Arizona Department of Economic Security; Written Findings and Decision and Compliance Agreement Under the Infants and Toddlers With Disabilities Program-Part C of the Individuals With Disabilities Education Act, 10828-10853 [05-4199]
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10828
Federal Register / Vol. 70, No. 42 / Friday, March 4, 2005 / Notices
DEPARTMENT OF EDUCATION
Arizona Department of Economic
Security; Written Findings and
Decision and Compliance Agreement
Under the Infants and Toddlers With
Disabilities Program—Part C of the
Individuals With Disabilities Education
Act
Office of Special Education
Programs, Office of Special Education
and Rehabilitative Services, Department
of Education.
ACTION: Notice of written findings and
decision and compliance agreement.
AGENCY:
SUMMARY: Section 457 of the General
Education Provisions Act (GEPA)
authorizes the U.S. Department of
Education (Department) to enter into a
compliance agreement with a recipient
that is failing to comply substantially
with Federal program requirements. In
order to enter into a compliance
agreement, the Department must
determine, in written findings, that the
recipient cannot comply until a future
date with the applicable program
requirements and that a compliance
agreement is a viable means of bringing
about such compliance. On December
16, 2004, the Department entered into a
compliance agreement with the Arizona
Department of Economic Security (DES).
Under section 457(b)(2) of GEPA, the
written findings and decision and
compliance agreement must be
published in the Federal Register.
FOR FURTHER INFORMATION CONTACT: Julia
Martin, U.S. Department of Education,
400 Maryland Avenue, SW., room 4037,
Potomac Center Plaza, Washington DC
20004–2600. Telephone (202) 245–7431.
If you use a telecommunications
device for the deaf (TDD), you may call
the Federal Relay Service (FRS) at 1–
800–877–8339.
Individuals with disabilities may
obtain this document in an alternative
format (e.g., Braille, large print,
audiotape, or computer diskette) on
request to the contact person listed
under FOR FURTHER INFORMATION
CONTACT.
SUPPLEMENTARY INFORMATION: Under
Part C of the Individuals with
Disabilities Education Act (Part C), the
Department provides funds to States to
‘‘maintain and implement a statewide,
comprehensive, coordinated,
multidisciplinary, interagency system to
provide early intervention services for
infants and toddlers with disabilities
and their families.’’ 20 U.S.C. 1433,
1435(a)(2), 1437(a)(3)(A). Early
intervention services are services that
are, among other things, ‘‘designed to
meet the developmental needs of an
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infant or toddler with a disability in any
one or more of the following areas—(i)
physical development; (ii) cognitive
development; (iii) communication
development; (iv) social or emotional
development; or (v) adaptive
development’’; ‘‘are provided by
qualified personnel’’; ‘‘to the maximum
extent appropriate, are provided in
natural environments, including the
home, and community settings in which
children without disabilities
participate’’; and ‘‘are provided in
conformity with an individualized
family service plan adopted in
accordance with section 1436 of this
title.’’ 20 U.S.C. 1432(4)(C), (F), (G) and
(H).
On March 15, 2004, in response to
Arizona’s Part C Federal fiscal year
(FFY) 2001 Annual Performance Report
(APR) and following a State verification
monitoring visit by the Department’s
Office of Special Education Programs
(OSEP) to Arizona in December 2003,
OSEP issued two letters documenting
DES’s continued non-compliance with
the following four requirements:
(1) Utilizing effective monitoring
procedures to ensure the identification
and correction of noncompliance with
Part C under 34 CFR 303.501;
(2) Conducting evaluations and
assessments and holding the initial
Individualized Family Service Plan
(IFSP) meeting within 45 days from
referral under 34 CFR 303.321(e)(2),
303.322(e)(1) and 303.342(a);
(3) Providing in a timely manner to all
eligible infants and toddlers with
disabilities, including infants and
toddlers on reservations, early
intervention services identified on the
child’s IFSP under 34 CFR 303.342(e);
and
(4) Ensuring that all service
coordination functions are implemented
under 34 CFR 303.23 and 303.344(g).
These same noncompliance findings
were four of the seven findings
originally identified in OSEP’s 2000
Arizona Part C Monitoring Report.
On March 25, 2004, DES Director,
David Berns, requested that the
Department consider entering into a
Compliance Agreement with DES under
Part C of the IDEA. Before entering into
a compliance agreement, the
Department must hold a hearing at
which the recipient, individuals
affected by any potential compliance
agreement, including infants and
toddlers with disabilities and their
families or other representatives, and
other interested parties are invited to
participate. In that hearing, the recipient
has the burden of persuading the
Department that: (1) Full compliance
with the applicable requirements of law
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is not feasible until a future date; and (2)
that a compliance agreement is a viable
means for bringing about such
compliance in no more than three years.
20 U.S.C. 1234f(b)(1) and (c). If, on the
basis of all the evidence available, the
Secretary determines that the recipient
has met that burden, the Secretary is to
make written findings to that effect and
publish those findings, together with the
substance of the compliance agreement,
in the Federal Register. 20 U.S.C.
1234f(b)(2).
On May 20, 2004, Department
officials conducted a public hearing in
Phoenix, Arizona regarding DES’s
ability to meet certain Part C
requirements. The testimony and
materials either presented at the
hearing, or submitted in relation to the
hearing, by DES representatives, other
State agency representatives, parent and
State Interagency Coordinating Council
representatives, Part C early
intervention providers, and other
affected or interested individuals
confirmed that, as required under 20
U.S.C. 1234f, full compliance with Part
C requirements by DES is genuinely not
feasible until a future date, but that DES
will be able to come into full
compliance with Part C within three
years. Testimony and written
submissions supported the development
of a compliance agreement that would
bring DES into compliance with Part C
as soon as feasible and would allow
continuation of Part C funding by OSEP
to Arizona during this process. As
indicated in the Secretary’s Written
Findings and Decision of the Secretary,
the Department has determined that a
compliance agreement is appropriate to
address the four areas of Part C noncompliance.
As required by section 457(b)(2) of
GEPA, 20 U.S.C. 1234f(b)(2), the text of
the Secretary’s Decision is set forth as
Appendix A and the Compliance
Agreement is set forth as Appendix B of
this notice.
Electronic Access to This Document
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as all other Department of Education
documents published in the Federal
Register, in Text or Adobe Portable
Document Format (PDF), on the Internet
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using PDF, call the U.S. Government
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at (202) 512–1530.
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Note: The official version of this document
is the document published in the Federal
Register. Free Internet access to the official
edition of the Federal Register is available on
GPO access at: https://www.gpoaccess.gov/
nara/.
(Authority: 20 U.S.C. 1234c, 1234f, 1431
through 1445)
Dated: February 25, 2005.
John H. Hager,
Assistant Secretary for Special Education and
Rehabilitative Services.
Department of Education
In the matter of the Request of the Arizona
Department of Economic Security to Enter
into a Compliance Agreement; Written
Findings and Decision of the Secretary.
I. Introduction
The United States Department of Education
(Department) has determined, pursuant to 20
U.S.C. 1234c, that the Arizona Department of
Economic Security (DES) has failed to
comply substantially with the requirements
of Part C of the Individuals with Disabilities
Education Act (Part C or IDEA), codified at
20 U.S.C. 1401 through 1407 and 1431
through 1445, and its implementing
regulations at 34 CFR part 303. DES is the
lead agency designated by the Governor of
Arizona to implement Arizona’s statewide
system of early intervention services under
Part C of the IDEA. The Arizona Early
Intervention Program (DES/AzEIP) is the
office within DES that is responsible for the
daily administration and oversight of
Arizona’s early intervention program for
infants and toddlers with disabilities and
their families under Part C of the IDEA.1
On March 15, 2004, in response to
Arizona’s Part C Federal fiscal year (FFY)
2001 Annual Performance Report (APR) and
following a State verification monitoring visit
by the ED Office of Special Education
Programs (OSEP) to Arizona in December
2003, OSEP issued two letters documenting
DES’s continued noncompliance with the
following four Part C requirements:
(1) Utilizing effective monitoring
procedures to ensure the identification and
correction of noncompliance with Part C
under 34 CFR 303.501;
(2) Conducting evaluations and
assessments and holding the initial
Individualized Family Service Plan (IFSP)
meeting within 45 days from initial referral
under 34 CFR 303.321(e)(2), 303.322(e)(1)
and 303.342(a);
(3) Providing in a timely manner all early
intervention services identified on the IFSP
to all eligible infants and toddlers with
disabilities, including infants and toddlers on
reservations, under 34 CFR 303.342(e); and
1 The Arizona Part C early intervention statewide
system of services comprises the following State
agencies and its contractors: (1) DES (which
includes AzEIP, and the Division of Developmental
Disabilities (DDD) (another unit within DES, and
which is a major early intervention service provider
in Arizona), (2) the Arizona State Schools for the
Deaf and the Blind (ASDB), (3) the Arizona
Department of Health Services (ADHS), (4) the
Arizona Department of Education (ADE), and (5) the
Arizona Health Care Cost Containment System
(AHCCCS).
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(4) Ensuring that all service coordination
functions are implemented under 34 CFR
303.23 and 303.344(g).
These four noncompliance findings were part
of seven findings originally identified in
OSEP’s 2000 Arizona Part C Monitoring
Report.2 As noted below, although DES has
addressed three of the findings from OSEP’s
2000 monitoring report, DES has indicated,
and the Department has determined, that
DES will need additional time to make
systemic changes in its monitoring, data,
service delivery, and other systems in order
to ensure correction of the remaining four
findings.
During OSEP’s December 2003 verification
visit to the State, DES and OSEP officials
discussed the possibility of a compliance
agreement, which would allow the State up
to three years to correct noncompliance that
the State could not effectively correct within
a shorter period of time. On March 25, 2004,
DES sent a letter to OSEP requesting that
OSEP consider entering into a compliance
agreement as a way to resolve the State’s Part
C noncompliance issues. On May 20, 2004,
Department officials conducted a public
hearing in Arizona in accordance with the
GEPA requirements of 20 U.S.C. 1234f(b), at
which oral and written testimony were
received. Witnesses representing DES/AzEIP,
the State Interagency Coordinating Council
(SICC), other DES/AzEIP state agency
partners, early intervention providers and
other concerned organizations (including
State stakeholders) testified at this hearing on
the question of whether the Department
should grant DES’s request to enter into a
Compliance Agreement. Additional written
testimony was submitted to the Department
both prior to and after the public hearing.
The Department has reviewed all oral and
written testimony submitted, the Compliance
Agreement DES has signed, and other
relevant materials.3 On the basis of this
evidence, the Department concludes, and
issues these written findings as required by
2 OSEP’s Monitoring Report, issued on May 22,
2000, identified the following seven findings of
noncompliance with Part C:
(1) General Supervision: 34 CFR 303.501—
Ineffective Monitoring Procedures to Ensure
Consistent Implementation of Part C;
(2) Child Find: 34 CFR 303.321 and 303.320—
Development of a Comprehensive, Coordinated,
Statewide Child Find System;
(3) Failure to Disseminate Public Awareness
Information to Primary Referral Sources;
(4) Failure under 34 CFR 303.322(e)(1) to convene
the initial Individualized Family Service Plan
(IFSP) meeting within 45 days from initial referral
including identification of all needed services;
(5) Failure under 34 CFR 303.322(e)(2) to
appropriately extend timelines for evaluations and
assessments and to routinely and inappropriately
develop interim IFSPs;
(6) Failure to provide all services to all eligible
children under 34 CFR 303.322 including children
on reservations; and
(7) Failure to ensure under 34 CFR 303.23(a)(2)
that all service coordination functions are
implemented.
3 A copy of the Compliance Agreement is
attached as Appendix A to these Written Findings
and Decision.
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20 U.S.C. 1234f(b)(2), that DES has met its
burden of establishing that:
(1) Compliance by DES with Part C is not
feasible until a future date, and
(2) DES will be able to carry out the terms
and conditions of the Compliance Agreement
it has signed and will come into full
compliance with Part C by the end of the
term of this Agreement.
During the effective period of the
Compliance Agreement, which expires three
years from the date of this decision, DES will
continue to be eligible to receive Part C funds
as long as it complies with all the terms and
conditions of the Agreement.
II. Legal Basis for Entering Into a
Compliance Agreement: Requirements
Under Part C and GEPA
A. Part C Requirements
Part C was passed in response to
Congress’s finding that ‘‘there is an urgent
and substantial need * * * to enhance the
development of infants and toddlers with
disabilities and to minimize their potential
for developmental delay.’’ 20 U.S.C.
