Freda M. Carter.

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Freda M. Carter www.back2basicsece.com

Aligned Monitoring System Updated! HSKI-C vs Comprehensive Monitoring Process Updated! FY OHS 2016 EnvHS Protocol 2

Overview Updated EnvHS The Four Key Performance Areas KPA #1 Safe and Clean Environments Free of hazardous materials and toys KPA #2 Safe and Sanitary Practices Medication admin, diapering, formula, etc. KPA #3 Staffing and Supervision CRC s, *Supervision, Ratios KPA #4 Safe Transportation Required equipment and training 3

Aligned Monitoring Sys Utilizes a grantee s history A history of compliance, or A history of findings 4

So What Is A? Concern Non-compliance Deficiency Immediate Deficiency 5

Event Entities Monitoring Event Coordinator (MEC): Every grantee has a MEC for their 5 year grant cycle, they answer questions, ensure information is uploaded to the HSES Confirm and complete logistical arrangements for Federal Reviewers Content Area Lead (CAL): Before the EnvHS event, the MEC will share information with the CAL 6

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HSKI-C Protocol Head Start Key Indicator Compliance Evidence based indicator tool Used to determine if an agency requires the Comprehensive Monitoring Process HSKI-C Protocol will not be used to identify findings The Comprehensive Monitoring Process identifies findings Fy2016 HSKI C protocol pdf Reader 8

HSKI-C Protocol Covers 27 Compliance Measures Comprehensive Services and School Readiness, which includes Child Health & Safety, Family & Community Engagement, and Child Development & Education Fiscal Integrity Leadership and Governance Management Systems Fy2016 HSKI C protocol pdf Reader 9

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Comprehensive Monitoring Fiscal Integrity and ERSEA EnvHS CLASS (HS) Comprehensive Services and School Readiness (CSSR), and Leadership, Governance, Management Systems review 11

Comprehensive Monitoring Grantees that qualify for the Comprehensive Monitoring Process: The process will span the first three years of a grantee s 5 year grant cycle and each content area will be reviewed at different points in time!!! Year 4: Evaluation and Determination* Year 5: Non-monitoring year* 12

Reports Recap A typical grantee will receive annual reports for all reviews occurring in years one through three. In year four, a typical grantee will receive a final "roll-up" report summarizing the results of years one through three. 2016-2017 http://eclkc.ohs.acf.hhs.gov/hslc/grants/monitoring/intro-to-monitoring.html 13

Protocol (CM) A series of Compliance Measures (CM) Assists OHS with determining grantees performance against one or more Federal regulations HS/EHS are supported by 14

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Recap: Onsite Monitoring HSKI-C Protocol 27 Compliance Measures Differential Monitoring A grantee with a history of compliance Comprehensive Monitoring A grantee with a history of findings 16

Environmental Scans Performed on the overall assessment of each center visited Performed on classrooms and playgrounds 17

Environmental Scanning Three Senses Involved: Eyes Nose Ears 18

OHS Monitoring 2 Ways 19

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Safe and Clean Environments Air Quality and Overall Sanitation Is the environment free of air pollutants including mold, smoke, lead, pesticides, asbestos and herbicides, as well as soil and water pollutants? Are toileting and diapering areas separated from cooking, eating, and children s activities? EnvHS1.1 21

Under HS Classroom Cabinet THICK BLACK MOLD 22

Safe and Clean Environments Air Quality and Overall Sanitation Are garbage and trash stored in a safe and sanitary manner that does not allow easy access by children? Are toilets and hand-washing facilities clean, adequate in number, in good repair, and easily accessible to children? EnvHS1.1 23

Boys Bathroom 24

Safe and Clean Environments Emergency Alert Systems and Fire Safety Is there a fire-alarm system that includes all of the following: Manual means of initiation (e.g. pull boxes) Connection to the smoke detector system Use of both audio and visual signals when activated EnvHS1.1 25

Safe and Clean Environments Emergency Alert Systems and Fire Safety Is there a smoke detector system? Are all draperies, curtains, and other, similar furnishings and decorations flame resistant? Is there a service date on the fire extinguisher showing it has been updated at least annually? EnvHS1.1 26

Safe and Clean Environments Emergency Alert Systems and Fire Safety Is emergency lighting available that allows children and adults to clearly see pathways in case of power failure? EnvHS1.1 27

Safe and Clean Environments General Safety and Wellness Are electrical outlets accessible to children Are windows and glass doors constructed, secured, and adjusted to prevent children s injury and escape? EnvHS1.1 28

Classroom 29

Safe and Clean Environments Does the grantee conduct safety inspections of all facilities, including all indoor and outdoor learning environments? Review the results of the most current safety inspection for the setting you are observing. Are there any issues hat have yet to be addressed? Which system is this? EnvHS1.1 30

