>
>
Gregg
Gregg
Gregg
Gregg
Gregg
<
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<
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<
<
<
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No
No
No
No
No
No
No
No
No
No
No
No
No
No
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Site
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Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
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Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
40 | P a g e
Langley Clark W.,Dr.
Lions Club
Longview Community Ministries
Longview ISD
Longview Workforce
Mack, Andy
Madhu, Purushothaman M., M.D.
Markowitz, Wendy, MD
Martin, Ken Au.D.
Martin, Sharon MD
Mauldin, James E. Jr., MD
McCaskill, Michelle, PA-C
McCrory, K.A.E., DO
McGough,Charles, DDS
McShan,Michael, MD
Morton, Margaret, MD
O'Neal, Donald DDS
Parenting Resource Center
Pedatric Dental
Premier Pediatrics
Primary Care Associates
Prince, Amanda, CNP
Roberts, Karen, MD
Ronald, Jereb, MD
Russell, Jeanne, PA-C
Salvation Army- Longview
Sandel, Tana PA-C
Santana, Petra
Sewell, Jeffrey
Sewell, Jeffrey, MD
Silvertooth, Chad DDS
Simmons, Troy, DDS
Somers, Cynthia, MD
STAR
The Clinic for Children
Thomas, Cathy, PNP
Tibiletti, Francis, J. M.D.
Trinity Clinic Kilgore
Utzman, Sheila
Vista College
Waldrop, Mynda MD
Wellness Point Kilgore
Wellness Point Longview
Wellness Pointe Kilgore
WIC-Dental
Wolcott, John MD
Womack, Stephen L., MD
Doctor
Health Center
Social Service
Social Service
Social Service
Dentist
Doctor
Doctor
Doctor
Doctor
Doctor
Doctor
Doctor
Dentist
Doctor
Doctor
Dentist
Social Service
Dentist
Doctor Health
Center
Doctor
Doctor
Doctor
Mental Health
Center
Doctor
Social Service
Doctor
Health Center
Doctor
Dentist
Dentist
Doctor
Mental Health
Center
Doctor
Doctor
Doctor
Doctor Health
Center
Social Service
Doctor
Doctor
Doctor
Health Center
Dentist
Doctor
Doctor
<
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<
<
<
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No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
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Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
<
<
<
<
No
No
No
No
Site
Site
Site
Site
>
>
>
>
Gregg
Gregg
Gregg
Gregg
<
<
<
<
<
<
<
<
<
<
No
No
No
No
No
No
No
No
No
No
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
>
>
>
>
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>
>
>
>
>
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
<
<
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<
No
No
No
No
Site
Site
Site
Site
>
>
>
>
Gregg
Gregg
Gregg
Gregg
<
<
<
<
<
<
<
<
<
No
No
No
No
No
No
No
No
No
Site
Site
Site
Site
Site
Site
Site
Site
Site
>
>
>
>
>
>
>
>
>
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
41 | P a g e
Womack, Steven, M.D.
Wood, Johnny, MD
Wood, Teresa, MD
Workforce Solutions of East Tx.
