Current through Register Vol. 51, No. 3, September 1, 2024
RELATES TO:
KRS 13B.080,
13B.110,
200.672,
34
C.F.R. 303.400-303.438,
20 U.S.C.
1439
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
200.660 requires the Cabinet for Health and
Family Services to administer all funds appropriated to implement provisions of
KRS 200.650
to
200.676,
to enter into contracts with service providers, and to promulgate
administrative regulations. This administrative regulation establishes
procedural safeguards for families participating in First Steps, Kentucky's
Early Intervention System.
Section 1.
Records.
(1) In accordance with
34
C.F.R. 303.400 through
303.417, the parents
of a child eligible for the Kentucky Early Intervention Program shall be
afforded the opportunity to inspect, review, and receive records relating to
evaluations and assessments, eligibility determinations, the development and
implementation of IFSPs, individual complaints dealing with the child, and any
other records maintained by First Steps staff about the child and the child's
family.
(2) The first requested
copy of the early intervention record released to the parent or guardian shall
be at no cost.
(3) A fee of ten
(10) dollars shall be charged for each additional copy and shall not prevent
the parent or guardian from exercising the right to inspect and review those
records.
(4) An early intervention
provider or agency shall inform parents when personally identifiable
information collected, maintained, or used during the provision of early
intervention services is no longer needed to provide services to the
child.
Section 2.
Parental notice and consent.
(1) Prior written
notice.
(a) Prior written notice shall be
given to the parents of an eligible child at least five (5) working days before
the Point of Entry (POE) staff or service provider proposes or refuses to
initiate or change the identification, evaluation, or placement of the child,
or the provision of appropriate early intervention services to the child and
the child's family.
(b) The notice
shall be in sufficient detail to inform the parents about:
1. The action that is being proposed or
refused;
2. The reasons for taking
the action;
3. All procedural
safeguards that are available to the parent; and
4. The procedures under
34 C.F.R.
303.430-303.434.
(c) The written prior notice shall be:
1. Written in language understandable to the
general public; and
2. Provided in
the native language or other mode of communication of the parents, unless it is
clearly not feasible to do so.
(d) If the native language or other mode of
communication of the parent is not a written language, the POE staff, or
designated service provider, shall take steps to ensure that:
1. The notice is translated orally or by
other means to the parent in the parent's native language or other mode of
communication;
2. The parent
understands the notice; and
3.
There is written evidence that the requirements of this paragraph have been
met.
(2) Parent
consent.
(a) Written parental consent shall
be obtained before:
1. Administering any
screening procedures;
2. Conducting
all evaluations and assessments of a child;
3. Initiating the provision of early
intervention services;
4. Billing
private insurance; and
5.
Disclosing personally identifiable information.
(b) If consent is not given for screening,
evaluation, assessment, or early intervention services, the POE shall make
reasonable efforts to ensure that the parent understands:
1. The nature of the evaluation and
assessment or the services available; and
2. That the child will not receive the
evaluation and assessment or services unless consent is given.
(3) The parents of an
eligible child may determine if they, their child, or other family members will
accept or decline any early intervention service, and may decline a service
after first accepting it, without jeopardizing other early intervention
services.
Section 3.
Representation of Children and Surrogate Parents.
(1) Each POE shall ensure that the rights of
an eligible child are protected if:
(a) A
parent, as defined in
902 KAR
30:001, Section 1(29), cannot be identified;
(b) The POE, after reasonable efforts, cannot
discover the whereabouts of a parent; or
(c) The child is a ward of the
state.
(2) If the child
is a foster child and does not reside with the child's parents, the POE shall
make reasonable efforts to obtain the informed consent of the parent for an
initial evaluation. The POE shall not be required to obtain parental consent
if:
(a) Despite reasonable efforts, the POE
cannot discover the whereabouts of the parent;
(b) The rights of the parents have been
terminated; or
(c) The rights of
the parents to make educational decisions have been subrogated by a court and
the consent for initial evaluation has been given by someone appointed by the
judge to represent the child.
(3)
(a) If
more than one (1) party meets the definition of parent under
902 KAR
30:001, Section 1(29), the biological or adoptive
parent shall be presumed to be the parent unless the biological or adoptive
parent does not have the legal authority to make educational decisions for the
child.
(b) If there is a judicial
order that identifies a specific person to act as the parent of a child or to
make educational decisions on behalf of a child, the order shall
prevail.
(4)
(a) A POE shall determine if a child needs a
surrogate parent and, if so, shall assign a surrogate parent to the
child.
(b) The surrogate parent of
the child shall have all the rights afforded parents under 34 C.F.R. Part 303
to make decisions about early intervention issues for a child.
