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Texas Alternative to Abortion Program site visits 2006-2010

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Texas Alternative to Abortion Program site visits 2006-2010 Powered By Docstoc
					                        Site Visit Reports
                June 1,2006, to September 30,2006


Annunciation Maternity Home, Georgetown

The Pregnancy Help Center, Katy

San Martin de Porres House of Hope, El Paso

The Life Center, Midland
                            INITIAL SITE VISIT REPORT


Site Name:                  Annunciation Maternity Home
Address:                    3610 Shell Rd. Georgetown, TX 78628
Site #:                     101
Director:                   Christie Aaronson
Counties Served:            Williamson, Travis, Bell, and McLennan
Date of Visit:              July 27, 2006
Visit Conducted By:         Vincent Friedewald Ill, Grant Gee, Paola Garcia Hicks


   I. Facility

      General Observations: Counseling areas, office space, home rooms, equipment,
      lavatories, safety features (including fire extinguishers and smoke detectors), and
      pantrylstorage areas were inspected and found to be in compliance. The facility is
      handicapped accessible.

      Additional exit signs were needed in the daycare and school buildings. A bedroom
      reserved for adult residents (but unoccupied and locked at the time of TPCN's visit)
      lacked an electrical socket plate.

   II. Program Profile

      General Observations: Through interviews, it was determined that the hours of
      operation are Monday through Friday from 8:00 AM to 5:00 PM. The Home
      accepts clients with appointments and as walk-ins, and no clients are met outside
      office hours, except in emergencies. Phone calls after hours are forwarded to a
      cell phone. All services are free of charge.

      Annunciation Maternity Home is licensed to operate as a maternity home by the
      State of Texas.


  Ill. Corporate Administration

      General Observations: Program records storage was reviewed and found to be in
      compliance.     Copies of the Confidentiality, Client Grievance, Client Non-
      Discrimination and Standard Release of Information policies and forms are readily
      available at the Home. Material Safety Data Sheets are also stored for ready
      reference.


  IV. Program Highlights

     General Observations: Annunciation Maternity Home offers a unique nutritional
     education program assisted by the WIC Program. The effectiveness of the
     nutritional program is demonstrated by the fact that none of Annunciation's
     residents have delivered a baby with low birth weight. The Home offers two kinds
     of educational programs that are delivered in-house: life skills classes and several
    grades of middle and high school education, conducted on site by the University of
    Texas as a charter school. The Home is well known within the immediate and the
    greater Georgetown region as a resource for women experiencing challenging
    pregnancy and parenting situations. The Executive Director shared the story of
    one of AMH's clients:

   "Stephanie" came to the Annunciation Maternity Home when she was fifteen years
   old. She had been living with her boyfriend, trying to escape an abusive family
   situation. Her mother was furious and her father embarrassed by her pregnancy.
   Her father told her, after he finished beating her that she would not ever be able to
   live at home if she was to keep the baby. He threatened to refuse to acknowledge
   her and her baby as relatives. The boyfriend also abandoned her; he said he
   already had his hands full with his own family problems.

    She moved in to AMH just before Christmas. She was very lonely and spent
    Christmas without her family. Months past and she had her baby girl. Her daughter
   was healthy but had severe colic. For many months she and the Home staff spent
   sleepless nights up with the little girl. Stephanie continued to attend high school,
   parenting, infant development and budgeting classes. She also attended weekly
   therapy with the licensed therapist of the Home. Eventually her mother visited her
   and called her more often. Stephanie asitea her to join her therapy sessions. The
   mother agreed, and Stephanie became reunited with her sisters over time.
   Stephanie visited her mother the following Christmas in Abilene. She was also able
   to write a letter to her father explaining her feelings to him, which was very healing
   for her. Stephanie lived at the Annunciation Maternity Home for 18 months.

   She finally returned to live at her parents' home with her daughter. The birthfather
   of the baby is now able to maintain a relationship with her, after the baby was born,
   he fell in love with the little girl. Stephanie is a senior in high school and would like to
   attend college and receive a degree in psychology. Her plan is to hopefully return to
   the AMH as a licensed therapist to help the clients that are experiencing the same
   trauma that she went through.

V. Corrective Actions Taken:

 1) An electrical socket plate in the bedroom for adult residents was installed.
 2) Additional exit signs conspicuous to all occupants have been installed at the
    daycare and school buildings.




   ~aolaGarcia
             Hicks, Training and Evaluation Manger                         Date
                           INITIAL SITE VISIT REPORT


Site Name:                  The Pregnancy Help Center (PHC)
Address:                    1450 E. Summitry Circle
                            Katy, TX 77449
Site #:                     201
Director:                   Wanda Cramer (Board Chair, Acting Director)
Counties Served:            Harris, Waller, and Fort Bend
Date of Visit:              August 18,2006
Visit Conducted By:         Vincent Friedewald Ill and Grant Gee


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      safety features (including fire extinguishers and smoke detectors), and
      pantrytstorage areas were inspected and found to be in compliance. The facility
      is handicapped accessible.


   II. Program Profile

      General Observations: Through interviews, it was determined that the hours of
      operation are Monday through Friday from 9:00 AM to 5 0 0 PM and Monday
      through Thursday, 7:00 PM to 9:00 PM. The Center accepts clients with
      appointments and as walk-ins, and no clients are met outside office hours.

      PHC provides all its services free of charge.


  Ill. Corporate Administration

      General Observations: Program records storage and educational materials were
      reviewed and found to be in compliance. Copies of the Confidentiality, Client
      Grievance, Client Non-Discrimination and Standard Release of Information
      policies and forms are readily available at the Center. The spiritual materials are
      adequately identified and separated from the acceptable Program materials.
      Material Safety Data Sheets are stored for ready reference in the Nurse's Office,
      in close proximity to the cleaning supplies used within the facility.


 IV. Program Highlights

     General Observations: PHC is heavily focused on providing pregnancy
     assistance, support, education, counseling and material assistance to women in
     need. The Center is well known within the immediate and the greater Katy
     region as a resource for women experiencing challenging pregnancy and
     parenting situations. The Center staff is very dedicated and innovative in
     securing support and assistance as they grow and expand, and are involved in
   several detailed building projects which will continue to serve their communities
   in need.

   The Pregnancy Help Center has a wide variety of educational programs that are
   delivered in-house. The courses include such topics as Sexual Health,
   Fatherhood, Mommy Care, Baby Basics, and Nutrition.


V. Corrective Actions: None needed.
                             INITIAL SITE VISIT REPORT


Site Name:                   San Martin de Porres House of Hope
Address:                     619 Arizona Ave. El Paso, TX 79902
Site #:                      40 1
Director:                    Angelica Rosales
Counties Served:             El Paso
Date of Visit:               August 21, 2006
Visit Conducted By:          Vincent Friedewald Ill, Paola Garcia Hicks



   I. Facility

      General Observations:           Counseling areas, office space, equipment, fire
      extinguishers, lavatories, and pantrylstorage areas were inspected and found to be
      in compliance. The facility is handicapped accessible. Two smoke detectors
      installed in the facility were not operating at the time of TPCN's visit.


   11. Program Profile

      General Observations: Through interviews, it was determined that the hours of
      operation are Monday through Friday from 8:00 AM to 5 0 0 PM and Saturdays by
      appointment only. The Center accepts clients with appointments and as walk-ins,
      and no clients are met outside office hours. The Center has an answering machine
      to capture calls received outside working hours. House of Hope provides all its
      services free of charge.

      The Center receives client referrals from local churches and schools, and makes
      referrals to local adoption agencies and community services like WIC Program.


  I l l . Corporate Administration

      General Observations: Program records storage was reviewed and found to be in
      compliance.      Copies of the Confidentiality, Client Grievance, Client Non-
      Discrimination and Standard Release of Information policies and forms are readily
      available on site.

      Reasonable measures needed to be taken to ensure that clients are out of plain
      view from the clients of the fertility nurse-consultant that subleases an office within
      the Center's facilities.

      Spiritual materials were separate from client educational materials; however, such
      materials were not designated as "Spiritual Material" at the time of TPCN's visit;
      also, Material Safety Data Sheets needed to be updated.
IV. Program Highlights

   General Observations: The House of Hope is focused on providing pregnancy
   assistance, education, counseling and material assistance to pregnant women in
   crisis pregnancies. The House of Hope offers life skills classes including topics
   such as parenting, breast feeding, sexual health and labor. The story of one of the
   clients of House of Hope is written below in the Director's words:

   "Mariana came to San Martin de Porres House of Hope during spring 2005 with the
   intent to have an abortion. She was 19-years-old at the time with a two-year-old
   son and one more year left of high school. Having another child was the last thing
   Mariana was expecting. Mariana came to the House of Hope initially for a free
   pregnancy test, but she received the caring support from a staff of women
   committed to helping Mariana during her unexpected pregnancy. On December
   17, 2005, Mariana gave birth to her son Andrew and she graduated from High
   School in 2006."


V. Corrective Actions Taken:

    MSDS were updated.
    The educational material with spiritual content was designated as such.
    Batteries in the two smoke detectors present were replaced; the detectors are
    now functioning.
 4) Reasonable measures were taken to ensure that The House of Hope's clients
    will be out of plain view from their sublessee's clients.




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              Hicks, Training and Evaluation Manger
   ~aola'f~arcia                                                    Date
    pregnant women in need. They are well known within their immediate area and
    the greater Permian Basin region as a resource for women experiencing
    challenging pregnancy and parenting situations. They are very dedicated and
    innovative in securing support and assistance as they grow and expand, and are
    involved in detailed building projects which will continue to serve their
    communities in need.

    Every room in the facility is fitted with a smoke detector. The Life Center has a
    wide variety of educational programs that are delivered in-house and exported to
    public schools within the wide geographical area served. Courses include such
    topics as Parenting, Fatherhood, Sexual Health, Relationships, and Marriage.

    The Director of Client Services shared with TPCN the following events:

   The Center enrolled a 17 year old male as a client when he accompanied his
   pregnant girlfriend into the center. When the center provided him information
   about fetal development, he was absolutely amazed to learn about his baby's
   development. He was also very excited to see the ultrasound and see the
   human characteristics. Having been included in the education, he is much more
   involved and supportive of his pregnant girlfriend. He now has a much better
   understanding of what she was experiencing and is better equipped and
   prepared to support her. He is very interested in the parenting classes and any
   other information that will help him to be a better father. Including the father of
   the baby in the counseling is proving to be very beneficial to the well being of the
   baby and mother.

   The Center received a 22 year old abortion vulnerable pregnant woman. She
   was single and had a one year old child. The father of the baby was not
   supportive of her having more children. After talking with the Center's staff, she
   decided she could not have an abortion. The client received further counseling
   on fetal development, decision making, education, and nutrition. The client was
   also given a sonogram that showed twins. She kept in touch with the Center and
   was provided with childcare items and referrals for bill payments. Also, with
   support from the Center, she was encouraged to follow her dream of becoming a
   nurse. The nurse explained to her how the hospital system works and how she
   could get a job as a nurse technician and the hospital scholarship program would
   help her with the college expenses. She had two beautiful girls and, later, came
   back for car seats. She says she would like to stay in touch and is interested in
   more education, should the Center develop more programs. When the babies
   are a little older she plans to pursue the hospital scholarship program.


V. Corrective Actions: None needed.
                      Initial Site Visit Reports
               September 1,2006, to November 30,2006


Birthright, Inc., San Antonio

Seton Home, San Antonio

Good Samaritan Gabriel Project, Bryan

Gabriel Project Life Center, Austin

Catholic Charities of the Archdiocese of Galveston-Houston, Houston

Fifth Ward Pregnancy Help Center, Houston
                            INITIAL SITE VISIT REPORT


Site Name:                  Birthright Inc. of San Antonio
Address:                    215 N San Saba, Ste 204, San Antonio TX 78207
Site #:                     501
Director:                   Iris D. Perez
Counties Served:            All counties in TX
Date of Visit:              Oct 5,2006
Visit Conducted By:         Vincent Friedewald Ill, Paola Garcia Hicks



   I. Facility

       General Observations:         Counseling area, office space, lavatories, and
      pantrylstorage areas were inspected and found to be in compliance. The facility
      provides reasonable accommodation to handicapped clients by offering private
      counseling in the waiting area and access to wheelchair accessible restrooms. The
      facility needs a more visible exit sign and an additional smoke detector.

  II. Program Profile

     General Observations: Through interviews, it was determined that the hours of
     operation are Monday through Friday from 10:OO AM to 1:30 PM. The Center
     accepts clients with appointments and as walk-ins; clients can be met outside
     office hours. The Center has an answering machine to capture calls received
     outside working hours and also clients can be served 24 hours through the
     Birthright hotline. Birthright Inc. of San Antonio provides all its services free of
     charge.

     The Center makes referrals to maternity homes, other pregnancy centers, and
     community services like the WIC Program.

 Ill. Corporate Administration

     General Observations: Program records storage was reviewed and found to be in
     compliance. Copies of the Confidentiality, Client Grievance, Client Non-
     Discrimination and Standard Release of Information policies and forms, as well as
     Material Safety Data Sheets are readily available on site.

 IV. Program Highlights

    General Observations: Birthright is focused on providing pregnancy assistance,
    life-affirming counseling and material assistance to pregnant women in crisis
    pregnancies. The story of one of the clients of Birthright is written below in the
    Director's words:

            "Anna" visited Birthright and walked into a welcoming environment, she
           was met by a friendly volunteer who greeted her warmly and gave her a big
           smile. When asked how she might be helped, Anna responded that she
           believed she was pregnant and did not want the baby. She came in to the
           office with a 13 month old daughter and stated that she had been thinking
           about adoption "or something" because she believed she was "not giving,
           nor could give the children what they needed, emotionally". She stated that
           she was seeing a professional counselor.

          The volunteer offered her juice and snack while explaining the center's
          services. A pregnancy test was administered and yielded a positive result.
          The volunteer provided life-affirming counseling and explained that part of
          the services was to help her with community referrals and to call her
          periodically to see how she was doing and if she needed anything. She was
          happy to hear that someone would be calling her to provide that support.

          During follow-up- the volunteer !earned that Anna was having a baby girl
          and that she had decided to continue with the pregnancy.

V. Corrective Actions Taken:

 Additional smoke detectors, fire extinguisher and exit signs were installed within the
 facility to improve fire safety.




                                                                     10/20/   OG,
                            ing and Evaluation Manger                ~gte
                            INITIAL SITE VISIT REPORT


Site Name:                  Seton Home
Address:                                                        X
                            1115 Mission Rd. San Antonio, T 78210
Site #:                     601
Director:                   Margret Starkey
Counties Served:                                                l
                            Bell, Bexar, Cameron, Dallas, E Paso, Kleberg, Lubbock,
                            Tarrant, Taylor, Williamson
Date of Visit:              Oct 5,2006
Visit Conducted By:         Vincent Friedewald I l l , Paola Garcia Hicks


   I. Facility

      General Observations: Counseling areas, office space, home rooms, equipment,
      lavatories, safety features (including fire extinguishers and smoke detectors), and
      pantryJstorage areas were inspected and found to be in compliance. The facility is
      handicapped accessible.

  II. Program Profile

     General Observations: Through interviews, it was determined that the hours of
     operation are Monday through Friday from 8:30 AM to 5 0 0 PM. The Home
     accepts clients with appointments and walk-ins. Clients are met outside office
     hours, both by phone dialing the 227 extension from the main phone line
     answering system; and personally, assisted by the personnel of the Home
     residence buildings. All services are free of charge.

     Seton Home is licensed to operate as a residential care facility by the State of
     Texas.

 Ill. Corporate Administration

     General Observations: Program records storage was reviewed and found to be in
     compliance. Copies of the Confidentiality, Client Grievance, Client Non-
     Discrimination and Standard Release of Information policies and forms are readily
     available at the Home.

     Material Safety Data Sheets were not readily accessible.

IV. Program Highlights

    General Observations: Seton Home offers life skills classes and art classes
    provided a s therapy and group activity. The Home is well known within the
    immediate and the greater San Antonio region as a resource of housing for young,
    homeless pregnant women experiencing challenging pregnancy and parenting
    situations. It is also known throughout the State, serving clients from eight
    counties.
    The Home recently built a new facility for mothers and babies, which has a total
    area of 24,000 square feet; 24 rooms of 500 square feet each, a library, study
    room, TV room, well equipped kitchen and dining room, and is equipped with video
    surveillance and other safety features. The Home has a capacity of 40 mothers.
    The total area of the Seton Home campus is 8.3 acres. The Executive Director
    shared the story of one of Seton Home's clients:

            Kayla was a resident of Seton Home, twice. Her first stay was short. She
           was placed there by Child Protective Services when she was newly
            pregnant in February 2004. Not accustomed to a structured life, however,
           she ran away from Seton Home and CPS custody in March, and later gave
           birth to her son lsaac in San Antonio. There, CPS found Kayla and her
           son, and placed her in a foster home in McAllen and baby lsaac with a
           foster family in Harlingen. Kayla was only allowed to see her son once
           every other week.

          Unhappy with theses arrangements, Kayla called Seton Home, asking for a
          second chance. Not only were she and lsaac given a second chance, they
          were also given an opportunity for a better life. Seton Home assisted her
          with daycare while she took classes on how to budget and plan her goals,
          and also helped her prepare and attain her General Equivalency Diploma.
          When she was ready to leave Seton Home, they helped her find an
          apartment, a car, and even the job at a Fortune 500 company, where she
          currently works.

          The narrative above was adopted from a story originally published in the
          San Antonio Express News, September 23, 2006.


V. Corrective Actions Taken:

   Material Safety Data Sheets are now readily accessible.




                                                                  0 /23/06
   Paola 66rcia Hicks, Training and Evaluation Manger             Date
                              INITIAL SITE VISIT REPORT


Site Name:                    Good Samaritan Gabriel Project Life Center
Address:                      1314 E. 2gthSt. Bryan, TX 77802
Site #:                       902
Director:                     Becky Cook
Counties Served:              Brazos County
Date of Visit:                Oct 17,2006
Visit Conducted By:           Vincent Friedewald Ill, Paola Garcia Hicks


   I. Facility

      General Observations: Counseling area, office space, lavatories, safety features
      including smoke detectors and fire extinguishers, and pantry/storage areas were
      inspected and found to be in compliance. The facility is handicapped accessible.

      The facility needed a more visible "Exit" sign for fire safety.

  ii. Program Profile

      General Observations: Through interviews, it was determined that the hours of
     operation are Monday through Thursday from 9:00 AM to 3:30 PM, and Friday from
     9:00 AM to 12:OO PM. The Center accepts clients with appointments and as walk-
     ins; clients can be met outside office hours. The Center has voicemail system to
     capture calls received outside working hours and also clients can be served 24
     hours through the toll free number 1-877-WeCare2. Good Samaritan provides all
     its services free of charge.

     The Center makes referrals to State services like Food Stamps, WIC Program,
     Community Health Clinics, Attorney General's Office Child Support Enforcement,
     Texas Department of Mental Health and Mental Retardation, Texas Women
     Advocacy Project (General Legal Hotline, Family Violence Legal Line, Emergency
     Advocacy Hotline); it also refers to organizations that provide housing and shelter
     services, Goodwill Industries, Salvation Army, and Churches that provide material
     assistance such as clothing.

 111. Corporate Administration

    General Observations: Program records storage was reviewed and found to be in
    compliance. Material Safety Data Sheets, copies of the Confidentiality, Client
    Grievance, Client Non-Discrimination and Standard Release of Information policies
    and forms are readily available on site.

IV. Program Highlights

    General Observations: Good Samaritan Center is focused on providing pregnancy
    assistance, life-affirming counseling and material assistance to pregnant women in
    crisis pregnancies. The Center has the support of volunteers who serve the clients
    as a mentorlfriend throughout and after the crisis pregnancy. The story of one of
    the clients of Good Samaritan is written below.

            "Mary" became pregnant in August 2005. She and her fiance moved to the
            Bryan area, where she has relatives. She heard from Good Samaritan
           through the 21 1 Texas referral service. Good Samaritan provided her
           encouragement and maternity clothes. When a consultant of Good
           Samaritan delivered baby items after the baby boy was born in May, she
           realized the home of the couple had only a few pieces of furniture; through
           the consultant's contacts and the support of a church community, the home
           was completely furnished in two weeks.

           But the caring relationship continued "She (Good Samaritan's consultant)
           calls us every now and then to talk. She drops off diapers. When my fiance
           left, she called to see if 1 was okay", said Mary.

V. Corrective Actions Taken:

   Additional "Exit" signs were installed within the facility.




                                                                    \l/z+/€%
   Paola ~arcia&i'cks, Training and Evaluation Manger               Date
                             INITIAL SITE VISIT REPORT


Site Name:                    Gabriel Project Life Center
Address:                      1817 E. 6thSt. Austin, TX 78702
Site #:                       90 1
Director:                     Becky Cook
Counties Served:              Travis, Williamson
Date of Visit:                Oct 18,2006
Visit Conducted By:           Paola Garcia Hicks



   I. Facility

      General Observations:         Counseling area, office space, lavatories, fire
      extinguishers, and pantrylstorage areas were inspected and found to be in
      compliance. The facility is handicapped accessible.

      The Center is located within the new Catholic Charities of Austin facility.

  II. Program Profile

     General Observations: Through interviews, it was determined that the hours of
     operation are Monday through Friday from 9:00 AM to 4:00 PM, and Saturday from
     8:00 AM to 3:00 PM. The Center accepts clients with appointments and as walk-
     ins; clients can be met outside office hours. The Center has voicernail system to
     capture calls received outside working hours and also clients can be served 24
     hours through the toll free number 1-877-WeCare2. Gabriel Project provides all its
     services free of charge.

     The Center makes referrals to State services like Food Stamps, WIC Program,
     Community Health Clinics, Attorney General's Office Child Support Enforcement,
     Texas Department of Mental Health and Mental Retardation, Texas Women
     Advocacy Project (General Legal Hotline, Family Violence Legal Line, Emergency
     Advocacy Hotline); it also refers to organizations which provide housing and shelter
     services, Goodwill Industries, Salvation Army, and Churches that provide material
     assistance such as clothing.

 Ill. Corporate Administration

    General Observations: Program records storage was reviewed and found to be in
    compliance. Material Safety Data Sheets, copies of the Confidentiality, Client
    Grievance, Client Non-Discrimination and Standard Release of Information policies
    and forms are readily available on site.

IV. Program Highlights

    General Observations: Gabriel Project is focused on providing pregnancy
    assistance, life-affirming counseling and material assistance to pregnant women in
    crisis pregnancies. The Center has volunteers who serve the clients who request a
 mentorlfriend throughout and after the crisis pregnancy. The story of one of the
 clients of Gabriel Project is written below in the Director's words:

         On December 2004, "Sarah's" mother brought her to the Gabriel Project
         Life Center for a pregnancy test. For the initial consultation Sarah wanted
         her mom to be present while she spoke to the consultant. Sarah was very
         concerned about being pregnant. The mother was very adamant that if
         Sarah were in fact pregnant, they would immediately go to have the
         pregnancy terminated.

        Sarah's pregnancy test came back positive. The consultant shared
        information with Sarah about fetal development, budgeting for a baby,
        breastfeeding, getting a GED, going to school at Austin Community
        College, adoption, job finding, and making a plan for when the baby is born.
        By the end of the consultation Sarah stated that she wanted to keep the
        baby and that she would need emotional and material support.

        Sarah returned to the Center ten days later to spend more time with the
        consultant. She got a copy of her pregnancy test so she could apply for
        Medicaid and see a physician.

        Sarah and the consultant continued to meet and talk on the phone
        frequently. The consultant made arrangements for Sarah to complete her
        GED and attend ACC. She also helped Sarah find a job.

        After the baby was born, Sarah returned to the Gabriel Project Life Center
        to pick out items for her baby. At this time, Sarah was attending school and
        looking forward to obtaining her GED.




                                                                     2
                                                                  1 1/ 1? ob
                                   ng
Paola Garcia ~ i d s l ~ r a i n i and Evaluation Manger           Date
                            INITIAL SITE VISIT REPORT


Site Name:                   Catholic Charities of Galveston-Houston
                             Children & Family Services Division
Address:                     2900 Louisiana
                             Houston, TX 77006
Site #:                      701
Director:                    Valerie Perales
Counties Sewed:              Harris, Fort Bend, Galveston, and Montgomery
Date of Visit:               November 9,2006
Visit Conducted By:          Grant Gee


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      safety features (including fire extinguishers and smoke detectors), and
      pantrylstorage areas were inspected and found to be in compliance.


  II. Program Profile

     General Observations: It was determined through interviews that the Children
     and Family Services Division is open Monday through Friday from 8:00 AM to
     5:30 PM, and accepts clients with appointments and as walk-ins. Clients are
     frequently met outside office hours and are routinely met off-site. An answering
     machine captures calls received outside working hours and a toll-free hotline.

     All services are provided free of charge. The Catholic Charities of Galveston-
     Houston, Children & Family Services Division receives referrals from Houston-
     area schools, hospitals, other pregnancy centers, and social services agencies.


 Ill. Corporate Administration

      General Observations: Program records storage and educational materials were
     reviewed and found to be in compliance. Copies of the Confidentiality,
     Grievance, Client Non-Discrimination and Standard Release of Information
     policies and forms are readily available at the division. No spiritual materials are
     provided at the site. Material Safety Data Sheets are stored for ready reference
     in the Facilities Manager's office.



IV. Program Highlights

    General Observations: Catholic Charities of Galveston-Houston, Children &
    Family Services Division is heavily focused on providing pregnancy assistance,
    support, education, counseling and material assistance to pregnant women in
 need. They are well known within the immediate area of downtown Houston as a
 resource for women experiencing challenging pregnancy and parenting
 situations. They are very dedicated and innovative in securing support and
 assistance for their clients. The division includes a separate group of
 professionals who handle adoption education and procedures.

 The division has a wide variety of educational programs that are delivered in-
 house and off-site. Courses include such topics as Parenting, Safety, Pre-natal
 Care, Independent Living, and Fetal and Child Development.

 Success Story:

Sarah came to Catholic Charities Services to Pregnant and Parenting
Adolescents Program (SPPA) in September 2005. She had been living with
various people while in middle school and soon dropped out so that she could
work to support herself. At seventeen, Sarah was seven months pregnant. While
living with her boyfriend and his family, she had been advised by her doctor to
stop working. Since Sarah was still a minor, the only benefits she was able to
obtain on her own were WIC and Medicaid. Sarah's mother was in prison, and
her father, who is undocumented, would not sign any legal documents for her in
fear of possible deportation. Sarah wanted to become emancipated so that she
could be considered an independent adult and make decisions on her own
without needing parental consent.

        Sarah was unhappy with her living situation and moved in with her
father's girlfriend for awhile. During this time Sarah's SPPA social worker
provided supportive counseling encouraging her to maintain her stable living
situation until after the birth of the baby. The program also provided Sarah with
needed items for herself and her baby through the Baby Bucks incentive
program. Sarah attended parenting classes provided by the program as often as
she could and checked out many books and videos to increase her knowledge
about her pregnancy, her parenting skills, and her baby.             Through an
individualized service plan Sarah's SPPA social worker was able to address her
specific needs and provide support and guidance to Sarah toward becoming
more self sufficient.

Sarah gave birth to a healthy baby girl, and after she turned eighteen moved into
a local shelter. While at the shelter, she attended GED classes, and soon
passed the GED test. She also started working at a local retail establishment
and was able to move into her own apartment shortly thereafter. Sarah has been
able to support herself and her baby with minimal assistance. Sarah also
remains active in the SPPA program attending social enrichment activities for
herself and her baby as well as maintaining contact with her SPPA social
worker.




Grant Gee, MBA, Training & Evaluation Manager                         Date
                           INITIAL SITE VISIT REPORT


Site Name:                  Fifth Ward Pregnancy Help Center
Address:                    743 Shotwell St.
                            Houston, TX 77020
Site #:                     80 1
Director:                   Sylvia Johnson
Counties Served:            Harris, Fort Bend, and Montgomery
Date of Visit:              November 9, 2006
Visit Conducted By:         Grant Gee


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      safety features (including fire extinguishers and smoke detectors), and
      pantrylstorage areas were inspected and found to be in compliance.


  11. Program Profile

      General Observations: It was determined through interviews that the Center is
      open Monday through Friday from 9:00 AM to 4:00 PM. The Center accepts
      clients with appointments and as walk-ins, and no clients are met outside office
      hours. The Pregnancy Help Center is a Care Net affiliate and is linked to the
      Care Net Option Line to capture calls received outside working hours.

     The Center provides all its services free of charge. The Center receives referrals
     from the Harris County Health Department, other social service agencies, and
     other pregnancy centers.


  Ill. Corporate Administration

     General Observations: Program records storage and educational materials were
     reviewed and found to be in compliance. Copies of the Confidentiality,
     Grievance, Client Non-Discrimination and Standard Release of Information
     policies and forms are readily available at the Center. Spiritual materials are
     adequately identified and separated from the acceptable Program materials.
     Material Safety Data Sheets are stored for ready reference with the cleaning
     supplies used in the facility.



 IV. Program Highlights

     General Observations: The Pregnancy Help Center is heavily focused on
     providing pregnancy assistance, support, education, counseling and material
     assistance to pregnant women in need. They are well known within the Fifth
  Ward area of Houston as a resource for women experiencing challenging
  pregnancy and parenting situations. They are very dedicated and innovative in
  securing support and assistance as they grow and expand.

  The Pregnancy Help Center has a wide variety of educational programs that are
  delivered in-house. Courses include such topics as Parenting Skills, Doctor Dad,
  Sexual Health, Car Seat Safety, Childbirth, Nutrition, and Life Skills. ,

  Success Story:

  After losing her parents at the age of 13, Evie was passed from one relative's
  home to another before landing at a local teen shelter. She stayed at the shelter
  until recently. At 19, Evie seemed to have regained her footing, finding a good
 job and an affordable apartment to share with her sister. Facing a promising
 future, Evie's hopes came to a screeching halt when a home pregnancy test
 confirmed her worst fear. Barely able to support herself and her sister, and
 dreading the thought of returning to the shelter, Evie called Fifth Ward asking
 about abortion services. She was told that fifth Ward does not provide abortion
 services, but she could come in to receive information about pregnancy and
 abortion, as well as receive a free ultrasound. She made an appointment and
 came in that same day. Even after taiking with Fifth Ward's staff and seeing the
 ultrasound of her tiny six-week old baby, she was still unsure as to how she
 would proceed.

 A week later, a follow-up phone call revealed that Evie had an appointment for an
 abortion the next day. Having done all possible to offer hope and help, the peer-
 counselor sensed that Evie needed to speak with someone who had been in her
 shoes. Remembering that a former client was in the Director's office, Evie was
asked if she would speak with the former client. Evie agreed, and the two spoke
for about an hour. During the call, they agreed that Evie would postpone the
abortion and to meet at Fifth Ward the following Monday. They spoke for three
more hours that day. After the meeting, Evie made her decision to give birth to
the baby. As of this writing, Evie is expecting to give birth to a healthy baby boy
any day now.

 By making her aware that she does have options and by giving her the
information to make an informed choice, Evie chose to give her baby life. With
the help of peer-counselors and mentors providing her loving compassion,
information, classes, and materials assistance, Evie has been able to
successfully perform as an office administrator, attend a local community college,
and nurture a growing, healthy baby. A local sorority chose Evie to be the
recipient of their generosity, and has given her a baby shower in honor of the
coming birth.




Grant Gee, MBA, Training & Evaluation Manager                          Date
                         Service Provider Site Monitorings
                       December 1,2006 to February 28,2007


No Service Provider Site Monitorings were due to be performed during this quarter.
                    Initial Site Visit Reports
              December 1,2006, to February 28,2007


Pregnancy Care Medical Center of Texoma, Sherman

The Source for Women-Galleria, Houston

The Source for Women-Northeast, Houston

The Source for Women-West Oaks, Houston
                            INITIAL SITE VISIT REPORT


Site Name:                   Pregnancy Care Medical Center of Texoma
Address:                     105 W. Pecan St.
                             Sherman, TX 75090
Site #:                      1101
Director:                    Melva Kittrell
Counties Served:             Grayson, Fannin, Collin, and Bryan County, OK
Date of Visit:               January 3, 2007
Visit Conducted By:          Grant Gee


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      safety features (including fire extinguishers and smoke detectors), and
      pantryJstorage areas were inspected and found to be in compliance, with the
      following exceptions: two horizontal filing cabinets used for storing client files
      were not lockable at inspection time, A key was re~enf!y      made fsr esch I ~ c kbut
                                                                                         ,
      could not operate the lock cylinder. Site personnel will investigate their options
      for repairing the locks. In the interim, the office in which the file cabinets are
      located is kept locked when the office is not in use. The Center understands that
      its contract with TPCN will not become effective until it fixes the locks in question.


  II. Program Profile

     General Observations: It was determined through interviews that the Center is
     open Monday through Wednesday and Friday from 9:00 AM to 5 0 0 PM. The
     Center is open on Thursdays from 1:00 PM to 9:00 PM. The Center accepts
     clients with appointments and as walk-ins. Clients are rarely met outside office
     hours, on an emergency basis. The Pregnancy Help Center is a Care Net
     affiliate. The Center implements a call-forwarding procedure to designated staff
     to capture calls received outside working hours.

     The Center provides all its services free of charge. The Center receives referrals
     from the Grayson County Health Department, other social service agencies,
     doctors and hospitals, public and private schools, and abuse crisis centers.


 !I!. Corporate Administration

     General Observations: Program records storage and educational materials were
     reviewed and found to be in compliance, except as noted above. Copies of the
     Confidentiality, Grievance, Client Non-Discrimination and Standard Release of
     Information policies and forms are readily available at the Center. Spiritual
     materials are adequately identified and separated from the acceptable Program
     materials. Material Safety Data Sheets are stored for ready reference near the
     cleaning supplies used in the facility.
IV. Program Highlights

    General Observations: The Pregnancy Care Medical Center of Texoma is heavily
    focused on providing pregnancy assistance, support, education, counseling and
    material assistance to pregnant women in need. They are well known within the
    North Central Texas area as a resource for women experiencing challenging
    pregnancy and parenting situations. They are very dedicated and innovative in
    securing support and assistance as they grow.

    The Pregnancy Care Medical Center of Texoma has a wide variety of
    educational programs that are delivered in-house. Courses include such topics
    as Abortion Techniques and Risks, Parenting Skills, STls & Sexual Health, Car
    Seat Safety, Childbirth, Nutrition, Adoption, limited Abuse Counseling, and Life
    Skills.

    Success Stories:

    Client Success Story

            "Sylvia", age 17, came to the Pregnancy Care Medical Center in Sherman
    for a pregnancy test. When her pregnancy test appeared positive, she
    expressed to her counselor she wanted to have an abortion. She said she
    wanted a 'real future', that she wanted to graduate in May and attend college in
    the dentistry field. She also expressed concern about providing for a child. The
    father of the baby came with her. He, on the other hand, didn't want to have an
    abortion; however he said it was ultimately her decision.
            "Sylvia" and her boyfriend wanted an ultrasound for confirmation of
    pregnancy. These were their exact words.. ."What we are seeing is unbelievable"
    and "We have never seen anything like this before. ..I can't believe the baby is so
    big already." The Center's nurse determined the baby to be 8 weeks.
            Back in the counseling room, at her request, the counselor shared with
   "Sylvia" and her boyfriend factual information about abortion. The counselor also
   shared with them information about parenting classes, available baby and
   maternity items, school grants, childcare, and marriage.
            Two weeks later "Sylvia" and her boyfriend came back smiling, and
   shared that because of the Center's counseling and ultrasound, they decided to
   carry and parent the baby that was growing rapidly inside her. "Sylvia" and her
   boyfriend participated in the Center's parenting program to earn points for new
   and gently used items "Sylvia" and the baby would need, up until the baby was
   born. The baby, a girl, was born on August 28, 2006. "Sylvia" is now attending
   college and working full-time while being an awesome mother. She tells us that
   looking at her baby makes her emotions! and makes her realize how przcioiis
   she has always been.

V. Corrective Actions Taken: The locking mechanisms on two horizontal filing
   cabinets W
            T   repaired.
                            INITIAL SITE VISIT REPORT


Site Name:                   The Source for Women of Houston - Galleria
Address:                     6009 Richmond Ave., Ste. #I30
                             Houston, TX 77057
Site #:                      1001
Director:                    Judy Henckel (Interim)
                             Cathi Woods, Chief Executive Officer
Counties Served:             Harris and Fort Bend
Date of Visit:               January 12, 2007
Visit Conducted By:          Grant Gee


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      safety features (including fire extinguishers and smoke detectors), and
      pantrylstorage areas were inspected and found to be in compliance.


   11. Program Profile

      General Observations: It was determined through interviews that the Center is
      open Monday through Wednesday from 9:00 AM to 5:00 PM, Thursday from 9:00
      AM to 7:00 PM, Friday from 9:00 AM to 4:00 PM, and Saturday from 9:00 AM to
      1290 PM. The Galleria Center accepts clients with appointments and as walk-
      ins, and no clients are met outside office hours. The Source for Women of
      Houston - Galleria is a Care Net affiliate and is linked to the Care Net Option Line
      to capture calls received outside working hours.

      The Galleria Center provides all its services free of charge. The Galleria Center
      receives referrals from the Harris County Health Department, other social service
      agencies, other pregnancy centers, YMCA, ECHOES, churches, and Houston
      Independent School District.


  Ill. Corporate Administration

     General Observations: Program records storage and educational materials were
     reviewed and found to be in compliance. Copies of the Confidentiality,
     Grievance, Client Non-Siscri~iiiationaiid Siandarci Reiease of information
     policies and forms are readily available at the Center. Spiritual materials are
     adequately identified and separated from the acceptable Program materials.
     Material Safety Data Sheets are stored for ready reference with the cleaning
     supplies used in the facility.



 IV. Program Highlights
General Observations: The Galleria Center is heavily focused on providing
pregnancy assistance, support, education, counseling and material assistance to
pregnant women in need. They are well known within the central area of
Houston as a resource for women experiencing challenging pregnancy and
parenting situations. They are very dedicated and innovative in securing support
and assistance as they grow and expand.

The Galleria Center has a variety of educational programs that are delivered in-
house. English and Spanish language courses include such topics as Parenting
Skills, Childbirth, Nutrition and Cooking, Life Skills, Relationships, Resume
Writing, Developing Self-Esteem, and Computer Use.

Success Story:

The following Client Success Story by an actual client regarding her experience
at The Source for Women of Houston - Galleria Center.

       "What first came to mind when I first thought I was pregnant was,
       'Oh, my goodness. What am I going to do?' I was really afraid
       because I was living at home with my parents. I was afraid also
       because I thought that the father wouldn't be there for me.

      When I first came into The Source for Women, 1 was really scared.
      It turns out that I was pregnant but thanks to the counselor, I was
      able to understand that everything would be okay. And with their
      help and support everything came out just right.

      I was very thankful for the counselor and the advocate that I talked
      to. It felt really good to know that someone else who is not part of
      your family cares so much like the counselors at The Source
      cared for me. The counselor told me about all of the classes
      available to me and how they could help me with maternity clothes
      and baby items.

      The services that helped me the most were the counselors.
      Talking to them was helpful because they made me realize that a
      child is a great blessing, and they empowered me to realize that I
      could raise my child. They always made me feel that I wasn't
      alone. I came in every week to meet with a counselor and my
      advocate. My advocate talked with me every week to support me
      and listen to me.

      The parenting classes helped me in how to be a good mother. I
      also learned a lot about healthy dating in the relationships class
      and what the differences are between healthy and dangerous
      relationships. I attended classes once a week and I loved being
      with other people in similar situations.

      The Source for Women helped me realize that everything could be
      possible. When I needed stuff for my babies and couldn't buy it,
they helped me. When I needed clothes or baby furniture, they
helped me out. They gave me baby formula and diapers many
times. Now 1 plan to give back to them the baby clothes my kids
outgrow.

I cannot tell how terrific The Source for Women is; I cannot believe
such assistance is available.
                           INITIAL SITE VISIT REPORT


Site Name:                  The Source for Women of Houston - Northeast
Address:                    9608 Mesa Dr.
                            Houston, TX 77078
Site #:                     1002
Director:                   Aurora Briseiio
                            Cathi Woods, Chief Executive Officer
Counties Served:            Harris
Date of Visit:              January 12,2007
Visit Conducted By:         Grant Gee


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      safety features (including fire extinguishers and smoke detectors), and
      pantrylstorage areas were inspected and found to be in compliance.


   II. Program Profile

      General Observations: It was determined through interviews that the Center is
      open Monday through Friday from 8:30 AM to 4:30 PM and Thursday from 5 0 0
      PM to 7:00 PM. The Northeast Center accepts clients with appointments and as
      walk-ins, and no clients are met outside office hours. The Source for Women of
      Houston - Northeast is a Care Net affiliate and is linked to the Care Net Option
      Line to capture calls received outside working hours.

      The Northeast Center provides all its services free of charge. The Northeast
      Center receives referrals from the Harris County Health Department, other social
      service agencies, other pregnancy centers, YMCA, ECHOES, churches, and the
      Houston Independent School District.


  Ill. Corporate Administration

     General Observations: Program records storage and educational materials were
     reviewed and found to be in compliance. Copies of the Confidentiality,
     Grievance, Client Non-Discrimination and Standard Release of Information
     po!icies and forms are readily available at the Center. Spirituai materiais are
     adequately identified and separated from the acceptable Program materials.
     Material Safety Data Sheets are stored for ready reference with the cleaning
     supplies used in the facility.



 IV. Program Highlights
 General Observations: The Northeast Center is heavily focused on providing
 pregnancy assistance, support, education, counseling and material assistance to
 pregnant women in need. They are well known within the northeast area of
 Houston as a resource for women experiencing challenging pregnancy and
 parenting situations. They are very dedicated and innovative in securing support
 and assistance as they grow and expand.

The Northeast Center has a variety of educational programs that are delivered in-
house. English and Spanish language courses include such topics as Parenting
Skills, and Childbirth.

Success Story:

"Tracey" came to the center to find out whether she was pregnant. A positive
urine test and an ultrasound provided evidence that indeed she was. Though
Tracey did not plan the pregnancy, she had decided she would carry to term, but
she needed a lot of support.

Tracey's family lives in another country and her only type of support is her
grandmother who lives with her. The baby's father left her after finding out Tracey
was pregnant. Though she was abandoned by her baby's father, she did not let
that depress her. She decided she would participate in the Center's educational
classes and earn vouchers that she could later exchange for baby items. She
attended the educational classes on time and was rarely absent. She always
came in with enthusiasm and a smile. Even though her English was not perfect,
she connected with all the other girls in the class. Tracey even brought a friend
to have a pregnancy test and encouraged her friend to participate in the classes.

Tracey works at a local store and worked hard until she could not because of her
pregnancy. She is a dedicated worker. Her determination to succeed was
evident every time she came to our classes.

Tracey loved being at the center and even asked to spend a few hours of her
time to volunteer with small projects. Tracey is very thankful for all the services
The Source for Women provides. She commented that The Source for Women
has been a safe haven for her. She mentioned to the staff that she has learned
so much from coming to the classes and by spending time at the center. In her
words, "1 don't know what I would have done if I had not found this place. I am
so glad I did."

Tracey gave birth recently to a healthy baby boy. She continues to work to
support herself and her baby and has enro!led in co!!en,e. Eecause of her "usy
schedule, she is not able to come to visit the center as much as she would like,
but every so often, she'll stop by to say hello and show us her precious baby boy.


                 ns Taken: None needed.
                                 INITIAL SITE VISIT REPORT


Site Name:                        The Source for Women of Houston - West Oaks
Address:                          13155 Westheimer
                                  Houston, TX 77077
Site #:                           1003
Director:                         Nikki Jones
                                  Cathi Woods, Chief Executive Officer
Counties Served:                  Harris, Fort Bend, and Brazoria
Date of Visit:                    January 12, 2007
Visit Conducted By:               Grant Gee


        I. Facility

          General Observations: Counseling areas, office space, equipment, lavatories,
          safety features (including fire extinguishers and smoke detectors), and
          pantrylstorage areas were inspected. One fire extinguisher did not have an
          inspection tag indicating a satisfactory inspectior! within. the !ast year. The facilitj:
          also needed additional "Exit" signs for fire safety. The Center understands that
          its contract with TPCN will not become effective until the fire extinguisher is
          brought into compliance and additional "Exit" signs are installed.


    11. Program Profile

          General Observations: It was determined through interviews that the Center is
          open Monday from 10:OO AM to 6:00 PM and 6:30 PM to 8:30 PM, and Tuesday
          through Friday from 10:OO AM to 5:00 PM. The West Oaks Center accepts
          clients with appointments and as walk-ins, and no clients are met outside office
          hours. The Source for Women of Houston - West Oaks is a Care Net affiliate
          and is linked to the Care Net Option Line to capture calls received outside
          working hours.

          The West Oaks Center provides all its services free of charge. The West Oaks
          Center receives referrals from the Harris County Health Department, other social
          service agencies, other pregnancy centers, YMCA, ECHOES, churches, and the
          Houston Independent School District.


 I!!,     Corporate Administration

         General Observations: Program records storage and educational materials were
         reviewed and found to be in compliance. Copies of the Confidentiality,
         Grievance, Client Non-Discrimination and Standard Release of Information
         policies and forms are readily available at the Center. Spiritual materials are
         adequately identified and separated from the acceptable Program materials.
         Material Safety Data Sheets are stored for ready reference with the cleaning
         supplies used in the facility.
IV. Program Highlights

   General Observations: The West Oaks Center is heavily focused on providing
   pregnancy assistance, support, education, counseling and material assistance to
   pregnant women in need. They are well known within the west area of Houston
   as a resource for women experiencing challenging pregnancy and parenting
   situations. They are very dedicated and innovative in securing support and
   assistance as they grow and expand.

   The West Oaks Center has a variety of educational programs that are delivered
   in-house. Courses include such topics as Parenting Skills and Childbirth.

   Success Story:

    Latoya came into the center desperately hoping for a negative pregnancy test.
   Although she knew it was probable that her test would be positive, she was still
   hopeful that, by some slim chance, it would not be. Latoya's test was negative:
   but her cycie was more than a week late. This was not normal. I told her to come
   back in a week if she had not begun her cycle. Exactly one week later Latoya
   came back in and the test was positive. Prior to getting the news, she had
   already made up in her mind that she would be headed straight to the abortion
   clinic. Her current boyfriend already had three other children that he rarely took
   time with, and she did not want herself and this child to be added to the list of
   ignored responsibilities.

   After counseling with Latoya and talking about her options to parent, abort or
   place for adoption, none of which she wanted to have to decide, she agreed to
   come in for an ultrasound. Her ultrasound allowed her to see an approximately
   10 week baby, and although she was saddened at the thought of abortion, she
   was still determined to go through with it.

   Latoya scheduled an appointment at a local abortion clinic for the next day. We
   counseled with her about her options and let her know about the classes and
   other resources we have available to her in the event that she decided to parent.
   I simply said to her, "All that I can do to help you, I will." I agreed to meet with her
   one on one every week, even if she decided to abort.

  Latoya drove to her appointment at the abortion clinic, and as she walked in,
  feeling the weight of the world on her shoulders, signed her name e the forix.
                                                                         :
  Latoya later said to me, "I just kept replaying all that we had been talking about
  over the last week and I just knew I couldn't go through with this." The next week
  Latoya signed up for classes and agreed to meet with me one on one for the
  duration of her pregnancy, as much as she could. She actively participated in the
  program and each week checked in with me to talk about goals and planning for
  her soon to be arrival.

  Latoya gave birth to a little boy, and I have been allowed to keep him some
  weekends when she works. Occasionally, when Latoya is feeling discouraged,
   she calls to talk and be reminded to be encouraged and press on. She
   continuously thanks me to this day for all that was provided for her here at The
   Source for Women. Latoya is one of many examples of how much transformation
   can come through what we are able to offer these women when they come
   through these doors: empowerment.

V. Corrective Actions Taken: The fire extinguisher in question was brought into
   compliance. Additional "Exit" signs were posted to ensure that emergency
   egress routefin  be identified from all common areas.
                         Service Provider Site Monitorings
                          March 1,2007 to May 31,2007


No Service Provider Site Monitorings were due to be performed during this quarter.
                      Initial Site Visit Reports
                    March 1,2007 to May 31,2007


Marywood Children & Family Services, Austin

Our Lady of the Angels Maternity Shelter, Temple

First Choice Pregnancy Resource Center, Texarkana

House of Hope, El Paso
                           INITIAL SITE VISIT REPORT


Site Name:                   Marywood Children and Family Services
Address:                     510 W. 26thSt.
                             Austin, TX 78705
Site #:                      1201
Director:                    Jean Henry
Counties Served:             Travis, Hays, Williamson, Bastrop
Date of Visit:               March 12, 2007
Visit Conducted By:          Paola Garcia Hicks


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      safety features (including fire extinguishers and smoke detectors), and
      pantrylstorage areas were inspected and found to be in compliance.


   II. Program Profile

      General Observations: It was determined through interviews that the hours of
      operation are Monday through Thursday from 8:00 AM - 5:00 PM and Friday 8:00
      - 3:00 PM. Marywood accepts clients with appointments and as walk-ins; clients
      are not met outside office hours, but there is an answering machine to capture
      calls outside hours of operation.

      Marywood provides all Lifeline Program services free of charge. The Center
      receives referrals from the 21 1 Texas referral service, churches, other
      pregnancy support centers, and from former clients.

  Ill. Corporate Administration

      General Observations: As of the initial site visit, the Center did not have a locked
      file cabinet in which Program records could be stored. Copies of the
      Confidentiality, Grievance, Client Non-Discrimination and Standard Release of
      Information policies and forms were readily available.

      Material Safety Data Sheets were not readily available

  IV. Program Highlights

     General Observations: Marywood is licensed by the State of Texas, is a member
     of the North American Council on Adoptable Children and the Texas Association
     of Family and Children's Services, and is a partner in the Adoption Coalition of
     Texas.     Its programs are nationally accredited through the Council on
     Accreditation, a national organization that brings best practices to social service
     agencies. Marywood is in its 84th year of operation, and offers adoption
     services, pregnancy support services, and transitional living for pregnant and
     homeless women and their families.
    Marywood is heavily focused on providing emergency assistance, support,
    education, counseling, and material assistance to pregnant women in need. It is
    well known within the Central Texas area as a resource for women experiencing
    challenging pregnancy and parenting situations. Marywood's Stepping Stones
    Program operates the Runaway and Homeless Youth Program for the U.S.
    Department of Health and Human Services.

    Currently, Marywood offers educational plans for non-residents, which include
    prenatal care, parenting, and nutrition; the Center also offers education about
    adoption, and life skills classes. For residents, the Center offers job placement
    services through its partner Goodwill Inc.

    Client Success Story:

    *Nofe: The following paragraphs describe a typical case successfully managed by
    the Service Provider evaluated in this report prior to its enrollment in the Texas
    Alternative to Abortion Services Program. It is shared for the limited purpose of
    illustrating the quality and scope of the Service Provider's work prior to its
    participation in the Program. The client has given her consent for her story to be
    included in this report, and her name has been changed to protect her privacy. The
    services described in the Success Story were not provided with Program funds.

    "Maria's" life was chaotic when she came to Lifeline; she had a profoundly
    disturbing childhood and adulthood that precipitated her need for the Center's
    services. Pregnant and parenting on her own, Maria was also caring for her
    younger sister. In response to all of this upheaval, Maria's children were
    experiencing severe behavioral problems. She was overwhelmed and very
    depressed.

    Through compassionate guidance, educational videos and written handouts, her
    case manager was able to help her address a multitude of factors impacting her
    life and that of her children. They discussed patterns of behavior that follow
    sexual abuse, codependency, and abusive relationships. Maria also learned
    about prenatal care, stress management and positive parenting.

    Through guidance, intervention and referrals to mental health care providers,
    additional social service assistance and legal aid, the Center was able to provide
    a comprehensive support plan for her entire family. In addition, Marywood
    provided her with maternity and baby clothes, diapers, groceries and financial
    assistance for an ultrasound.

   Maria worked very hard to become a better mother and it showed by the
   improved behavior of her children who also made an improvement in school.
   Maria delivered a healthy baby boy. This whole family's life was changed through
   the Center's interaction and loving care. Maria's situation is more stable and she
   has started to build a healthy family.

V. Corrective Actions:     MSDS were obtained and made available where
   necessary. Locked cabinets were installed prior to the contract effective date.


