self assessment 2011 report & corrective action plan

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Presented to Policy Council June 21, 2011 By Christiana Bekie SELF ASSESSMENT 2011 REPORT & CORRECTIVE ACTION PLAN Attachment 4

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Self Assessment 2011 Report & Corrective Action Plan. Presented to Policy Council June 21, 2011 By Christiana Bekie. Training Goals. Self-assessment 2011 Parent Volunteers. Thelma Chavez Martha Cuevas Hilaria Rocha Maria Mendoza Laura Guzman Emperatriz Nava Magdalena Aguirre . - PowerPoint PPT Presentation

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Page 1: Self Assessment 2011 Report & Corrective Action Plan

Presented to Policy Council June 21, 2011By Christiana Bekie

SELF ASSESSMENT 2011 REPORT & CORRECTIVE

ACTION PLAN

Attachment 4

Page 2: Self Assessment 2011 Report & Corrective Action Plan

Attachment B

• Recognize our 2011 Policy Council Self-Assessment Volunteers for their help

• Share information from our 2011 Self-Assessment

• Share Parent Satisfaction Survey Results

• Review Corrective Action Plans

TRAINING GOALS

Page 3: Self Assessment 2011 Report & Corrective Action Plan

Attachment B

Thelma ChavezMartha CuevasHilaria RochaMaria Mendoza Laura Guzman Emperatriz Nava Magdalena Aguirre

SELF-ASSESSMENT 2011 PARENT VOLUNTEERS

Thank You for being our Star Volunteers

Page 4: Self Assessment 2011 Report & Corrective Action Plan

Attachment B

POLICY COUNCIL PARENT VOLUNTEERS FOR SELF-

ASSESSMENTHow easy was the enrollment process - HS

0.55% 0.44% 2.10%

30.35%

66.23%

UnsatisfactorySomewhat satisfactoryNeeds ImprovementSatisfactoryExcellent

How easy was the enrollment process -EHS

Page 5: Self Assessment 2011 Report & Corrective Action Plan

Attachment B

Satisfaction with HS Program –over 94%=Good & Exc

PARENT SATISFACTION SURVEY RESULTS

0.33% 1.66%

16.56%

77.59%

Poor

Fair

Good

Excellent

Satisfaction with EHS Program

Page 6: Self Assessment 2011 Report & Corrective Action Plan

Attachment B

Staff frequently discuss my child’s progress or concerns with me-HS

PARENT SATISFACTION SURVEY RESULTS

Staff frequently discuss my child’s progress or concerns with me EHS

Page 7: Self Assessment 2011 Report & Corrective Action Plan

Attachment B

AVANCE Houston obtained ARRA funding to serve an additional 408 children

AVANCE-Houston, Inc. Head Start and Early Head Start partners with ARK to promote positive parent-child relationships

AVANCE uses its nationally renowned Parenting Program to educate EHS parents on the various stages of child development and promotes parent-child bonding through toy-making activities

AVANCE boasts a fully integrated, and cross-trained support services team which involves all content areas in assisting parents to address the needs of their families

Some AVANCE Teachers were recognized by the Texas Ready Schools (for high performance by TEA Standards) through our Collaborations with the school districts

PROGRAM STRENGTHS

Page 8: Self Assessment 2011 Report & Corrective Action Plan

Attachment B

AVANCE’s partnership with the Child Nutrition Center at Baylor College of Medicine exposes children and parents to periodic activities that expand their nutritional awareness

AVANCE currently has four NAEYC accredited centersAVANCE also partners with school districts in five

different schools with over 412 (30%) of students benefitting from a smooth transition from pre-k through 5th grade education

All staff receive training for two weeks in August (summer) and two weeks in December (winter); and additional training opportunities are available to staff based on availability of training and technical assistance funding

PROGRAM STRENGTHS-(CONTINUED)

Page 9: Self Assessment 2011 Report & Corrective Action Plan

Attachment B

All potential new hires receive a background check prior to commencing employment

AVANCE utilizes the web-based program--PROMIS to store children's information for easy access, and analyses of program data

All children receive screening prior to the first day of school to enable staff commence planning any needed accommodations for children with special needs.

AVANCE has partnered with Latino Family Media to provide families with information on oral health, and free toothpaste for parents and children.