1431(a)(1). Congress established Part C ‘‘to
provide financial assistance to States * * *
to develop and implement a statewide,
comprehensive, coordinated,
multidisciplinary, interagency system that
provides early intervention services for
infants and toddlers with disabilities and
their families.’’ 4 20 U.S.C. 1441(b)(1). Early
intervention services are defined as
‘‘developmental services that:—
(A) Are provided under public supervision;
(B) Are provided at no cost except where
Federal or State law provides for a system of
payments by families, including a schedule
of sliding fees;
(C) Are designed to meet the
developmental needs of an infant or toddler
with a disability in any one or more of the
following areas—(i) physical development;
(ii) cognitive development; (iii)
communication development; (iv) social or
emotional development; or (v) adaptive
development;
(D) Meet the standards of the State in
which they are provided, including the
requirements of this part;
(E) Include [list of early intervention
services such as speech, occupational,
physical therapy, etc.];
(F) Are provided by qualified personnel
* * *;
(G) To the maximum extent appropriate,
are provided in natural environments,
including the home, and community settings
4 An ‘‘infant or toddler with a disability’’ ‘‘(A)
means an individual under 3 years of age who
needs early intervention services because the
individual (i) is experiencing developmental delays,
as measured by appropriate diagnostic instruments
and procedures in one or more of the areas of
cognitive development, physical development,
communication development, social or emotional
development, and adaptive development; or (ii) has
a diagnosed physical or mental condition which has
a high probability of resulting in developmental
delay; and (B) may also include, at a State’s
discretion, at-risk infants and toddlers.’’ 20 U.S.C.
1432(5). Arizona does not include ‘‘at-risk infants
and toddlers’’ in its definition of ‘‘infants and
toddlers with disabilities.’’
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in which children without disabilities
participate; and
(H) Are provided in conformity with an
individualized family service plan [IFSP]
adopted in accordance with section 636 [20
U.S.C. 1436].’’
20 U.S.C. 1432(4); 34 CFR 303.12.
In order to ensure that early intervention
services are provided in compliance with
Part C, a State must ensure it has a statewide
system that addresses Part C requirements
regarding: general supervision (including
monitoring and data collection and
reporting), child find and public awareness,
timely evaluations and assessments, IFSP
development, provision of early intervention
services in natural environments, and
transition planning. Under Part C, the lead
agency’s general supervision responsibilities
include: (1) Monitoring for compliance and
performance, (2) ensuring correction and
enforcement of identified deficiencies, (3)
providing technical assistance and training
and (4) ensuring the provision of procedural
safeguards through the due process and State
complaint procedures. 20 U.S.C.
1435(a)(10)(A); 34 CFR 303.501, 303.403,
303.420, and 303.510 through 303.512. The
Part C general supervision requirements must
be read in conjunction with DES’s
responsibility under GEPA at 20 U.S.C.
1232d(b)(3), to adopt and use proper methods
of administering the Part C program,
including, among other requirements: (1)
Monitoring of agencies, institutions, and
organizations responsible for carrying out
Part C; (2) the enforcement of the obligations
imposed on those agencies, institutions, and
organizations under Part C; (3) providing
technical assistance, where necessary, to
such agencies, institutions, and
organizations; and (4) the correction of
deficiencies in program operations that are
identified through monitoring or evaluation.
Under Part C, the lead agency is required
to ensure that all programs and activities
used by the State to carry out Part C (whether
or not they receive Part C funds) are
monitored for compliance with Part C
requirements and that interagency
agreements are in place to ensure that
services are provided in a timely manner. 20
U.S.C. 1435(a)(10)(A); 34 CFR 303.501 and
303.523 through 303.528. When the lead
agency determines that program providers
and other agencies, institutions and
organizations that are part of the Part C
system in a State are not in compliance, Part
C requires the lead agency to enforce the
requirements of Part C and correct
deficiencies that are identified through
monitoring and its general supervision
authority. 20 U.S.C. 1435(a)(10)(A); 34 CFR
303.501(b)(2) and (4). The lead agency is also
responsible for providing technical assistance
and training to agencies, institutions and
organizations that administer the Part C
program. 20 U.S.C. 1435(a)(10)(A); 34 CFR
303.501(b)(3). Part C requires that there be a
single line of responsibility and clear
interagency guidelines to ensure that one
agency, the lead agency, is responsible for
administering Part C in the State. 20 U.S.C.
1435(a)(10)(A); 34 CFR 303.500. General
supervision has been a challenge for DES due
to the number of agencies that either directly
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provide or contract with private entities and
individuals to provide early intervention
services.
Other Part C requirements include
ensuring that all infants and toddlers with
disabilities and their families: are referred
into the program in a timely manner (34 CFR
303.321(e)(2), 303.322(e)(1) and 303.342(a)),
are assigned a single service coordinator (34
CFR 303.23(a)(2)) who helps the child and
family through coordination and other
activities (34 CFR 303.23(a)(2) and (b)), are
evaluated in all five developmental areas (34
CFR 303.322(c)(3)(ii)), and, if determined
eligible, have IFSPs developed in a timely
manner that address all content requirements
(34 CFR 303.342(a) and 303.344), are
provided those early intervention services
listed on their IFSP (34 CFR 303.342(e)), and
receive timely transition meetings and plans
as they exit the program (34 CFR 303.148(b)
and 303.344(h)). This system is intended to
be seamless so that an infant or toddler with
a disability and the family receive all
appropriate early intervention services to
meet the unique developmental needs of the
child and to support the family. DES’s failure
to comply with key Part C requirements
(monitoring and correction, timely
evaluations and assessments, service
coordination and provision of early
intervention services) have led to waiting
lists for infants and toddlers and their
families for evaluations and assessments as
well as early intervention services.
B. Authority To Enter Into a Compliance
Agreement Under Part C and GEPA
If a State fails to comply substantially with
the requirements of Part C, the IDEA
authorizes the Department to withhold funds
from that State or refer the matter to the
Department of Justice. 20 U.S.C. 1416(a) and
1442. GEPA provides the Department with
additional enforcement options for a grant
recipient that the Department concludes is
‘‘failing to comply substantially with any
requirements of law applicable to such
funds.’’ 20 U.S.C. 1234c. These remedies
include issuing a cease and desist order. 20
U.S.C. 1234c. As an alternative to
withholding funds, issuing a cease and desist
order, or referral to the Department of Justice,
the Department may enter into a Compliance
Agreement with a recipient that is failing to
comply substantially with specific program
requirements. 20 U.S.C. 1234f. In this
instance, and at DES’s request, the
Department has determined it is appropriate
to address DES’s failure to comply
substantially with the requirements of Part C
through a Compliance Agreement.
The purpose of a Compliance Agreement is
‘‘to bring the recipient into full compliance
with the applicable requirements of the law
as soon as feasible and not to excuse or
remedy past violations of such
requirements.’’ 20 U.S.C. 1234f(a). Before
entering into a Compliance Agreement, the
Department must hold a public hearing at
which the recipient, affected infants and
toddlers with disabilities and their parents or
their representatives, and other interested
parties are invited to participate. At the
hearing, the recipient has the burden of
persuading the Department that: (1) Full
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compliance with the applicable requirements
of law is not feasible until a future date and
(2) a compliance agreement is a viable means
for bringing about such compliance in no
more than three years. 20 U.S.C. 1234f(b)(1).
If, on the basis of all the evidence available
to the Department, the Secretary determines
that the recipient has met that burden, the
Secretary is to make written findings to that
effect and publish those findings and the
Secretary’s decision, together with the
substance of the Compliance Agreement, in
the Federal Register. 20 U.S.C. 1234f(b)(2).
A Compliance Agreement must set forth an
expiration date not later than 3 years from
the date of the Secretary’s written findings
and decision under 20 U.S.C. 1234f(b)(2), by
which time the recipient must be in full
compliance with all program requirements.
In addition, the Compliance Agreement must
contain the terms and conditions with which
the recipient must comply during the period
that the Agreement is in effect. 20 U.S.C.
1234f(c). If the recipient fails to comply with
any of the terms and conditions of the
Compliance Agreement, the Department may
consider the Agreement no longer in effect
and may take any action authorized by law,
including withholding of funds, issuing of a
cease and desist order, or referring the matter
to the Department of Justice. 20 U.S.C.
1234f(d).
III. DES’s Ability To Meet the Requirements
of the Compliance Agreement
In determining whether it is appropriate to
enter into a Compliance Agreement with
DES, the Department must first determine
two issues. First, the Department must
determine: Can DES come immediately into
compliance with Part C (including its
monitoring, timely evaluations and
assessments, service coordination and
provision of early intervention services
requirements)? 20 U.S.C. 1234f(b). Second,
the Department must determine: Will DES be
able to come into compliance with the
applicable Part C requirements within a
period of no more than three years? If the
Department cannot answer the first question
in the negative and the second question in
the affirmative, then it is inappropriate for
the Department to enter into a Compliance
Agreement with DES under 20 U.S.C. 1234f.
In arriving at the terms of the Compliance
Agreement, DES must not only come into full
compliance by the end of the effective period
of the Compliance Agreement, it must also
make steady and measurable progress toward
the Agreement’s objectives while it is in
effect.
A. DES Cannot Immediately Come Into
Compliance With Part C Requirements
DES’s failure to comply with four major
Part C requirements, as documented in
OSEP’s March 15, 2004 monitoring and APR
letters and OSEP’s 2000 monitoring report
and acknowledged by DES, is caused by a
number of complicating factors such as the
fact that early intervention services in
Arizona are provided through a number of
different interagency and intra-agency
programs and private contractors and
provided in rural settings including
reservations, and, as a result, cannot be
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corrected immediately. DES’s testimony and
that of other witnesses at the Department’s
May 20, 2004 public hearing (including other
State agency representatives, providers, SICC
representatives and other Part C
stakeholders) provided compelling support
for this conclusion.
1. DES Cannot Come Into Compliance
Immediately With the Four Part C
Requirements That Were the Subject of
OSEP’s Findings
As noted below and confirmed through the
testimony of DES, State agency
representatives, early intervention providers,
Arizona SICC representatives and others,
DES is not in compliance now, and cannot
immediately come into compliance, with the
following specific Part C requirements that
were ongoing findings of noncompliance
originally identified in OSEP’s 2000 report
and reiterated in OSEP’s March 15, 2004
letters (following OSEP’s December 2003
verification monitoring visit to the State):
(1) Utilizing effective monitoring
procedures to ensure the identification and
correction of noncompliance with Part C
under 34 CFR 303.501;
(2) Conducting evaluations and
assessments and holding the initial
Individualized Family Service Plan (IFSP)
meeting within 45 days from initial referral
under 34 CFR 303.321(e)(2), 303.322(e)(1)
and 303.342(a);
(3) Providing in a timely manner all early
intervention services identified on the IFSP
to all eligible infants and toddlers with
disabilities, including infants and toddlers on
reservations, under 34 CFR 303.342(e); and
(4) Ensuring that all service coordination
functions are implemented under 34 CFR
303.23 and 303.344(g).
2. DES Cannot Immediately Come Into
Compliance With Part C Due to the Need for
Major Systemic Changes To Address System
Capacity Issues, Coordinate Monitoring,
Policies, and Data Systems Across All
Participating Agencies and Providers and
Deliver Team-Based Services
At the May 20, 2004 hearing and in its
testimony, DES acknowledged that it is not
complying with Part C and cannot
immediately come into compliance with Part
C requirements. In her presentation, DES/
AzEIP Director Molly Dries identified at least
five major barriers to DES’s ability to come
into immediate compliance with Part C: (1)
The lack of a coordinated interagency
monitoring system to identify and correct
noncompliance; (2) the lack of interagency
coordination on policies and procedures to
ensure they reflect Part C requirements; (3)
the lack of coordinated data systems between
and within participating agencies to ensure
that Part C compliance elements are
reflected; (4) insufficient system capacity to
ensure adequate personnel to provide timely
evaluations and assessments and early
intervention services; and (5) a team-based
model of service delivery that can track
children from referral to exit from the Part C
program.
One major barrier to immediate
compliance is DES’s need to establish an
interagency monitoring system and
coordinated policies and procedures, since
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Arizona’s statewide system of early
intervention services involves efforts from
five different State agencies and two major
programs within DES as well as numerous
private contractors. Five different agencies
(including DES) conduct child find,
evaluations and assessments, and provide
service coordination and early intervention
services and transition planning. At the
public hearing, DES officials testified that
DES does not have a system to monitor its
intra- and interagency State counterparts that
provide early intervention services or the
private providers that conduct evaluations
and assessments and provide service
coordination and early intervention services
to infants and toddlers with disabilities and
their families. DES has just begun to establish
protocols for monitoring of all Part C
requirements but has yet to conduct
monitoring of other State agency partners.
DES has established a dialogue for working
with each of these agencies on an ongoing
basis to coordinate all Part C activities
including monitoring these agencies’
compliance with Part C requirements and
providing joint and collaborative training and
technical assistance. However, as noted by all
State agency representatives who testified at
the hearing, much work remains to be done.
As DeAnn Davies (SICC Chair) submitted in
her written testimony, ‘‘* * * state systems
were fragmented from each other. * * * The
state AzEIP office did not hold the critically
needed strength in order to demand
compliance from partnering agencies * * *.’’
DES must undertake major interagency
efforts to ensure that the monitoring systems
are coordinated, State agency partner data
systems reflect Part C requirements and all
agencies’ policies and procedures are aligned
with Part C requirements.