                                                                  qjq/i7
   Paola Garc~a
              H~cks,
                   Tra~n~ngEvaluat~on
                         &          Manager                        Date
                          INITIAL SITE VISIT REPORT


Site Name:                 Our Lady of the Angels Maternity Shelter
Address:                   613 South gthSt.
                           Temple, TX 76504
Site #:                    1301
Director:                  Dawn Erff
Counties Served:           Bell, Falls, McLennan, Hill, Ellis, Navarro, Bosque, Coryell,
                           Williamson, Travis, Milam, Lampasas, and Burnet with
                           occasional referrals from as far away as Dallas and San
                           Antonio
Date of Visit:             March 14, 2007
Visit Conducted By:        Grant Gee


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      ssfety features (including fire extinguishers snd s m ~ k e detectors), and
      pantrylstorage areas were inspected and found to be in compliance.


   II. Program Profile

      General Observations: It was determined through interviews that the Shelter is
      supervised 24 hours per day, 365 days per year, by either employed staff or by
      live-in House Parents. Employed staff personnel and volunteers are on site
      Monday through Friday from 7:30 AM to 5:00 PM. The Shelter accepts clients
      with appointments and as walk-ins. Clients are occasionally met outside office
      hours, on an emergency basis. The Shelter phone is answered all hours during
      the day.

      The Shelter provides all its services free of charge. The Shelter receives
      referrals from the Bell County Health Department, other social service agencies,
      crisis pregnancy centers, other maternity homes, doctors and hospitals, public
      and private schools, and abuse crisis centers.


  Ill. Corporate Administration

      General Observations: Program records storage and educational materials were
      reviewed and found to be in compliance. Copies of the Confidentiality,
      Grievance, Client Non-Discrimination and Standard Release of Information
      policies and forms are readily available at the Center. Spiritual materials were
      adequately identified and separated from the acceptable Program materials.
      Material Safety Data Sheets were stored for ready reference near the cleaning
      supplies used in the facility.
IV. Program Highlights

   General Observations: Our Lady of the Angels Maternity Shelter is heavily
   focused on providing emergency assistancelshelter, food, supervision, support,
   education, counseling and material assistance to homeless pregnant women,
   aged 14 through adult. Counseling and case management are provided by
   licensed social workers. They are well known within the Central Texas area as a
   resource for homeless women experiencing challenging pregnancy and
   parenting situations. They are very dedicated and innovative in securing support
   and assistance as they attempt to grow.

   Our Lady of the Angels Maternity Shelter is licensed by the Texas Department of
   Family and Protective Services to provide shelter for both minors and adults. It is
   the only shelter in Texas licensed to serve both populations.

   Our Lady of the Angels Maternity Shelter currently has a limited variety of
   educational programs that are referred out. Courses include such topics as
   Parenting Skills and Life Skills at present. The Director has plans to increase the
   scope of programs and be ab!e to offer some in-h0uc.e.


   Client Success Story:

   *m:     The following paragraphs describe a typical case successfully managed by
   the Service Provider evaluated in this report prior to its enrollment in the Texas
   Alternative to Abortion Services Program. It is shared for the limited purpose of
   illustrating the quality and scope of the Service Provider's work prior to its
   participation in the Program. The client has given her consent for her story to be
   included in this report, and her name has been changed to protect her privacy. The
   services described in the Success Story were not provided with Program funds.

   "Jennifer," a 24-year-old Army veteran of Iraq and Afghanistan, was living house-
   to-house, roommate to roommate, with no steady form of income and no stability.
   Last spring, she found herself pregnant, with no family support system available
   to help her. The father of her baby was not interested in pursuing a further
   relationship and being a father to the baby. Jennifer knew abortion was out of
   the question, but did not know what options and assistance were available to her.

   Jennifer made dozens of phone calls and finally was linked with a Gabriel Project
   volunteer. Together, they got her to the Shelter where she was able to combine
   her own resourcefulness with the knowledge and experience of her mentor and
   the Shelter staff. She began searching for work and following many leads. One
   major impediment to her searching was not having a driver's license. It was
   determined she needed driving lessons, but those were prohibitively expensive
   for her. At the Director's request, the owner of a nearby driving school donated
   two free lessons for Jennifer. After meeting with her and assessing her skills, he
   donated all her lessons for free. The school also allowed her to use one of their
   vehicles to retake the test. There was much joy when she passed the test and
   got her license.
   Among the life skills Jennifer had not learned prior to coming to the Shelter were
   cooking and parenting. As a result of her stay at the Shelter, and working with
   the House Parents, she was able to gain both knowledge and experience in
   planning a menu and cooking meals. She also gained understanding about the
   changes occurring in her own body, what birthing would be like, and child
   development. She was able to get herself on her feet and move into an
   apartment and start living on her own. Not long after moving out of the Shelter,
   Jennifer gave birth to a healthy little girl. As of the Spring of 2007, both mother
   and baby were doing well, and Jennifer was enrolled in college.



V. Corrective Actions: None needed
                           INITIAL SITE VISIT REPORT


Site Name:                  First Choice Pregnancy Resource Center
Address:                    602 Main St.
                            Texarkana, TX 75501
Site #:                     1401
Director:                   Kimberly Banks
Counties Served:            Bowie and Cass
Date of Visit:              May 17,2007
Visit Conducted By:         Grant Gee


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      safety features (including smoke detectors), and pantrylstorage areas were
      inspected and found to be in compliance, with the following exceptions: three fire
      extinguishers had expired inspection tags. The Center understands that its
      ccntrad ~ ~ ~ i t h LAJ~!! b e c e ~ e
                               not         effedive until it hss the fire extinguishers
      inspected and re-tagged.


   II. Program Profile

      General Observations: It was determined through interviews that the Center is
      open Monday through Wednesday and Friday from 8:00 AM to 5:00 PM. The
      Center accepts clients with appointments and as walk-ins. Clients are rarely met
      outside office hours, and only on an emergency basis. The Pregnancy Resource
      Center is a Care Net affiliate. The Center currently uses an answering machine,
      but is working to implement a call-forwarding procedure to designated staff to
      capture calls received outside working hours.

      The Center provides all its services free of charge. The Center receives referrals
      from the Bowie County Health Department, other social service agencies,
      doctors and hospitals, churches, and abuse crisis centerslshelters.


  Ill. Corporate Administration

      General Observations: Program records storage and educational materials were
      reviewed and found to be in compliance. Copies of the Confidentiality,
      Grievance, Client Non-Discrimination and Standard Release of Information
      policies and forms were readily available at the Center. Spiritual materials were
      adequately identified and separated from the acceptable Program materials.
      Material Safety Data Sheets were stored for ready reference near the cleaning
      supplies used in the facility.
IV. Program Highlights

   General Observations: The First Choice Pregnancy Resource Center is heavily
   focused on providing pregnancy assistance, support, education, counseling and
   material assistance to pregnant women in need. They are well known within the
   Northeast Texas area as a resource for women experiencing challenging
   pregnancy and parenting situations. They are very dedicated and innovative in
   securing support and assistance as they grow and expand their programs.

   The First Choice Pregnancy Resource Center has a wide variety of educational
   programs that are delivered in-house, covering topics that include Parenting
   Skills, Car Seat Safety, Nutrition, Anger Management, and Life Skills for both
   men and women.

   Client Success Stow:

    -
   *Note: The following paragraphs describe a typical case successfully managed by
   the Service Provider evaluated in this report prior to its enrollment in the Texas
   Alternative to Abortion Services Program. It is shared for the limited purpose of
   illustrating the quality and scope of the Service Provider's work prior to its
   participation in the Program. The client has given her consent for her story to be
   included in this report, and her name has been changed to protect her privacy. The
   services described in the Success Story were not provided with Program funds.

   In the client's own words:

   "I first came to lSt to take a pregnancy test, and when it came back
                        Choice
   positive, I was scared to death. I had been through 6 miscarriages before; one
   about 4 months earlier, that almost took my own life.

   I came back weeks later and met with a mentor at the center. She told me about
   all of the great classes I could take that would help me prepare for the birth of my
   child, such as Prenatal, Lamaze and Parenting.

   I've never admitted this until now, but my biggest fear about having a child at 19
   years of age wasn't so much being prepared as it was affording it. I barely could
   take care of myself.

   It got so bad that I was even considering adoption. I mean, who was I kidding, I
   couldn't afford a reliable car, or a place of my own, let alone diapers, clothes,
   formula, etc., for a newborn.

   But my mentor continued on about everything the Center had to offer. Then she
   told me about the Mommy Store, a place in the Center where moms could spend
   the "Mommy Dollars" they earned for attending classes to buy various items,
   when they became available.

  I've been attending classes for over a year now and with every new class I learn
  so much more and with the Mommy Store, I am able to purchase almost
  everything I need for my daughter.
   I am now 20 and my daughter is 6 months old. I owe my life to lSt     Choice
   Pregnancy Center. If it was not for them, I wouldn't be watching my little girl
   learn to crawl.

   So to all of lSt
                  Choice, from a mother who was in desperate need, thank you and
   God Bless You all."

V. Corrective Actions Taken: The fire extinguishers were inspected and re-
   tagged.
                            INITIAL SITE VISIT REPORT
                                  NEW FACILITIES


Site Name:                  House of Hope
Address:                    4100 Rio Bravo, suite 309, El Paso, TX 79902
Site #:                     40 1
Director:                   Angelica Rosales
Counties Served:            El Paso
Date of Visit:              May 31, 2007
Visit Conducted By:         Paola Garcia Hicks



   I. Facility

      General Observations:       Counseling areas, office space, equipment, fire
      extinguishers, smoke detectors, lavatories, and pantrylstorage areas were
      inspected and found to be in compliance. The facility is handicapped accessible.


   II. Program Profile

      General Observations: Through interviews, it was determined that the hours of
      operation are Monday, Tuesday, Thursday, and Friday 9:00 AM to 5:00 PM,
      Wednesday 1:00 to 7:00 PM. Clients are met on Saturdays by appointment only.
      The Center accepts clients with appointments and as walk-ins; it has an answering
      machine to capture calls received outside working hours. House of Hope provides
      all its services free of charge.

      The Center receives client referrals from local churches and schools, and makes
      referrals to 21 1 Texas referral network, Gabriel Project, transitional shelters, and
      others.

  Ill. Corporate Administration

      General Observations: Program records storage was reviewed and found to be in
      compliance. Standard Release of Information form, copies of the Confidentiality,
      Client Grievance and Non-Discrimination policies and the Material Safety Data
      Sheets were readily available on site.

      Spirituai materials were separate from secular educational materials and labeled
      accordingly.

  IV. Program Highlights

     General Observations: The House of Hope is focused on providing pregnancy
     assistance, education, counseling and material assistance to pregnant women in
     crisis pregnancies. The House of Hope offers life skills classes including topics
     such as parenting, breast feeding, pregnancy, sexual health, and labor.
V. Corrective Actions Taken:
   None needed.




                                                         \/c
                                                        6/     +-
   Paola &&ia   Hicks, Training and Evaluation Manger   Date
                      Service Provider Site Monitorings
                   September 1,2007 to November 30,2007


+   The Life Center, Midland

+   House of Hope, El Paso

    Seton Home, San Antonio

+   Catholic Charities of Galveston-Houston, Houston

+   Fifth Ward Pregnancy Help Center, Houston

+   Gabriel Project Lifs Center, Austin

    The Source for Women, Houston
         Real Alfernotives Program and instructional Design Sysfem (RAPID Sysfem) O Real Alfernotives 2005-2007



                                    TEXAS PREGNANCY CARE NETWORK
                               Texas Alternative to Abortion Services Program

                                            SITE MONITORING REPORT


      Site Name:       The Life Center

      Address:         2 01W. Wall St., Midland, TX 79701
                        1

   Site No.:           30 1

   Director:           Judy Rouse

  Ssivice Area: Midland, kndrews, Erewster Crane Crockett Ector Gclines Glasscoclc
                Howard, Jeff Davis, Loving, Martin, Pecos, Presidio, Reagan, Reeves,
                Terrell, Upton, Ward, and Winkler Counties.

  Date of Monitoring:          October 4,2007

  Monitoring Conducted By:              Paola Garcia Hicks, Evaluation Coordinator.


 1.         Facility

            A.         General Observations: All counseling areas, office space, lavatories,
                       safety features, equipment, inventory and materials/storage areas were
                       inspected and found in compliance.

            6.         Deficiencies: None

            C.         Corrective Action Recommended/Taken: None needed
           -
           !,
           U.                   i
                     S ~ e c i aComments: None

II.        Program Profile

           A.       General Observations: Counseling topics, programs, core services,
                    referrals, educational materials, licensing, and site-specific information
                    and hotline accessibility were reviewed and found to be in compliance.

           8.       Deficiencies: None

           C.       Corrective Action Recommended/Taker;: None needed

           D.       Special Comments: None

Ill.       Corporate Administration

          A.        General Observations: Corporate records, program records, policies and
                    procedures, staff training, staff clearances, client services, and spiritual
                    counseling procedures were reviewea ond i o ~ i n d b e in compliance
                                                                         to
      Real Alternatives Program and Instructional Design System [RAPID System) O Real Alternatives 2005-2007



                    with the contractual requirements of the Texas Alternative to Abortion
                    Services Program.

          B.        Deficiencies: None

          C.        Corrective Action Recommendedliaken: None needed

          D.        Special Comments: None

IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed. All Spiritual Counseling Request
                   Forms were completed cppropriately.

          B.       Deficiencies: None

          C.       Corrective Action RecommendedITaken: None needed

         D.        Special Comments: None

V.       Client Success Story

         *Nofe: The following paragraphs describe a case successfully managed by fhe
        Service Provider evaluated in fhis report since if joined the Texas Alternative to
        Abortion Services Program. If is shared for the limifed purpose of illusfrafing fhe
        qualify and scope of the Service Provider's work. The client has given her consent
        for her story to be included in fhis report, and her name has been changed to
        protect her privacy.

        The Executive Director shared the story of one of The Life Center's clients:

         "Amy" found herself i.n a new asd frightening situation, pregna??. P,myls
         boyfriend, who lived in California, was pressuring her to move there with him and
         abort the baby. He tried convincing her that neither one of them could afford a
         baby in their lives. His justification for abortion was that there was not a baby
        inside her yet, only tissue. Confused and scared, Amy turned to her mom for
        advice and support. Amy's mom called The Life Center. She asked for inforrna1,ion
        regarding abortion and the Center's services. Amy and her mother were
        scheduled to come in and meet with a counselor. Amy was given a pregnancy
        test and this gave a positive result. Then she was provided information about
        adoption, abortion, and fetal development and she also received information
        about referrals. She was also told about the Center's services which include pre-
        natal classes and was informed what her body was going through at thot specific
        time. She made the decision to parent the baby and to enroli in pre-naiai classes.
        She was very eager to speak to the father of the baby and inform him of ail she
        h a d learned.

       During Amy's last visit to the Cenier, she shared that she had mailed the
       information she received to her boyfriend. He was overwhelmed with guilt and
       regret about trying to convince her to abort. He was Jdst as astonished that there
      Real Alternatives Program and Instructional Design System (RAPID Systemj O Real Alternatives 2005-2007



          was an actual baby growing inside her. Consequently, he supported her in her
          decision to carry the baby.

          The client is now making reguiar prenatal visits to her doctor, taking prenatal
          vitamins, and doing very well. She is attending the Center's prenatal
          development classes and borrowed a pregnancy book from the Center's library.
          She is still attending high school and plans to graduate early. The Center
          encouraged her to pursue higher education and continue on the path that will
                                                    s
          lead to the achievement of goals that she i setting for her life.

VI.       Conclusion

          The Life Center is focused on providing pregnancy assistance, support,
          education, counseling and material assistance to pregnant women in need.
          They are well known within the Permian Basin region as a resource for women
          experiencing challenging pregnancy and parenting situations. The Life Center
          has a wide variety of educational programs, which include such topics as
          Parenting, Fatherhood, Sexual Health, and Relationships.
    Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2007



                                TEXAS PREGNANCY CARE NETWORK
                          TEXAS Alternative to Abortion Services Program

                                       SITE MONITORING REPORT
                                            SIGNATURE PAGE


Site Monitoring Report Submitted By:                           Paola Garcia Hicks

Date of Report:                                                 12/4/07

Corrective Action RecommendedITaken:                           None needed

Date Corrective Action Authorized:                             N/A

Corrective Action Confirmed By:                                N/ A

Evaluation Coordinator's Signature:

Executive Director's Signature:
       Real Alternatives Progrom ond Instructional Design System (RAPID System) O Real Alfernatives 2005-2006



                                  TEXAS PREGNANCY CARE NETWORK
                             Texas Alternative to Abortion Services Program

                                          SITE MONITORING REPORT


   Site Name:        House of Hope

   Address:          4 00 Rio Bravo, Suite 309,El Paso, TX 79902
                      1

   Site No.:         40 1

   Director:         Angie Rosales

  Service Area: Ei Faso County

  Date of Monitoring:        September 21, 2007

  Monitoring Conducted By:            Paola Garcia Hicks, Evaluation Coordinator


  1.      Facility

          A.         General Observations: All counseling areas, office space, lavatories,
                     safety features, equipment, inventory and materialslstorage areas were
                     inspected and found to be in compliance.

          6.         Deficiencies: None

          C.         Corrective Action RecommendedITaken: None needed

         D.                   l
                   S ~ e c i aComments: None



         A.       General Observations:        Counseiing topics, programs, core services,
                  referrals, educational materials, licensing and site-specific information and
                  hotline accessibility were reviewed and found lo be in compliance.

         B.       Deficiencies: None

         C.       Corrective Action RecommendedITaken: None needed

         0.       Special Comments: None

Ill.     Corporate Administration

        A.        General Observations: Corporate records, program records, policies and
                  -
                  procedures, staff training, client services, and spiritual counseiing
                  procedures were reviewed and foui-~d be substantially in compliance
                                                       to
                  according to the contractual requirements of the Texas Alternative to
                  Abortion Services Program.
      Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2006



          8.       -    -
                   Deficiencies:     The Service Provider obtained all required criminal
                   background checks and child abuse clearances, but did not do so in a
                   timely manner, as required. Four counselors/mentors experienced delays
                   in obtaining their clearances.

          C.       Corrective Action Recommended/Taken: Reimbursements made for
                   services provided by counselors/mentors who did not have active
                   background clearances will b e deducted.

          D.       Special Comments: None

IV.       Reimbursement Compliance

         A.        General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Sertice Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.
                   There were no Spiritual Counseling Request Forms to review at this time.

         B.       Deficiencies: The clients identified by the following Client Confidential
                  Numbers did not properly sign or date the CVFs on the following dates of
                  service.

                  01.401TX01086
                  02.40 1 TX0 1 052
                  03.40 1 TX0 1047
                  04.40 1 TX0 1059
                  05.401TX01076
                  06.401TX01070
                  07. 401TX01145
                  08.40 1TXO 1 049
                  09.401TX01049
                  10.401TX01029
                  11.401TX01074
                  12.401TX01050
                  13.40 1 TX0 1064
                  14.40 1 TX0 1064
                  15.401TX01160


        C.       Corrective Action Recommended/Taken:          Deductions from Service
                 Provider's reimbursement for the services rendered to the clients noted
                 above on the dates of service indicated.

        0.       Special Con:rnen>:       None

  V. Client Success Story

        *Note: The following paragraphs describe a case successfully managed by the
         --
       Service Provider evaluated in this report since it joined the Texas Alternative to
       Aborfion Services Program. It is shared for the limited purpose of illusfrafing the
       quality and scope of the Service Provider's work. The client has given her consent
       for her story to be included in this report, and her name has been omiffed to
       pro tecf her privacy.
      Real Alternatives Program and Instructional Design System [RAPID System) O Real Alternatives 2005-2006




          The Executive Director shared the story of one of the House of Hope's clients:

          Client came to House of Hope in February of 2007 for a free pregnancy test. She
          had two children and had recently gone through a divorce as a result of
          domestic abuse. During our conversation she disclosed that just had recently
          had an abortion in January and suffered greatly from her decision to abort, but
          she was giving serious thought to aborting again because she simply could
          not provide for another child.

          Client was unemployed and had been in and out of public housing facilities
          trying to get back on her feet. As a single mother, she knew that having another
          child was not going to be easy. I shared with the client the types of services we
          could provide for her to lessen ihe financial bt~rdenof providing for three
          children. I explained to her that we wanted to support her both emotionally and
          financially to assist her during this time in her life. I let her know she was not
          alone. I explained to her that because she was pregnant, she would be eligible
          to enroll in our program, which would consist of seeing her on a monthly basis for
          classes at our center, and, if she attended classes, she would be eligible for
          material assistance every month. I also told her that our staff and volunteers
          serve as an extended family for women, offering emotional support during an
          unplanned pregnancy. She cried with me and said she could not go through the
          pain for aborting again, but would need ongoing support.

          After she left our center, we followed up with her a week later. The first class she
          attended was our class on self-esteem. During her pregnancy she attended our
          six week program on self-esteem, classes on breastfeeding, classes on labor
          preparation and classes on sexual health. We continued to have regular contact
          with the client and began to see a transformation as the client became more
          certain of herself and her abilities to raise her three children.

         She recently delivered in November. With a newborn in the house and two other
         children, House of Hope selected ihis particular client io provide Christmas gifts
         for the entire family. We provided clothing, food and presents for the family and
         will continue to work with client for the following year offering emotional support,
         classes and material assistance.

VI.      Conclusion

         The corrective actions for the deficiencies noted in sections Ill and IV of this report
         are deductions.

                               s
         The iiouse of Hope i focused on providing pregnancy assistance, education,
         counseling and ,material assistance to pregnant women in crisis pregnancies. The
         House of Hope offers life skills classes including topics such as parenting, breast
         feeding, pregnancy, and sexual health. The Center will soon offer limited
         uitrasound services to clients.
    Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2006



                                TEXAS PREGNANCY CARE NETWORK
                          TEXAS Alternative to Abortion Services Program

                                       SITE MONITORING REPORT
                                            SIGNATURE PAGE


Site Monitoring Report Submitted By:                           Paola Garcia Hicks

Date of Report:                                                1 1/28/07

Corrective Action Recommended/Taken:                           Deductions in reimbursements as
                                                               indicated in sections Ill and IV of this
                                                               report.

Date Corrective Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
          Real Alternatives P r o g r a m a n d Instructional Design System (RAPID System) O Real Alternatives 2005-2006



                                      TEXAS PREGNANCY CARE NETWORK
                                 Texas Alternative to Abortion Services Program

                                                IE            EOT
                                               ST MONlTORlNG R P R


       Site Name:       Seton Home

      Address:           1 1 15 Mission Rd., San Antonio, TX 78210

      Site No.:         60 1

      Director:         Margret Starkey

      Service Area: Aii Texas

      Date of Monitoring:         November 14, 2007

  Monitoring Conducted By:                  Paoia Garcia Hicks, Evaluation Coordinator


  1.         Facility

             A.         General Observations: All counseling areas, office space, lavatories,
                        safety features, equipment, inventory and materials/storage areas were
                        inspected and found to be in compliance.

             B.         Deficiencies: None

             C.        Corrective Action RecommendedlTaken: None needed

             D.                   l
                       S ~ e c i aComments: None

 t!
 11.         Program Profiie

            A.        General Observations: Counseling topics, programs, core services,
                      referrals, educational materials, licensing and site-specific information and
                      hotline accessibility were reviewed and found to be in compliance.

            B.        Deficiencies: None

            C.        Corrective Action Recommended/Ta&:                       None needed

            C.        -cia!      Comments: None

Ill.        Corporate Administration

            A.                  l
                     G e ~ e r aObservations: Corporate records, progran? records, policies and
                     procedures, staff training, staff clearances, client services, and spiritual
                     counse!ing procedures were reviewed and fourid to b e in compliance
                     according to the contractual requirements of the Texas Aiternative to
                     Abortion Services Program.
      Real Alternatives Program and Instructional Design System (RAPIDSystem) O Real Alternatives 2005-2006



          8.       Deficiencies: None

          C.       Corrective Action RecommendedITaken: None needed

          D.       Special Comments: None

IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.
                   Spiritual Counseling Request Forms (SCRFs) reviewed were filled in
                   appropriately.

          0.      Deficiencies: The clients identified by the following Client Confidential
                  Numbers did not properly sign or date the CVFs on the following dates of
                  service.

                  01.601TX01010               1 1/28/07
                           X
                  02.60 1 T 0 1 028           07/04/07,01/02/07, and 2/05/07
                  03.60 1 TXO 1 032           01129107
                  04.601TX01061               05/05/07,05118/07,08/29/07,08/30/07,
                                                                            10/03/07


         C.       Corrective Action RecommendedITaken:          Deductions from Service
                  Provider's reimbursement for the services rendered to the clients noted
                  above on the dates of service indicated.

         0.       Sgecial Comments: None

  V . Client Success Story

         *Nofe: The following paragraphs describe a case successfully managed by the
        Service Provider evaluated in this report since it joined the Texas Alternative to
        Aboriion Services Program. ii is shared for the iimiied purpose of iliusirafing ine
        quality and scope of the Service Provider's work. The client has given her consenf
        for her story to be included in this report, and her name has been changed to
        protect her privacy.


        The Executive Director shared the story of one of the Seton Home's client:

        "Ana" came to Seton Home when she was 4 months pregnant with her second
       child. Ana had a neglectfv! and dangerolis ear!y iife since her mother was a
       drug addici and did not care for her children. Afte: being p!aced in Child
       Protective Services custody, Ana and her baby daughter were living at a shelter
       in Kerwilie for eight months before being placed at Seton iiome in August of 2006.

       A: Seton Home, Ana found a safe and nurturing home to live with her daughter
                                                   s
       and to give birth to her new baby girl, who i now almost a year old. Throughout
       her stay, Ana received a host of services inciuding prenatal care, health and
       nutrition counseling and education, childbirth instruction, food, ciothing, diapers
       and ali their baby needs. Ana also received individual and group counseling,
       drdg and aicohcjl abdse coilnseiing, parenting edticati:cn anc life skiiis training.
      Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2006



          Most importantly, she is catching up on her education and is scheduled to
          receive her GED in early February. She has been able to attend classes knowing
          that her daughters are well taken care of in Seton Home's licensed on-site day
                                                                     s
          care facility. Ana wants to become a registered nurse and i looking for a job in
          the health care industry to support herself while she attends college.

          Ana has a mentor who visits her at Seton Home each week. She is grateful for all
          the assistance she received and for her new life. She has great hope for the
          future for herself and for her daughters. Ana said, "I have two beautiful
          daughters that love me. I show myself every day that I'm growing to be a better
                                s
          person. Seton Home i the best place that ever happened to me. It makes me
          feel safe to have people who care for me and who stand by my side. I'm glad
          the state of Texas has a place like Seton Home."

V!.       Coiielusioii

          The corrective action for the deficiencies noted in section IV of this report is
          deduction.

          Seton Home is well known within the immediate and the greater San Antonio
          area as a resource of housing for young, homeless pregnant women
          experiencing challenging pregnancy and parenting situations. It is also known
          throughout the State, since it serves clients from all over Texas.
    Real Alternatives Program and Instructional Design System (RAPIDSystem) O Real Alternatives 2005-2006



                                TEXAS PREGNANCY CARE NETWORK
                          TEXAS Alternative to Abortion Services Program

                                      SITE MONITORING REPORT
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                           Paola Garcia Hicks

Date of Report:                                                1211 7/07

Corrective Action Recommended/Taken:                           Deductions in reimbursements as
                                                               indicated in section IV of this report.

Date Corrective Actior; Authorized:                            1/ i9/08

Evaluation Coordinator's Signature:

Executive Director's Signature:
       Real Alternatives Program and Instructional Design System (RAPIDSystem) O Real Alternatives 2005-2006



                                  TEXAS PREGNANCY CARE NETWORK
                             Texas Alternative to Abortion Services Program

                                         SITE MONITORING REPORT


 Site Name:           Catholic Charities of Galveston-Houston

 Address:             2900 Louisiana St., Houston, TX 77006

 Site No.:            70 1

 Director:            Carol Shulse

 Service Area: Harris, Fort Bend, Galveston, and Montgomery

 Date of Monitoring:          November 15,2007

Monitoring Conducted By:               Vincent Friedewald, Executive Director


1.         Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and materials/storage areas were
                      inspected and found to be in compliance.

           B.         Deficiencies: None

           C.         Corrective Action RecommendedITaken: None

           D.                    l
                      S ~ e c i aComments: None

II.        Program Profile

           A.         General Observations: Counseling topics, programs, core services,
                      referrals, educational materials, licensing and site-specific information and
                      hotline accessibility were reviewed and found to be in compliance.

           B.         Deficiencies: None

           C.         Corrective Action RecommendedITaken: None

           D.       a e c i a l Comments: None

Ill.       Corporate Administration

          A.       General Observations: Corporate records, program records, policies and
                   procedures, staff training, staff clearances, client services, and spiritual
                   counseling procedures were reviewed and found to be in compliance
                   according to the contractual requirements of the Texas Aiternative to
                   Abortion Services Program.
      Real Alternatives Program and Instructional Design System (RAPIDSystem) O Real Alternatives 2005-2006



          B.        Deficiencies: None

          C.        Corrective Action RecommendedITaken: None needed

          D.       Special Comments: None

IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.

          B.       Deficiencies: The clients identified by the following Client Confidential
                   Numbers did not properly sign or date the CVFs on the following dates of
                   service.




          C.       Corrective Action RecommendedITaken:          Deductions from Service
                   Provider's reimbursement for the services rendered to the clients noted
                   above on the dates of service indicated.

      V . Client Success Story

          :
          -
          *      The following paragraphs describe a case successfully managed by the
         Service Provider evaluated in this report since if joined the Texas Alternative to
         Aborfion Services Program. It is shared for the limited purpose of illustrating the
         quality and scope of the Service Provider's work. The client has given her consent
         for her story to be included in this report, and her name has been changed to
         protect her privacy.

         The Director shared the story of one of its clients:

          "Maxine" called and wanted to discuss having an abortion, as she currently had
         five children and did not feel she could emotionally or financially care for another
         child without it severely impacting her ability to provide for the children she was
         already parenting. Through counseling, she determined she could carry the
         baby to term and then place the child for adoption. She determined that she
         would be giving the child a gift by giving her life and then making sure she was
         loved and cared for, having an opportunity for the child to reach her full
         potential. She did make an adoption plan and has contact with the adoptive
         family through pictures, letters and some visits. This contact, as well as the grief
         and loss counseling, has helped her through the process, and she feels she made
         the right decision.

VI.      Conclusion

         The corrective actions for the deficiencies noted in section IV of this report are
         deductions.
   Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2006



                              TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                       IE              EOT
                                      ST MONITORING R P R
                                          SIGNATURE PAGE


Site Monitoring Report Submitted By:                           Vincent Friedewald

Date of Report:                                                01/10/08

Corrective Action RecommendedITaken:                           Deductions in reimbursements a         s
                                                               indicated in section IV of this report.

Gate Corrective Action Authorized:

Executive Director's Signature:
       Real Alternatives Program and Instructional Design System [RAPID System) 0 Real Alternatives 2005-2006



                                  TEXAS PREGNANCY CARE NETWORK
                             Texas Alternative to Abortion Services Program

                                           IE            EOT
                                          ST MONITORING R P R


 Site Name:           Fifth Ward Pregnancy Help Center

 Address:             743 Shotwell St. Houston, TX 77020

 Site No.:            80 1

 Director:            Sylvia Johnson

 Service Area: Harris County

 Date of Monitoring:          November 16, 2007

 Monitoring Conducted By:              Paola Garcia Hicks, Evaluation Coordinator


 1.        Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and materialslstorage areas were
                      inspected and found to be in compliance. New fire extinguishers had
                      been installed and, according to the Executive Director, were not due for
                      inspection.

           0.         Deficiencies: None

           C.         Corrective Action RecommendedITaken: None needed

           D.                  l
                    S ~ e c i aComments: None

 1
1.         Program Profile

          A.        General Observations:        Counseling topics, programs, core services,
                    referrals, educational materials, licensing and site-specific information and
                    hotline accessibility were reviewed and found to be in compliance.

          B.        Deficiencies: None

          C.        Corrective Action Recommended/Taken: None needed

          D.       a e c i a l Comments: None

Ill.      Corporate Administration

          A.       General Observations: Corporate records, program records, poiicies and
                   procedures, staff training, staff clearances (with the exceptions noted
                   beiow), ciient services, and spiritual cou?seling procedvres were reviewed
      Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2006



                    and found to be substantially in compliance according to the contractual
                    requirements of the Texas Alternative to Abortion Services Program.

           B.       Deficiencies: The Service Provider experienced delays in obtaining the
                    required criminal background checks and child abuse clearances for
                    some of its counselors/mentors, and for other counselors/mentors the
                    clearances have not been received yet at the time of the monitoring.
                    Eight counselors/mentors experienced delays in obtaining their
                    clearances or were still waiting to receive their clearances. A possible
                    breach of confidentiality occurred because a client form was misplaced.

          C.       Corrective Action RecommendedITaken: Reimbursements made for
                   services provided by counselors/mentors who did not have active
                   background clearances will be deducted. Confidential record-keeping
                   practices have been reviewed with the site personnel to ensuie that ciieni
                   files are organized and secure in the future.

          D.             Comments: None
                   S~ecial

IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.
                   Spiritual Counseling Request Forms (SCRFs) reviewed were filled in
                   appropriately, except were noted below.

          B.       Deficiencies: The clients identified by the following Client Confidential
                                                                       CF
                   Numbers did not properly sign or date the CVFs or S R on the following
                   dates of service.




                   Also, the Spiritual Counseling Request Form for the client identified by the
                   Client Confidential Number 801TX03361 was misplaced.
          C.       Corrective Action Recommendedliaken:           Deductions from Service
                   Provider's reimbursement for the services rendered to the clients noted
                   above on the dates of service indicated and for oll the services rendered
                   to the client whose Spirituai Counseling Request Form was mispiaced. The
                   Service Provider's Executive Director has reminded the staff about the
                   importance of handling client files in a manner that will protect client
                   confidentiality.

         D.       Special Comments: None
      Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2006



      V. Client Success Story

          *Note: The following paragraphs describe a case successfully managed by the
          Service Provider evaluated in this report since it joined the Texas Alternative to
          Abortion Services Program. It is shared for the limited purpose of illustrating the
          quality and scope of the Service Provider's work. The client has given her consent
          for her story to b e included in this report, and her name has been changed to
          protect her privacy.

          The Executive Director shared the story of one of the Center's clients:

          "Tania" visited the Center because her friends had told her that there was a
          "really pretty" pregnancy center in the Fifth Ward area and she wanted to see it
          for herself. She had already had two abortions and was pregnant again. She was
          counseled/mento;ed and given iefeirals.

          Two months later she came back to the Center, she was still pregnant. She
          requested community referrals. The Director also took her to the Center's Closet
          to give her material assistance.

          During a later visit, the Director and the client went to a shop to buy a car seat. A
          salesperson recognized the Director and started telling a coworker that that
          woman (Director) helped her during her crisis pregnancy, then took a picture of
          her baby and handed it to the Director. Tania was listening.

          Recently, Tania visited the Center again and she did not have a picture to show
          but she brought her newborn baby girl for the Center's personnel to know her.

VI.       Conclusion

          The corrective action for the deficiencies related to clearances and
          reimbursement compliance noted in sections in Ill and IV of this report is
          deduction. The corrective action for the procedural or administrative deficiencies
          noted in section Ill of this report had been completed as of this report's date.

                                           s
          The Pregnancy Help Center i heavily focused on providing pregnancy
          assistance, support, education, counseling and material assistance to pregnant
          women in need. They are well known within the Fifth Ward area of Houston as a
          resource for women experiencing challenging pregnancy and parenting
          situations.
   Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2006



                                TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                      SITE MONITORING REPORT
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                           Paola Garcia Hicks

Date of Report:                                                01/14/08

Corrective Action RecommendedlTaken:                           Deductions in reimbursements as
                                                               indicated in sections Ill and IV of this
                                                               report. Other administrative or
                                                               proceciurai correciive aciions iai<en
                                                               as i n d i c a t e d in section 111 o this
                                                                                                    f
                                                               report.

Date Corrective Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
       Real Alternatives Program and Instructional Design System [RAPID System) O Real Alternatives 2005-2006



                                  TEXAS PREGNANCY CARE NETWORK
                             Texas Alternative to Abortion Services Program

                                          SITE MONITORING REPORT


   Site Name:        Gabriel Project Life Center

   Address:           1817 E. 6th St. Austin, TX 78702

   Site No.:         90 1

   Director:         Rebecca Cook

  Sewice Area: iravis County

  Date of Monitoring:        November 13, 2007

  Monitoring Conducted By:            Paola Garcia Hicks, Evaluation Coordinator


  1.      Facility

          A.         General Observations: All counseling areas, office space, lavatories,
                     safety features, equipment, inventory and materialslstorage areas were
                     inspected and found to be in compliance.

          B.         Deficiencies: None

          C.         Corrective Action Recommended/Taken: None needed

          D.                  l
                   S ~ e c i aComments: None

 ii.     Piogram Frsfiie

         A.       General Observations: Counseling topics, programs, core services,
                  referrals, educational materials, licensing and site-specific information and
                  hotline accessibility were reviewed and found to be in compliance.

         B.       Deficiencies: None

         C.       Corrective Action RecommendedITaken: None needed

         D.       Special Comments: None

Ill.     Corporate Administration

         A.      General Observations: Corporate records, program records, policies and
                 procedures, staff training, staff clearances, client services, and spiritual
                 counseling procedures were reviewed and found to be substantially in
                                                                                f
                 compliance according to the contractual requirements o the Texas
                 Alternative to Abortion Services Program.
      Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2006



           B.       Deficiencies: A possible breach of confidentiality occurred because a
                    client's form was accidentally handed to another client.

          C.        Corrective Action RecommendedITaken: Confidential record-keeping
                    practices have been reviewed with the Service Provider Executive
                    Director to ensure that client files are organized and secure in the future.

          D.       Special Comments: None

IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below. All
                   Spiritual Counseling Request Forms (SCRFsj ieviewed were completed
                   appropriately, except were noted below.

          B.       Deficiencies:

                   1. The clients identified by the following Client Confidential Numbers
                   (CCNs) did not properly sign or date the CVFs on the following dates of
                   service.

                            1.901TX01292                611 2/07
                                    X
                            2.90 1 T 0 1 086            5/06/07 and 3115/07

                   2. Spiritual Counseling Request Forms were not filled out b y the clients
                   identified by the Client Confidential Numbers listed below, on the dates of
                   service indicated even though the Service Provider indicated such on its
                   Services Rendered Forms.
                            1.901TX01283              5/25/07 and 5/29/07
                            2.901TX01281              5/25/07

                   3. Service Provider inadvertently had a client sign a CVF belonging to
                   another client. The counselor immediately noticed the error, and retrieved
                   the form, minimizing breach of confidentiality.

          C.       Corrective Action RecommendedITaken:

                  Deductions from Service Provider's reimbursement for the services
                  rendered to the clients who did not sign or date the Client Verification
                  Form appropriately, on the dates of service indicated above, and for
                  services rendered to clients whose S R s were signed later than reported
                                                       CF
                  on the dates of services indicated above.

                  The Service Provider's Executive Director has reminded the staff about the
                  importance of handling client files in a manner that will protect client
                  confidentiality.

         D.       Special Comments: None
Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2006



V . Client Success Story

     *w: following paragraphs describe a
       The                                         case successfully managed by the
    Service Provider evaluated in this report since it joined the Texas Alternative to
    Abortion Services Program. It is shared for the limited purpose of illustrating the
    quality and scope of the Service Provider's work. The client has given her consent
    for her story to be included in this report, and her name has been changed to
    protect her privacy.

    The Executive Director shared the story of one of the Gabriel Project Life Center's
    clients:

    When "Mary" first called us on a very cold January day, she was living out of her
    car. She had no job, no where to live, no driver's license, and no gas money.
    She did not even know h ~ far along hei piegnanq was. Over the phone, she
                                 w
          s
    told u that she needed maternity clothes, and diapers. The conversation was cut
    short too soon when we were disconnected because she ran out of minutes on
    her cell phone.

    Our second contact with Mary occurred several days later when she visited the
    Gabriel Project Life Center. She spent time meeting with one of our mentors
                              s
    where she shared with u her situation, her concerns and her needs. It was at this
    visit that we learned how Mary became homeless. After becoming pregnant, her
    husband left her and began having an affair with a woman in California. She
    could not provide for herself alone. At this visit, we provided maternity clothes,
    shoes, toiletries, and children's clothing, as well as information on other agencies
    that could provide assistance. In her evaluation, she wrote that she liked the
    Gabriel Project Life Center because the staff "seemed truly concerned" for her
    and her children.

    Over the next six months, Mary came numerous times to the Gabriel Project Life
    Center to talk with our mentors, to attend pregnancy and parenting classes, and
    to receive material assistance.

     y
   B March of that same year, Mary found an apartment and obtained a driver's
   license. Her husband was sending her financial support to pay for the apartment,
   but she was still jobless, On a sad note, at a doctor's appointment at that time,
   she learned that there were medical complications with her pregnancy. She was
   also under tremendous stress because her mother was diagnosed with brain
   cancer. In addition to emotional support, we provided her with more clothing,
   wipes, shampoo, and shoes. She told us that the staff at the Gabriel Project Life
   Center was "understanding" of her situation and hardships.

   From May to July, Mary attended a total of 9 parenting and pregnancy classes,
   including "Stages of Pregnancy", "Age Appropriate Play" and "In the Womb". A t
                                           s
   the first class she attended, she told u that she really enjoyed the class and that
   she planned on coming to more classes. Her attendance at the educational
   classes allowed her to earn two brand new baby furniture items. She chose a
   swing and a bouncer for her baby.

   Mary's last visit to the Life Center occurred on July 31 of the same year when she
   brought her newborn baby to the Life Center. She said that she loves the baby
                    s
   and that "he i just i~vely". We listened as she toid us her concerns about her
   marriage.
      Real Alternatives Program and Instructional Design System (RAPID System] O Real Alternatives 2005-2006




           In December, she told us that she had stopped coming in because she found a
          job. She now holds a managerial position at a large department store. She told
          us that she appreciated all the help that she received from the Life Center, and
          that we were instrumental in helping her through her pregnancy. She also told u    s
          that if she comes across anyone who is in a crisis pregnancy that she will tell them
          how much we helped her, so that they too may reach out to us for help.

VI.       Conclusion

          The corrective action for the deficiencies 1 and 2 noted in section IV of this report
          is deduction. The corrective action for deficiency 3 of section IV and the
          deficiency noted in section Ill of this report is review of confidential file
          management and has been finished prior to this report's date.

         Gabriel Project is focused on providing pregnancy assistance, pregnancy and
         parenting classes, and material assistance to pregnant women in crisis
         pregnancies.
   Real Alternatives Program and InstructionalDesign System (RAPIDSystem) O Real Alternatives 2005-2006



                              TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                     SITE MONITORING REPORT
                                          SIGNATURE PAGE


Site Monitoring Report Submitted By:                         Paoia Garcia Hicks

Date of Report:                                                 1
                                                              1 I 0108

Corrective Action RecommendedITaken:                         Deductions in reimbursements as
                                                             indicated in section IV of this report
                                                             and confidential file management
                                                             practices reviewed.

Date Corrective Action Authorized:                           01/10/08

Evaluation Coordinator's Signature:

Executive Director's Signature:
       Real Alternatives Program and Instructional Design System (RAPIDSystem) O Real Alternatives 2005-2006



                                  TEXAS PREGNANCY CARE NETWORK
                             Texas Alternative to Abortion Services Program

                                          SITE MONITORING REPORT


Site Name:            The Source for Women of Houston

Address:              6009 Richmond Ave. Ste 130, Houston, TX 77057

Site No.:             1001

Director:             Cathi Woods

Service Area: Harris County

Date of Monitoring:           November 15, 2007

Monitoring Conducted By:               Paola Garcia Hicks, Evaluation Coordinator


.
1          Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and materialslstorage areas were
                      inspected and found to be in compliance.

           B.         Deficiencies: None

           C.         Corrective Action RecommendedITaken: None needed

           D.         Special Comments: None

II.        Program Profile

           A.         General Observations: Counseling topics, programs, core services,
                      referrals, educational materials, licensing and site-specific information and
                      hotline accessibility were reviewed and found to be in compliance.

           B.         Deficiencies: None

           c.       -
                    - Corrective Action Recommended/Taken: None needed

           D.                  l
                    S ~ e c i aComments: None


Ill.       Corporate Administration

           A.       General Observations: Corporate records, program records, policies and
                    procedures, staff training, staff clearances, client services, and spiritual
                    counseling procedures were reviewed and found to be substantially in
                    compliance with the contractual reauireme~tsf the Texas Alternative to
                                                                     o
                                       ro
                    Aboriion Services P, g ram.
      Real Alternatives Program and lnstructionai Design System (RAPIDSystem) O Real Alternatives 2005-2006




           B.       Deficiencies: A possible breach of confidentiality occurred because a
                    client form was misplaced.

          C.        Corrective Action RecommendedtTaken: Confidential record-keeping
                    practices have been reviewed with the Service Provider Executive
                    Director to ensure that client files are organized and secure in the future.

          D.        Special Comments: None

IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.
                   Spiritual Counseling Request Forms (SCRFs) reviewed were filled in
                   appropriately, except where noted below.

          B.       Deficiencies: The clients identified by the following Client Confidential
                   Numbers did not properly complete, sign or date the CVFs on the
                   following dates of service.




                   Also, the Spiritual Counseling Request Form for the client identified by the
                   Client Confidential Number 1001TX01124 was misplaced.


          C.       Corrective Action RecommendedITaken:            Deductions from Service
                   Provider's reimbursement for the services rendered to the clients noted
                   above on the dates of service indicated and for all the services rendered
                   to the client whose Spiritual Counseling Request Form that was misplaced.
                   The Service Provider's Executive Director has reminded the staff about the
                   iniportance of handling ciieni files in a manner that will protect client
                   confidentiality.

          D.             Comments: None
                   S~ecial

      V. Client Success Story

         *Nofe: The following paragraphs describe a case successfully managed by the
         Service Provider evaluated in this report since it joined the Texas Alternative to
         Abortion Services Program. It is shared for the limited purpose of illustrating the
      Real Alternatives Program and Instructional Design System (RAPID System] O Real Alternatives 2005-2006



          quality and scope of the Service Provider's work. The client has given her consent
          for her story to be included in this report, and her name has been omitted to
          protect her privacy.


          A client tells her story in her own words:

          The Source for Women has been a wonderful oasis and resource for me and my
          family. When I first came in, earlier this year, I wanted to terminate my pregnancy
          due to just having a baby in December 2006, marital problems, and the pressure
          involved in raising my other children without much support.

          I came in and I was able to cry, let some of these heated and pent up emotions
          out, and talk about my options. 1 wanted someone to listen, and not preach to
          me, and my picjyers .were answered. The staff members, classes, and maieriai
          resources available have been such a great relief to me.

          Sometimes I still feel stress. But at least I know I have a place where I can go to
          get the help I need.

          I have decided to keep my new unborn child. The staff at The Source has
          supported me in my decision and has even helped me with my 10 month-old
          daughter. I have a great sense of reassurance because I feel that every staff
          member is giving me her best.

          I have never been judged by anyone at the Source for Women. They have gone
          over and beyond my expectations.


VI.       Conclusion

          The corrective action for the deficiencies related to reimbursement compliance
          noted in section IV of this report is deduction. The corrective action for deficiency
          included in section Ill and IV of this report related to a misplaced client form i  s
          review of confidential file management and has been finished prior to this
          report's date.

                                                               s
          The Source for Women of Houston Galleria Center i heavily focused on providing
          pregnancy assistance, education, counseling and material assistance to
          pregnant women in need. They are well known within the central area of
          Houston as a resource for women experiencing challenging pregnancy and
          parenting situations. The Galleria Center has a variety of educational programs
          that are delivered in-house. Engiish and Spanish language courses topics as
          Parenting Skills, Childbirth, Nutrition and Cooking, Life Skills, Relationships, among
          others.
   Real Alternatives Program and Instructional Design System (RAPID Sys:ern] O Real Alternatives 2005-2006



                               TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                      SITE MONITORING REPORT
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                           Paola Garcia Hicks

Date of Report:                                                1 / 1 0108

Corrective Action RecommendedITaken:                           Deductions in reimbursements as
                                                               indicated in section IV of this report,
                                                               and confidential file management
                                                               practices reviewed.

Date Corrective Action Authorized:                             1 / 1 0108

Evaluation Coordinator's Signature:

Executive Director's Signature:
                     Initial Site Visit Reports
              September 1,2007 to November 30,2007


The Source for Women, Rice Village Location, Houston

Marywood Children & Family Services, Austin

Care Net Pregnancy Center of Central Texas, Waco
                           INITIAL SITE VISIT REPORT


Site Name:                  The Source for Women of Houston - Rice Village
Address:                    5555 Morningside
                            Houston, TX 77005
Site #:                     1003
Director:                   Taya Reed
                            Cathi Woods, Chief Executive Officer
Counties Served:            Harris and Fort Bend
Date of Visit:              October 5, 2007
Visit Conducted By:         Grant Gee


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      and safety features (including fire extinguishers and smoke detectors) were
      inspected and found to be in compliance. This facility will not be providing
      materials assistance services due to its close proximity to the Richmond Ave.
      site.


   II. Program Profile

      General Observations: It was determined through interviews that the Center is
      open Monday through Thursday from 10:OO AM to 5:00 PM and Friday from
      10:OO AM to 2:00 PM. The Rice Village Center accepts clients with appointments
      and as walk-ins, and no clients are met outside office hours. The Source for
      Women of Houston - Rice Village is a Care Net affiliate and is linked to the Care
      Net Option Line to capture calls received outside working hours.

      The Rice Village Center provides all its services free of charge. The Rice Village
      Center receives referrals from the Harris County Health Department, other social
      service agencies, other pregnancy centers, YMCA, ECHOES, churches, and the
      Houston Independent School District, as well as from various Rice University and
      University of Houston student clubs.


  Ill. Corporate Administration

      General Observations: Program records storage and educational materials were
      reviewed and found to be in compliance. Copies of the Confidentiality,
      Grievance, Client Non-Discrimination and Standard Release of Information
      policies and forms are readily available at the Center. Spiritual materials are
      adequately identified and separated from the acceptable Program materials.
      Material Safety Data Sheets are stored for ready reference with the cleaning
      supplies used in the facility.
IV. Program Highlights

   General Observations: The Rice Village Center is heavily focused on providing
   pregnancy assistance, support, education, and counseling to pregnant women in
   need. They are establishing themselves within the university area of Houston as
   a resource for women experiencing challenging pregnancy and parenting
   situations. They are very dedicated and innovative in securing support and
   assistance as they grow and expand.

   The Rice Village Center has a variety of educational programs that are delivered
   in-house. Courses include such topics as Parenting Skills and Childbirth. The
   Center is also establishing Single Parent Support Groups.


V. Corrective Actions Taken: None Needed.


   Date of Report:                            October 9, 2007

   Site Visit Report Submitted By:            Grant W. Gee, MBA


   Executive Director's Signature:
                              INITIAL SITE VISIT REPORT


Site Name:                      Marywood Children and Family Services
Address:                        4029 S. Capital of Texas Hwy Ste 200
                                Austin, TX 78704

Site #:                         1201

Director:                      Jean Henry, Executive Director

Counties Served:               Travis, Williamson, Hays and Bastrop

Date sf Visit:                 November 19,2007

Visit Conducted By:            Deb Whitaker


    I. Facility

          General Observations: Counseling areas, office space, equipment, lavatories,
          safety features (including fire extinguishers and smoke detectors), and
          pantrylstorage areas were inspected and found to be in compliance, with the
          following exceptions: fire extinguishers need inspection.


   II. Program Profile

          General Observations: It was determined through interviews that the Center is
          open Monday through Thursday from 8:00 AM to 5:00 PM and Friday from 8:00
          AM to 3:00 PM. Marywood accepts clients with appointments and as walk-ins,
          and no clients are met outside office hours. Marywood has a 24 hour phone line
          avaiiable.

      Marywood provides all its services free of charge. Marywood receives referrals
      from other social service agencies in the area. They refer to local agencies such
      as Any Baby Can, Austin Clinics and Food Banks.


