Ensuring Confidentiality in Early Childhood Programs

Consent to Release
or Obtain
Confidential
Information
Presented by: Stacy Morgan, Mental Health & Disabilities
Manager
Head Start Performance Standards
§ 1304.51 Management systems and
procedures.
(g) Record-keeping systems. Grantee and
delegate agencies must establish and maintain
efficient and effective record-keeping systems
to provide accurate and timely information
regarding children, families, and staff and 
must
ensure appropriate confidentiality of this
information.
Agency Confidentiality
Procedures
According to the SPCAA Employee Handbook:
“Company property typically contains 
confidential
information
 of the program and its children and
should be always treated as such. All educational
information regarding each child is subject to the
Family Education Rights and Privacy Act (FERPA).
Disclosure of any information regarding these
children can only be made by a parent’s written
consent or other specific methods
. A violation of
FERPA may subject SPCAA to loss of federal funds…”
Agency Confidentiality
Procedures (cont.)
According to the SPCAA Employee Handbook:
“…Additionally, our families, community partners,
suppliers and vendors entrust us with important
confidential information relating to their respective
businesses... In safeguarding the information received,
our program earns the respect and continued trust of
our families, community partners, suppliers and
vendors… 
Disclosure of confidential information may
lead to termination of employment, as well as other
potential legal action.
  
In addition, all staff will ensure
that all documentation and program information
remains secure and maintained on program premises
and under program care at all times.”
When Can Confidential Information be
Shared Without Parent Consent?
With other SPCAA Head Start/ Early Head
Start staff on a “need to know” basis in
order to provide the best possible care to
children and families
In cases of suspected child abuse or
neglect
Consent Forms Needed at
Recruitment
Disability
 (if child has diagnosed or
suspected points, 
except parent concerns
)
Consent Forms Needed at
Enrollment
Physical
Dental
 
How do I know if the child needs a
Consent to Release or Obtain
Confidential Information form for a
disability?
Determine if a Disability Consent is Needed
1.
 With any tab in Child
Plus selected, click
“Change Who Appears
in this List” on the left
side of the screen.
1
Determine if a Disability Consent is Needed
2
3
5
4
2.
 
Select the Program Term,
either:
 
a.) EHS 2013-2014
 
b.) HeadStart 2013-2014
3.
 
Mark the box next to your Site.
4.
 
Under Status, mark the box
next to “Accepted”. No other boxes
should be selected.
5. 
Scroll down in the Group
section and check the box next to
“Need MH/DIS Consents”. No other
boxes should be selected.
6. 
Click on “Find”.
6
 
2013-2014
2013-2014
Determine if a Disability Consent
is Needed
7. 
If the child you are enrolling is
listed under My Participants,
complete a Consent to Release or
Obtain Confidential Information for
disability services.
7
 
How do I fill out the new and improved
Consent to Release or Obtain
Confidential Information form?
 
How to Complete the Consent to Release or
Obtain Confidential Information Form
1. 
Check (
) 
Release
 
and/or
 
Obtain
RELEASE: 
means 
you are giving/sending
 confidential information or documentation about
the child to another agency
OBTAIN: 
means you are 
asking another agency to send
 you a document or other form of
confidential information about the child
HINT:
          For 
Disability, Physical, and Dental Consents
, you will always check Release and/or Obtain.
2. 
Write 
Child’s Name
3. 
Write 
Child’s Date of Birth
How to Complete the Consent to Release or
Obtain Confidential Information Form
4. 
Write 
YOUR name
5. 
Write the 
Phone Number 
for your site
6. 
Write the 
Name of the Agency
 information is being released to or obtained from
7. 
Write 
Name of Person/Department
 request needs to go to (i.e., Records Department, Dr.
Johnson)
8
. Write 
Address of the other Agency
How to Complete the Consent to Release or
Obtain Confidential Information Form
9
. 
Check (
) the boxes next to the items being released/
obtained. You can check more than one box, but 
you should
never
 check every box
!
10. 
Read the statement to the parent and ask him/her to initial
on the line to indicate understanding and agreement
.
How to Complete the Consent to Release or
Obtain Confidential Information Form
11. 
Have parent sign and date (after the rest of the form is 
completely
 filled
out)
12. 
You need to sign and date
13. 
If an interpreter was used (for languages other than English/ Spanish),
the interpreter will sign and date this line
.
REMEMBER:
Except for the “Date Sent/Mailed”, You can
NEVER
 add to, modify, or otherwise edit the
form after a parent signs it. This is called 
FRAUD
.
With the exception of “Date Sent/Mailed”, there
should be 
NO BLANKS 
on the form when the
parent signs.
This form must be completed 
BEFORE
information can be shared between SPCAA and
any other agencies.
 
Let’s Review!
Let’s Review!
What 3 items might you
need to complete the
Consent form at
Recruitment and
Enrollment?
Let’s Review!
How do you find out if you
need to complete a
Consent form for
Disability services?
Let’s Review!
When will a consent form
be filled out for a
diagnosed or suspected
disability?
Slide Note

Why do we have the Consent Form?