Yancey, Christopher, MD, FACOG
Henry, Mark DDS
Doctor
Doctor
Doctor
Social Service
Doctor
Dentist
UT Health Clinic Gladewater
Head Start Health (Nurse)
Doctor Health
Center
Health Center
Dr. Brockway
Doctor
Dr. Hudson
Doctor
Dr. Karen Roberts
Doctor
Dr. McShan
Doctor
Dr. Somers
Doctor
Dr. Womack
Doctor
Good Shepherd Family Health
Doctor
Miller, Mark MD
Doctor
Dr. Miller
Doctor
Alpine Clinic
Family HealthCare Center
Social Security
WIC-Longview
Hoffman, Jeffery, DDS
Health Center
Health Center
Social Service
Social Service
Dentist
John B. Ross, DDS
Dentist
Ross, John B., DDS
Dentist
Housing Authority of Longview
Insight EyeCare
Kilgore Eye Care Center
Early Head Start-Pregnant Moms
Social Service
Doctor
Doctor
Social Service
Morales Tax Service
Social Service
Texas Association of Developing
(TADC)
East Texas Eye Care
Trinity Clinic Kilgore
Camp, Mark DDS
East Texas Baptist University
(ETBU)
Social Service
Doctor
Doctor
Dentist
Social Service
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
Gladewater Head
Start
Gladewater Head
Start
Kilgore
Administrative Office
Kilgore Heights Head
Start
Kilgore Heights Head
Start
Kilgore Heights Head
Start
Kilgore Heights Head
Start
Kilgore Heights Head
Start
Kilgore Heights Head
Start
Kilgore Heights Head
Start
Kilgore Heights Head
Start
L & M Christian Day
Care
LCDC Combined
LCDC Combined
LCDC Combined
LCDC Combined
Longview - JohnstonMcQueen Head
Longview - JohnstonMcQueen Head
Longview - JohnstonMcQueen Head
Longview - LCDC
Longview - LCDC
Longview - LCDC
Longview - Ware
Head Start
Longview - Ware
Head Start
Longview - Ware
Head Start
Marshall Head Start
Tatum Head Start
< No Site >
< No Site >
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Gregg
Harrison
Harrison
42 | P a g e
Habitat For Humanity
Hortman, Gregory, MD
Houchen, Norman Tex, MD
Love, James
Marshall Family Health Clinic
Marshall Food Bank
Marshall Housing Authority
Marshall Regional Medical Center
Matlock, Robert Dr.
Minchew, Jeff
Neff, Eileen, MD
Panola College - Marshall
Rainbow Smiles Dental
Red Cross of Marshall
Salvation Army -Marshall
St. Joseph's Church
Sudhi, Niphon, MD
Texas Department of Human
Service
Texas State Technical College
(TSTC)
Texas Workforce Commission
The Crisis Center of Marshall
Thomas, Philip DDS
Turner, Carl MD
Waskom Family Health
WIC-Marshall
Wiley College
Hallsville Area Angel Tree
Hallsville Backpack Program
Hallsville Outreach Center
Dr. Luis Balbuena
First National Bank of Sulphur
Springs
Harleton Ministerial Alliance
Bridge of Compassion
Social Service
Doctor
Doctor
Dentist
Health Center
Social Service
Social Service
Doctor
Dentist
Mental Health
Center
Doctor
Social Service
Dentist
<
<
<
<
<
<
<
<
<
<
No
No
No
No
No
No
No
No
No
No
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
>
>
>
>
>
>
>
>
>
>
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Social Service
Social Service
Doctor
Health Center
<
<
<
<
<
<
<
<
No
No
No
No
No
No
No
No
Site
Site
Site
Site
Site
Site
Site
Site
>
>
>
>
>
>
>
>
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Social Service
< No Site >
Harrison
Social Service
Social Service
Dentist
Doctor
Doctor
Health Center
Social Service
Social Service
Social Service
Social Service
Doctor
Social Service
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
Hallsville Head Start
Hallsville Head Start
Hallsville Head Start
Harleton Head Start
Harleton Head Start
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
Social Service
Social Service
Harleton Head Start
L & M Christian Day
Care
L & M Christian Day
Care
L & M Christian Day
Care
L & M Christian Day
Care
L & M Christian Day
Care
Marshall Head Start
Marshall Head Start
Harrison
Harrison
Dr. Gatson
Doctor
Good shepherd Family health Cent
Doctor
Luis Balbuena Jr.
