Compliance with Care

A Crosswalk Between the Head Start Program Performance Standards
and Caring for Our Children, 3rd Edition

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Crosswalk Overview

What is this Crosswalk?

Health managers must know Head Start requirements about child health and safety. They also must use proven strategies to meet them. The Head Start Program Performance Standards (HSPPS) and Caring for Our Children: National Health and Safety Performance Standards, 3rd Edition, (CFOC) define the best ways for programs to serve young children. The HSPPS are requirements for Head Start programs. The CFOC standards are science-informed recommendations for all child care and early education settings. Together they help health managers plan, implement, and monitor services to keep children healthy and safe.

This Crosswalk shows how these two documents connect through various health topics. It shows how health is spread throughout the HSPPS and how health managers can use the CFOC standards to meet the more general requirements in the HSPPS.

Why use this Crosswalk?

This crosswalk will help health managers understand what the requirements are and how best to meet them. First, they can identify the HSPPS requirements for health services. Health managers can then plan services for center-based, home-based, and family child care programs using the strategies in CFOC.

You can use this tool to:

  • Identify health-related standards throughout the HSPPS;
  • Link the HSPPS to science-informed practices found in CFOC; and
  • Describe why identified science-informed practices work.

How does this Crosswalk work?

Use the menu to find and expand topics related to Head Start health services. You will find a list of specific HSPPS matched to the standards established in CFOC. These provide strategies to implement the requirements, research about health practices, and reasons for why they are important. Select links for a full description of the Standard or for more information from CFOC.

Note that:

  • Three areas match each other often: hygiene, injury prevention, and emergency preparedness. These areas are very different in purpose and implementation, but they do have an impact on one another.
  • The HSPPS and CFOC are written in an outline format, so it is important to read the whole section following the citation.
  • Section 1308 of the HSPPS refers only to children between the ages of 3 and 5.
  • Several HSPPS do not have a match in CFOC. You will find these standards listed in the last section of the Crosswalk.
  • You can find a complete list of CFOC standards at the National Resource Center for Health and Safety in Child Care and Early Education’s website: http://www.cfoc.nrckids.org.
  • You can find all of the HSPPS at /hslc/standards/Head%20Start%20Requirements/.

Early Childhood Development and Health Services

Child Health and Development Services

Head Start Program Performance Standards Caring for Our Children
1304.20(a)

Determining child health status.

  • CFOC 2.3.3.1

    Parents’/Guardians’ Provision of Information on Their Child’s Health and Behavior

  • CFOC 3.1.2

    Routine Health Supervision

  • CFOC 7.2

    Immunizations

  • CFOC 9.2.3.4

    Written Policy for Obtaining Preventive Health Service Information

  • CFOC 9.2.3.6

    Identification of Child’s Medical Home and Parental Consent for Information Exchange

1304.20(b)

Screening for developmental, sensory, and behavioral concerns.

  • CFOC 2.1.1.4

    Monitoring Children’s Development/Obtaining Consent for Screening

1304.20(c)

Extended follow-up and treatment.

  • CFOC 3.1.2

    Routine Health Supervision

  • CFOC 8.4.0.4

    Designation and Role of Staff Person Responsible for Coordinating Care

  • CFOC 9.2.3.7

    Information Sharing on Therapies and Treatments Needed

1304.20(d)

Ongoing care.

1304.20(e) (also see 1308.6)

Involving parents.

  • CFOC 2.1.1.4

    Monitoring Children’s Development/Obtaining Consent for Screening

  • CFOC 2.1.1.7

    Communication in Native Language Other Than English

  • CFOC 2.3

    Parent/Guardian Relationships

  • CFOC 2.4.3

    Health Education for Parents/Guardians

  • CFOC 9.4.1.6

    Availability of Documents to Parents/Guardians

1304.20(f) (also see 1304.21(a)(1)(i) and (ii), 1304.21(c)(1)(i))

Individualization of the program.

