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State scrutiny of Early Head Start programs prompts questions

By Dave Ranney

Brenda Jones, assistant teacher, works with Camila Meza-Luna, 2, and Jason Spencer, 2, in a classroom at TOP Early Learning Center in Wichita, part of the Child Start program. Child Start officials decided not to reapply for nearly $1 million in Early Head Start funding because of difficulties dealing with a state agency.-photo Kevin Brown
Brenda Jones, assistant teacher, works with Camila Meza-Luna, 2, and Jason Spencer, 2, in a classroom at TOP Early Learning Center in Wichita, part of the Child Start program. Child Start officials decided not to reapply for nearly $1 million in Early Head Start funding because of difficulties dealing with a state agency.-photo Kevin Brown

KHI News Service

WICHITA — One of the state’s largest early childhood development programs has decided not to reapply for nearly $1 million in Early Head Start funding because of difficulties dealing with a state agency.

“This wasn’t something we wanted to do,” said Teresa Rupp, longtime executive director at Child Start, a Wichita-based program that provides Head Start and Early Head Start services for 981 low-income children in Butler, Cowley, Sedgwick and Sumner counties.

The decision, Rupp said, was driven in large part by Child Start’s increasing frustration with auditors from the Kansas Department for Children and Families.

“Things just got to a point where we were having to spend more on administration than we used to and less on the children than we used to,” she said. “It’s very unfortunate.”

The funding — $949,392 for this state fiscal year — had been used to finance full-year services for 90 children, from birth to age 3. Those slots are now gone, Rupp said.

Prior to July 1, Child Start had 254 pregnant women, babies and toddlers in its Early Head Start program. Now it has 164. Child Start also has 817 children in its Head Start program for ages 3 to 5.

The 90 eliminated slots had been financed primarily by a federal block grant administered by DCF. The remaining 164 Early Head Start slots are funded under a different arrangement with the Office of Head Start in the U.S. Department of Health and Human Services.

Rupp said that in August 2013, two DCF auditors spent almost a week at Child Start “looking at every transaction, every quart of milk, every drive across town, every individual’s time sheets documenting where they spent every hour and what they were doing every hour.”

The auditors, she said, cited Child Start for using its van to transport Head Start and Early Head Start children at the same time without differentiating the mileage.
“We got docked because we didn’t fill out a form to designate which miles were for the Head Start kids and which were for the Early Head Start kids,” Rupp said. “We didn’t fill out the form because there wasn’t a form to fill out, and there wasn’t a form to fill out because we’d never tracked it, and we’d never tracked it before because no one had ever asked us to.”

Here’s a look at the Early Head Start program funding administered by the Kansas Department for Children and Families. Programs receive the amount listed for FY 2014 and 2015 each fiscal year. *The $949,392 is the amount that Child Start decided to reapply for in FY 2015. (Click to enlarge)
Here’s a look at the Early Head Start program funding administered by the Kansas Department for Children and Families. Programs receive the amount listed for FY 2014 and 2015 each fiscal year. *The $949,392 is the amount that Child Start decided to reapply for in FY 2015. (Click to enlarge)

Rupp said the new level of state scrutiny was unprecedented.

“We go through an independent audit every year that’s in accord with our federal grant guidelines. That means it’s a financial and a programmatic audit,” she said. “And on top of that, our programs get reviewed every three years by teams of federal reviewers, looking at more than 3,000 requirements specified by Head Start Performance Standards.

“We are not always perfect, but we have had no significant findings of non-compliance, absolutely no financial irregularities and no significant deficiencies cited in the last 20 years,” said Rupp, a Child Start employee for the past 34 years.

In January, DCF sent a draft report, putting Rupp on notice that based on the audit findings Child Start should be prepared to pay back almost $85,000.

“Most of it had to do with them saying we spent more on salaries than we’d originally budgeted,” Rupp said. “And that’s true, we did. But you’re allowed to do that as long as you notify the state and get permission, which we did. We called DCF and asked if there was a form we needed to fill out, and they said no, that as long as we let them know, that was enough.”

The DCF audit finding, she said, stemmed from home visitation workers needing to put in more hours than initially predicted. Rupp said Child Start documents show the workers’ additional hours were spent assisting Early Head Start children and their families.

But the DCF auditors, she said, “denied the whole thing” because Child Start didn’t have any written indication from the agency that it had approved the additional salary expenditures. DCF and Child Start have been haggling over their differences ever since.

Rupp said Child Start’s strained relations with DCF played a “significant” role in the decision to forgo the nearly $1 million administered by the state.