Doctor
Vanessa Miller
Doctor
Dr. Miner
East Texas Border Health Clinic
Dentist
Doctor Dentist
Mental Health
Center
Harrison
Harrison
Harrison
Harrison
Harrison
Harrison
43 | P a g e
Wellness Pointe-Marshall
Mental Health
Center Social
Service
Dentist
Doctor
Marshall Head Start
Harrison
< No Site >
< No Site >
Henderson
Henderson
<
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Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Henderson
Lemmon, Ken MD
Doctor
Social Service
Doctor
Doctor
Dentist
Doctor
Doctor
Social Service
Social Service
Doctor
Doctor Dentist
Doctor
Dentist
Dentist
Doctor
Doctor
Dentist
Doctor
Doctor
Doctor
Dentist
Doctor
Doctor
Dentist
Doctor
Doctor
Doctor
Health Center
Mental Health
Center
Doctor
Henderson
WIC-Athens
Health Center
Lakeside Family Sports and Med
Doctor
The Green House
Social Service
Vincent, Blake, DDS
Longino, James
Trinity Clinic Sulphur Springs
WIC-Sulphur Springs
Jordan's Place Pediatric
Dentist
Doctor
Doctor
Health Center
Doctor
Barclay, Sherri, MD
McMullen, Craig, Dr.
Doctor
Doctor
Athens - South
Athens
Athens - South
Athens
Athens Head Start Bel Air
Athens Head Start Bel Air
Elkhart Head Start
< No Site >
< No Site >
< No Site >
Winnsboro Head
Start
< No Site >
< No Site >
Athens Dental Works
Athens Women and Children
(AWC)
Cedar Creek Clinic
Community Services of East Texas
DeHerrera, Orlando DO
ETMC Seven Points
Fulgham, Joe B. Jr. DDS
Grey, Eric
Heaton Eye Associates
Henderson County Health Dept.
Henderson County Help Center
Johnson Christopher M.D.
Lakeland Medical
Lakeland Medical GBC
Mabank Dental
Massey, Amiee DDS
McMullen, Susan MD
Medical Arts Associates
Medical Arts Clinic
Medical Associates Of Athens
Mettetal, Ted MD
Primary Care Associates GBC
Roberts, Mark
Sanner, David P, MD
Shaw, Elaine
Shttlesworth, Tifani DDS
Susan McMullen
Thomas, Cherry, MD
Trinity Clinic - Athens
WIC-Seven Points
Wilson, Summer, LCSW
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
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No
No
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No
No
No
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Henderson
Henderson
Henderson
Henderson
Hopkins
Hopkins
Hopkins
Hopkins
Hopkins
Houston
44 | P a g e
Complete Healthcare Services, PA
Just For Kids
Kines, Gwendolyn, Dr.
Lewis, Charles Dr.
Lonestar Pediatrics
Satyu, Neil Dr.
Vasani, Ramesh, Dr.
Villanueva, Chris
Zaleta, Sara Dr.
The Dental Ranch
Bright Smiles
Robin, Gale Pnp
Thigpen, Kent Dr.
Weber, Michael Dr
-WIC Program Jefferson
Community Services of NE Texas
Gale, Robin
Seventh Day Adventist Church
Glenn-Garrett Clinic
Barnett, Mary F. Dr.
Carl Davis
Criss, Jennifer Dr
Dr. Barrett
Erwin, Trent M.
Fowler, Sid Dr.
Piney Woods Pediatrics
Regional Maternal Child Health
East Side Community Clinic
Etoile Medical Clinic
Sokumbi, Dolamu, Dr.
Attorney General-Child Support
Chadwick, Teresa, MD
Farooqui, Javeria
Harding, Angela, PA
Johnson, Jerry K, Dr., MD
Jones, Tom,Dr.
Keeling, Keith,Dr. MD
Kortikere, Saritha Dr. MD
Majors, Johnny Dr.
Mission Carthage
Nielson, John
Panola College
Phillips, Jason
The Wellness Clinic
Wessmon, Robert, Dr. MD
WIC-Carthage
Carthage Dental Care
Sammy Brown Public Library
Alidana, Juliana Dr.
