Transcript Meeting 30, 45,and 90 day Requirements

Partners Meeting
September 23, 2014
Suzanne Tilley-Education Manager
Matilda Elizondo-Health Manager
30 Days
 § 1310.21 Safety education.
 (a) Each agency must provide training for parents and
children in pedestrian safety. The training provided to
children must be developmentally appropriate and an
integral part of program experiences. The need for an adult
to accompany a preschool child while crossing the street
must be emphasized in the training provided to parents
and children. The required transportation and pedestrian
safety education of children and parents, except for the bus
evacuation drills required by paragraph (d) of this section,
must be provided within the first thirty days of the
program year.
30 Days
 b) Each agency providing transportation services, directly
or through another organization or an individual, must
ensure that children who receive such services are taught:
(1) safe riding practices;
(2) safety procedures for boarding and leaving the vehicle;
(3) safety procedures in crossing the street to and from the
vehicle at stops;
(4) recognition of the danger zones around the vehicle; and
(5) emergency evacuation procedures, including
participating in an emergency evacuation drill conducted
on the vehicle the child will be riding.
30 Days
 (c) Each agency providing transportation services
must provide training for parents that:
(1) 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
(2) complements the training provided to their
children so that safety practices can be reinforced both
in Head Start and at home by the parent.
30 Days
 (d) Each agency providing transportation services
must ensure that at least two bus evacuation drills in
addition to the one required under paragraph (b)(5) of
this section are conducted during the program year.
 (e) Each agency providing transportation services
must develop activities to remind children of the safety
procedures. These activities must be developmentally
appropriate, individualized and be an integral part of
the Head Start or Early Head Start program activities.
 ACF 8/25/2014 Transportation
§ 1304.20 Child health and
developmental services.
 Within 45 calendar days of the child's entry into the
program to identify concerns regarding a child's
developmental, sensory (visual and auditory),
behavioral, motor, language, social, cognitive,
perceptual, and emotional skills.
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LAP Quick Screen HS
ASQ3 EHS
§ 1304.20 Child health and
developmental services.
Determining child health status.
 (b) Screening for developmental, sensory, and behavioral
concerns.
 (1) 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
concerns regarding a child's developmental, sensory (visual
and auditory), behavioral, motor, language, social, cognitive,
perceptual, and emotional skills (see 45 CFR 1308.6(b)(3) for
additional information). To the greatest extent possible, these
screening procedures must be sensitive to the child's cultural
background.
45 Days
 Sensory (visual and auditory)
Vision Services - include diagnosis and treatment
for defects in vision, including eyeglasses.
 Failed if:
 More than a 2 line difference
 Rescreen in 2-3 weeks
 Fails rescreen →refer to optometrist
 Resource-Sight for Students(Gift Certificate) for
children without any Health coverage.
 Sensory (visual and auditory)
 Hearing Services -- include diagnosis and treatment
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for defects in hearing, including hearing aids.
Failed if:
Child misses one or more frequencies in either ear
Rescreen in 3-4 weeks
If child fails rescreen →refer to audiologist
 Ages & Stages Questionnaires: Social Emotional
(ASQ-SE)
Ages & Stages Questionnaires®:Social-Emotional (ASQ:SE), a highly reliable,
parent-completed tool with a deep, exclusive focus on children’s social and
emotional development, you can quickly pinpoint behaviors of concern and
identify any need for further assessment or ongoing monitoring?
What is it?
 Parent-completed questionnaires that reliably identify young children at risk for
social or emotional difficulties.
Which social-emotional areas does it screen?
 Self-regulation, compliance, communication, adaptive behaviors, autonomy,
affect, and interaction with people.
What age range does it cover?
 3–66 months.
How many questionnaires are there?
 8 age-appropriate questionnaires for use at 6, 12, 18, 24, 30, 36, 48, and 60
months of age. 3-yrs(33-41 months) 4-yrs (42-53 months)
How many items are there?
 About 30 items per questionnaire.
How long does it take?
 Each questionnaire takes 10–15 minutes for parents to complete and just 2–3
minutes for professionals to score.
Is it valid and reliable?
 Articulation(Language Screener)
 Speech and language screening assesses a child's abilities in the areas
of:
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Voice (tone, loudness)
Articulation (pronouncing sounds)
Fluency (stuttering)
Language (understanding and using words)
 Speech and language screening is done by a health professional or
trained staff, parent, or volunteer. Children should be screened in their
primary language. A standardized screening tool should be used. The
screening asks questions and gives the child things to observe, think
about, and then respond to verbally.
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Treatment may include:
Medications
Speech therapy
Dental work
Hearing aid devices
Sign language instruction
Special education services
Lip reading instruction
Surgery such as "ear tubes" to help prevent ear infections
Mental health counseling/consultation for the child, family, and staff
§ 1304.20 Child health and
developmental services.
 a) Determining child health status.
 (1) In collaboration with the parents and as quickly as possible, but no
later than 90 calendar days from the child's entry into the program (for
the purposes of 45 CFR 1304.20(a)(1), 45 CFR 1304.20(a)(2), and 45 CFR
1304.20(b)(1), "entry" means the first day that Early Head Start or Head
Start services are provided to the child), grantee and delegate agencies
must:
 (ii) Obtain from a health care professional a determination as to
whether the child is up-to-date on a schedule of age appropriate
preventive and primary health care which includes medical, dental and
mental health. Such a schedule must incorporate the requirements for
a schedule of well child care utilized by the Early and Periodic
Screening, Diagnosis, and Treatment (EPSDT) program of the Medicaid
agency of the State in which they operate, and the latest immunization
recommendations issued by the Centers for Disease Control and
Prevention, as well as any additional recommendations from the local
Health Services Advisory Committee that are based on prevalent
community health problems:
90 Days
 Medical/Physical Examination
The medical exam is a thorough checkup of the
child’s overall health and development. It is done
by a licensed physician, nurse practitioner, or
physician’s assistant.
 Follow-up to the medical exam
If the medical exam identifies any problems, the health care
provider might recommend further evaluation, treatment, and
follow-up.
 This might include:
• Laboratory tests or X-rays
• Referral for evaluation by a health or educational specialist
• Medication or other therapy
• Education
 Dental Examination
The dental examination is a full checkup by a dental professional. It includes:
• Discussion of diet, toothbrushing, use of bottles, and thumb-sucking.
• Exam of the mouth for tooth decay, bite, and gum infections. Dental equipment
such as mouth mirrors, dental picks, and high intensity lights are used. X-rays
may be taken.
• Information on good oral hygiene and nutrition.
• Fluoride may be applied to the child’s teeth and/or prescribed in liquid or tablets
to prevent tooth
decay.
If dental problems are found, the child needs follow-up
evaluation and treatment by a dentist.
Treatment might include:
• Filling cavities, capping, or pulling teeth
• Education on improved diet, bottle use, toothbrushing,
flossing, and fluoride
• Referral to an orthodontist or other specialist
30, 45, 90, Day Calendar
Dental problems can
cause pain and
difficulty eating and
speaking. Treatment
for dental problems
can improve a child's
health and well-being.
Early intervention for
developmental
and mental health
concerns can help
improve a child’s
skills and well being.
Hearing is important for
Learning and
communicating
with others. Early
identification
and treatment of hearing
The medical/physical
problems can help improve a exam assesses overall
child’s development and
health and development.
relationships
It can lead to early
identification and
treatment of health
problems.
Speech and language are
communicating with
others.
Early assessment and
treatment of speech
problems
can help promote a child’s
development and
relationships.
Vision is important for
development,
physical activity, and
interactions. Early
identification and
treatment of vision
problems can help
promote a child’s
development.