Star ratings have pros, cons

BY GINNIE GRAHAM and CURTIS KILLMAN
Tuesday, September 04, 2007
9/04/07 at 4:41 PM




Visit the series Web site for A Question of Care: an investigation of the state’s day-care system


Going beyond the gut feeling

Records come with red tape

Children at risk

Many providers are spread too thin

Oklahoma's troubled child-care facilities

They dare to care

Counting the stars

Advocates push for updated incentives system to improve care



About 10 years ago, a swirl of child-care concerns resulted in a revolutionary model for the licensing division of the state Department of Human Services.

The stars rating system grew out of a combination of DHS' desire to increase child-care subsidies, lawmakers' desire to improve quality care for low-income children and an overall understanding of brain research in infants and toddlers.

"It all came together to give DHS the support to launch this system," said Nancy vonBargen, the executive director of SmartStart Oklahoma and a former DHS child-care support services supervisor, who helped establish the stars rating system.

A growing number of people are pushing DHS to update and change the program.

"Now, the system is languishing, and it is time for Oklahoma to revisit their program," vonBargen said. "We always had the hope it would continue to raise the bar of quality."

Child-care providers have the option of participating in the rating system. Every facility receives a one-star rating just for meeting minimum licensing requirements.

To achieve a higher rating -- one-star plus, two-star or three-star -- the provider has to meet requirements such as obtaining more education and training, setting up a curriculum and attaining a lower teacher-child ratio.

Providers end up spending more money to move to a higher rating, which usually raises the cost of care for parents.

Critics say the ratings should apply to all providers and not be voluntary.

Also, DHS should consider incentives such as salaries on par with local school districts, said Jan Figart, the associate director of the Community Service Council of Tulsa.

"There is a developing agreement out of Tulsa that there needs to be a new way to look at the stars system," Figart said.

Some fear that mandatory ratings would send some providers underground or unfairly label good providers who do not want to seek higher education.

VonBargen said, "The reason the rating system has been so successful has been the voluntary aspect.

"People support high quality. But they think differently about their center putting in high quality standards to a point where they can no longer afford it. Or, when the grandmother down the street can no longer meet the requirements for a license."

The stars system has put pressure on providers to improve their services, vonBargen said. Some providers who do not accept subsidies participate because of public pressure.

VonBargen said SmartStart Oklahoma is convening a group to offer more support services to providers to improve quality.

"The entire industry has grown into the professionalism of the stars system, and we have more people than ever looking to acheive national accreditation," she said.

Despite the criticisms, DHS Director Howard Hendrick said the stars system is still a "valid criteria."

"There may be good one-star homes providing quality care who do not want to mess with the requirements in the rating system and national accreditation," he said.

"People delivering high-quality one-star care and do not want to move up are people with relationships with the families they are caring for. It's not a big deal to them because they see no added value.

"Candidly, I don't think there are many one-star providers in that category."

Growing talent -- DHS added the one-star plus rating a few years ago to indicate whether a facility is actively working toward a higher rating.

Mark Lewis, the director of DHS' child-care services division, said the agency hoped that the new category would eventually bring all facilities to that level as a minimum standard.

"In an industry based on lower wages and a lack of benefits to hire in qualified teachers, we made a conscious effort to grow talent within the industry and provide a lot of support to do that," he said.

Hendrick said two approaches have been made to bring up the quality among the lower-rated facilities.

DHS started the Scholars Program to encourage child-care providers to enter the state's two-year colleges for an associate's degree or a certificate of mastery. About 1,000 people have entered the program.

"Higher education ought to take this as an opportunity to grow as a state institution," Hendrick said. "It is a first step to get people into higher education."

DHS also increased the subsidy payments to pay providers more money as they achieved quality benchmarks. Subsidies are for low-income children in care. The subsidy budget has increased from about $73 million in 1998 to $140 million this year.

"We are not asking providers to take in more kids," Hendrick said. "We want to train people and pay them better wages, decrease turnover and retain the work force."

DHS officials point to the number of providers who have achieved national accreditation with these supports. Since 2001, accredited child-care centers in Oklahoma have increased from fewer than 20 to more than 200.

Lewis said, "It is probably time we take a look at the stars (system) to see where we are with the requirements and what the capacity of child-care is right now.

"Of all the facilities in the state, the number of ones with problems is a small percentage of the industry. There are some really good people out there providing care for children."




By the numbers



Providers

25,000 - People working in the child-care industry
77 - Age of the oldest one-star home provider in Tulsa County
22 - Age of youngest one-star home provider in Tulsa County
45 - Average age of one-star home provider in Tulsa County
53 - Percentage of one-star home providers in Tulsa with a high school education
8 - Percentage of one-star home providers with less than a high school education
29 - Percentage of one-star home providers with some college education
10 - Percentage of one-star home providers with at least a bachelor’s degree
1971 - Founding year of the longest-operating one-star home in Tulsa County


Copyright © 2013, Tulsa World All rights reserved.