Doctor
Dentist
Doctor
Doctor
Doctor
Doctor
Doctor
Dentist
Doctor
Dentist
Dentist
Doctor
Dentist
Doctor
Health Center Social
Service
Social Service
Doctor
Doctor
Doctor
Doctor
Dentist
Dentist
Dentist
Dentist
Doctor
Doctor
Doctor
Doctor
Doctor
Social Service
Doctor
Doctor
Doctor
Doctor
Dentist
Doctor
Doctor
Dentist
Social Service
Doctor
Social Service
Doctor
Doctor
Doctor
Health Center
Dentist
Social Service
Doctor
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
Eustace Head Start
< No Site >
< No Site >
< No Site >
< No Site >
Jefferson Head Start
Jasper
Kaufman
Kaufman
Kaufman
Kaufman
Kaufman
Kaufman
Kaufman
Kaufman
Kaufman
Kaufman
Marion
Marion
Marion
Marion
Jefferson Head Start
Jefferson Head Start
Jefferson Head Start
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
Wells Head Start
Wells Head Start
Wells Head Start
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
Carthage Head Start
Carthage Head Start
< No Site >
Marion
Marion
Marion
Marion
Nacogdoches
Nacogdoches
Nacogdoches
Nacogdoches
Nacogdoches
Nacogdoches
Nacogdoches
Nacogdoches
Nacogdoches
Nacogdoches
Nacogdoches
Nacogdoches
Panola
Panola
Panola
Panola
Panola
Panola
Panola
Panola
Panola
Panola
Panola
Panola
Panola
Panola
Panola
Panola
Panola
Panola
45 | P a g e
Trinity Clinic
Bradford, Kenneth, DDS
Child Advocacy Center
East Texas Literacy Council
East Texas Therapy Services
ECI/Community Healthcore
VOW
Weaver, Craig MD
Wellness Center-Longview
Zeid, Yasser F., MD
Christian Women's Job Corps
Health Center
Dentist
Social Service
Social Service
Health Center
Mental Health
Center
Doctor
Health Center
Health Center
Social Service
Doctor
Dentist
Doctor
Doctor
Doctor
Dentist
Dentist
Doctor
Doctor
Doctor
Doctor
Doctor
Social Service
Health Center
Dentist
Doctor Health
Center
Social Service
Doctor
Dentist
Doctor
Social Service
Community Action
Social Service
ETMC Family Health Clinic
ETMC First Physicians
Doctor Health
Center
Doctor
Featherston ,William Dr
Doctor
Frank, Deborah Dr.
Doctor
Furqueron, Buddy DD
Dentist
Good Shepherd Family Health
Cent
Hay, Meredith Dr.
Doctor Health
Center
Doctor
Henderson Family Dentistry
Dentist
ETMC
Family Health Clinic Henderson
Good Shepard Medical Center
Helping Hands Of Kilgore
Holms, Leo
Kool Smiles Longview
Ladage F.S.,Dr. MD
Littlejohn, Mark, MD
Longview Wellness Clinic
McGough, Chuck, DDS
McGough, Renee, DDS
Mt. Enterprise Health Clinic
Overton Family Center
Perricone, Charles Dr.
Roberson, William DO
Roberson, William Jr, DO
Texas Workforce Commission
Thomas, Gail MS, LD
Thompson, Mark DDS
Trinity Clinic -Henderson
Fruitvale Head Start
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
Rains
Rusk
Rusk
Rusk
Rusk
Rusk
<
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Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
< No Site >
< No Site >
< No Site >
< No Site >
Henderson
Start
Henderson
Start
Henderson
Start
Henderson
Start
Henderson
Start
Henderson
Start
Henderson
Start
Henderson
Start
Henderson
Start
Henderson
Start
Head
Rusk
Rusk
Rusk
Rusk
Rusk
Head
Rusk
Head
Rusk
Head
Rusk
Head
Rusk
Head
Rusk
Head
Rusk
Head
Rusk
Head
Rusk
Head
Rusk
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
46 | P a g e
Henderson Interchurch Ministry
Social Service
Jackson Brian Dr.
Dentist
Pai, Yogesh
Doctor
PALS
Social Service
Rusk County Community Health
Dentist
Rusk County Community Health
Cen
Rusk County Community Health
Center
Tad Titlow
Dentist
WIC-Henderson
Craig Eye Associates
Dr. Chapman
Health Center Social
Service
Doctor
Doctor
Samaritan House
Tatum Medical Clinic
Cahill, Jeffrey MD
Social Service
Doctor
Doctor
Dept of Human Resources
John Benson
Health Center Social
Service
Dentist
Alpha First Dental
Miller, Keith Dr.