  Ill. Corporate Administration

      General Observations: Program records storage and educational materials were
      reviewed and found to be in compliance, with the following exceptions: Copies of
      the Confidentiality, Grievance, Client Non-Discrimination and Standard Release
      of Information policies and the Material Safety Data sheet were on premises but
      remained packed due to recent move.
IV. Program Highlights

    General Observations: Marywood is licensed by the State of Texas, is a member
    of the North American Council on Adoptable Children and the Texas Association
    of Family and Children's Services, and is a partner in the Adoption Coalition of
    Texas.     Its programs are nationally accredited through the Council on
    Accreditation, a national organization that brings best practices to social service
    agencies. Marywood is in its 85th year of operation, and offers adoption
    services, pregnancy support services, and transitional living for pregnant and
    homeless women and their families.

   Marywood is heavily focused on providing emergency assistance, support,
   education, counseling, and material assistance to pregnant women in need. It is
   well known within the Central Texas area as a resource for women experiencing
   challefigifig pregnancy and parenting sitiiaiioiis. Mar)iwoob's Stepping Stones
   Program operates the Runaway and Homeless Youth Program for the U.S.
   Department of Health and Human Services.

   Currently, Marywood offers educational plans for non-residents, which include
   prenatal care, parenting, and nutrition; the Center also offers education about
   adoption, and life skills classes. For residents, the Center offers job placement
   services through its partner Goodwill Inc.



V. Corrective Actions: The Confidentiality Agreement, Grievance Policy, Release
   of Information form, and Non-discrimination policy have been properly placed
   with the case managers. The Material Data Sheets on all products used to
   sanitize the counseling rooms have been made available to the case managers.
   The fire extinguishers have been replaced.



   Date of Report:                              January 11, 2008

   Site Visit Report Submitted By:              Deb Wbjtaker

   Recruiting and Education Manager's Signature:
                           INITIAL SITE VISIT REPORT


Site Name:                  Care Net of Central Texas
Address:                    4700 W. Waco Drive
                            Waco, TX 76710
Site #:                     1701
Director:                   Deborah McGregor, Executive Director
Counties Served:            McLellan, Limestone, Falls, Coryell, Bosque, Bell
Date of Visit:              November 19,2007
Visit Conducted By:         Deb Whitaker


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      safety features (including fire extinguishers and smoke detectors), and
      pantrylstorage areas were inspected. The facility needs a Non Smoking sign in
      the main lobby.


   II. Program Profile

      General Observations: It was determined through interviews that the Center is
      open Monday, Wednesday, Thursday and Friday from 8:00 AM to 5 0 0 PM and
      Tuesday from 8:00 AM to 7:30 PM. The Center accepts clients with
      appointments and as walk-ins, and no clients are met outside office hours. Care
      Net of Central Texas is a Care Net affiliate and is linked to the Care Net Option
      Line to capture calls received outside working hours.

      Care Net of Central Texas provides all its services free of charge. The Center
      receives referrals from the Texas Department of Human Services! Family Health
      Center, other social service agencies, other pregnancy centers, and churches.


  Ill. Corporate Administration

     General Observations: Program records storage and educational materials were
     reviewed and found to be in compliance. Copies of the Confidentiality,
     Grievance, Client Non-Discrimination and Standard Release of Information
     policies and forms are readily available at the Center. Spiritual materials are
     adequately identified and separated from the acceptable Program materials.
     Material Safety Data Sheets are stored for ready reference near the cleaning
     supplies used in the facility.

 IV. Program Highlights

     General Observations: Care Net of Central Texas is heavily focused on providing
     pregnancy assistance, support, education, counseling and material assistance to
     pregnant women in need. They are well known within the Waco area as a
    resource for women experiencing challenging pregnancy and parenting
    situations. They are very dedicated and innovative in securing support and
    assistance as they grow and expand.

    Care Net of Central Texas has a variety of educational programs that are
    delivered in-house. Courses include such topics as Parenting Skills and
    Childbirth.

   *Note: The following paragraphs describe a typical case successfully
   managed by the Service Provider evaluated in the report prior to its
   enrollment in the Texas Alternative to Abortion Services Program. It is
   shared for the limited purpose of illustrating the quality and scope of the
   Service Provider's work prior to is participation in the Program. The client
   has given her consent for her s t w y to be inc!uc?ed ! this report, and her
                                                          n
   name has been changed to protect her privacy. The services described in
   the Success Story were not provided with Program funds.

   Client Success Storv:

   "Phyllis" came in the Center and appeared very nervous. She said that she did
   not want this pregnancy and that the father of the baby would not be supportive.
   She had 2 prior abortions and said that she was unaffected by them. During her
   appointment, Phyllis appeared to feel hopeless. The counselor spent time with
   her addressing her concerns and scheduled a follow-up appointment. The next
   day Phyllis sent an e-mail thanking the volunteer for her time. Since then, the
   volunteer and Phyllis have been meeting regularly, and Phyllis has decided not to
   abort.



V. Corrective Actions Taken: A Non-Smoking sign was posted in the main lobby.


   Date of Report:                             January 11, 2008

   Site Visit Report Submitted by:             Deb Whitaker


   Recruiting and Education Manager's Signature
                 Service Provider Site Monitorings
               December 1,2007 to February 29,2008


Pregnancy Help Center of Texoma, Sherman

Marywood Children & Family Services, Austin

Our Lady of the Angels Maternity Shelter, Temple
       Real Alternatives Program and Instructional Design System (RAPIDSystem) O Real Alternatives 2005-2006



                                  TEXAS PREGNANCY CARE NETWORK
                             Texas Alternative to Abortion Services Program

                                          IE
                                         ST MONITORING REPORT


 Site Name:           Pregnancy Care Center of Texoma

 Address:             105 West Pecan Street, Sherman, TX 75090

 Site No.:            1201

 Exec. Director: Melva Kittrell

Service Area: Grayson, Fannin, Collin and Bryan County, OK

 Date of Monitoring:         December 3,2007

Monitoring Conducted By:               Deb Whitaker, Recruiting and Education Manager


.
1          Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and materials/storage areas were
                      inspected and found to be in compliance.

           B.         Deficiencies: None

           C.         Corrective Action RecommendedITaken: None

           D.         Special Comments: None

11.        Program Profile

           A.       General Observations: Counseling topics, programs, core services,
                    referrals, educational materials, licensing and site-specific information and
                    hotline accessibility were reviewed and found to be in compliance.

           B.       Deficiencies: None

          C.        Corrective Action RecommendedITaken: None

           D.       Special Comments: None

Ill.      Corporate Administration

          A.        General Observations: Corporate records, program records, policies and
                    procedures, staff training, staff clearances, client services, and spiritual
                    counseling procedures were reviewed and found to be in compliance
                    according to the contractual requirements of the Texas Alternative to
                    Abortion Services Program.
      Real Alternatives Program and instructional Design System (RAPID System) O Real Alternatives 2005-2006



           B.       Deficiencies: None

           C.       Corrective Action RecommendedITaken:None needed

           D.       Special Comments: None

IV.       Reimbursement Compliance

          A.        General Observations: Reimbursement forms and Client Verification Forms
                    (CVFs) confirm that Service Provider submitted for and was appropriately
                    reimbursed for dates of service reviewed, except where noted below.

          8.        Deficiencies: The clients identified by the following Client Confidential
                                                                Vs
                    Numbers did not properly sign or date the C F on the following dates of
                    service.




          C.       Corrective Action RecommendedlTaken: Deductions from Service
                   Provider's reimbursement for the services rendered to the clients noted
                   above on the dates of service indicated.

      V. Client Success Story

          *Note: The following paragraphs describe a case successfully managed by the
          Service Provider evaluated in this report since if joined the Texas Alternative to
          Aborfion Services Program. It is shared for the limited purpose of illustrating the
          qualify and scope of the Service Provider's work. The client has given her consent
          for her story to be included in this report, and her name has been changed to
          protect her privacy.

          The Executive Director shared the story of one of its clients:

          Mandy came to the Pregnancy Care Center in February. She seemed very upset
          and said, "I think I'm pregnant." She was taken to a counseling room and our
          nurse did a pregnancy test with her. It appeared Mandy was pregnant, and
                                            s
          began to cry. She explained to u that she already had a baby and one more,
          she felt, would be too much for her. Mandy said she didn't feel like she could
          financially support another baby. "My only way out is to terminate this
          pregnancy," she said.

         We shared with her all our services and how we could help her with the new
                                                       e
         baby as well as the baby she already had. W explained to her that we provide
         pregnancylparenting classes and could help her receive baby items. Mandy
         seemed to listen intently to everything we had to offer her and her family.

         About a month later, Mandy came back in to see us. She explained that she
         thought about abortion more and just couldn't see herself moving forward with
         that decision. She told us that she had decided to keep this baby and would like
         to continue receiving services.
      Real Alternatives Program a n d Instructional Design System (RAPID System) O Real Alternatives 2005-2006



           Mandy came by at least twice a month, during her pregnancy. Mandy has
           recently given birth to her new baby and seems to be extremely happy.

VI.       Conclusion

           The corrective actions for the deficiencies noted in section IV of this report are
           deductions.
   Real Alternatives Program and Instructional Design System (RAPIDSystem] O Real Alternatives 2005-2006



                              TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                       IE
                                      ST MONITORING REPORT
                                          SIGNATURE PAGE


Site Monitoring Report Submitted By:                          Deb Whitaker

Date of Report:                                               01/10/08

Corrective Action RecommendedITaken:                          Deductions in reimbursements as
                                                              indicated in section IV of this report.

Date Corrective Action Authorized:

Executive Director'sSignature:
       Real Alternatives Program a n d Instructional Design System (RAPID System) O Real Alternatives 2005-2006



                                  TEXAS PREGNANCY CARE NETWORK
                             Texas Alternative to Abortion Services Program

                                              IE            EOT
                                             ST MONITORING R P R


 Site Name:           Marywood Children and Family Services

Address:                    .
                      4029 S Capital of Texas Hwy., Ste 200

Site No.:             1201

 Director:            Jean Henry       .

Service Area: Travis County

Date of Monitoring:           January 22, 2008

Monitoring Conducted By:                   Paola Garcia Hicks, Evaluation Coordinator


.
1          Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and materialslstorage areas were
                      inspected and found to be in compliance.

           B.         Deficiencies: None

           C.         Corrective Action RecommendedITaken: None needed

           D.               Comments: None
                      S~ecial

II.        Program Profile

           A.       General Observations:        Counseling topics, programs, core services,
                    referrals, educational materials, licensing and site-specific information and
                    hotline accessibility were reviewed and found to be in compliance.

           B.       Deficiencies: None

           C.       Corrective Action RecommendedITaken: None needed

           D.       Special Comments: None


Ill.       Corporate Administration

           A.       General Observations: Corporate records, program records, policies and
                    procedures, staff training, staff clearances, client services, and 'spiritual
                    counseling procedures were reviewed and found to be in compliance
                    with the contractual requirements of the Texas Alternative to Abortion
                    Services Program.
      Real Alternatives Program and Instructional Design System (RAPIDSystem) O Real Alternatives 2005-2006




           B.       Deficiencies: None

          C.        Corrective Action RecommendedITaken: None needed

          D.              Comments: None
                    S~ecial

IV.       Reimbursement Compliance

          A.        General Observations: Reimbursement forms and Client Verification Forms
                    (CVFs) confirm that Service Provider submitted for and was appropriately
                    reimbursed for dates of service reviewed, except where noted below.
                    Spiritual Counseling Request Forms (SCRFs) reviewed were filled in
                    appropriately, except where noted below.

          B.       Deficiencies: The clients identified by the following Client Confidential
                   Numbers, CCNs, did not properly complete, sign or date the CVFs on the
                   following dates of service:




                   Also, the Service Provider submitted by error that the client identified by
                   the CCN specified below, filled in a Spiritual Counseling Request Form on
                   the date indicated:




          C.       Corrective Action RecommendedITaken:          Deductions from Service
                   Provider's reimbursement for the services rendered to the clients noted
                   above on the dates of service indicated.

          D.       Special Comments: None

      V. Client Success Story

         *Note: The following paragraphs describe a case successfully managed by the
         Service Provider evaluated in this report since it joined the Texas Alternative to
         Abortion Services Program. It is shared for the limited purpose of illustrating the
         qualify and scope of the Service Provider's work. The client has given her consent
         for her story to be included in this report, and her name has been changed to
         protect her privacy.


         The Director shared the story of one of Marywood's clients:

         Cindy was referred to Marywood through Posada Esperanza, a women's shelter
         for displaced women and their children. She left the drug-addicted father of her
         children on Christmas Day at four months of pregnancy with little more than the
         clothes on her back. She became a client in January in hopes of receiving
         outside help for herself, her children, and boyfriend. Cindy followed through with
         appointments each month and embraced learning opportunities presented
         about the newborn, discipline, and relationships. She gave birth to a beautiful
      Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2006



          healthy baby girl in June. She remained in close contact with her boyfriend and
          offered support and resources acquired through Marywood's Lifeline Program to
          help with his addiction. He soon began attending Narcotics Anonymous regularly
          and together they slowly tried to work at repairing their relationship. The man
          conquered his addiction and the couple got married later in the year. Cindy
          commented that with Lifeline's support she was able to overcome her desperate
          situation.

VI.       Conclusion

          The corrective action for the deficiency noted in section IV of this report is
          deduction.

                                                                     s
          Marywood Children and Family Service's Lifeline Program i heavily focused on
          providing pregnancy assistance, education, counseling and material assistance
          to pregnant women in need. Marywood has been operating for over 85 years.
          They are well known within the central area of Austin as a resource for women
          experiencing challenging pregnancy and parenting situations. Caseworkers
          develop a monthly plan to follow up with every client according to her needs but
          with the goal of helping her to become emotionally stable and be more
          prepared to parent her children.
   Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2006




                              TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                      SITE MONITORING REPORT
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                           Paola Garcia Hicks

Date of Report:                                                2/28/08

Corrective Action Recommended/Taken:                           Deductions in reimbursements as
                                                                                    V
                                                               indicated in section I of this report.

Date Corrective Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
       Real Alternatives Program and Instructional Design System (RAPIDSystem) O Real Alternatives 2005-2006



                                  TEXAS PREGNANCY CARE NETWORK
                             Texas Alternative to Abortion Services Program

                                          IE            EOT
                                         ST MONITORING R P R


 Site Name:           Our Lady of the Angels Maternity Shelter

 Address:                  .
                      613 S 9 t h St. Temple, TX 76504

 Site No.:            1301

 Director:            Amalia Flores

 Service Area: Bell, Bosque, Mc Lennan, Coryell, Williamson, and Milam counties.

 Date of Monitoring: February 19, 2008

 Monitoring Conducted By: Paola Garcia Hicks, Evaluation Coordinator


 .
 1         Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features (with the exception noted below), equipment, inventory
                      and materials/storage areas were inspected and found to be in
                      compliance.

           B.         Deficiencies: The materials assistance building did not have a fire
                      extinguisher and a smoke detector installed at the time of the visit.

           C.         Corrective Action RecommendediTaken: Installation of a smoke detector
                      and fire extinguisher within the materials assistance building.

           D.       Special Comments: None

II.        Program Profile

           A.       General Observations:        Counseling topics, programs, core services,
                    referrals, educational materials, licensing and site-specific information and
                    hotline accessibility were reviewed and found to be in compliance.

           B.       Deficiencies: None

          C.        Corrective Action RecommendedITaken: None needed

          D.       Special Comments: None


Ill.      Corporate Administration

          A.       General Observations: Corporate records, program records, policies and
                   procedures, staff training, staff clearances, client services, and spiritual
                                                                               3
      Real Alternatives Program and Instructional Design System (RAPID System) 6 Real Alternatives 2005-2006



                    counseling procedures were reviewed and found to be in compliance
                    with the contractual requirements of the Texas Alternative to Abortion
                    Services Program.

          B.        Deficiencies: None

          C.        Corrective Action Recommended/Taken: None needed

          D.        Special Comments: None

IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed. Spiritual Counseling Request
                   Forms (SCRFs) reviewed were filled in appropriately, except where noted
                   below.

          B.       Deficiencies: The Spiritual Counseling Request Form filled by the client
                   identified with the Client Confidential Number 1301TX01099 was dated on
                   6/15/07 and the form submitted for reimbursement indicated that the
                   form was signed on 6114/07.
          C.       Corrective Action RecommendedJTaken: Deduction from Service
                   Provider's reimbursement for the services rendered to the client noted
                   above on the date of service indicated.

          D.       Special Comments: None

      V. Client Success Story

         *-
          :      The following paragraphs describe a case successfuNy managed by the
         Service Provider evaluated in this report since it joined the Texas Alternative to
         Abortion Services Program. It is shared for the limited purpose of illustrating the
         qualify and scope of the Service Provider's work. The client has given her consent
         for her story to be included in this report, and her name has been omiffed to
         protect her privacy.

          The Director shared the story of one of the Shelter's clients:

          When the client came to the Shelter, she was 28 weeks pregnant and had a 4-
         year old daughter. She relayed to me that coming from the homeless shelter over
         to OLAMS maternity shelter has made a difference in her life in several ways. Here
         s
         i the client's perspective of her stay at OLAMS thus far in the client's words: "First
         of ail, I've been feeling a lot better physically, here at OLAMS, a dentist was
         provided for my molars to be extracted which helped a lot! In turn, I have been
         able to utilize more of my time towards starting my parenting classes. I also have
         been able to attend my daughter's school activities at her school. At OLAMS
         there is flexibility which allows me to get more things done. Here it feels like a
         home environment. I have access to a computer and Internet and I like that
         OLAMS has a security alarm. Due to OLAMS' faith-based character I know the
         staff/volunteer members will always use appropriate language around my
         daughter. It is quiet, and this helps me and my daughter to sleep and rest better
         than where I was, and I do not feel pressured. All these differences have
      Real Alternatives Program and Instructional Design System (RAPID System] O Real Alternatives 2005-2006



          impacted my life in a positive way. I was grateful to have a place to stay at the
          homeless shelter but now, I feel that at OLAMS, I have been given the opportunity
          to get my goals accomplished in a better, more nurturing setting. Furthermore,
          OLAMS obtains extra clothing for me if I need it, or am referred to the partnering
          resources that serve my needs".

VI.       Conclusion

          The corrective action for the deficiency noted in section IV of this report i s
          deduction. The corrective action for deficiency noted in section I i the  s
          installation of a smoke detector and fire extinguisher at the materials storage
          building.

          Our Lady of the Angels Maternity Shelter is heavily focused on providing
          pregnancy assistance, shelter, education, counseling and material assistance to
          pregnant women in need. Their residents benefit from one-on-one counseling
          regarding their status in their goal process of obtaining housing, food stamps, WIC
          assistance, life skills, parenting, and relationships. The Shelter measures physically
          and emotionally the client's steps taken in their journey in becoming
          independent and self-sufficient individuals ready to tackle life's challenges and
          obstacles.

                                                   s
          Our Lady of the Angels Maternity Shelter i well known within the Temple area as
          a resource for women experiencing challenging pregnancy and parenting
          situations. The Shelter offers counseling and education classes on-site which
          include topics such as breastfeeding, anger management, pregnancy including
          fetal development, and childbirth.
   Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2006



                              TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                      SITE MONITORING REPORT
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                  Paola Garcia Hicks

Date of Report:                                      312 1 I08

Corrective Action Recommended/Taken:                 Deductions in reimbursements as indicated
                                                     in section IV of this report and installation of
                                                     smoke detector and fire extinguisher in
                                                     materials storage building.

Date Corrective Action Authorized:                   312 1 I08

Evaluation Coordinator's Signature:

Executive Director's Signature:
                    Initial Site Visit Reports
              December 1,2007 to February 29,2008


Hope Women's Resource Clinic, Beaumont

The Source for Women, TSU Location, Houston
                           INITIAL SITE VISIT REPORT


Site Name:                  Hope Women's Resource Clinic
Address:                    1155 IH-10 North
                            Waco, TX 76710
Site #:                     1801
Director:                   Mary Milligan
Counties Served:            Jefferson, Hardin, Orange, Tyler, and Jasper
Date of Visit:              December 18, 2007
Visit Conducted By:         Paola Garcia Hicks


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      safety features (including fire extinguishers and smoke detectors, with the
      exception below), and pantrylstorage areas were inspected.

      At the time of the visit, the conference room's fire extinguisher had been last
      inspected in January 2006.The boutique did not have a fire extinguisher and did
      not have installed a smoke detector.

   II. Program Profile

      General Observations: It was determined through interviews that the Center is
      open Monday through Thursday from 10:OO AM to 6:00 PM, and Friday from
      10:OO AM to 4:00 PM. The Center accepts clients with appointments and as
      walk-ins, and no clients are met outside office hours. The Center has a voicemail
      system to capture calls received outside working hours.

      Hope Women's Resource Clinic provides all its services free of charge. The
      Center receives referrals from the Medicaid office, Catholic Charities, and other
      social service agencies. They make referrals to 21 1, Texas Department of
      Health, Food Stamps, Texas Housing, Salvation Army and other agencies of
      assistance.

  Ill. Corporate Administration

      General Observations: Program records storage were reviewed and found to be
      in compliance. Copies of the Confidentiality, Grievance, Client Non-
      Discrimination and Standard Release of Information policies and forms are
      readily available at the Center. Material Safety Data Sheets were stored at the
      Center for ready reference.

 IV. Program Highlights

     General Observations: Hope Women's Resource Clinic is heavily focused on
     providing pregnancy assistance, support, education, counseling and material
     assistance to pregnant women in need. They are well known within the
    Beaumont area as a resource for women experiencing challenging pregnancy
    and parenting situations.

    Hope Center has a variety of educational programs that are delivered in-house.
    Courses include such topics as Parenting Skills and Relationships.


    *Note: The following paragraphs describe a typical case successfully
    managed by the Service Provider evaluated in the report prior to its
    enrollment in the Texas Alternative to Abortion Services Program. It is
    shared for the limited purpose of illustrating the quality and scope of the
    Service Provider's work prior to is participation in the Program. The client
    has given her consent for her story to be included in this report, and her
    name has been changed to protect her privacy. The services described in
    the Success Story were not provided with Program funds.

    Client Story in the Client's Words:

    I was 22 years old when I found out I was pregnant. At the time, it was
   devastating news to me. 1 was finally back on track with school and trying to get
   my life together. I could not see myself as capable of raising a child, abortion was
   my only option (that is what I thought). I told my mother my plans and she
   suggested I should go to the Hope Center to get some more information. I was
   scared and nervous to go there. But I went and listened and talked to the
   counselor (mentor). They made my visit comfortable and easy to talk to them
   about my fears concerning having a baby. At that time, my mind was made up, I
   was going to do what I believed 1 had to do. That night I took a time to think and
   meditate, I knew then that having this baby was what I had to do. Life is too
   precious, and I have never regretted it. Grown up actions require grown up
   decisions and it has been hard, very hard sometimes just down right, difficult. But
   through each struggle I became stronger and wiser, when things were at their
   worst, they were never really that bad, and the times are sweeter. I have two
   beautiful boys now. I am still going to school, and I thank God everyday for gifting
   me with such a bounty.

V . Corrective Actions Taken: The Service Provider confirmed that as of February
    12, 2008, the fire extinguishers at the conference room and boutique had been
    inspected and made ready to use, a smoke detector was installed in the
    boutique.

   Date of Report:                              February 12, 2008

   Site Visit Report Submitted by:              Paola Garcia Hicks

   Evaluation Coordinator's Signature
                           INITIAL SITE VISIT REPORT


Site Name:                  The Source for Women of Houston -TSU Campus
Address:                    3100 Cieburne St. (inside Student Health Center)
                            Houston, TX 77004
Site #:                     1004
Director:                   Nikki Dawson
Counties Served:            Harris
Date of Visit:              February 22, 2008
Visit Conducted By:         Paola Garcia Hicks

   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      safety features (including fire extinguishers and smoke detectors) were
      inspected. The facility is handicapped accessible. This site does not offer
      material assistance; therefore the facility does not have a storage/closet area.

   II. Program Profile

      General Observations: It was determined through interviews that the Center
      serves clients Tuesdays and Thursdays from 10:OO AM to 3:00 PM only. The
      Center receives clients with and appointments and walk-ins. The Center can
      receive messages for phone calls received from Monday through Friday from 8
      AM to 5 PM.

      The Source for Women provides all its services free of charge. The Center
      receives referrals from other agencies, particularly, from other Campus services.

  Ill. Corporate Administration

     General Observations: Program records will be kept in a locked file cabinet.
     Copies of the Confidentiality, Grievance, and Client Non-Discrimination policies
     and Standard Release of Information Form are readily available at the Center.
     Material Safety Data Sheets are also available at the site.

 IV. Program Highlights

     General Observations: The Source for Women of Houston TSU site specializes
     in providing pregnancy assistance, support, education, and counseling, to
     pregnant women who are students at Texas Southern University. This site refers
     clients other Source for Women locations to provide clients with education
     classes, and other pregnancy and parenting support services.

 V. Corrective Actions Taken: None needed

     Date of Report:                             February 26, 2668

     Site Visit Report Submitted by:             Paola Garcia Hicks

     Evaluation Coordinator's Signature          -
                   Service Provider Site Monitorings
                    March 1,2008 t o May 31,2008


Living Alternatives of Jacksonville, Jacksonville

First Choice Pregnancy Resource Center, Texarkana

A Woman's Haven, Inc., San Antonio (formerly, Birthright Inc., of San Antonio)
      Real Alternatives Progrom and Instructional Design System (RAPID System] G Real Alternatives 2005-2006
                                                                               J


                                 TEXAS PREGNANCY CARE NETWORK
                            Texas Alternative to Abortion Services Program

                                                          EOT
                                         SITE MONITORING R P R



 Site Name:          Living Alternatives of Jacksonville

 Address:            807 S Jackson St., Jacksonville. TX 75766
                          .

 Site No.:           1601

 Director:           Jennifer Hatcheti

 Service Area: Cherokee county and surrounding areas

 Date of Monitoring: March 13.2008

 Monitoring Conducted By: Paola Garcia Hicks. Evaluation Coordinator


 I.       Facility

          A.         General Observations: All counseling areas, office space, lavatories,
                     safety features equipment, inventory and materialslstorage areas were
                     inspected and found to be in compliance. The office is not handicapped
                     accessible, but the Center provides reasonable accommodations to
                     disabled clients, when needed.

         B.          Deficiencies: None

         C.          Corrective Action RecommendedITaken: None needed

         D.                  l
                  S ~ e c i aComments: None

II.      Program Profile

         A.       General Observations: Counseling topics, programs, core services.
                  referrals, educational materials, licensing and site-specific information and
                  hotline accessibility were reviewed and found to b e in compliance.

         B.       Deficiencies: None

         C.       Corrective Action RecommendedITaken: None needed

         D.                  l
                  S ~ e c i aComments: None




        A.        General Observations: Corporate records, program records, policies and
                  procedures, staff training, staff clearances, client services, and spiritual
                  counseling procedures were reviewed and found to b e in compliance
       Real Alternatives Program and lnstructianol Design System (RAPID System] @ Reol Aliernotives 2005-2006



                    with the contractual requirements of the Texas Alternative to Abortion
                    Services Program.

           B.       Deficiencies: None

           C.       Corrective Action RecommendedITaken: None needed

           D.                  l
                    S ~ e c i aComments: None

IV.        Reimbursement Compliance

           A.       General Observations: Reimbursement forms and Client Verification Fotms
                    (CVF's) confirm that Service Provider submitted for and was appropriately
                    reimbursed for dates of service reviewed, except where noted below.
                    The Spiritual Counseling Request Forms reviewed were filled in correctly.

           B.       Deficiencies: The clients identified by the Client Confidential Numbers
                    (CCN's) listed below, did not complete, sign or date their Client
                    Verification Form properly on the dates of service indicated.

                    1.   1601TX01011           07/30/2007 and 07/25/2007




          C.       Corrective Action Recommended/Taken:          Deduction from Service
                   Provider's reimbursement for the services rendered to the clients noted
                   above on the dates of service indicated.

          D.                  l
                   S ~ e c i oComments: None

      V. Client Success Story

          *Nofe: The following paragraphs describe a case successfully managed b y the
         Service Provider evaluated in this report since it joined the Texas Alternative to
         Abortion Services Program. It is shared for the limited purpose of illustrating the
         quality and scope of the Service Provider's work. The client has given her consent
         for her story to b e included in this reporf, and the names mentioned have been
         changed to protect their privacy.

         The Office Manager shared the story of one of the Center's clients:

         When "Misty" and her mother "Martha" visited our Center for the first time, they
         were evidently distraught. The first thing we did was to have Misty take a
         pregnancy test. We also got to know a little about each other while filling out her
         confideniiai ciieni intake form. According to our birth daie calculaior, Misty was
         well into her second trimester. We then joined her mother in the sitting room to
         discuss her options. We also watched the video "Life Begins" explaining the fetal
         development of her baby. I also explained the different adoption options
         available to choose from. I gave them information to review a t home regarding
      Re01 Alternafives Program and Instructional Design System (RAPID Syslem) O Real Allernatives 2005-2006



          some Texas maternity homes, and explained the help that Living Alternatives
          could offer. should they choose to parent.

          Afterwards, Misty and Martha went home to read a copy of the "A Woman's
          Right to Know" booklet, which explains a woman's options and the related risks.

          We spoke several times during the next few days. I went with them to a local
          maternity home for on interview and tour. After looking over the different
          scenarios, they decided that she would stay home ond parent with her family's
          help. Our office supplied them with the necessary paper work to file for Medicaid,
          ond provided referrals for local resources such as WIC, the nearest Deportment of
          Health and Human Services otfice, and area doctors that accepted Medicaid.

          When Misty needed maternity clothes, she came to us; when they found out that
                                                                 o
          Misty was having a boy, they called us. Martha was s proud that they chose life
          for Misty's baby: it was to be their first grandson. Misty attended our Texas Safe
          Riders car seat class and received a new car seat for her baby at no cost. We
          supplied her with assorted baby items as she drew nearer to her delivery date.
                                                               s
          When Misty went into labor, her mom called to let u know and I went to visit Misty
          and her new son at the hospital.

          Misty is still attending high school and is determined to graduate. She wonts to
         join the medical field and work pad-time to help support her son. They still come
         in to visit and donate baby items that their baby has outgrown. "Michael" is a
         beautiful little boy and his mama and grandma's eyes glow when they talk about
                                                                     s
         all the things he has learned to do. Misty admits that it i very hard sometimes
         keeping up her grades at school, working, and taking care of her son, but she
         cannot see her life without him now. She and her mother have both told me that
         if they had not come to Living Alternatives that day, Michael would probably not
         be here today.

VI.      Conclusion

         The corrective action for the deficiency noted in section IV of this report i
                                                                                     s
         deduction.

         Living Alternatives of Jacksonville is heavily focused on providing pregnancy
         assistance, support, education, counseling, and material assistance to pregnant
         women in need. They are well known within the central east Texas area as a
         resource for women experiencing challenging pregnancy and parenting
         situations. They look forward to being able to expand their offerings.
    Real Alternatives Program and Instructional Design System (RAPIDSystem) @ Real Alternatives 2005-2006




                                TEXAS PREGNANCY CARE NETWORK
                          TEXAS Alternative to Abortion Services Program

                                      SITE MONITORING REPORT
                                           SIGNATURE PAGE


Site Monitoring Reporf Submitted By:                  Paola Garcia Hicks

Date of Report:                                      511 6/08

Corrective Action Recommended/Taken:                 Deductions in reimbursements as indicated
                                                     in section IV of this report.

Date Corrective Action Authorized:                   511 6/08

Evaluation Coordinator's Signature:

Executive Director's Signature:
                                                                                        \.
       Reoi Alternatives Program and lnstrucfionalDesign Syslem (RAPID System) O Real Alternatives 2005-2006


                                  TEXAS PREGNANCY CARE NETWORK
                             Texas Alternative to Abortion Services Program

                                                          EOT
                                         SITE MONITORING R P R


 Site Name:           First Choice Pregnancy Resource Center

 Address:             602 Main St., Texarkana, TX 75501

 Site No.:            1401

 Director:            Kimberly Banks

 Service Area: Bowie and Cuss counties

 Date of Monitoring: March 14, 2008

Monitoring Conducted By: Paola Garcia Hicks, Evaluation Coordinator


I.         Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features equipment, inventory and materialslstorage areas were
                      inspected and found to b e in compliance (with the exception below).

           8.         Deficiencies: One smoke detector in the second floor did not have
                      batteries at the time of the visit.

           C.         Corrective Action Recommended/Taken: The Executive Director
                      confirmed that new batteries were placed into the smoke detector, and it
                      is working.

           D.                    l
                      S ~ e c i aComments: None

II.        Program Profile

          A.        General Observations:       Counseling topics, programs, core services,
                    referrals, educational materials, licensing and site-specific information and
                    hotline accessibility were reviewed and found to b e in compliance.

          8.          Deficiencies: None

          C.        Corrective Action RecommendedITaken: None needed

          D.        Soecial Comments: None


Ill.      Corporate Administration

          A.        General Observations: Corporate records, program records, policies and
                    procedures, staff training, staff clearances, client services, and spiritual
      Real Alternatives   Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2006


                    counseling procedures were reviewed and found to b e in compliance
                    with the contractual requirements of the Texas Alternative to Abortion
                    Services Program.

          0.        Deficiencies: None

          C.        Corrective Action Recommended/Token: None needed

          D.        Special Comments: None

IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms ond Client Verification Forms
                   (CVF's) confirm that Service Provider submitted for and was oppropriotely
                   reimbursed for dates of service reviewed, except where noted below.
                   The Spiritual Counseling Request Forms reviewed were filled in correctly,
                   with the exception below.

          B.       Deficiencies: The clients identified by the Client Confidential Numbers
                   (CCN) listed below, did not complete, sign or date their Client Verification
                   Form properly on the dates of service indicated.




                   The Spiritual Counseling Request Forms for the clients identified with the
                   Client Confidential Numbers below, were not properly signed or dated by
                   the Counselors/Mentors on the indicated dates:




         C.       Corrective Action RecommendedITaken:          Deduction from Service
                  Provider's reimbursement for the services rendered to the client noted
                  above on the date of service indicated.

        D.                   l
                  S ~ e c i aComments: None

  V. Client Success Story

        &
        *:         The following paragraphs describe a case successfully managed by the
       Service Provider evaluated in this report since if joined the Texas Alternative to
       A b o : t / ~ nServices Progrorn. If is shared for the limifed purpose of illtisfraf~ngfhe
       qualify and scope of the Service Provider's work. The client has given her consent
       for her story to b e included in this report, and the names mentioned have been
       changed to protect their privacy.
      Real Alternolives Program and lnstruclional Design System (RAPIDSystemJO Real Alternatives 2005-2006



          The Director shared the story of one of the Center's clients. in client's words:

          I am "Lori"; I went to First Choice Pregnancy Center for a pregnancy test. During
          my visit, the counselor told me about the Mommy Program. They have classes
          thot help you to learn how to take care of yourself and your baby.

          I was nervous about going into labor, so I decided to attend the prenatal and
          Lamaze classes: these classes helped me lo get over my anxiety. I understood
          what is going on in my body and what happens when labor starts.

          I also attended parenting classes and learned how to discipline a child without
          spanking him. I also learned from the other people who attended the classes. It
          was nice to talk to others who have similar problems to mine. I liked the Mommy
          Dollars Program that allowed me to earn points to buy items for my baby at the
          Center's Mommy Store.

          The Center's personnel and volunteers were really nice, and very helpful to all the
          clients.

VI.      Conclusion

                                                                                     s
         The corrective action for the deficiency noted in section IV of this report i
         deduction.

         The Firstchoice Pregnancy Resource Center is focused on providing pregnancy
         assistance, support. education, counseling and materiol assistance to pregnant
         women in need. They are well known within the Northeast Texas area as a
         resource for women experiencing challenging pregnancy and parenting
         situations.

         The First Choice Pregnancy Resource Center has a wide variety of educational
         programs that are delivered in-house, covering topics thot include parenting and
         life skills, childbirth, and anger management.
    Reol Alternolives Program and lnstruciional Design System (RAPID System) O Reol Alternatives 2005-2006



                                TEXAS PREGNANCY CARE NETWORK
                          TEXAS Alternative to Abortion Services Program

                                                         EOT
                                       SITE MONITORING R P R
                                            SIGNATURE PAGE


Site Monitoring Report Submitted By:                   Paola Garcia Hicks

Date of Report:                                       7/8/2008

Corrective Action Recommended/Taken:                  Deductions in reimbursemenls as indicated
                                                      in section IV of this report.

Date Corrective Action Authorized:                    7/8/08

Evaluation Coordinator's Signature:

Executive Director's Signature:
       Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2005-2006



                                  TEXAS PREGNANCY CARE NETWORK
                             Texas Alternative to Abortion Services Program

                                                           EOT
                                          SITE MONITORING R P R


 Site Name:           A Woman's Haven, Inc. (Formerly Birthright Inc., of San Antonio)

 Address:             215 N San Saba Suite 204, San Antonio, TX 78628

 Site No.:            50 1

 Director:            Iris Perez

Service Area: Atascosa, Bandera. Bexar. Comal, Edwards. Frio. Gillespie, Gonzales,
              Guadalupe, Karnes, Kendall. Kerr. Kinney. McMullen. Medina. Real,
              Uvalde, Val Verde, and Wilson counties.

Date of Monitoring: April 4,2008                (*Note: Monitoring was for performance pursuant to
                                                  contract with Birthright. Inc., of San Antonio)

Monitoring Conducted By: Paola Garcia Hicks, Evaluation Coordinator


1.         Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features equipment, inventory and materials/storage areas were
                      inspected and found to b e in compliance.

           B.         Deficiencies: None

           C.         Corrective Action Recommended/Taken: None needed

           D.                    l
                      S ~ e c i aComments: None

11.        Program Profile

           A.       General Observations: Counseling topics, programs, core services,
                    referrals, educational materials, licensing and site-specific information and
                    hotline accessibility were reviewed and found to b e in compliance.

           B.         Deficiencies: None

          C.        Corrective Action RecommendedITaken: None needed

          D.                  l
                   S ~ e c i aComments: None


Ill.      Corporate Administration

          A.       General ObSe~ati~nS:     Corporate records, program records, policies and
                   procedures, staff training, staff clearances, client services, and spiritual
      Real Alternatives Program and Instructional Design System (RAPIDSystem) O Real Alternatives 2005-2006



                   counseling procedures were reviewed and found to be in compliance
                   with the contractual requirements of the Texas Alternative to Abortion
                   Services Program.

          B.        Deficiencies: None

          C.        Corrective Action Recommended/Taken: None needed

          D.       Special Comments: None

IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVF's) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.
                   There were no Spiritual Counseling Request Forms to review at this time.

          B.       Deficiencies: The clients identified by the Client Confidential Numbers
                   listed below, did not sign or date the Client Verification Form properly on
                   the dates of service indicated, or were not eligible.




          C.       Corrective Action Recommended/Taken:          Deduction from Service
                   Provider's reimbursement for the services rendered to the client noted
                   above on the date of service indicated.

          D.       Special Comments: None

      V . Client Success Story

         *Nofe: The following paragraphs describe a case successfully managed by the
         Service Provider evaluated in this report since it joined the Texas Alternative to
         Abortion Services Program. If is shared for the limited purpose of illustrating the
         quality and scope of the Service Provider's work. The client has given her consent
         for her story to be included in this report, and her name has been changed to
         protect her privacy.

         The Director shared the story of one of the Center's clients:

         One of A Woman's Haven's phone mentors received a call from "Jennifer."
         Jennifer stated that she was eight weeks pregnant but that she couldn't have this
         baby; she was too young and was still in school. She spoke about how her
         parents would "kill he? if they found out. Utilizing her training skills and professional
         but caring and gentle voice, the mentor began asking a few questions to better
         undeistand her situation. She was able to establish rapport with Jennifer, and the
         more she listened and responded to her questions and concerns. the more
         Jennifer opened up and shared her story. It became apparent that Jennifer
         really did not want an abortion, but desperately needed someone to listen to her
      Real Alternatives Program and Instructional Design System (RAPID System) 0 Real Alternatives 2005-2006



           and help her sort out her difficult situation. Jennifer agreed to come to A
           Woman's Haven to talk some more.

          When Jennifer arrived, the same mentor greeted her with the same warmth given
          to her when she called. Jennifer was made to feel welcome and comfortable.
          and received non-judgmental guidance and learned about abortion risks, fetal
          development, and alternatives to abortion. Knowing her options, Jennifer felt
          more hopeful and positive about her pregnancy. The mentor provided ongoing
          follow-up and made several community resources and referrals available to her.
          When Jennifer's parents were told, they were quite upset and disappointed, but
          after the initial shock, they were very supportive. Jennifer attended parenting
          classes and was able to remain in school. Soon after graduating. Jennifer gave
          birth to a beautiful baby girl. She plans to continue her studies and graduate
          from college.

VI.       Conclusion

          The corrective action for the deficiency noted in section IV of this report is
          deduction.

          A Woman's Haven is heavily focused on providing pregnancy assistance and
          support, counseling and material assistance to pregnant women in need. They
          have been operating for over 35 years and are well known within the San Antonio
          area as a source for women experiencing challenging pregnancy situations.
   Real Allernolives Program and lnslructional Design Sysfem (RAPID System] O Real Alfernafives 2005-2006



                               TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                                        EOT
                                      SITE MONITORING R P R
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                 Paola Garcia Hicks

Date of Report:                                      June 18,2008

Corrective Action Recommendedflaken:                 Deductions in reimbursements as indicated
                                                     in section IV of this report.

Date Corrective Action Authorized:                   June 18.2008

Evaluation Coordinator's Signature:

Executive Director's Signature:
                       Initial Site Visit Reports
                     March 1,2008 t o May 31,2008


Children & Family Institute, Dallas

A Woman's Haven, Inc., San Antonio

Catholic Charities, San Antonio

Guadalupe Home, San Antonio

San Antonio Birth Doulas, San Antonio

Pregnancy Help Center of Lufkin, Lufkin
                           INITIAL SITE VISIT REPORT


Site Name:                   Children and Family Institute, Inc.
Address:                     5787 South Hampton, suite 360
                             Dallas, TX 75232
Site #:                      1901
Director:                    Rose Jones
Counties Sewed:              Collin, Cooke, Dallas, Denton, Ellis, Erath, Fannin,
                             Grayson, Hood, Hunt, Johnson, Kaufman, Navarro, Palo
                             Pinto, Parker, Rockwall, Somerville, and Wise.
Date of Visit:               March 11, 2008
Visit Conducted By:          Paola Garcia Hicks, Evaluation Coordinator


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      and safety features (including fire extinguishers and smoke detectors) were
      inspected and found to be in compliance.

   11. Program Profile

      General Observations: It was determined through interviews that Children and
      Family Institute's hours of operation are as follows: Monday through Friday 8:30
      AM to 5:00 PM, and Saturdays by appointment only. The lnstitute accepts clients
      with appointments and as walk-ins, and clients are met outside office hours with
      previous arrangements only.

     Children and Family lnstitute provides all its services free of charge. The lnstitute
     receives referrals from hospitals, churches, schools, and other social services
     agencies. The lnstitute makes referrals to WIC, Housing Program, Salvation
     Army, food programs, and others.

  Ill. Corporate Administration

     General Observations: Copies of the Confidentiality, Grievance, Client Non-
     Discrimination and Standard Release of Information policies and forms are
     readily available at the Center. Material Safety Data Sheets are stored for ready
     reference.

 IV. Program Highlights

     General Observations: Children and Family Institute is heavily focused on
     adoption services, and also provides pregnancy assistance, education, and
     counseling to pregnant women in need.
     -. ne instituie
      I           has a variety o i educaiional programs that are delivered in-house.
     Courses include such topics as what to expect during pregnancy, health and
    nutritional issues, parenting, child development, healthy relationships, and
    preparing for your future.

    *Note:  The following paragraphs describe a typical case successfully
    managed by the Service Provider evaluated i n the report p r i o r to i t s
    enrollment in the Texas Alternative to Abortion Services Program. I t is
    shared for the limited purpose o f illustrating the quality a n d scope o f the
    Service Provider's work prior to its participafion in the Program. The client
    has given h e r consent for her story to b e included in this report, a n d her
    name has been changed to protect her privacy. The services described in
    the Success Story were not provided with Program funds.

    Client Story in the Director's Words:

   "Lyn" came to CFI when she was six months pregnant. She was feeling
   overwhelmed by the pregnancy. She already had one three-year old child and
   she was not sure if she was capable of taking care of another child. She was 18
   years old and dropped out of school in the lothgrade. She lives with her parents
   who were disappointed in her second pregnancy. She had begun to work and
   considered going back to school when she got pregnant. She contacted CFI to
   consider her options.

    CFI provided Lyn with counseling to help her understand her options to parent or
    place her child for adoption. Also, CFI helped her to develop a plan to set goals
   to get her GED and communicate more effectively with family. Referrals were
   made for community resources for maternity and baby clothing, education, child
   care, and food. Lyn had her baby and decided to parent with the assistance of
   community resources. Lyn stated she could not have gotten through the
   pregnancy without the comfort of knowing she had choices. She knew if she had
   the baby she would have the option of placing her child for adoption. Knowing
   her child had a place to go after helshe was born was a comfort to her.

V. Corrective Actions Taken: None Needed.

   Date of Report:                             March 27, 2008

   Site Visit Report Submitted By:             Paola Garcia Hicks

   Evaluation Coordinator's Signature:
                                               J   "
                          INITIAL SITE VISIT REPORT


Site Name:                 A Woman's Haven, Inc. (Formerly Birthright of San
                           Antonio)
Address:                   215 N San Saba, Ste 204, San Antonio, TX 78207
Site #:                    501
Director:                  Iris Perez
Counties Served:           Atascosa, Bandera, Bexar, Comal, Edwards, Frio,
                           Gillespie, Gonzales, Guadalupe, Karnes, Kendall, Kerr,
                           Kinney, McMullen, Medina, Real, Uvalde, Val Verde, and
                           Wilson.
Date of Visit:             April 18, 2008
Visit Conducted By:        Paola Garcia Hicks


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      safety features (including fire extinguishers and smoke detectors) and
      pantrylstorage areas were inspected. The building is handicapped accessible.
      The area where materials assistance is provided was reviewed and found to be
      safe and in good condition.

  II. Program Profile

     General Observations: It was determined through interviews that the Center is
     open Monday through Friday from 10:OO AM to 2:00 PM. The Center accepts
     clients with appointments and as walk-ins, and no clients are met outside office
     hours. The Center has a voicemail system to capture calls received outside
     working hours and the answering message refers to a hotline number available
     at any time.

     A Woman's Haven provides all its services free of charge. The Center receives
     referrals from WIC and other public assistance and social service agencies. They
     make referrals to organizations that offer prenatal care, to other non-profit
     organizations, and to the Texas Workforce Commission.

 Ill. Corporate Administration

     General Observations: Program records storage were reviewed and found to be
     in compliance. Copies of the Confidentiality, Grievance, Client Non-
     Discrimination and Standard Release of Information policies and forms are
     readily available at the Center. Material Safety Data Sheets were stored at the
     Center for ready reference.

 IV. Program Highlights

     General Observations: A Woman's Haven is heavily focused on providing
     pregnancy assistance and support, counseling and material assistance to
   pregnant women in need. They have been operating for over 35 years and are
   well known within the San Antonio area as a source for women experiencing
   challenging pregnancy situations.

V. Corrective Actions Taken:               None needed

   Date of Report:                         April 29, 2008

   Site Visit Report Submitted by:         Paola Garcia Hicks

   Evaluation Coordinator's Signature
                                           J'
                           INITIAL SITE VISIT REPORT


Site Name:                  Catholic Charities, Archdiocese of San Antonio, Inc.
Address:                    202 W. French PI.,
                            San Antonio, TX 78212
Site #:                     NIA
Director:                   Steve Saldafia, CEO
Counties Sewed:             Bexar, Atascosa, Bandera, Comal, Gillespie, Gonzales,
                            Guadalupe, Hidalgo, Jim Hoog, Karnes, Kendall, Maverick,
                            Medina, Nueces, Travis, Uvalde, Webb, Wilson, and Zapata.
Date of Visit:              May 23,2008
Visit Conducted By:         Paola Garcia Hicks, Evaluation Coordinator


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      and safety features (including fire extinguishers and smoke detectors) were
      inspected and found to be in compliance, except where noted below.

      A few fire extinguishers were last reviewed on dates older than 12 months from
      the time of the visit. But the CEO confirmed that the site had its extinguishers
      inspected in June 2008.

  II. Program Profile

      General O b s e ~ a t i o n ~ : was determined through interviews that Catholic
                                   It
      Charities' hours of operation are by appointment only.

     Catholic Charities provides all its services free of charge. The agency receives
     referrals from other social services agencies, CPS, and other pregnancy centers.
     Catholic Charities makes referrals to WIC, housing program, and others.

 111. Corporate Administration

     General Observations: Copies of the Confidentiality, Grievance, Client Non-
     Discrimination and Standard Release of Information policies and forms are
     readily available at the Center. Material Safety Data Sheets are stored for ready
     reference.

 IV. Program Highlights

     General Observations: Catholic Charities is heavily focused on pregnancy
     assistance, education, and counseling to pregnant women in need. An important
     part of their client services is visiting clients at their homes or places, which
                                             r
     increases the access to services f ~ clients who may have transportation or other
     iimiiaiions io attend appoinirnenis at the siie.
     Catholic Charities has a variety of educational programs that are delivered in-
     house. Courses include such topics as parenting, relationships, and others.

    *Note: The following paragraphs describe a typical case successfully
    managed by the Service Provider evaluated in the report prior to its
    enrollment in the Texas Alternative to Abortion Services Program. It is
    shared for the limited purpose of illustrating the quality and scope of the
    Service Provider's work prior to its participation in the Program. The
    clients have given their consent for their story to be included in this report,
    and their names have been changed to protect their privacy. The services
    described in the Success Story were not provided with Program funds.

    Client Success Story

    "David" and "Emily" started with the parenting program in January 2007 when
    they were expecting their first child at the end of the month. When their educator
    met them for the first time, David has just dropped out of high school, and Emily
    was starting the last semester of her senior year, leading Emily to feel very
    unsure about her situation and incredibly vulnerable.

    David was soon working two jobs to provide for his family. They were living with
    his parents to make ends meet. David and Emily stayed in the program and were
    getting useful information from the parenting classes. When their son "Jacob",
    was about four months old, they stopped participating in parenting classes. Their
    educator had already closed their file when she received a call in January of this
    year from Emily. Emily wanted to be back in the program, she and David were
    expecting their second child very soon.

    The educator scheduled a visit right away. They were still living with David's
    parents and were both working any shift they could at a local fast food restaurant
    to save money up for an apartment on their own. Their oldest son Jacob was
    doing well developmentally, so they wanted him back in the program, but they
    also wanted to enroll the child they were expecting.

   Soon after having their daughter "Jenna", David and Emily moved into their own
   apartment. Visits continued with both parents until David was hired to work at a
   bank. Soon they were able to afford renting a house close to Emily's parent's
   house, which actually helped them to save money.

   During the last visit, the educator found out that Emily had just been hired at a
   store at one of the malls. Jenna and Jacob are both growing up in a loving
   household and are meeting their appropriate developmental milestones.

V . Corrective Actions Taken: None Needed.

   Date of Report:                              July 10, 2008

   Site \/isit Report Submitted By:             Paola Garcia Hicks

   Evaluation Coordinator's Signature:
                            INITIAL SITE VISIT REPORT


Site Name:                   Guadalupe Home - Catholic Charities, Archdiocese of San
                             Antonio, Inc.
Address:                     1223 S. Trinity St.
                             San Antonio, TX 78207
Site #:                      NIA
Director:                    Suzanne De Leon
Counties Sewed:              Bexar county mostly
Date of Visit:               May 23,2008
Visit Conducted By:          Paola Garcia Hicks, Evaluation Coordinator


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      and safety features (including fire extinguishers and smoke detectors) were
      inspected and found to be in compliance, except where noted below.

      The Home is not handicapped              accessible   but   provides   reasonable
      accommodations to disabled clients.

   II. Program Profile

      General Observations: It was determined through interviews that Guadalupe
      Home's hours of operation are Monday through Friday from 8:00 AM to 5:00 PM.
      The Home receives both clients with appointment and walk-ins. The Home has a
      voicemail system to capture phone calls received outside of office hours.

      Guadalupe Home provides all its services free of charge. The Home receives
      referrals from CPS, judges, jail, other shelters and other social services
      agencies. The Home makes referrals to WIC, other shelterslhomes, and other
      social service agencies.

