Meeting 30, 45,and 90 day RequirementsPartners MeetingSeptember 23, 2014Suzanne Tilley-Education ManagerMatilda 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 Daysb) 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.

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 DaysSensory (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 optometristResource-Sight for Students(Gift Certificate)

for children without any Health coverage.

Sensory (visual and auditory)Hearing Services -- include diagnosis and

treatment for defects in hearing, including hearing aids.

Failed if:Child misses one or more frequencies in

either ear Rescreen in 3-4 weeksIf 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: 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. 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 thechild’s overall health and development. It is doneby a licensed physician, nurse practitioner, or

physician’s assistant.Follow-up to the medical exam

If the medical exam identifies any problems, the health careprovider might recommend further evaluation, treatment, andfollow-up.

This might include:• Laboratory tests or X-rays• Referral for evaluation by a health or educational specialist• Medication or other therapy• Education

Dental ExaminationThe 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 toothdecay.

If dental problems are found, the child needs follow-upevaluation 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 cancause pain anddifficulty eating andspeaking. Treatmentfor dental problemscan improve a

child'shealth and well-

being.

Early intervention for developmental

and mental healthconcerns can help

improve a child’sskills and well

being.

Hearing is important forLearning and

communicatingwith others. Early

identificationand treatment of hearingproblems can help

improve achild’s development andrelationships

The medical/physicalexam assesses

overallhealth and

development. It can lead to early

identification and treatment of healthproblems.

Speech and language are

communicating with others.

Early assessment andtreatment of speech

problemscan help promote a

child’sdevelopment andrelationships.

Vision is important for development,

physical activity, andinteractions. Earlyidentification andtreatment of vision

problems can helppromote a child’s

development.