DES cannot immediately address this
barrier. The first critical step will be the
development of memoranda of agreements
that address each agency’s responsibility in
addressing Part C’s requirements. Another
critical step will be interagency cooperation
to allow DES to monitor, based on Part C
standards, each State participating agency for
Part C requirements such as timely
evaluations and assessments and provision of
early intervention services and service
coordination. DES also intends to align with
its other agency partners all participating
programs’ and agencies’ policies and
procedures on substantive Part C
requirements. Defining the respective
agencies’ responsibilities, implementing an
interagency monitoring system that can
identify and correct noncompliance, and
aligning policies and procedures are all
necessary to ensure compliance with Part C.
A second barrier is the need for DES/AzEIP
to review (and revise if necessary) its data
system (ACTS) to ensure that it includes
critical Part C compliance elements and align
its data system with participating State
agencies and programs. DES officials testified
that ensuring complete and accurate data
reporting is critical for program evaluation
and decision-making. Securing baseline
compliance data is the first major step in
DES’s plan toward identifying and
addressing system capacity and other root
causes for each of the areas of noncompliance
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identified by OSEP. At the time of OSEP’s
December 2003 verification monitoring visit,
DES did not collect data on the number of
infants and toddlers waiting for evaluations
and assessments and the number of infants
and toddlers with disabilities and their
families who were waiting for early
intervention services. DES will revise its
ACTS data system to collect and report on
this information. Revising and verifying its
new data system and aligning it with other
State agency data systems will take DES more
than one year. Effectively utilizing the data
from the new data system as part of its new
monitoring system to verify both
noncompliance areas and corrective action
results will take DES even longer.
Another major barrier that affects DES’
ability to comply with Part C is the capacity
of the system to serve the number of infants
and toddlers referred to the program. One
possible cause is the lack of sufficient
qualified personnel to conduct evaluations
and assessments and provide early
intervention services. Testimony from DES
officials, tribal representatives, and early
intervention providers cited personnel
recruitment and retention, provider rate
structure and other personnel and system
issues as among the major challenges for
timely evaluations and assessments and early
intervention service delivery. DES cannot,
acting on its own, immediately address this
personnel shortage. DES has been unable to
find providers who are willing to travel to
rural areas or reservations or, in some cases,
has discovered that different agency or
funding source service provider rate
structures create disincentives for provision
of early intervention services in natural
environments. Under the Compliance
Agreement, DES will develop relationships
with institutions of higher education, and
also will develop regional service provider
directories to better track existing personnel
and recruit and retain new personnel in
needed professions. Removing these system
capacity barriers and obtaining needed
personnel will require a long-term effort that
will involve working with other
organizations in Arizona to ensure that
qualified personnel are available to conduct
evaluations and assessments and provide
early intervention services.
Finally, DES identified the lack of a
streamlined system from referral to service
delivery and a team-based approach for
delivering services as barriers to the timely
provision of evaluations and assessments and
early intervention services. As Mary Ann
Sheely, an early intervention occupational
therapy provider, noted in her testimony,
‘‘* * * the process of evaluating a child and
then determining the appropriate services
still lacks coordination and clear
communication methods with families. The
current system is too complicated, due to the
many steps it takes to complete.’’ However,
as DES officials and State agency witnesses
testified, envisioning and implementing such
a system from the initial planning process
(IPP) to the delivery of all early intervention
services by all participating agencies and
providers cannot occur immediately;
interagency agreements, policies and
procedures, and provider contracts must all
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be reviewed and revised to ensure
consistency in a service delivery model that
maximizes personnel resources while
ensuring that early intervention services are
coordinated for the infant or toddler with a
disability and his or her family.
3. Testimony From Arizona State Agency
Representatives, Early Intervention
Providers, SICC Representatives and Others
All Confirms That DES Cannot Immediately
Come Into Compliance
Testimony from other individuals also
confirmed that DES cannot come into full
compliance with Part C requirements
immediately. Representatives from other
Arizona agencies that provide early
intervention services, early intervention
service providers, SICC representatives and
others all testified that DES will need
additional time to achieve full compliance.
David Bern, DES Director, confirmed that
although DES does not wish to take more
time than necessary, DES will need
additional time to address the remaining
findings. Representatives from five other
State Part C agency partners (Ida Fitch of
DDD, Sue Juarez of ACCESS, Lynn Busenbark
of ADE, Barbara Hess of ADHS, and Judy
Parish of ASDB) testified that DES needs
more time to ensure interagency coordination
among the agencies that are part of the early
intervention system in Arizona and align
data systems and policies and procedures.
Maria Bravo, SICC Vice-Chair and a
grandparent of a child with a disability,
testified that DES needed more time to work
with its interagency partners.
Other witnesses, including private
contractors, SICC representatives, parents of
children with disabilities, and early
intervention providers, confirmed that DES
continues to face long-term challenges in
complying with Part C, including system
capacity issues and availability of qualified
personnel to provide evaluations and
assessments and early intervention services.
Testimony from these witnesses confirmed
that waiting lists continue to exist for
evaluations and assessments and for early
intervention services, although a few
witnesses testified that the waiting lists
appear to be decreasing. (Melanie Taylor (a
parent) described how the delays had
previously been as long as six months;
Annabelle Ratley (of the Blake Foundation)
noted that children are being seen sooner and
eligibility is being determined faster; and
George Hatchell (of DES/AzEIP) talked about
the time for development of an IFSP
decreasing such that fewer eligible children
and their families were waiting for their
IFSPs to be developed.) Early intervention
service providers, including speech language
pathologists, occupational therapists and
physical therapists, also submitted testimony
noting that timeliness of evaluations and
assessments and of provision of services was
a problem due to system capacity issues and
confusion regarding roles and responsibilities
of service coordinators and early intervention
providers. Judy Capps of the Gilah Indian
River Community (GIRC) testified for the
need for additional time to ensure, among
other things, that its data system was aligned
with DES/AzEIP’s data system.
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The evidence gathered by the Department
at the public hearings and through its
monitoring of DES’s early intervention
program confirms that DES is not able to
immediately come into compliance with the
requirements of Part C. These problems are
not isolated examples of noncompliance that
can be quickly or easily corrected, but the
outgrowth of systemic failures, for which
systemic change is needed. The Department,
therefore, concludes that DES cannot come
into immediate compliance with the
requirements of Part C.
B. DES Can Come Into Compliance With Part
C Within Three Years
The Department has concluded that DES
can meet the terms and conditions of the
attached Compliance Agreement and come
into full compliance with Part C within three
years. The Compliance Agreement sets forth
clear goals, outcomes and objectives, specific
activities to reach those results, and timelines
including target completion dates. Testimony
at the hearing supports the conclusion that
DES is committed to making the necessary
changes to come into compliance with Part
C. For example, SICC member Connie Shore
noted that DES had undertaken significant
steps to address those areas of
noncompliance that were in its direct control
immediately after OSEP’s initial on-site
monitoring visit and such efforts indicate
DES’s ability to implement its plan for
achieving compliance. These steps included
developing a model IFSP form, developing
and disseminating appropriate public
awareness materials, and outlining a plan for
a monitoring system. GIRC representative
Judy Capps indicated that the number of
infants and toddlers with disabilities served
at the Gilah Indian River Community
increased from 19 to 99 and over 400
potentially eligible children were screened
during her short tenure (less than three
years). Annabelle Ratley of the Blake
Foundation (a private contractor that
contracts with all participating State agencies
except for ASDB) indicated that IFSPs look
different and are more individualized now.
To ensure that DES remedy the areas of
noncompliance as soon as possible, the
Compliance Agreement sets forth realistic
and specific timelines for accomplishing
each objective. DES officials and other
witnesses testified that DES had already
implemented the following actions to fully
address three of OSEP’s seven findings of
noncompliance and begin to address the
remaining four findings:
—Development and implementation of intraand interagency training on Part C;
—Development of model IFSP form to
include all federally required elements;
—Development and distribution of
appropriate public awareness materials;
—Increase in referrals from and number of
children served in certain Indian
reservations; and
—Training and professional development of
service coordinators.
The actions that remain are long-term
strategies to address the principal barriers
identified by DES for the successful
implementation of Part C. Thus, the
Compliance Agreement contains specific
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plans to develop effective interagency
monitoring and cooperation mechanisms
regarding collection and reporting of data
and compliance policies and procedures. It
also requires a review and analysis of system
capacity issues including short-term and
long-term personnel identification,
recruitment and retention policies. Finally, it
provides for the delivery of early intervention
services based on a team-based model.
The Compliance Agreement also
establishes realistic goals and systemic
strategies—which will be monitored by the
Department—for bringing DES into
compliance with Part C. The Compliance
Agreement addresses the four major areas of
DES’s noncompliance with Part C, namely:
(1) General Supervision, (2) Timely
Evaluations and Assessments and IFSP
Development, (3) Timely Provision of Early
Intervention Services, and (4) Service
Coordination. Under each of these
Compliance Agreement areas, DES sets out
objectives as well as specific steps that it will
take to achieve its objectives and address the
noncompliance areas that are at issue in
OSEP’s monitoring report. The Compliance
Agreement also identifies the key parties
(including DES, other State agencies and
stakeholder groups including the SICC), that
will take responsibility for carrying out each
of the strategies. Thus, specific parties can be
held accountable if an activity delineated in
the Compliance Agreement is not properly
implemented.
In addition to specifying overall
compliance goals, a plan for meeting them,
and the party responsible for implementing
the specific action steps, the Compliance
Agreement also sets out interim objectives
that DES must meet during the next three
years in attaining compliance with Part C.
DES not only is committed to being in full
compliance with Part C within three years,
but also has a plan to address each objective
in as timely a manner as possible. The
Compliance Agreement sets forth the data
collection and reporting procedures that DES
will follow. These provisions will enable the
Department to determine whether or not DES
is meeting each of its commitments under the
Compliance Agreement. The Compliance
Agreement, because of the obligations it
imposes on DES, will provide the
Department with the information and
authority it needs to protect the Part C rights
of Arizona infants and toddlers with
disabilities.
DES has developed a comprehensive plan
to address the underlying causes of its failure
to comply with Part C. For these reasons, the
Department concludes that DES can meet all
the terms and conditions of the Compliance
Agreement and come into full compliance
with Part C no later than three years from the
date of the Agreement.
IV. Conclusion
For the foregoing reasons, the Department
finds that: (1) Full compliance by DES with
the requirements of Part C is not feasible
until a future date, and (2) DES can meet the
terms and conditions of the attached
Compliance Agreement and come into full
compliance with the requirements of Part C
within three years of the date of this
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decision. Therefore, the Department
determines that it is appropriate for this
agency to enter into a Compliance Agreement
with DES. Under the terms of 20 U.S.C.
1234f, this Compliance Agreement becomes
effective the date these Written Findings and
Decision are signed by the Secretary.
Dated: December 16, 2004.
From Rod Paige,
Secretary, U.S. Department of Education.
Appendix A: Arizona Part C Compliance
Agreement.
Compliance Agreement—Under Part C
of the Individuals With Disabilities
Education Act (IDEA), the Infants and
Toddlers With Disabilities Program,
Between the United States Department
of Education and the Arizona
Department of Economic Security
I. Introduction/Background
This Compliance Agreement is entered into
under the General Education Provisions Act
(GEPA) (at 20 U.S.C. 1234f) between the
United States Department of Education (the
Department or ED) and the State of Arizona
through the Arizona Department of Economic
Security (DES) to address certain
requirements under Part C of the Individuals
with Disabilities Education Act (IDEA)
(codified at 20 U.S.C. 1401 through 1407 and
1431 through 1445) and its implementing
regulations (at 34 CFR part 303).
Under section 1234f of GEPA, the
Department may enter into a Compliance
Agreement with the purpose of bringing a
grant recipient (DES) into full compliance
with the applicable requirements of law as
soon as feasible and not to excuse or remedy
past violations. Before entering into a
compliance agreement, the Department must
hold a hearing where the recipient and other
affected and interested parties are invited to
participate. Compliance agreements must
contain an expiration date not later than
three years from the date of the Written
Findings and the terms and conditions with
which the recipient must comply until it is
in full compliance. A compliance agreement
allows a recipient to continue to receive its
grant award while it works toward achieving
full compliance under the terms of the
agreement.
