# Presentation: 840447

## FY06 Regional PRISM Findings & Trends 

- DHHS ACF Region 10

- Julianne Crevatin
- Seattle, Washington
- October 24-25, 2006

**FY06 Regional PRISM Findings & Trends **

## Regional PRISM FY06 Findings

## Regional PRISM FY06 Findings

**CDHS**

**FCP**

**PDM**

## PRISM FY06 Findings

**RANGE IN NUMBER OF AREAS OF NON-COMPLIANCE = 0- 18 FINDINGS**
**AVERAGE # OF AREAS OF NON-COMPLIANCE PER REVIEW = 4 **
**NUMBER OF DEFICIENT GRANTEES IN 2006 = 5/21  = 24% **

## PRISM FY06 Findings

## KEY AREAS OF NON COMPLIANCE

- Child Development and Health Services **** most frequent
- Prevention and Early Intervention:
- 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 preventives 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.***

## Key Areas of Non Compliance

**PROGRAM DESIGN AND MANAGEMENT **
**	****-****	****Program Governance**
**1304.50(b)(1)****	*****Each Grantee and delegate agency governing body operating an Early Head Start or Head Start program must (except where such authority is ceded to the Policy Council or Policy committee) propose, within the framework of these regulations, the total size of their respective policy groups (based on the number of centers, classrooms, other program option units, and the number of children served by their Early Head Start or Head Start program), the procedures for the election of the parent members, and the procedure for the selection of community representative.  These proposals must be approved by the Policy Council.  ***

## Key Areas of Non Compliance

**PROGRAM DESIGN AND MANAGEMENT **
**Program Governance**
**1304.50(b)(2)  *****Policy Councils and Policy Committees must be comprised of two types of representatives:  parents of currently enrolled children and community representatives.  At least 51% of the members of these policy groups must be the parents of currently enrolled children.  ***

## KEY AREAS OF NON COMPLIANCE

**PROGRAM DESIGN AND MANAGEMENT**
**Program Governance**
**	****1304.50(b)(5) ***** Policy Councils and Policy Committees must limit the number of one-year terms any individual may serve on either body to a combined total of three terms.  ***

## KEY AREAS OF NON COMPLIANCE

**PROGRAM DESIGN AND MANAGEMENT**
** ****On-Going Monitoring**
**1304.51(i)(2)  Grantees must establish and implement procedures for the ongoing monitoring of their own Early Head Start and Head Start operations, as well as those of each of their delegate agencies, to ensure that these operations **_**effectively implement Federal regulations.**_

## KEY AREAS OF NON COMPLIANCE 

**PROGRAM DESIGN AND MANAGEMENT ****	**
**Human Resources**
**	****1301.31(b)(2) (i)(ii)(iii)  *****Grantee and delegate agencies must require that all current and prospective employees sign a declaration prior to employment that lists:***
***all pending and prior criminal arrests and charges related to child sexual abuse and their disposition;***
***Convictions related to other forms of child abuse and neglect;***
***And, all convictions of violent felonies.******  ***

## KEY AREAS OF NON COMPLIANCE

**Facilities, Materials, Equipment and Transportation**
**	****- 1304.53(a)(7)  *****Grantees and delegate agencies must provide for the maintenance, repair, safety and security of all Early Head Start and Head Start facilities, materials and equipment. ***