  Ill. Corporate Administration

      General Observations: Copies of the Confidentiality, Grievance, Client Non-
      Discrimination and Standard Release of Information policies and forms are
      readily available at the Center. Material Safety Data Sheets are stored for ready
      reference.

  IV. Program Highlights

      General Observations: Guadalupe Home is heavily focused on providing shelter,
      pregnancy assistance, education, and counseling to pregnant women and
      mothers of infants in need. The Home provides classes on-site and at Catholic
      Charities facilities. Courses include such topics as parenting skills, life skills,
      Early Childhood Intervention (ECI), shaken baby, mommy and me, and others.
    *Note: The following paragraphs describe a typical case successfully
    managed by the Service Provider evaluated in the report prior to its
    enrollment in the Texas Alternative to Abortion Services Program. It is
    shared for the limited purpose of illustrating the quality and scope of the
    Service Provider's work prior to its participation in the Program. The client
    has given her consent for her story to be included in this report, and her
    name has been changed to protect her privacy. The services described in
    the Success Story were not provided with Program funds.

    Client Success Stow in the Director's words:

   "Lorain" came to live at Guadalupe Home in 2006 when she was waiting for her
   son's birth. She said she was very surprised when life circumstances caused her
   to be homeless. Coming from a different country, Lorain had some difficulties at
   first adjusting to a lifestyle of living with other homeless women and sharing the
   space. An unplanned pregnancy and a strained relationship with the father of the
   baby added to the tension.

   Because her innate uplifting spirit and love for God, she was determined to make
   it work. It was not long before she felt comfortable at the Home and when she
   shared her story with other residents, she became a role model for them,
   teaching some how to cook and clean and guiding other young mothers how to
   nurture their child. During the months before her son's birth, Lorain worked on
   getting her life in order by completing her education and finding employment, and
   she was determined to find her way to acquire her own apartment. When her son
   was six months old, she was able to move into her own apartment. The friends
   that she made along the way helped her get the necessary furniture, linens, and
   dishes she needed to make her apartment comfortable and homey.

   Lorain is quick to tell everyone that it was because of the love, guidance, and
   support that she received from the staff while she lived at the Guadalupe Home,
   she was able to gain her independence and stayed motivated. Now, at every
   Christmas and Mother's Day, Lorain calls to wish me a blessed holiday and says
   "Thank you, Ms. Suzanne, for all you (and the other staff) did for me and my
   children. If it was not for Guadalupe Home, I don't know what I would have done
   during that difficult time in my life." Lorain says she keeps Guadalupe Home in
   her prayers and hopes that other homeless women and babies who live at the
   Home will work the program and benefit the way she has.

V . Corrective Actions Taken: None Needed

   Date of Report:                             July 10, 2008

   Site Visit Report Submitted By:             Paola Garcia Hicks

   Evaluation Coordinator's Signature:
                           INITIAL SITE VISIT REPORT


Site Name:                  San Antonio Birth Doulas (SABD)
Address:                    1801 W. Durango
                            San Antonio, TX 78207
Site #:                     NIA
Director:                   Suzanne De Leon
Counties Sewed:             Bexar, Kendall, Coma1
Date o f Visit:             May 23, 2008
Visit Conducted By:         Paola Garcia Hicks, Evaluation Coordinator


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      and safety features (including fire extinguishers and smoke detectors) were
      inspected and found to be in compliance.

   II. Program Profile

      General Observations: It was determined through interviews that SABD's hours
      of operation are by appointment only. SABD has a voicemail system to capture
      phone calls received outside of office hours.

      SABD receives referrals from CPS, judges, physicians, high schools, WIC,
      Medicaid, and others. SABD makes referrals to WIC, parenting programs, and
      other social services agencies.

  Ill. Corporate Administration

      General Observations: Copies of the Confidentiality, Grievance, Client Non-
      Discrimination and Standard Release of Information policies and forms are
      readily available at the SABD office. The site did not maintain Material Safety
      Data Sheets, but the Director agreed they will obtain all MSDS as needed.

  IV. Program Highlights

     General Observations: The Doulas program is heavily focused on providing
     pregnancy assistance, education, and counseling to pregnant women in need.
     SABD provides classes on-site and at shared facilities. Courses include such
     topics as childbirth education, parenting skills, and others. Their services are
     mainly delivered wherever their clients are located, to better assist pregnant
     women who may have transportation difficulty or other limitations.

     *Note:      The following paragraphs describe a typical case successfully
     managed by the Service Provider evaluated in the report p r i o r to its
     enrollment in the Texas Alternative to Abortion Services Program. It is
     s h a r e d for the limited purpose o f illustrating the quality a n d scope o f the
     Service Provider's work p r i o r to its participation in the Program. The client
has given h e r consent for her story to b e included in this report, a n d her
name has been changed to protect h e r privacy. The services described in
the Success Story were n o t provided with Program funds.

Client Success Stow in the Director's words:

"Janie" experienced many challenges during her formative years, yet, because of
all the life experiences she had during her pregnancy, her son, Bobby, was born
to a mother who was ready to love and nurture him. Here is Janie's story:

When Janie was a teenager, she had a very destructive lifestyle. Due to this,
she did not have a good relationship with her family and had not seen them for
several years. She was drinking, taking street drugs, and was involved in a very
bad relationship with a man who was emotionally, physically, and sexually
abusive to her. Over the years Janie had been lucky to not get pregnant and
was beginning to think that she could not conceive. But when she started feeling
a little different, she stopped drinking and smoking, and she took a pregnancy
test and was very surprised when it showed "positive" - she was pregnant.
Immediately she stopped using drugs. She also started to reexamine the
relationship with the baby's father and realized that the relationship was not good
or healthy and she had to get out and she needed help.

Although Janie had not talked to her mom for years, she called her for help.
What she heard was not was she expected. Because of the fact that Janie had
done drugs during the early weeks of the pregnancy and the relationship with the
boyfriend was so abusive, they thought about terminating the pregnancy because
they felt it "was not fair to baby" because the baby may have had a deformity due
to the drugs. Janie always considered herself to be against abortion but was so
confused and felt that her "mind was twisted" and she was not sure what she
thought. She considered placing the baby for adoption but her mother still
wanted her to get an abortion. She then decided that because she found out
early in the pregnancy and stopped the abusive behavior, the baby would be
okay so she decided not to terminate.

She knew she had some outstanding warrants and wanted to get that matter
 resolved so she turned herself in to the police and spent the next few weeks in
jail. When she got out of jail she was about 3 and a half months pregnant. She
then connected with San Antonio Birth Doulas (SABD). Once she got into a
 program that had required classes for her to attend to help her get her life back in
order, she began to think clearer and started making better choices in her life.
She realized that the childbirth education classes that she took with her doula at
the SABD office helped her to start bonding with her baby - even before he was
born. Janie is grateful to her doula because she helped her to understand and
cope with the guilt about her thoughts about terminating her pregnancy. She is
very glad that she made the right decision to keep her baby. The childbirth
education classes helped her learn more about the pregnancy, her body, and her
baby's brain and body, and she started to feel safer and knew she was doing the
right thing and was making better life choices.
   Janie feels that doulas are a great idea for all women, and especially for young
   women who are in great need of support, guidance, and mentoring, like her.
   Janie said that her doula, "helped her to learn how to love her pregnancy." She
   definitely feels that she bonded with her son before he was born. If she plans to
   have another baby in the future, she wants to have a doula to help her again.
   "The nurturing that I got from my doula helped me learn how to nurture," said
   Janie. "It's like I was surrounded with calmness."

   Today Janie is a wonderful mother to a healthy 10 month old son. It is a mutual
   love affair!

V. Corrective Actions Taken: None Needed

   Date of Report:                             July 14, 2008

   Site Visit Report Submitted By:             Paola Garcia Hicks

   Evaluation Coordinator's Signature:
                                                J '
                           INITIAL SITE VISIT REPORT


Site Name:                  Pregnancy Help Center of Lufkin
Address:                    106 S. Bynum
                            Lufkin, TX 75902
Site #:                     NIA
Director:                   Paula Havard
Counties Sewed:             Angelina, Polk, Cherokee, Trinity, Houston, and Nacogdoches
Date of Visit:              May 30,2008
Visit Conducted By:         Paola Garcia Hicks, Evaluation Coordinator


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      and safety features (including fire extinguishers and smoke detectors) were
      inspected and found to be in compliance.

      The Center is not handicapped accessible but it makes reasonable
      accommodations to provide services to disabled clients when needed.

   II. Program Profile

      General Observations: It was determined through interviews that the Center's
      hours of operation are Monday through Thursday from 8:30 AM to 3:00 PM. The
      Center receives clients with appointments and as walk-ins. The Center has a
      voicemail system to capture phone calls received outside of office hours.

     Pregnancy Help Center of Lufkin provides all its services free of charge. The
     Center receives referrals from local hospitals, schools, and other social services
     agencies. The Center makes referrals to Medicaid, 21 1, and other social services
     agencies.

  Ill. Corporate Administration

     General Observations: Copies of the Confidentiality, Grievance, Client Non-
     Discrimination and Standard Release of Information policies and forms are
     readily available on site.

 IV. Program Highlights

     General Observations: Pregnancy Help Center of Lufkin is heavily focused on
     providing pregnancy assistance, education, and counseling to pregnant women
     in need. The Center provides a wide variety of classes on-site. Courses include
     such topics as parenting skills, life skills, conflict resolutions, car seats, and
     others.
 *Note: The following paragraphs describe a typical case successfully
 managed by the Service Provider evaluated in the report prior to its
 enrollment in the Texas Alternative to Abortion Services Program. It is
 shared for the limited purpose of illustrating the quality and scope of the
 Service Provider's work prior to its participation in the Program. The client
 has given her consent for her story to be included in this report, and her
 name has been changed to protect her privacy. The services described in
 the Success Story were not provided with Program funds.

 Client Success Stow in the Director's words:

 "Kristen" had been out of prison only three days when she became pregnant. At
first, she was really scared as she was already struggling with the one child she
 had. She did not know what to do but she was sure that raising another child
would be very difficult. Despite her feelings, she thought her child's father would
 be excited. That idea was shattered when she told him about her pregnancy.
 His only encouragement was that he would support her if she would get an
abortion. Kristen knew that her family would also be upset about the pregnancy
and might encourage her to have an abortion. Kristen had already traveled down
the abortion road years earlier and soon after realized that it was too difficult to
handle. She did not really want to do that again. But, how would she raise a
child without the support of her boyfriend and her family. With so much stress
and worrying, Kristen soon found herself back in the world of crack cocaine at
three months pregnant. She was so lost, confused and caught in a web of poor
decisions. She had to talk to someone that would understand what she was
going through. She had heard about a parenting program offered at the
Pregnancy Help Center of Lufkin from an acquaintance but first wanted to talk to
her priest. He offered so many words of encouragement that Kristen walked
away feeling strong in her decision not to terminate the pregnancy. But, she
knew it would not be easy. She still felt as though she could not trust her family
not to pressure on her to abort, so she continued to keep the pregnancy a
secret.

Since her relapse at three months pregnant, Kristen found it difficult to lay down
the drugs. This clouded her judgment and she never made it to the Pregnancy
Help Center for the parenting program. She took her last hit right before walking
into the hospital to give birth -just 48 hours before her son would be born.

Kristen says, "Despite what I was doing to myself, God saw to it that this precious
gift was protected from my poor choices. I had to get my life right with God and
the first matter of business was getting off the drugs". When her son was
released, weighing only 4 lbs. and 7 oz., she checked herself into a recovery
program that allowed mothers to have their children live with them.

While going through treatment, Kristen was reminded of the Pregnancy Help
Center of Lufkin. Kristen made an appointment with Ms. Paula. She recalls that
day, "My first visit to the Center was a very positive one. I found Ms. Paula to be
very warm, caring and offered me encouragement and hope. I felt as if she really
cared and really wanted to help me. She introduced the Learn to Earn Parenting
Program and everything seemed so simple. I found it hard to believe there was a
   place that would not only help me learn how to be the best mom I could but that
   would also allow me the opportunity to get the things I need for my baby. . . and
   it is all free to me. I regretted not contacted them earlier"

   When Kristen first came to us in February 2005 she had an obvious low self
   esteem and continually beat herself up for her poor choices. Because of this she
   was not very confident in her ability to be a good parent. After several mentoring
   sessions with Paula, Kristen began releasing a lot of guilt and shame regarding
   her previous abortion and poor lifestyle choices. We could see not only physical
   changes but emotional ones as well.

   Kristen claims, "The biggest benefit I have received from the Pregnancy Help
   Center of Lufkin is the promotion of my self-esteem. I continue to go to the
   center because the entire staff and volunteers make me feel good about myself
   and what I am able to do for my son. It feels really wonderful to know that I can
   earn vouchers to take care of my son's needs and improve myself at the same
   time."

   Kristen's son is now three years old and, though she no longer qualifies for the
   Learn to Earn Parenting Program, we still often hear from her. We celebrated
   with her when she recently completed certification requirements to be a teacher.
   Then, we celebrated all the more when she won the hearts of the school board
   and was awarded a contract for teaching the 2nd grade in 2008-2009.

   Kristen is a wonderful example of how a little investment of time, talents and
   encouragement in the life of another can make all the difference in their world
   and the world around them.

V. Corrective Actions Taken: None Needed.

   Date of Report:                             July 14, 2008

   Site Visit Report Submitted By:             Paola Garcia Hicks

   Evaluation Coordinator's Signature:
                                                d7 '
                     Service Provider Site Monitorings
                  September 1,2008 to November 30,2008

No Site Monitorings were due to be performed during this quarter.
                         Initial Site Visit Reports
                   September 1,2008-November 30,2008


+   Family Care Connection
                           INITIAL SITE VISIT REPORT


Site Name:                  Family Care Connection
Address:                    6969 Pastor Bailey Rd, Ste 140
                            Dallas, TX 75237
Site #:                     2101
Director:                   Sharron Whitaker
Counties Served:            Dallas, Denton, Collin
Date of Visit:              September 29, 2008
Visit Conducted B y         Deb Whitaker, Recruiting and Education Manager


   I Facility
    .

      General Observations: Counseling areas, office space, equipment, lavatories,
      and safety features (including fire extinguishers and smoke detectors) were
      inspected and found to be in compliance.

      The Center is accessible to disabled clients.

   11. Program Profile

      General Observations: It was determined through interviews that the Center
      receives clients Monday through Friday, between the hours of 9:00 AM and 5:00
      PM. The Center receives clients with appointments and as walk-ins. The Center
      has a voicemail system to capture phone calls received outside of office hours.

      The Center provides all its services free of charge. The organization receives
      referrals from the Dallas Independent School District, Child Protective Services,
      multiple social service agencies, medical professionals, and non-profit
      organizations. The organization makes referrals to the Housing Authority, Texas
      Workforce Commission, and- other social service agencies, doctors, and
      hospitals.

  Ill. Corporate Administration

      General Observations: Program records storage and educational materials were
      reviewed and found to be in compliance. Copies of the Confidentiality.
      Grievance, Standard Release of Information, Non-Discrimination in Client
      Services policies and forms were readily available at the organization. The
      Material Safety Data Sheets were reviewed.

 IV. Program Highlights

     General Observations: FCC is heavily focused on providing in-home crisis
     counseling, parent education, and counseling to pregnant and parenting women
     in need. Support is offered through case management, referrals and educational
     programs.
V. Corrective Actions Taken: None needed.


   Date of Report:                          January 13,2009

   Site Visit Report Submitted By:          Deb Whitaker

   Evaluation Coordinator's Signature

   Executive Director's Signature:
                 Service Provider Site Monitoring
               December 1,2008 to February 28,2009


Children and Family Institute
       Real Alternatives Progromand hshuctional Design System (RAPID System] O Real Alternatives 2005-2006



                                   EA                    A E EW R
                                  T X S PREGNANCY C R N T O K
                             Texas Alternative to Abortion Services Program

                                         SITE MONITORING REPORl

Site Name:             Children & Family Institute

Address:               5787 South Hampton, Ste 360 Dallas, TX 75232
                       2907 North Hampton. Dallas, TX 75212

Site No.:              1901, 1902

Director:              Rose Jones

Service Area: Dallas, Tarrant. Collin. Denton, Johnson, and Navarro Counties

Date of Monitoring:            February 5.2W9

Monitoring Conducted By:               Lesley Kutac. Evaluation Coordinator


1.          Facility

           A.          General Observations: All counseling areas, office space, lavatories.
                       safety features, equipment. inventory and materialslstorage areas were
                       inspected and found to be in compliance.

           B.          Deficiencies: None

           C.          Corrective Action RecommendedlTaken: None needed

           D.          Saecial Comments: None


11.        Program Profile

           A.       General Observations: Counseling topics. programs, core services.
                    referrals. educational materials [except where noted below), licensing
                    and site-specific information and hotline accessibility were reviewed and
                    found to be in compliance.

           B.          Deficiencies: A spiritual brochure was mistakenly placed in a display of
                       non-spiritual materials.

           C.       Corrective Action RecommendedlTaken: Executive Director immediately
                    removed the spiritual brochure from the non-spiritual materials.

           D.                  l
                    S ~ e c i aComments: None


Ill.       Corporate Administration
      Reol Alternatives Program and lnstructionol Design System [RAPID System] 0 Reol Alternatives 2035-2006



           A.       General Observations: Corporate records (except where noted below).
                    program records, policies ond procedures, staff training, stoff clearances.
                    client services, and spiritual counseling procedures were reviewed and
                    found to be substantially in compliance with the contractual requirements
                    of the Texas Alternative to Abodion Services Program.

           B.       Deficiencies: Copies of Board Meeting minutes were not available at the
                    center due fo recent updating.

          C.        Corrective Action RecommendedCTaken: Once the Board Meeting
                    minutes were updated, they were returned to the site.

           D.       Swecial Comments: None


IV.        Reimbursement Compliance

          A.        General Observations: Reimbursement forms and Client Verification Forms
                    (CVFsJconfirm that Service Provider submitted for and was appropriately
                    reimbursed for dates of service reviewed, except where noted below.

           B.       Deficiencies: The clients identified by, the following Client Confidential
                    Numben (CCN) did not properly complete, sign or date the CVFs on the
                    following dates of service.




                   The CVF for the client identified by the CCN 1901TX01600 was misplaced.
                                                         yte
      Real Alternafives Program and InstructionalDesign S s m (RAPID Sysiem) @Real
                                                                                 Alternatives 2005-2006



                   The client file, including the CVF, for the client identified by the CCN
                   1901TX01715was misplaced.
          C..      Corrective. Action RecommendedlTaken:              ~eductio; from service
                   Provider's reimbursement for the services rendered to the clients noted
                   above on the dates of service indicated and for all the services rendered
                   to the clients whose CVF or client file was misplaced. The Service
                   Provider's Executive Director has reminded the staff about the importance
                   of handling client files in o manner that will protect client confidentiality.

           D.      Soecial Comments: None


      V. Client Success Story

          'Nofe: The following paragraph describe a case successfully managed by the
          Service Provider evaluated in this report since it joined the Texos Alternative to
          Abortion Services Program. If is shared for the limited purpose of illustrating the
          qualify and scope of the Service Provider's work. The client has given her consent
          for her story to be included in this report, and Ker name has been omitted to
          protect her privacy.


          The Executive Director shared the story of one of the Center's clients:

          A client. eight months pregnant with her fourth child, came to our agency after
          learning the devastating news that her husband was leaving their relationship.
           Because she was very dependent on her him to meet her and their children's
          needs,. when he left. she experienced severe uncertainty regarding her life and
          the arrival of her new baby. We assessed her mental health and referred her to a
          mental health agency but continued to provide her with numerous services such
          as anger and stress management, education assistance, and various other
          counseling. In order to be more independent and thus better care for her
          children. she has learned to drive and is taking classes to obtain her High School
          Diploma. The client has renewed self-confidence and is now able to rely on her
          inner strength to handle the pressures of being a single mother of four children.


VI.       Conclusion

          The corrective action for the deficiencies related to reimbursement compliance
          noted in section IV of this report is deduction. The corrective action for
                                            I
          deficiencies included in section 1 and Ill of this report was discussed with the
          Service Provider, and was addressed and completed by the Service Provider,
          prior to this report's date.

          Children and Family Institute is heavily focused on adoption services, pregnancy
          assistance. education, and counseling to pregnant women in need. They offer a
          variety of classes that educate clients on parenting, nutrition, child development,
          healthy relationships, preparing for the future. and what to expect during
          pregnancy.
   Reol Alternatives Program and lnstructionol Design System (RAPID System] O Reol Alternatives 2005-2006




                              TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                                       EOT
                                      SITE MONITORING R P R
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                           Lesley Kutac

Date of Report:                                                4/9/09

Corrective Action RecommendedfTaken:                           Deductions in reimbursements as
                                                               indicated in section IV of this report,
                                                               and confidential file management
                                                               practices reviewed.

Date Corrective Action Authorized:                             2/ 17/09

Evaluation Coordinator's Signature:

Executive Director's Signature:
                        Initial Site Visit Reports
                   December 1,2008 to February 28,2009



    Marywood Children & Family Institute Hope Site
+   Care Net Medical Services
    Pregnancy Resources of Abilene
                           INITIAL SITE VISIT REPORT


Site Name:                  Pregnancy Resources of Abilene
Address:                    598 Wesiwood Drive, Suite 209
                            Abilene, TX 79603
Site #:                     2501
Director:                   Holly Whitehead
Counties Sewed:             Taylor, Jones, Callahan, Nolan
Date o f Visit:             February 26, 2009
Visit Conducted By:         Lesley Kutac, Evaluation Coordinator


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      and safety features were inspected and found to be in compliance. The facility
      was not equipped with smoke detectors nor were there inspection tags on the fire
      extinguishers. The waiting area is located within view of common areas in the
      office building.

   11. Program Profile

      General Observations: It was determined through interviews that Pregnancy
      Resources of Abilene's hours of operation are Monday through Wednesday from
      10:00 a.m. to 4:30 p.m. and Thursday from 10:OO a.m. to 6:30 p.m. The center is
      closed on Friday.

      Pregnancy Resources of Abilene receives referrals from local schools, doctor's
      offices, clinics, Medicaid, WIC, and other community resources.

      All of Pregnancy Resources of Abilene's services are free of charge.

  Ill. Corporate Administration

      General Observations: Copies of the Confidentiality, Grievance, Client Non-
      Discrimination and Standard Release of Information policies and forms are kept
      on file and are easily accessible. Material Safety Data Sheets are also kept on
      file. Spiritual materials had not yet been marked or separated from non-spiritual
      materials and client files were kept in an area that was unlocked during business
      hours.

  1V. Program Highlights

                                  Pregnancy Resources of Abilene is well known within the
      General O b s e ~ a t i o n ~ :
      area for providing pregnancy assistance and counseling, sexually transmitted
      disease testing and awareness, and sonograms. A large number of their
      clientele are in high school or college, which enables Pregnancy Resources of
      Abilene to raise awareness and to educate on pregnancy and sexually
    transmitted diseases. They are an exceptional organization and a much needed
    resource in the area.

V. Corrective Actions Taken: Prior to contract execution, smoke detectors were
   installed and Fire Extinguishers were re-inspected and labeled with updated tags.
   Spiritual materials have been labeled and separated from non-spiritual materials.
   Waiting room glass walls have been frosted in order to protect client
   confidentiality and client files are now kept in a secure and locked area.


    Date of Report:                            April 8, 2009

   Site Visit Report Submitted By:             Lesley Kutac

   Evaluation Coordinatoi's Signature:                     K &o
                                                           !&L
                          INITIAL SITE VISIT REPORT


Site Name:                  Marywood Children & Family Services, Hope Site
Address:                    6414 N. Hampton
                            Austin, TX 78723
Site #:                     1202
Director:                   Jean Henry
Counties Served:            Travis, Hays, Williamson, Bastrop
Date o Visit:
       f                    January 21,2009
Visit Conducted By:         Lesley Kutac, Evaluation Coordinator




      General Observations: Counseling areas, office space, equipment, lavatories,
      and safety features (including fire extinguishers and smoke detectors) were
      inspected and found to be in compliance.

   II. Program Profile

      General Observations: It was determined through interviews that Marywood's
      hours of operation are Monday through Friday from 8:00 a.m. to 5:00 p.m.

      All of Marywood's services are free of charge.

  111. Corporate Administration'

      General Observations: Copies of the Confidentialily, Grievance, Client Non-
      Discrimination and Standard Release of Information policies and forms are kept
      on file and are easily accessible. Material Safety Data Sheets are also kept on
      file. A copy of the Non-Discrimination Policy was not posted.

  IV. Program Highlights

      General Observations: The Marywood Children & Family Services, Hope Site is
      the only resource of its kind in the immediate area. It is a satellite center of
      Marywood Children & Family Services, and was opened because of client
      requests for services in that area. The new site is heavily focused on providing
      pregnancy assistance and counseling to pregnant women in need.

      Marywood's Hope Site shares a building with an early childhood education
      program, making it convenient for clients with young children that participate in
      the program, to take advantage of Marywood's free services.

  V. Corrective Actions Taken: The Non-Discrimination Policy was posted in the
     counseling rooms.
Date o Report:
      f                               April 8, 2009

Site Visit Report Submitted By:       Lesley Kutac

Evaluation Coordinator's Signature:    /'j&,/
                                       -            &
                                                   &o
                                               1
                          INITIAL SITE VISIT REPORT


Site Name:                 Care Net Medical Services
Address:                   1818 Columbus Avenue
                           Waco, TX 76701
Site #:                    1702
Director:                  Deborah McGregor
Counties Sewed:            McLennan
Date o f Visit:            February 18,2009
Visit Conducted By:        Lesley Kutac, Evaluation Coordinator


   I Facility
    .

      General Observations: Counseling areas, office space, equipment, lavatories,
      and safety features (including fire extinguishers and smoke detectors) were
      inspected and found to be in compliance.

   11. Program Profile

      General Observations: It was determined through interviews that Care Net's
      hours of operation are Monday and Wednesday from 8:00 a.m. to 5:00 p.m.,
      Tuesday from 8:00 a.m. to 8:00 p.m., Thursday from 7:00 a.m. to 500 p.m., and
      Friday from 8:00 a.m. to 4:00 p.m.

      Care Net Medical Services receives referrals from local doctors, social service
      agencies, and Family Health Center. They make referrals to numerous
      agencies, including Texas Department of Human Services and WIC. In addition
      to pregnancy counseling and mentoring, Care Net Medical Services also
      performs sonograms. All of their services are free of charge.

  I l Corporate Administration
   l.

      General Observations: Copies of the Confidentiality, Grievance, Client Non-
      Discrimination and Standard Release of Information policies and forms are kept
      on file and are easily accessible. Material Safety Data Sheets are also kept on
      file.

  IV. Program Highlights

      General Observations: Care Net Medical Services.is the only alternatives to
      abortion resource in the immediate area. They are in close proximity to three
      different colleges and are located on the bus route. They advertise on campus
      and in the college newspaper, and are dedicated to making their clients feel
      welcome and comfortable in their bright and modern facility.

  V. Corrective Actions Taken: None Needed.
Date of Report:                       February 18.2009

Site Visit Report Submitted By:       Lesley Kutac

Evaluation Coordinator's Signature:   A L k2hf%6J
                                      / L@
                 Service Provider Site Monitorings
                  March 1,2009t o May 31,2009




Seton Home

The Source for Women, Northeast

Downtown Pregnancy Help Center

Annunciation Maternity Home

The Lke Center

Pregnancy Care Center of Texoma

First Choice Pregnancy Resource Center

Care Net Pregnancy Center of Central Texas

Marywood Children & Family Services
       Real Alternolives Program and Instructional Design System (RAPID Syslern) @ Real Alternatives 2005-2006



                                   EA
                                  T X S PREGNANCY CARE N T O KEW R
                             Texas Alternative to Abortion Services Program
                                   . .     SITE MONITORING REPORT

 Site Name:           Seton Home

 Address:              1 1 15 Mission Road, San Antonio, TX 78210

 Site No.:              0
                       6 1

 Director:            Margaret Starkey

 Service Area: All of Texas

 Date of Monitoring:          March 12,2009

Monitoring Conducted By:                 Lesley Kutac. Evaluation Coordinator


 I.        Facility

           A.     ,   General Observations: All counseling areas, office space, lavatories.
                      safety features, equipment, inventory and rnaterials/storage areas were
                      inspected and found to be in compliance.

           B.         Deficiencies: None

           C.         Corrective Action Recomrnended/Taken: None needed

           0.         Soecial Comments: None


11.        Program Profile

          A.          General Observations: Counseling topics, programs, core services.
                      referrals, educational materials, licensing and site-specific information and
                      hotline accessibility were reviewed and found to be in compliance.

          B.          Deficiencies: None

          C.          Corrective Action RecommendedlTaken: None needed

          D.                Comments: None
                      S~ecial


Ill.      Corporate Administration

          A:          General Observations: Corporate records, program records, policies and
                      procedures. staff. training, staff .clearances;client services, and spiritual
                      counseling procedures were reviewed and found to be substantially in
                      compliance with the contractual requirements of the Texas Alternative to
                      Abortion Services Program.
      Re01Alternofives Program and Instructional Design System (RAPID Sysfem)0 Real Alfernotives 2005-2006




          B.       Deficiencies: None

          C.-      Corrective Action Recommended/Taken: None Needed

          D.                        None
                   Soecial Comn~ents:


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verificafion Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.
                                        . .
                                          .
          B.       Deficiencies: The clients identified b y the following Client Confidential
                   Numbers (CCN) did not properly complete, sign or date the CVFs on the
                   following dates of service.
Real Alternatives Program and lnslructional Design System (RAPID System) @ Real AHernatives 2005-2006




     C.       Corrective Action RecommendedITaken: Deductions were made for the
              services rendered to clients noted above, on the dates of service
              indicated, and were taken from Service Provider's reimbursement.

     D.             Comments: None
              S~ecial


V. Client Success Story

    *Nofe: The following paragraphs describe a case successfully managed by the
    Service Provider evaluated in this report since it joined the Texas Alternative to
    Aborfion Services Program. It is shared for the limited purpose of illustrating the
    quality and scope of the Service Provider's work. The client has given her consent
    for her story to be.included iri this reporf, and her name has been ornilted to
    protect her privacy.

    Tho Executive Director shared the story of one of the Home's clients:

    Lucia has been at Seton Home for four years, during which time she gave birth to
    her son. Juan. The only family support she receives comes from her Seton Home
    family. Lucia has thanked the Seton Home staff countless times and has recently
    decided to share her experience at the Seton Home Gala. She spoke of how she
      Real Alternatives Program and Instructional Design System (RAPID System) @RealAlternalives 2005-2006



          became a better parent, student, and person thanks to services received at
          Seton Home. Lucia spoke so eloquently that a former council woman invited her
          to be an intern for a day at City Hall. Lucia had the opportunity to sit in on
          meetings and have breakfast and lunch.with city officials such as the mayor, the
          city manager, and other council persons. It was a very exciting and proud
          moment for Lucia.

          Lucia was also recently rewarded with a dinner and a trip to the Tower of
          Americas for her participationin tutoring.

          Lucia.'~experience at Seton Home has helped her become a mature young
          woman, a good student, a role model for the other girls at the home, and most
          importantly, a wonderful and dedicated mother.


VI.       Conclusion

          The corrective action for deficiencies related to reimbursement compliance
          [Section IV) is deduction.

          Seton Home is well known within the immediate and the greater son Antonio
          area as a resource of housing for young, homeless pregnant women
          experiencing challenging pregnancy and parenting situations. It is also known
          throughout the State, since it serves clients from all over Texas.
   Real Alternatives Program and InstructionalDesign System (RAPID System] Q Real Allernotives 2005-2006



                              TEXAS PREGNANCY CARE NETWORK
                         TEXASAlternative to Abortion Services Program
                        . .   .      'SITE MONiTORlNG REPORT
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                          Lesley Kutac

Date of Report:                                               6/30/09

Corrective Action Recommended/Taken:                          Deductions in reimbursements as
                                                              indicated in section I of this report.
                                                                                   V

Date Corrective Action Authorized:                            2117/09

Evaluation Coordinator's Signature:

Executive Director's Signature:
      Real Alternatives Program and lnslructional Design Sysfem (RAPID System) @ Real Alternatives 2005-2006



                                    EA
                                   T X S PREGNANCY CARE N T O KEW R
                              Texas Alternative to Abortion Services Program

                                                          EOT
                                         SITE MONITORING R P R

Site Name:          The Source for Women, Northeast

Address:            9608 Mesa Drive, Houston, TX 77078

Site No.:              1002

Director:              Charissa Hall

Service Area: Harris County

Date of Monitoring:            March 18,2009

Monitoring Conducted By:               Lesley Kutac, Evaluation Coordinator


1.          Facility

           A.          General Observations: All counseling areas, office space, lavatories,
                       safety features, equipment, inventory and materialslstorage areas were
                       inspected and found to be in compliance except where noted below.

            B.         Deficiencies: Client Non-Discrimination policy was not posted in a
                       conspicuous place for client reference.

            C.         Corrective Action RecommendedITaken: Service Provider confirmed that
                       their Non-Discriminationpolicy is posted where clients can easily reference
                       it.

            D.               Comments: None
                       S~ecial


II.         Program Profile

            A.         General Observations: Counseling topics, programs, core services,
                       referrals, educational materials, licensing and site-specific information and
                       hotline accessibility were reviewed and found to be in compliance.

            B.         Deficiencies: None

            C.         Corrective Action RecommendedITaken: None needed

            D.         -
                       Special Comments: None
      Real Alternulives Program and lnslruclional Design System (RAPID Syslem) O Real Allernutives 2W5-2006



                   counseling procedures were reviewed and found to be substantially in
                   compliance with the contractual requirements of the Texas Alternative to
                   Abortion Services Program, except where noted below.

           0.      Deficiencies: The Service Provider could not locate the file for the client
                   identified below.



                    In addition, as of this report, background clearances for several
                    counselors remained under review.

           C.       Corrective Action Recommended/Taken: Deductions must be made for
                    all services rendered to client noted above and will be taken from Service
                    Provider's reimbursement. Deficiencies, if any, related to background
                    clearances will be reported in a supplemental Report.

           D.             Comments: None
                    S~ecial


IV.        Reimbursement Compliance

           A.       General Observations: Reimbursement forms and Client Verification Forms
                    [CVFs) confirm that Service Provider submitted for and was appropriately
                    reimbursed for dates of service reviewed, except where noted below.

           B.       Deficiencies: The clients identified by the following Client Confidential
                    Numbers (CCN) did not properly complete, sign or date the CVFs on the
                    following dates of service.




                    Spiritual Counseling Request Forms for clients identified by the following
                    CCN's were not properly signed and/or dated by either the client or the
                    counselor.
     Real Alfernaiives Program and lnslrucfional Design Sysiem (RAPID System) Q Real Aliernailves 2005-2006



                   Spiritual Counseling Request Forms for clients identified by .the following
                   CCN's were not properly signed and/or dated by either the client or the
                   counselor.




          C.       Corrective Action Recommended/Taken: Deductions must b e made for
                   the services rendered to clients noted above, on the dates of service
                   indicated. and will be taken from Service Provider's reimbursement.

          D.             Comments: None
                   S~ecial


V.        Client Success Story

           a
          * :     The following paragraphs describe a case successfully managed by the
          Service Provider evaluated in this report since if joined theTexas Alternative to
          Abortion Services Program. It is shared for the limited purpose of illustrating the
          qualify and scope of the Service Provider's work. The client has given her consent
          for her story to be included in this report, and her name has been changed to
          protect her privacy.

          The Executive Director shared the story of one of the Center's clients in her words:

          R a q a n came to The Source for Women to confirm her pregnancy. She was 25
          years old and had just gotten out of an unhealthy relationship with her boyfriend,
          who was now incarcerated. Her pregnancy test came back positive. Reagan
          was afraid and didn't know how she could have a baby without a stable
          relationship or job. Once she felt her baby move inside her tummy for the first
          time, Reagan knew she wanted to parent. It would be a difficult road but
          Reagan believed in herself and in her baby.

          Reagan started attending parenting and relationship classes at The Source for
          Women and soon learned many skills that would help her once her daughter was
          born. She also discovered what a good. healthy relationship should be like and
          realized what she wanted for herself and her unborn child.
      Reol Alternatives Program and Instructional Design System (RAPID System) @ Reol Aiternalives 2005-2006
                                                                               I




           After Reagan gave birth to her beautiful daughter, Kaylee, she received extra
           help from The Source for Women with diapers, baby wipes, and clothing. She                          .
           says this has made a big impact on the amount of money she can save. Reagan
           continues to come to the center for counseling and parenting classes.

           According to Reagan, The Source for Women is a fantastic place to go for help.
           She admits that at first she was ashamed of her situation but because of the
           support and encouragement she received from the counselors at the center. she
           is now proud of her decision and her little girl. Reagan knows that when she
           stumbles, The Source for Women will be there to help her stay on her feet.


VI.        Conclusion

           The corrective action for the missing client file in section Ill of this report resulted in
           the deduction of all services reimbursed for the client. The corrective action for
           deficiencies listed in section IV of this report resulted in the deduction of the
           reimbursed amount. The Service Provider completed the corrective action for
           the deficiency listed in section I of this report by addressing and rectifying it prior
           to the date of this report.

           The Source for Women of Houston Northeast Center is focused on providing
           pregnancy assistance, education, counseling and material assistance to
           pregnant women in need. They are well known in northeast Houston as a
           resource for women experiencing challenging pregnancy and parenting
           situations.
   Real Allernallves Program and lnslructlonal Design System (RAPIDSystem] Q Real Alternatives 2005-2006



                              TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                      SITE MONITORING REPORl
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                          Lesley Kutac

Date of Report                                                711 1/09

Corrective Action RecommendedITaken:                          Deductions in reimbursements as
                                                              indicated in sections Ill and IV of this
                                                              report. Deficiencies addressed and
                                                              rectified as indicated in section I of
                                                              this report.

Date Corrective Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
      Real Alternatives Program and lnstrucliondl Design System (RAPID System) C Real Allematives 2005-2006
                                                                               9



                                  TEXAS PREGNANCY CARENETWORK
                            Texas Alternative to Abortion Services Program

                                                          EOT
                                         SITE MONITORING R P R

Site Name:          Downtown Pregnancy Help Center

Address:            3636 San Jacinto, Houston, TX 77004

Site No.:           802

Director:           Sylvia Johnson

Service Area: Harris County

Date of Monitoring:           March 19,2009

Monitoring Conducted By:               Lesley Kutac, Evaluation Coordinator


I.          Facility

            A.         General Observations: All counseling areas, office space, lavatories.
                       safety features. equipment, inventory and materials/storage areas were
                       inspected and found to be in compliance.

            B.         Deficiencies: None

            C.         Corrective Action RecommendedITaken: None needed

            G.               Comments: None
                       S~ecial


II.         Program Profile

            A.         General Observations: Counseling topics, programs, core services.
                       referrals, educational materials, licensing and site-specific information and
                       hotline accessibility were reviewed and found to be in compliance.

            B.         Deficiencies: Spiritual educational materials were separated from non-
                       spiritual materials, but were not labeled. Material Safety Data Sheets
                       were not on file.

            C.         Corrective Action RecommendedITaken: Spiritual educational materials
                       have been labeled. Material Safety Data Sheets are on file and available
                       for reference.

            D.         Special Comments: None
       Real AHernalives Program and instructional Design System (RAPID System) 0 Reoi Alternatives 2005-2006




Ill.       Corporate Administration

            A.       General Observations: Corporate records, program records, policies and
                     procedures, staff training, staff clearances, client services, and spiritual
                     counseling procedures were reviewed and found to be substantially in
                     compliance with the contractual requirements of the Texas Alternative to
                     Abortion Services Program.

            B.       Deficiencies: None

            C.       Corrective Action RecommendedlTaken:None Needed

            D.       Special Comments: None


IV.         Reimbursement Compliance

            A.       General Observations: Reimbursement forms and Client Verification Forms
                     (CVFs) confirm that Service Provider submitted for and was appropriately
                     reimbursed for dates of service reviewed, except where noted below.

            B.       Deficiencies: The clients identified by the following Client Confidential
                     Numbers (CCN) did not properly complete, sign or date the CVFs on the
                     following dates of service.




            C.       Corrective Action RecommendedlTaken: Deductions were made for the
                     services rendered to clients noted above, on the dates of service
                     indicated, and were taken from Service Provider's reimbursement.

            D.       Special Comments: None
      Real AltPnalives Program and lnslrucfionalDesign System (RAPID System] O Real Alternatives 2005-2006



      V. Client Success Story

           *m:   The following paragraphs describe a case successfully managed by the
          Service Provider evaluated in this report since it joined the Texas Alternative to
          Abortion Services Program. It is shared for the limited purpose of illustrating the
          quality and scope of the Service Provider's work. The client has given her consent
          for her story to be included in this report, and her name has been omitted fo
          protect her privacy.

          The Executive Director shared the story of one of the Center's clients:

          Lisa went to a local health clinic for contraceptives but instead, left with a
          positive pregnancy test. Even though the news of her pregnancy was surprising, it
          still made her smile. Unfortunately, her boyfriend did not share her new-foundjoy.
          He pressured her for an immediate termination.

          Devastated and deeply hurt by her boyfriend's reaction, Lisa sat staring at the
          television while she wondered whether or not to have an abortion. Suddenly a
          commercial that offered assistance to women facing unplanned pregnancies,
          appeared. After scribbling down the Life Aid phone number, Lisa called and was
          referred to the Center.

          Lisa came to the Center and with the help of a compassionate counselor, was
          finally able to unload her burden of hurt and fear. The counselor spoke to Lisa
          about her options and helped her sort through her thoughts and feelings.

          Eight months later, Lisa walked through our doors a second time, smiling, and
          holding a baby girl in her arms. The Center helped her stay on her feet while she
          was temporarily out of school and work, and supplied her with needed baby
          items. Lisa is back in college, one semester behind, but as she said, "Madison
          was worth it."


VI.       Conclusion

          The corrective action for deficiencies listed in section IV of this report resulted in
          the deduction of the reimbursed amount. The Service Provider completed the
          corrective action for deficiencies listed in section 1 of this report by addressing
                                                                 I
          and rectifying deficiencies prior to the date of this report.

          The Downtown Pregnancy Help Center is heavily focused on providing
          pregnancy assistance, education, and counseling to piegnant women in need,
          particularly those located in the busy Midtown and Downtown Houston areas.
          They are a well known resource for women experiencing challenging pregnancy
          and parenting situations.                                   ?
         Real Alternotives Program and lndruclional Design System (RAPIDsystem] @ Real Alternotives '2005-2006



                                    TEXAS PREGNANCY CARE NETWORK
                               TEXAS Alternative to Abortion Services Program

                                                              EOT
                                            SITE MONITORING R P R
                                                 SIGNATURE PAGE


/.   Site Monitoring Repolt Submitted By:                           Lesley Kutac

     Date of Report:                                                711109

     Corrective Action Recornrnended/Taken:                         Deductions in reimbursements as
                                                                    indicated in section IV of this report.
                                                                    Deficiencies addressed and rectified
                                                                    as indicated in section Ill of this
                                                                    report.

     Date Corrective Action Authorized:

     Evaluation Coordinator's Signature:

     Executive Director's Signature:
       Real AHernatives Program and instruciionai Design System (RAPID System] @ Real Alternolives 2005-2006



                                                        A E EW R
                                  TEXAS PREGNANCY C R N T O K
                             Texas Alternative to Abortion Services Program

                                                           EOT
                                          SITE MONITORING R P R

 Site Name:                      Maternity Home
                      ~nnunciation

 Address:             3610 Shell.Road, Georgetown, TX 78628

 Site No.:            101

 Director:            Linda Hoimstrorn

 Service Area: Williamson County

 Date of Monitoring:          March 25,2009

 Monitoring Conducted By:              Lesley Kutac, Evaluation Coordinator


 1
 .         Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and materiaislstorage areas were
                      inspected and found to be in compliance.

           B.         Deficiencies: None

           C.         Corrective Action Recommended/Taken: None needed

          D.        Soeciai Comments: None


11.       Program Profile

          A.       General Observations: Counseling topics, programs. core services.
                   referrals, educational materials. licensing, and site-specific information
                   and hotline accessibility were reviewed and'found to be in compliance.

          B.        Deficiencies: None

          C.       Corrective Action Recommended/Taken: None Needed

          D.       Saecial Comments: None


Ill.      Corporate Administration

          A.       General Observations: Corporate records, program records, policies and
                   procedures; staff..training, staff clearances, client services, and.spin'tual
                   counseling procedures were reviewed and found to be substantially in
                   compliance with the contractuai requirements of the Texas Alternative to
                   Abortion Services Program.
                                                                                         >

      Real Alternolives Program and lnslructionol Design Sysfem (RAPID System) O Real Alternatives 2005-2006




           B.       Deficiencies: None

          C.      . Corrective Action RecommendedlTaken:None Needed

          D.       Saecial Comments: None


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursementforms and Client Verification Forms
                   (CVFs) confirmthat Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below. All
                   Spiritual Counseling Request Forms (SCRFs) that were reviewed were
                   completed appropriately, except where noted below.

          8.       Deficiencies: The clients identified by the following Client Confidential
                   Numbers (CCNs) did not properly sign their CVFs on the following dates of
                   service:




                  The clients identified by the CCN's below, the Service Provider erroneously
                                       CF
                  indicated that an S R was signed on the following dates of service:
      Real Alternatives Program ond Instructional Design System (RAPIDsyslern) O Real Alter~lotiver
                                                                                                  2005-2006




          C.       Corrective Action RecommendedITaken: Deductions were made for the
                   services rendered to clients' noted above, on the dates of service
                   indicated, and were taken from Service Provider'sreimbursement.

          D.             Comments: None
                   S~ecial


      V. Client Success Story
                                                                              '..
           *Nofe: The following paragraphs describe a case successful(y managed by the
          Service Provider evaluated in this report since i f joined the Texas Alternative to
          Aborfion Services Program. If is shared for the limited purpose of illustrating the
          qualify and scope of the Service Provider's work. The client has given her consent
          for her story to be included in this report, and her name has been changed to
          protect her privacy..

          One of the services provided by Annunciation Maternity ~ o m e     (AMH) is the
          opportunity for a resident to either complete her high school graduation
          requirements by attending The University of Texas Charter School located on the
          AMH campus or to complete the requirements for a' GED through the Rural
          Capital Area Workforce Development Board (RCAWDB)program.

         Ruth, an 18 year old mother of two beautiful little girls aged 6 months and 22
         months, spent months attending the GED preparatory classes and tutoring
         sessions offered at RCAWDB. After passing all of the GED practice tests with a 90
         percent or higher score, she registered to take her official GED tests and passed!
                              E
         After receiving her G D certificate, Ruth said, "Without AMH I would have never
         received my GED and would have never thought of going to college. I believe I
         am here for a reason, and if I were not here, my children and I would most likely
         be homeless. AMH has made me a better mother to my babies."

         Ruth now has a part-time job and is working on her transition plan from AMH to
         independent living with her two daughters. She has applied for and received
         financial aid so she may continue her education. Ruth plans to attend a local
         community college to complete a two-year degree program in Addictions
         Counseling.


VI.     Conclusion

         The corrective action for deficiencies noted in section IV of this report resulted in
         the deduction of the reimbursed amount.

        Annunciation Maternity Home in Georgetown is a maternity home that provides
        comprehensive services to its residents. Two main educational programs are
        offered: life skills classes, and middle and high school .education (conducted on-
        site by the University of Texas as a charter school). The Home also provides a
        unique nutritional education program assisted by the WIC Program.

        The Home is well known within the immediate and thk g k i t e r Georgetown
        region as a resource for women experiencing challenging, pregnancy and
        parenting situations.
                                             Desi         R PD
       Real AHernafives Program and lnd~ctional gn Sysfem ( A I System) c Real Alfernafives2025-2006
                                                                        3


                                TEXAS PREGNANCY CARE NETWORK
                           TEXAS Alternative to Abortion Services Program

                                                       EOT
                                      SITE'MONITORINGR P R
                                          SIGNATURE PAGE
         -
Site   oni it or in^ Report Submitted By:                    Lesley Kutac

Date of Report:                                              7/6/09

Corrective Action Recommended/Taken:                         Deductions in reimbursement as
                                                             indicated in section IV of this report.

Datecorrective- Action Authorized:                           NIA

Evaluation Coordinator's Signature:

Executive Director's Signature:
                   Real Allernalives Program and InstructionalDesign System (RAPID System] O Real Alternolives '2005-2006



                                               TEXAS PREGNANCY CARE N T O KEW R
                                          Texas Alternative to Abortion Services Program

                                                      SITE MONITORING REPORT

             Site Name:          The Life Center, Midland

             Address:              2101W. Wall St., Midland, TX 79701

             Site No.:             30 1

             Director:             Judy Rouse

             Service Ama: Midland, Andrews, Brewster, Crane. Crockett, Ector, Gaines. Glasscock,
                          Howard, Jeff Davis, Loving, Martin, Pecas, Presidio, Reagan, Reeves.
                          Terrell, Upton, Ward, and Winkler Counties.

             Date of Monitoring:           March 31,2009

             Monitoring Conducted By:              Lesley Kutac, Evaluation Coordinator


.   ..   .   I.         Facility

                        A.         General Observations: Ail counseling areas, office space, lavatories,
                                   safety features, equipment, inventory and materials/storage areas were
                                   inspected and found to be in compliance.

                        6.         Deficiencies: None

                        C.         Corrective Action RecommendedITaken: None needed

                        D.         Special Comments: None


             11.        Program Profile

                        A.         General Observations: Counseling topics, programs, core services.
                                   referrals, educational materials, licensing, and site-specific information
                                   and hotiine accessibility were reviewed and found to be in compliance.

                         0.        Deficiencies: None

                         C.        Corrective Action Recommended/Taken: None Needed

                         D.              Comments: None
                                   S~ecial
       Real Alternatives Program and Instructional Design System (RAPID System) 0 Real Alternatives 2005-2006



Ill.        Corporate Administration

            A.       General Observations: Corporate records, prograln records, policies and
                     procedures, staff training, staff clearances, client services, and spiritual
                     counseling procedures were reviewed and 'found to be substantially in
                     compliance with the contractual requirements of the Texas Alternative to
                     Abortion Services Program.

            0.       Deficiencies: None

            C.       Corrective Action ReconimendedITaken: None Needed

            D.       Special Comments: None


IV.         Reimbursement Compliance

            A.       General Observations: Reimbursement forms and Client Verification Forms
                     confirm that Service Provider submitted for and was appropriately
                     reimbursed for dates of service reviewed. All Spiritual Counseling Request
                     Forms were completed appropriately.

            B.       Deficiencies: None

            C.       Corrective Action Recommended/Taken: None Needed

            D.       Special Comments: None


V.          Client Success Story

           *Nofe: The following paragraphs describe a case successfuNy managed b y the
           Service Provider evaluated in this reporf since it joined the Texas~lfernative  to
           Abortion Services Program. It is shared for the limited purpose of ;Nustrafing the
           qualify and scope of the Service Provider's'work. The client has given her consent
           for her story fo be included in this report, and her name has been omitted to
           protect her privacy.

            Before Jamie came to The Life Center, she explained that her "head was not in
            the right place." Her relationship with her husband was slowly going downhill.
            She had just found out she was pregnant with their third child and considering the
            circumstances, was seriously thinking about getting an abortion. She didn't see
            the point of bringing another child into an already bad situation.

            A friend invited Jamie to go with her to The Life Center.. After a few visits, Jamie's
            thoughts of terminating her pregnancy soon changed and she decided she did
            not need an abortion. She realized that even though it wouldn't be easy, having
            her child was the best thing for her, especially with The Life Center's support. Their
            classes taught Jamie a lot about herself. They also helped to make her
            relationship with her husband much better. She says, "I don't know where I'd be
            without The Life Center. Everyone there believed in me, cared about me, and
            never judged me. The Life Center is an amazing placel"
      Real Alternatives Program and Instructional Design System (RAPID Syslem] Q Real Allernafives 2005-2006



VI.       Conclusion

          The Life Center is focused on providing pregnancy assistance, support,
          education, counseling and material assistance to pregnant women in need.
          They are well known within the Permian Basin region as a resource for women
          experiencing challenging pregnancy and parenting situations. The Life Center
          has a wide variety of educational programs, which include sucll topics as
          Parenting, Fatherhood, Sexual Health, and Relationships. They have recently
          opened a new site in nearby Andrews in hopes of assisting even more women.
    Reol Alternatives Program and lndructionai Design System (RAPID Syslem) O Real Altemotives 2005-2006



                              TEXAS PREGNANCYCARE NETWORK
                         TEXAS Alternative t o Abortion Services Program

                                      SITE MONITORING REPORT
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                          Lesley Kutac

Date of Report:                                               7/6/09

Corrective Action Recommended/Taken:                          NoneNeeded

Date Corrective Action Authorized:                            NIA

Evaluation Coordinator's Signature:

Executive Director's Signature:
      Real Alternatives Program and lnslruclionol Design System (RAPID Syslem) O Real Alternatives 2005-2006   .


