Clarifying Select Standards

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Clarifying Select Standards

• Julianne Crevatin
• Lee Gooding

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• Child health status
• 1304.20(a)(1)(ii)
• Determining child health status. (1)
• and as quickly as possible, but
• (with the exception noted in paragraph
  (a)(2) of this section) from the child's entry
  into the program (for the purposes of 45 CFR
  1304.20(a)(1), 45 CFR 1304.20(a)(2), and 45 CFR
  1304.20(b)(1), entry means the first day that
  Early Head Start or Head Start services are
  provided to the child), grantee and delegate
  agencies must

In collaboration with the parents
no later than 90 calendar days
WHAT MUST GRANTEES DO IN 90 DAYS?
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• 1304.20(a)(1)(ii)
• ii)
• as to whether the child is
• on a schedule of age appropriate preventive and
  primary health care which includes medical,
  dental and mental health. Such a schedule must
  incorporate the requirements for a schedule of
  well child care utilized by the
• program of the Medicaid agency of the
  State in which they operate, and the latest
  recommendations issued by the
  Centers for Disease Control and Prevention, as
  well as any additional
  recommendations from the local Health Services
  Advisory Committee that are based on prevalent
  community health problems

Obtain from a health care professional a
up-to-date
DETERMINATION
Early and Periodic Screening, Diagnosis,
and Treatment (EPSDT)
immunization
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WHO MEETS THE DEFINITION OF A HEALTH CARE
PROFESSIONAL ?
AND WHAT MUST BE INCLUDED IN THE DETERMINATION?
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(No Transcript)
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1304.20(b)(1) 1304.20 Child health and
developmental services. (b) Screening for
developmental, sensory, and behavioral concerns.
(1) In collaboration with each child's parent,
and of the child's entry into the
program, grantee and delegate agencies
linguistically and age appropriate screening
procedures to identify concerns regarding a
child's developmental, sensory (visual and
auditory), behavioral, motor, language, social,
cognitive, perceptual, and emotional skills (see
45 CFR 1308.6(b)(3) for additional information).
To the greatest extent possible, these screening
procedures must be sensitive to the child's
cultural background. Note For infants and
toddlers, a separate behavioral screen is NOT
required. For this age group, a developmental
screen done in collaboration with parents is
sufficient for compliance with this regulation.
within 45 calendar days
must perform or obtain
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1304.23(b)(3) Sec. 1304.23 Child nutrition. (b)
Nutritional services. (3) Staff must promote
effective dental hygiene among children in
conjunction with meals.
WHAT IS EFFECTIVE DENTAL HYGIENE?
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1304.23(b)(3) WHAT IS EFFECTIVE DENTAL HYGIENE?
YES THIS MEANS TOOTHBRUSHING
THE OFFICE OF HEAD START HAS CONCLUDED THAT ALL
CHILDREN IN A CENTER-BASED PROGRAM SHOULD BE
GIVEN THE OPPORTUNITY TO BRUSH THEIR TEETH AT
LEAST ONCE A DAY IN CONJUCTION WITH MEALS.
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1306.32(b)(2)(3) DAYS OF SERVICE. (b)
Center-based program option requirements. (1)
Classes must operate for four or five days per
week or some combination of four and five days
per week. (3) The annual number of required days
of planned class operations (days when children
are scheduled to attend) is determined by the
number of days per week each program operates.
Programs that operate for four days per week must
provide of planned class operations.
Programs that operate for five days per week must
provide at least 160 days per year of planned
class operations. Grantees implementing a
combination of four and five days per week must
plan to operate between 128 and 160 days per
year. The minimum number of planned days of
service per year can be determined by computing
the relative number of four and five day weeks
that the program is in operation. All
center-based program options must provide a
minimum of 32 weeks of scheduled days of class
operations over an eight or nine month period.
at least 128 days per year
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FOR FULL YEAR PROGRAMS WHAT IS THE MINIMUM
NUMBER OF DAYS OF SERVICE? FOR FULL DAY
PROGRAMS WHAT IS THE MINIMUM NUMBER OF HOURS?
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What is the minimum number of hours / per day
of service a program can provide?
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Act 640 (k)(1)The secretary shall allow
center-based Head Start programs the flexibility
to satisfy the total number of hours of service
required by the regulations in effect on the date
of enrollment of the Human Services Amendments of
1994, to be provided to children by Head Start
Programs so long as such agencies do not (A)
provide less than 3 hours of service per day (B)
reduce the number of days of service per week, or
(C) reduce the number of days of service per year

• Key Three hours if total number of hours is met
  for option
• Ex A 4-day-a-week option under 1306.32 must
  have 128 service days minimum 3.5 hours 448
  if you operated this option for 3 hours a day,
  you would need to extend your days to 150 days to
  meet total hours