“We just felt like this (audit dispute) was something that wasn’t going to go away, and that we’d constantly be put in a position of providing services that we wouldn’t be reimbursed for because, frankly, the state is broke,” she said. “That … and the level of scrutiny was just nuts.”

Obligation to taxpayers

Theresa Freed, a DCF spokesperson, said the change in audit polices was driven by the department’s “obligation to Kansas taxpayers to ensure that funds are being used as intended — for the benefit of children.” The audits, she said, were not “intended to penalize our community partners/grantees.”

DCF, she said, changed the scope of its audits in December 2011 as part of an effort to “promote accountability and deter potentially fraudulent activities” among the department’s network of providers. She didn’t say what led state officials to be concerned about potential fraud in the state’s Early Head Start programs.

However, she did say that federal officials shared DCF’s concerns and endorsed tighter scrutiny of the Early Head Start grants.

Asked if federal officials had put their concerns in writing, Freed said the sentiments were expressed during a telephone call. “It appears there wasn’t a formal report,” she said.

Freed said DCF auditors are checking to see if there is an email record of federal officials’ concerns.

About 10 years ago there was concern that a significant number of Head Start programs across the country were underperforming and were not well-managed. Those concerns stemmed from a U.S. Office of Government Accountability report that said HHS was not adequately monitoring the finances of some Head Start programs and was slow to terminate grants to troubled organizations.

The GAO report led to major reforms when Congress reauthorized Head Start in 2007. Among other things, the reauthorization legislation required “low-performing” Head Start programs to compete for renewal of their grants.

Erick Vaughn, director of the Kansas Head Start Association, said he wasn’t aware that federal officials had current concerns about any of the 28 programs the association represents, including the 13 Early Head Start programs funded in part or in whole by more than $10 million in DCF-administered grants.

‘What’s really going on?’

Vaughn said Child Start’s experience with the DCF auditors is not unique.

“Everyone is fine with being audited and with DCF asking questions,” Vaughn said. “No one objects to being held accountable, but so much of the focus seems to be on recouping dollars rather than on conducting audits. It kind of makes you wonder what’s really going on here.”

The audits have focused on the grant monies received in state fiscal year 2012, which ended June 30, 2012. Of the 13 Early Head Start programs that received a DCF-administered grant, 12 have received draft reports and one is still pending.

Collectively, Vaughn said, the 12 programs have been told they likely will have to pay back approximately $650,000.

He called the initial assessments, which are not yet official, “ridiculous,” noting that all 13 programs have passed federally required independent audits.

“This has been going on for 18 months now,” he said. “That’s 18 months of limbo.”

Some in the Head Start community have speculated that the higher level of state scrutiny is somehow connected to the Legislature’s rejection of Gov. Sam Brownback’s 2011 proposal to eliminate state funding for Early Head Start. The governor wanted to free up money for an initiative to improve fourth-grade reading scores and to increase child-care subsidies for low-income families, many of which were headed by single working parents.

However, DCF’s Freed said the change in audit procedures was not related to the Legislature’s rejection of the governor’s proposal. She said the governor’s office has played no role in the audits.

Some of the state’s Early Head Start directors aren’t convinced.

“I don’t know that anybody is saying there’s a connection between the governor’s wanting to eliminate Early Head Start and the audits that have been going on for the past year and a half,” Vaughn said. “But it does seem a little odd that they’ve been hitting the programs as hard as they have and in a manner that, for some, seemed like a witch hunt.”

State support for Early Head Start programs was initiated by Gov. Bill Graves’ administration in 1998.

DCF polices, Freed said, prevent department officials from commenting on any of the Early Head Start audits until after final reports have been issued to all 13 programs, a process that’s expected to take at least three more months. All 13 final reports will be released at the same time.

Once that’s done, Freed said, a panel of DCF officials will decide whether to require that the programs repay all or some of the money deemed to have been misspent. The panel’s decisions will be subject to an appeal process.

“It is our goal to help them continue to provide the important service they offer in the community,” Freed said, referring to the Early Head Start programs. “Although we may need to recover funds that were not used appropriately, we are eager to work with those Kansas Early Head Start programs to come into compliance and move forward.”

So far, Freed said, DCF has spent $222,000 on the Early Head Start audits.

‘Not a happy camper’

Tawny Stottlemire runs Community Action, a Topeka-based anti-poverty program that manages the Head Start and Early Head Start programs in Shawnee County. She said her agency received a draft report in May that said hundreds of thousands of dollars in funding might be withheld because some job titles had been changed without notifying the state.