  • CFOC 3.5

    Care Plans and Adaptations

  • CFOC 5.3.2

    Additional Equipment Requirements for Facilities Serving Children with Special Health Care Needs

  • CFOC Chapter 8

    Children with Special Health Care Needs and Disabilities

Education and Early Childhood Development

Head Start Program Performance Standards Caring for Our Children
1304.21(a)(1)(ii)

In order to help children gain the skills and confidence necessary to be prepared to succeed in their present environment and with later responsibilities in school and life, grantee and delegate agencies' approach to child development and education must: Be inclusive of children with disabilities, consistent with their Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP) (see 45 CFR 1308.19);

  • CFOC 3.5

    Care Plans and Adaptations

  • CFOC 5.3.2

    Additional Equipment Requirements for Facilities Serving Children with Special Health Care Needs

  • CFOC Chapter 8

    Children with Special Health Care Needs and Disabilities

1304.21(c)(1)(i) (also see 1308 for children aged 3 to 5)

Grantee and delegate agencies, in collaboration with the parents, must implement a curriculum (see 45 CFR 1304.3(a)(5)) that: Supports each child's individual pattern of development and learning;

  • CFOC 2.1.1.1

    Written Daily Activity Plan and Statement of Principles Program Activities

  • CFOC 2.1.2

    Program Activities for Infants and Toddlers from Three Months to Less than Thirty-Six Months

  • CFOC 2.1.3

    Program Activities for Three-to-Five year olds

  • CFOC 3.5

    Care Plans and Adaptations

  • CFOC 5.3.2

    Additional Equipment Requirements for Facilities Serving Children with Special Health Care Needs

  • CFOC Chapter 8

    Children with Special Health Care Needs and Disabilities

1304.21(c)(1)(iii)

Grantee and delegate agencies, in collaboration with the parents, must implement a curriculum (see 45 CFR 1304.3(a)(5)) that: integrates all educational aspects of the health, nutrition, and mental health services into program activities.

  • CFOC 2.1.1.1

    Written Daily Activity Plan and Statement of Principles Program Activities

  • CFOC 2.1.1.2

    Health, Nutrition, Physical Activity and Safety Awareness

  • CFOC 2.1.1.3

    Coordinated Child Care Health Program Model

  • CFOC 2.1.2

    Program Activities for Infants and Toddlers from Three Months to Less than Thirty-Six Months

  • CFOC 2.1.3

    Program Activities for Three-to-Five year olds

  • CFOC 2.2.0.3

    Limiting Screen Time – Media, Computer Time

  • CFOC 2.4.1

    Health Education for Children

  • CFOC 3.1.3

    Physical Activity and Limiting Screen Time

  • CFOC 3.1.5.3

    Oral Health Education

  • CFOC 3.5

    Care Plans and Adaptations

  • CFOC 4.7

    Nutrition Learning Experiences for Children and Nutrition Education for Parents/Guardians

  • CFOC 5.3.2

    Additional Equipment Requirements for Facilities Serving Children with Special Health Care Needs

  • CFOC 9.2.3.1

    Policies and Practices that Promote Physical Activity

1304.21(c)(1)(iv)

Grantee and delegate agencies, in collaboration with the parents, must implement a curriculum (see 45 CFR 1304.3(a)(5)) that: Ensures that the program environment helps children develop emotional security and facility in social relationships.

1304.21(c)(1)(vi)

Grantee and delegate agencies, in collaboration with the parents, must implement a curriculum (see 45 CFR 1304.3(a)(5)) that: provides each child with opportunities for success to help develop feelings of competence, self-esteem, and positive attitudes towards learning.