Center Smiles of East Texas
Dentist
Doctor
Dentist
Andrews Center Behavioral Health
Mental Health
Center Social
Service
Mental Health
Center
Doctor
Doctor
Dentist
Dentist
Dentist
Dentist
Doctor
Doctor
Doctor
Dentist
Doctor
Doctor
Social Service
Social Service
Doctor
Apple Tree Pediatrics
Appletree Pediatrics PA
Austin, Michael ,Dr.
Babin,Wayne M., DDS
Boozer, Kent, DDS
Boren, Culberson R., DDS
Burnett, Robert D., DDS
Caldwell, Shana
Callendar, Troy
Calvert, Jennifer MD
Carter, John, DMD
Casas, Luis, MD
Castle, Krystle, Dr.
Catholic Charities
Clothes Closet
Cox, Kelly RN, MSN, FNP-C
Doctor Health
Center
Doctor
Henderson Head
Start
Henderson Head
Start
Henderson Head
Start
Henderson Head
Start
Henderson Head
Start
Henderson Head
Start
Henderson Head
Start
Henderson Head
Start
Henderson Head
Start
Longview - LCDC
Murchison Head
Start
Tatum Head Start
Tatum Head Start
West Rusk Head
Start
West Rusk Head
Start
West Rusk Head
Start
< No Site >
Wells Head Start
Elysian Fields Head
Start
< No Site >
Rusk
< No Site >
Smith
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Rusk
Shelby
Shelby
Smith
47 | P a g e
East Texas Council of Government
East Texas Food Bank
Enloe, John Dr.
ENT Associates of East TX
ETMC First Physicians- Tyler
ETMC-Lake Palestine
Everett, Hal MD
Eye Care Associates
Family Care Center
First Baptist Church -Whitehouse
Fresh Dental
Fulsom, Donald R., MD
Gerber Keith O.
Glass Recreation Center
Greater East Texas CAP
Green Acres Baptist Church
Hammonds, Ron C.m Dgn,DDS
Healthy Smiles
Hunter, Jeffrey S., MD
Hurley, Janet
James, Kyle
Johnston, Doug
Kool Smiles Tyler
Lebo, Steve, Dr.
Lebo, Steve,DDS
Lester, Anton, Dr.
Lindale Medical Clinic
Literacy Council Of Tyler
McRae-Vogler, Caroline M.D.
Medicaid
Melendez, KimberlyDr.
Melton, Ellen, Dr.
Mills, Monique, MD
Mullins, Amy MD
Mumtaz, Sanober MD
Munda, Marinel
Networks "A STAR Program"
Osteen, David MD
Parent Service Center
PATH
Patterson ,Holly
Phillips, Michael
Powell, Christine A M.D.
Rishel, William MD
Ritchie, Donald P., Dr.
Rogers, Rick MD
Saint Vincent De Paul
Salvation Army- Tyler
St. Paul Clothes Closet
Social Service
Social Service
Dentist
Doctor
Doctor
Doctor
Doctor
Doctor
Doctor
Social Service
Dentist
Mental Health
Center
Dentist
Social Service
Social Service
Social Service
Dentist
Dentist
Doctor
Doctor
Doctor
Doctor
Dentist
Doctor
Dentist
Doctor
Doctor
Social Service
Doctor
Social Service
Dentist
Doctor
Doctor
Doctor
Doctor
Doctor
Social Service
Doctor
Social Service
Social Service
Doctor
Doctor
Doctor
Doctor Health
Center
Dentist
Doctor
Social Service
Social Service
<
<
<
<
<
<
<
<
<
<
<
<
No
No
No
No
No
No
No
No
No
No
No
No
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
>
>
>
>
>
>
>
>
>
>
>
>
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
<
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
Site
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
<
<
<
<
<
No
No
No
No
No
Site
Site
Site
Site
Site
>
>
>
>
>
Smith
Smith
Smith
Smith
Smith
48 | P a g e
St. Paul Dental Clinic
St. Paul Pediatric Clinic
Starr, Amy
Steeger, Jennifer,MD
Texas Department of Public Safety
(DPS)
TMF Pediatric Clinic
TMF- Family Care
TMF- Lake Palestine
TMF Clinic-Whitehouse
Today's Vision
Total Health Care
Trinity Children Clinic
Trinity Clinic
Trinity Clinic Pediatric
Trinity Clinic Ear, Nose, Throat
Troup Food Pantry
UTHSCT
We Care Too
Whitmarsh, Steven MD
WIC-Tyler
Wick, Melanie Dr.