                                  EA
                                 T X S PREGNANCY CARE N T O KEW R
                            Texas Alternative to Abortion Services Program

                                                          EOT
                                         SITE MONITORING R P R

Site Name:           Pregnancy Care Center of Texonia

Address:             105 West Pecan. Sherman, TX 75090

Site No.:            1101

Director:            Melva Kitirel

Service Area: Grayson, Fannin, Collin andBryan County. OK

Date of Monitoring:          May 12,2009

Monitoring Conducted By:              Lesley Kutac. Evaluation Coordinator


1.        Facility

          A.         General Observations: All counseling areas, office space, lavatories,
                     safety features, equipment, inventory and materialslstorage areas were
                     inspected and found to be in compliance.

          B.         Deficiencies: None

          C.         Corrective Action RecommendedITaken: None needed

          D.         Special Comments: None


11.       Program Profile

          A.         General Observations: Counseling topics, programs, core services,
                     referrals, educational materials, licensing and site-specific information and
                     hotline accessibility were reviewed and found to be in compliance.

          B.         Deficiencies: None

          C.         Corrective Action RecommendedITaken: None needed

          D.         Special Comments: None
                        Program and lndructional Design System (RAPID System) 0 Real Alternatives 2005-2006
       Real Aller~iatives



Ill.       Corporate Administration

           A.        General Observations: Corporate records, program records, policies and
                     procedures, staff training, staff clearances, client services, and spiritual
                     counseling procedures were reviewed and found to be substantially in
                     compliance with the contractual requirements of the Texas Alternative to
                     Abortion Services Program.

            B.       Deficiencies: None

            C.       Corrective Action Recommended/Taken: None Needed

            D.       Saecial Comments: None


IV.         Reimbursement Compliance

            A.       General Observations: Reimbursement forms and Client Verification Forms
                     (CVFs) confirm that Service Provider submitted for and was appropriately
                     reimbursed for dates of service reviewed, except where noted below. All
                     Spiritual Counseling Request Forms (SCRFs) that were reviewed were
                     completed appropriately, except where noted below.

            8.       Deficiencies: The clients identified by the following Client Confidential
                     Numbers (CCN) did not properly complete, sign or date the CVFs on the
                     following dates of service.




                     The clients identified by the CCN's below, the Service Provider erroneously
                                          CF
                     indicated that an S R was signed on the following dates of service:




            C.        Corrective Action RecornmendedlTaken: Deductions were made for the
                      services rendered to clients noted above, on the dates of service
                      indicated, and were taken from Service Provider's reimbursement.

             D.             Comments: None
                      S~ecial
      Real Alternatives Program and InstructionalDesign Syslem (RAPID System] Q Real Alternulives 2005-2006




V.         Client Success Story

           "Nofe: The following paragraphs describe a case successfully managed by the
           Service Provider evaluated in this report since if joined the Texas Alternative to
           Abortion Services Program. It is shared for the limited purpose of illustrating the
           qualify and scope of the Service Provider's work. The client has given her consent
           for her story to b e included in this report, and her name has been changed fo
           protect her privacy.

           Melissa came to the Center distraught and desperate after having recently told
           her parents that she was pregnant. She explained that her parents were so livid
           with her that they berated her with insults. They became even more enraged
           when they found out the father of Melissa's baby was of a different race. Melissa
           told the counselor that her parents pressured her to get an abortion in order to
           keep herself from being cast out of their family. Melissa explained that she didn't
           want an abortion, but was afraid she had no other choice since her parents were
           so adamant about what she should do. Melissa asked for advice on how to tell
           her parents that she wanted to carry and parent her child. The counselor
           adviiad Melissa how to respectfully tell them how she felt. Melissa went home
           and told her parents that she loved them but was not going to have an abortion.
           Then she invited them to be a part of their new grandchild's life.

           Recently, Melissa ran into her counselor while at the doctor's office. Melissa's
           eyes opened wide and she grabbed the counselor and hugged her. As Melissa
           embraced her, she whispered into the counselor's ear, "Thank you so much!
           She's so beautiful! ! don't know what I was thinking." Melissa spoke of the
           positive changes her daughter brought to her world. She also talked about how
           her parents have evolved into proud and loving grandparents and how they
           even seek out their granddaughter's attention.


VI.        Conclusion

           The corrective action for deficiencies noted in section IV of this report resulted in
           the deduction of the reimbursed amount.

           The Pregnancy Care Medical Center of Texoma has a wide variety of
           educational programs that are delivered in-house. Courses include such topics
           as Parenting Skills, Sexual Health, Car Seat Safety. Childbirth. Nutrition, Adoption,
           limited Abuse Counseling, and Life Skills.
   Reol Alternofives Program and lnstrucllonal Design System (RAPIDSystem] @RealAlternofives 2005-2006



                              TEXAS PREGNANCY CARE NETWORK
                         TEXASAlternative to Abortion Services Program

                                     SITE MONITORING REPORl
                                          SIGNATURE PAGE


Site Monitoring Report Submiited By:                         Lesley Kutac

Date of Report:                                              7/09/09

Corrective Action Recommended/Taken:                         Deductions in reimbursements a         s
                                                             indicated in section IV of this report.

Date Corrective Action Authorized:                           N/A
Evaluation Coordinator's Signature:

Executive Director's Signature:
      Real Alternaiives Program and InstructionalDesign System (RAPID System) 0 Real Alternatives 2005-2006



                                  TEXAS PREGNANCY CARE N T O KEW R
                             Texas Alternative to Aboriion Services Program

                                                          EO T
                                         SITE MONITORING R P R

Site Name:            First Choice Pregnancy Resource Center

Address:              602 Main St., Texarkana, TX 75501

Site No.:             1401

Director:             Kimberly Banks

Service Area: Bowie and Cass counties

Date of Monitoring: May 13,2009

Monitoring Conducted By:               Lesley Kutac, EvaluationCoordinator


I.         Facility

           A.         General Observations: All counseling areas, office space, IavCItories,
                      safety features, equipment, inventory and materials/storage areas were
                      inspected and f.ound to be in compliance except where noted below.

           B.         Deficiencies: Client Non-Discrimination policy was not posted in a
                      conspicuous place for client reference.

           C.    '    Corrective Action RecommendedlTaken: Service Provider confirmed that
                      their Non-Discrimination policy had been posted where clients could
                      easily reference it.    .
           D.               Comments: None
                      S~ecial


Ii.        Program Profile

           A.         General Observations: Counseling topics, programs, core services,
                      referrals, educational materials, licensing, site-specific information and
                      hotiine accessibility were reviewed and found to be in compliance
                      except where noted below.

           B.         Deficiencies: Some of the spiritual educational materials were not
                      separated from non-spiritual materials.

           C.         Corrective Action RecommendedITaken: Spiritual educational materials
                      have been separated from non-spiritualmaterials.

           D.               Comments: None
                      S~ecial
       Real Alternatives Program and Instructional Design System (RAPID System] @Real
                                                                                    Alternatives 2005-2006




Ill.       Corporate Administration

           A.       General Observations: Corporate records, program records, policies and
                    procedures, staff training, staff clearances, client services, and spiritual
                    counseling procedures were reviewed and found to be substantially in
                    compliance with the contractua! requirements of the Texas Alternative to
                    Abortion Services Program except where noted below.

            B.      Deficiencies: The Standard Release of information Form did not have an
                    expiration date.

                    The counselors listed below experienced delays in obtaining their
                    clearances from DPS, and/or FPS.

                         01. M R
                              R                1 1/29/08 - 02116/09
                         02. LMH               1 1/29/08 - 01127109
                         03. DCD               03113/09 - 05113/09

            C.      Corrective Action RecommendedITaken: A line for the expiration date
                    was added to the Standard Release of lnformation Form. All Services
                    Rendered Forms submitted by the above counselors. during the lapses
                    indicated, were deducted from the Service Provider's reimbursement.

            D.            Comments: None
                    S~ecial


IV.        Reimbursement Compliance

           A.       General Observations: Reimbursement forms and Client Verification Forms
                    (CVFs)'confirm that Service Provider submitted for and was appropriately
                    reimbursed for dates of service reviewed, except where noted below. All
                    Spiritual Counseling Request Forms (SCRFs) that were reviewed were
                    completed appropriately, except where noted below.

           B.       Deficiencies: The clients identified by the following Client Confidential
                    Numbers (CCN) did not properly complete. sign or date the CVFs on the
                    following dates of service.
     Real Alternoliver Program and lnslructionol Design Syslem (RAPID System) O Real AHernafives 2005-2006




                   Spiritual Counseling Request Forms for clients identified by the following
                   CCN's were not properly signed and/or dated b y either the client or the
                   counselor.




          C.       Corrective Action RecommendedITaken: Deductions were made for the
                   services rendered to clients noted above, on the dates of service
                   indicated, and were taken from Service Provider's reimbursement. '

          D.       Soecial Comments: None


V.        Client Success Story

           a
          * :    The following paragraphs describe a case successfully managed by the
         Service Provider evaluated in fhis reporf, since if joined the Texas Alfernafive fo
         Aborfion Services Program. I f is shared for f h e limited purpose o f illusfrafingthe
         qualify and scope o f fhe Service Provider's work. The clienf has given his consenf
         for his story to b e included in fhis reporf, and his name has been omiffed fo
         protect his privacy.

         in the words of a client: "I would like to take this opportunity to express my
         gratitude toward the Daddy Boot Camp program, and those who made it
         pos2ible. My first baby was recently born but as a first time father-to-be, I had
         many questions before the birth. My wife told me about the class and I
         immediately wanted to sign up. I called First Choice Pregnancy Resource Center
         and asked them to reserve a spot for me in the class.

         The counselors who lead the Daddy Boot Camp program understand that most
         first time fathers do not know very much about babies or how to care for them
         but put their clients at ease by teaching them what they need to know. I learned
         how to change a diaper, prepare a bath at the proper temperature, how to
         safely hold a baby, and many other helpful things. The class also gave me a big
         boost of self confidence by answering all my questions about being a new dad.
         One lesson that I found particularly helpful was that both my baby and I were
         going to be experiencing something new that we'd get to go through together.
         It became important to me that I make every experience with my new baby a
         happy one. One of the counselors inspired my passion and desire to be a good
         father and an unselfish leader for my family.

         Daddy Boot Camp doesn't just focus on the new dad. I was given valuable
                   on
         a d v i ~ a how to help my baby's mother. 1 learned what to expect during her
         pregnancy, how to lighten her load and make it more enjoyable for her, how to
         support and help her, and how to recognize signs of Postpartum Depression.
      Real Ailernatives Program and inslruclionaiDesign System (RAPIDSystem) 0 Real Aitematives 2005-2006




          As if learning the valuable information Daddy Boot Camp taught me wasn't
          enough. I also received "Daddy Dollars," which I used to redeem for diapers.
          formula, clothes, and toys. Upon completion of the course I received a
          camouflaged t-shirt that shows everyone I survived Daddy Boot Camp!

          The course is a wonderful first step in learning how to take care of your baby and
          yo!!- baby's mother. For a first time father, Daddy Boot Camp lays the foundation
          for being a good dad."


V1.       Conclusion

          The corrective action for deficiencies noted in sections Ill and IV of this report
          resulted in the deduction of the reimbursed amount. The Service Provider
          completed the corrective action for deficiencies listed in section I, II, and Ill of this
          report by addressing and rectifying deficiencies prior to the date of this report.

          The First Choice Pregnancy Resource Center provides pregnancy assistance,
          support, education, counseling and material assistance to pregnant women in
          need. They also provide clients with a wide variety of educational programs that
          are delivered in-house, covering topics that include parenting, life skills, childbirth,
          anger management. and relationships.
   Real Alternatives Program and lnsiructional Design System (RAPIDSystem) @ Real Alternatives 2005-2006
                                                                           I



                                  EA
                                 T X S PREGNANCY CARE NETWORK
                         TEXAS   Alternative to Abortion Services Program

                                                       EOT
                                     'SITE MONITORING R P R
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                          Lesley Kutac

Date of Report:                                               7110109
Corrective Action RecommendedITaken:                          Deductions in reimbursements as
                                                              indicated in section IV of this report.
                                                              Deficiencies addressed and rectified
                                                              as indicated in section I, II, and Ill of
                                                              this report.

Date CorrecXve Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
      Real Ailki.:o4ives Program and hstructionol Design System (RAPID System) Q Real Alternatives 2005-2006



                                  TEXAS PREGNANUCARE N T O K  EW R
                             Texas Alternative to Abortion Services Program



Site Name:            Care Net Pregnancy Center of central Texas

Address:              4700 West Waco Street, Waco, TX 76710

Site No.:             1701

Director:             Deborah McGregor

Service Area: McLennan County

Date of Monitoring:           May 20,2009

Monitoring Conducted By:               Lesley Kutac, Evaluation Coordinato~


1.         Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and rnaterialslstorage areas were
                      inspected and found to be in compliance.

           B.         Deficiencies: None

           C.         Corrective Action RecommendedITaken: None needed

           D.               Comments: None
                      S~ecial


II.        Program Profile

           A.         General Observations: Counseling topics, programs, core services,
                      referrals, educational materials, licensing and site-specific information and
                      hotline accessibility were reviewed and found to be in compliance
                      except where noted below.

            B.        Deficiencies: Some spiritual educational materials were not labeled and
                      were not separated from non-spiritualmaterials.

            C.        Corrective Action Recommended/Token: Spiritual educational materials
                      have been labeled and separated from non-spiritual educational
                      materials.

           D.               Comments: None
                      S~ecial
       Real Alierliofives Program and insiructionai Design System (RAPID Sysfern) O Real Allernotives 2005-2006



Ill.        Corporate Administration

            A.       General Observations: Corporate records, program records, policies and
                     procedures, staff training, staff clearances, client services, and spirituai
                     counseling procedures were reviewed and found to be substantially in
                     compliance with the contractual requiremenis of the Texas Alternative to
                     Abortion Services Program.

            8.       Deficiencies: None

            C.       Corrective Action RecornmendedITaken: None Needed

            D.       Saecial Comments: None


IV.         Reimbursement Compliance

            A.       General Observations: Reimbursement forms and Client Verification Forms
                     (CVFs] confirm that Service Provider submitted for and was appropriately
                     reimbursed for dates of service reviewed, except where noted below.

            B.       Deficiencies: The clients identified by the following Client Confidential
                     Numbers (CCN) did not properly complete, sign or date the CVFs on the
                     following dates of service.




            C.       Corrective Action Recommended/Taken: Deductions were made for the
                     services rendered to clients noted above, on the dates of service
                     indicated, and were taken from Service Provider's reimbursement.

            D.             Comments: None
                     S~ecial
                                               Design System (RAPID System) O Real Alternatives 2005-2006
      Real Alternatives Program and lnsl~ctlonal




  V.       Client Success Story
      ''   * & The following paragraphs describe a case successfully managed by th'e
            &
            I :
           Service Provider evaluated in this report since it joined the Texas Alternative to
           Abor3on Services Program. If is shared for the limited purpose of illustrating the
           quality and scope of the Service Provider's work. The client has given her consent
           for her story to be included in this report, and her name has been omiffed fo
           protect her privacy.

           in the words of a client: "Care Net Pregnancy Center of Central Texas is a
           wonderful, caring, and loving place to meet new people who soon become like
           family. Everyone at Care Net wants to help all the mothers and mothers-to-be
                                                               o
           that walk through their doors. I love my counselor s much! She's understanding
           and has given me a new, positive outlook on life.

           The staff helped me realize that other girls, just like me, have made it through an
           unplanned pregnancy and are happy and successful. With their heip i learned a
           lot about myself and my potential. They taught me about babies and how to be
           a good mother to my child. I've also made friends who are sharing this same
           experience with me. It's good to be able to talk to girls my age who understand
           what I'm going through. I have come to the staff with s many of my problems
                                                                        o
           a x ' they always do everything they can to heip resolve the situation. it's a great
           place for mothers to learn and to earn things that will help them care for their
           children. Care Net is a great place and Iwill continue to go there for support."


Vi.        Conclusion

           The corrective action for deficiencies listed in section IV of this report resulted in
           the deduction of the reimbursed amount. The Service Provider completed the
           corrective action for the deficiency listed in section 1 of this report by addressing
                                                                  I
           and rectifying it prior to the date.of this report.

           Care Net Pregnancy Center of Central Texas is focused on providing pregnancy
           assistance and support. counseling and material assistance to pregnant women
           in need. Since joining the Texas Alternative to Abortion Services Program in
           January of 2008, they have opened an additional site in order to better assist
           clients. They have been operating for over 24 years and are well known within
           the Waco area as a source for women experiencing challenging pregnancy
           sitvutions.
                                                                                 AHernafives 2005-2006
   Real Alfai;:ciives Program and lnsfructlonal Design System [RAPID System) @Real



                               TEXAS PREGNANCY CARE NETWORK
                        TEXASAlternative to Abortion Services Program

                                     SITE MONITORING REPORT
                                          SIGNATURE PAGE


Site Monitoring Report Submitted By:                         Lesley Kutac

Date of Report:                                              7110109

Corrective Action Recommended/Taken:                         Deductions in reimbursements as
                                                             indicated in section IV of this report.
                                                             Deficiencies addressed and rectified
                                                             as indicated in section Ii of this
                                                             report.

Date Corrective Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
      Reol Aifernatives Proglom and lndructional Design Syslem (RAPID Syslenli   Reol Alternolives 2005-2006



                                   EA                    A E EW R
                                  T X S PREGNANCY C R N T O K
                             Texas Alternative to Abortion Services Program
                               ..   .   .
                                                               EOT
                                              SITE MONITORING R P R

Site Name:            Marywood Children & Family Services

Address:              4029 S. Capital of Texas Highway, Suite 200, Austin, TX 78704

Site No.:             1201

Director:             Jean Henry

Service Area: Travis County

Date of Monitoring:           May 21,2009

Monitoring Conducted By:                    Lesley Kutac, Evaluation Coordinator


1.         Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and materialslstorage areas were
                      inspected and found to be in compliance except where noted below.

           6.         Deficiencies: Client Non-Discrimination policy was not posted in a
                      conspicuous place for client reference.

           C.         Corrective Action RecommendedlTaken: Service Provider confirined that
                      their Non-Discrimination policy had been posted where clients could
                      easily reference it.

           D.         Special Comments: None


II.        Program Profile

           A.         ~ e n e r a lObservations: Counseling topics, programs, core services,
                      referrals, educational materials, licensinn and site-specific information and
                      hotline accessibility were reviewed andfound to.bk in compliance.

           B.         Deficiencies: None

          .C.         Corrective Action RecommendedITaken: None needed

           D.         Special Comments: None
                                                Design System (RAPIDSysleml O Real Alternatives 2005-2006
       Real Alfernalives Program and insl~cfional



Ill.       Corporate Administration

           A.       General Observations: Corporate records, program records, policies and
                    procedures, staff training, staff clearances, client services, and spiritual
                    counseling procedures were reviewed and found to be substantially in
                    compliance with the contractual requirements of the Texas Alternative to
                    Abortion Services Program.

           B.       Deficiencies: None

           C.       Corrective Action Recommended/Taken: None Needed

           D.             Comments: None
                    S~ecial


IV.         Reimbursement Compliance

           A.       General Observations: Reimbursement forms and Client Verification Forms
                    [CVFs) confirm that Service Provider submitted for and was appropriately
                    reimbursed for dates of service reviewed, except where noted below.

           0.       Deficiencies: The clients identified by the following Client Confidential
                    Numbers (CCN) did not properly complete, sign or date the CVFs on the
                    following dates of service.




                    For the clients identified by the CCN's below, the Service Provider
                                                      CF
                    erroneously indicated that an S R was signed on the following dates of
                    service:




           C.       Corrective Action RecornmendedlTaken: Deductions were made for the
                    services rendered to clients noted above. on the dates of service
                    indicated, and were taken from Service Provider's reimbursement.

            D.            Comments: None
                    .S~ecial
      Real Alfernatives Program and lnslrucfionalDesign System (RAPID System) Q Reol Alternatives 2W5-2W6



V.        Client Success Story

          *Note: The following paragraphs describe a case successfully managed by the
          Service Provider evaluated in this report since it joined the Texas Alternative to
          Abortion Services Program. It is shared for the limited purpose of illustrating the
          qualify and scope of the Service Provider's work. The client has given her consent
          for :.?er story to be included in this report, and her name has been omifted to
          protect her privacy.

          In the words of a client: "I have received Marywood's services for about a year
          now and looking back, 1 don't know what I would have done without their help
          and support. I am very grateful for the assistance they provide and their helpful
          information during my pregnancy and now that I'm a new mom. While I was
          pregnant my counselor would teach me how to properly care for my new baby
          and then explained videos as we watched them together. The videos were a
          great learning tool because I was able to actuglly see someone carry out the
          tasks needed in caring for the baby.

          The Marywood staff eased the anxiety I felt as I experienced my first pregnancy.
          The things I learned from my counselor gave me the confidence and skills I
          needed to be a good mom. From time to time I also needed help with groceries.
          The staff at Marywood would invite me to their pantry, where I was able to get
          the food I needed until I was back on my feet. There were also occasions when I
          needed support but wasn't able to make it to the Marywood office. My
          counbelor would come to my home to talk to me, which was wonderful because I
          really enjoy my visits with her.

          Now that my daughter is here, I continue to go to Marywood for information that
          helps me be a better mother. The staff is wonderful and I know that if I ever need
          anything. I have a place to go where I will be surrounded by people who care for
          and support me. There is no other place like Marywood! It's one of a kind and
          I'm very thankful to be a client."

VI.       Conclusion

          The corrective action for deficiencies listed in section IV of this report resulted in
          the deduction of the reimbursed amount. The Service Provider completed the
          corrective action for the deficiency listed in section I of this report by addressing
          and rectifying it prior to the date of this report.

                                                                     s
          M a w o o d Children and Family Service's Lifeline Program i focused on providing
          pcegnancy assistance, education, counseling, and material assistance to
          pregnant women in need. Marywood has been operating for over 85 years. They
          are well known within the central area of Austin as a resource for women
          experiencing challenging pregnancy and. parenting situations. They have
          recently opened a second site in the northeast Austin area. Caseworkers develop
          a monthly plan to follow up with every client according to her needs but with the
          goal of helping her to become emotionally stable and be more prepared to
          parent her children.
   Reol Al!sr,iolives Program and lnsfruclional Design System (RAPID System) O Reol Alfernotives 2005-2006



                                 TEXAS PREGNANCY CARE NETWORK
                         TEXAS   Alternative to Abortion Services Program

                                                        EOT
                                      SITE MONITORING R P R
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                            Lesley Kutac

Date of Report:                                                711 1/09

Corrective Action RecommendedJTaken:                           Deductions in reimbursements as
                                                               indicated in section IV of this report.
                                                               Deficiencies addressed and rectified
                                                               as indicated in section i of this report.

Date Corrective Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
                         Initial Site Visit Reports
                       March 1,2009 to May 31,'2009




    Pregnancy Resource Center of Rockwall

.   Pregnancy Resource Center of Mesquite

.   The Heidi Group

.   The Life Center, Andrews

    The Heidi Group
                               INITIAL SITE VISIT REPORT


    Site Name:                  Pregnancy Resource Center
    Address:                    709 West Rusk. Suite A
                                Rockwall, TX 75087
,   Site #:                     N/A
    Director:                   Joanne Vuckovic
    Counties Sewed:             Rockwall, Dallas, Kaufman, Hunt, ~ o l l i n
    Date of Visit:              March 2, 2009
    Visit Conducted By:         Deb Whitaker, Recruiting and Education Manager


       I. Facility

          General Observations: Counseling areas, office space, equipment, lavatories,
          and safety features (including fire extinguishers) were inspected and found to be
          in compliance. The facility was not equipped with smoke detectors.

        I
       I . Program Profile

          General Observations: It was determined through interviews that the Center's,
          hours of operation are Monday and Thursday from 9:00 AM to 8:00 PM and
          Tuesday and Wednesday from 9:00 AM to 5:00 PM. The Center is closed on
          Fridays. The Center receives clients by appointment and as walk-ins. The Center
          has a voicemail system to capture phone calls received outside of office hours.

          Pregnancy Resource Center provides all its services free of charge. The Center
          receives referrals from local schools, hospitals, and other social services
          agencies. The Center makes referrals to WIC, Texas Workforce Commission,
          Helping Hands and other social services agencies.

      Ill. Corporate Administration

          General Observations: Program records storage and educational materials were
          reviewed. Client files were stored in an unlocked file. Although educational
          materials were stored out of the common area, spiritual materials were not
          labeled. The Center understood that its contract with TPCN would not become
          effective until it has a locked file cabinet and separates and labels the spiritual
          materials.

          Copies of the Confidentiality, Grievance, Client Non-Discrimination and Standard
          Release of Information policies were readily available at the Center. Material
          Safety Data Sheets were not available for review.

          Program Highlights

          General Observations: Pregnancy Resource Center is heavily focused on
          providing pregnancy assistance, education, and counseling to pregnant women
    in need. The Center provides a wide variety of classes on-site. Courses include
    such topics as parenting skills, life skills, and others.



    *Note: The following paragraphs describe a typical case successfully
    managed by the Service Provider evaluated in the report prior to its
    enrollment in the Texas Alternative to Abortion Services Program. It is
    shared for the limited purpose of illustrating the quality and scope of the
    Service Provider's work prior to its participation in the Program. The client
    has given her consent for her story to be included in this report, and her
    name has been changed to protect her privacy. The services described in
    the Success Story were notprovided with Program funds.

    Client Success Stow in the Director's words:

    "Emma" came to us at the PRC of Rockwall to learn more about abortion. Upon
    calling the PRC she learned that we do not do abortions or refer for them, but
    that we do have information about how she can continue with her pregnancy.
    Emma was 16 years old and the father of the baby was 17. Both were high
    school students and felt that an unplanned pregnancy might hinder their future.
    Along with a pregnancy test an ultrasound was performed to determine the
    gestational age as well as the viability of Emma's pregnancy. We then discussed
    her options including adoption, parenting, and abortion.
     Ultimately, Emma decided to carry to term and began to attend weekly classes at
    the PRC to learn more about pregnancy, childbirth, and parenting. She was able
    to earn a car seat, a crib, and many other items through our Learn-to-Earn
    program. She was able to graduate high school, .and through referrals given at
    the PRC received a scholarship for Career Training classes that will certify her as
    a Medical Technician. Emma has repeatedly thanked the staff of the PRC for
    support'-- yhile she faced an unplanned pregnancy, and in her words, considers
    them as her extended family.



IV. Corrective Actions Taken: Smoke detectors and locked file cabinets were
    installed. Spiritual materials were labeled and separated from educational
    materials. Material Safety Data Sheets were made available for review.

    Date of Report:.                                    March 10, 2009

   Site Visit Report Submitted By:                      Deb Whitaker

    Recruiting and Education Manager's Signature:
                           INITIAL SITE VISIT REPORT


Site Name:                  Pregnancy Resource Center
Address:                    1425 Gross Road, Ste 102
                            Mesquite, TX 75149
Site #:                     NIA
Director:                   Joanne Vuckovic
Counties Sewed:             Dallas, Kaufman
Date of Visit:              March 2, 2009
Visit Conducted By:         Deb Whitaker, Recruiting and Education Manager


   I Facility
    .

      General Observations: Counseling areas, office space, equipment, lavatories,
      and safety features were inspected and found to be in compliance. The facility is
      not equipped with smoke detectors and fire extinguishers were not inspected.

   11. Program Profile

      General Observations: It was determined through interviews that the Center's
      hours of operation are Monday from 12:OO PM to 8:00 PM and Wednesday and
      Friday from 9:OO AM to 5:00 PM. The Center is closed on Tuesday and
      Thursday. The Center receives clients by appointment and as walk-ins. The
      Center has a voicemail system to capture phone calls received outside of office
      hours.

      Pregnancy Resource Center provides all its services free of charge. The Center
      receives referrals from local schools, hospitals, Sharing Life, and other social
      services agencies. The Center makes referrals to the Department of Health and
      Human Services, Mission East Dallas, Sharing Life and other social service
      agencies.

  Ill. Corporate Administration

      General Observations: Program records storage and educational materials were
      reviewed. Client files were stored in an unlocked file. Although educational
      materials were stored out of the common area, spiritual materials were not
      labeled. The Center understood that its contract with TPCN would not become
      effective until it has a locked file cabinet and separates and labels the spiritual
      rnaterials.

      Copies of the Confidentiality, Grievance, Client Non-Discrimination and Standard
      Release of Information policies were readily available at the Center. Material
      Safety Data Sheets were not available for review.

      Program Highlights
    General Observations: Pregnancy Resource Center is heavily focused on
    providing pregnancy assistance, education, and counseling to pregnant women
    in need. The Center provides a wide variety of classes on-site. Courses include
    such topics as parenting skills, life skills, and others.



    *Note: The following paragraphs describe a typical case successfully
    managed by the Service Provider evaluated in the report prior to its
    enrollment in the Texas Alternative to Abortion Services Program. It is
    shared for the limited purpose of illustrating the quality and scope of the
    Service Provider's work prior to its participation in the Program. The client
    has given her consent for her story to be included in this report, and her
    name has been changed to protect her privacy. The services described in
    the Success Story were not provided with Program funds.

    Client Success Storv in the Director's words:

    "Deborah" came to the PRC of Mesquite to receive a pregnancy' test and
    information about all of her options, including abortion and parenting. Deborah is
    a mother of three. Deborah shared her history, which includes becoming amom
    at the age of 14 and having a child born premature. In addition, Deborah's
    boyfriend was not pleased about the pregnancy and wanted nothing to do with
                                    .  .
    this pregnancy. i
    At the PRC, we were able to share with Deborah important information for her to
    consider as she made this difficult decision. We talked with Deborah about the
    fetal development of an 8 week fetus, her approximate gestational age. We also
    discussed adoption, as Deborah was considering adoption as an option. We
    talked about abortion as an option as well. Armed with new information and
    many things to consider, Deborah went home to think things over. A few days
    later, she contacted us to let us know she decided to carry the baby to term.
    She felt more hopeful after her visit atthe PRC. Deborah plans to utilize our
    parenting education program during her pregnancy.


IV. Corrective Actions Taken: Smoke detectors and locked file cabinets were
    installed. Spiritual materials were labeled and separated from educational
    materials. Material Safety Data Sheets were made available for review.


    Date of Report:                                    March 10, 2009

   Site Visit Report Submitted By:                     Deb Whitaker

   Recruiting and Education Manager's Signature:
                           INITIAL SITE VISIT REPORT


Site Name:                  The Heidi Group
Address:                    2907 North Hampton Road
                            Dallas, TX 75212
Site #:                     NIA
Director:                   Carol Everett
Counties Served:            Dallas, Tarrant, Collin
Date o f Visit:             March 2, 2009
Visit Conducted By:         Deb Whitaker, Recruiting and Education Manager


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      and safety features (including fire extinguishers and smoke detectors) were
      inspected and found to be in compliance.

   It. Program Profile

      General Observations: It was determined through interviews that the Center's
      hours of operation are Monday through Thursday from 8:30 AM to 5 0 0 PM and
      Friday from 8:30 AM to 1:30 PM. The Center receives clients by appointment and
      as walk-ins. The Center transfers calls to the Executive Director's cell phone
      when calls are received outside of offrce hours.

      The Heidi Group provides all its services free of charge. The Center receives
      referrals from local schools, hospitals, and other social services agencies. The
      Center makes referrals to the Department of Health and Human Services, WIC,
      Medicaid and other social service agencies.

  Ill. Corporate Administration

      General Observations: Program records storage and educational materials were
      reviewed and found to be in compliance. Copies of the Confidentiality,
      Grievance, Client Non-Discrimination and Standard Release of Information
      policies were readily available at the Center. Spiritual materials were adequately
      identified and separated from the acceptable Program materials. Material Safety
      Data Sheets were available for reference.

     Program Highlights

     General Observations: The Heidi Group is heavily focused on providing
     pregnancy assistance, education, and counseling to pregnant women in need.
     The Center provides a wide variety of classes on-site. Courses include such
     topics as parenting skills, newborn care, nutrition, and life skills, among others.
CNote: The   following paragraphs describe a typical case successfully
managed by the Service Provider evaluated in the report prior to its
enroflment in the Texas Alternative to Abortion Services Program. If is
shared for the limited purpose of illustrating the quality and scope of the
Service Provider's work prior to its participation in the Program. The client
has given her consent for her story to be included in this report, and her
name has been changed to protect her privacy. The services described in
the Success Story were not provided with Program funds.

Client Success Story in the Director's words:
Drugs had controlled "Debbie's" life through two pregnancies. Her children now
lived with their father - and he would not allow her to visit them.

Living on'the streets, she made the money to buy drugs through prostitution.
She learned to detach herself from the men she met, thinking only of the "high"
she would earn from the drugs this act would buy her.

One night while high on drugs, she fell into a ditch. Debbie awoke to severe
pains in her abdomen that had a strange rhythm. She realized that she was in
labor giving birth to a baby alone in a ditch with no medical supplies and no one
to help her! The baby was born in what seemed like minutes - a beautiful boy -
but he never breathed.

Debbie returned to her life on the streets offering her body for prostitution more
often to pay for more drugs so she would not remember what happened in that
ditch. Again her stomach started to swell, but this time she was not going to let
the baby be born in a ditch.       . ..


Debbie remembered a sign about a free pregnancy test, so she went for more
than a pregnancy test - Debbie wanted help. The Heidi Group welcomed Debbie
and performed the pregnancy test. Yes, she was pregnant, but still living on the
streets in a world of drugs.

The Heidi Group staffer told Debbie that they would find a place for her to live.
Debbie said she was willing to go to the group home recommended by the Heidi
Group. She later moved in with a friend, on the condition that she would not take
drugs. The combination of counseling with -The Heidi Group staff, parenting
classes, and the mentorship of her Heidi Group counselor, Debbie was able to
give up drugs.

Debbie was determined to have this baby in a hospital. The Heidi Group social
worker explained how and where she would have the baby in a safe
environment.

A beautiful baby girl was born and Debbie moved into an apartment with the man
she believed to be the father of the baby. The Heidi Group team counseled the
father of thebaby and Debbie as they adjusted to a new life as parents. A new
crib was provided. Debbie earned a layette by attending classes. On-going
relationship classes helped with their new lives as parents..
   Debbie came to The Heidi Group for computer skills training, bringing the baby
   with her. As she adjusted to her wonderful life as a mother, she counted the
   days she had been off drugs as "sober". Debbie now has a job a receptionist,
   and is still working with The Heidi Group team.


IV. Corrective Actions Taken: None needed.

    Date of Report:                                 March 10, 2009

    Site Visit Report Submitted By:                 Deb Whitaker

    Recruiting and Education Manager's Signature:
                           INITIAL SITE VISIT REPORT


Site Name:                   The Life Center, Andrews
Address:                     1412 NE Mustang Drive
                             Andrews, TX 79714
Site #:                      302
Director:                    Judy Rouse
Counties Served:             Midland, Andrews, Brewster, Crane, Crockett, Ector, Gaines,
                             Glasscock, Howard, Jeff Davis, Loving, Martin, Pecos,
                             Presidio, Reagan, Reeves, Terrell, Upton, Ward, and Winkler
Date of Visit:               March 30,2009
Visit Conducted By:          Lesley Kutac, Evaluation Coordinator


   1. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      and safety features (including fire extinguishers and smoke detectors) were
      inspected and found to be in compliance.

   [I. Pro9ram Profile

      General Observations: It was determined through interviews that The Life Center
      schedules amointments Tuesday through Thursday from 9:00 a.m. to 4:00 p.m.
                                             a~
      but are available, if needed, ~ o n d through ~ridayfrom9:00 a.m. to 5:00 p.m.

      All of The Life Center's services are free of charge.

  Ill. Corporate Administration

      General Observations: Copies of the Confidentiality, Grievance, Client Non--
      Discrimination and Standard Release of Information policies and forms are kept
      on file and are easily accessible. Material Safety Data Sheets are also kept on
      file. Spiritual materials had not yet been marked or separated from non-spiritual
      materials and locked file cabinets had been purchased but had not yet arrived.

  IV. Program Highlights

      General Observations: The Life Center, Andrews will work. with The Life center,
      Midland to provide clients with a full range of services that include pregnancy
      testing, sonograms, STD education, and a variety of classes. They receive
      clients from a large portion of west Texas. They are a much needed resource in
      the area and the only one of its kind.

  V. Corrective Actions Taken: Prior to contract execution, spiritual materials were
     labeled and separated from non-spiritual materials. Client files are now kept in
     locked file cabinets and in a locked room.
Date of Report:                       July 9, 2009

Site Visit Report Submitted By:       Lesley Kutac

Evaluation Coordinator's Signature:
                               INITIAL SITE VISIT REPORT

    Site Name:                  The Heidi Group
    Address:                    427 West 10" Street
                                Dallas, TX 75208
    Site #:                     2701
    Director:                   Carol Everett
    Counties Served:            Dallas, Collin
    Date of Visit:              May 20,2009
    Visit Conducted By:         Deb Whitaker, Recruiting and Education Manager


       I. Facility

          General Observations: The Heidi Group moved to this' facility from its 2907 North
          Hampton Drive location in May 2009. Counseling areas, office space,
          equipment, lavatories, and safety features (including fire extinguishers and
          smoke detectors) were inspected and found to be in compliance.

        1
       1. Program Profile
          General Observations: It was determined through 'interviews that the Center's
          hours of operation are Monday through Thursday from 8:30 AM to 5:00 PM and
          Friday from 8:30 AM to 1:00 PM. The Center receives clients by appointment
          and as walk-ins. The Center transfers calls to the Executive Director's cell phone
          when calls are received outside of office hours.

          The Heidi Group provides all its services free of charge. The Center receives
          referrals from local schools, hospitals, and other social services agencies. The
          Center makes referrals to the Department of Health and Human Services, WlC,
          Medicaid and other social service agencies.

      111. Corporate Administration

          General Observations: Program records storage and educational materials were
          reviewed and found to be in compliance. Copies of the Confidentiality,
          Grievance, Client Non-Discrimination and Standard Release of Information
          policies were readily available at the Center.

          Program Highlights

          General Observations: The Heidi Group is heavily focused on providing
          pregnancy assistance, education, and counseling to pregnant women in need.
          The Center provides a wide variety of classes on-site. Courses include such
          topics as parenting skills, newborn care, nutrition, and life skills, among others.

-     IV. Corrective Actions Taken: None needed.
Date of Report:                                 May 20,2009

Site Visit Report Submitted By:

Recruiting and Education Manager's Signature:
                     Service Provider Site Monitorings
                  September 1,2009 to November 30,2009


No Site Monitorings were due to be performed during this quarter.
                    Initial Site Visit Reports
             September 1,2009 to November 30,2009


Aggieland Pregnancy Outreach
                          INITIAL SITE VISIT REPORT


Site Name:                  Aggieland Pregnancy Outreach, Inc.
Address:                    2501 Texas Avenue South, Suite C-105
                            College Station, TX 77840
Site #:                     NIA
Director:                   Kim Schams, RN
Counties Sewed:             Brazos, Robertson, Grimes, Washington, Leon, Montgomery,
                            Burleson, Madison
Date of Visit:              November 17,2009
Visit Conducted By:         Lesley Kutac, Evaluation Coordinator


   I. Facility

      General Observations: Counseling areas, office space, equipment, lavatories,
      and safety features were inspected and found to be in compliance. Fire
      extinguishers were labeled with manufactured dates but did not have inspection
      tags indicating the last date of inspection.

   II. Program Profile

      General Observations: It was determined through interviews that the hours of
      operation are Monday through Friday from 9:00 a.m. to 5:00 p.m. If needed,
      arrangements can be made for after hour appointments.

      Aggieland Pregnancy Outreach provides all of its services free of charge. They
      receive referrals from friends and family of previous clients, Hope Pregnancy
      Center, Planned Parenthood, and a local prenatal clinic. They make referrals to
      WIC, Medicaid, Texas Workforce Commission, Child Care Management Services
      (for assistance with discounted child care), and other social services agencies.

  Ill. Corporate Administration

      General Observations: Copies of the Confidentiality, Grievance and Standard
      Release of Information policies and forms are readily available at the center.
      Material Safety Data Sheets are located in the front office and the Client Non-
      Discrimination policy is posted in the counseling room.

      Program record storage and educational materials were reviewed. Client files
      are stored in the front office, in locked cabinets. Spiritual materials had not yet
      been labeled. Aggieland Pregnancy Outreach understands that its Service
      Provider Agreement with TPCN will not be effective until spiritual materials are
      labeled and separated from non spiritual materials.

  IV. Program Highlights

      General Observations: Aggieland Pregnancy Outreach, Inc. is well known within
      the local community as a resource for women experiencing an unplanned
pregnancy. They are located only a few miles from Texas A&M University and
are easily accessible for clients from both College Station and Bryan. They
provide an on-site program called The Momma Club, through which they educate
clients on a variety of topics such as parenting skills, childbirth, child brain
development, nutrition, effective discipline techniques, and reading. They are a
licensed adoption agency and provide birthmothers with support throughout and
after the adoption process. Aggieland Pregnancy Outreach's main focus is the
happiness and well being of both the birthmother and her baby.

*Note: The following paragraphs describe a typical case successfully
managed by the Service Provider evaluated in the report prior to its
enrollment in the Texas Alternative to Abortion Services Program. It is
shared for the limited purpose of illustrating the quality and scope of the
Service Provider's work prior to its participation in the Program. The client
has given her consent for her story to be included in this report, and her
name has been changed to protect her privacy. The services described in
the Success Story were not provided with Program funds.

In the words of the Executive Director:

"When Laila discovered she was pregnant she called our office asking for
information about abortion. She found our phone number in the pages of the
phone book and made an appointment to discuss her decision.

When Laila met with our caseworker she was brought into our comfortable
counseling room away from the traffic and earshot of the rest of the office. We've
designed our counseling room to resemble a living room to help clients feel more
at ease. As she began to relax, Laila opened up about her fears of having a
baby; she was afraid she couldn't afford the burden of parenting and was afraid
her mother would cut off her financial support to finish school. She was studying
at Texas A&M with money from an account her parents had set up for her.

Laila informed our caseworker that her father was deceased and that her mother
took a hard line with her. When she first arrived at college she got involved in
drugs for a short time. Her mother found out about the drugs and threatened to
cut Laila off if she didn't get her act together within 90 days. Laila quit using
drugs and hasn't returned since, but the incident made her fearful of her mother's
response. Her mother had already disowned her "black sheep" brother, so
abortion felt like the only option.

Our caseworker provided much information about financial assistance and social
services. Laila wasn't familiar with services like Medicaid for prenatal support
because she had grown up with private insurance. When asked if the father
would be involved in the new baby's life, Laila indicated that she was hopeful he
would be.

Laila was also informed about the option of adoption and its potential for
openness with an adoptive family. She expressed that she was hesitant to
consider adoption because she'd had two extended family members with
adoption experiences and both had expressed negative feelings about it.
    By the end of her visit Laila was seriously considering all of the different
    alternatives to abortion that the counselor had presented to her. She said she
    was still very stressed and emotional over the situation but that she was hopeful
    and would take time to consider her options before making a decision.

    A week later Laila brought her boyfriend along to her appointment. She asked
    about marriage, single parenting, and co-parenting. Since her last visit, Laila and
    her boyfriend discussed their options and realized they were capable of parenting
    their child. They shared very similar goals but had very different communication
    styles. Their caseworker discussed the importance of setting parenting goals,
    educational goals and the need to cooperate with one another. They were
    encouraged to ask their mentors for advice on healthy communication. The
    counselor explained that they'd need to develop these skills in order to effectively
    communicate and ultimately make the best decisions for their child. The meeting
    ended well with everyone feeling excited about the road forward.

    A few months passed and our caseworker followed up with Laila to find out how
    she was doing. Laila had decided to keep the baby and was pleasantly surprised
    at her mother's cooperation and support of the pregnancy. They agreed that
    Laila would move home to her mother's house and attend cosmetology school in
    order to help pay for her baby's expenses as well as some household expenses.

   Her relationship with the baby's father did not work out so well. Our caseworker
   encouraged Laila to treat the father with respect and make it possible for him to
   "catch up" in his actions toward her and the baby. She was given pointers on how
   to treat and speak to him in a way that honored him as the father of the baby.
   After Laila's discussion with our counselor, she realized it was imperative that
   she facilitate a healthy relationship with the father so he would be more likely to
   physically and financially support their child.

   Laila thanked our caseworker for providing a listening ear, a valuable
   perspective, and knowledgeable advice. Two caring, 90-minute office visits and
   five comforting phone calls were the guidance it took to give Laila success in
   choosing life. She said the support she received at Aggieland Pregnancy
   Outreach gave her the courage to explore all of her options, restore family
   relationships, and make a life-honoring decision for herself and her child."

V. Corrective Actions Taken: Fire extinguishers were recently inspected and are
   now tagged. Spiritual materials were labeled and separated from non-spiritual
   materials.



   Date of Report:                               November 20,2009

   Site Visit Report Submitted By:              Lesley Kutac

   Evaluation Coordinator's Signature:                bm
                                                  k1/&4//              ee
             Service Provider Site Monitorings
           December I, 2009 to February 28,2010


Seton Home

The Source for Women

Good Samaritan Gabriel Project Life Center

Annunciation Maternity Home

Catholic Charities of Galveston-Houston

Fifth Ward Pregnancy Help Center
                                                                                  el
       Real Alternatives Program and lnstwctional Design System (RAPID System) O R a Alternatives 2005-2006



                                   EA
                                  T X S PREGNANCY CARE N T O KEW R
                             Texas Alternative to Abortion Services Program

                                                          EOT
                                         SITE MONITORING R P R

 Site Name:           Seton Home

 Address:             11 15 Mission Road, San Antonio, TX 78210

 Site No.:            60 1

 Director:            Margret Starkey

 Service Area: All of Texas

 Date of Monitoring:         February 3,201 0

Monitoring Conducted By:              Lesley Kutac, Evaluator


1.         Facility

           A.         General ObSe~ationS: All counseling areas. office space, lavatories,
                      safety features, equipment, inventory and materials/storage areas were
                      inspected and found to be in compliance.

           B.         Deficiencies: None

           C.         Corrective Action RecommendedITaken: None needed

           D.            Comments: None
                   S~ecial


11.        Program Profile

          A.       General ObSe~CIti0nS: Counseling topics, programs. core services,
                   referrals, educational materials, licensing and site-specific information and
                   hotline accessibility were reviewed and found to be in compliance.

          B.       Deficiencies: None

          C.       Corrective Action RecommendedITaken: None needed

          D.             Comments: None
                   S~ecial


Ill.      Corporate Administrotion

          A.       General Observations: Corporate records, program records, policies and
                   procedures, staff training, staff clearances, client services, and spiritual
                   counseling procedures were reviewed and found to be substantially in
                   compliance with the contractual requirements of the Texas Alternative to
                   Abortion Services Program.
      Real Alternatives Program and instructional Design System (RAPID System] O Real Alternatives 2005-2006




          8.        Deficiencies: None

          C.        Corrective Action RecommendedITaken:None Needed

          D.             Comments: None
                   S~ecial


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.

          8.       Deficiencies: The clients identified by the following Client Confidential
                   Numbers (CCN) did not properly complete, sign or date the CVFs on the
                                            .~~                  -
                   following datesof service.

                       01. 0601TX01497
                       02. 0601TX01749
                       03. 060 1T O 1749
                                 X
                       04. 0601TX01749
                       05. 0601TX01749
                       06. 0601TX01749
                       07. 0601TX01775
                       08. 0601TX01780
                       09. 0601TX01909
                       10. 0601TX01915
                       11. 0601TX01938
                       12. 060 1TXO 1938
                       13. 0601TX01939
                       14. 0601TX01939
                       15. 0601TX01942
                       16. 0601TX01947

         C.       Corrective Action Recommended/Taken: Deductions were made for the
                  services rendered to clients noted above, on the dates of service
                  indicated, and were taken from Service Provider's reimbursement.

         D.             Comments: None
                  S~ecial


V.       Client Success Story

         *m:    The following paragraphs describe a case successfully managed by the
        Service Provider evaluated in this report since it joined fhe Texas Alternative to
        Abortion Services Program. It is shared for the limited purpose of illusfrcrting the
        qualify and scope of the Service Provider's work. The client has given her consent
        for her story to be included in this report. and her name has been changed to
        protect her privacy.

         The Executive Director shared the story of one of the Home's clients:
      Real Alternatives Program and lnsfructional Design System (RAPID System] O Real Alternatives 20052006


          Laura is 16 years old and has lived at Seton Home with her 14 month old son, Carl.
          for almost a year. Prior to arriving at the Home, Laura lived in a shelter and then
          with a family friend. Neither place was able to provider her or Carl with the care
          they needed. C S intervened and had Laura and Carl placed at Seton Home so
                            P
          they would have a safe and healthy environment they could thrive in. Laura also
          found the opportunity to obtain an education and to keep her son in a stable,
          supportive, and loving home.

           Even at such a young age Laura had already experience great hardship. She
          was forced to drop out of school when her mother became ill and found herself
          as the sole caretaker for her younger siblings. Because of this enormous
          responsibility, she had been unable to attend school for 5 years. Facing the
          reality of being uneducated, unskilled, and very young, Laura became
          disillusioned with life and was void of the hope and promise that most young girls
                                                       o
          her age usually feel about their future. T compound the lack of hope, Laura
          arrived at Seton Home with great sadness. These feelings were the result of
          having to leave her family even though she knew the new placement would
          present many opportunities that could give her and Carl a chance for a better
          life.

         Almost a year has passed and Laura is no longer filled with sadness and despair.
         Instead. she is an excellent resident and student that has an A average in all of
         her classes. Recently she was asked to speak at her school's Board of Directors
         meeting as a model student. Her favorite subject in Biology and she hopes to
         become a nurse or counselor so she may help young women that encounter
         hardships, as she did. Laura hopes to inspire others who are experiencing the
         despair and hopelessness that she was so familiar with. She wants to use her life
         experiences to encourage them to find hope. Thanks to the help they received
         at Seton Home, Laura now has a safe place to live with her son, a continuing
         education, friendship, confidence, and hope.

VI.      Conclusion

         The corrective action for deficiencies related to reimbursement compliance
         (Section IV) is deduction.

         Seton Home is well known throughout Texas as a housing resource for young.
         homeless, pregnant women experiencing challenging pregnancy and parenting
         situations.

          Education becomes a top priority for all residents during their stay at Seton Home.
         The staff focuses on equipping residents with the skills needed to become
         independent and successful, nurturing parents. Parenting education, infant and
         child development classes, and independent living skills are provided to each
         resident. All residents must also be enrolled in an academic and/or vocational
         education program that is appropriate far their educational level during their stay
                                                        by
         at Seton Home. Summer school, inst~cted certified teachers, was held on
         campus last year in order to encourage residents to earn additional credits
         toward their high school diploma.
   Real Alternatives Program and Instructional Design System (RAPID System] Q Real Alternatives 2W5-2036



                              TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                      IE              EOT
                                     ST MONITORING R P R
                                         SIGNATURE PAGE


Site Monitoring Report Submitted By:                          Lesley Kutac

Dote of Report:                                               415110

Corrective Action Recommendedflaken:                          Deductions in reimbursements as
                                                              indicated in Section IV of this report.

Date Corrective Action Authorized:                            3/22/ 10

Evaluation Coordinator's Signature:

Executive Director'sSignature:
       Real Alternatives Program and InstructionalDesign System (RAPID System) O Real Alternatives 20052006



                                  TEXAS PREGNANCY CARE NETWORK
                             Texas Alternative to Abortion Services Program

                                                          EOT
                                         SITE MONITORING R P R

  Site Name:          The Source for Women

  Address:            6009 Richmond Avenue, Suite 130, Houston, TX 77057

 Site No.:            1001

 Director:            Cynthia Wenz

 Service Area: Harris County

 Date of Monitoring: February 9,2010

 Date of Facility Inspection: January 29,2010

 Monitoring Conducted By:             Lesley Kutac, Evaluator


 I.        Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and materials/storage areas were
                      inspected and found to b e in compliance.