  • CFOC 2.1.1.1

    Written Daily Activity Plan and Statement of Principles Program Activities

  • CFOC 2.1.1.7

    Communication in Native Language Other Than English

  • CFOC 2.1.2.1

    Personal Caregiver/Teacher Relationships for Infants and Toddlers

  • CFOC 2.1.3.1

    Personal Caregiver/Teacher Relationships with Three- to Five-Year-Olds

  • CFOC 2.1.3.7

    Body Mastery for Three- to Five-Year-Olds

  • CFOC 2.2.0.6

    Discipline Measures

  • CFOC 2.4.1.1

    Health and Safety Education Topics for Children

Child Health and Safety

Head Start Program Performance Standards Caring for Our Children
1304.22(a)

Health emergency procedures.

1304.22(b)

Conditions of short-term exclusion and admittance.

1304.22(c)

Medication administration.

1304.22(d)

Injury prevention.

1304.22(e)

Hygiene.

1304.22(f)

First Aid Kits.

Child Nutrition

Head Start Program Performance Standards Caring for Our Children
1304.23(a)

Identification of nutritional needs.

  • CFOC 2.3.3.1

    Parents’/Guardians’ Provision of Information on Their Child’s Health and Behavior

  • CFOC 4.2.0.2

    Assessment and Planning of Nutrition for Individual Children

1304.23(b)

Nutritional services

1304.23(c)

Meal Service.

1304.23(d)

Family assistance with nutrition.

  • CFOC 2.4.3

    Health Education for Parents/Guardians

  • CFOC 4.7

    Nutrition Learning Experiences for Children and Nutrition Education for Parents/Guardians

1304.23(e)

Food safety and sanitation.

Child Mental Health

Head Start Program Performance Standards Caring for Our Children
1304.24

Mental health services.

  • CFOC 1.3.2.4

    Additional Qualifications for Caregivers/Teachers Serving Children Three to Thirty-Five Months of Age

  • CFOC 1.3.2.5

    Additional Qualifications for Caregivers/Teachers Serving Children Three to Five Years of Age

  • CFOC 1.6.0.3

    Early Childhood Mental Health Consultants

  • CFOC 2.1.1.3

    Coordinated Child Care Health Program Model

  • CFOC 2.1.1.4

    Monitoring Children’s Development/Obtaining Consent for Screening

  • CFOC 2.2.0.8

    Preventing Expulsions, Suspensions, and Other Limitations in Services

  • CFOC 9.4.1.17

    Documentation of Child Health Consultation/Training Visits

  • CFOC 9.4.1.19

    Community Resource Information

Family and Community Partnerships

Family Partnerships

Head Start Program Performance Standards Caring for Our Children
1304.40(b)

Accessing community services and resources.

1304.40(f)

Parent involvement in health, nutrition, and mental health education.

Community Partnerships

Head Start Program Performance Standards Caring for Our Children
1304.41(a)(2)(i)

Grantee and delegate agencies must take affirmative steps to establish ongoing collaborative relationships with community organizations to promote the access of children and families to community services that are responsive to their needs, and to ensure that Early Head Start and Head Start programs respond to community needs, including: Health care providers, such as clinics, physicians, dentists, and other health professionals;

  • CFOC 1.3.1.1

    General Qualifications of Directors

  • CFOC 1.3.2.7

    Qualifications and Responsibilities of Health Advocates

  • CFOC 1.6

    Consultants

  • CFOC 10.3.4.4

    Information Sharing on Family Health Development of List of Providers of Services to Facilities

  • CFOC 10.7.0.2

    Coordination of Public and Private Resources to Ensure Families' Access to Quality Child Care

  • CFOC 9.2.2.3

    Exchange of Information at Transitions

  • CFOC 9.2.3.4

    Written Policy for Obtaining Preventive Health Service Information

  • CFOC 9.2.3.6

    Identification of Child’s Medical Home and Parental Consent for Information Exchange

  • CFOC 9.2.3.7

    Information Sharing on Therapies and Treatments Needed

  • CFOC 9.2.3.8

    Information Sharing on Family Health

1304.41(c)(2)

To ensure the most appropriate placement and services following participation in Early Head Start, transition planning must be undertaken for each child and family at least six months prior to the child's third birthday. The process must take into account: The child's health status and developmental level, progress made by the child and family while in Early Head Start, current and changing family circumstances, and the availability of Head Start and other child development or child care services in the community. As appropriate, a child may remain in Early Head Start, following his or her third birthday, for additional months until he or she can transition into Head Start or another program.

