2009-2010 Head Start Workplan SOUTH CENTRAL HEAD START SOUTH CENTRAL HEAD START WORKPLAN POLICY COUNCIL APPROVAL DATES (All work-plans are updated annually) Human Resources/Management 2/19/09 Children and Mental Health Services 3/26/09 Disability Services 5/21/09 Health and Nutrition Services 5/21/09 Family and Community Services 5/21/09 Program Governance 5/21/09 Internal Dispute Resolution 5/21/09 Shared Governance 5/21/09 Transportation Services 6/18/09 Facilities 6/18/09 Fiscal Management Schedule August Planning Matrix 1/15/09 PC Policies and Procedures 2/19/09 PC Bylaws 2/19/09 Job Description 2/19/09 CCA 5/21/09 Strategic Goals (3 year) Schedule August HEALTH PHILOSOPHY The South Central Head Start program believes it is important to consider the total child in the planning of program activities. Health and health related activities are a part of each day’s learning environment. Classroom experiences are provided to assist the child’s physical, emotional, cognitive, and social development. By acquiring more information, learning more about their bodies and being involved in tasks that help them to integrate and build upon their existing knowledge, children become more competent and independent. Prevention is one of our primary goals and we support early intervention and sharing information about the prevention of illness. We will be making a decided effort to routinely include parents in health education and planning for family health care. The use of health and developmental screening for children provide a way to determine which children need more specialized health care. It will be the responsibility of South Central Head Start staff to provide comprehensive health education for children, parents and staff, promote health and well being for themselves and their children and support and promote learning opportunities to extend or strengthen what parents are already doing. With the best health care possible as our goal, South Central Head Start will help the family to integrate good health care into their daily living and to link the family to an ongoing health care system. South Central Head Start’s goal of health education is to link families to the community health care systems so they can continue to receive comprehensive health care after leaving the program. 1304.20(a)(1)( i) Determining child health status. In collaboration with the parents, no later than 90 calendar days from the child’s entry into the program make a determination as to whether or not each child has an ongoing source of continuous assessable health care, grantee and delegate agency must assist the parents in accessing a source of care; STRATEGY The program shall arrange an ongoing source of continuous, assessable health care, a medical home. a) Family Health Services b) Private physician. A complete child medical history will be completed at the time of recruitment. A) FEIII will review all histories and attach to physical exam form. B) A copy of health history will be available to medical provider at the time of physical exam. A complete child dental history will be completed at the time of recruitment. A) FE III will review all dental histories and attach to dental exam form. B) A copy of dental history will be available at the time of dental exam. If a child needs ongoing health care such as home hospice nurse or if the parent heeds training on how to care for the child with a medical need will be arranged through the child’s physician. * FE – Family Educator PERSON(S) RESPONSIBLE FE, FE II TIMELINES Upon entering the program Center Supervisor Health Coordinator SUPPORTING DOCUMENTATION Child file, FE III Tracking book 4 FE FE III Upon entering the program Child File Center Supervisor Health Coordinator, FE III As needed Medical Individual Education Plan. 1304.20 (a) (1) (ii) Obtain from a health care professional a determination as to whether the child is up to date on a schedule of age – appropriate preventative and primary health care which includes medical, dental and mental health. STRATEGY PERSON(S) RESPONSIBLE SUPPORTING DOCUMENTATION TIMELINES Ensure that health care professionals have conducted the required review of the child’s health, and have provided diagnostic testing and treatment in order to determine each child’s well child care is up to date. Idaho required (EPSDT) screenings (Medicaid), State immunization requirements, TB recommendations by Health Advisory Board and Additional requirements based on community health needs. Every child will receive a medical exam within 90 days of enrollment If a child has received an exam prior to Head Start and within one year of enrollment a new exam need not be given. Any returning child that has had a medical exam through Head Start the prior year need not have a new examination. A returning child may be requested to complete an exam the second year at the discretion of the Health Coordinator. * FE – Family Educator FE FE III Center Supervisor Health Coordinator Physical exam results Within 90 days of enrollment Copy of exam in file within 90 days. 5 Copy of last exam not over a year old. 1304.20(a) (1) (ii) continued – For each child enrolled in the Head Start program a vision screening and/or assessment will be completed. (A) Vision STRATEGY Vision screening To be completed by a trained and qualified staff or professional To be completed once a year Rescreens should be completed 4 wks after initial screening If a referral is necessary to optometrist or ophthalmologist, referral to be done right after 2nd screening (4 wk after initial screening) PERSON(S) RESPONSIBLE FE, FE II, FE III Center Supervisor Health Coordinator FE, FE II, FEIII Center Supervisor Health Coordinator TIMELINES 45 days 4 wks after initial screening SUPPORTING DOCUMENTATION Physical exam results Vision screener (keystone viewer) SOAP Soap, vision score on HISFS (computer) referral 6 * FE – Family Educator * SOAP – Subjective/Objective Assessment Plan 1304.20(a) (1) (ii) continued – For each child enrolled in the Head Start Program a medical screening consisting of hemoglobin or hematocrit shall be completed. (B) Hemoglobin/Hematocrit STRATEGY A hemoglobin or hematocrit will be drawn within 90 days of enrollment Please see Hematocrit Protocol If testing results indicate anemia (hemoglobin less than 11, hematocrit less than 34) the child will be referred to appropriate resource follow-ups testing within 6 – 8 weeks or as indicated by medical provider. If a child is anemic: A) The cook will be informed so that the menu reflects foods High in iron during the time the child is at the Head Start Center. B) On home visit, the FE will give parents hematocrit (HCT) results, recipes And indicate foods high in iron. The nutrition consultant may be contacted and come to home visit C) The condition will be followed throughout the year by the Family Educator. * SOAP – Subjective/Objective Assessment Plan PERSON(S) RESPONSIBLE FE I, FE II, FE III Center Supervisor Health Coordinator, Medical Provider FE I, FE II, FE III Center Supervisor Health Coordinator Nutritional Consultant TIMELINES Within 90 days of enrollment SUPPORTING DOCUMENTATION Hemoglobin/ hematocrit results As indicated by medical provider As needed * CPE – Child/Parent Education Form Post name in Kitchen 7 SOAP documentation CPE SOAP & CPE 1304.20(a) (1) (ii) continued – For each child enrolled in the Head Start program a medical screening consisting of a blood pressure screening shall be completed. (C) Blood Pressure STRATEGY All Head Start children will receive a blood pressure screening within 90 days of enrollment A child found to be at an abnormal perimeters will be referred to his/her primary physician for further evaluation PERSON(S) RESPONSIBLE FE I, FE II, FE III, Health Coordinator TIMELINES Within 90 days of enrollment Health Provider FE Health Coordinator At the time that abnormal reading is noticed. SUPPORTING DOCUMENTATION HSFIS Blood Pressure reading Physician exam results SOAP Blood Pressure Reading SEE NEXT PAGE – QUICK GUIDE TO BLOOD PRESSURE IN CHILDREN * FE – Family Educator * HSFIS – Head Start Information System * SOAP – Subjective/Objective Assessment Plan 8 1304.20(a) (1) (ii) continued – For each child enrolled in the Head Start program a medical screening consisting of a lead test that measures blood lead levels shall be completed. (D) Lead screening PERSON(S) STRATEGY RESPONSIBLE All Head Start enrolled children will receive a lead screening within HV, FE II, FEIII, 90 days of enrollment CS, HC, Medical provider Please see lead screening protocol: HV, FE II, FE III, If a child has had a lead screening within the year (12 months) CS, HC, Medical another lead screening does not have to be performed, however provider documentation of the screening including blood levels must be obtained and filed in the child’s file. A child found to be at abnormal perimeters will be referred to his/her primary physician for further evaluation. A parent may refuse to have a blood lead screening on their child only after having been informed about the possible side effects of lead poisoning in children. The parent must sign a refusal form for lead screening with a statement declaring the reason they refuse the screening. TIMELINES Within 90 days of enrollment SUPPORTING DOCUMENTATION Blood lead level results To be Blood lead level determined results within 90 days of enrollment HV, FE II, FE III, CS, HC, Medical provider As indicated by medical provider Blood lead level results HV, FE II, FE III, CS, HC Within 90 days of enrollment Lead screening exempt form 9 Lead Screening Protocol In accordance with 1304.20(i) (i-ii) Head Start programs are required to make sure that children are tested for lead screening within 90 days of enrollment into the program. If a child has had a lead screening within the past 12 months another lead screening does not have to be performed, however documentation of the screening including blood levels must be obtained and filed in the child’s file. If for some reason, a medical provider did not complete a blood lead screening during the child’s wellness exam: 1. Check list provided and ask physician for a referral to designated lab; send a release of information to obtain results. Parents may refuse this service. After parents have been informed about blood lead poisoning, a parent may still refuse these services by filling out the “Lead Screening Refusal Form”. A copy must be kept in the child’s file. Be sure the proper information is given to the HSFIS administrator. If it is left blank, it looks like it has not been addressed. SOUTH CENTRAL HEAD START COLLEGE OF SOUTHERN IDAHO P.O. Box 1238 Twin Falls, ID 83303-1238 Lead Screening Refusal Form Child’s Name_______________________ Center___________________ As the parent or guardian of ___________________________ I would like to refuse blood lead screening for my child. Please read the following statements and initial. I have been given the information about the risks of lead poisoning and how it could affect my child. _________ ___________ Initial Date I understand that even if my child shows no symptoms of lead poisoning at this time, that the only way to know if my child has high levels of lead in his/her blood is trough a blood test ____________ ____________ Initial Date Please list the reason(s) that you refuse blood lead screening ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________ Parent/guardian signature Date __________________________ Family Educator Date SOUTH CENTRAL HEAD START COLLEGE OF SOUTHERN IDAHO P.O. Box 1238 Twin Falls, ID 83303-1238 Forma para rechazar el examen del Plomo Nombre del niño(a)________________________ Centro____________________ Como padre o guardiãn del niño(a)_______________________________________ Yo deceo rechazar el examen del Plomo para mi niño(a). Porfavor leya lo siguiente y ponga sus iniciales. He sido informado sobre los riesgos del envenamiento por plomo y como puede afectar a mi niño(a). __________ __________ Iniciales Fecha Entiendo que aun que mi niño(a) no eseñe sintomas de envenamiento por plomo a este tiempo, que el unico modo de saber si mi niño(a) tiene mucho plomo en la sangre es por un exãmen de sangre. __________ __________ Iniciales Fecha Porfavor escriba la(s) razŏn(es) que rechaza el exãmen del plomo ______________________________________________________________________________ ______________________________________________________________________________ _________________________________________ Padre/Guardiãn Fecha _________________________________ Educador Familiar Fecha Hematocrit Protocol In accordance with 1304.20 (a) (1)(i-ii), Head Start programs are required to make sure that children are up to date on EPSDT schedule for the specific state. In Idaho, Hematocrit screenings are required at age 9 months, 15 months, 24 months, and 5 years, if the child is considered high risk. If for some reason, a medical provider did not complete a Hematocrit during the child’s Wellness Exam : 1. Check to see if the child is on WIC and get the information from the WIC office. 2. Check List provided to see if the child’s physician completes Hematocrit screenings. A. If the child’s physician does NOT do Hematocrit screenings, then SOAP “Medical Provider does not do Hematocrit screenings and considers this Well Child Exam to be complete.” B. If the child’s physician DOES complete Hematocrit, but it wasn’t done during the appointment…These are the parents’ options: i. Make an appointment to return to the child’s physician for the Hematocrit. ii. Refuse the service. Fill out an incomplete service agreement form. The parent must document the reason this service was refused. Be sure the proper information is given to the HSFIS Administrator. If it is left blank, it looks like it has not been addressed. 10/31/06 Hematocrit protocol 1304.20(a)(1)(ii) QUICK GUIDE TO BLOOD PRESSURE IN CHILDREN Blood pressure (mm Hg)* Age 2-6 months 7-11 months 1-5 years 6-18 years Systolic Diastolic 91 90 90 + age in years 83 + (2 X age in years) 50 to 53 47 + age in months 56 52 + age in years *Based on 50th percentile for males; slightly lower in females, especially 14 to 18 years of age. DEFINITIONS OF BLOOD PRESSURE Normal Blood pressure – Systolic and diastolic pressure less than 90th percentile for age and sex Normal high blood pressure – Systolic and diastolic pressure between the 90 th and 95th percentiles for age and sex. Significant hypertension – Blood pressure persistently between 95th and 99th percentiles for age and sex. Severe hypertension – Blood pressure persistently at or above 99th percentile for age and sex. 1304.20(a) (1) (ii) continued – Ensure that every child enrolled receives the required screenings - (D) Growth Assessment STRATEGY Growth assessment – use the BMI Assessment The growth assessment will consist of age, height and weight. The same chart will be used through the year. Weight obtained without heavy sweaters, jackets or shoes. Height obtained without shoes. Height measured with child’s back against the wall with a ruler resting on the head at a right angle to chart. If a child is within normal range (percentile) on growth chart, then the growth assessment to be done 3 times per year. The first assessment completed within 45 days. (BMI) If the child is at/above the 95th % or at/below 5th %, the child will be referred to: A) Health Coordinator B) Health Provider Family Educator will determine measurements and chart on growth assessment on HSFIS Growth assessments will be completed 3 times per year. * HSFIS – Head Start Family Information System PERSON(S) RESPONSIBLE FE I, FE II, FE III, Center Supervisor Health Coordinator SUPPORTING TIMELINES DOCUMENTATION 90 days upon Growth chart on entering program HSFIS BMI chart Then 3 X’s a year. FE FE I, FE II, FE III, Center Supervisor Health Coordinator Nutrition Consultant FE, FE III Center Supervisor Health Coordinator * FE – Family Educator Within 90 days of enrollment BMI printout 3 times a year BMI chart 15 1304.20(a) (1) (ii) continued – For each child enrolled in the Head Start program a medical screening consisting of a hearing screening shall be completed. (E) Hearing STRATEGY All Head Start children will receive a hearing screening within 45 days of enrollment All returning Head Start children will receive a hearing screening yearly. Screening will be completed by qualified professionals Head Start staff will be trained on the use of the ERO Scan hearing screener. Any child failing a screening will be rescreened within 4 weeks Any child failing a hearing screening a second time will be referred to their primary physician or ENT Specialist for further evaluation PERSON(S) RESPONSIBLE FE I, FE II, FE III, Center Supervisor Health Coordinator Health Coordinator FE I, FEII, FE III, Center Supervisor Health Coordinator Disability Coordinator TIMELINES Within 45 days of enrollment Yearly SUPPORTING DOCUMENTATION Hearing screening results SOAP HSFIS Yearly as needed Training Logs Rescreen in 4 weeks. SOAP Referral 4 – 6 weeks after initial screening Release of information with results physician or ENT SEE HEARING SCREENING FORM – NEXT PAGE * ENT – Ear, Nose & Throat * FE – Family Educator * HSFIS – Head Start Family Information System *SOAP – Subjective/Objective Assessment Plan 16 South Central Head Start Hearing Screen Pass / Fail Name: Center: Date: Puretone Hearing Test Right Ear Frequencies 500 1,000 2,000 4,000 500 1,000 2,000 4,000 Pass Fail 25 db Left Ear 25 db Right Ear Left Ear 1304.20(a) (1) (ii) continued – Dental Exam STRATEGY Every child entered into the program will receive a complete dental exam within 90 days of enrollment. If a child has received a dental exam within the program’s calendar year, a new exam need not be done. PERSON(S) RESPONSIBLE Dentist, FE FE III, FA Center Supervisor Health Coordinator TIMELINES Within 90 days of enrollment SUPPORTING DOCUMENTATION Dental exam Any returning child that has had a dental exam and treatments within the program’s calendar year need not have a new exam A returning child may be requested to complete another dental exam at the discretion of the Health Coordinator A complete dental exam includes: A) An initial exam for: I Dental carries II Malocclusions III Crossbite IV Mouth breathing V Tongue Thrust VI Gingivitis VII Oral infection VIII Crowding IX Any potential problems X Make recommendations for above Two bitewing X-rays when needed SEE HSFIS CHILD ORAL HEALTH ASSESSMENT * FE – Family Educator * FA – Family Advocate Dentist Health Coordinator Dentist Health Coordinator FE III, FA Upon Notification of Health Coordinator 90 days from enrollment Dental exam results 19 Dental exam Only those children enrolled in Head Start who are at risk for tuberculosis will receive a Tuberculosis screening. STRATEGY (1) A survey to determine if the child is at risk for tuberculosis will be done prior to entry into the classroom. The child who is found to be at risk for TB will be required to get a PPD by a medical provider before entering a classroom (2) If PPD shows an abnormal result, child will be referred to the appropriate resources. (Primary physician/public health department) The screening test will consist of a PPD test to be read by the health provider within 48-72 hours. (3) Head Start services in the home will be provided during the time the child is being tested. (4) The child may return to class upon recommendation of PHD, primary physician, nurse or a negative PPD or negative chest x-ray PERSON(S) RESPONSIBLE FE, Center Supervisor Health Coordinator FE I, FE II, FE III, Center Supervisor Health Coordinator FE, Center Supervisor FE, Center Supervisor Health Coordinator TIMELINES Prior to classroom attendance Prior to classroom After negative diagnosis is determined SEE TB SURVEY FORM – NEXT PAGE (5) Children, staff and regular volunteers should be tested upon returning from being out of the country. Follow physician’s recommendations or call your local public health department. SEE HANDOUT ON TUBERCULOSIS PPD – Purified Protein Derivative – A Substance used in intradermal test for tuberculosis TB – Tuberculosis PHD – Public Health Department CPE – Child/Parent Education Form SOAP – Subjective/Objective Assessment Plan SUPPORTING DOCUMENTATION TB survey form PPD, x-ray results SOAP documentation SOAP documentation TB survey form PPD results CPE, SOAP documentation Negative PPD results, negative x-ray results, letter from medical provider. 20 SOUTH CENTRAL HEAD START COLLEGE OF SOUTHERN IDAHO P.O. Box 1238 Twin Falls, ID 83303-1238 (208) 736-0741 A survey to determine if your child is at risk for Tuberculosis Child’s Name ____________________________ Center Please circle yes or no. Yes / No My child has contact with adults who have infectious tuberculosis. Yes / No My child, the child’s parents, or other people living in the same home as the child, are from regions of the world with a high prevalence of tuberculosis. Yes / No My child is frequently exposed to farm workers who move from place to place. Yes / No My child is frequently exposed to the following high risk adults such as… individuals infected with TB, homeless persons, users of intravenous and other street drugs Yes / No My child has been out of the United States within the last year. Parent/Guardian Date Family Educator Date _____ A PPD is not indicated at this time. _____ A PPD is indicated. G:\Form|TB Survey SOUTH CENTRAL HEAD START COLLEGE OF SOUTHERN IDAHO P.O. Box 1238 Twin Falls, ID 83303-1238 (208) 736-0741 Esta forma es para saber si su hijo(a) es propenso a tuberculosis Nombre del niño(a) Centro Porfavor conteste si o no SI / NO Mi niño vive o ha vivido con adultos que tienen tuberculosis. SI / NO Mi niño, los padres de mi niño o otras personas viviendo en la misma casa con el niño, son de paises que hay el virus de tuberculosis. SI / NO Mi niño vive o ha vivido con trabajadores del campo que se mueven de parte a parte. SI / NO Mi hijo esta propenso a encontrarse con jente que tienen estos viruses: SIDA, personas sin hogar, personas que usan drogas. SI / NO Dentro del año, mi hijo a salido fuera del pais. Padre/Guardián Fecha Family Educator Date _____ A PPD is not indicated at this time. _____ A PPD is indicated. G:\Form|TB Sur S. 1304.20(a) (1) (ii) A – For children who are not up-to-date on an age – appropriate schedule of well child care, grantee and delegate agencies must assist parents in making the necessary arrangements to bring the child up to date. STRATEGY Families will be referred to local clinics and/or health professionals in order to update immunizations. See “late start” Immunizations schedule * FE – Family Educator PERSON(S) RESPONSIBLE FE I, FE II, FE III, Center Supervisor Health Coordinator Medical Provider TIMELINES Upon program entry SUPPORTING DOCUMENTATION SOAP, Physical exam, Dental exam and immunization records * SOAP – Subjective/Objective Assessment Plan 23 1304.20(a) (1) (ii) A continued - Immunizations STRATEGY According to the South Central District Health Department Policy, any child who has received their 4th (DPT/OPV) shots after they are 4 years old need not have another booster. Immunizations can be given at the time of the physical exam or the child may be taken to the health department. Parents will be encouraged by the Family Educator or on home visits to utilize community recourses to keep their child’s immunization status current. a) Family Health Service b) Health Department c) Private physician PERSON(S) RESPONSIBLE Health Coordinator FE, Center Supervisor, Health Coordinator FE, Center Supervisor, Health Coordinator TIMELINES SUPPORTING DOCUMENTATION On going as needed to update Immunization record As needed to update shots CPE, SOAP Transportation may be arranged to clinic site. Parent should contact FE AS needed CPE, SOAP their Family Educator If a child’s immunization status is not current, the child will be FE, FE III, Center Upon entering Incomplete service excluded from the classroom but Head Start services will be Supervisor, Health program agreement provided in the home until immunizations are up to date. Coordinator A parent may refuse to update immunizations and sign an State of FE, FE III, Center Parent may State of Idaho Idaho Certificate of Exemption school Immunization Requirement Supervisor, Health notify refusal to certificate of form with the understanding that their child will be excluded from Coordinator FE and sign Exemption for School the classroom if any communicable disease that children are The exemption Immunization generally immunized against, occur. form Requirement * FE – Family Educator * CPE – Child\Parent Education Form * SOAP – Subjective/Objective Assessment Plan 24 1304.20(a) (1) (ii) A continued - Immunizations STRATEGY Emphasize need for staff to document efforts and plans to complete immunizations in our SOAP, as well as on HV forms during preservice and in-service training. Monitor family files for compliance * SOAP – Subjective/Objective Assessment Plan * FE – Family Educator PERSON(S) RESPONSIBLE FE, FE III, Center Supervisor, Health Coordinator FE, FE III, Center Supervisor, Health Coordinator * HV – Home Visits TIMELINES Twice a month/as needed SUPPORTING DOCUMENTATION Immunization record, SOAP, CPE Monthly and yearly *CPE – Child/Parent Education Form 25 School Immunization Law Requirements: I. Students enrolling in preschool, ungraded, and K-12th grades must show proof of receiving the following immunizations before attendance in any Idaho public, private or parochial school: a. 4 or more doses of DTP, DT, DtaP or Td vaccine, unless fewer doses are medically recommended; b. 3 or more doses of polio vaccine, unless fewer doses are medically recommended; c. One dose each of measles/mumps/rubella vaccine, given after one year of age; and, d. 3 doses of hepatitis B vaccine for children born after November 22, 1991. II. A student’s parents may provide laboratory proof of immunity in lieu of receiving any or all of the immunizations listed on I. Above. III. A student’s parents may claim an exemption to any of the required immunizations for medical, religious or personal reasons by providing a signed copy of DHW form Imm 062796 (or one with similar information) to school officials. NOTE: For more details on the requirements of the Idaho School Immunization Law, consult Idaho Code Section 39-4801 and Manual Sections 2-15000 – 2-15999 "RIGHT START" EARLY CHILDHOOD IMMUNIZATION DOSE COUNT TABLE This table is to be used to check a child’s immunization record to see if the child is over due for vaccine. It is based on the routine schedule recommended by the American Academy of Pediatrics and the Centers for Disease Control of the U.S. Public Health Service. This table is for children who begin their immunizations when they are less than one year of age. Refer to the "Late Start Early Childhood Immunization Dose Count Table" for those who start immunization after one year of age. A health professional should individually evaluate and certify completeness for any child whose immunizations do not match the routine schedule. Use the recommended schedule for doses due now. FIND AGE OF CHILD ------------------------------------------COUNT---------------------------------------- Total # Total # Total # Total # Total # DTP* Polio* Hib* MMR* Hepatitis B 3 to 4 months 1 1 1 0 1 or 2~ 5 to 6 months 2 2 2 0 2 or 3~ 7 to 15 months 3 2 2 or 3** 0 or only Measles*** 2 or 3~ 16 to 18 months 3 2 1-4** 1*** 2 or 3~ 19 mths to 6 yrs 4 3 1-4** 1*** 3~ 7 years 5~~ 4 --- 1 or 2**** 3~ * ** *** **** ~ DTP = diphtheria, tetanus and pertussis vaccine; polio = poliovirus vaccine; Hib = Hemophilus b conjugate vaccine; MMR = live measles, mumps and rubella vaccine. Tbree different types of Hib vaccine are currently available. Each has a different dose regimen. The Merck vaccine requires three doses optimally at 2, 4 and 12 months of age. The Lederle vaccine requires four doses optimally at 2, 4, 6 and 15 months of age. The Connaught vaccine is not indicated for use in infants less than 15 months of age. Since the records maintained by parents often do not specify the type of Hib vaccine used, the completeness of a child’s Hib immunization status should be certified by the child’s health provider. Children over 5 years of age are not usually given Hib vaccine. If a child receives only one dose of Hib, it must have been given at or after 15 months of age. In areas where an outbreak of measles has occurred, single antigen measles vaccine (not MMR) is advised by the health department at 6 months of age. These children should still receive MMR at or after 12 months of age. In some areas measles vaccine is routinely given at 12 instead of 15 months of age. A second dose of measles vaccine or MMR is before school entry or at 11-12 years of age. As of March, 1992, both the AAP and the CDC recommend universal immunization of infants against Hepatitis B virus beginning at birth or at 1-2 months of age. The AAP also recommends immunization of all adolescents whenever resources permit. Compliance with these recommendations will require a phasein period. ~~ The 5th dose of DTP and the 4th dose of polio vaccine are not necessary if the previous dose of the vaccine was given after the fourth birthday. The Immunization Dose Count Tables were developed by Susan S. Aronson, M.D., F.A.A.P. They were reviewed by the Centers for Disease Control and the American Academy of Pediatrics in 1992. Check for annually with a physician or your local health department. “LATE START” EARLY CHILDHOOD IMMUNIZATION DOSE COUNT TABLE This table is to be used to check a child's immunization record to see if the child is over due for vaccine. It is based on the schedule recommended by the American Academy of pediatrics and the Centers for Disease Control of the U.S. Public Health Service for children who start immunization after one year of age. A health professional must individually evaluate the record of any child who has not been immunized according to the recommended schedule. Use the recommended schedule for doses due now. 1. COMPARE DATE OF FIRST DOSE WITH TODAY’S DATE TO FIND THE TIME IN YEARS AND MONTHS SINCE START OF IMMUNIZATION. (Borrow 12 months from years if you must subtract larger number of months.) Example: Today’s Date Date of First Dose Time Year Month 92… 1 -90… -7 START + Year Month 91.. 13 -90.. -7 1 year 6 months Borrow 12 months from years; add to months; subtract months and years 2. COUNT THE TOTAL NUMBER OF DOSES OF EACH VACCINE THE CHILD SHOULD HAVE RECEIVED BY: TIME FROM START ------------------------------------------COUNT---------------------------------------- Total # Total # Total # Total # Total # DTP* Polio* Hib* MMR* Hepatitis B START 1 1 1 0 or 1*** 1~ START + 3 months 2 2 1 or 2** 1*** 2~ START + 5 months 3 2 1 or 2** 1*** 2~ START + 17 months 4 3 1 or 2** 1*** 3~ By age 7 years 4 1 or 2** 1 or 2**** 3~ * ** *** **** 5 DTP = diphtheria, tetanus and pertussis vaccine; polio = poliovirus vaccine; Hib = Hemophilus b conjugate vaccine; MMR = live measles, mumps and rubella vaccine. Hepatitis B = Hepatitis B vaccine. A second dose of Hib vaccine is given only to children whose first dose was received before 15 months of age. Children who have had their fifth birthday are not usually given Hib vaccine. In areas where an outbreak of measles has occurred, some health departments may have different recommendations. Consult a pediatrician or the local Department of Health for more specific recommendations. A second dose of measles or MMR vaccine is recommended either before school entry or at 11-12 years of age. Consult a pediatrician or the local Department of Health for more specific recommendations. ~ The 5th DTP and 4th OPV are not necessary if the 4th DTP and 3rd OPV were given after the fourth birthday. The Immunization Dose Count Tables were developed by Susan S. Aronson, M.D., F.A.A.P. They were reviewed by the Centers for Disease Control and the American Academy of Pediatrics in 1992. Check for annually with a physician or your local health department. RECOMMENDED CHILDHOOD IMMUNIZATION SCHEDULE UNITED STATES, JANUARY – DECEMBER 2005 Vaccines’ are listed under routinely recommended ages. BARS indicate range of recommended ages for immunization. Any dose not given at the recommended age should be given as a “catch-up” immunization at any subsequent visit when indicated and feasible. Indicate vaccines to be given if previously recommended doses were missed or given earlier than the recommended minimum age. AGE VACCINE HEPATITIS B BIRTH 1 MO HEP B 2 MO 4 MO 6 MO HEP B DIPHTHERIA, TETANUA, PERTUSSIS H. influenzae Type b Polio Measles, Mumps, Rubella Varicella Hepatitis A DTaP 12 MO 15 MO 18 MO 24 MO 4-6 YRS 11-12 YRS 14-16 YRS HEP B DTaP DTaP Hib Hib Hib IPV IPV DTaP DTaP Td Hib 31 IPV IPV MMR MMR Var Hep A-in selected areas Approved by the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), And the American Academy of Family Physicians (AAFP) 1304.20(a) (1) (ii) (B) – For children who are up to date on an age-appropriate schedule of well child care grantee and delegate agencies must ensure that they continue to follow the recommended schedule of well child care . STRATEGY Parents will be encouraged to utilize community resources to keep their child’s immunization status current. a) Family Health Services b) Health Department c) Private Physician Transportation will be available as needed to the clinic site. See “Right Start” Immunizations schedule * FE – Family Educator * HV—Home Visitor * SOAP – Subjective/Objective Assessment Plan PERSON(S) RESPONSIBLE FE, HV, Center Supervisor, Health Coordinator FE, Center Supervisor TIMELINES Upon notification of need. AS needed to go to update immunizations * CPE – Child/Parent Education Form SUPPORTING DOCUMENTATION CPE, SOAP Immunization Record CPE, SOAP 32 1304.20(a) (1) (ii)(c)– Grantee and delegate agencies must establish procedures to track the provision of health care services. STRATEGY Child health records will be maintained and used to: Individualize child’s health needs Identify needed preventative and corrective care; and Assure that such care is arranged In some cases, a child may need an IEP in order to individualize the child’s medical needs while at Head Start (see health IEP) Health records contain information of a confidential nature, and therefore, are kept in a place not accessible to unauthorized persons. Those portions of the health information providing helpful guidance to staff are shared through reports and conferences that translate the confidential health information into useful educational and administrative recommendations. * FE – Family Educator PERSON(S) RESPONSIBLE FE, FE III, Center Supervisor, Health Coordinator TIMELINES Upon knowledge that child needs individualized care SUPPORTING DOCUMENTATION SOAP, Child file FE, Center Supervisor, Health coordinator Health IEP FE I, FE II, FE III, Center Supervisor Health Coordinator SOAP, Child file, Health Reports * IEP – Individual Education Plan 33 * SOAP – Subjective/Objective Assessment Plan 1304.20 (a)(1)(iii) & (iv) – Obtain or arrange further diagnostic testing, examination and treatment by an appropriate licensed or certified professional for each child with observable, known or suspected health or developmental problem and (iv) develop and implement a follow up plan for any condition identified so that any needed treatment has begun. STRATEGY Every child entered into the program will receive a complete medical exam within 90 days of enrollment. PERSON(S) RESPONSIBLE Health Provider, FE III, Health Coordinator TIMELINES Within 90 days of entering program SUPPORTING DOCUMENTATION Physical exam, Child file, Center Supervisor tracking book If a child has received a medical exam within the program’s calendar year, a new exam need not be done. A Medical examination will include: A) Examination of all systems or regions which are made suspect by the health history or screening. B) Search for certain defects in specific regions common or important in this age group (skin, eye, ear, nose, throat, heart, lungs and grain). C) Blood pressure screenings D) Referral to specific professionals or agencies when specified. E) Screening consisting of height & weight, Hematocrit, Lead, Tuberculin and needed immunizations. See State Recommendations * FE – Family Educator Within 90 days 34 90 days 90 days Health provider, FE III, FE, Health Coordinator State Immunization Requirements 1304.20(b) (1) – Screening for developmental, sensory and behavioral concerns in collaboration with each child’s parent, and within 45 calendar days of the child’s entry into the program, grantee and delegate agencies must perform or obtain linguistically and age appropriate screening procedures to identify abilities and needs regarding a child’s developmental sensory (visual and auditory), behavioral, motor, language, social cognitive, perceptual, and emotional skills (see 45 CFR1308.6(b)(3) for additional information). To the greatest extent possible, these screening procedures must be sensitive to the child’s cultural background. STRATEGY The child will be screened for the following within 45 calendar days of the child’s enrollment into the program. Developmental a) perceptual motor b) cognitive c) gross motor d) fine motor Speech Language Vision Hearing Behavior (social emotional) Oregon Assessment Mental health observation Height & weight PERSON(S) RESPONSIBLE FE, FE III, Center Supervisor, Children’s Services Specialist, Disability Coordinator, Health Coordinator TIMELINES Within 45 days SUPPORTING DOCUMENTATION Screening results Twice a year 35 Oregon assessment Mental Health Consultant 3 times per year 3 times per year Mental Health observation form BMI chart 1304.20(b)(2) – Grantee and delegate agencies must obtain direct guidance from a mental health or child development professional on how to use the findings to address identified needs. STRATEGY The mental Health Consultant is available to: 1) Provide guidance for staff on the next steps to take should screening results indicate a need for further assessment 2) Provide guidance on how to address children’s needs in the program and in the home. 3) Assist staff in determining appropriate procedures for developmental screening. SOAP – Subjective/Objective Assessment Plan PERSON(S) RESPONSIBLE Mental Health Consultant TIMELINES 45 days from enrollment Upon knowledge that there is a need after each observation All year as needed. Privies to development screening SUPPORTING DOCUMENTATION SOAP documentation, Mental health observation form. Individual child goal sheet 36 1304.20(b)(3) – Grantee and delegate agencies must utilize multiple sources of information on all aspects of each child’s development and behavior including input from family members, teachers, and other relevant staff who are familiar with the child’s typical behavior. STRATEGY A system ensures that staff and parent observations are a part of all screening processes which include: Screening instruments Recorded observations of FE, HV and parents Collection of work by children, such as artwork, dictated stories or tape recordings of language. Interviews of children Anecdotals Staff summaries of child’s progress as individual and in group setting Parent feedback when reviewing screening results, portfolios, classroom anecdotals, discussing progress on goals, evaluating parent – child activities on Home Visits * FE – Family Educator * HV – Home Visitor *SOAP – Subjective/Objective Assessment Plan PERSON(S) RESPONSIBLE FE FE TIMELINES Daily SUPPORTING DOCUMENTATION CPE screening instrument Child Anecdotals SOAP Documentation SPE Child portfolios FE Anecdotals 37 FE I, FE II, FE III, Center Supervisor, Child Service Specialist CPE * CPE – Child/Parent Education Form 1304.20©(1) & (2) – Extended follow up and treatment and (1) Grantee and delegate agencies must establish a system of ongoing communication with the parents of children with identified health needs to facilitate the implementation of the follow up plan (2) Grantee to assist parents to enable them to obtain prescribed medications, aids, or equipment for medical & dental conditions. PERSON(S) RESPONSIBLE FE, FE III, Center Supervisor, Health Coordinator Parents of children with identified health needs will be assisted with FE, FE III, Center transportation, and find assistance to pay for medications, aids or Supervisor, Health equipment and with communication with health professionals Coordinator, FE III Resources will be found for further testing. Children Service Specialist STRATEGY Any concerns will be referred to appropriate professional, parent and Health Coordinator informed. Testing or treatment will take place, with parent approval. An informal IEP will be implemented if child does not meet state guidelines. Appropriate goals will be included on goal sheet. * IEP – Individual Education Plan * FE – Family Educator Disabilities, Coordinator, Health Coordinator FE, Health or Disabilities Coordinator FE, Parents TIMELINES Sept. – May SUPPORTING DOCUMENTATION SOAP/Child File Sept. – May SOAP/ Child File Center supervisor tracking book As soon as problem is noted SOAP, Parental permission testing results. Results from physician As soon as problem is noted As soon as problem is noted Medical/Dental informal IEP As soon as problem is noted Medical/Dental informal IEP * SOAP 0 Subjective/Objective Assessment Plan 38 1304.20(c)(3)(i) – Dental follow-up and treatment must include: (i) Fluoride supplements and topical fluoride treatments as recommended by dental professionals in committees where a lack of adequate fluoride levels has been determined for every child with moderate to sever tooth decay. STRATEGY Effective dental hygiene is promoted through the use of fluoride. Two types of fluoride treatments are: Daily brushing with fluoride toothpaste, the best way to get topical fluoride, which acts on teeth that have already erupted through the gums. Fluoride supplements, which may be recommended by dental professionals when communities do not fluoridate their water. * FE – Family Educator PERSON(S) RESPONSIBLE FE, Center Supervisor, Health Coordinator FE III TIMELINES Sept. – May Every class day Dentist, FE, Center Upon Supervisor, Health recommendation Coordinator from public health department or dentist SUPPORTING DOCUMENTATION Lesson Plans Toothbrushing chart Dental exam, treatment plan 39 1304.20(c) (3) (ii) – Other necessary preventative measures and further dental treatment as recommended by the dental professional. STRATEGY The program shall average or obtain treatment and follow-up for all dental problems detected during dental exams. For those children not covered by medical card or private insurance. Authorization and prioritization include: A) Services required for relief of pain or infection B) Restoration of decayed permanent teeth. C) Pulp therapy for primary and permanent teeth as needed D) Anterior restorations (8 teeth in front of mouth) on primary teeth include I. 5+ year olds – none extract if emergency condition exists. II. 3 – 5 years olds – restore only if infection threatens the development of permanent teeth. E) Cost factors: Stainless steel crowns rather than 3 or 4 Surface restorations. F) Extractions on non-restorable teeth and replacement of space maintainers if primary 1st or 2nd molars extracted G) Prophylaxis: To be done daily in the classroom, authorize dentist only if hard deposits present tartar and/or calculus. H) Fluoride: Fluoride toothpaste treatment to be done daily in the classroom * FE – Family Educator PERSON(S) RESPONSIBLE FE, FE III, Center Supervisor, Health Coordinator Health Coordinator authorize treatment TIMELINES Sept – May Upon notification of needed service SUPPORTING DOCUMENTATION Dental exam treatment record Dental treatment forms 40 Health Coordinator Lesson Plans Dental treatment form FE Every class day Tooth brushing chart, Lesson Plans, Site visit evaluation by Heath Coordinator * Prophylaxis – Cleaning, prevention of cavities by brushing teeth and using fluoride. 1304.20(c)(3)(ii) - continued STRATEGY Parents will be educated in their home and the center on the value and low cost of proper home dental care. This will be completed through: A) Pamphlets B) Books C) Home Lessons D) Parent Meetings E) Newsletter Articles F) Community Activities G) Parent involvement in class education activities on value of sugar free food by: I. Pamphlets II. Nutrition Program III. Parent Involvement Children will be educated in the home and classroom on good dental hygiene by: A) Family Educator will be responsible to see that all children are taught and monitored in daily toothbrushing at school B) Family Educator will present or have someone present structured dental activities at a minimum of 3 times per year. C) One dental flossing lesson on a home visit PERSON(S) RESPONSIBLE Home Visitor, FE II, FE III, Center Supervisor, Health Coordinator TIMELINES Once a year more often if necessary SUPPORTING DOCUMENTATION CPE, SOAP 41 FE I, FE II, FE III, Center Supervisor, Health Coordinator FE I, FE II, FE III Center Supervisor * FE – Family Educator *CPE – Child/Parent Education Form * SOAP – Subjective/Objective Assessment Plan Daily Lesson plans Three times per year CPE, SOAP 1304.20(c) (3) (iii) – Other necessary preventative measures and further dental treatment as recommended by the dental professionals. PERSON(S) RESPONSIBLE Health Coordinator STRATEGY Health Coordinator make the final decision of Head Start payment for follow up dental care. Family Educators will stress the importance of follow up care and the need for child to complete treatment by: A) Discussing on home visit B) Providing direct or indirect services if needed. C) Phone Calls D) Reminders E) Families that choose not to complete follow up dental service will be asked to sign Incomplete Service Agreement. * FE – Family Educator *HV—Home Visitor * SOAP – Subjective/Objective Assessment Plan TIMELINES Upon Notification of treatments needed FE, HV Upon knowledge that follow up care is needed * CPE – Child/Parent Education Form SUPPORTING DOCUMENTATION Head Start medical and dental authorization for follow-up form CPE, SOAP documentation 42 1304.20(c)(4) – Grantee and delegate agencies must assist with the provision of related services addressing health concerns in accordance with the Individualized Education Program (IEP) and the Individualized Family Service Plan(IFSP). STRATEGY The Individualized Education Plan (IEP) or Individualized Family Service Plan (IFSP) represents an agreed upon plan of action to support the achievement of important developmental outcomes for children including supports for families. An informal dental Individual Education Plan will be completed on all children with any of the following conditions: A) More cavities than child’s age. B) Any extractions or pulpotomy treatment. C) Dentist recommendation of caries control. D) Any signs or symptoms of gum disease or oral infections. E) Any other child that is determined by Health Coordinator to need an informal IEP< i.e.: (poor nutritional habits, poor dental hygiene, etc.) An informal IEP meeting will be completed on home visit by the parent and Family Educator and may also include the Health Coordinator, Center Supervisor, Nutrition Consultant or other. An informal IEP will be written on Health & Dental IEP. Copies will be given to parent and Family Educator for Child’s File and Health Coordinator. * IEP – Individual Education Plan *HV—Home Visitor PERSON(S) RESPONSIBLE TIMELINES HV, FEIII, Center Supervisor Upon knowledge of need SUPPORTING DOCUMENTATION Dental IEP 43 HV, FEIII, Center Supervisor HV, FEIII, Center Supervisor *CPE – Child/Parent Education Form Upon knowledge of need IEP, CPE IEP, Child File * FE – Family Educator SOUTH CENTRAL HEAD START Health IEP Child’s Name Center / FE Long Range Goals: Short Term goals Date Initiated Educational Intervention Health Intervention Family Services Intervention Home Activities Community Resource Intervention Date Completed Comments 44 1304.20(c)(5) - Head Start funds may be used for professional medical and dental services when no other source of funding is available. When Head Start funds are used for such services, grantee and delegate agencies must have written documentation of their efforts to access other available sources of funding. STRATEGY Utilizing the resource guide and community resources, the family will locate resource for follow-up services needed. Medicaid, Early Periodic Screening Diagnosis and Treatment (EPSDT) Public health service programs, Indian health, Migrant health, maternal/child health services, special health care needs services. Supplemental Nutrition Program for Women, Infants and Children (WIC). Health Departments (State, Tribal, Local) Head Start funds to be used for professional medical and dental services when no other source of funding is available. * FE – Family Educator *HV—Home Visitor PERSON(S) RESPONSIBLE HV, FE III, Center Supervisor TIMELINES Upon knowledge that such services are needed SUPPORTING DOCUMENTATION Health & Special needs follow up authorization request. 45 HV, Center Supervisor, Health Coordinator Upon knowledge that such resource is needed when no other resource is available Health & Special needs follow-up authorization request. 1304.20(d) – On going care. Grantee and delegate agencies must implement on going procedures by which Head Start staff can identify any new or recurring medical, dental or developmental concerns so that they may quickly make appropriate referrals. STRATEGY Staff will continue to assess the child’s physical, social, emotional and cognitive development to ensure the quick identification of health or developmental problems, as well as to be aware of the child’s developmental progress. Document any changes in child’s file Address changes with parent If parental concern may meet with a consultant, coordinator or specialist. *HV—Home Visitor * FE – Family Educator PERSON(S) RESPONSIBLE HV, FE III, Center Supervisor TIMELINES On going every class day SUPPORTING DOCUMENTATION SOAP documentation, Child File HV, FE I, FE II, FE III, Center Supervisor When changes of SOAP behavior or health is noted * SOAP – Subjective/Objective Assessment Plan 46 1304.20(e)(1) – In making all possible efforts to ensure that each child is enrolled in and receiving appropriate health care services, grantee and delegate agencies must: (1) Consult with parents immediately when child health or developmental problems are suspected or identified. STRATEGY Staff will communicate with parents about observations made by them or others regarding the child’s behavior, developmental or health concerns PERSON(S) RESPONSIBLE HV, FE III, Center Supervisor TIMELINES On Home visits SUPPORTING DOCUMENTATION SOAP document, child file, CPE 1304.20 (e)(2) – (2) Familiarize parents with the use of and rational for all health and developmental procedures administrated through the program or by contract or agreement, and obtain in advance parent or guardian authorization for such procedures. And ensure that the results of diagnostic and treatment procedures and on going care are shared with and understood by the parents. STRATEGY The results of diagnostic and treatment procedures are shared and discussed with parents on home visits. PERSON(S) RESPONSIBLE HV, FE II, Center Supervisor Parental/guardian authorization will be obtained prior to all health and developmental procedures. HV, FE III, Center Supervisor *HV—Home Visitor * FE – Family Educator SUPPORTING TIMELINES DOCUMENTATION Upon receiving SOAP documentation physical exam, in child file dental exam results On going Head Start application Upon application * SOAP – Subjective/Objective Assessment Plan 47 1304.20 (e)(3) – Talk with parents about how to familiarize their children in a developmentally appropriate way in advance about all of the procedures they will receive while enrolled in the program. STRATEGY Staff will orient parents about medical and dental screenings for their children. And will explain to parents how to prepare children for health procedures as well as prepare the children while in class. Dramatic play area Field trips to doctor/dentist Reads books to the children Show pictures of medical providers Talk about going to the doctor/dentist *HV—Home Visitor PERSON(S) RESPONSIBLE HV, FE III, Center Supervisor * FE III – Family Educator (Lead Teacher) TIMELINES Orientation First 4 weeks of class SUPPORTING DOCUMENTATION Classroom, Lesson plans On Going 48 1304.20 (e)(4) – Assist parents in accordance with 45 CFR 1304.40(f)(2)( i ) and (ii) to enroll and participate in a system of ongoing family health care and encourage parents to be active partners in their children’s health care process. STRATEGY Introduce parents to existing health resources and help them to become effective consumers of health care and to develop good relationships with health providers, so that they will feel comfortable utilizing managed care and fee for service systems, making appointments, calling for information, and communicating with the provider during visits Encourage parents to take their children to health and developmental appointments, and offering them access to safe transportation and other needed resources Stressing the importance of keeping up-to-date health records in a safe place. Promoting preventative health care for all family members Encouraging parents to participate on the Health Advisory Committee * FE – Family Educator PERSON(S) RESPONSIBLE FE II, Child’s FE, Center Supervisor, Health Coordinator FE, FE III, Center Supervisor FE FE FE, Center Supervisor TIMELINES Upon entering program. Ongoing Upon entering program as needed On going Ongoing Upon entering program SUPPORTING DOCUMENTATION CPE, SOAP documentation SOAP documentation CPE, home visit documentation, SOAP in child’s file SOAP documentation Orientation 49 1304.20 (e)(5) – If a parent or other legally responsible adult refuses to give authorization for health services, grantee and delegate agencies must maintain written documentation of the refusal. STRATEGY Staff obtain timely, informed and written parental consent for authorization of all health services provided or arranged When parents raise concerns about recommended procedures it is necessary to talk about why they refuse procedures. Those refusals need to be documented *HV—Home Visitor PERSON(S) RESPONSIBLE HV, FE III, Center supervisor HV, FE III TIMELINES Upon acceptance into program As needed SUPPORTING DOCUMENTATION Child File Incomplete service agreement form, Child File * FE III – Family Educator III (Lead Teacher) 50 1304.20 (f)(1) – Individualization of the Program. Grantee and delegate agencies must use the information from the screenings for developmental, sensory, and behavioral concerns, the on going observations, medical and dental evaluations and treatments and insights from the child’s parents to help staff and parents determine how the program can best respond to each child’s individual characteristics, strengths and needs. STRATEGY Building upon the results of the screenings, observations, and evaluations, activities are tailored the curriculum adapted, and the physical environment modified to support each child’s learning style and to be responsive to differences in style. Should a screening identify a child in need of further evaluation or diagnostic testing, and the subsequent results indicate that the child meets the eligibility criteria for disability requiring special education services, an Individual Education Program (IEP) or Individual Family Service Plan (IFSP) is developed and services begin as soon as possible. *HV—Home Visitor PERSON(S) RESPONSIBLE HV, FE III, Center Supervisor, Health Coordinator, Children Service Specialist Child’s HV, FE III, Center Supervisor, Disabilities Coordinator, Health Coordinator, Children Service Specialist, Family Service Specialist * FE III – Family Educator III (Lead Teacher) * IFSP – Individual Family Service Plan TIMELINES On going upon screening results Upon screening results SUPPORTING DOCUMENTATION Lesson Plans IEP, IFSP, Child File 51 * IEP – Individual Education Plan 1304.20 (f)(2)(i) - To support individualization for children with disabilities in their programs, grantee and delegate agencies must ensure that they participate in the development of the individualized Education Plan (IEP) for preschool age children with disabilities, consistent with the requirements of 45 CFR 1308.19. PERSON(S) STRATEGY RESPONSIBLE Following screening, evaluation and the determination that a child Child’s HV, FEIII, meets the eligibility criteria and has a disability, a plan to meet the Center Supervisor, child’s needs for special education and related services is developed Disability Coordinator, Children Service Specialist, Family Service Specialist Health Also see Diabetes Plan Coordinator, Entitled Special Needs Roles and Responsibilities of School Personnel Coordinator, Student with Diabetes Mellitus Health Coordinator, Special Needs Coordinator or Nutrition Nutrition Consultant Consultant will set up plan with appropriate staff, doctors, nurses or public health. *HV—Home Visitor * FE III – Family Educator III (Lead Teacher) TIMELINES Upon screening results On going as needed Upon knowledge of diabetic child SUPPORTING DOCUMENTATION Individual Education Plan Diabetic Plan, Child File, IEP 52 * IEP – Individual Education Plan Roles and Responsibilities of School Personnel Student with Diabetes Mellitus Date of initial plan: ________________________ Student:__________________________________ Date of birth:______________________________ Physician:________________________________ Allergies:_________________________________ Parents’ names:_______________________________ ____________________________________________ Age or date of diagnosed with diabetes:____________ Medications:_________________________________ In emergency call:_____________________________ Diabetes Mellitus is one of the most common serious illnesses of childhood. The diagnosis of diabetes in children is not a rare occurrence, and the incidence of newly diagnosed children appears to be increasing yearly. The goal of treating diabetes is to help body overcome its problem of not able to use food for energy. Treatment is based on keeping blood glucose (sugar) within an acceptable range. Achieving this target range means that three things must be in careful balance: 1. Food intake (food makes blood glucose go up) 2. Insulin levels (insulin makes blood glucose go down) 3. Physical activity (exercise makes blood glucose go down) When a student with diabetes mellitus is identified at school, it is important for the student as well as school personnel to think ahead and develop a plan of care. By understanding a student’s special health needs and being alert possible complications, school personnel can create a supportive, less stressful environment for both the student, the family and staff. The following checklist may be used to assist the student, family and school personnel in clarifying student needs as well as who will be responsible for monitoring each component. Upon completion of the planning process, participants need to sign that they have read and approve the plan. Signature of participant Position Parent or guardian Classroom teacher School lunch program representative Comments or additional signatures D a t e Basic Components of Care I. Dietary Needs Person(s) Responsible for Monitoring Date Discussed: ___/___/___ 1. Avoid scheduling the student for a very early or late lunch period and try to ensure that meals and snacks are eaten at close to the same time each day. 1. 2. Clarify with parent if between-meal snacks are part of the student’s daily meal plan and at what times they should be eaten. If snacks are a needed part of the daily meal plan, the student should help to decide how to handle the snack. (i.e. at their desk, or in a more private place). 2. 3. Make arrangements with parent to supply the child with the appropriate type of snack such as crackers, cheese, chips, pretzels, fruit juice or milk. 3. 4. Discuss importance of teacher having a few treats on hand for unexpected parties. 4. 5. Other: 5. II. Blood Glucose Testing Date Discussed __/__/__ 1. Does student need to do blood tests at school? No Yes (If “yes”, when?) 1. 2. Discuss and identify place where student feels most comfortable doing tests:______________________ 2. 3. Does student need help doing tests? No Yes (If “yes”, name of person 3. 4. Blood test and dosage parameters for this student: 4. Basic Components of Care Person(s) Responsible for Monitoring III. The Use of Insulin and Glucagon Date Discussed: __/__/__ 1. Dose the student have any special needs regarding insulin during school? No Yes (If “yes, review the 1. following). a. Make certain there is signed physician order for medication given during the school day (school policy). b. Proper dosage (See section II.5) c. Does child need help with injection? No Yes Name of Person ____________ d. Where will insulin and syringes be stored? 2. Will child have glucagon at school? No Yes(if “yes”, review the following). 2. a. Make certain there is a signed physician order for medication given during the school day (school policy). b. Who will give the injection?_________________ c. Where will glucagon be stored? _____________ 3. Sport events/school trips: 4. Other issues: 3. 4. IV. Hypoglycemia Date Discussed __/__/__ 1. Discuss with parent or guardian what symptoms the student Usually shows when having a low blood glucose reaction and what treatment is best. (See handout: “Hypoglycemia”. 2. Assure student it is okay to let teacher, classmate or other School person know when (s)he is having symptoms of low blood glucose. 3. Sports events/school trips: 4. Other issues: Basic Components of Care V. Miscellaneous Person(s) Responsible for Monitoring Date Discussed: __/__/__ 1. Remind student to take blood sugar level and to eat lunch or a snack before physical education or sports as appropriate. 2. If blood sugar is over ______, check keytones and/or administer insulin. If blood sugar is under 250 participate, no insulin. If blood sugar is under 100, snack, do activity and in 30 minutes check. If still sown, take 4 oz. Sports drink. 3. In-service to bus driver (if applicable) regarding special needs or emergency interventions. 4. Inform parent of special activities (i.e. field trip or sports activity) so that adjustments in treatment routine can be made. 5. Allow student access to bathroom facilities as (s)he identifies the need. 6. If you child participates in band, choir, drama, gymnastics, Dance, swimming, athletics or other events that require an overnight stay assign a responsible person such as roommate or staff or chaperone who is knowledgeable concerning signs and symptoms of hypoglycemia and what to do. 7. If you child participates in extra curricular activities (band, Choir, drama, gymnastics, dance, swimming), would you like a copy of the athletic handout? 8. Other: 1 Adapted from Stepien, C. (1994). Children with Diabetes: A guide for School Personnel (3 rd ed.)., University of Michigan. Diabetes Quick Reference Student’s Name: ___________________________________________________ Emergency information: Parent or guardian: Father:_______________________________ Home #_____________ Work #___________ Mother:______________________________ Home # _____________ Work #___________ If not available, call: _____________________ Home # _____________ Work # ___________ Physician: ________________________________________________Work # ___________ Care Routine: 1. Treatment of hypoglycemia a. Give sugar or quick energy food immediately (for example: ½ cup fruit juice or nondiet soft drink, 6-7 LifeSavers, or 2-3 glucose tablets) b. Wait 15 minutes. Do not leave student. c. If symptoms continue, repeat treatment with quick-acting sugar. d. Wait 15 minutes. Do not leave student. e. If symptoms continue, call parent or physician (if parent unavailable). 2. Symptoms of hypoglycemia usually exhibited by this student: _________________________________________________________________________ _____________________________________________________________________ 3. Emergency: a. Do not give food or drink if the student is unconscious. b. Give glucagon (if applicable) c. Call for emergency help )i.e. 911). d. Notify the parents or physician. 4. Food Food 5. 6. Time Comments Morning snack Lunch Afternoon snack Exercise snack Blood Test (if necessary at school) Time Insulin (if needed at school) Time Comments Parameters Comments Tuberculosis What Is Tuberculosis? Tuberculosis (TB) is a disease that can damage a person's lungs or other parts of the body and cause serious illness. How is TB spread? TB is spread when people who have active, untreated TB germs in their lungs or throat cough, sneeze or speak, and send their germs into the air. People who breathe these germs into their lungs can become infected. TB germs spread through the air. People who breathe In TB germs usually have had very close, day-to-day, contact with someone who has the disease. That's why most people get TB germs from someone they spend a lot of time with, like a family member, friend or close co-worker. You're not likely to get TB from someone coughing in the subway or at a restaurant. It is not spread by dishes, drinking glasses, sheets or clothing. What does having TB Infection mean? Having TB infections means that the TB germs are in the body but they are in an "inactive" state. After TB germs enter the body, in most cases, body defenses control the germs by building a wall around them the way a scab forms over a cut. The germs can stay alive inside these walls for years in an inactive state. While TB germs are inactive, they can't do damage, and they can't spread to other people. The person is infected, but not sick. He/she probably won't even know that he/she is infected. Millions of Americans have TB infection. For most of them, the germs will always be inactive. South Central District Health Partnerships for Healthy Communities Inactive TB germs can't hurt you now ... What is TB disease? Tuberculosis disease is a serious illness caused by active TB germs. It is possible to get TB disease shortly after the germs enter the body if body defenses are weak. It is also possible, even after many years, for inactive TB germs to become active when body defenses are weakened. This may be due to aging, a serious illness, drug or alcohol abuse, or HIV infection (the virus that causes AIDS). When defenses are weakened and inactive TB germs become active, the germs can then break out of the walls, begin multiplying and damage the lungs or other organs. If people with TB disease do not take their medication, they can become seriously ill, and may even die. But people with TB can be cured, if they have proper medical treatment and take their medication as prescribed. ... When body defenses are weakened, inactive TB germs become active and break out What is Drug Resistant TB? Sometimes, TB germs are "resistant" to one or more of the TB medicines most often prescribed by doctors. When this happens combinations of other TB medicines are given to the patient. Drug resistant TB can take longer to cure than regular TB, but most patients can be cured. Drug resistant TB develops when a person with active TB stops taking their medicine too soon, or if they have not been given the right TB medicine. A person with untreated drug resistant TB of the lungs or throat can transmit these resistant germs. What are the signs of TB? TB can attack any part of the body, but the lungs are the most common target. People with tuberculosis disease may have some or all of the following symptoms: a cough that hangs on weight loss constant tiredness fevers night sweats loss of appetite Sometimes a person with advanced TB will cough up blood streaked sputum. People with active TB disease may have only mild symptoms. They may be spreading their germs to others without even knowing that they have TB. What are the tests for TB? I. 2. The tuberculin Mantoux PPD skin test shows if a person has been infected. A chest X-ray is given if the Mantoux skin test shows that a person has been infected. The X-ray shows if any damage has been done to the lungs. 3. A sputum test shows if TB germs are in the thick liquid a person coughs up. Common sites for Tuberculosis Lymph Nodes Spine Lungs Kidneys Who should get tested for TB? · People who have symptoms of TB · People who have had close day-to-day contact with someone who has active TB disease (this could be a family member, friend or co-worker) · · People who have HIV infection, lowered immunity or certain medical conditions People who are required to for employment or school Can TB patients infect other people? Usually, after a week or more of taking effective medication, most patients with TB disease will stop spreading germs. A doctor will test the patient and then decide when the patient is no longer contagious. Most TB patients live at home and can continue their normal activities as long as they are taking their TB medicine. How can we fight TB? The best way to fight TB is to make sure that people who need medicine take it regularly. They include: 1. People who are sick with TB. These people have active germs that can infect others. The only way people with TB disease get well is to take medicine as directed. 2. People who are infected but are not sick. These people may not be sick now, but the TB germs can become active later on in life and make them sick. Taking preventive medicine every day, as prescribed by the doctor, is the best way to get rid of TB germs and prevent illness. In some instances, preventive medicine may not be prescribed to some infected people because of their age or certain medical conditions. 3 People who are close contact to infectious tuberculosis cases, regardless of age. These people should take medicine to prevent TB as directed by the doctor. For further information, please call one of the following South Central District Health Department offices: South Central District Health Department Offices: Sotirce: Burley 678-8221 Rupert 436-7185 Jerome 324-8838 Gooding 934-4477 Blaine 788-4335 Twin Falls 734-5900 Columbia University School of Medicine SCDHD:7/96 Tuberculosis ¿Qué es la tuberculosis? La tuberculosis es una emfermedad que puede hacer mucho daño a los pulmones u otras partes del cuerpo y que puede ser muy grave. ¿Cómo se propaga la tuberculosis? La enfermedad se propaga a través del aire al pasaise las bacterias de la tuberculosis de los pulmones de una persona a otra al toser, estornudar, o hablar. Las personas que inhalan estas bacterias pueden infectarse. Las bacterias de la tuberculosis se transmiten a través del aire. Para contraer la tuberculosis debe haber generalmente contacio cercano diario con una persona que tenga la enfennedad. Por esta razón, la mayoría contrae la enfermedad de personas con quienes comparte mucho tiempo, como por ejemplo, miembros de la familiar amigos, o compañieros de trabajo. No es común contagiarse porque alguien tosa en el "subway" o en un restaurante, ni se transmits por el uso de platos, vasos, sabanas o colchones utilizados por personas infectadas. ¿Qué significa tener la infección de la tuberculosis? Tener la infección de la tuberculosis significa que las bacterias de la tuberculosis están en su cuerpo pero que estan estado "inactivo". En la mayoria de los casos, después de que las bacterias de la tuberculosis entran en el cuerpo, las defensas del cuerpo las controlan creando una pared alrededor de ellas, de la misma forma que una costra sobre una cortada en la piel. Las bacterias pueden permanecer vivas dentro de estas paredes en una estado "inactivo" por añios. Mientras las bacterias que causan la tuberculosis estén inactivas, ellas no pueden hacerle años, ni contagiar a otras personas. La persona está enfectada, pero no enferma, probablemente ni siquiera sabe que está infectada. Millones de estadounidenses tienen tuberculosis. Pero en la mayoría de los casos, las bacterias pennanecerán siempre inactivas. Las bacterias de la tuberculos pueden hacerle ahora... ¿Qué es a la enfermedad de la tuberculosis? La tuberculosis es una enfermedad grave causada por bacterias "activas". Si las defensas del cuerpo están débiles, es posible enfermarse de tuberculosis inmediatamente después de que las bacterias entren en el cuerpo. También es posible que si las defensas del cuerpo están débiles, las bacterias inactivas se reactivan aun después de muchos años y se produzca la enfermedad. Esto puede ocurrir debido a la edad, a una enfermedad grave, al abuso de drogas o alcohol, o a la infección de SIDA. Cuando las defensas del cuerpo están débiles, y las bacterias inactivas de la tuberculosis se reactivan, las bacterias entonces pueden salirse de las paredes, comenzar a multiplicarse y dañar los pulmones u otros órganos. Si las personas que tienen tuberculosis no toman medicinas pueden enfermarse de gravedad y quizás morir. Pero la tuberculosis puede curarse si estas personas tienen un tratamiento médico apropiado y toman sus medicinas como se les prescribe. ... cuando las defensas del cuerpo están débiles, las bacterias inactivas de la tubearculosis se reactivan y se salen de las Paredes. ¿Cuáles son los sintomas de la tuberculosis? La tuberculosis puede atacar cualquier parte del cuerpo, pero los pulmones son el siyio más común. Las personas con tuberculosis pueden presentar algunos de estos sintomas o todos ellos: cansancio constante pérdida de peso tos persistente que no se quita por semanas fiebre sudores noctumos pérdida del apetito Si la tuberculosis está en estado avanzado, es posible que al toser haya manchas de sangre en el esputo. ¿Qué exámenes se hacen para saber si tiene tuberculosis? I. 2. 3. La prueba cutánea de la tuberculina por el método de Mantous PPD muestra si usted ha sido infectado. Si está infectado se le hará una radiografía (placa del tórax. Ésta mostrará si las bacterias han causado algiún daño en los pulmones. En un examen del esputo se verá si hay bacterias de la tuberculosis en el líquido espeso que una persona bota al toser. Sitios en donde se presenta comunmente la N6dulos linfdticos tuberculosis. Pulmones Columna Vertebral, Riñones, nodulos, linfaticos. ¿Quiénes deben hacerse un examen para detectar la tuberculosis? · Personas que hayan tenido contacto diario muy cercano con alguien que tenga la enfermedad de la tuberculosis activa. (Puede ser un miembro de la familiar un amigo o un compañero de trabajo). · Personas que tengan síntomas de tuberculosis · Personas a las que se lo exigen para un empleo o para la escuela. Personas que tienen un sistema inmunológico débil o clertos problemas de salud. ¿Cómo podemos combatir la tuberculosis? La mejor manera de combatirla es asegurarse de que las personas que necesitan tomar medicians lo hagan regularmente. En este grupo están: I. Las personas con tuberculosis. Estas personas tienen bacterias activas que pueden infectar a otros. La única forma de que se curen es tomando la medicina como se la recten. 2. Las personas que no están enfermas pero que han sido infectadas. Estas personas tienen bacterias inactivas rodeadas con "paredes:. Es posible que no estén enfermas en la actualidad, pero las bacterias de la tuberculosis pueden reactivarse y hacer que se enfermen en el futuro. La mejor manera de deshacerse de las bacterias y prevenir la tuberculosis es tomando las medicinas todos los días como lo recete el médico. Las personas que estén en contacto cercano con alguien que tenga tuberculosis--sin importar la edad--deben tomar medicinas para prevenir la tuberculosis, de acuerdo con las instrucciones del médico. 