           B.         Deficiencies: None

           C.         Corrective Action RecommendedITaken: None needed

          D.    .   Soecial Comments: None


11.       Program Profile

          A.        General Observations: Counseling topics, programs. core services,
                    referrals, educational materials, licensing and site-specific information and
                    hotline accessibility were reviewed and found to b e in compliance.

          B.        Deficiencies: None

          C.        Corrective Action RecommendedITaken: None needed

          D.        Soecial Comments: None


Ill.      Corporate Administration

          A.        General Observations: Corporate records. program records, policies and
                    procedures, staff training, staff clearances, client services, and spiritual
                    counseling procedures were reviewed and found to b e substantially in
      Real Alternatives Program and Instructional Design system (RAPIDSystemJQ Real Alternatives 2005-2006



                   compliance with the contractual requirements of the Texas Alternative to
                   Abortion Services Program.

          8.       Deficiencies: None

          C.       Corrective Action RecommendedITaken: None Needed

          D.       Soecial Comments: None


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursementforms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.

          8.       Deficiencies: The clients identified by the following Client Confidential
                   Numbers (CCN) did not properly complete, sign or date the CVFs on the
                   following dates of service.




                  The CVF for the client identified below was not found. All forms submitted
                  for services rendered to the client were deducted.



                  Spiritual Counseling Request Forms for clients identified by the following
                  CCN's were not properly signed and/or dated by either the client or the
                  counselor.
     R e a l Alternatives Program and InstructionalDesign System (RAPID System) Q Real Altematives 20052006



                   The clients identified by the CCN's listed below, were ineligible for
                   Program services. All reimbursement that was paid for services rendered
                   to these clients was deducted.




         C. Corrective Action RecommendedITaken: Deductions were made for the
            services rendered to clients noted above, on the dates of service indicated,
            and were taken from Service Provider's reimbursement. Because of the high
            volume of errors, TPCN conducted a staff-wide retraining on March 3,2010.

         D. Swecial Comments: None


V.       Client Success Story

        *Nofe: The following paragraphs describe a case successfully managed by the
        Service Provider evaluated in fhis reporf since if joined fhe Texas Alternative to
        Aborfion Services Program. If is shared for the limifed purpose of illusfrafing fhe
        quality and scope of fhe Service Provider's work. The client has given her consent
        for her sfory to be included in fhis reporf, and her name has been omiffed to
        protect her privacy.

        A client shares her story in her own words:

        I found out that I was pregnant in December 2009 and I was devastated because
        I had not planned on having any more kids. I'm in my late thirties and I already
        have a teenage son and daughter. I thought my baby days were over. I live
        with the baby's father, who is 1 years older than me. He and I have been
                                          0
        together for 2 years.

        Once I found out I was pregnant, I began researching places that provided
        pregnancy counseling and assistance. I couldn't decide what to do and I
        needed information on my options. I didn't know if I could continue with the
        pregnancy. I'm a recovering alcoholic and I worried that my past might have
        some effect on my baby, or that I wouldn't be able to maintain my sobriety
        throughout the term of my pregnancy. The counselors and staff at The Source
        for Women were so very kind and thoughtful. They provided the support and
        encouragement that Iwas searching for.

        They offered insight and advice. They provided support and encouragement.
        They helped me realize that there were other women, just like me, that had been
      Reol Alternatives Program and Instructional Design System (RAPIDSystem1 C Reol Alternatives 2335-2W6
                                                                              3



          in this situation. They reminded me that I was a strong woman and helped me be
          confident that I would get through this pregnancy successfully. I especially
          enjoyed the parenting classes:     . .


          My feelings towards this pregnancy changed from panic to excitement. Instead
          of being filled with paralyzing fear and depression, I was now positive and happy.
          I have had an amazing experience with The Source for Women and 1 would
          definitely recommend this service to other expecting mothers. I had never even
          known that this type of resource was available to women but I'm very grateful to
          have been a part of it.


VI.       Conclusion

          The corrective action for deficiencies listed in Section 1 of this report resulted in
                                                                    V
          the deduction of the reimbursed amount and staff retraining.

          The Source for Women of Houston is focused on providing pregnancy assistance.
          education. counseling and material assistance to pregnant women in need.
          They are well known throughout the Houston area as a resource for women
          experiencing challenging pregnancy and parenting situations.
    Real Alternatives Program and InstructionalDesign System (RAPID System) @RealAlternatives 2005-2006



                              TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                                       EOT
                                     SITE MONITORING R P R
                                          SIGNATURE PAGE


Site Monitoring Report Submitted By:                          Lesley Kutac

Date of Report:                                              4/8110

Corrective Action Recommendedflaken:                         Deductions in reimbursements and
                                                             staff retraining as indicated in
                                                             Section IV of this report.

Date Corrective Action Authorized:                           3/9110

Evaluation Coordinator's Signature:

Executive Director's Signature:
      Real Alternatives Program and Instructional Design System (RAPID System) @ Real Alfemafives 2005-2006



                                 EA                   A E EW R
                                T X S PREGNANCY C R N T O K
                           Texas Alternative to Abortion Services Program

                                                         EOT
                                        SITE MONITORING R P R

 Site Name:          Good Samaritan Gabriel Project Life Center

 Address:            1314 East 2t Street, Bryan, TX 77802
                                9h

 Site No.:           902

 Director:           Patty Blazsak

 Service Area: Brazos County

 Date of Monitoring:        February 10,2010

Monitoring Conducted By:             Lesley Kutac, Evaluator


1.        Facility

          A.         General Observations: All counseling areas, office space, lavatories,
                     safety features, equipment, inventory and materials/storage areas were
                     inspected and found to be in compliance.

          B.         Deficiencies: None

         C.          Corrective Action RecommendedITaken: None needed

         D.             Comments: None
                  S~ecial


11.      Program Profile

         A.       General Observations: Counseling topics, programs, core services,
                  referrals, educational materials, licensing and site-specific information and
                  hotline accessibility were reviewed and found to be in compliance,
                  except where noted below.

         8.       Deficiencies: Some spiritual educational materials were not clearly
                  labeled and separated from non-spiritual materials.

         C.       Corrective Action RecommendedITaken: Spiritual educational materials
                  have been labeled and separated from non-spiritual educational
                  rnaterials.

         D.       Soecial Comments: None
       Real Alternatives Program and lnstrucfionol Design System (RAPID System) Q Real Alternatives 2005-2006



Ill.       Corporate Administration

           A.       General Observations: Corporate records, program records, policies and
                    procedures, staff training, staff clearances, client services, and spiritual
                    counseling procedures were reviewed and found to be substantially in
                    compliance with the contractual requirements of the Texas Alternative to
                    Abortion Services Program, except where noted below.

           B.       Deficiencies: The counselor listed below experienced delays in obtaining
                                          P,
                    their clearance from D S and/or FPS.

                         01. CAO                01/09/10-01/21/10

           C.       Corrective Action RecommendedITaken: All Services Rendered Forms
                    submitted by the above counselor, during the lapse indicated, were
                    deducted from the Service Provider's reimbursement.

           D.             Comments: None
                    S~ecial


IV.        Reimbursement Compliance

           A.       General Observations: Reimbursementforms and Client Verification Forms
                    (CVFs) confirm that Service Provider submitted for and was appropriately
                    reimbursed for dates of service reviewed, except where noted below.

           B.       Deficiencies: The clients identified by the following Client Confidential
                    Numbers (CCN) did not properly complete, sign or date the CVFs on the
                    following dates of service.




                   The clients identified by the CCN's listed below, were ineligible for
                   Program services. All reimbursement that was paid for services rendered
                   to these clients must be deducted.
 Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 2M35-2006




              The Spiritual Counseling Request Form (SCRF) for the client identified by
              the following CCN was not properly signed and/or dated by either the
              client or the counselor. All Services Rendered Forms that indicated the
                                     CF
              client had signed the S R must be deducted.



      C.      Corrective Action RecommendedlTaken: Deductions were made for the
              services rendered to clients noted above. on the dates of service
              indicated, and were taken from Service Provider's reimbursement.

      D.            Comments: None
              S~ecial


V.   Client Success Story

     *Nofe: The following paragraphs describe a case successfully managed by the
     Service Provider evaluated in this reporf since it joined the Texas Alternative to
     Aborfion Services Program. It is shared for the limited purpose of illustrating the
     qualify and scope of the Service Provider's work The clients have given their
     consent for their sfory to be included in this reporf, and their names have been
     changed to protect their privacy.

      o
     T illustrate services Good Samaritan provides to parenting clients, in addition to
     pregnant clients, the Executive Director shared the story of their clients, Mitchell
     and Celeste:

     Mitchell. the father of a 3-month-old son, Rueben, and a 5-year-old daughter,
     Sarah, came to u in need of materials assistance, including diapers. He said that
                        s
                                                        s
     friends of his and his wife's had told them about u and some of the services we
     offer. He said he had wanted to stop by the center ever since his son was born
     but that his wife. Celeste, was somewhat reluctant. He explained that they were
     a happily married couple and that she was a loving, stay at home mother. He
     said she was disinclined to seek help because she felt they could take care of
     everything on their own. Mitchell had just started his own business and money
     was tight. He decided that even though he'd have to do it alone, it was best to
     stop by our center and see what type of services we offered.

     Mitchell spoke with one of our consultants and after hearing about our services,
     he left with diapers for his son and a calendar of our upcoming parenting classes.
     He attended classes regularly for about a month, sometimes even bringing
                                                 s
     Rueben with him. One day he surprised u by bringing his entire family, including
     Celeste. She completed some papenvork and quietly waited for class to begin.
     Sarah was anxious to play with the other children whose parents were waiting for
     class to begin. She made friends quickly and soon had all of the chiidren
     engaged in coloring pictures and playing games.

     Over the course of the summer, Mitchell and Celeste became regular class
     attendees. Celeste let down her guard and opened up both in class and in
      Real Alternatives Program and lnstrucfionalDesign System (RAPID System) Q Real Alternatives 20052006



          consultation. She shared the joys and struggles she had experienced in
          motherhood and how relieved she was to know she could come to Good
          Samaritan for help.

          Mitchell and Celeste became an inspiration to other parents involved with our
          center. More men started coming to class with their baby's mothers and it was
          easy to see that the single couples really looked up to Mitchell and Celeste.
          Some of the single couples that had struggling relationships even sought
          relationship advice from the married couple.

          When interviewed for a promotional video regarding their thoughts on Good
          Samaritan and how they felt we had helped them, both Mitchell and Celeste
          offered high praise for the center and the staff. Unlike the quiet woman we had
          met at the beginning of the summer, Celeste was eager to share. It was evident
          that she had really connected to the staff when she said, "you know how some
          people ask 'how are you doing?' but they don't really mean it? Well, they (the
          Good Samaritan staff) really do care. They really are interested in how your day is
          going... how your life is going." Mitchell was also thankful for the help they
          received by adding, "I learned so much more than I ever could have just trying to
          figure it out on my own."


VI.       Conclusion

          The corrective action for deficiencies listed in Sections Ill and IV of this report
          resulted in the deduction of the reimbursed amount. The Service Provider
          completed corrective action for the deficiency listed in Section II of this report by
          addressing and rectifying it prior to the date of this report.

          Good Samaritan Center is focused on providing pregnancy assistance, life-
          affirming counseling and material assistance to pregnant women in crisis
          pregnancies.
    Real Alternatives Program and InstructionalDesign Sysfern (RAPIDSystem) Q Real Alternatives 20052006



                                TEXAS PREGNANCY CARE NETWORK
                          TEXAS Alternative to Abortion Services Program

                                                        EOT
                                      SITE MONITORING R P R
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                          Lesley Kutac

Date of Report                                                4/8110

Corrective Action Recornmendedflaken:                         Deductions in reimbursements as
                                                              indicated in Sections Ill and IV of this
                                                              report. Deficiency addressed and
                                                              rectified as indicated in Section II of
                                                              this report.

Date Corrective Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
       Real Alternatives Program and InstructionalDesign System (RAPID System] @ Real Alternatives 2005-2006



                                   EA                   A E EW R
                                  T X S PREGNANCY C R N T O K
                             Texas Alternative to Abotiion Services Program

                                                          EO T
                                         SITE MONITORING R P R

 Site Name:           Annunciation Maternity Home

 Address:             3610 Shell Road, Georgetown. TX 78628

 Site No.:            101

 Director:            Linda Holmstrom

 Service Area: Williamson, Travis, Bell, McLennan

 Date of Monitoring:               18,2010
                             Feb~aly

Monitoring Conducted By:              Lesley Kutac, Evaluator


1
.          Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventow and materials/storage areas were
                      inspected and found to be in compliance.

           B.         Deficiencies: None

           C.         Corrective Action Recommended/Taken: None needed

           D.       Special Comments: None


 I
I.        Program Profile

          A.        General Observations: Counseling topics, programs. core services,
                    referrals, educational materials. licensing and site-specific information and
                    hotline accessibility were reviewed and found to be in compliance.

          0.        Deficiencies: None

          C.        Corrective Action Recommendedflaken: None needed

          D.       Soecial Comments: None


Ill.      Corporate Administration

          A.       General Observations: Corporate records, program records. policies and
                   procedures, staff training, staff clearances, client services, and spiritual
                   counseling procedures were reviewed and found to be substantially in
                   compliance with the contractual requirements of the Texas Alternative to
                   Abortion Services Program.
       Real Alternatives Program and lnstwctional Design System (RAPID System) @ Real Alternatives 2M)5-2006




           8.        Deficiencies: None

           C.       Corrective Action RecommendedITaken: None Needed

           D.             Comments: None
                    S~ecial


 IV.       Reimbursement Compliance

           A.       General Observations: Reimbursement forms and Client Verification Forms
                    (CVFs) confirm that Service Provider submitted for and was appropriately
                    reimbursed for dates of service reviewed, except where noted below.

           6.       Deficiencies: The clients identified by the following Client Confidential
                    Numbers (CCN) did not properly complete, sign or date the CVFs on the
                    following dates of service.




                   The client identified by the CCN listed below was ineligible for Program
                   services. All reimbursement that was paid for services rendered to this
                   client was deducted.



          C.       Corrective Action RecommendedlTaken: Deductions were made for the
                   services rendered to clients noted above, on the dates of service
                   indicated, and were taken from Service Provider's reimbursement.

          D.             Comments: None
                   S~ecial


V.        Client Success Story

          :
          -
          *      The following paragraphs describe a case successfully managed by fhe
         Service Provider evaluafed in this reporf since if joined the Texas Alternafive to
         Abortion Services Program. If is shared for fhe limited purpose of illustrating fhe
         qualify and scope of fhe Service provider's work. The client has given her consent
         for her sfory fo be included in fhis reporf, and her name has been changed fo
         profecf her privacy.

         The client shares an update on her life since her stay at Annunciation Maternity
         Home:

         Aiden is 9 months and 1 week old now. He has been walking since he was 8 and
         a half months. He has 8 teeth, and has a tiny gap like his dad, David. It's super
                                                                                  el
      Real Alternatives Program and Instructional Design System (RAPID Sysfem) @ R a Alternatives 2005-2006


          adorable. He can say mama, dado, nana, baba, all done, and hi and buh bye.
          He tries to say 'I love you' but it comes out 'IYA.' He has my brown eyes and he
          has dark blonde hair, almost light brown. He's super advanced for his age, and it
          blows me away. Oh, and y'all were right, I never should've let him sleep with me.
          Now he screams all night long if I put him in his crib, and I got tired of not sleeping,
          so Ijust let him in bed with me again. That will change soon because he is getting
          his own room in a few months!

          As for me, I am still going to ACC. I started on campus this semester but then I lost
          my ride, and I have no vehicle, so I had to switch back to online classes. David
          and I are engaged, again. Right now he is in Basic Training for the Army, out of
          state, and I won't see him again until April. It's nice to have a break. and we are
                                                         e
          working things out, with no interruptions. W plan on getting married when he
          graduates from boot camp. He will be done mid summer and I will most
          definitely be sending an invitation your way when we get all the details and the
          date set. I'm really excited. W took a long break after I moved out and we only
                                           e
          spoke if it was about Aiden, but now things are working out and we have worked
          through all of our problems. Well, nearly all of them. Ha. But I have no doubt in
          my mind now that Iwant to marry him, and I am going to.

          Oh! My 18th birthday is tomorrow and I'm really excited. I am having a big party
          here at my mom's house, with a bonfire and music and dancing, and then me
          and a few of my girlfriends are going to go to a dance club and dance the night
          away. It's going to be really fun.

          I have been running a mile and a half every night now for a couple of weeks,
         and eating healthier. It is starting to show and I feel so good. I'm really proud of
         myself for that. All in all, things here are going excellent for me, and I can never
         stop thanking you all for that. If it wasn't for me going there, my life would b e so
         different. AMH taught me the life skills and strategies I needed to succeed in my
         life. I have put those into action and couldn't be happier now. I love you guys!
         Even dealing with all the drama in the house was beneficial for me because now
         when my siblings are fighting (which they do a lot) I have learned to just keep my
         mouth shut and stay out of it. And I have been living at home since August and
         my mom and I have only had two fights. We get along so well ...

         I am so thankful for you all, and I thank God everyday for pointing my path
         towards AMH. You guys are miracle workers!

                     O.
         Love you a L T
         Heidi

VI.      Conclusion

         The corrective action for deficiencies related to reimbursement compliance
         (Section IV] is deduction.

         Annunciation Maternity Home is well known within central Texas as a housing
         resource for young, homeless, pregnant women experiencing challenging
         pregnancy and parenting situations. They have a state of the art Education
         Center which houses the administrative offices, a classroom. an on-campus child
         development facility for residents' children, a conference room, and a sound
         proof counseling room. Two main educational programs are offered: life skills
Real Alternatives Program and Instructional Design System (RAPID System] O Real Alternatives 2W5-2006



    classes, a n d middle a n d high school education (conducted on-site by the
    University o Texas a s a charter school).
                f
                                            Design System (RAPID System) Q Real Alfematives 2005-2006
   Real Alternatives Program and lnsi~cfional



                               EA                       EW R
                              T X S PREGNANCY CARE N T O K
                        TEXAS Alterndie to Abortion Services Program

                                     IE              EOT
                                    ST MONITORING R P R
                                        SIGNATURE PAGE


Site Monitoring Repolt Submitted By:                        Lesley Kutac

Date of Report:                                             41511 0

Corrective Action Recommendedflaken:                        Deductions in reimbursements a         s
                                                            indicated in Section IV of this report.

Date Corrective Action Authorized:                          3122110

Evaluation Coordinator's Signature:

                   Signature:
Executive ~irector's
       Real Alternatives Program and lnstnrctional Design System (RAPID System) Q Real Alternatives M05-2006


                                   EA                   A E EW R
                                  T X S PREGNANCY C R N T O K
                             Texas Alternative to Abortion Services Program

                                                          EO T
                                         SITE MONITORING R P R

 Site Name:           Catholic Charities of Galveston-Houston

 Address:             2900 Louisiana St., Houston, TX 77006

 Site No.:            70 1

 Director:            Sharon Jorgeson

 Service Area: Harris, Fort Bend, Galveston, and Montgomery

 Date of Monitoring:         Febwaty 23,201 0

Monitoring Conducted By:              Lesley Kutac, Evaluator


1
.          Facility

           A.         General Observations: All counseling areas, office space, lavatories.
                      safety features, equipment, inventory and materials/storage areas were
                      inspected and found to be in compliance.

           0.         Deficiencies: None

           C.         Corrective Action RecommendedlTaken: None needed

           D.       Special Comments: None


I.
 I         Program Profile

          A.        General Observations: Counseling topics, programs, core services,
                    referrals. educational materials, licensing and site-specific information and
                    hotline accessibility were reviewed and found to be in compliance.

          B.        Deficiencies: None

          C.       Corrective Action RecommendedlTaken: None needed

          D.       Special Comments: None


Ill.      Corporate Administration

          A.       General Observations: Corporate records, program records, policies and
                   procedures, staff training, staff clearances, client services, and spiritual
                   counseling procedures were reviewed and found to be substantially in
                   compliance with the contractual requirements of the Texas Alternative to
                   Abortion Services Program.
                                                                                    Alternatives 2005-2006
      R e a l Alternatives Programand InstructionalDesign System (RAPID System] @Real



          B.       Deficiencies: None

          C.       Corrective Action RecommendedlTaken: None Needed

          D.             Comments: None
                   S~ecial


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed. except where noted below.

          B.       Deficiencies: The clients identified by the following Client Confidential
                   Numbers (CCN) did not properly complete, sign or date the CVFs on the
                   following dates of service.




                   The clients identified by the CCN's listed below, were ineligible for
                   Program services. All reimbursement that was paid for services rendered
                   to these clients must be deducted.




          C.      Corrective Action RecommendedlTaken: Deductions were made for the
                  services rendered to clients noted above, on the dates of service
                  indicated, and were taken from Service Provider's reimbursement.

         D.       Saecial Comments: None


V.       Client Success Story

         *w:     The following paragraphs describe a case successfully managed by the
         Service Provider evaluated in this report since if joined the Texas Alternative to
         Abortion Services Program. It is shared for the limited purpose of illustrafing the
         quality and scope of the Service Provider's work. The client has given her consent
         for her story to be included in this report, and her name has been changed to
         protect her privacy.

         The Executive Director shared the story of one of their clients:

         Susie is an eighteen year old high school graduate who came to the program
         when she was 6 months pregnant. At the time she was living with the baby's
      Real Alternatives Program and InstructionalDesign System (RAPID System) O Real Alternatives 2005-2006



          father. Her hope was to make a life with him and her baby. Prior to the baby's
          birth, her boyfriend decided to leave the area and move to another state as he
          was having trouble finding work. At first, Susie was frightened that she would not
          be able to parent her child alone and she really wanted her baby to have an
          involved father.

                                                                  g
          Susie came from a family background of d ~ and alcohol abuse and briefly
          experimented, herself. Once she learned she was pregnant, she was determined
          to remove herself from this lifestyle. Because of her mother's dependency on
          drugs and alcohol. Susie distanced herself from her. Susie questioned her ability
          to successfully parent her child with so little support.

          Susie and her case manager worked together to diminish her fears. They
          established a service plan that would provide Susie with the support.
          encouragement, and informationshe needed to get through the pregnancy and
          the birth of her child. She was very receptive to the advice and information
          provided by her case manager and became especially focused on keeping her
          baby healthy by taking good care of herself and eating nutritiously.

          Susie delivered a healthy baby boy. Because she lacked confidence in herself
          and continued to feel inadequate in caring for her baby, she asked the case
          manager many questions about parenting. Susie was receptive to all advice and
          truly wanted to be a good mother. She was very adamant in following the
          program's curn'culum and learning about child care skills, understanding her
          child's development, making positive choices, and good self care.

         Susie has expressed great gratitude to her case worker for the constant support
         and encouragement, and for always being there to answer her questions.

         Her case manager describes Susie as motivated and quite resourceful. Susie is
         currently looking for employment and hopes to eventually enroll in college. She
         plans to continue with the program until her baby is one year.

         The baby is now three months old and Susie is successfully breast feeding him.
         She finally feels confident that she can parent her child alone. She is learning to
         interact with her child to advance his development and reads to him daily. She
         and her son are bonding beautifully.


VI.      Conclusion

         The corrective action for deficiencies related to reimbursement compliance
         (Section IV) is deduction.

         Catholic Charities of Galveston-Houston, Children & Family Services Division is
         heavily focused on providing pregnancy assistance, support. education.
         counseling and material assistance to pregnant women in need. They are well
         known within the immediate area of downtown Houston as a resource for women
         experiencing challenging pregnancy and parenting situations. They are very
         dedicated and innovative in securing support and assistance for their clients. The
         division includes a separate group of professionals who handle adoption
         education and procedures.
Real Alternatives Program and InstructionalDesign System (RAPIDSystem] O R e a l Alternatives 2005-2006



    The division has a wide variety of educational programs that are delivered in-
    house and off-site. Courses include such topics as Parenting, Safety. Pre-natal
    Care, Independent Living, and Fetal and Child Development.
                                                                 R PD
    R e a l Alternatives Program and Instructional Design System ( A I System)Q Real Alternatives M05-2006



                               TEXAS PREGNANCY CARE NETWORK
                          TEXAS Alternative to Abortion Services Program

                                                         EOT
                                       SITE MONITORING R P R
                                            SIGNATURE PAGE


Site Monitoring Report Submitted By:                            Lesley Kutac

Date o Repoit:
      f                                                        41911 0

Corrective Action Recommendedflaken:                           Deductions in reimbursements as
                                                                                     V
                                                               indicated in Section I of this report.

Date Corrective Action Authorized:                             41911 0

Evaluation Coordinator's Signature:                              &.
                                                                & 9                ma-^
Executive Director's Signature:
       Reol Alternatives Program and InstructionalDesign System (RAPID System] O Real Alternatives 2335-2006



                                   EA                    A E EW R
                                  T X S PREGNANCY C R N T O K
                             Texas Alternative to Abortion Services Program

                                                          EOT
                                         SITE MONITORING R P R

 Site Name:           Fifth Ward Pregnancy Help Center

 Address:             743 Shotwell @ E. Freeway, Houston, TX 77020

 Sie No.:             80 1

 Director:            Sylvia Johnson

Service Area: Hamis County

 Date of Monitoring:         February 24,2010

Monitoring Conducted By:               Lesley Kutac, Evaluator


1
.          Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and materials/storage areas were
                      inspected and found to be in compliance.

           B.         Deficiencies: None

           C.         Corrective Action RecommendedlTaken: None needed

           D.               Comments: None
                      S~ecial


II.       Program Profile

          A.       General Obse~ation~: Counseling topics, programs. core services,
                   referrals, educational materials, licensing and site-specific information and
                   hotline accessibility were reviewed and found to be in compliance.

          B.       Deficiencies: None

          C.       Corrective Action Recommended/Taken: None needed

          D.             Comments: None
                   S~ecial


Ill.      Corporate Administration

          A.       General Observations: Corporate records, program records, policies and
                   procedures, staff training, staff clearances, client services, and spiritual
                   counseling procedures were reviewed and found to b e substantially in
                   compliance with the contractual requirements of the Texas Alternative to
                   Abortion Services Program. except where noted below.
      Real Alternatives Program and InstructionalDesign System (RAPID System) @ Reol Alternatives 20352006




          B.       Deficiencies: The Grievance Policy was not posted in an area for clients
                   to see.

          C.       Corrective Action RecommendedITaken: The Grievance Policy has been
                   posted in the client waiting area.

          D.             Comments: None
                   S~ecial


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursementforms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.

          B.       Deficiencies: The clients identified by the following Client Confidential
                   Numbers (CCN) did not properly complete, sign or date the CVFs on the
                   following dates of service.




                  The clients identified by the CCN's listed below, were ineligible for
                  Program services. All reimbursement that was paid for services rendered
                  to these clients was deducted.




         C.       Corrective Action RecommendedlTaken: Deductions were made for the
                  services rendered to clients noted above, on the dates of service
                  indicated, and were taken from Service Provider's reimbursement.

         D.             Comments: None
                  S~ecial


V.       Client Success Story

         *-
          :      The following paragraphs describe a case successfully managed by the
         Service Provider evaluated in this report since it joined the Texas Alternative to
         Abortion Services Program. It is shared for the limited purpose of illustrclfing the
         qualify and scope of the Service Provider's work. The client has given her consent
         for her story to be included in this report, and her name has been changed to
         protect her privacy.

         The Executive Director shared the story of one of the Home's clients:

        Kaye was thinking about having an abortion even though she said she didn't
        believe in it. Her boyfriend had lost his job and he wanted to move in with her so
        she could support him. The last thing he wanted was the added expense of a
        baby so he pressured Kaye to have an abortion. This was her first pregnancy and
      Real Alternatives Program and Instructional Design System (RAPIDSystem) O Real Alternatives M05-2W6


          she was tom between her personal convictions and the stress of her current
          circumstances. She came to Fifth Ward Pregnancy Help Center to discuss
          whether she should continue her pregnancy.

          Kaye said she was considering abortion if the pregnancy wasn't too far along.
          After learning about fetal development, however, she decided she needed
          additional time to think about her decision. She struggled between the fear of
          raising her baby alone, if she chose to carry to term and the fear of regret, if she
          chose to terminate.

          After taking time to reflect on her options she decided to carry and parent her
          baby. She also decided to break things off with her baby's father because she
          said she could not be responsible for his life. She had a good. steady job and her
          own apartment but unfortunately, paid maternity leave was not one of her
          employment benefits. She was concerned about how she would pay her bills
          while she was temporarily off of work after the birth of the baby. She also worried
          about how she would afford furniture and clothes for her newborn.

          Through the Grace Closet at Fifth Ward and a baby shower, Kaye received all of
          the baby supplies and clothes she needed. She also received community
          referrals and enough financial assistance to cover the two months of rent after
          her baby was born.

          Kaye fell in love with her baby girl. She has repeatedly expressed gratitude for
          the support, materials assistance, and encouragement she received at Fiflh Ward
          and has mentioned that she hates to think of what might have happened if she
          had not visited our center during her time of crisis.

VI.      Conclusion
         The corrective action for deficiencies related to reimbursement compliance
         (Section IV) is deduction. The Service Provider completed the corrective action
         for deficiencies listed in Section Ill of this report by addressing and rectifying
         deficiencies prior to the date of this report.

         Fifth Ward Pregnancy Help Center is focused on providing pregnancy assistance,
         support, education, counseling and material assistance to pregnant women in
         need. They are a much needed and well known resource for women
         experiencing challenging pregnancy and parenting situations within the Fifth
         Ward area of Houston.
    Real Alternatives Program and InstructionalDesign System (RAPIDSystem] O Real Alternatives 2005-2006



                                TEXAS PREGNANCY CARE NETWORK
                          TEXAS Alternative to Abortion Services Program

                                                        EOT
                                      SITE MONITORING R P R
                                           SIGNATURE PAGE


Site Moniton'ng Report Submitted By:                          Lesley Kutac

Date of Repok                                                 4/8110

Corrective Action Recommendedflaken:                          Deductions in reimbursements as
                                                              indicated in Section IV of this report.
                                                              Deficiencies addressed and rectified
                                                              as indicated in Section Ill of this
                                                              report.

Date Corrective Action Authorized:

Evaluator's Signature:

Executive Director's Signature:
                  Initial Site Visit Reports
             December 1,2009 to February 28,2010


Annunciation Maternity Home

A Woman's Haven
Pregnancy Help Center of Williamson County
                              INITIAL SITE VISIT REPORT


Site Name:            Annunciation Maternity Home (EducationCenter)
Address:              3610 Shell Road
                      Georgetown, TX 78628
Site #:               101
Director.             Linda Holmstrom
Counties Sewed:       Williamson, Travis, Bell, McLennan
Date of Visit:        December 9,2009
Visit Conducted By:   Lesley Kutac, Evaluator


    I. Facility

       General Observations: All counseling areas, office space, lavatories, safety
       features, equipment, inventory and materials/storage areas were inspected and
       found to be in compliance.

   II. Program Profile

      General Observations: It was determined through interviews that the hours of
      operation are Monday through Friday from 8:00 a.m. to 5:00 p.m. All client
      services free of charge.

  Ill. Corporate Administration

      General Observations: Copies of the Confidentiality, Grievance and Standard
      Release of Information policies and forms are readily available at the center.
      MaterialSafety Data Sheets can be found onsite.

      Program record storage and educational materials were reviewed and found to
      be in compliance with the exception of a few spiritual materials that were
      displayed together and had not yet been labeled.

  IV. Program Highlights

       General Observations: Annunciation Maternity Home is well known within central
      Texas as a housing resource for young, homeless. pregnant women experiencing
      challenging pregnancy and parenting situations. This visit was conducted in
      order to inspect the new Education Center. The new building is a great addition
      to the campus. Its main purposes are to house the on-campus University of Texas
      Charter School and the Home's administrative offices. The classroom is equipped
      with high tech equipment and includes a computer lab, a science lab, and a
      library. The Education Center also houses the on-campus child development
      facility for residents' children. It features an observation room for the young
      mothers to observe and learn about proper childcare without disrupting the
      children's daily routines. The new building also has a conference room and a
      sound proof counseling room. The Education Center is a valuable addition to
      Annunciation Maternity Home and will be a great resource for furthering
      residents' education.
V. Corrective Actions Taken:     All spiritual materials have been labeled and
   separated from non-spiritual materials.



   Date of Report:                         April 8,2009

   Site Visit Report Submitted By:         Lesley Kutac

   Evaluator's Signature:                   &4            /4bk#
                                  INITIAL SITE VISIT REPORT

Site Name:              A Woman's Haven
Address:                 114 Southbridge Street, Suite E
                        San Antonio. TX 78216
Site #:                 501
Director:               Iris Perez
Counties Sewed:         Bexar, Comal, Guadalupe
Date of Visit:          January 5,2010
Visit Conducted By:     Lesley Kutac, Evaluator


    I. Facility
       General Observations: All counseling areas, office space, lavatories, safety
       features. equipment, inventory and materials/storage areas were inspected and
       found to be in compliance.

   11. Program Profile

       General Observations: It was determined through interviews that the hours of
                                                  0O
       operation are Monday through Friday from 1 : O a.m. to 2:00 p.m. All client
       services free of charge.

  Ill. Corporate Administration

      General Observations: Copies of the Confidentiality, Grievance and Standard
      Release of Information policies and forms are readily available at the center.
      Material Safety Data Sheets can be found onsite.

      Program record storage and educational materials were reviewed and found to
      be in compliance.

  IV. Program Highlights

      General Observations: A Woman's Haven's new facility is in an excellent location
      that will provide them with the opportunity to assist many pregnant and/or
      parenting women in need of support and resources. The facility is located near a
      public transportation route, local high schools, and local churches. They are well
      known in the San Antonio area and receive referrals from C S Santa Rosa
                                                                        P,
      Hospital. Medicaid. social workers, and the Texas Workforce Commission. They
      provide clients with many outside referrals, such as the San Antonio Food Bank.
      Guadalupe Home, Seton Home, homeless shelters, WIC, Medicaid, and La Leche
      League. A Woman's Haven is a valuable resource for pregnant and/or parenting
      women in the San Antonio area.

  V. Corrective Actions Taken: None needed.

      Date of Report:                                 April 8.2009

      Site Visit Report Submitted By:                 Lesley Kutac

      Evaluator'sSignature:                                          /6ifk.J
                               INITIAL SITE VISIT REPORT


Site Name:            Pregnancy Help Center of Williamson County, Liberty Hill
Address:              1301 Loop 332
                      Liberty Hill, TX 78642
Site X:               2802
Director:             Amy Scoggins
Counfies Served:      Burnet, Travis, Williamson
Date of Visit:        January 28,201 0
Visit Conducted By:   Lesley Kutac, Evaluator


    I. Facility

       General Observations: All counseling areas, office space, lavatories, safety
       features, equipment, inventory and materialslstorage areas were inspected and
       found to be in compliance.

   11. Program Profile

      General Observations: It was determined through interviews that the hours of
                                                    0O
      operation are Monday through Wednesday from 1 : O a.m. to 5:00 p.m. All client
      services free of charge.

  Ill. Corporate Administration

      General Observations: Copies of the Confidentiality. Grievance and Standard
      Release of Information policies and forms are readily available at the center.
      Material Safety Data Sheets can be found in the office. The Client Non-
      Discrimination policy had not yet been posted at the new facility and the Limited
      English Proficiency policy was not onsite for review.

      Program record storage and educational materials were reviewed and found to
      be in compliance.

  IV. Program Highlights

      General Observations: Pregnancy Help Center of Williamson County is well known
      within the local community as a resource for women experiencing an unplanned
      pregnancy. They are located 08 a main road and are easily accessible for
      clients from Liberty Hill, Georgetown, Cedar Park, Leander, Andice, Burnet.
      Bergstrom. and Andice. They provide education on how to quit smoking,
      breastfeeding, and parenting.

  V. Corrective Actions Taken: The client Non-Discrimination policy has been posted
      in the client waiting area and the Limited English Proficiency policy has been
      added to the Policy and Procedure Manual.
Date of Report:                   April 8,2009

Site Visit Report Submitted By:   Lesley Kutac

Evaluator's Signature:
               Sewice Provider Site Monitorings
                March 1,2010 to May 31,2010



Family Care Connection

Children & Family Institute

The Life Center, Midland

Care Net Medical Services

Our Lady of the Angels Maternity Shelter

Catholic Charities of the Archdiocese of San Antonio, Guadalupe Home

San Antonio Birth Doulas

Pregnancy Resources of Abilene

Pregnancy Care Center of Texoma

First Choice Pregnancy Resource Center

Living Alternatives of Jacksonville

Pregnancy Help Center of Lufkin

Grace House Ministries, The Options Clinic

Gladney Center for Adoption
       Real Alternatives Program and InstructionalDesign System (RAPIDSystem) O Real Alternatives 20052W6



                                  TEXAS PREGNANCY CARE NEMTORK
                             Texas Alternative to Abortion Services Program

                                                          EOT
                                         SITE MONITORING R P R

 Site Name:           Family Care Connection

 Address:             6969 Pastor Bailey Drive, Suite 140, Dallas, TX 75237

 Site No.:            2101

 Director:            Sharron Whitaker

 Service Area: Dallas County

 Date of Monitoring:         March 10,201 0

Monitoring Conducted By:             Lesley Kutac, Evaluator


.
1          Facility

           A.         General Observations: All counseling areas, oftice space, lavatories,
                      safety features, equipment, inventory and materials/storage areas were
                      inspected and found to be in compliance.

           8.         Deficiencies: None

           C.         Corrective Action RecommendedlTaken: None needed

           D.      Soecial Comments: None


II.       Program Profile

          A.       General Observations:        Counseling topics, programs, core services,
                   referrals, educational materials, licensing and site-specific information and
                   hotline accessibility were reviewed and found to b e in compliance.

          B.       Deficiencies: None

          C.       Corrective Action RecommendedlTaken: None needed

          D.       Swecial Comments: None


Ill.      Corporate Administration

          A.       General Observations: Corporate records, program records, policies and
                   procedures, staff training, staff clearances, client services, and spiritual
                   counseling procedures were reviewed and found to b e in compliance
                   with the contractual requirements of the Texas Alternative to Abortion
                   Services Program.
      R e o l Alternatives Program ond Instructional Design System (RAPIDSystem) O Real Alternatives 20052006




          B.        Deficiencies: None

          C.       Corrective Action Recommendednaken: None needed

          D.        Saecial Comments: None


IV.       Reimbursement Compliance

          A.       General Observations.: Reimbursementforms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropn'ately
                   reimbuned for dates of service reviewed, except where noted below.

          B.       Deficiencies: The clients identified by the following Client Confidential
                                                                                 Vs
                   Numbers (CCN) did not properly complete, sign or date the C F on the
                   following dates of service.




                   The Spiritual Counseling Request Form (SCRF) for the clients identified by
                   the following CCNs were not properly signed and/or dated by either the
                   client or the counselor. All Services Rendered Forms (SRF) that indicated
                                              CF
                   the clients had signed an S R , were deducted.




         C.        Corrective Action RecommendedITaken: Deductions were made for the
                   services rendered to clients noted above, on the dates of service
                   indicated, and were taken from Service Provider's reimbursement.

         D.       Soecial Comments: None


 V.      Client Success Story

         *m:    The following paragraphs describe a case successfully managed by the
         Service Provider evaluated in this reporf since if joined the Texas Alternative to
         Aborfion Services Program. If is shared for the limited purpose of illusfrating the
         quality and scope of the Service Provider's work. The clients have given their
         consent for their story to be included in this reporf, and their names have been
         changed to protect their privacy.

         T illustrate services Family Care Connection provides to parenting. clients, in
          o
         addition to pregnant clients, the Executive Director shared the story of their
         clients, Maria and Sam:
Real Alternatives Program and lnstructionol Design System (RAPID System] O Real Alternatives 20052006



    Maria is a 21 year old, single, Hispanic woman. She and her child's father, Sam,
    live together with their three month old baby. Maria and Sam have attended
    several group sessions that covered pre-natal, pregnancy, parenting and healthy
    relationships. They have received individual counseling and material assistance.

    Maria took her first pregnancy test at about 5 weeks of pregnancy and was
    unhappy to find that the test was positive. She wasn't sure she wanted to
    become a parent at that point in her life because she didn't think she'd be able
    to provide for a child. She considered abortion but was afraid to follow through
    with it. Maria received her prenatal care through a health clinic in Dallas, who
    referred her and Sam to our program.

    At one of the sessions Maria and Sam viewed the DVD, In the Womb. Once the
    video concluded, Maria and Sam said they felt they were educated on facts
    regarding conception and development and that they were confident they had
    made the right decision to continue with the pregnancy.

   Prior to meeting Sam, Maria had been incarcerated for several years due to an
   assault charge. They were in need of positive relationship skills building education.
                                                  s
   Maria and Sam attended our "Parenting I a Partnenhip" class which is an
   interactive healthy relationship class for unmarried co-parenting couples. The
   class covered finances, development of good communication skills, managing
   anger, red flags of domestic violence, co-parenting, and breast feeding. We
   partnered with WIC (Women, Infants and Children) for this class and they
   provided breast pumps and pads for the attendees. In addition, all attendees
   received a gift bag with diapers, gift cards:baby clothes and books. There was
   also a drawing for two car seats and a stroller.

   According to Maria and Som, the information they have received from the
   classes and individual counseling has strengthened them as a family. They feel
   confident as parents and state they are now better able to articulate what they
   want and need in their relationship. These are the strengths that help young
   couples establish healthy relationships and healthy families.

   Maria and Sam have attended FCC classes on positive discipline, home safety,
   car seat safety and breast feeding. When Sam's hours at work were cut back, the
   family received material assistance with food and clothing. FCC also assisted
   them with filling out and filing the food stamp application. Maria and Sam have
   received printed material on parenting, mental health, healthy relationships,
   breast feeding. child abuse prevention, domestic violence, housing, neurotoxins
   and available community resources. They have also received calendars to help
   them record their appointments and their counselor follows up with them to
   ensure medical and community resource appointments are kept.

  Although first time parenting can be so stressful, especially for lower income
  couples who have fewer familial and community resources, we are confident
  that this couple has been strengthened as parents through the various classes
  and counseling sessions they have received from our organization and will
  succeed at being great parents. We continue to support and maintain contact
  with this. young family and they know that whenever they need additional
  assistance, we are there to help.
      Real Alternofives Program and Instructional Design System (RAPID System) O Real Alternatives 2035-2006



VI.       Conclusion

          The corrective action for deficiencieslisted inSection IV of this report resulted in
          the deduction of thereimbursed amount.

          Family Care Connection is a valuable resource in its area. They specialize in
          providing low income families with much needed assistance, referrals. and
          support. They strive to educate and prepare their clients to be good parents and
          to break the cycle of abuse and neglect. They offer a special program for
          fathers who have recently been released or are about to be released from
          prison, in which parenting skills and relationship skills are taught. Family Care
          Connection is well known within the area and by local health care
          facilities/providers, schools, and social services agencies as an organization that
          provides pregnancy assistance, material assistance, and support to pregnant
          women in crisis pregnancies and parenting families in need.
    Reol Alternatives Program and lnstructionolDesign System (RAPIDSystem] O Real Alternatives 20052006



                               TEXAS PREGNANCY CARE Ni3WORK
                         TEXAS Alternative to Abortion Services Program

                                      SITE MONITORING REPORT
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                          Lesley Kvtac

Date of Report:                                               512711 0

Corrective Action Recommendedflaken:                         Deductions in reimbursements as
                                                             indicated in Section IV of this report.

Date Corrective Action Authorized:                           51311 0

Evaluation Coordinator's Signature:                            km/&m
Executive Director's Signature:
                                                Design System (RAPID System) O Real Alternatives 2005-2006
       Real Alternatives Program and inst~ctional



                                   EA
                                  T X S PREGNANCY CARE NETWORK
                             Texas Alternative to Abortion Services Program

                                                         EOT
                                        SITE MONITORING R P R

 Site Name:           Children a Family Institute

 Address:             5787 South Hampton, Ste 360, Dallas, TX 75232

 Site No.:            1901

 Director:            Rose Jones

 Service Area: Dallas, Tarrant, Collin, Denton, Johnson, and Navarro Counties

 Date of Monitoring:         March 11,201 0

Monitoring Conducted By:              Lesley Kutac, Evaluator


 .
 I         Facility

          A.          General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and materialslstorage areas were
                      inspected and found to b e in compliance, except where noted below.

          8.          Deficiencies: One fire extinguisher lacked a current inspection tag.

          C.          Corrective Action Recommended/Taken: Service Provider had the fire
                      extinguisher re-inspected and tagged.

          D.                  l
                   S ~ e c i aComments: None


 I
I.        Program Profile

          A.       General Observations: Counseling topics, programs, core services,
                   referrals, educational materials, licensing and site-specific information and
                   hotline accessibility were reviewed and found to b e in compliance.

          B.       Deticiencies: None

          C.       Corrective Action RecommendedlTaken: None needed

          D.                  l
                   S ~ e c i aComments: None


Ill.      Corporate Administration

          A.       General ObSe~CIfi0nS:Corporate records, program records, policies and
                   procedures. staff training, staff clearances, client services, and spiritual
                   counseling procedures were reviewed and found to b e in compliance
      Real Alternotives Program and Instructional Design System (RAPID System] @ R e a l Alternatives 20052006



                    with the contractual requirements of the Texas Alternative to Abortion
                    Services Program.

          B.        Deficiencies: None

          C.        Corrective Action RecommendedAaken: None needed

          D.                  l
                   S ~ e c i oComments: None


IV.       Reimbursement Compliance

          A.       General ObSe~ationS:Reimbursement forms and Client Verification Forms
                   (CVFsJconfirm that Service Provider submitted for and was appropriately
                   reimbursed for dotes of service reviewed, except where noted below.

          8.       Deficiencies: The clients identified by the following Client Confidential
                   Numbers (CCN) did not properly complete, sign or date the CVFs on the
                   following dates of service.




                   The clients identified by the CCN's listed below, were ineligible for
                   Program services. All reimbursement thaf was paid for services rendered
                   to these clients must b e deducted.




         C.        Corrective Action Recommended/Taken: Deductions were made for the
                   services rendered to clients noted above, on the dotes of service
                   indicated, and were taken from Service Provider's reimbursement.
          .    .
         D.        Sweciol Comments: None
       Real Alternatives Program and inslructionoi Design System (RAPIDSysfernJO Real Aifematives M052W6



      V.    Client Success Story

            'Nofe: The following paragraphs describe a case successfully managed by the
            Service Provider evaluated in this report since it joined the Texas Alternative to
            Abortion Services Program. It is shared for the limited purpose of illustrating the
            qualify and scope of the Service Provider's work The clients have given their
            consent for their story to be included in this report, and their names have been
            changed to protect their privacy.

             o
            T illustrate services that Children and Family Services provide to parenting clients,
            in addition to pregnant clients, the Executive Director shared the stories of two of
            their clients, Lacey and Heather:

           When I met Lacy she.had a 7 month old baby and was expecting a baby in
           March. Her family situation was not stable and she was in need of a place to call
           home. Her mother was not accepting of her having another child in the home.
             e
           W sat down and assessed her needs and discovered that housing was her top
                      e
           priority. W looked into transition housing and low income housing. I referred her
           to an agency that assists in housing needs by offering a short term program and
           then housing for up to one year. The offered counseling, job referrals, and many
           other services related to helping the family become self sufficient. After the one
           year of housing, they help you transition into low income housing. My client was
           accepted into the program and will begin after her baby is born. This was a
           great sense of accomplishment for me and my client. Before she came to
           Children and Family Institute she was not aware of all the services that are
           available in her community to help her and her children.

            Heather is a 17 year old birth mother in the Pathways to Parenting Program. Prior
            to enrolling in the program, Heather was given a ticket for twancy. She was
            given a mandate to attend parenting classes, pay a fine of $500 and appear in
            court at a later date. Pathways to Parenting was the answer to Heather's
            problem. Her counselor wrote a letter to the judge on her behalf, stating that she
           was enrolled in Pathways to Parenting, was complying with the program
           guidelines and was scheduled to attend an upcoming parenting class. The
           judge dismissed Heather's case on the condition that she continues to aftend
           parenting classes and attend school with no absences. Heather's fine was
           dismissed!

VI.        Conclusion

           The corrective action for deficiencies noted in Section IV of this report resulted in
           the deduction of the reimbursed amount. The Service Provider completed
           corrective action for the deficiency listed in Section I of this report by addressing
           and rectifying it prior to the date of this report.

           Children and Family lnstitute is heavily focused on adoption services, pregnancy
           assistance, education, and counseling to pregnant women in need. They offer a
           variety of classes that educate clients on parenting, nutrition, child development,
           healthy relationships, preparing for the future, and what to expect during
           pregnancy.
    Real Alternatives Program and lnshuctional Design System (RAPID System) O Real Alternatives 2W5-2006



                                TEXAS PREGNANCY CARE NETWORK
                          Terns Alternative to Abortion Services Program

                                                        EOT
                                      SITE MONITORING R P R
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                          Lesley Kutac

Date of Report:                                               6/15/10

Corrective Action Recommendedjlaken:                          Deductions in -reimbursements as
                                                              indicated in Section IV of this report.
                                                              Deficiency addressed and rectified
                                                              as indicated in Section I of this
                                                              report.

Date Corrective Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
      Real Alternatives Program and lnstnrctional Design System (RAPID System) Q Real Alternatives 20052006



                                 TEXAS PREGNANCY CARE N T O KEW R
                            Texas Alternative to Abortion Services Program

                                                         EOT
                                        SITE MONITORING R P R

 Site Name:          The Life Center. Midland

 Address:            2101W Wall St., Midland, TX 79701
                          .

 Sie No.:            30 1

 Director:           Judy Rouse

Service Area: Midland, Andrews, Brewster, Crane, Crockett, Ector, Gaines, Glasscock,
              Howard, Jeff Davis. Loving. Martin. Pecos, Presidio, Reagan, Reeves,
              Terrell, Upton, Ward, and Winkler Counties.

Date of Monitoring:         March 30,201 0

Monitoring Conducted By:          .   LesleyKutac, Evaluator


1.        Facility

         A.          General Observations: All counseling areas, office space, lavatories,
                     safety features, equipment, inventory and materials/storage areas were
                     inspected and found to b e in compliance.

         0.          Deficiencies: None

         C.          Corrective Action RecornmendedlTaken: None needed

         D.       Soecial Comments: None


 I
I.       Program Profile

         A.       General Observations: Counseling topics, programs, core services,
                  referrals, educational maferials, licensing and site-specific information and
                  hotline accessibility were reviewed and found to b e in compliance.

         B.       Deficiencies: None

         C.       Corrective Action RecornmendedITaken: None needed

         D.                  l
                  S ~ e c i aComments: None


 l.
Il       Corporate Administration

         A.       General Observations: Corporate records, program records. policies and
                  procedures, staff training, staff clearances, client services, and spiritual
                  counseling procedures were reviewed and found to b e in compliance
      Real Alternatives Program and lnrhuctional Design System (RAPID System) O Real Alternatives 2005-2006



                   with the contractual requirements ot the Texas Alternative to Abortion
                   Services Program.

          B.       Deficiencies: None

          C.       Corrective Action RecommendedITaken: None needed

          D.       Saecial Comments: None


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted tor and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.

          B.       Deticiencies: The clients identified by the following Client Confidential
                   Numbers (CCNJdid not properly complete, sign or date the CVFs on the
                   following dates of service.




          C.      ~orecti"e  Action RecommendedlTaken: Deductions were made for the
                  services rendered to clients noted above. on the dates of service
                  indicated, and were taken from Service Provider's reimbursement.

         D.       Saecial Comments: None


 V.      Client Success Story

         *Nofe:  The following paragraphs-describe a case successfully managed by the
         Service Provider evaluated in this reporf since it joined the Texas Alternative to
         Abortion Services Program. It is shared for the limited purpose of illustrating the
         qualify and scope of the Service Provider's work. The client has given consent for
         her story to b e included in this reporf, and her name has been changed to protect
         her privacy.

          o
         T illustrate services The Life Center provides to parenting clients, in addition to
         pregnant clients, one of the counselors shared the story of their clients. Kara and
         Blake:

         I first met Kara when she came in for a pregnancy test. She said she was doubtful
         that she was pregnant but that she wanted to take a test because she was
         experiencing a few symptoms of pregnancy. While getting to know the client, I
         learned that she had grown up in a very strong goal oriented home, that she and
         her family had strong religious beliets, and that having an education and good
         work ethic were both important and expected. Kara shared that she was
         attending a local college and had a year and a half left to finish her degree. She
         was employed and working full time while taking college courses. She said that
         her boyfriend, Blake, went to college out of state and lived with his mother. She
                                         Design System (RAPID System) O Real Alternatives 2005-2006
Real Alternatives Program and lnst~ctional



    had already spoken with Blake prior to the appointment and said that he was
    supportive of the possible pregnancy.