On March 15, 2004, in response to
Arizona’s Part C Federal fiscal year (FFY)
2001 Annual Performance Report (APR) and
following a State verification monitoring visit
by the ED Office of Special Education
Programs (OSEP) to Arizona in December
2003, OSEP issued two letters documenting
DES’s continued noncompliance with the
following four requirements: (1) Utilizing
effective monitoring procedures to ensure the
identification and correction of
noncompliance with Part C under 34 CFR
303.501; (2) conducting evaluations and
assessments and holding the initial
Individualized Family Service Plan (IFSP)
meeting within 45 days from initial referral
under 34 CFR 303.321(e)(2), 303.322(e)(1)
and 303.342(a); (3) providing in a timely
manner all early intervention services
identified on the IFSP to all eligible infants
and toddlers with disabilities, including
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infants and toddlers on reservations, under
34 CFR 303.342(e); and (4) ensuring that all
service coordination functions are
implemented under 34 CFR 303.23 and
303.344(g). These same noncompliance
findings were four of the seven findings
originally identified in OSEP’s 2000 Arizona
Part C Monitoring Report. Although DES has
addressed three of the findings from OSEP’s
2000 monitoring report, DES has indicated
that it will need more than one year to make
systemic changes in its monitoring, data,
service delivery, and other systems in order
to ensure correction of these remaining four
findings.
On March 25, 2004, DES Director David
Berns requested that the Department consider
entering into a Compliance Agreement with
DES under Part C of the IDEA. In addition,
Mr. Berns invited OSEP to conduct public
hearings in Arizona as required by GEPA
prior to the establishment of a Compliance
Agreement. On May 20, 2004, OSEP
conducted a public hearing in Phoenix,
Arizona, regarding DES’s ability to meet
certain Part C requirements. The testimony
and materials either presented at the hearing,
or provided in relation to the hearing, by DES
representatives, other Arizona participating
agencies, Part C providers, and other affected
or interested individuals confirmed that, as
required under 20 U.S.C. 1234f, full
compliance with Part C requirements by DES
is genuinely not feasible until a future date,
but that DES will be able to come into full
compliance with Part C within three years.
Testimony and written submissions
supported the development of a compliance
agreement that would bring DES into
compliance with Part C as soon as feasible
and allow continuation of Part C funding by
OSEP to Arizona during this process. As
indicated in the Secretary’s Written Findings
and Decision of the ED Secretary (Secretary),
ED agrees that a compliance agreement is
appropriate to address noncompliance and
this document reflects the terms of the
Compliance Agreement.
II. Parties
The parties to this Compliance Agreement
under IDEA, Part C, are the U.S. Department
of Education and the Arizona Department of
Economic Security (DES). DES is the
designated lead agency under Part C of the
IDEA. The Arizona Early Intervention
Program (DES/AzEIP) is the office within
DES that is responsible for the daily
administration and oversight of Arizona’s
early intervention program for infants and
toddlers with disabilities and their families
under Part C of the IDEA.1 The Arizona Part
C program referred to herein includes the
AzEIP participating state agencies (DES,
1 The Arizona Part C early intervention statewide
system of services comprises the following State
agencies and its contractors: (1) DES (which
includes AzEIP, and the Division of Developmental
Disabilities (DDD) (another unit within DES, and
which is a major early intervention service provider
in Arizona), (2) the Arizona State Schools for the
Deaf and the Blind (ASDB), (3) the Arizona
Department of Health Services (ADHS), (4) the
Arizona Department of Education (ADE), and (5) the
Arizona Health Care Cost Containment System
(AHCCCS).
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10833
AHCCCS, ADE, ASDB and ADHS) and the
providers of early intervention services
(whether contractors of AzEIP or other state
agency entities).
III. Areas of Identified Noncompliance
Under the terms of this Compliance
Agreement, entered into pursuant to 20
U.S.C. 1234f, DES must be in full compliance
with the requirements of Part C of IDEA no
later than three years from the effective date
of this Agreement, which is the date the
Secretary signs the Written Findings of Fact
and Decision and the Compliance
Agreement. Specifically, DES must ensure
and document that no later than three years
from the effective date of this Agreement,
compliance is achieved in each of the
following four major areas:
1. General Supervision: DES is meeting its
general supervision responsibilities and
monitoring for compliance with all
requirements of Part C, including using
appropriate methods to administer the Part C
program. In particular, DES is: (1) Monitoring
state participating agencies/DES participating
programs and governmental or private
providers who deliver or contract to deliver
Part C services in Arizona; (2) enforcing
contractual and/or legal obligations regarding
Part C compliance; (3) providing training and
technical assistance as needed to providers
and governmental participants in the Part C
program; and (4) correcting deficiencies
identified through monitoring.
2. Timely Evaluation, Assessment and
Development of the IFSP: DES is ensuring
that all potentially eligible infants and
toddlers referred to Part C receive timely and
comprehensive evaluations in all five
developmental areas (cognitive, physical,
communication, social/emotional, and
adaptive skills). Evaluations and assessments
are completed and, if the infant or toddler is
eligible, the initial IFSP meeting is conducted
within 45 days of the date a referral is
received containing sufficient family contact
information to enable the Arizona Part C
program to contact the family.
3. Identification and Timely Provision of
All Early Intervention Services Specified in
IFSPs: DES is ensuring that all early
intervention services identified on the IFSPs
are linked to functional outcomes, which are
based on the current developmental needs of
eligible infants or toddlers with disabilities
and the resources, priorities and concerns of
their families. DES is also ensuring that all
early intervention services identified on the
IFSP are provided in a timely manner to all
eligible infants and toddlers with disabilities,
including Native American families and
children residing on reservations.
4. Service Coordination: DES is ensuring
that each eligible family has a single service
coordinator who: (1) Coordinates all services
across agency lines; (2) serves as the single
point of contact for the family to help parents
obtain the services and assistance they need;
(3) facilitates timely delivery of available
services; (4) seeks appropriate services
necessary to benefit the development of each
child served for the duration of the child’s
eligibility; and (5) ensures that all infants and
toddlers and their families receive
appropriate prior written notice and
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understand their procedural rights and
safeguards.
IV. Funding and Work Plans
During the term of the Compliance
Agreement, DES is eligible to receive Part C
funds if it complies with the terms and
conditions of this Agreement and all other
provisions of Part C not addressed by this
Agreement.
This Compliance Agreement specifies the
goals and timetables required for DES to
come into full compliance with its Part C
obligations in each of the four areas. DES is
required to submit documentation
concerning its compliance with enumerated
activities, goals and timetables. Included in
this Compliance Agreement are two
individual work plans (Attachments A and
B), which address the previously enumerated
areas of noncompliance with Part C
requirements. These work plans include
measurable outcomes, goals/objectives,
activities to achieve the goals, target
completion dates for each activity and goal,
and ways to verify compliance with the work
plans during the three-year term of this
Agreement. A report on progress made under
these work plans, reflecting activities/goals
met, any obstacles and other information as
to progress shall be submitted by DES
quarterly to OSEP. This reporting shall begin
the final day of the third month following the
effective date of this Agreement, and shall
continue quarterly throughout the term of
this Agreement. Attachment C, DES/AzEIP’s
Program Self-Assessment and Monitoring
Cycle, supports Attachment A, General
Supervision, and describes the schedule for
monitoring programs within the State.
Amendments to this Compliance
Agreement must be made in writing. If DES
determines that any items in the work plans
need to be changed or items need to be
deleted/added, DES will promptly submit to
OSEP in writing any requests for changes to
the work plans and the terms of this
Compliance Agreement. Within five working
days of receipt of any such request, OSEP
shall acknowledge via e-mail or letter that the
request was received and the date of receipt.
OSEP will respond in writing within a
reasonable period of time to DES’s written
requests for amendments. OSEP will review
proposed amendments for any activities to
achieve compliance including tasks,
timelines and reporting requirements; DES is
not required to implement those activities
that are the subject of proposed amendments
and are pending review by OSEP until OSEP
has provided its response regarding those
activities. Any requests for amendments to
the compliance agreement by the State will
be responded to in writing by OSEP.
V. Current Status, Goals/Measurable
Outcomes and Verification
Area 1: General Supervision
Current Status: The Department’s 2000
Monitoring Report found that DES did not
have a method for identifying and correcting
noncompliance with Part C requirements.
OSEP’s March 15, 2004 letter following its
December 2003 verification monitoring visit
to the State confirmed that, although DES
had piloted a partial monitoring system, it
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did not have in place a monitoring system to
ensure the monitoring of all entities that
provide Part C services as well as monitoring
for all Part C compliance requirements. In
addition, the March 15, 2004 letter
documented that DES did not have in place
methods to ensure the correction of any
identified noncompliance.
Outcome: DES will utilize effective
monitoring and general supervision
procedures to ensure the identification and
correction of noncompliance with Part C.
Measurable Goals:
Goal 1: DES will monitor all State or
contracted programs that provide Part C
services in Arizona, for compliance with all
Part C requirements.
Goal 2: DES will ensure that deficiencies
identified through monitoring are corrected
in a timely manner.
Verification: In its quarterly reports to
OSEP and through additional specific
reporting (as identified on the attached
workplans), DES shall submit verification
that it has: (1) Revised or replaced its
interagency agreement(s) among the AzEIP
participating State agencies to address all
Part C general supervision requirements; (2)
aligned policies and procedures across
agencies to include general supervision and
Part C compliance issues (on monitoring,
data collection, contract review and technical
assistance); (3) implemented a monitoring
system, which includes analysis of data to
identify and correct noncompliance and
ensuring correction of identified
noncompliance; (4) formalized an
interagency technical assistance system; (5)
revised its ACTS data system to expand data
collection and reporting functions,
incorporating timely data access and
management reporting at the local and State
AzEIP offices; and (6) incorporated data
elements and reports into the data systems of
other Part C participating State agencies.
Areas 2, 3, and 4: Early Intervention Services
in the Natural Environment (EIS–NE): Timely
Identification, Individualization and
Provision of All Early Intervention and
Service Coordination Services
Current Status: OSEP’s 2000 monitoring
report found that DES had failed to: (1)
Conduct evaluations and assessments and
hold the initial Individualized Family
Service Plan (IFSP) meeting within 45 days
from initial referral; (2) individualize, and
provide in a timely manner, all early
intervention services identified on the IFSP
to all eligible infants and toddlers with
disabilities, including infants and toddlers on
reservations; and (3) ensure that all service
coordination functions are implemented.
OSEP’s March 15, 2004 letter following its
December 2003 verification monitoring visit
to the State confirmed that the State had not
corrected these areas of noncompliance.
Outcomes: The initial IFSP meeting will be
held within 45 days of a referral and IFSPs
will be individualized based on the child and
family’s unique needs. All appropriate early
intervention services will be identified on the
IFSP and provided in a timely manner along
with service coordination for all eligible
infants and toddlers with disabilities,
including infants and toddlers on
reservations.
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Measurable Goals:
Goal 1: Initial IFSP meetings (and
evaluations and assessments) for all infants
and toddlers referred to Part C shall be
conducted within 45 days of the referral.
Goal 2: All IFSPs shall contain the early
intervention services that are needed by the
child and family to meet the functional
outcomes, which are based on the unique
strengths and needs of the child and the
resources, priorities and concerns of the
family. All eligible infants and toddlers with
disabilities and their families shall receive
the early intervention services identified on
their IFSP in a timely manner.
Goal 3: Each family shall have a single
designated service coordinator who shall: (1)
Coordinate all services across agency lines;
(2) serve as the single point of contact for the
family to help it obtain the services and
assistance it needs; (3) facilitate timely
delivery of available services; (4) seek
appropriate services necessary to benefit the
development of each child served for the
duration of the child’s eligibility; and (5)
ensure that all families receive appropriate
prior written notice and understand their
procedural rights and safeguards.
Verification: In its quarterly reports to
OSEP and through additional other specific
reporting (as identified on the attached work
plans), DES shall submit verification that it
has: (1) Evaluated the nature and cause of the
delays in system capacity issues (timely
evaluation and assessments and provision of
early intervention services) and implemented
appropriate and responsive recruitment and
retention strategies; (2) developed an
interagency, team-based service delivery
model that ensures compliance with timely
identification of infants and toddlers with
disabilities and provision of services to
infants and toddlers with disabilities and
their families while maximizing personnel
resources; (3) ensured that all service
coordination functions are implemented
statewide and across agencies; (4) aligned
policies and procedures across agencies to
ensure compliance with Part C requirements
regarding the 45-day timeline, identification
and timely provision of early intervention
services and service coordination functions;
(5) implemented a monitoring system, which
includes analysis of data to identify and
correct noncompliance and ensuring
correction of identified noncompliance
regarding 45-day timeline, identification and
timely provision of early intervention
services and service coordination functions;
(6) revised its ACTS data system to expand
data collection and reporting on Part C
requirements regarding 45-day timeline,
identification and timely provision of early
intervention services and service
coordination functions; and (7) incorporated
data elements and reports into the data
systems from other Part C participating state
agencies (to ensure compliance with 45-day
timeline, identification and timely provision
of early intervention services and service
coordination functions).
VI. Other Terms and Conditions
This Compliance Agreement is executed in
two original counterparts in order to provide
each party with an original. DES agrees that
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its continued eligibility to receive Part C
funds is predicated upon compliance with
statutory and regulatory requirements of that
program, which include requirements not
addressed specifically by this Agreement.
