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HomeMy WebLinkAboutMINUTES - 06061995 - SD12 SD. 12 ' THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on _June 6, 1995 ,_ by the following vote: AYES: Supervisors Rogers, Smith, DeSaulnier, Torlakson, Bishop NOES: None ABSENT: None ABSTAIN: None ----------------------------------------------------------------- ----------------------------------------------------------------- SUBJECT: Report on the County's Head Start Program The Board received a Letter dated May 17 , 1995, from Maria L. Fort, Program Specialist, Head Start Branch, and Arden Hamilton, Financial Operations Specialist, U. S. Department of Health & Human Services, Administration for Children and Families, Region IX, 50 United Nations Plaza, San Francisco 94105, regarding the on-site monitoring review of the County's Head Start Program and of corrective actions that need to be taken. IT IS BY THE BOARD ORDERED that the aforesaid communication is REFERRED to the County Administrator and Community Services. Director. I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN . ATTESTED: _June 6, 1995 Phil Batchelor,Clerk of the Board of Supervisors and County Administrator By _ Deputy cc: County Administrator Director, CSD 3 s Administration for °`' DEPARTMENT OF HEALTH & HUMAN SERVICES Children and Families Refer to: [Head Start 09CH03751 Region IX 50 United Nations Plaza San Francisco, CA 94102 MAY 17 $911. _ RECE1N°E1C.) Gayle Bishop, Chairman Board of Supervisors MAY 18 1995 651 Pine Street Martinez, California 94553 CLERK BOARD TRA°coCOSTA O Dear Supervisor Bishop: From January 23 to 27, 1995 the Administration for Children and Families (ACF) conducted an on-site monitoring review of your Head Start program. On-site program reviews allow ACF, as the responsible funding agency for Head Start programs, to assure that Head Start grantees deliver the type and scope of services required by all relevant legislation, regulatory and policy requirements governing Head Start programs. Through monitoring ACF determines the degree to which programs are meeting minimum requirements and technical assistance resources are made available to those programs that do not meet minimum requirements. Each component of your program, including those of all four delegate agencies, was reviewed using the Head Start "On-Site Program Review Instrument" (OSPRI). The specific findings of our on-site review are attached to this letter, providing you detailed information on all areas in which your program was not meeting minimum Head Start requirements. Our report will include: - Overall Strengths and Weaknesses - Summary of Deficiencies - OSPRI Report of Findings - Summary Table of Non-Compliances CORRECTIVE ACTIONS REQUIRED It is our judgement that the number, type and scope of non-compliance items compromises your. program's ability to provide quality Head Start services. We have, therefore, identified your program as one with quality deficiencies. The specific deficiencies are discussed in Attachment II of this package. Gayle Bishop - Page 2 It is your responsibility to remedy the deficiencies noted in your program. The Head Start Act requires that all deficiencies identified as part of a monitoring visit be corrected as soon as possible and no deficiency can remain uncorrected for longer than one year from the date you receive this letter. In order to correct your deficiencies, you are required by law to develop a Quality Improvement Plan (QIP). We also request that you require your delegate agencies to develop a QIP where indicated, and you must monitor their progress in achieving compliance. When you submit your documentation of compliance, that of the delegate agencies must be part of it. You must develop and submit a QIP, within 30 days of receipt of this letter. It must specify the deficiencies to be corrected, the actions you will take to correct them, and the timetable with intermittent bench marks for the complete elimination of all deficiencies no later than one year from the date of this letter. We are prepared to assist you in the preparation of your QIP and encourage you to call your Program Specialist immediately to discuss the QIP and its development. Our office must approve your QIP within thirty days of its submission or indicate to you the reasons it cannot be approved. We are confident that your Head Start program will be brought in compliance even before the one year limit by eliminating all the deficiencies and non-compliances. However, in the unlikely event that your program continues to have uncorrected deficiencies beyond one year from the date of this letter, you will be issued, consistent with the requirements of the Head Start Act, a letter stating our intent to terminate your Head Start grant. In addition to the deficiencies noted in the attached report, you were found out of compliance on several items, not related to the identified deficiency(ies). These items are identified in the OSPRI Report attached to this letter. We expect that all identified non-compliance areas to be corrected as soon as possible and, unless this office authorizes additional time, within 90 days of the date of receipt of this letter. When you have corrected the identified areas of non-compliance, please submit a letter to this office, certifying that the non-compliances have been corrected. This process is separate from your Quality Improvement Plan and must be dealt with separately. We will continue to make technical assistance available to you throughout the coming months. We will determine in partnership with you a reasonable schedule of follow up activities including site visits to monitor your progress and validate your full compliance no later than one year from your receipt of this letter. . Gayle Bishop - Page 3 As expressed in the report of the Advisory Committee on Head Start Quality and Expansion, the goal of ACF is to ensure that all Head Start programs provide quality services to young children and their families. We look forward to supporting your efforts to reach this goal. We wish to thank the board, the policy council, the staff, and the parents of your program for their cooperation and assistance during the review. Please feel free to call Maria Fort, your Program Specialist, at (415)556-7408 regarding any questions or concerns you may have. Sincerely, Maria L. Fort Arden Hamilton Program Specialist Financial Operations Specialist Head Start Branch Office of Financial Operations Enclosures cc: Executive Director Head Start Director Policy Council Chair County Administrative Officer i a 3 s Administration for DEPARTMENT OF HEALTH & HUMAN SERVICES Children and Families Refer to: [Head Start 09CH03751 Region IX 50 United Nations Plaza San Francisco, CA 94102 MAY 17 f9b: RECEIVED Gayle Bishop, Chairman Board of Supervisors MAY 18 IM 651 Pine Street Martinez, California 94553 CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. Dear Supervisor Bishop: From January 23 to 27, 1995 the Administration for Children and Families (ACF) conducted an on-site monitoring review of your Head Start program. On-site program reviews allow ACF, as the responsible funding agency for Head Start programs, to assure that Head Start grantees deliver the type and scope of sorvices required by all relevant legislation, regulatory and policy requirements governing Head Start programs. Through monitoring ACF determines the degree to which programs are meeting minimum requirements and technical assistance resources are made available to those programs that do not meet minimum requirements. Each component of your program, including those of all four delegate agencies, was reviewed using the Head Start "On-Site Program Review Instrument" (OSPRI). The specific findings of our on-site review are attached to this letter, providing you detailed information on all areas in which your program was not meeting minimum Head Start requirements. Our report will include: - Overall Strengths and Weaknesses - Summary of Deficiencies - OSPRI Report of Findings - Summary Table of Non-Compliances CORRECTIVE ACTIONS REQUIRED It is our judgement that the number, type and scope of non-compliance items compromises your program's ability to provide quality Head Start services. We have, therefore, identified your program as one with quality deficiencies. The specific deficiencies are discussed in Attachment II of this package. Gayle Bishop - Page 2 It is your responsibility to remedy the deficiencies noted in your program. The Head Start Act requires that all deficiencies identified as part of a monitoring visit be corrected as soon as possible and no deficiency can remain uncorrected for longer than one year from the date you receive this letter. In order to correct your deficiencies, you are required by law to develop a Quality Improvement Plan (QIP). We also request that you require your delegate agencies to develop a QIP where indicated, and you must monitor their progress in achieving compliance. When you submit your documentation of compliance, that of the delegate agencies must be part of it. You must develop and submit a QIP, within 30 days of receipt of this letter. It must specify the deficiencies to be corrected, the actions you will take to correct them, and the timetable with intermittent bench marks for the complete elimination of all deficiencies no later than one year from the date of this letter. We are prepared to assist you in the preparation of your QIP and encourage you to call your Program Specialist immediately to discuss the QIP and its development. Our office must approve your QIP within thirty days of its submission or indicate to you the reasons it cannot be approved. We are confident that your Head Start program will be brought in compliance even before the one year limit by eliminating all the deficiencies and non-compliances. However, in the unlikely event that your program continues to have uncorrected deficiencies beyond one year from the date of this letter, you will be issued, consistent with the requirements of the Head Start Act, a letter stating our intent to terminate your Head Start grant. In addition to the deficiencies noted in the attached report, you were found out of compliance on several items, not related to the identified deficiency(ies). These items are identified in the OSPRI Report attached to this letter. We expect that all identified non-compliance areas to be corrected as soon as possible and, unless this office authorizes additional time, within 90 days of the date of receipt of this letter. When you have corrected the identified areas of non-compliance, please submit a letter to this office, certifying that the non-compliances have been corrected. This process is separate from your Quality Improvement Plan and must be dealt with separately. We will continue to make technical assistance available to you throughout the coming months. We will determine in partnership with you a reasonable schedule of follow up activities including site visits to monitor your progress and validate your full compliance no later than one year from your receipt of this letter. Gayle Bishop - Page 3 As expressed in the report of the Advisory Committee on Head Start Quality and Expansion, the goal of ACF is to ensure that all Head Start programs provide quality services to young children and their families. We look forward to supporting your efforts to reach this goal. We wish to thank the board, the policy council, the staff, and the parents of your program for their cooperation and assistance during the review. Please feel free to call Maria Fort, your Program Specialist, at (415)556-7408 regarding any questions or concerns you may have. Sincerely, Maria L. Fort Arden Hamilton Program Specialist Financial Operations Specialist Head Start Branch Office of Financial Operations Enclosures cc: Executive Director Head Start Director Policy Council Chair County Administrative Officer FY95 HEAD START PROGRAM REV/EW REPORT CONTRA COSTA COUNTY COMMUNITY SERV/CES DEPARTMENT HEAD START PROGRAM Grant No. 09CH0375 651 Pine Street Martinez, CA 94553 Supervisor Gayle Bishop, Board Chairperson Mr. Phillip Batchelor, County Administrative Officer Ms. Joan Sparks, Executive Director Ms. Daneen Cali, Acting Head Start Director Ms. Mary Shavies, Policy Council Chairperson Prepared by the Administration for Children and Families Maria L. Fort, Team Leader The on-site review was held on January 23-27, 1995 . All components were reviewed as follows : Component Reviewer Administration: Maria Fort, Team Leader Norma Johnson Paulene Graham Davetta Thibeau Education, Staffing Linda Flanigan and Options : Mitchell Kuljis Health, Mental Health, Ina Dickenson Nutrition: Mary Soule Social Services, Arthur McBride Eligibility--- : Susie Wilson Parent involvement : Saovaros Diehl Marina Sanchez Disabilities : Darlene Wazdenko Finance and Property: Arden Hamilton Cameron Snyder Mary Riley Betty White ATTACHMENT I. OVERALL STRENGTHS AND WEAKNESSES A. Strengths 1 . The provision of health services; both medical and dental . 2 . Nutrition services . 3 . The grantee' s [County Administrative Officer (CAO) ] increased oversight of and involvement in the administration of the Head Start program. Examples: 1 . Timely completion of health screenings and immunizations. Proper follow-up of diagnosed conditions. 2. Well prepared, tasty meals that are enjoyed by the children. 3 . Higher quality administrative response at the grantee level . Provision of administrative support to the Head Start program. Improved oversight of the delegate agencies. B. Weaknesses 1 . There are no written planning or monitoring procedures. 2. The grantee-operated program (GOP) is not integrated into the grantee's administrative structure; it is part of the grantee, yet it is treated as a delegate agency with separate sets of component managers at the grantee and at the grantee-operated program levels. 3 . The personnel administration was weak in the areas of reference checks, declarations, and prior approval of staff hiring by the Policy Council . 4 . Documentation of observations, tracking of the children' s development, of services, and of home visits were lacking. 5 . Transitioning disabled and other children from Head Start to Kindergarten was inadequate . 6 . Confidentiality was not properly maintained, as a number of files were not locked. Attachment II. SUMMARY OF DEFICIENCIES Below we have summarized the deficiencies identified during the review that must be addressed in a Quality Improvement Plan. A. GRANTEE 1 . Cross-Cutting Deficiencies a. Inadequate written procedures; # 185, 186, 187 b. Inadequate documentation of services; # 196 C . Inadequate staff and parent training; # 21, 22 , 66, 73 , 107, 108, 127, 137F, 142, 155, 200 d. Insufficient cross-component integration; # 83 , 165, 68, 106 2 . Administration - Non-Compliance with Head Start Performance Standards (45 CFR Part 1304 . 1, 1301 . 31) a. Written Procedures (1304 . 1-4) (1) Planning process; no written planning procedures that would include the utilization of the Community Needs Assessment results for recruitment areas, program options, and component objectives - #185 (2) No written monitoring procedures (The monitoring issue was cited in the 1991 on-site review and has not been corrected #187 (3) No written budgeting procedures b. Delegate Agency Oversight - inadequate oversight and monitoring of delegate agencies - #191, 222 , 226 C. Personnel Administration (1301 . 31) - Personnel Policies need to be revised and up-dated (1) There are no declaration forms - #193 (2) There are no annual performance evaluations of staff - #196 (3) There is no record of training in personnel files - #196 (4) There is no evidence of reference checks - #196 d. Financial Administration (1) Improper oversight of delegates; no timely action on budget change requests - #222, 226 (2) Insufficient non-Federal share - #235 (3) No evidence of current certified property inventory - #256 3 . Mental Health (45 CFR Part 1304 .3-7, 8) a. Insufficient staff; one part time mental health professional and two interns to serve the grantee- operated program and four delegate agencies - #73 , 74, 75, 76, 79 b. There are no planning or preventive activities; no individualized activities; no evidence of working with parents; or of integration of mental health activities with other program components - #81, 83 , 85, 87, 89 3 . Parent Involvement [45 CFR Part 1304 . 5-1, Appendix B to 1304 (The Parents) ] a. Inadequate and incomplete documentation of home visits #134 , 147 b. Improper separation of the GOP parent group from the Policy Council (PC) ; at time usurping the role of the PC - #137 C . There are written agreements signed by parents to participate three hours per month as a prerequisite of enrollment - #138 . Parent participation is encouraged, but is strictly voluntary and may not be mandated d. No financial reports or other relevant information is provided the Policy Council to ensure informed decision making - #148 e . There was no prior approval of hiring Head Start staff . The Policy Council approved new hires within 30 days after they were hired - #137D 4 . Disabilities (45 CFR Part 1308) a. There are no updated and signed agreements with the Local Education Agency (LEA) - #156 b. Maintenance of confidentiality is inadequate; some files were unlocked - #160C C . Parental consent is at LEA; not available at the grantee sites - #160D d. There are no individualized activities based on the Individual Education Plan (IEP) because teachers don' t have access to them, as they are kept at the central office - #162 e . Parents are not assisted in the transition of their children; proper records are not maintained - #166 B . DELEGATE AGENCIES 1 . Bayo Vista Tiny Tots Nursery School a. Mental Health b. Parent Involvement C . Eligibility, Recruitment, Enrollment 2 . Family Stress Center a. Mental Health b. Disabilities C . Financial/Property Administration 3 . First Baptist Church a. Mental Health b. Parent Involvement . 4 . United Council of Spanish Speaking Organizations a. Administration Attachment III. OSPRI REPORT OF FINDINGS f 05/12/95 HEAD START MONITORING TRACKING SYSTEM PAGE: EDU-1 REPORTING FOR FISCAL YEAR 1995 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 DATES OF REVIEW: 01/23/95 TO 01/27/95 EDUCATION Number of Parents Interviewed: 9 Number of Staff Interviewed: 11 Component Reviewers: Linda Flanigan EDUCATION COMPONENT STRENGTHS: Staff was warm and supportice of children. The adult-child and child-child interactions allow learning to occur in an accepting and stimulating environment. As a rule of thumb, speech and language therapy is usually provided in the classroom. EDUCATION COMPONENT RECOMMENDATIONS: Ensure that ongoing observations are documented and used in addition to the assessment information to address children;s individual needs; more developmentally appropriate program (DAP) activities are needed. Item 005 There must be provision for development of intellectual skills by encouraging children to solve problems, initiate activities, explore, experiment, question, and gain mastery through learning by doing. (O, I) [1304. 