3. ¿Pueden los pacientes con tuberculosis infectar a otras personas? La mayoría de los enfermos con tuberculosis dejan de propagar las bacterias después de tomar la medicina por dos a tres semanas. Un médico le hará una prueba al .I paciente para saber si la enfennedad no seguirá propagándose. Casi todos los pacientes viven en sus hogares y llevan a cabo sus actividades normales ya que estan tomando su medicina para la tuberculosis. Si usted, o algún conocido desean saber más acerca de la tuberculosis, pueden llamar a uno de los números de teléfono de South Central District Health Department. South Central District Health Department Offices: Burley Rupert Jerome Gooding Blaine Twin Falls Source: Columbia University School of Medicine SCDHD:7/96 678-8221 436-7185 324-8838 934-4477 788-4335 734-5900 Philosophy Statement for Children Services South Central Head Start believes in the development of the whole child. Cognitive, physical, and social-emotional development is key to a child’s success. We see the parent as the first teacher. We work with them to help prepare children for kindergarten and later years of education. High/Scope is our main curriculum along with other supplemental curricula. We work to provide a safe and nurturing environment that fosters growth in all areas of development. 1304.21 (a)(1)(i)(a) Child Development and Education approach for all children. (1) In order to help children gain the social competence, skills and confidence necessary to be prepared to succeed in their present environment and with later responsibilities in school and life, grantee and delegate agencies’ approach to child development and education must: (i) Be developmentally and linguistically appropriate, recognizing that children have individual interest, temperaments, languages, cultural backgrounds, and learning styles; PERSON(S) RESPONSIBLE SUPPORTING DOCUMENTATION PO/ Site Visit Form/ PQA Site Visit Form/PQA Site Visit Form/PQA Anecdotal Lesson Plans Site Visit Form Class Schedule Lesson Plan STRATEGY TIMELINES 1. Materials, activities which are appropriately challenging for all levels will be provided. FE III, CSS Aug/Jan Materials will be chosen CS FE III CSS Monthly Supply of materials will be monitored 2. When materials are no longer interesting they will be rotated, FE’s Daily Observe for level of involvement by children. 3. Opportunities will be provided for group and individual play. FE’s, CSS Aug - Monthly Materials and activities will be chosen for varied interests and groups. 4. Differing modes of interacting with the environment will be ascertained. FE’s & Parents Daily Anecdotal, CPE, COR Observations will be made of children at “work” FE’s & Parents Daily Anecdotal, CPE Conversations with child will determine interest and feelings 5. The classroom environment will reflect the cultural background and languages of all children. On or Before Application FE’s, CS #1Home Visit, CPE Primary language will be determined. Weekly Lesson Plan Parents will be asked for items representing their culture for Site Visit Form the classroom. Daily Dual Language Policy Labeling will be done in all languages represented in the classroom When possible books & songs in primary language will be included * PO – Purchase Order * FE – Family Educator * CS – Center Supervisor * CSS – Children Services Specialist * CPE – Child/Parent Form/PQA * PQA – High/Scope Program Quality Assessment 65 1304.21 (a) (1) (i ) Continued 6. Parents will be supported and encouraged in their role as “primary educator” Home visits will focus on parents Children will be reinforced to recognize parent as “teachers” Parents will be invited to all training’s FE’s FE’s - All Staff FE’s & CS Weekly Daily Weekly CPE Site Visit Form Training Log, CPE 1304.21 (a) (l) (ii) Be inclusive of children with disabilities consistent with IEP STRATEGY 1. Staff will be familiar with IEP. Will attend IEP meetings when possible Will document goals 2. Materials will be varied and will support growth Child goals and interests will be addressed Will choose materials according to goals and interests. Will assist families to understand IEP objectives * SOAP – Subjective Objective Assessment Plan PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION FE FE Sept/May Sept. SOAP Child Goal Sheet FE’s FE III Daily Aug/Sept Sept. Goal Sheet Goal Sheet SOAP 66 1304.21 (a) (1) (iii) Provide an environment of acceptance that supports and respects gender, culture, language, ethnicity and family composition STRATEGY 1. All materials, language, and behavior will be free of age, gender, ability, cultural and racial stereotypes or slurs. Materials will reflect the ethnic background of children. Parents will be invited to share cultural experiences with children and staff. Parents will be asked to provide “found” materials to extend the learning experiences for children. Materials will reflect various family configuration and conditions. 2. Efforts will be made to make accommodations for children who speak a language other than English. An effort will be made to find a translator for an individual child When several children speak another language, one FE will interact with them in that language. 3. Activities will be child-initiated and supported by adults. Activities will show individual recognition such as picnics, literacy bags, individual child recognition days. Experiences in the classroom are supported with materials which provide an inclusive environment. * FE III – Family Educator III (Lead Teacher) Addendum – Children Services Policy PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION FE’s & CS FE’s Sept. Daily On Home Visits Site Visit Form, PQA CPE, Daily Schedule FE’s On Home Visits CPE FE’s & CS Sept. Daily Site Visit Form, PQA Dual Language Policy 67 CS & FE III At Acceptance FE’s Daily CSS, CS, FE III Ongoing CSS & CS Daily * CS – Center Supervisor In-Kind Sheet, Time Sheet Site Visit Form, PQA Dual Language Policy Site Visit From Holiday/Celebration Activity Policy PQA * Children Services Specialist 1304.21 (a) (1) (iv) Provide a balanced daily program of child – initiated and adult – directed activities, including individual and small group activities; 1. 2. 3. 4. STRATEGY Classrooms are arranged to include at least blocks, art, toy and house areas. Classrooms are arranged in a developmentally appropriate manner. Materials are purchased which meet the interests and needs of all children. Children’s learning is extended. Problem solving is encouraged and guided. Open ended questions are used. Descriptive language is used Parents will be encouraged to use home as a learning environment. Child development information will be shared Assistance will be given in the use and acquisition of materials Conflict resolution skills will be encouraged Adults will model Successful resolution will be recognized High/Scope 6 Step Problem Solving Approach Second Step/FLIP IT/Positive Supports * CSS – Children Services Specialist PERSON(S) RESPONSIBLE TIMELINES All FE’s Sept. CS, CSS, & FE’s Aug/Jan All FE’s All Staff All Staff Daily Daily Daily SUPPORTING DOCUMENTATION PQA Site Visit Forms Activity Reports Site Visit Forms Site Visit Forms Lesson Plans PQA & Site Visit Forms 68 FE FE Bi-weekly/ Monthly Child Goal Sheet CPE & Perm Orders Weekly All staff FE * CS – Center Supervisor Daily Daily * FE – Family Educator PQA, Site Visit Forms, Anecdotals, Lessons Plans 1304.21 (a)(2 (i)(2) parents must be: Invited to become integrally involved in the development of the program’s curriculum and approach to child development and education; STRATEGY 1. An educational advisory committee will be established. Elections will be held to select members during parent meeting. Meetings will be held two times a year. 2. Parents will set child goals. Will receive input on screenings and observations. Will receive information on child growth and development. 3. Parents will have the opportunity to attend trainings pertinent to curriculum development. Parent will have input into training content. Parents will be invited to all staff training’s. 4. Parents will take part in annual self – assessment. Parent participation will be invited. Training will take place. * OM—Operations Manager * CSS – Children’s Service Specialist PERSON(S) RESPONSIBLE TIMELINES CS Children Services Specialist Sept. Nov/March FE FE HV #3 Monthly HV HV FE & CS OM & CSS Monthly Jan -Apr Feb SUPPORTING DOCUMENTATION Activity Report Center Report, Education Advisory Minutes CPE Policy Council Minutes, Newsletters CPE – Training Plans Enter Report/Parent Meeting Minutes PRISM sign-in sheets CPE – Center Report Training Log 69 1304.21 (a) (2) (ii) Provided opportunities to increase their child observation skills and to share assessments with staff that will help plan the learning experiences; PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION 1. Parents will be encouraged and guided in observing their child. HV 2 Times A Year DECA Explanations will be provided Parent On Going CPE Anecdotals may be kept. Daily COR 2. Child goals will be developed FE III HV - Parent HV #3 Child Goal Sheet, CPE Information will be shared from home and classroom Nov, Feb. Daily Lesson Plan Information will be updated as goals are met April, June 1304.21 (a) (2) (iii) Encouraged to participate in staff – parent conferences and home visits to discuss their child’s development and education; PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION 1. Home visits will be scheduled at a time most convenient for parents and staff. Ongoing HV Bi-weekly/ CPE Parent’s input will be solicited & Parent Monthly CPE & SOAP The expectation is that visits be kept 2. Parent will be given information about home visits CPE, Center HV At Enrollment Committee Calendar Information on the importance and validity will be shared 3. Information sharing may take place other than on home visits HV & FE III 2 X Year Sign-in Sheet, SOAP Parent-Teacher Conference HV & Parent Monthly CPE Unscheduled meetings may occur HV & Parent Monthly CPE & SOAP Formats other than home visits may be utilized on occasion MHC As Scheduled CPE, Individual MHO, Behavioral observations will be available. FBA, DECA-C * HV – Home Visitor * MHC – Mental Health Consultant * FEIII – Lead Teacher * MHO—Mental Health Observation *FBA—Functional Behavior Assessment * DECA-C—Clinical * DECA—Devereaux Early Childhood Assessment 70 1304.21 (a)(3)(i)(A) Grantee and delegate agencies must support social and emotional development by: (i) development which enhances each child’s strengths by: (a) Building trust STRATEGY 1. A schedule will be established A schedule demonstrating High Scope philosophy will be posted Variations will be introduced gently and explained 2. Staff will be observant of the unease or fear of children. Reasons of fearful reactions will be ascertained. Children will be helped and supported in adjusting. 3. A safe and consistent environment established Adults will be available to comfort and reassure children Changes in the environment will be gradual and infrequent 4. Honesty will be practiced by all participants 5. A standardized social and emotional assessment will be used The DECA will be implemented Build resiliency in children (attachment, self-control, initiative) * DECA – Devereaux Early Childhood Assessment PERSON(S) RESPONSIBLE TIMELINES FE Daily FE Daily FE FE Daily Daily All Staff FE III (Lead Teacher) All Staff FE III, Parents, HV All Classroom Staff Daily Monthly Daily 2 Times a Year Daily Encouraging SUPPORTING DOCUMENTATION Lesson Plan Site Visit Form PQA PQA, DECA Anecdotals Site Visit Form PQA DECA Classroom Checklist, Site Visit Form, Lesson Plan Site Visit Form Observation Form Lesson Plan Attachment * PQA – High/Scope Program Quality Assessment 71 1304.21 (a)(3)(i)(b) Fostering independence STRATEGY 1. Materials will be placed so that children can choose own supplies. Containers will be on low shelves All interest areas and materials are labeled. Labels are of many types, understood by children (words, tracings, photographs, actual objects). 2. The environment will provide for and encourage problem solving. Open ended materials will be used Adult questions extend and enhance learning 3. Self help skills will be required throughout the day Children will take care of toileting needs Spills will be wiped up by children Children will be expected to button and zip with adult assistance when needed. Competency will be encouraged * CS – Center Supervisor * FE – Family Educator PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION FE’s FE’s Sept.- Daily Sept. - Daily PQA Site Visit Form CS & FE FE Daily Daily PQA Site Visit Form FE FE FE Daily Daily Daily PQA Site Visit Form FE Daily 72 1304.21 (a)(3)( i )(c) Encouraging self – control by setting clear, consistent limits, and having realistic expectations; 1. 2. 3. 4. STRATEGY A Daily schedule will be established Schedule will be consistent but flexible Schedule will be posted where children can see Pictures will depict the day chronologically on the schedule Class rules will be developed Children and adults will write no more than four rules Rules will be posted Children will be referred to rules and reminded that they helped create them. Age appropriate behavior will be expected Staff will be trained in understanding normal behavior of young children Expectations will be explained to children Inappropriate behavior will be anticipated where possible and redirected Mental Health Consultant may provide aid and support Behavioral steps will be established Consistent plan will be implemented in class and at home with DECA & Positive Supports included. * MHC – Mental Health Consultant * CSS – Children Services Specialist PERSON(S) RESPONSIBLE FE’s FE’s FE’s Daily Daily Sept. SUPPORTING DOCUMENTATION PQA Lesson Plan Lesson Plan Site Visit Form FE’s FE’s FE’s Sept Sept Daily, Ongoing Lesson Plan Site Visit Form Site Visit Form MHC, CSS Pre-service / Ongoing Training Log Site Visit Form Lesson Plan Site Visit Form FE’s FE’s MHC, FE’s FE’s, Parents TIMELINES Sept./ Daily Sept./ Daily On-going Daily * SOAP – Subjective Objective Assessment Plan * PQA – High/Scope Program Quality Assessment SOAP CPE, SOAP, DECA 73 1304.21 (a) (3) ( i ) (D) Encouraging respect for the feelings and rights of others STRATEGY 1. Children’s feelings are acknowledged and accepted Children are encouraged to talk about their feelings Dramatic play is used as a means of sharing feelings (i.e. Second Step curriculum) 2. Inappropriate behaviors will be discouraged Adults will model positive behaviors Children’s behavior will be anticipated by adults Positive reinforcement will encourage appropriate behavior PERSON(S) RESPONSIBLE TIMELINES FE’s FE’s Daily Daily All staff FE’s FE’s Daily Daily Daily SUPPORTING DOCUMENTATION DECA Lesson Plan, PQA, Site Visit Form, PQA DECA Lesson Plan 1304.21 (a) (3) ( i ) (E) Supporting and respecting the home language, culture, and family composition of each child in ways that support the child’s health and well being PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION 1. Each child’s home language will be respected FE III / Classroom Sept. Labeling will be done in languages represented in the Staff Site Visit Form classroom FE’s Daily Dual language Policy Child’s first language will be supported while learning English FE’s / Classroom On-going Each adult will learn a few words in each language Staff 2. All family configurations and ethnicity will be celebrated Site Visit Form Books, pictures, clothing and puzzles will honor all families FE III Daily Lesson Plan and individuals CPE, PQA, Site Visit FE’s Weekly Form, Parent Interest All families will be asked to share their culture with the Sheet, Dual Language center Policy * PQA – High/Scope Program Quality Assessment 74 1304.21 (a) (3) (ii) Planning for routines and transitions so they occur in a timely, predictable and unrushed manner according to each child’s needs STRATEGY 1. Children will be prepared for transitions The schedule is posted and referred to frequently Staff will remind children and explain the next activity or site. Staff will observe children to determine those needing additional support. 2. Transitions will be planned for: Transitions will be structured All staff will participate A variety of techniques will be employed to move children from one place to another with choices for the child. * PQA – High/Scope Program Quality Assessment PERSON(S) RESPONSIBLE FE III /Classroom Staff FE’s TIMELINES Sept. & Daily Sept. & Daily SUPPORTING DOCUMENTATION PQA Site Visit, Lesson Plan, Anecdotals Daily FE’s FE III FE’s FEIII / Classroom Staff Site Visit Form Weekly Daily Weekly Lesson Plan Site Visit Form 75 1304.21 (a)(4)(i) Grantee and delegate agencies must provide for the development of each child’s cognitive and language skills by: ( i ) Supporting each child’s learning, using various strategies including experimentation, inquiry, observation, play and exploration; STRATEGY 1. The environment will support and encourage experimentation, discovery, trial and error and problem solving. Materials will be selected Adults will act as participants in learning All children’s attempts ideas and suggestions will be accepted All children will be challenged 2. Language will be encouraged Adults engage children in conversation Idea’s are discussed Descriptive language used Dictation is taken * CSS – Children Services Specialist * FE – Family Educator PERSON(S) RESPONSIBLE TIMELINES CSS, FE’s FE’s FE’s FE’s Aug/Jan Daily Daily Daily FE’s FE’s Daily Daily FE’s Daily SUPPORTING DOCUMENTATION Order Forms Site Visit Form Site Visit Form Site Visit Form Lesson Plan PAQ Site Visit Form Site Visit Form Anecdotals Site Visit Form, Anecdotals, COR * PQA – High/Scope Program Quality Assessment 76 1304.21(a)(4)(ii) Ensuring opportunities for creative self – expression through activities such as art, music, movement, and dialogue; STRATEGY 1. A wide variety of materials will be available in the art area. Materials will be purchased and found materials provided Observations will determine new materials Children will be encouraged and their efforts will be shown appreciation. 2. Children will be encouraged to express themselves in ways which fulfill them Music will be available on records, tapes, and CD’s Musical instruments will be available Space will be available for creative movement Writing,telling stories and dramatization will be demonstrated and encouraged * FE III – Family Educator III (Lead Teacher) * PQA – High/Scope Program Quality Assessment PERSON(S) RESPONSIBLE CS, FE III, & Parents FE’s FE’s Sept. & Weekly Weekly Daily FE’s FE’s FE’s FE’s Daily Daily Daily Daily * FE – Family Educator TIMELINES SUPPORTING DOCUMENTATION PQA Site Visit Form Lesson Plan, Education PQA Site Visit Form Lesson Plan 77 * CS – Center Supervisor 1304.21 (a)(4)(iii) Promoting interaction and language use among children and between children and between children and adults; STRATEGY 1. Children’s language skills will be extended Adults will listen to children Time will be given for conversation between children and between children and adults. Opportunities for story-telling, dramatization and reading will be provided. The home language of all children will be respected and supported. Appropriate language will be modeled. Adults will use descriptive language * PQA – High/Scope Program Quality Assessment PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION PQA Site Visit Form Site Visit Form FE’s & All Staff FE’s & All Staff Daily Daily FE III Daily FE’s & All Staff Daily Lesson Plan, Site Visit Form, Daily Schedule Site Visit Form FE’s & All Staff FE’s Daily Daily Site Visit Form Site Visit Form 78 1304.21 (a)(4)(iv) Supporting emerging literacy and numeracy development through materials and activities according to the developmental level of each child. PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION 1. Literacy and numeracy activities are available throughout the classroom. PQA FE III Daily Site Visit Form Books representing many cultures and family Site Visit Form configurations are included. FE III Daily Lesson Plan Books are read to and by children. FE III Daily Site Visit Form Writing materials are available and children are encouraged to write notes and messages. FE’s Sept. Site Visit Form Materials are labeled. FE’s Daily Site Visit Form The alphabet is posted and the names and sounds of letters are included in the general classroom procedures. (letter walls) and name tags (letter – links; Fee, Fie, Phoenemic) Daily Site Visit Form Numbers are included in classroom materials and activities. FE’s FE’s Daily Site Visit Form Comparison, estimating and problem solving are encouraged. 2. Literacy activities are extended into the homes and communities. PQA Weekly On CPE Families are given information and support for establishing FE’s Home Visits opportunities in literacy and numeracy. FE’s, Bus Drivers 1 Time Monthly, Lesson Plan Field trips to community sites are utilized to enrich the CSS Others by Monthly Overview experiences of children. FE’s, CS Approval Lesson Plan Community members are invited to read to children and Monthly share their experiences. * FE III – Family Educator III (Lead Teacher) * CPE – Child Parent Educational Form * FE – Family Educator * CS – Center Supervisor * CSS – Children Service Specialist * PQA – High/Scope Program Quality Assessment 79 1304.21 (a)(5)( i )(5) In center – based settings, grantee and delegate agencies must promote each child’s physical development by: (i) Providing sufficient time, indoor and out door space, equipment, materials and adult guidance for active play and movement that support the development of gross motor skills; STRATEGY 1. Staff will be given information on the importance of physical development. Information will be distributed Training or classes will be available I am Moving, I am Learning will be implemented 2. At least 30 minutes a day will be planned for gross motor activity. Daily schedule will allow for gross motor Indoor space will be available during inclement weather There will be a planned activity along with unplanned time on the playground 3. Materials will be safe and appropriate Equipment will provide opportunities for climbing, riding; and creative representation. Space will be available for individual and group activities. Equipment will be checked for safety Repairs will be made as needed * CSS – Children’s Services Specialist * PQA – High/Scope Program Quality Assessment * CPI—Certified Playground Inspector PERSON(S) RESPONSIBLE TIMELINES CSS, CS CSS, Resource Center Oct. Aug./Oct. FE III CS, FEIII Daily Nov. Through March SUPPORTING DOCUMENTATION Activity Report Registration, Training Log PQA, Site Visit Form Lesson Plan, Daily Schedule Lesson Plan Center Observation 80 CS, CSS, & FE III CS, FE III CS, Facilities Coordinator, CPI CS, Facilities Coordinator, CPI Sept. Lesson Plan Site Visit Form Sept. Site Visit Form 1st of each month Monthly Activity Monthly Report As needed Monthly Activity Report * CS – Center Supervisor 1304.21 (a) (5) ( i ) (5) Continued STRATEGY 4. Children will be supervised at all times during physical activities. At least two adults will be with children during gross motor time. Adults will involve themselves in children’s play Each physical endeavor will be supported and encouraged 7. Parents will be assisted in understanding physical development All trainings will be open to parents One home visit will be devoted to physical development PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION FE III Daily Site Visit Form FE III FE III Daily Daily Site Visit Form, PQA Site Visit Form CS, FE’s On going Training Log CPE 1304.21 (a) (5) (ii) Providing appropriate time, space, equipment, materials and adult guidance for the development of fine motor skills according to each child’s development level; 1. 2. STRATEGY Materials will be available which develop fine motor skills. Needs of children will be ascertained Materials will be included which challenge all children Adults will support children’s learning Time will be available for children to practice. Adults will be co-learners with children. Self – help skills will be encouraged PERSON(S) RESPONSIBLE TIMELINES FE’s FE’s Daily FE III FE’s FE’s Daily Daily Daily Parents will receive information on fine motor skills. FE’s Monthly Classroom volunteers will receive instructions. FE’s Information will be taken into the home. Child activities on home visits will include using materials Home Visitor found in the home. * FE III – Family Educator III (Lead Teacher) * PQA – High/Scope Program Quality Assessment SUPPORTING DOCUMENTATION Anecdotals Site Visit Form, PQA PQA Lesson Plan, Daily Schedule Site Visit Form Site Visit Form 3. Lesson Plan CPE CPE 81 1304.21 (a) (5) (iii) Providing an appropriate environment and adult guidance for the participation of children with special needs; 1. 2. 3. STRATEGY The developmental level of special needs children will be ascertained upon enrollment; Screening will be completed Diagnostic test results will be requested A copy of the existing IEP will be requested Materials and equipment will be adapted as needed Space will allow for mobility Materials will be provided for cooperative involvement Adjustments and additions will be made when necessary Parents will be included in any plan for the child Parent knowledge and observation will be included in goals Parents will be consulted on possible materials and accommodations. PERSON(S) RESPONSIBLE FE’s FE’s FE’s CS, FE’s, Facilities Coor. FE’s CS, FE’s TIMELINES SUPPORTING DOCUMENTATION In 45 Days Child File Upon Enrollment Request for Info. Form Upon Enrollment Request for Info. Form As Needed Site Log Site Visit Form FE III, HV On Going CPE, Child Goal Sheet HV On Going CPE, Parent/Teacher Conferences * FE III – Family Educator III (Lead Teacher) * FE – Family Educator * HV – Home Visitor * CS – Center Supervisor 82 1304.21 (a)(6) In home – based settings, grantee and delegate agencies must encourage parents to appreciate the importance of physical development, provide opportunities for children’s outdoor and indoor active play, and guide children in the safe use of equipment and materials. PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION 1. On home visits parents will be encouraged to support the physical development of their children. HV On Going CPE Guidance on the safe use of equipment will be discussed HV On Going CPE Opportunities for gross motor activities will be explored HV 2 Times a CPE Materials from the home will be utilized to develop physical Month/ Monthly skills 1304.21 (C)(i) Child development and education approach for preschoolers. (i) Grantee and delegate agencies, in collaboration with the parents, must implement a curriculum. 1. 2. STRATEGY The research-based curriculum, High/Scope. A clear consistent schedule will be established Plan, do, review will occur daily Adults will be co-learners with children Anecdotals will be taken Emergent ideas will be supported Staff will receive ongoing training in the curriculum Parents will be involved in the ongoing curriculum building. Will be represented on the Education Advisory board. Reports will be made to Policy Council for input Parents will set goals for children PERSON(S) RESPONSIBLE CSC FE III FE III FE III FEs FEs Daily Daily Daily Weekly Daily Site Visit Form Lesson Plans Site Visit Form Anecdotal Sheet, COR Site Visit Form CSS, CS CS, CSS HV, FE III Twice a Year Monthly On Going ED. Advisory Minutes PC Minutes CPE’s Child Goal Sheet * FE III – Family Educator III (Lead Teacher) * FE – Family Educator * CSS – Children’s Services Specialist * HV – Home Visitor TIMELINES SUPPORTING DOCUMENTATION * Center Supervisor * SCS-Children Services Coordinator 83 1304.21 ( c )(1) ( i ) 1. 2. Supports each child ‘s individual pattern of development and learning. STRATEGY Children will be encouraged to develop individuality Opportunities will be available to develop varied skills and interests Space will be available for cooperative learning Staff will observe closely so that follow up support can be supplied New and repetitious tasks will be provided Open ended questions will be asked At least 45 to 60 minutes a day will be planned as work time Children can make choices Choices will be supported Materials will be added and delegated as interactions change PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION FE’s Daily FE’s FE’s Daily Daily FE’s FE’s Daily Daily Lesson Plan, Daily Schedule Site Visit Form Site Visit Form Lesson Plan Evaluation Form Lesson Plan FE’s FE’s FE III Daily Daily Monthly Site Visit Form Anecdotals, COR Lesson Plan 84 1304.21 (c)(1)(ii) Provides for the development of cognitive skills by encourage each child to recognize his or her experiences, to understand concepts, and to develop age appropriate literacy, numeracy, reasoning, problem solving and decision making skills which form a foundation for school readiness and later school success; STRATEGY 1. Materials will be provided which interest and challenge all children. Developmental levels and learning styles of children will be determined Materials will meet the needs of each individual child 2. Children will be engaged in the plan – do – review process Daily plans will be made Plans will be followed through during work time or plan’s changed Recall of events will occur 3. Open ended materials will be available Children will be encouraged to make choices Adults will extend learning by encouraging estimation and evaluation 4. Children will be able to express themselves creatively Dramatic play will be available daily Music and instruments will be accessible Art materials will be plentiful, varied and on low shelves A writing area will be included in each classroom 5. Appropriate reading materials will be placed in all areas Books, magazines and newspapers will be displayed Children will have the opportunity to read to themselves and be read to. * SVF—Site Visit Form * LP—Lesson Plan PERSON(S) RESPONSIBLE TIMELINES FE’s Sept. FE’s Daily FE’s FE’s Daily Daily FE’s Daily FE’s FE’s Daily Daily FE’s FE’s FE’s FE’s Daily Daily Daily Sept FE FE Daily Daily SUPPORTING DOCUMENTATION Screenings, CPE’s, Anecdotals, COR Child Goal Sheet Anecdotals Lesson Plan Daily Schedule Lesson Plan Site Visit Form Lesson Plan Site Visit Form & Lesson Plan Site Visit Form & Lesson Plan 85 1304.21 (c)(1) (ii) continued 6. Children will be encouraged in problem solving Adults will refrain from solving children’s dilemmas too quickly. Open ended questions will be used to explore options and alternatives. Adults will use the 6 Step Problem Solving Approach by High/Scope FE’s Daily FE’s Daily FE’s Daily Site Visit Form Lesson Plan Site Visit Form Lesson Plan Site Visit Form Lesson Plan 86 1304.21 (c)(1)(iii) activities; 1. Integrates all educational aspects of the health, nutrition, and mental health services into program STRATEGY Good health habits are encouraged. Instruction in hand washing is provided and monitoring occurs. Tooth brushing is practiced at least one time daily. Children are checked for symptoms daily. (Health Checks) PERSON(S) RESPONSIBLE TIMELINES FE III, FE II FE III, FE II FE III, FE II Daily Daily Daily FE III Center Supervisor Daily FE III, FE II Sept, Oct FE III, FE II Sept, Oct CS Sept, Oct 2. 3. Children who are symptomatic will be cared for in a separate environment. Preparation for dental and physical visits will occur in classroom. Dramatic areas representing dentist and physician offices will be established. Dental books and videos describing medical visits will be available. Visits from dental and medical professionals will occur. A variety of food and eating experiences will occur. Food experiences will be incorporated regularly. Children will prepare food items Meals will include foods from many cultures and of different appearance and texture * FE III – Family Educator III (Lead Teacher) * CS – Center Supervisor FE III, FE II, One or two times Food Service a month Manager One or two times FE III, FE II, Food a month Service Manager, Daily CS * FE II – Family Educator II * SOAP – Subjective Objective Assessment Plan SUPPORTING DOCUMENTATION Lesson Plan Site Visit Form Lesson Plan Site Visit Form, Tooth Brushing Chart Lesson Plan Site Visit Form Health Check Form, SOAP Lesson Plan, Site Visit Form Site Visit Form Lesson Plan, Overview Overview Lesson Plan Lesson Plan Menu 87 1304.21 ( c ) (1) (iv) relationships; Ensures that the program environment helps children develop emotional security and faculty in social STRATEGY Adults will interact in a positive and supportive manner with all participants. Respect for children and adults will be displayed. Friendship skills will be modeled. Language will evidence courtesy and thoughtfulness. The environment will encourage good social skills Space and materials will provide for cooperative play. Materials will be plentiful. Children will be supported in conflict resolution and problem solving. Children’s feelings will be acknowledged Adults will act in an advisory capacity Children will be encouraged to use language Alternatives and options will be pointed out High/Scope 6 Step Problem Solving Approach will be used * CS – Center Supervisor * FE – Family Educator PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION All Adults All Adults All Adults Daily Daily Daily Site Visit Form, PQA Site Visit Form, PQA Site Visit Form, PQA FE’s Daily FE’s, CS Daily Lesson Plan, PQA Site Visit Form, PQA Site Visit Form, PQA FE’s FE’s FE’s FE’s Daily Daily Daily Daily Anecdotals, PQA Site Visit Form, PQA Site Visit Form, PQA Anecdotals, PQA * PQA – High/Scope Program Quality Assessment 88 1304.21 (c)(1)(v) Enhances each child’s understanding of self as an individual and as a member of a group: STRATEGY 1. Each child will have an assigned personal space for belongings. Space will be chosen and identified with picture, name and High/Scope letter line. PERSON(S) RESPONSIBLE FE III, Center Supervisor, Classroom Staff TIMELINES August 2. Children will have time set aside during the day for cooperative play activities which help children express feelings and respect others. FE III, Classroom Daily throughout Staff the Head Start Materials and activities will be chosen for varied interests program year and groups. All staff will participate in children’s play. 3. The classroom environment will reflect photos, drawings, etc. of children and families. FE III, H.V., Daily throughout Classroom Staff the Head Start Materials will reflect the ethnic background of children. program year Materials will reflect family composition of each child. Children’s art & emergent writing will be displayed. 4. Adults will model respect and help children demonstrate their respect for others and help assist children in recognizing their strengths. FE III, Classroom Daily throughout Staff the Head Start Respect for children and adults will be demonstrated. program year Friendship skills will be modeled. Language of courtesy and thoughtfulness will be used. *FE III – Lead Teacher *H.V. - Home Visitor *PQA- Program Quality Assessment (High/Scope) *DECA- Devereux Early Childhood Assessment SUPPORTING DOCUMENTATION Assigned Space and Letter Link Nametag, Site Visit Form, PQA Daily Lesson Plan and Attachment, DECA, Second-Step 89 PQA, Site Visit Form Dual Language Policy PQA, Site Visit Form 1304.21 (c)(1) (vi) Provides each child with opportunities for success to help develop feelings of competence, self-esteem, and positive attitudes toward learning: and STRATEGY 1. Adults will encourage children’s self help skills and provide opportunities for them throughout the day. Materials and activities will be provided Adults will use positive reinforcement with children 2. Adults will increase and broaden children’s experiences by joining their play when appropriate. All staff will participate down at the child’s level Staff will extend children’s language Adults will support children’s ideas and use of materials 3. Children will be provided experiences to develop more complex thinking and skills. Materials and activities will be provided Opportunities will occur during the daily routine Children will be challenged to acquire new skills which will increase their self-confidence and self-worth. Children will be partners in conversations Children will be given opportunity to lead and have input into activities PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION FE III, Classroom Staff Daily throughout the Head Start Program year PQA, Site Visit Form, DECA, Second-Step FE III, Classroom Staff Daily throughout the Head Start Program year PQA, Site Visit Form, DECA, Second-Step FE III, Classroom Staff Daily throughout the Head Start Program year PQA, Site Visit Form, DECA, Second-Step FE III, Classroom Staff Daily throughout the Head Start Program year PQA, Site Visit Form, DECA, Second-Step *FEIII- Lead Teacher *PQA- Program Quality Assessment (High/Scope) *DECA- Devereux Early Childhood Assessment *Second-Step- Anti-violence curriculum 90 1304.21 (c)(1)(vii) Provides individual and small group experiences both indoors and outdoors. PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION 1. The classroom will have individual and group areas August PQA, Site Visit Form Areas will include the block area, art area, book area, house CSS, CS, FE III area, toy area, etc. 2. Small group will be provided each day between 15-20 minutes Adults support each child’s ideas and use of materials CSS, FE III, Daily throughout Adults plan experiences around the interests of individual the Head Start PQA, Site Visit Form children, new and unexplored materials, key developmental Classroom Staff program year Lesson Plan indicators, and local traditions Daily Schedule Activities will build on children’s strengths 3. Large group will be provided each day between 15-20 minutes Adults will plan experiences around children’s interests Adults will plan around music and movement key CSS, FE III, Daily throughout PQA, Site Visit Form developmental indicators Classroom Staff the Head Start Lesson Plan Adults will participate with children program year Daily Schedule Adults will plan around cooperative play and projects along with events currently meaningful to children Adults will modify activities to fit children’s development 4. Small and large group activities will be provided outside as an extension of the classroom. CSS, FE III, Daily throughout Adults will provide materials outside for games and Classroom Staff the Head Start PQA, Site Visit Form activities program year Lesson Plan Adults will participate with children Equipment and space will be provided for individual and shared activities, at least 75 square feet per child *FEIII- Lead Teacher *PQA- Program Quality Assessment (High/Scope) *CSS-Children’s Services Specialist *CS-Center Supervisor 91 1304.21 (c)(2) Staff must use a variety of strategies to promote and support children’s learning and developmental progress based on the observations and ongoing assessment of each child STRATEGY 1. Adults will observe and record children’s behavior and progress to help support and design activities for a range of developmental levels Adults will take anecdotes for each child Adults will plan and review from the daily lesson plan and anecdotes 2. Adults will know each child’s capabilities to provide individually appropriate activities Children will be screened for development, speech and language, social/emotional, height/weight, vision, and hearing Children will be assessed on an ongoing basis with the Child Observation Record 3. Parents will be included in the ongoing assessment Parents will be encouraged to take anecdotes at home Adults will share the COR parent guide with parents Adults will develop child goals with the parent Adults will share the COR family report with the parent(s) PERSON(S) RESPONSIBLE TIMELINES FE III, Classroom Staff Daily throughout the Head Start program year FE III, Classroom Staff FE III, HV *Within 45 days of enrollment date *Daily and reported three times Dec/Mar/June August, October, April, Throughout the Head Start program year SUPPORTING DOCUMENTATION PQA, Site Visit Form, Daily Lesson Plan, Attachment Sheet, COR ESI*R, Fluharty-2, DECA, COR 92 Parent/Teacher Conf., Child Goals, CPE, COR Parent Guide 4. Adults will use observations and ongoing assessment information into curriculum planning FE III, Classroom Daily throughout Daily Lesson Plan, Staff the Head Start COR Adults will evaluate and plan for the next day program year Adults will use the COR for evaluation and planning *COR- Child Observation Record *ESI*R- Early Screening Inventory Revised *Fluharty-2- Speech/Language Screener Children Services Policy 8/19/04 Holiday/Celebration Activity Policy In accordance with best practices in Early Childhood Education, the South Central Head Start Program is committed to providing an inclusive environment free of bias; an environment in which language, gender, culture, ethnicity and religion are respected and supported. The program will provide a balance of child-initiated and adult directed activities that are developmentally appropriate for young children. Activities and materials utilized within the program will be free of stereotypes that may limit a child’s or family’s ability to fully participate. Guidance Classroom – Avoid holiday activities directed by adults in the classroom. If it is a child-initiated experience (such as wrapping a present), introduce materials for the child to wrap that are not focused on a holiday theme. Graduation – We believe that there should be individual recognition for every child. Keeping in line with early childhood best practices we would refrain from caps, gowns, sitting to sing more than two or three songs and encouraging an atmosphere of performance. Use activities such as individual child recognition days, picnics, literacy bags, and/or activities including movement and fun for the child and adult. 93 Water Play Policy Precautions will be taken to ensure that communal water play does not spread infectious disease. 1. All children must wash their hands before and after playing in the water table and after shared water play. 2. Children with open sores/wounds on their hands are not permitted to participate in communal water play. 3. Fresh potable water will be changed between each group of children. 4. Water will be drained after communal water play is completed. 5. If fresh potable water can flow freely through the water play table and out through a drain in the table this can be used as an alternative. 6. The policy for the water table also needs to be followed during outside and playground use. 7. Children should not be allowed to drink from the water table. 94 95 Late Child Pick-up Policy Please assign one person to make calls starting with the most senior staff (Center Supervisor, FE III, FE II, ect.) If in Double sessions, late classes need to set up communication for the bus driver to call the Center Supervisor or FE III to meet them at the center and begin process for calling. Staff Will: 1) Call emergency contact person within 5 minutes after your child’s posted closing time. 2) Contact center supervisor, immediate supervisor or Central Office for an update. 3) Try to call emergency contact numbers – again. (Steps 1, 2, and 3 may take up to 15 minutes) 4) Call the local sheriff or Department of Health & Welfare’s office for assistance. Identify themselves as Head Start staff, describe the situation, what steps have been taken, that the center has closed for the evening and that a child has been left in our care – ask for their assistance. Ask if there have been any reported accidents or recent incidents that could affect the child being picked up in a timely manner. (If so, follow their instructions) Leave a notice in a visible area stating that: the center closes at _______, the staff left at _______, the child who remained is in the care of: *the emergency contact person you listed *the Department of Health and Welfare – list phone # *local Sheriff – list phone # *Other - The next day please SOAP in child file and make contact with the family. 96 (Post in a visible place in the center) Late Child Pick-up Policy - It is our program’s procedure to: 1) Call phone numbers listed on your emergency card, five minutes after the posted closing time, to have child picked up immediately. 2) If unsuccessful in reaching an authorized adult, staff will contact the local sheriff or Department of Health & Welfare office for assistance. 97 3) Leave center supervisors and/or FE III’s phone number and information about where the child is being cared for in a visible location for the parent/guardian. If possible, please let us know if you are delayed by an emergency situation, so that arrangements can be made. PC approved 3/26/09 1304.22 (a)(1) – Health emergency procedures - Grantee and delegate agencies operating center-based programs must establish and implement policies and procedures to respond to medical and dental health emergencies with which all staff are familiar and trained. At a minimum, these policies must include: (1) Posted policies and plans of actions for emergencies that require rapid response on the part of staff (e.g. a child choking) or immediate medical or dental attention. STRATEGY The emergency treatment plan will be posted in each classroom and at each fire extinguisher site, first aid kit site. Whenever there is an injury or illness the child’s family educator will provide the necessary first aid and is responsible for description of injury or illness. Center staff will be certified in child first aid and CPR FE’S, CS, Support Staff First Aid and CPR training will be available several times a year. Any staff member that works with children (classroom staff, center staff and central office staff) will be certified in First Aid and CPR. In the event that their First Aid/CPR certification lapses, the staff member will be removed without pay from working with the children until certification is completed. Track First Aid and CPR training. First Aid and CPR will also be made available to central office staff and to parents. Volunteers will review the Health & Safety check list and FEIII or center supervisor will review emergency procedures New center staff and paid substitutes who do not meet these requirements must obtain certification within 30 days of hire. PERSON(S) RESPONSIBLE FE III, Center Supervisor, Health Coordinator FE III, Center Supervisor Center Supervisor, FE I, FE II, FE III, FA TIMELINES At all times Upon knowledge of injury or illness. First Aid Certification every 2 years. SUPPORTING DOCUMENTATION Emergency Treatment Plan SOAP, Child File, child incident report, First Aid & CPR Certification Card CPR Certification, First Aid Card 98 CPR Certification yearly Human Resources Coordinator Center Supervisor, On going as FE III needed Center Supervisor, Within 30 Days Human Resources Coordinator * FA – Family Advocate * FE – Family Educator * SOAP – Subjective/Objective Assessment Plan* CPR Volunteer Health & Safety checklist. CPR Certification, First Aid Card 1304.22 (a)(2) – Posted locations and telephone numbers of emergency response systems up to date family contact information and authorization for emergency care for each child must be readily available. STRATEGY Emergency cards will be filled out at the time of orientation or enrollment. The cards will be on each bus and in each center where appropriate staff have access to them Update emergency cards when families move address or there is a change in child’s health needs PERSON(S) RESPONSIBLE FA, FE III, Center Supervisor FA, FE II, FE III, Center Supervisor TIMELINES Upon entering program On going Upon notification of change SUPPORTING DOCUMENTATION Emergency Cards Emergency Cards 1304.22(a)(3) – Posted emergency evacuation routes and other safety procedures for emergencies (e.g. fire or weather related) which are practiced regularly . 99 STRATEGY Emergency evacuation routes and safety procedures will be posted in each classroom and each section of the building as well as first aid sites and exits. PERSON(S) RESPONSIBLE FE I, FE II, FE III, FA Center Supervisor TIMELINES At all times SUPPORTING DOCUMENTATION Emergency evacuation map (fire exits) Emergency producers, First Aid Kit, First Aid Plan, Dental Emergency First Aid Plan, Emergency Treatment Plan. See Attached * FA – Family Advocate * FE III – Family Educator III (Lead Teacher) 1304.22(a)(3) EMERGENCY TREATMENT PLAN Emergency Cards: Emergency cards will be filled out at the time of orientation or enrollment. The cards will be on each bus and in each center where appropriate staff have access to them. Staff members and all children must have emergency cards. Know where your center’s cards are kept! Minor Injuries/Illness: When a child is involved in an accident resulting in an injury at school, parents need to be informed an that same day the accident occurred. Children involved in an accident/minor injury will be treated and then a note or telephone call made to the parents by the child’s Family Educator. The child’s Family Educator is responsible to bring the child to the office for treatment and description of the accident or sickness. The Family Educator will check the child’s individual emergency card for special needs and procedures the parents want followed in case of injury or illness. Documentation in child’s folder is needed on SOAP by the Family Educator the day of the accident. Emergency Injury/Illness: The child’s Family Educator will provide the necessary first aid until emergency personnel arrive. Other adult present is responsible for contacting emergency personnel, parent, Center Supervisor and Central Office, in that order, along with checking child’s emergency card for parents’ emergency action preferences. Unless the child’s individual emergency card indicates different, the child will be taken to the hospital emergency room if the family doctor can not be contacted. Family Educator will accompany the injured child. Descriptive notes and accident reports can wait until emergency is taken care of. Field Trips: If the child is injured or becomes seriously ill during a field trip, the child’s Family Educator will use the bus radio to contact emergency personnel and their radio base with instructions to contact parents of injured child. Transportation will be provided by Head Start bus, private vehicle or ambulance. The child’s Family Educator will accompany child to emergency services. Remaining adult will use appropriate methods to return remaining children to center. Bus Emergencies: Remove everyone from immediate danger. Bus Driver will use the bus radio to contact emergency personnel. Bus Rider will take charge of emergency cards, take head count and keep all children together in a group. If the radio is not working, flag down a passing motorist to go for help. If above not possible one adult will stay with children, one adult will go for help. Remember to keep calm. Reassure children and provide first aid measures when appropriate. REMEMBER TO PRACTICE EMERGENCY DRILLS! HAVE A ROUTINE BEFORE AN EMERGENCY! 1304.22(a)(3) Convulsions: Keep calm. The most important thing that should be done for the child during an attack is to protect him from bodily injury. Lay the child on his side in an open area on the floor. Do not restrain movement. Turn the head to one side with face downward to prevent choking. If jaws are clenched and the child is breathing clearly, do not force something into the mouth. Clothing around the neck should be loosened. Try to prevent injury by gently supporting head. Allow the child to rest quietly, placing him on abdomen or side with face downward. Observe carefully for changes in color. Call 911 Secondary Shock: Any injury or severe pain may result in some degree of shock. Symptoms: Pale or grayish appearance Cold sweat on face Shallow or irregular breathing Weakness Dizziness Cold, clammy hands Nausea Rapid, feeble pulse Have child lie down, elevate feet and legs. The child’s injury should receive attention. Do not apply external heat or cause sweating. Do need to cover with blanket. Reassure child and take him to doctor. FIRST AID KIT Emergency Blood Spill Kit Bandages Gauze roller bandages 2”, 3” and 4” sizes Sterile gauze pads 4” x 4” Scissors Tape 1” or 2” Safety Pins Mouth Piece Barrier Cotton Balls Triangular Bandages Tweezers Flashlight Blanket Bicarbonate of Soda Latex or Vinyl Gloves – Gloves should be worn when cleaning wounds, controlling bleeding or any contact with body fluids. 1304.22(a)(3) FIRST AID First aid is immediate care given to a person who has been injured or has been suddenly taken ill. It includes self-help and home care if medical assistance is not available or is delayed. It includes well-selected words of encouragement, evidence of willingness to help and promotion of confidence by demonstration of competence. Remember in all accident cases: 1. One designated person to stay with injured child 2. One designated person to be in charge of classroom 3. One designated person to make emergency telephone calls DENTAL EMERGENCY FIRST AID PLAN In the event of accident to the tongue, lips, cheek or teeth: “REMEMBER TO USE GLOVES” 1. 2. 3. 4. 5. 6. 7. 8. Attempt to calm the child: All incidents should be handled quietly and calmly, a panicked child is likely to create problems for treatment and may cause further trauma. Check for bleeding. If child is bleeding: a. Wash affected area with clean water. b. Apply ice pack or ice wrapped in a towel for swelling. Direct skin contact with ice may cause tissue necrosis. If tooth is fractured a. Staff can do little for a fractured tooth except calm the child. b. Bring the child immediately to a dentist for treatment. If a tooth is knocked out (extruded): a. Recover tooth. b. Rinse mouth with tap water. Place tooth in milk or water. Do not rinse tooth, its viability for reimplantation will be greatly reduced. c. If possible, replace tooth in socket. Take the child to the dentist immediately. It is most important that the tooth be replaced within 30 minutes by the dentist. If a tooth or teeth are loosened in an accident: a. Rinse out child’s mouth. b. Do not attempt to move teeth or jaw. c. Take the child to the dentist immediately. If tooth is knocked into the gums (intruded): a. Do not attempt to move teeth or jaw. b. Rinse out the child’s mouth. c. Take the child to the dentist immediately. If injury to tongue, cheek or lips occur: a. Rinse affected area. b. Apply ice pack to control swelling. Not directly to skin, as in 3.b above. Bring child to dentist or physician if bleeding continues or wound is large 1304.22(a)(4) – Methods of notifying parents in an event of an emergency involving their child. STRATEGY An accident, injury or illness should be documented. This information is used to communicate to the parent what happened to the child and what has been done to care for the child. Use emergency card list. Call person listed (usually parent). If unable to locate, call next person listed. Also, document that notification was made to parents and parents’ response to the notification * HV – Home Visitor * FE – Family Educator PERSON(S) RESPONSIBLE Child’s HV, FE I, FE III, Center Supervisor TIMELINES Upon knowledge of injury or illness Child’s HV, FE I, FE II, FE III, Center Supervisor The day that the injury or illness occurs SUPPORTING DOCUMENTATION SOAP, Child File SOAP, Child File, Accident report * SOAP – Subjective/Objective Assessment Plan 103 1304.22(a)(5) - Established methods for handling cases of suspected or known child abuse and neglect that are in compliance with applicable Federal, State or Tribal Laws. STRATEGY Head Start plays an important role in working with families to prevent child abuse and neglect. Head Start staff help to identify risk factors for abuse, work with the family to clarify appropriate expectations enhance emotional support and resources. Staff will be trained to identify and report suspected child abuse and neglect. PERSON(S) RESPONSIBLE TIMELINES FE III, HV, Center Upon knowledge Supervisor, Family of suspected Service Specialist abuse/neglect Center Supervisor, Staff will report to Center Supervisor regarding a suspected case Family Service, of abuse and neglect Center Supervisor, Family Service Family Educator will contact the individual(s) suspected of Specialist abuse or neglect, when appropriate ,while maintaining confidentiality Staff will allow the parent to report the incident while in their presence, the call/report to be made within the time indicated by state law. Please see complete Child Abuse and Neglect Policy in Family Services Plan 1304.40(b)(1)(ii) SUPPORTING DOCUMENTATION Child abuse/neglect SOAP form, Child File 104 IDAHO Idaho Code § 16-1619(a) (Supp. 1998) INDIVIDUAL RESPONSIBILITY Any mandated reporter having reason to believe that a child under the age of 18 years has been abused, abandoned or neglected or who observes the child being subjected to conditions or circumstances which would reasonably result in abuse, abandonment or neglect, shall report or cause to be reported within 24 hours such conditions or circumstances to the proper law enforcement agency or the Department of Health and Welfare. PROFESSIONAL RESPONSIBILITY The Department of Health and Welfare shall be informed by law enforcement of any report made directly to it. When the attendance of a physician, resident, intern, nurse, day care worker, or social worker is pursuant to the performance of services as a member of the staff of a hospital or similar institution, he shall notify the person in charge of the institution or his designated delegate who shall make the necessary reports. * HV – Home Visitor * FE III – Family Educator III (Lead Teacher) * SOAP – Subjective/Objective Assessment Plan 105 1304.22(b)(1) Conditions of short-term exclusion and admittance. Grantee and delegate agencies must temporarily exclude a child with a short-term injury or an acute or short-term contagious illness, that cannot be readily accommodated from program participation in center based activities or group experiences. STRATEGY Temporarily excluding a child from classroom participation protects the health of the affected child, other children and staff. A child that is not fully immunized, and those whose parents have signed a “wavier” for immunizations will be excluded from the classroom if any communicable disease that children are generally immunized against occur. A child demonstrating signs of illness whether it seems contagious or not, if a child is not comfortable due to feeling ill, the child will be removed from the classroom and family notified to pick-up A child with possible contagious illness may be excluded from classroom. Fever Vomiting Pain Red, watery matted eyes Chronic coughing or wheezing Contagious rashes, (chicken pox) Head Lice Diarrhea * HV – Home Visitor PERSON(S) RESPONSIBLE Child’s HV, Center Supervisor, Health Coordinator Child’s HV, FE III, Center Supervisor, Health Coordinator * FE III – Family Educator III (Lead Teacher) TIMELINES When a communicable illness occurs in the classroom Upon knowledge of child being ill SUPPORTING DOCUMENTATION Immunization record, State of Idaho Certificate of Exemption Health Check Guide 106 Health Check Guide 1304.22(b)(1) – Conditions of short-term exclusions and admittance – continued PERSON(S) STRATEGY RESPONSIBLE HV, FE III, Center A child with a chronic illness that is at risk for contagious Supervisor, Health children’s illnesses that may have been exposed at the center Coordinator should be excluded from classroom. A child with a chronic illness/condition that is no longer comfortable in a classroom setting after reasonable accommodations have been made may be excluded from the classroom TIMELINES Upon knowledge of an illness in the classroom SUPPORTING DOCUMENTATION SOAP, recommendation from physician Upon knowledge of child not feeling comfortable SOAP, Child File, notification from physician See specific plans: Policy on head lice, no nit policy AIDS policy Immunization policy Outdoor play policy Biting Policy * HV – Home Visitor * FE III – Family Educator III (Lead Teacher) 107 * SOAP – Subjective/Objective Assessment Plan 1304.22(B)(1) SOUTH CENTRAL HEAD START HEALTH CHECK GUIDANCE Health checks will be done on all children daily. Mark down and SOAP any abnormal or frequent signs or behaviors. Below is a list of areas and things to look for. Add any you wish. A. HEAD 1. Eyes watery, inflamed, swollen, red, itching, pink eye 2. Ears cauliflower, crusted, bloody, bruises, child pulls at them 3. Nose frequent nosebleeds, foreign objects, chronic, runny, wheezing 4. Throat red, swollen glands, spots, hoarseness of voice 5. Face swelling, bruises, bumps, flushed, warm, pale 6. Head Lice and/or eggs, hair loss, cuts, bruises, bumps, crusted scalp glands on back of neck B. BODY bruises, bumps, spots, burns, localized tenderness, change in skin color, pale, flushed, clammy, frequent urination, pain, burning with urination C. EXTREMITIES bruises, spots, burns, cuts, bite marks (teeth marks), limping, clumsy, localized tenderness D. PERSONALITY CHANGES lethargic, restless, withdrawn, starring spells, poor coordination, appetite changes Note any pertinent direct quotes from children. SOUTH CENTRAL HEAD START HEAD START POLICY ON HEAD LICE 1. All children will be checked daily by Family Educators during health check for head lice. 2. If lice are present, the child will be taken home and parent instructed on how to correctly use the “Lice Shampoo Kit” recommended by their pharmacist. The kit should contain instruction, shampoo, (enough for each family member) and a fine toothcomb to remove any remaining nits attached to the hair shaft. 3. If the parent can not afford to buy shampoo, Head Start will provide a kit for the child. The FE should call for P.O. and send letter to home. 4. The child will be allowed to return to school after correct shampooing is completed and all nits are removed. 5. Children and parents will be treated with respect and dignity and it is the Family Educator’s Responsibility to see that the parent is educated in the correct procedure to eliminate the problem. 6. If a child continually comes to school with head lice, please make a referral to your public health nurse for “in-home” teaching. 7. May need referral to FHSC or physician for kwell shampoo if head lice does not resolve with the over the counter medicine. 8. Advise parents/children may be resistant or become resistant to a certain “brand” so alert parents of potential need to change brands. No Nit Policy Head Lice is defined as a non-reportable communicable disease. Head Lice does not come from poor hygiene and is a very common nuisance among young children. Outbreaks may occur once or several times per year. In an effort to decrease these outbreaks, South Central Head Start is enforcing a “nit free” policy that indicates any child found to have lead lice or their nits (eggs) will be excluded from the classroom until proper shampooing has been done and nits removed. Parents will be given instructions on treatment of head lice, removal of nits and techniques to eliminate lead lice in the living environment. If needed, a purchase order will be given for a pediculocide shampoo for the Head Start child. If a child returning to class is found to have lice or nits, the child will be sent home. If this condition persists and causes absenteeism the Family Educator will review the treatment plan on the next home visit. If needed, a referral to a physician will be made. SOUTH CENTRAL HEAD START College of Southern Idaho PO Box 1238 Twin Falls, Idaho 83303-1238 Phone: (208) 736-0741 Fax: (208) 734-3832 E-mail: schs@spro.net Dear Parents, A case of head lice has been identified in your center. To help prevent an outbreak, please examine your child’s head and scalp. Look for tiny white eggs on the hair shaft and tiny wingless insects. If you find head lice or nits in the hair shaft near the scalp, you may purchase over the counter shampoo. Ask the pharmacist what he would suggest. If your child has Medicaid insurance, you may need to contact you child’s physician and get a prescription for head lice shampoo. Medicaid will pay for it. If you do not have Medicaid insurance and this purchase presents a problem for you, Head Start can cover the cost for your child. Please let your Family Educator or Center Supervisor know. Thank you, Family Educator SOUTH CENTRAL HEAD START College of Southern Idaho PO Box 1238 Twin Falls, Idaho 83303-1238 Phone: (208) 736-0741 Fax: (208) 734-3832 E-mail: schs@spro.net Estimados padres, Hemos encontrado un caso de piojos en el centro Head Start. Para prevenir que se desparramen, por favor examine a su nino(a). Busque los huevos o piojos entre el pelo serca al cranio. Si encuentra que su nino(a) tiene piojos compre champu para los piojos. Pregunte en la farmacia que se le recomienda. Si su nino(a) tiene tajeta medicaid, usted podria obtener el champu para los piojos sin costo. Tendra que llamar al doctor para que le den una reseta para el champu. Si usted no tiene el dinero para comprar el champu, Head Start puede pagar el champu para su nino(a). Porfavor informe a su maestra o a la supervisora del centro. Si tiene otras preguntas por favor hable con su maestra, su doctor o el departamento de salud. Gracias, Family Educator OUTDOOR POLICY 1. Ordinarily children will be going outside everyday, so please have your children dress for the weather, including coats, mittens, hats and boots as needed. 2. If your child becomes ill at the center, you will be called to pick him/her up. If you feel your child is too ill to go outside, then he/she should be kept at home since we don’t have sufficient staff to stay inside with children. Fresh air is beneficial for children and we will not stay out long on windy or very cold days. 3. Special circumstances can be reviewed on an individual basis. Sunscreen and Bug Spray Permission Form Permission to apply sunscreen (______________________________) Brand name and active ingredients **Sunscreen must contain at least SPF 15** SPF Child’s Name ( ) I give permission to the staff of CSI/South Central Head Start to apply sunscreen on my child when outdoors, field trips and water activities. ( ) I do not give permission to the staff of CSI/South Central Head Start to apply sunscreen on my child when outdoors, field trips and water activities. Date _________________ Parent Signature Permission to apply bug spray (______________________________) Brand name and active ingredients I do not want deet as an active ingredient in the bug spray. I wish to have deet as an active ingredient in the bug spray. Child’s Name ( ) I give permission to the staff of CSI/South Central Head Start to apply bug spray on my child when outdoors, field trips and water activities. ( ) I do not give permission to the staff of CSI/South Central Head Start to apply bug spray on my child when outdoors, field trips and water activities. Date _________________ Parent Signature Water Play Policy Precautions will be taken to ensure that communal water play does not spread infectious disease. 8. All children must wash their hands before and after playing in the water table and after shared water play. 9. Children with open sores/wounds on their hands are not permitted to participate in communal water play. 10. Fresh potable water will be changed between each group of children. 11. Water will be drained after communal water play is completed. 12. If fresh potable water can flow freely through the water play table and out through a drain in the table this can be used as an alternative. 13. The policy for the water table also needs to be followed during outside and playground use. 14. Children should not be allowed to drink from the water table. HEPATITIS B POLICY WHAT IS HBV? Hepatitis B virus (HBV) is a potentially life-threatening Bloodborne pathogen. Centers for Disease control estimates there are approximately 280,000 HBV infections each year in the U.S. Approximately 8,700 health care workers each year contract hepatitis B, and about 200 will die as a result. In addition, some who contract HBV will become carries, passing the disease onto others. Carriers also face a significantly higher risk for other liver ailments which can be fatal, including cirrhosis of the liver and primary liver cancer. HBV infection is transmitted through exposure to blood and other infectious body fluids and tissues. Anyone with occupational exposure to blood is at risk of contracting infection. Employers must provide engineering controls; workers must use work practices and protective clothing and equipment to prevent exposure to potentially infectious materials. However, the best defense against hepatitis B is vaccination. The following information is courtesy of the Pediatric Center Twin Falls HEPATITIS B VIRUS (HBV) Hepatitis B The Disease This form of hepatitis was previously called serum hepatitis which refers to the most common method by which it is transmitted, i.e., blood products. It can also be transmitted by skin contact, or mucus membrane contact, which includes sexual transmission. It is highly contagious and can be spread by inoculation of small amounts of blood when blood comes from a carrier of hepatitis B virus. Blood transfusions can transmit this, but blood transfusions are now screened for hepatitis B. If a mother is a chronic carrier of hepatitis B her children are likely to be infected at the time of delivery. About 90% of these children become chronic carriers of hepatitis B, and they are at risk of developing chronic liver disease and liver cancer later in life. HEPATITIS B VACCINE Although effective vaccines against hepatitis B virus have been available, the past decade saw no overall decrease in the incidence of HBV, in spite of campaigns to vaccination high risk groups. To eradicate this disease, both the Immunization Practices, Advisory Committee (ACIP) of the Centers for Disease Control (CDC), and the American Academy of Pediatrics (AAP), have recently recommended universal childhood immunization against HBV. The groups’ recommendations have two primary purposes. The first is: 1. To protect high risk infants, such as those born to HBV infected mothers, and those who live in environments where HBV infection is endemic. Maternal transmission of HBV results in carriage of the virus in up to 90% of the infants: Over 25% of carrier infants die from primary hepatocellular carcinoma or sclerosis of the liver during adult life. 2. The second purpose of universal childhood immunization strategy is the eventual elimination of HBV; however, this may not be accomplished for 25 or more years. RECOMMENDATIONS Infants born to mothers who carry the hepatitis virus: These infants should receive HBV vaccine and hepatitis immuneglobulin within 12 hours of birth. Infants born to mothers who do not carry the virus: These infants may be vaccinated according to one of two schedules: Before hospital discharge, age 1-2 months, and age 6-18 months; or at 2, 4, and 6 to 18 months of age. Infants born to mothers who do not know if they carry or do not carry the virus: When the mother’s hepatitis B surface antigen status is known the infant should be determined as soon as possible. If she is positive for hepatitis B surface antigen, immuneglobin for hepatitis B should be administered immediately to the infant provided the child is less than one week of age. ADVERSE EFFECTS Pain at the infection site (3% - 29% incidence) and a temperature greater than 101 F. (1% - 6% incidence) are the most frequently reported side effects associated with HBV vaccines, which have been in use since 1986. UNIVERSAL PRECAUTIONS As protection against the blood related modes of transmission, health and childcare workers should use universal precautions when coming in contact with the blood of all clients, or bodily fluids containing blood. Staff members should adhere to the following universal precautions: Wear latex gloves when coming into contact with blood, skin and mucous Membrane cuts, or any open skin lesion. Use gloves only for the care of one child, then discard the gloves. Wash hands after discarding the gloves. Properly dispose of contaminated materials exposed to blood, such as needles. Strict adherence to universal precautions prevents exposure to bloodborne pathogens including HIV and hepatitis B. For the policy recommendations for children attending Head Start class and adults in the work place, refer to the Aids Policy recommendations: Follow the same plan as Aids Policy. PEDIATRIC AIDS WHAT IS AIDS? AIDS stands for Acquired Immunodeficiency Syndrome. It is believed to be caused by a virus identified as HTLV-III or LAV, which has only recently been isolated. The virus causes immune depression, which then opens the body to both typical and unusual kinds of infections and diseases (called opportunistic infections). The reader should note that the HTLV-III virus is one of a group called retroviruses. A retrovirus is large compared to a regular virus such as a flu virus. This means that it is heavy and cannot be carried in the air. This is one important reason the AIDS is not passed between and among people who are next to each other, for example, in the same room. The term AIDS is used to describe this disease at the stage when a patient suffers the symptoms of the AIDS itself and also has been getting the opportunistic infections. The two diseases or opportunistic infections most frequently seen with adult AIDS are: (1) Kaposi’s Sarcoma, a rare form of skin cancer, and (2) pneumocystis carinii pneumonia (PCP), a rare pneumonia. It was the opportunistic diseases, particularly Kaposi’s Sarcoma that first brought doctors’ attention to AIDS in 1981. In that year, young, homosexual men who were ill with skin lesions of this rare cancer were seen in hospitals in disproportionately high numbers. Doctors discovered immune suppression in these patients. It is presumed that AIDS came to this country about 4 years before it was actually identified in 1981. What further complicates the understanding of AIDS is the fact that full-blown AIDS, as described above, is only one of three forms of the disease. The other two are: (1) what is sometimes referred to as AIDS related complex (ARC), and (2) asymptomatic seropositive individuals. ARC means there is presence of the disease in a less virulent form. Patients with ARC may develop full-blown AIDS or they may not. The term asymptomatic seropositive means that blood tests of these individuals reveal the antibody to the virus HTLV.III. These individuals have been exposed to the virus, probably do have the virus in their systems and show no sign of symptoms of the disease, i.e., are asymptomatic. Although there are medical and clinical differences in definition between adult and pediatric AIDS in all its forms, for our purposes it is sufficient to say that pediatric AIDS is AIDS in a child under the age of 18. WHAT ARE THE SYMPTOMS OF AIDS? An AIDS patient will have any combination of these persistent symptoms: weight loss, diarrhea, swollen glands, fatigue, fevers and coughing. After a period of time, which may be, months or years after an individual is infected with the virus, one or more of the opportunistic infections can develop. It is the cancer, pneumonia or other infection, which eventually causes death. Seventy percent (70%) of patients with full-blown AIDS die within three years of diagnosis. The symptoms of AIDS and ARC differ. AIDS victims are very ill indeed, and the feel very ill. These patients get frequent and varied opportunistic infections. ARC victims may have some of the symptoms of AIDS like swollen lymph nodes or mild weight loss, etc., but they are not extremely ill. They do not get opportunistic infections as easily as those people with full-blown AIDS. The third group, individuals whose blood tests are positive (seropositive) for the antibody to the HTLV.III virus, are without symptoms and probably will not know that they contracted the virus. It should be noted that researchers suspect that only 5% to 20% of ARC and asymptomatic seropositive individuals will eventually develop full blown AIDS. In 1981 it appeared to investigators that AIDS was mostly confined to communities of gay men and recently arrived Haitian immigrants. As new high risk groups have been discovered and as we learn more about the diseases, we begin to see what the other high-risk groups are. Ninetyfour percent (94%) of the 13,921 adult cases of AIDS in the United States have occurred in the following groups: Percent of Known Cases Group 73% Sexually active homosexual and bisexual men with multiple partners 17% Present or past abusers of intravenous drugs 1% Persons with hemophilia or other multiple coagulation disorders, requiring transfusions 1% Heterosexual contacts of someone with AIDS, or at risk for AIDS 2% Persons who have had transfusions with blood or blood Products AS of October 11, 1985, the Centers for Disease Control had received reports of 13,921 adult cases of AIDS in the United States. In addition, 204 pediatric cases have been reported among persons under age 13, with 124 deaths. These numbers represent all cases reported since 1979. It is not known how many cases of ARC and asymptomatic seropositive individuals there are. HOW IS AIDS TRANSMITTED? AIDS is known to be transmitted by intimate sexual contact, transfer of body fluids or direct transfusion with blood or blood products that contain the AIDS virus. There is a test for AIDS antibodies (not the virus) that has a high accuracy rate for detecting contaminated blood supplies. It is now becoming increasingly unlikely that patients requiring blood transfusions run the risk of contracting AIDS. AIDS is probably not spread by casual contact. It can and should be thought of as primarily a venereal disease. The assumption that AIDS is not transmitted by casual contact is strengthened by: No family member of an AIDS patient who has not already been in one of the at risk categories has ever contracted the virus-either AIDS, ARC or asymptomatic seropositive; Among all tested health care workers in continuous contact with AIDS patients, there is evidence in only two cases of probable occupational transmission of the virus. In both cases, there had been a history of multiple needle stick injuries from AIDS contaminated needles. One real danger is that individuals with ARC or who are asymptomatic seropositive are able to transmit the disease even though they are not ill. Since there may well be many thousands of such people in the population, everyone must learn to take the precautions necessary to remain healthy. SUMMARY AIDS is a fatal disease. There is reason to fear it. There are reasons to take precautions in situations, like preschool, where individuals may come in contact with body fluids of children. However, as more and more is learned about this disease, it is likely that we can take more active precautions against it. It is possible that changes in sexual behaviors, already widely noted in the gay community, could begin to slow down the spread of AIDS. Hopefully with increased research activity in the medical community, this disease will soon no longer be a threat. AVOIDING SKIN CONTACT WITH BODY FLUIDS In many instances, unanticipated skin contact with body fluids may occur in situations where gloves may be immediately unavailable. In these instances, hands and other affected skin areas of all exposed persons should be routinely washed with soap and water after direct contact has ceased. Clothing and other non-disposable items that are soaked through with body fluids should be rinsed and placed in plastic bags. If presoaking is required to remove stains, use gloves to rinse or soak the items in cold water prior to bagging. Clothing should be sent home for washing with appropriate direction for laundering. Contaminated disposable items should be handled as with disposable gloves. HOW SHOULD SPILLED BODY FLUIDS BE REMOVED FROM THE ENVIRONMENT? Most schools have standard procedures already in place for removing body fluids (e.g., vomitus). These procedures should be reviewed to determine whether appropriate cleaning and disinfecting steps have been included. Many schools stock sanitary absorbent agents specifically intended for cleaning body fluid spills. Disposable gloves should be worn when using these agents. The dry material is applied to the area, left for a few minutes to absorb the fluid and then vacuumed or swept up. The vacuum bag or sweepings should be disposed of in a plastic bag. Broom and dustpan should be rinsed in a disinfectant. No special handling is required for vacuuming equipment. HANDWASHING PROCEDURES Proper hand washing requires the use of soap and water, and vigorous washing under a stream of running water for approximately 10 seconds. Soap suspends easily removable soil and microorganisms allowing them to be washed off. Running water is necessary to carry away dirt and debris. Rinse under running water. Use paper towels to thoroughly dry hands. DISINFECTANTS An intermediate level disinfectant should be used to clean surfaces contaminated with body fluids. Such disinfectants will kill vegetative bacteria, fungi, tubercle bacillus and viruses. The disinfectant should be registered by the U.S. Environmental Protection Agency (EAP) for use as a disinfectant in medical facilities and hospitals. Various classes of disinfectants are listed below. Hypochlorite solution (bleach) is preferred for objects that may be put in the mouth. 