Program Design and Management

Management Systems and Procedures

Head Start Program Performance Standards Caring for Our Children
1304.51(a)(1)(iii)

Program Planning.

1304.51(b)

Communications – general.

1304.51(c)

Communications with family.

1304.51(d)

Communications with governing bodies and policy groups.

1304.51(e)

Communication among staff.

  • CFOC 5.3.1.12

    Availability and Use of a Telephone or Wireless Communication Device

  • CFOC 9.2.1.2

    Review and Communication of Written Policies

1304.51(g)

Record-keeping systems.

1304.51(h)

Reporting systems.

  • CFOC 10.4.3

    Procedures for Complaints, Reporting, and Data Collecting

1304.51(i)

Program self-assessment and monitoring.

Human Resources Management

Head Start Program Performance Standards Caring for Our Children
1304.52(a)(2)(ii)

At a minimum, grantee and delegate agencies must ensure that the following program management functions are formally assigned to and adopted by staff within the program: Management of early childhood development and health services, including child development and education; child medical, dental, and mental health; child nutrition; and, services for children with disabilities.

1304.52(d)(2)

Health services must be supported by staff or consultants with training and experience in public health, nursing, health education, maternal and child health, or health administration. In addition, when a health procedure must be performed only by a licensed/certified health professional, the agency must assure that the requirement is followed.

  • CFOC 1.3.2.7

    Qualifications and Responsibilities of Health Advocates

  • CFOC 1.6

    Consultants

  • CFOC 3.6.2.7

    Child Care Health Consultants for Facilities That Care for Children Who Are Ill

  • CFOC 9.2.3.17

    Child Care Health Consultant’s Review of Health Policies

  • CFOC 9.4.1.17

    Documentation of Child Health Consultation/Training Visits

1304.52(d)(3)

Nutrition services must be supported by staff or consultants who are registered dietitians or nutritionists.

1304.52(d)(4)

Mental health services must be supported by staff or consultants who are licensed or certified mental health professionals with experience and expertise in serving young children and their families.

1304.52(g)(1)

Grantee and delegate agencies must meet the requirements of 45 CFR 1306.20 regarding classroom staffing.

  • CFOC 1.1

    Child:Staff Ratio, Group Size and Minimum Age

  • CFOC 2.1.1.7

    Communication in Native Language Other Than English

1304.52(g)(3)

For center-based programs, the class size requirements specified in 45 CFR 1306.32 must be maintained through the provision of substitutes when regular classroom staff are absent.

1304.52(g)(4)

Grantee and delegate agencies must ensure that each teacher working exclusively with infants and toddlers has responsibility for no more than four infants and toddlers and that no more than eight infants and toddlers are placed in any one group. However, if State, Tribal or local regulations specify staff: child ratios and group sizes more stringent than this requirement, the State, Tribal or local regulations must apply.

  • CFOC 1.1

    Child:Staff Ratio, Group Size and Minimum Age

1304.52(g)(5)

Staff must supervise the outdoor and indoor play areas in such a way that children's safety can be easily monitored and ensured.

1304.52(h)(3)

Grantee and delegate agencies offering the family child care option must ensure that closures of the family child care setting for reasons of emergency are minimized and that providers work with parents to establish alternate plans when emergencies do occur. Grantees and delegates must also ensure that the family child care home advises parents of planned closures due to vacation, routine maintenance, or other reason well in advance.

