[Title 45 CFR 1304] [Code of Federal Regulations (annual edition) - October 1, 1996 Edition] [Title 45 - PUBLIC WELFARE] [Subtitle B - Regulations Relating to Public Welfare (Continued)] [Chapter XIII - OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH] [Subchapter B - THE ADMINISTRATION FOR CHILDREN, YOUTH AND FAMILIES, HEAD] [Part 1304 - PROGRAM PERFORMANCE STANDARDS FOR OPERATION OF HEAD START PROGRAMS BY GRANTEES AND DELEGATE AGENCIES] [From the U.S. Government Publishing Office]45 PUBLIC WELFARE 4 1996-10-01 1996-10-01 false PROGRAM PERFORMANCE STANDARDS FOR OPERATION OF HEAD START PROGRAMS BY GRANTEES AND DELEGATE AGENCIES 1304 PART 1304 PUBLIC WELFARE Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH THE ADMINISTRATION FOR CHILDREN, YOUTH AND FAMILIES, HEAD PART 1304--PROGRAM PERFORMANCE STANDARDS FOR OPERATION OF HEAD START PROGRAMS BY GRANTEES AND DELEGATE AGENCIES--Table of Contents Subpart A--General Sec. 1304.1-1 Purpose and application. 1304.1-2 Definitions. 1304.1-3 Head Start Program goals. 1304.1-4 Performance standards plan development. 1304.1-5 Performance standards implementation and enforcement. Subpart B--Education Services Objectives and Performance Standards 1304.2-1 Education services objectives. 1304.2-2 Education services plan content: Operations. 1304.2-3 Education services plan content: Facilities. Subpart C--Health Services Objectives and Performance Standards 1304.3-1 Health services general objectives. 1304.3-2 Health Services Advisory Committee. 1304.3-3 Medical and dental history, screening, and examination. 1304.3-4 Medical and dental treatment. 1304.3-5 Medical and dental records. 1304.3-6 Health education. 1304.3-7 Mental health objectives. 1304.3-8 Mental health services. 1304.3-9 Nutrition objectives. 1304.3-10 Nutrition services. Subpart D--Social Services Objectives and Performance Standards 1304.4-1 Social services objectives. 1304.4-2 Social services plan content. [[Page 226]] Subpart E--Parent Involvement Objectives and Performance Standards 1304.5-1 Parent involvement objectives. 1304.5-2 Parent Involvement Plan content: Parent participation. 1304.5-3 Parent Involvement Plan content: Enhancing development of parenting skills. 1304.5-4 Parent Involvement Plan content: Communications among program management, program staff, and parents. 1304.5-5 Parent Involvement Plan content: Parents, area residents, and the program. Appendix A to Part 1304--[Reserved] Appendix B to Part 1304--Head Start Policy Manual: The Parents Authority: 42 U.S.C. 9801 et seq. Source: 40 FR 27562, June 30, 1975, unless otherwise noted. Editorial Note: Nomenclature changes to Part 1304 appear at 58 FR 5518, Jan. 21, 1993. Subpart A--General Sec. 1304.1-1 Purpose and application. This part sets out the goals of the Head Start program as they may be achieved by the combined attainment of the objectives of the basic components of the program, with emphasis on the program performance standards necessary and required to attain those objectives. With the required development of plans covering the implementation of the performance standards, grantees and delegate agencies will have firm bases for operations most likely to lead to demonstrable benefits to children and their families. While compliance with the performance standards is required as a condition of Federal Head Start funding, it is expected that the standards will be largely self-enforcing. This part applies to all Head Start grantees and delegate agencies. Sec. 1304.1-2 Definitions. As used in this part: (a) The term ACYF means the Administration on Children, Youth and Families, Administration for Children and Families, U.S. Department of Health and Human Services, and includes appropriate Regional Office staff. (b) The term responsible HHS official means the official who is authorized to make the grant of assistance in question, or his designee. (c) The term Commissioner means the Commissioner of the Administration on Children, Youth and Families. (d) The term grantee means the public or private non-profit agency which has been granted assistance by ACYF to carry on a Head Start program. (e) The term delegate agency means a public or private nonprofit organization or agency to which a grantee has delegated the carrying on of all or part of its Head Start program. (f) The term goal means the ultimate purpose or interest toward which total Head Start program efforts are directed. (g) The term objective means the ultimate purpose or interest toward which Head Start program component efforts are directed. (h) The term program performance standards or performance standards means the Head Start program functions, activities and facilities required and necessary to meet the objectives and goals of the Head Start program as they relate directly to children and their families. (i) The term ``children with disabilities'' means children with mental retardation, hearing impairments including deafness, speech or language impairments, visual impairments including blindness, serious emotional disturbance, orthopedic impairments, autism, traumatic brain injury, other health impairments, or specific learning disabilities who, by reason thereof need special education and related services. The term ``children with disabilities'' for children aged 3 to 5, inclusive, may, at a State's discretion, include children experiencing developmental delays, as defined by the State and as measured by appropriate diagnostic instruments and procedures, in one or more of the following areas: physical development, cognitive development, communication development, social or emotional development, or adaptive development; and who, by reason thereof, need special education and related services. [40 FR 27562, June 30, 1975, as amended at 58 FR 5518, Jan. 21, 1993] Sec. 1304.1-3 Head Start Program goals. (a) The Head Start Program is based on the premise that all children share [[Page 227]] certain needs, and that children of low income families, in particular, can benefit from a comprehensive developmental program to meet those needs. The Head Start program approach is based on the philosophy that: (1) A child can benefit most from a comprehensive, interdisciplinary program to foster development and remedy problems as expressed in a broad range of services, and that (2) The child's entire family, as well as the community must be involved. The program should maximize the strengths and unique experiences of each child. The family, which is perceived as the principal influence on the child's development, must be a direct participant in the program. Local communities are allowed latitude in developing creative program designs so long as the basic goals, objectives and standards of a comprehensive program are adhered to. (b) The overall goal of the Head Start program is to bring about a greater degree of social competence in children of low income families. By social competence is meant the child's everyday effectiveness in dealing with both present environment and later responsibilities in school and life. Social competence takes into account the interrelatedness of cognitive and intellectual development, physical and mental health, nutritional needs, and other factors that enable a child to function optimally. The Head Start program is a comprehensive developmental approach to helping children achieve social competence. To the accomplishment of this goal, Head Start objectives and performance standards provide for: (1) The improvement of the child's health and physical abilities, including appropriate steps to correct present physical and mental problems and to enhance every child's access to an adequate diet. The improvement of the family's attitude toward future health care and physical abilities. (2) The encouragement of self-confidence, spontaneity, curiosity, and self-discipline which will assist in the development of the child's social and emotional health. (3) The enhancement of the child's mental processes and skills with particular attention to conceptual and communications skills. (4) The establishment of patterns and expectations of success for the child, which will create a climate of confidence for present and future learning efforts and overall development. (5) An increase in the ability of the child and the family to relate to each other and to others. (6) The enhancement of the sense of dignity and self-worth within the child and his family. Sec. 1304.1-4 Performance standards plan development. Each grantee and delegate agency shall develop a plan for implementing the performance standards prescribed in Subparts B, C, D, and E of this part for use in the operation of its Head Start program (hereinafter called ``plan,'' or ``performance standards