Workforce Solutions of East Tx.
Bair Foundation
Christian Womens Job Corp
Total Health Care
Tyler Jr College West Campus
Dr Waddle
Dr. Wadle
KayCare family Dental
Shiloh Family Dental
Smith, Jeffrey P, MD
Center for General Dentistry
Dr. Troy Cooper/Eye Care
Association
Dr. V. Waldron
FUMC Open Door Classroom
Lindale Medical Clinic/Hand
Doctor Dentist
Health Center
Doctor
Doctor
Doctor
Social Service
< No Site >
Smith
<
<
<
<
>
>
>
>
Smith
Smith
Smith
Smith
Doctor
Doctor
Doctor
Doctor
Doctor
Doctor Dentist
Doctor
Health Center
Doctor
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
Bullard Head Start
Bullard Head Start
Bullard Head Start
Bullard Head Start
Chapel Hill - Wise
Chapel Hill - Wise
Chapel Hill - Wise
Chapel Hill - Wise
Hawkins Head Start
Lindale Head Start
Lindale Head Start
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Smith
Lindale Head Start
Lindale Head Start
Lindale Head Start
Smith
Smith
Smith
Lindale Head Start
Rusk Head Start
Troup Head Start
Van Head Start
< No Site >
< No Site >
Winnsboro Head
Start
Winnsboro Head
Start
< No Site >
Smith
Smith
Smith
Smith
Smith
Titus
Titus
Social Service
Health Center
Social Service
Doctor
Health Center
Doctor
Social Service
Social Service
Social Service
Dentist
Social Service
Doctor
Doctor
Dentist
Dentist
Doctor
Dentist
Doctor
Pediatric Dentistry/Tyler
Stegall, Kenneth
Pitts, Paul MD
St. Paul Food Pantry
Allen, Barbara
Mt. Pleasant Pediatric Clinic
Thompson DDS, Kenny
Dentist
Social Service
Doctor Social
Service
Dentist
Doctor
Doctor
Social Service
Doctor
Doctor
Dentist
WIC-Mt. Pleasant
Health Center
McCauley, Dan P,DDS
Dentist
No
No
No
No
Site
Site
Site
Site
Titus
Titus
49 | P a g e
HHSC Office Of The Ombudsman
Cook, Terence
ETMC Gilmer
Good Shepherd Family Health
Pittsburg Dental Center
Texas Workforce Gilmer
Tri-county
Wellness Pointe Gilmer
Clothes Closet-First Methodist C
First Baptist Gilmer
Gerald Walton
WIC-Gilmer
Big Sandy Medical Clinic
Vahid Bagherian
Burrow, Rodney Dr. ,MD
Aduddell, Ann, DDS
Cozby Germany Rural Health
Clinic
Family Medicine Clinic
Ingrim ,Richard Dr.
Legacy Dental
Loaves And Fishes
Sawka, Jerome
Shinning Light Food Ministry
Trinity Clinic Direct Care
Van Community Library
WIC-Canton
Word of Victory Outreach Center
Crane, Jerry, PA
Bunt, Benjamin, DDS
ETMC- Rural Clinic
Flatwood Assembly
Happy Little Vandals, Inc.