1304.52(i)(1)(ii)

Grantee and delegate agencies must ensure that all staff, consultants, and volunteers abide by the program's standards of conduct. These standards must specify that: They will follow program confidentiality policies concerning information about children, families, and other staff members.

1304.52(i)(1)(iii)

Grantee and delegate agencies must ensure that all staff, consultants, and volunteers abide by the program's standards of conduct. These standards must specify that: No child will be left alone or unsupervised while under their care.

1304.52(i)(1)(iv)

Grantee and delegate agencies must ensure that all staff, consultants, and volunteers abide by the program's standards of conduct. These standards must specify that: They will use positive methods of child guidance and will not engage in corporal punishment, emotional or physical abuse, or humiliation. In addition, they will not employ methods of discipline that involve isolation, the use of food as punishment or reward, or the denial of basic needs.

1304.52(k)

Staff and volunteer health.

1304.52(l)(3)(i)

At a minimum, this system must include ongoing opportunities for staff to acquire the knowledge and skills necessary to implement the content of the Head Start Program Performance Standards. This program must also include: Methods for identifying and reporting child abuse and neglect that comply with applicable State and local laws using, so far as possible, a helpful rather than a punitive attitude toward abusing or neglecting parents and other caretakers.

  • CFOC 1.4

    Professional Development/Training

  • CFOC 2.4.2

    Health Education for Staff

  • CFOC 3.4.4.1

    Recognizing and Reporting Suspected Child Abuse, Neglect, and Exploitation

  • CFOC 3.4.4.2

    Immunity for Reporters of Child Abuse and Neglect

1304.52(l)(5)(v)

In addition, grantee and delegate agencies offering the family child care program option must make available to family child care providers training on: Safety, sanitation, hygiene, health practices and certification in, at minimum, infant and child cardiopulmonary resuscitation (CPR).

1304.52(l)(5)(vi)

In addition, grantee and delegate agencies offering the family child care program option must make available to family child care providers training on: Identifying and reporting suspected child abuse or neglect;

1304.52(l)(5)(vii)

In addition, grantee and delegate agencies offering the family child care program option must make available to family child care providers training on: United States Department of Agriculture's Child and Adult Care Food Program.

  • CFOC 1.4.4.2

    Continuing Education for Small Family Child Care Home Caregivers/Teachers

  • CFOC 4.2

    General Requirements (Nutrition)

Facilities, Materials, and Equipment

Head Start Program Performance Standards Caring for Our Children
1304.53(a)(4)

The indoor and outdoor space in Early Head Start or Head Start centers in use by mobile infants and toddlers must be separated from general walkways and from areas in use by preschoolers.

1304.53(a)(6)

Facilities owned or operated by Early Head Start and Head Start grantee or delegate agencies must meet the licensing requirements of 45 CFR 1306.30.

1304.53(a)(7)

Grantee and delegate agencies must provide for the maintenance, repair, safety, and security of all Early Head Start and Head Start facilities, materials and equipment.

1304.53(a)(8)

Grantee and delegate agencies must provide a center-based environment free of toxins, such as cigarette smoke, lead, pesticides, herbicides, and other air pollutants as well as soil and water contaminants. Agencies must ensure that no child is present during the spraying of pesticides or herbicides. Children must not return to the affected area until it is safe to do so.

1304.53(a)(9)

Outdoor play areas at center-based programs must be arranged so as to prevent any child from leaving the premises and getting into unsafe and unsupervised areas. Enroute to play areas, children must not be exposed to vehicular traffic without supervision.

1304.53(b)(1)(iii)

Grantee and delegate agencies must provide and arrange sufficient equipment, toys, materials, and furniture to meet the needs and facilitate the participation of children and adults. Equipment, toys, materials, and furniture owned or operated by the grantee or delegate agency must be: Age-appropriate, safe, and supportive of the abilities and developmental level of each child served, with adaptations, if necessary, for children with disabilities.