Any failure by DES to comply with the goals,
objectives, timetables, verification or other
provisions of the Compliance Agreement,
including the reporting requirements, will
authorize the Department to consider the
agreement no longer in effect. If DES fails to
comply with the terms of the Agreement, the
Department may take any actions authorized
under GEPA at 20 U.S.C. 1200 et seq. and the
IDEA at 20 U.S.C. 1401 et seq. (including
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1443–1445). Such actions may include
withholding of funds under the IDEA (42
U.S.C. 1416 and 1442), referral to the
Department of Justice, and other enforcement
mechanisms.
Attachments:
Attachment A: Area 1: General
Supervision.
Attachment B: Areas 2, 3 and 4: Early
Intervention Services in the Natural
Environment.
Attachment C: Program Self Assessment
and Monitoring Cycle.
Signed for the Arizona Department of
Economic Security:
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Dated: December 8, 2004.
David A. Berns,
Director.
Signed for the U.S. Department of
Education:
Dated: December 16, 2004.
Rod Paige,
Secretary.
Date this Compliance Agreement Becomes
Effective: December 16, 2004.
(Date on which written findings of fact and
decision are signed).
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[FR Doc. 05–4199 Filed 3–3–05; 8:45 am]
Agencies
[Federal Register Volume 70, Number 42 (Friday, March 4, 2005)]
[Notices]
[Pages 10828-10853]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-4199]
[[Page 10827]]
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Part IV
Department of Education
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Arizona Department of Economic Security; Written Findings and Decision
and Compliance Agreement Under the Infants and Toddlers With
Disabilities Program--Part C of the Individuals With Disabilities
Education Act; Notice
Federal Register / Vol. 70, No. 42 / Friday, March 4, 2005 /
Notices
[[Page 10828]]
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DEPARTMENT OF EDUCATION
Arizona Department of Economic Security; Written Findings and
Decision and Compliance Agreement Under the Infants and Toddlers With
Disabilities Program--Part C of the Individuals With Disabilities
Education Act
AGENCY: Office of Special Education Programs, Office of Special
Education and Rehabilitative Services, Department of Education.
ACTION: Notice of written findings and decision and compliance
agreement.
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SUMMARY: Section 457 of the General Education Provisions Act (GEPA)
authorizes the U.S. Department of Education (Department) to enter into
a compliance agreement with a recipient that is failing to comply
substantially with Federal program requirements. In order to enter into
a compliance agreement, the Department must determine, in written
findings, that the recipient cannot comply until a future date with the
applicable program requirements and that a compliance agreement is a
viable means of bringing about such compliance. On December 16, 2004,
the Department entered into a compliance agreement with the Arizona
Department of Economic Security (DES). Under section 457(b)(2) of GEPA,
the written findings and decision and compliance agreement must be
published in the Federal Register.
FOR FURTHER INFORMATION CONTACT: Julia Martin, U.S. Department of
Education, 400 Maryland Avenue, SW., room 4037, Potomac Center Plaza,
Washington DC 20004-2600. Telephone (202) 245-7431.
If you use a telecommunications device for the deaf (TDD), you may
call the Federal Relay Service (FRS) at 1-800-877-8339.
Individuals with disabilities may obtain this document in an
alternative format (e.g., Braille, large print, audiotape, or computer
diskette) on request to the contact person listed under FOR FURTHER
INFORMATION CONTACT.
SUPPLEMENTARY INFORMATION: Under Part C of the Individuals with
Disabilities Education Act (Part C), the Department provides funds to
States to ``maintain and implement a statewide, comprehensive,
coordinated, multidisciplinary, interagency system to provide early
intervention services for infants and toddlers with disabilities and
their families.'' 20 U.S.C. 1433, 1435(a)(2), 1437(a)(3)(A). Early
intervention services are services that are, among other things,
``designed to meet the developmental needs of an infant or toddler with
a disability in any one or more of the following areas--(i) physical
development; (ii) cognitive development; (iii) communication
development; (iv) social or emotional development; or (v) adaptive
development''; ``are provided by qualified personnel''; ``to the
maximum extent appropriate, are provided in natural environments,
including the home, and community settings in which children without
disabilities participate''; and ``are provided in conformity with an
individualized family service plan adopted in accordance with section
1436 of this title.'' 20 U.S.C. 1432(4)(C), (F), (G) and (H).
On March 15, 2004, in response to Arizona's Part C Federal fiscal
year (FFY) 2001 Annual Performance Report (APR) and following a State
verification monitoring visit by the Department's Office of Special
Education Programs (OSEP) to Arizona in December 2003, OSEP issued two
letters documenting DES's continued non-compliance with the following
four requirements:
(1) Utilizing effective monitoring procedures to ensure the
identification and correction of noncompliance with Part C under 34 CFR
303.501;
(2) Conducting evaluations and assessments and holding the initial
Individualized Family Service Plan (IFSP) meeting within 45 days from
referral under 34 CFR 303.321(e)(2), 303.322(e)(1) and 303.342(a);
(3) Providing in a timely manner to all eligible infants and
toddlers with disabilities, including infants and toddlers on
reservations, early intervention services identified on the child's
IFSP under 34 CFR 303.342(e); and
(4) Ensuring that all service coordination functions are
implemented under 34 CFR 303.23 and 303.344(g). These same
noncompliance findings were four of the seven findings originally
identified in OSEP's 2000 Arizona Part C Monitoring Report.
On March 25, 2004, DES Director, David Berns, requested that the
Department consider entering into a Compliance Agreement with DES under
Part C of the IDEA. Before entering into a compliance agreement, the
Department must hold a hearing at which the recipient, individuals
affected by any potential compliance agreement, including infants and
toddlers with disabilities and their families or other representatives,
and other interested parties are invited to participate. In that
hearing, the recipient has the burden of persuading the Department
that: (1) Full compliance with the applicable requirements of law is
not feasible until a future date; and (2) that a compliance agreement
is a viable means for bringing about such compliance in no more than
three years. 20 U.S.C. 1234f(b)(1) and (c). If, on the basis of all the
evidence available, the Secretary determines that the recipient has met
that burden, the Secretary is to make written findings to that effect
and publish those findings, together with the substance of the
compliance agreement, in the Federal Register. 20 U.S.C. 1234f(b)(2).
On May 20, 2004, Department officials conducted a public hearing in
Phoenix, Arizona regarding DES's ability to meet certain Part C
requirements. The testimony and materials either presented at the
hearing, or submitted in relation to the hearing, by DES
representatives, other State agency representatives, parent and State
Interagency Coordinating Council representatives, Part C early
intervention providers, and other affected or interested individuals
confirmed that, as required under 20 U.S.C. 1234f, full compliance with
Part C requirements by DES is genuinely not feasible until a future
date, but that DES will be able to come into full compliance with Part
C within three years. Testimony and written submissions supported the
development of a compliance agreement that would bring DES into
compliance with Part C as soon as feasible and would allow continuation
of Part C funding by OSEP to Arizona during this process. As indicated
in the Secretary's Written Findings and Decision of the Secretary, the
Department has determined that a compliance agreement is appropriate to
address the four areas of Part C non-compliance.
As required by section 457(b)(2) of GEPA, 20 U.S.C. 1234f(b)(2),
the text of the Secretary's Decision is set forth as Appendix A and the
Compliance Agreement is set forth as Appendix B of this notice.
Electronic Access to This Document
You may view this document, as well as all other Department of
Education documents published in the Federal Register, in Text or Adobe
Portable Document Format (PDF), on the Internet at the following site:
https://www.ed.gov/news/fedregister.
To use PDF, you must have Adobe Acrobat Reader, which is available
free at this site. If you have questions about using PDF, call the U.S.
Government Printing Office (GPO) toll free, at 1-888-293-6498; or in
the Washington DC area at (202) 512-1530.
[[Page 10829]]
Note: The official version of this document is the document
published in the Federal Register. Free Internet access to the
official edition of the Federal Register is available on GPO access
at: https://www.gpoaccess.gov/nara/.
(Authority: 20 U.S.C. 1234c, 1234f, 1431 through 1445)
Dated: February 25, 2005.
John H. Hager,
Assistant Secretary for Special Education and Rehabilitative Services.
Department of Education
In the matter of the Request of the Arizona Department of
Economic Security to Enter into a Compliance Agreement; Written
Findings and Decision of the Secretary.
I. Introduction
The United States Department of Education (Department) has
determined, pursuant to 20 U.S.C. 1234c, that the Arizona Department
of Economic Security (DES) has failed to comply substantially with
the requirements of Part C of the Individuals with Disabilities
Education Act (Part C or IDEA), codified at 20 U.S.C. 1401 through
1407 and 1431 through 1445, and its implementing regulations at 34
CFR part 303. DES is the lead agency designated by the Governor of
Arizona to implement Arizona's statewide system of early
intervention services under Part C of the IDEA. The Arizona Early
Intervention Program (DES/AzEIP) is the office within DES that is
responsible for the daily administration and oversight of Arizona's
early intervention program for infants and toddlers with
disabilities and their families under Part C of the IDEA.\1\
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\1\ The Arizona Part C early intervention statewide system of
services comprises the following State agencies and its contractors:
(1) DES (which includes AzEIP, and the Division of Developmental
Disabilities (DDD) (another unit within DES, and which is a major
early intervention service provider in Arizona), (2) the Arizona
State Schools for the Deaf and the Blind (ASDB), (3) the Arizona
Department of Health Services (ADHS), (4) the Arizona Department of
Education (ADE), and (5) the Arizona Health Care Cost Containment
System (AHCCCS).
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On March 15, 2004, in response to Arizona's Part C Federal
fiscal year (FFY) 2001 Annual Performance Report (APR) and following
a State verification monitoring visit by the ED Office of Special
Education Programs (OSEP) to Arizona in December 2003, OSEP issued
two letters documenting DES's continued noncompliance with the
following four Part C requirements:
(1) Utilizing effective monitoring procedures to ensure the
identification and correction of noncompliance with Part C under 34
CFR 303.501;
(2) Conducting evaluations and assessments and holding the
initial Individualized Family Service Plan (IFSP) meeting within 45
days from initial referral under 34 CFR 303.321(e)(2), 303.322(e)(1)
and 303.342(a);
(3) Providing in a timely manner all early intervention services
identified on the IFSP to all eligible infants and toddlers with
disabilities, including infants and toddlers on reservations, under
34 CFR 303.342(e); and
(4) Ensuring that all service coordination functions are
implemented under 34 CFR 303.23 and 303.344(g).
These four noncompliance findings were part of seven findings
originally identified in OSEP's 2000 Arizona Part C Monitoring
Report.\2\ As noted below, although DES has addressed three of the
findings from OSEP's 2000 monitoring report, DES has indicated, and
the Department has determined, that DES will need additional time to
make systemic changes in its monitoring, data, service delivery, and
other systems in order to ensure correction of the remaining four
findings.
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\2\ OSEP's Monitoring Report, issued on May 22, 2000, identified
the following seven findings of noncompliance with Part C:
(1) General Supervision: 34 CFR 303.501--Ineffective Monitoring
Procedures to Ensure Consistent Implementation of Part C;
(2) Child Find: 34 CFR 303.321 and 303.320--Development of a
Comprehensive, Coordinated, Statewide Child Find System;
(3) Failure to Disseminate Public Awareness Information to
Primary Referral Sources;
(4) Failure under 34 CFR 303.322(e)(1) to convene the initial
Individualized Family Service Plan (IFSP) meeting within 45 days
from initial referral including identification of all needed
services;
(5) Failure under 34 CFR 303.322(e)(2) to appropriately extend
timelines for evaluations and assessments and to routinely and
inappropriately develop interim IFSPs;
(6) Failure to provide all services to all eligible children
under 34 CFR 303.322 including children on reservations; and
(7) Failure to ensure under 34 CFR 303.23(a)(2) that all service
coordination functions are implemented.
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During OSEP's December 2003 verification visit to the State, DES
and OSEP officials discussed the possibility of a compliance
agreement, which would allow the State up to three years to correct
noncompliance that the State could not effectively correct within a
shorter period of time. On March 25, 2004, DES sent a letter to OSEP
requesting that OSEP consider entering into a compliance agreement
as a way to resolve the State's Part C noncompliance issues. On May
20, 2004, Department officials conducted a public hearing in Arizona
in accordance with the GEPA requirements of 20 U.S.C. 1234f(b), at
which oral and written testimony were received. Witnesses
representing DES/AzEIP, the State Interagency Coordinating Council
(SICC), other DES/AzEIP state agency partners, early intervention
providers and other concerned organizations (including State
stakeholders) testified at this hearing on the question of whether
the Department should grant DES's request to enter into a Compliance
Agreement. Additional written testimony was submitted to the
Department both prior to and after the public hearing.
The Department has reviewed all oral and written testimony
submitted, the Compliance Agreement DES has signed, and other
relevant materials.\3\ On the basis of this evidence, the Department
concludes, and issues these written findings as required by 20
U.S.C. 1234f(b)(2), that DES has met its burden of establishing
that:
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\3\ A copy of the Compliance Agreement is attached as Appendix A
to these Written Findings and Decision.
