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regulated child care may be available for families with a gross income at or less than 185% of the poverty
           level. Childcare needs become more challenging and more costly for families with multiple children, and
           during summer months. Part-time child care can sometimes be difficult to find. There was a total of 5,580
           licensed childcare slots in the Great Rivers Region in 2014. See Table 7 for more.

                  Table 7: Number of Licensed Childcare Slots (2010-2014)

                  County      2010        2011       2012                  2013        2014

                  La Crosse   3,832       4,263      4,317                 4,052       4,140

                  Monroe      649         673        731                   642         580

           Trempealeau        577         614        552                   522         536

                  Vernon      537         345        356                   340         324

                                     Source: KIDSCOUNT Data Center.

                                     Houston County data was unavailable.

           Table 8 shows details related to the cost of child care in Wisconsin and Minnesota for 2012. Minnesota
           averages higher child care costs than the state of Wisconsin, most significantly for the cost of infant care.

           Table 8: Annual Cost of Full-time Child Care in Wisconsin and Minnesota, 2012

COMMUNITY         Number of Both Parents  Avg. Cost  Avg. Cost             Avg. Cost   Avg. Cost, (Family
                                          (Center),   (Center),            (Childcare  Childcare Center),
           State  Birth to    Working                4-Year-Old             Center),
                                            Infant                                         4-Year-Old
                  4-Year-Olds Full Time                                      Infant

           Wisconsin 356,267  195,646     $10,775    $9,588                $7,849                     $7,060

           Minnesota 5,279,601 210,497    $13,579    $10,470               $7,686                     $6,947

                  Source: Child Care Aware of America, Child Care in America, 2012 State Fact Sheets

           Abuse of Vulnerable Populations

           Wisconsin law defines elder abuse as occurring when any person at or above the age of 60 has been
           subjected to any of the following four categories of abuse: physical abuse, material exploitation, neglect,
           and self-neglect. The National Center on Elder Abuse had expanded this to include sexual abuse, emotional
           abuse, and abandonment. Reporting elder abuse is voluntary and not required by medical professionals
           or other service providers. If an elderly person is legally competent, he or she may refuse an investigation.
           Shame, fear, and not knowing how to get help may result in an underreporting of elder abuse.

           In the United States, the Centers for Disease Control and Prevention (CDC) and the Department of Children
           and Families (DCF) define child maltreatment as any act or series of acts of commission or omission by a
           parent or other caregiver that results in harm, potential for harm, or threat of harm to a child. Child abuse
           can occur in a child’s home, or in the organizations, schools or communities the child interacts with. There
           are four major categories of child abuse: neglect, physical abuse, psychological/emotional abuse, and child
           sexual abuse.

           The U.S. Administration for Children and Families reported that from 2008 to 2012, overall rates of
           victimization declined by 4.19%, from 9.5 to 9.2 per 1,000 children in the population. This results in an
           estimated 30,000 fewer victims in 2012 (686,000) compared with 2008 (716,000). Figure 11 shows the
           number of child abuse and neglect reports per 1,000 people for the Great Rivers Region. La Crosse had the
           highest rates of child abuse and neglect reports; however, they were still lower than the state average.

           30 COMPASS NOW 2015
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