1304.53(b)(1)(vi)

Grantee and delegate agencies must provide and arrange sufficient equipment, toys, materials, and furniture to meet the needs and facilitate the participation of children and adults. Equipment, toys, materials, and furniture owned or operated by the grantee or delegate agency must be: Safe, durable, and kept in good condition.

1304.53(b)(1)(vii)

Grantee and delegate agencies must provide and arrange sufficient equipment, toys, materials, and furniture to meet the needs and facilitate the participation of children and adults. Equipment, toys, materials, and furniture owned or operated by the grantee or delegate agency must be: Stored in a safe and orderly fashion when not in use.

1304.53(b)(2)

Infant and toddler toys must be made of non-toxic materials and must be sanitized regularly.

1304.53(b)(3)

To reduce the risk of Sudden Infant Death Syndrome (SIDS), all sleeping arrangements for infants must use firm mattresses and avoid soft bedding materials such as comforters, pillows, fluffy blankets or stuffed toys.

1304.53(a)(10)

Grantee and delegate agencies must conduct a safety inspection, at least annually, to ensure that each facility's space, light, ventilation, heat, and other physical arrangements are consistent with the health, safety and developmental needs of children.

Eligibility, Recruitment, Selection, Enrollment and Attendance

Head Start Program Performance Standards Caring for Our Children
1305.3(c)(6)

Each Early Head Start and Head Start grantee must conduct a Community Assessment within its service area once every three years. The Community Assessment must include the collection and analysis of the following information about the grantee's Early Head Start or Head Start area: Resources in the community that could be used to address the needs of Head Start eligible children and their families, including assessments of their availability and accessibility.

Program Options

Head Start Program Performance Standards Caring for Our Children
1306.20(g)

Grantee and delegate agencies offering the family child care program option must ensure that in each family child care home where Head Start children are enrolled, the group size does not exceed the limits specified in this paragraph…

1306.30(c)

The facilities used by Early Head Start and Head Start grantee and delegate agencies for regularly scheduled center-based and combination program option classroom activities or home-based group socialization activities must comply with State and local requirements concerning licensing. In cases where these licensing standards are less comprehensive or less stringent than the Head Start regulations, or where no State or local licensing standards are applicable, grantee and delegate agencies are required to assure that their facilities are in compliance with the Head Start Program Performance Standards related to health and safety as found in 45 CFR 1304.53(a), Physical environment and facilities.

1306.31(c)

When assigning children to a particular program option, Head Start grantees that operate more than one program option must consider such factors as the child's age, developmental level, disabilities, health or learning problems, previous preschool experiences and family situation. Grantees must also consider parents' concerns and wishes prior to making final assignments.

1306.32(a)

Class size.

1306.33(c)(3)

Grantees must follow the nutrition requirements specified in 45 CFR 1304.23(b)(2) and provide appropriate snacks and meals to the children during group socialization activities.

1306.34(b)(1)

Grantees implementing the combination program option must comply with the class size requirements contained in Sec. 1306.32(a).

1306.35(a)(2)(i)

Serving children with disabilities. Ensure the availability of family child care homes capable of serving children and families with disabilities affecting mobility as appropriate.

  • CFOC 8.2

    Inclusion of Children with Special Needs in the Child Care Setting

1306.35(a)(2)(ii)

Serving children with disabilities. Ensure that children with disabilities enrolled in family child care are provided services which support their participation in the early intervention, special education, and related services required by their individual family service plan (IFSP) or individual education plan (IEP) and that the child's teacher has appropriate knowledge, training, and support.

  • CFOC 8.2

    Inclusion of Children with Special Needs in the Child Care Setting

1306.35(a)(3)

Program Space-indoor and outdoor. Ensure that each family child care home has sufficient indoor and outdoor space which is usable and available to children. This space must be adequate to allow children to be supervised and safely participate in developmentally appropriate activities and routines that foster their cognitive, socio-emotional, and physical development, including both gross and fine motor. Family child care settings must meet State family child care regulations.