    As we continued to talk it was evident that Kara was very afraid of potentially
    being pregnont. She expressed concern that Blake's mother was not supportive
    of their relationship. She also thought her family would be very disappointed in
    her and was concerned that finishing school would be in jeopardy. I reiterated
    that she was in a safe and confidential place and that we would do our best to
    give her and her family the support they needed, regardless of the test result.

    After administering the pregnancy test and positive results were read, Kara sat in
    the counseling room with tears rolling down her face. I first reminded her that she
    was not alone. Then I asked how she was feeling and if she had any thoughts as
    to what her next steps would be. Kara said she felt shocked and that she was sad
    to tell her parents that not only had she been sexually active before mam'age,
    but that she was pregnant. She said she had major concerns about how she
    would be able to have a baby and what Blake's mother would say but that she
                                                e
    knew she wanted to parent her child. W discussed fetal development and
    prenatal care. I gave her a booklet on fetal development, and referrals for
    prenatal care and vitamins. Once I had answered all of Kara's questions. we
    scheduled another appointment with her.

   The next week Kara returned for her second appointment. At this visit she was
   provided with additional referrals for WIC, prenatal classes, and a report of
   pregnancy to help with appl$ng for benefits during pregnancy. She said she had
   discussed her pregnancy with her parents and that even though the current
   circumstances weren't what they had in mind for her future, they loved her and
   would be supportive of her, Blake, and their future grandchild.

   Even though Kara seemed overwhelmed by the upcoming months of pregnancy,
   she remained strong in her desire to continue working and finish school on time.
   She expressed gratitude for the referrals and support she had received from The
   Life Center. We scheduled Kara for a third visit.

    The next time I saw Kara was when she began attending our prenatal classes.
    which was week; after our first meeting. It was good to see that she had
    become excited about the pregnancy. Throughout the next few months Kara
           s
    kept u updated about what was happening in her life. She had found out she
    was having a boy, she told me that her parents were excited and supportive of
    the pregnancy, and that she was still enrolled in college and staying at pace as
    to her original plan. She seemed very eager to do everything she could to make
    things good and healthy for her and her child. She told me that she and Blake
   were trying to make things work but because of his mother's influence, he was
    not acting on his own beliefs. She said they had talked about him moving to the
   area before their son was born and that he had been very distraught about not
    physically being there for her while she was pregnant with their baby. I gave
    Kara referral to give to Blake for a staffing service in town that could help him
   located a possible job. I also provided her with fatherhood material to give to
   Blake as a way to encourage, motivate, and challenge him to fatherhood
   responsibilities. I also introduced some of the parenting and relationship classes
   that were available to both menand women. Beforeshe left that evening, Kara
   told me that because of the classes she had already attended,she felt enabled
   to encourage Blake to stand up to his mother and take responsibility for his future
   familv.
      Reoi Alternatives Program and lnstwcfionalDesign System (RAPID System) O Real Altemotives 2W5-2W6




VI.       Conclusion

          The comective action for deficiencies listed in Section IV of this report resulted in
          the deduction of the reimbursed amount.

          The Life Center is focused on providing pregnancy assistance, support,
          education, counseling and material assistance to pregnant women in need.
          They are well known within the Permian Basin region as a resource for women
          experiencing challenging pregnancy and parenting situations. The Life Center
          has a wide variety of educational programs, which include such topics as
          Parenting. Fatherhood, Sexual Health, and Relationships.
   R e a l Alternatives Program and lnstnrctionalDesign System (RAPID System] @RealAltematives 2005-2006



                              TEXAS PREGNANCY CARE NElWORK
                         TEXASAlternative to Abortion Services Program

                                     SITEMONITORING REPORT
                                         SIGNATURE PAGE


Site Monitoring Repod Submitted By:                           Lesley Kutac

Date of Report:                                               5127110

Corrective Action Recommendedflaken:                          Deductions in reimbursements a s
                                                                                       f
                                                              indicated in Section IV o this report.

Date Corrective Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
       Real Alternatives Program and lnstwctianal Design System (RAPID System) O Real Alternatives 2035.2036



                                   EA                    AE
                                  T X S PREGNANCY C R NEWORK
                             Texas Alternative to Abortion Services Program

                                                           EOT
                                          SITE MONITORING R P R

 Site Name:           Care Net Medical Services

 Address:             1818 Columbus Avenue, Waco. TX 76710

 Site No.:            1702

 Director.            Deborah McGregor

 Service Area: McLennan County

 Date of Monitoring:         April 12,2010

 Monitoring Conducted By:             Lesley Kutac, Evaluator


 .
 1         Facility

           A.       General Observations: All counseling areas, office space, lavatories,
                    safety features, equipment, inventory and materiais/storage areas were
                    inspected and found to be in compliance except where noted below.

           0.      ~eficiencies:Two of the fire extinguishers had not been inspected within
                   the past 12 months:

          C.       Corrective Action RecommendediTaken: Service Provider confirmed that
                   all fire extinguishers have been inspected.

          D.       Soeciai.Comments: None


II.       Program Profile

          A.       General Observations: Counseling topics, programs, core services,
                   referrals, educational materials, licensing and site-specific information and
                   hotline accessibility were reviewed and found to be in compliance.

          0.       Deficiencies: None

          C.       Corrective Action RecommendedITaken: None needed

          D.             Comments: None
                   S~ecial


Ill.      Corporate Administration

          A.       General Observations: Corporate records, program records, policies and
                   procedures, staff training, staff clearances, client services, and spiritual
                   counseling procedures were reviewed and found to be substantially in
      Real Alternatives Program and lnstructionol Design System (RAPID System) @RealAlternatives 2005-2006



                   compliance with the contractual requirements of the Texas Alternative to
                   Abortion Services Program, except where noted below.

          0. .     Deficiencies: The counselor listed below experienced a delay in obtaining
                                         P,
                   their clearance from D S and/or FPS.

                        ANB                   09/01109 - 1 1 /02/09

          C.       Corrective Action Recommendedflaken: All Services Rendered Forms
                   submitted by the above counselor, during the lapse indicated, were
                   deducted from the Service Provider's reimbursement.

          D.       Special Comments: None


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.

          0.       Deficiencies: The clients identified by the following Client Confidential
                                                                                 Vs
                   Numbers (CCN) did not properly complete, sign or date the C F on the
                   following dates of service.




                  The Spiritual Counseling Request Form (SCRF) for the clients identified by
                  the following CCNs were not properly signed and/or dated by either the
                  client or the counselor. All Services Rendered Forms (SRF) that indicated
                                             CF
                  the clients had signed an S R , were deducted.




         C.       Corrective Action RecommendedlTaken: Deductions were made for the
                  services rendered to clients .noted above, on the dates of service
                  indicated, and were taken from Service Provider's reimbursement.

         D.       Soecial Comments: None
       Real Alternatives Program and InsfructionaiDesignSystem (RAPIDSystem) @RealAlternatives 2005-2006



      V.    Client Success Story

             *
            :-      The following paragraphs describe a case successfully managed by the
            Service Provider evaluated in fhis report since if joined the Texas Alternative to
            Abortion Services Program. If is shared for the limited purpose of illustrating the
            quality and scope of the Service Provider's work. The client has given consent for
            her story to b e included in fhis report. and her name has been changed to protect
            her privacy.

             Leigh is a 20 year old college student who came to Care Net Medical Services
            just before Thanksgiving 2009 to find out how far along she was in her pregnancy.
            She had been to an abortion facility but was told she was too far along to have
             an abortion there. An athletic trainer at a local college referred her to Care Net
                                                                e
             because he knew about the services we offer. W were able to provide support
            to Leigh, including education about adoption. Leigh's main concerns were that
            she was a college athlete, as was the father of the baby, and that because he
            was of a different race, her family would not accept the baby. She felt forced to
            choose abortion as her only option.

            After spending time with our consultants, Leigh was able to talk through her
            options and realize that there was hope. Leigh left undecided and knew she
            would have to tell her parents during the Thanksgiving holidays, while she was at
            home. Our nurse had been in touch with Leigh throughout the process, but was
            unsure of her final decision. In early Spring Leigh contacted our nurse to tell her
            that she had delivered a healthy baby boy and that just a few weeks before the
            birth she had found the "right" adoptive family. She explained that her baby boy
           was doing well. She communicatei with the adoptive mom everyday via text
           messages and even though she sometimes gets emotional, she is very happy with
           her decision. The father of the baby flew in for the delivery and they have
           reconciled their relationship. He has been very supportive and also helped pick
           out the adoptive family. They were able to go out to dinner with the family and
           she said they had an instant connection and they felt like family to her. Leigh is
           finishing this semester at her current school and will be moving out of state soon
           to live with her sister and go to school there.

           Leigh expressed how thankful she was for all the help she received from Care Net
           Medical Services. In return, we expressed our thanks to her for allowing us to be a
           part of her life and assisting her in her decision.


VI.        Conclusion

           The corrective action for deficiencies listed in Section Ill and Section IV of this
           report resulted in the deduction of the reimbursed amount. The Service Provider
           completed thecorrective action for the deficiency listed in Section I of this report
           by addressing and rectifying it prior to the date of this report.

           Care Net Pregnancy Medical Center is the second site of Care Net Pregnancy
           Center of Central Texas. They are focused on providing pregnancy assistance
           and support, counseling and material assistance to pregnant women in need.
           The organization has been operating for over 24 years and is well known within
           the Waco area as a source for women experiencing challenging pregnancy
           situations. They are located in close proximity to all three colleges. In addition to
           material assistance, referrals, and counseling, they provide a variety of classes
Real Alternatives Program and InstructionalDesign System (RAPID System) O Real Alternatives 2005-2006



    that include topics such as breastfeeding, pregnancy, childbirth, child care,
    maintaining relationships, budgeting skills, job finding skills, nutrition, stress
    management. parenting, post partum stress, STD education. and life skills.
   Real Alternatives Program and InstrvctionalDesign System (RAPID System) O Real Alternatives 2005-2006



                               TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternufive to Abortion Sewices Program

                                                       EOT
                                     SITE MONITORING R P R
                                          SIGNATURE PAGE


Site Monitoring Report Submitted BY:                         Lesley Kutoc

Date of Report:                                              612110

Corrective Action Recommendedflaken:                    .    Deductions in reimbursements as
                                                             indicated in Section Ill and Section IV
                                                             of   this report.            Deficiencies
                                                             addressed and rectified as indicated
                                                             in Section I of this report.

Date Corrective Action Authorized:                           511 1/10

Evaluation Coordinator's Signature:

Executive Director's Signature:
        el
       R a Alternatives Programand lnslructional Design System (RAPID Syrtern) O Real Alternatives 20052006


                                     EA                   A E EW R
                                    T X S PREGNANCY C R N T O K
                               Texas Alternative to Abortion Services Program

                                                             EO T
                                            SITE MONITORING R P R

 Site Name:           Our Lady of the Angels Maternity Shelter

 Address:             613 S.   9th   Street, Temple, TX 76504

       o:
 Site N .             1301

 Directoc             JaLeta Tidmore

 Service Area: Bell County

 Date of Monitoring:            April 1,2010

 Monitoring Conducted By:                 Lesley Kutac, Evaluator


 .
 1         Facility

          A.          General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and materials/storage areas were
                      inspected and found to be in compliance.

          B.          Deficiencies: None

          C.          Corrective Action RecommendedITaken: None needed

          D.                Comments: None
                      S~ecial


11.       Program Profile

          A.       General Observations:        Counseling topics, programs, core services,
                   referrals, educational materials, licensing and site-specific information and
                   hotline accessibility were reviewed and found to be in compliance.

          B.       Deficiencies: None

          C.       Corrective Action RecommendedITaken: None needed

          D.       Swecial Comments: None


Ill.      Corporate Administration

          A.      General Observations: Corporate records, program records, policies and
                  procedures, staff training, staff clearances, client services, and spiritual
                  counseling procedures were reviewed and found to be in compliance
                  with the contractual requirements of the Texas Alternative to Abortion
                  Services Program.
      Real Alternatives Progrom and lnstructianal Design System (RAPID System) Q Real Alternatives 20052006



          B.        Deficiencies: None

          C.       Corrective Action RecommendedlTaken: None needed

          D.       Swecial Comments: None


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.

          8.       Deficiencies: The clients identified by the following Client Confidential
                   Numbers (CCN) did not properly complete. sign or date the CVFs on the
                   following dates of service.




         C.        Corrective Action RecommendedlTaken: Deductions were made for the
                   sewices rendered to clients noted above, on the dates of service
                   indicated. and were taken from Service Provider's reimbursement.

         D.             Comments: None
                  S~ecial


 V.      Client Success Story

         *m:    The following paragraphs describe a case successfully managed by the
        .Service Provider evaluated in this report since it joined the Texas Alternative to
         Abortion Services Program. It is shared for the limited purpose of illustrating the
         qualify and scope of the Service Provider's work. The clients have given their
         consent for their story to be shared, and their names have been changed to
         protect their privacy.

                                                                                 s
         The following are excerpts from the article, An Angel to Guide U, which was
         featured in the Temple Daily Telegram and was written by Tomi Lunsford. Our
         Lady of the Angels Maternity Shelter has obtained permission from the Temple
         Daily Telegram for TPCN to use these excerpts. The article illustrates the assistance
         that Our Lady of the Angels Maternity Shelter provides to its clients. All names
         from the original article have been changed in order to protect client
         confidentiality.

         Pregnancy is new life. There should be joy and hope. But that's not the case for
         every expectant mother. "I was depressed. hopeless and scared." said Michelle
         of Temple. The month was March. "I had one baby with me. and I was eight
         months pregnant with another," Michelle said. "I had no friends, no family.
         nowhere to go." She had come to Killeen from Puerto Rico to let her son Wyatt
                                               Design System (RAPID System] Q Real Alternatives 20052006
      Reol Alternatives Program and lnst~ctional



          see his father. "He was locked up, about to go to prison for a DUI," Michelle said.
           "After that, I went to a shelter in Copperas Cove." And that's where she learned
          about Our Lady of Angels Maternity Shelter in Temple, a non-profit United Way
                                                                               y
          agency that provides emergency housing to pregnant women. B April she was a
          resident of OLAMS. "Things started to make sense there," Michelle said. "My spirit
          healed, and I found the courage to find a job and make it on my own." She had
          a job by June and a place of her own by July. Her income was steady enough by
          September to buy a cell phone. And her new baby, Leo, is happy. "That's what
          we like to see," said JaLeta Tidmore, the shelter Administrator. "The girls come in,
          find stability and safety, develop networks, start working on goals - and then
          they start to succeed at life." In the last decade, shelter staff and volunteers have
          helped more than 230 women work toward that goal.

           Our Lady of Angels Maternity Shelter can house up to 12 pregnant women and
           children in its dormitory-style rooms. Two mothen room together unless there's a
           mom who has a large brood. "The roommate relationship is valuable," Ms.
          Tidmore said. "It prevents the new mom from feeling alone and it can build a
           powerful friendship." The shelter's two current residents know that first hand. Lisa
           and June say they're like sisters, even though they've known each other less than
          two months. They're both in their mid-20%jobless and without family. Lisa is 3
          months pregnant, and June is at 8 months. When the women arrived, their first
          task was to meet with a social worker, and come up with a plan to be
          independent in three months. The residents apply for Medicaid, food stamps
          and W.I.C. and follow up with the social worker everyday to see how they're
          doing on their paper work. Michelle is grateful because the step-by-step
          program she developed with her social worker led her not just to a full-time job
          and paycheck but also to a life filled with friends and community functions. In
          between paper work and job-hunting, the residents take parenting classes from
          the Hope Pregnancy Center, another area non-profit group that caters to
          pregnant women. And to help the residents in gaining employment, the shelter
         joins efforts with the Texas Workforce where skills are identified, and residents are
         sent on prospective job searches. And if a resident lacks her diploma, the shelter
         will help her obtain a GED.

         "Residents are usually well on their way to independence at the end of their three
         months and we're here for them after they leave." Ms. Tidmore added. "If they
                                                                       s
         need baby clothes, food or diapen, we help them as much a we can." Michelle
         knows. "They helped me get started in the apartment," she said. "And they still
         call me to make sure I'm doing OK, and I like to take the babies over to the house
         to visit."


VI.     Conclusion

         The corrective action for deficiencies listed in Section IV of this report resulted in
         the deduction of the reimbursed amount.

        Our Lady of the Angels Maternity Shelter focuses on providing pregnancy
        support, education. life skills, and shelter for pregnant andlor parenting homeless
        women. They provide referrals, material assistance. and a variety of classes that
        cover life skills, nutrition, pregnancy, childbirth. relationships. anger management,
        child care, post partum stress, breastfeeding, abuse, stress management, and
        relationships.
    Reol Alternatives Program and lnstnrctionol Design System (RAPID System) Q Reol Alternatives 2M)52M)6



                               TEXAS PREGNANCY CARE NETWORK
                          TEXAS Alternative to Abortion Services Program
                                  .. .     .

                                         SITE MONITORING REPORT
                                              SIGNATURE PAGE


Site Monitoring Report Submitted By:                           Lesley Kutac

Date of Report:                                                5127110

Corrective Action Recommendednaken:                           Deductions in reimbursements as
                                                              indicated in Section IV of this report.

Date ~orrecti;e Action Authorized:                            5110110

Evaluation Coordinator's Signature:

Executive Director's Signature:
       Real Alternatives Program and lnstnrctionolDesign System (RAPID System] @ R l Alternatives 2M)52006
                                                                                  m



                                    EA                     A E EW R
                                   T X S PREGNANCY C R N T O K
                              Texas Alterncrtive to Abortion Services Program

                                                          EO T
                                         SITE MONITORING R P R

 Site Name:           Catholic Charities of the Archdiocese of San Antonio, Guadalupe Home

 Address:             1223 South Trinity St.. San Antonio, TX 79603

       o:
 Site N .             230 1

 Director:            Suzanne deLeon

 Service Area: Bexar County

 Date of Monitoring:          April 6.2010

Monitoring Conducted By:              Lesley Kutac, Evaluator


.
1          Facility

          A.          General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and materials/storage areas were
                      inspected and found to be in compliance.

          B.          Deficiencies: None

          C.          Corrective Action RecommendedlTaken: None needed

          D.        Soecial Comments: None


 I
I.        Program Profile

          A.       General Observations: Counseling topics, programs, core services,
                   referrals, educational materials, licensing and site-specific information and
                   hotline accessibility were reviewed and found to be in compliance.

          B.       Deficiencies: None

          C.       Corrective Action RecommendedITaken: None needed

          D.       Soecial Comments: None


Ill.      Corporate Administration

          A.       General Observations: Corporate records, program records, policies and
                   procedures, staff training, staff clearances, client services, and spiritual
                   counseling procedures were reviewed and found to be substantially in
                   compliance with the contractual requirements of the Texas Alternative to
                   Abortion Services Program, except where noted below.
      Real Altematfves Program and Instructional Design System (RAPID System) Q Reol Alternatives 2005-2006



          B.        Deficiencies: The counselor listed below experienced delays in obtaining
                                          P,
                    their clearance from D S and/or FPS.

                        01. ELR                1 1118/09 - 03/07/10
                        02. MGD                09/02/09 - 03115110

          C.       Corrective Action Recommended/Taken: All Services Rendered Forms
                   submitted by the above counselor, during the lapse indicated, were
                   deducted from the Service Provider's reimbursement.

          D.             Comments: None
                   S~ecial


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbuned for dates of service reviewed, except where noted below.

          B.       Deficiencies: The clients identified by the following Client Confidential
                   Numbers (CCN) did not properly complete, sign or date the CVFs on the
                   following dates of service.




                   The clients identified by the CCN listed below, was ineligible for Program
                   services. All reimbursement that was paid for services rendered to this
                   client must be deducted.



                   The Spiritual Counseling Request Form (SCRF) for the client identified by
                   the following CCN was not properly signed and/or dated by either the
                   client or the counselor. All Services Rendered Forms that indicated the
                                          CF
                   client had signed the S R must be deducted.



         C.        Corrective Action RecommendedlTaken: Deductions were made for the
                   services rendered to clients noted above, on the dates of service
                   indicated, and were taken from Service Provider's reimbursement.

        p.     .         Comments: None
                   S~ecial
 Reol Alternatives Program and lnstructianol Design System [RAPiD System) Q Reol Alternatives 2005-2006



V.    Client Success Story

      *Nofe: The following paragraphs describe a case successfully managed by the                         .   .

      Sewice Provider evaluated in this report since if joined the Texas Alternative to
      Abortion Sewices Program. If is shared for the limited purpose of illusfrating the
      quality and scope of the Service Provider's work The client has given consent for
      her story to be included in this report, and her name has been changed to protect
      her privacy.

       o
      T illustrate services that Guadalupe Home provides to pregnant clients, in
      addition to parenting clients, the Executive Director shared the story of one of
      their clients, Sally:

     When Sally was a little girl, she grew up thinking that she didn't want to have
     children; at least not until she was out of college and had a job. Her dream was
     the "American dream," to find her prince charming, get married and then,
     maybe, bring children into the world. She wanted the "white picket fence." She
     wanted what she didn't have growing up. Life handed her a different plan.

     At a very young age. Sally was removed from her biological mother and she lived
     with several foster families. She became very attached to the last foster mother
     she lived with and they continue to have a relationship today. Her biological
     mother died last year and it was her foster mother who helped her through the
     grieving process. In her teen years, she ran with a rough crowd and d ~ g s
                                        hs
     became a part of her routine. T i kind of lifestyle lasted for several years. She
     was in and out of college during this time and didn't always make good life
     decisions.

     At age 20, Sally discovered she was pregnant and her life immediately changed.
     She said she stopped using the illegal drugs because she knew it could affect the
     baby. The boyfriend that she thought she could depend on, was now gone
     because he said he "wasn't ready to be a dad." When she moved into the
     Guadalupe Home she wasn't sure how she could continue to go to school and
     get ready for a baby.

     Sally struggles with mental health issues and as her mood varied, she oflen
     struggled with her classes and making positive choices. I t helped her to be
     around other mothers and as she watched them, she started learning how to
     better cope with everyday life st~ggles.

     She loved the fact that she had her own room that she could decorate and get
     ready for her baby's birth. She decided on the name, Ronny, months before he
     was due and always referred to him when she discussed her life and plans for the
     future. During the time she lived at the Home she became a senior resident
                                                             t
     where she earned the privilege of helping to i n s t ~ cother residents on the ~ l e s
     and chores to run the home. She enjoyed this responsibility and learned ways to
     speak to others that was respectful and helpful.

     When Baby Ronny was born, Sally was s happy. She says that the skills that she
                                             o
     learnedduring her childbirth education.class helpedher during labor, while the
     parenting education she received helped her to get off to a good start. She was
     very proud of her parenting skills and was eager to teach other new moms how
     to feed and soothe their fussy baby.
      Real Alternatives Program and lnshuctional Design System (RAPID System) O Real Alternatives 20052006



           Recently Sally and Ronny moved into a small apartment close to her sister. She
          got a part-time job at a local bank and she can continue to go to school part-
          time. She also found a daycare close to the apartment. Sally says that she really
          liked living at the Guodalupe Home and hopes that other young homeless
          mothers who live here will take advantage of the programs offered. Sally says her
          focus completely changed when she found out she was going to have a baby
          and it is not just about her anymore. She struggles with her mental illness but
          doesn't let it define who she is. She knows she is strong and will make mistakes,
          but the experiences she had and benefited from during the time she lived a t the
          Home will forever b e with her. She also knows that she has friends here and that
          the staff will always b e available to help her when she needs help or just needs
          someone to talk to.

          Sally is a devoted and loving mother to her son. The way Ronny looks at her, you
          can tell that the love is mutual!

VI.      Conclusion

         The corrective action for deficiencies listed in Section IV and Section Ill of this
         report resulted in the deduction of the reimbursed amount.

         Guadalupe Home is a maternity residence for homeless, pregnant women.
         Residents at the home are taught to become responsible, self-sufficient. loving
         mothers and are educated on important life skills that help them transition to
         independent living. Guadalupe Home provides pregnancy support, materials
         assistance, and education on topics such as fetal development, budgeting skills,
         decision making. nutrition, abuse, and stress management.
   Real Alternatives Program and instructional Design System (RAPID System) O Real Alternatives 20052006



                              TEXAS PREGNANCY      CARE N W O R K
                         TEXAS Alternative to Abortion Services Program
                                  .   .   ..

                                      SITE MONITORING REPORT
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                          Lesley Kutac

Date of Report                                                6/14/10

Corrective Action Recommendedflaken:                          Deductions in reimbursements as
                                                              indicated in Section IV and Section Ill
                                                              of this report.

Date Corrective Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
                                                                    System) o Real Alternotiver ZWS-2036
       Real Alternatives Program andlnstructionalDesign System (RAPID



                                  EA
                                 T X S PREGNANCY CARE N T O KEW R
                            Texas Alternative to Abortion Services program
                             .,                          EOT
                                        SITE MONITORING R P R

  Site Name:         San Antonio Birth Doulas

 Address:            1801 West Durango, San Antonio, TX 78207

 Site No.:           2401

 Director:           Suzanne deleon

 Service Area: Bexar County

 Date of Monitoring:        April 7,2010

 Monitoring Conducted By:            Lesley Kutac, Evaluator


 I.       Facility

          A.         General Ob~e~CItions:All counseling areas, office space, lavatories,
                     safety features, equipment, inventory and materialslstorage areas were
                     inspected and found to be in compliance.

          B.         Deficiencies: One fire extinguisher had not been inspected within the
                     past 12 months.

          C.      Corrective Action RecornmendedlTaken: Service Provider confirmed that
                  the fire extinguisher has now been inspected.

          D.      Soecial Comments: None


11.       Program Profile

          A.      General Ob~e~ations: Counseling topics, programs, core services,
                  referrals, educational materials, licensing and site-specific information and
                  hotline accessibility were reviewed and found to be in compliance.

         8.       Deficiencies: None

         C.       Corrective Action RecommendedITaken: None needed

         D.       Soecial Comments: None


Ill.     Corporate Administrution

         A.       General Observations: Corporate records, program records, policies and
                  procedures, staff training, staff clearances, client services, and spiritual
                  counseling procedures were reviewed and found to be in compliance
      Real Alternatives Program and InstructionalDesign System (RAPID System) O Real Alternatives 2005-2006



                   with the contractual requirements ot the Texas Alternative to Abortion
                   Services Program.

          B.       Deficiencies: None

          C.       Corrective Action RecommendedlTaken: None needed

          D.       Soecial Comments: None


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.

          B.       Deficiencies: The clients identified by the following Client Confidential
                   Numbers (CCN) did not properly complete, sign or date the CVFs on the
                   following dates of service.

                       01. 2401TX01225        09/02/09
                                X
                       02.2401T O 1405        02122110
                       03. 2401TXO1405        02/26/10
                       04. 2401TX01405        02127110
                       05. 2401TX01594        01/05/10

                  The clients identified by the CCN's listed below, were ineligible for
                  Program services. All reimbursement that was paid for services rendered
                  to these clients must be deducted.




                   h
                  T e Spiritual Counseling Request Form (SCRF) for the clients identified by
                  the following CCNs were not properly signed and/or dated by either the
                  client or the counselor. All Services Rendered Forms that indicated the
                                         CF
                  clients had signed an S R , must be deducted.




         C.       Corrective Action RecommendedITaken: Deductions were made for the
                  services rendered to clients noted above, on the dates of service
                  indicated, and were taken from Service Provider's reimbursement.

         D.       Soecial Comments: None



V.       Client Success Story
Real Alternatives Program and lnstructionol Design System (RAPID System) O Reol Alternatives 2005-2006




     *Note: The following paragraphs    describe a case successfully managed by the
    Service Provider evaluated in this report since it joined the Texas Alternative to
    Abortion Services Program. If is shared for the limited purpose of illustrating the
    qualify and scope of the Service Provider's work. The client has given consent for
    her story to be included in this report, and her name has been changed to protect
    her privacy.

     o
    T illustrate services that Son Antonio Birth Doulas provide to parenting clients, in
    addition to pregnant clients, the Executive Director shared the story of one of
    their clients, Alexis:

     Alexis had been a previous San Antonio Birth Doulas client in June of 2008 when
    she gave birth to her son, Freddie. After his birth, she kept in touch off and on
    with her doula and would send pictures of Freddie. She had her own apartment
    and a good paying job and was taking care of herself and her baby along with
    the help of her boyfriend. In July 2009, Alexis found out that she was pregnant
    again and shortly after that, her boyfriend was put in jail. Alexis did not have a
    very solid family support system and felt she would not be able to take care of
    another baby on her own. She considered terminating her pregnancy. The
    doula heard about Alexis' new pregnancy through a friend of hers who was also
                                                 s
    an SABD client. The doula contacted her a soon as possible and learned that
    she had had four previous cesarean section births and she was afraid that her
                           and she would die if she got pregnant again. It was clear
    uterus would ~ p t u r e
    that she was terrified about having another baby and was seriously considering
    abortion.

   The doula spent a lot of time on the phone with Alexis and encouraged her to
   schedule an appointment with her doctor just to confirm that she was actually
   pregnant. In preparation for her first prenatal appointment the doula asked her to
   put together a list of questions for the doctor to ensure that she would get the
   information she needed and to find out if she would be able to safely cony
   another baby. At the appointment, Alexis' doctor gave her all of the information
   she needed to minimize this fear but as she left her appointment she did tell her
   doctor that she was still not sure that she would continue her pregnancy. She was
   very afraid that she would not be able to take care of another baby financially
   and emotionally.

   During another conversation with Alexis, she spoke about how 'much a new car.
   seat would cost and the doula gave her a phone number of an organization that
   gave out brand new car seats for taking a safety class. With other fears of costly
   items for the baby, she was given additional referrals to organizations that could
   help her. As Alexis realized the amount of services that were available to her and
   her children, she started to become more confident that she might actually be
   able to take care of her new baby.

   When the doula accompanied Alexis to another prenatal visit with her doctor,
   she asked the same questions from her previous visit and felt more reassured that
   she could do this and she decided that she wanted to keep her baby. During
   subsequent visits with her doula, Alexis' self esteem improved. She became more                       .
   confident and started building good friendships and was able to reconnect with
   her family. She now had lots of support.
      Real Alternatives Program and Instructional Design System (RAPID System) @ Real Alternatives 2035-2036



          Alexis gave birth to Billy in March of 2010 and was very happy with her decision to
          have this baby. She will be going back to work soon and is planning to start
          taking classes during the summer to become a teacher.

          Alexis says that if it had not been for the constant source of support and
          encouragement from her doulas, she might have made a very tragic decision.
          She said that not only did the doula help her realize her fears and help her find
          ways to overcome them, her doula also helped her to become the mother she
          wants to be to her children.


VI.       Conclusion

          The corrective action for deficiencies noted in Section IV of this report resulted in
          the deduction of the reimbursed amount. The Service Provider completed
          corrective action for the deficiency listed in Section I of this report by addressing
          and rectifying it prior to the dote of this report.

         The San Antonio Birth Doulas are heavily focused on providing pregnancy
         assistance, post partum support, education, and counseling to pregnant women
         in need. Their services are mainly delivered where their clients are located. to
         better assist those that may hove transportation difficulty or other limitations. One
         of their programs, called Project Post Partum, provides post partum visits to the
         new mother's home. The doula aids her in organizing her schedule and
         becoming acclimated to her new role as a mom. Doulas discuss healthy habits
         and assist the mother in bonding with the new baby. Post partum depression is
         assessed by the doula and if needed, appropriate resources are utilized to
         protect both the mother and her baby.
    Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 20052CO6



                                TEXAS PREGNANCY CARE NETWORK
                          TEXAS Alterncrtive to Aboltion Services Program

                                      SITE MONITORING REPORT
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                           Lesley Kutac

Date of Report:                                               6/14/10

Corrective Action Recommendedflaken:                          Deductions in reimbursements as
                                                              indicated in Section IV of this report.
                                                              Deficiency addressed and rectified
                                                              as indicated in Section I of this
                                                              report.

Date Corrective Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
       Real Alternatives Program and Instructional DesignSystem (RAPIDSystem) @ Real Alternatives 200S2006



                                  TEXAS PREGNANCY CARE NETWORK
                             Texas Alternative to Abortion Services Program

                                         SITE MONITORING REPORl

 Site Name:           Pregnancy Resources of Abilene

 Address:             21 10 N. Willis, Abilene, TX 79603

 Site No.:            2501

 Director:            Holly Whitehead

 Service Area: Taylor, Jones, Shackelford, Nolan, and Callahan Counties

 Date of Monitoring:         April 20,2010

~onitorinb
         Conducted By:                Lesley Kutac. Evaluator


.
1          Facility

           A.         General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and materialslstorage areas were
                      inspected and found to b e in compliance except where noted below.

           B.         Deficiencies: Two of the fire extinguishen lacked recent inspection: two of
                      the smoke detectors were not functioning.

          C.       Corrective Action Recommendedflaken: Service Provider confirmed that
                   all fire extinguishers have now been inspected and that all smoke
                   detectors are functioning.

          D.       Soecial Comments: None


 I
I.        Program Profile

          A.       General Observations:        Counseling topics, programs, core services,
                   referrals, educational materials, licensing and site-specific information and
                   hotline accessibility were reviewed and found to be in compliance.

          B.       Deficiencies: None

          C.       Corrective Action Recommendedflaken: None needed

          D.       Soecial Comments: None


Ill.      Corporate Administration

          A.       General Observations: Corporate records, program records. policies and
                   procedures, staff training, staff clearances, client services. and spiritual
      Real Alternatives Program and lnifructionol Design System (RAPID System] Q Reol Alternatives 20052006



                   counseling procedures were reviewed and found to be in compliance
                   with the contractual requirements of the Texas Alternative to Abortion
                   Services Program.

          B.       Deficiencies: None

          C.       Corrective Action RecommendedlTaken: None needed

          D.             Comments: None
                   S~ecial


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.

          B.       Deficiencies: The clients identified by the following Client Confidential
                   Numbers (CCN) did not properly complete, sign or date the CVFs on the
                   following dates of service.




                  The clients identified by the CCN's listed below, were ineligible for
                  Program services.




                  The Spiritual Counseling Request Form (SCRF) for the clients identified by
                  the following CCNs were not properly signed andlor dated by either the
                  client or the counselor. All Services Rendered Forms (SRF) that indicated
                  the clients had signed a n SCRF, were deducted.




         C.       Corrective Action RecomrnendedITaken: Deductions were made for the
                  services rendered to clients noted above, on the dates of service
                  indicated, and were taken from Service Provider's reimbursement.

        D.       Saecial Comments: None
       Real Alternatives Program and InstructionalDesign System (RAPID System) @ Real Alternatives 233521336



      V.    Client Success Story

            *
            -
            :      The following paragraphs describe a case successfully managed by the
            Service.Providerevaluafed in this report since it- joined the Texas Alternative to
            Abortion Services Program. It is shared for the limited purpose of illusfrafing the
            qualify and scope of the Sem'ce Provider's work. The clients have given their
            consent for their story to be included in this report and their names have been
            changed to protect their privacy.

             o
            T illustrate services Pregnancy Resources of Abilene provides to parenting clients,
            in addition to pregnant clients, the Executive Director shared the story of their
            clients, Brittany and Adam:

           Brittany is 17 with a 4 month old son. She is not in school and st~ggles      with a
           learning disability. Her living situation has never been stable and she moves
           often. She currently lives with her 21 year old sister and occasionally with her best
           friend from school or her mom. She is in a relationship with her baby's father, who
           attends a local high school. She came in for a pregnancy test, which yielded a
           positive result. She stated that she would need to have an abortion as she would
           not be able to parent another child. I explained her option to her and she said
           she had never thought about adoption but was not sure her boyfriend or friends
           would like the idea of her being pregnant at all. She felt sure that they would all
           encourage her to have an abortion. I asked if it would be helpful for me to meet
           with her boyfriend to explain their options to him. She gratefully accepted.

           The next day she came in with her boyfriend, Adam, and her best friend's mom.
            Barbara. Barbara explained that she has been Brittany's mentor since Brittany
           was in the 4th grade and has supported and helped Brittany with her 4 month old
           son. As I began to ask Brittany and Adam about their parenting, they expressed
           how difficult it is. They explained that they have no emotional or financial support
           from either family. In fact, the families are against Brittany and Adam seeing
           each other at all, despite the baby they are raising. We talked for a while longer
           about their responsibilities and how they felt about their options. At the end of
           our session Brittany and Adam both said that they wanted to choose adoption for
           this pregnancy.

           As they were leaving, Barbara turned to me and said that just one week ago she
           was at the hospital with another one of her daughter's friends. The girl had also
           experience d teenage pregnancy and had placed her baby for adoption. She
           admitted that she had never really thought about adoption, much less witnessed,
           but that she thought it was an amazing option for the situation. Barbara
           mentioned the girl's name and as soon as she said it, I realized that I knew the
           young lady she was referring to. She was our client 7 months ago and chose
           adoption in her 8th month of pregnancy.

           Adam and Brittany came in for their ultrasound the next day and had already
           contacted the adoption agency and were moving ahead with their plans.


VI.        Conclusion

           The corrective action fordeficiencies listed in Section IV of this report resulted in
           the deduction of the reimbuned amount. The Service Provider completed the
Real Alternatives Pragram and instructional Design System (RAPID System] O Real Alternatives 20052006



    corrective action for the deficiency listed in Section I of this report by addressing
    and rectifying it prior to the date of this report.

    Pregnancy Resources of Abilene has been in operation for about 27 years and is
    well known within the Abilene area as a source for women experiencing
    challenging pregnancy situations. They are focused on providing pregnancy
    assistance and support, counseling and material assistance to pregnant women
    in need. They are located on a public transportation route and are in close
    proximity to the local colleges. Pregnancy Resources of Abilene encourages its
    clients to further their education by providing detailed, step-by-step instructions
    on how to register for classes and finding financial aid. They even pay for their
    clients' GED testing. They provide clients with referrals to local bankers who will
    help them set up checking and savings accounts and a budgeting plan and
    provide assistance with diapen and formula.
    Real Alternatives Programand Instructional Design System (RAPID System) @RealAlternatives 2005-2006


                               TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                                        EOT
                                      SITE MONITORING R P R
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                          Lesley Kutac

Date of Report:                                               611 1/10

Corrective Action Recommendedftaken:                         Deductions in reimbursements as
                                                             indicated in Section IV of this report.
                                                             Deficiencies addressed and rectified
                                                             as indicated in Section I of this
                                                             report.

Date Corrective Action Authorized:                           51281 10

Evaluation Coordinator's Signature:

Executive Director's Signature:
       Real Alternatives Progrorn and InstructionalDesign System (RAPID System1 O Real Alternatives 2005.2006


                                  TEXAS PREGNANCY CARE N T O KEW R
                             Texas Alternative to Abortion Services Program

                                                           EOT
                                          SITE MONITORING R P R

 Site Name:           Pregnancy Care Center of Texoma

 Address:                                       X
                      105 West Pecan, Sherman, T 75090

 Site No.:            1101

 Director:            Melva Kittrel

 Service Area: Grayson. Fannin, and Collin Counties, 1X ond Bryan County, OK

 Date of Monitoring:         April 27,2010

 Monitoring Conducted By:              Lesley Kutac, Evaluator


 .
 1         Facility

           A.         General Observations: All counseling areas, office space. lavatories,
                      safety features, equipment, inventory and materiaislstorage areas were
                      inspected and found to b e in compliance.

           B.         Deficiencies: None

          C.          Corrective Action RecommendedITaken: None needed

          D.                Comments: None
                      ~wecial


 1
1.        Program Profile

          A.       General Observations:        Counseling topics, programs, core services.
                   referrals, educational materials, licensing and site-specific information and
                   hotline accessibility were reviewed and found to b e in compliance.

          B.       Deficiencies: None

          C.       Corrective Action RecommendedfTaken: None needed

          D.                  l
                   S ~ e c i aComments: None


Ill.      Corporate Administration

          A.       Generai Observations: Corporate records, program records, policies and
                   procedures, staff training, staff clearances, client services, and spiritual
                   counseling procedures were reviewed and found to b e in compliance
                   with the contractual requirements of the Texas Alternative to Abortion
                   Services Program.
      Real Alternatives Program and InstructionalDesign System (RAPID System) O Real Alternatives 2W5-2036




          B.       Deficiencia: None

          C.       Corrective Action Recommended/Taken: None needed

          D.             Comments: None
                   S~ecial


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.

          B.       Deficiencies: The clients identified by the following Client Confidential
                                                                                 Vs
                   Numbers (CCN) did not properly complete, sign or date the C F on the
                   following dates of service.




                  The clients identified by the CCN's listed below, were ineligible for
                  Program services.




                  The Spiritual Counseling Request Form (SCRF) for the clients identified by
                  the following CCNs were not properly signed and/or dated by either the
                  client or the counselor. All Services Rendered Forms (SRF) that indicated
                                             CF
                  the clients had signed an S R , were deducted.




         C.       Corrective Action RecommendedlTaken: Deductions were mode for the
                  services rendered to clients noted above, on the dates of service
                  indicated, and were taken from Service Provider's reimbursement.

         D.             Comments: None
                  S~ecial


 V.      Client Success Story

         *w:      The following paragraphs describe a case successfully managed by the
         Service Provider evaluated in this reporf since it joined the Texas Alternative to
         Abortion Services Program. It is shared for the limited purpose of illustrating the
         quality and scope of the Service Provider's work The client gave her consent for
         fheir sfory fo be included in this reporf.

         In the words of the client:
      Real Alternatives Program and Instructional Design System (RAPID System] O Real Alternatives 2005-2006



           "When I thought I might be pregnant I immediately went to the store and
          purchased a pregnancy test. I was so relieved when I saw that the result was
          negative. However, after a few weeks it. became apparent that the test could
          have been wrong. My friend suggested that Igo to the Pregnancy Care Center
          for a test and information.

          Thinking about going to the center made me envision long lines and long periods
          of waiting but when I amved at the center I found that this was nof the case. I
          was met at the reception window with a smile and was soon invited back to
          speak with my counselor. She provided me with a pregnancy test and as I had
          feared, its result was positive. I burst into tears as I thought about the choices I
          had made to put myself in this situation. I was even more upset because the
          father of my baby is not someone I see myself having a relationship with. Luckily
          my counselor was there to hold my hand, support me by telling me that I was
          strong enough to get through this, and educate me about resources fo help me
          during my pregnancy. After we talked for a while longer, I felt refreshed and able
          to make plans for the future.

          I am so grateful for everyone at fhe Pregnancy Care Center for making fheir
          services available and possible to young women, like myself. They supported me
          and helped me get through a very difficult time in my life."


VI.      Conclusion

         The corrective action tor deficiencies noted in Section IV of this report resulted in
         the deduction of the reimbursed amount.

         The Pregnancy Care Medical Center of Texoma has a wide variety of
         educational programs that are delivered in-house. Courses include such topics
         as parenting skills, sexual health, car seat safety, childbirth, nutrition, adoption,
         and life skills.
   Real Alternatives Program and lnstnrctionaiDesign System (RAPID System) O Real Alternafives M 0 5 2 M ) b



                              TEXAS PREGNANCY CARE NETWORK
                          TWS Alternative to Abortion Services Program

                                       SITE MONlTORlNG REPORT
                                            SIGNATURE PAGE


Site Monitoring Report Submitted By:                            Lesley Kutac

Date of Report:                                                 6/11/10

Corrective Action Recommendedflaken:                            Deductions in reimbursements as
                                                                indicated in Section IV of this report.

Date Corrective Action Authorized:                              5/41 10

Evaluation Coordinator's Signature:                               -
                                                                  /
                                                                  *
Executive Director's Signature:
      R&I Alternatives Program and lnsfructionalDesign System (RAPID System) O Real Alternatives 20052006



                                                         A E EW R
                                  TEXAS PREGNANCY C R N T O K
                            .Texas Alternative to Abortion Services Program

                                                         EO T
                                        SITE MONITORING R P R

 Site Name:          First Choice Pregnancy Resource Center

 Address:            602 Main St., Texarkana, TX 75501

 Site No.:           1401

 Director:           Kimberly Banks

 Service Area: Bowie and Cass counties

 Date of Monitoring:         April 28,2010

Monitoring Conducted By:             Lesley Kutac, Evaluator


.
1         Facility

         A.          General Observations: All counseling areas, office space, lavatories,
                     safety features, equipment, inventory and materialslstorage areas were
                     inspected and found to be in compliance.

         B.          Deficiencies: None

         C.       Corrective Action RecommendedlTaken: None needed

         D.       Swecial Comments: None


11.      Program Profile

         A.       General Observations: Counseling topics, programs, core services,
                  referrals, educational materials, licensing and site-specific information and
                  hotline accessibility were reviewed and found to be in compliance,
                  except where noted below.

         B.       Deficiencies: Some spiritual educational materials were not clearly
                  labeled and separated from non-spiritual maten'als.

         C.       Corrective Action RecommendedlTaken: Spiritual educational materials
                  have been labeled and separated from non-spiritual educational
                  materials.

         D.       Swecial Comments: None
       Real Alternatives Program and Instructional Design System (RAPID System] O R e a l Alternatives 2005-2006



Ill.       Corporate Administration

           A.       General Observations: Corporate records, program records, policiesand
                    procedures, staff training, staff clearances,client services, and spiritual
                    counseling procedures were reviewedand found to be in compliance
                    with the contractual requirements of the Texas Alternative to Abortion
                    Services Program.

           8.       Deficiencies: None

           C        Corrective Action RecommendedITaken: None needed

           D.       Swecial Comments: None


IV.        Reimbursement Compliance

           A.       General Observations: Reimbursementforms and Client ~eflfication  Forms
                    (CVFs) confirm that Service Provider submitted for and was appropriately
                    reimbursed for dates of service reviewed, except where noted below.

           8.       Deficiencies: The clients identified by the following Client Confidential
                    Numbers (CCN) did not properly complete, sign or date the CVFs on the
                    following dates of service.




                   The clients identified by the CCN's listed below, were ineligible for
                   Program services. All reimbursement that was paid for services rendered
                   to these clients must be deducted.




                   The Spiritual Counseling Request Forms (SCRF) for the clients identified by
                   the following CCN's were not properly signed and/or dated by either the
                   client or the counselor. All Services Rendered Forms that indicated the
                   clients had signed the SCRF's must be deducted.
 Real Alternatives Program and instructional Design System (RAPID System] @ Real Alternatives 2W5-2W6




     C.       Corrective Action RecommendedlTaken: Deductions were made for the
              services rendered to clients noted above, on the dates of service
              indicated, and were taken from Service Provider's reimbursement.

     D.             Comments: None
              S~ecial


V.   Client Success Story

     *Nofe: The following paragraphs describe a case successfully managed by the
     Service Provider evaluated in this reporf since if joined the Texas Alternative to
     Aborfion Services Program. It is shared for the limited purpose of illustrating the
     qualify and scope of the Service Provider's work. The client has given consent for
     her story to be included in this reporf, and her name has been changed to protect
     her privacy.

     The Executive Director shared the story of one of their clients:

     One of our clients participated in our prenatal class, "Your Unborn Baby's Secret
     World." The purpose of this lesson was to help the mother be more aware of
     what her baby was doing inside the womb. Once the class ended, the mothers
     were asked to keep a journal of what they experienced with her baby for the
     next 6 days. One of the class participants explains her experience:

     "Day 1: Since taking the class and watching the tape, I'm much more attentive
     to the baby. I rub my belly and talk with the baby almost anytime I'm not
     occupied with doing something. Ithink the baby likes that.

     Day 2: The baby was in a position where my side was hurting. I rubbed my belly
     and told my baby, 'you're hurting mommy' and a few moments later, my side
     stopped hurting.

     Day 3: 1 can tell my baby likes when I eat sweets. I don't get indigestion.

     Day 4: Today the baby moved around a lot. It felt like my sweetie was fluttering
     and trying to get comfortable.

     Day 5: 1 listened to music most of the day and sang along with the songs I knew.
     I think the baby liked that.

     Day 6: The baby's dad and I were together today. I think the baby recognized
     dad and moved a little while he lubbed my stomach and held his head to the
           o
     baby s he could listen what was going on."
     Real Alternatives Program and InstructionalDesign System (RAPIDSystem) O Real Alternatives 2005-2006




 I
V.       Conclusion

         The corrective action for deficiencies noted in Section IV of this report resulted in
         the deduction of the reimbursed amount. The Service Provider completed
         corrective action for the deficiency listed in Section II of this report by addressing
         and rectifying it prior to the date of this report.

         The First Choice Pregnancy Resource Center provides pregnancy assistance,
         support, education, counseling and material assistance to pregnant women in
         need. They also provide clients with a wide variety of educational programs that
         are delivered in-house, covering topics that include parenting. life skills, childbirth,
         anger management, and relationships. They offer their "Daddy Boot Camp" to
         male clients, in which a male instructor teaches them how to care for an infant,
                                                              s
         how to care for mommy. and how important it i to be a positive influence on
         their children. First Choice also holds a cooking class in their facility's kitchen,
         which is open to all clients and is held in the evenings.
   Real Alternatives Program and lnrfructionalDesign System (RAPID System) O Real Alternatives 2M)5-2M)6



                               TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                      SITE MONITORING REPORT
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                          Lesley Kutac

Date of Report:                                               611 1/70

Corrective Action Recommendedflaken:                          Deductions in reimbursements as
                                                              indicated in Section IV of this report.
                                                              Deficiency addressed and rectified
                                                              as indicated in Section I of this
                                                                                           1
                                                              report.

Date Corrective Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
       Real Alternatives Program and lnsfructionalDesign System (RAPID System) O Real Alternatives 2W5-2W6



                                   EA                    A E EW R
                                  T X S PREGNANCY C R N T O K
                             Texas Alternative to Abortion Services Program

                                                         EO T
                                        SITE MONITORING R P R

 Site Name:           Living Alternatives of Jacksonville

 Address:             805-A South Jackson, Jacksonville, TX 75766

 Site No.:            1601

 Director.            Jackie Mitchell

 Service Area: Cherokee County

 Date of Monitoring:         May 11,2010

 Monitoring Conducted By:            Lesley Kutac, Evaluator


 1.        Facility

          A.          General Observations: All counseling areas, office space, lavatories,
                      safety features, equipment, inventory and materials/storage areas were
                      inspected and found to be in compliance.

          B.          Deficiencies: None

          C.          Corrective Action RecommendedITaken: None needed

          D.                Comments: None
                      S~ecial


II.       Program Profile

          A.       General Observations: Counseling topics, programs, core services,
                   referrals, educational materials. licensing and site-specific information and
                   hotline accessibility were reviewed and found to be in compliance.

          8.       Deficiencies: None

          C.       Corrective Action RecommendedlTaken: None needed

          D.             Comments: None
                   S~ecial


Ill.      Corporate Adminimation

          A.      General Observations: Corporate records, program records, policies and
                  procedures, staff training, staff clearances, client services, and spiritual               .
                  counseling procedures were reviewed and found to be in compliance
                  with the contractual requirements of the Texas Alternative to Abortion
                  Services Program.
      Real Alternatives Program and Instructional Design System (RAPID System) O Reol Alternatives 20052006




          8.        Deficiencies: None

          C.       corrective Action Recommended/Taken: None needed

          D.       &ecial Comments: None


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.

          8.       Deficiencies: The clients identified by the following Client Confidential
                   Numbers (CCN) did not properly complete, sign or date the CVFs on the
                   following dates of service.




                  The Spiritual Counseling Request Form (SCRF) for the client identified by
                  the following CCN was not properly signed and/or dated by either the
                  client or the counselor. All Services Rendered Forms that indicated the
                  client had signed the SCRF must be deducted.



         C.       Corrective Action RecommendedITaken: Deductions were made for the
                  services rendered to clients noted above; on the dates of service
                  indicated, and were taken from Service Provider's reimbunement.

         D.             Comments: None
                  S~ecial


V.       Client Success Story

         *Nofe: The following paragraphs describe a case successfully managed by the
         Service Provider evaluated in this reporf since if joined the Texas Alternative to
         Aborfion Services Program. If is shared for the limited purpose of illustrating the
         quality and scope of the Service Provider's work. The client has given consent for
         her story to be included in this report, and her name has been changed to protect
         her privacy.