2 (b) (2) (i) ] REASON FOR NON-COMPLIANCE Written lesson plans in the classrooms observed, lacked specific activities. Pre-cut forms predominated in the classrooms (this is not developmentally appropriate) . Teacher-directed lessons exceeded other exploratory/open-ended activities. The children' s work that was displayed, did not reflect individual needs of chilren. Item 016 There shall be procedures for ongoing observation, recording, and evaluation of each child's growth and development for the purpose of planning activities to suit individual needs. (R, I) [1304 . 2-2 (d) ] PAGE EDU-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE The files did not contain all required forms. Activities for individualizing were not identified on lesson plans. There was no system to indicate that children's individual needs were met through of individual or small group activities. Nor was there evidence that children's developmental levels were monitored. Item 019 There shall be participation in staff and staff-parent conferences and the making of periodic home visits (no less than two) by members of the education staff. (R, I) [1304 .2-2 (e) (4) ] REASON FOR NON-COMPLIANCE Parent contact forms were incomplete; these lacked objectives that parents can work on with the child at home. Item 021 Parent training in activities that can be used in the home to reinforce the learning and development of their children in the center; (2) REASON FOR NON-COMPLIANCE Lack of adequate documentation of formal, organized parent training. Item 022 Parent training in the observation of growth and development of their children in the home environment and identification and handling of special developmental needs; (3) REASON FOR NON-COMPLIANCE There was no parent training documented in how to observe the growth and development of their children or in what those special developmental needs are. Item 023 Staff and parent training, under a program jointly developed with all components of the Head Start program, in child development and behavioral developmental problems of preschool children; (5) PAGE EDU-3 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE Only informa and sporadic training occurs in this program; there is no comprehensive, coordinated, and well-planned training of parents and staff on cross components. Item 030 There shall be appropriate and sufficient furniture, equipment, and materials to meet the needs of the program: (0) [1304. 2-3 (b) ] REASON FOR NON-COMPLIANCE Insufficient blocks/manipulative toys/materials at Nystrom Center. Item 033 Geared to the age, ability, and developmental needs of the children; (3) REASON FOR NON-COMPLIANCE The materials in the classrooms were not guaged to the developmental needs of the children. Item 037 Designed to provide a variety of learning experiences and to encourage experimentation and exploration. (7) REASON FOR NON-COMPLIANCE Prepared and pre-cut forms for pasting did not provide children with opportunities for experimentation and exploration. PAGE HEA-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- HEALTH Number of Parents Interviewed: 2 Number of Staff Interviewed: 18 Component Reviewers: Ina Dickenson HEALTH COMPONENT STRENGTHS: The health component staff is new. They are very dedicated and have been working very hard to complete all the screenings within the 45 day requirement. They are now working to insure that follow-up is complete. HEALTH COMPONENT RECOMMENDATIONS: The staff has received very little training. There is no organized health education program for staff, parents, or children. The grantee needs to provide assistace in setting up needed health education programs Item 066 Parents are encouraged to become involved in the health care process relating to their child. (2) (0, I,R) REASON FOR NON-COMPLIANCE No documentation that parents receive education on preventive practices or other health matters. Item 067 Staff are taught and parents are provided the opportunity to learn the principles of preventive health, emergency first-aid measures, and safety practices. (3) REASON FOR NON-COMPLIANCE There is no organized health education plan for staff or for families. Item 068 Health education is integrated into ongoing classroom and other program activities. (4) PAGE HEA-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE While health education occurs sporadically in classrooms, there is no organized health education curriculum being used that is integrated into the education component. PAGE MEN-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- MENTAL HEALTH -------------- Number of Parents Interviewed: 2 Number of Staff Interviewed: 4 Component Reviewers: Ina Dickenson MENTAL HEALTH COMPONENT STRENGTHS: The agency is working on a plan to have a mental health intern available to all classrooms. This intern will work under the supervision of a mental health professional who is under contract to the grantee. MENTAL HEALTH COMPONENT RECOMMENDATIONS: Currently the only services provided in mental health are crisis interventions. A mental health professional needs to be available to provide all services required in the mental health component. Item 073 Assist in planning mental health program; (1) REASON FOR NON-COMPLIANCE Plans for providing five interns to the program have not materialized. Two interns are currently working; none assigned to the grantee-operated program. There is no documentation of staff training, class observation of children, parent training, or evidence that a mental health profesional assisted in planning the program or in assessing the children. Item 074 Staff training; (2) REASON FOR NON-COMPLIANCE Same as #73 Item 075 Observing children and consulting with staff; (3) REASON FOR NON-COMPLIANCE Same as #73 PAGE MEN-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- Item 076 Advise and assist in development screening and assessment; (4) REASON FOR NON-COMPLIANCE Same as #73 Item 077 Special help for children with atypical behavior; (5) REASON FOR NON-COMPLIANCE No documentation that help was provided to children with atypical behavior. Item 079 Orient and work with parents; (7) REASON FOR NON-COMPLIANCE Same as #73 . Item 081 Attention to pertinent medical and family history of each child so that mental health services can be made readily available when needed; (1) REASON FOR NON-COMPLIANCE No documentation of assessments or observations done by a mental health professional to identify children with potential problems. Item 083 Coordination with the education services component to provide a program keyed to individual development levels; (3) REASON FOR NON-COMPLIANCE No documentation that mental health services are coordinated with education. No mental health curriculum is used. There is no documentation of individualization in lesson plans. Item 085 Regular group meetings of parents and program staff; (5) REASON FOR NON-COMPLIANCE No documentation of any group meetings of parents and program staff. PAGE MEN-3 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- Item 086 Parental consent for special mental health services; (6) REASON FOR NON-COMPLIANCE No consent recorded. Item 087 Opportunity for parents to obtain individual assistance; (7) REASON FOR NON-COMPLIANCE Unable to find documentation of parents receiving any individual assistance. Item 088 Active involvement of parents in planning and implementing the individual mental health needs of their children. (8) REASON FOR NON-COMPLIANCE No documentation of the involvement of parents in meeting the mental health needs of their children. PAGE NUT-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- NUTRITION Number of Parents Interviewed: 1 Number of Staff Interviewed: 7 Component Reviewers: Ina Dickenson NUTRITION COMPONENT STRENGTHS: Food is prepared in a central kitchen. The food meets all requirements and is enjoyed by the children. The component staff consists of a part-time nutritionist and a part-time Food Service Manager. The nutritionist has been working extensively to develop a system for assesing children and providing follow-up counseling for families and staff. She has also been providing training and assistance to delegate agencies. NUTRITION COMPONENT RECOMMENDATIONS: There is no organized nutrition education program for children, parents, or staff. The nutritionist position needs to be increased to full time so she can assist in developing this curriculum, as well as be available to the delegate agencies for menu planning and approval, for follow-up counseling to families, and for staff and parent training. Item 106 Children participate in learning activities planned to effect the selection and enjoyment of nutritious food. (2) REASON FOR NON-COMPLIANCE Children receive nutrition education on a sporadic basis. This is not coordinated with the education program, nor is it reflected in the lesson plans. Item 107 Families receive education in the selection and preparation of foods to meet family needs, guidance in home and money management, and help in consumer education. (3) REASON FOR NON-COMPLIANCE There is no documentation of program-wide training for parents in nutrition, food selection or preparation to meet their families' needs. PAGE NUT-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- Item 108 All staff receive education in principles of nutrition and their application to child development and family health, as well as in ways to create a good physical, social, and emotional environment. (4) REASON FOR NON-COMPLIANCE There is no documentation of program-wide training for class staff in the principles of nutrition and its application to child development and family health. PAGE SOC-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- SOCIAL SERVICES ---------------- Number of Parents Interviewed: 6 Number of Staff Interviewed: 12 Component Reviewers: Art McBride SOCIAL SERVICES COMPONENT STRENGTHS: - A diverse staff with the ability to communicate with all families in their native language. A staff who want to provide quality services to children and families; who are experienced; and who understand how Head Start functions. - There is transportation (though limited) for children and parents. - There is some very good and productive social work being done, especially in one-on-one situations. SOCIAL SERVICES COMPONENT RECOMMENDATIONS: Even though there are no out of compliance issues, there are areas of marginal compliance. To correct these, here are some recommendations. 1. Add a case narrative to the files which individualizes children/families and tracks activities and services. 2 . Ten percent of the files were missing family needs assessments (FNA) ; another 40 percent of the FNAs do not appear to have been reviewed by the staff after being completed by the parents. - A social services staff member should complete and/or review each FNA with the parents and/or family. 3 . Use the family action plan (FAP) as a living document and only indicate a service or family need as completed/met when the family reports it completed/met. Each new identified need should be added to the FAP with a plan of action as they are identified throughout the program year. - Fifty percent of the files reviewed either did not have FAPs or the FAP did not reflect the identified need. - Five percent of FAPs indicated follow-up after referral. - Five percent of the FAPs had entries of identified needs after the initial entries. 4 . Insure that emergency information is in all files; 40 percent of files had no emergency information about the child. 5. Provide ongoing and relevant training for the social service staff in a timely manner. 6. Obtain appropriate locking file cabinaets which are in good PAGE SOC-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- repair for the children/family files at Brookside. Item 123 There shall be follow-up to assure delivery of needed assistance. (R, I) [1304 .4-2 (a) (6) ] REASON FOR NON-COMPLIANCE There is inadequate follow-up to determine if services were received, whether they were appropriate or new and/or whether additional referrals were needed. Item 127 Helping Head Start parent groups work with other neighborhood and community groups with similar concerns; (1) REASON FOR NON-COMPLIANCE There is no indication that parent groups receive training or other substantive help in working with other neighborhood or community groups. PAGE PAR-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- PARENT INVOLVEMENT ------------------ Number of Parents Interviewed: 9 Number of Staff Interviewed: 12 Component Reviewers: Savarose Diehl PARENT INVOLVEMENT COMPONENT STRENGTHS: The staff fully embrace the essence of parent participation and continuously cultivate its presence. The structure of parent groups affords parents of all centers to participate in various decision making activities that impact their program. The centers observed were conducive to both child and parent activities. The availability of on-site of meeting rooms, child care, transportation, and child care re-imbursement greatly aid the agency in obtaining parent participation. PARENT INVOLVEMENT COMPONENT RECOMMENDATIONS: - To ensure informed parent decisions about program operation, provide ongoing training that is specific to the task at hand. - To help families become self-sufficient, develop training plans to "move them upward and out. " - To promote two-way communication with families, develop a newsletter of the events at the various centers. - Assess whether fundraising activities such as candy/cake sales are in conflict with the nutritional and dental health goals of Head Start. - Review policies that affect parents, especially those pertaining to agreements calling for minimum time commitment by the parents as a condition of enrollment, and the suspension clauses. Item 134 Working with their children in their own home in connection with the staff of the center. REASON FOR NON-COMPLIANCE Home visits were sporadic, and often when documented on the "Parent Contact Form, " the nature, content or purpose of the visit was not indicated. PAGE PAR-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- Item 137 The process of making decisions about the nature and operation of the Head Start program. REASON FOR NON-COMPLIANCE There is a lack of clarity of the respective roles of the Policy Council and the Local Parent Group of the grantee-operated program. The Local Parent Group engages in making program and personnel decisions that are the purview of the Policy Council, and then the Policy Council merely act as a rubber stamp. At the same time, the Policy Council which is the grantee's decision-making entity, is deprived of its role as it relates to to the grantee-operated program. Item 138 Participation of Head Start parents is voluntary and not required as a condition of the child's enrollment. [1304. 5-2 (b) ] REASON FOR NON-COMPLIANCE Seven of 20 files included "Parent Agreements" signed by parents which requires a minimum of three hours per month of participation as a pre-requisite for enrollment. Item 142 Health, mental health, dental, and nutritional education; (d) REASON FOR NON-COMPLIANCE Although an array of pamphlets are available for families which mau address those topics, specific training on these component topics are not offerred to families. Agency staff have requested training and technical assistance from the central office and are awaiting response/action. Item 146 Parent training/orientation is provided on need to prevent child abuse and neglect and to provide protection for abused and neglected children. [N-30-356-1-30] [See Ad #201] PAGE PAR-3 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE Staff are trained after they are hired. However, parents ' orientation consists of their signed acknowledgement of receipt of the agency's "Child Abuse Reporting Policies. " Conflicting documentation exists regarding the 12/16/94 Videos (Child Abuse Prevention Training) . The sign-in sheet does not reflect "parents" attendance and the flyer indicares a Violence Prevention Training, not a combination of both. Of the 358 families only five parents indicated they received training in this area. Item 147 There shall be regular two-way communication between staff and parents, which provides information about: the program and its services; program activities for the children; the policy groups; and resources. [1304 . 5-4 (a) ] [See Ad #188C] (R) REASON FOR NON-COMPLIANCE No newsletter is available for families; the agency is currently researching the development of one. Again, documentation does not indicate whether home visits occur and their nature/content. Item 148 Information is provided to policy groups to enable them to make informed decisions, share professional expertise, and receive staff support. At a minimum, information will include: REASON FOR NON-COMPLIANCE The central office does not provide the grantee-operated program with monthly expenditures or financial statements; therefore the director is unable to provide such information to the local parent group. Item 152 Technical and other support needed is provided to enable parents and area residents to secure, on their own behalf, available assistance from public and private sources. (3) REASON FOR NON-COMPLIANCE No formal or systematic support is provided parents to help them advocate for themselves in securing available public /private assistance to meet their needs. PAGE DIS-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ----=------------------------=------------------------------------------------- DISABILITIES SERVICES --------------------- Number of Parents Interviewed: 3 Number of Staff Interviewed: 9 Component Reviewers: Darlene Wezdenko DISABILITIES SERVICES COMPONENT STRENGTHS: The agency has an outstanding includion project with the local education agency (LEA) . There is adequate staff in this project to make it work with more severe disabilities. Ther is good working relationship with the LEA; they provide the needed services, including transportation. There is also joint training in areas such as sign language. The instruction staff is positive and willing to learn about and to accept children with disabilities. Many are taking classes on their own on disabilities. DISABILITIES SERVICES COMPONENT RECOMMENDATIONS: - Interagency agreements with LEAs need to be in writing and must be signed. - The agency needs to obtain technical assistance to organize its Disabilities component and tracking system. - Individual Education Plans (IEP) be on file at the location where the children are, so that staff can plan activities for them. - Design a transition plan and keep documentation for those children and their parents who are going to public schools. Item 155 Resources to implement the disabilities services plan are adequate: [1308.4 (n-o) ] REASON FOR NON-COMPLIANCE An entrance gate at a delegate site is not wheelchair accessible. Training for staff and parents of children with disabilities is not documented. PAGE DIS-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- Item 156 Efforts to work with LEAs and other agencies within the grantee's service areas serving children with disabilities are accomplished through interagency agreements. [1308.4 (1) ] REASON FOR NON-COMPLIANCE The agreements have not been updated and signed since 1992 . Item 160 The disabilities coordinator arranges for formal evaluation of children identified as possibly having a disability [1308 . 