1306.35(b)(1)

Family child care program option. Facilities. Safety Plan. Grantees and delegate agencies offering the family child care program option must ensure the health and safety of children enrolled. The family child care home must have a written description of its health, safety, and emergency policies and procedures, and a system for routine inspection to ensure ongoing safety.

1306.35(b)(2)(i)

Family child care program option. Injury Prevention. Grantee and delegate agencies must ensure that: Children enrolled in the Head Start family child care program option are protected from potentially hazardous situations. Providers must ensure that children are safe from the potential hazards posed by appliances (stove, refrigerator, microwave, etc). Premises must be free from pests and the use of chemicals or other potentially harmful materials for controlling pests must not occur while children are on premises.

1306.35(b)(2)(ii)

Family child care program option. Injury Prevention. Grantee and delegate agencies must ensure that: Grantee and delegate agencies must ensure that all sites attended by children enrolled in Head Start and Early Head Start are equipped with functioning and properly located smoke and carbon monoxide detectors.

  • CFOC 5.2.9

    Prevention and Management of Toxic Substances

  • CFOC 5.3

    General Furnishings and Equipment

1306.35(b)(2)(iii)

Family child care program option. Injury Prevention. Grantee and delegate agencies must ensure that: Radon detectors are installed in family child care homes where there is a basement and such detectors are recommended by local health officials.

  • CFOC 5.2.9

    Prevention and Management of Toxic Substances

  • CFOC 5.3

    General Furnishings and Equipment

1306.35(b)(2)(iv)

Family child care program option. Injury Prevention. Grantee and delegate agencies must ensure that: Children are supervised at all times. Providers must have systems for assuring the safety of any child not within view for any period (e.g. the provider needs to use the bathroom or an infant is napping in one room while toddlers play in another room).

1306.35(b)(2)(v)

Family child care program option. Injury Prevention. Grantee and delegate agencies must ensure that: Providers ensure the safety of children whenever any body of water, road, or other potential hazard is present and when children are being transported.

1306.35(b)(2)(vi)

Family child care program option. Injury Prevention. Grantee and delegate agencies must ensure that: Unsupervised access by children to all water hazards, such as pools or other bodies of water, are prevented by a fence.

1306.35(b)(2)(vii)

Family child care program option. Injury Prevention. Grantee and delegate agencies must ensure that: There are no firearms or other weapons kept in areas occupied or accessible to children.

1306.35(b)(2)(viii)

Family child care program option. Injury Prevention. Grantee and delegate agencies must ensure that: Alcohol and other drugs are not consumed while children are present or accessible to children at any time.

  • CFOC 3.4.1.1

    Use of Tobacco, Alcohol, and Illegal Drugs

  • CFOC 9.2.3.15

    Policy Prohibiting Smoking, Tobacco, Alcohol, Illegal Drugs, and Toxic Substances

1306.35(b)(2)(ix)

Family child care program option. Injury Prevention. Grantee and delegate agencies must ensure that: Providers secure health certificates for pets to document up to date immunizations and freedom from any disease or condition that poses a threat to children's health. Family child care providers must ensure that pets are appropriately managed to ensure child safety at all times.

1306.35(c)

Family child care program option. Emergency Plans. Grantee and delegate agencies offering the family child care option must ensure that providers have made plans to notify parents in the event of any emergency or unplanned interruption of service. The provider and parent together must develop contingency plans for emergencies. Such plans may include, but are not limited to, the use of alternate providers or the availability of substitute providers. Parents must be informed that they may need to pick the child up and arrange care if the child becomes ill or if an emergency arises.

Services for Children with Disabilities

Head Start Program Performance Standards Caring for Our Children
1308.4

Purpose and scope of disabilities service plan.