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1304.40(a)(1)(2) Sec. 1304.40 (1)Family goal
setting. (1) Grantee and delegate agencies must
engage in a of collaborative
partnership building with parents to establish
mutual trust and to identify family goals,
strengths, and necessary services and other
supports. This must be initiated
as early after enrollment as possible and it must
take into consideration each familys readiness
and willingness to participate in the
process
process
process.
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1304.40(a)(1)(2) Sec. 1304.40 (2) As part of this
ongoing partnership, grantee and delegate
agencies parents to develop and
implement individualized that
describe family goals, responsibilities,
timetables and strategies for achieving these
goals as well as progress in achieving them. In
home-based program options, this agreement must
include the above information as well as the
specific roles of parents in home visits and
group socialization activities (see 45 CFR
1306.33(b)).
must offer
opportunities
family partnership agreements
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1304.40(a)(1)(2) Sec. 1304.40 Family
Partnerships. PARTNERSHIP AGREEMENT ?
WRITTEN DOCUMENT
IF A GRANTEE IS ENGAGED IN A PARTNERSHIP THERE
MUST BE GOALS, TIMELINES, STRATEGIES AND PROGRESS
IN MEETING THE GOALS
The Question for you is How is this documented,
How do you demonstrate you are assisting families
in meeting their goals.
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1304.51(i)(2) (2) Grantees must establish and
implement procedures for the of
their own Early Head Start and Head Start
operations, as well as those of each of their
delegate agencies, to ensure that these
operations effectively implement Federal
regulations.
ongoing monitoring
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• 1304.53 (a)(9)
• Sec. 1304.53 Facilities, materials, and
  equipment.
• Head Start physical environment and facilities.
  (1) Grantee and delegate agencies must provide a
  physical environment and facilities conducive to
  learning and reflective of the different stages
  of development of each child. (9) Outdoor play
  areas at center-based programs must be
• and getting into unsafe and unsupervised areas.
  Enroute to play areas, children must not be
  exposed to vehicular traffic without supervision.
  

arranged so as to prevent any child
from leaving the premises
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What must grantees do to ensure children do not
leave the premises and how do you ensure safety?
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(No Transcript)
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1304.53(b)(1)(iii) Head Start equipment, toys,
materials, and furniture.Grantee and delegate
agencies must provide and arrange sufficient
equipment, toys, materials, and furniture to meet
the needs and facilitate the participation of
children and adults.
What additional items do EHS grantees need to
budget for?
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Diapers and formula are an allowable expense for
center-based EHS programs and should be available
at NO cost to parents Program must not prescribe
any fee or charge any fees for participation in
the program
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EARLY HEAD START TEACHER REQUIREMENTS
WHAT ARE THE MINIMUM QUALIFICATIONS OF A CENTER
BASED TEACHER IN AN EARLY HEAD START CLASSROOM?
DO EHS STAFF HAVE TO MEET THE TEACHER CREDENTIAL
REQUIREMENT?
DO GRANTEES NEED TO REQUEST A WAIVER FOR EHS
TEACHERS WHO DO NOT HAVE A CDA?
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• CREDENTIALS
• 1304.52(F) WITHIN ONE YEAR OF HIRE, TEACHERS OF
  INFANTS AND TODDLERS
• A Child Development Associate (CDA) credential
  for Infant and Toddler
• OR An equivalent credential
• Head Start Act at least 50 of all center-based
  teachers nationwide must have an
• Associate Baccalaureate Advanced degree in
  early childhood education OR A degree in related
  field 6 courses in early childhood education