6 (e) ] REASON FOR NON-COMPLIANCE C - Files were unlocked. D - Parental consents to evaluations are not in files; they are obtained at the LEA where they are filed. Item 162 Special education and related services as described in the IEP are provided as soon as possible after the IEP meeting. [1308. 19 (1) ] REASON FOR NON-COMPLIANCE Activities for children with disabilities are not planned based on their Individual Education Plans (IEP) . Teachers do not have access to the IEPs as they are located in the central office instead (even copies) of at the program sites. Item 164 Vigorous efforts to involve parents in the IEP process were made. [1308 . 19 (j) ] REASON FOR NON-COMPLIANCE Record of parent notification are not in the files. Item 165 The disabilities coordinator works closely with other Head Start staff to ensure that the special needs of each child with disabilities are met. [1308 . 18, 1308 .20, 1308.4] REASON FOR NON-COMPLIANCE There is very little inter-component collaboration documented. PAGE DIS-3 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- Item 166 The program supports the transition process for children with disabilities who are entering and leaving Head Start. (1308.4 (g) , (1) ) REASON FOR NON-COMPLIANCE Records are not maintained that would be of assistance to parents in transitioning their children from Head Start to the public schools. PAGE ELI-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE --------------------------------------------------------------- Number of Parents Interviewed: 6 Number of Staff Interviewed: 12 Component Reviewers: Art McBride ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE STRENGTHS: - The staff is diverse and able to communicate with families from all segments of the Head Start population. - The staff is dedicated to providing quality services to families. - There is transportation available for children and parents (even though limited) . There is very good one-on-one social work being done. ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE RECOMMENDATIONS Even though there are no areas out of compliance, some are marginal. To strengrhen the marginal areas here are some recommendations: 1. Include a case narrative that individualizes the children and families 2. An attempt to recruit more four-year old children so they will have the year of Head Start prior to entering public school. 3 . Do not re-verify income for returning children, nor keep copies of income documents in the files. PAGE ADM-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- ADMINISTRATION -------------- Number of Parents Interviewed: 3 Number of Staff Interviewed: 12 Component Reviewers: Maria Fort Pauline Graham Davetta Thibeau ADMINISTRATION COMPONENT STRENGTHS: Support of the County Administrator; commitment to the program. Most staff is supportive and is dedicated to the program. ADMINISTRATION COMPONENT RECOMMENDATIONS: Develop planning and monitoring procedures. Update the Operating Procedures Manual and written Personnel Policies. Clarify the status of the grantee-operated program within the organization. Revise organizational structure. Improve grantee-delegate relations and institutionalize proper monitoring and oversight of the delegates. Provide parents and staff with appropriate training opportunities. Make sure that parents have adequate training on child abuse and its prevention. Item 182 Information from the community needs assessment has been used to: REASON FOR NON-COMPLIANCE The CNA has not been adequately utilized as a basis of the grantee's philosophy, program design or to determine recruitment/enrollment priorities. PAGE ADM-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- Item 185 The grantee should have and should implement a written procedure for program planning which is approved by the Board and the Policy Council and which includes a process for formulation of component objectives with adequate time for review of final objectives, including timetables and budgets. (R, I) REASON FOR NON-COMPLIANCE Grantee does not have a written program planning process. Item 186 The grantee should have and should implement a written procedure for developing, reviewing, and revising budgets and work plans based on identified objectives. (R) REASON FOR NON-COMPLIANCE Grantee does not have written procedures that govern all aspect of the budget process. Item 187 The grantee has and implements a written procedure which describes an ongoing monitoring process that assures specific program objectives and activities are completed in a timely manner. (R, I) REASON FOR NON-COMPLIANCE Grantee does not have written monitoring procedures. Item 188 Each program should establish and maintain an internal communication system, including the following: REASON FOR NON-COMPLIANCE Grantee's internal communication as well as record keeping is fragmented and inconsistent. Item 191 Grantee has an internal monitoring procedure for delegate program operations which: (R, I) PAGE ADM-3 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE Grantee does not have adequate monitoring or oversight of its delegate agencies. Item 194 Head Start agencies shall establish personnel policies and procedures. (R) REASON FOR NON-COMPLIANCE - Declaration forms not available. - Staff could not locate most recent (2/94) wage comparability study. - Policy governing overtime is too broad. - Promotion plan lacking. Item 196 A file and records system shall be maintained to include official documents for each staff member, related to: qualifications for appointment or promotion; periodic pay increases; records of continued training or education; official recognition; performance evaluation; and adverse action. The system must protect the confidentiality of personnel records. REASON FOR NON-COMPLIANCE The employees' personnel files lacked training records, performance evaluations, signed declaration forms, and evidence of reference checks and documentation of the initial medical exam. Item 200 The Head Start director has designated a staff member who has responsibility for: REASON FOR NON-COMPLIANCE B. Parents did not receive orientation on child abuse prevention; they are only given a pamphlet on child abuse reporting when they register their child for Head Start. PAGE STA-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 -----------------------------------------=------------------------------------- STAFFING REQUIREMENTS AND PROGRAM OPTIONS ------------------------------------------ Number of Parents Interviewed: 0 Number of Staff Interviewed: 2 Component Reviewers: Linda Flanigan STAFFING REQUIREMENTS AND PROGRAM OPTIONS COMPONENT STRENGTHS: Diligent efforts are being made to accomplish the new quality teaching requirements. STAFFING REQUIREMENTS AND PROGRAM OPTIONS COMPONENT RECOMMENDATIONS: Develop written procedures to assure that minimum staff qualification requirements are met, and identify and communicate consequences of not meeting these. Letters of agreement be developed indicating when and how these requirements will be accomplished. Item 201 The grantee provides adequate supervision of its staff. [1306.20 (a) ] REASON FOR NON-COMPLIANCE No documentation was found indicating that staff had annual evaluations. Item 202 The grantee has employed adequate staff for the program option(s) operated: REASON FOR NON-COMPLIANCE One teacher position remains unfilled; one teacher works at two sites, one AM and one PM class. Item 205 The grantee has developed and implemented a system to actively recruit, train, and utilize volunteers in the program to the fullest extent possible. [1306.22 (a) ] PAGE STA-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE Insufficient documentation to indicate that there is a training program for volunteers. Records in several classrooms indicated multiple dates when there were no volunteers (Hilltop, Davis Park, and Nystrom. There is also insufficient documentation to support efforts/strategies for parents to participate/volunteer in all components/aspects of the program. Item 206 Special efforts are made to have volunteer participation, especially parents, in the classroom and during group socialization activities. [1306.22 (b) ] [1306. 20 (b) (d) ] REASON FOR NON-COMPLIANCE Insufficient evidence to indicate that special efforts are made to get parents volunteer/participate in the classroom. Item 215 Regardless of program option, the grantee has plans to make up classes or home visits that were canceled by the grantee or program staff, when this is necessary to meet minimum days of service requirements. [1306. 32 (b) (4) , 1306. 34 (a) (4) , 1306. 33 (a) (3) , and 1306. 34 (a) (4) ] REASON FOR NON-COMPLIANCE No written plans available for making up cancelled classes in order to fulfill the minimum service requirements. PAGE ACC-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- ACCOUNTING Number of Parents Interviewed: 0 Number of Staff Interviewed: 6 Component Reviewers: Arden Hamilton ACCOUNTING COMPONENT STRENGTHS: The Head Start Accountant is very conscientious in fulfilling her responsibilities and providing fiscal guidance to the program. ACCOUNTING COMPONENT RECOMMENDATIONS: Because of the changes in staff responsibility for financial management, it is essential that the Head Start Accountant be provided with all appropriate documents related to the grant and be given appropriate authority to allow her to perform her financial management responsibilities and provide effective control and advice to Head Start managers. It is recommended that the grantee review the delegate agency contracts to assess the appropriateness of the extremely restrictive language regarding budget changes and the affect the restrictions are having on the Delegate's ability to dynamically administer the program. The requirements should be appropriate to the type of organization (private, non-profit principles) operating the program and realistic in terms of the grantee's ability to review and respond timely to the actions required by the delegates. It is also recommended that the grantee's process for issuing amendments to delegate contracts be reviewed to ensure timely issuance. The grantee's methodology for issuing cash to the delegate agencies is another area recommended for review. Cash made available to the delegates should be based on carefully projected cash needs, determined monthly by the delegates and adjusted for cash on hand. Item 219 Written procedures are in place to determine the allowability, allocability and reasonableness of costs. PAGE ACC-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE The Community Services Department does not have written procedures in place for the Head Start Program to determine the alowability, allocability, and reasonableness of costs. There is no formal cost allocation plan to support the distribution of joint costs reated to the Head Start Program. Item 221 There is a system in place for providing cost data on a timely basis to financial and program managers as a management aid in the administration of their programs. REASON FOR NON-COMPLIANCE The system in place does not help keep expenses within the budget. Actual expenditures under P.A. 20 for training provided by the County Training Institute exceeded budgeted costs. There was no explanation available for the overexpenditure nor evidence that the situation was being addressed. Detail on the approved budget compared to actual expenditures must be provided to management and the PPC so costs can be monitored and adjusted appropriately. The system in place does not provide cost data in a timely manner to financial and program managers: 1. The expense data from the County Finance system is received about mid-month but must be reconciled to the cost categories in the grant award which is very time consuming. 2 . Financial reports from the dele7ate agencies are due by the 20th of the month. This information must be incorporated into the consolidated report which requires additional time. 3 . The Policy Council meeting, at which the report should be presented, is scheduled for the 3rd Thursday of the month. Financial data can not be prepared in time based on the current system. Even adding an Account Clerk (new position in the 1995 grant application) may not solve the problem due to the timing of availability of the financial data. The monthly Budget Versus Actual report is incomplete because it does not include the non-Federal share. (The Head Start Accountant is pursuing in-house software to capture encumbrances to include in the report to make it more useful. ) PAGE ACC-3 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- Item 222 Requests for change which require prior grantor agency approval were submitted to the ACF grants officer for approval prior to making such changes. REASON FOR NON-COMPLIANCE Delegate agencies submitted requests for budget revisions that were not reviewed in a timely manner. Some changes were approved verbally by the Program Manager but not confirmed in writing. Item 226 Previous audit deficiencies have been addressed and corrective actions have been implemented. REASON FOR NON-COMPLIANCE During the review, documentation addressing audit findings for delegate agencies could not be located. (All findings were management findings, there were no dollar amounts questioned. ) Fiscal Monitoring Reports for the delegate agencies have not been shared with the delegates or followed-up by the grantee. Item 235 The required non-Federal matching funds were provided. REASON FOR NON-COMPLIANCE A review of the non-Federal share documentation available at the time of the review for FY 94 showed the non-Federal share was short by over $300, 000 for the amount of expenditures incurred. Documentation is not generated or submitted to the fiscal office in a timely manner. The non-Federal share is not included in the monthly Budget vs. Actual report for monitoring purposes. Item 238 Services of volunteers were accounted for properly. REASON FOR NON-COMPLIANCE The time for the Executive Director and Administrative Officer is based on budgeted time, not actual time worked. Item 241 If the grantee is using occupancy costs as non-Federal share, values are calculated appropriately. PAGE ACC-4 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DEPT. DELEGATE: 000 ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE Although the grantee intends to use occupancy costs as non-Federal share, the documentation to support the claim has not been completed. It was not available for review. ITEM 244 The grantee earned interest on Federal funds. GENERAL COMMENTS The County requests reimbursement for actual expenditures. ITEM 245 The grantee has a system in place to return interest earnings to the Federal government. GENERAL COMMENTS Same comment as Item 244 . Item 247 Budgeted food costs (USDA and non-USDA) compared reasonably with the actual food costs recorded in the grantee financial accounting records. REASON FOR NON-COMPLIANCE 1994 figures were- not complete at the time of the review. Item 256 Grantees' property management standards for nonexpendable personal property shall include the following procedural requirements: REASON FOR NON-COMPLIANCE Since the listing for equipment purchased during the year and the associated identification tags are received only at year-end through the County's financial system, a current inventory with ID tags is not in lace. The required information is on the County listing but the listing is issued only once a year and it is not complete. A Modular building purchased with Head Start funds is not on the inventory listing. There is a need for further identification for specific site location (ie: indicate which center location, Morello site) . During the review evidence of an annual inventory certified to the County Auditor Controller's Office could not be located. 05/10/95 HEAD START MONITORING TRACKING SYSTEM PAGE: EDU-1 REPORTING FOR FISCAL YEAR 1995 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL DATES OF REVIEW: 01/23/95 TO 01/27/95 EDUCATION Number of Parents Interviewed: 2 Number of Staff Interviewed: 12 Component Reviewers: Ina Dickenson EDUCATION COMPONENT STRENGTHS: Dedicated staff was warm and supportive of children. The adult-child and child-child interactions allow learning to occur in accepting and stimulating environments. Speech and language therapy is provided in the classroom. EDUCATION COMPONENT RECOMMENDATIONS: Ensure that ongoing observations are documented and used (in addition to assessment information) to address children's individual needs; additional developmentally appropriate activities are needed. Item 005 There must be provision for development of intellectual skills by encouraging children to solve problems, initiate activities, explore, experiment, question, and gain mastery through learning by doing. (O, I) [1304 . 