“We’re talking about the same people with the same responsibilities, working the same hours with the same funding stream — but with different titles. And they were all disallowed,” Stottlemire said.

Subsequently, Community Action’s finance department, she said, has spent hundreds of hours and thousands of dollars refuting the finding.

“We think it may be down to around $80,000,” Stottlemire said. “But we don’t have anything official from DCF. We’re still negotiating. We’re still trying to find our way through this maze that the state has created. It’s incredibly difficult.”

Stottlemire said Community Action also has consistently passed its federal and independent audits.

“These are federal dollars, so the administrative requirements and the quality demands are really intense, which is why a lot of really good child care providers choose not to do it,” she said.

Steve Lohr runs the Girard-headquartered Southeast Kansas Community Action Program, which receives the most DCF-administered funding of any of the 13 Early Head Start programs: $1.7 million. The grant underwrites Early Head Start services for 182 children in some of the lowest-income counties in the state.

“We don’t have our draft letter yet, so there’s not a lot I can argue with at this point,” Lohr said.

But Lohr said he’s let it be known that he “won’t be a happy camper” if DCF tells the Southeast Kansas program that it has to pay back any of the money it received in 2011 and 2012.

“In the 35 years that I’ve been here, we’ve passed all kinds of local, state and federal reviews,” he said. “I think if John Q. Public were to come in and see all the reporting systems we have in place, he’d shake his head in disbelief.”
Dave Ranney is a reporter for Heartland Health Monitor, a news collaboration focusing on health issues and their impact in Missouri and Kansas.

GOP women’s group in Kansas host former CEO

Carly Fiorina- photo U.S. Dpt. of Commerce
Carly Fiorina- photo U.S. Dpt. of Commerce

WICHITA, Kan. (AP) — The former CEO of Hewlett-Packard is visiting Kansas for Republican campaign events hosted by Women for Brownback coalition and the Republican House Campaign Committee.

Carly Fiorina was expected to be joined by Gov. Sam Brownback and Lt. Gov. Jeff Colyer on Tuesday at a luncheon in Wichita and later at a rally and fundraising dinner in Overland Park.

Fiorina stepped down from Hewlett-Packard in 2005 amid upheaval about the company’s performance following her decision to buy computer maker Compaq Computer. The companies combined businesses in 2002 following a contentious acquisition. The deal was opposed by former director Walter Hewlett, the son of HP co-founder William Hewlett. The final acquisition price was $19 billion.

In 2010, Fiorina spent $5.5 million unsuccessfully running for U.S. Senate from California.

 

Liquid nicotine exposures up sharply among kids

LINDSAY WHITEHURST, Associated Press

e cigaretteSALT LAKE CITY (AP) — Poison control workers say that as the e-cigarette industry has boomed, the number of children exposed to the liquid nicotine that gives hand-held vaporizing gadgets their kick also is spiking.

The American Association of Poison Control Centers reports that more than 2,700 people have called about a liquid nicotine exposure this year, up from a few hundred cases three years ago.

Though new products often bring a spike in calls to poison control, authorities say liquid nicotine is dangerous because it’s more concentrated than traditional cigarettes and comes in candy flavors that can attract kids.

Officials are calling for child-resistant caps on refill bottles, which industry representatives say many manufacturers have already begun using.

There’s no uniform standard, however, because the e-cigarette industry doesn’t face the strict regulations governing traditional smokes.

 

Dozens arrested on 4th day of St. Louis protests

ALAN SCHER ZAGIER, Associated Press
JIM SALTER, Associated Press

FERGUSON, Mo. (AP) — Police arrested dozens of protesters during the final of four days of rallies and civil disturbance to express anger at the fatal shooting of Michael Brown, a black 18-year-old, by a white police officer in a St. Louis suburb.

Organizers of the Ferguson October protests dubbed the day “Moral Monday” and committed acts of civil disobedience in and around St. Louis. More than 50 people were arrested.

Hundreds of protesters marched on Ferguson police headquarters where they stayed for almost four hours — despite torrential rain and tornado watches — to mark how long Brown’s body was left in a Ferguson street after he was killed.

 

Victims in Chicago-area crash were Kansas doctors

crashDON BABWIN, Associated Press

CHICAGO (AP) — A Kansas hospital system has identified three physicians as victims of a small plane crash in suburban Chicago.

Stormont-Vail HealthCare in Topeka said Monday that the victims of Sunday night’s plane crash included two of its doctors.

They were neurosurgeon Tausif Rehman and pulmonologist Ali A. Kanchwala.

Stormont-Vail also identified the third victim as Kanchwala’s wife. She was Maria Javaid, a cardiologist at the Providence Medical Center in Kansas City, Kansas.