1. Ethyl or isopropyl alcohol (70%) 2. Phenolic germicidal detergent in a 1% aqueous solution (e.g., Lysol*) 3. Sodium Hypochlorite with at least 100 PPM available chlorine (1/2 cup household bleach in 1 gallon water needs to be freshly prepared each time it is used) 4. Quaternary ammonium germicidal detergent in 2% aqueous solution (e.g., Tri-quart*, Mytar* or Sage*) 5. Iodophor germicidal detergent with 500 PPM available iodine (e.g., Wascodyna*) The following guidelines are meant to provide simple and effective precautions against transmission of disease for all persons, including pregnant women, potentially exposed to the blood or body fluids of any student. No distinction is made between body fluids from students with known disease or those from students without symptoms or with an undiagnosed disease. WHAT SHOULD BE DONE TO AVOID CONTACT WITH BODY FLUIDS? When possible, direct skin contact with body fluids should be avoided. Disposable gloves should be available in at least the office of the custodian, nurse or principle. Gloves are recommended when direct hand contact with body fluids is anticipated. If extensive contact is made with body fluids, hands should be washed afterwards. Gloves used for this purpose should be put in a plastic bag or lines trash can, secured and disposed of daily. The body fluids of all persons should be considered to contain potentially infectious agents (germs). The term “body fluid” includes: blood, semen, drainage from scrapes and cuts, feces, urine, vomitus, respiratory secretions and saliva. TABLE I TRANSMISSION OF CONERNS IN THE SCHOOL SETTING BODY BLUID SOURCE OF INFECTIOUS AGENTS BODY FLUID SOURCE ORGANISM OF CONCERN TRANSMISSION CONCERN Blood -cuts/abrasions -nosebleeds -menses -contaminated needles Hepatitis B virus AIDS virus Cytomegalovirus Blood stream inoculation cuts/abrasions on hands Direct blood stream *Feces -incontinence Salmonella bacteria Shigella bacteria Rotavirus Cytomegalovirus Respiratory -secretions -saliva -nasal discharge Mononucleosis virus Common cold virus Influenza virus AIDS virus Oral inoculation from contaminated hands Bloodstream and oral inoculation from contaminated hands Oral inoculation from contaminated hands through cuts and abrasions on hands; bites *Vomitus Gastrointestinal Viruses Semen Hepatitis B virus AIDS virus Gonorrhea Oral inoculation from contaminated hands Sexual contact (intercourse) *Possible transmission of AIDS and Hepatitis B is of little concern form these sources. There is no evidence at this time to suggest that the AIDS virus is present in these fluids. SOUTH CENTRAL HEAD START AIDS POLICY STATEMENT AIDS Acquired Immunodeficiency Syndrome, An illness caused by HIV which and allows infections to make people sick. HIV Human Immunodefieciency virus. It is the virus that causes AIDS. Just infected does not mean he/she had aids. The definition of AIDS in children A child is given the diagnosis of AIDS when certain symptoms, infections, or problems develop that mean the HIV infection has progressed to a certain point. The Center for Disease Control (CDC) has developed certain criteria for AIDS in children. If a child develops these problems or infections, they are diagnosed as having the syndrome of AIDS. In some cases, the infections indicate that the immune system is no longer working, such as for Pneumocystis cartinii pneumonia (PCP), and candida (thrush) infections in the esophagus. In others, the brain and nervous system are badly affected, such as with progressive encephalopathy. It is important to know that the definition or criteria of AIDS continues to change, with most recent definitions dating from 1987, and a revised definition for children expected in 1992. Whether a child has AIDS is important for agencies tracking the number of children with AIDS and for social service reasons such as determining whether the child is eligible for various entitlements, including Supplemental Security Income (SSI). However, for those treating children and assessing their progress, it is more important to know their exact medical condition and problems, and how their immune system is functioning than whether or not they have AIDS. Depending on the AIDS defining problem, children may live for a number of years after receiving an AIDS diagnosis. The Center for Disease Control (CDC) reported that, as of June 30, 1992, there were 3,8988 children known with AIDS in the United States. Aids is the most severe manifestation of the Human immundeficiency virus, so the reported number of AIDS cases greatly underestimates the extent of the HIV epidemic. Experts estimated the total number of children with HIV infection in the country to be three to six times the number with AIDS or between 10,000 and 20,000. Reported cases of AIDS have occurred disprotionately among children from United States ethnic minorities, particularly African-Americans and Hispanics. Although African-Americans children constitute just 15% of all the nation’s children, they comprise 53% of reported childhood Aids cases. Hispanic children represent just 10% of all children under 13 in the country, but they account for 25% of the total number of childhood AIDS cases. HIV Statistics In 2005, 430 cases of HIV infection (not AIDS) in children were newly reported. Of the estimated 6,792 children living with HIV/AIDS in the United States today, 90% were exposed perinatally (before birth). In 2005, 93 AIDS cases in children were newly reported. CDC, HIV/AIDS Surveillance Report 2005, Volume 17 ______________________________________________________________________________ For More information concerning HIV refer to www.pedaids.org/AboutPediatricAIDS POLICY RECOMMENDATIONS 1. Each case will be approached on an individual basis using child’s physician(s) and Head Start consulting physician(s) assessment as guidance. Decisions on the type of educational and care setting for HIV infected children should be based on the behavior, neurologic development, and physical condition of the child and the expected type of interaction with others in that setting. The child with neurological handicaps who lacks control of his/her body secretions or who has uncoverable oozing lesions should be handled in a more restrictive environment than a Head Start program can provide. The child’s physician in each case must determine whether an infested child is well enough to attend a preschool Head Start program, and should be able to provide reasons why the Head Start Program would be more beneficial to the child than another more personalized program which could better limit the child’s exposure to infections. 2. HIV infected children will be allowed to attend Head Start classroom experiences provided: a. They have been approved by their physician and the Head Start consulting physician following discussion of the case as delineated above under #1. b. They are toilet trained, and have control of their secretions. c. They have no uncoverable sores or skin eruptions. d. They do not exhibit evidence of biting behavior. At any time the above conditions are not met, the child will be excluded from Head Start classroom experiences until the conditions are met again. 3. Parent will be informed that the child cannot attend class when he is acutely ill and/or has a fever, cough, or diarrhea. If the child comes to class with these symptoms, he/she will be temporarily removed. 4. The Center Supervisor will monitor the Head Start Center for diseases such as measles and chicken pox. The Center Supervisor informs all parents of the presence of these conditions. The need to remove the child with HIV will be determined by the parents, child’s physician and the Head Start consulting physician. 5. The Head Start program should be informed of the child’s condition. The Director, Center Supervisor, Coordinators, specific classroom staff, and specific bus drivers will have knowledge of the child’s condition. The Executive Director will be informed that a Head Start child has the HIV infection but no names(s) will be revealed. Staff members breaking the confidentiality of the client will be terminated. 6. The Health Coordinator will work with the parents and the child’s physician to deal with issues concerning the child’s attendance. a. If the child’s condition worsened, Head Start would require the child to be re-evaluated by his/her physician. b. Attendance will be monitored monthly by the Family Educator. When a child cannot attend the Head Start classroom, educational materials and services will be provided to the family through home visits. 7. The Health Coordinator will assist in problems that may arise, and serve as a liaison with the child’s physician. 8. Asymptomatic adults infected with HIV may care for children provided that they do not have seeping skin lesions or conditions that would allow contact with their body fluids. Providing approval, an employee with known or suspected infectious diseases should be seen by their private physician for a complete medical evaluation to be submitted to the Head Start program. Their private physician and the Head Start consulting physician will render a determination as to whether the employee is capable of performing his current work schedule. The determination will consider whether: The employee’s current work assignment presents possible complications to the employee’s condition. The type or degree of infection is any way endangers the health of other employees or clients in the work place. The employee’s condition adversely impacts on the work itself to the service of the program. On the basis of available data, there is no reason to believe that HIV affected adults will transmit HIV in the course of their normal Head Start activities. 9. The AIDS information statement shall become part of the AIDS POLICY STATEMENT. EXPOSURE CONTROL PLAN The purpose of this written exposure control plan is to ensure that South Central Head Start is in compliance with the OSHA Bloodborne Pathogen Standard, 1910.1030. The plan will be maintained at the Central Office in Twin Falls and will be included as an attachment to the Health Component Plan will be reviewed and updated, at least annually, or whenever new tasks and procedures affect occupational exposure. EXPOSURE CONTROL PLAN A. EXPOSURE DETERMINATION In the Head Start center, DESIGNATED FIRST-AID RESPONDERS are the Family Educator II and Bus Drivers, who are considered exposed, or will potentially be exposed, to blood and/or body fluids. At Central Office the Designated First-Aid Responders will be the Health Coordinator and another individual who is trained in CPR and first aid. B. METHODS OR COMPLIANCE 1. Body Substance Isolation ALL HUMAN BODY FLUIDS WILL BE TREATED AS IF KNOWN TO BE INFECTIOUS FOR BLOODBORNE PATHOGENS. 2. Engineering and Work Practice Controls The Head Start centers and Central Office are not health care facilities but are parent and child centers and an administrative office. Universal precaution will be taken and personal protective equipment will be available. On the occasional time away from centers of office where hand-washing facilities are not available, antiseptic toweletts or antiseptic cleanser with clean paper towels will be provided. Employees must wash their hands with soap and running water as soon as they can. If a bee sting kit or an insulin syringe is used, the uncapped syringe should be placed in a needle container, the container taped shut and taken to the nearest hospital or clinic for disposal. 3. Personal Protective Equipment The following personal protective equipment will be included in each first aid kit: Disposable gloves; disposable pocket masks for CPR; goggles, and disposable paper masks. 4. Housekeeping Everything disposable that is used during first aid or CPR will be placed the red plastic bags provided. These bags will ONLY be used for contaminated waste and will be disposed of properly. It is the responsibility of the Health Coordinator in each area to designate where each center and Central Office disposes of the red bags. If you need to wash down an area or equipment which has blood or other body fluids on it, use gloves and household bleach diluted with water, or about 1 cup of bleach to 1 gallon of water (1:10dilution). C. INFORMATION AND TRAINING Information and training will be provided at no cost to the employees designated as first-aid responder and will be done during regular working hours. Training will be given when an employee is designated as a first-aid responder plus every year after that. South Central Head Start Deputy Director will be responsible for securing a qualified trainer and will keep all centers informed. THE FOLLOWING LIST MAY BE A USEFUL SOURCE FOR SPEAKERS WHO ARE QUALIFIED TO PROVIDE INFORMATION AND TRAINING CONCERNING BLOODBORNE PATHOGENS: 1. BSU SAFETY AND HEALTH CONSULTATION PROGRAM 1910 UNIVERSITY DRIVE BOISE, IDAHO 83706-9987 (208) 385-3283 COST: FREE OF CHARGE 2. AMERICAN RED CROSS 6520 WEST NORWOOD BOISE, IDAHO 83702 (208) 375-0314 COST: $24 (approximately) D. HEPATITIS B VACCINATIONS; POST-EXPOSURE EVALUATION AND FOLLOW UP 1. Hepatitis B Vaccination South Central Head Start will make the Hepatitis B Vaccination series available and ensure the vaccine’s administration to all designated first-aid responders (also referred to as “employee”). South Central Head Start will focus on the post hepatitis B vaccine, as our facilities are not considered to be high-risk work places. Post exposure evaluations and follow up will be available to all employees who have had an exposure incident. The Hepatitis B vaccination and the post-exposure evaluation and follow up will be provided by South Central Head Start: a. At no cost to the employee; b. Made available during the employee’s regular work hours; c. Performed by or under the supervision of a licensed physician or other licensed health care professional; d. Provided according to current recommendations of the U.S. Each center will designate a hospital or lab and that will be the facility used for all laboratory tests, which will be provided at no charge to the employees. The Hepatitis B vaccine will be offered within 10 working days of being designated as a first-aid responder. ONLY the employee may accept or decline the Hepatitis B vaccination series. If the employee (designated first-aid responder) accepts the vaccine, the employee needs to be evaluated by a physician or qualified health care provider, e.g. the public health nurse, as to whether or not the Hepatitis B vaccination series is indicated for the employee. The public health nurse in the locale of the center or the employee’s personal physician will provide this evaluation. If the need for the hepatitis B vaccine is indicated, the employee will choose the course of action. South Central Head Start will obtain a written copy of the opinion and provide the employee with a copy within 15 days of the evaluation’s completion. If an employee declines the vaccination series, the employee MUST sign a declination form that contains mandatory language. The employee may change his/her mind to receive the shots at any time, and then will go through the acceptance procedure above. If booster shots are later required by the U.S. Public Health Service, South Central Head Start will make them available and in accordance with the initial vaccination series. 2. Post-Exposure Evaluation and Follow Up If a first-aid responder is exposed to blood or body fluids, South Central Head Start will take the employee to the clinic or hospital nearest the center for a complete medical evaluation and follow up. South Central Head Start will provide the health care facility with a copy of the Bloodborne Pathogens rule, 1910.1030; a description of what the exposed; and any medical records of the exposed employee regarding Hepatitis B vaccine status. The clinic or hospital will provide us with a written opinion of the evaluation; we will give the exposed employee a copy of the written opinion within 15 days. E. RECORD KEEPING 1. Medical Records South Central will establish and maintain an accurate record for each employee with occupational exposure. South Central will ensure that the medical records as described above are KEPT CONFIDENTIAL and ARE NOT DISCLOSED OR REPORTED WITHOUT THE EMPLOYEE’S EXPRESS WRITTEN CONSENT to any person within or outside the work place except as required by law. South Central Head Start will maintain those records for the employee’s duration of employment PLUS 30 years in accordance with 29 CFR 1910.20. These records will be made available to OSHA representatives upon request. 2. Transfer of Medical and Exposure Records If South Central Head Start ceases to do business, we will inform our current employee’s of their access rights to these records at least 3 months in advance. We will also notify the Director of the National Institute of Occupational Safety and Health (NIOSH) in writing at least 3 months prior to disposing our records. If we sell our business to someone else, we will provide the new owner with all employee medical and exposure records. HEPATITIS B VACCINATION DECLINATION FORM DIRECTIONS: Use this form if the designated first-aid responder chooses NOT to receive the Hepatitis B vaccination series. Maintain the form in your records. EMPLOYEE NAME____________________________________________________________ SOCIAL SECURITY NUMBER___________________________________________________ I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to myself. However, I decline hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with hepatitis B vaccine, I can receive the vaccination series at no charge to me. EMPLOYEE SIGNATURE ______________________________________________________________________________ DATE HEALTH CARE PROFESSIONAL’S WRITTEN OPINION FOR HEPATITIS B VACCINATION DIRECTION: This form needs to be filled out by the health care professional and returned to the employer when a designated first-aid responder accepts to receive the Hepatitis B vaccination series. The employer needs to maintain a copy of this form PLUS give the employee a copy within 15 days. EMPLOYEE NAME: _________________________________________________________ SOCIAL SECURITY NUMBER: _________________________________________________ ________________Hepatitis B Vaccination IS indicated for this employee; vaccination received. ________________Hepatitis B Vaccination IS indicated for this employee; vaccination not received. ________________Hepatitis B Vaccination IS NOT indicated for this employee; vaccination not received. HEALTH CARE PROVIDER’S SIGNATURE DATE POST-EXPOSURE AND FOLLOW UP (SAMPLE FORM) DIRECTIONS: This form needs to be filled out if a designated first-aid responder has an accidental exposure to blood/body fluids. The doctor or other health care professional you send them to needs a copy of this information and you need to maintain a copy in your records. EMPLOYEE NAME: _______________________________________________________ SOCIAL SECURITY NUMBER: ______________________________________________ I. ROUTE(S) OF EXPOSURE: ________________________________________________ ________________________________________________________________________ ________________________________________________________________________ (Ex: Eyes, break in skin, nose, mouth, skin pierced by sharp object) II. CIRCUMSTANCES SURROUNDING THE EVENT (including use of engineering controls, work practices, personal protective equipment): _________________________ ________________________________________________________________________ ________________________________________________________________________ (EX: Employee was cut by a saw and severed an artery. The responder went directly to the aid of the person since he worked nearby, and did not grab the first aid kit which contained goggles and gloves. The responder started applying pressure to the severed artery when blood splashed into his eyes; the responder also had cuts and scratches on his hands.) III. EXPOSED EMPLOYEE BLOOD TAKEN: _____________(Y/N) DATE TAKEN:__________________ WRITTEN/ORAL CONSENT GIVEN FOR:________HIV TESTING (circle one or both) (Y/N) WRITTEN/ORAL CONSENT GIVEN FOR:________HBV TESTING (circle one or both) (Y/N) BLOOD BEING HELD FOR 90 DAYS, OR UNTIL_________________________. PENDING EMPLOYEE REQUEST/PERMISSION IV. HEALTH CARE PROFESSIONAL NAME:_____________________________ADDRESS:_______________________ PHONE NUMBER:___________________ MATERIAL PROVIDED TO HEALTH CARE PROFESSIONAL (Dated provided:____________________) ______ Copy of 1910.1030,Occupational Exposure to Bloodborne Pathogens. ______ Description of exposed employee’s duties as described on page _____. ______ Documentation of route(s) of exposure and surrounding circumstances (see paragraph I above) ______ All relevant medical records maintained by the employer, including hepatitis B vaccination status. WRITTEN OPINION FROM HEALTH CARE PROFESSIONAL ______ Provided written opinion (Y/N) Dated received:_____________ V. SOURCE INDIVIDUAL Name: _____________________________________________________________ BLOOD TAKEN:________________(Y/N) DATE TAKEN:____________ WRITTEN/ORAL CONSENT GIVEN FOR:_______________HBV TESTING (Circle one or both) (Y/N) WRITTEN/OTHER CONSENT GIVEN FOR:______________HIV TESTING (Circle one or both) (Y/N) RESULTS MADE AVAILABLE TO EXPOSED EMPLOYEE: __________(Y/N) DATE MADE AVAILABLE:___________________________________________ HEALTH CARE PROFESSIONAL’S WRITTEN OPINION FOR POST-EXPOSURE EVALUATION AND FOLLOW UP DIRECTIONS: This form needs to be filled out by the health care professional following an exposure incident and returned to the employer. The employer needs to maintain a copy of this form PLUS give the employee a copy with in 15 days. EMPLOYEE NAME: _____________________________________________________ SOCIAL SECURITY NUMBER:____________________________________________ _________(Y/N) The employee has been informed of the results of the evaluation. _________(Y/N) The employee has been told about any medical conditions resulting from exposure to blood other potentially infectious materials which require further evaluation or treatment. HEALTH PROVIDER’S SIGNATURE DATE POLICY & PROCEDURES FOR BITING STEP I - Immediate Action 1. Comfort the child who was bitten. 2. Assess and clean the wound (soap, water, etc.) using universal precautions. 3. Discipline the child who bit. Use appropriate discipline for this child. See Mental Health Plan for Aggressive Behavior Policy. STEP II – Notify Parents Immediately 1. Notify the parent of the child that was bit. Let parent know comfort measures given and how child is now. If the bite pierced the skin, there may be risk of contamination from bacteria or viruses in the mouth. Recommend to the parent that it would be advisable to take the child to their personal physician. The immediate action taken in cleaning the wound will be very helpful in preventing infection. A copy of the incident report will accompany the child to the doctor if the parent chooses to take the child to the doctor. 2. Notify the parent of the child who did the biting. Tell parent the events that lead up to the incident and discipline measures that were taken after the incident. Ask parent if the child has had a problem with biting. Contact parent to develop a written plan to help prevent the child from biting again. The plan needs to be in place prior to the day the child comes to class again. 3. Give information on biting to both parents. STEP III - Develop a Plan of Action The first incident of biting does not require a plan of action meeting, unless the parents request it, but a meeting will happen if this is a reoccurring problem. 1. The planning meeting will be prior to the day the child is expected in class and shall include any or all of the following: Parent, FE III, Family Advocate or Home Visitor, Center Supervisor, Health Coordinator, Children Service Specialist, Disabilities Coordinator, Mental Health Consultant, or other staff that were involved in the incident and any other person requested by the parents to attend. 2. The purpose of the planning meeting is to develop a plan to prevent the reoccurrence of the biting. Consider circumstances that led up to the incident. Consider the needs and concerns of the child who bit and of the child who got bit. Consider the activity the class was participating in at the time. What could be done differently? 3. The written plan becomes a part of this document and will be also soaped in the child's file. 4. Evaluate plan in two weeks. STEP IV – Documentation 1. Document in each child's file the incident, the plan, conversations with parents and any follow up. 2. Complete the incident report if the bit pierced the skin. A copy of this will accompany the child to the doctor if the parent chooses to take the child. The original will stay on file in the center and a copy sent to the Health Coordinator. STEP V - Follow Up 1. The following day ask the parent of the child who was bit how the child is doing. Explain that you had a planning meeting and that a plan was made to prevent it from happening again. 2. After two weeks, the team will meet again to re-evaluate progress. If the behavior is not decreasing, it will be considered aggressive behavior and the team will follow through with that policy. Written Plan of Action: In signing this agreement, I hereby agree to the plan of action as stated above. _________________________________________________________________________ Center Supervisor Signature Date ______________________________________________________________________________ Parent Signature Date 1304.22(b)(2) – Grantee and delegate agencies must not deny program admission to any child nor exclude any enrolled child from program participation for a long term period, solely on the basis of his/her health care needs or medication requirements unless keeping the child in care poses a significant risk to the health or safety of the child or anyone in contact with the child and the risk cannot be eliminated or reduced to an acceptable level through reasonable modifications in the grantee or delegate agency policies, practices or procedures or by providing appropriate auxiliary aids which would enable the child to participate without fundamentally altering the nature of the program. STRATEGY A child requiring special health care needs or medication will have a written individual plan. The plan will include specific procedures and state which responsible adult will be administering the medication or special health care need with parents permission Medication administration form must be filled out and signed by both the physician and parent. Along with specific instructions on administrating medication. A medication log will be kept with date/time/person administering and route administered (oral, rectal, im, iv) Specific written instructions from parents and health care providers on how best to care for the child, in order to protect his/her health, as well as the health of the other children and staff. The privacy (confidentiality) of the affected child/family will be considered whenever possible. Also see 1304.22© (1) & (2) Medication administration * HV – Home Visitor PERSON(S) RESPONSIBLE Child’s HV, FE III, Center Supervisor, Health Coordinator HV, FE III, Center Supervisor, Health Coordinator HV, FE III, Center Supervisor, Health Coordinator HV, FE III, Center Supervisor, Health Coordinator * FE III – Family Educator III (Lead Teacher) TIMELINES Upon knowledge of necessity Upon dispensing of medication Prior to dispensing medication at Head Start At all times SUPPORTING DOCUMENTATION Medication administration form, medication log, Child File, SOAP Medication log Medication administration form * SOAP – Subjective/Objective Assessment Plan 141 1304.22(b)(3) – Grantee and delegate agencies must request that parents inform them of any health or safety needs of the child that the program may be required to address. Programs must share information, as necessary, with appropriate stuff regarding accommodations needed in accordance with the program’s confidentiality policy. STRATEGY When filling the enrollment application, parents are asked about specific health and safety needs or concerns of the child Plans to accommodate a child’s health or safety needs are in place before services to a child begin or as soon as possible after the need is identified. Parents are reassured that disclosing such information is voluntary and that parents only need to share sufficient information to accommodate the child. PERSON(S) RESPONSIBLE HV, Center Supervisor HV, FE III, Center Supervisor FE I, FE II, FE III, HV, Center Supervisor, Health Coordinator Process to share information (confidentiality) is on a need to know basis * HV – Home Visitor TIMELINES Upon enrollment * FE III – Family Educator III (Lead Teacher) SUPPORTING DOCUMENTATION Child enrollment, Child File Child File Upon enrollment Child File 142 1304.22(c)(1) & (2) – Medication Administration Grantee and delegate agencies must establish and maintain written procedures regarding the administration, handling and storage of medication for every child. Grantee and delegate agencies may modify these procedures as necessary to satisfy state or Tribal Laws, but only where such laws are consistent with Federal Laws. STRATEGY (1) Labeling and storing medication under lock and key and refrigerating if necessary all medications, including those required for staff and volunteers PERSON(S) RESPONSIBLE FE I, FE II, FE III, Center Supervisor, Health Coordinator All medication will be kept locked unless, needing refrigeration. (2) Designating a trained staff member(s) or school nurse to administer, handle and store child medications The child’s family educator will be the person dispensing medication The child’s family educator will contact a hospice nurse or the child’s doctor to dispense medication. See Diabetic Plan See Individual Education Plan * FE – Family Educator FE I, FE II, FE III, Center Supervisor, Health Coordinator * IEP – Individual Education Plan TIMELINES At all times before and after administrating medication At all times SUPPORTING DOCUMENTATION Medication log, medication administration form Medication administration form Upon knowledge Medication that a child needs administration form, medication while Medical log, Child at Head Start File, Medical individual Education Plan (IEP) 143 1304.22(c)(3) – Obtaining physicians’ instructions and written parent or guardian authorizations for all medications administered. STRATEGY A medication administration form will be filled out by the child’s physician. The form includes: Instructions on handling and storing of medication. Dosage amount. Route administered (oral, topical) Time to be given Special instructions including adverse reactions Parents permission for staff to dispense medication to child Name of staff person that will administer medication * FE – Family Educator PERSON(S) RESPONSIBLE FE I, FE II, FE III, Center Supervisor, Health Coordinator SUPPORTING TIMELINES DOCUMENTATION If child will be Medication taking Administration Form, medication while Child File at Head Start 144 SOUTH CENTRAL HEAD START COLLEGE OF SOUTHERN IDAHO P.O. Box 1238 Twin Falls, Idaho 83303-1238 Phone: 208-736-0741 Fax: 208-734-3832 TOLL FREE: 1-877-736-0741 E-mail: schs@spro.net PHYSICIAN’S MEDICATION ORDERS FOR SCHOOL ADMINISTRATION It is the policy of South Central Head Start to maintain signed orders for each prescription or non-prescription drug that school personnel are asked to dispense to students during school hours. This must be renewed each school year. The following form must be completed, signed, and returned to the child’s school office before any medication can be dispensed. Child’s Name: _____________________________ Birth Date:________________ Diagnosis (or Reason For Medication):_____________________________________ Physician’s Name:___________________________ Office Phone:_______________ Medication:______________________________________________________________ Route of admission: _______Oral _____Topical _____Injection ____Drops How Often (or Times): Possible side effects (If significant): Special Information (i.e., Double-Blind Study) Physician Signature ______________________________ Date__________________ Parent/Guardian Signature________________________ Date__________________ SOUTH CENTRAL HEAD START MEDICATION ADMINISTRATION & HANDLING PROCEDURES All medication, whether over the counter or prescription, is to be kept out of the child’s reach. All medications which do not require refrigeration should be stored in a cabinet with locked doors located out of the child’s reach. Ideally, all medications should be given at home. If medications are to be given during Head Start/Child Care hours, requirements need to be followed to avoid any legal liability for mishaps associated with the administration of the medication. These requirements are: 1. Written instructions from parents and/or physicians will detail the name of the drug, Dosage, time interval the medication is to be taken, proper storage of medication, i.e., refrigerate, contraindications for drug usage, i.e., not to be given with milk products, given on an empty stomach, etc. 2. Written permission will be provided by the parent or legal guardian requesting the medication be given. 3. Medication will be brought to the center in a container appropriately labeled by a physician or pharmacist and clearly inscribed with the child’s name. 4. One member of the staff will be designated to handle medication. 5. Non prescription medications will not be given without prior written permission of parent or legal guardian. MEDICATION ADMINISTRATION FOR NON-PRESCRIPTION MEDICATION ______________________________ Date _______________________________ Child’s Name __________________________________ Parent’s Name _______________________________ Name of medication ___________ Dosage ________________________________ Storage of medication __________________________________ Special instructions ________________ Times to be given I request and give permission for _______________________________________________ Head Start/Child Care Provider To administer to my child, ____________________________________________________ Child’s Name Parent/Guardian Signature_____________________________________________ 1304.22(c)(4) – maintaining an individual record of all medications dispensed, and reviewing the record regularly with the child’s parents. STRATEGY A medication log will be kept on each child. This log will be kept close to the medication to include name of drug/date time given, dose amount given/ name of person dispensing medication any behavior changes or reactions. A copy of the log will be put in the child’s file The medication log should be reviewed with parent monthly and as necessary PERSON(S) RESPONSIBLE FE Dispensing medication FEI, FEII, FEIII HV, FEII, FEIII, Center Supervisor, Health Coordinator TIMELINES Every time medication is administered Monthly Monthly as necessary SUPPORTING DOCUMENTATION Medication log Medication log, Child’s File 147 1304.22(c)(5) – The medication log should be reviewed by the child’s parents. PERSON(S) STRATEGY RESPONSIBLE The medication log should be kept with the medication, a copy at HV, FEII, FEIII, the end of the month to be placed in the child’s file and reviewed by Center Supervisor, parents at least once a month Health Coordinator * HV – Home Visitor * SOAP – Subjective/Objective Assessment Plan TIMELINES At the time that medication is dispensed SUPPORTING DOCUMENTATION Medication log, SOAP documentation, Child’s File 1304.22(c)(6) – Ensuring that appropriate staff members can demonstrate proper techniques for administering, handling and storing medication, including the use of any necessary equipment to administer medication. STRATEGY The child’s family educator, under the guidance of the child’s physician using the “delegated authority,” properly trained and able to demonstrate proper administration to the child’s physician or Registered Nurse, may administer medication with parental permission. If the child’s Family Educator is unable to perform the task of administering medication or the use of equipment, the following may be delegated to perform the necessary, A hospice nurse The nurse of the doctor who prescribes medication/treatment A parent or grandparent or an adult relative with parental permission FE III or Center Supervisor with parental permission. * FE – Family Educator PERSON(S) RESPONSIBLE FE, FE III, Center Supervisor, Health Coordinator FEI, FE II, FE III, Center Supervisor, Health Coordinator, Medical provider. * SOAP – Subjective/Objective Assessment Plan TIMELINES Upon knowledge that a child has need for this service Upon knowledge that FE is not able to perform task SUPPORTING DOCUMENTATION Medication Administration Form, SOAP in file, Medical I.E.P. Medication Administration Form, Medical I.E.P. 148 * IEP – Individual Education Plan 1304.22(d)(1)&(2) – Injury Prevention Grantee and delegate agencies must: (1) Ensure that staff and volunteers can demonstrate safety practices and (2) Foster safety awareness among children and parents by incorporating it into child and parent activities. STRATEGY Center staff and volunteers will receive monthly safety meetings on different issues. See training directory Family Educators will present safety lessons in class as well as on Home Visits * FE – Family Educator PERSON(S) RESPONSIBLE FE I, FE II, FE III, Center Supervisor, Health Coordinator FE assigned to child, Home Visit TIMELINES Monthly At least three (3) times per year SUPPORTING DOCUMENTATION Training directory, monthly safety meetings log SOAP, Home Visit form, C.P.E. (child, parent education) 149 1304.22(e)(1) & (2) – Hygiene - Staff, volunteers and children must wash their hands with soap and running water at least at the following times. PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION Staff, volunteers, children wash their hands with soap and running FE I, FE II, FE III, On going daily Hand washing water: Center Supervisor, Observation (i) After diapering or toilet use Health (ii) Before food preparation, handling, consumption or any Coordinator other food-related activity. (setting table) (iii) Whenever hands are contaminated with blood or other body fluids. After handling pets or animals. Staff and volunteers must wash their hands with soap and running FE I, FE II, FE III, On going daily Observation water: Center Supervisor, (i) Before and after giving medications. Health (ii) Before and after treating or bandaging a wound. (use Coordinator gloves if there is blood or blood containing body fluids) (iii) After assisting a child with toilet use. (iv) Before entering the classroom 1304.22(e)(3) – Nonporous gloves must be worn by staff when they are in contact with spills of blood or other visible bloody bodily fluids. PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION Gloves are available to staff and volunteers. All Staff and On going as Observation volunteers needed They are not required to be used during routine diapering or wiping noses unless child has diarrhea or a bloody nose. 150 * FE – Family Educator 1304.22(e)(4) – Spills of bodily fluids (urine, feces, blood, saliva, nasal discharge, eye discharge or any fluid discharge) must be cleaned and disinfected immediately in keeping with professionally established guidelines standards of Occupational Safety Health Administration, U.S. Dept. of Labor. STRATEGY Any tools and equipment used to clean spills must be cleaned and disinfected immediately, Other blood-contaminated materials must be disposed of in a plastic bag with a secure tie. Using gloves, Clean soiled area, then disinfect with a solution of ¼ cup bleach to one-gallon water mixed daily. Dispose of waste and contaminated materials (diapers, rags) in a plastic bag with a tie. Keep cleaning materials away from areas used by children; a locked closet or under kitchen sink with lock. Not to be left unattended * FE – Family Educator PERSON(S) RESPONSIBLE FE I, FE II, FE III, All staff, volunteers, Center Supervisor, Health Coordinator TIMELINES Upon spills of contaminated body fluids At all times SUPPORTING DOCUMENTATION 151 1304.22(e)(5) – Grantee and delegate agencies must adopt sanitation and hygiene procedures for diapering that adequately protect the health and safety of children served by the program and staff. Grantee and delegate agencies must ensure that staff properly conduct these procedures. STRATEGY If a child requires diapering: Make certain that the child is safely secured at all times Diaper on an elevated non-porous surface used only for diapering Should be close to a water source. Use precautions, (gloves, hand washing) Properly disinfect area, use ¼ cup bleach and water. If a child that is potty trained, has an accident: Talk to the child in order to calm him. Do not make a big deal about it. Assist the child, use precautions. Document if child has loose stool and review with parents. Notify parent about accident. * FE – Family Educator PERSON(S) RESPONSIBLE Volunteers, All staff, FE I, FE II, FE III, Center Supervisor Volunteers, All staff, FE I, FE II, FE III, Center Supervisor * SOAP – Subjective/Objective Assessment Plan TIMELINES If child requires diapering If child has a toilet accident SUPPORTING DOCUMENTATION SOAP in child’s file 152 1304.22(f)(1) – First Aid Kits (1) Readily available, well supplied first aid kits appropriate for the ages served and the program size must be maintained at each facility and available on outings away from the site. Each kit must be accessible to staff members at all times, but must be kept out of the reach of children. STRATEGY The first aid kit will contain: Emergency Blood Spill Kit Bandages Gauze roller bandages 2”, 3”, 4” sizes Sterile gauze pads 4” X 4” Scissors Tape 1” or 2” Safety pins Mouth piece barriers Cotton balls, triangular bandages Tweezers, flashlight Blanket, bicarbonate of soda Latex or vinyl gloves – to be worn when cleaning wounds, controlling bleeding or any contact with body fluids The first aid kept must be kept in a visible and accessible area for adults but not within children’s reach at the center and one in the bus. * HV – Home Visitor * FE – Family Educator PERSON(S) RESPONSIBLE All staff, FE I, HV, FE II, FE III, Center Supervisor TIMELINES Whenever center is in operations SUPPORTING DOCUMENTATION First Aid Kit, Emergency first aid plan 153 All staff, FE I, FE II, FE III, Center Supervisor, Bus Driver When center is in operation When bus is in use. First Aid Kit FIRST AID KIT Emergency Blood Spill Kit Mouth Piece Barrier Bandages Cotton Balls Gauze roller bandages 2”, 3”, 4” sizes Triangular Bandages Sterile gauze pads 4” x 4” Tweezers Scissors Flashlight Tap 1” or 2” Blanket Safety Pins Bicarbonate of Soda Latex or Vinyl Gloves: Gloves should be worn when cleaning wounds, controlling bleeding, or any contact with body fluid SOUTH CENTRAL HEAD START EMERGENCY FIRST AID PLAN 1. Minor cut/scrape: Cleanse with soap and water and apply Band-Aid or sterile gauze. 2. Minor burn: Apply cold water or ice compresses until pain subsides. Do not apply ice directly on skin. Do not open blisters. If blister breaks, cover the area with sterile gauze. 3. Moderate-server burns: If clothing catches fire, smother the flames with a coat, blanket or rug. If no such material is available, have child lie down while you help to smother the flames. Keep child lying down and treat him for shock. Keep him in horizontal position with head down. Do not attempt to remove clothing that sticks to burned area. Take child to hospital immediately, keep the child warm but not hot. 4. Moderate-severe bleeding: Apply direct pressure until bleeding stops. Cover wound with dressing and apply pressure directly with fingers or hand. Raise the bleeding part higher than the rest of the body, if possible. (i.e., raise a leg) 5. Puncture wound: Cleanse, apply dressing, consult physician about possible tetanus. 6. Bites and stings: Bites and stings could be caused by insects to which the child is allergic. Such injuries are potentially serious. Cleanse wounds thoroughly with soap and water. If you know that the sting was made by a bee, wasp or hornet, apply a small amount of bicarbonate of soda immediately to neutralize the acid—but do not get bicarbonate in the child’s eyes. Rinse with clear water and apply sterile dressing. Ice or ice water compresses give relief from insect bites and stings. 7. Choking: Immediate attention open airway. 8. Eye injury: cover with sterile dressing and transport to physician. 9. Fractures, Head & Back injuries: Call ambulance. Keep child lying down and cover with blanket. 10. Poisoning: Know the poison! Contact poison control center, (1-800-632-8000), or call your local physician, Follow their directions. 11. Nosebleeds: Most nosebleeds stop in a few minutes. If bleeding persists, however, keep child as quiet as possible in a sitting position with the head tilted forward. Adult place hand over child’s, have child apply firm pressure over bleeding nostril against middle portion of the nose for five minutes. (Use gloves) Applying an ice pack to the nose may also help stop bleeding. The cold feeling may frighten some children and make them u uncooperative. Loosen tight collar or clothing around child’s neck. Keep child quiet for a while. Have child avoid blowing nose for several hours. If bleeding persists, consult a doctor. 12. Fainting: If child feels faint, have him lie flat on the floor. This will prevent falling and possible injury. Keep child in flat position, head turned to the side and keep mouth clear. Loosen tight clothing. Do not give child anything to ingest or to inhale. If child does not respond within a short time, medical attention is necessary. If child has repeated fainting spells, consult a doctor. SOUTH CENTRAL HEAD START EMERGENCY NUMBERS AMBULANCE ____________________________ HOSPITAL _____________________________ POLICE _____________________________ HIGHWAY PATROL _____________________________ FIRE _____________________________ POISON CONTROL CENTER ______________________________ SOUTH CENTRAL HEAD START COLLEGE OF SOUTHERN IDAHO PO Box 1238 Twin Falls, Idaho 83303-1238 Phone: 208-736-0741 Fax: 208-734-3832 E-mail: schs@spro.net Volunteer Health & Safety Checklist Date & Initial Emergency card. (placed with staff’s). Review of Universal Precautions Use of the fanny pack. Review of Emergency procedures from component plan. TB test if volunteering regularly (1x/week) Know where First Aide Kit is. Review the “Emergency Information, “Where to Find” Review of Exposure Control Plan. Introduction to Inkind documentation. Know where all Fire Extinguishers are. Know where Exit signs are. ____________________________Date Signature ____________________________ Date if TB test ____________________________Date Center Supervisor ____________________________ Result of TB test Volunteer. Includes parent, community people, Green Thumbs and Foster Grandparents assisting in the center. SOUTH CENTRAL HEAD START APPENDIX X SMOKE FREE POLICY The Head Start program supports a smoke-free environment to promote a healthy lifestyle and to prevent disease for participating families and for staff. The Head Start program has the mission of promoting the healthy development of the children and families it serves. Head Start will strive to eliminate exposure to tobacco smoke to children, staff and parents. Information will be provided and/or trainings will be offered to staff and parents regarding the hazards of smoking and of passive smoking (breathing second hand smoke). Smoking will be prohibited at all times in all space utilized by the Head Start program. This includes classrooms, staff offices, kitchens, rest rooms, parent and staff meeting rooms, hallways, outdoor play area, and vehicles. During home visits and group socialization activities staff will refrain from smoking while parents will be encouraged not to smoke when Head Start activities are taking place. Where Head Start parents are unable to refrain from smoking during Head Start activities, a private area away from the view of children will be established with private funding. Where Head Start shares a building with other occupants, Head Start will take steps to reduce children’s exposure to smoke from other sources in the building, for example, by modifying ventilation, altering traffic patterns, and/or establishing a “smoke-free zone” around the Head Start site. A smoke free environment policy will be posted in all Head Start buildings. Staff and parents will be provided with information in variety of formats about the smoke free environment policy. Head Start centers will develop or utilize resources in their community to offer stop smoking programs for interested staff and parents. SOUTH CENTRAL HEAD START NUTRITION TABLE OF CONTENTS Nutrition Philosophy 1304.23 Child Nutrition a) Identification of Nutritional Needs 1304.23(a)(2) Family Eat Patterns, Cultural Preferences, Dietary Requirements. 1304.23(a)(4) Community Nutritional Issues 1304.23(b)(1) Nutritional Services Food Experiences 1304.23(b)(1)(i-iv) USDA Services 1304.23(b)(3) Dental 1304.23(b)(4) Community Agencies 1304.23(c) Meal Service 1304.23(d) Family Assistance 1304.23(e)(1) Food Safety & Sanitation APPENDICES APPENDIX I Management of Overweight Child in Head Start APPENDIX II MyPyramid.gov Portion sizes/calorie intake for children age 3-5 APPENDIX III Experiences Using Food to Provide a Variety of Learning APPENDIX IV Summary Sheet (Sanitation Laws) SOUTH CENTRAL HEAD START NUTRITION PHILOSOPHY The knowledge of the relationship of nutrition and health to an integrated part of the child’s every day experiences is one of the program’s goals. Parents, staff and children are provided with information and experiences to help increase this knowledge. When healthy food practices become part of the daily flow of events, the basis for development of long-term food habits begin. Children in the program are provided with a variety of foods, which not only meet nutritional standards, but reflect local cultural and ethnic practices. The menus are planned to use both hot and cold foods, seasonal items and correlate with cultural education in the classroom. Classroom activities and meal times are planned to include food experiences that are a part of the child’s total experience. Opportunities are provided for tasting new foods, for making choices and for participating in meal preparation. Foods are modified for children with special dietary needs. We serve food low in salt and fat, high in vitamins and iron. Foods we serve will be sugar free or low in sugar to promote good physical and dental health. Not only do we serve these foods to the children during the school day, but we encourage the use of these foods at all Head Start functions and share many recipes and ideas with each parent. 1304.23 – Child Nutrition (a) Identification of nutritional needs. - Staff and families must work together to identify each child's nutritional needs, taking into account staff and family discussions concerning: STRATEGY (1) Any relevant nutrition – related assessment data (height, weight, hemoglobin/hematocrit) to assess the nutritional needs of the individual children and their families information will be obtained and shared 1) Height and weight, hemoglobin or hematocrit will be obtained 2) Child’s nutritional history obtained with the application 3) Children whose BMI are at/above 95th % or at/below 5th % will be referred to A) Dietician B) Medical Provider PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION FE III, HV With in 90 days BMI Chart HV, CS Up on completion of Application 3 times a year Application FE III 162 BMI Chart 4) 2nd, and 3rd Ht & wt obtained and chart 5) Presence of low hematocrit (<34) or hemoglobin (<11) will indicate a nutritional problem and appropriate action taken: a) Consult medical professional for repeat screening and follow up. b) Help parent find resources to obtain vitamins with iron. c) Educate the parent on “anemia” & foods high in iron. Encourage food with iron in the home. d) Serve food high in iron at the Head Start Center. e) Repeat hematocrit/hemoglobin as required by provider. Health Provider Physical Exam HV CS HC CPE, SOAP * FE – Family Educator *HV—Home Visitor * CS—Center Supervisor * HC—Health Coordinator * CPE – Child/Parent Education Form * SOAP – Subjective/Objective Assessment Plan 1304.23 - Child Nutrition (a) continued STRATEGY 6) Information will be shared with center staff and placed in child’s file. 7) Information concerning children with special nutritional needs will be posted in kitchen with plan of action for cook to see. This will be posted prior to start of child participating in meals at the Head Start Center. PERSON(S) RESPONSIBLE FE FSM TIMELINES SUPPORTING DOCUMENTATION Child’s File Special Diet Statement 163 * FE – Family Educator *FSM—Food Service Manager 1304.23(a)(2) - Information about family eating patterns, including cultural preferences, special dietary requirements for each child with nutrition-related health problems and the feeding requirements of infants and toddlers and each child with disabilities PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION To assess family eating habits and special dietary needs, information will be obtained and shared. 1) Center Supervisor or Family Advocate will help family Center Supervisor, Upon completion Child Nutrition Needs complete nutrition assessment and goals. NC of application Assess. 2) Family Educator will observe child’s eating habits during HV class. 3) Abnormal eating habits will be documented and assessed. HV Plan and action taken. Upon Need SOAP 4) Special dietary needs of the children are identified and met at FA, Health center level, especially the needs of handicapped children. Coordinator IEP This could be done by: Special Diet a) Special diet, such as softer foods, food substitutions or Cook Statement additional foods. HV Medical IEP b) Specialized eating utensils. First week of c) Food Service Manager is informed of special plan to help HV class in carrying out action. Kitchen Chart d) Other children informed of special plan to help in HV carrying out action. HV After first e) See Appendix I (Management of Overweight Child). NC height/weight is SOAP f) Nutrition consultant informed of special needs and FE, HC taken CPE, IEP involved in plan for child. * HV – Home Visitor * FE – Family Educator *NC—Nutrition Consultant *FSM—Food Service Manager *HC—Health Coordinator * SOAP – Subjective/Objective Assessment Plan * IEP – Individual Education Plan * CPE – Child/Parent Education Form 164 1304.23(a)(4) – Information about major community nutritional issues, as identified through the community assessment or by the Health Services Advisory Committee or the local health department. STRATEGY Information on community problems will be obtained yearly from these sources: 1) Extension nutrition program 2) WIC, women, infant and child, nutrition program 3) Health & Welfare (food Stamp) 4) Public Health Department 5) Nutrition Consultant PERSON(S) RESPONSIBLE HC NC TIMELINES At the time of Health Advisory Meeting Upon Notification of community nutrition concern SUPPORTING DOCUMENTATION Health Advisory minutes Program Newsletter 165 1304.23(b)(1) – Nutritional Service PERSON(S) STRATEGY RESPONSIBLE Monthly cycle menus will be utilized with input from centers taking NC special note of the following: FSM 1) Both hot and cold food used. 2) They meet USDA food requirements of quality and quantity * USDA – United States Department of Agriculture *NC—Nutrition Consultant TIMELINES Every class day SUPPORTING DOCUMENTATION USDA Reports Site visit report *HC—Health Coordinator 1304.23(b)(1) – Nutritional Services. Grantee and delegate agencies must design and implement a nutrition program that meets the nutritional needs and feeding requirements of each child, including those with special dietary needs and children with disabilities. Also, the nutrition program must serve a variety of foods, which consider cultural and ethnic preferences and which broaden the child’s food experience. STRATEGY For individual children with special medical or dietary needs, substitutions can be made in meal patterns if a supporting statement signed by a recognized medical authority is on file. Substitution or modifications in the standard meal patterns for children who are unable to consume program meals due to mental or physical disabilities that limit one or more mayor life activities. Children who arrive early, stay late, or simply are hungry may require an additional snack or meal. If CACFP or other funding sources will not provide reimbursement, Head Start funds may be used. The menu is designed to reflect the children’s cultural background and to allow all the children to eat an inviting, colorful and nutritious meal. Food experiences are used to allow the children to taste different foods and to learn about where they are grown or where they come from. * FE – Family Educator *CS—Center Supervisor PERSON(S) RESPONSIBLE FE FSM NC TIMELINES Upon need of special dietary need SUPPORTING DOCUMENTATION Special Diet Statement FE FSM NC FE FSM NC CS FSM NC Upon need of special dietary need If child arrives early, stays late or is hungry Special Diet Statement Medical IEP Annually Menu FE Monthly Lesson Plans *FSM—Food Service Manager *NC—Nutrition Consultant * CACFP – Child & Adult Care Food Program 166 1304.23(b)(1)(i) – Child Nutrition. All Early Head Start and Head Start grantee and delegate agencies must use funds from USDA food and consumer services, child nutrition programs as the primary source of payment for meal services. Head Start funds may be used to cover those allowable costs not covered by the USDA. STRATEGY The USDA Child and Adult Care Food Program (CACFP) is the primary source of reimbursement for meals for Head Start Children Head Start can claim reimbursement for a daily maximum of two meals and one snack, or two snacks and one meal, for each child in attendance. Children with special medical or dietary needs substitutions can be made without approval from USDA if a supporting statement is signed by a recognized medical authority is on file. Children who require an extra snack (because they are hungry or arrived early or stayed late). If USDA will not provide funding, then Head Start funds may be used as a last resort *FSC—Financial Services Coordinator * USDA – United States Department of Agriculture PERSON(S) RESPONSIBLE Director Administrative Assistant Director FSC Director Administrative Assistant NC Director FSC TIMELINES Annually SUPPORTING DOCUMENTATION USDA Annual Agreement Monthly Reimbursement claim form Upon Diagnosed Need Special Diet Statement Upon Need *NC—Nutrition Consultant * CACFP – Child & Adult Care Food Program 167 1304.23(b)(1)(ii) – Each child in a part-day center-based setting must receive meals and snacks that provide at least 1/3 of the child’s daily nutritional needs. STRATEGY The quantities of food served to children in a part day program reflect at least 2/3 of the USDA daily nutritional needs. PERSON(S) RESPONSIBLE NC FSM HC 1) The child will receive breakfast, snack and lunch or lunch and snack during each class day. 2) Meals and snack periods are scheduled appropriately. a) A minimum of 3 hours must elapse from beginning of Breakfast to beginning of lunch b) Snacks will be at least 1 ½ hours after lunch or before dinner. c) Meal times will be posted in each center in the classrooms and kitchen. d) Any changes in meal times will be posted in each center And notify Central Office. TIMELINES Every Class Day SUPPORTING DOCUMENTATION Menu Production records Every Class Day CS FSM Classroom Schedules 168 CS Menu CS AA Monthly Cycle menus will be utilized with input from centers taking special note of the following: 1) Both hot and cold food used Nutrition Consultant Report UDSA Reports NC FSM 2) They meet USDA food requirements of quality and quantity. (Three colors and a crunch) See Appendix II(Child Care Food Program) *AA—Administrative Assistant *CS—Center Supervisor *HC—Health Coordinator *FSM—Food Service Manager *NC—Nutrition Consultant 1304.23(b)(1)(v) – For 3 to 5 year olds in center-based setting, the quantities and kinds of food served must conform to recommended service sizes and minimum standards for meal patterns recommended in the USDA meal pattern or nutrient standard menu planning requirements outlined in 7CFR parts 210, 220, 226. STRATEGY 1) Seasonal foods utilized – fresh produce when available and the use of unsweetened canned fruits. 2) Food reflects local cultural and ethnic practice PERSON(S) RESPONSIBLE FSM 3) Low/No sugar foods & foods low in fat and salt will be served. CS FSM FE 4) Menus will be modified for children with special dietary needs. NC TIMELINES Every Class Day SUPPORTING DOCUMENTATION Menus Newsletter 5) Children’s allergies posted in kitchen and alternate food used. 6) Menus will be posted in lunchroom, classroom and monthly newsletter. HC FE FSM NC 7) Menu will reflect balanced diet in basic food groups, color, texture and variety of foods. NC 8) Recipes will accompany menu and be available to parent upon request. 9) Menus will include non-meat main dishes. FSM NC NC Kitchen Menus Desserts shall be nutritious (sugar free or low in sugar) and promote Medical/Dental Menu good dental health. Desert shall be served with the meal. informal IEP If sugar foods are served (parent sends treats) they will be served at Medical/Dental the meals just prior to tooth brushing. informal IEP * FE – Family Educator *FSM—Food Service Manager *NC—Nutrition Consultant *HC—Health Coordinator * IEP – Individual Education Plan 169 1304.23(b)(1)(iii) All children in morning center-based settings who have not received breakfast at the time they arrive at the Head Start Center must be served a nourishing breakfast. STRATEGY Breakfast is generally served to children 30 minutes after arrival. If a child has not eaten, a small snack may be given until breakfast is served. (Generally a child will only have to wait 30 minutes) PERSON(S) RESPONSIBLE FSM FE NC FE FSM NC TIMELINES Every Class Day SUPPORTING DOCUMENTATION Menu Production sheets 170 * FE – Family Educator *FSM—Food Service Manager *NC—Nutrition Consultant 1304.23(b)(1)(vi) Child Nutrition For 3 – 5 year olds in center based settings or other Head Start group experiences, foods served must be high in nutrients and low in fat, sugar and salt. STRATEGY Everyday meals will be high in nutrients and low in fat sugar and salt. Providing low-fat milk and cheese for children older than two years of age. Reduce salt in cooking Avoid adding sugar to cereal Sweeten them by using fresh fruit Avoid the placement of additional sugar, salt, butter or margarine on tables. *FSM—Food Service Manager PERSON(S) RESPONSIBLE FSM HC NC *NC—Nutrition Consultant TIMELINES Every class day *HC—Health Coordinator SUPPORTING DOCUMENTATION Menu 171 1304.23(b)(3) – Child Nutrition (Dental) Staff must promote effective dental hygiene among children in conjunction with meals. STRATEGY Each child has his or her own tooth brush labeled by name, so tooth brushes are never shared, Tooth brushes are stored so they stay clean and open to circulating air, and so the bristles do not touch any surface. Children are taught proper tooth brushing technique and children with disabilities are supported with any needed adaptations. Staff serve as role models by brushing their teeth after meals * FE – Family Educator *CS—Center Supervisor PERSON(S) RESPONSIBLE FE III TIMELINES Every class day SUPPORTING DOCUMENTATION Tooth brush FE III All The Time Storage of tooth brush FE III FE, FE II, FE III, CS HC Lesson plans Everyday *HC—Health Coordinator Site visit report 172 1304.23(b)(4) – Parents and appropriate community agencies must be involved in planning, implementing and evaluating the agencies nutritional services. STRATEGY Parents participate in Health Advisory Committee (HAC), Policy Council, and will have the opportunity to be involved in planning, implementing, and evaluating Nutrition Services Parents will be surveyed in order to obtain feedback and input on the menu * HC—Health Coordinator *CS—Center Supervisor PERSON(S) RESPONSIBLE HC CS HV HC CS HV TIMELINES Yearly At each HAC meeting Yearly SUPPORTING DOCUMENTATION HAC Minutes Menu Survey *HV—Home Visitor 173 1304.23(c) – Child Nutrition – Meal Service Grantee and delegate agencies must ensure that nutritional services in center-based setting contribute to the development and socialization of enrolled children by providing that: STRATEGY A variety of foods, which broaden the child’s food and eating experience, in addition to those that consider cultural and ethnic preferences, will be served. 1) One new cultural or ethnic food will be introduced each month. These foods will reflect cultural education in the class. PERSON(S) RESPONSIBLE FSM, CS, FE TIMELINES Once a month SUPPORTING DOCUMENTATION Menus, Lesson plans FSM, CS, FE 2) One new food (new texture, taste, variety) will be introduced each month. Children will be encouraged to taste but not forced to eat. 174 Once a month Menus, Lesson Plans 3) Needed nutrients will be provided through well planned meals. (i.e.: foods high in iron) FSM FE As needed Menus 4) Familiar foods will be introduced in new ways. a) New preparation method Hot versus Cold, etc. FSM At all times Menus *FE – Family Educator *FSM—Foods Service Manager *CS—Center Supervisor 1304.23(c) Child Nutrition Meal Service continued PERSON(S) RESPONSIBLE FE CS STRATEGY Food is not used as punishment or reward and children are encouraged but not forced to try each item. TIMELINES Every class day SUPPORTING DOCUMENTATION Posted Lunch Room Refer to Education Plan Classroom volunteers will be made aware of this policy. Policy will be posted in the eating area. The mealtime and food services will be developed to promote the physical development of the children. 1) All food will be served in bite size pieces and easy to handle. See Education Plan. Lesson Plans NC HC FSM Site Visit Report 2) Children will be allowed to serve themselves. 3) Child size eating utensils and furniture will be used, Children’s feet will touch the floor when sitting. 