plan''). The plan shall provide that the Head Start program covered thereby shall meet or exceed the performance standards. The plan shall be in writing and shall be developed by the appropriate professional Head Start staff of the grantee or delegate agency with cooperation from other Head Start staff, with technical assistance and advice as needed from personnel of the Regional Office and professional consultants, and with the advice and concurrence of the policy council or policy committee. The plan must be reviewed by grantee or delegate agency staff and the policy council or policy committee at least annually and revised and updated as may be necessary. Sec. 1304.1-5 Performance standards implementation and enforcement. (a) Grantees and delegate agencies must be in compliance with or exceed the performance standards prescribed in subparts B, C, D, and E, of this part at the commencement of the grantee's program year next following July 1, 1975, effective date of the regulations in this part, or 6 months after that date, whichever is later, and thereafter, unless the period for full compliance is extended in accordance with paragraph (f) of this section. (b) If the responsible HHS official as a result of information obtained from program self-evaluation, pre-review, or [[Page 228]] routine monitoring, is aware or has reason to believe that a Head Start program, with respect to performance standards other than those for which the time for compliance has been extended in accordance with paragraph (f) of this section, is not in compliance with performance standards, he shall notify the grantee promptly in writing of the deficiencies and inform the grantee that it, or if the deficiencies are in a Head Start program operated by a delegate agency, the delegate agency, has a period stated in the notice not to exceed 90 days to come into compliance. If the notice is with respect to a delegate agency, the grantee shall immediately notify the delegate agency and inform it of the time within which the deficiencies must be corrected. Upon receiving the notice the grantee or delegate agency shall immediately analyze its operations to determine how it might best comply with the performance standards. In this process it shall review, among other things, its utilization of all available local resources, and whether it is receiving the benefits of State and other Federal programs for which it is eligible and which are available. It shall review and realign where feasible program priorities, operations, and financial and manpower allocations. It shall also consider the possibility of choosing an alternate program option for the delivery of Head Start Services in accordance with ACYF Notice N-30-334-1, Program Options for Project Head Start, attached hereto as Appendix A, which the grantee, with ACYF concurrence, determines that it would be able to operate as a quality program in compliance with performance standards. (c) The grantee or delegate agency shall report in writing in detail its efforts to meet the performance standards within the time given in the notice to the responsible HHS official. A delegate agency shall report through the grantee. If the reporting agency, grantee or delegate agency, determines that it is unable to comply with the performance standards, the responsible HHS official shall be notified promptly in writing by the grantee, which notice shall contain a description of the deficiencies not able to be corrected and the reasons therefor. If insufficient funding is included as a principal reason for inability to comply with performance standards, the notice shall specify the exact amount, and basis for, the funding deficit and efforts made to obtain funding from other sources. (d) The responsible HHS official on the basis of the reports submitted pursuant to paragraph (c) of this section, will undertake to assist grantees, and delegate agencies through their grantees, to comply with the performance standards, including by furnishing or by recommending technical assistance. (e) If the grantee or delegate agency has not complied with the performance standards, other than those for which the time for compliance has been extended in accordance with paragraph (f) of this section, within the period stated in the notice issued under paragraph (b) of this section, the grantee shall be notified promptly by the responsible HHS official of the commencement of suspension or termination proceedings or of the intention to deny refunding, as may be appropriate, under part 1303 (appeals procedures) of this chapter. (f) The time within which a grantee or delegate agency shall be required to correct deficiencies in implementation of the performance standards may be extended by the responsible HHS official to a maximum of one year, only with respect to the following deficiencies: (1) The space per child provided by the Head Start program does not comply with the Education Services performance standard but there is no risk to the health or safety of the children; (2) The Head Start program is unable to provide Medical or Dental Treatment Services as required by Health Services Performance Standards because funding is insufficient and there are no community or other resources available; (3) The services of a mental health professional is not available or accessible to the program as required by the Health Services Performance Standards; or (4) The deficient service is not able to be corrected within the 90 days notice period, notwithstanding full effort at [[Page 229]] compliance, because of lack of funds and outside community resources, but it is reasonable to expect that the services will be brought into compliance within the extended period, and, the overall high quality of the Head Start program otherwise will be maintained during the extension. Subpart B--Education Services Objectives and Performance Standards Sec. 1304.2-1 Education services objectives. The objectives of the Education Service component of the Head Start program are to: (a) Provide children with a learning environment and the varied experiences which will help them develop socially, intellectually, physically, and emotionally in a manner appropriate to their age and stage of development toward the overall goal of social competence. (b) Integrate the educational aspects of the various Head Start components in the daily program of activities. (c) Involve parents in educational activities of the program to enhance their role as the principal influence on the child's education and development. (d) Assist parents to increase knowledge, understanding, skills, and experience in child growth and development. (e) Identify and reinforce experience which occur in the home that parents can utilize as educational activities for their children. Sec. 1304.2-2 Education services plan content: Operations. (a) The education services component of the performance standards plan shall provide strategies for achieving the education objectives. In so doing it shall provide for program activities that include an organized series of experiences designed to meet the individual differences and needs of participating children, the special needs of handicapped children, the needs of specific educational priorities of the local population and the community. Program activities must be carried out in a manner to avoid sex role stereotyping. In addition, the plan shall provide methods for assisting parents in understanding and using alternative ways to foster learning and development of their children. (b) The education services component of the plan shall provide for: (1) A supportive social and emotional climate which: (i) Enhances children's understanding of themselves as individuals, and in relation to others, by providing for individual, small group, and large group, activities; (ii) Gives children many opportunities for success through program activities; (iii) Provides an environment of acceptance which helps each child build ethnic pride, a positive self-concept, enhance his individual strengths, and develop facility in social relationships. (2) Development of intellectual skills by: (i) Encouraging children to solve problems, initiate activities, explore, experiment, question, and gain mastery through learning by doing; (ii) Promoting language understanding and use in an atmosphere that encourages easy communication among children and between children and adults; (iii) Working toward recognition of the symbols for letters and numbers according to the individual developmental level of the children; (iv) Encouraging children to organize their experiences and understand concepts; and (v) Providing a balanced program of staff directed and child initiated activities. (3) Promotion