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1305.6(c) Sec. 1305.6 Selection process. (c) At
least of the total number of
in each grantee and each delegate agency
during an enrollment year must be made available
to children with disabilities who meet the
definition for children with disabilities in Sec.
1305.2(a). An exception to this requirement will
be granted only if the responsible HHS official
determines, based on such supporting evidence he
or she may require, that the grantee made a
reasonable effort to comply with this requirement
but was unable to do so because there was an
insufficient number of children with disabilities
in the recruitment area who wished to attend the
program and for whom the program was an
appropriate placement based on their Individual
Education Plans (IEP) or Individualized Family
Service Plans (IFSP), with services provided
directly by Head Start or Early Head Start in
conjunction with other providers.
enrollment opportunities
10 percent
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What is an enrollment opportunity?
If you offer both Head Start and EHS do the
requirements regarding enrollment of at least 10
of children with disabilities apply?
If you have CHILD FIND activity at the beginning
of the year and you make 10 of enrollment
opportunities available to children with special
needs and only 8 of children are identified with
special needs is the program out of compliance?
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1305.7(b) Sec. 1305.7 Enrollment and
re-enrollment. (b) A Head Start grantee its
funded enrollment level. When a program
determines that a vacancy exists, no more than 30
calendar days may elapse before the vacancy is
filled. A program may elect not to fill a vacancy
when 60 calendar days or less remain in the
program's enrollment year.
must maintain
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Tuberculosis Screening Requirements
1304.52(j)(1) Each staff member has an initial
health examination (including screening for
tuberculosis) and periodic re-examinations. It
has come to the attention of the Office of Head
Start (OHS) that there is some confusion around
the requirements for tuberculosis screening of
Head Start Staff. Recently OHS noticed various
and sometimes conflicting approaches being
applied in the field regarding these screening
requirements. This indicates a need for
clarification.
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Acceptable screening for tuberculosis can be
achieved by documentation of EITHER of the
following Completion of a screening
assessment, usually a list of questions, to
determine those who are at high risk. This can be
done by the grantee or through assessment by
their health care provider during the health care
examination. Those determined to be high risk
should have documented follow-up with a skin test
for tuberculosis (PPD). Actual skin testing
(PPD placement) for tuberculosis Completion of
a screening assessment such as a questionnaire to
determine risk status is considered best practice
by the Centers for Disease Control and Prevention
29
Can Head Start programs enroll three-year-old
children who were not three years of age by the
date which the local school system uses to
determine kindergarten eligibility?
30
YES
A program with a midyear vacancy may fill that
vacancy with a child who is three years of age
but who was younger than three on the date used
by the school system to determine kindergarten
eligibility and, therefore, not considered for
enrollment at the beginning of the program year.
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However, programs should consider several
factors when deciding whether to enroll this
child

• Grantees are, in effect, committing to providing
  that child 2½ years of servicethat is, the
  remainder of the current program year plus the
  next two program yearsbecause the child will not
  be eligible for kindergarten until the fall two
  years after he/she has been enrolled.

• If there are un-served older children on the
  waiting list, grantees should give serious
  consideration to enrolling these children so that
  they receive the benefit of some Head Start
  experience before entering school.

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• Grantees should also consider that placement of
  this child may mean that the child will probably
  be the youngest in his/her classroom and may well
  be in class with many children who could be
  nearly two years older than the child.

• Grantees must also be able to assure that the
  curriculum they are using would be appropriate
  for a younger child. If, after considering these
  factors, the grantee determines its best (or
  perhaps only) choice is to enroll the
  now-three-year-old, it has the authority to do so.

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Question Which military pay and allowances
should be counted when determining Head Start
eligibility and which should not?
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Answer For purposes of determining income
eligibility, Head Start regulations count
as Basically, this is all that is taxable. For
military personnel, there are numerous categories
of pay and allowances. Some of these are counted
as gross cash income and others are not. To
further complicate things, some pay and
allowances which are otherwise counted as gross
cash income, fall out of that category if they
are received for service in a combat zone.
income as all gross cash income.
income earned and unearned
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The following are included in gross cash income
unless it is paid for service in a combat zone
Basic Pay active duty, back wages, drills,
reserve training, training duty, CONUS COLA
Special Pay aviation career incentives, diving
duty, foreign duty, foreign language proficiency,
hardship duty, hostile file or imminent danger,
medical and dental officers, nuclear-qualified
officers, optometry, pharmacy, veterinarian
Bonuses career status, enlistment, officer,
overseas extension, re-enlistment
Incentive Pay submarine, flight, hazardous
duty, High Altitude/Low Altitude (HALO)
Other payments accrued leave, high deployment
per diem, personal money allowances paid to high
ranking officers, specified Student loan
repayment programs,
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The following are NOT included as gross cash
income
Living Allowances Basic Allowance for Housing
(BAH), BAS (Basic Allowance for Subsistence),
housing and cost of living allowances abroad, OHA
(Overseas Housing
Moving Allowances moving household and
personal items, storage, moving trailers or
mobile homes, temporary lodging, dislocation,
military base realignment and closure benefit.
Travel Allowances annual roundtrip for
dependent students, leave between overseas tours,
reassignment in a dependent restricted status,
transportation during ship overhaul and
inactivation, per diem
Family Allowances specified educational
expenses for dependents, emergencies, evacuation
to a place of safety, separation
Death Allowances burial services, death
gratuity payments to eligible survivors, travel
of dependents to burial site
In-kind Benefits dependent-care assistance,
legal assistance, medical/dental
care, commissary/exchange discounts,
space-available travel on government carriers
Other payments disability, group-term life
insurance, professional education, ROTC
educational and subsistence allowances, uniform
allowances, survivor and retirement protection
plan premiums.
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• Office of Head Start
• Division of Policy Interpretation
• and Accountability Craig Turner
• GOAL-- to improve consistency and to ensure
  quality services