        To illustrate the services that Living Alternatives provides to pregnant and
        parenting clients, in addition to parenting clients, the Executive Director shared
        the story of Amanda:
Real Alternatives Program and instructional Design System (RAPID System) @ Real Alternatives 2005-2006



    Amanda had just moved to the area from out of state in late 2009. She was 16
    years old and pregnant. The father is a boy she knew before her move. Her
    mother, Jill, called Living Alternatives of Jacksonville and asked if Amanda could
    come in for an appointment. Jill is a single mother that commutes to another
    town everyday and works long hours. We agreed that Amanda could have the
    school bus drop her off at our office after school the next day so that she and I
    could talk about her situation until her mom could come pick her up.

    When she arrived, Amanda tried to act tough but I could tell she was tired and
    scared while she told me her story. Her counselor at school had thankfully given
    Amanda our information and phone number. The father of the baby didn't want
    anything to do with her now that she was pregnant and would not claim the
    twins she was carrying. Not only was this young girl and her mom new to the area
    and having financial difficulties, but now here would be two little ones to take
    care of.

    Before her move, Amanda had hung out with some bad influences and had
    gotten into some legal problems. She had also experimented with dwgs and
    alcohol and had little respect for adults. She wasn't concerned about her eating
    habits or the benefits of taking her prenatal vitamins every day. When we
    discussed the family finances she stated that she didn't think finances had
    anything to do with babies. We discussed the benefits of vitamins during
    pregnancy and made a list of items that are necessary when parenting a
    newborn, such as diapers, wipes, shampoo, thermometers, bottles ointments, and
    over the counter medications that are not available through food stamps or WIC.

    In the following months since Amanda's first visit, I noticed a positive change in
    her behavior. She found out that she was having twin boys. She is all smiles and is
    determined to finish high school. She will have to take two classes the first half of
    next year in order to graduate but says she is ready to take on the challenge.
    She also obtained information on State funded child care services to help with
    the cost of child care while she's finishing school.

    She has participated in all of our counseling sessions, and we've provided her
    with maternity clothes for her pregnancy and have started gathering baby
    clothes for once the twins arrive. We've also assisted her in obtaining bigger
    baby items, such as baby beds and infarit carriers. Each year we are able to gift
    dedicafed moms with a new dresser filled with new baby items. Amanda was
    one of our dedicated moms this year.

    Amanda is due to give birth in a few weeks and is having a baby shower soon.
    She invited the staff of Living Alternatives of Jacksonville and we have a basket
    full of baby clothes, shampoo, nail clippers, diapers, mittens. a baby bottle brush,
    and several packages of diaper disposal bags.

    Living Alternatives of Jacksonville would not have been able to move into our
    new facility this past year or provide these services to Amanda and other clients
    like her if not for the funding through the Texas Alternative to Abortion Services
    Program and TPCN. Though our local. donors support our mission and want to
    help out, funding was always scarce and because of this, our hours and services
    were very limited. There is no other organization in this area that provides the
    wide range of services that we do free of charge.
      Real Alternatives Program and InstructionalDesign System [RAPID System) 6 Real Alternatives 2005-2006
                                                                              3


VI.       Conclusion

          The carrective action for deficiencies noted in Section IV of this.report resulted in
          the deduction of the reimbuned amount.

          Living Altematives of Jacksonville i s a much needed resource in the small
          community of Jacksonville. It is well known throughout the area and local schools
          as a resource for providing education. pregnancy support, and material
          assistance to pregnant women in need. They also provide clients with a wide
          variety of educational programs. covering topics that include pregnancy,
          parenting skills. nutrition, car seat safety. and budgeting skills.
   Real Alternatives Program and lnsfructionalDesign System (RAPID System) O Real Alternatives 2005-2006



                             TEXAS PREGNANCY CARE NETWORK
                        TEXASAlternative to Abortion Services Program
                                                 .    .
                                     SITE MONITORING REPORT
                                          SIGNATURE PAGE


Site Monitoring Report Submitted By:                         Lesley Kutac

Date of Report:                                              611 1110

Corrective Action Recommended/Taken:                         Deductions in reimbursements a         s
                                                             indicated in Section IV of this report.

Date Corrective Action Authorized:                           4/8110

Evaluation Coordinator's Signature:

Executive Director's Signature:
      Real Alternatives Program and Instructional Design System (RAPIDSystem) O Real Alternatives 2005-2006



                                 TEXAS PREGNANCY CARE NETWORK
                            Texas Alternafive to Abortion Services Program

                                                          EOT
                                         SITE MONITORING R P R

 Site Name:          Pregnancy Help Center of Lufkin

Address:             106 S. Bynum Street, Lufkin, TX 75902

Site No.:            2201

Director:            Paula Havard

Service Area: Angelina County

Date of Monitoring:          May 12.2010

Monitoring Conducted By:              Lesley Kutac. Evaluator


I.        Facility

          A.         General Observations: All counseling areas, office space, lavatories.
                     safety features, equipment, inventory and rnaterialslstorage areas were
                     inspected and found to be in compliance except where noted below.

          8.         Deficiencies: None

          C.         Corrective Action Recommended/Taken: None needed

         D.                   l
                   S ~ e c i aComments: None


II.      Program Profile

         A.        General Observations: Counseling topics, programs, core services,
                   referrals, educationai materials, licensing and site-specific information and
                   hotline accessibility were reviewed and found to b e in compliance,
                   except where noted below.

         8.       Deficiencies: Some spiritual educational materials were not clearly
                  labeled and separated from non-spiritual materials.

         C.       Corrective Action RecommendedlTaken: Spiritual educational materials
                  have been labeled and separated from non-spiritual educational
                  materials.

         D.                  l
                  S ~ e c i aComments: None
       Real Aitemafives Program and Instructional Design System (RAPID System] O Real Alternatives 2205-2W6



Ill.       Corporate Administration

           A.                  l
                    ~ e n e r aObservations: Corporate records, program records. policiesand
                    procedures, staff training, staff clearances; client services, and spiritual
                    counseling procedures were reviewed and found to b e in compliance
                    with the contractual requirements of the Texas Alternative 'to Abortion
                    Services Program.

           B.       Deficiencies: None

           C.       Corrective Action RecommendedITaken: None needed

           D.                  l
                    S ~ e c i aComments: None


IV.        Reimbursement Compliance

           A.       General Observations: Reimbursement forms and Client Verification Forms
                    (CVFs) confirm that Service Provider submitted for and was appropriately
                    reimbursed for dates of service reviewed, except where noted below.

           B.       Deficiencies: The clients identified by the following Client Confidential
                    Numbers (CCN) did not properly complete, sign or date the CVFs on the
                    following dates of service.




                   The clients identified by the CCN's listed below, were ineligible for
                   Program services.
                                                    g
     Real Alternatives Program and lnsfructional Desi n System (RAPID System) @ Reol Alternatives 20052006



                  The Spiritual Counseling Request Form (SCRF) for the clients identified by
                  the following CCNs were not properly signed and/or dated by either the
                  client or the counselor. All Services Rendered Forms [SRF) that indicated
                  the clients had signed an SCRF, were deducted.




         C.       Corrective Action RecornmendedITaken: Deductions were made for the
                  services rendered to clients noted above, on the dates of service
                  indicated, and were taken from Service Provider's reimbursement.

         D.       Soecial Comments: None


V.       Client Success Story

        'Nofe: The following paragraphs describe a case successfully managed by the
        Service Provider evaluated in this report since it joined the Texas Alternative to
        Aborfion Services Program. If is shared for the limited purpose of illustrating the
        qualify and scope of the Service Provider's work. The client has given consent for
        her story to be included in this repotf, and her name has been changed to protect
        her privacy.

        To illustrate services Pregnancy Help Center of Lufkin provides to parenting and
        pregnant clients, one of the social workers shared the story of Olivia:

        When Olivia first came into our office, she was pregnant and under a great,deal
        of pressure from her mother to consider abortion. Olivia had made many
                                                                        s
        mistakes in her past, including crack use and prison time. A a result these poor
        decisions, Olivia's mother was raising Olivia's 8 year old child and her mother was
        adamant about not being responsible for another grandchild.

        Olivia had been drug free for several years but was still attempting to root out
        some unhealthy relationships that were a product of her old lifestyle. She felt that
        abortion might be the only way to completely move forward with her life and
        leave her past behind. Our nurse, Olivia, and Olivia's mother discussed her
        situation and assessed her needs for the pregnancy. It became clear that Olivia
        really didn't want an abortion and that she was leaning heavily toward
        continuing with the pregnancy and then parenting. For the w e e k and months
        following the initial appointment, Olivia and our nurse remained in close contact.
        Our nurse was there to support and encourage Olivia as often as she needed.
        Olivia soon enrolled in the Learn to Earn Parenting Education Program. where she
        found parenting information. support. and mentoring.       .
        Olivia's baby was born near the end of May and was named after the biological
        father, whom Olivia is engaged to. She actively participates in the Learn to Earn
      Real Alternatives Program and InstructionalDesign System (RAPID System) Q Real Alternatives 20052006



          Program and both Olivia and the new baby are happy, healthy, and on the road
          to positive choices.

          Olivia's mother, who was initially against continuing with the pregnancy, helped
          in the delivery room when the baby was born. Today. she showen her new
          grandbaby with constant love and even claims. "He has toes JUST like mine."


VI.       Conclusion

          The corrective action for deficiencies listed in Section IV of this report resulted in
          the deduction of the reimbursed amount. The Service Provider completed
          corrective action for the deficiency listed in Section I of this report by addressing
                                                                 1
          and rectifying it prior to the date of this report.

          Pregnancy Help Center of Lufkin is focused on providing pregnancy assistance,
         education, counseling, and material assistance to pregnant women in need.
         They have been in operation for about 25 years and are well known within the
         area as a resource for women experiencing challenging pregnancy and
         parenting situations. One of the main focuses at Pregnancy Help Center of Lufkin
         for their clients is education and returning to school. They encourage their clients
         to increase their attendance and grades, and to consider college. They also
         encourage their clients to make positive choices by helping them identify good
         decisions from bad. Another focal point for Pregnancy Help Center of Lufkin is
         decreasing child abuse. They achieve this by providing clients with instruction on
         anger management. stress management, and proper ways to discipline children
         of all ages.
    Real Alternatives Program and lnstrucfionol Design System (RAPID System) O Real Alternatives 200SZrnb



                                TEXAS PREGNANCY CARE NETWORK
                          TEXAS Alternative to Abortion Services Program

                                .   .   SITE MONITORING REPORT
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                           Lesley Kutac

Date of Report:                                                6/14/10

Corrective Action Recommendedflaken:                           Deductions in reimbursements as
                                                               indicated in Section IV of this report.
                                                               Deficiencies addressed and rectified
                                                               as indicated in Section II of this
                                                               report.

Date Corrective Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
      el                                                      R PD
     R a Alternatives Program and lnsiructional Design System ( A I System) 0 Real Alternatives 20052006


                                 EA
                                T X S PREGNANCY CARE N T O KEW R
                           Texas Alternative to Abortion Services Program

                                                        EOT
                                       SITE MONITORING R P R

Site Name:          Grace House Minishies, The Options Clinic

Address:            1712 Bethel Road, Weatherford, TX 76086

Site No.:           2901

Directoc            Susie Hackleman

Service Area: Parker County

Date of Monitoring:        May 25,2010

Monitoring Conducted By:            Lesley Kutac, Evaluator


.
1        Facility

        A.          General Observations: All counseling areas, office space, lavatories.
                    safety features, equipment, inventory and materialslstorage areas were
                    inspected and found to be in compliance.

        B.          Deficiencies: None

        C.          Corrective-Action RecommendedlTaken: None needed

        D.          Special Comments: None


 I
I.      Program Profile

        A.       General Observations: Counseling topics, programs. core services,
                 referrals, educational materiais, licensing and site-specific information and
                 hotline accessibility were reviewed and found to be in compliance,
                 except where noted below.

        B.       Deficiencies: Some spiritual educational materials were not clearly
                 labeled and separated from non-spiritual materials.

        C.       Corrective Action Recommendednaken: Spiritual educational materials
                 have been labeled and separated from non-spiritual educational
                 materials.

        D.       Saecial Comments: None
       Reol Altemotives Pragrom ond lnstructianal Design System (RAPIDSystem) O Reol Alternatives 20052006



Ill.       Corporate Administration

           A.       General ObSe~CItions:Corporate records, program records. policies and.                   . .

                    procedures, staff training, staff clearances, client services, and spiritual
                    counseling procedures were reviewed and found to be in compliance
                    with the contractual requirements of the Texas Alternative to Abortion
                    Services Program.

           B.       Deficiencies: None

           C.       Corrective Action RecommendedlTaken: None needed

           D.       Special Comments: None


IV.        Reimbursement Compliance

           A.      General ObSe~CItions:   Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.

           B.      Deficiencies: The clients identified by the following Client Confidential
                   Numbers (CCN) did not properly complete, sign or date the CVFs on the
                   following dates of service.




                   The clients identified by the CCN's listed below, were ineligible for
                   Program services. All reimbursement that was paid for services rendered
                   to these clients must be deducted.




                   The Spiritual Counseling Request Form (SCRF) for the client identified by
                   the following CCN was not properly signed and/or dated by either the
                                                       e
 Real Alternatives Program and Instructional Design Syst m (RAPID System) 6 Real Alternatives 2005-2006
                                                                          3



               client or the counselor. All Services Rendered Forms that indicated the
               client had signed the SCRF must be deducted.




      C.      Corrective Action RecommendedITaken: Deductions were made for the
              services rendered to clients noted above. on the dates of service
              indicated, and were taken from Service Provider's reimbursement.

      D.            Comments: None
              S~ecial


V.    Client Success Story

      &:
     * & The following paragraphs describe a case successfully managed by the
     Service Provider evaluated in this reporf since it joined the Texas Alternative to
     Aborfion Services Program. If is shared for the limited purpose' of illustrating the
     quality and scope of the Service Provider's work. The client has given consent for
     her story to be included in this reporf. and her name has been changed to protect
     her privacy.

      o
     T illustrate services Grace House Ministries, The Options Clinic provides to
     parenting and pregnant clients, the Executive Director shared the story of Aimee:

     Six years ago, Aimee contacted Grace House Pregnancy Center needing a
     verification of pregnancy. She was not married but knew that it was her
     responsibility to take care of herself. With no support. financial or emotional, she
     needed to get approved for Medicaid assistance. We only saw Aimee after she
     had her baby, when she needed assistance with diapers and formula.

     Several months ago, Aimee returned to Grace House. She was pregnant again
     and needed help. This time she brought her boyfriend, who also needed some
     financial and emotional support. And this time was that we had a van'ety of
     amazing services to offer both of them, such as educational classes, mentoring,
     and other support services. Through our Empowered Life education program,
     Aimee and her boyfriend have been able to earn credits that they spend at our
     materials resource program, Baby Grace. They have attended enough classes to
     purchase the needed items for their new baby. They completed an extensive
     application for our "Beds for Babies" program, and were approved to receive a
     new baby bed.

     Through encouragement and hard work. Aimee has been motivated to attend
     the community college and is working toward her LVN license. Both she and her
     boyfriend believe in hard work and making a better life for their child.

     When asked, "How has our program affected your life." Aimee answered. "We
     feel loved, supported. appreciated. and most of all, you listened." They both
     want to continue their relationship with our ministry because of the support and
     encouragement. They enjoy the fellowshipwith other clients and feel that class is
     a great time of sharing.

     We also asked Aimee if the services she has received at Grace House would
     change the way she would parent. She answered, "Yes, and I know if 1 have a
      Real Alternatives Program and InstructionalDesign System (RAPID System] O Real Altemotives 2005-2006



          struggle I could call anyone here and you would help me. You are sewing a high
          needs group of people and we all feel we can make it with your help. Choosing
          life and making a decision to parent is really hard to think about, but you have
          given me and my boyfriend all that we need to make it happen. Thank you for
          investing in our life, our baby's life, and our future."


VI.       Conclusion

          The comective action for deficiencies noted in Section IV of this report resulted in
          the deduction of the reimbursed amount. The Service Provider completed
          corrective action for the deficiency listed in Section II of this report by addressing
          and rectifyingit prior to the date of this report.

          The Options Clinic for Women and Grace House Pregnancy Care Center are
          heavily focused on providing pregnancy assistance, education. and counseling
          to pregnant women in need. They are well known within their community as a
          resource for women experiencing challenging pregnancy situations. They
          provide educational information through one on one counselinglmentoring.
    Real Alfernotives Program and instructionalDesign Sysfem (RAPID System] O Real Alternatives 2005-2006



                               TEXAS PREGNANCY CARE NETWORK
                          TEXAS Alternative to Abortion Services Program

                                                        EOT
                                      SITE MONITORING R P R
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                           Lesley Kutac

Date of Reporf:                                                6/14/10

Corrective Action Recornmendedflaken:                          Deductions in reimbursements as
                                                               indicated in Section IV of this report.
                                                               Deficiency addressed and rectified
                                                               as indicated in Section II of this
                                                               report.

Date Corrective Action Authorized:

Evaluation Coordinator's Signature:

Executive Director's Signature:
       Real Alternatives Program and Instructional Design System (RAPID System) O Real Alternatives 20052006



                                   EA                    A E EW R
                                  T X S PREGNANCY C R N T O K
                             Texas Alternative to Abortion Services Program

                                       . SITE MONITORING R P R
                                                          EOT

 Site Name:           Gladney Center for Adoption

 Address:             6303 John Ryan Drive, Fort Worth. TX 76132

 Site No.:            2001

 Director:            Vickye Schuliz

 Service Area: All of Texas

 Date of Monitoring:         May 26,2010

Monitoring Conducted By:               Lesley Kutac, Evaluator


 .
 1         Facility

           A.       General Observations: All counseling areas, oftice space, lavatories,
                    safety features, equipment, inventory and materialslstorage areas were
                    inspected and found to be in compliance.

           B.       Deficiencies: None

           C.       Corrective Action RecommendedITaken: None needed

           D.       Swecial Comments: None


 I
I.        Program Profile

          A.       General Observations: Counseling topics, programs, core services.
                   referrals, educational materials, licensing and site-specific information and
                   hotline accessibility were reviewed andfound to be in compliance.

          0.       Deficiencies: None

          C.       Corrective Action RecommendedlTaken: None needed

          D.             Comments: None
                   S~ecial


Ill.      Corporate Administration

          A.       General Observations: Corporate records, program records, policies and
                   procedures, staff training, staff clearances, client services, and spiritual
                   counseling procedures were reviewed and found to be in compliance
                   with the contractual requirements of the Texas Alternative to Abortion
                   Services Program.
      Real Alternatives Progrorn and Instructional Design System (RAPIDSystem) O Real Alternatives 2W5-2W6




          B.       Deficiencies: None

          C.       Corrective Action RecommendedITaken: None needed

          D.       Special Comments: None


IV.       Reimbursement Compliance

          A.       General Observations: Reimbursement forms and Client Verification Forms
                   (CVFs) confirm that Service Provider submitted for and was appropriately
                   reimbursed for dates of service reviewed, except where noted below.

          B.       Deficiencies: The clients identified by the following Client Confidential
                                                                                 Vs
                   Numbers (CCN) did not properly complete, sign or date the C F on the
                   following dates of service.



                   The clients identified by the CCN's listed below, were ineligible for
                   Program services.



                  The CVF could not be located for the following CCN. All reimbursement
                  submitted for services rendered to this client (since September 1,2009)
                  were deducted from the Service Provider's reimbursement.



                  The Spiritual Counseling Request Form (SCRF) for the clients identified by
                  the following CCNs were not properly signed and/or dated by either the
                  client or the counselor. All Services Rendered Forms (SRF) that indicated
                                             CF
                  the clients had signed an S R . were deducted.




         C.       Corrective Action RecommendedITaken: Deductions were made for the
                  services rendered to clients noted above, on the dates of service
                  indicated, and were taken from Service Provider's reimbursement.

         D.       Special Comments: None


V.       Client Success Story

        *Nofe: The following paragraphs describe a c a s e successfully managed by the
        Service Provider evaluated in this report since it joined the Texas Alternative to
        Abortion Services Program. It is shared for the limited purpose of illustrating the
        qualify and scope of the Service Provider's work. The client has given her consent
      Reol Alternatives Program and Instructional Design System (RAPID System) O Reol Alternatives 2005-2006


          for her story to b e included in this report, and her name has been changed to
          protect her privacy.

           o
          T illustrate services The Gladney Center for Adoption provides, one of the social
          workers shared the story of one of their clients. Catherine:

          Catherine first contacted The Gladney Center in early January. She was faced
          with an unplanned pregnancy and was interested in the option of adoption.

          Catherine met with a counselor at The Gladney Center and was informed of her
          options within adoption and was also counseled regarding the option of
          parenting. Upon considering her options and evaluating her circumstances.
          Catherine decided to move forward with an adoption plan for her baby, who
          was due five months later.

          Catherine first received counseling through Gladney's Community Service
          Program.      However, Catherine's family circumstances worsened as the
          pregnancy progressed. Catherine and her two year old daughter were kicked
          out of her grandmother's house, where they were living. Catherine had nowhere
          to live and no transportation as her family refused to assist her in anyway. Faced
          with the fear of moving to a shelter, Catherine decided that Gladney's residential
          program was the best option for her at the time. Catherine arranged for her
          daughter to temporarily live with her father for the remainder of Catherine's
          pregnancy. In addition, Catherine discovered through Gladney's contract
          doctor that she had serious health issues, which meant that she needed to see a
          high risk doctor.

           In the dorm at Gladney, Catherine was immediately surrounded by supporting
           staff and other women also planning adoption. Catherine began attending our
           "Loving Decisions" class. In this class Catherine was able to openly discuss her
           thoughts, feelings, and concerns about adoption. Throughout the class she was
           able to increase her own self-awareness and better understand the grieving
           process that occurs when placing a child for adoption. Catherine was able to
           become better prepared for the emotional journey that lies ahead of her. She
          was equipped with the knowledge of effective and healthy ways to cope after
          she places her child and moves forward with life. Through the encouragement
           and support of the other women in this class facing similar situations she was able
          to secure a network of support that will be available long after she leaves
           Gladney. She also was able to attend our Childbirth classes taught by a local
           nurse. Catherine had a place to stay, food to eat, excellent prenatal care,
          transportation to her appointments. support in her decision for life and adoption.
          and she was able to receive additional counseling for non-adoption related
          issues with a local counselor.

         Another incredible service offered which Catherine took full advantage of is
         Gladney's "Next Steps" program. Within the program Catherine was able to
         create a life plan for herself after her adoption plan is complete. Catherine
         regularly received help to create a resume. search for local jobs. and to take
         control of her financial debt. She will now have a plan to manage and pay off
         her debt, as well as learn to handle her finances in a whole new way. She will
         also have a place to live, a job to provide for their family needs, and a way for
         her self confidence to grow. Catherine truly has embraced this opportunity to
         take steps to a brighter future, for herself and her daughter.
VI.      Conclusion
Real Alternatives Progrom and Instructional Design System (RAPID System) O Real Alternatives 2005-2006




    The corrective action for deficiencies listed in Section IV of this report resulted in
    the deductionof the reimbursed amount.           . .


    The Gladney Center for Adoption is a nationallyknown facilitator of adoptions
    and has been in operation for 127 years. They have a Community Services
    program in which they go to the client's home and counsel them there, and they
    have a maternity home on their large campus. The center focuses on the
    importance of education and provides referrals to local vocational programs.
    They also encourage their residents to maintain a healthy lifestyle by offen'ng
    Pilates, Hip Hop dance, and other exercise programs onsite. Often the residents
    are treated to fun activities outside of the center, such as trips to Six Flags or
    Rangers' baseball games.
    Real Alternatives Program and Instructional Design System (RAPIDSystem) Q Real Allematives 2005-2006



                              TEXAS PREGNANCY CARE NETWORK
                         TEXAS Alternative to Abortion Services Program

                                      SITE MONITORING REPORT
                                           SIGNATURE PAGE


Site Monitoring Report Submitted By:                          Lesley Kutac

Date of Report:                                               6/14/10

Corrective Action Recommendedflaken:                          Deductions in reimbursements as
                                                              indicated in Section IV of this report.

Date Corrective Action Authorized:                            6/9/10

Evaluation Coordinator's Signature:

Executive Director's Signature:
                       Initial Site Visit Reports
                     March 1,2010 t o May 31,2010


Pregnancy Resources of Abilene

Bay Area United Way Service Center-Catholic Charities of the Archdiocese of
Galveston-Houston

Community Family Center-Catholic Charities of the Archdiocese of Galveston-
Houston

Ft. Bend County United way Service Center-Catholic Charities of the
Archdiocese of Galveston-Houston

Moran Health Center-Catholic Charities of the Archdiocese of Galveston-Houston

Beacon of Hope-Catholic Charities of the Archdiocese of Galveston-Houston

Living Alternatives Palestine

Catholic Charities of the Rio Grande Valley

Eastland County Open Door

Catholic Charities of the Rio Grande Valley - Brownsville

Marywood Children & Family Services
                                INITIAL SITE VISIT R P R
                                                    EOT


Site Name:            Pregnancy Resources of Abilene
Address:              21 10 N. Willis
                      Abilene, TX 79603
Site #:               2501
Director:             Holly Whitehead
Counties Sewed:       Taylor, Jones, Shackelford, Nolan, Callahan
Date of Visit:        March 1,2009
Visit Conducted By:   Lesley Kutac, Evaluator


     .
    I Facility

       General Observations: Ail counseling areas, office space, lavatories, safety
       features, equipment, inventory and materialslstorage areas were inspected and
       found to be in compliance.

   11. Program Profile

      General Observations: It was determined through interviews that the hours of
                                                              0O
      operation are Monday through Wednesday from 1 : O a.m. to 4:30 p.m.,
                      0O
      Thursday from 1 : O a.m. to 6:30 p.m., and closed on Friday. All client services are
      free of charge.

  Ill. Corporate Administration
      General Observations: Copies of the Confidentiality, Grievance and Standard
      Release of Information policies and forms are readily available at the center.
      MaterialSafety Data Sheets can be found onsite.

      Program record storage and educational materials were reviewed and found to
      be in compliance. Spiritual Material was separated but some of the labels had
      not yet been posted.

  IV. Program Highlights

      General Observations: This visit was conducted in order to inspect Pregnancy
      Resources of Abilene's new location. The large facility is located near a
      residential area and two local universities. A public transportation route runs ~ a s t
      the building and is easily accessible from main roads. One side of the facility is
      designated to administration while the other side is for client services. It includes
                                                T
      a large classroom, an ultrasound room, SD testing rooms, counseling rooms, and
      a large and comfortable waifing area. Pregnancy Resources of Abilene is a well
      known and much needed resource in the area. They provide pregnancy
                                                 T
      counseling services. maferial assistance, S D testing and awareness, and a variety
      of educational classes.

  V. Conective Actions Taken: All spiritual materials have been labeled.
Date of Report:                    May 27.201 0

Site Visit Report Submitted By:.   Lesley Kutac

Evaluator's Signature:
                                INITIAL SITE VISIT R P R
                                                    EOT


Site Name:                    Bay Area United Way Service Center-Catholic Charities of
                              the Archdiocese of Galveston-Houston
Address:                      1300 Bay Area Blvd. #229
                              Houston, TX 77058
Site #:                       N/A
Director:                     Esmeralda Alamia
Counties Sewed:               Harris, Brazoria, Galveston
Date of Visit:                March 31,2010
Visit Conducted By:           Shelley Williams, Evaluator
                              Deb Whitaker, Program Services Manager


    I. Facility

       General Observations: Counseling areas, office space, equipment, lavatories.
       and safety features were inspected and found to be in compliance.

   II. Program Profile
       General Ob~ervafion~: was determined through interviews that the hours of
                            It
       operation are Monday through Friday from 8:00 a.m. to 5:00 p.m. If needed,
       arrangements can be made for after hour appointments.

      Catholic Charities of the Archdiocese of Galveston-Houston Bay Area United Way
      Service Center provides its services free of charge. They receive referrals from
      local churches, other agencies within the building, schools, and the internet.
      They make referrals to 211, United Way, local churches, and Mental Health
      Association.



      General Observations: Copies of the Confidentiality, Grievance and Standard
      Release of Information policies and forms are readily available at the center.
      Material Safety Data Sheets were not available at this time.

      Program record storage and educational materials were reviewed. Client files
      are kept in a locked filing cabinet in the counselor's office. Spiritual materials had
      not yet been labeled. Catholic Charities of Galveston-Houston Bay Area United
      Way understands that it cannot bill for services until spiritual rnaterials are labeled
      and separated from non spiritual rnaterials.
IV. Program Highlights

    General Observations: Catholic Charities of the Archdiocese of Galveston-
    Houston Bay Area United Way Service Center is well known within the community.
    They work in collaboration with United Way to provide social services, making a
    lasting difference for the entire community.


V. Corrective Actions Taken:

                                                                               S S
   Spiritual materials have been identified and removed from client access. A M D
   Binder has been completed and is located in the counselor's office. Smoke
   detectors were confirmed to be located in the ceiling vents in which a map of
   the facility noting the smoke detectors was provided.




   Date of Report:                     April 1,201 0

   Site Visit Report Submitted By:

   Evaluator's Signature:
                                INITIAL SITE VISIT REPORT


Site Name:                    Community Family Center-Catholic Charities of             the
                              Archdiocese of Galveston-Houston
Address:                      2000 Texas Ave Ste 500
                              Texas City, TX 77590
Site #:                       N/A
Director:
Counties Sewed:               Galveston
Date of Visit:                March 31,201 0
Visit Conducted By:           Shelley Williams, Evaluator
                              Deb Whitaker, Program Services Manager


    I. Facility

       General Observations: Counseling areas, ofice space, equipment, lavatories.
       and safety features were inspected and found to be in compliance.

   11. Program Profile

       General ObSe~ationS:It was determined through interviews that the houn of
       operation are Monday through Friday from 8:00 a.m. to 5:00 p.m. If needed,
       arrangements can b e made for after hour appointments.

      Catholic Charities of the Archdiocese of Galveston-Houston Community Family
      Center provides all its services free of charge. They receive referrals from Family
      Services of Galveston, Disaster Recovery Programs, Mainland Medical Center,
      and Catholic Schools. They make referrals to Chis Resource Center in Galveston,
      United Way, WIC, and Family Service Center.

  Ill. Corporate Administration

      General Observations: Copies of the Confidentiality, Grievance and Standard
      Release of Information policies and forms are readily available at the center.
      The Client Non Discrimination Policy was posted in the counseling area. Material
      Safety Data Sheets are maintained in Suite 601 and were available upon request.

      Program record storage and educational materials were reviewed. Client files
      are kept in a filing cabinet in the counselor's oflice. The filing cabinet was not
      locked and there were no files on site. Community Family Center understands
      Program client files are required to be filed on-site. Spiritual materials had not yet
      been labeled. Community Family Center understands that it cannot bill for
      services until spiritual materials are labeled and separated from non spiritual
      materials.
IV. Program Highlights

    General Observations: Catholic Charities of the Archdiocese of Galveston-
    Houston Community Family Center is located.in a center shared with numerous
    community support services. medical offices, and county offices. Mainland
    Medical Center is located within the community center and offers Prenatal
    Programs. There is also a 4C's Clinic that provides discounted medical and
    dental care for Galveston County residents. The 4C's Clinic also has an on-site
    pharmacy that fills prescriptionsfor registered patients on a sliding scale fee.

V. Corrective Actions Taken:

   All brochures available to clients have been labeled and separated from spiritual
   materials. The filing cabinet has been locked and all files at the location are kept
   in the cabinet.




   Date of Report                        April 1,2010

   Site Visit Report Submitted By:       Shelley Williams

   Evaluator's Signature:
                                INITIAL SITE VISIT REPORT


Site Name:                    Ft. Bend County United Way Service Center-Catholic
                                                  '



                              Charities of the Archdiocese of Galveston-Houston
Address:                      1300 810435 Greenbough Blvd. #200
                              Stafford, TX 77477
Site #:                       N/A
Director.                     Sister Rosita Lopez
Counties Sewed:               Ft. Bend, Hams, Brazoria
Date of Visit:                March 31,2010
Visit Conducted By:           Shelley Williams, Evaluator
                              Deb Whitaker, Program Services Manager


    I. Facility

       General Observations: Counseling areas, office space, equipment, lavatories,
       and safety features were inspected and found to be in compliance. There were
       no smoke detectors visible. The "No Smoking" sign was not posted as they had
       recently remodeled and the sign had not been reposted.

   11. Program Profile

      General Observations: It was determined through interviews that the hours of
      operation are Monday through Friday from 8:30 a.m. to 230 p.m. If needed,
      arrangements can be made for after hour appointments.

      Ft. Bend County United Way Service Center provides all of its services free of
      charge. They receive referrals from local churches, health centers, and Stafford
      ISD schools. They make referrals to other partners at the United Way Fort Bend
      Service Center.

  111. Corporate Administration

      General Observations: Copies of the Confidentiality. Grievance and Standard
      Release of Information policies and forms are readily available at the center.
      Policy B Procedure Manual is available to all staff. Material Safety Data Sheets
      were not available for'review.

      Program record storage and educational materials were reviewed. Client files
      are kept in a locked filing cabinet in the counselor's office. Spiritual materials had
      not yet been labeled. They understand that spiritual materials are labeled and
      separated from non spiritual materials.
IV. Program Highlights

    General Observations: Ft. Bend County United Way Service Center is well known
    within the community area and working in collaboration with United Way.


V. Corrective Actions Taken:

    Spiritual materials have been removed. A M D binder has been created and is
                                                SS
    located in the counseling office. Smoke detecton are located in the ceiling
    vents and a map of the building showing the locations of the detectors was
    provided. The Fire Extinguisher was scheduled for inspection. "No Smoking" signs
    have been posted on the outer doors.




   Date of Report:                      April 1,2010

   Site Visit Report Submitted By:

   Evaluator's Signature:
                              INITIAL SITE VISIT REPORT


Sie Name:                    Moran Health Cenfer-Catholic Charities of the Archdiocese
                             of Galveston-Houston
Address:                     2615 Fannin Street
                             Houston. TX 77004
Site #:                      N/A
Director:                    Sarah Smith
Counties Sewed:              Ft. Bend. Hams, Brazoria, Galveston
Date of Visit.               March 31.201 0
Visit Conducted By:          Shelley Williams, Evaluator
                             Deb Whitaker, Program Services Manager


     .
    I Facility

      General Observations: Counseling areas, office space, equipment, lavatories.
      and safety features were inspected and found to be in compliance.

   11. Program Profile

      General Observations: It was determined through interviews that the hours of
      operation are Monday through Friday from 80 a.m. to 5:00 p.m. If needed.
                                                 :0
      arrangements can be made for after hour appointments.

      Moran Health Center provides all of it services free of charge. They receive
      referrals from MHA, local churches, and health centers. They make referrals to
      21 1, local churches, local pantry, and crisis hotlines.

  Ill. Corporate Administration

      General Observations: Copies of the Confidentiality, Grievance and Standard
      Release of Information policies and forms are readily available at the center.
      Material Safety Data Sheets are maintained at the front lobby.

      Program record storage and educational materials were reviewed. Clienf files
      are kept in a locked filing cabinet in a separate locked storage room. Spiritual
      materials had not yet been labeled. Moran Health Center understands that its
      Service Provider Agreement with TPCN will not be effective until spiritual materials
      are labeled and separated from non spiritual materials.



 IV. Program Highlights

     General Observations: Moran Health Center is a new bright and modem facility in
     the heart of downtown Houston. A public transportation stop is located directly
     in front of the Moran Health Center, making services easily accessible for those
     with limited transportation. The multi-service health complex offers primary and
     specialized medical services, dental services, and counseling services. The Son
     Jose Clinic located within the facility is expected to open an O Clinic.
                                                                     B
V. Corrective Actions Taken:

   Spin'tual materials were labeled.




   Date of Report:                     March 31.2010

   Site Visit Report Submitted BY:

   Evaluator's Signature:
                               INITIAL SITE VISIT REPORT


Site Name:                   Beacon of Hope-Catholic Charities of the Archdiocese of
                             Galveston-Houston
Address:                     681 1 Stewart Road
                             Galveston, TX 77551
Site #:                      N/A
Director:
Counties Sewed:              Galveston
Date of Visit:               March 31,2010
Visit Conducted By:          Shelley Williams, Evaluator
                             Deb Whitaker, Program Services Manager


    I. Facility

       General Observations: Counseling areas, office space, equipment, lavatories,
       and safety features were inspected and found to be in compliance. A "No
       Smoking" was not posted.

   11. Program Profile

       General Observations: It was determined through interviews that the hours of
       operation are Monday through Friday from 8:00 a.m. to 5:00 p.m. If needed,
       arrangements can be made for after hour appointments.

      Catholic Chanties Beacon of Hope provides its services free of charge. They
      receive referrals from Family Services of Galveston. Disaster Recovery Programs,
      Mainland Medical Center, and Catholic Schools. They make referrals to Crisis
      Resource Center in Galveston United Way, WIC, and Family Service Center.

  Ill. Corporate Administration

      General Observations: Copies of the Confidentiality, Grievance and Standard
      Release of Information policies and forms are readily available at the center.
      Material Safety Data Sheets are located a t the back of the office near the exit
      and the Client Non-Discriminationpolicy is posted in the entrance.

      program record storage and educational materials were reviewed. Client files
      are stored in locked cabinets located in a storage room inside the pantry.
      Spiritual materials were not labeled. Catholic Charities understands that spiritual
      materials are labeled and separated from non spiritual materials.
IV. Program HighligMs
    General Observations: Catholic Charities Beacon of Hope is well knowntw
                                                                         h
                                                                         i
                                                                        ni      the
                                                                        h
    community area for providing Disaster Recovery Assistance. T e Disaster
    Recovery Program offers professional counseling, assistance determining
    supplemental funding, and assistance accessing available resources. Catholic
    Charities Beacon of Hope is focused on long-term recovery for those affected by
    natural disasters.

V. Corrective Actions Taken:

   Spriritual materials hdve been removed or identified as spiritual material if the
   clients have access to the material. A "No Smoking" sign has been posted.




   Date of Report:                     April 1,2010

   Site Visit Report Submitted By:

   Evaluator's Signature:
                                INITIAL SITE VISIT REPORT


Site Name:                    Living Alternatives of Palestine
Address:                      110 Anderson County Road 3722
                              Palestine, TX 75801
Site 8:                       NIA
Director:                     Dana Morgan
Counties Sewed:               Anderson
Date of Visit:                April 22.2010
Visit Conducted By:           Shelley Williams, Evaluator
                              Deb Whitaker, Program Services Manager



     .
    I Facility

       General Observations: Counseling areas, office space, equipment, lavatories,
       and safety features were inspected and found to be in compliance. The fire
       extinguishers did not have inspection tags..

      The Living Alternatives of Palestine is a two story facility, in which the ground level
      is handicapped accessible. The facility is equipped to hold counseling sessions
      and classesleducation programs on the first floor to reasonably accommodate
      disabled clients.

    I
   I . Program Profile

      General Observations: It was determined through interviews that the hours of
      operation are Monday and Wednesday 9:OOam-3:00pm, Tuesday 9:OOam-
      12:OOpm. and Thursday 9:OOam-5:OOpm. The Living Alternatives of Palestine is
      closed on Fridays. They take clients by appointment or as walk-ins.

      Living Alternatives of Palestine provides all its services free of charge. They receive
      referrals from Child Protective Services, Crisis Centers, and local clinics. They make
      referrals to women's clinics at the Rehab Hospital.

  Ill. Corporate Administration

      General Observations: Copies of the Confidentiality, Non-Discrimination. and
      Standard Release of Information policies and forms are readily available a t the
      center. Material Safety Data Sheets are available for review. The Grievance
      Policy was not posted or readily available to be reviewed.

      Program record storage and educational materials were reviewed. Client files
      are kept in the front office and were unlocked during business hours. Spiritual
      materials were not labeled. Living Alternatives of Palestine understands that its
      Service Provider Agreement with TPCN will not b e effective until spiritual materials
      are labeled and separated from non spiritual materials.
IV. Program Highlights

      General Observations: Living Alternatives of Palestine is heavily focused on
      providing pregnancy assistance, education. and counseling to pregnant women
      in need. They are well known within the community for providing Parent
      Education classes. as well as maternity clothes, baby clothes, and baby furniture.


     'Note: The following paragraphs describe a    typical case successfully managed
     by the Service Provider evaluated in the reporf prior to its enrollment in the Texas
     Alternative to Abortion Services Program. If is shared for the limited purpose of
     illusfrafing the quality and scope of the Service Provider's work prior to its
     participation in the Program. The client has given her consent for her story to be
     included in this reporf, and her name has been changed to protect her privacy.
     The services described in the Success Story were not provided with Program
     funds.

     In the words of the Executive Director:

     One afternoon, I received a call from a young woman named Sara who was
     interested in abortion. I told her we did not perform or refer for abortions but I
     would love to visit with her about her other options. She came into the office and
     received counseling and education.

     After our conversation, she was still considering an abortion. She did not
     anticipate any help from the father of the baby. Sara was in her early 20's and
     lived with her parents. She was concerned about disappointing them and still
     had not told them she was pregnant.

     We did not hear from Sara for another 6 weeks. Then, she called the office and
     wanted to come in for an appointment. I was concerned. that she had an
     abortion and wanted to talk about it. I had reassured her in the beginning that
     we would be there for her no matter what she decided.

     When she anived, her mother was with her. I didn't know if she had told her
     mother about the pregnancy or her intentions to have an abortion. After a long
     silence, her mother said "well we're having a baby!" I was so relieved about her
     decision. She made a choice that she could be proud of in the future.

     During her pregnancy, she attended sessions to help her understand what to
     expect during her pregnancy, how to care for a newborn. and the importance of
     the first few yean in the development of her child. She was able to earn clothing,
     diapers, and a baby bed through our incentive program.

     Her son was born several months later, and she went to work for the Texas
     Department of Criminal Justice. She is a wonderful mom and is doing great
     caring for her son.




V.   Corrective Actions Taken:
Fire Extinguishers have been inspected and spiritual materials were labeled and
separated from non-spiritual materials. The Client Grievance Policy was posted in
the lobby with forms available to all clients. A plan of action was provided to
serve disabled clients where areas of the facility are not handicapped
accessible.




Date of Report:                     June 10,2010

Site Visit Report Submitted By:     Shelley Williams

Evaluator'sSignature:
                               INITIAL SITE VISIT REPORT


Site Name:                   Catholic Charities of the Rio Grande Valley
Address:                     700 N. Virgen de San Juan
                             San Juan, TX 78589
Site #:                      N/ A
Director:                    Sister Norma Pimentel
Counties Sewed:              Cameron. Willacy, Hidalgo, Starr
Date of Visit:               April 26,201 0
Visit Conducted By:          Shelley Williams, Evaluator



    I. Facility

       General Observations: Counseling areas, office space, equipment, lavatories,
       and safety features were inspected and found to be in compliance. One fire
       extinguisher was overdue for inspection.

   11. Program Profile

       General Observations: It was determined through interviews that the hours of
       operation are Monday through Friday from 8:00 a.m. to 500 p.m.

      Catholic Charities of the Rio Grande Valley provides all its services free of charge.
      They receive referrals from local agencies, medical clinics, and pregnancy testing
      centers. They make referrals to local non-profit organizations such as Food Banks,
      and local medical clinics.

  Ill. Corporate Administration

      General Observations: Copies of the Confidentiality, Grievance and Standard
      Release of information policies and forms are readily available a t the center.
      Material Safety Data Sheets were located in the counselor's office. The Non-
      Discrimination Policy was posted in the waiting area.

      Program record storage and educational materials were reviewed. Client files
      are kept in a locked filing cabinet in a storage closet in the counselor's office.
      Although educational materials were stored in a media room out of the common
      area, spiritual materials were not labeled.


 IV. Program Highlights

      General Observations: Catholic Charities of the Rio Grande Valley is heavily
      focused on providing counseling services to individuals, couples. and families.
      They are well known in the immediate area as a resource for shelter and utility
      assistance for families in need.
   Catholic Charities of the Rio Grande Valley has a variety of client educational
   resources available in the media center. They look forward to being able to
   expand their offerings to include educationalprogramsor classes.


V. Corrective Actions Taken:

   Fire Extinguishers have been inspected and spiritual materials have been labeled
   and are separated from non-spiritual materials.



   Date of Report:                     May 14,2010

   Site Visit Report Submitted By:     Shelley Williams

   Evaluator's Signature:
                               INITIAL SITE VISIT R P R
                                                   EOT


Site Name:                   Eastland County Open Door
Address:                     1906 Hwy 206
                             Cisco, TX 76437
Site #:                      N/A
Director:                    Nakita Williams
Counties Served:             Eastland. Callahan, Stephens, Breckenridge
Date of Visit:               May 6.2010
Visit Conducted By:          Shelley Williams, Evaluator




       General Observations: Counseling areas, office space, equipment, lavatories,
       and safety features were inspected and found to be in compliance. The facility,
       which is new, was not equipped with fire extinguishers. "No Smoking" and "Exit"
       were not yet posted.      .  .


    I
   I . Program Profile

      General Observations: It was determined through interviews that the hours of
      operation are Monday - Thursday 10:OOam-5:30pm. They are closed on Fridays.
      Clients are seen by appointment or as walk-ins.

      Eastland County Open Door provides all its services free of charge. They receive
      referrals from WIC, local churches, and personal referrals. They make referrals to
      Medicaid, WIC, local physicians, and hospitals.

  Ill. Corporate Administration

      General ObSe~ationS:Copies of the Confidentiality, Grievance, and Standard
      Release of Information policies and forms are readily available at the center.
      Material Safety Data Sheets were located at the front desk. The Client Non-
      Discrimination Policy was not readily available for review.

      Program record storage and educational materials were reviewed. Client files
      are kept in the back office where the door remains shut and locked at all times.
      Spiritual materials were not labeled. Eastland County Open Door understands
      that its Service Provider Agreement with TPCN will not be effective until spiritual
      materials are labeled and separated from non spiritual materials.

 IV. Program Highlights

      General Observations: Eastland County Open Door is heavily focused on
      providing pregnancy assistance, education, and counseling to pregnant women
      in need. They are well known within the local as a resource for women
      experiencing an unplanned pregnancy. They provide Parent Education classes
      to earn credit for maternity clothes, 'baby clothes, and baby furniture. They are
      dedicated to making their clients feel welcome and comfortable in their modern
    facility. The Open Door is equipped with a full kitchen and media room designed
    to help clients feel relaxed.


    *Nofe: The following paragraphs describe a typical case successfully managed
    by the Service Provider evaluated in the report prior to ifs enrollment in the Texas
    Alternative to Abortion Services Program. It is shared for the limited purpose of
    illustrating the quality and scope of the Service Provider's work prior to ifs
    participation in the Program. The client has given her consent for her story to be
    included in this report, and her name has been changed to protect her privacy.
    The services described in the Success Story were not provided with Program
    funds.


    My name is Nikki and I'm twenty-two years old. Before I started my sophomore
    year I found out I was pregnant. I attempted to stay in school. As I got further in
    my pregnancy I could not afford to purchase new clothes to fit my blooming
    body. The attention my pregnancy caused made me uncomfortable and
    embarrassed me. My spring semester was done at home with a tutor. I
    completed my sophomore year and ended my education at the age of 17.

     s
    A a single mother I was struggling with finding patience when dealing w my   i
                                                                                 h
                                                                                 t
    strong willed daughter. I found out about The Open Door's programs through my
    sister. I started attending parenting classes on July 23,2009. This continuous class
    has helped me to come closer and build a closer relationship with my girls. I have
    attended many different classes: parenting. sexual integrity, cooking, and career
    development classes. These programs have helped me become independent
    and confident as a mother. I am able to provide for my family financially and
    emotionally. The Open Door has given me the motivation and will to become
    the mother I wanted to be.

   Before going to The Open Door, I attempted to get my GED several times for
   three years. In January 2010, 1 enrolled in the G D Program at The Open Door.
                                                     E
   After receiving my diploma on April 28, 2010 and completing a career
                                                                        s
   development class I was hired at our local Assisted Living Facility a a Caregiver. I
   intend to continue my education and become a Registered Nurse.


V. Corrective Actions Taken:

   "No Smoking" and "Exit" signs have been posted. Spiritual materials were labeled
   and separated from non-spiritual materials. The Non-Discrimination Policy was
   added to the Client Intake forms. Fire Extinguishers yere installed.
Date of Report:                   May 14,2010

Site Visit Report Submitted By:

Evaluator's Signature:
                               INITIAL SITE VISIT R P R
                                                   EOT


Site Name:                   Catholic Social Services in Brownsville
Address:                     955 West Price
                             Brownsville. TX 77840
Site #:                      N/ A
Director:                                               P
                             Sister Norma Pimentl, MJ, L C
Counties Served:             Cameron, Willacy
Date of Visit:               May 17.2010
Visit Conducted By:          Deb Whitaker. Program Services Manager


    I. Facility

       General Observations: Counseling areas, office space. equipment, lavatories,
       and safety features were inspected and found to be in compliance. No Smoking
       signs were not posted.

    I
   I . Program Profile

       General Observations: It was determined through interviews that the hours of
       operation are Monday through Friday from 8:M) a.m. to 12:M) p.m. and l:00 p.m.
       to 500 p.m.

       Catholic Social Services provides all of its services free of charge. They receive
       referrals from Cameron and Willacy County Community Projects, WIC, and Good
       Neighbor. They make referrals to Cameron and Willacy County Community
       Projects, WIC, Good Neighbor, and other social services agencies.

  Ill. Corporate Administration

      General Observations: Copies of the Confidentiality, Grievance and Standard
      Release of Information policies and forms are readily available for review. The
      Client Non-Discriminationpolicy is posted in the lobby. The Grievance Policy with
      contact information was not posted. Material Safety Data Sheets were not
      available.

      Program record storage and educational materials were reviewed. Client files
      are stored in the staff office, in locked cabinets. Spiritual matelials were
      separated and labeled.

  IV. Program Highlights

      General Observations: Catholic Social Services in Brownsville is heavily focused on
      providing counseling services to individuals, couples, and families. They are well
                                        s
      known in the immediate area a a resource for shelter and utility assistance for
      families in need. In addition, they partner with many local social service agencies
      to provide support for pregnant women and their families within their community.
V. Corrective Actions Taken: At the time of this report, the potential service provider
    is working on the No Smoking sign. Material Safety Data Sheets and posting of the
    Grievance Policy . All corrective actions will be completed prior to becoming an
    active provider.


    Date of Report:                      June 10,2010

    Site Visit Report Submitted By:      Deb Whitaker

    Evaluator's Signature:
                                INITIAL SITE VISIT R P R
                                                    EOT


Site Name:            Marywood Children 8 Family Services
Address:              6225 US Hwy 290
                      Austin, TX 78723
Site X:               1201
Director:             Carolyn Chamberlain
Counties Sewed:       Travis, Williamson, Fayette, Hayes, Bastrop
Date of Visit:        May 20,2010
Visit Conducted By:   Lesley Kutac, Evaluator
                      Shelley Williams, Evaluator


    I. Facility

       General Observations: All counseling areas. office space. lavatories, safety
       features, equipment, inventory and materials/storage areas were inspected and
       found to be in compliance.

   11. Program Profile

       General Observations: It was determined through interviews that the hours of
       operation are Monday through Friday from 8:00 a.m. to 5:00 p.m. and closed on
       Mday. All client services are free of charge.

  Ill. Corporate Administration
      General Observations: Copies of the Confidentiality, Grievance and Standard
      Release of Information policies and forms are readily available at the center.
      Material Safety Data Sheets can be found onsite.

      Program record storage and educational materials were reviewed and found to
      be in compliance.

  IV. Program Highlights

      General Observations: This visit was conducted in order to inspect Marywood
      Children & ~amily   Service's new location. The facility is located near a residential
      area and Virginia College. A public transportation route runs past the building
      and is easily accessible from main roads and a WIC Office is located just down
      the street. One side of the facility is designated to administration while the other
      side is for client services. It includes a large classroom, counseling rooms, and
      comfortable waiting area. Marywood Children R Family Services is a well known
      and much needed resource in the area. They provide pregnancy counseling
      services, material assistance, and a variety of educational classes.
V. Corrective Actions Taken:



   Date of Repori:                   June 15,2010

   Site Visit Repori Submitted By:   Shelley Williams

    Evaluator's Signature:

				
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