of physical growth by: (i) Providing adequate indoor and outdoor space, materials, equipment, and time for children to use large and small muscles to increase their physical skills; and (ii) Providing appropriate guidance while children are using equipment and materials in order to promote children's physical growth. (c) The education services component of the plan shall provide for a program which is individualized to meet the special needs of children from various populations by: (1) Having a curriculum which is relevant and reflective of the needs of the population served (bilingual/bicultural, [[Page 230]] multi-cultural, rural, urban, reservation, migrant, etc.); (2) Having staff and program resources reflective of the racial and ethnic population of the children in the program. (i) Including persons who speak the primary language of the children and are knowledgeable about their heritage; and, at a minimum, when a majority of the children speak a language other than English, at least one teacher or aide interacting regularly with the children must speak their language; and, (ii) Where only a few children or a single child speak a language different from the rest, one adult in the center should be available to communicate in the native language; (3) Including parents in curriculum development and having them serve as resource persons (e.g., for bilingual-bicultural activities). (d) The education services component of the plan shall provide procedures for on-going observation, recording and evaluation of each child's growth and development for the purpose of planning activities to suit individual needs. It shall provide, also, for integrating the educational aspects of other Head Start components into the daily education services program. (e) The plan shall provide methods for enhancing the knowledge and understanding of both staff and parents of the educational and developmental needs and activities of children in the program. These shall include: (1) Parent participation in planning the education program, and in center, classroom and home program activities; (2) Parent training in activities that can be used in the home to reinforce the learning and development of their children in the center; (3) Parent training in the observation of growth and development of their children in the home environment and identification of and handling special developmental needs; (4) Participation in staff and staff-parent conferences and the making of periodic home visits (no less than two) by members of the education staff; (5) 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; and (6) Staff training in identification of and handling children with special needs and working with the parents of such children, and in coordinating relevant referral resources. Sec. 1304.2-3 Education services plan content: Facilities. (a) The education services component of the plan shall provide for a physical environment conducive to learning and reflective of the different stages of development of the children. Home-based projects must make affirmative efforts to achieve this environment. For center- based programs, space shall be organized into functional areas recognized by the children, and space, light, ventilation, heat, and other physical arrangements must be consistent with the health, safety, and developmental needs of the children. To comply with this standard: (1) There shall be a safe and effective heating system; (2) No highly flammable furnishings or decorations shall be used. (3) Flammable and other dangerous materials and potential poisons shall be stored in locked cabinets or storage facilities accessible only to authorized persons; (4) Emergency lighting shall be available in case of power failure; (5) Approved, working fire extinguishers shall be readily available; (6) Indoor and outdoor premises shall be kept clean and free, on a daily basis, of undesirable and hazardous material and conditions; (7) Outdoor play areas shall be made so as to prevent children from leaving the premises and getting into unsafe and unsupervised areas; (8) Paint coatings in premises used for care of children shall be determined to assure the absence of a hazardous quantity of lead; (9) Rooms shall be well lighted; (10) A source of water approved by the appropriate local authority shall be available in the facility; and adequate toilets and handwashing facilities shall be available and easily reached by children; [[Page 231]] (11) All sewage and liquid wastes shall be disposed of through a sewer system approved by an appropriate, responsible authority, and garbage and trash shall be stored in a safe and sanitary manner until collected; (12) There shall be at least 35 square feet of indoor space per child available for the care of children (i.e., exclusive of bathrooms, halls, kitchen, and storage places). There shall be at least 75 square feet per child outdoors; and (13) Adequate provisions shall be made for handicapped children to ensure their safety and comfort. Evidence that the center meets or exceeds State or local licensing requirements for similar kinds of facilities for fire, health and safety shall be accepted as prima facie compliance with the fire, health and safety requirements of this section. (b) The plan shall provide for appropriate and sufficient furniture, equipment and materials to meet the needs of the program, and for their arrangement in such a way as to facilitate learning, assure a balanced program of spontaneous and structured activities, and encourage self- reliance in the children. The equipment and materials shall be: (1) Consistent with the specific educational objectives of the local program; (2) Consistent with the cultural and ethnic background of the children; (3) Geared to the age, ability, and developmental needs of the children; (4) Safe, durable, and kept in good condition; (5) Stored in a safe and orderly fashion when not in use; (6) Accessible, attractive, and inviting to the children; and (7) Designed to provide a variety of learning experiences and to encourage experimentation and exploration. Subpart C--Health Services Objectives and Performance Standards Sec. 1304.3-1 Health services general objectives. The general objectives of the health services component of the Head Start program are to: (a) Provide a comprehensive health services program which includes a broad range of medical, dental, mental health and nutrition services to preschool children, including handicapped children, to assist the child's physical, emotional, cognitive and social development toward the overall goal of social competence. (b) Promote preventive health services and early intervention. (c) Provide the child's family with the necessary skills and insight and otherwise attempt to link the family to an ongoing health care system to ensure that the child continues to receive comprehensive health care even after leaving the Head Start program. Sec. 1304.3-2 Health Services Advisory Committee. The plan shall provide for the creation of a Health Services Advisory Committee whose purpose shall be advising in the planning, operation and evaluation of the health services program and which shall consist of Head Start parents and health services providers in the community and other specialists in the various health disciplines. (Existing committees may be modified or combined to carry out this function.) Sec. 1304.3-3 Medical and dental history, screening, and examinations. (a) The health services component of the performance standards plan shall provide that for each child enrolled in the Head Start program a complete medical, dental and developmental history will be obtained and recorded, a thorough health screening will be given, and medical and dental examinations will be performed. The plan will provide also for advance parent or guardian authorization for all health services under this subpart. (b) Effective with the beginning of the 1993-94 program year, grantees must provide for health and developmental screenings by 45 days after the beginning of services for children in the fall, or for a child who enters late, by 45 days after the child enters into the program and must include: (1) Growth assessment (head circumference up to two years old), height, weight and age. [[Page 232]] (2) Vision testing. (3) Hearing testing. (4) Hemoglobin or hematocrit determination. (5) Tuberculin testing indicated in ACYF Head Start Guidance Material. (6) Urinalysis. (7) Based on community health problems, other selected screenings where appropriate, e.g., sickle cell anemia, lead poisoning, and intestinal parasites. (8) Assessment of current immunization status. (9) During the course of health screening, procedures must be in effect for identifying speech problems, determining their cause, and providing services. (10) Identification of the special needs of handicapped children. (c) Medical examinations for children shall include: (1) Examination of all systems or regions which are made suspect by the history or screening test. (2) Search for certain defects in specific regions common or important in this age group, i.e., skin, eye, ear, nose, throat, heart, lungs, and groin (inguinal) area. (d) The plan shall provide, also, in accordance with local and state health regulations that employed program staff have initial health examinations, periodic check-ups, and are found to be free from communicable disease; and, that voluntary staff be screened for tuberculosis. [40 FR 27562, June 30, 1975, as amended at 58 FR 5518, Jan. 21, 1993] Sec. 1304.3-4 Medical and dental treatment. (a) The plan shall provide for treatment and follow-up services which include: (1) Obtaining or arranging for treatment of all health problems detected. (Where funding is provided by non-Head Start funding sources there must be written documentation that such funds are used to the maximum feasible extent. Head Start funds may be used only when no other source of funding is available). (2) Completion of all recommended immunizations--diptheria, pertussis, tetanus (DPT), polio, measles, German measles. Mumps immunization shall be provided where appropriate. (3) Obtaining or arranging for basic dental care services as follows: (i) Dental examination. (ii) Services required for the relief of pain or infection. (iii) Restoration of decayed primary and permanent teeth. (iv) Pulp therapy for primary and permanent teeth as necessary. (v) Extraction of non-restorable teeth. (vi) Dental prophylaxis and instruction in self-care oral hygiene procedures. (vii) Application of topical fluoride in communities which lack adequate fluoride levels in the public water supply. (b) There must be a plan of action for medical emergencies. (Indicated in ACYF Head Start Guidance Material.) Sec. 1304.3-5 Medical and dental records. The plan shall provide for: (a) The establishment and maintenance of individual health records which contain the child's medical and developmental history, screening results, medical and dental examination data, and evaluation of this material, and up-to-date information about treatment and follow-up; (b) Forwarding, with parent consent, the records to either the school or health delivery system or both when the child leaves the program; and (c) Giving parents a summary of the record which includes information on immunization and follow-up treatment; and (d) Utilization of the Health Program Assessment Report (HPAR); and (e) Assurance that in all cases parents will be told the nature of the data to be collected and the uses to which the data will be put, and that the uses will be restricted to the stated purposes. Sec. 1304.3-6 Health education. (a) The plan shall provide for an organized health education program for program staff, parents and children which ensures that: (1) Parents are provided with information about all available health resources; [[Page 233]] (2) Parents are encouraged to become involved in the health care process relating to their child. One or both parents should be encouraged to accompany their child to medical and dental exams and appointments; (3) Staff are taught and parents are provided the opportunity to learn the principles of preventive health, emergency first-aid measures, and safety practices; (4) Health education is integrated into on-going classroom and other program activities. (5) The children are familiarized with all health services they will receive prior to the delivery of those services. Sec. 1304.3-7 Mental health objectives. The objectives of the mental health part of the health services component of the Head Start program are to: (a) Assist all children participating in the program in emotional, cognitive and social development toward the overall goal of social competence in coordination with the education program and other related component activities; (b) Provide handicapped children and children with special needs with the necessary mental health services which will ensure that the child and family achieve the full benefits of participation in the program; (c) Provide staff and parents with an understanding of child growth and development, an appreciation of individual differences, and the need for a supportive environment; (d) Provide for prevention, early identification and early intervention in problems that interfere with a child's development; (e) Develop a positive attitude toward mental health services and a recognition of the contribution of psychology, medicine, social services, education and other disciplines to the mental health program; and (f) Mobilize community resources to serve children with problems that prevent them from coping with their environment. Sec. 1304.3-8 Mental health services. (a) The mental health part of the plan shall provide that a mental health professional shall be available, at least on a consultation basis, to the Head Start program and to the children. The mental health professional shall: (1) Assist in planning mental health program activities; (2) Train Head Start staff; (3) Periodically observe children and consult with teachers and other staff; (4) Advise and assist in developmental screening and assessment; (5) Assist in providing special help for children with atypical behavior or development, including speech; (6) Advise in the utilization of other community resources and referrals; (7) Orient parents and work with them to achieve the objectives of the mental health program; and (8) Take appropriate steps in conjunction with health and education services to refer children for diagnostic examination to determine whether their emotional or behavior problems have a physical basis. (b) The plan shall also provide for: (1) Attention to pertinent medical and family history of each child so that mental health services can be made readily available when needed; (2) Use of existing community mental health resources; (3) Coordination with the education services component to provide a program keyed to individual developmental levels; (4) Confidentiality of records; (5) Regular group meetings of parents and program staff; (6) Parental consent for special mental health services; (7) Opportunity for parents to obtain individual assistance; and, (8) Active involvement of parents in planning and implementing the individual mental health needs of their children. Sec. 1304.3-9 Nutrition objectives. The objectives of the nutrition part of the health services component of the Head Start program are to: (a) Help provide food which will help meet the child's daily nutritional needs in the child's home or in another clean and pleasant environment, recognizing individual differences and cultural patterns, and thereby promote sound physical, social, and emotional growth and development. [[Page 234]] (b) Provide an environment for nutritional services which will support and promote the use of the feeding situation as an opportunity for learning; (c) Help staff, child and family to understand the relationship of nutrition to health, factors which influence food practices, variety of ways to provide for nutritional needs and to apply this knowledge in the development of sound food habits even after leaving the Head Start program; (d) Demonstrate the interrelationships of nutrition to other activities of the Head Start program and its contribution to the overall child development goals; and (e) Involve all staff, parents and other community agencies as appropriate in meeting the child's nutritional needs so that nutritional care provided by Head Start complements and supplements that of the home and community. Sec. 1304.3-10 Nutrition services. (a) The nutrition services part of the health services component of the performance standards plan must identify the nutritional needs and problems of the children in the Head Start program and their families. In so doing account must be taken of: (1) The nutrition assessment data (height, weight, hemoglobin hematocrit) obtained for each child; (2) Information about family eating habits and special dietary needs and feeding problems, especially of handicapped children; and, (3) Information about major community nutrition problems. (b) The plan, designed to assist in meeting the daily nutritional needs of the children, shall provide that: (1) Every child in a part-day program will receive a quantity of food in meals (preferably hot) and snacks which provides at least \1/3\ of daily nutritional needs, with consideration for meeting any special needs of children, including the child with a handicapping condition; (2) Every child in a full-day program will receive snack(s), lunch, and other meals as appropriate which will provide \1/2\ to \2/3\ of daily nutritional needs depending on the length of the program; (3) All children in morning programs who have not received breakfast at the time they arrive at the Head Start program will be served a nourishing breakfast; (4) The kinds of food served conform to minimum standards for meal patterns indicated in ACYF Head Start Guidance Material; (5) The quantities of food served conform to recommended amounts indicated in ACYF Head Start guidance materials; and, (6) Meal and snack periods are scheduled appropriately to meet children's needs and are posted along with menus; e.g., breakfast must be served at least 2\1/2\ hours before lunch, and snacks must be served at least 1\1/2\ hours before lunch or supper. (c) The plan shall undertake to assure that the nutrition services contribute to the development and socialization of the children by providing that: (1) A variety of foods which broaden the child's food experience in addition to those that consider cultural and ethnic preferences is served; (2) Food is not used as punishment or reward, and that children are encouraged but not forced to eat or taste; (3) The size and number of servings of food reflect consideration of individual children's needs; (4) Sufficient time is allowed for children to eat; (5) Chairs, tables, and eating utensils are suitable for the size and developmental level of the children with special consideration for meeting the needs of children with handicapping conditions; (6) Children and staff, including volunteers, eat together sharing the same menu and a socializing experience in a relaxed atmosphere; and (7) Opportunity is provided for the involvement of children in activities related to meal service. (For example: family style service.) (d) The plan shall set forth an organized nutrition education program for staff, parents, and children. This program shall assure that: (1) Meal periods and food are planned to be used as an integral part of the total education program; [[Page 235]] (2) Children participate in learning activities planned to effect the selection and enjoyment of a wide variety of nutritious foods; (3) 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 so that they can fulfill their major role and responsibility for the nutritional health of the family; (4) All staff, including administrative, receive education in principles of nutrition and their application to child development and family health, and ways to create a good physical, social and emotional environment which supports and promotes development of sound food habits and their role in helping the child and family to achieve adequate nutrition. (e) The plan shall make special provision for the involvement of parents and appropriate community agencies in planning, implementing, and evaluating the nutrition services. It shall provide that: (1) The Policy Council or Committee and the Health Services Advisory Committee have opportunity to review and comment on the nutrition services; (2) The nutritional status of the children will be discussed with their parents; (3) Information about menus and nutrition activities will be shared regularly with parents; (4) Parents are informed of the benefits of food assistance programs; and (5) Community agencies are enlisted to assist eligible families participate in food assistance programs. (f) The plan shall provide for compliance with applicable local, State, and Federal sanitation laws and regulations for food service operations including standards for storage, preparation and service of food, and health of food handlers, and for posting of evidence of such compliance. The plan shall provide, also, that vendors and caterers supplying food and beverages comply with similar applicable laws and regulations. (g) The plan shall provide for direction of the nutrition services by a qualified full-time staff nutritionist or for periodic and regularly scheduled supervision by a qualified nutritionist or dietitian as defined in the Head Start Guidance Material. Also, the plan shall provide that all nutrition services staff will receive preservice and in-service training as necessary to demonstrate and maintain proficiency in menu planning, food purchasing, food preparation and storage, and sanitation and personal hygiene. (h) The plan shall provide for the establishment and maintenance of records covering the nutrition services budget, expenditures for food, menus utilized, numbers and types of meals served daily with separate recordings for children and adults, inspection reports made by health authorities, recipes and any other information deemed necessary for efficient operation. Subpart D--Social Services Objectives and Performance Standards Sec. 1304.4-1 Social services objectives. The objectives of the social services component of the performance standards plan are to: (a) Establish and maintain an outreach and recruitment process which systematically insures enrollment of eligible children. (b) Provide enrollment of eligible children regardless of race, sex, creed, color, national origin, or handicapping condition. (c) Achieve parent participation in the center and home program and related activities. (d) Assist the family in its own efforts to improve the condition and quality of family life. (e) Make parents aware of community services and resources and facilitate their use. Sec. 1304.4-2 Social services plan content. (a) The social services plan shall provide procedures for: (1) Recruitment of children, taking into account the demographic make-up of the community and the needs of the children and families; (2) Recruitment of handicapped children; (3) Providing or referral for appropriate counseling; [[Page 236]] (4) Emergency assistance or crisis intervention; (5) Furnishing information about available community services and how to use them; (6) Follow-up to assure delivery of needed assistance; (7) Establishing a role of advocacy and spokesman for Head Start families; (8) Contacting of parent or guardian with respect to an enrolled child whose participation in the Head Start program is irregular or who has been absent four consecutive days; and (9) Identification of the social service needs of Head Start families and working with other community agencies to develop programs to meet those needs. (b) The plan shall provide for close cooperation with existing community resources including: (1) Helping Head Start parent groups work with other neighborhood and community groups with similar concerns; (2) Communicating to other community agencies the needs of Head Start families and ways of meeting these needs; (3) Helping to assure better coordination, cooperation, and information sharing with community agencies; (4) Calling attention to the inadequacies of existing community services, or to the need for additional services, and assisting in improving available services, or bringing in new services; and (5) Preparing and making available a community resource list to Head Start staff and families. (c) The plan shall provide for the establishment, maintenance, and confidentiality of records of up-to-date, pertinent family data, including completed enrollment forms, referral and follow-up reports, reports of contacts with other agencies, and reports of contacts with families. Subpart E--Parent Involvement Objectives and Performance Standards Sec. 1304.5-1 Parent involvement objectives. The objectives of the parent involvement component of the performance standards plan are to: (a) Provide a planned program of experiences and activities which support and enhance the parental role as the principal influence in their child's education and development. (b) Provide a program that recognizes the parent as: (1) Responsible guardians of their children's well being. (2) Prime educators of their children. (3) Contributors to the Head Start program and to their communities. (c) Provide the following kinds of opportunities for parent participation: (1) Direct involvement in decision making in program planning and operations. (2) Participation in classroom and other program activities as paid employees, volunteers or observers. (3) Activities for parents which they have helped to develop. (4) Working with their own children in cooperation with Head Start staff. Sec. 1304.5-2 Parent Involvement Plan content: Parent participation. (a) The basic parent participation policy of the Head Start program, with which all Head Start programs must comply as a condition of being granted financial assistance, is contained in Head Start Policy Manual, Instruction I-31--Section B2, The Parents (ACYF Transmittal Notice 70.2, dated August 10, 1970). This policy manual instruction is set forth in Appendix B to this part. (b) The plan shall describe in detail the implementation of Head Start Policy Manual Instruction I-31--section B2, The Parents (Appendix B). The plan shall assure that participation of Head Start parents is voluntary and shall not be required as a condition of the child's enrollment. Sec. 1304.5-3 Parent Involvement Plan content: Enhancing development of parenting skills. The plan shall provide methods and opportunities for involving parents in: (a) Experiences and activities which lead to enhancing the development of their skills, self-confidence, and sense of independence in fostering an environment in which their children can develop to their full potential. [[Page 237]] (b) Experiences in child growth and development which will strengthen their role as the primary influence in their children's lives. (c) Ways of providing educational and developmental activities for children in the home and community. (d) Health, mental health, dental and nutrition education. (e) Identification, and use, of family and community resources to meet the basic life support needs of the family. (f) Identification of opportunities for continuing education which may lead towards self-enrichment and employment. (g) Meeting with the Head Start teachers and other appropriate staff for discussion and assessment of their children's individual needs and progress. Sec. 1304.5-4 Parent Involvement Plan content: Communications among program management, program staff, and parents. (a) The plan shall provide for two-way communication between staff and parents carried out on a regular basis throughout the program year which provides information about the program and its services; program activities for the children; the policy groups; and resources within the program and the community. Communication must be designed and carried out in a way which reaches parents and staff effectively. Policy Groups, staff and parents must participate in the planning and development of the communication system used. (b) The plan shall provide a system for the regular provision of information to members of Policy Groups. The purpose of such communication is to enable the Policy Group to make informed decisions in a timely and effective manner, to share professional expertise and generally to be provided with staff support. At a minimum, information provided will include: (1) Timetable for planning, development, and submission of proposals; (2) Head Start policies, guidelines, and other communications from the Administration on Children, Youth and Families; (3) Financial reports and statements of funds expended in the Head Start account; and (4) Work plans, grant applications, and personnel policies for Head Start. (c) The entire Head Start staff shall share responsibility for providing assistance in the conduct of the above activities. In addition, Health Services, Education, and Social Services staff shall contribute their direct services to assist the Parent Involvement staff. If staff resources are not available, the necessary resources shall be sought within the community. Sec. 1304.5-5 Parent Involvement Plan content: Parents, area residents, and the program. The plan shall provide for: (a) The establishment of effective procedures by which parents and area residents concerned will be enabled to influence the character of programs affecting their interests. (b) Their regular participation in the implementation of such programs and, (c) Technical and other support needed to enable parents and area residents to secure on their own behalf available assistance from public and private sources. Appendix A to Part 1304--[Reserved] Appendix B to Part 1304--Head Start Policy Manual: The Parents This appendix sets forth policy governing the involvement of parents of Head Start children ``. . . in the development, conduct, and overall program direction at the local level.'' I-30-2 The Parents a. introduction Head Start believes that the gains made by the child in Head Start must be understood and built upon by the family and the community. To achieve this goal, Head Start provides for the involvement of the child's parents and other members of the family in the experiences he receives in the child development center by giving them many opportunities for a richer appreciation of the young child's needs and how to satisfy them. Many of the benefits of Head Start are rooted in ``change''. These changes must take place in the family itself, in the community, and in the attitudes of people and institutions that have an impact on both. It is clear that the success of Head Start in bringing about substantial changes demands the fullest involvement of the parents, parental-substitutes, and families of children [[Page 238]] enrolled in its programs. This involvement begins when a Head Start program begins and should gain vigor and vitality as planning and activities go forward. Successful parental involvement enters into every part of Head Start, influences other anti-poverty programs, helps bring about changes in institutions in the community, and works toward altering the social conditions that have formed the systems that surround the economically disadvantaged child and his family. Project Head Start must continue to discover new ways for parents to become deeply involved in decision-making about the program and in the development of activities that they deem helpful and important in meeting their particular needs and conditions. For some parents, participation may begin on a simple level and move to more complex levels. For other parents the movement will be immediate, because of past experiences, into complex levels of sharing and giving. Every Head Start program is obligated to provide the channels through which such participation and involvement can be provided for and enriched. Unless this happens, the goals of Head Start will not be achieved and the program itself will remain a creative experience for the preschool child in a setting that is not reinforced by needed changes in social systems into which the child will move after his Head Start experience. This sharing in decisions for the future is one of the primary aims of parent participation and involvement in Project Head Start. b. the role of the parents Every Head Start Program Must Have Effective Parent Participation. There are at least four major kinds of parent participation in local Head Start programs. 1. PARTICIPATION IN THE PROCESS OF MAKING DECISIONS ABOUT THE NATURE AND OPERATION OF THE PROGRAM. 2. PARTICIPATION IN THE CLASSROOM AS PAID EMPLOYEES, VOLUNTEERS OR OBSERVERS. 3. ACTIVITIES FOR THE PARENTS WHICH THEY HAVE HELPED TO DEVELOP. 4. WORKING WITH THEIR CHILDREN IN COOPERATION WITH THE STAFF OF THE CENTER. Each of these is essential to an effective Head Start program both at the grantee level and the delegate agency level. Every Head Start program must hire/designate a Coordinator of Parent Activities to help bring about appropriate parent participation. This staff member may be a volunteer in smaller communities. 1. Parent Participation in the Process of Making Decisions About the Nature and Operation of the Program Head Start Policy Groups a. Structure. The formal structure by which parents can participate in policy making and operation of the program will vary with the local administrative structure of the program. Normally, however, the Head Start policy groups will consist of the following: 1. Head Start Center Committee. This committee must be set up at the center level. Where centers have several classes, it is recommended that there also be parent class committees. 2. Head Start Policy Committee. This committee must be set up at the delegate agency level when the program is administered in whole or in part by such agencies. 3. Head Start Policy Council. This Council must be set up at the grantee level. When a grantee has delegated the entire Head Start program to one Delegate Agency, it is not necessary to have a Policy Council in addition to a Delegate Agency Policy Committee. Instead one policy group serves both the Grantee Board and the Delegate Agency Board. b. Composition. Chart A describes the composition of each of these groups. Chart A ------------------------------------------------------------------------ Organization Composition ------------------------------------------------------------------------ 1. Head Start Center Committee......... 1. Parents whose children are enrolled in that center. 2. Head Start Policy Committee 2. At least 50% parents of Head (delegate agency). Start children presently enrolled in that delegate agency program plus representatives of the community.\1\ 3. Head Start Policy Council (grantee). 3. At least 50% parents of Head Start children presently enrolled in that grantee's program plus representatives of the community.\2\ ------------------------------------------------------------------------ \1\Representatives of the Community (Delegate Agency level): A representative of neighborhood community groups (public and private) and of local neighborhood community or professional organizations, which have a concern for children of low income families and can contribute to the development of the program. The number of such representatives will vary depending on the number of organizations which should appropriately be represented. The Delegate Agency determines the composition of their committee (within the above guidelines) and methods to be used in selecting representatives of the community. Parents of former Head Start children may serve as representatives of the community on delegate agency policy groups. All representatives of the community selected by the agency must be approved by elected parent members of the committee. In no case, however, should representatives of the community exceed 50% of the total committee. [[Page 239]] \2\Representatives of the Community (Grantee Agency level): A representative of major agencies (public and private) and major community civic or professional organizations which have a concern for children of low income families and can contribute to the program. The number of such representatives will vary, depending on the number of organizations which should appropriately be represented. The applicant agency determines the composition of the council (within the above guidelines) and the methods to be used in selecting representatives of the community. Parents of former Head Start children may serve as representatives of the community on grantee agency policy groups. All representatives of the community selected by the agency must be approved by elected parent members of the committee. In no case, however, should representatives of the community exceed 50% of the total committee or council. Special Notes 1. All parents serving on policy groups must be elected by parents of Head Start children currently enrolled in the program. 2. It is strongly recommended that the community action agency board have representation from the Head Start Policy Council to assure coordination of Head Start activities with other CAA programs. Conversely, community action agency board representation on the Policy Council is also recommended. 3. It is important that the membership of policy groups be rotated to assure a regular influx of new ideas into the program. For this purpose, terms of membership must be limited to no more than three years. 4. No staff member (nor members of their families as defined in CAP Memo 23A) of the applicant or delegate agencies shall serve on the council or committee in a voting capacity. Staff members may attend the meetings of councils or committees in a consultative non-voting capacity upon request of the council or committee. 5. Every corporate board operating a Head Start program must have a Policy Committee or Council as defined by HHS. The corporate body and the Policy Committee or Council must not be one and the same. 6. Policy groups for summer programs present a special problem because of the difficulty of electing parent representatives in advance. Therefore, the policy group for one summer program must remain in office until its successors have been elected and taken office. The group from the former program should meet frequently between the end of the program and the election of new members to assure some measure of program continuity. These meetings should be for the purpose of (a) assuring appropriate follow up of the children (b) aiding the development of the upcoming summer Head Start program, (c) writing of the application, (d) hiring of the director and establishment of criteria for hiring staff and, when necessary (e) orientation of the new members. In short, the policy group from a former program must not be dissolved until a new group is elected. The expertise of those parents who have previously served should be used whenever possible. c. Functions. The following paragraphs and charts describe the minimum functions and degrees of responsibility for the various policy groups involved in administration of local Head Start programs. Local groups may negotiate for additional functions and a greater share of responsibility if all parties agree. All such agreements are subject to such limitations as may be called for by HHS policy. Questions about this should be referred to your HHS regional office. (1) The Head Start Center Committee shall carry out at least the following minimum responsibilities: (a) Assists teacher, center director, and all other persons responsible for the development and operation of every component including curriculum in the Head Start program. (b) Works closely with classroom teachers and all other component staff to carry out the daily activities program. (c) Plans, conducts, and participates in informal as well as formal programs and activities for center parents and staff. (d) Participates in recruiting and screening of center employees within guidelines established by HHS, the Grantee Council and Board, and Delegate Agency Committee and Board. (2) The Head Start Policy Committee. Chart B outlines the major management functions connected with local Head Start program administered by delegate agencies and the degree of responsibility assigned to each participating group. In addition to those listed functions, the committee shall: (a) Serve as a link between public and private organizations, the grantee Policy Council, the Delegate Agency Board of Directors, and the community it serves. (b) Have the opportunity to initiate suggestions and ideas for program improvements and to receive a report on action taken by the administering agency with regard to its recommendations. (c) Plan, coordinate and organize agency-wide activities for parents with the assistance of staff. (d) Assist in communicating with parents and encouraging their participation in the program. (e) Aid in recruiting volunteer services from parents, community residents and community organizations, and assist in the mobilization of community resources to meet identified needs. (f) Administer the Parent Activity funds. (3) The Head Start Policy Council. Chart C outlines the major management functions connected with the Head Start program at the grantee level, whether it be a community [[Page 240]] action or limited purpose agency, and the degree of responsibility assigned to each participating group. In addition to those listed functions, the Council shall: (a) Serve as a link between public and private organizations, the Delegate Agency Policy Committees, Neighborhood Councils, the Grantee Board of Directors and the community it serves. (b) Have the opportunity to initiate suggestions and ideas for program improvements and to receive a report on action taken by the administering agency with regard to its recommendations. (c) Plan, coordinate and organize agency-wide activities for parents with the assistance of staff. (d) Approve the selection of Delegate Agencies. (e) Recruit volunteer services from parents, community residents and community organizations, and mobilizes community resources to meet identified needs. (f) Distribute Parent Activity funds to Policy Committees. It may not be easy for Head Start directors and professional staff to share responsibility when decisions must be made. Even when they are committed to involving parents, the Head Start staff must take care to avoid dominating meetings by force of their greater training and experience in the process of decisionmaking. At these meetings, professionals may be tempted to do most of the talking. They must learn to ask parents for their ideas, and listen with attention, patience and understanding. Self-confidence and self-respect are powerful motivating forces. Activities which bring out these qualities in parents can prove invaluable in improving family life of young children from low income homes. Members of Head Start Policy Groups whose family income falls below the ``poverty line index'' may receive meeting allowances or be reimbursed for travel, per diem, meal and baby sitting expenses incurred because of Policy Group meetings. The procedures necessary to secure reimbursement funds and their regulations are detailed in OEO Instruction 6803-1. 