2 (b) (2) (i) ] REASON FOR NON-COMPLIANCE Written lesson plans in all the classrooms visited did not contain specific activities; pre-cut forms predominated in the classrooms (this is not developmentally appropriate) . Teacher-directed lessons appeared to exceed other exploratory/open-ended activities. The majority of thechildren's work that was displayed, focused on "crafts"; did not demonstrate individual needs of children. PAGE EDU-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- Item 016 There shall be procedures for ongoing observation, recording, and evaluation of each child's growth and development for the purpose of planning activities to suit individual needs. (R, I) [1304 .2-2 (d) ] REASON FOR NON-COMPLIANCE All identified forms were not included in files; activities for individualizing were not in all the files nor were they identified on lesson plans. No system wasin evidence to indicate planning for children's needs; individually or for small group interactions. Observation of children's developmental levels were also lacking. Item 019 There shall be participation in staff and staff-parent conferences and the making of periodic home visits (no less than two) by members of the education staff. (R, I) [1304 .2-2 (e) (4) ] REASON FOR NON-COMPLIANCE Parent contact forms were not complete; should include objectives that parents can work on with child at home. Item 021 Parent training in activities that can be used in the home to reinforce the learning and development of their children in the center; (2) REASON FOR NON-COMPLIANCE Insufficient documentation of a formal, organized parent training program that is available at the delegate agency level. Item 022 Parent training in the observation of growth and development of their children in the home environment and identification and handling of special developmental needs; (3) REASON FOR NON-COMPLIANCE No evidence that adequate parent training takes place in the areas of growth and development or in the handling of developmental needs. PAGE EDU-3 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS. NURSERY SCHOOL ------------------------------------------------------------------------------- Item 023 Staff and parent training, under a program jointly developed with all components of the Head Start program, in child development and behavioral developmental problems of preschool children; (5) REASON FOR NON-COMPLIANCE Same as #21 and #22 Item 030 There shall be appropriate and sufficient furniture, equipment, and materials to 'meet the needs of the program: (0) [1304 . 2-3 (b) ] REASON FOR NON-COMPLIANCE Insufficient materials "A" through "C" and "E" at Garrettson. Item 037 Designed to provide a variety of learning experiences and to encourage experimentation and exploration. (7) REASON FOR NON-COMPLIANCE Materials in activities relied heavily on pre-cut forms (pasting) in the majority of classes observed and in the children's work/materials that were displayed. PAGE HEA-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- HEALTH Number of Parents Interviewed: 2 Number of Staff Interviewed: 12 Component Reviewers: Ina Dickenson HEALTH COMPONENT STRENGTHS: Although the health staff. is new, they are caring and competent. They have been working on systems to insure follow-up. All screenings have been completed within the 45 day requirement. HEALTH COMPONENT RECOMMENDATIONS: An organized program that insures health education for staff, parents and children needs to be developed. Item 066 Parents are encouraged to become involved in the health care process relating to their child. (2) (0, I,R) REASON FOR NON-COMPLIANCE No documentation that parents are provided training on preventative health practices, emergency first aid measures, or safety practices. Item 067 Staff are taught and parents are provided the opportunity to learn the principles of preventive health, emergency first-aid measures, and safety practices. (3) REASON FOR NON-COMPLIANCE - No documentation that parents are provided training on preventative health practices, emergency first aid measures or safety practices. - Staff has been provided training in emergency first aid and safety practices; however, parents were required to pay for some training. Item 068 Health education is integrated into ongoing classroom and other program activities. (4) PAGE HEA-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE Health education in classrooms is sporadic. However, there is no health education curriculum used nor are lesson plans documented. PAGE MEN-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- MENTAL HEALTH -------------- Number of Parents Interviewed: 0 Number of Staff Interviewed: 3 Component Reviewers: Ina Dickenson MENTAL HEALTH COMPONENT STRENGTHS: The agency has had the services of an intern, supervised by a mental health professional. They have also received services from their local school district. MENTAL HEALTH COMPONENT RECOMMENDATIONS: While a professional has been available for crisis intervention, no classroom observations have occurred, nor has there been any staff or parent training. The mental health component .needs to be coordinated and supervised at the grantee level to assure that services are delivered on a timely basis. Item 073 Assist in planning mental health program; (1) REASON FOR NON-COMPLIANCE No documentation that services have been provided this year. The professional interviewed stated that she was not able to provide all services. Item 074 Staff training; (2) REASON FOR NON-COMPLIANCE Same as #73 . Item 075 Observing children and consulting with staff; (3) REASON FOR NON-COMPLIANCE Same as #73 PAGE MEN-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- Item 076 Advise and assist in development screening and assessment; (4) REASON FOR NON-COMPLIANCE Same as #73 . Item 079 Orient and work with parents; (7) REASON FOR NON-COMPLIANCE Same as #73 . Item 083 Coordination with the education services component to provide a program keyed to individual development levels; (3) REASON FOR NON-COMPLIANCE No documentation of services being coordinated with education. No mental health curriculum being used in classroom. No documentation in lesson plans of individualized plans. Item 085 Regular group meetings of parents and program staff; (5) REASON FOR NON-COMPLIANCE The mental health professional stated in the interview that no group meetings were held for parents by the mental health consultant this year. PAGE NUT-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- NUTRITION Number of Parents Interviewed: 3 Number of Staff Interviewed: 12 Component Reviewers: Ina Dickenson NUTRITION COMPONENT STRENGTHS: Food is prepared on site. The agency participates in the S.H.A.P.E. program. The food is tasty, met all requirements and was enjoyed by the children. The nutrition component staff are in the process of completing nutritional assessments on all children. The nutritionist from G.O.P. assists in menu planning and follow-up. NUTRITION COMPONENT RECOMMENDATIONS: There currently is no organized nutritional education curriculum that is made available to staff or parents. Children receive some nutrition education in their classrooms. However, no program wide curriculum is used nor is there staff training in its implementation. Coordination needs to happen between the education, parent involvement and nutrition components to insure that nutritional education is available to staff, parents, as well as to children. Item 106 Children participate in learning activities planned to effect the selection and enjoyment of nutritious food. (2) REASON FOR NON-COMPLIANCE Sporadic education occurs for children. However, this is not coordinated with the education component, nor is it reflected in the lesson plans. Item 107 Families receive education in the selection and preparation of foods to meet family needs, guidance in home and money management, and help in consumer education. (3) REASON FOR NON-COMPLIANCE No documentation that families or all staff receive nutrition education. PAGE NUT-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- Item 108 All staff receive education in principles of nutrition and their application to child development and family health, as well as in ways to create a good physical, social, and emotional environment. (4) REASON FOR NON-COMPLIANCE No documentation that families or all staff receive nutrition education. PAGE SOC-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- SOCIAL SERVICES ---------------- Number of Parents Interviewed: 5 Number of Staff Interviewed: 6 Component Reviewers: Art McBride SOCIAL SERVICES COMPONENT STRENGTHS: The staff wants to do a good job. Families trust the staff and turn to them for assistance. There are some good one-on-one services being performed. SOCIAL SERVICES COMPONENT RECOMMENDATIONS: Although there is only one area marked out of compliance, many areas are marginal. To correct the marginal areas, we recommend: 1. Staff training - the current family service aides do not have formal training, but need training in many aspects of social services (e.g. counseling needs, drug and alcohol abuse, family dynamics, and community resources, etc. ) . 2 . Increase the time and/or number of staff. The current caseloads of 75 families per worker and a 30 hour work weeks do not allow for quality (note: they are in the process of hiring two additional staff) . 3 . The recording of information requires the addition of an ongoing narrative which shows individualizaiton and services; a) . The family action plan (FAP) does not appear to be a living document as 90 percent show no services after the initial completion of the form; b) . The majority listed the same standardized services (referral and/or information) for all families; and 30 percent did not show a plan to address service or information requests on the family needs assessment (FNA) . 4. Develop a waiting list and priorities for selection with the Policy Committee and integrate it into the enrollment . process. PAGE SOC-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- 5. Develop and implement methods of targeted recruitment to insure full enrollment at all sites. Item 123 There shall be follow-up to assure delivery of needed assistance. (R, I) [1304.4-2 (a) (6) ] REASON FOR NON-COMPLIANCE There is no record of follow-up on referrals to determine if the families received services or if services were adequate. Item 127 Helping Head Start parent groups work with other neighborhood and community groups with similar concerns; (1) REASON FOR NON-COMPLIANCE No evidence of assistance for parents working on common problems/ needs outside Head Start nor of staff encouragement or assistance. PAGE PAR-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- PARENT INVOLVEMENT ------------------ Number of Parents Interviewed: 9 Number of Staff Interviewed: it Component Reviewers: Rose Diehl PARENT INVOLVEMENT COMPONENT STRENGTHS: The current staffing structure along with the proposed additon of the FSC and Assistant will lend support to the implementation of parent involvement related activities. All staff have both a commitment and understanding of the essence of parent involvement as evidenced by the cross component integration of coordinators. The present PC Chairperson brings forth knowledge of the roles and responsibilities of parent representatives which has served as a basis for training future members. PARENT INVOLVEMENT COMPONENT RECOMMENDATIONS: - The current plan for Parent Involvement needs to include the agency's strategy for implementing the I-30.2, and must include parental involvement in its development. - To insure parents' participation in the decision making process about the nature and operation of the program, provide on-going training specific to the task at hand. - The community/parent grievances policy and procedures should be provided to all parents or should be placed in the parent handbook or in addition to being part of the Personnel Po Policies. Furthermore, clarification is needed on whether the 1984 or 1992 policies are utilized. - To provide parents self-enhancement opportunities, parent training needs must be assessed, a taining plan developed and implemented to address those needs. Also insure that training is provided annually on child abuse prevention. - To foster and strengthen two way communication, develop monthly newsletters, post copies of meeting minutes at each site, and translate necessary information. - In its role of support, the grantee needs to provide all pertinent correspondence to the delegate agency in a timely manner. - To assist/support parent activities, re-examine "parent area", as the hallway is not conducive for parent meetings. - Also, consider on-site child care during meetings to aid participation. - Provide staff technical assistance in the documentation of parent involvement and show evidence of home visitations and PAGE PAR-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- parental involvement in terms of their child's development and progress. Item 133 There is a written parent involvement plan annually updated and/or revised. [1304 . 1-4] This includes a detailed plan on implementation of I-30-2 "The Parents" (70. 2) [1304 .5-2 (b) ] REASON FOR NON-COMPLIANCE There is no evidence that the action plan for I-30-2 has been updated since the three year grant plan (1992-1995) was prepared in 1992 . Item 134 Working with their children in their own home in connection with the staff of the center. REASON FOR NON-COMPLIANCE Numerous files indicate a lack of documentation of consistent home visits and when present, they did not indicate the nature/purpose of visit. The agency serves a diverse population (i.e. Hispanic, Pakistani, etc. ) and only a few posters are translated into the two languages. Parent minutes, flyers and enrollment materials need to be translated. Item 137 The process of making decisions about the nature and operation of the Head Start program. REASON FOR NON-COMPLIANCE D. No employees' names appeared in the minutes where positions were approved. Employment began 30 days before approval occurred. E. Lack of evidence that parents reviewed recruitment plan or that they approved it. F. No training for self-assessment was documented. H. Written complaint procedures are not available; they are in process of development. #H. In process to be reviewed. PAGE PAR-3 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- Item 139 There shall be opportunities for parents which lead to enhancing the development of their skills, self-confidence, and independence in fostering an environment in which their children can develop to their full potential. [1304 . 5-3 (a) ] REASON FOR NON-COMPLIANCE Training needs of parents are not fully addressed. There is "staff" training for the above topics, but records do not indicate participation of parents or the availability of other opportunities. Item 142 Health, mental health, dental, and nutritional education; (d) REASON FOR NON-COMPLIANCE No evidence of training fro parents in the areas of health, mental health, dental, and nutrition education. Item 146 Parent training/orientation is provided on need to prevent child abuse and neglect and to provide protection for abused and neglected children. [N-30-356-1-30] [See Ad #201] REASON FOR NON-COMPLIANCE When first employed, staff are provided this training. However, parent orientation on child abuse merely consists of signing receipt - acknowledgement of agency's "Child Abuse Reporting Policies. " Center specific training from local P.D. or OPSS should be implemented annually for both parents and staff. Item 147 There shall be regular two-way communication between staff and parents, which provides information about: the program and its services; program activities for the children; the policy groups; and resources. [1304 . 5-4 (a) ] [See Ad #188C] (R) REASON FOR NON-COMPLIANCE Files reviewed were inconsistent in documenting home visits and the specific nature (to discuss child's progress) . Communication is not strengthened through monthly newsletters, and materials are not translated (i.e. , minutes, flyers, posted policies, etc) into languages spoken by families. PAGE PAR-4 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- Item 148 Information is provided to policy groups to enable them to make informed decisions, share professional expertise, and receive staff support. At a minimum, information will include: REASON FOR NON-COMPLIANCE #D. Neither the administration component reviewer, or I could obtain "work plans" from the Directors or FSA's. Item 152 Technical and other support needed is provided to enable parents and area residents to secure, on their own behalf, available assistance from public and private sources. (3) REASON FOR NON-COMPLIANCE No assistance/support provided to parents or area residents to secure needed assistance from public/private sources. PAGE DIS-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS -NURSERY SCHOOL ------------------------------------------------------------------------------- DISABILITIES SERVICES --------------------- Number of Parents Interviewed: 1 Number of Staff Interviewed: 5 Component Reviewers: Darlene Wezdenko DISABILITIES SERVICES COMPONENT STRENGTHS: Staff show willingness to work with children with disabilities and view it as part of their job. The agency has a working relationship with the LEA. DISABILITIES SERVICES COMPONENT RECOMMENDATIONS: We recommend that technical assistance be obtained by the agency to organize its Disabilities component and tracking system. We recommend that a copy of the IEP be at the location of the child to help teachers plan activities for the child with disabilities. Item 153 At least 10 percent of the total number of enrollment opportunities is made available to children with disabilities, unless an exception to this requirement was granted by the regional HHS official. [1305. 6 (c) ] REASON FOR NON-COMPLIANCE The Disabilities Manager did not know how many children had active IEP's. The teachers reply was, three, six, three; a total of 12 . This is below the required 10 percent. Item 162 Special education and related services as described in the IEP are provided as soon as possible after the IEP meeting. [1308. 19 (1) ] REASON FOR NON-COMPLIANCE A. Classroom teachers do not have a copy of IEP in order to plan activities for the children. PAGE DIS-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- Item 166 The program supports the transition process for children with disabilities who are entering and leaving Head Start. (1308.4 (g) , (1) ] REASON FOR NON-COMPLIANCE There are no records of assistance to parents in the transition of children from Head Start to public school. PAGE ELI-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE --------------------------------------------------------------- Number of Parents Interviewed: 5 Number of Staff Interviewed: 6 Component Reviewers: Art McBride ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE STRENGTHS: The family service staff is willing to learn and desires to provide quality services to families. The parents trust and support the staff. There is some good one-on-one services work being done. ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE RECOMMENDATIONS Even though only two areas are out of compliance, there is evidence that some additional areas are only marginally acceptable. My recommendations are: 1. Institute a case narrative system which reflects family individualization. 2 . With the Policy Committee, develop an enrollment priority list and then use a waiting list system when selecting children. 