(c) A POE shall ensure the rights of a child
are protected by appointing a surrogate parent to make educational decisions
for the child if:
1. An individual cannot be
identified as a parent;
2. The POE,
after reasonable efforts, cannot discover the whereabouts of the
parents;
3. The child is a ward of
the state; or
4. The child is an
unaccompanied homeless child.
(5) The POE shall keep a record of the
reasonable efforts made to discover the whereabouts of the parents, including:
(a) Detailed records of the telephone calls
made or attempted and the results of those calls;
(b) Copies of correspondence sent to the
parents and any responses received; and
(c) Detailed records of visits made to the
parent's home or place of employment and the results of those visits.
(6) The POE shall have a procedure
for selecting surrogates that is approved by the Department of Public Health.
The department shall approve a procedure that is established to ensure that a
surrogate:
(a) Is not an employee of the
Kentucky Department for Public Health, the POE, or any other state agency that
is involved in early intervention services or care of the child;
(b) Does not have any personal or
professional interest that conflicts with the interests of the child;
and
(c) Has knowledge and skills
that ensure adequate representation of the child.
(7) A person who is otherwise qualified to be
a surrogate parent shall not be considered an employee of the POE solely
because he or she is paid by the POE to serve as a surrogate parent.
(8) If a child is an unaccompanied homeless
child, appropriate staff of emergency shelters, transitional shelters, or
street outreach programs may be appointed as temporary surrogate parents
without regard to the criteria listed in subsection (6) of this section until a
surrogate parent can be appointed that meets all the requirements of this
section.
(9) The POE shall make
reasonable efforts to ensure the assignment of a surrogate not more than thirty
(30) calendar days after there is a determination by the Point of Entry that
the child needs a surrogate.
(10)
Responsibilities. A surrogate parent shall represent a child in all matters
related to:
(a) The evaluation and assessment
of the child;
(b) Development and
implementation of the child's IFSPs, including annual evaluations and periodic
reviews;
(c) The ongoing provision
of early intervention services to the child; and
(d) Any other rights established under this
administrative regulation.
Section 4. Mediation.
(1) Each POE shall ensure that procedures are
established and implemented to allow parties to disputes involving any matter
concerning the identification, evaluation, placement of the child or the
provision of appropriate early intervention services to resolve the disputes
through a mediation process which, at a minimum, shall be available if a
hearing is requested under
34
C.F.R. 303.431.
(2) The POE agency shall use the mediation
system established by the Department for Public Health.
(a) Mediation shall be adopted as an option
to resolve complaints.
(b)
Mediation shall be voluntary and freely agreed to by both parties, and shall
not deny or delay a parent's right to a due process hearing to be conducted at
any time.
(c) Unless the parent of
a child and the cabinet otherwise agree, the child shall continue to receive
the early intervention services currently being provided during the interim of
any proceeding involving a complaint. If the complaint involves the application
for initial services, the child shall receive those services that are not in
dispute.
(d) Mediators shall be
trained in applicable state and federal law relating to the First Steps
program.
(3) Time table
for mediation.
(a) Within five (5) working
days after a request for mediation is made to the department using a
Mediation/Due Process Request Form, the appointment of a mediator shall be
made.
(b) Either party may waive
the mediation and, if waived, the parents shall be informed by the department
within two (2) working days of this decision.
(c) Mediation shall be completed within
thirty (30) working days of the receipt by the department of the request for
mediation.
(d) At any time during
the mediation process, a request for a due process hearing may be
initiated.
(e) If the parties
resolve a dispute through the mediation process, the parties shall execute a
legally binding agreement that is signed by both the parent and a
representative of the lead agency who has the authority to enter into an
agreement.
(f) A copy of the
legally binding agreement shall be mailed by the mediator to each party within
five (5) working days following the mediation conference. A copy shall also be
filed by the mediator with the department. The agreement shall specify in
writing the agreement reached by the parties.
(4) A written mediation agreement shall not
conflict with state and federal laws and shall be to the satisfaction of both
parties. Satisfaction shall be indicated by the signature of both parties on
the legally binding agreement.
(5)
Discussions that occur during the mediation process shall be confidential and
shall not be used as evidence in any subsequent due process hearing or civil
proceeding. The parties to the mediation process shall be required to sign a
confidentiality pledge prior to the commencement of the process.
Section 5. Due Process Procedures
for Parents and Children.
(1) An
administrative hearing shall be conducted within fifteen (15) days of receipt
of a request for hearing by an impartial hearing officer appointed by the
secretary of the cabinet.
(2) The
hearing shall be conducted in accordance with the requirements of KRS Chapter
13B.080.
(3) A recommended decision
conforming in content to the requirements of
KRS 13B.110
shall be forwarded to the family and the cabinet within ten (10) days of the
administrative hearing.
(4) All
parties to the appeal shall have five (5) days to file written exceptions to
the recommended decision.
(5) A
final decision on the recommendation shall be made no later than thirty (30)
days following receipt of the appeal.