PROGRAM STRENGTHS-(CONTINUED)

Page 10: Self Assessment 2011 Report & Corrective Action Plan

Attachment B

Content Area Finding Action Plan Person Responsible Timeline Monitoring

Safe Environments1304.53(a)(10)(xvi) --Disposing garbage in safe sanitary manner

Trash can covers were either broken or missing in 2 classrooms(Hardy)

Replace all trashcans with broken covers

Facilities supervisor By August 22, 2011

Center Administrator

1304.53(a)(10)(xi)Covering electrical outlets

Missing electrical outlet covers (classroom 10 @ Jensen, Oakwood & Oxford)

Install self-closing/retractable electrical covers

Facilities supervisor By August 22, 2011

Center Administrator

1304.53(a)(10)(x)Maintaining playground equipment

Rusty playground equipment found at Hardy

Sand and repaint equipment, and effect additional repairs as necessary

Facilities supervisor By August 22, 2011

Center Administrator

1304.53(a)(8) Exposing children to environmental hazards

Unlocked cabinets were stocked with bottles labeled as A, B, C; and each bottle had solutions with different colors. (Oxford & Oakwood). In Jensen, the sanitizer was not placed in a cabinet

Provide training to staff on correct labeling of cleaning solutions and ensuring all cabinets are locked when not in use

Facilities supervisor By August 22, 2011

Center Administrator

SELF-ASSESSMENT 2011-CORRECTIVE ACTION PLAN

Page 11: Self Assessment 2011 Report & Corrective Action Plan

Attachment B

Health & Safety-EHS At Kruse, the following were observed on the countertop: a purse an open can

of baby food, and

a baby bottle

Provide training on Health and Safety mandates from HS and childcare licensing.

Assistant Director of EHS

By August 22, 2011

Sr. Director of Early Head Start

Health & Safety-EHS At Kruse, door was being held shut by bookcase

Work order was submitted to PISD to repair the door

Assistant Director of EHS

By August 22, 2011

Sr. Director of Early Head Start

Health & Safety-EHS First Aid Kit last checked on Dec 2010All items were present and current but there was no evidence to back up that it is checked monthly by staff.

Staff must check First Aid Kit for expired products monthly. Staff must complete and sign tracking log upon review.

Assistant Director of EHS

By August 22, 2011

Sr. Director of Early Head Start

1304.22(c)(1) labeling and storing medications under lock and key

Ear drop solution in dramatic play area—belonged to parent who stopped by to visit child

Provide training to staff regarding medication safety and proper supervision of children's play area.

Health Specialist By August 22, 2011

Center Administrator

SELF-ASSESSMENT 2011-CORRECTIVE ACTION PLAN

Page 12: Self Assessment 2011 Report & Corrective Action Plan

Attachment B

Record Keeping PDM Several Human Resource Files contained the following errors: Missing documents Incomplete forms

Create or revise standard checklist for all employee and Center files as follows: New Hire Training Center Files(Checklist will be used to audit files) A filing system will be implemented for HR staff- every 10th of the month all HR documents will be filed. AD of HR will audit 30 HR files quarterly (March, June, September & December) and a review process with corrective action steps to ensure compliance will be implemented. To ensure Center Files are accurate, AD of HR will also audit Center Files while reviewing HR files.

Sr. Director of Human Resources

July 31, 2011 Chief Operations Officer

SELF-ASSESSMENT 2011-CORRECTIVE ACTION PLAN

Page 13: Self Assessment 2011 Report & Corrective Action Plan

Attachment B

Record Keeping PDM In Jensen, three out of 20 files missing date child first attended

Enter start date on all child applications on their first day of attendance or home visit, for EHS

Program Assistant First day of School attendance when child is assigned to class in PROMIS

Center Administrator

Ongoing Monitoring-PDM Inconsistent monitoring of health and safety--staff must use the same forms and complete monitoring at designated times according to agency procedures

Review and/or revise current monitoring procedures and health and safety checklistProvide training on Health and Safety mandates from HS and childcare licensing. Implement a Center Administrator peer and Directors’ monitoring schedule Implement a quarterly review process with corrective action steps to ensure compliance Address Health and Safety in CAs’ Handbook Review disciplinary action steps for non-compliant findings and licensing citations with managers and center staff

Assistant Director of Center Operations

July 31, 2011 Sr. Director of Head Start

SELF-ASSESSMENT 2011-CORRECTIVE ACTION PLAN

Page 14: Self Assessment 2011 Report & Corrective Action Plan

Attachment B

Disabilities1308.5—10% Requirement

AVANCE did not meet the 10 percent requirement for Head Start children with disabilities

The ERSEA committee will explore additional recruitment strategies to attract more children with disabilities into Head Start. Expand recruitment efforts to identify other sources for recruiting children with disabilities into Head Start Follow strategies outlined in the Disabilities Improvement Plan submitted with the waiver request. Obtain a Waiver to address the non-compliance related to serving less than 10 percent of children with disabilities from HHS for 2010/2011

Intervention Support and ERSEA Specialist

Ongoing Director of Support Services and ERSEA