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(1) Compliance by DES with Part C is not feasible until a future
date, and
(2) DES will be able to carry out the terms and conditions of
the Compliance Agreement it has signed and will come into full
compliance with Part C by the end of the term of this Agreement.
During the effective period of the Compliance Agreement, which
expires three years from the date of this decision, DES will
continue to be eligible to receive Part C funds as long as it
complies with all the terms and conditions of the Agreement.
II. Legal Basis for Entering Into a Compliance Agreement: Requirements
Under Part C and GEPA
A. Part C Requirements
Part C was passed in response to Congress's finding that ``there
is an urgent and substantial need * * * to enhance the development
of infants and toddlers with disabilities and to minimize their
potential for developmental delay.'' 20 U.S.C. 1431(a)(1). Congress
established Part C ``to provide financial assistance to States * * *
to develop and implement a statewide, comprehensive, coordinated,
multidisciplinary, interagency system that provides early
intervention services for infants and toddlers with disabilities and
their families.'' \4\ 20 U.S.C. 1441(b)(1). Early intervention
services are defined as ``developmental services that:--
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\4\ An ``infant or toddler with a disability'' ``(A) means an
individual under 3 years of age who needs early intervention
services because the individual (i) is experiencing developmental
delays, as measured by appropriate diagnostic instruments and
procedures in one or more of the areas of cognitive development,
physical development, communication development, social or emotional
development, and adaptive development; or (ii) has a diagnosed
physical or mental condition which has a high probability of
resulting in developmental delay; and (B) may also include, at a
State's discretion, at-risk infants and toddlers.'' 20 U.S.C.
1432(5). Arizona does not include ``at-risk infants and toddlers''
in its definition of ``infants and toddlers with disabilities.''
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(A) Are provided under public supervision;
(B) Are provided at no cost except where Federal or State law
provides for a system of payments by families, including a schedule
of sliding fees;
(C) Are designed to meet the developmental needs of an infant or
toddler with a disability in any one or more of the following
areas--(i) physical development; (ii) cognitive development; (iii)
communication development; (iv) social or emotional development; or
(v) adaptive development;
(D) Meet the standards of the State in which they are provided,
including the requirements of this part;
(E) Include [list of early intervention services such as speech,
occupational, physical therapy, etc.];
(F) Are provided by qualified personnel * * *;
(G) To the maximum extent appropriate, are provided in natural
environments, including the home, and community settings
[[Page 10830]]
in which children without disabilities participate; and
(H) Are provided in conformity with an individualized family
service plan [IFSP] adopted in accordance with section 636 [20
U.S.C. 1436].''
20 U.S.C. 1432(4); 34 CFR 303.12.
In order to ensure that early intervention services are provided
in compliance with Part C, a State must ensure it has a statewide
system that addresses Part C requirements regarding: general
supervision (including monitoring and data collection and
reporting), child find and public awareness, timely evaluations and
assessments, IFSP development, provision of early intervention
services in natural environments, and transition planning. Under
Part C, the lead agency's general supervision responsibilities
include: (1) Monitoring for compliance and performance, (2) ensuring
correction and enforcement of identified deficiencies, (3) providing
technical assistance and training and (4) ensuring the provision of
procedural safeguards through the due process and State complaint
procedures. 20 U.S.C. 1435(a)(10)(A); 34 CFR 303.501, 303.403,
303.420, and 303.510 through 303.512. The Part C general supervision
requirements must be read in conjunction with DES's responsibility
under GEPA at 20 U.S.C. 1232d(b)(3), to adopt and use proper methods
of administering the Part C program, including, among other
requirements: (1) Monitoring of agencies, institutions, and
organizations responsible for carrying out Part C; (2) the
enforcement of the obligations imposed on those agencies,
institutions, and organizations under Part C; (3) providing
technical assistance, where necessary, to such agencies,
institutions, and organizations; and (4) the correction of
deficiencies in program operations that are identified through
monitoring or evaluation.
Under Part C, the lead agency is required to ensure that all
programs and activities used by the State to carry out Part C
(whether or not they receive Part C funds) are monitored for
compliance with Part C requirements and that interagency agreements
are in place to ensure that services are provided in a timely
manner. 20 U.S.C. 1435(a)(10)(A); 34 CFR 303.501 and 303.523 through
303.528. When the lead agency determines that program providers and
other agencies, institutions and organizations that are part of the
Part C system in a State are not in compliance, Part C requires the
lead agency to enforce the requirements of Part C and correct
deficiencies that are identified through monitoring and its general
supervision authority. 20 U.S.C. 1435(a)(10)(A); 34 CFR
303.501(b)(2) and (4). The lead agency is also responsible for
providing technical assistance and training to agencies,
institutions and organizations that administer the Part C program.
20 U.S.C. 1435(a)(10)(A); 34 CFR 303.501(b)(3). Part C requires that
there be a single line of responsibility and clear interagency
guidelines to ensure that one agency, the lead agency, is
responsible for administering Part C in the State. 20 U.S.C.
1435(a)(10)(A); 34 CFR 303.500. General supervision has been a
challenge for DES due to the number of agencies that either directly
provide or contract with private entities and individuals to provide
early intervention services.
Other Part C requirements include ensuring that all infants and
toddlers with disabilities and their families: are referred into the
program in a timely manner (34 CFR 303.321(e)(2), 303.322(e)(1) and
303.342(a)), are assigned a single service coordinator (34 CFR
303.23(a)(2)) who helps the child and family through coordination
and other activities (34 CFR 303.23(a)(2) and (b)), are evaluated in
all five developmental areas (34 CFR 303.322(c)(3)(ii)), and, if
determined eligible, have IFSPs developed in a timely manner that
address all content requirements (34 CFR 303.342(a) and 303.344),
are provided those early intervention services listed on their IFSP
(34 CFR 303.342(e)), and receive timely transition meetings and
plans as they exit the program (34 CFR 303.148(b) and 303.344(h)).
This system is intended to be seamless so that an infant or toddler
with a disability and the family receive all appropriate early
intervention services to meet the unique developmental needs of the
child and to support the family. DES's failure to comply with key
Part C requirements (monitoring and correction, timely evaluations
and assessments, service coordination and provision of early
intervention services) have led to waiting lists for infants and
toddlers and their families for evaluations and assessments as well
as early intervention services.
B. Authority To Enter Into a Compliance Agreement Under Part C and
GEPA
If a State fails to comply substantially with the requirements
of Part C, the IDEA authorizes the Department to withhold funds from
that State or refer the matter to the Department of Justice. 20
U.S.C. 1416(a) and 1442. GEPA provides the Department with
additional enforcement options for a grant recipient that the
Department concludes is ``failing to comply substantially with any
requirements of law applicable to such funds.'' 20 U.S.C. 1234c.
These remedies include issuing a cease and desist order. 20 U.S.C.
1234c. As an alternative to withholding funds, issuing a cease and
desist order, or referral to the Department of Justice, the
Department may enter into a Compliance Agreement with a recipient
that is failing to comply substantially with specific program
requirements. 20 U.S.C. 1234f. In this instance, and at DES's
request, the Department has determined it is appropriate to address
DES's failure to comply substantially with the requirements of Part
C through a Compliance Agreement.
The purpose of a Compliance Agreement is ``to bring the
recipient into full compliance with the applicable requirements of
the law as soon as feasible and not to excuse or remedy past
violations of such requirements.'' 20 U.S.C. 1234f(a). Before
entering into a Compliance Agreement, the Department must hold a
public hearing at which the recipient, affected infants and toddlers
with disabilities and their parents or their representatives, and
other interested parties are invited to participate. At the hearing,
the recipient has the burden of persuading the Department that: (1)
Full compliance with the applicable requirements of law is not
feasible until a future date and (2) a compliance agreement is a
viable means for bringing about such compliance in no more than
three years. 20 U.S.C. 1234f(b)(1). If, on the basis of all the
evidence available to the Department, the Secretary determines that
the recipient has met that burden, the Secretary is to make written
findings to that effect and publish those findings and the
Secretary's decision, together with the substance of the Compliance
Agreement, in the Federal Register. 20 U.S.C. 1234f(b)(2).
A Compliance Agreement must set forth an expiration date not
later than 3 years from the date of the Secretary's written findings
and decision under 20 U.S.C. 1234f(b)(2), by which time the
recipient must be in full compliance with all program requirements.
In addition, the Compliance Agreement must contain the terms and
conditions with which the recipient must comply during the period
that the Agreement is in effect. 20 U.S.C. 1234f(c). If the
recipient fails to comply with any of the terms and conditions of
the Compliance Agreement, the Department may consider the Agreement
no longer in effect and may take any action authorized by law,
including withholding of funds, issuing of a cease and desist order,
or referring the matter to the Department of Justice. 20 U.S.C.
1234f(d).
III. DES's Ability To Meet the Requirements of the Compliance Agreement
In determining whether it is appropriate to enter into a
Compliance Agreement with DES, the Department must first determine
two issues. First, the Department must determine: Can DES come
immediately into compliance with Part C (including its monitoring,
timely evaluations and assessments, service coordination and
provision of early intervention services requirements)? 20 U.S.C.
1234f(b). Second, the Department must determine: Will DES be able to
come into compliance with the applicable Part C requirements within
a period of no more than three years? If the Department cannot
answer the first question in the negative and the second question in
the affirmative, then it is inappropriate for the Department to
enter into a Compliance Agreement with DES under 20 U.S.C. 1234f. In
arriving at the terms of the Compliance Agreement, DES must not only
come into full compliance by the end of the effective period of the
Compliance Agreement, it must also make steady and measurable
progress toward the Agreement's objectives while it is in effect.
A. DES Cannot Immediately Come Into Compliance With Part C
Requirements
DES's failure to comply with four major Part C requirements, as
documented in OSEP's March 15, 2004 monitoring and APR letters and
OSEP's 2000 monitoring report and acknowledged by DES, is caused by
a number of complicating factors such as the fact that early
intervention services in Arizona are provided through a number of
different interagency and intra-agency programs and private
contractors and provided in rural settings including reservations,
and, as a result, cannot be
[[Page 10831]]
corrected immediately. DES's testimony and that of other witnesses
at the Department's May 20, 2004 public hearing (including other
State agency representatives, providers, SICC representatives and
other Part C stakeholders) provided compelling support for this
conclusion.
1. DES Cannot Come Into Compliance Immediately With the Four Part C
Requirements That Were the Subject of OSEP's Findings
As noted below and confirmed through the testimony of DES, State
agency representatives, early intervention providers, Arizona SICC
representatives and others, DES is not in compliance now, and cannot
immediately come into compliance, with the following specific Part C
requirements that were ongoing findings of noncompliance originally
identified in OSEP's 2000 report and reiterated in OSEP's March 15,
2004 letters (following OSEP's December 2003 verification monitoring
visit to the State):
(1) Utilizing effective monitoring procedures to ensure the
identification and correction of noncompliance with Part C under 34
CFR 303.501;
(2) Conducting evaluations and assessments and holding the
initial Individualized Family Service Plan (IFSP) meeting within 45
days from initial referral under 34 CFR 303.321(e)(2), 303.322(e)(1)
and 303.342(a);
(3) Providing in a timely manner all early intervention services
identified on the IFSP to all eligible infants and toddlers with
disabilities, including infants and toddlers on reservations, under
34 CFR 303.342(e); and
(4) Ensuring that all service coordination functions are
implemented under 34 CFR 303.23 and 303.344(g).
2. DES Cannot Immediately Come Into Compliance With Part C Due to the
Need for Major Systemic Changes To Address System Capacity Issues,
Coordinate Monitoring, Policies, and Data Systems Across All
Participating Agencies and Providers and Deliver Team-Based Services
At the May 20, 2004 hearing and in its testimony, DES
acknowledged that it is not complying with Part C and cannot
immediately come into compliance with Part C requirements. In her
presentation, DES/AzEIP Director Molly Dries identified at least
five major barriers to DES's ability to come into immediate
compliance with Part C: (1) The lack of a coordinated interagency
monitoring system to identify and correct noncompliance; (2) the
lack of interagency coordination on policies and procedures to
ensure they reflect Part C requirements; (3) the lack of coordinated
data systems between and within participating agencies to ensure
that Part C compliance elements are reflected; (4) insufficient
system capacity to ensure adequate personnel to provide timely
evaluations and assessments and early intervention services; and (5)
a team-based model of service delivery that can track children from
referral to exit from the Part C program.
One major barrier to immediate compliance is DES's need to
establish an interagency monitoring system and coordinated policies
and procedures, since Arizona's statewide system of early
intervention services involves efforts from five different State
agencies and two major programs within DES as well as numerous
private contractors. Five different agencies (including DES) conduct
child find, evaluations and assessments, and provide service
coordination and early intervention services and transition
planning. At the public hearing, DES officials testified that DES
does not have a system to monitor its intra- and interagency State
counterparts that provide early intervention services or the private
providers that conduct evaluations and assessments and provide
service coordination and early intervention services to infants and
toddlers with disabilities and their families. DES has just begun to
establish protocols for monitoring of all Part C requirements but
has yet to conduct monitoring of other State agency partners. DES
has established a dialogue for working with each of these agencies
on an ongoing basis to coordinate all Part C activities including
monitoring these agencies' compliance with Part C requirements and
providing joint and collaborative training and technical assistance.