4) Glasses will be 4-6 ounce size. 5) Unbreakable plates and cups will be used. 6) Adequate time is allowed for children to eat. 7) Food experiences will be done 2 times per month. * FE – Family Educator *CS—Center Supervisor *FSM—Food Service Manager Lesson Plans *NC—Nutrition Consultant *HC—Health Coordinator 175 1304.23(c) Child Nutrition continued STRATEGY Sufficient time is allowed for each child to eat: All children will be allowed time to eat, slow eaters will be allowed extra time the others clean up and return to classroom. One adult will stay with those children still eating. Children and staff, including volunteers, eat together sharing the same menu and a socializing experience in a relaxed atmosphere. PERSON(S) RESPONSIBLE FE CS NC FE, FSM, CS, NC, HC Opportunity is provided for the involvement of children in activities FE related to meal service such as family style service, setting tables FSM and scraping own dishes. CS HC Refer to Education Plan NC Refer to Appendix III – Using Food to Provide a Variety of Learning Experiences Medically – based diets or other dietary requirements are FE accommodated. CS Discussion between parents, staff, assessments or medical NC testing may determine that a child needs a special diet. HC Children with food allergies Diabetic (see Diabetic Plan) Children on special or restricted diets * FE – Family Educator *FSM—Food Service Manager * CS—Center Supervisor *HC—Health Coordinator TIMELINES Every meal time Every meal time SUPPORTING DOCUMENTATION Site visit report Mealtime schedule Health Coordinator Site visit reports 176 Upon Assessment or notification of need *NC—Nutrition Consultant Medical plan, menu 1304.23(c)(7) – Child Nutrition continued STRATEGY (1) The nutrition program will increase the nutrition awareness of The children. The program will provide opportunity for children to participate in menu planning and simple food preparation and selection. This is done through: 1) Field Trips PERSON(S) RESPONSIBLE FE CS HC 2) Tasting experiences TIMELINES Monthly 2 –3 times a year 4) Planting and growing foods 2 –3 times a year 5) Reading stories about food 2 –3 times a year 6) Role playing 2 –3 times a year 7) Planning menus 8) One structured nutrition lesson per month will take place in The classroom Refer to Education Plan *CS—Center Supervisor Lesson Plans Daily 3) Food preparation * FE – Family Educator SUPPORTING DOCUMENTATION *HC—Health Coordinator 177 1304.23(d) – Family Assistance with Nutrition Parent education activities must include opportunities to assist individual families with food preparation and nutritional skills. STRATEGY (1) In the home, families will receive nutrition information and education as required and requested. This will be done through: a) Home visits b) Nutrition assessments and goals c) Copy of the Head Start menus and recipes d) Pamphlets e) Recipes f) Snack ideas g) Consumer Education h) Money management as related to nutrition i) Home visit by Health Coordinator or Nutrition consultant if needed. (2) In the centers, families will receive nutrition education through: a) Center meetings b) Center newsletter c) Posters and pamphlets in classrooms d) Menus * FE – Family Educator *CS—Center Supervisor *FA—Family Advocate PERSON(S) RESPONSIBLE FA FSM FE NC CS TIMELINES Sept thru May/June SUPPORTING DOCUMENTATION CPE As requested 178 CS Oct. thru May/June *FSM—Food Service Manager Newsletter, Center Reports Menus *NC—Nutrition Consultant 1304.23(e)(1) – Food safety and sanitation . Grantee and delegate agencies must post evidence of compliance will all applicable Federal, State, Tribal and local food safety and sanitation laws, including those related to the storage, preparation and service of food and the health of food handlers PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION Cooks will receive a physical exam upon employment and then be Personnel File Upon Personnel File expected to practice wellness and maintain good health. employment Cooks will receive a TB Test with follow up as needed upon CS Upon Personnel File employment and then if leaving the U.S. and within 4-6 weeks after FSM employment if returning. leaving the country Volunteers that will be working at the center will need to be tested CS Prior to Volunteer checklist for Tuberculosis. FSM volunteering in kitchen Those volunteering regularly (1Xwk) in the classroom. Volunteers in the kitchen. Anyone entering the kitchen will wear a hair net. CS When working Site Visit report. Children are not allowed in the kitchen due to safety concerns. FSM in the kitchen Mealtime observation form The food facility will have a yearly inspection by the Health CS Yearly Certification posted Department. Evidence of this inspection will be posted in the kitchen. All violations will be corrected Self inspection by Cooks and Center Supervisors will occur NC Monthly Health & Safety monthly and be monitored by Administrative Assistant. FSM Checklist Inventory completed by Cook and given to Center Supervisor. FSM Center List Supervisor Cycle menus will be planned and used. These menus will meet NC Yearly Menus program guidelines and be reviewed and approved by Nutrition HC Consultant. Purchasing will be done at center level by Center Supervisor and CS Weekly Purchase order, Cooks and appropriate forms filled out. procurement card *FSM—Food Service Manager *NC—Nutrition Consultant *HC—Health Coordinator *CS—Center Supervisor 179 1304.23(e)(1) continued STRATEGY Food will be stored properly and inspected. Food will be prepared properly. Initial site visit will be completed within 30 days of operation in each USDA agreement year and an additional 2 times as required by USDA. Nutrition Consultant will provide regular periodic inspection and supervision of all kitchen and food handlers Nutrition Consultant will participate in Health Advisory Committee and developing nutrition program. Nutrition Consultant will help provide pre-service and in service training to staff. PERSON(S) RESPONSIBLE FSM CS FSM CS AA AA TIMELINES October thru May October thru May Within 30 days of program operation HC NC HC SUPPORTING DOCUMENTATION Observation Report Site Visit Report USDA Form Site Visit Report HAC Minutes 180 HC CS NC HC Nutrition Consultant will be available for questions regarding nutrition services. Nutrition Consultant will observe meal times in different centers HC and consult with center staff if any concerns. NC * USDA – United States Department of Agriculture *CS—Center Supervisor * USDA AA—Administrative Assistant *HC—Health Coordinator Training Log On Going Contact Nutrition Reports *FSM—Food Service Manager *NC—Nutrition Consultant 1304.23(e)(1) continued STRATEGY Sponsoring organization review form will be maintained at Central Office. PERSON(S) RESPONSIBLE AA TIMELINES SUPPORTING DOCUMENTATION Sponsoring Organization Review Form 181 SOUTH CENTRAL COMMUNITY HEAD START MANAGEMENT OF OVERWEIGHT CHILD IN HEAD START APPENDIX I NUTRITION The program should elicit professional help from their local nutrition consultant to provide instruction to teachers and/or cooks. The following are helpful hints for healthy eating habit. This was taken from Ellyn Satters book entitled How to Get Your Kids to Eat But Not Too Much. 1. Maintain structured meals and snacks. 2. Teach child to eat slowly and attentively. Make meal times pleasant with conversations and sharing. Adults model slow and attentive eating. 3. Keep the caloric density of meals and snacks moderate. 4. When making feeding decisions, think of the child as an equal. Don’t treat the child differently because he is overweight. 5. Encourage exercise. 6. Help with the child’s self esteem with encouragement. 7. Counsel with the parents concerning the overweight problem. Encourage and educate the parents regarding structured meals and snacks, good basic nutrition etc. The nutritionist may make home visits and give counsel regarding good feeding practices. 8. Suspected overweight children should be referred to a physician if there is a family history of thyroid or endocrine problems. 9. Let parents know that the Nutrition Consultant is available to them. (Refer to Nutrition Consultant) SOUTH CENTRAL HEAD START USING FOOD TO PROVIDE A VARIETY OF LEARNING EXPERIENCES APPENDIX III Nutrition Young children will recognize the beneficial effects of eating wholesome foods through the study of nutrition. They will learn that the proper foods will give them energy they need to run and jump, to grow up to be strong and active. Emotional and Social Development Creating something good to eat improves one’s self image and self-confidence. Learning the skills necessary for cooking helps one develop a sense of independence. Working together in preparing and serving food develops social skills. Sharing foods is a means of communication. Language Skills Children will learn to identify and name foods. They will differentiate shapes, sizes and forms of food. While cooking they will learn such terms as to DISSOLVE powdered milk in water; SQUEEZE oranges; MELT butter; POP corn; BOIL eggs; KNEAD dough; PEEL an apple, etc. Science Children will learn where foods come from-plant, animal or synthetic. They will discover the effects of temperature and food; the physical properties of food. Mathematics Recipe measurements and timing, the dividing of portions and the setting of the table all involve mathematics. Art Children can learn colors and shapes through working with food. Apples are red, yellow or green. Pumpkins are orange. A carrot slice is a circle. Milk cartons are rectangles. Creative expression is inspired by different forms of foods. Social Science Children can discover much about their own families and ethnic backgrounds through food. They learn that in some ways people are alike and in other ways different. They discover the meaning of food in different cultures. Adapted from Creative Food Experiences for Children, 1980 SOUTH CENTRAL HEAD START SUMMARY SHEET APPENDIX IV 1. Temperature Control: is the one factor most often abused in food handling which is responsible for more food borne disease than all other factors combined. A. B. C. D. E. F. G. H. I. J. 2. Cook all foods thoroughly. Food must be kept either hot or cold. Cold foods must be kept at 40 degrees or below. Hot foods must be kept at 140 degrees or above. Bacteria grow best between 40 and 140 degrees. Do not serve: raw or partially cooked meat, poultry, fish and eggs. This includes rare or medium rare hamburger, steak or roast, ice cream, egg nog or caesar salad containing raw eggs. Cool hot leftover foods to be stored under refrigeration rapidly in flat pans or cool ice bath. (Do not cool foods at room temperature.) Refrigerate and freeze foods promptly. Thaw all meat in the refrigerator. Pack refrigerator or freezer so air can circulate to cool food quickly. Keep raw meat separate from cooked or ready-to-eat foods. Keep utensils and dishes used in handling raw foods separate from serving utensils and dishes. Keep tasting spoons separate from stirring spoons. Personal Hygiene: A. B. C. D. E. F. G. H. Food can become contaminated with bacteria when it comes in contact with unclean hands, dirty equipment and utensils and through improper storage practices. Wash hands frequently, Wash hands in hot, soapy water for 20 seconds. Dry with a paper towel. Bandage infected cuts. Use proper utensils for handling and serving foods. Do not smoke while preparing foods. Do not work when ill with diarrhea or when infected cuts are on the hands. Use latex/vinyl gloves when preparing food that will not be cooked, and when the person preparing the food has open wounds on his/her hands. 3. Sanitation: A. 4. Proper sanitation of all food contact surfaces and eating utensils will minimize bacterial transmission to food and customers. B. Use sanitizing solution of 1-TBS. chlorine bleach in 1-gallon warm water (75 degrees). C. Clean and sanitize meat slicer after each use. D. Use an approved cutting board. E. Wash and sanitize all food contact surfaces and equipment after each use. F. Do not cut raw and cooked products on the same slicer or cutting board. G. Procedure for washing dishes and utensils: 1. Scrape 2. Pre-rinse 3. Wash and scrub in hot (120 degrees) soapy water. 4. Rinse in hot water (120 degrees). 5. Sanitize by a. placing in very hot water (170 degrees) for 30 seconds. b. Placing for 1 minute in lukewarm water (75 degrees) with ½ teaspoon chlorine bleach per gallon of water (50 PPM). 6. Air dry. 7. May use commercial dishwasher for steps 3 to 6. Food Sources: A. B. Food from questionable sources can cause illness. Uninspected meat, wild game, raw milk and home canned foods will not be in the Head Start Centers. Protect foods from contamination during storage and preparation. POLICY & PROCEDURES FOR BITING STEP I - Immediate Action 4. Comfort the child who was bitten. 5. Assess and clean the wound (soap, water, etc.) using universal precautions. 6. Discipline the child who bit. Use appropriate discipline for this child. See Mental Health Plan for Aggressive Behavior Policy. STEP II – Notify Parents Immediately 3. Notify the parent of the child that was bit. Let parent know comfort measures given and how child is now. If the bite pierced the skin, there may be risk of contamination from bacteria or viruses in the mouth. Recommend to the parent that it would be advisable to take the child to their personal physician. The immediate action taken in cleaning the wound will be very helpful in preventing infection. A copy of the incident report will accompany the child to the doctor if the parent chooses to take the child to the doctor. 4. Notify the parent of the child who did the biting. Tell parent the events that lead up to the incident and discipline measures that were taken after the incident. Ask parent if the child has had a problem with biting. Contact parent to develop a written plan to help prevent the child from biting again. The plan needs to be in place prior to the day the child comes to class again. 3. Give information on biting to both parents. STEP III - Develop a Plan of Action The first incident of biting does not require a plan of action meeting, unless the parents request it, but a meeting will happen if this is a reoccurring problem. 3. The planning meeting will be prior to the day the child is expected in class and shall include any or all of the following: Parent, FE III, Family Advocate or Home Visitor, Center Supervisor, Health Coordinator, Children Service Specialist, Disabilities Coordinator, Mental Health Consultant, or other staff that were involved in the incident and any other person requested by the parents to attend. 4. The purpose of the planning meeting is to develop a plan to prevent the reoccurrence of the biting. Consider circumstances that led up to the incident. Consider the needs and concerns of the child who bit and of the child who got bit. Consider the activity the class was participating in at the time. What could be done differently? 3. The written plan becomes a part of this document and will be also soaped in the child's file. 4. Evaluate plan in two weeks. STEP IV – Documentation 3. Document in each child's file the incident, the plan, conversations with parents and any follow up. 4. Complete the incident report if the bit pierced the skin. A copy of this will accompany the child to the doctor if the parent chooses to take the child. The original will stay on file in the center and a copy sent to the Health Coordinator. STEP V - Follow Up 3. The following day ask the parent of the child who was bit how the child is doing. Explain that you had a planning meeting and that a plan was made to prevent it from happening again. 4. After two weeks, the team will meet again to re-evaluate progress. If the behavior is not decreasing, it will be considered aggressive behavior and the team will follow through with that policy. Written Plan of Action: In signing this agreement, I hereby agree to the plan of action as stated above. _________________________________________________________________________ Center Supervisor Signature Date ______________________________________________________________________________ Parent Signature Date Pandemic Flu Policy There is not Pandemic Flu reported in North America at this time. In an effort to be prepared and to reduce the opportunity for a pandemic virus to emerge/spread, South Central Head Start is enforcing its Universal Precautions: hand washing, coughing and sneezing into a Kleenex, Disinfection of classroom and bathrooms, Daily Health Checks and strictly enforcing the ill child policy. (See conditions of short term exclusion and admittance.) 1) All children will be checked daily by Family Educators during health checks for signs of seasonal flu (fever, stomach ache, nausea, and vomiting). 2) If any of the above symptoms are present, the child will be removed from the classroom and a parent will be called to pick up the child. 3) The child will be allowed to return to school 24 hours after fever, nausea and vomiting has subsided; or the child has been seen by a physician and the physician has written a note that the child is well enough to return to class. Nutrition Guidance Good health depends on good eating habits. Children do not automatically choose nutritious foods. Making good food choices is learned and takes time. Food preferences are developed based on experiencing new or different foods. At Head Start we focus on meals and snacks which include a variety of foods offered in a warm, supportive setting called “family style”. Children share in chores, serve themselves, practice good hygiene, socialize and are encouraged to try new foods. In Head Start, food is not used as a reward or punishment, nor is one food valued over another. If a (Head Start prepared) “dessert-like” item is served, it is offered at the same time as all other foods. Because of CACFP requirements foods served must contribute to 66% to 100% (depending on FD or PD options) of a child’s daily nutritional needs. Head Start does not include foods that are highly sweetened like cake, candy, pop or other sweetened drinks, because these foods contain very few nutrients, which contributes to tooth decay and possible obesity. These foods do not support the nutritional education efforts of our program. Also see Holiday/Celebration Activity Policy, Children’s Services—Education Plan Mealtime Beverage Policy The mealtime beverage policy is to ensure that staff are role-modeling healthy mealtimes for children. Milk is provided at every meal service to ensure strong bones as well as supply other nutritional factors. It is our program’s responsibility to provide children with 66% to 100% of their daily nutritional needs. If staff are lactose intolerant or allergic to milk, we will supply them with soy or rice milk in order to accommodate this need, just as we would do for children in the same situation, according to CACFP policies. Water is available to both staff and children before or after mealtime. Philosophy Statement for Mental Health College of Southern Idaho/South Central Head Start provides an environment that fosters resiliency with children. The program promotes growth in attachment, self-control and initiative along with positive behavior. The Devereux Early Childhood Assessment, Positive Supports, and Second Step are curriculums and assessments that are used to plan goals and work with the children and the families. 1304.24(a)(l)(i) – Grantee and delegate agencies must work collaboratively with parents by soliciting information, observation and concerns about their child’s mental health. STRATEGY Training will be conducted in each center annually to prepare staff to develop trusting relationships with families to encourage exchange of information. Will recruit appropriate presenters. Will prepare center, plan and publicize. And to increase staff knowledge of child development and typical behaviors. Will attend and follow through with information. All parents will be offered trainings and opportunities to meet with the Mental Health Consultant. Will provide information on trainings. Will provide Mental Health Consultant schedule. MH Consultant schedule will be posted in centers monthly Classroom activities will be developed to individualize for each child. Will share information so as to develop the best possible individual plan. Will acquire appropriate materials. * FE – Family Educator * CS – Center Supervisor * CSS – Children Service Specialist PERSON(S) RESPONSIBLE Center Supervisor, Children Services Specialist Children Services Spec. Center Supervisor Center Supervisor, CSS Support Staff & FE’s Center Supervisor, CSS CS CSS Center Super. Family Educator, Center Supervisor Parent & FE Center Super. TIMELINES August, as needed When Scheduled Daily October Periodically throughout the Year September Monthly Daily SUPPORTING DOCUMENTATION Staff Activity Report Agenda, Newsletters Training Log, Newsletters Training Log Training Agenda’s & Logs, Individual Child Observation Sit Log Center Observations Lesson Plan, COR, DECA, Positive Supports September * CPE – Child/Parent Form * DECA – Devereaux Early Childhood & Assessment CPE Site Logs 193 1304.24(a)(l)(i) – Continued PERSON(S) RESPONSIBLE Children Services Spec., FE III HV, MHC, CSS STRATEGY Will monitor choice and use of developmentally appropriate equipment. Information on mental health issues will be provided to parents. Will make space available for trainings. Materials regularly updated. Will be available for conferences. Will interview families about suggested training topics. A training will be held on normal development phases and behavior which may be challenging so that staff is equipped to discuss issues with families. Will plan training. Will provide space. Center Super. Service Coord. MHC FE’s Children Service Specialist, Mental Health Consultant Children Services Spec. Center Super. Will attend training. FE’s/HV * SOAP – Subjective/Objective Assessment Plan * MHC – Mental Health Consultant * FE – Family Educator * HV – Home Visitors* MHO – Mental Health Observations * CPE—Child/Parent Education Form TIMELINES Daily Home Visits, MHO Monthly Monthly As Scheduled August 2 times per year SUPPORTING DOCUMENTATION Classroom Observation PQA Newsletters, DECA, CPE Site Log Site Logs, Site Visit MHC Report SOAP Parent Interest Sheet Agenda, Sign-in Sheet, DECA October Activity Report 2 weeks before training & time training held. August Site Log Training Log * DECA – Devereaux Early Childhood Assessment * CSS – Children Service Specialist * SC – Service Coordinator * FE III – Lead Teacher 194 1304.24(a)(1)(ii) – Must work collaboratively with parents by sharing staff observations of child and discussing and anticipating the child’s behavior and development, PERSON(S) RESPONSIBLE MHC STRATEGY 1) Observations will be made of all children. TIMELINES On-going Each Month 2) Opportunities for sharing with parents will be planned. FE’s, FSM, Bus Driver, Center Super. HV, MHC, FE FE’s, HV Monthly FE, FE III As Situations Arise Monthly Monthly All staff who have contact with child will make observations, including: Will share with parents on home visits. 3) Parent input will be solicited concerning child’s reaction to stressful situations. Will discuss possible anticipated behavior on home visit. Will inform team members of any specific techniques suggested by parent. * MHC – Mental Health Consultant * FE – Family Educator * CSS – Children Service Specialist * HV – Home Visitor * SOAP – Subjective/Objective Assessment Plan * FE III – Lead Teacher FE, HV FE, HV 2 x yr, On Going SUPPORTING DOCUMENTATION HSFIS, MHO Form, MH Schedule CPE’s & SOAP DECA DECA, MHO Form, Parent/Teacher Conference CPE’s, Child Goal Sheet CPE Individual Assessment CPE SOAP, CPE * FSM – Food Service Manager * CS – Center Supervisor * MHO – Mental Health Observations * CPE – Child/Parent Form * DECA – Devereaux Early Childhood Assessment 195 1304.24(a)(1)(iii) – Discussing and identifying with parents appropriate responses to their child’s behaviors. STRATEGY 1) Training will be held which focus on reactions to stress. Access list of possible presenters. Plan training; time and date. Invite parents and attend. PERSON(S) RESPONSIBLE Children Services Specialist, CS Children Services Specialist, CS FE, CS TIMELINES September 1 x During Program Year & as Needed As Trainings Occur Daily Daily, As Needed 2) Educators will model appropriate response to behaviors. Proper techniques will be followed. High/Scope 6 step approach Second Step Calm Down Techniques Positive Supports FLIPIT strategies Anticipate and eliminate potential problems. FE FE FE Daily Redirect FE Daily Follow through FE Daily Offer choices FE Daily Corporal punishment will not be used. FE Daily * FE – Family Educator * CS – Center Supervisor * DECA – Devereaux Early Childhood Assessment SUPPORTING DOCUMENTATION Monthly Activity Report Monthly Activity Report, Restraining Procedure Training Log & Newsletter Site Visit Form Site Visit Form, Aggressive Behavior Policy, SOAP, Positive Supports Site Visit Form & DECA, Positive Supports Daily Lesson Plan & Site Visit Form Daily Lesson Plan & Site Visit Form Daily Lesson Plan & Site Visit Form SOAP, Classroom Observation, Site Visit Form * SOAP – Subjective/Objective Assessment Plan 196 1304.24(a)(1)[iv) – Discussing how to strengthen nurturing, supportive environments and relationships in the home and at the program. STRATEGY Information will be provided to families on nature/nurture. PERM materials will be available. Sharing will take place on home visits and at the center. 2) Positive social behavior will encouraged. PERSON(S) RESPONSIBLE HV FE, SC FE. HV FE TIMELINES Monthly, HV Weekly Weekly Daily FE FE Daily Daily Children will be made comfortable. Cooperation will be modeled. * FE – Family Educator * DECA – Devereaux Early Childhood Assessment * CPE – Child/Parent Form * SC – Service Coordinator * HV – Home Visitor * PERM – Parent Education Resource Materials SUPPORTING DOCUMENTATION Newsletter, DECA PERM Order Form CPE DECA & Daily Lesson Plan, Positive Supports Site Visit Form Site Visit Form 197 1304.24(a)(1)(v) – Helping parents to better understand mental health issues; and STRATEGY Trainings will be provided to acquaint staff and parents with mental health issues. Will plan and execute trainings in requested areas of mental health. A list of mental health resources will be available for staff and families. PERSON(S) RESPONSIBLE CS, CSS Children Services Spec. & MHC HV, Family Educator Will develop the resource list. FSS, OM Will see that the resource list is available. Center Super. TIMELINES At Least 1 Time Per Year At Least 1 Time Per Year 2 Times Per Year By Pre- Service Training By Pre-Service Training As Scheduled Conferences with the Mental Health Consultant will be available to staff and parents. Will assist parents in scheduling appointments with Mental Health Consultant. MHC, FE FE, HV On Scheduled Days Center Supervisor, MHC, CSS As Needed or Scheduled Schedule of Mental Health Consultant will be available as reference. Posted each month in centers * MH – Mental Health Schedule * FE – Family Educator * MHC – Mental Health Consultant * CS – Center Supervisor * CSS – Children’s Service Specialist * FSS—Family Services Specialist SUPPORTING DOCUMENTATION Training Log, DECA, & CPE Training Log, DECA, & CPE Community Resource Guide, CPE, HV #2 Form Community Resource Guide Community Resource Guide Mental Health Report & CPE Mental Health Observation Form, SOAP Mental Health Schedule, Site Visit Form * SOAP – Subjective/Objective Assessment Plan * CPE – Child/Parent Form * HV – Home Visitor * HV # 2 – Home Visit # 2 Form * DECA – Devereaux Early Childhood Assessment * OM—Operations Manager 198 1304.24(a)(1)(vi) – Supporting parents’ participation in any needed mental health interventions. PERSON(S) STRATEGY RESPONSIBLE TIMELINES 1) Parents will be encouraged to express mental health needs FE, HV, FE III 2 X Per Year & within a trusting relationship. As Needed FE,HV Daily Will work on developing a relationship in which parents feel safe. 2) Mental Health Consultant will be present at center meetings and MHC, CSS, CS As Requested trainings to meet parents. Children Services Monthly Will keep MHC apprised of training and meeting schedules & Spec. & CS will see that he is invited to attend. SUPPORTING DOCUMENTATION CPE, DECA CPE, SOAP Training Log, Center Reports Center Reports * MHC – Mental Health Consultant * FE – Family Educator * FE III – Lead Teacher * HV—Home Visitor * CPE – Child/Parent Form * CSS – Children Service Specialist * CS – Center Supervisor * SOAP – Subjective/Objective Assessment Plan * DECA – Devereaux Early Childhood Assessment 199 1304.24(a)(2) – Grantee and delegate agencies must secure the services of mental health professionals on a schedule of sufficient frequency to enable the timely and effective identification of and intervention in family and staff concerns about a child’s mental health; and PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION 1) The Mental Health Consultant will visit each classroom on an MHC, CSS Ongoing Mental Health ongoing basis, of sufficient frequency throughout the year. Observation Form, Schedule Posted in each Center Children Services Monthly MHC Schedule in each Will develop a schedule of visits. Spec. & MHC center & MH Schedule will be posted in the centers Observation Form, Children Services Meeting Minutes 2) Children who display challenging behaviors will be reassessed. FE, MHC, & As Indicated by Individual MH Parent MHC Observation Form, Individual FBA FE, Parent As Indicated MH Observation Form Will request support. 3) Outside referral will be made if warranted. MHC As Indicated MH Observation Form Referral Sheet * MHC – Mental Health Consultant * FE – Family Educator * FE III – Lead Teacher * CPE – Child/Parent Form * CSS – Children Service Specialist * DECA – Devereaux Early * CS – Center Supervisor * SOAP – Subjective/Objective Assessment Plan *Childhood Assessment 200 1304.24(a)(3) – Mental health program services must include a regular schedule of on-site mental health consultation involving the mental health professional, program staff, and parents on how to: 1304.24(a)(3)(i) – Design and implement program practices responsive to the identified behavioral and mental health concerns of an individual child or group of children; STRATEGY 1) A developmental appropriate plan will be developed to meet the needs of the child (children). Will share information with staff and request support if necessary. PERSON(S) RESPONSIBLE FE, FE III, CSS, MHC, HV FE III TIMELINES 2 Times Per Year As developed & as needs are determined As Needed or Requested 2) Training and resources will be available on techniques to use with challenging behaviors and how to effectively anticipate and defuse conflict situations. Will secure training and resources on behavior management issues. CS, FE, CSS, MHC Children Services Specialist & MHC August 3) Staff and parents will share information and techniques for assisting specific children. Will arrange a group meeting. FE, Parent Individual FE, MHC As Needs Are Determined As needs are developed As needed * * * * * Will discuss on a 1 x 1 basis. CS – Center Supervisor DECA – Devereaux Early Childhood Assessment PERM – Parent Education Resource Materials SOAP – Subjective/Objective Assessment Plan MHC – Mental Health Consultant FE III, CS, Parent * * * * * FE – Family Educator FE III – Lead Teacher CPE – Child/Parent Form CSS – Children Service Specialist HV—Home Visitor SUPPORTING DOCUMENTATION DECA, Mental Health Plan & Child Goals Training Log & SOAP DECA, PERM Tapes & Requests, Training Log, Positive Supports PERM tapes & requests, Training Log & List of Topics CPE, Daily Lesson Plan, SOAP Training Log, Center Meetings, & CPE CPE, Daily Lesson Plans, SOAP 201 1304.24(a)(3)(ii) – Promote children’s mental wellness by providing group and individual staff and parent education on mental health issues; STRATEGY 1) Families will be asked in which mental health topics they would like more information. Will suggest possible mental health topics and communicate feed back to Center Supervisor. 2) Mental health topics will be scheduled for trainings and for center meetings. Will gather desired training topics. Will assist in securing presenters. 3) The Mental Health Consultant will be available so that parents may talk with him in the center. Will post MHC schedule. Will be available for informal meetings. * HV—Home Visitor * CPE – Child/Parent Form * SOAP – Subjective/Objective Assessment Form PERSON(S) RESPONSIBLE FE, CS TIMELINES As Requested FE’s, HV As requested CS, FE 2 Times Per Year At least twice a year. As Requested Center Super. MHC & Children Services Spec., CS FE, MHC, CS Center Super. MHC 2 X Per Year, As Requested Monthly After 2 weeks of class * FE – Family Educator * MHC – Mental Health Consultant * CS – Center Supervisor SUPPORTING DOCUMENTATION CPE & Training Log CPE’s & Parent Information Sheet Training Log Training Log Training Log Training Log, MH Form, MH Schedule Classroom Observation SOAP 202 1304.24(a)(3)(iii) – Assist in providing special help for children with atypical behavior or development; and STRATEGY Training is provided in identifying children with atypical behavior. Recruit trainers and choose locations. Attend training provided. PERSON(S) RESPONSIBLE MHC, CSS Children Services Spec. & MHC Staff & Parents Parents are referred to and assisted in accessing mental health services. Make referral (211 or Community Resource Guide) HV, FE, MHC Aid available as needed. (PSR, DD, CA) The IEP or Mental Health Plan are reviewed and implemented. FE, HV Disabilities Coordinator, MHC, FE’s, CSS FE III ,HV, FE’s, MHC, CSS Develop or assist with plan. Determine that plan is followed. * CSS – Children Service Specialist * FE – Family Educator * IEP – Individualized Education Plan * CPE – Child/Parent Form *PSR – Psycho Social Rehabilitation MHC,HV, FE TIMELINES At Least 1 X Per Year At least 1 x a year At least 1 x a year As Needed SUPPORTING DOCUMENTATION Training Log Staff Activity Record & Training Log Training Log Referral Form, CPE After observation & request by parent After Referral After Observation SOAP CPE Referral Form CPE IEP, Mental Health Plan When IEP meeting is held IEP or Mental Health Plan Daily Lesson Plans * MHC – Mental Health Consultant * FE III – Lead Teacher * SOAP – Subjective Objective Assessment Plan *DD – Developmental Delay * HV—Home Visitor 203 1304.24(a)(3)(iv) – Utilize other community mental health resources, as needed. STRATEGY 1) A list of resources will be available in each center. Will review existing resources and assist Center Supervisor in updating. 2) Families will be referred to mental health services as indicated. Will make recommendations. Will assist family in follow up. * MHC – Mental Health Consultant * CPE – Child/Parent Form * PERM – Parent Education Resource Materials * HV—Home Visitor PERSON(S) RESPONSIBLE CS, FE, CSS, OM MHC, Community Service Specialist FE, HV MHC FE, HV TIMELINES Ongoing August On Home Visits As Needed On Home Visits * FE – Family Educator * CS – Center Supervisor * CSS – Community Service Specialist *Operation Manager SUPPORTING DOCUMENTATION Community Resource Guide, PERM Site Log Activity Report Referral Form, CPE MH Observation Form CPE – Referral Form 204 SOUTH CENTRAL HEAD START AGGRESSIVE BEHAVIOR POLICY Definition: Aggressive Behavior is any act that hurts others, themselves, or destroys property. Discipline is any attempt by an adult to intervene for the benefit of the child, classroom and family. In order to have no or few situations of aggressive behavior, the educators must first consider the following principles of discipline: 1. Tell children what they CAN do, rather than what they can’t do. Focus on the do’s instead of the don’ts. 2. Protect and preserve the children’s feelings that they are loveable and capable. 3. Offer children choices only when you are willing to abide by their decisions. 4. Change the environment/schedule (including any adult behaviors) instead of focusing only on the child’s behavior when possible. (Refer also to the FEIII Functional Behavior Assessment). 5. Give children safe limits they can understand. Recognize their feelings without accepting their actions. Maintain your authority calmly and consistently. 6. Set a good example. Speak and act only in the ways you want the children to speak and act. 7. Frequently acknowledge the child’s acceptable behavior. 8. Work with the children. Be sure your actions are not setting them up. 9. Follow the High/Scope 6 step problem solving approach to conflict, the Second Step curriculum, DECA (FLIP IT) curriculum, and Positive Supports training. If unacceptable behaviors are displayed, the sequence below will be followed. Speak to the child one on one, calmly and quietly. Walk the child through the Second Step calming down steps then the High/Scope 6 step problem solving approach. Second Step Approach-Take 3 deep breaths, count to 5, and say “calm down” to yourself. High/Scope 6 steps-1. Approach calmly, stopping any hurtful actions. 2. Acknowledge children’s feelings. 3. Gather information. 4. Restate the problem. 5. Ask for ideas for solutions and choose one together. 6. Give follow-up support as needed. Ask them what they should be doing at that moment. Redirect. (One Technique would be to ignore the child.) If behavior occurs frequently, staff and parents must meet to devise a plan for both class and home. FE3 or Ed Specialist should observe child to see if a pattern of antecedents are triggering the behavior or a particular consequence is motivating the child. Change the environment, if possible (i.e.: Room arrangement, adaptations in schedule, etc.). Meetings will occur weekly for discussion and evaluation. Observation/consultation by the Mental Health Consultant will be a part of the plan. Consultant will have ongoing input. PSR worker will be assigned to child if they are over 4 years of age and if behavior is frequent and child is hurting others, themselves, or damaging property. Restraining is acceptable if it is the only means to ensure the safety of other children and adults, as well as the subject child. All staff must work in concert to follow the plan. Throughout the process, all available resources inside and outside the classroom should be utilized. Restraining Procedure December 2007 When to restrain takes keen judgment and careful procedure. The obvious times restraining would be used is when a child is hurting himself, hurting others, or destroying property. When restraining a child, follow this procedure: 1. Place the child in front of you. Cross his/her arms and hold the wrists lightly so the hand will not slip through. Don not squeeze the wrists. This can be done while the child is standing when necessary, but you should find a chair or sit on the floor behind the child as soon as you can. 2. Gently hold the child next to you from behind or from the back of a chair with his/her arms crossed. 3. Tell the child why you are doing this, once or at the most two times and he/she has a choice to set by him/herself or you will continue to hold him/her. 4. Repeat, if necessary, one more time, then if the child is continuing to struggle, declare they made the choice and continue to restrain. 5. As the child settles down, give them the choice again. The child should sit there one more minute, on his/her own, without restraint and then return to the class activity. Check to see if there are any physical needs that need to be met (i.e.: bathroom, drink of water, wash hands/face, etc.) before returning to class. 6. ALWAYS BE PREPARED FOR A HEAD BUTT! Keep your head and chest as far away from the child’s head as you can, and be ready to move quickly if you see the child’s head move forward. 7. There is no need to say any more about the incident to the child. The parent should be told what happened and the incident recorded in the child’s file. If the behavior concerned repeats again, notify the Mental Health Consultant. 8. Notify parents that a restraining plan is in place. POLICY & PROCEDURES FOR BITING STEP I - Immediate Action 7. Comfort the child who was bitten. 8. Assess and clean the wound (soap, water, etc.) using universal precautions. 9. Discipline the child who bit. Use appropriate discipline for this child. See Mental Health Plan for Aggressive Behavior Policy. STEP II – Notify Parents Immediately 5. Notify the parent of the child that was bit. Let parent know comfort measures given and how child is now. If the bite pierced the skin, there may be risk of contamination from bacteria or viruses in the mouth. Recommend to the parent that it would be advisable to take the child to their personal physician. The immediate action taken in cleaning the wound will be very helpful in preventing infection. A copy of the incident report will accompany the child to the doctor if the parent chooses to take the child to the doctor. 6. Notify the parent of the child who did the biting. Tell parent the events that lead up to the incident and discipline measures that were taken after the incident. Ask parent if the child has had a problem with biting. Contact parent to develop a written plan to help prevent the child from biting again. The plan needs to be in place prior to the day the child comes to class again. 3. Give information on biting to both parents. STEP III - Develop a Plan of Action The first incident of biting does not require a plan of action meeting, unless the parents request it, but a meeting will happen if this is a reoccurring problem. 5. The planning meeting will be prior to the day the child is expected in class and shall include any or all of the following: Parent, FE III, Family Advocate or Home Visitor, Center Supervisor, Health Coordinator, Children Service Specialist, Disabilities Coordinator, Mental Health Consultant, or other staff that were involved in the incident and any other person requested by the parents to attend. 6. The purpose of the planning meeting is to develop a plan to prevent the reoccurrence of the biting. Consider circumstances that led up to the incident. Consider the needs and concerns of the child who bit and of the child who got bit. Consider the activity the class was participating in at the time. What could be done differently? 3. The written plan becomes a part of this document and will be also soaped in the child's file. 4. Evaluate plan in two weeks. STEP IV – Documentation 5. Document in each child's file the incident, the plan, conversations with parents and any follow up. 6. Complete the incident report if the bit pierced the skin. A copy of this will accompany the child to the doctor if the parent chooses to take the child. The original will stay on file in the center and a copy sent to the Health Coordinator. STEP V - Follow Up 5. The following day ask the parent of the child who was bit how the child is doing. Explain that you had a planning meeting and that a plan was made to prevent it from happening again. 6. After two weeks, the team will meet again to re-evaluate progress. If the behavior is not decreasing, it will be considered aggressive behavior and the team will follow through with that policy. Written Plan of Action: In signing this agreement, I hereby agree to the plan of action as stated above. _________________________________________________________________________ Center Supervisor Signature Date ______________________________________________________________________________ Parent Signature Date Functional Assessment Interview Form – FE III Interviewer(s) _______________________________________ Date(s) _______________ Student(s) __________________________________________________________________ Respondent(s) ____________________________________ Title ______________________ 1. Describe the behavior of concern. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 2. How often does the behavior occur? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ How long does it last? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ How intense is the behavior? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 3. What is happening when the behavior occurs? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 4. When/where is the behavior most/least likely to occur? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 5. With whom is the behavior mort/least likely to occur? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 6. What conditions are most likely to precipitate (“set-off”) the behavior? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 7. How can you tell the behavior is about to start? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 8. What behavior usually happens after the behavior? Describe what happens according to adult(s), peers, and student responses. ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 9. What is the likely function (intent) of the behavior; that is, why do you think the student behaves this way? What does the student get or avoid? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 10. What behavior(s) might serve the same function (see question 9) for the student that is appropriate within the social/environmental context? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 11. What other information might contribute to creating an effective intervention plan (e.g., under what conditions does the behavior not occur)? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 12. Who should be involved in planning and implementing the intervention plan? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 13. When does the child do well? What parts of the day? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 14. What interventions have your tried? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ G:Forms/Children/Functional Assessment Interview form FEIII FAMILY SERVICE PHILOSOPHY We believe all families have strengths and the best way to enhance a child’s development is to build on their parents’ strengths. Parent involvement is individualized for each family, by providing opportunities, information, and encouragement to be an active part of the Head Start experience. Parents are the primary educators of their children. South Central Head Start believes that by providing opportunities for family growth in education, social services, and health parents will learn new skills and strategies to meet the ongoing health, nutritional, social and educational needs of their family. 1304.40(a)(1) – Family goal setting – Grantee and delegate agencies must engage in a process of collaborative partnershipbuilding with parents to establish mutual trust and to identify family goals, strengths, and necessary services and other supports. This process must be initiated as early after enrollment as possible and it must take into consideration each family’s readiness and willingness to participate in the process. STRATEGY 1) Review and determine immediate services identified by family during the application process and provide referrals to family. 2) Review enrollment form of resources and circumstances on 2nd home visit. Also fill in community resource page in parent calendar. PERSON(S) RESPONSIBLE Center Super or Home Visitor Orientation HV #2 3) Parents will complete Parent Interest Sheets indicating their interests. 4) Family mapping will be completed with family to identify strengths and supports. Mapping will also identify services needed. Home Visitor 5) Parents will complete PAT & PIP indicating their areas of interests and goal set. Home Visitor * HV - Home Visitor * OHV -- Orientation Home Visit * FPA - Family Partnership Agreement TIMELINES At time of application Parent Home Visitor Orientation HV #1 Within 12 Weeks of Enrollment, HV #4 Within 12 Weeks of Enrollment, HV #4 * CPE - Child- Parent Education Form * FSS - Family Service Specialist * PERM – Parent Education Resource Materials SUPPORTING DOCUMENTATION Referral form Child/Parent education form/(CPE) Referral Forms Child File Mapping form Parent assessment tool (PAT) & Parent Individual Plan (PIP) 214 1304.40(a)(2) – Family goal setting – As part of this ongoing partnership, grantee and delegate agencies must offer parents opportunities to develop and implement individualized Family Partnership Agreements 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 45CFR 1306.33(b)). STRATEGY Parent will complete the Family Partnership Agreement (FPA) during Home visit and will set goals and begin tasks (activities) toward completing the goals. Review of parent goals on a regular basis will occur on Home Visits. FPA will be reviewed at family staffings for progress. PERSON(S) RESPONSIBLE Parent Home Visitor Home Visitor, Parent Center Super. Home Visitor FPA will be reviewed by Center Supervisor for technical assistance. Center Super. TIMELINES As early as possible after enrollment, HV #5 Monthly November & February At Family Staffings NovemberFebruary SUPPORTING DOCUMENTATION FPA form CPE Individual Family Tracking Forms, FPA Child File, FPA 215 1304.40(a)(3) – Family goal setting – To avoid duplication of effort, or conflict with, any preexisting family plans developed between other programs and the Early Head Start or Head Start family, the Family Partnership Agreement must take into account, and build upon as appropriate, information obtained from the family and other community agencies concerning preexisting family plans. Grantee and delegate agencies must coordinate, to the extend possible, with families and other agencies must coordinate, to the extend possible, with families and other agencies to support the accomplishment of goals in the preexisting plans STRATEGY Inquire if family has pre-existing goals when completing Family Partnership Agreement. The Family Advocate/Home Visitor and Parent will include any pre-existing goals from other agencies into FPA. Review FPA for pre-existing goals and collaboration with community agencies. PERSON(S) RESPONSIBLE Home Visitor Home Visitor, Parent Center Super. TIMELINES As early as possible after enrollment, HV #5 As early as possible after enrollment, HV #5 Family Staffings NovemberFebruary SUPPORTING DOCUMENTATION FPA FPA 216 FPA Child File 1304.40(a)(4) – Family goal setting – A variety of opportunities must be created by grantee and delegate agencies for interaction with parents throughout the year. STRATEGY Provide training in the areas indicated in Parent Interest Sheets, PAT & PIP PERSON(S) RESPONSIBLE Center Super. Home Visitor TIMELINES Monthly Center Trainings, All Staff, HV Monthly Set up trainings and workshops as per interests indicated on Parent Interest Sheets and requested by parents. Inform parents about activities and opportunities available through the center at orientation and ongoing through the year and on home visits. Arrange parent orientation to provide information about specific roles, activities and component functions. Identify parents interested in participation in the committees. Center Super. Inform parents about the date for elected positions: Policy Council, HAC, Center Committee, Advisory Boards. Center Super. Home Visitor Meet with Center Committee to discuss workshops, interest and plan for Center Committee, provide supportive services, child care and transportation. Develop training plan to include topics identified by parent interest. Center Super. Home Visitor Center Super. Monthly Implement, plan, complete evaluation of training and revise as needed. Inform all parents about activities provided through Head Start. Center Super. As Identified All Center Staff Home Visitor. Center Super. Monthly Center Super. Home Visitor Monthly Center Super. Home Visitor Home Visitor Orientation HV st 1 Month of enrollment OHV #2 & 1st Center Newsletter Monthly SUPPORTING DOCUMENTATION Minutes, Training Calendar, CPE’s & PERM Materials Training Calendar Center Committee Book Newsletters CPE’s Center Calendar CPE 1&2 Minutes & Parent Interest Sheets CPE’s Newsletter Minutes Training Plan Center Committee Book Training Plan Center Committee Book Newsletter, CPE’s & Calendar/Handbook 217 1304.40(a)(5) – Family goal setting – Meetings and interactions with families must be respectful of each family’s diversity and cultural and ethnic background. STRATEGY Assess parent training needs. Interpreters will be available to meet needs of families during meetings. Provide or arrange for training to meet identified needs. Parent Calendar/Handbook will be available in both English and Spanish. Menus, newsletters, bulletins, etc. will go out to families in Spanish when appropriate. Classroom and Center bulletin boards for parents and staff will be representative of cultural makeup of center. Program newsletters will go out to all parents quarterly and represent cultures of program. PERSON(S) RESPONSIBLE Center Super, & Home Visitor TIMELINES Monthly Center Super As Identified Center Super. Home Visitor Specialist As Identified Center Super. All Staff Center Super. Monthly FS Specialist Sept., Dec., March & July August Monthly SUPPORTING DOCUMENTATION Parent Interest Survey & Center Committee Minutes Minutes, Center Committee Book Calendar/Handbook Menus Newsletters Center Observation form Newsletters 218 1304.40(b)(1)(i) – Accessing community services and resources – Grantee and delegate agencies must work collaboratively with all participation parents to identify and continual access, either directly or through referrals, services and resources that are responsive to each family’s interests and goals, including: Emergency or crisis assistance in areas such as food, housing, clothing, transportation. STRATEGY Review at enrollment adequacy of resources and circumstances and make referrals. Complete community resource page in calendar for each family enrolled. Discuss needs and resources with parents. Make referrals. Staff will have a current resource list and will be aware of the resources within their community. Center Supervisor & FA, HV will be resource people for staff and community folks. Staff will follow the guidelines for referrals. (If it is a family need – provide a referral). Community resources shall be utilized as needs arise. Send out Comprehensive Community Assessment (CCA) survey to parents for input. Return to Family Service Specialist for evaluation of results. PERSON(S) RESPONSIBLE Home Visitor TIMELINES 2 HV SUPPORTING DOCUMENTATION Referral & CPE Home Visitor OHV & 2 HV Referral & CPE Center Super. Family Specialist Center Super. Home Visitor At Pre-Service Center Sup., Home Visitor Center Sup. HV Specialist Home Visitor Center Super. Community Resource Book When Indicated Community Interest Sheet, Calendars & Referrals As Needed Referral Sheets CPE As Needed Referral & CPE Feb. - April Comprehensive Community Assessment, Parent Survey 219 1304.40(b)(1)(ii) – Accessing community services and resources – Grantee and delegate agencies must work collaboratively with all participation parents to identify and continual access, either directly or through referrals, services and resources that are responsive to each family’s interests and goals, including: Education and other appropriate interventions, including opportunities for parents to participate in counseling programs to receive information on mental health issues that place families at risks, such as substance abuse, child abuse and neglect, and domestic violence. STRATEGY Family Service Specialist and Operations Manager will work with the community agencies to see that programs are available to meet the needs of the parents. Notices will be sent to local agencies to facilitate their involvement in the Head Start program. Staff will attend local Service Provider Group meetings. Participation to access services and respond to needed services for Head Start families. Mental Health Consultant will be available on an individual or group basis to consult with parents. PERSON(S) RESPONSIBLE Operations Manager & Family Service Specialist Family Service Specialist, Center Super. Center Super. Specialists MHC Center Super. TIMELINES On going Advisory Meeting, Health Fairs On going SUPPORTING DOCUMENTATION Staff Activity Report Mail Log Contact Sheet Staff Activity Report 220 As Identified Contract Child File IDAHO Idaho Code § 16-1619(a) (Supp. 1998) INDIVIDUAL RESPONSIBILITY Any mandated reporter having reason to believe that a child under the age of 18 years has been abused, abandoned or neglected or who observes the child being subjected to conditions or circumstances which would reasonably result in abuse, abandonment or neglect, shall report or cause to be reported within 24 hours such conditions or circumstances to the proper law enforcement agency or the Department of Health and Welfare. PROFESSIONAL RESPONSIBILITY The Department of Health and Welfare shall be informed by law enforcement of any report made directly to it. When the attendance of a physician, resident, intern, nurse, day care worker, or social worker is pursuant to the performance of services as a member of the staff of a hospital or similar institution, he shall notify the person in charge of the institution or his designated delegate who shall make the necessary reports. 1304.40(b)(1)(iii) – Access community services and resources – Grantee and delegate agencies must work collaboratively with all participation parents to identify and continual access, either directly or through referrals, services and resources that are responsive to each family’s interests and goals, including: Opportunities for continuing education and employment training and other employment services through formal and informal networks in the community. STRATEGY Parents will be provided with local resources to continue their education and job skills. Head Start sites will collaborate with the Dept. of Health & Welfare as a work site for TANF participants. Head Start sites will provide a computer at each center for parents to enhance skills. All Head Start sites will have a computer with internet available to parents to assist in job search. Community Resource book will include job and education information. PERSON(S) RESPONSIBLE Home Visitors TIMELINES On going Center Super. On going SUPPORTING DOCUMENTATION CPE – Referral Community Resources Book Agreement Center Super. Network Coor. Center Super. Network Coor. Family Services Specialist On going Center Observation On going Center Observation On going Community Resource Book 222 1304.40(b)(2) – Accessing community services and resources – Grantee and delegate agencies must follow-up with each family to determine whether the kind, quality, and timelines of the services received through referrals met the families’ expectations and circumstances. STRATEGY Review referrals given to family. Staff will review outcome of family referrals at Family Staffings Review referrals on a regular basis for delivery of services. Provide technical assistance to Home Visitors on referrals PERSON(S) RESPONSIBLE Home Visitor Center Super. Home Visitor Center Super. FSS TIMELINES Next HV or next day when appropriate. November & February On going On going SUPPORTING DOCUMENTATION CPE Family Educator Tracking Sheet Referral Forms Family Tracking HSFIS Tracking Form Referral Forms 223 1304.40(d)(1) – Parent involvement – general – In addition to involving parents in program policy-making and operations (see CFR 1304.50), grantee and delegate agencies must provide parent involvement and education activities that are responsive to the ongoing and expressed needs of the parents, both as individuals and as members of a group. Other community agencies should be encouraged to assist in the planning and implementations of such programs. Parent training plan schedule for training. PERSON(S) RESPONSIBLE Center Super. Home Visitors Center Super. Home Visitors Center Super. Advisory boards will provide input into planning of services. Specialist STRATEGY Review Parent Interest Sheets and arrange training. Review FPA and arrange training. Advisory boards will have representation from each Head Start Center of both parents and staff. Center Super. Specialist TIMELINES On going On going On going 2 x year Fall & Spring Fall & Spring SUPPORTING DOCUMENTATION Parent Interest Sheet FPA, CPE & Center Trainings Center Committee Book Meeting Minutes 224 Advisory Board Membership 1304.40(d)(2) – Parent involvement – general – Early Head Start and Head Start settings must be open to parents during all program hours. Parents must be welcomed as visitors and encouraged to observe children as often as possible and to participate with children in group activities. The participation of parents in any program activity must be voluntary, and must not be required as a condition of the child’s enrollment. STRATEGY At orientation parents will be informed of open door policy and encouraged to participate as often as possible. Orientation Home Visit #1 will be part of the application and acceptance process. Inform parents of opportunities for involvement and volunteering at Head Start. Parents will be informed of field trips and program events. Newsletters will provide parents with information about events, meetings and opportunities to participate. PERSON(S) RESPONSIBLE Center Super. Center Super. HV HV Center Super. TIMELINES OHV #1, Parent Orientation SUPPORTING DOCUMENTATION Orientation HV #1 form Orientation OHV 1 & 2 Monthly Monthly Parent Interest sheet, CPE, Newsletters CPE, Newsletters Newsletter 225 1304.40(d)(3) – Parent involvement – general – Grantee and delegate agencies must provide parents with opportunities to participate in the program as employees or volunteers (see 45 CFR 1304.52(b)(3) for additional requirements about hiring parents). PERSON(S) STRATEGY RESPONSIBLE Inform parents about opportunities as paid employees, volunteers or All Staff observers. Inform staff about parents who are interested in Center Super., volunteering. Coordinate with the Family Advocates, Home Visitor about Center Super., recruiting parent volunteers in the classroom. FE III Record parent volunteer hours on in-kind sheets for parent All Staff., involvement activities. Home Visitors Inform parents of job openings in the center. Home Visitors, Center Super. Insure recognition of volunteers. Center Super. Plan special day for all parents to join in the classroom. Inform parents of the need for parents to be on standing committees and work with the parents who are on these committees. Center Super., FE III, Home Visitor Center Super. Home Visitor, Specialists TIMELINES On going, Orientation On going On going As Positions Open Monthly Annually On going On going SUPPORTING DOCUMENTATION CPE, Newsletters, Meeting Minutes In-Kind CPE In-Kind Sheets CPE Job Announcements Newsletter, Award Ceremonies Training Plan, CPE, Lesson Plan Orientation Center Minutes 226 1304.40(e)(1) – Parent – Grantee and delegate agencies must provide opportunities to include parent(s) in the development of the program’s curriculum and approach to child development and education (see 45CFR 1304.3(a)(5) for a definition of curriculum). STRATEGY Parents will be elected to Advisory boards to provide input. Parents will be elected to Policy Council were they will give input during meetings on curriculum and approach. Parents will be asked to give input into program curriculum on home visits. PDWG group will have a parent representative from Policy Council. PERSON(S) RESPONSIBLE Center Super. Center Super. Home Visitor, FE III FSS TIMELINES October September October September On going November SUPPORTING DOCUMENTATION Minutes, Center Committee Book Minutes, CPE Policy Council Election Results - Minutes 227 1304.40(e)(2) – Parent – Grantees and delegate agencies operating home-based program options must build upon the principles of adult learning to assist, encourage, and support parents as they foster the growth and development of their children. STRATEGY At orientation parents will be informed of Parent as First Teacher philosophy. PERSON(S) RESPONSIBLE Center Super. Home Visitor TIMELINES OHV #1 SUPPORTING DOCUMENTATION Center Supervisor Report OHV #1, CPE form CPE On Orientation Home Visit 1 & 2 the Family Advocate / Home Visitor will facilitate parent and child activities and give encouragement to the parent. Encourage parents in becoming teachers of their children, assist parents to set realistic goals and plan appropriate activities for their child and family. Encourage parents to volunteer in classrooms, as bus riders, in center, etc. Home Visitor Orientation Home Visits Home Visitor OHV’s – then on going Child Goal CPE Center Super. Home Visitor On going Parent will set child goals and activities to support goal attainment. Parent Home Visitor FE III HV #3 CPE, Newsletter, Class Volunteer Handbook Child Goals Family Educators will support parent developed goals for child by addressing activities that will take place during classroom. On going Child Goals Lessons Plans 228 1304.40(e)(3) – Parent – Grantee and delegate agencies must provide opportunities for parents to enhance their parenting skills, knowledge, and understanding of the educational and developmental needs and activities of their children and to share concerns about their children with program staff (see 45 CFR 1304.21 for additional requirements related to parent involvement). STRATEGY A day at Head Start book will be reviewed as part of the calendar/handbook Inform parents about educational opportunities re: classes on child development, GED, special workshops, seminars, CSI classes, etc. Child care and transportation will be provided if requested to all Head Start trainings. Track parents educational activities as indicated on Family Partnership Agreement. Parent Education Resource Materials (PERM) will cover parenting skills, educational and developmental needs of children as well. PERSON(S) RESPONSIBLE Home Visitor TIMELINES OHV #2 Center Super. Home Visitor On going Center Super. Home Visitor Home Visitor On going On going SUPPORTING DOCUMENTATION CPE Calendar/handbook CPE Newsletter CPE Child File CPE & FPA 229 FS Specialist, Home Visitor On going PERM Materials Internet Materials 1304.40(e)(4)(i) – Parent – Grantee and delegate agencies must provide, either directly or through referrals to other local agencies, opportunities for children and families to participate in family literacy services by: Increasing family access to materials, services, and activities essential to family literacy development. STRATEGY Centers will establish and maintain a family literacy area. Families will be provided with local library telephone # on community resource page of calendar/handbook Parent Education Resource Materials (PERM) will be provided, as requested. Community Resource page of calendar/handbook includes Basic Skills information. Newsletters will contain information on Literacy issues. PERSON(S) RESPONSIBLE Center Super. TIMELINES On going Home Visitor OHV #2 Home Visitor As Requested Home Visitor OHV # 2 Specialist & CS 3 x per year SUPPORTING DOCUMENTATION Center Observation Form Parent Calendar/handbook PERM Order Form Internet Sites Community Resources Book Newsletters 230 1304.40(e)(4)(ii) – Parent – Grantee and delegate agencies must provide, either directly or through referrals to other local agencies, opportunities for children and families to participate in family literacy services by: Assisting parent as adult learners to recognize and address their own literacy goals. STRATEGY Complete Mapping Complete Parent Assessment Tool Complete Family Partnership Agreement PERSON(S) RESPONSIBLE Parent & Home Visitor Parent & Home Visitor Parent & Home Visitor TIMELINES HV #4 SUPPORTING DOCUMENTATION Mapping form HV #4 Mapping form HV #5 Family partnership agreement form 1304.40(e)(5) – Parent – In addition to the two home visits, teachers in center-based programs must conduct staff-parent conferences, as needed, but no less than two per program year, to enhance the knowledge and understanding of both staff and parents to the educational and developmental progress and activities of children in the program (see 45 CFR 1304.21(a)(2)(iii) and 45 CFR 1304.40 (i) for additional requirements about staff-parent conferences and home visits. STRATEGY Parents will review screeners with Family Advocacy/ Home Visitor during home visit and establish goals to enhance knowledge of both parent and child. Centers will schedule Parent Conferences two times in the program year to communicate progress with the parents PERSON(S) RESPONSIBLE Home Visitor Center Super, Specialists, Home Visitor TIMELINES HV #3 Fall and Spring SUPPORTING DOCUMENTATION Goal Sheet Parent Conference form, CPE 231 1304.40(f)(1) – Parent – Grantee and delegate agencies must provide medical, dental, nutrition, and mental health education programs for program staff, parents, and families. PERSON(S) STRATEGY RESPONSIBLE Parents will receive lessons on home visits in the areas of: Personal Home Visitor Safety, Dental Nutrition, Safety, Gross Motor, Dental, Wellness, Home Visitor Mental Health, Money Management and Transportation Program training for both parents and staff will include the above Center Super. topics. TIMELINES 2 x year – 1st by December 1 x a year On going SUPPORTING DOCUMENTATION CPE CPE Training Log, Center Committee Book 232 1304.40(f)(2)(i) – Parent – Grantee and delegate agencies must ensure that, at a minimum, the medical and dental health education program; Assist parents in understanding how to enroll and participate in a system of ongoing family health care. STRATEGY Parents will receive information on community service providers. Family will receive information about CHIPS and Medical Card programs. Advise parents about the importance of completing the health and dental screening PERSON(S) RESPONSIBLE Home Visitor Home Visitor Center Super. Home Visitor TIMELINES OHV # 2 & As Need Identified By October Orientation Home Visits #2 As need is identified SUPPORTING DOCUMENTATION CPE Referral CPE CPE 233 1304.40(f)(2)(ii) – Parent – Grantee and delegate agencies must ensure that, at a minimum, the medical and dental health education program; Encourages parents to become active partners in their children’s medical and dental health care process and to accompany their child to medical and dental examination and appointments. STRATEGY Parents will receive encouragement on home visit to set and keep medical and dental appointments. Program will provide transportation to appointments if needed. Home Visitor will follow up with parent on each home visit on the status of exams and follow up. Home Visitor will review health information and alert parents to needs of child for completion on examinations and follow up. Home Visitor will review status of Health issues of caseload biweekly and report to Center Supervisor. Provide parents information on health needs of their child from physical, immunization record, nutrition level, HCT/HGB, dental exam, lead screenings on home visit. PERSON(S) RESPONSIBLE Home Visitor TIMELINES OHV #2 SUPPORTING DOCUMENTATION CPE Center Super. Home Visitor Home Visitor As Identified Home Visitor Each Home Visit CPE Home Visitor, Center Super. Home Visitor Bi-Weekly As Identified CPE, Child Files, Travel Log CPE HSFIS Orientation HV CPE #2 and #3 as need is identified 234 1304.40(f)(2)(iii) – Parent – Grantee and delegate agencies must ensure that, at a minimum, the medical and dental education program; Provide parents with the opportunity to learn the principles of preventive medical and dental health, emergency first-aid, occupational and environmental hazards and safety practices for use in the classroom and the home. In addition to information on general topics (e.g., maternal and child health and the prevention of Sudden Infant Death Syndrome S.I.D.S.), information specific to the health needs of individual children must also be made available to the extent possible. STRATEGY Provide parents information on mental health, social skills, education, etc. Preventive medical and dental health, first-aid, safety, etc. Encourage parent participation at trainings, workshops, both in the center and in the community according to their interest. Inform parents of availability for them to meet with Mental Health Consultant, Nutrition Consultant, Coordinators and Specialists as parents request for information on their child’s needs and progress. PERSON(S) RESPONSIBLE Home Visitor Center Super. Home Visitor Home Visitor TIMELINES As indicated Monthly As Appropriate SUPPORTING DOCUMENTATION CPE, Newsletters Literacy Areas CPE Newsletters Child File, CPE 235 1304.40(f)(3)(i) – Parent – Grantee and delegate agencies must ensure that the nutrition education program includes, at a minimum; Nutrition education in the selection and preparation of foods to meet family needs and in the management of food budgets. STRATEGY Parents will receive a nutrition lesson. A monthly menu will include nutrition information. Program wide newsletter will include information on nutrition. PERSON(S) RESPONSIBLE Home Visitor Center Super. Specialist TIMELINES By May Monthly By March SUPPORTING DOCUMENTATION CPE Newsletter Program Newsletter 1304.40(f)(3)(ii) – Parent – Grantee and delegate agencies must ensure that the nutrition education program includes, at a minimum; Parent discussions with program staff about the nutritional status of their child. STRATEGY At time of application staff will complete nutrition assessment. At time of nutrition lessons Family Educator will review nutrition assessment with family and provide appropriate information. At time of Orientation Home Visit Family Educator will review nutrition assessment and resource and circumstance information and make appropriate referrals. On Home Visit #5 Home Visitor will review Healthy habits, Healthy families booklet with parents and discuss nutritional status of family. PERSON(S) RESPONSIBLE Staff Home Visitor Home Visitor Home Visitor TIMELINES At application By May SUPPORTING DOCUMENTATION HSFIS Application CPE Orientation Orientation Home Visit Home Visit # 2, # 2, CPE when appropriate Home Visit # 5, CPE 236 1304.40(f)(4)(i) – Parent – Grantee and delegate agencies must ensure that the mental health education program provides, at a minimum (see 45 CFR 1304.24 for issues related to mental health education): A variety of group opportunities for parents and program staff to identify and discuss issues related to child mental health; STRATEGY Discuss mental health issues and our program consultant at Parent Orientation. Reviewing Parent Calendar/handbook When parent completes information on child interest portion of Orientation Home Visit # 1 Family Educator will discuss. When reviewing “A Day at Head Start” with parent. Program newsletters will include information. Program or center trainings will include information on mental health. When completing the DECA Assessment staff will discuss results with parents. PERSON(S) RESPONSIBLE Center Super. Parent, Home Visitor Home Visitor Home Visitor Specialist Center Super. Home Visitor TIMELINES OHV # 1 OHV # 2 OHV # 1 1st OHV HV #2 By July During Program Year Fall/Spring SUPPORTING DOCUMENTATION Parent Orientation CPE CPE, calendar/handbook OHV # 1 CPE OHV # 1 Newsletter Training Log CPE & DECA Assessment 237 1304.40(f)(4)(ii) – Parent – Grantee and delegate agencies must ensure that the mental health education program provides, at a minimum (see 45 CFR 1304.24 for issues related to mental health education): Individual opportunities for parents to discuss mental health issues related to their child and family with program staff; STRATEGY Parents will be given a lesson on mental health issues on home visits. Families can request individual time with Mental Health Consultant to discuss issues. Parent training will include topics on Mental Health. Parent Calendar/handbook will include information on Mental Health. Parents will review and be made aware of the results of the DECA Assessment. PERSON(S) RESPONSIBLE Home Visitor Home Visitor TIMELINES Parent DECA, HV #3 As Needed Center Super. 