The grant recipient has a process to ensure children become and remain upto-date on medical and oral health care, including needs for referrals and follow-up care. 1302.40(b); 1302.42(a)(1); 1302.42(b)(1)(i); 1302.42(b)(2); 1302.42(c); and 1302.42(d)(2) Elements of this measure include but are not limited to how the grant recipient:

· Determines that all children have ongoing sources of health care and health insurance coverage within 30 days

· Confirms that a health care provider has made initial determinations of medical and oral care for all children within 90 days

· Monitors vision and hearing screenings for all children within 45 days

· Supports child and families to become up-to-date on preventative medical and oral health care

· Tracks referrals and follow-up services for children who were identified through the screening process

The grant recipient develops a positive program environment, in partnership with a qualified mental health consultant, that promotes the mental health and socialemotional well-being of children. 1302.45(a)(2); 1302.45(b)(2); and 1302.45(b)(3) Elements of this measure include but are not limited to how the grant recipient:

· Maintains an active arrangement with a mental health consultant

· Uses the mental health consultant to provide consultation and observation to support program staff to meet the mental health and social-emotional needs of children

· Uses various methods and approaches to build skills and capacity of all staff who regularly interact with children

The grant recipient develops positive discipline practices and policies that prohibit the use of expulsion and suspension. 1302.17(a) and 1302.17(b) Elements of this measure include but are not limited to how the grant recipient:

· Prohibits the use of expulsion in response to children’s behaviors

· Prohibits and/or severely limits the use of suspension in response to children’s behaviors

· Develops and implements developmentally appropriate behavior guidance and positive discipline policies and practices

· Provides training on health and safety practices and expectations to staff

· Follows a process to ensure that all violations of supervision, unauthorized release, and/or inappropriate discipline are reported to the Regional Office in a timely manner

The grant recipient has an approach to maintain safe environments through staff training and ongoing oversight of facility, equipment, and material safety. 1302.47(b)(1)(iii); 1302.47(b)(1)(ix); and 1302.47(b)(2)(v) Elements of this measure include but are not limited to how the grant recipient:

· Establishes systems to identify potential safety risks daily and ongoing, including exposure to lead in paint and water

· Conducts preventative maintenance and corrects identified safety issues

· Monitors and completes all necessary background checks

The grant recipient has a process to facilitate connections services for each expectant family and support newborn services following the birth of the infant. 1302.80(c); 1302.80(d); and 1302.81 Elements of this measure include but are not limited to how the grant recipient:

· Provides education and support across various topics relevant for expectant families, including pregnant women and their partners

· Facilitates connections and referrals for expectant families to access comprehensive services that meet families’ needs

· Schedules a newborn visit with each expectant family and baby within two weeks of the baby’s birth

Report #3015

Reports: Health Insurance #9706, Medical Home #9707

Reports: #3065

Reports: #3065

Reports: #3015,

Report # 3065

This is on the monthly CD checklist as an item that needs to be completed by the end of each month.