However, as noted by all State agency representatives who testified
at the hearing, much work remains to be done. As DeAnn Davies (SICC
Chair) submitted in her written testimony, ``* * * state systems
were fragmented from each other. * * * The state AzEIP office did
not hold the critically needed strength in order to demand
compliance from partnering agencies * * *.'' DES must undertake
major interagency efforts to ensure that the monitoring systems are
coordinated, State agency partner data systems reflect Part C
requirements and all agencies' policies and procedures are aligned
with Part C requirements.
DES cannot immediately address this barrier. The first critical
step will be the development of memoranda of agreements that address
each agency's responsibility in addressing Part C's requirements.
Another critical step will be interagency cooperation to allow DES
to monitor, based on Part C standards, each State participating
agency for Part C requirements such as timely evaluations and
assessments and provision of early intervention services and service
coordination. DES also intends to align with its other agency
partners all participating programs' and agencies' policies and
procedures on substantive Part C requirements. Defining the
respective agencies' responsibilities, implementing an interagency
monitoring system that can identify and correct noncompliance, and
aligning policies and procedures are all necessary to ensure
compliance with Part C.
A second barrier is the need for DES/AzEIP to review (and revise
if necessary) its data system (ACTS) to ensure that it includes
critical Part C compliance elements and align its data system with
participating State agencies and programs. DES officials testified
that ensuring complete and accurate data reporting is critical for
program evaluation and decision-making. Securing baseline compliance
data is the first major step in DES's plan toward identifying and
addressing system capacity and other root causes for each of the
areas of noncompliance identified by OSEP. At the time of OSEP's
December 2003 verification monitoring visit, DES did not collect
data on the number of infants and toddlers waiting for evaluations
and assessments and the number of infants and toddlers with
disabilities and their families who were waiting for early
intervention services. DES will revise its ACTS data system to
collect and report on this information. Revising and verifying its
new data system and aligning it with other State agency data systems
will take DES more than one year. Effectively utilizing the data
from the new data system as part of its new monitoring system to
verify both noncompliance areas and corrective action results will
take DES even longer.
Another major barrier that affects DES' ability to comply with
Part C is the capacity of the system to serve the number of infants
and toddlers referred to the program. One possible cause is the lack
of sufficient qualified personnel to conduct evaluations and
assessments and provide early intervention services. Testimony from
DES officials, tribal representatives, and early intervention
providers cited personnel recruitment and retention, provider rate
structure and other personnel and system issues as among the major
challenges for timely evaluations and assessments and early
intervention service delivery. DES cannot, acting on its own,
immediately address this personnel shortage. DES has been unable to
find providers who are willing to travel to rural areas or
reservations or, in some cases, has discovered that different agency
or funding source service provider rate structures create
disincentives for provision of early intervention services in
natural environments. Under the Compliance Agreement, DES will
develop relationships with institutions of higher education, and
also will develop regional service provider directories to better
track existing personnel and recruit and retain new personnel in
needed professions. Removing these system capacity barriers and
obtaining needed personnel will require a long-term effort that will
involve working with other organizations in Arizona to ensure that
qualified personnel are available to conduct evaluations and
assessments and provide early intervention services.
Finally, DES identified the lack of a streamlined system from
referral to service delivery and a team-based approach for
delivering services as barriers to the timely provision of
evaluations and assessments and early intervention services. As Mary
Ann Sheely, an early intervention occupational therapy provider,
noted in her testimony, ``* * * the process of evaluating a child
and then determining the appropriate services still lacks
coordination and clear communication methods with families. The
current system is too complicated, due to the many steps it takes to
complete.'' However, as DES officials and State agency witnesses
testified, envisioning and implementing such a system from the
initial planning process (IPP) to the delivery of all early
intervention services by all participating agencies and providers
cannot occur immediately; interagency agreements, policies and
procedures, and provider contracts must all
[[Page 10832]]
be reviewed and revised to ensure consistency in a service delivery
model that maximizes personnel resources while ensuring that early
intervention services are coordinated for the infant or toddler with
a disability and his or her family.
3. Testimony From Arizona State Agency Representatives, Early
Intervention Providers, SICC Representatives and Others All Confirms
That DES Cannot Immediately Come Into Compliance
Testimony from other individuals also confirmed that DES cannot
come into full compliance with Part C requirements immediately.
Representatives from other Arizona agencies that provide early
intervention services, early intervention service providers, SICC
representatives and others all testified that DES will need
additional time to achieve full compliance. David Bern, DES
Director, confirmed that although DES does not wish to take more
time than necessary, DES will need additional time to address the
remaining findings. Representatives from five other State Part C
agency partners (Ida Fitch of DDD, Sue Juarez of ACCESS, Lynn
Busenbark of ADE, Barbara Hess of ADHS, and Judy Parish of ASDB)
testified that DES needs more time to ensure interagency
coordination among the agencies that are part of the early
intervention system in Arizona and align data systems and policies
and procedures. Maria Bravo, SICC Vice-Chair and a grandparent of a
child with a disability, testified that DES needed more time to work
with its interagency partners.
Other witnesses, including private contractors, SICC
representatives, parents of children with disabilities, and early
intervention providers, confirmed that DES continues to face long-
term challenges in complying with Part C, including system capacity
issues and availability of qualified personnel to provide
evaluations and assessments and early intervention services.
Testimony from these witnesses confirmed that waiting lists continue
to exist for evaluations and assessments and for early intervention
services, although a few witnesses testified that the waiting lists
appear to be decreasing. (Melanie Taylor (a parent) described how
the delays had previously been as long as six months; Annabelle
Ratley (of the Blake Foundation) noted that children are being seen
sooner and eligibility is being determined faster; and George
Hatchell (of DES/AzEIP) talked about the time for development of an
IFSP decreasing such that fewer eligible children and their families
were waiting for their IFSPs to be developed.) Early intervention
service providers, including speech language pathologists,
occupational therapists and physical therapists, also submitted
testimony noting that timeliness of evaluations and assessments and
of provision of services was a problem due to system capacity issues
and confusion regarding roles and responsibilities of service
coordinators and early intervention providers. Judy Capps of the
Gilah Indian River Community (GIRC) testified for the need for
additional time to ensure, among other things, that its data system
was aligned with DES/AzEIP's data system.
The evidence gathered by the Department at the public hearings
and through its monitoring of DES's early intervention program
confirms that DES is not able to immediately come into compliance
with the requirements of Part C. These problems are not isolated
examples of noncompliance that can be quickly or easily corrected,
but the outgrowth of systemic failures, for which systemic change is
needed. The Department, therefore, concludes that DES cannot come
into immediate compliance with the requirements of Part C.
B. DES Can Come Into Compliance With Part C Within Three Years
The Department has concluded that DES can meet the terms and
conditions of the attached Compliance Agreement and come into full
compliance with Part C within three years. The Compliance Agreement
sets forth clear goals, outcomes and objectives, specific activities
to reach those results, and timelines including target completion
dates. Testimony at the hearing supports the conclusion that DES is
committed to making the necessary changes to come into compliance
with Part C. For example, SICC member Connie Shore noted that DES
had undertaken significant steps to address those areas of
noncompliance that were in its direct control immediately after
OSEP's initial on-site monitoring visit and such efforts indicate
DES's ability to implement its plan for achieving compliance. These
steps included developing a model IFSP form, developing and
disseminating appropriate public awareness materials, and outlining
a plan for a monitoring system. GIRC representative Judy Capps
indicated that the number of infants and toddlers with disabilities
served at the Gilah Indian River Community increased from 19 to 99
and over 400 potentially eligible children were screened during her
short tenure (less than three years). Annabelle Ratley of the Blake
Foundation (a private contractor that contracts with all
participating State agencies except for ASDB) indicated that IFSPs
look different and are more individualized now.
To ensure that DES remedy the areas of noncompliance as soon as
possible, the Compliance Agreement sets forth realistic and specific
timelines for accomplishing each objective. DES officials and other
witnesses testified that DES had already implemented the following
actions to fully address three of OSEP's seven findings of
noncompliance and begin to address the remaining four findings:
--Development and implementation of intra- and interagency training
on Part C;
--Development of model IFSP form to include all federally required
elements;
--Development and distribution of appropriate public awareness
materials;
--Increase in referrals from and number of children served in
certain Indian reservations; and
--Training and professional development of service coordinators.
The actions that remain are long-term strategies to address the
principal barriers identified by DES for the successful
implementation of Part C. Thus, the Compliance Agreement contains
specific plans to develop effective interagency monitoring and
cooperation mechanisms regarding collection and reporting of data
and compliance policies and procedures. It also requires a review
and analysis of system capacity issues including short-term and
long-term personnel identification, recruitment and retention
policies. Finally, it provides for the delivery of early
intervention services based on a team-based model.
The Compliance Agreement also establishes realistic goals and
systemic strategies--which will be monitored by the Department--for
bringing DES into compliance with Part C. The Compliance Agreement
addresses the four major areas of DES's noncompliance with Part C,
namely: (1) General Supervision, (2) Timely Evaluations and
Assessments and IFSP Development, (3) Timely Provision of Early
Intervention Services, and (4) Service Coordination. Under each of
these Compliance Agreement areas, DES sets out objectives as well as
specific steps that it will take to achieve its objectives and
address the noncompliance areas that are at issue in OSEP's
monitoring report. The Compliance Agreement also identifies the key
parties (including DES, other State agencies and stakeholder groups
including the SICC), that will take responsibility for carrying out
each of the strategies. Thus, specific parties can be held
accountable if an activity delineated in the Compliance Agreement is
not properly implemented.
In addition to specifying overall compliance goals, a plan for
meeting them, and the party responsible for implementing the
specific action steps, the Compliance Agreement also sets out
interim objectives that DES must meet during the next three years in
attaining compliance with Part C. DES not only is committed to being
in full compliance with Part C within three years, but also has a
plan to address each objective in as timely a manner as possible.
The Compliance Agreement sets forth the data collection and
reporting procedures that DES will follow. These provisions will
enable the Department to determine whether or not DES is meeting
each of its commitments under the Compliance Agreement. The
Compliance Agreement, because of the obligations it imposes on DES,
will provide the Department with the information and authority it
needs to protect the Part C rights of Arizona infants and toddlers
with disabilities.
DES has developed a comprehensive plan to address the underlying
causes of its failure to comply with Part C. For these reasons, the
Department concludes that DES can meet all the terms and conditions
of the Compliance Agreement and come into full compliance with Part
C no later than three years from the date of the Agreement.
IV. Conclusion
For the foregoing reasons, the Department finds that: (1) Full
compliance by DES with the requirements of Part C is not feasible
until a future date, and (2) DES can meet the terms and conditions
of the attached Compliance Agreement and come into full compliance
with the requirements of Part C within three years of the date of
this
[[Page 10833]]
decision. Therefore, the Department determines that it is
appropriate for this agency to enter into a Compliance Agreement
with DES. Under the terms of 20 U.S.C. 1234f, this Compliance
Agreement becomes effective the date these Written Findings and
Decision are signed by the Secretary.
Dated: December 16, 2004.
From Rod Paige,
Secretary, U.S. Department of Education.
Appendix A: Arizona Part C Compliance Agreement.
Compliance Agreement--Under Part C of the Individuals With Disabilities
Education Act (IDEA), the Infants and Toddlers With Disabilities
Program, Between the United States Department of Education and the
Arizona Department of Economic Security
I. Introduction/Background
This Compliance Agreement is entered into under the General
Education Provisions Act (GEPA) (at 20 U.S.C. 1234f) between the
United States Department of Education (the Department or ED) and the
State of Arizona through the Arizona Department of Economic Security
(DES) to address certain requirements under Part C of the
Individuals with Disabilities Education Act (IDEA) (codified at 20
U.S.C. 1401 through 1407 and 1431 through 1445) and its implementing
regulations (at 34 CFR part 303).
Under section 1234f of GEPA, the Department may enter into a
Compliance Agreement with the purpose of bringing a grant recipient
(DES) into full compliance with the applicable requirements of law
as soon as feasible and not to excuse or remedy past violations.
Before entering into a compliance agreement, the Department must
hold a hearing where the recipient and other affected and interested
parties are invited to participate. Compliance agreements must
contain an expiration date not later than three years from the date
of the Written Findings and the terms and conditions with which the
recipient must comply until it is in full compliance. A compliance
agreement allows a recipient to continue to receive its grant award
while it works toward achieving full compliance under the terms of
the agreement.