2. Participation in the Classroom as Paid Employees, Volunteers or Observers Head Start classes must be open to parents at times reasonable and convenient to them. There are very few occasions when the presence of a limited number of parents would present any problem in operation of the program. Having parents in the classroom has three advantages. It: a. Gives the parents a better understanding of what the center is doing for the children and the kinds of home assistance they may require. b. Shows the child the depth of his parents concern. c. Gives the staff an opportunity to know the parents better and to learn from them. There are, of course, many center activities outside the classroom (e.g., field trips, clinic visits, social occasions) in which the presence of parents is equally desirable. Parents are one of the categories of persons who must receive preference for employment as non-professionals. Participation as volunteers may also be possible for many parents. Experience obtained as a volunteer may be helpful in qualifying for non-professional employment. At a minimum parents should be encouraged to observe classes several times. In order to permit fathers to observe it might be a good idea to have some parts of the program in the evening or on weekends. Head Start Centers are encouraged to set aside space within the Center which can be used by parents for meetings and staff conferences. 3. Activities for Parents Which They Have Helped To Develop Head Start programs must develop a plan for parent education programs which are responsive to needs expressed by the parents themselves. Other community agencies should be encouraged to assist in the planning and implementation of these programs. Parents may also wish to work together on community problems of common concern such as health, housing, education and welfare and to sponsor activities and programs around interests expressed by the group. Policy Committees must anticipate such needs when developing program proposals and include parent activity funds to cover the cost of parent sponsored activities. 4. Working With Their Children in Their Own Home in Connection with the Staff of the Center HHS requires that each grantee make home visits a part of its program when parents permit such visits. Teachers should visit parents of summer children a minimum of once; in full year programs there should be at least three visits, if the parents have consented to such home visits. (Education staff are now required to make no less than two home visits during a given program year in accordance with Sec. 1304.2- 2(e)(4).) In those rare cases where a double shift has been approved for teachers it may be necessary to use other types of personnel to make home visits. Personnel, such as teacher aides, health aides and social workers may also make home visits with, or independently of, the teaching staff but coordinated through the parent program staff in order to eliminate uncoordinated visits. Head Start staff should develop activities to be used at home by other family members [[Page 241]] that will reinforce and support the child's total Head Start experience. Staff, parents and children will all benefit from home visits and activities. Grantees shall not require that parents permit home visits as a condition of the child's participation in Head Start. However, every effort must be made to explain the advantages of visits to parents. Definitions as used on charts B and C A. General Responsibility. The individual or group with legal and fiscal responsibility guides and directs the carrying out of the function described through the person or group given operating responsibility. B. Operating Responsibility. The individual or group that is directly responsible for carrying out or performing the function, consistent with the general guidance and direction of the individual or group holding general responsibility. C. Must Approve or Disapprove. The individual or group (other than persons or groups holding general and operating responsibility, A and B above) must approve before the decision is finalized or action taken. The individual or group must also have been consulted in the decision making process prior to the point of seeking approval. If they do not approve, the proposal cannot be adopted, or the proposed action taken, until agreement is reached between the disagreeing groups or individuals. D. Must be Consulted. The individual or group must be called upon before any decision is made or approval is granted to give advice or information but not to make the decision or grant approval. E. May be Consulted. The individual or group may be called upon for information, advice or recommendations by those individuals or groups having general responsibility or operating responsibility. ---------------------------------------------------------------------------------------------------------------- Chart B--Delegate agency Chart C--Grantee agency ---------------------------------------------------------------------------------- Head Head Function Executive Start Head Executive Start Head Board director policy Start Board director policy Start committee director council director ---------------------------------------------------------------------------------------------------------------- I. Planning (a) Identify child development needs in the area to be served (by CAA\1\ if not delegated)........... A B D D A B D D (b) Establish goals of Head Start program and develop ways to meet them within HHS guidelines.................. A C C B A C C B (c) Determine delegate agencies and areas in the community in which Head Start programs will operate. ........ ......... ......... ........ A D C B (d) Determine location of centers or classes.......... A D C B ........ ......... ........ ........ (e) Develop plans to use all available community resources in Head Start..... A D C B A D C B (f) Establish criteria for selection of children within applicable laws and HHS guidelines.................. ........ ......... ......... ........ A C C B (g) Develop plan for recruitment of children..... A C C B ........ ......... ........ ........ II. General Administration (a) Determine the composition of the appropriate policy group and the method for setting it up (within HHS guidelines)................. A B C D A B C D (b) Determine what services should be provided to Head Start from the CAA\1\ central office and the neighborhood centers........ ........ ......... ......... ........ A B C D (c) Determine what services should be provided to Head Start from delegate agency.. A B C D ........ ......... ........ ........ (d) Establish a method of hearing and resolving community complaints about the Head Start program...... D C A B D C A B (e) Direct the CAA\1\ Head Start staff in day-to-day operations.................. ........ ......... ......... ........ E A E B (f) Direct the delegate agency Head Start staff in day-to-day operations....... E A E B ........ ......... ........ ........ (g) Insure that standards for acquiring space, equipment, and supplies are met........ A D D B A D D B [[Page 242]] III. Personnel Administration (a) Determine Head Start personnel policies (including establishment of hiring and firing criteria for Head Start staff, career development plans, and employee grievance procedures)................. Grantee agency............. ........ ......... ......... ........ A C C B Delegate agency............ A C C B ........ ......... ........ ........ (b) Hire and fire Head Start Director of grantee agency.. ........ ......... ......... ........ A B C ........ (c) Hire and fire Head Start staff of grantee agency..... ........ ......... ......... ........ E A C B (d) Hire and fire Head Start Director of delegate agency. A B C ........ ........ ......... ........ ........ (e) Hire and fire Head Start staff of delegate agency.... E A C B ........ ......... ........ ........ IV. Grant Application Process (a) Prepare request for funds and proposed work program: Prior to sending to CAA\1\. A C C B ........ ......... ........ ........ Prior to sending to HHS.... ........ ......... ......... ........ A C C B (b) Make major changes in budget and work program while program is in operation................... A C C B A C C B (c) Provide information needed for prereview to policy council.............. A D C B ........ ......... ........ ........ (d) Provide information needed for prereview to HHS. ........ ......... ......... ........ A D C B V. Evaluation Conduct self-evaluation of agency's Head Start program. A D B D A D B D ---------------------------------------------------------------------------------------------------------------- \1\CAA or general term ``grantee''. A=General responsibility B=Operating responsibility C=Must approve or disapprove D=Must be consulted E=May be consulted