Guidelines for First Tier Review Review of rating by Regulatory Authority An approved provider can apply to a Regulatory Authority for a review of ratings. There are legislative requirements regarding how and when the application can be made, and how it should be dealt with. These guidelines provide a consistent approach across jurisdictions in respect of these obligations. What is the relevant law? Section 141 of the Education and Care Services National Law (National Law) allows approved providers to ask for a review of a rating by the Regulatory Authority (commonly referred to as ‘first tier review’) who determined it. A request for review must: (a) be in writing (b) set out the grounds on which the review is sought (c) be accompanied by the prescribed information (d) include payment of the prescribed fee. Requests must include details of a nominated contact person for the purposes of the request (regulation 68) as well as the related quality areas of the National Quality Standard (NQS). The request must be made within 14 days of the approved provider receiving notice of the rating. If sent electronically it is from that day, however if the notice is not sent electronically it is deemed to have been received in the time in which ordinary post would be delivered. These guidelines should be read in conjunction with Sections 141 – 143 of the National Law which set out information about the role of Regulatory Authorities in review of rating, along with Regulation 68 of the Education and Care Services National Regulations (National Regulations), which sets out the prescribed information an approved provider must include in a request for review of rating levels by Regulatory Authority. Ratings review Upon completion of an assessment and rating visit the Regulatory Authority will prepare a draft assessment and rating report to send to the approved provider, including the proposed ratings. The approved provider has an opportunity at this point to provide comment, discuss the draft report and seek further clarification. These comments will be taken into consideration before the service’s assessment and rating report is finalised and the notice of the service’s ratings is issued. If an approved provider disagrees with the final ratings levels, they may seek a review from the Regulatory Authority. The review of ratings provides an opportunity for Regulatory Authorities to examine decision making and the evidence used to arrive at those decisions, focusing on their validity, reliability and consistency. This review of ratings by Regulatory Authority is referred to as first tier review. Version 1 - March 2013 1|P a g e Making a first tier review application The National Law states that a request from an approved provider for a review of rating must be in writing setting out the grounds on which the review is sought and be accompanied by the prescribed information (section 141). Section 141 (4)(d) states that the request for review must also include payment of the prescribed fee but Schedule 2 Part 1 of the National Regulations negates this by prescribing the fee as nil. Regulation 68 prescribed the information, for the purposes of section 141, as being the name and approval number of the education and care service, the name and relevant details of the contact person in relation to the request for a review as well as the quality areas in the NQS to which the grounds for review relate. For Regulatory Authorities across Australia to effectively and consistently manage the process of first tier reviews, approved providers should make their request directly to the Regulatory Authority using form SA11 Application for Review of Ratings by Regulatory Authority (Service Rating). This form can be found on the ACECQA website. Grounds for review The legislation is silent on the grounds for first tier review. However, the review of rating by the Regulatory Authority is a review of the assessment that was conducted at a point in time, not a reassessment of the service. The Regulatory Authority can take into account new information during a first tier review, but any information must relate to the facts from the point in time when the assessment was conducted (including the period between the draft and final report). If changes have been made at the service since the ratings assessment that might improve the service’s rating levels, the provider should not apply for a first tier review. Instead, the provider should consider whether to apply for a reassessment and re-rating under section 139 of the National Law. During a reassessment and re-rating, the Regulatory Authority can take into account changes made after the initial ratings assessment. These changes cannot be taken into account during first tier review. Contents of a first tier review application form Applicants must provide all information outlined in the application form for request for rating review by Regulatory Authority, as well as any other information reasonably requested by the Regulatory Authority, including: A. Legislative requirements for request the name of the education and care service the service approval number the name and contact details of the contact person for the purposes of the request the quality areas stated in the NQS to which the ground of the review relate the grounds on which the review is sought B. Additional requirements for requests service address details approved provider information applicant declaration Version 1 - March 2013 2|P a g e C. Additional information included on request form Regulatory Authority contact / submission details submission obligations privacy statement request requirements review process Timeframe for determination A Regulatory Authority must conduct a first tier review within 30 days of receiving the request (section 142(3)). This period may be extended by up to 30 days if an approved provider and any person who was involved in the assessment or rating of the service has been asked by the reviewer for further information, or by agreement between the approved provider and the Regulatory Authority (section 142). Conducting a first tier review Regulatory Authorities will determine who is involved in the review of ratings. They may determine that it is an individual officer, or a panel, that conducts the review and makes the decision. Alternatively, they may determine that an individual officer, or a panel, conducts the review and makes a recommendation to a delegated officer to make the final decision. Any person(s) conducting the review must not have been involved in the assessment or rating of the service for which the review relates. While the conducting officer will most likely be from the same Department, where possible it is advisable that the conducting officer not be from the same team. Those involved in the assessment and rating of the service would be considered to be the authorised officer(s) who conducted the assessment and the delegate who determined or approved the final rating. The person(s) making the decision upon a first