(6) Any parent involved in an administrative
hearing may:
(a) Be accompanied and advised
by counsel and by individuals with special knowledge or training with respect
to early intervention services for children eligible for the First Steps
Program;
(b) Present evidence and
confront, cross-examine, and compel the attendance of witnesses;
(c) Prohibit the introduction of any evidence
at the proceeding that has not been disclosed to the parent at least five (5)
days before the proceeding;
(d)
Obtain a written or electronic verbatim transcription of the proceeding;
and
(e) Obtain written findings of
fact and decisions.
(7)
Any proceeding for implementing the complaint resolution process established in
Section 4 of this administrative regulation shall be held at a time and place
that is reasonably convenient to the parent.
(8) Any party aggrieved by the findings and
decision regarding an administrative hearing may bring a civil action in state
or federal court under
20 U.S.C.
1439(a)(1).
(9) During the pendency of any proceeding
involving a hearing under this section, unless the POE and parents of a child
otherwise agree, the child shall continue to receive the appropriate early
intervention services currently being provided. If the complaint involves an
application for initial early intervention services, the child shall receive
those services that are not in dispute.
Section 6. State Complaint Procedures. The
procedures established in this section shall apply to the Cabinet for Health
and Family Services, Department for Public Health as to written complaints
submitted pursuant to
34 C.F.R.
303.432-303.434.
(1) Any organization or individual may file a
signed written complaint. The complaint shall be submitted on a First Steps
Complaint Form and shall include:
(a) A
statement that the state lead agency, point of entry, or early intervention
provider has violated a requirement of state or federal law;
(b) The facts on which the complaint is
based; and
(c) The signature and
contact information for the complainant.
(2) If the alleged violation is with respect
to a specific child, the complaint shall include:
(a) The child's name and residential
address;
(b) The name of the early
intervention provider serving the child;
(c) A description of the nature of the
problem of the child, including facts related to the problem; and
(d) A proposed resolution of the problem to
the extent known and available to the party at the time the complaint is
filed.
(3) The alleged
violation shall have occurred not more than one (1) year before the date that
the complaint is received by the Department for Public Health.
(4) The party filing the complaint shall
forward a copy of the complaint to the point of entry or early intervention
provider serving the child at the same time the party files the complaint with
the state lead agency.
(5) Within
sixty (60) calendar days after a complaint is filed, the Department for Public
Health shall:
(a) Carry out an independent
on-site investigation, if the agency determines that an investigation is
necessary;
(b) Give the complainant
the opportunity to submit additional information, either orally or in writing,
about the allegations in the complaint;
(c) Provide the point of entry or early
intervention provider an opportunity to respond to the complaint, including:
1. A proposal to resolve the complaint;
and
2. An opportunity for a parent
who has filed a complaint and the point of entry or early intervention provider
to voluntarily engage in mediation, in accordance with Section 4 of this
administrative regulation;
(d) Review all relevant information and make
an independent determination as to whether the point of entry or early
intervention provider is violating a requirement of the Kentucky Early
Intervention System;
(e) Issue a
written decision to the complainant that addresses each allegation in the
complaint and contains:
1. Findings of fact
and conclusions; and
2. The reasons
for the agency's final decision;
(f) Permit an extension of the sixty (60) day
time limit only if exceptional circumstances exist with respect to a particular
complaint; and
(g) Include
procedures for effective implementation of the state lead agency's final
decision, if needed, including:
1. Technical
assistance activities;
2.
Negotiations; and
3. Corrective
actions to achieve compliance.
(6) If a written complaint is received that
is also the subject of a due process hearing or contains multiple issues, of
which one or more are part of a due process hearing, the Department for Public
Health shall set aside any part of the complaint that is being addressed in the
due process hearing until the conclusion of the hearing. Any issue in the
complaint that is not a part of the due process action shall be resolved within
the sixty (60) calendar-day timeline using the complaint procedures established
in this section.
(7) If an issue is
raised in a complaint filed under this section that has previously been decided
in a due process hearing involving the same parties, the:
(a) Hearing decision shall be binding;
and
(b) Agency shall inform the
complainant of that effect.
(8) A complaint alleging the state lead
agency, point of entry, or early intervention provider's failure to implement a
due process decision shall be resolved by the Department for Public
Health.
Section 7.
Incorporation by Reference.
(1) The following
material is incorporated by reference:
(a)
"First Steps Complaint Form", August 2012 edition; and
(b) "Mediation/Due Process Request Form",
March 2014 edition.
(2)
This material may be inspected, copied, or obtained, subject to applicable
copyright law, at the Department for Public Health, 275 East Main Street,
Frankfort, Kentucky 40621, Monday through Friday, 8 a.m. to 4:30 p.m.
STATUTORY AUTHORITY:
KRS
194A.050,
200.660