3 . Develop a targeted recruitment system for centers or areas of low/under enrollment. 4 . Request more staff or time for staff or both (attempting to hire two addtional staff) . 5. Provide more training to the Social Services staff in this component activity. Item 169 The family income is verified and documented with a signed statement by a Head Start employee before determining that a child is eligible to participate in the program. [1305.4 (c) ] [1305.4 (d) ] [1305.4 (e) ] [See SS#126A] REASON FOR NON-COMPLIANCE Ten percent of files had no income verification. The files contained copies of the documents used to verify income, against best practice for confidentiality. PAGE ELI-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- Item 174 The program maintains a waiting list that ranks children according to the program's selection criteria to assure that eligible children enter the program as vacancies occur. [1305. 6 (d) ] [See SS #119] REASON FOR NON-COMPLIANCE When asked for the waiting list, the family service aide was unable to produce one. Additionally, she seemed confused about selection criteria beyond age and income. She said, "the only time we have a waiting list is when the centers are full. " The parents I spoke with did not know abouat a waiting list, priorities or if they had been or a waiting list before enrollment of their child. Item 176 If a child has been found income eligible and is participating in the program, he or she remains income eligible through that enrollment year and the immediately succeeding enrollment year. [1305.7 (c) ] REASON FOR NON-COMPLIANCE Income verifications were made each year the child was in the program. Item 177 Funded enrollment levels are maintained. Vacancies are filled as they occur, unless 60 calendar days or less remain in the program's enrollment year. [1305. 7 (b) ] REASON FOR NON-COMPLIANCE The Garretson Center PM class has not exceeded an enrollment of 12 children at a time this program year. They have been at a maximum of 80% of scheduled enrollment. PAGE ADM-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- ADMINISTRATION -------------- Number of Parents Interviewed: 2 Number of Staff Interviewed: 3 Component Reviewers: Norma Johnson ADMINISTRATION COMPONENT STRENGTHS: Staff willing to accept comments, recommendations. ADMINISTRATION COMPONENT RECOMMENDATIONS: Improve and expand training for parents on I-30 and other program requirements (OSPRI) . Improve and better organize record keeping systems (Personnel files, LPC minutes, etc) . The Policy Committee minutes should be more specific as to actions taken, i.e. , names of employees approved for hiring, etc. Item 185 The grantee should have and should implement a written procedure for program planning which is approved by the Board and the Policy Council and which includes a process for formulation of component objectives with adequate time for review of final objectives, including timetables and budgets. (R, I) REASON FOR NON-COMPLIANCE There is no written procedure for program planning. Item 187 The grantee has and implements a written procedure which describes an ongoing monitoring process that assures specific program objectives and activities are completed in a timely manner. (R, I) REASON FOR NON-COMPLIANCE There is no written procedure for monitoring program objectives and activities. PAGE ADM-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- Item 195 There is evidence that personnel policies are implemented as written and approved. REASON FOR NON-COMPLIANCE The Policy Committee does not approve staff prior to hiring; approvals are obtained after the person was hired. PAGE STA-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- STAFFING REQUIREMENTS AND PROGRAM OPTIONS ----------------------------------------- Number of Parents Interviewed: 0 Number of Staff Interviewed: 3 Component Reviewers: Linda Flanigan STAFFING REQUIREMENTS AND PROGRAM OPTIONS COMPONENT STRENGTHS: Efforts are being made to meet the new teacher qualification requirement. STAFFING REQUIREMENTS AND PROGRAM OPTIONS COMPONENT RECOMMENDATIONS: Written procedures need to be developed to ensure that the teacher qualification requirements are met by the statutory deadline. Written plans are needed for making up cancelled classes so the minimum service requirements to children are met. Item 201 The grantee provides adequate supervision of its staff. (1306.20 (a) ] REASON FOR NON-COMPLIANCE No documentation of annual evaluation of staff. Item 203 Staff in all program options are employed for sufficient time to allow them to participate in pre-service training, to plan and set up the program at the start of the year, to close the program at the end of the year, and to conduct all of the activities they must perform in addition to their classroom work. (1306. 32 (b) (7) , 1306. 33 (a) (4) , and 1306. 34 (b) (2) ] REASON FOR NON-COMPLIANCE Staff employment is inadequate to accomplish all the activities required in order to maintain a quality Head Start program. PAGE STA-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- Item 205 The grantee has developed and implemented a system to actively recruit, train, and utilize volunteers in the program to the fullest extent possible. [1306. 22 (a) ] REASON FOR NON-COMPLIANCE Inadequate documentation to demonstrate efforts to recruit parent and other volunteers, and to train them. There were many days when there was n volunteer [articipation. Item 206 Special efforts are made to have volunteer participation, especially parents, in the classroom and during group socialization activities. [1306. 22 (b) ] [1306. 20 (b) (d) ] REASON FOR NON-COMPLIANCE Insufficient documentation of special efforts to recruit volunteers for the classrooms, and other activities. Item 215 Regardless of program option, the grantee has plans to make up classes or home visits that were canceled by the grantee or program staff, when this is necessary to meet minimum days of service requirements. [1306. 32 (b) (4) , 1306. 34 (a) (4) , 1306. 33 (a) (3) , and 1306. 34 (a) (4) ] REASON FOR NON-COMPLIANCE There are no written plans to make up cancelled classes so that minimum service requirements can be met. PAGE ACC-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- ACCOUNTING Number of Parents Interviewed: 0 Number of Staff Interviewed: 4 Component Reviewers: Mary Riley Item 218 There is a financial management system that ensures budget management, maintains control over current operations, and provides timely, accurate, current, and complete disclosure of financial matters. REASON FOR NON-COMPLIANCE Accounting records are not supported by purchase requisitions or purchase orders. These forms are not used. Delegate is not following purchasing procedures in its handbook. Item 221 There is a system in place for providing cost data on a timely basis to financial and program managers as a management aid in the administration of their programs. REASON FOR NON-COMPLIANCE There is only verbal communication between all parties to determine remaining balances in all accounts. Copies of the budget are not distributed. ITEM 244 The grantee earned interest on Federal funds. GENERAL COMMENTS The delegate does not have its grant funds in an interest bearing account. County funds are advanced to the delegate for program operation. ITEM 245 The grantee has a system in place to return interest earnings to the Federal government. GENERAL COMMENTS Same comment as Item 244 . Item 252 Grantee has established a written policy and specific procurement procedures which, at a minimum, provide: PAGE ACC-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 003 BAYO VISTA TINY TOTS NURSERY SCHOOL ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE The delegate has not established a written policy and specific procurement procedures which provide: a. A review of proposed procurement to determine need and possible alternatives; b. Requests for bids that contain clear specifications and do not contain features which unduly restrict competition; c. Price comparisons or cost analysis is performed on all procurements; d. Invoices are checked against purchase requisitions. A review of a recent purchase over $500 indicates inadequate number of bids received and no justification for the bid chosen. There is no formal approval process for purchases. 05/12/95Z.' HEAD START MONITORING TRACKING SYSTEM PAGE: EDU-1 REPORTING FOR FISCAL YEAR 1995 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER DATES OF REVIEW: 01/23/95 TO 01/27/95 EDUCATION Number of Parents Interviewed: 8 Number of Staff Interviewed: 15 Component Reviewers: Mitchell Kuljis EDUCATION COMPONENT STRENGTHS: The children were very comfortable in every center observed. Meaningful activities were provided for them on a daily basis. The La Vonia Allen Center stood out as having well defined learning areas where the children had the most choices and the materials were the best. Item 005 There must be provision for development of intellectual skills by encouraging children to solve problems, initiate activities, explore, experiment, question, and gain mastery through learning by doing. (O, I) [1304. 2 (b) (2) (i) ] REASON FOR NON-COMPLIANCE Adults at George Miller need to ask more open questions. A. Most questions were directive, although positively done. C. Activities and materials were available but the materials needed to be better organized and labeled at both George Miller and Cambridge. G. Health activities need .to be more specific on lesson pPlans. Q. Activities at George Miller need to be more specific on the lesson plans. Item 010 Providing adequate indoor and outdoor space, materials, equipment, and time for children to use large and small muscles to increase their physical skills; (i) PAGE EDU-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE The playground equipment is currently unavailable to the children at George Miller because the outdoor shed door is swollen shut and cannot be opened. The outdoor swings are too high for the children at the Cambridge Center; they need to be lowered. Item 015 Parents are included in curriculum development and serve as resource persons. [1304. 2- 2 (c) (3) ] REASON FOR NON-COMPLIANCE Parents do have input on curriculum through parent meetings but the overall level of parent attendanace and participation is very low at both George Miller and Cambridge Centers; only one sixth of parents of the children enrolled, attend the parent meetings. Item 016 There shall be procedures for ongoing observation, recording, and evaluation of each child's growth and development for the purpose of planning activities to suit individual needs. (R,I) [1304 .2-2 (d) ] REASON FOR NON-COMPLIANCE E. Copies of all important IEP information nned to be on file at the center. The classroom lesson plans do not reflect the individual needs of the children. There was no evidence of observations made on the children. Individual needs must be based on teacher and parent observations as well as on the screening instrument. F. Not clear how adults indivisualize with children. There is no need to use two separate screening devices (Brigance and Developmental Checklist) ; either one is sufficient together with regular (monthly) observations of each child. H. Home Base needs more emphasis on Health, Safety and Mental Health activities. Item 018 The educational aspects of other Head Start components are integrated into the daily education services program. [1304. 2-2 (d) ] PAGE EDU-3 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE No integration of other components into the lesson plans. Item 020 Parent participation in planning the education program, and in classroom, and home program activities; (1) REASON FOR NON-COMPLIANCE Parents have input, but overall parent participation in both classrooms and attendance at parent meetings is low. Only one sixths of parents of the enrolled children attend parent meetings. Item 027 Indoor and outdoor premises shall be kept clean and free, on a daily basis, of undesirable and hazardous material and conditions. (0) [1304 . 2-3 (a) (6) ] REASON FOR NON-COMPLIANCE A. Stepping stools in bathrooms at both George Miller and Cambridge are loose (slippery) . Protruding nails - loose boards .around edge of play yard at Cambridge. H. Electric cord protruding out of socket at entry door of George Miller Center (it was improperly installed) . PAGE HEA-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- HEALTH Number of Parents Interviewed: 0 Number of Staff Interviewed: 4 Component Reviewers: Mary Soule HEALTH COMPONENT STRENGTHS: - Professional staff - Strong professional interaction - Completion of health requirements for children - Well-organized family files - Thoroughly documented family contacts. HEALTH COMPONENT RECOMMENDATIONS: Revise policies which require completion of physical exam as pre-requisite for enrollment and suspension of families for non-compliance with dental requirements. PAGE MEN-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- MENTAL HEALTH -------------- Number of Parents Interviewed: 0 Number of Staff Interviewed: 4 Component Reviewers: Mary Soule MENTAL HEALTH COMPONENT STRENGTHS: - Knowledge of community resources - Case management system for Home Base staff/families. MENTAL HEALTH COMPONENT RECOMMENDATIONS: Increase availability of mental health resource staff and services. Develop comprehensive mental health program which focuses on prevention services for all enrolled children, parents and program staff. Item 073 Assist in planning mental health program; (1) REASON FOR NON-COMPLIANCE Mental Health Consultant is available on limited basis. Some training has occurred. Services thus far, have been directed in response to crisis/identified need. On-going preventive/support services for all children, parents and staff have not been developed. Item 075 Observing children and consulting with staff; (3) REASON FOR NON-COMPLIANCE Same as #73 . Item 076 Advise and assist in development screening and assessment; (4) REASON FOR NON-COMPLIANCE Same as #73 . PAGE MEN-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- Item 079 Orient and work with parents; (7) REASON FOR NON-COMPLIANCE Same as #73 . Item 085 Regular group meetings of parents and program staff; (5) REASON FOR NON-COMPLIANCE Parent/staff group meetings focused on mental health issues are not in place. PAGE NUT-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- NUTRITION Number of Parents Interviewed: 0 Number of Staff Interviewed: 4 Component Reviewers: Mary Soule NUTRITION COMPONENT STRENGTHS: Creative approach to providing meal service. Excellent planning, implementation and documentation of special diets. Effective use of community resources. Home base curriculum well developed with assistance of EFNEP. NUTRITION COMPONENT RECOMMENDATIONS: Explore options to relieve educational staff of food service related activities, i.e. menu planning, purchasing, and preparation, etc. Develop alternative for monthly birthday treat (cake) with school district vendor. Use alternate fund-raising activities other than candy sales. PAGE SOC-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- SOCIAL SERVICES ---------------- Number of Parents Interviewed: 4 Number of Staff Interviewed: 7 Component Reviewers: Susie Wilson SOCIAL SERVICES COMPONENT STRENGTHS: - Adherence to confidentiality - Attendance follow-up - Empowering parents to meet own needs - Social Services referrals and follow-ups SOCIAL SERVICES COMPONENT RECOMMENDATIONS: Devise a stronger tracking system for Social Services referrals and follow-ups. PAGE PAR-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- PARENT INVOLVEMENT ------------------ Number of Parents Interviewed: 18 Number of Staff Interviewed: 5 Component Reviewers: Marina Sanchez PARENT INVOLVEMENT COMPONENT STRENGTHS: Many past Head Start parents on staff. Knowledgeable and experienced. Social Service staff are committed to parents and families. PARENT INVOLVEMENT COMPONENT RECOMMENDATIONS: A Parent Involvement staff person was hired to work with the Policy Committee and with center committees. Parents need training on Head Start components and about their role in the program at the classroom level. Item 137 The process of making decisions about the nature and operation of the Head Start program. REASON FOR NON-COMPLIANCE Parents are not involved in the decision-making process; it is a staff function only. Thus, parents do not have input into the program planning and budgeting process. No written Director's report (including financial) is submitted to the LPolicy Committee on a monthly basis. Item 139 There shall be opportunities for parents which lead to enhancing the development of their skills, self-confidence, and independence in fostering an environment in which their children can develop to their full potential. [1304 .5-3 (a) ] REASON FOR NON-COMPLIANCE Parents need specific training in the Head Start Parent Involvement performance standards as well as in other Head Start program elements. PAGE PAR-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- PAGE DIS-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- DISABILITIES SERVICES --------------------- Number of Parents Interviewed: 3 Number of Staff Interviewed: 11 Component Reviewers: Darlene Wezdenko DISABILITIES SERVICES COMPONENT STRENGTHS: 1. Staff show a willingness to work with children with disabilities and view it as part of their job. They are willing to work on needs observed but not addressed in the IEP. They are also willing to help the children develop friendships with older children with disabilities. 2 . The agency has a working relationship with local school districts to obtain services. DISABILITIES SERVICES COMPONENT RECOMMENDATIONS: 1. We recommend more training on disabilities for staff and parents. 2 . We recommend a transition plan be designed and documented for parents and children entering public schools. 3 . We recommend that staff have local access to IEPs in order to plan for children. Item 153 At least 10 percent of the total number .of enrollment opportunities is made available to children with disabilities, unless an exception to this requirement was granted by the regional HHS official. [1305. 6 (c) ] REASON FOR NON-COMPLIANCE Disabled enrollment is only eight percent instead of the required minimum of 10 percent. Item 155 Resources to implement the disabilities services plan are adequate: [1308.4 (n-o) ] PAGE DIS-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE D. Training for staff was limited to Brigance and Behavior Management. Parent training consisted of training provided by the school district to which parents were invited. Item 161 There is an Individual Education Plan (IEP) for every Head Start child with a disability and in need of special education and/or related services. [1308. 