Mahoney, Sondra, LPC
Social Service
Dentist
Doctor
Doctor Health
Center
Dentist
Social Service
Social Service
Doctor Dentist
Social Service
Social Service
Dentist
Health Center
Doctor Health
Center
Doctor
Doctor
Dentist
Doctor
<
<
<
<
Doctor
Doctor
Dentist
Doctor
Social Service
Doctor
Social Service
Health Center
Social Service
Doctor
Dentist
Health Center
Social Service
Buchanan, Jennifer
Mental Health
Center
Doctor
Jennifer Adams
Health Center
Terry Family Dental
Dentist
Dud, Chandra, PA
ETMC First Physicians
ETMC First Physicians
Garay, Rowena, MD
GED Classes
Kindness Cottage
Trinity Clinic -Quitman
Trinity Clinic Mineola
Doctor
Doctor
Doctor
Doctor
Social Service
Social Service
Doctor
Doctor
No
No
No
No
Site
Site
Site
Site
>
>
>
>
Travis
Upshur
Upshur
Upshur
< No Site >
< No Site >
< No Site >
< No Site >
Gilmer Head Start
Gilmer Head Start
Gilmer Head Start
Gilmer Head Start
Hawkins Head Start
Upshur
Upshur
Upshur
Upshur
Upshur
Upshur
Upshur
Upshur
Upshur
Ore City Head Start
< No Site >
< No Site >
< No Site >
Upshur
Upshur
Van
Van
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
Grand Saline Head
Start
Mineola Head Start
Van Head Start
Van Head Start
Van Head Start
Van Head Start
Van Head Start
Van
Van
Van
Van
Van
Van
Van
Van
Van
Van
Wills Point Head
Start
Wills Point Head
Start
Wills Point Head
Start
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
< No Site >
Van
Van
Van
Van
Van
Van
Van
Van
Van
Wood
Wood
Wood
Wood
Wood
Wood
Wood
Wood
50 | P a g e
Wilson, Jennifer
Hawkins Helping Hands
Lakeview Dental
Rosson, Andrew
Trinity Clinic - Holly Lake
WIC-Quitman
Bella School of Cosmetology
Doctor
Social Service
Dentist
Dentist
Doctor
Health Center
Social Service
Community Action
Social Service
Delisi MD, Craig
Doctor
Gilbreath Memorial Library
Social Service
McKee, Barry PA-C
Doctor
Burlingham, Kim MD
Doctor
< No Site >
Hawkins Head Start
Hawkins Head Start
Hawkins Head Start
Hawkins Head Start
Hawkins Head Start
Winnsboro Head
Start
Winnsboro Head
Start
Winnsboro Head
Start
Winnsboro Head
Start
Winnsboro Head
Start
< No Site >
Wood
Wood
Wood
Wood
Wood
Wood
Wood
Wood
Wood
Wood
Wood
Wood
51 | P a g e
Appendix B
2011-2012 Enrollment/Waitlist Information
All information based on
reports from January 5, 2012
Site:
*combines 3/4 yr. olds in same
classroom
Enrollment Information
Funded
Actual
Enrollment Enrollment
Enrolled
Over
Income
Over
Income
Disability
(D)
Waitlist Information
Large Waitlist
Income
Over
Eligible
Income
Waitlist
Waitlist
Alto Head Start
20
19
1
0
1
Arp Head Start
Athens - South Athens
Athens Head Start - Bel Air
Bullard Head Start
Carlisle Head Start
Carthage Head Start
Chapel Hill - Jackson
Chapel Hill - Wise
EHS Home Based
Elkhart Head Start
Elysian Fields Head Start
Eustace Head Start
Fruitvale Head Start
Gilmer Head Start
Gladewater Head Start *
Grand Saline Head Start
18
40
60
20
17
60
60
60
8
20
18
57
40
60
80
40
16
40
58
20
17
60
59
59
8
20
16
57
35
59
75
40
0
0
0
2/1D
1
2/2D
0
3/3D
0
0
0
2/1D
0
3/3D
5/5D
1
2
7
3
5
4
8
2
2
10
1
7
8
0
0
18
2
0
0
1
1
5
10
0
0
0
1
0
0
0
0
8
0
Hallsville Head Start