The National Transportation Safety Board said there were no obvious reasons why their twin-engine Beechcraft Baron plane crashed in the Chicago suburb of Palos Hills shortly after a takeoff from Midway’s International Airport. The Federal Aviation Administration said the plane was flying to Lawrence, Kansas.

It crashed in a vacant lot on a street crowded with houses.

Review of Missouri water patrol merger continues

OSAGE BEACH, Mo. (AP) — Missouri lawmakers are gathering more testimony on the wisdom of the decision three years ago to make the Water Patrol a division of the State Highway Patrol.

A special House committee planned to hear from the public and a state trooper during a meeting Tuesday at Osage Beach City Hall. It’s the second of four scheduled hearings on the 2011 merger.

 Water PatrolThe review follows the May drowning in the Lake of the Ozarks of a handcuffed Iowa man who fell from a trooper’s boat. The trooper had arrested 20-year-old Brandon Ellingson on suspicion of drunken boating.

Lawmakers now question whether the merger of the Water Patrol and the Highway Patrol overwhelmed troopers while saving the state money. Combining the departments was supposed to save about $3 million a year.

ALCS Game 3 postponed because of rain

DAVE SKRETTA, AP Sports Writer

RoyalsKANSAS CITY, Mo. (AP) — Game 3 of the AL Championship Series has been postponed because of rain.

The game was pushed back from Monday to Tuesday at 8:07 p.m. EDT. Game 4 was rescheduled Wednesday at 4:07 p.m. EDT and Game 5, if needed for Thursday at 4:07 p.m. EDT.

Kansas City leads the best-of-seven series 2-0.

Major League Baseball Senior Vice President Peter Woodfork says: “We want a game we know we can get through nine innings, hopefully play dry baseball, not risk player safety or uncomfortable fans.”

Christie returns to Kansas to stump for Brownback

Brownback and Christie on Monday
Brownback and Christie on Monday in Wichita- courtesy photo

WICHITA, Kan. (AP) — New Jersey Gov. Chris Christie has made another trip to Kansas to campaign for Republican Gov. Sam Brownback re-election bid.

Christie is chairman of the Republican Governors Association. He joined Brownback on Monday at Freddy’s Frozen Custard in Wichita where he visited with restaurant patrons.

A private fundraising event was scheduled later Monday.

Brownback is locked in a tough race with Democratic challenger Paul Davis amid voters’ concerns about massive tax cuts that have created budget shortfalls.

But Christie said indications from several polls show Kansas voters are swinging toward Brownback as they consider what he called the positive record of Brownback’s first term in office.

Christie also made a campaign stop Monday in Minnesota, with others planned Tuesday in in Maine and Connecticut.

 

Patient at University of Kansas Hospital being tested for ebola

Dr. Lee Norman, Chief Medical officer at the University of Kansas Hospital at Monday's press conference
Dr. Lee Norman, Chief Medical officer at the University of Kansas Hospital at Monday’s press conference

KANSAS CITY, Kan. (AP) — Officials at the University of Kansas Hospital say a man being treated in isolation is considered at low to moderate risk of having contracted the Ebola virus.

Chief medical officer Dr. Lee Norman says the patient came to the hospital Monday morning with significant weakness and diarrhea. The man also said he had previously had a fever.

But Norman also said it was encouraging that the man did not have a fever nor internal bleeding — two symptoms of Ebola. Norman said the man was being rehydrated and regaining strength.

The man worked recently as a medic on a commercial ship off Africa’s west coast. Norman said he had been exposed to typhoid, but that it’s unknown if he was also exposed to Ebola.

Norman said results of blood tests are expected Tuesday.

Tea Party group endorses Roberts in Senate race

 

Senator Robert's at Monday's announcement in Wichita
Senator Robert’s at Monday’s announcement in Wichita

ROXANA HEGEMAN, Associated Press

WICHITA, Kan. (AP) — A national tea party group that derided U.S. Sen. Pat Roberts during Kansas’ bitter Republican primary race is now backing him in the general election.

Leaders of the Tea Party Express made the announcement Monday in Wichita. Roberts says he is pleased with the endorsement, saying the tea party activists “have fire in the belly.”

Roberts won less than 50 percent of the vote in defeating tea party favorite Milton Wolf in the August GOP primary. The three-term Senate incumbent is now in a tight race with independent Greg Orman.

Orman’s campaign says that Roberts’ embrace of what it called extremists like Ted Cruz, Sarah Palin and the Tea Party Express is more evidence that Roberts is part of a broken political system.

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