1 x a year Specialist Beginning of Program Year Fall/Spring Home Visitor SUPPORTING DOCUMENTATION CPE CPE, Child File Center Calendar Training Logs Parent Calendar/handbook CPE DECA Assessment 1304.40(f)(4)(iii) – Parent – Grantee and delegate agencies must ensure that the mental health education program provides, at a minimum (see CFR 1304.24 for issues related to mental health education): The active involvement of parents in planning and implementing any mental health interventions for their children. STRATEGY Individual mental health interventions will include parent input. Family Educator will get form completed with parent input. Mental Health consultant will include parents in treatment plan. PERSON(S) RESPONSIBLE Home Visitor, Parent Mental Health Consultant, Home Visitor TIMELINES As Identified As Indicated SUPPORTING DOCUMENTATION Individual Mental Health Observation Form Mental Health Observation Form, CPE 238 1304.40(g)(1)(i) – Parent involvement in community advocacy – Grantee and delegate agencies must; support and encourage parents to influence the character and goals of community services in order to make them more responsive to their interests and needs. STRATEGY Parents will be encouraged to become involved in advisory boards and community projects PERSON(S) RESPONSIBLE Center Super, Home Visitor TIMELINES Orientation, OHV #1 & OHV #2 SUPPORTING DOCUMENTATION CPE, Parent Interest form 1304.40(g)(1)(ii) – Parent involvement in community advocacy – Grantee and delegate agencies must; Establish procedure to provide families with comprehensive information about community resources (see 45 CFR 1304.41(a)(2) for additional requirements). STRATEGY Review community resources with family. Review family circumstances from application. During home visits families will be given information on community resources and referrals when indicated. All families will review and updated information on community resources for a 2nd time in their calendars. PERSON(S) RESPONSIBLE Home Visitor Home Visitor Home Visitor TIMELINES nd 2 HV 2nd HV As Indicated FE Parent January/ February SUPPORTING DOCUMENTATION OHV # 2 OHV # 2 CPE Referrals CPE, Tracking Form 239 1304.40(g)(2) – Parent involvement community advocacy – Parent must be provided regular opportunities to work together, and with other community members, on activities that they have helped develop and in which they have expressed an interest. STRATEGY Parents will receive information on community activities. Center newsletters will include community activities that include ways for parents to get involved. PERSON(S) RESPONSIBLE Center Super Home Visitor TIMELINES Monthly SUPPORTING DOCUMENTATION CPE Newsletters Center Supervisor Monthly Center newsletter 1304.40(h)(1) – Parent involvement in transition activities – Grantee and delegate agencies must assist parents in becoming their children’s advocate as they transition both into Early Head Start or Head Start from the home or other child care settings, and from Head Start to elementary school, a Title I of the Elementary and Secondary Education Act preschool program, or a child care setting. STRATEGY Parent will be informed of program philosophy on parents as first teachers and encourage them to be lifelong advocates for their child. Parents will be invited to Parent Conferences to review educational needs of their child, to review next placement for their child, and how they can advocate for services PERSON(S) RESPONSIBLE Center Super. Home Visitor Center Super. Home Visitor TIMELINES OHV #1, Throughout the Year Fall & Spring SUPPORTING DOCUMENTATION CPE Child Goals Orientation Parent Conference form 240 1304.40 (H)(3)(I) Parent involvement in transition activities to promote the continued involvement of Head Start parents in the educational and development of their children upon transition to school, grantee and delegate agencies must; provide education and training to the parents to prepare them to exercise their rights and responsibilities concerning the education of their children in the school setting; STRATEGY Family Advocacy/ Home Visitor will inform parents of kindergarten registration. Family Educator will review child goals with parents and will encourage them to share with public schools. Center training will include information on transitioning to public schools. PERSON(S) RESPONSIBLE Home Visitor TIMELINES Spring Home Visitor Parent Center Super. Spring Parent Conference April or May SUPPORTING DOCUMENTATION CPE Newsletters Parent Conference form Center Committee Calendar, newsletter 1304.40 (i)(1) Parent involvement in home visits – Grantee and delegate agencies must not require that parents permit home visits as a condition of the child’s participation in Early Head Start or Head Start center-based programs options. Every effort must be made to explain the advantages of home visits to the parents. STRATEGY Center Supervisor will inform parents of home visit opportunities. Family Advocate/ Home Visitor will inform parents of the advantages of home visits for both parent and child. PERSON(S) RESPONSIBLE Center Super. TIMELINES Orientation Home Visitor OHV SUPPORTING DOCUMENTATION Center Supervisor report CPE 241 1304.40 (i)(2) Parent involvement in home visits – the Child’s teacher in center-based programs must make no less than two home visits per program year to the home of each enrolled child, unless the parents expressly forbid such visits, in accordance with the requirements of 45 CFR 1306.32 (b) (8). Other staff working with the family must make or join home visits, as appropriate. STRATEGY Parents in the part day/part year option will have the opportunity to participate in 15 planned home visits per year. PERSON(S) RESPONSIBLE Home Visitor Parents in the School District option will have the opportunity to participate in 15 planned home visits per year. Parents in the double session option will have the opportunity to participate in 12 planned home visits per year. Home Visitor Parents in the Pre-K option will have the opportunity to participate in 12 planned home visits per year. SUPPORTING TIMELINES DOCUMENTATION Bi-monthly Sept, CPE Oct, Nov, Dec, Jan Monthly Aug, Feb, Mar, April, May Bi-monthly Sept, CPE Oct Monthly Aug, Nov, Dec, Jan Feb, Mar, Apr, May 1304.40 (I)(3) – Parent involvement in home visits – Grantee and delegate agencies must schedule home vists at times that are mutually convenient for the parents or primary caregivers and staff. STRATEGY Home Visitor will talk to parents about planning a time to schedule home visits with their Home Visitor. Home Visitor will establish with the parent a home visit time which best meets the needs of the family. PERSON(S) RESPONSIBLE Home Visitor TIMELINES OHV #1 Home Visitor OHV #1 SUPPORTING DOCUMENTATION Center Supervisor Report-agenda OHV # 1 CPE 242 1304.40 (i)(4) – Parent involvement in home visits – In cases where parents whose children are enrolled in the center-based program option ask that the home visits be conducted outside the home, or in cases where a visit to the home presents significant safety hazard for staff, the home visit may take place at an Early Head Start or Head Start site or at another safe location that afford privacy. Home visits in home-based program options must be conducted in the family’s home. STRATEGY Home visits will occur in the home setting unless the parent or Head Start Management staff determine there is a safety hazard at which time the parent will choose an alternate site. PERSON(S) RESPONSIBLE Center Super Parent Home V, Specialist TIMELINES As Needed SUPPORTING DOCUMENTATION Child’s File 1304.40 (i)(5) – Parent involvement in home visits – In addition, grantee and delegate agencies operating home-based program options must meet the requirements of 45 CFR 1306.33 (a) (1) regarding home visits. STRATEGY PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION NA 1304.40 (i)(6) – Parent involvement in home visits – Grantee and delegate agencies serving infants and toddlers must arrange for health staff to visit each newborn within two weeks after the infant’s birth to ensure the well-being of both the mother and the child. STRATEGY NA PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION 243 IDAHO Idaho Code § 16-1619(a) (Supp. 1998) INDIVIDUAL RESPONSIBILITY Any mandated reporter having reason to believe that a child under the age of 18 years has been abused, abandoned or neglected or who observes the child being subjected to conditions or circumstances which would reasonably result in abuse, abandonment or neglect, shall report or cause to be reported within 24 hours such conditions or circumstances to the proper law enforcement agency or the Department of Health and Welfare. PROFESSIONAL RESPONSIBILITY The Department of Health and Welfare shall be informed by law enforcement of any report made directly to it. When the attendance of a physician, resident, intern, nurse, day care worker, or social worker is pursuant to the performance of services as a member of the staff of a hospital or similar institution, he shall notify the person in charge of the institution or his designated delegate who shall make the necessary reports. 244 COMMUNITY SERVICES PHILOSOPHY Head Start is instrumental in establishing supportive communities. Communities that are responsive, inclusive and compassionate. The Head Start program is based on the premise that a child benefits from a comprehensive, interdisciplinary program we also believe that the family and community benefits as well. Community partnerships are derived from the realization that programs and people can share resources and achieve more by working together through commitment and willingness to create opportunities for lasting relationship and utilization of resources effectively. Volunteers are an integral part of Head Start. Parents, retirees, professionals, students and other community volunteers enhance the program’s operation as well as the community development through their participation in a variety of community based projects. 245 1304.41(a)(1) Community Partnerships: Take an active role in community planning to encourage strong communication, cooperation and sharing of information among the agencies and their community partners to improve the delivery of community services for children and families in accordance with the agency’s confidentiality policies. PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION 1) Prepare and utilize public service announcements, local media, Family Service On going Copies of P.S.A.’s, e.g., television, radio. Create and edit press releases and news Specialist, news articles articles for publication. Services Coor., Center Super. & 2) Recruit and train volunteers and families for program Family Service On going Copies of P.S.A. news participation and planning through utilization of public service Specialist, Center articles, newsletter and announcements, news articles and community collaborations. Super. Service flyers Coor, FE III, HV 3) Initiate communication and promote cooperation among Specialists, Coors. Advisory Boards Public Relations log, community, individuals and agencies through Advisory Boards, Center Super., FE 2 x a year news articles, public speaking engagements and participation in local, regional III, HV, Services as engagements Advisory Board and state organizations to enhance delivery of services. Coor. are scheduled meeting minutes Monthly Center Report 4) Provide opportunities and/or information that support Family Service On going News articles, partnerships by scheduling communities events throughout the Specialist, Health calendar newsletters, program year such as: Adopt–a–Highway – Oct & May; Open Coor. Disability CPE’s, & flyers. House – Oct; Policy Council Retreat – Nov; Leadership Coor. Center Training – Nov; Home Visit Training – Aug. & Jan; Health Super., FE III & Fairs – Feb; SAVI –March - April; CCA – Jan – May; HV SRAEYC – March; PAEYC – May. 5) Renew Interagency Agreements and yearly Contracts. Disability Coor. Yearly or as Interagency and/or Operations specified contract notebook Manager, C.S. * Family Advocate *Public Service Announcements *Center Supervisor *Coordinator *Operations Manager *Child Parent Education 246 246 STRATEGY 6) Update & distribute a Head Start Public Relations Notebook to each Center. Develop and conduct a program-wide public relations training session for staff, community representatives and parents. 7) Collaborate with other community agencies to develop, distribute and update a Resource List of community groups, and agencies. 8) Identify and recruit organizations as potential new partners with information and services related to the Head Start program. 9) Consult with the National, Regional, and State Head Start programs and/or Collaboration Offices for information and support. 10) Encourage staff and parents to attend community meetings and participate locally in community planning and activities. PERSON(S) RESPONSIBLE Operations Manager, Services Coord. TIMELINES Pre-service and Leadership Training. SUPPORTING DOCUMENTATION P.R notebook Training agendas Family Services Specialist, Children Service Specialist, CS September Resource Guide OM, Director, Specialist, Coor., Center Super., FEIII Director, Operations Manager & Specialists Year Round Meeting minutes, CCA; PRISM Reports On going Contracts and Grant awards Center Super., Home Visitor On-going Comm. Involvement Sheet (yearly) 247 *Operations Manager 247 1304.41(a)(2)(i-ix) Establish on-going collaborative relationships with community organizations to promote the accessibility for children and families to community services and to ensure program response to community needs. This will include information from Health Care providers (mental health and nutrition) Disability Services professionals, Family Preservation and Child Protection Teams, Schools and Child Care providers. STRATEGY 1) Meet with parents, staff and potential partners to develop a trusting collaborative relationship to identify strengths and needs of families and community. 2) Establish on-going collaborative relationships with community organizations to provide services responsive to needs. 5) PERSON(S) RESPONSIBLE Center Sup. HV, FE, Coordinators, Director, OM and Specialists Same as above TIMELINES SUPPORTING DOCUMENTATION On-going C.P.E., C.C.A. On-going monthly reports, meeting minutes, training agendas, written agreements, Adv. Board roster monthly reports, meeting minutes, training agendas, written agreements, Adv. Board roster monthly reports, meeting minutes, training agendas, written agreements, Adv. Board roster Written CCA Plan 3) Continue to explore collaborative efforts with agencies and organizations to ensure quality of services to families. Same as above On-going 4) Collaborate with Health and Welfare, Substance Abuse Agencies, Housing advocates, Child Care providers, Teen Groups, local service clubs, public officials and the medical community to achieve program goals. Same as above On-going Plan annual Comprehensive Community Assessment OM and FSS December 6) Review, revise and distribute CCA interview forms. Parent questionnaires – 2 phases Staff & Community questionnaires – schools, businesses, public officials, agencies and Faith-based OM & FSS Feb – May Jan. – March CCA Questionnaires 248 248 1304.41(a)(2)(i-ix) - Continued STRATEGY 7) Compile and summarize all data from CCA to identify program\community goals, strengths and concerns to assist in program planning and to provide community information. 8) Cooperate with other agencies conducting program assessments. 9) Collaborate with community organizations and agencies, providers, educational and cultural institutions, Child Protection Teams to share information and to improve delivery of services to families. 10) Establish and engage linkages with a broad range of family support services agencies including prevention/intervention agencies, parenting classes, support groups and child care providers. 11) Develop a collaborative relationship with Child Protection services and other agencies serving children and families affected by abuse and neglect. PERSON(S) RESPONSIBLE OM, FSS, CS, FE III TIMELINES March - May OM, Specialists, As requested Center Super. & FE III Center Super., HV, As scheduled in FE III communities Specialists, Coordinators, OM Dir., OM. Spec., C.S. F.E. & HV On-going OM & Family On-going Service Spec., C.S. F.E. & HV SUPPORTING DOCUMENTATION Summary Sheets, Complete CCA CCA summary profile Community Contact Sheets – C.S. Reports Community In-kind sheets Community Involvement form Advisory Board minutes Training’s, flyers, newsletters, meeting minutes, Community Involvement form Child Protection team Family Preservation Team and Trainings *Center Super. *Operations Manager *Home Visitor *Family Educator *Director *Family Service Specialist * 249 249 1304.41(a)(3) Encourage volunteers from the community to participate in the Head Start program. STRATEGY 1) Recruit volunteers: Head Start parents, community residents and members of organizations to assist in mobilizing community resources and to provide positive role models and linkages to the broader community. 2) Develop and implement Volunteer Recruitment Plan. 3) Provide volunteers training opportunities, an orientation, job descriptions, support as well as feedback on performance. PERSON(S) RESPONSIBLE Family Service Specialist, CS, FE III, HV PC & C. Rep. Family Specialist, FE III, CS, Coors. CS, FE III, HV Specialists, Coors, TIMELINES On going On going On going 4) All “regular/consistent” volunteers (those who work 12 hours Center Supervisor, As needed and above, per month) will complete a center orientation and all Human Resource required paperwork as outlined in the volunteer handbook ie.. Coordinator TB survey, self-declaration and a background check as well as, possessing current CPR/First Aid certification. 5) Volunteers who work less than 12 hours per month will receive Center Supervisor As needed a center orientation and associated paperwork as outlined in the volunteer handbook. 6) All volunteers who are bus monitors must receive Bus Monitor Center Supervisor As scheduled training, regardless of numbers of hours they volunteer. Bus monitors will receive a center orientation and will complete necessary paperwork associated with volunteering. 7) Acknowledge volunteer work and commitment by recognizing Center Supervisors Through year as individuals and agencies at special events and throughout the Specialists and scheduled year. Coordinators *Center Super. *Operations Manager *Home Visitor *Family Educator *Director *Family Service Specialist * SUPPORTING DOCUMENTATION PSA, Flyers, Newsletters, Public Relations Log, Community Fairs Volunteer Recruitment Plan Orientation packet to include: Volunteer Handbook, Job Descriptions, A Day at Head Start Individual volunteer checklist completed Volunteer checklist Bus monitor sign-in sheet Volunteer Reception Newsletters 250 250 1304.41(a) (4) Partnerships: Enable the effective participation of children with disabilities and their family. STRATEGY 1) Develop partnerships through contracts and written Interagency Agreements with local education groups, medical providers, Department of Health and Welfare, Child Development Center and other local agencies that provide services to families of children with disabilities. 2) Collaborate with providers to assist in screening of children. 3) Participate in Multi-Disciplinary teams and local Child Finds to facilitate communication and strategies and provide services that meet individual needs. 4) Provide support services for children and their families through training, information and referrals. PERSON(S) RESPONIBLE Disability & Health Coor., CS, Specialists, OM Center Supervisor, Children Services Specialist, Disability Coor., Health Coor and HV TIMELINES Yearly, on-going On-going Disability Coor, As scheduled Health Coor. C.S. F.E & HV. Coordinators, C.S., On-going F.E. HV, Specialists SUPPORTING DOCUMENTATION Contracts, Written Interagency Agreements, Child File - IEP. Child file, C.P.E. Assessment form Child file, I.E.P. 504 plans 251 Child file, child and parent Goal Sheets, C.P.E. *Center Super. *Operations Manager *Home Visitor *Family Educator *Director *Family Service Specialist * 251 1304.41(4)(b) Advisory committees. Recruit, Establish and Maintain a Health Advisory committee which includes current Head Start parents, professionals and volunteers from the community. STRATEGY 1) Establish and maintain Advisory Boards to include Health Services, Family Services and Children’s Services PERSON(S) RESPONSIBLE Specialists, Health Coor. and Disability Coor TIMELINES August On going SUPPORTING DOCUMENTATION Advisory Board Roster, Minutes, Member Handbooks 2) Advisory Boards shall assist in: Identifying community and program strengths and needs. Planning and reviewing program direction. Communicating, cooperating and sharing information among agencies’ partners which will promote linkages to existing community resources. 3) Advisory Board Committee members will be selected from a cross-section of professionals, community members, parents and staff from each Head Start center. 4) Date, time and place of each meeting will be determined by Advisory Board consensus: Health Advisory Committee will meet two times each year Family Service Advisory Committee – 2 times each year Children’s Service Advisory Committee – 2 times each year Specialists, Health & Disability Coor. Board Members As scheduled – twice yearly Advisory Board Handbook Specialists, CS Health Coor. & Disability Coor. Specialists Advisory Board Members August & On going Advisory Board Guidelines, Roster, & minutes Advisory Board Agenda 5) Each member will receive a letter of notification of meeting with an agenda, approximately 10 days in advance. Program Assistant 1st Board Meeting Advisory Board Minutes 10 days prior to meeting Letter with Agenda *Center Super. *Operations Manager *Home Visitor *Family Educator *Director *Family Service Specialist * 252 252 1304.41 (b) Continued STRATEGY 6) Each Advisory Committee member shall follow roles and responsibilities which include: a) Attend Advisory Board meetings as scheduled throughout the Head Start year. b) Be a liaison between the Advisory Committee and the center/agency. c) Become familiar with your specified area or concern. d) Cooperate and collaborate efforts to ensure quality services to children and families. e) Expand opportunities for parents, other community members and the Head Start program. f) Take an active role, share information and ideas that may affect the Head Start program and communities. g) Attend and participate in Head Start function and activities such as Health Fairs, PRISM, Comprehensive Community Assessment, Open House, etc. PERSON(S) RESPONSIBLE Specialists, Health Coordinator and Disability Coordinator. TIMELINES st 1 Scheduled Meeting SUPPORTING DOCUMENTATION Health Advisory Board Handbook, Advisory Board Membership Agenda Minutes 253 *Center Super. *Operations Manager *Home Visitor *Family Educator *Director *Family Service Specialist * 253 1304.41 (C) (1-3) Transition Services: Establish and maintain procedures to support successful transitions, which will enable the effective participation of children with disabilities and their families. STRATEGY 1) Initiate early communication to encourage cooperative teaming to facilitate continuity of services. 2) Collaborate with schools and other agencies to ensure relevant records are transferred in a timely manner. 3) Collaborate with schools, agencies and other child care settings for effective communication to ensure continuity of services to include meetings, trainings, speaking engagements and field trips PERSON(S) RESPONSIBLE TIMELINES Children’s Service On-going Spec., Dis Coor., C.S., F.E, HV. Disability On-going Coordinator, Children Service Specialist, Family Service Specialist Center Super., F.E. HV Children Service On-going Specialist, Disability Coordinator, Director, OM, CS. 4) Provide parents and children information and opportunities for successful transitions. Children Service Spec., C.S., F.E. Throughout program year 5) Provide and/or secure Transition training for staff, parents and other child care settings to ease transitions for children and families. Disability Coor, Children Service Specialist, Center Supervisor, FE III. On-going, throughout year SUPPORTING DOCUMENTATION Child Find Written agreements Written agreement, Release of Info. form 254 Scheduled meetings Written agreements Center meeting agenda and minutes Lessons Plans, Advisory Board minutes Lesson plans, child files, C.P.E. training’s, field trips Training agenda flyers 254 Organizational Philosophy Statement The South Central Head Start program believes in providing exemplary organizational services to support the program. The organizational services of South Central Head Start are part of a system that supports the areas of Human Resources, the Governing Body and Policy Council, Fiscal Responsibilities, Facilities, Transportation and Enrollment, Recruitment, Selection, Enrollment and Attendance (ERSEA). The South Central Head Start program works in a partnership with key management staff, the College of Southern Idaho, Board of Trustees, the Policy Council and community to ensure that all policies, procedures and Performance Standards are followed. This partnership creates a holistic approach to meet the needs of the program by utilizing effective communication, planning, monitoring, self-assessment, record keeping and reporting. 255 255 1304.50 (a) Policy Council and Parent Committee Structure. 1304.50 (a) (1) Grantee agency must establish and maintain a formal structure of shared governance through which parents can participate in policy making or in other decisions about the program. 1304.50 (a) (1) (i) Policy Council must be established at the grantee level 1304.50 (a) (1) (iii) Parent Committee must be established at the center level . STRATEGY PERSON(S) TIMELINES SUPPORTING RESPONSIBLE DOCUMENTATION Monitoring Parent Committees will be established at each South Central Head Start center, and will be comprised of parents of currently enrolled children. The Parent Committee at each site will establish a formal executive committee by electing a Chairperson, ViceChairperson, Secretary, Treasurer annually for the purpose of conducting center committee meetings and business. The Parent Committee will elect Policy Council members annually at the center level. Inform parents about the purpose of Policy Council and members roles and responsibilities: 1. When reviewing the Parent Calendar/Handbook during orientation Home Visits. 2. During the Group Orientation. 3. During Center Committee meeting. Inform parents about the date for Policy Council meetings. Center Supervisor F.S. Specialist Center Supervisor Implementation Center Supervisor September Parents September/ October September/ October Center Supervisor Home Visitor Center Supervisor, Home Visitor Parent Meeting Minutes/sign-in sheets Enrollment Forms Center Budget Agendas Center Committee Guidelines Center Budget Center Committee Guidelines By-laws Policies & Procedures CPE Newsletters Parent Calendar/handbook Website program Approved 5/21/2009 256 256 1304.50 (a) (2) Parent Committees must be comprised exclusively of the parents of children in all program options. Current Head Start parents will be informed about their roles and responsibilities of being a member of the parent committee during: 1. Orientation Home Visits Home Visitor Home September Center Advocate Supervisor Center Supervisor Parent Calendar/ Handbook Parent Interest Form Home Visit Orientation CPE Form Center Supervisor Parent Committee Calendar 2. Center Group Orientation Current Head Start parents from all program options will automatically be included as members on the Parent Committee from the center in which their child is enrolled. Center September Supervisor Parents 1304.50 (a) (3) Policy Council and Parent Committees must be established as early in the year as possible. Policy Council may not be dissolved until successor Council is elected and seated. The term of membership on Policy Council will be from October beginning the current program year to November of the following program year, or until a successor council has been seated. Policy Council members are to attend until new Policy Council officers are elected as outlined in Policy Council. New and old members will share each regular vote from the time of their center election to Policy Council until Policy Council elects its new officers. The Parent Committee Executive Officers will serve from election to election for the purpose of conducting Center Committee Business. Family Services Specialist Center October Supervisor Center Supervisors Center November Supervisor Policy Council officers Center September or Supervisor October Parents Center Supervisors Policy Council Bylaws Parent Committee Minutes By-laws, Minutes Center Committee Guidelines Minutes 257 257 1304.50(a)(4) N/A 1304.50 (a) (5) The governing body (the group with legal and fiscal responsibility for administering the Head Start program) and the Policy Council must not have identical membership and functions. The membership list for Policy Council and the Governing Body will be reviewed yearly to ensure that there is not a duplication of membership. Director Family Service Specialist Director Family Service Specialist October Membership Rosters of CSI Board of Trustees & Policy Council 1304.50 (b) (1) Each grantee agency governing body operating a Head Start program must propose, within the framework of these regulations, the total size of their perspective policy group, the procedures for the election of parent members, and the procedure for the selection of community representatives, except where such authority is ceded to the Policy Council. Formation of the Policy Council composition and by-laws will be ceded through formal action by the grantee Board of Trustees to the Head Start Policy Council. Each center and/or program option shall elect one (1) representative for every unit at each center. Director Board of Trustees Annually Board meeting minutes Center Supervisor Parent group September or October Policy Council Policies & Procedures Centers shall elect (1) alternate per center. Center Supervisor Board of Trustees Head Start Director CSI, VP of Administrat ion Parent group Board of Trustees September or October October Policy Council Policies & Procedures CSI Board Minutes Board of Trustees October Board Minutes Policy Council Min. CSI Board of Trustees will review Policy Council by-laws. Board of Trustees will appoint liaison to South Central Head Start program. 258 258 1304.50 (b) (2) Policy Council must be comprised of two types of representatives: parents of currently enrolled children and community representatives. At least 51% of the members must be the parents of currently enrolled children. Policy Council membership will consist of current Head Start parents and community representatives. At least 51% of members will be parents of currently enrolled Head Start children. Community Representatives will be elected by the Parent Committee at the center level (one per center). Family Services Specialist Center Supervisors Center Supervisor Parent committee Parent committee On-going Policy Council Policies & Procedures September to November Policy Council Policies & Procedures Center Committee Minutes 1304.50 (b) 3 Community Representatives must be drawn from the local community: businesses, public or private community, civic, and professional organizations; and others who are familiar with resources and services for low-income children and families, including, for example, the parents of formerly enrolled children. Involve community participants as Policy Council Representatives. Community Representatives must be drawn from local public or private community, civic and professional organizations that have a concern for and provide resources and services to low-income children and their families. Community members will be sought through partnerships with community agencies and businesses. Community Representatives may include the parents of formerly enrolled children. Center Supervisors Center Supervisors Family Services Specialist PC members Parents Staff As Openings Occur Policy Council Policies & Procedures Recruitment flyers Parent Calendar/Handbook 259 259 1304.50 (b) (4) All parent members of Policy Council must stand for election or re-election annually. All community representatives also must be selected annually. Policy Council member elections are held annually. FSS Center Supervisor Center Supervisor Parent Committee October Parent Committee meeting minutes Center newsletters 1304.50 (b) (5) Policy council must limit the number of one year terms any individual may serve to a combined total of three (3) terms. Membership on Policy Council will be limited to three years. Policy Council attendance rosters will be reviewed annually. Family Services Specialist Family Services Specialist Policy Council secretary September Policy Council Membership Records Self-declaration 260 1304.50 (b) (6) No grantee agency staff (or members of their immediate families) may serve on Policy Council except parents who occasionally substitute for regular Head Start staff. Preserve the objectivity of Policy Council voting members by maintaining a membership exclusive of family members, as defined in South Central Head Start Nepotism Policy. Director, Family Services Specialist Center Supervisor Parent Policy Council secretary Ongoing Policy Council attendance records Self-declaration Employment roster 260 1304.50 (b) (7) Parents of children currently enrolled in all program options must be proportionately represented on established policy groups. Elections will be held in each center with participants from each option encouraged to participate. Every effort will be made to ensure representation from each program option. FSS, Center Supervisor Center Supervisor Home Visitor Family Educator October Center Committee Calendar As needed due to resignation Center Committee Meeting Minutes 261 261 1304.50 (c) Policy Council must work in partnership with key management staff and the governing body to develop, review and approve or disapprove specific policies and procedures. STRATEGY PERSON(S) RESPONSIBLE Monitoring Implementation TIMELINES Policy Council members will receive training on their roles and responsibilities pertaining to: Funding applications and amendments and the implications of those on the program services and budgets. Procedures on implementing shared decision making with the Board of Trustees Program philosophy and long-and short-term goals The composition of Policy Council and the procedures by which members are chosen Criteria for recruitment, selection, and enrollment priorities The annual self-assessment (PRISM) or triennial Federal Review and planning that may occur as a result Other responsibilities as determined Each Policy Council member will receive a handbook containing Policy Council By-laws, Parliamentary Procedures, Officer Job Descriptions, Calendar of Events and other pertinent resources New Policy Council members will receive orientation covering: By-laws, Parliamentary Procedures, Overview of South Central Head Start, Program Options, Grants and Funding Cycle, Policy Council Committees and Grantee Information. Family Services Specialist Family Services Specialist Director Director Operations Manager Operations Manager Ongoing SUPPORTING DOCUMENTATION Policy Council Notebook Policy Council Minutes Policy Council Orientation agenda 262 Policy Council training agendas Self-assessment training agenda and minutes Family Services Specialist Family Services Specialist October Policy Council Notebook Family Services Specialist, Director, Op Manager Family Services Specialist, Director, Op Manager October Policy Council Minutes Orientation agenda Policy Council training agendas 262 1304.50 (d)(1)(i)-(xi) Policy Council must work in partnership with key management staff and the governing body to develop, review and approve or disapprove the following policies and procedures: Policy Council assists in reviewing all funding applications and amendments, and will approve or disapprove said applications. Director, OM Policy Council will develop procedures for and participate as shared decision makers in the program. Director, OM Policy Council members participate in program planning, including development of program philosophy and longand short-term goals, including approval or disapproval of such. Policy Council members participate in developing the composition of Policy Council, the By-laws, and the Policies and Procedures of Policy Council, as long as authority has been ceded to Policy Council from the Board of Trustees. Policy Council will participate in defining criteria for recruitment, selection, and enrollment priorities, and will approve or disapprove said criteria. Director, OM, Family Services Specialist Director, OM, Family Services Specialist Director, OM, Family Services Specialist Director, OM Policy Council will approve or disapprove personnel policies and changes to those policies. Policy Council will approve or disapprove decisions to hire or terminate the Head Start Director or any person chosen to work for the Head Start program. Director, OM Director OM Key Staff PC members Director Key Staff PC members Director Key staff PC members Ongoing Policy Council Meeting Agendas & Minutes Ongoing Policy Council Meeting Agendas & Minutes Policy Council Meeting Agendas & Minutes Director Key staff PC members Ongoing Director Family Services Specialist PC members Director Key Staff PC members Director Key Staff PC members Ongoing Policy Council Meeting Agendas & Minutes Ongoing Policy Council Meeting Agendas & Minutes Policy Council Meeting Agendas & Minutes Ongoing Ongoing Policy Council Meeting Agendas & Minutes 263 263 In order to ensure the Policy Council members have the opportunity for full participation, and that all members are afforded knowledge of upcoming issues and business items to be discussed, the following will take place: STRATEGY Policy Council meet monthly with an agenda of action items being mailed ten days in advance of scheduling meeting. Policy Council meetings include information shared by staff specializing in all component areas of the program. PERSON(S) RESPONSIBLE Director Family OM Services Specialist Family Services Support Staff Specialist TIMELINES Ongoing Ongoing Ongoing Policy Council members vote on all items requiring formal action by the group as a whole, as outlined in the Performance Standards. See also CSI/SCHS Shared Governance Policy See also CSI/SCHS Procedures for Shared Governance SUPPORTING DOCUMENTATION Policy Council Mailing Log Active reports and minutes from Policy Council Committee meetings Policy Council Meeting Minutes 264 264 1304.50(d)(2) In addition, Policy Councils must perform the following functions directly: 1304.50(d)(2)(i) Serve as a link to the Parent Committees, grantee agency governing body, public and private organizations, and the communities they serve; 1304.50(d)(2)(ii) Assist Parent Committees in communicating with parents enrolled in all program options to ensure that they understand their rights, responsibilities, and opportunities in Head Start and to encourage their participation in the program; 1304.50(d)(2)(iii)Assist Parent Committees in planning, coordinating, and organizing program activities for parents with the assistance of staff, and ensuring that funds set aside from program budgets are used to support parent activities, 1304.50(d)(2)(iv) Assist in recruiting volunteer services from parents, community residents, and community organizations, and assist in the mobilization of community resources to meet identified needs, 1304.50(d)(2)(v) Establish and maintain procedures for working with the grantee to resolve community complaints about the program. STRATEGY PERSON(S) RESPONSIBLE Monitoring TIMELINES SUPPORTING DOCUMENTATION Implementation Policy Council members will attend monthly Center Committee meetings, reporting and sharing information from the previous Policy Council meeting, and soliciting suggestions, input, and feedback from Parent members. Policy Council minutes will be posted in each center. Parents in the program will be informed of program activities in various ways, and will be encouraged to participate in all Head Start activities. FSS Center Supervisor PC Chair PC members Director FSS Center Supervisor FSS CS Center staff Ongoing Policy Council members are familiar with Volunteer Recruitment guidelines. Members actively recruit community members to serve on advisory boards and the PRISM team. Director FSS CS PC members Ongoing Volunteer Handbook Advisory Board & PRISM team rosters Director Fiscal Officer PC Members Ongoing Grant application Budget reports Funds will be allocated from the general budget for Parent Director activities during the grant writing process. Applications are Fiscal approved by Policy Council prior to submission to HHS. Officer Monthly Parents Policy Council report to Parent Committee forms Center Report to Policy Council Newsletters, Parent Calendar/Handbook, CPEs, Center Committee minutes 265 265 Community complaints will be resolved through partnering with the grantee, and in accordance with the grantee’s Community Complaint Procedures. See also CSI/SCHS Shared Governance Policy See also CSI/SCHS Procedures for Shared Governance Director Grantee Agent PC Chair Director Grantee As needed Complaint procedure forms 1304.50(f)—Policy Council and Parent Committee reimbursement. Grantee agencies must enable low-income members to participate fully in their group responsibilities by providing, if necessary, reimbursements for reasonable expenses incurred by the members. STRATEGY PERSON(S) RESPONSIBLE Monitoring Policy Council members are reimbursed for childcare, travel, and other reasonable expenses in accordance with the Performance Standards. Director FSS Fiscal Officer TIMELINES SUPPORTING DOCUMENTATION Implementation Fiscal Officer Ongoing PC Policies & Procedures, PC Bylaws, PC Reimbursement Form, Cancelled Checks, Policy Council Minutes 266 266 1304.50(g)—Governing Body responsibilities. (1) Grantee agency must have written policies that define the roles and responsibilities of the governing body members and that inform them of the management procedures and functions necessary to implement a high quality program. (2) Grantee agency must ensure that appropriate controls are established and implemented to safeguard Federal funds in accordance with 45 CFR 1301.13. STRATEGY PERSON(S) RESPONSIBLE Monitoring Members of the Board of Trustees will receive information on their roles and responsibilities, as well as information about running a high quality Head Start program, including the Head Start Performance Standards. Members of the Board of Trustees will receive updates on the Head Start program regarding program philosophy, goals, community needs assessment, and the program self assessment. TIMELINES SUPPORTING DOCUMENTATION Implementation Director PC Chair Director PC Chair Ongoing Monthly flyer/PC letter to Board, Shared Governance Policy Director OM Director OM PC Chair Ongoing Board/PC correspondence, PC mailing, PRISM report 267 1304.50(h)—Internal dispute resolution. Each grantee agency and Policy Council jointly must establish written procedures for resolving internal disputes, including impasse procedures, between the governing body and policy group. STRATEGY PERSON(S) RESPONSIBLE Monitoring The Policy Council and Board of Trustees will jointly Director, establish an Internal Dispute Resolution, or Impasse Board Procedure, which will be reviewed annually by both parties. Liaison TIMELINES SUPPORTING DOCUMENTATION Implementation Director, Board Liaison, PC members Annually Impasse Procedure, Shared Governance Policy 267 SOUTH CENTRAL HEAD START WORK PLAN Management Systems & Procedures 1304.51 (a)(1)(i) -The program conducts a comprehensive self assessment utilizing the PRISM instrument and an annual Comprehensive Community Assessment. STRATEGY 1. The program will perform an annual Self –Assessment. PERSON(S) RESPONSIBLE Director Policy Council Chairperson TIMELINES March/ April SUPPORTING DOCUMENTATION Planning Matrix PRISM Document Program Improvement Plan Policy Council Minute PRISM Document South Central Head Start’s individualized Self Assessment Tool 2. The Self Assessment team will consist of a. Policy Council Members b. Grantee Board Representatives c. Staff d. Parents e. Community Members Director Policy Council Chairperson February 3. The Self Assessment Team will receive training prior to the beginning of the actual self assessment. Management Staff February PRISM Agenda 4. The Self Assessment Team will coordinate their schedules with the Center Supervisors to assure that regular Head Start services are not affected or disrupted. Team Leaders February – April PRISM Calendars 5. The Self Assessment Teams will meet to determine recommendations for compliance or out of compliance. Teams April PRISM Tool 6. Self Assessment Teams will present findings for Policy Council to approve or disapprove the recommendations. Team Leaders April PRISM Tool Policy Council Meeting Minutes 268 268 7. Inform Grantee and Region X of Self-Assessment Findings Director, OM Specialists May PRISM Report Corrective Action Plan 8. The Grantee Board will review findings and approve or disapprove. Head Start Director May Final PRISM Report TIMELINES Annually SUPPORTING DOCUMENTATION Planning Matrix OM, Family Service Specialist, Children Services Specialist, Health Coordinator, Mental Health Coordinator OM All Staff Annually CCA February - May Surveys CCA Report Director, OM Family Services Specialist, Children Services Specialist May - June CCA Executive Summary Program Goals 1304.51 (a)(1)(i) –continued STRATEGY 1. The program will perform a Comprehensive Community Assessment. 2. Comprehensive Community Assessment will include demographics, education, medical, disability, mental health, faith based services, homelessness, substance abuse, childcare, child abuse prevention, community strengths, and gaps in resources. 3. Comprehensive Community Assessment surveys will be completed by parents, staff, and community members. Community members will include Public Officials, Agencies, Faith Based programs, Schools, and Businesses. 4. Data gathered will be analyzed to assist with program direction, program goals, and program services. PERSON(S) RESPONSIBLE OM 269 269 1305.51 (a)(1)(ii) – The Head Start program is responsive to current trends and emerging issues gathered from the Comprehensive Community Assessment and the PRISM Report. STRATEGY 1. Program plans long-range and short term goals and objectives. Program goals and objectives are reviewed and updated annually. PERSON(S) RESPONSIBLE Director, OM, Specialists Policy Council Staff 2. Ongoing monitoring is necessary to meet requirements and in Director, OM being responsive to changes. Specialists Staff Policy Council TIMELINES April - August January December SUPPORTING DOCUMENTATION Planning Matrix Strategic Goals Comprehensive Community Assessments PRISM Report Policy Council Minute PDWG Minutes Policy Council Minute PDWG Minutes HSFIS Management Meetings Activity Reports Email Updates Hot Reports PIR, CCA Self- Assessment Annual Report Written Plans Job Descriptions 270 270 1304.51 (a)(1)(iii) - Develop and submit proposal and grant applications for additional and or supplemental funding in order to increase the quality provided and to increase the number of families served. STRATEGY 1. Identify the needs of the service area by analyzing the completed PRISM, the current Comprehensive Community Assessment and the current PIR. PERSON(S) RESPONSIBLE Management Team, Director, OM TIMELINES May/ June 2. Prioritize needs, develop strategies for funding and secure Policy Council and Board Approval. OM, Director, Financial Services Coordinator Ongoing 3. Submit Proposals for increasing funding. Director OM Ongoing SUPPORTING DOCUMENTATION Planning Matrix PRISM Tool CCA PIR PRISM CCA PIR RFP(Federal & State) Funding Application Board Reports 1304.51 (a)(2) All written plans will be available and reviewed by Policy Council and the Grantee annually. STRATEGY 1. Policy Council and Grantee will receive documentation to ensure informed decisions. 2. Each year Head Start Work Plans will be revised and updated. PERSON(S) RESPONSIBLE Director Operations Manager Specialists Coordinators Policy Council TIMELINES As Scheduled As Needed SUPPORTING DOCUMENTATION Written Documents Policy Council Minutes Notebooks Board Report Work Plans Planning Matrix Program Goals CCA PRISM Job Descriptions 271 271 3. Written plans will be reviewed and approved by Policy Council. Director, OM Specialists Coordinators Policy Council Annually Work Plans Planning Matrix Program Goals CCA, PRISM Job Descriptions 1304.51 (a) (2) cont. - The Program’s Personnel Management system includes: job descriptions, tasks and responsibilities, Education Incentive Plan, 2nd Language Incentive Plan, and a classification system which differentiates between levels of responsibility and complexity of work. The determination of salary compensation is derived from the current salary comparability study. STRATEGY 1. Each individual position in the organization has a job description that is updated yearly. 2. Personnel Development Work Group members are surveyed for possible updates or amendments to the current job descriptions. 3. A yearly Salary Comparability study is completed. 4. The program organization chart is modified to reflect changes in staff structure. 5. The Personnel Management System includes qualifications and requirements for minimum standard related to lead classroom staff as per the 2003 congressional mandate. 6. College of Southern Idaho/South Central Head Start Salary Agreements for each staff person’s employment will be drafted and signed. 7. Employees of South Central Head Start will comply with the personnel policies and procedures developed through the College of Southern Idaho and adopted by the Policy Council of South Central Head Start PERSON(S) RESPONSIBLE Human Resources Coordinator Director HRC TIMELINES Annually Annually Director, Human Resources Coor. Director, Human Resources Coor. Director, Human Resources Coor., PERC HRC Staff Annually Director HRC Annually SUPPORTING DOCUMENTATION Job Descriptions PC Minutes PDWG Minutes Staff Placement Surveys Salary Comparability Study Organization Chart Ongoing Personnel files Training Plans Annually Agreements on file At Hire Annually Policies & Procedures Policy Council Minutes Personnel Files 272 272 1304.51 (a) (2) cont. - The Personnel Management System will maintain a recruitment and selection protocol, which establishes consistency and equity with particular attention, paid to the recruitment of former Head Start Parents. STRATEGY 1. Advertise employment vacancies in house 5 days prior to public notice. 2. Actively recruit former Head Start parents for vacant positions 3. Establish parameters to ensure consistency with budgetary constraints 4. Complete hiring procedures for all successful candidates prior to reporting to the job sight. Hiring procedures include pre-employment physical, tuberculin screening, and reference checks so as to insure that perspective hires are free of communicable disease. 5. All staff will complete a periodic (every 3 years) wellness exam to determine continued fitness for work. 6. Complete background checks on all new hires, employment will be stipulated as conditional until a clear record is documented. 7. Complete DMV check on all new hires with a commercial driver license, staff authorized to drive program staff cars and staff utilizing mileage reimbursement. 8. Pre employment and random drug testing will be conducted for all staff with commercial driver license 9. All hiring panels will consist of at least one policy council member, and the person who will be supervising the applicant along with one other staff person. 10. The Policy Council will have final action on all Head Start hiring. PERSON(S) RESPONSIBLE Human Resources Coordinator ALL Staff Director, Financial Service Coor. Human Resources Coordinator TIMELINES Ongoing Ongoing Ongoing Ongoing SUPPORTING DOCUMENTATION In House Ad CSI website Employment Applications Website Personnel Projections Budget Reports Completed written and oral questions and required procedures 273 Human Resources Coordinator Human Resources Coordinator As Needed Personnel Files Ongoing Personnel File Human Resources Coordinator Ongoing Personnel File Human Resources Coordinator Director, Human Resources Coordinator Policy Council Ongoing Drug Screen documentation Hiring Panel documentation Ongoing Monthly As Needed Policy Council Minutes 273 11. All hiring practices will be in accordance with the Civil Rights Act of 1964 as amended, and all other applicable Equal Employment Laws and Executive Orders. Director, Human Resources Coordinator Ongoing College of Southern Idaho Employee Handbook 1304.51 (a) (2) cont. - The Grantee and the program will have Personnel Policies that have been approved by the Grantee Board and include requirements as identified in the Revised Head Start performance Standards. STRATEGY 1. Review existing Personnel Policies to determine that they meet Head Start Requirements. 2. Draft adjustments and additions to the Personnel Policies. 3. Submit to Personnel Development Work Group for review and recommendations 4. Submit to Policy Council for approval or disapproval PERSON(S) RESPONSIBLE Director HRC Director HRC OM Director Director TIMELINES Annually SUPPORTING DOCUMENTATION Personnel Policies As Needed Personnel Policies Quarterly As Needed Monthly Personnel Policies PDWG Minutes Policy Council Minutes 274 274 1304.51 (b) - Develop and implement a communication system to ensure efficient and effective organization. PERSON(S) RESPONSIBLE Director, OM STRATEGY 1. Review current systems and procedures 2. Submit monthly activity reports 3. Submit written report to Grantee Board Representative 4. Develop program year schedule of meetings, training’s and staffing. * OM – Operations Manager OM, Specialists, Coordinators Center Supervisors Head Start Director Director, OM, Specialists Monthly SUPPORTING DOCUMENTATION Work Plans updates Planning Matrix Activity Reports Quarterly Reports As scheduled Calendar Training Plan Planning Matrix TIMELINES Annually 275 * HR Coor. – Human Resources Coordinator 275 1304.51 (c) (1,2) – The program develops and implements effective communication systems with Head Start families to ensure information is received and understood and to enhance the staff and parent relationship. STRATEGY 1. Communication with families will be conducted in the family’s home language. (See # 4 if needed) PERSON(S) RESPONSIBLE Family Services Specialist Center Supervisor Home Visitors TIMELINES Ongoing 2. Programs written information/ documentation will be available in English and Spanish. (See # 4 if needed) Specialists Coordinators Center Supervisor Ongoing 3. Program has developed and implemented a Second Language Incentive Policy to increase staff’s ability to communicate with families in their home language. 4. Program will collaborate with community partners to assist with interpretation/ translation. Director, OM HR Coordinator Ongoing Financial Services Coor. Center Supervisor Home Visitors As Needed SUPPORTING DOCUMENTATION Home Visits Parent/ Teacher Conf. Flyers Newsletter Referrals Parent Calendar CPE Newsletters IEP Meetings Center Meeting PC Meetings Second Language Incentive Policy Agreements ISDB Refugee Center Health and Welfare Public Health District 276 276 1304.51 (d) – The organization work plan provides for a system to disseminate timely agendas and minutes to all Policy Council Members to insure that they are able to make informed decisions at the monthly Policy Council meetings. As a minimum, information provided will include: timetable for planning, development, and submission of proposals, Head Start workplans, Head Start Policies, guidelines and other communication from the Department of Health and Human Services. Financial information tracking budget projections and expenditures, Personnel Policies and Grant Application will be included in the information in order for Policy Council to make informed decisions related to thses areas within the program. STRATEGY 1. Provide adequate written notices of scheduled Policy Council meetings. 2. Develop Policy Council manuals and training materials for members in order to illustrate their individual roles and responsibilities. 3. Maintain and update the Policy Council manuals. 4. 5. 6. 7. 8. PERSON(S) RESPONSIBLE HS Director, Family Services Specialist, Program Coor. Family Services Specialist Family Services Specialist Distribute minutes and agendas ten days prior to the meeting. Program Coor. Provide Policy Council and Grantee board a timeline for Director, planning, development and submission of proposals. Vice President of Administration Inform Policy Council and Grantee Board about Head Start Director, Vice revised performance standards and guidance. President of Administration Inform Policy Council and Grantee Board about Work Plans Director, and Grant Applications. Vice President of Administration Inform Policy Council and Grantee Board about current Financial Services financial data. Coordinator TIMELINES Monthly SUPPORTING DOCUMENTATION Agendas Meeting Minutes Fall Policy Council Manual As Needed Manuals Monthly October October February Mail Log Training Agendas Policy Council Meeting Minutes PRISM Training Agenda As Scheduled/ Needed Policy Council Minutes Monthly Policy Council Minutes Board Report 277 277 1304.51 (d) continued The Grantee and the program will have Personnel Policies that have been approved by the Grantee Board and include requirements as identified in the Revised Head Start performance Standards. STRATEGY 1. Review existing Personnel Policies to determine that they meet Head Start Requirements. 2. Draft adjustments and additions to the Personnel Policies. 3. Submit to Personnel Development Work Group for review and recommendations 4. Submit to Policy Council for approval or disapproval PERSON(S) RESPONSIBLE Director TIMELINES Annually SUPPORTING DOCUMENTATION Personnel Policies Director As needed Personnel Policies Director As needed Director As needed Personnel Policies PDWG Minutes Policy Council Meeting Minutes 1304.51 (e) - The program has an established communication system through the Personnel Development Work Group representative of all staff employed in the program with equal representation from direct service and support service, including one representative from Policy Council. STRATEGY 1. By-Laws and guidelines are established to insure equal representation from a cross section of staff. 2. The Head Start Director and Operation Manager participate as ex-officio members of the committee. 3. Roles and responsibilities of Advise and Assist are clarified for all PDWG members PERSON(S) RESPONSIBLE OM 278 TIMELINES Yearly SUPPORTING DOCUMENTATION PDWG By- Laws OM Director Quarterly PDGW By-Laws OM As needed PDWG By- Laws 4. All job descriptions including tasks and responsibilities will be Director, HR As needed reviewed for updates and recommendations annually. Coordinator, OM * OM – Operations Manager * HR Coordinator– Human Resources Coordinator PDWG Meeting Minutes 278 1304.51 (f) N/A 1304.51 (g) - The program develops, implements, and maintains as efficient and effecting “record keeping system” to provide accurate and timely information regarding children, families, and staff while ensuring confidentiality. STRATEGY 1. An internal reporting system based on Program Objectives, which generates periodic reports of activities and progress to advise the Grantee Board, Policy Council, and staff. 2. An internal record keeping system that provides accurate information. PERSON(S) RESPONSIBLE Director Specialists Specialists Coordinators Specialists TIMELINES Monthly Monthly 3. A reporting system that informs the grantee Board, Policy Council and staff of immerging issues and concerns. a. Center Supervisors submit items reflecting center parent activities. b. Distribute newsletter to parents and staff Director, OM Specialists Coordinators Monthly 4. A written confidentiality policy is established to maintain and ensure all staff are implementing the policy. 5. A system is developed and adhered to with schools and other agencies to ensure relevant child records are transferred properly and in a timely manner. 6. A system is established to maintain all child records for 3 years. A disposal procedure is in place All Staff Ongoing Specialists Center Supervisors Coordinators Family Services Specialist As Needed As Scheduled SUPPORTING DOCUMENTATION Meeting Minutes Meeting Agendas Board Fact Sheet/ Correspondence Meeting Minutes PIR Monthly Activity Reports Board Fact Sheet/ Correspondence Meeting minutes Meeting Agendas T/TA Meetings Board Correspondence Parent Newsletters Code of Conduct Pre-Service Release of Information Locked Files Shredder Schedule 279 279 1304.51 (h) (1,2) – Program and grantee have established and maintain an effective and efficient reporting systems. Program will generate official reports for Federal, State, and local authorities. STRATEGY 1. Program will complete required reports at all levels; Federal, State, and local. PERSON(S) RESPONSIBLE Director, OM Specialists Coordinators TIMELINES As Scheduled 2. All reports will provide clear, accurate, and reliable information to assist governing boards, Policy Council, Advisory Boards, PDWG, and staff to make informed decisions. SUPPORTING DOCUMENTATION PIR Fiscal Audit Report Monthly Financial Reports PRISM CCA HSFIS Reports TANF State Immunization Report Grant Reports USDA Reports Enrollment Reports Attendance Reports Childcare License NAEYC Certificate 1304.51 (i) (1) – The program has established a self assessment protocol and monitoring system to review program’s effectiveness and progress in meeting program’s goals and objectives as well as implementing new federal regulations. STRATEGY A self assessment of the program will be completed and reviewed to ensure effectiveness, programs progress with goals, and to conform to new Federal regulations. PERSON(S) RESPONSIBLE Director, OM Specialists Coordinators TIMELINES Annual SUPPORTING DOCUMENTATION PRISM Training PRISM Documentation PRISM Report 280 280 1304.51 (i) (2) – The program has establishes and implemented procedures for ongoing monitoring of our program to ensure effectiveness of services. STRATEGY Program has established communication systems and computerized systems to monitor program’s process. Program will complete and monitor written and computerized reports to ensure effectiveness of services and policies. PERSON(S) RESPONSIBLE Director, OM Specialists Director, OM Specialists Center Supervisors Governing Board TIMELINES Revised Annually As Scheduled Annually SUPPORTING DOCUMENTATION PC Meetings Management Meetings PDWG Specialist Meetings HSFS Reports Annual Program Report PIR PRISM CCA Workplans Policies & Procedures Fiscal Audit 1304.51 (i) (3) –Program has established a system to inform governing boards of outcomes, progress, and concerns. PERSON(S) RESPONSIBLE Director, OM Specialists Director, OM STRATEGY Governing boards will receive PRISM training in completing program self-assessment. Program will distribute the PRISM Report and or Federal Review Findings. Governing Boards will partner with the program in monitoring Governing Board to identify concerns early and develop plans to address concerns Director, OM and identify priorities. Specialists TIMELINES Annually Every 3 years Annually Every 3 years As Needed SUPPORTING DOCUMENTATION PRISM Federal Review Program Report Federal Audit Findings QIP 281 281 HUMAN RESOURCES MANAGMENT-Approved 2/19/2009. 1304.52 (a) (1) – Organization Structure: The program establishes and maintains an organizational structure that supports the accomplishment of program objectives. STRATEGY (1) The organizational structure addresses the major functions and responsibilities assigned to each staff position and provides evidence of adequate mechanisms for staff supervision and support by means of: PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION Development and continuous update of all job descriptions; Director, Operation Manager Annually Job descriptions, Policy Council minutes Implementation and training on job descriptions; Director, Operation Manager, Specialists Annually Job descriptions, Policy Council minutes Informational training on the planning and communication process within South Central Head Start; Director, Operation Manager, Specialists Ongoing Pre/In-Service, PDWG, New Staff Orientation, PRISM training, Policy Council, Management282 meeting New staff orientation for all Head Start staff consisting of the organizational structure and the placement of Head Start within the College structure; Director, Operation Manager Agenda, Sign-in Sheet Develop Organizational Structure to fully staff individual program models, centers and administration staffing ratios; and Director, Operation Manager, Specialists Twice per year, September/ January or as needed Annually Ongoing communication between the Head Start program, the grantee and Policy Council. Director Ongoing Program Grant, Organizational Structure Chart, Job Descriptions Policy Council Minutes/Mailing, Board Minutes/Mailing, E-mail Records 282 1304.52 (a) (2) (i)-(iii) – Organization Structure: Continued STRATEGY (2) At a minimum, the program ensures that the following program management functions are formally assigned to and adopted by staff within the program: PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION (i) Program Management Director, Operations Manager Annually Job descriptions, Work Plan, Evaluations (ii) Early Childhood Development and Health Services Children’s Services Specialist Annually Job descriptions, Work Plan, Evaluations Child Development and Education Children’s Services Specialist Annually HSFIS Application Child Medical, Dental and Nutritional Health Health Coordinator Dental & Nutrition 283 Assessment Services Child Mental Health and Disabilities, School District Interagency Agreements Disabilities Coordinator Mental Health Contract (notes), Inter-Agency Agreement Notebook (iii)Family and Community Partnerships, including Parent Activities Family Services Specialist Annually Job descriptions, Work Plan, CPE – Parent Involvement Activities & hours 283 1304.52 (b)(1)-(3) – Staff Qualifications – General: The program ensures that staff and consultants have the knowledge, skills, and experience they need to perform their assigned functions responsibly. STRATEGY (1) The program ensures that staff and consultants have the knowledge, skills, and experience they need to perform their assigned functions responsibly by consideration of the individual’s: PERSON(S) RESPONSIBLE Director, Operations Manager, Human Resources Coordinator, Specialists training or experience in the area of expertise required by the position, experience in a human services setting, including working with low-income children and families, interpersonal and communication skills, as needed for the position, awareness of and sensitivity to cultural issues and local community practices, and education related to the program’s requirements for the position. (2) In addition, the program ensures that only candidates with the (3) Current and former Head Start parents receive preference for employment Human Resource Coordinator As attrition occurs Human Resource Coordinator As openings occur vacancies for which they are qualified. Parents that volunteer 80 hours or more considered in-house applicants In-house job openings are posted at the center on parent bulletin board SUPPORTING DOCUMENTATION Application/Resume, Credentials (i.e. copy of license, certification, degree, transcript), References, Interview 284 qualifications specified in 1304.52 b and in 1306.21 are hired. TIMELINES Center Supervisor Personnel Files Staff Qualifications Policy ”Checklist” Copy of postings HSFIS, Application 284 1304.52 (b)(4) – Staff Qualifications – General: Continued STRATEGY (4) Staff and program consultant must be familiar with the ethnic background and heritage of families in the program and must be able to serve and effectively communicate, to the extent feasible, with children and families with no or limited English proficiency. The program will help familiarize staff and consultants with the ethnic backgrounds and family heritage and with effective communication by: Recruiting qualified, bilingual staff and consultants who are culturally and ethnically diverse, there by ensuring an appropriate representation of the ethnicities and cultures of enrolled families; Utilizing current and past parents and staff as resources for understanding different cultures; Making use of museums, libraries, artists, poets, writers, storytellers, musicians, and community theater groups, etc. to help staff and parents appreciate and enjoy diverse cultures; Offering staff development in anti-bias strategies and approaches to developing skills in accepting cultural differences and in conflict resolution; and Sponsoring joint staff training in issues of cultural diversity with organizations such as local schools, social service groups, and other early childhood development programs. PERSON(S) RESPONSIBLE Director, Operations Manager, Human Resources Coordinator TIMELINES SUPPORTING DOCUMENTATION Personnel Files, College Transcripts Children’s Services Specialist Family Services Specialist Children’s Services Specialist Class Lesson Plan, Overviews Field Trips 285 Children’s Services Specialist Staff Training Plan Training Agenda Account 20 Training Sign Up Sheet Specialists 285 1304.52 (c) – Head Start Director Qualifications: The Head Start Director must have demonstrated skills and abilities in a management capacity relevant to human services program management. STRATEGY To ensure that an appropriately qualified director is employed, the program requires that the director possess the following essential qualifications: Bachelor’s degree required, Masters Degree preferred in Management, Human Services or related field; Minimum three years of progressively responsible supervisory/management positions including experience working with boards and advisory committees. Previous Head Start experience preferred; Good Communication skills (open, honest, objective, good listener, with team management approach to clear goals and objectives); Positive approach to Early Childhood Development programs, health and social services; Must demonstrate commitment to inspire diverse factions toward shared goals; and Must demonstrate ability to gain support of staff, funding sources, elected officials and community. The following steps are taken to ensure that the Director meets/exceeds these requirements: Employment applications and resumes screened to find applicants that meet minimum qualifications; Applications meeting minimum qualifications reviewed for additional related experience, skills, knowledge, etc. to select applicants for interview; Interview process consists of an oral interview with hiring panel that includes a representation from both the College/grantee (Vice President of Administration) and Policy Council; and Reference checks are completed for each finalist. PERSON(S) RESPONSIBLE Grantee Representative – Vice President of Administration Governing Board Policy Council TIMELINES As openings occur SUPPORTING DOCUMENTATION Notice of opening, Application/Resume, Credentials (i.e. copy of license, certification, degree, transcript), References, Interview 286 Vice President of Administration Human Resource Coordinator Human Resource Coordinator Vice President of Administration Human Resource Coordinator Application/Resume, Credentials Interview, Policy Council agenda/ minutes, Personnel Report References 286 1304.52 (d) (1)-(4) – Qualifications of Content Area Experts: The program hires staff or consultants who meet the qualifications of 1304.52 d to provide content area expertise and oversight on an ongoing or regularly scheduled basis. STRATEGY The program determines the appropriate staffing pattern necessary to provide these functions. (1) Education and Child Development services are supported by staff or consultants with training and expertise in areas that include: PERSON(S) RESPONSIBLE Director, Leadership Team TIMELINES Annually SUPPORTING DOCUMENTATION Credentials Personnel Files Interview Protocol Children’s Services Specialist, Disabilities Coordinator, Family Services Specialist the theories and principles of child growth and development early childhood education, and family support. This in ensured by following the selection procedures. In addition, staff or consultants must meet the qualifications for classroom teachers, as specified in section 648A of the Head Start Act and any subsequent amendments regarding the qualifications of teachers. (2) Health services are supported by staff or consultants with training and experience in public health, nursing, health education, maternal and child health, or health administration. In addition, when a health procedure must be performed only by a licensed/certified health professional, the program assures that the requirement is followed. (3) Nutrition services are supported by staff and consultants who are registered dieticians or nutritionists. This is ensured by South Central District Health. (4) Mental health services are supported by staff or consultants who are licensed or certified mental health professionals with experience and expertise in serving young children and their families. This is ensured by Paul Burnett, Mental Health Consultant. 287 Children’s Services Specialist, Health Coordinator Annually Credentials Annually Credentials Annually Credentials Children’s Services Specialist, Health Coordinator Children’s Services Specialist 287 1304.52 (d) (5)-(8) – Qualifications of Content Area Experts: Continued STRATEGY (5) Family and Community Partnership services are supported by staff or consultants with training and experience in field(s) related to social, human, or family services. This is ensured by following approved Selection Procedures to appoint qualified Family Services Specialist and evaluation process. (6) Parent involvement services are supported by staff or consultants with training, experience, and skills in assisting the parents of young children in advocating and decision-making for their families. This is ensured by following approved Selection Procedures to appoint qualified Family Services Specialist and evaluation process. (7) Disabilities services are supported by staff or consultants with training and experience in securing and individualizing needed services for children with disabilities. This is ensured by following approved Selection Procedures to appoint qualified Disabilities Coordinator and evaluation process. (8) The program secures the regularly scheduled or ongoing services of a qualified fiscal officer. This is ensured by following approved Selection Procedures to appoint qualified Financial Services Coordinator and evaluation process. PERSON(S) RESPONSIBLE Director, Human Resource Coordinator TIMELINES As openings occur Annually Director, Human Resource Coordinator As openings occur Annually Children’s Services Specialist As openings occur Annually Director As openings occur Annually SUPPORTING DOCUMENTATION Application/Resume, Credentials, References, Interview Performance Appraisal Application/Resume, Credentials, References, Interview Performance Appraisal Application/Resume, 288 Credentials, References, Interview Performance Appraisal Application/Resume, Credentials, References, Interview Performance Appraisal 288 1304.52 (e) – Home Visitor Qualifications: The program hires staff or consultants who meet the qualifications of 1304.52 d to provide content area expertise and oversight on an ongoing or regularly scheduled basis. STRATEGY Home visitors must have knowledge and experience in child development and early childhood education; in the principles of child health, safety, and nutrition; in adult learning principles; and in family dynamics. PERSON(S) RESPONSIBLE Family Services Specialist, Human Resource Coordinator TIMELINES As openings occur Annually SUPPORTING DOCUMENTATION Application/Resume, Credentials, References, Interview Performance Appraisal SSCBT Certification They must be skilled in communicating with and motivating people. In addition, they must have knowledge of community resources and the skills to link families with appropriate agencies and services. Family Services Specialist Ongoing Training agendas 289 1304.52 (f) – Infant and Toddler Staff Qualifications: South Central Head Start does not currently provide services to infants and toddlers. PERSON(S) RESPONSIBLE STRATEGY N/A N/A TIMELINES N/A SUPPORTING DOCUMENTATION N/A 289 1304.52 (g) (1)-(5) – Classroom Staffing and Home Visitors: The program meets or exceeds the requirements of 1306.20 regarding classroom staffing. STRATEGY (1) The program meets or exceeds the requirements of 1306.20 regarding classroom staffing. PERSON(S) RESPONSIBLE Children’s Services Specialist, Human Resource Coordinator (2) When a majority of children speak the same language, at least one classroom staff member or home visitor interacting regularly with the children speaks their language. (3) The class size requirements specified in 1306.32 are maintained through the provision of substitutes when regular classroom staff members are absent. (4) Staff:child ratios are strictly enforced. South Central Head Start does not TIMELINES As openings and subsequent amendments to qualifications of classroom teachers occur Children’s Services Specialist, Center Supervisor Ongoing N/A N/A SUPPORTING DOCUMENTATION Application/Resume, Credentials, References, Interview Classroom Enrollment Roster currently provide services to infants and toddlers. (5) Staff members supervise the outdoor and indoor play areas in such a way that children’s safety can be easily monitored and ensured. Failure of staff to monitor children’s safety may result in disciplinary action, up to and including termination. 