19] REASON FOR NON-COMPLIANCE IEP's could not be found for two of the first five files requested. Item 162 Special education and related services as described in the IEP are provided as soon as possible after the IEP meeting. [1308. 19 (1) ] REASON FOR NON-COMPLIANCE Classroom staff do not have copies of IEPs in the classroom to plan activities for children with IEPs. Item 166 The program supports the transition process for children with disabilities who are entering and leaving Head Start. [1308 . 4 (g) , (1) ] REASON FOR NON-COMPLIANCE There are no records of assistance to parents in the transition of children from Head Start to public school. PAGE ELI-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE --------------------------------------------------------------- Number of Parents Interviewed: 4 Number of Staff Interviewed: 7 Component Reviewers: Susie Wilson ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE STRENGTHS: Family Stress Center demonstrates consistent adherence to attendance tracking and follow-up on absenteeism, including various means of parent contact and support. Staff interviews ,and documentation demonstrate strong parent empowerment via supporting parents in meeting their own needs. ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE RECOMMENDATIONS Waiting list numbers should be determined by estimated number of the anticipated enrollment vacancies for the coming year, not by a set of percentages. Income updates for second-year children - regardless of the fact that they are not used for re-verification - are unnecessary and should cease. PAGE ADM-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- ADMINISTRATION -------------- Number of Parents Interviewed: 0 Number of Staff Interviewed: 3 Component Reviewers: Norma Johnson ADMINISTRATION COMPONENT STRENGTHS: - Very good delegate agency. - Staff very open; dedicated to the Head Start philosophy; - Both the staff and the office environment are professional; staff is friendly and committed to excellence; - The Head Start Director and the Executive Director are open and willing to discuss strengths and weaknesses. ADMINISTRATION COMPONENT RECOMMENDATIONS: Relationship between grantee and delegate is poor. Communication and team building must be improved. Item 185 The grantee should have and should implement a written procedure for program planning which is approved by the Board and the Policy Council and which includes a process for formulation of component objectives with adequate time for review of final objectives, including timetables and budgets. (R, I) REASON FOR NON-COMPLIANCE FSC has no written procedures for program planning. Item 186 The grantee should have and should implement a written procedure for developing, reviewing, and revising budgets and work plans based on identified objectives. (R) PAGE ADM-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE No written procedure for program and budget development based on identified objectives. Item 187 The grantee has and implements a written procedure which describes an ongoing monitoring process that assures specific program objectives and activities are completed in a timely manner. (R, I) REASON FOR NON-COMPLIANCE No written procedure for monitoring the program. Item 196 A file and records system shall be maintained to include official documents for each staff member, related to: qualifications for appointment or promotion; periodic pay increases; records of continued training or education; official recognition; performance evaluation; and adverse action. The system must protect the confidentiality of personnel records. REASON FOR NON-COMPLIANCE Three out of five files reviewed had no employee evaluations. Five out of five files had no evidence of reference checks. PAGE STA-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- STAFFING REQUIREMENTS AND PROGRAM OPTIONS ----------------------------------------- Number of Parents Interviewed: 8 Number of Staff Interviewed: 10 Component Reviewers: Mitchell Kuljis STAFFING REQUIREMENTS AND PROGRAM OPTIONS COMPONENT STRENGTHS: Delegate agency is in compliance with comst of the staffing and options requirements. Pre- and in-service training of staff. STAFFING REQUIREMENTS AND PROGRAM OPTIONS COMPONENT RECOMMENDATIONS: Develop a plan and system for recruiting, training, and utilizing volunteers. Item 205 The grantee has developed and implemented a system to actively recruit, train, and utilize volunteers in the program to the fullest extent possible. [1306. 22 (a) ] REASON FOR NON-COMPLIANCE There are no plans or systems available for the recruitment, training, or the utilization of volunteers. Item 206 Special efforts are made to have volunteer participation, especially parents, in the classroom and during group socialization activities. [1306.22 (b) ] [1306. 20 (b) (d) ] REASON FOR NON-COMPLIANCE There were inadequate or no volunteers and/or parents in the classrooms. PAGE ACC-1 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- ACCOUNTING Number of Parents Interviewed: 0 Number of Staff Interviewed: 4 Component Reviewers: Cameron Snyder ACCOUNTING COMPONENT STRENGTHS: The financial management system is very strong and provides good financial support to the program. The fiscal area is very strong. There is a good use of resources utilizing the Finance Department of the City of Phoenix. Paul and his staff make themselves available to assist the Delegate Agencies with any fiscal needs. Item 226 Previous audit deficiencies have been addressed and corrective actions have been implemented. REASON FOR NON-COMPLIANCE Audit finding indicates a need for property management and inventory development. These have not been implemented. Item 236 The source and the use and accounting of non-Federal funds meets requirements. REASON FOR NON-COMPLIANCE The valuation of the parent volunteer in the classroom is not fair and reasonable. The delegate can not justify the parent volunteer valuation at a rate higher than its entry-level teacher aides. Item 238 Services of volunteers were accounted for properly. REASON FOR NON-COMPLIANCE Same comment as Item 236. Item 252 Grantee has established a written policy and specific procurement procedures which, at a minimum, provide: PAGE ACC-2 GRANTEE: 09CH0375 CONTRA COSTA COMMUNITY SERVICES DELEGATE: 006 FAMILY STRESS CENTER ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE The bid and selection criteria form, required by the delegate's written procurement policies, was missing from several procurement files sampled. A review of recent purchases over $500 indicated a lack of accurate specifications, adequate number of bids and justification for the bid chosen. Item 255 All grantee procurement transactions, whether negotiated or advertised, and regardless of dollar value, must be conducted in a manner providing maximum open and free competition. REASON FOR NON-COMPLIANCE Documentation was not available to support this requirement. Item 256 Grantees' property management standards for nonexpendable personal property shall include the following procedural requirements: REASON FOR NON-COMPLIANCE There is no property management system in evidence. Inventory records are based only upon items included in the depreciation schedule. Some of the elements required are included on the inventory sheets but not all. A complete inventory and reconciliation has not been conducted. s 05/10/95 HEAD START MONITORING TRACKING SYSTEM PAGE: EDU-1 REPORTING FOR FISCAL YEAR 1995 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH DATES OF REVIEW: 02/27/95 TO 02/27/95 EDUCATION Number of Parents Interviewed: 8 Number of Staff Interviewed: 6 Component Reviewers: Mitchell Kuljis EDUCATION COMPONENT STRENGTHS: The children were very comfortable in every center observed. Meaningful activities were provided for them. Paperwork relating to education was well organized. EDUCATION COMPONENT RECOMMENDATIONS: To get Woodmanor center licensed and in operation as soon as possible. Because the trailer sites at Odessa are very old and the agency may lose the lease at Wee World, the agency needs to give priority to seeking new facilities and it is recommended that the grantee actively support the agency in this effort. Item 015 Parents are included in curriculum development and serve as resource persons. [1304. 2- 2 (c) (3) ] REASON FOR NON-COMPLIANCE Parents in general are not actively involved in the classrooms on a daily basis. With an enrollment of 20 children per class, at least two active volunteers are needed to help in the classroom on a daily basis. Item 016 There shall be procedures for ongoing observation, recording, and evaluation of each child's growth and development for the purpose of planning activities to suit individual needs. (R, I) [1304 . 2-2 (d) ] PAGE EDU-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE E. The lesson plans in the classrooms do not address the individual needs of the children. Long term goals for the children are too generic. Regular (at least monthly) child observations are not being made on every child. F. Long term goals on each child's plan need to vary according to each child's needs, and not say "readiness for kindergarten. " Item 018 The educational aspects of other Head Start components are integrated into the daily education services program. [1304. 2-2 (d) ] REASON FOR NON-COMPLIANCE Health component representation is inadequate in the currriculum; it needs to be more specific. Item 020 Parent participation in planning the education program, and in classroom, and home program activities; (1) REASON FOR NON-COMPLIANCE The overall level of parent participation is inadequate. Item 027 Indoor and outdoor premises shall be kept clean and free, on a daily basis, of undesirable and hazardous material and conditions. (0) [1304. 2-3 (a) (6) ] REASON FOR NON-COMPLIANCE A. At the Lido center the mat under the tire swing needs to be repaired as well as the drinking fountain in the outside yard. The carpet at Wee World is loose and very old. It needs to be covered and/or replaced. Item 030 There shall be appropriate and sufficient furniture, equipment, and materials to meet the needs of the program: (0) [1304 . 2-3 (b) ] PAGE EDU-3 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE Odessa is not fully set up as a regular center; it looks more like a socialization site than a classroom (it needs lockable shelves so the ,children can have more equipment) . PAGE HEA-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- HEALTH Number of Parents Interviewed: 1 Number of Staff Interviewed: 6 Component Reviewers: Mary Soule HEALTH COMPONENT STRENGTHS: Adequate staff to meet program requirements. Timely completion of health requirements. Effective case management process. Knowledge and utilization of community resources. HEALTH COMPONENT RECOMMENDATIONS: Develop an organized health education curriculum which is clearly documented in the lesson plan. Immediately revise policies which require completion of physical exam as a prerequisite to enrollment and suspension of children for non-compliance with dental requirements. Item 068 Health education is integrated into ongoing classroom and other program activities. (4) REASON FOR NON-COMPLIANCE An integrated, organized health curriculum is not available at this time. PAGE MEN-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- MENTAL HEALTH -------------- Number of Parents Interviewed: 1 Number of Staff Interviewed: 6 Component Reviewers: Mary Soule MENTAL HEALTH COMPONENT STRENGTHS: Knowledgeable, dedicated staff. Effective case management system. Knowledge of community resources. Confidentiality of records. MENTAL HEALTH COMPONENT RECOMMENDATIONS: Provide for adequate time for the mental health professional. Develop mental health program to support all enrolled children, parents and staff. Strengthen relationship with school district. Item 073 Assist in planning mental health program; (1) REASON FOR NON-COMPLIANCE The mental health professional is available 20 hrs. /wk. for the GOP and The mental health professional is available 20 hours per week for the the DA's. Services are limited at this time to staff training and grantee-operated program and the four delegate agencies. Thus, services response to identified family need. Response is not timely. are limited to staff training and identified family need. Response is not timely. The professional does not assist in planning the mental health program. Item 075 Observing children and consulting with staff; (3) REASON FOR NON-COMPLIANCE See item 73 . See #73 . The mental health professional does not have the time for observing children and to consult with staff. PAGE MEN-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- Item 076 Advise and assist in development screening and assessment; (4) REASON FOR NON-COMPLIANCE See item 73 . See #73 . The mental health. professional does not have time to assist in the screening and assessment of children. Item 079 Orient and work with parents; (7) REASON FOR NON-COMPLIANCE See item 73 . The mental health professional does not have adequate time to work with parents. Also, see #73 . Item 083 Coordination with the education services component to provide a program keyed to individual development levels; (3) REASON FOR NON-COMPLIANCE Individualized plans were not available on all children. Individualized plans were not available on all children. Item 085 Regular group meetings of parents and program staff; (5) REASON FOR NON-COMPLIANCE Mental health professional support staff is unavailable to facilitate Mental health professional support staff is unavailable to facilitate group sessions. group sessions. PAGE NUT-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- NUTRITION Number of Parents Interviewed: 1 Number of Staff Interviewed: 6 Component Reviewers: Mary Soule NUTRITION COMPONENT STRENGTHS: Efficient centralized nutrition system. Adequate,. qualified staffing patterns. Parents involved in menu development. Participation in SHAPE program. Knowledge of community resources. NUTRITION COMPONENT RECOMMENDATIONS: Increase the number of adult meals to accommodate more parents at meal time. Increase storage capacity at the kitchen site to facilitate a more efficient, and cost-effective purchasing system. Item 106 Children participate in learning activities planned to effect the selection and enjoyment of nutritious food. (2) REASON FOR NON-COMPLIANCE Even though activities occur weekly, there is no curriculum plan which is clearly documented and tied to the lesson plans. Classrooms also lack nutrition support materials. Item 108 All staff receive education in principles of nutrition and their application to child development and family health, as well as in ways to create a good physical, social, and emotional environment. (4) REASON FOR NON-COMPLIANCE Currently, only staff who are directly involved in food handling, receive training in sanitation. PAGE SOC-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- SOCIAL SERVICES ---------------- Number of Parents Interviewed: 2 Number of Staff Interviewed: 5 Component Reviewers: Susie Wilson SOCIAL SERVICES COMPONENT STRENGTHS: Social Service staff reflect cultural/ethnic makeup of families enrolled, and demonstrated a strong knowledge of cultures and of their community. SOCIAL SERVICES COMPONENT RECOMMENDATIONS: * Attendance policies need to be strictly adhered to, with parent contact and reasons for absences clearly documented. * Development of the Family Assistance Plan (FAP) must relate to information gathered from the Family Needs Assessment (FNA) . * Referral reports need to be recorded/tracked. * Files must be kept locked. Item 125 A parent or guardian will be contacted with respect to an enrolled child whose participation in the Head Start program is irregular or who has been absent four consecutive days. [1304 .4-2 (a) (8) ] [See ER#179] REASON FOR NON-COMPLIANCE Documentation of absences is incomplete or missing altogether. Though Documentation of absences is incomplete or missing altogether. Though staff is familiar with process, it is inconsistently used. (Though lengthy staff is familiar with process, it is inconsistently used. (Though lengthy absences - 5 or 6 days or more are consistently followed up with a absences - five days or more are consistently followed up with a letter. letter. ) Item 126 Records shall be established, maintained, and kept confidential that include: [1304 .4-2 (c) ] PAGE SOC-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE Referrals are inconsistently documented. Referrals are inconsistently documented. Files are kept unlocked in a Files are kept unlocked in a hallway during daytime. hallway during daytime. Item 132 There are procedures for establishing a role of advocacy and spokesperson for Head Start families. (1304 .4-2 (a) (7) ] REASON FOR NON-COMPLIANCE Though this seems to done on an individual basis, staff had difficulty Though this seems to be done on an individual basis, staff had difficulty describing a policy or procedure. describing a policy or procedure. PAGE PAR-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- PARENT INVOLVEMENT ------------------ Number of Parents Interviewed: 26 Number of Staff Interviewed: 7 Component Reviewers: Marina Sanchez PARENT INVOLVEMENT COMPONENT STRENGTHS: High staff to child ratio. PARENT INVOLVEMENT COMPONENT RECOMMENDATIONS: 1. Hiring of bilingual staff. 2 . Training of all staff in Parent Involvement. Item 133 There is a written parent involvement plan annually updated and/or revised. [1304 . 1-4] This includes a detailed plan on implementation of I-30-2 "The Parents" (70. 2) [1304 . 5-2 (b) ] REASON FOR NON-COMPLIANCE Component plan for 1992 is currently used; has not been updated annually. Item 134 Working with their children in their own home in connection with the staff of the center. REASON FOR NON-COMPLIANCE No newsletter or regular ongoing bulletins/notices are available to inform parents of happenings in Head Start. Item 135 Program activities they have helped to develop. REASON FOR NON-COMPLIANCE Poor, if any parent information areas. Parent bulletin boards contain items that are old or irrelevant to provide parents with information. There was poor classroom participation by parents. Parents did not seem to feel that they were part of Head Start. PAGE PAR-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- Item 137 The process of making decisions about the nature and operation of the Head Start program. REASON FOR NON-COMPLIANCE Decision making process not in place. Poor, if any documentation reflecting Policy Committee approval prior to decisions beinv made. Parents appear to be approvaing staff recommendations. Training information not available other than a sign-in for parents and staff. Staff hired prior to PC approval. Item 139 There shall be opportunities for parents which lead to enhancing the development of their skills, self-confidence, and independence in fostering an environment in which their children can develop to their full potential. [1304 . 