tier review will have: • been delegated the power to determine a service’s ratings • access to all of the relevant information this information must include the information submitted by the approved provider in the request for rating review application, and all information used by the Regulatory Authority in the determination of the original rating • relevant knowledge of the NQF, NQS and assessment and rating process, including administrative processes and requirements • knowledge of relevant legislation have a solid understanding of the provisions in the legislation, in particular the requirements of review and the relationship between different sections and regulations • effective communication skills • conflict resolution skills this skill will be crucial in dealing with approved providers and also at times relevant staff within the Regulatory Authority Process for review Regulatory Authorities should consistently follow this process for a first tier review of ratings: a. receive request for review Version 1 - March 2013 3|P a g e b. register request for review on National Quality Agenda Information Technology System (NQA ITS) c. acknowledge receipt of application d. identify person(s) within Regulatory Authority involved in the original assessment and/or rating of the education and care service to which the application relates to ensure they are not involved in the first tier review e. assign request for review to an individual officer, or a panel f. validate and review application this process involves ensuring that the application form is complete and all supporting documentation referenced in the application has been included. A review of the application will determine the grounds for the review and make a determination on the need for further information to be sought g. seek further information if required, for example: further information from approved provider to support grounds for requesting review, excluding information not available to original decision maker notes, evidence or any other information considered in original determination of rating comment from those involved in the assessment and rating of the service on the grounds of the request for review of rating any other relevant information from individual persons as determined through a review of the information provided by the applicant or Regulatory Authority staff involved in the assessment and rating of the service if the grounds for the review are in relation to the process of assessment or the conduct of the authorised officer the individual officer or panel may determine the need for, and request, an additional assessment visit by another authorised officer (section 138) h. assess application the review entails determining whether there is sufficient evidence to support the rating given by the original decision maker. In some situations Regulatory Authorities may decide to seek legal advice on a request for rating review i. individual officer or panel recommends confirming specific rating levels and/or the overall rating, or recommends approving amendment to the specific rating levels and/or the overall rating j. individual officer or panel prepares a statement of reason(s) in making recommendation the individual or panel needs to record the recommendation and the nature of the recommendation against each element, standard or quality area that the request related. This statement should also make reference to the considerations taken into account when making the review recommendation. k. Regulatory Authority staff member delegated the approval of the review of rating approves or does not approve the recommendation l. notify relevant Regulatory Authority staff, including original decision maker, of outcomes and grounds for decision of review of rating m. notify approved provider of outcomes and grounds for decision of review of rating further detailing the specific outcomes if they relate to the elements, standards or quality areas of the NQS. Notification should also include further review rights. n. determine if the review of rating has improvement opportunities for Regulatory Authority in relation to the assessment and rating process o. a review of rating must be conducted within 30 days after the application for review was received, unless extended under section 142(4) of the National Law. Version 1 - March 2013 4|P a g e The National Authority’s obligation to publish a service’s rating does not operate until the end of the 14 day period within which a provider can submit a first tier review request (section 141(3)). If such a review is sought the publishing of a service rating is not done until after the end of the 14 day period within which the provider can apply to the Ratings Review Panel (second tier review) for a review. It is important to note that any information used in the determination of a first tier review will need to be provided to the rating review panel if an application for second tier review is sought. If any information provided is used in the determination of second tier review it will be made available to the approved provider. Notice of decision Regulatory Authorities must give the approved provider written notice of the decision on the first tier review within 30 days, unless agreement made with approved provider or additional information is requested (section 143(2)). The notice must set out the rating levels and overall rating for the service and the reason for the decision (section 143(3)). The notice should detail the decision of the first tier review at element, standard and quality area level as well as the overall rating for the service, whether confirmed or amended, and the reason for the decision. Review by Ratings Review Panel The notice will also advise that the approved provider may seek a review by Ratings Review Panel (commonly referred to as ‘second tier review’) within 14 days of receiving the notice and will detail the grounds on which that review may be sought (section 144). Approved providers can seek a second tier review if the Regulatory Authority failed to complete the first tier review within the prescribed timeframe or if the Regulatory Authority’s first tier review was conducted by someone involved in the assessment and rating of the service. The approved provider may also seek a second tier review on the grounds that the first tier review did not take into account, or give sufficient weight to, facts or special circumstances existing at the time of the assessment and rating. Special circumstances are unusual, uncommon or exceptional events that should have been taken into account or given more weight during the first tier review. For example, an event which means that the service was not awarded a rating that it would otherwise have been awarded. Where can I get further information? Further information on the first and second tier reviews, as well as the assessment and ratings process, can be found on the ACECQA website at www.acecqa.gov.au. 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