Classroom Sink Cabinet and Grimy Stepping Stool 31

Classroom Inside A Locked Closet 32

Safe and Clean Environments How does staff address issues identified during safety inspections? How often does the grantee perform safety inspections? Monthly Semi-annually Annually Less frequent than annually EnvHS1.1 33

Safe and Clean Environments Evacuation Routes and Emergency Procedures Are exits clearly visible? Are exit signs illuminated? Are evacuation routes clearly marked for both children and adults? Are emergency procedures posted in this setting? EnvHS1.2 35

Safe and Clean Environments Life Safety Code & Occupancy Requirements Does the grantee ensure that occupancy loads are calculated and posted for assembly spaces? Do children or staff occupy the basement level of the building? Are ceilings a minimum of 7ft. 6 inches, with no projections protruding so as to allow EnvHS1.3 36

Safe and Sanitary Practices Safety and Cleanliness of Indoor and Outdoor Space Are toxic substances stored in a safe and secure manner in a locked room or cabinet fitted with a child-restraint lock and inaccessible to children? Is there evidence of pests? EnvHS2.1 37

Safe and Sanitary Practices Spilled Bodily Fluids Nonporous gloves were worn Spills/fluids cleaned up immediately Cleaned and sanitized all areas Contaminated materials placed in a plastic bag and secured https://www.osha.gov/sltc/etools/hospital/hazards/univprec/univ.html EnvHS2.3 38

Safe and Sanitary Practices Diapering Before bringing the child to the diaper area, wash hands and bring supplies to the diaper changing area Hand always kept on the child Clean the child s diaper area *Change gloves prior to putting on clean diaper EnvHS2.4 39

Sanitizing and Disinfecting Chemical test strips/kits must be available to check sanitizing/disinfecting solutions Improper mixture will not be affective for sanitizing and high concentrations may leave toxic residue Which bleach concentration are you using? 40

Safe and Sanitary Practices Proper Handling of Breast Milk Is breast milk properly refrigerated and all containers labeled with the child s full name and the date breast milk was collected? Is frozen breast milk defrosted in the refrigerator? Is formula stored in the original container and labeled with child s full name and date opened EnvHS2.5 41

Safe and Sanitary Practices Medication Management Are non-emergency medications stored under lock and key? Are prescribed medications in original containers with original prescription labels? EnvHS2.6 42

Safe and Sanitary Practices Safety and Cleanliness of Indoor and Outdoor Space Does the design of the playground and equipment promote the safety of children, including: Appropriate height and accessibility No openings that could entrap a child s head or limbs EnvHS2.1 43

Safe and Sanitary Practices Safety and Cleanliness of Indoor and Outdoor Space Equipment on shock-absorbing surface Absence of sharp edges, rust, choking and/or strangulation hazards, garbage, and hazardous material (e.g., glass, needles, animal feces) Equipment is stable and/or secured to the ground EnvHS2.1 44

Handbook For Public Playground Safety Minimum Compressed Loose-Fill Surfacing Depths Inches Of Loose-Fill Material Protects to Fall Height (Feet) 6* Shredded/recycled rubber 10 9 Sand 4 9 Pea Gravel 5 9 Wood mulch (non-cca) 7 9 Wood chips 10 *Shredded/recycled rubber loose-fill surfacing does not compress in the same manner as other loose-fill materials. However, care should be taken to maintain a constant depth as displacement may still occur. ECLKC: Handbook For Playground Public Safety 45

Surfacing Suitable ASTM F1292 tested materials (e.g., engineered wood fiber, etc.) Pea gravel Sand Shredded/recycled rubber mulch Wood mulch (not treated with CCA) Wood chips ECLKC: Handbook For Playground Public Safety 46

Surfacing Unsuitable Asphalt Carpet (not tested to ASTM F1292) Concrete Dirt Grass CCA treated mulch ECLKC: Handbook For Playground Public Safety 47

Staffing & Supervision Criminal Record Check (CRC) Review the Criminal Record Check (CRC) tracking document to ensure that all staff have CRCs and that the CRCs were completed prior to the staff person being hired. EnvHS3.1 48

Staffing and Supervision Are there any staff that do not have a CRC? Are there any staff, hired within the last 12 months, that did not have a CRC prior to being hired? Please select up to 10 staff from the CRC tracking document that were hired within the last 12 months EnvHS3.1 49

Head Start Director Interview Supervision and Positive Guidance In the past 12 months, has a child been left unsupervised? When did the incident occur? Was the incident reported to your Regional Office? EnvHS3.6 50

Active Supervision 51

Safe Transportation Safety Equipment EnvHS4.1 52

Acknowledgements ECLKC Webinars Virtual Expo Google Images Clip Art 53

Thank You!! Freda Carter Email rcarter802@aol.com Website www.back2basicsece.com 54