290 Children’s Services Specialist, Center Supervisor, Family Educator III Ongoing Job Descriptions, Classroom Observations, Site Visit Forms 290 1304.52 (h) (1)-(3) – Standards of Conduct: All staff, consultants, and volunteers abide by the program’s standards of conduct. STRATEGY Violating the standards of conduct will result in penalties, up to and including termination. The Standards of Conduct include, but are not limited to, the following: Children and families are respected, and we refrain from stereotyping. We respect the child and family and will not refer to them in any form of stereotyping on the basis of gender, race, ethnicity, culture, religion or disability. Confidentiality policies must be followed and are strictly enforced. The confidentiality concerning information about the child, family or other staff members should be closely observed. Any employee, volunteer or consultant who violates the “Confidentiality Policy” may be removed from the program. Children are always supervised. When assigned to the supervision of children, the adult under no circumstances will be allowed to leave the child unsupervised. Positive methods of guidance and discipline are used. The employees, volunteers and consultants are expected to adhere to the “Discipline Policy.” This policy states that positive methods of child guidance will be used thus prohibiting the use of corporal punishment, emotional or physical abuse, or humiliation. Isolating the child is inappropriate and unacceptable in any facility. In addition, food is not to be used as a form or reward or punishment. PERSON(S) RESPONSIBLE Director Operations Manager Human Resource Coordinator All Staff TIMELINES At all times SUPPORTING DOCUMENTATION New Staff Orientation Code of Conduct – signed (Personnel File), Staff Calendar 291 291 1304.52 (h) (1)-(3) – Standards of Conduct: Continued STRATEGY Prohibition of kick-backs. All employees engaged in the award and administration of contracts or other financial awards [Head Start management staff] will be required to sign a statement which assures that no form of gratuity, favor or any form of monetary value will be solicited in exchange for granting a contract. The program ensures that all employees engaged in the award and administration of contracts or other financial awards sign statements that they will not solicit or accept personal gratuities, favors, or anything of significant monetary value from contractors or potential contractors. Clothing of employees on the job should be in good taste, neat, clean, and appropriate for the duties to be performed. Each employee must cooperate with fellow workers and the public in order to set a high standard of work performance. Unwillingness or failure to cooperate shall be cause for disciplinary action. Employees must be punctual in reporting for duty at the time and place designated. Repeated failure to report promptly at the time directed will be deemed neglect of duty and subject to disciplinary action. Employees shall not smoke while conducting activities. Smoking may be done only in designated areas of the building and grounds. False reporting shall be subject to disciplinary action. PERSON(S) RESPONSIBLE All Staff TIMELINES At all times SUPPORTING DOCUMENTATION Policy & Procedures Pre-Service Agenda292 292 1304.52 (h) (1)-(3) – Standards of Conduct: Continued STRATEGY Employees should never be discourteous or argumentative with program participants and, if conflicts develop, should immediately make the supervisor aware of the conflict. All employees are urged to make any suggestions they feel will be of benefit to the program. Employees may be granted authorization to be reimbursed for using their private vehicles when use of private vehicles is essential in the performance of the work required. All complaints on behalf of the public are handled courteously and promptly and in accordance with the Grievance Procedures, if applicable. Employees will discourage personal gifts and will not accept any gift or other valuable things offered in the course of work or in connection with it when such a gift is given in the hope or expectation of receiving a favor or better treatment than accorded other persons. Employees shall not accept nor receive money in the form of tips or rewards for services rendered. PERSON(S) RESPONSIBLE All Staff TIMELINES At all times SUPPORTING DOCUMENTATION Grievance Policy Travel Voucher/ Mileage Sheet 293 Policy & Procedures Solicitation of funds from employees or the public is not permitted with the exception of parent fundraising. Employees desiring to solicit or to have someone else solicit, either directly or indirectly, money or materials of any kind, including prizes, for the purpose of assisting in the promotion of any program area or activity must secure approval before starting such solicitation. 293 1304.52 (h) (1)-(3) – Standards of Conduct: Continued STRATEGY Employees are responsible for the safekeeping of any funds they receive until such time as the money is delivered to some other authorized person and a receipt is obtained. Any employee who acts as a custodian for any funds must file a financial report at a time and place determined by the Program Director. Employees are discouraged from fraternizing with (dating) any program participant. The following actions will be considered direct violations of the Standards of Conduct and will subject an employee to disciplinary action up to and including discharge. It is not possible to provide a complete list of every possible offense; so to give some guidance, examples of unacceptable conduct are listed below. It should be noted that conduct that is not listed, but that is unprofessional or potentially embarrassing, adversely affects, or is otherwise detrimental to the Head Start program’s (or grantee’s) interests, or the interests of its employees, participants or the public at large, may also result in disciplinary action, up to and including immediate termination. Abuse or willful inattention to a participant. Refusal or failure to carry out instructions from a responsible authority or willful neglect of assigned duties. Failure to inform the supervisor in the event of absence or late arrival. Failure to report for work or to contact the supervisor for three consecutive days. Excessive or unjustified absences or late arrivals. PERSON(S) RESPONSIBLE All Staff TIMELINES At all times All Staff At any time SUPPORTING DOCUMENTATION Code of Conduct 294 Policy & Procedures 294 1304.52 (h) (1)-(3) – Standards of Conduct: Continued STRATEGY Insubordination, including improper conduct toward a supervisor or refusal to perform tasks assigned by the supervisor. Disorderly or disruptive conduct such as fighting or threatening violence on any program site/location. Unsatisfactory performance or conduct. Violation of safety rules. Possession of dangerous or unauthorized materials, such as explosives or firearms on any program site/location. Misuse, unauthorized use/possession, destruction, or theft of property belonging to the program, another employee, participant or visitor. Falsifying or collaborating in a falsification of any document or record of the program. Possession or use of alcoholic beverages or narcotics, unless a prescription is provided, on the premises or such use or consumption as to make an employee unfit for duty during his or her normal work day, and sale or purchase of illegal narcotics. Accepting or offering a gift to influence any matter in which the program has an interest or responsibility. Unauthorized disclosure of confidential information. PERSON(S) RESPONSIBLE All Staff TIMELINES At any time SUPPORTING DOCUMENTATION Code of Conduct 295 295 1304.52 (h) (1)-(3) – Standards of Conduct: Continued STRATEGY Posting notices, signs or written material on bulletin boards or other places without specific authorization, or removing properly posted material or otherwise defacing any program site/location. Unauthorized non-work activities during working hours or any time which interferes with the work of others. Sexual or other unlawful harassment or discrimination. Failure to return to work on a timely basis after the termination of an approved leave of absence. Failure to observe the terms and conditions of all software agreements and licenses to which the program may be a party. Violation of any Head Start program policy, including the policies described herein. PERSON(S) RESPONSIBLE All Staff TIMELINES At any time SUPPORTING DOCUMENTATION Policy & Procedures 296 Progressive disciplinary action is enforced for violations of Standards of Conduct. The nature of discipline imposed will depend on the seriousness of the problem and the prior record of the employee’s performance, behavior problems, or safety violations. Disciplinary action is based on the facts of each case, and not all the available forms of disciplinary action outlined below are appropriate to every disciplinary situation. It is not required by the program to treat each form of discipline as a step in a series with each employee before discharge, and the program reserves the right to forgo the steps of progressive disciplinary procedures at any time when deemed necessary. 296 1304.52 (h) (1)-(3) – Standards of Conduct: Continued PERSON(S) RESPONSIBLE Supervisor TIMELINES As occurs Supervisor As occurs Employee Warning, Improvement Plan – Personnel File C. Suspension: An action in which an employee is given a specific period of time off the job without pay. Such a suspension of employment, in itself, may constitute a disciplinary action. Supervisor, Director, Operations Manager As occurs Employee Warning, Improvement Plan –297 Personnel File D. Discharge: An action in which employment is permanently terminated in response to a specific violation. Serious violations or misconduct may result in immediate termination without progressive discipline. Director, Operations Manager, Supervisor As occurs Notice of Change of Employment – Personnel File, Policy Council Minutes, Personnel Report STRATEGY A. Verbal Warning: A form of counseling or reprimand in which a supervisor discusses a violation of a rule, policy, procedure or a performance problem with a subordinate and issues a verbal warning against further violations. B. Formal Written Counseling: A warning notice through which a supervisor documents in writing problems with performance or behavior, the causes and effects of the problems, a plan of correction and the consequences of continued non-compliance. A meeting is held with the employee to discuss the counseling notice and to elicit commitment to improvement. SUPPORTING DOCUMENTATION 297 1304.52 (i) – Staff Performance Appraisals: The program performs performance reviews of staff. STRATEGY PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION Staff Performance Appraisal/Staff Performance Evaluation & Reflective Supervision 1. Employees are evaluated within the first six months of employment in accordance with probationary requirements. 2. A formal, written review of employees is completed annually. 3. Ongoing evaluation continues throughout employment, and staff performance appraisals are done at least once per year for each employee. 4. Employees are evaluated by their supervisors. 5. Evaluations are filed in the employee’s personnel records. 6. Service ratings are done in a formal report by the immediate supervisor who is responsible for the work of the employee being rated. Reports become a part of the employee’s permanent personnel record. Supervisor Supervisor Supervisor Supervisor 7. 8. Immediate supervisors rate individual employees on the basis of work performance, efficiency, dependability, and adaptability. Service ratings are made on each employee at the end of the probationary period and at the end of the first year of employment in the job occupied and annually thereafter (or at a time established by the program). Three to six months following date of hire and three months following a change in position; Annually Performance Appraisal – Personnel File 298 Human Resource Coordinator Supervisor Supervisor An employee who receives an “unsatisfactory” rating is ineligible for a higher pay or job rating until a “satisfactory” rating is received. Employees may be reassigned, demoted, or discharged for receiving unsatisfactory ratings. Supervisor 298 1304.52 (i) – Staff Performance Appraisals: Continued STRATEGY 9. Employees may review and discuss their evaluation rating with the supervisor. Service ratings may be reviewed by the employee as soon as possible after the supervisor & employee prepare the rating, but the rating may not be seen by unauthorized persons. After discussion, the employee must sign the rating form. The signature indicates only that the employee has discussed the rating with the supervisor. PERSON(S) RESPONSIBLE Staff Member, Supervisor 10. Each employee shall receive a copy of the rating. Supervisor 11. The primary function of supervisory personnel is guidance and improvement of the operation. Each supervisory visit shall be a positive approach to improvement and add to the employee’s contribution to the program. Supervisor 12. The review of evaluation ratings is done by the supervisor’s supervisor or designee. The reviewing official must: a) Approve or disapprove the evaluation rating. b) Change the evaluation rating, without formal appeal procedures, when in the interest of sound administration and notice to all parties involved. c) Upon request of the employee, provide an impartial review of the evaluation rating involving the supervisor. 13. If the employee is dissatisfied with the decision, the employee may appeal in writing within ten days to the Director for an impartial review of the evaluation rating. The Director or agents shall render a written decision sustaining or modifying the rating to the employee within ten days following the hearing. TIMELINES Three to six months following date of hire and three months following a change in position; Annually SUPPORTING DOCUMENTATION Performance Appraisal – Personnel File Performance Appraisal Supervisor As needed 299 Performance Appraisal Staff Member Director Within ten days of signing Performance Appraisal Within ten days of impartial review of the evaluation rating Written Notice Written Notice 299 1304.52 (i) – Staff Performance Appraisals: Continued STRATEGY 14. If the employee is dissatisfied with the decision of the Director, the employee may within ten days appeal the decision to the local authority for a review. This authority reviews the appeal, rating, and Director’s decision and renders in writing a decision to the employee within ten days. 15. Policy Council must be involved in the decision if a recommendation to PERSON(S) RESPONSIBLE Staff Member CSI Human Resource Director Director, Operations Manager Next Policy Council meeting Director, Operations Manager, Supervisor Always terminate an employee is given. Policy Council must approve the termination in accordance with Head Start regulations. 16. This process is free from any discriminatory practices related to an employee’s religion, race, color, creed, sex, age, national origin, physical or mental disability, or veteran status. 17. The results of staff performance reviews are used to identify staff training and development needs, to modify staff performance agreements as necessary, and to assist each staff member in improving his/her skills and professional competencies. Staff Grievance Procedure: 1. Speak directly with offending party when possible. TIMELINES Within ten days of receiving Director’s decision Supervisor Annually Performance Appraisal, Training Plan Employee Immediately Verbal feedback from grieved party to supervisor Immediately 3. Complete written grievance form Within five working days As soon as possible 5. Appeal to Director Policy Council meeting minutes, Personnel Report 300 2. Speak to grieving party’s immediate supervisor. 4. Conflict resolution SUPPORTING DOCUMENTATION Director’s Written Notice of Decision Completed Grievance Form Resolution Document in file Grievance Form 300 6. Appeal to Human Resource Director 1304.52 (j)(1-3) – Staff and Volunteer Health: The program assures that each staff member has an initial health examination (that includes screening for tuberculosis) and a periodic re-examination (as recommended by their health care provider or as mandated by State, Tribal, or local laws) so as to assure that they do not, because of communicable diseases, pose a significant risk to the health or safety of others in the Head Start program that cannot be eliminated or reduced by reasonable accommodation. STRATEGY (1) This requirement is implemented consistent with the requirements of the Americans with Disabilities Act and section 504 of the Rehabilitation Act. PERSON(S) RESPONSIBLE Supervisor Staff Member Any staff member that travels outside of the United States will be re-screened for tuberculosis (PPD skin test) six weeks after their return. (2) Regular volunteers are screened for tuberculosis in accordance with the Health Services Advisory Committee. SUPPORTING DOCUMENTATION Wellness Examination/ Re-Screen form, PPD Skin Test for TB form* 301 Supervisor Staff Member Periodically as necessary PPD Skin Test for TB form* Supervisor Regular Volunteer At such time a volunteer is considered “regular” (consistently volunteers at least 12 hours per month) PPD Skin Test for TB form* (3) The program makes mental health and wellness information available to staff with concerns that may affect their job performance Access to skilled professionals trained to deal with a broad range of personal and interpersonal problems is available to staff through the Employee Assistance Program (EAP) TIMELINES Upon Hire, then every three years or as medical professional requests Staff Member Effective first of the month following date *Or form supplied by health provider Referral Hotline (EAP) 1-877-427-2327 301 of hire 1304.52 (k) (1)-(4)– Training and Advancement Opportunities: The program has a structured approach for staff, consultants, and volunteer training and development. 6. 7. 8. (i) STRATEGY The program provides an orientation to all new staff, consultants, and volunteers (and Policy Council and partners and governing body members, when possible) that includes, at a minimum, the goals and underlying philosophy of Head Start and the ways in which they are implemented by the program. The program establishes and implements a structured approach to staff training and development, attaching academic credit whenever possible. This system is designed to help build relationships among staff and to assist staff in acquiring or increasing the knowledge and skills needed to fulfill their job responsibilities, in accordance with the requirements of 1306.23. PERSON(S) RESPONSIBLE Director, Operations Manager, Center Supervisor Director, Children’s Services Specialist TIMELINES Twice per year, September/ January; As needed at Centers; and Policy Council Orientation – October Ongoing SUPPORTING DOCUMENTATION New Staff Orientation agenda Volunteer Handbook Policy Council meeting agenda Training Requests 302 At a minimum, this system includes ongoing opportunities for staff to acquire the knowledge and skills necessary to implement the content of the Performance Standards. This includes: (i) Methods for identifying and reporting child abuse and neglect that comply with applicable State and local laws using, so far as possible, a helpful rather than a punitive attitude toward abusing or neglecting parents and other caretakers; and Family Services Specialist (ii) Methods for planning for successful child and family transitions to and from the Head Start program. Children’s Services Specialist, Disabilities Coordinator Annual training; and Required training for all staff Reporting as occurs Child Abuse Incident Reports April – September IEP, Lesson Plans, Monthly overviews, Release of Information 302 1304.52 (k) (1)-(4)– Training and Advancement Opportunities: Continued STRATEGY The program provides pre-service training and in-service training opportunities to program staff and volunteers to assist them in acquiring or increasing the knowledge and skills they need to fulfill their job responsibilities. The training is directed toward improving the ability of staff and volunteers to deliver services required by Head Start regulations and policies. PERSON(S) RESPONSIBLE Operations Manager, Specialists TIMELINES August, November, Summer The program provides staff with information and training about the underlying philosophy and goals of Head Start and the program options being implemented. 9. The program provides training or orientation to Head Start governing body members. The program provides orientation and ongoing training to Head Start Policy Council and Policy Committee members to enable them to carry out their program governance responsibilities effectively. SUPPORTING DOCUMENTATION Staff Calendar, Agendas, Sign-in Sheets Agendas/Minutes: Management Meeting, New Staff Orientation, Personnel Development Work Group, Center Meetings Director, Operations Manager 303 Family Services Specialist, Operations Manager October, January, ongoing Policy Council Retreat and Leadership agenda and minutes 303 College of Southern Idaho Head Start Direct Services Staff Essential Academic Qualifications 2009 POLICY: In order to maintain high quality of service delivery to Head Start children and families, the program has developed criteria for education and experience in alignment with the 2007 Head Start Reauthorization. Direct Service Staff, with the assistance of the Children Services Coordinator and the Human Resources Coordinator will design and implement an individualized professional development plan. 2007 Head Start Reauthorization mandates that nationwide fifty percent of staff who hold the position of a lead teacher will possess a Bachelor Degree or advanced degree in Early Childhood Education; a degree in a related field with a minimum of 6 courses in Early Childhood Education totaling a minimum of 18 semester credits or 27 quarter credits by September 30, 2013. In addition, CSI/SCHS adheres to the 2007 Head Start Reauthorization as stated “ all teaching assistants will possess at a minimum, a CDA credential or be enrolled in a CDA credential program to be completed within two years or by September 30, 2013 or be enrolled in a program leading to an Associate Degree or Bachelor Degree. The College of Southern Idaho offers waived tuition to regular staff as part of the individual employee compensation package. The Child Development Associate credential is not covered as part of the CSI tuition waiver, the Head Start program will endeavor to support direct service staff seeking a CDA by paying fees if monies are available with the Head start budget. PROCEDURE: All Family Educators and Teaching Assistants will complete a professional development plan within sixty days of hire. The individualized professional development plans will comply with 2007 Head Start Reauthorization: 304 304 2011 Family Educators III possess at a minimum, an Associate Degree in Early Childhood Education. 2013 Family Educators III possess at a minimum, a Bachelors Degree in Early Childhood Education In addition, Family Educators III possessing a degree in a related field to Early Childhood Education must show documentation of the required ECE credits and experience; or supervised student teaching in an Early Childhood Education setting. Family Educators will possess adequate experience in social service delivery, including conducting family focused home visits. Head Start assistants must comply with educational requirements outlined above. All education direct service staff will possess and maintain child and infant CPR, and first aid certification. IDENTIFICATION OF RELATED FIELDS AND EARLY CHILDHOOD EDUCATION COURSE WORK The Administrative team of CSI/SCHS, has determined the direct service staff holding an Associate Degree, Bachelors Degree, Masters Degree in a field other than Early Childhood Education, Family and Consumer Studies, Child Development and Child and Family Studies, will submit transcripts and course work descriptions to the Human Resources Coordinator for review. The Head Start Director must sign off on any determination. Suggested “Related fields” determined by the Office of Head Start and ACF are: Counseling and Psychology Elementary Education General Studies (with related field content) Human Development Human Services Interdisciplinary Studies Nursing Nutrition Psychology 305 305 Social Work Sociology Special Education (preschool or elementary level) The list of related fields may be unlimited and the above list may not contain all fields which have course work relating to early childhood or family studies. Additional fields may be reviewed for content and appropriateness at the request of staff. All Education staff possessing a related field degree must show documentation in transcripts and course description of the course work necessary to complete program requirements and that the courses address early childhood education or child development with a focus on children ages 3 to 5. In the future the College of Southern Idaho Personnel Development Work Group may examine the college transcripts and review course descriptions or syllabi to determine the relevance of the courses to the Head Start program. The minimum of six (6) courses in early childhood education, of which each courses should be 2 – 3 semester hours each or a total of 18 semester credits or 27 quarter credits may include the following: Course work for credit related to Early Childhood Education includes but is not limited to courses that focus on: 306 Child Development Early Childhood Education and Curriculum Early childhood Teaching and Assessment Psychology Family Development Health and Physical Development Mathematics Science Children’s Literature Such courses may be offered in various departments, such as: Education Home Economics Music Art 306 Library Sciences Physical Education and Recreation Psychology Family Studies Others Three core courses will be mandatory as part of or in addition to the required 6 courses (minimum) totaling 27 quarter credits or 18 semester credits: Child Growth and Development (birth to five years old at a minimum) Guidance and Classroom Management Observation, Assessment and Recording Education staff providing social services for Head Start and Early Head Start families will need to be able to document Family Systems or Family Relationships course work totaling at least 2 credits (i.e., SSCBT). This course work is specific to education degrees only and will not count as required ECE course work for staff who have received degrees in the fields of family services or social psychology. Before September 30, 2013, there will be a review of Professional Development Plans. Provisional decisions will be made individually for staff that are working toward, but have not completed their Bachelor Degree or completed early childhood classes. Upon review, staff who have not satisfactorily met requirements or whose course work is determined to be inadequately completed can apply for openings within the agency for which they qualify. (i.e., teacher assistant, associate teacher.) Upon completion of required degree or course work, staff meeting the requirements may apply for teaching positions available. 307 307 PROFESSIONAL DEVELOPMENT Annually each Teacher and teacher assistant needs to attend not less than 15 hours of professional development. Hours attending agency in-service workshops may count towards the 15 hours. It is the staff person’s responsibility to ensure that documentation of professional development hours are sent to the Human Resources Coordinator to be added to their individual career development file. STAFF COMMITMENT TO AGENCY Head Start and Early Head Start employees who are receiving financial assistance from CSI/SCHS to pursue an (PHD, MA, BA/BS, AA/AAS, or CDA) will be required to work an additional three years or repay the program. In the event staff does not work the required number of months because of involuntary termination, resignation or layoff, a prorated amount of the total financial assistance provided to achieve the designated status or degree will be repaid. CDA Credentialing Program To enroll in the CDA program, staff must: Meet with the CDA advisor for an orientation to CDA Submit a statement of intent to enroll in the CDA training program or assessment process to their supervisor utilizing the enrollment form Apply for the CDA application packet from the National CDA office in Washington, DC Follow procedures as outlined by the National CDA office utilizing the CDA Advisor as a resource, and apply to National CDA for credentialing and receive a CDA credential. 308 The CDA Program The Child Development Associate (CDA) program represents a national effort to credential qualified caregivers who work with children from birth to age 5. These caregivers, Child Development Associated, demonstrate their ability to nurture children’s physical, social, emotional, and intellectual growth in a child development framework. Some are center-based caregivers, others are family daycare providers, and still others are home visitors. The proof of their competence is the CDA Credential. 308 What is a CDA? A CDA is awarded to an individual who has successfully completed a CDA assessment and who has been awarded the CDA Credential. S/he is able to meet the specific needs of children and works with parents and other adults to nurture children’s physical, social, emotional, and intellectual growth in a child development framework. The CDA has demonstrated competence in the CDA competency goals through her/his work in a center-based, home visitor, or family daycare program. In addition, a person who has demonstrated bilingual competence is awarded a CDA with a bilingual specialization. The Home Visitor Credential The home visitor setting is an established program of home visits to families with children 5 years old or younger and to support parents in meeting the needs of their young children. In this setting, regular home visits are the primary method of program delivery. Bilingual Specialization In addition, caregivers working in bilingual child care settings can also earn a CDA Credential with a Bilingual Specialization. The Bilingual Specialization is an extension of the existing credential. It acknowledges the unique skills required to work in bilingual child care settings. PC approved 3/26/09 309 309 1304.53(a)(1) – Physical Environment and Facilities: Grantee and delegate agency must provide a physical environment conducive to learning and reflective of the different stages of development of each child PERSON(S) RESPONSIBLE Children Services Specialist, Center Supervisor, FEIII Center Supervisor, Service Coordinator STRATEGY Indoor and outdoor environments will be arranged in a way that is developmentally appropriate and includes a variety of activities. Indoor and outdoor environments will be arranged to ensure the safety of all participants. TIMELINES Monthly Ongoing SUPPORTING DOCUMENTATION Site visits, H & S checks, observation Site visits, H & S checks, observation Also see 45 CFR 1304.21(a)(5) ` *H & S check-Health & Safety checklist *FEIII-Family Educator III 310 310 1304.53(a)(2) – Physical Environment and Facilities: Grantee and delegate agency must provide appropriate space for the conduct of all program activities STRATEGY Classroom space will be arranged in a manner that is developmentally and age appropriate. Also see 45 CFR 1304.21(a)(5) Centers will have a designated space for the care of children who become ill during the day and cannot be sent home. Centers will have space separate from the classroom for adult activities, including staff work areas with adequate storage for staff belongings. There will be an area for parent activities with adult-size furniture. The food preparation area will be kept separate from all other areas using doors, gates, counters, and walls. When necessary, accommodations will be made to ensure the opportunity for participants with disabilities to participate fully. *H & S check-Health & Safety checklist PERSON(S) RESPONSIBLE Children Services Specialist, Center Supervisor, FEIII Center Supervisor, FEIII Center Supervisor FSS, Center Supervisor Center Supervisor, Food Svc Manager Center Supervisor, Disabilities Coordinator TIMELINES August, ongoing SUPPORTING DOCUMENTATION Site visits, H & S inspection, observation Ongoing, as needed Ongoing Observation Ongoing Site visits, observation Ongoing Site visits, H & S inspection, observation Observation As needed Site visits, H & S inspection, observation *FEIII-Family Educator III 311 311 1304.53(a)(3) – The center space provided by grantee and delegate agencies must be organized into functional areas that can be recognized by the children and that allow for individual activities and social interactions. STRATEGY Staff will be knowledgeable regarding how to set up classrooms so they are easily divided into recognizable functional areas using child-sized, age-appropriate furniture: Active, noisy areas are separate from quiet spaces Indoor traffic patterns are designed so that children can move easily between areas, yet keep children from running All areas are arranged so that children can be supervised at all times Staff will be knowledgeable in designing outdoor space to support the physical development of all children and to prevent injuries: A variety of activities is available, including throwing or kicking balls, climbing, digging Stationary and portable equipment is available PERSON(S) RESPONSIBLE Children Services Specialist, Center Supervisor, FEIII Children Services Specialist, Center Supervisor, FEIII, Services Coordinator TIMELINES August, ongoing August, ongoing SUPPORTING DOCUMENTATION Staff training logs, site visits, H & S inspection, self-audit, observation Staff training logs, site visits, H & S inspection, self-audit, observation, Playground Safety Audit Also see 45 CFR 1304.21(a)(5), 45 CFR 1304.21(c)(1) *H & S check-Health & Safety checklist *FEIII-Family Educator III 1304.53(a)(4) – N/A 312 312 1304.53(a)(5) – Centers must have at least 35 square feet of usable indoor space per child available for the care and use of children, and at least 75 square feet of usable outdoor play space per child. STRATEGY Centers have at least 35 square feet of usable indoor space per child available for the care and use of children (i.e., exclusive of bathrooms, halls, kitchen, staff rooms, and storage places). Space will be optimized by: Refraining from placing too much furniture in rooms or play areas Centers have at least 75 square feet of usable outdoor play space per child. If usable outdoor space is inadequate, an adjoining or nearby school yard, park, or playground may be utilized. Alternate area must be clean, safe, and must provide drinking water and toilet facilities PERSON(S) RESPONSIBLE Children Services Specialist, Center Supervisor, FEIII Children Services Specialist Center Supervisor, FEIII TIMELINES Ongoing Ongoing SUPPORTING DOCUMENTATION Site visits, H & S inspection, self-audit, observation, facility information sheet Site visits, H & S inspection, self-audit, observation, facility information sheet 313 1304.53(a)(6) – Facilities owned or operated by Early Head Start grantee or delegate agencies must meet the licensing requirements of 45 CFR 1306.30 PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION Centers will meet all applicable state and local licensing and zoning Center Supervisor, Annually, prior Childcare License, fire requirements, as well as fire, health, and environmental regulations. Supervising to re-licensing inspection, Health Specialist, Svc Dept. inspection Coordinator When local licensing requirements are determined to be less Center Supervisor, Ongoing Site visits, H & S stringent than the Head Start regulations, centers will be required to Supervising inspection, self-audit, comply with the Head Start regulations. Specialist, Svc observation Coordinator *H & S check-Health & Safety checklist *FEIII-Family Educator III 313 1304.53(a)(7) – Grantee and delegate agencies must provide for the maintenance, repair, safety, and security of all Early Head Start and Head Start facilities, materials, and equipment STRATEGY Safe, appropriate toys and equipment will be used in the program. Toys and equipment will be inspected frequently to assure they are in good condition. Unsafe or broken materials will be repaired or replaced. Staff and participants will be protected from unsafe or hazardous materials. Outdoor areas will be maintained daily to keep areas free of dangerous debris. Each center will have a system for monitoring entry to the building. Facilities will be inspected for structural or mechanical problems that may affect the safety of participants. Rental or lease agreements will specify the landlord’s responsibilities for maintenance and repairs. No unsafe or unclean facility will be used in the delivery of Head Start services. *H & S check-Health & Safety checklist PERSON(S) RESPONSIBLE Center Supervisor, FEIII TIMELINES Daily, as regularly scheduled SUPPORTING DOCUMENTATION Site logs, H & S check, observation, site visit reports Operations Manager, Center Supervisor Center Supervisor, FEIII Center Supervisor Center Supervisor Ongoing, annual safety review Center safety training Daily Director, Financial Coordinator Director, Operations Manager, Specialists Upon acquisition Observation, H & S check, site visit reports Visitor sign-in H & S check, fire inspection, Health Dept. inspection Rental/lease agreement H & S check, observation, site visit reports Ongoing Monthly, or as scheduled Ongoing *FEIII-Family Educator III 314 314 1304.53(a)(8) – Grantee and delegate agencies must provide a center-based environment free of toxins, such as cigarette smoke, lead, pesticides, herbicides, and other air pollutants as well as soil and water contaminants. Agencies must ensure that no child is present during the spraying of pesticides or herbicides. Children must not return to the affected area until it is safe to do so. STRATEGY Children will be protected from the harmful effects of any toxic or unhealthy chemical: Whenever possible, environmentally friendly products will be used. Pesticides will be applied by a licensed exterminator in strict compliance with label instructions. Children will not be present during any chemical treatment of the facility, including pesticides, herbicides, or fungicides. Potential poisons will not be applied to surfaces that can be touched or mouthed by children. Parents and staff will be educated about the dangers of toxic substances and the steps to be taken to minimize the exposure of children at the center and in their homes. Tobacco, alcohol, and illegal drugs will be strictly prohibited in all spaces used by the program, including buildings, outdoor play areas, and program vehicles. Families will be educated about the harmful effects of smoking, including the effects of secondhand smoke. PERSON(S) RESPONSIBLE Center Supervisor, Svc Coordinator, Health Coordinator, Family Svc Coordinator TIMELINES As needed SUPPORTING DOCUMENTATION IPM Policy Vendor’s license, billing, description of service provided Parent & staff training, Healthy Homes All staff Ongoing Drug-free policy FSS, Center Supervisor, Home Visitor Director, Svc Coordinator Ongoing Parent training, Healthy Homes, CPE Upon acquisition Purchase documents, test results, abatement certification If determined by health officials, facilities will be inspected for environmental hazards such as radon, asbestos, and formaldehyde: If indicated, removal of such hazards will be completed only by licensed or certified contractors. *FSS-Family Services Specialist *CPE-Child/Parent Education form 315 315 1304.53(a)(9) – Outdoor play areas at center-based programs must be arranged so as to prevent any child from leaving the premises and getting into unsafe and unsupervised areas. Enroute to play areas, children must not be exposed to vehicular traffic without supervision. STRATEGY Fences or other physical barriers will separate outdoor play areas from vehicular traffic, and will be high enough and durable enough to prevent children from exiting the area. Outdoor play areas will be fully supervised at all times children are present. Written procedures for safely loading and unloading buses will be followed. Also see CFR45 1310.21(b)(2) Children will be properly supervised and escorted when passing through traffic between the facility and the outdoor play area. PERSON(S) RESPONSIBLE Children Services Specialist, Svc Coordinator, Center Supervisor Center Supervisor, FEIII Transportation Coordinator, Center Supervisor, Bus Driver FEIII, FEII, FEI, HV TIMELINES Monthly SUPPORTING DOCUMENTATION Site visits, H & S inspection, self-audit, observation Daily Staff schedules Daily Parent Calendar & HandbookTransportation guidelines Observation Daily 316 *H & S check-Health & Safety checklist *FEIII-Family Educator III *FEII-Family Educator II *FEI-Family Educator I 316 1304.53(a)(10) - Grantee and delegate agencies must conduct a safety inspection, at least annually, to ensure that each facility’s space, light, ventilation, heat, and other physical arrangements are consistent with the health, safety, and developmental needs of children. At a minimum, agencies must ensure that: 1304.53(1)(10)(i) – In climates where such systems are necessary, there is a safe and effective heating and cooling system that is insulated to protect children and staff from potential burns STRATEGY There will be a safe and effective heating system in each facility: Heating and ventilating system inspections will take place annually. The inspection verifies the equipment is properly installed, cleaned, and maintained. Any malfunctions of a facility’s heating system will be immediately remedied. Hot pipes, portable heating units, stoves and radiators will be screened or insulated to prevent burns and other injuries: Electric space heaters that are UL-approved may be use only in areas inaccessible to children. Portable open-flame and kerosene space heaters and portable gas stoves will not be used. Health and Safety inspections are conducted monthly. The Families Coordinator conducts health and safety inspections during the month of January, March, May, August, October and December. The Center Supervisors conduct Health and Safety inspections during the months of February, April, June, September and November. Renovations, upgrades, and /or remodels: Refer to the South Central Head Start Program’s stated purchasing procedures in the Fiscal Work Plan. PERSON(S) RESPONSIBLE Center Supervisor Facilities Coordinator TIMELINES immediately SUPPORTING DOCUMENTATION Facility strategic plan, inspection forms, maintenance logs Center Supervisor Facilities Coordinator Ongoing Site visits, H & S check, self-audit, observation Facility Coordinator Center Supervisor monthly Site visits, H & S inspection, ADA Book Facility Coordinator Specialist Center Supervisor Fiscal Coordinator As needed Specs., Bids, Financial documents, Davis Bacon Act 317 *H & S check-Health & Safety checklist 317 1304.53(a)(10) – (cont.) 1304.53(a)(10)(ii) – No highly flammable furnishings, decorations, or materials that emit highly toxic fumes when burned are used; 1304.53(a)(10)(iii) – Flammable and other dangerous materials and potential poisons are stored in locked cabinets or storage facilities separate from stored medications and food and are accessible only to authorized persons. All medications, including those required for staff and volunteers, are labeled, stored under lock and key, refrigerated if necessary, and kept out of the reach of children STRATEGY Paper or other materials that may burn easily will be safely stored away from heat or open flame. Cleaning materials, detergents, pesticides, aerosol cans, chemicals used in lawn care and other potential poisons will be stored in locked cabinets or storage facilities accessible only to authorized persons. When possible, environmentally friendly products will be used to minimize damaging effects to the environment. These materials will be used according to manufacturer’s instruction for their intended purposes only. All medications will be properly labeled, stored under lock and key at the proper temperature, and away from food, according to the Medication Administration & Handling procedure. Families will be educated on proper storage of medications, cleaning supplies, and other toxic materials. *H & S check-Health & Safety checklist PERSON(S) RESPONSIBLE Center Supervisor, FEIII TIMELINES Ongoing Center Supervisor ongoing Health Coordinator, Center Supervisor Center Supervisor, SUPPORTING DOCUMENTATION Site visits, H & S check, self-audit, observation Site visits, H & S check, self-audit, observation, MSDS sheets Ongoing Medication Administration log Ongoing Training logs, newsletters *FEIII-Family Educator III 318 318 1304.53(a)(10) – (cont.) 1304.53(a)(10)(iv) - At a minimum, agencies must ensure that: Rooms are well-lit and provide emergency lighting in the case of power failure; 1304.53(a)(10)(v) – Approved, working fire extinguishers are readily available; 1304.53(a)(10)(vi) – An appropriate number of smoke detectors are installed and tested regularly; PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION All classrooms will have effective and functioning emergency Center Supervisor Ongoing Site visits, self-audit, lighting. H & S check, observation Emergency lighting will be tested regularly, and will be kept in Center Supervisor Monthly Facility strategic plan good repair. Flashlights will be available to be used in case of power failure. Center Supervisor Ongoing Observation Circuit breakers will be clearly labeled and readily accessible to Center Supervisor August Observation authorized adults. Fire extinguishers will be installed in accordance with local Center Supervisor Site visits, H & S building and fire codes. check, self-audit, Monthly observation Fire extinguishers will be placed in accessible locations throughout the building, and will be stirred monthly. Annually Staff meetings, Staff will be trained in the appropriate use of fire Training logs extinguishers. Annually Fire inspection Fire extinguishers will be serviced annually, and will be tagged with the service date. Fire extinguishers will be available in all vehicles owned, operated, Center Supervisor Ongoing Site visits, H & S or used by Head Start. check, self-audit, observation Children and families will be educated on fire prevention and FSS, Center Newsletters, CPEs, safety. Supervisor training logs, lesson plans Smoke detectors will be placed throughout the building no more Center Supervisor Monthly Site visits, H & S than 40 feet apart. Smoke detectors will be tested monthly, and check, self-audit, 319 319 batteries will be replaced semi-annually, or as needed. observation, Facility strategic plan 1304.53(a)(10) – (cont.) 1304.53(a)(10)(vii) – Exits are clearly visible and evacuation routes are clearly marked and posted so that the path to safety outside is unmistakable STRATEGY Exits will be clearly marked, unlocked, and kept free of obstruction to enable safe and timely exit. Fire and evacuation drills will be conducted monthly. Buildings will have at least two exits on each floor. If a second story window is being used as an exit, a safety ladder will be installed. *H & S check-Health & Safety checklist PERSON(S) RESPONSIBLE Center Supervisor Center Supervisor, FEIII Center Supervisor, Svc Coordinator TIMELINES Ongoing Monthly Ongoing SUPPORTING DOCUMENTATION Emergency exit plan, Site visits, observation Lesson plans Site visits, H & S inspection, self-audit, observation *FEIII-Family Educator III 320 320 1304.53(a)(10) (cont.) 1304.53(a)(10)(viii) – Indoor and outdoor premises are cleaned daily and kept free of undesirable and hazardous materials and conditions; 1304.53(a)(10)(ix) – Paint coating on both interior and exterior premises used for the care of children do not contain hazardous quantities of lead STRATEGY Indoor and outdoor areas will be cleaned daily, and any safety or health hazards will be removed. Floors will be vacuumed or mopped with a sanitizing solution daily and when soiled. Mops will be sanitized thoroughly before and after each use. Restrooms will be cleaned and sanitized daily. Kitchen equipment will be kept clean and in good repair, and will be sanitized before and after each use. Facilities will be kept free of insects, rodents, and other pests by: Keeping doors and windows closed or screened Keeping trash and garbage containers covered and away from building entrances Ensuring that windows used for ventilation and other openings to basements or cellars do not permit entry of rodents Ensuring that foundations, floors, walls, ceilings, windows, and basements are free from cracks and holes. Facilities painted before 1978 will be tested by a qualified professional for lead levels of 0.06% or more. If excessive lead levels are discovered, lead-contaminated paint will be removed, or area will be refinished with lead-free encapsulant paint Parents will be educated about the dangers of lead paint and lead PERSON(S) RESPONSIBLE Center Supervisor, FEIII Center Supervisor Center Supervisor Center Supervisor, Food Service Manager Center Supervisor TIMELINES daily daily At each use Daily Daily Ongoing SUPPORTING DOCUMENTATION Site visits, H & S inspection, observation Site visits, H & S inspection, observation Observation Site visits, Food Service Observation, self-audit, observation Site visits, H & S inspection, self-audit, observation Director Upon initial acquisition of facility Property information/ documents Center Supervisor, ongoing Newsletters, training 321 321 contamination in other household products. logs, CPE, Healthy Homes 1304.53(a)(10) (cont.) 1304.53(a)(10)(x) – The selection, layout, and maintenance of playground equipment and surfaces minimize the possibility of injury to children STRATEGY Playground surfaces will be checked frequently for dangerous debris, such as broken glass, and poisonous plants that may cause allergic reactions or that are toxic when ingested, if found, such items are removed immediately. Playground equipment and playgrounds are designed with the children’s safety in mind. Equipment will be installed and secured according to manufacturer’s directions, over adequate and appropriate “soft-fall” material. Equipment will be situated so that adequate space is provided for each structure, and in a way that protects children from running into the path of moving equipment, such as swings. Playgrounds will receive comprehensive inspections, with special attention on small or moving parts, and components that are expected to wear. Each playground will be inspected by a Certified Playground Inspector annually PERSON(S) RESPONSIBLE Center Supervisor, FEIII TIMELINES Daily SUPPORTING DOCUMENTATION Site visits, H & S check, self-audit, observation Children Services Specialist, Center Supervisor Children Services Specialist, Center Supervisor Annually Playground safety audit Upon acquisition Children Services Specialist, Center Supervisor Children Services Specialist, Svc Coordinator, Center Supervisor Ongoing Purchase documentation, work orders, bid specifications Playground Safety Audit Ongoing Annually Playground safety audit, Site visits, H & S check, self-audit, observation *H & S check-Health & Safety checklist 322 322 1304.53(a)(10) (cont.) 1304.53(a)(10)(xi) – Electrical outlets accessible to children prevent shock through the use of childresistant covers, the installation of child-protection outlets, or the use of safety plugs; 1304.53(a)(10)(xii) – Windows and glass doors are constructed, adapted, or adjusted to prevent injury to children STRATEGY Electrical outlets will be shielded with child-resistant covers. PERSON(S) RESPONSIBLE Center Supervisor TIMELINES Daily Appliances will be properly grounded. Center Supervisor Daily Electrical cords will be kept in good condition and will be out of the Center Supervisor, reach of children. Family Educators Daily Families will be educated on and encouraged to follow safety guidelines for electrical equipment and outlets in their homes. Windows or glass door panels used by children will be constructed of safety-grade glass or will have safety guards. Center Supervisor, Ongoing Center Supervisor Ongoing Windows will be equipped with child-proof devices and will be screened when opened. Center Supervisor Ongoing Glass doors will be marked in order to prevent accidents. Center Supervisor Ongoing Families will be informed about safety measures and encouraged to secure windows and doors with screens and child-proof safety devices. Center Supervisor, Ongoing SUPPORTING DOCUMENTATION Site visits, H & S check, self-audit, observation Site visits, H & S check, self-audit, observation Site visits, H & S check, self-audit, observation Newsletters, CPE, training logs Site visits, H & S check, self-audit, observation Site visits, H & S check, self-audit, observation Site visits, H & S check, self-audit, observation Newsletters, CPE, Training logs 323 323 *H & S check-Health & Safety checklist *FEIII-Family Educator III *CPE-Child/Parent Education form 1304.53(a)(10) (cont.) 1304.53(a)(10)(xiii) – Only sources of water approved by the local or state health authority are used; 1304.53(a)(10)(xiv) – Toilets and handwashing facilities are adequate, clean, in good repair, and easily accessible to children. Toileting and diapering areas must be separated from areas used for cooking, eating, or children’s activities; 1304.53(a)(10)(xv) – Toilet training equipment is provided for children being toilet trained; 1304.53(a)(10)(xvi) – All sewage and liquid waste is disposed of through a locally approved sewer system, and garbage and trash are stored in a safe and sanitary manner PERSON(S) RESPONSIBLE Director TIMELINES Ongoing Accessible toilets and sinks will be available in each center. Stepstools will be used where toilets or sinks are too high. Center Supervisor Ongoing Children will be supervised during toileting and hand washing. FEIII Ongoing Doors to toilet rooms will be easy to open by children from the outside and the inside. Soiled clothing, mops, and cleaning equipment will be rinsed in a sink separate from those used for food preparation or hand washing. Diapering will take place in an area separate from dental hygiene, food preparation, or child activity areas. Where needed, toilet training equipment will be provided. Facilities will be connected to a public sewer system. Garbage and trash will be removed from rooms used by children staff, families, and volunteers on a daily basis. Waste materials will be kept away from children’s activity areas and from areas used for food storage and preparation. Center Supervisor Ongoing Center Supervisor, FEIII Center Supervisor, FEIII Center Supervisor Director Center Supervisor Ongoing Center Supervisor Ongoing STRATEGY Facilities will be supplied with running water from an EPA approved source. *H & S check-Health & Safety checklist Ongoing As needed Upon acquisition Daily SUPPORTING DOCUMENTATION Site visits, H & S check, self-audit, observation Site visits, H & S check, self-audit, observation Site visits, self-audit, observation H & S check, selfaudit, observation H & S check, selfaudit, observation H & S check, selfaudit, observation Observation, Property description H & S check, selfaudit, observation H & S check, selfaudit, observation *FEIII-Family Educator III 324 324 1304.53(a)(10) (cont.) 1304.53(a)(10)(xvii) – Adequate provisions are made for children with disabilities to ensure their safety, comfort, and participation STRATEGY Necessary accommodations will be made to ensure that facilities are accessible to persons with disabilities. Special dietary or feeding needs will be accommodated. Also see 45 CFR 1304.23(a)(2) Necessary changes will be made to emergency evacuation procedures to ensure the safety of children with disabilities. The physical environment will remain consistent for children with visual or hearing impairments. Appropriate space will be provided for children who require individual therapy or activities. *H & S check-Health & Safety checklist PERSON(S) RESPONSIBLE Center Supervisor, Disabilities Coordinator Health Coordinator, Food Service Manager Svc Coordinator, Center Supervisor Children Services Specialist, Disabilities Coordinator, Center Supervisor, FEIII Center Supervisor *FEIII-Family Educator III TIMELINES As needed As needed As needed SUPPORTING DOCUMENTATION Site visits, H & S inspection, self-audit, observation Health IEP As needed Emergency procedures manual, emergency exit plan Site visits, observation As needed observation *IEP-Individual Education Plan 325 325 1304.53(b)(1) – 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. Equipment, toys, materials, and furniture owned or operated by the grantee or delegate agency must be: 1304.53(b)(1)(i) – Supportive of the specific educational objectives of the local program; 1304.53(b)(1)(ii) – Supportive of the cultural and ethnic backgrounds of the children; STRATEGY A variety of age and developmentally appropriate equipment, toys, materials, and furnishings will be available in each center. Materials will include art supplies, musical instruments, dramatic play props, books, and gross motor equipment. Materials will be responsive to children’s interests and abilities. Equipment for riding, climbing, pushing and pulling, and digging will be available in outdoor environments. Materials that extend the indoor activities to the outdoors, such as art or dramatic play materials, will be available in the outdoor environment. Materials in the classroom and on the playground will demonstrate acceptance of each child. Environments will reflect the cultures of the children. Objects in the classroom will be age appropriate and will be objects children see and use in their homes and community. Outdoor areas will be developed to enhance the natural environment and will include culturally relevant structures and materials whenever possible. Also see 45 CFR 1304.21 *FEIII-Family Educator III PERSON(S) RESPONSIBLE Children Services Specialist, Center Supervisor, FEIII TIMELINES Ongoing SUPPORTING DOCUMENTATION Site visits, self-audit, observation, lesson plans 326 Children Services Specialist, Center Supervisor, FEIII Ongoing Site visits, self-audit, observation, lesson plans 326 1304.53(b)(1) (cont.) - 1304.53(b)(1)(iii) – Age-appropriate, safe, supportive of the abilities and developmental level of each child served, with adaptations, if necessary, for children with disabilities; 1304.53(b)(1)(iv) – Accessible, attractive, and inviting to children; 1304.53(b)(1)(v) – Designed to provide a variety of learning experiences and to encourage each child to explore STRATEGY In order to support sound child development and age-appropriate practices, equipment, toys, materials, and furniture appropriate for the ages of the children enrolled will be selected. Appropriate furniture, materials, and equipment will be available for children with disabilities. Also see 45 CFR 1304.21, 45 CFR 1308.4 Learning materials will be easily accessible on low shelves allowing children to explore by themselves. Materials will possess interesting shapes, textures, and colors that invite play, learning, and exploration. Equipment and furniture will be child-sized and age appropriate. Equipment and materials designed to give children choices will be selected. *H & S check-Health & Safety checklist PERSON(S) RESPONSIBLE Children Services Specialist, Center Supervisor, FEIII Children Services Specialist, Center Supervisor, FEIII CSS, Center Supervisor, FEIII TIMELINES Ongoing Ongoing Ongoing Children Services Specialist, Center Supervisor, FEIII CSS, Center Supervisor, FEIII Ongoing Children Services Specialist, Center Supervisor, FEIII Ongoing Ongoing SUPPORTING DOCUMENTATION Site visits, self-audit, observation, lesson plans Site visits, self-audit, observation, lesson plans Site visits, self-audit, observation, lesson plans Site visits, self-audit, observation, lesson plans Site visits, self-audit, observation, lesson plans Site visits, self-audit, observation, lesson plans *FEIII-Family Educator III 327 327 1304.53(b)(1) (cont.) 1304.53(b0(1)(vi) – Safe, durable, and kept in good condition; 1304.53(b0(1)(vii) – Stored in a safe and orderly fashion when not in use STRATEGY All toys and equipment will meet industry safety standards. PERSON(S) RESPONSIBLE Center Supervisor Equipment and furniture will be in good repair, free of sharp edges, and will be inviting to children. Center Supervisor, FEIII Ongoing All equipment will be installed in strict accordance with the manufacturer’s instructions. Toys, equipment and furniture will be inspected regularly. Items in disrepair will be disposed of and replaced. If possible, items may be repaired. Each activity area will have space for storage. Center Supervisor When installed Children Services Specialist, Center Supervisor, FEIII Center Supervisor, FEIII Daily, ongoing Materials will be stored in locations not used by children in such a manner as to keep materials dry and infestation-free. Center Supervisor, FEIII Ongoing Adult materials such as scissors, staplers, electrical appliances, and knives will be inaccessible to children. Center Supervisor, FEIII Ongoing Outdoor equipment will be stored in an enclosed storage space. Center Supervisor, FEIII Ongoing * Children’s Services Specialist *H & S check-Health & Safety checklist TIMELINES Ongoing Ongoing SUPPORTING DOCUMENTATION Site visits, self-audit, observation Site visits, H & S check, self-audit, observation Observation Site visits, H & S check, self-audit, observation Site visits, H & S check, self-audit, observation Site visits, H & S check, self-audit, observation Site visits, H & S check, self-audit, observation Site visits, H & S check, self-audit, observation 328 *FEIII-Family Educator III 328 1304.53(b)(2) N/A 1304.53(b)(3) N/A PURPOSE AND SCOPE 1305.1 – Purpose and scope – Sections 1305.2 – 1305.10 prescribes procedures for the eligibility determination, recruitment, selection, enrollment and attendance of children in Head Start programs and explains the policy concerning the charging of fees by Head Start programs. DEFINITIONS 1305.2 – Definitions STRATEGY PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION a. Children with disabilities means children with mental retardation, hearing impairments including deafness, speech or language impairments, visual impairments including blindness, serious emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments or specific learning disabilities who, by reason thereof need special education and related services. The term “children with disabilities” for children aged 3 to 5, inclusive, may, at a State’s discretion, include children experiencing developmental delays, as defined by the State and as measured by appropriate diagnostic instruments and procedures, in one or more of the following areas: physical development, cognitive development, communication development, social or emotional development, or adaptive development; and who, by reason thereof, need special education and related services. b. Enrollment means the official acceptance of a family by a Head Start program and the completion of all application procedures 329 329 necessary for a child and family to begin receiving services. Child must attend 1 day class. 330 330 1305.2 – Definitions Continued STRATEGY PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION c. Enrollment opportunities mean vacancies that exist at the beginning of the enrollment year, or during the year because of children who leave the program, that must be filled for a program to achieve and maintain its funded enrollment. d. Enrollment year means the period of time, not to exceed twelve months, during which a Head Start program provides center or home-based services to a group of children and their families. e. Family means all persons living in the same household who are: 1. Supported by the income of the parent(s) or guardian(s) of the child enrolling or participating in the program, and 2. Related to the parent(s) or guardian(s) by blood, marriage, or adoption. f. Funded enrollment means the number of children which the Head Start grantee is to serve, as indicated on the grant award. g. Head Start eligible means a child that meets the requirements for age and family income as established in this regulation or, if applicable, as established by grantees that meet the requirements of section 645(a) (2) of the Head Start Act. Up to ten percent of the children enrolled may be from families that exceed the low-income guidelines. h. Head Start program means a Head Start grantee or its delegate agency(ies). i. Income means total cash receipts as outlined in ACF IM HS 0902 331 331 1305.2 – Definitions Continued STRATEGY PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION j. Income guidelines means the official poverty line specified in section 652 of the Head Start Act. k. Low-income family means a family whose total annual income before taxes is equal to, or less than, the income guidelines. For the purpose of eligibility, a child from a family that is receiving public assistance or a child in foster care is eligible even if the family income exceeds the income guidelines. l. Recruitment means the systematic ways in which a Head Start program identifies families whose children are eligible for Head Start services, informs them of the services available, and encourages them to apply for enrollment in the program. m. Recruitment area means that geographic locality within which a Head Start program seeks to enroll Head Start children and families. The recruitment area can be the same as the services area or it can be a smaller area or areas within the service area. n. Selection means the systematic process used to review all applications for Head Start services and to identify those children and families that are to be enrolled in the program. o. Service area means the geographic area identified in an approved grant application within which a grantee may provide Head Start services. p. Vacancy means an unfilled enrollment opportunity for a child and family in the Head Start program. 332 332 1305.3- Determining Community Strengths and Needs STRATEGY Complete comprehensive community Assessment a. Head Start Parents b. Head Start Staff c. Community members d. Businesses e. School Districts f. Elected Officials PERSON(S) RESPONSIBLE Family Services Specialist, Operations Manager TIMELINES Spring SUPPORTING DOCUMENTATION Survey Data 333 333 1305.4 – Age & Income Eligibility STRATEGY Inform Family Service Specialist about changes in regulations from ACF as they occur. At least 10% of the children who are enrolled in each Head Start program will have a disability. 5% of the slots will be held for early enrollment of children identified with a disability, referred from Infant/Toddler or school districts programs with in each service area. Selection if there are more referrals than slots, will be as follows: 1st 5% - these slots will be made available proportionately throughout our targeted service area. Professionally diagnosed as handicapped and income 4 year olds with the lowest income first, 3 year olds with the lowest income 2nd. The 2nd 5% - Over income professionally diagnosed as handicapped as follows: Considered by the referring agency to be high risk, 1. Child Abuse or neglect referrals 2. Family is isolated 3. Cultural barriers 4. Language barriers 5. Severe emotional problems of child or parents 6. Increased socialization opportunities are needed PERSON(S) RESPONSIBLE Director TIMELINES As needed Center Supervisor September SUPPORTING DOCUMENTATION Posted ACF Circulars HSFIS Computer System Family Service Specialist Children Service Specialist 334 334 1305.4 - Continued STRATEGY Program may enroll more than 10% handicapped children and more than the 5% transitional when space is available. They will be considered for selection. Income Eligible: Are those families whose income is equal to or below the current poverty guidelines or SSI disability, Foster child, TANF Cash Assistance. Age Eligible: Those families with children who will be 4 years of age on or before September 1 of the current school year. **Wait List Priority of those on the waitlist 1st families receiving TANF funds, SSI or a foster child 2nd by income with the following weight system. (determined by resources per person in the household) highest to a score of 30 which is 50% of poverty or less next to a score of 20 which is 51 to 75% of poverty next to a score of 10 which is 76 to 100% of poverty **TANF funded slots acceptance priority will go to families receiving TANF cash assistance and also meet the state criteria for TANF funding. If TANF slots can’t be filled with families receiving cash assistance acceptance then would follow the program selection criteria. PERSON(S) RESPONSIBLE Center Supervisor Family Service Specialist Center Supervisor TIMELINES SUPPORTING DOCUMENTATION HSFIS As openings occur Application HSFIS Center Supervisor Application HSFIS Data Entry Center Supervisor Waitlist HSFIS Wait list 335 Center Supervisor Family Service Specialist Waitlist HSFIS 335 1305.4 - Continued STRATEGY **The following only becomes a deciding factor when two applicants have the exact same income. Screening for greatest need: In the event of two or more income families with the same income. The family with the greatest need to be defined by the following point system: All will start with above points from the waitlist and then will be looked at for the following risk factors. Add risk factors that apply for a grand total. The highest score gets priority. Disabilities Risk factors Diagnosed 5 Homeless, Chemical dependency Suspected 2 Jailed Parent Child abuse/Neglect documented Documented Medical referral Single teen parent Teen parents Single parent Less than 9th grade education Both parents unemployed H & W referral/agency referral Less than 12th grade education Kin Care Language barrier Completed HS pre-app If a tie occurs in points: the family with most risk factors will receive priority. PERSON(S) RESPONSIBLE Center Supervisor Family Service Specialist TIMELINES As needed SUPPORTING DOCUMENTATION Acceptances of page of application 336 336 1305.4 Continued STRATEGY Target enrollment: At least 90% of the children, including handicapped children, who are enrolled in the program, shall be from income eligible families. When applications for admission to a Head Start program are received for more children from low income families than the Head Start program can accommodate, the family with the lowest income per person will be given preference. If income is the same the criteria for screening for the greatest need will be used. Over income families that meet high risk criteria : The Head Start program can accept no more than 10% of the enrollment who are from families whose income is higher than the poverty guidelines. An over income child with a disability will be given preference over an over income child who is not diagnosed with a disability. In the event the program must select between 2 or more over income handicapped children, whose family income is the same, the child whose handicap is more severe will be given preference. Enrollment priority is given to children who are not 4 years old on or before September 1. PERSON(S) RESPONSIBLE Center Supervisor Family Service Specialist TIMELINES Application SUPPORTING DOCUMENTATION HSFIS Family Service Specialist Center Supervisor September HSFIS Center Supervisor As openings occur HSFIS Center Supervisor, Disabilities Coordinator. Center Supervisor As opening s occur HSFIS As openings occur HSFIS 337 3 year olds: 1. Can be accepted if diagnosed with a disability or 2. When slot con not be filled with 4 year olds 337 1305.4 Continued STRATEGY Automatically Income Eligible I. According to the Federal Register 7/29/99 #1305 (Eligibility Requirements and Limitations) families who are on public assistance are income eligible. Those categories considered public assistance are: TANF (Temporary Assistance for Needy Families) SSI (Supplemental Security Income-Disability) and Children in Foster Care 1. Even if a family is on any one of the above public assistance categories and has an additional income besides that, they are still income eligible because they are on that assistance. Verify income and age according to ACF Guidelines: Income will be verified form Income Tax #1040, W-2 , pay stubs, pay envelopes, written statements form employers, or documentation showing current status as recipients of public assistance for either last tax year or preceding 12 month period. Verification of income must take place prior to acceptance and a signed statement by a Head Start employee that documents were examined and the child is eligible to participate in the program. PERSON(S) RESPONSIBLE Family Services Specialists, Center Supervisor TIMELINES On going SUPPORTING DOCUMENTATION Child Application 338 Center Supervisor As openings occur HSFIS Center Supervisor As openings occur HSFIS and Income Verification Form 338 RECRUITMENT OF CHILDREN 1305.5 – Recruitment - South Central Utilizes a focused prescribed approach to determine recruiting, selection, enrollment and attendance of children in Head Start STRATEGY 1. Policy council must approve target areas for recruitment. PERSON(S) RESPONSIBLE Director 2. Train appropriate staff for recruitment of children including 10% which must meet the handicapping conditions. Family Services Specialist 3. Develop pre applications for service area. Family Services Specialist April Pre App 4. Distribute pre-application forms to area wide agencies: Health and Welfare, Health Department, community Action Agency, Family Health Services, Idaho Housing, Adult/Child Development Center, Canyon view, Walker Center, Southern Idaho Learning Center, Mental Health, School Districts and Medical Providers 5. Contact area wide newspapers for Public Service Announcements regarding recruitment for the Head Start Program 6. Notify families on the waiting list that recruitment is in process. All Specialist All Coordinators Center Supervisors April August Community Contact Mail Log Activity Report Family Service Specialist April, June, August, January Newspaper Clipping Mail Log, Dated Faxes Center Supervisor Jan. – July As Needed Mail log 7. Set appointments for application process with families. Center Supervisor Jan. - July As Needed Child Applications 8. Complete application process with families on HSFIS including verification of income and age. Center Supervisor FE Jan. - July As Needed Child Applications TIMELINES SUPPORTING DOCUMENTATION CCA J – P.C. Meeting Minutes u n e On Going 339 339 SELECTION PROCESS 1305.6 – Selection 1. 