  • CFOC 1.6.0.5

    Specialized Consultation for Facilities Serving Children with Disabilities

  • CFOC 3.5

    Care Plans and Adaptations

  • CFOC 8.4

    Developing a Service Plan for a Child with a Disability or a Child with Special Health Care Needs

1308.5

Recruitment and enrollment of children with disabilities.

  • CFOC 8.3

    Process Prior to Enrolling at a Facility

1308.6

Assessment of Children.

  • CFOC 2.1.1.4

    Monitoring Children’s Development/Obtaining Consent for Screening

  • CFOC 2.1.1.7

    Communication in Native Language Other Than English

  • CFOC 8.3.0.1

    Initial Assessment of the Child to Determine His or Her Special Needs

1308.7 – 1308.17

Eligibility criteria.

1308.18

Disabilities/health services coordination.

  • CFOC 8.4.0.4

    Designation and Role of Staff Person Responsible for Coordinating Care

  • CFOC 9.2.3.7

    Information Sharing on Therapies and Treatments Needed

1308.20

Nutrition Services (related to children with disabilities).

Head Start Facilities

Head Start Program Performance Standards Caring for Our Children
1309.10(e)

Applications for the purchase, construction and major renovation of facilities. A grantee which proposes to use grant funds to purchase a facility, or a grantee found eligible under Sec. 1309.4 to apply for funds to construct a facility, or Sec. 1309.5 to undertake major renovation of a facility, including facilities purchased for that purpose, must submit a written application to the responsible HHS official. The application must include the following information: An assurance that the facility complies (or will comply when constructed or after completion of the renovations described in paragraph (b) of this section) with local licensing and code requirements, the access requirements of the Americans with Disabilities Act (ADA), if applicable, and section 504 of the Rehabilitation Act of 1973. The grantee will also assure that it has met the requirements of the Flood Disaster Protection Act of 1973, if applicable.

1309.33

Inspection.

Head Start Transportation

Head Start Program Performance Standards Caring for Our Children
1310.11

Child Restraint Systems.

1310.12

Required use of school buses or allowable alternate vehicles.

1310.16

Driver Qualification.

1310.17

Driver and bus monitor training.

  • CFOC 6.5.1.1

    Competence and Training of Transportation Staff

  • CFOC 9.2.5.1

    Transportation Policy for Centers and Large Family Homes

  • CFOC 9.2.5.2

    Transportation Policy for Small Family Child Care Homes

1310.21

Safety Education

1310.22

(Transportation for) Children with disabilities

HSPPS With No Corresponding CFOC Standards

  • 1304.40(c)

    Services to pregnant women who are enrolled in programs serving women, infants, and toddlers.

  • 1304.40(i)(6)

    Grantee and delegate agencies serving infants and toddlers must arrange for health staff to visit each newborn within two weeks after the infant's birth to ensure the well-being of both the mother and the child.

  • 1304.41(b)

    Advisory committees.

  • 1304.52(e)

    Home visitor qualifications. Home visitors must have knowledge and experience in child development and early childhood education; the principles of child health, safety, and nutrition; adult learning principles; and family dynamics. They must be skilled in communicating with and motivating people. In addition, they must have knowledge of community resources and the skills to link families with appropriate agencies and services.

  • 1305.3(c)(4)

    Each Early Head Start and Head Start grantee must conduct a Community Assessment within its service area once every three years. The Community Assessment must include the collection and analysis of the following information about the grantee's Early Head Start or Head Start area: Data regarding the education, health, nutrition and social service needs of Head Start eligible children and their families.

  • 1305.3(c)(5)

    Each Early Head Start and Head Start grantee must conduct a Community Assessment within its service area once every three years. The Community Assessment must include the collection and analysis of the following information about the grantee's Early Head Start or Head Start area: The education, health, nutrition and social service needs of Head Start eligible children and their families as defined by families of Head Start eligible children and by institutions in the community that serve young children.

Last Reviewed: June 2013

Last Updated: July 23, 2014