5-3 (a) ] REASON FOR NON-COMPLIANCE Parents feel that they are not included in overall activities. They feel lucky to have child in Head Start, but don't feel ownership of the First Baptist Head Start program. They pick up food regularly, but they must attend the Policy Committee meetings in order to receive food bag. Item 144 Identification of opportunities for continuing education that may lead toward self-enrichment and employment; (f) REASON FOR NON-COMPLIANCE No documentation that any information on educational opportunities was offerred to parents. Item 147 There shall be regular two-way communication between staff and parents, which provides information about: the program and its services; program activities for the children; the policy groups; and resources. [1304 . 5-4 (a) ] [See Ad #188C] (R) PAGE PAR-3 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE There is no effective two way communication. There is no newsletter, and while 52 percent of parents are monolingual Spanish-speaking, the only bilingual staff are a Social Services staff (does all the translation) and a part time Health Aide. Thus, all meetings are conducted in English; parents do not feel they are important in this program. Item 150 Effective procedures are established by which parents and area residents concerned will be enabled to influence the character of programs affecting their interests. (1) REASON FOR NON-COMPLIANCE Little input from parents to influence changes in program. Item 151 There is regular participation by parents in the implementation of such programs. (2) REASON FOR NON-COMPLIANCE No evidence of regular parent participation. PAGE DIS-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- DISABILITIES SERVICES --------------------- Number of Parents Interviewed: 2 Number of Staff Interviewed: 7 Component Reviewers: Darlene Wezdenko DISABILITIES SERVICES COMPONENT STRENGTHS: The agency has a working relationship with LEA to obtain needed services. The staff is accepting and positive to all the children. They are open to suggestions and open to training on disabilities. DISABILITIES SERVICES COMPONENT RECOMMENDATIONS: 1. We recommend that Individual Education Plans (IEP) be in files at the centers so that teachers have access to plan for the children. 2 . We recommend that a transition plan be designed and transition activities for parents and children going to public school be documented. Item 153 At least 10 percent of the total number of enrollment opportunities is made available to children with disabilities, unless an exception to this requirement was granted by the regional HHS official. [1305. 6 (c) ] REASON FOR NON-COMPLIANCE The delegate does not meet the requirement that at least 10 percent of the total enrollment be reserved for children with disabilities. Item 162 Special education and related services as described in the IEP are provided as soon as possible after the IEP meeting. [1308 . 19 (1) ] PAGE DIS-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE Classroom staff do not have IEPs to plan appropriate activities for the children. Item 165 The disabilities coordinator works closely with other Head Start staff to ensure that the special needs of each child with disabilities are met. (1308. 18, 1308 . 20, 1308.4] REASON FOR NON-COMPLIANCE No documentation of parent involvement activities of parents of children with disabilities. Item 166 The program supports the transition process for children with disabilities who are entering and leaving Head Start. [1308 . 4 (g) , (1) ] REASON FOR NON-COMPLIANCE Records are not maintained of assistance to parents in transitioning to public school. PAGE ELI-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE --------------------------------------------------------------- Number of Parents Interviewed: 2 Number of Staff Interviewed: 5 Component Reviewers: Susie Wilson ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE RECOMMENDATIONS Waiting list numbers should be determined by estimated number of anticipated enrollment vcancies for the coming year, not by a set of percentages. Eliminate the use of the separate income verification sheet; with only the parent signature required, it does not meet [1305.4 (e) ] , whereas the application form itself is designed to do so (application form includes appropriate Income Verification Section) . Income updates for second year children, even though not used for re-verification, are unnecessary and should cease. Item 177 Funded enrollment levels are maintained. Vacancies are filled as they occur, unless 60 calendar days or less remain in the program's enrollment year. [1305. 7 (b) ] REASON FOR NON-COMPLIANCE The program was fully enrolled at the beginning of the school year, but a failure to fully actualize the R&D project taken on this year, resulted in dropping all families, and re-enrolling in the standard models previously used. As a result, the program has been under-enrolled. Item 178 When the monthly average daily attendance rate in a center-based program falls below 85 percent, the program has analyzed the causes of absenteeism. This analysis includes a study of the patterns of absences for each child, including the reasons for absences as well as the number of absences that occur on consecutive days. [1305.8 (a) ] PAGE ELI-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE Contacts with parents regarding absences are sporadic, and information regarding cause of absence is often incomplete. Thus, making analysis is impossible. Item 179 When the reasons for a child's absences are unexcused for four or more consecutive days, the program has initiated appropriate family support. procedures, including home visits or other direct contact with the child's parents, that emphasize the benefits of regular attendance, while at the same time remaining sensitive to any special family circumstances. [1305.8 (b) ] [See SS #125] REASON FOR NON-COMPLIANCE Please see comments for #178. PAGE ADM-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- ADMINISTRATION -------------- Number of Parents Interviewed: 0 Number of Staff Interviewed: 4 Component Reviewers: Norma Johnson Brenda Battle Rev. Perkins ADMINISTRATION COMPONENT STRENGTHS: * Staff very open and cooperative. * Friendly Head Start environment. ADMINISTRATION COMPONENT RECOMMENDATIONS: * Parent training on T-30 and program requirement (OSPRI) should be improved and expanded upon. * Increase teaching and support staff who are bilingual in Spanish. Item 182 Information from the community needs assessment has been used to: REASON FOR NON-COMPLIANCE No reliance on CNA, excepting where sites are to be located. The CNA identified problem areas but does not include how program' s services will reflect these identified problems. Program options are not varied. Item 185 The grantee should have and should implement a written procedure for program planning which is approved by the Board and the Policy Council and which includes a process for formulation of component objectives with adequate time for review of final objectives, including timetables and budgets. (R, I) REASON FOR NON-COMPLIANCE No written procedures for program planning or monitoring. PAGE ADM-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- Item 186 The grantee should have and should implement a written procedure for developing, reviewing, and revising budgets and work plans based on identified objectives. (R) REASON FOR NON-COMPLIANCE Policy Committee members do not appear to be adequately trained in budget preparation. Item 187 The grantee has and implements a written procedure which describes an ongoing monitoring process that assures specific program objectives and activities are completed in a timely manner. (R,I) REASON. FOR NON-COMPLIANCE Same as #185. Item 195 There is evidence that personnel policies are implemented as written and approved. REASON FOR NON-COMPLIANCE Although the personnel policies indicate that the Policy Committee will approve or disapprove the hiring and firing of staff, in actual practice, staff are hired before Committee approval. PAGE STA-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- STAFFING REQUIREMENTS AND PROGRAM OPTIONS ---------------------------------------- Number of Parents Interviewed: 8 Number of Staff Interviewed: 10 Component Reviewers: Mitchell Kuljis STAFFING REQUIREMENTS AND PROGRAM OPTIONS COMPONENT STRENGTHS: Delegate agency is in compliance with most of the staffing and options requirements. Pre- and in-service training. STAFFING REQUIREMENTS AND PROGRAM OPTIONS COMPONENT RECOMMENDATIONS: Develop a plan and system for recruiting, training, and utilizing volunteers. Item 205 The grantee has developed and implemented a system to actively recruit, train, and utilize volunteers in the program to the fullest extent possible. [1306.22 (a) ] REASON FOR NON-COMPLIANCE No plans or systems are evident for the recruiting, training, and utilizing volunteers. Item 206 Special efforts are made to have volunteer participation, especially parents, in the classroom and during group socialization activities. [1306. 22 (b) ] [1306. 20 (b) (d) ] REASON FOR NON-COMPLIANCE There were insufficient or no volunteers and/or parents in the classrooms. PAGE ACC-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- ACCOUNTING Number of Parents Interviewed: 0 Number of Staff Interviewed: 6 Component Reviewers: Mary Riley Item 218 There is a financial management system that ensures budget manaVement, maintains control over current operations, and provides timely, accurate, current, and complete disclosure of financial matters. REASON FOR NON-COMPLIANCE Purchase requisitions/orders are not used. There are no signatures for prior approval to pay invoices. All purchases are approved verbally by Director &/or Education Coordinator. Postings are not timely because all transactions are verbal. Invoices do not have matching purchase orders. Item 221 There is a system in place for providing cost data on a timely basis to financial and program managers as a management aid in the administration of their programs. REASON FOR NON-COMPLIANCE There is only verbal communication between all parties to determine remaining balances in all accounts. Copies of the budget are not distributed. Item 240 If the grantee rents any facilities used for the program, verification shows that charges were reasonable. REASON FOR NON-COMPLIANCE Rent of $300 per month is being paid for a site that is inoperable. The site has been vacant since 12/93 due to the need to install a fire wall. No written request has been submitted to the grantee to approve funds (either within budget or supplemental) to install the fire wall. Rental payments for a idle facility without taking aggressive action to make the facitly operational is not reasonable and may be a misuse of Federal funds. As a result of disclosure of this situation the grantee and the delegate are taking action to make the site operational. Monthly status reports are required on these actions until the site is in use or the lease terminated. i PAGE ACC-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 002 FIRST BAPTIST CHURCH ------------------------------------------------------------------------------- Item 243 If renovations are included under the grant, such renovations are appropriate (i.e. , qualify as renovation and not construction) and charged in accordance with the cost principles and ACF guidance. REASON FOR NON-COMPLIANCE Delegate failed to request approval for needed renovation (fire wall installation) and undertake necessary renovation to make a rented site operational. (Applies to comments under Item 240) ITEM 244 The grantee earned interest on Federal funds. GENERAL COMMENTS The delegate does not have its grant funds in an interest bearing account. County funds are advanced to the delegate for program operation. ITEM 245 The grantee has a system in place to return interest earnings to the Federal government. GENERAL COMMENTS Same comment as Item 244 . Item 252 Grantee has established a written policy and specific procurement procedures which, at a minimum, provide: REASON FOR NON-COMPLIANCE There is no formal purchase approval mechanism and no formal or informal bidding process to control costs. Purchase requisitions/orders are not used. Purchases are approved verbally by the Director and/or Education Coordinator. There is no evidence of price comparisons or evidence to determine need. 05/10/95 HEAD START MONITORING TRACKING SYSTEM PAGE: EDU-1 REPORTING FOR FISCAL YEAR 1995 GRANTEE: 09CH0375 CONTRA COSTA COUNTY. COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA DATES OF REVIEW: 01/23/95 TO 01/27/95 EDUCATION Number of Parents Interviewed: 12 Number of Staff Interviewed: 7 Component Reviewers: Mitchell Kuljis EDUCATION COMPONENT STRENGTHS: Excellent facilities are provided for the families being served. All the classrooms are attractive, well defined, and provide meaningful activities for the children. EDUCATION COMPONENT RECOMMENDATIONS: The education components needs to focus on providing for more individualization on each child's needs. Add more health related activities to the curriculum. Item 016 There shall be procedures for ongoing observation, recording, and evaluation of each child' s growth and development for the purpose of planning activities to suit individual needs. (R, I) [1304 .2-2 (d) ] REASON FOR NON-COMPLIANCE E. No evidence of individualizing on the lesson plans. F. There needs to be regular (monthly) child observations which are written up on each child. Item 018 The educational aspects of other Head Start components are integrated into the daily education services program. [1304 .2-2 (d) ] REASON FOR NON-COMPLIANCE There needs to be more health activities integrated into the curriculum. PAGE EDU-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- Item 027 Indoor and outdoor premises shall be kept clean and free, on a daily basis, of undesirable and hazardous material and conditions. (0) [1304 .2-3 (a) (6) ] REASON FOR NON-COMPLIANCE Both Sunset and Bridegmont had flooded play yards. The Nogales site is blocked by an open trench. Item 028 Outdoor play areas shall be made so as to prevent children from leaving the premises and getting into unsafe and unsupervised areas. (0) [1304 . 2-3 (a) (7) ] REASON FOR NON-COMPLIANCE Out of compliance because play yards are not being used at Sunset, Nogales, and Bridgemont centers. PAGE HEA-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- HEALTH Number of Parents Interviewed: 0 Number of Staff Interviewed: 6 Component Reviewers: Mary Soule HEALTH COMPONENT STRENGTHS: Professional staff. Timely completion of health requirements. Well-organized family files. Current, concise anecdotal comments. Utilization of community resources. HEALTH COMPONENT RECOMMENDATIONS: Develop cross-component health education curriculum for children which is clearly documented in the lesson plan. Increase availability of health curriculum support materials. Revise policy which requires completion of physical exam as a prerequisite of enrollment and that of suspension of children for non-compliance with health requirements. Item 068 Health education is integrated into ongoing classroom and other program activities. (4) REASON FOR NON-COMPLIANCE Currently there is not an organized health curriculum for children with specific developmentally appropriate goals. Classroom lacks adequate curriculum support materials i.e. books, puzzles, etc. PAGE MEN-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- MENTAL HEALTH -------------- Number of Parents Interviewed: 0 Number of Staff Interviewed: 6 Component Reviewers: Mary Soule MENTAL HEALTH COMPONENT STRENGTHS: Qualified program staff. On-site mental health intern. Classroom support staff (Disabilities/Mental Health Aide) . Excellent utilization of community resources. MENTAL HEALTH COMPONENT RECOMMENDATIONS: Expand prevention services to all enrolled children, parents, and staff. Develop specific mental health curriculum in conjunction with the education component which is clearly documented in the lesson plan. Item 073 Assist in planning mental health program; (1) REASON FOR NON-COMPLIANCE The mental health consultant has not been available to plan a cohesive program (She works 20 hours per week to cover the grantee-operated program and the four delegate agencies) . General classroom observation/assistance in developmental screening has not occurred. Item 075 Observing children and consulting with staff; (3) REASON FOR NON-COMPLIANCE Same as #73 . Item 076 Advise and assist in development screening and assessment; (4) PAGE MEN-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE Same as #73 . PAGE NUT-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- NUTRITION Number of Parents Interviewed: 0 Number of Staff Interviewed: 6 Component Reviewers: Mary Soule NUTRITION COMPONENT STRENGTHS: Efficient coordination with school food service departments. Involvement of parents in menu planning. Food aide in classroom to assist with meal service. Family-style service well implemented. NUTRITION COMPONENT RECOMMENDATIONS: Develop organized, specific nutrition curriculum for children in conjunction with the education component. Provide nutrition training for all staff on issues such as sanitation, family health. CCFP guidelines, adaptive techniques for special children, etc. Item 106 Children participate in learning activities planned to effect the selection and enjoyment of nutritious food. (2) REASON FOR NON-COMPLIANCE An organized nutrition curriculum is not available. Classrooms lack adequate nutrition related materials. Training for staff appears to be available only to food handlers. Item 108 All staff receive education in principles of nutrition and their application to child development and family health, as well as in ways to create a good physical, social, and emotional environment. (4) REASON FOR NON-COMPLIANCE Same as #106. PAGE SOC-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- SOCIAL SERVICES ---------------- Number of Parents Interviewed: 3 Number of Staff Interviewed: 7 Component Reviewers: Susie Wilson SOCIAL SERVICES COMPONENT RECOMMENDATIONS: Attendance policies need to be strictly adhered to with parent contact and reason for absence clearly documented. Development of the Family Assistance Plan (FAP) must be based on information gathered on the Family Needs Assessment (FNA) more closely. Item 118 There is a written social services plan annually updated and/or revised. [1304 . 