Harleton Head Start
Hawkins Head Start
Henderson Head Start
Jacksonville - East Side Head St
36
20
20
94
40
36
20
20
94
38
1/1D
3/1D
3/2D
2
0
15
5
1
6
0
3
1
9
3
0
Other
Serving classes smaller than 20 due
to classroom size
CH Jackson added class this year
EHS
Serves 3 and 4yr olds
Serves 3 and 4yr olds
Serves 3 and 4yr olds
Serves 3 and 4yr olds
Serving classes smaller than 20 due
to classroom size
Serves 3 and 4yr olds
All information based on
reports from January 5, 2012
Sites:
*combines 3/4 yr. olds in same
classroom
Enrollment Information
Funded
Actual
Enrollment Enrollment
Enrolled
Over
Income
Over
Income
Disability
(D)
Waitlist Information
Large Waitlist
Income
Over
Eligible
Income
Waitlist
Waitlist
Jacksonville - Fred Douglas Head
Jacksonville - Joe Wright Head S
Jacksonville - West Side Head St
Jefferson Head Start
Karnack Head Start
Kilgore Heights Head Start *
L & M Christian Day Care
L & M Christian Daycare 2
Laneville Head Start*
LCDC Combined (EHS)
Lindale Head Start
Longview - Bramlette Head Start
Longview - JL Everhart Head Star
Longview - Johnston-McQueen
20
20
20
57
17
80
16
12
20
96
20
20
20
20
20
20
20
56
17
80
0
0
20
94
19
18
19
20
0
0
1
1/1D
0
3/3D
0
0
1
2
1
1/1D
1
2/1D
0
0
0
8
1
48
32
""
2
65
2
0
4
2
0
0
0
16
0
39
0
""
4
6
0
0
3
7
Longview – LCDC (3 yr. old)
Longview - Ned E Williams Head
S
Longview - South Ward
Longview - Ware Head Start
Malakoff Head Start
Marshall Head Start
17
17
3/3D
43
4
40
40
60
20
220
31
40
55
20
214
4/1D
0
1
0
2/2D
3
2
6
4
45
4
3
1
0
43
Other
Serves 3 and 4yr olds
Serves 3 and 4yr olds
EHS
EHS
Serves 3 and 4yr olds
EHS
Consistently keeps a large waiting
list
9 slots below funded enrollment
Consistently large waiting list
1|Page
All information based on
reports from January 5, 2012
Waitlist Information
Large Waitlist
Enrollment Information
Funded
Actual
Sites:
Enrollment Enrollment
*combines 3/4 yr. olds in same
classroom
Enrolled
Over
Income
Over
Income
Disability
Income
Eligible
Waitlist
Over
Income
Waitlist
Other
(D)
Martins Mill Head Start*
Mineola Head Start
Murchison Head Start*
New Summerfield Head Start*
Ore City Head Start
Overton Head Start*
Palestine Head Start
20
57
20
20
20
20
140
20
57
20
20
19
20
137
6/1D
3/1D
3/1D
1/1D
1/1D
0
3/1D
2
11
2
11
0
0
64
0
11
9
5
0
0
26
Rusk Head Start
Tatum Head Start
Troup Head Start
Van Head Start
Waskom Head Start
Wells Head Start*
West Rusk Head Start*
Westwood Head Start
Whitehouse - Cain Head Start
Whitehouse-Higgins Head Start
40
20
37
40
20
20
20
20
20
20
39
20
37
40
19
18
20
20
20
19
3/3D
1/1D
1/1D
5/5D
0
3/3D
4/3D
0
4/4D
0
1
3
4
0
3
0
4
0
1
2
0
8
0
4
12
3
1
8
2
0
Wills Point Head Start
Winnsboro Head Start
20
40
20
36
0
0
3
0
0
0
484
262
Region 7 ESC Head Start
Consistently enroll 2 or more over
income each year meeting funded
enrollment(Serves 3 and 4yr olds)
Serves 3 and 4yr olds
17 transfers (Serves 3 and 4yr olds)
Serves 3 and 4yr olds
Serves 3 and 4yr olds
Most of waiting list are 3yr olds
Switched to ½ day program for 20112012
Serves 3 and 4yr olds
Serves 3 and 4yr olds
Serves 3 and 4yr olds
92/57D
2,337
2,247
2|Page
3|Page