On March 15, 2004, in response to Arizona's Part C Federal
fiscal year (FFY) 2001 Annual Performance Report (APR) and following
a State verification monitoring visit by the ED Office of Special
Education Programs (OSEP) to Arizona in December 2003, OSEP issued
two letters documenting DES's continued noncompliance with the
following four requirements: (1) Utilizing effective monitoring
procedures to ensure the identification and correction of
noncompliance with Part C under 34 CFR 303.501; (2) conducting
evaluations and assessments and holding the initial Individualized
Family Service Plan (IFSP) meeting within 45 days from initial
referral under 34 CFR 303.321(e)(2), 303.322(e)(1) and 303.342(a);
(3) providing in a timely manner all early intervention services
identified on the IFSP to all eligible infants and toddlers with
disabilities, including infants and toddlers on reservations, under
34 CFR 303.342(e); and (4) ensuring that all service coordination
functions are implemented under 34 CFR 303.23 and 303.344(g). These
same noncompliance findings were four of the seven findings
originally identified in OSEP's 2000 Arizona Part C Monitoring
Report. Although DES has addressed three of the findings from OSEP's
2000 monitoring report, DES has indicated that it will need more
than one year to make systemic changes in its monitoring, data,
service delivery, and other systems in order to ensure correction of
these remaining four findings.
On March 25, 2004, DES Director David Berns requested that the
Department consider entering into a Compliance Agreement with DES
under Part C of the IDEA. In addition, Mr. Berns invited OSEP to
conduct public hearings in Arizona as required by GEPA prior to the
establishment of a Compliance Agreement. On May 20, 2004, OSEP
conducted a public hearing in Phoenix, Arizona, regarding DES's
ability to meet certain Part C requirements. The testimony and
materials either presented at the hearing, or provided in relation
to the hearing, by DES representatives, other Arizona participating
agencies, Part C providers, and other affected or interested
individuals confirmed that, as required under 20 U.S.C. 1234f, full
compliance with Part C requirements by DES is genuinely not feasible
until a future date, but that DES will be able to come into full
compliance with Part C within three years. Testimony and written
submissions supported the development of a compliance agreement that
would bring DES into compliance with Part C as soon as feasible and
allow continuation of Part C funding by OSEP to Arizona during this
process. As indicated in the Secretary's Written Findings and
Decision of the ED Secretary (Secretary), ED agrees that a
compliance agreement is appropriate to address noncompliance and
this document reflects the terms of the Compliance Agreement.
II. Parties
The parties to this Compliance Agreement under IDEA, Part C, are
the U.S. Department of Education and the Arizona Department of
Economic Security (DES). DES is the designated lead agency under
Part C of the IDEA. The Arizona Early Intervention Program (DES/
AzEIP) is the office within DES that is responsible for the daily
administration and oversight of Arizona's early intervention program
for infants and toddlers with disabilities and their families under
Part C of the IDEA.\1\ The Arizona Part C program referred to herein
includes the AzEIP participating state agencies (DES, AHCCCS, ADE,
ASDB and ADHS) and the providers of early intervention services
(whether contractors of AzEIP or other state agency entities).
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\1\ The Arizona Part C early intervention statewide system of
services comprises the following State agencies and its contractors:
(1) DES (which includes AzEIP, and the Division of Developmental
Disabilities (DDD) (another unit within DES, and which is a major
early intervention service provider in Arizona), (2) the Arizona
State Schools for the Deaf and the Blind (ASDB), (3) the Arizona
Department of Health Services (ADHS), (4) the Arizona Department of
Education (ADE), and (5) the Arizona Health Care Cost Containment
System (AHCCCS).
---------------------------------------------------------------------------
III. Areas of Identified Noncompliance
Under the terms of this Compliance Agreement, entered into
pursuant to 20 U.S.C. 1234f, DES must be in full compliance with the
requirements of Part C of IDEA no later than three years from the
effective date of this Agreement, which is the date the Secretary
signs the Written Findings of Fact and Decision and the Compliance
Agreement. Specifically, DES must ensure and document that no later
than three years from the effective date of this Agreement,
compliance is achieved in each of the following four major areas:
1. General Supervision: DES is meeting its general supervision
responsibilities and monitoring for compliance with all requirements
of Part C, including using appropriate methods to administer the
Part C program. In particular, DES is: (1) Monitoring state
participating agencies/DES participating programs and governmental
or private providers who deliver or contract to deliver Part C
services in Arizona; (2) enforcing contractual and/or legal
obligations regarding Part C compliance; (3) providing training and
technical assistance as needed to providers and governmental
participants in the Part C program; and (4) correcting deficiencies
identified through monitoring.
2. Timely Evaluation, Assessment and Development of the IFSP:
DES is ensuring that all potentially eligible infants and toddlers
referred to Part C receive timely and comprehensive evaluations in
all five developmental areas (cognitive, physical, communication,
social/emotional, and adaptive skills). Evaluations and assessments
are completed and, if the infant or toddler is eligible, the initial
IFSP meeting is conducted within 45 days of the date a referral is
received containing sufficient family contact information to enable
the Arizona Part C program to contact the family.
3. Identification and Timely Provision of All Early Intervention
Services Specified in IFSPs: DES is ensuring that all early
intervention services identified on the IFSPs are linked to
functional outcomes, which are based on the current developmental
needs of eligible infants or toddlers with disabilities and the
resources, priorities and concerns of their families. DES is also
ensuring that all early intervention services identified on the IFSP
are provided in a timely manner to all eligible infants and toddlers
with disabilities, including Native American families and children
residing on reservations.
4. Service Coordination: DES is ensuring that each eligible
family has a single service coordinator who: (1) Coordinates all
services across agency lines; (2) serves as the single point of
contact for the family to help parents obtain the services and
assistance they need; (3) facilitates timely delivery of available
services; (4) seeks appropriate services necessary to benefit the
development of each child served for the duration of the child's
eligibility; and (5) ensures that all infants and toddlers and their
families receive appropriate prior written notice and
[[Page 10834]]
understand their procedural rights and safeguards.
IV. Funding and Work Plans
During the term of the Compliance Agreement, DES is eligible to
receive Part C funds if it complies with the terms and conditions of
this Agreement and all other provisions of Part C not addressed by
this Agreement.
This Compliance Agreement specifies the goals and timetables
required for DES to come into full compliance with its Part C
obligations in each of the four areas. DES is required to submit
documentation concerning its compliance with enumerated activities,
goals and timetables. Included in this Compliance Agreement are two
individual work plans (Attachments A and B), which address the
previously enumerated areas of noncompliance with Part C
requirements. These work plans include measurable outcomes, goals/
objectives, activities to achieve the goals, target completion dates
for each activity and goal, and ways to verify compliance with the
work plans during the three-year term of this Agreement. A report on
progress made under these work plans, reflecting activities/goals
met, any obstacles and other information as to progress shall be
submitted by DES quarterly to OSEP. This reporting shall begin the
final day of the third month following the effective date of this
Agreement, and shall continue quarterly throughout the term of this
Agreement. Attachment C, DES/AzEIP's Program Self-Assessment and
Monitoring Cycle, supports Attachment A, General Supervision, and
describes the schedule for monitoring programs within the State.
Amendments to this Compliance Agreement must be made in writing.
If DES determines that any items in the work plans need to be
changed or items need to be deleted/added, DES will promptly submit
to OSEP in writing any requests for changes to the work plans and
the terms of this Compliance Agreement. Within five working days of
receipt of any such request, OSEP shall acknowledge via e-mail or
letter that the request was received and the date of receipt. OSEP
will respond in writing within a reasonable period of time to DES's
written requests for amendments. OSEP will review proposed
amendments for any activities to achieve compliance including tasks,
timelines and reporting requirements; DES is not required to
implement those activities that are the subject of proposed
amendments and are pending review by OSEP until OSEP has provided
its response regarding those activities. Any requests for amendments
to the compliance agreement by the State will be responded to in
writing by OSEP.
V. Current Status, Goals/Measurable Outcomes and Verification
Area 1: General Supervision
Current Status: The Department's 2000 Monitoring Report found
that DES did not have a method for identifying and correcting
noncompliance with Part C requirements. OSEP's March 15, 2004 letter
following its December 2003 verification monitoring visit to the
State confirmed that, although DES had piloted a partial monitoring
system, it did not have in place a monitoring system to ensure the
monitoring of all entities that provide Part C services as well as
monitoring for all Part C compliance requirements. In addition, the
March 15, 2004 letter documented that DES did not have in place
methods to ensure the correction of any identified noncompliance.
Outcome: DES will utilize effective monitoring and general
supervision procedures to ensure the identification and correction
of noncompliance with Part C.
Measurable Goals:
Goal 1: DES will monitor all State or contracted programs that
provide Part C services in Arizona, for compliance with all Part C
requirements.
Goal 2: DES will ensure that deficiencies identified through
monitoring are corrected in a timely manner.
Verification: In its quarterly reports to OSEP and through
additional specific reporting (as identified on the attached
workplans), DES shall submit verification that it has: (1) Revised
or replaced its interagency agreement(s) among the AzEIP
participating State agencies to address all Part C general
supervision requirements; (2) aligned policies and procedures across
agencies to include general supervision and Part C compliance issues
(on monitoring, data collection, contract review and technical
assistance); (3) implemented a monitoring system, which includes
analysis of data to identify and correct noncompliance and ensuring
correction of identified noncompliance; (4) formalized an
interagency technical assistance system; (5) revised its ACTS data
system to expand data collection and reporting functions,
incorporating timely data access and management reporting at the
local and State AzEIP offices; and (6) incorporated data elements
and reports into the data systems of other Part C participating
State agencies.
Areas 2, 3, and 4: Early Intervention Services in the Natural
Environment (EIS-NE): Timely Identification, Individualization and
Provision of All Early Intervention and Service Coordination
Services
Current Status: OSEP's 2000 monitoring report found that DES had
failed to: (1) Conduct evaluations and assessments and hold the
initial Individualized Family Service Plan (IFSP) meeting within 45
days from initial referral; (2) individualize, and provide in a
timely manner, all early intervention services identified on the
IFSP to all eligible infants and toddlers with disabilities,
including infants and toddlers on reservations; and (3) ensure that
all service coordination functions are implemented. OSEP's March 15,
2004 letter following its December 2003 verification monitoring
visit to the State confirmed that the State had not corrected these
areas of noncompliance.
Outcomes: The initial IFSP meeting will be held within 45 days
of a referral and IFSPs will be individualized based on the child
and family's unique needs. All appropriate early intervention
services will be identified on the IFSP and provided in a timely
manner along with service coordination for all eligible infants and
toddlers with disabilities, including infants and toddlers on
reservations.
Measurable Goals:
Goal 1: Initial IFSP meetings (and evaluations and assessments)
for all infants and toddlers referred to Part C shall be conducted
within 45 days of the referral.
Goal 2: All IFSPs shall contain the early intervention services
that are needed by the child and family to meet the functional
outcomes, which are based on the unique strengths and needs of the
child and the resources, priorities and concerns of the family. All
eligible infants and toddlers with disabilities and their families
shall receive the early intervention services identified on their
IFSP in a timely manner.
Goal 3: Each family shall have a single designated service
coordinator who shall: (1) Coordinate all services across agency
lines; (2) serve as the single point of contact for the family to
help it obtain the services and assistance it needs; (3) facilitate
timely delivery of available services; (4) seek appropriate services
necessary to benefit the development of each child served for the
duration of the child's eligibility; and (5) ensure that all
families receive appropriate prior written notice and understand
their procedural rights and safeguards.
Verification: In its quarterly reports to OSEP and through
additional other specific reporting (as identified on the attached
work plans), DES shall submit verification that it has: (1)
Evaluated the nature and cause of the delays in system capacity
issues (timely evaluation and assessments and provision of early
intervention services) and implemented appropriate and responsive
recruitment and retention strategies; (2) developed an interagency,
team-based service delivery model that ensures compliance with
timely identification of infants and toddlers with disabilities and
provision of services to infants and toddlers with disabilities and
their families while maximizing personnel resources; (3) ensured
that all service coordination functions are implemented statewide
and across agencies; (4) aligned policies and procedures across
agencies to ensure compliance with Part C requirements regarding the
45-day timeline, identification and timely provision of early
intervention services and service coordination functions; (5)
implemented a monitoring system, which includes analysis of data to
identify and correct noncompliance and ensuring correction of
identified noncompliance regarding 45-day timeline, identification
and timely provision of early intervention services and service
coordination functions; (6) revised its ACTS data system to expand
data collection and reporting on Part C requirements regarding 45-
day timeline, identification and timely provision of early
intervention services and service coordination functions; and (7)
incorporated data elements and reports into the data systems from
other Part C participating state agencies (to ensure compliance with
45-day timeline, identification and timely provision of early
intervention services and service coordination functions).
VI. Other Terms and Conditions
This Compliance Agreement is executed in two original
counterparts in order to provide each party with an original. DES
agrees that
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its continued eligibility to receive Part C funds is predicated upon
compliance with statutory and regulatory requirements of that
program, which include requirements not addressed specifically by
this Agreement. Any failure by DES to comply with the goals,
objectives, timetables