1-4] REASON FOR NON-COMPLIANCE Though there is a written plan, areas [1304-2 (a) (8) ] (contacting parents after child has been absent for four consecutive days or whose attendance is irregular) and [1304-2 (c) ] (maintenance of up-to-date family . records) are not addressed. Item 123 There shall be follow-up to assure delivery of needed assistance. (R, I) [1304 . 4-2 (a) (6) ] REASON FOR NON-COMPLIANCE Information on the FAPs needs to follow more closely along parent's identified needs as per the FNA; often, important information is not being followed up. Also, none of the FAP's had parent signatures; many were lacking staff signatures, making it difficult to determine if parents were part of developing the FAP. Item 125 A parent or guardian will be contacted with respect to an enrolled child whose participation in the Head Start program is irregular or who has been absent four consecutive days. [1304 .4-2 (a) (8) ] [See ER#179] REASON FOR NON-COMPLIANCE Both parent interviews, and observation of files indicate that this rarely happens. PAGE SOC-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- Item 126 Records shall be established, maintained, and kept confidential that include: [1304 .4-2 (c) ] REASON FOR NON-COMPLIANCE Information on outcome of referrals is lacking. There is little or no evidence of staff/parent contact in most files. (Very inconsistent) PAGE PAR-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- PARENT INVOLVEMENT ------------------ Number of Parents Interviewed: 8 Number of Staff Interviewed: 4 Component Reviewers: Marina Sanchez PARENT INVOLVEMENT COMPONENT STRENGTHS: Strong staff support in Social Services and parent participation in classrooms. PARENT INVOLVEMENT COMPONENT RECOMMENDATIONS: Parent involvement component training for all staff. Rewrite component plans, and training plans for parents. Hire a parent involvement staff person to insure component compliance and enhancement of parent involvement in all areas. Item 133 There is a written parent involvement plan annually updated and/or revised. [1304 . 1-4] This includes a detailed plan on implementation of I-30-2 "The Parents" (70. 2) [1304 .5-2 (b) ] REASON FOR NON-COMPLIANCE Component Plan did not reflect detailed activities and time frames for parent involvement at this delegate agency. It is a one-sentence statement, "Parent plan is in place. " Item 137 The process of making decisions about the nature and operation of the Head Start program. REASON FOR NON-COMPLIANCE Parents are not given choices in many agenda items. One-page memos instruct Policy Committee members on how to vote or approve each item (called consent items) that needs their attention (vote) . There is little or no training for the Policy Committee in the process of making decisions at the program level. PAGE PAR-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- Item 139 There shall be opportunities for parents which lead to enhancing the development of their skills, self-confidence, and independence in fostering an environment in which their children can develop to their full potential. [1304 . 5-3 (a) ] REASON FOR NON-COMPLIANCE A. Parents were not sure what role the Policy Committee had in the classroom. In general they did not understand the decision-making process and the roles of the parents in Head Start. I. Unable to find training in personal growth; what training there was, had to do with "Head Start. " . Item 144 Identification of opportunities for continuing education that may lead toward self-enrichment and employment; (f) REASON FOR NON-COMPLIANCE Unable to find documentation of presentations on training to encourage continuing education opportunities. PAGE DIS-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------=------------------------------------------------ DISABILITIES SERVICES --------------------- Number of Parents Interviewed: 3 Number of Staff Interviewed: 10 Component Reviewers: Darlene Wezdenko DISABILITIES SERVICES COMPONENT STRENGTHS: The staff are receiving practical hands on training in working with children with disabilities at another agency. Collaborating with LEA is working. Staff know about their children with disabilities and receive suggestions from therapists working in the classroom. DISABILITIES SERVICES COMPONENT RECOMMENDATIONS: The delegate must ensure that confidentiality is maintained. A system should be developed to track the assistance given to parents in the transition of their children from Head Start to the Local Education Agency (LEA) . Item 155 Resources to implement the disabilities services plan are adequate: [1308.4 (n-o) ] REASON FOR NON-COMPLIANCE B. There is an entrance gate at the Gehrinders center that could not be used if a person had a disability or was in a wheelchair. Item 160 The disabilities coordinator arranges for formal evaluation of children identified as possibly having a disability [1308. 6 (e) ] REASON FOR NON-COMPLIANCE C. The files at the Gehringer site were not locked. D. The parental consent for evaluation is signed at the district and the agency does not have a copy. PAGE DIS-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- Item 165 The disabilities coordinator works closely with other Head Start staff to ensure that the special needs of each child with disabilities are met. [1308. 18, 1308. 20, 1308.4] REASON FOR NON-COMPLIANCE A. Health component staff not involved in the assessment process or in the follow-up. D. Participation and support of parents of children with disabilities are not fostered by staff. Item 166 The program supports the transition process for children with disabilities who are entering and leaving Head Start. [1308.4 (g) , (1) ] REASON FOR NON-COMPLIANCE B. There are procedures for transition and there is an end of year IEP but there are no records maintained to document assistance to parents at other and in other aspects of transition. PAGE ELI-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE --------------------------------------------------------------- Number of Parents Interviewed: 3 Number of Staff Interviewed: 7 Component Reviewers: Susie Wilson ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE STRENGTHS: Social Service staff demonstrate strong community networking skills. Staff reflects ethnic makeup of program. ELIGIBILITY, RECRUITMENT, SELECTION, ENROLLMENT, AND ATTENDANCE RECOMMENDATIONS Eliminate the use of the separate income verification sheet; with only the parent signature required, it does not meet [1305.4 (e) ] , whereas the application form itself is designed to do so (application form includes appropriate Income Verification Section) . Waiting list numbers should be determined by estimated number of anticipated enrollment vacances for the coming year, not by a set of percentages. Income updates for second year children, even though not used for re-verification, are unnecessary, and should cease. Attendance policies must be strictly followed. Item 178 When the monthly average daily attendance rate in a center-based program falls below 85 percent, the program has analyzed the causes of absenteeism. This analysis includes a study of the patterns of absences for each child, including the reasons for absences as well as the number of absences that occur on consecutive days. [1305.8 (a) ] REASON FOR NON-COMPLIANCE Absences seem to be rarely followed up on, except in severe cases. PAGE ELI-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- Item 179 When the reasons for a child's absences are unexcused for four or more consecutive days, the program has initiated appropriate family support procedures, including home visits or other direct contact with the child's parents, that emphasize the benefits of regular attendance, while at the same time remaining sensitive to any special family circumstances. [1305.8 (b) ] [See SS #125] REASON FOR NON-COMPLIANCE There is no documentation in files to indicate that follow up is done on absences (staff-initiated) except in severe cases, when a letter is sent with the absence policy enclosed. Thus, support procedures are often inadequate or untimely. PAGE ADM-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------7------------------------------ ADMINISTRATION -------------- Number of Parents Interviewed: 0 Number of Staff Interviewed: 1 Component Reviewers: Norma Johnson ADMINISTRATION COMPONENT STRENGTHS: The Head Start Director is very open to training and technical assistance to improve program services. ADMINISTRATION COMPONENT RECOMMENDATIONS: * The Head Start Director and the component staff are located in two separate offices, 25 miles apart. The Director may consider occupying office space in the program staff ' s offices at least for some portion of the week. * Parent training in I-30 and OSPRI should be improved. Item 185 The grantee should have and should implement a written procedure for program planning which is approved by the Board and the Policy Council and which includes a process for formulation of component objectives with adequate time for review of final objectives, including timetables and budgets. (R, I) REASON FOR NON-COMPLIANCE The delegat agency has no written procedures for program planning of for program monitoring. Item 187 The grantee has and implements a written procedure which describes an ongoing monitoring process that assures specific program objectives and activities are completed in a timely manner. (R, I) REASON FOR NON-COMPLIANCE Same as #185. PAGE ADM-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- Item 189 An annual self-assessment must be performed by each Head Start grantee and delegate agency. (R, I) REASON FOR NON-COMPLIANCE The Director stated that the OSPRI was completed in March, 1994. The OSPRI, however, has been misplaced and could not be located. No improvement plan was found nor evidence of training for the OSPRI team. Item 194 Head Start agencies shall establish personnel policies and procedures. (R) REASON FOR NON-COMPLIANCE The Personnel Policies are missing reference to: 1) Declaration forms 2) Policy Committee approval/disapproval in the hiring/firing process 3) Adherence to criminal records check 4) Conflict of interest for political activities 5) Promotion plan The Personnel Policies ' reference to official travel, and to training opportunities are inadequate to comply with the performance standard. The Personnel Policies refer to employee evaluations , but does not mandate it. Item 195 There is evidence that personnel policies are implemented as written and approved. REASON FOR NON-COMPLIANCE Staff hired prior to approval of the Policy Committee. Item 196 A file and records system shall be maintained to include official documents for each staff member, related to: qualifications for appointment or promotion; periodic pay increases; records of continued training or education; official recognition; performance evaluation; and adverse action. The system must protect the confidentiality of personnel records. PAGE ADM-3 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- REASON FOR NON-COMPLIANCE Personnel files missing required records, i.e. , reference checks, appropriate training, performance evaluations, and initial medical exams. PAGE STA-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- STAFFING REQUIREMENTS AND PROGRAM OPTIONS ----------------------------------------- Number of Parents Interviewed: 8 Number of Staff Interviewed: 10 Component Reviewers: Mitchell Kuljis STAFFING REQUIREMENTS AND PROGRAM OPTIONS COMPONENT STRENGTHS: Delegate agency is in compliance with most of the staffing and options requirements. Pre- and in-service training. STAFFING REQUIREMENTS AND PROGRAM OPTIONS COMPONENT RECOMMENDATIONS: Develop a plan and systems for recruiting, training, and utilizing volunteers. Item 205 The grantee has developed and implemented a system to actively recruit, train, and utilize volunteers in the program to the fullest extent possible. [1306. 22 (a) ] REASON FOR NON-COMPLIANCE There are no plans or systems available for the recruitment, training or the utilization of volunteers. Item 206 Special efforts are made to have volunteer participation, especially parents, in the classroom and during group socialization activities. [1306.22 (b) ] [1306. 20 (b) (d) ] REASON FOR NON-COMPLIANCE There were insufficient or no volunteers and/or parents in the classrooms. PAGE ACC-1 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- ACCOUNTING Number of Parents Interviewed: 0 Number of Staff Interviewed: 3 Component Reviewers: Cameron Snyder Item 217 Grantee has written accounting procedures. REASON FOR NON-COMPLIANCE The delegate does not have a complete accounting procedures manual. Item 218 There is a financial management system that ensures budget management, maintains control over current operations, and provides timely, accurate, current, and complete disclosure of financial matters. REASON FOR NON-COMPLIANCE Accounting records are not consistently supported by source documentation and source documentation is not consistent with delegate's own stated policies. Demand claims are unreconcilable to financial statements. Transactions are not posted in a timely manner. Non-Federal share is not posted on a regular basis. Books have not been closed for the last fiscal year causing software generated reports to be out of balance and of questionable value. Item 219 Written procedures are in place to determine the allowability, allocability and reasonableness of costs. REASON FOR NON-COMPLIANCE There are no written procedures in place to determine the allowability, allocability and reasonableness of costs. Item 225 Financial data and records were used in preparing the SF-269s for the budget period. REASON FOR NON-COMPLIANCE Financial statements should tie directly and easily to demand claims submitted to the grantee. They currently do not. PAGE ACC-2 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- Item 226 Previous audit deficiencies have been addressed and corrective actions have been implemented. REASON FOR NON-COMPLIANCE The 1994 audit had no findings and cleared prior year findings. However, 1993 findings appear to still be in evidence which would indicate a backslide to past irregularities or deficiencies. Item 247 Budgeted food costs (USDA and non-USDA) compared reasonably with the actual food costs recorded in the grantee financial accounting records. REASON FOR NON-COMPLIANCE Accounting reports are not set-up to identify CCFP expenditures as budgeted. CCFP advance is not reconciled to its deferred income liability account. ITEM 248 USDA income guidelines were used in preparing the documentation submitted to USDA for application for Child Care Food Program participation. GENERAL COMMENTS This requirement was not verified because documentation is maintained at a separate location. Item 252 Grantee has established a written policy and specific procurement procedures which, at a minimum, provide: REASON FOR NON-COMPLIANCE Transactions did not contain evidence required to substantiate procedural adherence to stated policies. Documented policies are incomplete but under development. Paid invoices did not identify who received the merchandise. Some merchandise was paid for prior to receipt. There were no purchase orders or receiving reports on several transactions. The bids for the purchase of a vehicle could not be located. PAGE ACC-3 GRANTEE: 09CH0375 CONTRA COSTA COUNTY COMMUNITY SERVICES DELEGATE: 001 UNITED COUNCIL OF SPANISH SPEAKING ORGA ------------------------------------------------------------------------------- Item 255 All grantee procurement transactions, whether negotiated or advertised, and regardless of dollar value, must be conducted in a manner providing maximum open and free competition. REASON FOR NON-COMPLIANCE There is no written evidence supporting this requirement. Item 256 Grantees ' property management standards for nonexpendable personal property shall include the following procedural requirements: REASON FOR NON-COMPLIANCE There is no property management system in evidence nor is there evidence of inventory practices. Attachment IV. SUMMARY TABLE OF NON-COMPLIANCES SUMMARY OF NON-COMPLIANCES CONTRA COSTA COUNTY COMMUNITY SERVICES DEPARTMENT HEAD START ON-SITE REVIEW - JANUARY 23-27, 1995 GOP - Grantee-Operated Program FSC - Family Stress Center BV - Bayo Vista FB .- First Baptist Church OCSSO - United Council of Spanish Speaking Organizations EDUC. GRANTEE BV FSC FB UCSSO ITEMS GOP 1 2 3 4 5 N N N 6 7 8 9 10 N 11 12 13 14 15 N N 16 N N N N N 17 18 N N N 19 N N 20 N N 21 N N 22 N N 23 N N 1 EDUC. GRANTEE BV FSC FB UCSSO ITEMS GOP 24 25 26 27 N N N 28 N 29 30 N N N 31 32 33 N 34 35 36 37 N N 2 HEALTH GRANTEE BV FSC FB UCSSO ITEMS GOP 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 3 i HEALTH GRANTEE BV FSC FB UCSSO ITEMS GOP 66 N N 67 N N 68 N N N N 69 70 71 4 MENT HL GRANTEE BV FSC FB UCSSO ITEMS GOP 72 73 N N N N N 74 N N ✓ 75 N N N N N 76 N N N N N 77 N 78 79. N N N N 80 81 N 82 83 N N N 84 85 N N N N 86 N 87 N 88 N 5 NUTR. GRANTEE BV FSC FB UCSSO ITEMS GOP 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 N N N N 107 N N 108 N N N N 109 110 111 112 113 114 115 116 117 6 7 PI GRANTEE BV FSC FB UCSSO ITEMS GOP 133 N N N 134 N N N 135 N 136 137 N N N N N 138 N 139 N N N N 140 141 142 N N 143 144 N N 145 146 N N 147 N N N 148 N N 149 N 150 N 151 N 152 N N 8 DISAB. GRANTEE BV FSC FB UCSSO ITEMS GOP 153 N N N 154 155 N N N 156 N . 157 158 159 160 N N 161 N 162 N N N N 163 164 N 165 N 166 N N N N N 9 ELIGIB. GRANTEE BV FSC FB UCSSO ITEMS GOP 167 168 169 N 170 171 172 173 174 N 175 176 N 177 N N 178 N N 179 N N 10 ADMIN. GRANTEE BV FSC FB UCSSO ITEMS GOP 180 181 182 N N 183 184 185 N N N N N 186 N N N N 187 N N N N N 188 N 189 N 190 191 N 192 193 194 N N 195 N N N 196 N N 197 198 199 200 N 11 STAPING GRANTEE BV FSC FB ucsso ITEMS GOP 201 N N 202 N 203 N 204 205 N N N N N 206 N N N N N 207 _ 208 209 210 211 N 212 213 214 N 215 N N 12 FISCAL GRANTEE BV FSC FB UCSSO ITEMS GOP 216 217 N 218 N N N 219 N N 220 221 N N N 222 N 223 224 225 N 226 N N N 227 228 229 230 231 232 233 234 235 N 236 N 237 238 N N 239 240 N 241 N 242 243 244 N N 13 FISCAL GRANTEE BV FSC FB UCSSO ITEMS GOP 245 246 247 N N 248 249 250 251 252 N N N N 253 254 255 N N 256 N N N TOTAL NON-COMPLIANCES GRANTEE BV FSC FB UCSSO GOP TOTAL # 67 50 34 46 40 OF 256 26 20 13 18 16 14 � ~ , . . . - . \ • 7 \ . ■ , . \ Ln . 7 ) ` \ § / \ q . \ \ 42 \ % m N ° q o R o / \ / e o e - . . , ■ _ U LL- E o CD 0 � � m = n 7 . � 2 2 CO § a K 2 C E . CL 2 � \ $ \ . . w §§ { § } 0 \ < _ ' mE @ z . » \ . �:% S a - ! � k . .� z i � � � � . � . � I |