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Early childhood programs must adhere to stringent confidentiality procedures to protect the sensitive information of children, families, and staff. This includes obtaining proper consent before sharing confidential information and maintaining secure record-keeping systems. Violations can lead to severe consequences, such as loss of federal funds or termination of employment. Sharing confidential information without consent is strictly regulated, especially in cases of suspected child abuse or neglect. Proper consent forms are required at various stages, such as recruitment and enrollment, to ensure compliance with regulations like FERPA.

  • Early Childhood Programs
  • Confidentiality Procedures
  • Consent Forms
  • FERPA Regulations
  • Child Safety

Uploaded on Sep 27, 2024 | 0 Views


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  1. Consent to Release or Obtain Confidential Information Presented by: Stacy Morgan, Mental Health & Disabilities Manager

  2. Head Start Performance Standards 1304.51 Management systems and procedures. (g) Record-keeping systems. Grantee and delegate agencies must establish and maintain efficient and effective record-keeping systems to provide accurate and timely information regarding children, families, and staff and must ensure appropriate confidentiality of this information.

  3. Agency Confidentiality Procedures According to the SPCAA Employee Handbook: Company property typically contains confidential information of the program and its children and should be always treated as such. All educational information regarding each child is subject to the Family Education Rights and Privacy Act (FERPA). Disclosure of any information regarding these children can only be made by a parent s written consent or other specific methods. A violation of FERPA may subject SPCAA to loss of federal funds

  4. Agency Confidentiality Procedures (cont.) According to the SPCAA Employee Handbook: Additionally, our families, community partners, suppliers and vendors entrust us with important confidential information relating to their respective businesses... In safeguarding the information received, our program earns the respect and continued trust of our families, community partners, suppliers and vendors Disclosure of confidential information may lead to termination of employment, as well as other potential legal action. In addition, all staff will ensure that all documentation and program information remains secure and maintained on program premises and under program care at all times.

  5. When Can Confidential Information be Shared Without Parent Consent? With other SPCAA Head Start/ Early Head Start staff on a need to know basis in order to provide the best possible care to children and families In cases of suspected child abuse or neglect

  6. Consent Forms Needed at Recruitment Disability (if child has diagnosed or suspected points, except parent concerns) Consent Forms Needed at Enrollment Physical Dental

  7. How do I know if the child needs a Consent to Release or Obtain Confidential Information form for a disability?

  8. Determine if a Disability Consent is Needed 1. With any tab in Child Plus selected, click Change Who Appears in this List on the left side of the screen. 1

  9. Determine if a Disability Consent is Needed 2.Select the Program Term, either: a.) EHS 2013-2014 b.) HeadStart 2013-2014 3.Mark the box next to your Site. 4.Under Status, mark the box next to Accepted . No other boxes should be selected. 5. Scroll down in the Group section and check the box next to Need MH/DIS Consents . No other boxes should be selected. 6. Click on Find . 2 2 2013-2014 2013-2014 3 3 4 4 5 5 6 6

  10. Determine if a Disability Consent is Needed 7 7 7. If the child you are enrolling is listed under My Participants, complete a Consent to Release or Obtain Confidential Information for disability services.

  11. How do I fill out the new and improved Consent to Release or Obtain Confidential Information form?

  12. How to Complete the Consent to Release or Obtain Confidential Information Form 1. Check ( ) Release and/or Obtain RELEASE: means you are giving/sending confidential information or documentation about the child to another agency OBTAIN: means you are asking another agency to send you a document or other form of confidential information about the child HINT: For Disability, Physical, and Dental Consents, you will always check Release and/or Obtain. 2. Write Child s Name 3. Write Child s Date of Birth

  13. How to Complete the Consent to Release or Obtain Confidential Information Form 4. Write YOUR name 5. Write the Phone Number for your site 6. Write the Name of the Agency information is being released to or obtained from 7. Write Name of Person/Department request needs to go to (i.e., Records Department, Dr. Johnson) 8. Write Address of the other Agency

  14. How to Complete the Consent to Release or Obtain Confidential Information Form 9. Check ( ) the boxes next to the items being released/ obtained. You can check more than one box, but you should never check every box! 10. Read the statement to the parent and ask him/her to initial on the line to indicate understanding and agreement.

  15. How to Complete the Consent to Release or Obtain Confidential Information Form 11. Have parent sign and date (after the rest of the form is completely filled out) 12. You need to sign and date 13. If an interpreter was used (for languages other than English/ Spanish), the interpreter will sign and date this line.

  16. REMEMBER: Except for the Date Sent/Mailed , You can NEVER add to, modify, or otherwise edit the form after a parent signs it. This is called FRAUD. With the exception of Date Sent/Mailed , there should be NO BLANKS on the form when the parent signs. This form must be completed BEFORE information can be shared between SPCAA and any other agencies.

  17. Lets Review!

  18. Lets Review! What 3 items might you need to complete the Consent form at Recruitment and Enrollment?

  19. Lets Review! How do you find out if you need to complete a Consent form for Disability services?

  20. Lets Review! When will a consent form be filled out for a diagnosed or suspected disability?

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