2. 3. 4. 5. 6. 7. PERSON(S) STRATEGY RESPONSIBLE The Family Service Specialist, along with the Center Supervisor FSS, Center will review all applications and select children for enrollment Supervisor according to the selection criteria Provide a minimum of 10% funded Head Start slots to children Center Supervisor with disabilities. Facilitate early enrollment. Prioritize applications by lowest of income and age. Mail Notification to families for the child selected for Center Supervisor acceptance. Assign families to unit Center Supervisor Assign families to Family Advocate/Home Visitor Center Supervisor Send letters for orientation Center Supervisor, FE III Fill vacancies within 72 business hours. Center Supervisor TIMELINES As openings occur SUPPORTING DOCUMENTATION HSFIS At acceptance target date Center Enrollment HSFIS At Acceptance HSFIS On going On going 10 days prior to date As needed HSFIS HSFIS Mail Log 340 HSFIS Enrollment Report 340 ENROLLMENT AND RE-ENROLLMENT 1305.7 - Enrollment STRATEGY Occurs after completion of orientation, orientation. Child must attend 1 class day. Maintain enrollment slots. Will be filled prior to 30 days passing Income eligible child is enrolled and participating in Head Start program. He or she remains income eligible through enrollment year and immediately succeeding enrollment year as long as still age eligible. Submit bi-weekly enrollment status to Family Services Specialist with plan for under enrollment Children automatically eligible for a second year will be rolled over as enrolled in the next year at the end of year one. Child’s file will be kept in locked files at site until start up of 2nd year Recruiters will collect information needed about families for their use and for direct service staff’s use. A waiting list of eligible children will be kept on the HSFIS system. The list names from the Department of Health and Welfare will be added to the system along with the names from pre-applications at each site. Absentee and Vacancy Policy: When a child has been absent for three consecutive days, the Family Educator will try to contact the family by phone or through a home visit to learn the reason for absence. The Family Educator will continue to call, visit, leave notes at the home for one week from the 3rd absence, the Family Educator will send a letter by mail to the family regarding the absence and request that the family contact the Head Start Center if contact can not be made by phone or visit. PERSON(S) RESPONSIBLE Center Super. FE III Center Supervisor Center Supervisor Center Supervisor Center Supervisor Center Supervisor Program Assistant Center Supervisors Home Visitor Family Educator III Center Supervisor TIMELINES On going On going SUPPORTING DOCUMENTATION Attendance O record HSFIS n Attendance – HSFIS HSFIS 15th & 30th of Each Month August P r Enrollment Report Time of Application Monthly HSFIS As needed Child File HSFIS 341 HSFIS 341 1305.7 continued STRATEGY When the family is contacted the Family Educator III/Home Visitor will ascertain the reason for the absence and determine with the family what support services Head Start or other agencies can provide to get the child back into class. A child’s slot shall be considered vacant when the center gets no response back from the letter sent to the family. Families will be given at least five working days to respond to the letter. A child slot shall be considered vacant when the child does not participate for a period of more than 30 calendar days of unexcused absences despite the provisions of family support. PERSON(S) RESPONSIBLE Home Visitor Family Educator III TIMELINES As Determined SUPPORTING DOCUMENTATION Child File Center Supervisor As Determined Child File Center Supervisor As Determined HSFIS Attendance 342 342 ATTENDANCE 1305.8 - Attendance STRATEGY Attendance will be tracked each day of class When a child is absent 3 consecutive days a contact must be made w/family. Emphasize the benefit of regular attendance at the same time stay sensitive to family circumstances Chronic absenteeism will be handled on an individual case Record all excuses of absences to aid in follow up PERSON(S) RESPONSIBLE FE III FE III, HV Center Supervisor, FE III, FSS FE III, HV Submit attendance report daily by using HSFIS FE III, Program Assistant Stress importance of attendance with parents at orientation and orientation home visit Review attendance at family staffing Center Supervisor, HV Center Super., FE III, HV Family Educator III Documented Excused Absences: An absence for the following reasons for which there is acceptable documentation or written evidence: Child is hospitalized, Child is incapacitated due to a serious illness or injuries. Child contacts a communicable disease. Child has other health ailments which temporarily perverts attendance. Child cannot attend class due to receiving medical treatments or therapy at the time class is being held. Child’s attendance is affected by temporary family situations. All other absences will be considered unexcused. TIMELINES On going As needed As needed On going Orientation, OHV November, February Daily SUPPORTING DOCUMENTATION Attendance report CPE Child File SOAP Child File Daily Attendance Report Attendance M Report HSIFS o l y CPE 343 Child File Attendance Report Child’s file 343 1305.8 -continued STRATEGY The program is required to maintain 85% average daily attendance in order to monitor. Attendance will be tracked by the Family Educator III as follows: Family Educator III will complete attendance sheets Family Educator III will monitor attendance sheets for Attendance rate. Family Educator III will report attendance figures to Center Supervisor. Center Supervisor will report attendance for entire center to the Family Service Specialist Program wide attendance rate will be recorded at Central Office PERSON(S) RESPONSIBLE Family Educator TIMELINES Daily Family Educator III Family Educator III Center Supervisor Weekly Program Asst. Monthly Monthly Monthly SUPPORTING DOCUMENTATION Attendance Sheets and HSFIS HSFIS Attendance Sheets HSFIS Attendance report Center Attendance Report Program Attendance Report 1305.9 POLICY ON FEES STRATEGY South Central Head Start Enrollment and selection is not based on fee. PERSON(S) RESPONSIBLE Family Services Specialist TIMELINES SUPPORTING DOCUMENTATION 344 344 1305.10 COMPLIANCE STRATEGY South Central Head Start will comply with all performance standards and requirements as outlined in 45 CFR 1303 PERSON(S) RESPONSIBLE Director, Policy Council TIMELINES Ongoing SUPPORTING DOCUMENTATION SAVI, Policy Council Minutes, HSFIS, Etc. 345 345 Disabilities Philosophy All people are special. We celebrate strengths and individuality, while providing support toward meeting needs and goals. A disability affects every aspect of family life. Families with disabilities live with more challenges and stress. Our role is being the “guide on the side” through the special education process. Small accomplishments are cause for celebration and renewed strength to continue on to new goals. Parents are their child’s primary educator and we must empower them to become their educational advocate as well. We will continue to advocate for all children with disabilities and their families on local, state and national levels. 346 346 Confidentiality Prologue – South Central Head Start believes that each child’s records and documents are to be kept confidential and available only to appropriate staff and the child’s parents or legal guardians. Note: In this workplan, the term ‘Family Advocate’includes FEIIs, Family Advocates, and Home Visitors. These staff work with families in their homes. PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION 1) Head Start will obtain written parental consent prior to any Center Supervisor All months Consent Authorization individual evaluations and screenings on all children. & Release form Permission to Evaluate form 2) Head Start will obtain parental consent to formally refer a Family Advocate All months Referral form family to other agencies. 3) Head Start will obtain written parental consent to release Family Advocate All months Release of Information information from or to any agency. 4) Parents will have the right to review their child’s record at any Center Supervisor All months Child File – Access time. Log, Policies & Procedures 5) Parents will receive a copy of an Individual Education Plan Special Services All months IEP, Health IEP and/or medical follow up plans. Provider, School District, DC, HC 6) Access logs will be used for all children’s files. They will be a Center Supervisor All months Child’s File part of the child’s file and signed by any person viewing the child’s records. 7) Refer to the Social Services Plan 1304.4-2 Objective 9c for All Staff All months Social Service Plan confidentiality of records. Staff will keep child and family 13044-2 - Obj. 9 c information confidential. 8) Health Record form is provided with the Parent Home Visitor August Child Health Record Calendar/Handbook. * IEP – Individualized Education Plan * LEA – Leading Educational Agency * DC – Disabilities Coordinator * HC – Health Coordinator 347 347 Subpart B – Disabilities Service Plan – 1308.4 – Purpose and scope of disabilities service plan. PERFORMANCE STANDARDS & STRATEGIES a) A Head Start grantee, or delegate agency, if appropriate, must develop a disabilities service plan providing strategies for meeting the special needs of children with disabilities and their parents. The purpose of this plan is to assure: 1) That all components of Head Start are appropriately involved in the integration of children with disabilities and their parents into the Head Start program. Family Educator IIIs integrate all component requirements and procedures in the classroom. Center supervisors do so through parent meetings and trainings. Family Educators integrate all program components into home visits. Health, Dental, Nutritional, and Child Development Education occurs on home visits. Parent involvement is encouraged in the classroom and expected with child at home. Parent education on the above topics also occurs at parent meetings, and at Head Start parent/staff trainings. Parents are invited to all staff trainings. Management meetings keep staff informed and help to integrate component and policy changes. 2) That resources are used efficiently: South Central Head Start Family Advocates and Center Supervisors connect Head Start families to community resources first and Head Start resources as a last resort. PERSON(S) RESPONSIBLE Disabilities Coordinator TIMELINES Annually – June, July, & August Family Educator III, Home Visitor, Center Supervisor Year Round Family Advocate Year Round SUPPORTING DOCUMENTATION Disability Work Plan CPE’s, Family Tracking forms Daily Lesson Plans Monthly Overview CPE, Child Goals 348 Center Supervisor August-May Parent Meeting agendas Director Monthly Home Visitor, Center Supervisors All Months Management Meeting Minutes CPE Community Resource List Referral forms 348 STRATEGY Local interagency agreements/contracts with disabilities service providers document commitment to collaborate for the most effective and efficient use of all agencies resources. b) The plan will be updated annually. c) The plan will include provisions for children with disabilities to be included in the full range of activities and services normally provided to all Head Start children and provisions for any modifications necessary to meet the special needs of the children with disabilities. Refer to Disability Plan 1308.5d # 4 & # 5 d) The Head Start grantee and delegate agency will use the disabilities service plan as a working document which guides all aspects of the agency’s effort to serve children with disabilities. This plan will take into account the needs of the children for small group activities, for modifications of large group activities, and for any individual special help. Staff foster independence in children by encouraging them to try new things and to meet appropriate goals with small steps. Staff provides pictures and books which show children and adults with disabilities, including those in active roles. Children with disabilities will be included on field trips and given access to the same wide variety of materials to explore as the other Head Start children. If a deaf child who uses sign language or another communication mode is enrolled, a staff member, parent, volunteer or aid who can use that mode of communication will be available to help the child benefit from the program. PERSON(S) RESPONSIBLE Disabilities Coordinator TIMELINES Annually SUPPORTING DOCUMENTATION IAAs Individual contracts DC Disabilities Coordinator Summer Disabilities Work Plan Disabilities Work Plan Disabilities Coordinator Year Round Disabilities Work Plan 349 All Staff Ongoing DC, CSS, FEIII Ongoing Family Educator III Monthly Center Supervisor Disabilities Coordinator Monthly COR, Child Goals, Daily Lesson Plans, CPEs Monthly Overview Lesson Plans Lesson Plans Field Trip Plans IEP, SOAP * IAA – Interagency Agreement *IEP-Individual Education Plan *DC-Disabilities Coordinator *CSS—Children’s Services Coordinator *CPE—Child/Parent *COR—Child Observation Record 349 Subpart B – Disabilities Service Plan continued STRATEGY Head Start will enlist the help of aides, volunteers, cooks, bus drivers and parents to assist in carrying out the Individual Education Plan. Staff will access local resources for information and technical assistance. Parents are invited to trainings. Training will be provided to staff, parents and volunteers on individualizing interactions and activities for children with disabilities. Small group activities for all children include language development and will be provided daily as well as large group language and listening games, and individual support. (e) The grantee or delegate agency must designate a coordinator of services for children with disabilities (Disabilities Coordinator). The DC will arrange for preparation of the disabilities service plan and of the grantee application budget line item for services for children with disabilities. The grantee or delegate must ensure that all relevant coordinators, other staff and parents are consulted. Disabilities Coordinator coordinates services for children with disabilities and their families. Disabilities Coordinator updates Disabilities Plan annually. Head Start management staff and Policy Council must approve revisions. Policy Council includes parents and community representatives. Disabilities Coordinator will give input in grantee application budget line. Disabilities Coordinator is responsible for ensuring efficient use of Head Start services. PERSON(S) RESPONSIBLE TIMELINES Disabilities Coor. Monthly Center Supervisor Family Educator III, & Health Coor. DC, CS, MHC, & Monthly FE III SUPPORTING DOCUMENTATION Lesson Plans Child Goals SOAP Training Agenda Staff/Parent/Volunteer Training Record Family Educator III Monthly Monthly Overview, Daily Lesson Plan Director June, July, & August Disabilities Work Plans Policy Council Minutes 350 Disabilities Coordinator Disabilities Coordinator Year Round Disability Tracking June, July, & August Disability Service Plan Director Disabilities Coor. Disabilities Coordinator August Annual Budget Monthly Job Description, Job Evaluation, Materials/services invoices 350 Subpart B – Disabilities Service Plan continued STRATEGY 1) 1308.4 (f) – the Disability Service Plan must contain: Procedures for timely screening; See screenings 1308.6(b)(1-2) 2) Procedures for making referrals to the LEA for evaluation to determine a need for special education and related services for a child, as early as the child’s third birthday. See section 1308.6(d) 3) Assurance of accessibility of facilities; See section 1308.5(d) 4) Plans to provide appropriate adaptive furniture, equipment and material if needed. See also 1308.6(m) Family Advocates will provide resources lists to parents. Management staff will access resources for adaptive materials/ equipment. i.e: Shriners, Medicaid, University of Idaho lending materials, Easter Seals, United Cerebral Palsy, local contributors/grant dollars, community service groups, LEAs, private donations. Technical assistance providers have information on the Technology Related Assistance for individuals with Disabilities Act of 1988, 29 U.S. C. 2201 et seq. States are funded through this legislation to plan Statewide assistive technology services, which include services for young children. Parents are helped to understand the necessity of including assistive technology services and devices in their child’s IEP in order to obtain them. Staff ensure that children with physical disabilities have chairs and other pieces of furniture of the correct size and type for their individual needs and growth. As the children grow, the furniture and equipment will be checked by an expert, such as a physical therapist. Efforts are made to use adaptive furniture which can be shared between home, Head Start and the 3 – 5 developmental preschool. PERSON(S) RESPONSIBLE Disabilities Coordinator Disabilities Coordinator TIMELINES SUPPORTING DOCUMENTATION Disability Work Plan Annually Local IAA Disability Work Plan Services Coor, DC & CS Disabilities Coordinator Disabilities Coordinator Center Supervisor Family Advocate On going Disabilities Coordinator On going Disability Work Plan H & Safety Checklist Disability Work Plan IEP Disability Work Plan IEP CPE Referral Form “For the Parents of a Child with Special Rights” booklet Referral Form IEP CPE On going On going Family Advocate Disabilities Coordinator Family Educator Family Educator Center Supervisor Disabilities Coordinator On going On going SOAP, Referrals Child’s Physician’s Report SOAP 351 351 Subpart B – Disabilities Service Plan continued PERSON(S) STRATEGY RESPONSIBLE TIMELINES g) The plan, when appropriate, must address strategies for the Transition of children into Head Start from infant/toddler Programs (0 – 3), as well as the transition from Head Start into the next placement. The plan must include preparation of staff and parents for the entry of children with severe disabilities into the Head Start program. The Idaho State Department of Education interagency agreement Center Supervisor Spring/August describes transition procedures from infant toddler programs. Transitions include meeting with parents, LEA, CDC and other service providers to discuss child’s history, progress, evaluation and projected needs for 3 – 5 placement. Training for Head Start staff is arranged using available resources Disabilities As Needed such as Infant Toddler program, doctors, school districts and the Coordinator child’s parent. Center Supervisor Options for preparing parent may include observing Head Start Center Supervisor March – August Center, short visits with their child to the classroom in progress, riding the bus with child, discussions with past Head Start parent(s) of children with disabilities, and observing the other Head Start center(s) serving child(ren) with similar disabilities. Transition activities from Head Start to other placements include Home Visitor April & May those same transition activities as for all Head Start children, i.e., Center Supervisor visits to local kindergarten(s), classroom activities regarding behavior expectations in kindergarten, recess if possible with kindergarten, school props in pretend area, reading books and discussion on kindergarten, home visit discussion and goal setting. When Head Start holds the IEP, transition to kindergarten also Disabilities May includes meeting with parent(s), service provider(s) and school Coordinator district personnel to discuss the child’s history, progress, evaluation Center Supervisor and projected needs for kindergarten. * LEA – Leading Education Agency, local school district * IFSP – Individual Family Service Plan SUPPORTING DOCUMENTATION Interagency Agreements IEP, Staff Training Records, IFSP 352 Transition Plan Lesson Plans Lesson Plans Transition Plan CPE Child Goal Sheet SOAP 352 Subpart B – Disabilities Service Plan continued STRATEGY With parent permission, appropriate Head Start records are transferred to next placement. (h) The grantee or delegate agency must arrange or provide special education and related services necessary to foster the maximum development of each child’s potential and to facilitate participation in the regular Head Start program unless the services are being provided by the LEA or other agency. The plan must specify the services to be provided directly by Head Start and those provided by other agencies. The grantee or delegate agency must arrange for, provide, or procure services which may include, but are not limited to special education and these related services: 1) Audiology services, including identification of children with hearing loss and referral for medical or other professional attention; provision of needed rehabilitative services such as speech and language therapy and auditory training to make best use of remaining hearing; speech conservation; lip reading; determination of need for hearing aids and fitting of appropriate aids; and programs for prevention of hearing loss; 2) Physical therapy to facilitate gross motor development in activities such as walking; to prevent or slow orthopedic problems and to improve posture and conditioning; 3) Occupational therapy to improve, develop or restore fine motor functions in activities such as using a fork or knife. 4) Speech or language services including therapy and use of assistive devices necessary for a child to develop or improve receptive or expressive means of communication. 5) Psychological services such as evaluation of each child’s functioning; interpreting the results to staff and parents; and counseling and guidance services for staff and parents regarding disabilities; PERSON(S) RESPONSIBLE Home Visitor TIMELINES Monthly SUPPORTING DOCUMENTATION Release of Information DC As Needed IEP Disabilities Coordinator, Home Visitor As Needed CPE IEP SOAP Disabilities Coor, Home Visitor As Needed Disabilities Coor, Home Visitor Disabilities Coor, Home Visitor As Needed Disabilities Coor, Home Visitor As Needed As Needed 353 CPE IEP SOAP CPE IEP, SOAP CPE IEP SOAP CPE IEP SOAP 353 Subpart B – Disabilities Service Plan continued STRATEGY 6) Transportation for children with disabilities to and from the program and to special clinics or other service providers when services cannot be provided on-site. Transportation includes adapted buses equipped to accommodate wheelchairs or other such devises if required. 7) Assistive technology services or devices necessary to enable a child to improve functions such as vision, mobility or communication to meet the objectives in the IEP. Related services will be provided by Head Start through arrangements with certified/licensed specialists when such services are not available from the LEA or local providers. Related services providers may include OTs, PTs, Audiologists, Psychologists and communication specialists. Head Start will access resources for specialized equipment i.e: Child’s parents and/or extended family, Medicaid, Shriners, Cerebral Palsy Foundation, University of Idaho Assistive Technology Center, LEA, IPUL (connections to other parents with assistive technology), Gooding State School, local communities. i) The Disabilities Service plan must include options to meet the needs and take into consideration the strengths of each child based upon the IEP so that a continuum of services available from various agencies is considered. IEP team will decide which services and placement options to utilize, to best meet the child’s needs. * OT – Occupational Therapy * PT – Physical Therapy PERSON(S) RESPONSIBLE DC Transportation Specialist TIMELINES As Needed SUPPORTING DOCUMENTATION IEP DC As Needed IEP Disabilities Coordinator Monthly IEP Disabilities Coordinator, Home Visitor, Center Supervisor Monthly IEP/ SOAP Disabilities Coordinator IEP Team 354 Disabilities Work Plan At IEP Meetings IEP * IPUL – Idaho Parents Unlimited 354 Subpart B – Disabilities Service Plan continued STRATEGY j) The options may include: (1) Joint placement of children with other agencies; (2) Shared provision of services with other agencies; (3) Shared personnel to supervise Special Education services when necessary to meet State requirements on qualifications; k) Administrative accommodations such as having two children share one enrollment slot when each child’s IEP calls for parttime service because of their individual needs; 5) Any other strategies to be used to insure that special needs are met. These may include: i) Increased staff ii) Use of volunteers and iii) Use of supervised college students with training in child development, special education, child psychology, various therapies and family services to assist the staff. l) The grantee must ensure that the Disabilities Service Plan addresses grantee efforts to meet State standards for personnel serving children with disabilities. Special Education and related services must be provided by or under the supervision of personnel meeting State qualifications. South Central Head Start will maintain at least one staff member who is Early Childhood Special Education Certified. This ECSE can provide consultation, training and monitoring of on line staff who work with children with disabilities and their families. South Central Head Start will hire new staff with the goal of increasing ECSE certified staff. PERSON(S) RESPONSIBLE IEP Team TIMELINES At IEP Meeting Family Services Specialist IEP Team SUPPORTING DOCUMENTATION IEP Enrollment Lists As Needed IEP Mental Health Behavior Plan 355 Operations Manager On Going ECSE Certification Document Operations Manager Hiring Committee As Openings Occur Job Description Job Advertisement Program Goals *ECSE—Early Childhood Special Education 355 Subpart B – Disabilities Service Plan continued STRATEGY South Central Head Start will provide regular training funds for staff to pursue CDA (Child Developmental Associate), ECE (Early Childhood Education), ECSE training or Early Childhood Blended Certification and other specific special education classes. Director and/or attending South Central Representative will discuss needs for pre-service training with SEA during annual updates of interagency agreements for use in the planning of joint State level conferences and for use in preparation of Comprehensive State Personnel Development plans. Center Supervisor and/or Disability Coordinator will discuss shared training needs with LEAs during annual IAA review. Specific training for all staff will be provided when a Head Start child’s disability or condition requires special techniques or equipment. Examples are structuring a language activity, performing intermittent non-sterile catheterization, changing collection bags, suctioning, or operating leg braces. Joint training with other agencies is desired to stretch resources and exchange expertise. Staff are encouraged to attend training to keep abreast of new materials, equipment and practices related to serving children with disabilities and on preventing disabilities. On-going training and technical assistance in support of the disabilities effort will be planned to complement other training available to meet staff needs. Head Start will identify or arrange the necessary support to carry out training for parents and staff. Staff who receive training will be encouraged to train peers at Head Start. * PERC – Professional Education Resource Coordinator * SEA – State Education Agency – Department of Education PERSON(S) RESPONSIBLE Director SUPPORTING DOCUMENTATION Grant Application Staff Training Records TIMELINES All Months Director Annually State SEA and State Head Start IAA Disabilities Coor. Center Supervisor Disabilities Coordinator Health Coordinator Center Supervisor Annually IAA As Needed IEP Disabilities Coor. Health Coordinator, Mental Health Consultant, Family Services Specialist DC, CS, CSS HC & MHC All Months Training Flyers/Notices Individual Training Plan Job Description On Going Training Record Sheet 356 * LEA – Leading Education Agencies 356 Subpart B – Disabilities Service Plan continued STRATEGY Family Educator III’s/ Center Supervisor may request training in therapy techniques from LEA or private providers, for consistent follow through in Head Start and at home. When college and university students are utilized to provide special services as part of their training, Head Start will arrange for students’ supervisors to monitor their work. Head Start will negotiate when developing interagency agreements and contracts to have internships on-site to the greatest extent possible. Head Start will access technical assistance through Head Start Region X. Staff is encouraged to take advantage of other free or low cost training i.e: SEA/LEA, Idaho State University Colleges, Mental Health Agencies, Health Agencies, Education Agencies. m) The Disabilities Service Plan must include commitment to specific efforts to develop Interagency Agreements with the LEAs and other agencies within the grantee’s service area. If no agreement can be reached, the grantee must document its efforts and inform the Regional Office. The agreements must address: 1) Head Start participation in the public agency’s Child Find plan under Part B of IDEA; 2) Joint training of staff and parents; 3) Procedures for referral for evaluations, IEP meetings and placement decisions; 4) Transition; 5) Resource sharing; PERSON(S) RESPONSIBLE DC, CS, IEP Team, Therapist, Parent Center Supervisor Disabilities Coordinator Disabilities Coor. Center Supervisor TIMELINES Monthly As needed On going SUPPORTING DOCUMENTATION SOAP Staff Training Records IEP Contracts ISU, CSI, BSU TA Training Request form Training flyers 357 * PERC – Professional Education Resource Coordinator 357 Subpart B – Disabilities Service Plan continued STRATEGY 6) Head Start commitment to provide the number of children receiving services under Head Start IEPs to the LEA for the LEA Child Count report by Dec. 1, annually; and 7) Any other items agreed to by both parties. Grantees must make efforts to update the agreements annually. Interagency Agreements have been developed with all school districts within our regions of service. They are reviewed annually. Plans cover all areas delineated in (l) above. (xiii) The Disabilities Coordinator must work with the Director in planning with budgeting of grantee funds to assure that the special needs identified in the IEP are fully met; that children most in need of an integrated placement and of special assistance are served; and that the grantee maintains the level of fiscal support to children with disabilities consistent with the Congressional mandate to meet their special needs. Disability Coordinators will work with Director and grant budget team when creating yearly budget. Present budget will ensure funds for the fulfillment of special assistance for those children who do not qualify for or have not been able to access other funding sources. i.e.: Medicaid, EPSDT, SSI, School District, Community Health Funds, Church Funds, Shriner’s Hospital, Crippled Children’s Funds. (xiv) The grant application budget form and supplement submitted with applications for funding must reflect requests for adequate resources to implement the objectives and activities in the Disability Services Plan and fulfill the requirements of the Performance Standards. PERSON(S) RESPONSIBLE DC TIMELINES November 31 Annually SUPPORTING DOCUMENTATION December 1 Child Count DC Annually IAA Disabilities Coor, Center Supervisor, & School Districts Director Annual Anniversary Date Summer IAA Budget 358 Director, DC, & Budget Team Director Budget Team Summers Grant Application Annually Grant Application Director CSS Annually Grant Application 358 Subpart B – Disabilities Service Plan continued STRATEGY xv) The budget request included with the application for funding addresses the implementation of the Disabilities Service Plan. Allowable expenditures include: 1) Salaries – Allowable expenditures include salaries of a full or part–time coordinator of services for children with disabilities (Disabilities Coordinator), who is essential to assure that programs have the core capability to recruit, enroll, arrange for the evaluation of children, provide or arrange for services to children with disabilities, and work with Head Start coordinators and staff of other agencies which are working cooperatively with the grantee. Salaries of special education resource teachers who can augment the work of the regular teacher are an allowable expenditure. 2) Evaluation of Children - When warranted by screening or rescreening results, teacher observation or parent request, arrangements must be made for evaluation of the child’s development and functioning. If, after referral for evaluation to the LEA, evaluations are not provided by the LEA, they are an allowable expenditure. 3) Services – Program funds may be used to pay for services which include special education, related services and summer services deemed necessary on an individual basis and to prepare for serving children with disabilities in advance of the program year. 4) Transportation - Transportation is a related service to be provided to children with disabilities. When transportation to the program site and to special services can be accessed from other agencies, it should be used. When it is not available, program funds are to be used to provide it. Special buses or use of taxis are allowable expenses if there are not alternatives available and they are necessary to enable a child to be served. PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION Director Monthly Budget DC Monthly Budget Director Monthly Budget IEP Director Transportation Specialist Monthly Budget IEP 359 359 Subpart B – Disabilities Service Plan continued STRATEGY 5) Making Services Accessible – Allowable costs include elimination of architectural barriers which affect the participation of children with disabilities, in conformance with 45 CFR Part 84, Nondiscrimination on the Basis of Disability in Program and Activities Receiving or Benefiting from Federal Financial Assistance and with the American with Disabilities Act of 1990 (42 U.S.C. 12101). The Americans with Disabilities Act requires that public accommodations including private schools and day care centers may not discriminate on the basis of disability. Physical barriers in existing facilities must be removed if removal is readily achievable (i.e., easily accomplishable and able to be carried out without much difficulty or expense). If not, alternative methods of providing the services must be offered, if those methods are readily achievable. Head Start will explore the possibility of a cooperative agreement with the public school system to provide transportation, when Head Start wheelchair accessible busses are inadequate. 6) Special Equipment and Materials – Purchase or lease of special equipment and materials for use in the program and home is an allowable program expense. Grantees must make it possible for a child to move, communicate, improve function or address objectives which are listed in the child’s IEP. Efforts will be made to obtain expensive items such as wheelchairs through resources such as Title V (formerly Crippled Children’s Services), Medicaid & SSI. Center Supervisor will contact local school districts to discuss sharing/borrowing special equipment: standing table, voca box, etc. PERSON(S) RESPONSIBLE Director Services Coordinator TIMELINES As Needed & as Facilities Are Remodeled SUPPORTING DOCUMENTATION ADA Health & Safety Checklist 360 Disabilities Coor. Transportation Specialist Disabilities Coordinator Center Supervisor As Needed IEP As Needed Budget IEP Disabilities Coordinator Center Supervisor As Needed Funding Applications SOAP IAA 360 Subpart B – Disabilities Service Plan continued STRATEGY 7) Training & Technical Assistance – Increasing the abilities of staff to meet the special needs of children with disabilities is an allowable expense. Appropriate expenditures may include but are not limited: (i) Travel and per diem expenses for Disabilities Coordinator, teachers and parents to attend training and technical assistance events related to special services for children with disabilities; (ii) The provision of substitute teaching staff to enable staff to attend training and technical assistance events; (iii) Fees for courses specifically related to the requirements of the Disabilities Service Plan, a child’s IEP or State certification to serve children with disabilities; and (iv) Fees and expenses for training/technical assistance consultants if such help is not available from another provider at no cost. See all Administration Objective 22 – Program Staff Training Plan. Our emphasis is on providing the needed special support so that the child can develop to their fullest potential during their enrollment in Head Start. PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION Director CSS As Needed Budget request Center Supervisor As Needed Budget request Director CSS As Needed Budget request Director CSS As Needed Budget request Disabilities Coor. Family Educator III All Months Lesson Plans IEP 361 361 Subpart C – Social Services Performance Standards – 1308.5 Objective 1 – Recruitment and enrollment of children with disabilities. Head Start will incorporate specific action to locate and recruit children with disabilities. STRATEGY a) The grantee or delegate agency outreach and recruitment activities must incorporate specific actions to actively locate and recruit children with disabilities. Head Start is one of the participating agencies which work together to plan and implement community screenings, assisting the LEAs which have the major responsibility for identifying every child with a disability under IDEA. Head Start will accept early enrollment (May – July) of 5% from previously diagnosed children transitioning from other agencies. Refer to SS plan 1304.4-2. Head Start will disseminate its information/pre-application flyer to local service agencies for disbursement, i.e., Health Department, Health Fairs, H & W, County Welfare Agencies, 0 –3 Infant Toddler Program, School Districts 3 – 5 programs, local library, local clinics and hospitals, Job Service & Post Office (Information flyer specifies Head Start program is available to children with disabilities or special needs.) Through participation in local community interagency meetings, Head Start will educate community agencies on Head Start’s policy to recruit children with disabilities. Head Start will remind LEAs at annual IAA review meetings and at transition meetings of our policy to recruit children with disabilities and our spring early enrollment policy. Head Start staff will communicate regularly with other local agencies providing disability services, (i.e., H & W, Infant Toddler Program, School Districts Developmental Preschools, Hospitals, Health Department), to actively locate and recruit children with disabilities. Example: local Interagency meetings, Child Find PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION Disabilities Coordinator Center Supervisor Monthly IAA Family Services Specialist, Center Supervisor May – July Applications Referrals Monthly Pre-apps Open Registration Flyers Local Newspaper Ad Radio announcement script Center Supervisor Monthly Meeting Minutes Center Supervisor Annual Review Date IAA Disabilities Coordinator Center Supervisor Annually or as needed Pre-apps Center Phone Logs IAA 362 362 Subpart C – 1308.5 – Recruitment & Enrollment continued STRATEGY To increase Head Start visibility and its mainstreaming effort, Head Start will recruit child services providers to be on Head Start Health & Education Advisory Committees and be involved in other relevant Head Start activities such as Health Fair, Especially for Parents trainings, and Parent Meetings/training sessions. Center Supervisor will make presentations to local service groups on Head Start services. Center Supervisors will provide Head Start newsletters and pre-applications to local city councils, county commissioners, legislators and elementary school principals to keep them abreast of Head Start services. Head Start will participate in interagency planning activities for preschool and infant – toddler programs such as the State Interagency Coordinating councils supported under the IDEA. b) A grantee must insure that staff engaged in recruitment and enrollment of children are knowledgeable about the provisions of 45 CFR Part 84, Nondiscrimination on the Basis of Disability in Programs and Activities Receiving or Benefiting from Federal Financial Assistance, and of the Americans with Disabilities Act of 1990, (42 U.S.C. 12101). Head Start provides all employees with new employee training on HAD 45 CFR Part 84, Nondiscrimination on the Basis of Disabilities in Program and Activities Receiving or Benefiting from Federal Financial Assistance or the Rehabilitation Act of 1973 (20 U.S.C. 794) stating that any program that receiving Federal funds may not deny admission to a child solely on the basis of the nature or extent of a disabling condition and shall take into account the needs of the child in determining the aid, benefits, or services to be provided. c) A grantee must not deny placement on the basis of a disability to any child when: PERSON(S) RESPONSIBLE Family Services Specialist, Center Supervisor, DC, CSS, HC TIMELINES Annually SUPPORTING DOCUMENTATION Advisory Members List Event Participant Lists Center Supervisor On going Center Supervisor Monthly Activity Report Director On going Membership/ Attendance List Staff Activity Form Director Deputy Director Aug. & Jan. New Staff Orientation Family Services Specialist ongoing Application, Selection list 363 363 Subpart C – 1308.5 Recruitment & Enrollment continued STRATEGY 1) The parents wish to enroll the child, 2) The child meets the Head Start age and income eligibility criteria, 3) Head Start is an appropriate placement according to the child’s IEP, and the family wishes to have their child attending a Head Start center. 4) The program has space to enroll more children, even though the program has made 10 percent of its enrollment opportunities available to children with disabilities. In that case children who have a disability and non-disabled children would compete for the available enrollment opportunities. See Family Services Workplan 304.4-2 (4)(2)11. d) The grantee must access resources and plan for placement options, such as dual placement, use of resource staff and training so that a child with disability for whom Head Start is an appropriate placement according to the IEP is not denied enrollment because of: 1) Staff attitudes and/or apprehensions; Potential Head Start employees are screened for prejudiced attitudes. New employees are screened for prejudiced attitudes during probationary first 3 months. Trainings & resource materials, including webcasts, will be provided to staff to aid in the understanding of the challenges of various abilities and the concept and implementation of inclusion. Trainings can be provided by Head Start staff and specialized service providers, either for small center groups or larger area staff groups, or individuals. PERSON(S) RESPONSIBLE TIMELINES FSS SUPPORTING DOCUMENTATION FS Work Plan 364 Hiring Committee As Job Openings Occur Center Supervisor 1st 3 months Interview Rating Form Responses to Written Questions 3 Month Evaluation Disabilities Coor. Center Supervisor FE III’s Deputy Director Disabilities Coor. Center Supervisor On Going Training Record On going Training Records 364 Subpart C – 1308.5 – Recruitment & Enrollment continued STRATEGY 2) Inaccessibility of facilities; Modifications per IEP will be made to individual centers, as necessary. Head Start centers will be remodeled as required, to be physically accessible to children and parents with disabilities. 3) Lack of additional resources to serve a specific child; Head Start, the child’s parents, and the Family’s Service Coordinator will work together to access resources so that Head Start can help provide needed services. Resources include: Medicaid, SSI, University of Idaho Lending Technology program, United Cerebral Palsy, Shriner’s, ACDC, Rotary, Lions, Local Community Funds, Special Children’s program, School Districts. 4) Unfamiliarity with a disabling condition or special equipment: Head Start will ask parents for information and training specific to their child. Head Start will arrange for staff training sessions with special service providers. 5) Need for personalized special services such as feeding, suctioning and assistance with diabetic blood testing, toileting, diapering and toilet training; Child’s planning team will make a plan for special services provision, reviewing all options: i.e.: parents, county nurse, school nurse, Head Start staff, and private nurse through Medicaid. e) The same policies governing Head Start eligibility, such as priority for those most in need of the services, apply to children with disabilities. Grantees also must take the following factors into account when planning enrollment procedures: See Social Services 1304.4-2 (a) PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION DC, CS & Facility Specialist Director Facility Specialist As Needed IEP As Needed Building Permit Applications Disabilities Coor. Health Coordinator Center Supervisor Home Visitor Ongoing CPE’s SOAP 365 Center Supervisor Health Coor., DC As Needed DC, CS & HC As Needed IEP, Training Logs, Staff Activity Report, Training Record Form Training Record Form Center Supervisor Health Coor. Disabilities Coor. As Needed IEP or Health Plan Subpart C – Recruitment & Enrollment continued STRATEGY 1) The number of children with disabilities in Head Start service area including types of disabilities and their severity; No child will be denied enrollment because of the nature or severity of the disability. Center Supervisor and Head Start Specialist team will use current enrollment and eligibility priority schedule to determine those most in need of services. There are a variety of service options to meet families’ needs. 2) The services and resources provided by other agencies. 3) State laws regarding immunization of preschool children. Grantee must observe applicable State laws which usually require that children entering State preschool programs complete immunizations prior to or within thirty days after entering to reduce the spread of communicable diseases. During the application process, staff will encourage parents to access local immunization services so the child is up-to-date before enrollment. Head Start will not deny home visits if children are not up-to-date with immunizations. Family Advocates and Health Coordinator will encourage parents to access immunization services for all family members. f) A Head Start grantee must recruit children with severe disabilities, including children who have been previously identified as having disabilities. See 1308.5(a) 1-5 Regional 0 – 3 providers, School District 3 –5, local interagency groups, programs, and other special service providers, will be informed of the Head Start policy to recruit children with disabilities. They will receive pre-applications to share with potential Head Start families. Pre-application specifies recruitment of children with disabilities. PERSON(S) RESPONSIBLE CS, FSS TIMELINES Ongoing SUPPORTING DOCUMENTATION Enrollment Lists Head Start Specialist Team Monthly Program Standards, Application, Enrollment List Prioritization Schedule CS, FSS CS Head Start Specialist Team Ongoing Ongoing Enrollment Lists Enrollment Lists Center Supervisor Family Advocate April – year round Application – Immunization Record FSS, CS Family Advocates Health Coor. Family Advocates On Going Immunization Record Wellness Home Visit, child’s imm. record CPE, child’s immunization record Center Supervisor Ongoing Local Community Interagency Meeting Agendas DC, FSS Spring Pre-app Review Pre-Application 366 Subpart D – Health Services Performance Standards – Disabilities 1308.6 – Assessment of children continued STRATEGY Prior diagnosis records and documentation by trained professionals, will be obtained using these steps: Parent signs consent for Release of Information. Release is sent to private physician or agency for documentation of diagnosis and recommendations. Information is reviewed by appropriate center staff. Documentation is placed in child’s file. If the diagnosis is still in effect and the child may qualify for special services from the LEA, (and parent has not made LEA contact), discuss with parent the services provided by the LEA. Make the referral. a) The Disabilities Coordinator must be involved with other program staff throughout the full process of assessment of children. 1) All children enrolled in Head Start are screened as the first step in the assessment process. Screenings include: developmental, vision, hearing, height & weight, blood pressure, mental health and HCT or Hbg. Disabilities Coordinator and other trained staff and special service providers administer developmental and sensory screeners within 45 days of enrollment; health screenings within 90 days. Screenings are administered in the child’s dominant language. If a child has screening results within the last six months, those results maybe sent for and used; no re-screening necessary unless indicated by prior screening results. Screeners are aware of variables that may affect a child’s performance. PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION CS & HV CS & HV As Indicated As Indicated Release of Information ROI, SOAP CS & HV As Indicated Home Visitor Center Supervisor Home Visitor As Indicated As Occurs Diagnosis Form, Evaluation Report Child File Diagnosis Document Referral Form 367 DC, HC, SLP/CDS, MHC, trained staff CS & Screeners Home Visitor Year round CSS Monthly Monthly Monthly Center Tracking Screenings Child File Child File Screening Results ROI Training Agendas Subpart D – 1308.6 – Assessment of Children STRATEGY 2) Staff carry out on-going developmental assessment for all enrolled children throughout the year to determine progress and to plan program activities to support growth. 3) Only those children who need further specialized assessment to determine whether they have a disability and may require special education and related services proceed to the next step, evaluation. When screener indicates a re-screening is needed, child will be rescreened within the appropriate time frame. ESI 8 – 10 weeks, hearing and vision – 30 days, HCT – goal of 1 month and followup, and height and weight – 3 times a year. See Health Work Plan 1304.3 When screening, and teacher observation indicate a referral is appropriate, Family Advocate will discuss such concerns with the parents. Family Advocates will refer parents to local school districts for developmental concerns; appropriate medical services for medical concerns. b) Screening, the first step in the assessment process, consists of standardized health screening and developmental screening which include speech, hearing and vision. It is a brief process, which can be repeated. It is never used to determine that a child has a disability. It only indicates that a child may need further evaluation to determine whether the child has a disability. Rescreening must be provided as needed. See above. PERSON(S) RESPONSIBLE Family Educator III TIMELINES On Going DC Center Education Team SUPPORTING DOCUMENTATION COR Developmental Assessment, DECA SOAP Referral forms Center Supervisor Family Advocate FEIII Year round Screening Results Center Supervisor Family Advocate As Indicated Screening, COR Anecdotes, Observations, CPE, Referral Form 368 Subpart D – Assessment continued STRATEGY 1) Grantees must provide for the health and developmental screening of all Head Start children by 45 calendar days after the start of program services in the fall, or for children who enroll after program services have begun, by 45 calendar days after the child enters the program. This does not preclude starting screening in the spring before program services begin in the fall. Refer to Health Work Plan for dental, health, screening information; 1304.4 for mental health screening information. Head Start children will receive speech and language screenings in their primary language whenever possible. When no screeners are available who speak a child’s language, Head Start will use parents’ opinion about their child’s speech & language development. i.e.: phonemic sounds, comprehension, and sentence length. Early Screening Inventory, a developmental screener, will be administered in the child’s primary language by trained staff whenever possible. Interpreters may be used. 2) Grantees must make concerted efforts to reach and include the most in need and hardest to reach in the screening effort, providing assistance but urging parents to complete screening before the start of the program year. During pre-application contact and application processes, CS/FEs will discuss screening services available in the community, such as Child Find and screenings done by WIC, physicians and dentists. Parents will be encouraged to access community screenings for their child. Staff will educate parents on the immunization laws for admission to licensed day cares, preschools and kindergarten. PERSON(S) RESPONSIBLE Children Services Specialist CSS, HC, Mental Health Consultant TIMELINES Monthly Monthly Center Supervisor Family Educator III SUPPORTING DOCUMENTATION Child File Health Service Plan Children’s Services Workplan Screening Form SOAP/Child File 369 Center Supervisor Family Educator III Within 45 days of enrollment ESI Center Supervisor Home Visitor April - August Referral Form CPE Subpart D – Assessment continued STRATEGY 3) Developmental screening is a brief check to identify children who might need further evaluation. It provides information in three major developmental areas: visual/motor, language and cognition, and gross motor/body awareness. It also includes observation data, parent reports and home visit information. Appropriate standardized developmental screening instruments will be used. The Disabilities Coordinator will coordinate with the Health Coordinator and staff who are responsible for implementing health screening and with the education staff who are the responsible for implementing developmental screening. CSS, HC, DC, & CS will organize trained staff and volunteer/professional service providers to administer screenings at each center orientation before classes begin, or within 45 days of enrollment throughout the program year. Head Start will use all local resources, including families, to provide translators for non-English speaking families for screenings. c) Staff must inform parents of the types and purposes of the Screening well in advance of screening, the results of these screenings and the purpose and results of any subsequent evaluations. Center Supervisor/Family Advocate will discuss initial screenings with parent(s) during application process. Center Supervisor/Family Advocate will get parent permission for screening during application process. Acceptance letter discusses screenings. Family Advocates will discuss with parent(s) the results of screenings on home visits. PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION Coor./Specialists, Center Supervisor & Family Educator III Center Supervisor Family Educator III August & as Enrolled Orientation Schedule Screening Date August & as Enrolled CPE Orientation screeners list Center Supervisor HV Center Supervisor HV Center Supervisor Home Visitor April – September April – September April - Sept. September. November Application Consent Form Consent Form 370 Acceptance Letter CPE Subpart D – Assessment continued STRATEGY If results indicate further evaluation is necessary, Family Advocate will discuss the referral and evaluation purposes and procedures, and parents rights regarding evaluation process. d) Developmental assessment, the second step, is the collection of information on each child’s functioning in the areas of gross and fine motor skills, perceptual discrimination, cognition, attention skills, self-help, social and receptive skills and expressive language. The Disabilities Coordinator will coordinate with Education Coordinator for on-going assessment of each Head Start child in all developmental areas. They will include this developmental information in later diagnostic and program planning activities for children with disabilities. FA/FE will discuss with parent concerning the ongoing assessment process, and the planning of appropriate goals and objectives and activities. Family Advocates and parents will collaboratively develop children’s goal. Family Educator IIIs will develop supportive classroom materials and activities and a positive behavior supports plan, if needed. e) The Disabilities Coordinator must arrange for further formal evaluation of a child who has been identified as possibly having a disability, the third step with parental consent. 1) The Disabilities Coordinator must refer a child to the LEA for evaluation as soon as the need is evident, starting as early as the child’s third birthday, with parent permission. Parent consent in writing will be obtained before a child can be referred for evaluation. * COR – Child Observation Record PERSON(S) RESPONSIBLE Home Visitor TIMELINES As Indicated SUPPORTING DOCUMENTATION CPE Home Visitor Monthly Portage/COR Child Goal Sheets Home Visitor & Family Educator IIIs Ongoing Lesson Plans Child Goal Sheet Home Visitor As Indicated Referral Form 371 Subpart D – Assessment continued STRATEGY When parent signs Release of Information form, Home Visitor will send copies of screenings, developmental assessment information and FE observations to LEA with referral. 2) If the LEA does not evaluate the child, Head Start is responsible for arranging or providing for an evaluation, using its own resources and accessing others. In this case, the evaluation must meet the following requirements: i) Testing and evaluation procedures will be selected and administered in the child’s native language or mode of communication unless it clearly is not feasible. ii) Testing and evaluation procedures will be administered by trained (State certified or licensed) personnel. A collaborative team will decide necessary evaluations. The team consists of parents, and possibly physicians, developmental specialists, LEA rep, MHC, Head Start Staff Family Advocate will provide parent with evaluation options. Use Medicaid providers when possible. PERSON(S) RESPONSIBLE Center Supervisor Home Visitor CSS, Disabilities Coordinator DC Home Visitor Input from other service providers will be sent with ROI Home Visitor Evaluators will submit results promptly. Results shall indicate strengths, needs, effects of the disability and suggestions for treatment or services. iii) No single procedure may be the sole criterion for determining an appropriate educational program for a child. iv) The evaluation(s) will be conducted by a multidisciplinary team or group of persons including at least one teacher or specialist with knowledge in the area of suspected disability. Disabilities Coor. Home Visitor TIMELINES Within 1 Week As Needed SUPPORTING DOCUMENTATION Release of Information SOAP LEA Referral Form License/Certificate As Indicated Child File, referral form, Special Abilities Booklet After LEA CPE, referral form, Refusal, or Special Abilities parent preference Booklet Before SOAP evaluation Within 30 days Assessment Results / Child File Disabilities Coordinator As Occurs DC As Needed Child File, screenings, observations, evaluations Child’s File 372 Subpart D – Assessment continued STRATEGY v) Evaluators will use only assessment materials which have been validated for the specific purpose for which they are used. vi) Tests used with children with impaired sensory, manual or communication skills will be administered so that they reflect the children’s aptitudes and achievement levels and not just the disabilities. vii) Tests and materials will assess all areas related to the suspected disability. viii) In the case of a child whose primary disability appears to be a speech or language impairment, the team must assure that enough tests are used to determine that the impairment is not a symptom of another disability. A speech or language pathologist should be involved in the evaluation. 3) Parental consent in writing will be obtained before a child can have an initial evaluation to determine whether the child has a disability. 4) Confidentiality must be maintained in accordance with grantee and State requirements. Parents must be given the opportunity to review their child’s records in a timely manner and they must be notified and give permission if additional evaluations are proposed. Grantees must explain the purpose and results of the evaluation and make concerted efforts to help the parents understand them. See also Social Services 1304.4-2(c) PERSON(S) RESPONSIBLE Disabilities Coordinator CSS Assessor DC Assessor DC DC SLP/CDS TIMELINES On Going SUPPORTING DOCUMENTATION Assessment Manuals On Going Child’s File On Going Child’s File On Going Child’s File 373 Home Visitor, CS Before Evaluation Provider’s Consent to Evaluate Form All Staff Daily Head Start Policies & Procedures Manual Child File Evaluation Results Summary Rights & Responsibilities Evaluator/DC Home Visitor Subpart D – Disabilities Service Plan continued STRATEGY 5) The multi-disciplinary team provides the results of the evaluation, and its professional opinion that the child does or does not need special education and related services, to the IEP Team. If it is their professional opinion that a child has a disability, the team is to state which of the eligibility criteria applies and provide recommendations for programming, along with their findings. Only children who the evaluation team determines need special education and related services may be counted as children with disabilities. Head Start will exercise care to ensure that no child is misidentified because of economic circumstances, ethnic or cultural factors, or developmental lags not caused by a disability, bilingual or dialectical differences, or because they do not speak English. A child whose problem has been corrected (e.g., a child wearing glasses whose vision is corrected and who does not need special education and related services) does not qualify as a child with a disability. A short-term medical problem such as post-operative recovery or a problem requiring only medical care and health monitoring, does not qualify as a disability. The evaluation team will consider the way the disability affects the child’s ability to function as well as the cause of the condition. Some children may have a recent evaluation from a clinic, hospital or other agency (other than the LEAs) prior to enrolling in Head Start. If that evaluation did not include needed functional information or professional opinion as to whether the child meets one of the Head Start eligibility criteria, the DC, Health Coordinator, Center Supervisor, or Home Visitor should contact the agency to try to obtain that information. PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION Disabilities Coordinator Family Educator III, HV Disabilities Coordinator As occurs Child’s File As occurs Head Start Performance Standards – Eligibility Criteria MDT/ IEP Team Disability Coordinator Health Coordinator Home Visitor Center Supervisor As occurs IEP – Eligibility Statement Release of Information April – August 374 Subpart D – 1308.7 – Eligibility Criteria: Health Impairment STRATEGY a) A child is classified as having a health impairment who has limited strength, vitality, or alertness due to a chronic or acute health problem which adversely affects learning. b) The health impairment classification may include, but is not limited to, cancer, some neurological disorders, rheumatic fever, severe asthma, uncontrolled seizure disorders, heart conditions, lead poisoning, diabetes, AIDS, blood disorders, including hemophilia, sickle cell anemia, cystic fibrosis, heart disease, malnutrition and attention deficit disorder. c) This category includes medically fragile children such as ventilator dependent children who are in need of special education and related services. d) A child may be classified as having an Attention Deficit Disorder (ADD) under this category who has chronic and pervasive developmentally inappropriate inattention, hyperactivity, or impulsively. To be considered a disorder, this behavior must affect the child’s functioning severely. To avoid overuse of this category, use caution to assure that only the enrolled children who most severely manifest this behavior must be classified in this category. PERSON(S) RESPONSIBLE Members of Eval. Team for Health Impaired Children May include: Physician, Pediatrician, Psychologist or Other specialist related to these specific disabilities See Above Same as above TIMELINES Monthly Monthly Monthly Monthly SUPPORTING DOCUMENTATION IEP, Physician Report, Specialist Eval. Results/Reports Diagnostic Statement IEP, Physician Report, Specialist Eval. Results/Reports Diagnostic Statement IEP, Physician Report, Specialist Eval. Results/Reports Diagnostic Statement IEP, Physician Report, Specialist Eval. Results/Reports Diagnostic Statement 375 Subpart D – Disabilities Service Plan continued STRATEGY 1) The condition must severely affect the performance of a child who is trying to carry out a developmentally appropriate activity that requires orienting, focusing, or maintaining attention during classroom instructions and activities, planning and completing activities, following simple directions, organizing materials for play or other activities, or participating in group activities. It also may be manifested in over-activity or impulsive acts which appear to be or are interpreted as physical aggression. The disorder must manifest itself in at least two different settings, one of which must be the Head Start program site. Head Start staff will assist with assessments in child’s Head Start class. Staff will support parents in completing assessments on child’s behavior. Head Start staff will provide positive behavior supports to the child which may improve the child’s functioning and eliminate behavior taken as evidence of possible ADD. 2) Children must not be classified as having Attention Deficit Disorders based on: i) Temporary problems in attending due to events such as a divorce, death of family member or post-traumatic stress reactions to events such as sexual abuse or violence in the neighborhood; ii) Problems in attention which occur suddenly and acutely with psychiatric disorders such as depression, anxiety and schizophrenia; iii) Behaviors which may be caused by frustration stemming from inappropriate programming beyond the child’s ability level or by developmentally inappropriate demands for long periods of inactive, passive activity; iv) Intentional, noncompliance, or opposition to reasonable requests that are typical of good preschool programs; or v) Inattention due to cultural or language differences. PERSON(S) RESPONSIBLE TIMELINES Family Educators Disability Coordinator HV 30 Days from Consent to Evaluate Diagnosticians Within 30 days after evaluation. SUPPORTING DOCUMENTATION Assessments 376 Diagnostic Statement Subpart D – Disabilities Service Plan continued STRATEGY 3) An Attention Deficit Disorder must have had it onset in early childhood and have persisted through the course of child development when children normally mature and become able to operate in a socialized preschool environment. Many children younger than four have difficulty orienting, maintaining and focusing attention and are highly active. When Head Start is responsible for the evaluation, attention deficit disorder applies to four and five year old children, but not to three year olds. 4) Assessment procedures will include teacher reports which document the frequency and nature of indication of possible attention deficit disorders and describe the specific situations and events occurring just before the problems manifested themselves. Reports will indicate how the child’s functioning is impaired and must be confirmed by independent information from a second observer. Head Start will provide and/or support parents in accessing possible related services: Family Counseling, Genetic Counseling, Nutrition Counseling, Recreational Therapy, Supervisor on Physical Activities, Transportation and Assistive Technology Devises or Services. PERSON(S) RESPONSIBLE Disabilities Coordinator Mental Health Consultant Family Educator Home Visitor Center Supervisor TIMELINES As Needed SUPPORTING DOCUMENTATION Observation Record SOAP MH Report Daily Lesson Plans DECA Assessments CPE Referral Form Note - If a child is being treated for ADD/HD with medication, and with medication the child’s learning is not impaired, the child does not need, or qualify for, special education. He/she may qualify for a 504 accommodation plan, if special accommodations are being made: i.e. mid day medication administration, smaller group size, adult support within reach in class/on bus. If a child has been diagnosed ADD or ADD/HD, and has another diagnosed disability, then the child qualifies for special education services under IDEA and does not need a 504 plan, even if special accommodations are being made. The IEP should cover all the related services and accommodations needed. Per SDE, preschools are not required to have written 504 plans for preschool children who require special accommodations, but there must be documentation (i.e. lesson plans, accommodation plan that show any special accommodations that are being provided if they choose not to write a 504 plan. Parents will be involved in the planning for their child. 377 Subpart D – Disabilities 1308.8 – Eligibility criteria: Emotional/Behavior disorders STRATEGY a) An emotional/behavioral disorder is a condition in which a child’s behavioral or emotional responses are so different from those of the generally accepted, age-appropriate norms of children with the same ethnic or cultural background as to result in significant impairment in social relationships, self-care, educational progress or classroom behavior. A child is classified as having an emotional/behavioral disorder who exhibits one or more of the following characteristics with such frequency, intensity, or duration as to require intervention: 1) Seriously delayed social development including an inability to or maintain satisfactory (age appropriate) interpersonal relationships with peers or adults (e.g., avoids playing with peers); 2) Inappropriate behavior (e.g., dangerously aggressive towards others, self-destructive, severely withdrawn, noncommunicative); 3) A general pervasive mood of unhappiness or depression, or evidence of excessive anxiety or fears (e.g., frequent crying episodes, constant need for reassurance); or 4) Has a professional diagnosis of serious emotional disturbance. Head Start will provide support and assist parents in accessing: behavior management, environmental adjustments, family counseling, psychology therapy, transportation, assistive technology as needed. PERSON(S) RESPONSIBLE Member of an Eval Team for Emot./Behavior Disorders may include: Pediatrician, Psychologist, Psychiatrist or other clinically trained & State qualified mental health professional TIMELINES As Indicated SUPPORTING DOCUMENTATION IEP Diagnostic Statement Physicians Report Specialists Evaluation Results/Report 378 Home Visitor Mental Health Consultant As needed CPE/IEP Mental Health Plan Subpart D – Disabilities Service Plan continued STRATEGY a) The eligibility decision must be based on multiple sources of data, including assessment of the child’s behavior or emotional functioning in multiple settings. b) The evaluation process must include a review of the child’s regular Head Start physical examination to eliminate the possibility of misdiagnosis due to an underlying physical condition. PERSON(S) RESPONSIBLE Evaluation Team TIMELINES Always SUPPORTING DOCUMENTATION Evaluation Results Evaluation Team Always Physical Exam Report 379 Subpart D – Disabilities 1308.9 – Eligibility criteria: Speech or Language Impairments STRATEGY c) A speech or language impairment means a communication disorder such as stuttering, impaired articulation, a language impairment, or a voice impairment, which adversely affects a child’s learning. d) A child is classified as having a speech or language impairment whose speech is unintelligible much of the time, or who have been professionally diagnosed as having speech impairments which require intervention or who is professionally diagnosed as having a delay in development in his or her primary language which requires intervention. e) A language disorder may be receptive or expressive. A language disorder may be characterized by difficulty in understanding and producing language, including word meanings (semantics), the components of words (morphology), the components of sentences (syntax), or the conventions of conversation (pragmatics). f) A speech disorder occurs in the production of speech sounds (articulation), the loudness, pitch or quality of voice (voicing), or the rhythm of speech (fluency). g) A child should not be classified as having a speech or language impairment whose speech or language differences may be attributed to: PERSON(S) RESPONSIBLE Members of an Evaluation Team for a Speech or Language Impairment may include: Speech Pathologist, Language Pathologist, Audiologist, Otolayngologist and Psychologist Same as above TIMELINES Monthly SUPPORTING DOCUMENTATION IEP Diagnostic Statement Specialist Evaluation Results/Report Same as above Same as above Same as above Same as above Same as above Same as above Same as above 380 Subpart D – Disabilities Service Plan continued STRATEGY 1) Cultural, ethnic, bilingual, or dialectical differences or being non-English speaking; or 2) Disorders of a temporary nature due to conditions such as a dental problem; or 3) Delays in developing the ability to articulate only the most difficult consonants or blends of sounds within the broad general range for the child’s age. PERSON(S) RESPONSIBLE Same as above TIMELINES SUPPORTING DOCUMENTATION Same as above Same as above Same as above Same as above Same as above Subpart D – Disabilities 1308.10 - Eligibility criteria: Mental Retardation PERSON(S) STRATEGY RESPONSIBLE Head Start will provide support and assist parents to access possible Home Visitor related services as determined by individual need such as; Disabilities Environmental Adjustments, Language Therapy, Transportation, Coordinator Family Counseling, Speech Therapy, Assistive Technology Devices Center Supervisor or Services, Environmental Adjustments, Family counseling, Mental Health Genetic Counseling, Language Therapy, and Recreational Therapy. Consultant a) A child is classified mentally retarded who exhibits significantly sub-average intellectual functioning and exhibits deficits in adaptive behavior which adversely affect learning. Adaptive behavior refers to age-appropriate coping with the demands of the environment through independent skills in selfcare, communication and play. Evaluation Team: Psychologist Pediatrician TIMELINES Monthly SUPPORTING DOCUMENTATION CPE IEP Referral Form Diagnostic Statement Evaluation Results 381 Subpart D – Disabilities 1308.11 - Eligibility criteria: Hearing impairment including deafness STRATEGY a) A child is classified as deaf if a hearing impairment exists which is so severe that the child is impaired in processing linguistic information through hearing with or without amplification and learning is affected. A child is classified as hard of hearing who has a permanent or fluctuating hearing impairment which adversely affects learning; or b) Meets the legal criteria for being hard of hearing established by the State; or c) Experiences recurrent temporary or fluctuating hearing loss caused by otitis media, allergies, or eardrum perforations and other outer or middle ear anomalies over a period of three months or more. Problems associated with temporary or fluctuating hearing loss can include impaired listening skills, delayed language development and articulation problems. Children meeting these criteria will be referred for medical care, have their hearing checked frequently and receive speech, language or hearing services as indicated by their IEPs. As soon as special services are no longer needed, these children will no longer be classified as having a disability. Head Start will provide and/or support parents in accessing possible related services as determined by individual need such as; Auditory Training, Aural Habitation, Environmental Adjustments, Family Counseling, Genetic Counseling, Language Therapy & Speech Therapy, Medical Treatment, Total Communication, Speech Reading or Manual Communication, Transportation, Use of Amplification, Assistive Technology Devices or Services PERSON(S) RESPONSIBLE Members of Eval Team for Hearing Impaired may include: Audiologist and Otholayngologist Same As Above Same As Above TIMELINES Monthly SUPPORTING DOCUMENTATION IEP Diagnostic Statement Specialist Evaluation Results/Report Monthly “ Monthly IEP 382 Home Visitor Disabilities Coordinator Health Coordinator Mental Health Consultant Monthly Referral Form CPE IEP Subpart D – Disabilities 1308.12 - Eligibility criteria: Orthopedic Impairment STRATEGY a) A child is classified as having an orthopedic impairment if the condition is severe enough to adversely affect a child’s learning. An orthopedic impairment involves muscles, bones, or joints and is characterized by impaired ability to maneuver in educational or non-educational settings, to perform fine or gross motor activities, or to perform self-help skills and by adversely affected educational performance. b) An orthopedic impairment includes, but is not limited to, spina bifida, cerebral palsy, loss of deformed limbs, contractures caused by burns, arthritis, or muscular dystrophy. Head Start will provide support and assist parents in accessing possible related services as determined by individual need such as; Environmental Adjustments, Family Counseling, Language Therapy, Medical Treatment, Occupational Therapy, Physical Therapy, Assistive Technology, Recreational Therapy, Speech Therapy, Transportation, Nutrition Counseling. PERSON(S) RESPONSIBLE Members of a Eval Team for Orthopedic Impairment may include: Pediatrician, Orthopedist, Neurologist, Occupational Therapy, Physical Therapist and Rehabilitation Professional Same As Above Home Visitor Center Supervisor Disabilities Coor. Health Coor. Mental Health Consultant TIMELINES Monthly SUPPORTING DOCUMENTATION IEP Diagnostic Statement Physical Report Specialist Evaluation Results/Report Monthly Diagnostic Statement Health Records Monthly Referral Form CPE IEP 383 Subpart D – Disabilities 1308.13 - Eligibility criteria: Visual impairment including blindness STRATEGY a) A child is classified as visually impaired when visual impairments, with correction, adversely affects a child’s learning. The term includes both blind and partially seeing children. A child is visually impaired if: 1) Central acuity does not exceed 20/200 in the better eye with corrective lenses, visual acuity is greater than 20/200, but is accompanied by a limitation in the field of vision such that the widest diameter of the visual field subtends an angle no greater than 20 degrees. Or 2) A child is classified as having a visual impairment if central acuity with corrective lenses is between 20/70 and 20/200 in either eye, or if visual acuity is undetermined, but there is demonstrated loss of visual function that adversely affects the learning process, including faulty muscular action, limited field of vision, cataracts, etc. Possible related services such as determined by individual need. Head Start will provide support and assist parents in accessing: Environmental Adjustments, Family Counseling, Occupational Therapy, Orientation and Mobility Training, Pre-Braile Training, Recreational Therapy, Sensory Training, Transportation, Functional Vision Assessment and Therapy. PERSON(S) RESPONSIBLE Members of a Eval Team for Visual Impairment including blindness may include: Ophthalmologist, Optometrist TIMELINES Monthly SUPPORTING DOCUMENTATION IEP Physician’s Report Diagnostic Statement Monthly IEP Physician’s Report Diagnostic Statement Monthly IEP Physician’s Report Diagnostic Statement 384 Home Visitor Center Supervisor Disabilities Coor. Health Coor. Mental Health Consultant Monthly Referral Form CPE IEP Subpart D – Disabilities 1308.14 - Eligibility criteria: Learning Disabilities STRATEGY a) A child is classified as having a learning disability who has a disorder in one or more of the basic psychological processes involved in understanding or in using language, spoken or written, which may manifest itself in imperfect ability to listen, think, speak or, for preschool age children, acquire the precursor skills for reading, writing, spelling or doing mathematical calculations. The term includes such conditions as perceptual disabilities, brain injury, and aphasia. b) An evaluation team may recommend that a child be classified as having a learning disability if: 1) The child does not achieve commensurate with his or her age and ability levels in one or more of the areas listed in (1) above when provided with appropriate learning experiences for the age and ability; or 2) The child has a severe discrepancy between achievement of development or developmental milestones and intellectual ability in one or more of these areas: oral expression, listening comprehension, pre-reading, pre-writing and premathematics; or 3) The child shows deficits in such abilities as memory, perceptual and perceptual-motor skills, thinking, language and non-verbal activities which are not due to visual, motor, hearing or emotional disabilities, mental retardation, cultural or language factors, or lack of experiences which would help develop these skills. PERSON(S) RESPONSIBLE A Master’s degree TIMELINES Monthly SUPPORTING DOCUMENTATION IEP level professional with a background Diagnostic Statement in Learning Disabilities should Monthly Be a member of the Monthly Physician Report Specialist Evaluation Evaluation team as Monthly Well as a Results/Reports Pediatrician, Psychologist, And/or any other Related specialist. Monthly 385 Subpart D – Disabilities 1308.14 – continued STRATEGY c) This definition for learning disabilities applies to four and five year old children in Head Start. It may be used at a program’s discretion for children younger than four or when a three year old child is referred with a professional diagnosis of Learning Disability. But because of the difficulty of diagnosing learning disabilities in three year olds, when Head Start is responsible for the evaluation it is not a requirement to use this category for three year olds. Head Start will provide and help parents in accessing possible related services as determined by individual need. They include: Vision Evaluation, Psychology, Hearing Evaluation, Pediatric Evaluation, Neurology, Motor Development, Child Psychiatry. PERSON(S) RESPONSIBLE TIMELINES A Master’s degree Monthly level professional with a background in Learning Disabilities should be a member of the evaluation team as well as a Pediatrician, Psychologist, and/or any other related specialist. Home Visitor Monthly Center Supervisor Disabilities Coor. Health Coor. Mental Health Consultant SUPPORTING DOCUMENTATION IEP Diagnostic Statement Physician Report Specialist Evaluation Reports Referral Form CPE IEP 386 Subpart D – Disabilities 1308.15 - Eligibility criteria: Autism STRATEGY a) A child is classified as having autism when the child has a developmental disability that significantly affects verbal and non-verbal communication and social interaction, that is generally evident before age three and that adversely affects educational performance. Head Start will provide support and assist parents in accessing possible related services determined by individual need such as; Family Support Services, Language Therapy, Transportation PERSON(S) RESPONSIBLE Members of an Evaluation Team may include: Psychologist, Pediatrician, Audiologist, Psychiatrist, and Language Pathologist HV, CS, DC, Mental Health Consultant TIMELINES Monthly Monthly SUPPORTING DOCUMENTATION IEP Diagnostic Statement Physician Report Specialist Evaluation Results/Reports Referral Form CPE IEP Subpart D – Disabilities 1308.16 - Eligibility criteria: Traumatic brain injury STRATEGY a) A child is classified as having traumatic brain injury whose brain injuries are caused by an external physical force, or by an internal occurrence such as stroke or aneurysm, with resulting impairments that adversely affect educational performance. The term includes children with open or closed head injuries, but does not include children with brain injuries that are congenital or degenerative or caused by birth trauma. Head Start will provide support and assist parents in accessing possible related services as determined by individual need, such as; Rehabilitation Specialist, Occupational Therapy, Speech or Language Therapy, Assistive Technology. PERSON(S) RESPONSIBLE Members of an Evaluation Team may include: Pediatrician, Psychologist, Psychiatrist, Physical Therapist and Speech or Language Pathologist. HV, CS, DC 387 TIMELINES Monthly Monthly SUPPORTING DOCUMENTATION IEP Diagnostic Statement Physician Report Specialist Evaluation Results/Reports Referral Form CPE IEP Subpart D – Disabilities 1308.17 - Eligibility criteria: Other Impairments STRATEGY a) The purposes of this classification, “Other impairments,” is: 1) To further coordination with LEAs and reduce problems of record keeping; 2) To assist parents in making the transition from Head Start to other placements; and 3) To assure that no child enrolled in Head Start is denied services available to other preschool children considered to have disabilities in the State. b) If the State Education Agency eligibility criteria for preschool children include an additional category which is appropriate for a Head Start child, children meeting the criteria for that category must receive services as children with disabilities in Head Start programs. Examples are “preschool disabled,” “in need of special education,” “educationally disabled,” and “noncategorically disabled.” PERSON(S) RESPONSIBLE Members of a Evaluation Team for Other Impairments may include: Pediatrician, Psychologist or Psychiatrists, Audiologist, Special Educators, Speech, Language or Physical Therapists, Rehabilitation Professional or Other specialists with expertise in the appropriate area(s). TIMELINES Monthly Monthly Monthly SUPPORTING DOCUMENTATION IEP Diagnostic Statement Monthly Physician Report Monthly Specialist Evaluation Results/Reports 388 Subpart D – Disabilities 1308.17 - continued c) Children ages three to five, inclusive, who are experiencing developmental delays as defined by the State and as measured by appropriate diagnostic instruments and procedures in one or more of the following areas: physical development, cognitive development, communication development, social or emotional development, or adaptive development, and who by reason thereof need special education and related services, may receive services as children with disabilities in the Head Start program. d) Children who are classified as deaf-blind, whose concomitant hearing and visual impairments cause such severe communication and other developmental problems that they cannot be accommodated in special education programs solely for deaf or blind children are eligible for services under this category. e) Children classified as having multiple disabilities whose concomitant impairments (such as mental retardation and blindness), in combination, cause such severe educational problems that they cannot be accommodated in special education programs solely for one of the impairments are eligible for services under this category. The term does not include deaf-blind children, for record keeping purposes. A child who is deaf and has speech and language impairments would not be considered to have multiple disabilities, as it could be expected that these impairments were caused by the hearing loss. Head Start will provide support and assist parents in accessing possible related services as determined by individual need such as; Speech, Language, Occupational or Physical Therapist as needed. Assistive Technology Devices or Services, Mental Health Services, Transportation Same As Above Monthly Diagnostic Statement Physician Report Specialist Evaluation Results/Reports Same As Above Monthly Diagnostic Statement Physician Report Specialist Evaluation Results/Reports Same As Above Monthly Diagnostic Statement Physician Report Specialist Evaluation Results/Reports Same As Above Monthly Home Visitor Center Supervisor Disabilities Coor. Health Coor. Mental Health Consultant Monthly Diagnostic Statement Physician Report Specialist Evaluation Results/Reports Referral Form CPE IEP 389 Subpart D – Disabilities 1308.18 – Disabilities/Health Coordination STRATEGY a) The Disabilities Coordinator and the Health Coordinator work closely together in the assessment process and follow up to assure that the special needs of each child with disabilities are met, i.e., some children (17%) with Downs Syndrome have a condition of spine (attanto-axia instability) and should not engage in somersaults, trampolining or other activities which could lead to spinal injury without first having a cervical spine x-ray. See Health Plan 1304.3-3 - Objectives II, III, IV, V, VI, VII, VIII, XIII and XIV. Health Coordinator and Disabilities Coordinator will consult regarding assessment results and tentative goals and objectives, to ensure all the child’s needs are met. Health Coordinator and Disabilities Coordinator will consult any time either feels the need for follow up by special service providers. i.e.: Mental Health Consultant, OT/PT, SLP, pediatrician b) The grantee must ensure coordination between the disabilities coordinator and the staff person responsible for the mental health component to help teachers identify children who show signs of problems such as possible serious depression, withdrawal, anxiety or abuse. The Disabilities Coordinator and the Mental Health Consultant & CSS will observe class to help classroom staff identify children who show signs of problems such as possible serious depression, withdrawal, anxiety or abuse. The above staff will provide Family Educators with suggestions and referrals when indicated. PERSON(S) RESPONSIBLE CSS TIMELINES Monthly SUPPORTING DOCUMENTATION CS meeting notes Health Coor. Disabilities Coor. As Needed Child’s File Health Coor. Disabilities Coor. As Needed SOAP Disabilities Coor. Children Services Specialist, Mental Health Consultant Training Specialist Monthly Site Visit Form Mental Health Observation Form Tracking Notes CS meeting notes 390 Subpart D – Disabilities 1308.18 – continued PERSON(S) RESPONSIBLE Center Supervisor Family Advocate STRATEGY TIMELINES South Central Head Start will help parents of all children enrolled On Going become knowledgeable about disabilities and to appreciate the strengths and uniqueness of all people. CS & Family Advocates will work to reduce the isolation which some families experience with trainings, parent meetings, social events See Mental Health Plan – 1304.24 for MHS for all enrolled children, including children with disabilities. MHC will provide training to DC & FE’s in identifying children Mental Health As Requested who show signs of possible mental health needs. Consultant FE/FA will discuss MH concerns with parents. If parents approve, Home Visitor On Going FE contacts CSS, who contacts MHC for individual child mental Family Educator health observation. Center Super. Mental Health Consultant FEs will keep specific records of a child’s behaviors, concerns, Family Educator On Going precipitating events, other children involved, time of day, and any other pertinent information and share this with MHC and HV. CS will work with staff to educate parents and children without Center Supervisor On Going disabilities about disabilities to provide an informed population and psychologically inclusive environment. c) Each Head Start Director or designee must supervise the administration of all medications, including prescription and over-the-counter drugs, to children with disabilities in accordance with State requirements. The Health Coordinator or designee, through the Center Supervisor, Health Coor. As Indicated On will supervise the administration of all medications, including Center Supervisor Medication Plan prescription and over-the-counter drugs, to children with disabilities Family Educator in accordance with State requirements. III d) The Health Coordinator under the supervision of the Head Start Director or designee must: SUPPORTING DOCUMENTATION CPE’s Center Meeting/Event Training Log Training Agenda Contract SOAP, Mental Health Individual Observation Form SOAP, Anecdotals, Functional Behavior Assessment Parent meeting minutes, Lesson Plans Medication Plan/ Log Child File 391 Subpart D – Disabilities 1308.18 – Disabilities/Health Coordination STRATEGY 1) Obtain the doctor’s instructions and parental consent before any medication is administered. 2) Maintain an individual record of all medications dispensed and review the record regularly with the child’s parents. 3) Record changes in a child’s behavior which have implications for drug dosage or type and share this information with the staff, parents and the physician. 4) Assure that all medications, including those required by the staff and volunteers, are adequately labeled, stored under lock and key and out of reach of children, and refrigerated, if necessary. Center Supervisor will discuss with parent and center class staff scheduling medication administration during times when parents are available to administer it, whenever possible. Staff will be made aware of the possible side effects of any medications that are administered. See Health Plan 1304.3-4 (a)(1,2)(b) Objective XV. PERSON(S) RESPONSIBLE Center Supervisor TIMELINES As Needed SUPPORTING DOCUMENTATION SOAP Center Supervisor As Needed Medication Log Family Educator III As Needed SOAP Center Supervisor Monthly Health Services Plan Center Supervisor As Needed Health Coordinator As Needed Administration Form Medication in Child File, Medication Log Staff Training As Needed 392 Subpart E – Education Services Performance Standards – Disabilities 1308.19 – Developing Individualized Education Programs (IEPs). 1308.19 – Developing Individual Education Programs (IEP). STRATEGY a) When Head Start provides for the evaluation, the MultiDisciplinary evaluation Team makes the determination whether the child meets the Head Start eligibility criteria. The MultiDisciplinary evaluation Team must assure that the evaluation findings and recommendations, as well as information from developmental assessment, observations and parent reports, are considered in determining the child is Head Start eligibility. MDT members consider all available information when determining disability eligibility. b) Every child receiving services in Head Start who has been evaluated and found to have a disability and in need of special education will have an IEP before special education and related services are provided to ensure that comprehensive information is used to develop the child’s program. Center Supervisor arranges for CST meeting to make decisions concerning needs, services, placement and write an IEP, or discuss a current IEP or IFSP if LEA is not providing services. CST members may consist of: MDT members, Disabilities Coor, Health Coor, Children Services Specialist, Family Educator III, Mental Health Consultant, Center Supervisor, and related service providers and must include parents. IEP will be completed within 60 days after permission to test is given, 30 days after evaluations are complete. If parent(s) disagrees with any part of IEP, it will not be implemented until consensus is reached, and parents have signed. Head Start will use an IEP form which complies with State Department of Education requirements. * LEA – Lead Education Agency – Local School Districts PERSON(S) RESPONSIBLE MDT Disabilities Coordinator LEA TIMELINES ASAP After Evaluations Within 30 days of Evaluation SUPPORTING DOCUMENTATION Disability Criteria Evaluation Results Child File 393 Center Supervisor Disabilities Coordinator Disabilities Coordinator As Needed Child’s File SOAP Within 30 days of Evaluation IEP Disabilities Coordinator LEA Disabilities Coordinator Disabilities Coordinator Within 60 days of Parent Permission Monthly Child’s File IEP Always SOAP IEP IEP Form in Dept. of Education Special Education Manual Subpart E – Education Services Performance Standards – Disabilities 1308.19 – continued STRATEGY c) When the LEA develops the IEP, a representative from Head Start must attempt to participate in the IEP meetings and placement decision for any child meeting Head Start eligibility requirements. When revising IAAs with local school districts, Head Start representative will try to ensure agreement that SD will routinely invite Head Start to IEP meetings concerning “shared” children. d) If Head Start develops the IEP, the IEP must take into account the child’s unique needs, strengths, developmental potential and the family strengths and circumstances as well as the child’s disabilities. IEP Team will focus on the whole child and the family characteristics when developing an IEP. e) The IEP will include: 1) A statement of the child’s present level of functioning in the social-emotional, motor, communication, self-help, and cognitive areas of development, and the identification of needs in those areas requiring specific programming. 2) A statement of annual goals, including short term objectives for meeting these goals. 3) A statement of services to be provided by each Head Start component that are in addition to those services provided for all Head Start children, including transition services. 4) A statement of the specific special education services to be provided to the child and those related services necessary for the child to participate in a Head Start program. This includes services provided by Head Start and services provided by other agencies and non Head Start professionals. PERSON(S) RESPONSIBLE Home Visitor Disabilities Coordinator TIMELINES IEP Date SUPPORTING DOCUMENTATION IEP Signature Page Center Supervisor Disabilities Coordinator Disabilities Coordinator Anniversary Date IAA As Needed IEP Disabilities Coor. Child Study Team Always IEP Disabilities Coordinator Within 30 days of qualification determination IEP Disabilities Coordinator Disabilities Coordinator IEP Disabilities Coordinator IEP IEP 394 Subpart E – Education Services Performance Standards – Disabilities 1308.19 – continued STRATEGY 5) The identification of the personnel responsible for the planning and supervision of services and for the delivery of services. 6) The projected dates for initiation of services and the anticipated duration of services. 7) A statement of objective criteria and evaluation procedures for determining at least annually whether the short-term objectives are being achieved or need to be revised. 8) Family goals and objectives related to the child’s disabilities when they are essential to the child’s progress. f) When Head Start develops the IEP, the team must include: 1) The Head Start Disabilities Coordinator or a representative who is qualified to provide or supervise the provision of special education services. 2) The child’s teacher or home visitor. PERSON(S) RESPONSIBLE Disabilities Coordinator TIMELINES SUPPORTING DOCUMENTATION IEP Disabilities Coordinator Disabilities Coordinator IEP Disabilities Coordinator IEP IEP Disabilities Coordinator ASAP After Evaluation IEP Disabilities Coordinator 3) One or both of the child’s parents or guardians; also see Disabilities Parent Involvement Work Plan. Coordinator 4) At least one of the professional members of the MultiDisabilities Disciplinary Team which evaluated the child. Coordinator g) An LEA representative will be invited in writing if Head Start is Disabilities initiating the request for a meeting. Coordinator h) The grantee may also invite other individuals at the request of Disabilities the parents and other individuals at the discretion of the Head Coordinator Start program, including those component staff particularly involved due to the nature of the child’s disability. ASAP After Evaluation ASAP After Evaluation ASAP After Evaluation ASAP After Evaluation ASAP After Evaluation IEP IEP IEP IEP IEP 395 Subpart E – Education Services Performance Standards – Disabilities 1308.19 – continued STRATEGY i) A meeting must be held at a time convenient for the parents and staff to develop the IEP within 30 calendar days of a determination that the child needs special education and related services. Services must begin as soon as possible after the development of the IEP. Home Visitor will ask parents for date, time and place that is convenient for them to meet. DC, CS, and HV will work with parents in arranging any related services needed, per IEP. If funding is needed for special education or for related services, DC, CS and HC will work with parents on securing such funding. i.e.: Medicaid/SSI, LEA, Family’s Private Insurance, Head Start (as a last resort), United Cerebral Palsy and other specific disabilities groups. j) Grantees and their delegates must make vigorous efforts to involve parents in IEP process. The grantee must: 1) Notify parents in writing (and, if necessary, also verbally or by other appropriate means) of the purpose, attendees, time and location of the IEP meeting far enough in advance so that there is opportunity for them to participate. 2) Make every effort to assure that the parents understand the purpose and proceedings and that they are encouraged to provide information about their child and their desires for the child’s program. See also Family Services Work Plan. HV will go through purpose and procedures of IEP meeting with parents using Parents of a Child with Special Abilities booklet before the IEP meeting. PERSON(S) RESPONSIBLE Disabilities Coordinator Home Visitor TIMELINES ASAP After Evaluation SUPPORTING DOCUMENTATION IEP Within 30 days of qualification for Special Ed. ASAP After IEP Meeting ASAP After IEP CPE Disabilities Coordinator 30 Days Prior to IEP Written Notification Letter Home Visitor Disabilities Coordinator FA – Before IEP DC – At IEP Meeting Home Visitor Before IEP meeting Parents of a Child With Special Rights Booklet CPE CPE DC, FA, CS & HC Disabilities Coor. Health Coor. Home Visitor CPE IEP SOAP Long Form CPE 396 Subpart E – Education Services Performance Standards – Disabilities 1308.19 – continued STRATEGY Family Advocate will discuss Parents Rights & Responsibilities. HV will offer parents assistance in noting how their child functions at home and in the neighborhood. Parents should be encouraged to contribute this valuable information to the IEP team for use in ongoing planning. Care will be taken to put parents at ease and to eliminate or explain specialized terminology. Information regarding IPUL will be given to parents of a child determined to have a disability. This organization is part of IDEA. Home Visitor will encourage participation in IPUL. IPUL, Idaho’s federally funded Parent Training and Information Program, provides parent training centers which provide information, support and assistance to parents, enabling them to advocate for their child. Staff may need to adjust procedures for assisting parents with disabilities to participate in their children’s programs. They may access materials to assist in this effort are available from technical assistance providers. 3) Provide interpreters, if needed, and offer the parents a copy of the IEP in the parents’ language after it has been signed. Locate translators: use family members, CSI Refuge Center, other community members, and school language instructors to interpret. PERSON(S) RESPONSIBLE Home Visitor Disabilities Coordinator Home Visitor Disabilities Coordinator TIMELINES Before IEP Meeting Before IEP Meeting SUPPORTING DOCUMENTATION Parents Rights in Parents of a Special Child booklet Parents of Child with Special Abilities booklet COR Screenings Anecdotal Notes Disabilities Coordinator Home Visitor Center Supervisor Before IEP Meeting Parents of a Child with Special Abilities booklet CPE Center Supervisor Home Visitor As Needed CPE, SOAP Center Supervisor As Needed In-kind Form Time Sheet 397 Subpart E – Education Services Performance Standards – Disabilities 1308.19 – continued STRATEGY 4) Hold the meeting without the parents only if neither parent can attend, after repeated attempts to establish a date or facilitate their participation. In this case, document all efforts to secure the parent’s participation. Record phone calls, letters in the parents’ native language or visits to parent’s homes or places of work, along with any responses or results. Then arrange an opportunity to meet with the parents to review the results of the meeting and secure their input and signature. IEP Meeting must occur within 30 days of qualifying for special education services. k) Grantees must initiate the implementation of the IEP as soon as possible after the IEP meeting by modifying the child’s program in accordance with the IEP and arranging for the provision of related services. If a child enters Head Start with an IEP completed within two months prior to entry, services must begin within the first two weeks of program attendance. CS, HV and Parent will meet to discuss any modification in child’s program needed per IEP. They will consult with CSS or HC or DC to be certain changes are made according to legal procedure. DC, CS, and Parent will work together to arrange related services to begin within two weeks. PERSON(S) RESPONSIBLE Disabilities Coordinator Home Visitor TIMELINES SUPPORTING DOCUMENTATION SOAP Disabilities Coordinator Disabilities Coordinator Center Supervisor Home Visitor Within 30 Days of Evaluation As Occurs IDEA IEP SOAP IEP Therapy/Service Logs Center Supervisor As Needed SOAP Disabilities Coor. Center Supervisor Within 2 weeks of IEP IEP, SOAP, Therapy Logs 398 Subpart F – Nutrition Performance Standards – Disabilities 1308.20 – Nutrition Services STRATEGY a) The Disabilities Coordinator will work with staff to ensure that provisions to meet special needs are incorporated into the nutrition program. Home Visitor will consult with Health Coordinator to access Nutrition Consultant. Nutrition Consultant is available to meet with parents. Family Advocate will also refer parents to Health Department for nutrition services and resources for those children who are not able to develop normally because of malnutrition. See Nutrition Plan 1304.23 b) Appropriate professionals, such as Physical Therapists, Speech Therapists, Occupational Therapists, Nutritionists or Dietitians must be consulted on ways to assist Head Start staff and parents of children with severe disabilities with problems of chewing, swallowing and feeding themselves. c) Children with disabilities will be included in meals and snack times with classmates. d) The plan for services for children with disabilities must address prevention of disabilities with a nutrition basis. Home Visitor will provide information on nutrition and its connection to normal physical, mental and psycho/social growth to families of children with disabilities. Home Visitor will provide information to parents on the connection between Speech & Language problems and dental carries, i.e., baby bottles. PERSON(S) RESPONSIBLE Disabilities Coor. Health Coor. Center Cook Home Visitor, Health Coordinator Disabilities Coordinator TIMELINES Before Child’s 1st Class Day SUPPORTING DOCUMENTATION Special Diet Statement for Older Children As Needed Referral Form CPE Health Coordinator Disabilities Coordinator As Needed SOAP Specialist Reports Center Supervisor FE III Health Coordinator Home Visitor Upon Enrollment Child Attendance Form Upon Enrollment Menu Fall CPE Nutrition Lesson Home Visitor As needed When there are younger siblings CPE 399 Subpart G – Parent Involvement Performance Standards – Disabilities 1308.21 – Parent participation and transition of children into Head Start from other placements and from Head Start to public school. STRATEGY a) In addition to the many references to working with parents throughout these standards, the Head Start staff must: 1) Support parents of children with disabilities entering from infant/toddler program. Participate in transition meetings with parents, child, Head Start, 3 –5 programs, ACDC and/or other service provider. See 1308.4 – transition activities. Invite parents to observe classroom the year previous to child’s entering. Offer parents use of Head Start library/education materials. Discuss program options that might suit each child’s strengths and needs. 2) Provide information to parents on how to foster the development of their child with disabilities. ie.: Head Start Mainstreaming Series PERM education materials Assorted resources about specific disabilities on how to foster development PORTAGE assessment Teach parent High Scope Development and appropriate practices for working with young children. IPUL materials Internet resources Head Start Parents of a Child with Special Abilities booklet PERSON(S) RESPONSIBLE Center Supervisor Disabilities Coor. Center Supervisor HV CS, HV Center Supervisor Home Visitor TIMELINES 6 months before transition to preschool services. April/May SUPPORTING DOCUMENTATION IFSP Transition Plan Monthly As Needed IEP, Transition Plan Child File CPE SOAP On Going CPE 400 Subpart G – Parent Involvement Performance Standards – Disabilities 1308.21 – Parent participation and transition of children into Head Start from other placements and from Head Start to public school. (continued) STRATEGY 3) Provide opportunities for parents to observe large group, small group and individual activities described in their child’s IEP Encourage parents to observe class activities and to join in/assist as per their interest. Provide video tapes of mainstreamed children with disabilities. See also Parent Involvement 1304.5-3(b)(d). 4) Provide follow-up assistance and activities to reinforce program activities at home. Assist parent(s) plan home activities that parallel those on IEP/classroom activities. See also Parent Involvement 1304.52(a)(b) The Head Start staff help parents understand that their active participation is needed to complete services in a team approach. 5) Refer parents to groups of parents of children with similar disabilities who can provide helpful peer support. Refer to local support groups. Refer to IPUL – Idaho Support/Education group. Refer to Magic Valley Learning Center - See also Social Service 1304.4-2(b)(1) 6) Inform parents of their rights under IDEA. Home Visitors discuss rights and responsibilities when reviewing Parents of a Child With Special Rights booklet. *IDEA—Individuals with Disabilities in Education Act PERSON(S) RESPONSIBLE CS TIMELINES SUPPORTING DOCUMENTATION Family Educator III, CS, FA Center Supervisor Home Visitor Monthly Monthly CPE (transition activities) PERM, Head Start Region X Materials, SCHS Training Videos Home Visitor 1 - 2 Times a Month Child Goal Sheet CPE HV, FE, CS On Going CPE Home Visitor Home Visitor Home Visitor As Needed As Enrolled As Needed HS local Resource List Resource List & CPE CPE Home Visitor As Enrolled Parents of a Child With Special Rights Booklet 401 Subpart G – Parent Involvement Performance Standards – Disabilities 1308.21 – continued STRATEGY 7) Inform parents of resources available to them from the Supplemental Security Income (SSI) Program, the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program, Health & Welfare Service Coordination, ISDB, and others, and assist them with efforts to access such resources. See also Social Services 1304.4-2(a)(6) 8) Identify needs (caused by the disability) of siblings and other family members. Discuss, complete, and review parent and family goal sheets. PERSON(S) RESPONSIBLE Home Visitor Home Visitor TIMELINES As Needed SUPPORTING DOCUMENTATION CPE’s Inform parents that Head Start MHC is available as a resource. Home Visitor During staffings, CS and FE III will follow up on family needs and child’s progress with Family Advocate. 9) Staff will provide information to families to prevent disabilities among younger siblings. Home Visitor will provide parent with child development information so parent has reasonable expectations and can provide appropriate experiences for siblings. Disabilities Coordinator, Home Visitor, Center Supervisor can recommend resources on disabilities that deal with siblings learning from older sibling with a disability (model). Through regular staffings and follow-up contacts, the CS should ensure that staff carrying out home visits do not overlook possible disabilities among younger siblings who should be referred for early evaluation and preventive actions. Head Start will refer the family to local Child Find screening services to ensure siblings are meeting developmental milestones. Center Supervisor Family Ed. III During mapping & goal setting Wellness Home Visit On Going by Appointment 2 - 3 Times a Year Home Visitor As Needed CPE Disabilities Coor. Home Visitor Center Supervisor Center Supervisor Monthly CPE On Going Staffing Notes Home Visitor As Scheduled CPE Referral Form Home Visitor Family Partnership Agreement Family Partnership Agreement, CPE Family Partnership Agreement, CPE Staffing Notes 402 Subpart G – Parent Involvement Performance Standards – Disabilities 1308.21 – continued STRATEGY 10) Build parent confidence, skill and knowledge in accessing resources and advocating to meet the special needs of their children. Provide information on disabilities. Encourage parent participation/contact with resource groups. i.e.: IPUL, local support groups. Help parent collaborate with other parent(s) for transportation and child care. Home Visitor attends meetings with service providers and parent (at their request) as support/advocate. b) Grantees must plan to assist parents in the transition of children from Head Start to public school or other placement, beginning early in the program year. Home Visitor will use Parents of a Child With Special Rights booklet on home visits. If only Head Start has been providing services, transition meetings with the school district, Head Start, service providers and parents are held to discuss services provided, current assessment levels and needs for next year. HV will discuss this option with parents Make ongoing referrals to support/education groups that help parents transition, i.e.: IPUL, ASAP (Twin Falls) Make ongoing recommendations of articles/information to parents on inclusion and parents and children’s rights under the law. Provide information on services available from LEAs and other sources of services parents can access such as dental treatment, service coordination, summer services, etc. using Parents of a Child with Special Rights booklet and Kindergarten Transition booklet and Community Resource Guide. HV will recommend that parents share information on interventions/services with their child’s kindergarten teacher PERSON(S) RESPONSIBLE TIMELINES SUPPORTING DOCUMENTATION Home Visitor Home Visitor Monthly On Going Home Visitor Center Supervisor Home Visitor As Needed CPE CPE Parent Goal Sheet CPE As Needed SOAP 403 Home Visitor September CPE HV, Disabilities Coordinator April – May SOAP CPE Home Visitor Regularly CPE Home Visitor DC Regularly CPE Home Visitor On Going CPE HV May CPE Subpart G – Parent Involvement Performance Standards – Disabilities 1308.21 – continued STRATEGY Inform parents of the differences between the two systems (Head Start & Public Schools) in role, staffing patterns, schedules and focus. Encourage visits by staff and parents to facility to help plan appropriate placement. PERSON(S) RESPONSIBLE Home Visitor Center Supervisor TIMELINES April – May April – May At transition meeting April – May SUPPORTING DOCUMENTATION CPE Transition booklet SOAP Familiarize Head Start parents and Head Start staff with the receiving program’s characteristics and expectations. Center Supervisor Home Visitor CPE, Transition Booklet, Parent Meeting Agenda Parent Meeting Agenda Invite a kindergarten teacher to talk with parents during a Head Start Parent Meeting about schedules, services provided, how to get help, what documents are needed for kindergarten enrollment. Home Visitor will encourage parents to attend kindergarten orientation, spring registration. c) Head Start grantees, in cooperation with the child’s parents, must notify the school of the child’s planned enrollment prior to the date of enrollment. Will provide information while maintaining confidentiality. Center Supervisor will contact children’s local schools to inform them of the number of transitioning children with disabilities who were not receiving services from their school district’s developmental preschool. Names remain confidential. Home Visitor provides early transfer of records with parent consent. Center Supervisor May Home Visitor April May CPE Center Supervisor April Community Contact Sheet Home Visitor April ROI 404 ADDENDUM 1 – Dental IEPs STRATEGY An informal dental Individual Education Plan will be completed on all children with any of the following conditions: a) More cavities than child’s age b) Any extractions or pulpotomy treatment. c) Dentist recommendation of caries control. d) Any signs or symptoms of gum disease or oral infection. e) Any other condition that is determined by Health Coordinator to need an informal IEP, i.e.: (poor nutritional habits, poor dental hygiene, etc.) An informal IEP meeting will be completed on home visit by the parent and Home Visitor and may also include the Health Coordinator, Center Supervisor, Nutrition Consultant or others. An informal IEP will be written on Health IEP form. Copies will be given to parent, Family Educator, Child’s File and Health Coordinator. PERSON(S) RESPONSIBLE Home Visitor Health Coor. TIMELINES As Needed Home Visitor As Needed SUPPORTING DOCUMENTATION Dental IEP Dental IEP CPE 405 Home Visitor As Needed Dental IEP TRANSPORTATION SERVICES APPROVED: 06/18/2008 1310.1 Purpose. Under the authority of the Head Start Act this section prescribes regulations on safety features and the safe operation of vehicles used to transport children participating in Head Start. PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION H.S. Director On going Daily Safety Check Sheets Safe operation of vehicles used to transport Transportation Scheduled Maintenance Plan children participating in the Head Start program. Coordinator Operations Manager Center Supervisor Bus Driver Head Start Staff H.S. Director Daily Observation Check Lists Child restraint systems must be used in all Head Operations Manager Start vehicles to transport children on a regular Transportation basis Coordinator Bus Driver Head Start Staff At the time of acceptance New Vehicle Checklist Inspection of new vehicles at the time of Transportation of new equipment delivery Coordinator 1310.2 Applicability. All Head Start agencies that provide transportation services, regardless of whether such transportation is provided directly on agency owned or leased vehicles or through arrangement with a private or public transportation provider. STRATEGY South Central Head Start will provide transportation services to all qualified program participants as this need is identified during the application process PERSON(S) RESPONSIBLE H S Director Operations Manager Transportation Coordinator TIMELINES On going as needed SUPPORTING DOCUMENTATION Applications Center Class Lists Bus Routes 409 Routes may be restricted by the length of time involved in transporting participants, therefore, the policy reflects a ten mile radius for either the center or the community that is served. Center Supervisor Bus Driver Transportation Coordinator Center Supervisor Bus Driver Annually as routes are set up Applications Bus route maps 1310.3 Definitions. Defines terms used by the Department of Health and Human Services, Office of Head Start and South Central Head Start STRATEGY Agency in this regulation means a Head Start or Early Head Start or delegate agency unless otherwise designated. Agency Providing Transportation Services means an agency providing transportation services, either directly or through another arrangement with a private or public transportation provider, to children enrolled in its Head Start. Allowable Alternate Vehicle means a vehicle designed for carrying eleven or more people, including the driver, that meets all the Federal Motor Vehicle Safety Standards applicable to school buses, except 49 CFR 571.108 and 571.131. Bus monitor means a person with specific responsibilities for assisting the driver in ensuring the safety of the children while they ride, board, or exit the vehicle and for assisting the driver during emergencies. Child Restraint System means any device designed to restrain, seat, or position children who weigh 50 pounds or less which meets the requirements of Federal Motor Vehicle Safety Standard No. 213, Child Restraint Systems, 49 CFR 571.213. PERSON(S) RESPONSIBLE HHS, ACF, Office of Head Start HHS, ACF, Office of Head Start TIMELINES On going SUPPORTING DOCUMENTATION Performance Standards On going Performance Standards 410 HHS, ACF, Office of Head Start On going Performance Standards H.S. Director Transportation Coordinator Center Supervisor Bus Driver Transportation Coordinator Bus Driver On going Annually, at the beginning of the program year Performance Standards Bus Monitor Trainings Training Logs Upon order of new transportation equipment or as needed Performance Standards Commercial Driver's License (CDL) means a license issued by a State or other jurisdiction, in accordance with the standards contained in 49 CFR part 383, to an individual which authorizes the individual to operate a class of commercial motor vehicles as required by Federal Department of Transportation—an “S” (school bus) endorsement is required of all bus drivers. Fixed route means the established routes to be traveled on a regular basis by vehicles that transport children to and from Head Start program activities, and which include specifically designated stops where children board or exit the vehicle. Head Start Program means a program of services provided by a Head Start agency or delegate agency and funded under the Head Start Act. National Driver Register means the National Highway Traffic Safety Administration's automated system for assisting State driver license officials in obtaining information regarding the driving records of individuals who have been denied licenses for cause; had their licenses denied for cause, had their licenses canceled, revoked, or suspended for cause, or have been convicted of certain serious driving offenses. Reverse beeper means a device which automatically sounds an intermittent alarm whenever the vehicle is engaged in reverse. School Bus means a motor vehicle designed for carrying 11 or more persons (including the driver) and which complies with the Federal Motor Vehicle Safety Standards applicable to school buses. Seat Belt Cutter means a special device that may be used in an emergency to rapidly cut through the seat belts used on vehicles in conjunction with child restraint systems. Transportation Services means the planned transporting of children to and from sites. Incidental trips, such as transporting a sick child home before the end of the day, or H.S. Director Human Resource Coordinator Transportation Coordinator Upon Application and offer of position Performance Standards Employee Application Transportation Coordinator Center Supervisor Bus Driver H.S. Director When routes are established Performance Standards Human Resource Coordinator Upon review of record Performance Standards Hiring Procedures 411 Transportation Coordinator Transportation Coordinator Upon ordering new vehicle As required Bid sheet New vehicle checklist Bus inventory list Transportation Coordinator Ongoing Mounted on bus, out of reach of children H.S. Director Family Service Specialist As scheduled As needed Routes and mileage sheets such as might be required to transport small groups of children to and from necessary services, are not included under the term. Trip routing means the determination of the fixed routes to be traveled on a regular basis for the purpose of transporting children to and from the Head Start program or activities. Transportation Coordinator Transportation Coordinator Annually Modified as needed Bus routes Route maps 412 1310.10 General. For families who need transportation in order for their children to attend the program, the program assists them in obtaining transportation. When the program does not directly provide transportation services, either for all or a portion of the children, it must provide reasonable assistance to the families of such children to arrange transportation to and from its activities. Vehicles used in providing transportation services are equipped with required safety equipment. Transportation services must ensure that any auxiliary seating, such as temporary or folding jump seats, used in vehicles of any type providing such services are built into the vehicle by the manufacturer as part of its standard design STRATEGY Families who need transportation in order for their children to PERSON(S) RESPONSIBLE H.S. Director TIMELINES Upon Enrollment SUPPORTING DOCUMENTATION Application attend the program, the program assists them in obtaining transportation. When transportation is provided through another organization or an individual, the agency must ensure the compliance of the transportation provider with the applicable requirements. Specific types of assistance being offered must be made clear to all prospective families in the program's recruitment announcements. Reasonable assistance may include but is not limited to helping to arrange car pools, arrangements through other organizations, distributing information on public transportation systems, etc. Operations Manager Family Service Specialist Transportation Coordinator Center Supervisor H.S. Director Operations Manager Family Service Specialist Transportation Coordinator H.S. Director Operations Manager Family Service Specialist Transportation Coordinator H.S. Director Operations Manager Family Service Specialist Family Advocate/Home Visitor Transportation Coordinator Bus route map When determined Cooperative agreement Ongoing Pre-applications Applications Acceptance list As needed Monthly community contact sheets CPEs 413 It is the general policy of South Central Head Start to provide transportation service to as many Head Start participants as possible. However, due to the size of our service area, priority is given to those with the greatest need. Our routes may be restricted by the length and time involved in transporting participants. Our general policy will be restricted to a 10 mile radius from either the Head Start Center or the center of the neighboring communities in which we serve. Each vehicle used in providing transportation services is equipped with: (1) a communication system to call for assistance in case of an emergency: H.S. Director Operations Manager Family Service Specialist Transportation Coordinator Center Supervisor Bus Driver Transportation Coordinator Center Supervisor Bus Driver At time of acceptance Bus route map Ongoing Daily safety checklist Observations 414 (2) safety equipment for use in an emergency, including a charged fire extinguisher that is properly mounted near the driver's seat and a sign indicating its location; (3) a first aid kit and a sign indicating the location of such equipment; and (4) a seat belt cutter(s) for use in an emergency evacuation and a sign indicating its location. Any auxiliary seating, such as temporary or folding jump seats, used in vehicles of any type providing transportation services, are: a) built into the vehicle by the manufacturer as part of its standard design, Transportation Coordinator Center Supervisor Bus Driver Ongoing Daily checklist Annual inspection form b) are maintained in proper working order, and c) are inspected as part of the annual inspection Each agency providing transportation services must ensure that all accidents involving vehicles that transport children receiving such services are reported in accordance with applicable State requirements. Please see 1310.17(b)(4) Each agency must ensure that children are only released to a parent or legal guardian, or other individual identified in writing by the parent or legal guardian. This regulation applies when children are not transported and are picked up from the classroom, as well as when they are dropped off by a vehicle Agencies must maintain lists of the persons, including alternates in case of emergency, and up-to-date child rosters must be maintained at all times to ensure that no child is left behind, either at the classroom or on the vehicle at the end of the route. H.S. Director Operations Manager Family Service Specialist Transportation Coordinator Center Supervisor Bus Driver As needed Emergency card Parent note Identification verification 1310.11 Child Restraint Systems. Each agency providing transportation services must ensure that each vehicle used to transport children receiving such services is equipped for use of height- and weight-appropriate child safety restraint systems 415 STRATEGY All buses will be equipped with height and weight appropriate child safety restraint systems. PERSON(S) RESPONSIBLE H.S. Director Operations Manager Transportation Coordinator TIMELINES Upon purchase of new equipment and all equipment utilized SUPPORTING DOCUMENTATION Purchasing documentation Vehjicle placement sheets Height/weight charts in child files 1310.12 Required used of School Buses or Allowable Alternate Vehicles. Grant funds for use in providing transportation services or to purchase a vehicle that is either a school bus or an allolwable alternate vehicle. Each vehicle used to transport children receiving transportation services is equipped for use of height- and weightappropriate child safety restraint systems. PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION Each vehicle must use height- and weight-appropriate child Transportation ongoing Bid specifications restraint systems coordinator Purchasing documentation Each vehicle must be equipped with a reverse beeper. Transportation At time of Bid specifications coordinator purchase, ongoing Purchasing documentation Daily safety checklist 416 1310.13 Maintenance of vehicles. Each agency providing transportation services must ensure that vehicles used to provide such services are maintained in safe operating condition at all times. The organization operating the vehicle must establish and implement procedures. PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION A thorough safety inspection of each vehicle on at least an Transportation Annually Inspection Sheets annual basis through an inspection program, including: Coordinator Bus Driver Daily Systematic preventative maintenance on such vehicles Daily pre-trip inspection of the vehicle by the driver § 1310.14 Inspection of new vehicles at the time of delivery. STRATEGY Each agency providing transportation services must ensure that bid announcements for school buses and allowable alternate vehicles for use in transporting children in its program include the correct specifications and a clear statement of the vehicle's intended use. Agencies must ensure that there is a prescribed procedure for examining such vehicles at the time of delivery to ensure that they are equipped in accordance with the bid specifications and that the manufacturer's certification of compliance with the applicable FMVSS is included with the vehicle. PERSON(S) RESPONSIBLE Grantee Executive Director H.S. Director Operations Manager Transportation Coordinator Grantee Executive Director H.S. Director Operations Manager Transportation Coordinator TIMELINES Upon availability of funding SUPPORTING DOCUMENTATION Legal advertisement Bid specifications As needed New vehicle checklist 417 1310.15 Operation of vehicles. Each agency providing transportation services, either directly or through an arrangement with another organization or an individual, to children enrolled in its program must ensure that: PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION Any child weighing 50 pounds or less must be seated in a child Bus Driver As needed Observation form restraint system appropriate to the height and weight of the Center Supervisor Height/weight chart – child while the vehicle is in motion. child file Baggage and other items transported in the passenger Bus Driver Daily Daily Safety checklist compartment are properly stored, secured; aisles remain clear; Center Supervisor Observation forms doors and emergency exits remain unobstructed at all times. At least one bus monitor on board at all times, with additional Bus Driver Daily Bus Rider Form bus monitors provided as necessary, such as when needed to Center Supervisor Observation accommodate the needs of children with disabilities. Except for bus monitors who are assisting children, all vehicle Bus Driver Daily Observation occupants must be seated and wearing height- and weightCenter Supervisor appropriate safety restraints while the vehicle is in motion. 418 1310.16 Driver qualifications. Each agency providing transportation services must ensure that persons who drive vehicles used to provide such services, at a minimum: PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION Must be 21 years of age. Personnel During Drivers license Technician application process Hold a valid Commercial Driver's License (CDL) from the State Personnel During Drivers license of Idaho and for the same class as the vehicle the driver will be Technician application operating in and have on their person at all times. process Meet physical, mental, and other requirements established under Personnel Upon conditional Copy of DOT physical applicable law or regulations as necessary to perform jobTechnician offer of related functions with any necessary and with reasonable employment accommodations. All CDL holders who drive for the Head Start program will Personnel Upon conditional Copy of drug screen submit to pre-employment, random and post accident drug / Technician offer of alcohol testing. employment As randomly drawn At time of accident South Central Head Start must ensure that there is an applicant Personnel Application screener review process for use in hiring drivers. Technician Applicants for driver positions must be advised of the specific Personnel During background checks required of the applicant Technician application process There is criteria for the rejection of unacceptable applicants Personnel During Applicant’s screener established. Technician application results process Upon conditional offer of employment, the review procedure Personnel Upon conditional DMV report 419 must include, a check of the applicant's driving record through the appropriate State agency, including a check of the applicant's record through the National Driver Register, if available in the State of Idaho. Staff and consultants have the knowledge, skills, and experience they need to perform their assigned functions and responsibilities After a conditional offer of employment to the applicant and before the applicant begins work as a driver, a medical examination, (performed by a licensed doctor of medicine or osteopathy), establishing that the individual possesses the physical ability to perform any job-related functions with any necessary accommodations. Technician offer of employment Personnel Technician During interview process Personnel Technician Upon conditional offer of employment Application Resumé Screener & interview DOT physical form 1310.17 Driver and Bus Monitor Training Drivers and bus monitors are trained in accordance with Head Start regulations. The program ensures that drivers who are hired to drive vehicles used in providing transportation services receive the training required prior to transporting any child enrolled in the program. STRATEGY Drivers receive a combination of classroom instruction and behind-the-wheel instruction sufficient to: a) operate the vehicle in a safe and efficient manner; b) safely run a fixed route, including loading and unloading children, stopping at railroad crossings and performing other specialized driving maneuvers; PERSON(S) RESPONSIBLE Center Supervisor Transportation Coordinator TIMELINES August, twice annually as scheduled SUPPORTING DOCUMENTATION Pre-service agenda Training sign-in sheets Observation Forms 420 Health Coordinator CPR/First Aid Card c) administer basic CPR & first aid in case of injury; d) handle emergency situations, including vehicle evacuation procedures; e) operate any special equipment, such as wheelchair assistance devices or special occupant restraints; Monthly safety drill form lifts, Disabilities Coordinator Daily safety checklist Mileage record Bus monitor incentive sheet Monthly expense report f) conduct routine maintenance and safety checks of the vehicle g) maintain accurate records as necessary. Drivers must also receive instruction on the topics of: Transportation Coordinator Center Supervisor Pre-service Regular training Annually Training sign-in sheets Pre-service sign-in sheet Center staff meeting Staff calendar b) a structured approach to staff training and development, attaching academic credit whenever possible. This system should be designed to help build relationships among staff and to assist staff in acquiring or increasing the knowledge and skills needed to fulfill their job responsibilities, in accordance with the requirements of 1306.23; Director Operations Manager Transportation Coordinator Yearly Training requests Transcripts Sign-in sheets c) ongoing opportunities for staff to acquire the knowledge and skills necessary to implement the content of the Head Start Program Performance Standards, including methods for identifying and Director Operations Manager Transportation Annual required trainings Program required training sign-in sheet a) the goals and philosophy of the Head Start program and the ways in which they are implemented by the program 421 reporting child abuse and neglect that comply with applicable State and local laws using, so far as possible, a helpful rather than a punitive attitude toward abusing or neglecting parents and other caretakers; Coordinator Family Services Specialist d) and the provisions of the Head Start Program Performance Standards for Children with Disabilities (45 CFR 1308) relating to transportation services for children with disabilities. Transportation Coordinator Disabilities Coordinator As needed IEP/IFSP Drivers must receive refresher training courses including the topics listed above and any additional necessary training to meet the requirements applicable in the State where the program operates. The agency ensures that Transportation Coordinator Annually and as scheduled Training agenda Center Supervisor Annually or as scheduled for new staff Evaluation and training log Bus Driver Observation form Bus Driver Transportation Coordinator beginning of year Bus Monitor training a) the annual evaluation of each driver of a vehicle used to provide transportation services includes an on-board observation of road performance b) before bus monitors are3 assigned to a route, they are required to complete training on child boarding, exiting procedure, use of child restraint systems, any required paperwork, responses to emergencies, emergency evacuation procedures, use of special equipment, child pick-up and release procedures and pre- and post-trip vehicle check. 422 1310.17(b)(4) Handle emergency situations, including vehicle evacuation. Before bus monitors assigned to vehicles used to provide transportation services begin their duties, they are trained on child boarding and exiting procedure, use of child restraint systems, any required paperwork, responses to emergencies, emergency evacuation procedures, use of special equipment, child pickup and release procedures and pre- and post-trip vehicle check. PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION Post Accident: Police Report Call 911 Bus Driver At the scene of Citation (if cited) Contact Law enforcement Bus Monitor accident Insurance information Seek (call for) medical attention for all occupants of vehicle Bus Driver At the scene of Medical reports Bus Monitor accident Workers compensation (post accident) claim form Copy of 911 tape Evacuation of children, Bus Monitor and staff from vehicle, at Bus Driver At the scene of least 150 feet from vehicle or to a safe place (following program Bus Monitor accident Incident report work plan for vehicle evacuation. ASAP (post accident) Post Accident: (notification) Bus Driver/BM ASAP Incident Report Notify: 1). Center Supervisor /Staff Center Sup/Staff (post accident) 2). Director/Operations Manager, Human Resource Coordinator Center Sup/Staff 3). Transportation Coordinator Notify: Head Start parents (guardian) to inform of accident and Center Supervisor Class list with current plan (pick up return to center etc.) Center Staff ASAP documentation of CO personnel (post accident) contact. Staff will initial each name. Emergency cards at Central Office Center Supervisor Post Accident: (drug/alcohol testing) Head Start staff (driver) must be accompanied and transported Transportation ASAP Medical report drug to a local medical facility for drug/alcohol testing. (Refer DOT Coordinator (post accident) screening results Drug Free Policy and Agreement.) 423 Post Accident: (follow-up) Follow-up procedures will take place within 24 hours. Follow-up on those passengers who needed medical attention Contact grantee regarding notification of accident Center Supervisor Home Visitor Family Advocate Center Supervisor Home Visitor Family Advocate Transportation Coordinator Director Operations Manager Notify vehicle insurance carrier CSI Representative Repair and/or replacement of vehicle Transportation Coordinator Director/Operations Manager Center Supervisor Within 24 hours of accident during Home Visit – for next 30 days With in 14 days of accident. Within 30 days Notification ASAP (post accident) Documentation to follow-up within 7-10 days ASAP Upon receiving information Upon notification from insurance carrier Class list – phone contact Home Visit –CPE’s Attendance sheet Medical report. Workers compensation claim form Police report Incident report Photographs Workers compensation claim form (staff) Contact from Insurance carrier with instructions on repairs Letter from insurance carrier Written bids. 424 1310.20 Trip Routing. Each agency providing transportation services must ensure that in planning fixed routes the safety of the children being transported is the primary consideration. The agency must also ensure that the following basic principles of trip routing are adhered to: PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION The time a child is in transit to and from the Head Start Center Center Supervisor Upon acceptance Route map must not exceed one hour unless there is no shorter route Bus Driver available or any alternative shorter route is either unsafe or impractical. Vehicles must not be loaded beyond the maximum passenger Center Supervisor Daily Child pick-up/drop-off capacity at any time. Bus Driver list Vehicles must not be required to back up or make "U" turns, Center Supervisor Daily Route map except when necessary for reasons of safety or because of Bus Driver physical barriers. Bus Monitor will assist driver with backing Bus Monitor up and u-turn procedures. Stops must be located to minimize traffic disruptions and to Center Supervisor Daily Route map afford the driver a good field of view in front of and behind the Bus Driver Observation form vehicle. When possible, stops must be located to eliminate the need for Center Supervisor Daily Route map children to cross the street or highway to board or leave the Bus Driver Observation form vehicle. If children must cross the street before boarding or after leaving Center Supervisor Daily Observation form the vehicle because curbside drop off or pick up is impossible, Bus Driver they must be escorted across the street by the bus monitor or Bus Monitor another adult. Specific procedures must be established for use of alternate Center Supervisor Annually or as Route map routes in the case of hazardous conditions that could affect the Bus Driver needed Alternative Route Plan safety of the children who are being transported, such as ice or Center Staff water build up, natural gas line breaks, or emergency road Parents closing. In selecting among alternatives, transportation 425 providers must choose routes that comply as much as possible with the requirements of this section. 1310.21 Safety Education Safety training is provided for parents and children within the first thirty days of the program year. PERSON(S) STRATEGY RESPONSIBLE TIMELINES The program provides training for parents and children in Family Services Within 30 days of pedestrian safety. Specialist enrollment Center Supervisor Family Advocate/Home Visitor The training provided to children is developmentally appropriate and an integral part of program experiences. Training is provided when an adult needs to accompany a Head Start child while crossing the street. The required transportation and pedestrian safety education of children and parents, with the exception of bus evacuation drills, is provided within the first thirty days of the program year. Children receiving safety education training are taught: a) safe riding practices; b) safety procedures for boarding and leaving the Family Services Specialist Childrens Services Coordinator Bus Driver Center Supervisor Bus Driver Center Supervisor Bus Driver Bus Monitor Classroom Staff Annually As needed Within 30 days of enrollment Daily SUPPORTING DOCUMENTATION Parent committee calendar CPE #1 CPE Sign-in sheet Parent committee Calendar Bus Monitor training Parent meeting agenda CPE Bus Monitor training Parent meeting agenda CPE Classroom lesson plan 426 vehicle; c) safety procedures in crossing the street to and from the vehicle at stops; d) recognition of the danger zones around the vehicle; and e) emergency evacuation procedures, including participating in an emergency evacuation drill conducted on the vehicle the child will be riding. Safety education training for parents: a) emphasizes the importance of escorting their children to the vehicle stop and the importance of reinforcing the training provided to children regarding vehicle safety; and Bus Driver Bus Monitor Classroom Staff Monthly Safety drill tracking sheet Center Supervisor Annually, within first 30 days of enrollment Parent meeting agenda During 1st Home Visit Parent Meeting sign-in sheets Monthly Evaluation on safety drill Observation form Family Advocate/Home Visitor CPE b) complements the training provided to their children so that safety practices can be reinforced both in Head Start and at home by the parent. The program ensures that bus evacuation drills are conducted Bus Driver monthly during the program year. Center Supervisor Transportation Coordinator 427 1310.22 Children with disabilities. The program provides transportation services for children with disabilities. PERSON(S) STRATEGY RESPONSIBLE Ensures that there are school buses or allowable alternate H S Director vehicles adapted or designed for transportation of children with Operations disabilities available as necessary to transport such children Manager enrolled in the program. Transportation Coordinator Whenever possible, children with disabilities are transported in H S Director the same vehicles used to transport other children enrolled in Operations the Head Start program. Manager Transportation Coordinator Center Supervisor The program specifies any special transportation requirements H S Director for a child with a disability when preparing the child's Operations Individual Education Plan (IEP) or Individual Family Service Manager Plan (IFSP), and ensures that in all cases special transportation requirements in a child's IEP or IFSP are followed, including: Special Needs Coordinator a) special pick-up and drop-off requirements; Transportation Coordinator b) special seating requirements; Center Supervisor Bus Driver c) special equipment needs; d) any special assistance that may be required; and e) any special training for bus drivers and monitors. TIMELINES As needed SUPPORTING DOCUMENTATION Vehicle placement list As needed Vehicle placement list As needed Child’s IEP/IFSP Specialized training agenda/sign-in sheet 428 1310.23 Coordinated transportation. Each agency providing transportation services must make reasonable efforts to coordinate transportation resources with other human services agencies in its community in order to control costs and to improve the quality and the availability of transportation services. At a minimum each program must PERSON(S) SUPPORTING STRATEGY RESPONSIBLE TIMELINES DOCUMENTATION H S Director Annually or as Cooperative agreements Coordinate transportation resources to control costs and to Operations needed as needed improve the quality and the availability of transportation Manager services Transportation Coordinator Identify the true costs of providing transportation in order to H S Director Annually or as Cooperative agreements knowledgeably compare the costs of providing transportation Operations needed as needed directly versus contracting for the service. Manager Transportation Coordinator Explore the option of participating in any coordinated public or H S Director Annually or as Cooperative agreements private transportation systems existing in the community. Operations needed as needed Manager Transportation Coordinator Where no coordinated public or private non-profit transportation H S Director Annually or as Cooperative agreements system exists in the community, make every effort to identify Operations needed as needed other human services agencies also providing transportation Manager services and, where reasonable, to participate in the Transportation establishment of a local transportation coordinating council. Coordinator 429