Procedure Contracts Administration Non-Compliance Corrective Action Matrix

Transcription

1 Violation Corrective Action Level I (First Offense) Ratio Provider must get in to appropriate staff to child ratio immediately by contacting additional staff to come in or parents to pick up children Report to by filing contacting Program Office for non licensed providers (CAP) to provider o 1 unannounced visit ratios within 10 business Curriculum (CAP) to Provider o Provider must obtain approved curriculum Documentation of Provider Type Contact Provider by phone to request updated Corrective Action Level II (Second Offense) Provider must get in to appropriate staff to child ratio immediately by contacting additional staff to come in or parents to pick up children Report to by filing contacting Program Office for non licensed providers Withhold payment for all SR children at site for day of violation (CAP) to provider o 3 unannounced visits ratios in the next 45 business Provide proof of approved curriculum purchase within 2 business Provider must contact ELC case manager when curriculum arrives ELC visit within 5 business of provider notification to verify an approved curriculum is on site Not Applicable Date Revised: 9/28/15 Page 1of 5 Action Item #:

2 License Registratio n Religious Exemption Religious Accreditati on o Provider has 2 business to submit o After 2 business day period, send 10 business day noncompliance letter o If provider fails to comply termination will occur Expired Liability Insurance or Background Clearance Documents Contact Provider by phone to request updated Send 10 business day notice of non compliance If background clearance lapse has occurred in a VPK classroom, ELC Contracts Administration Analyst will contact provider to obtain updated VPK staff information for that classroom and provide Technical Assistance on VPK Background Clearance requirements Withhold provider payment for duration of noncompliance and lapse* Do not enroll children at provider for duration of noncompliance** Do not make CCR&R referrals for provider for duration of Proceed to probation procedure Date Revised: 9/28/15 Page 2of 5 Action Item #:

3 non compliance *Upon receipt of, if ELC determines there has been a lapse of more than 10 business contract will be terminated for insurance non compliance **This may not be possible in regards to insurance in the event the ELC is not notified of an insurance policy cancellation until after the cancellation date If ELC receives notification from insurance company of a pending cancellation for nonpayment one the same provider more than one time in a fiscal year, provider will receive Technical Assistance and be notified of required Level I corrective action for insurance non compliance Health & Safety Issues Provider must take action to demonstrate immediate compliance with Health & Safety issues while ELC staff is on site (if possible) Report to by filing contacting Program Office for non licensed providers Provider must take action to demonstrate immediate compliance with Health & Safety issues while ELC staff is on site (if possible) Report to by filing contacting Program Office for non licensed providers ELC staff performs full site monitoring using OEL SR 20M Withhold payment for Date Revised: 9/28/15 Page 3of 5 Action Item #:

4 (CAP) to Provider o 1 unannounced visit compliance with Health & Safety requirements within 10 business duration of non compliance Do not enroll children for duration of non compliance *Depending on severity of issue, may move to immediate termination of contract. *Depending on severity of issue, may move to immediate termination of contract. Parent Co Pays Corrective Action Plan, and 10 day notice of noncompliance to business Site Monitoring: Discipline Policy Confidentia lity Record Corrective Action Plan, and 10 day notice of noncompliance to, and 10 day notice of non compliance to business Provider shall submit an ELC determined sampling of copay receipts for 3 consecutive months with monthly attendance, and 10 day notice of non compliance to Date Revised: 9/28/15 Page 4of 5 Action Item #:

5 Maintenan ce Rate & Fee Listing Private Pay Rates Immunizati on and/or Health Form (nonlicensed providers) business business Mandatory training from ELC staff based on type of noncompliance Date Revised: 9/28/15 Page 5of 5 Action Item #: