NHA EARLY LINK-SKILL CENTERS OF AMERICA HEAD START

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25LPAs (Licensing Program Analysts) Saraliz Velando and Stefani Mutialu, conducted an unannounced follow up visit of two self-reported incidents that occurred on 7/8/24 and 9/6/24. On 7/8/24, a 4 year old child (Child #1) was riding a tricycle that tipped over and sustained a fracture to the left arm. Child #1 did not finish the Summer program and returned to school on 9/3/24. The second incident was on 9/6/24 where a 3 year old child (Child #2) spilled milk while trying to pour it in a cup and the substitute teacher spoke to her inappropriately and made the child upset. The same teacher grabbed the shoulders of Child #2 and forced her on a chair roughly while she was eating which caused the child to choke on the food she was eating. LPA conducted staff interviews. Staff #1 stated that she witnessed the milk incident and the inappropriate comment that was made regarding the milk being spilled. She also mentioned that it was not the first time she witnessed the substitute teacher being rough and using a harsh tone towards children. Staff #1 stated that she spoke to the substitute about being gentler but did not see improvement. Staff #2 told LPA that she had also counseled the substitute regarding her loud tone in the classroom. The ratio was 3 staff to 16 children at the time of second incident and adequate supervision was in place. The facility reported the incidents timely. The tricycles for the children in the playground are age appropriate and in good condition. It seems that the first incident was a random accident. For the second incident, a type B deficiency will be issued today. An exit interview was conducted with the Director Lorena Agraz. Notice of Site Visit and Appeal Rights along with a copy of the report was provided to Director. A notice of site visit was posted and must remain for 30 days. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Saraliz Velando LICENSING EVALUATOR SIGNATURE: DATE: 09/24/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2024 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 2 FACILITY NAME: NHA EARLY LINK-SKILL CENTERS OF AMERICA HEAD START FACILITY NUMBER: 376600708 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/24/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 09/24/2024 Section Cited CCR 101223(a)(1) 1 2 3 4 5 6 7Personal Rights(a)The licensee shall ensure that each child is accorded the following personal rights:(1)To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by: 1 2 3 4 5 6 7The Director stated that she spoke with the staff that witnessed the incident and addressed personal rights of children. She submitted a signed statement to LPA during the visit and has also spoken with CCC to ensure the staff involved does not return to the facility. 8 9 10 11 12 13 14Based on file review and interviews the licensee did not comply with the section cited above in that a substitute teacher grabbed a child by the shoulders and forced her to sit on a chair and spoke in a harsh manner to her which posed a potential health, safety or personal rights risk to persons in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Joelle Redding LICENSING EVALUATOR NAME:Saraliz Velando LICENSING EVALUATOR SIGNATURE: DATE: 09/24/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2024

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25LPAs (Licensing Program Analysts) Saraliz Velando and Stefani Mutialu, conducted an unannounced follow up visit of two self-reported incidents that occurred on 7/8/24 and 9/6/24. On 7/8/24, a 4 year old child (Child #1) was riding a tricycle that tipped over and sustained a fracture to the left arm. Child #1 did not finish the Summer program and returned to school on 9/3/24. The second incident was on 9/6/24 where a 3 year old child (Child #2) spilled milk while trying to pour it in a cup and the substitute teacher spoke to her inappropriately and made the child upset. The same teacher grabbed the shoulders of Child #2 and forced her on a chair roughly while she was eating which caused the child to choke on the food she was eating. LPA conducted staff interviews. Staff #1 stated that she witnessed the milk incident and the inappropriate comment that was made regarding the milk being spilled. She also mentioned that it was not the first time she witnessed the substitute teacher being rough and using a harsh tone towards children. Staff #1 stated that she spoke to the substitute about being gentler but did not see improvement. Staff #2 told LPA that she had also counseled the substitute regarding her loud tone in the classroom. The ratio was 3 staff to 16 children at the time of second incident and adequate supervision was in place. The facility reported the incidents timely. The tricycles for the children in the playground are age appropriate and in good condition. It seems that the first incident was a random accident. For the second incident, a type B deficiency will be issued today. An exit interview was conducted with the Director Lorena Agraz. Notice of Site Visit and Appeal Rights along with a copy of the report was provided to Director. A notice of site visit was posted and must remain for 30 days. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Saraliz Velando LICENSING EVALUATOR SIGNATURE: DATE: 09/24/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2024 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 2 FACILITY NAME: NHA EARLY LINK-SKILL CENTERS OF AMERICA HEAD START FACILITY NUMBER: 376600708 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/24/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 09/24/2024 Section Cited CCR 101223(a)(1) 1 2 3 4 5 6 7Personal Rights(a)The licensee shall ensure that each child is accorded the following personal rights:(1)To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by: 1 2 3 4 5 6 7The Director stated that she spoke with the staff that witnessed the incident and addressed personal rights of children. She submitted a signed statement to LPA during the visit and has also spoken with CCC to ensure the staff involved does not return to the facility. 8 9 10 11 12 13 14Based on file review and interviews the licensee did not comply with the section cited above in that a substitute teacher grabbed a child by the shoulders and forced her to sit on a chair and spoke in a harsh manner to her which posed a potential health, safety or personal rights risk to persons in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Joelle Redding LICENSING EVALUATOR NAME:Saraliz Velando LICENSING EVALUATOR SIGNATURE: DATE: 09/24/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2024

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25LPAs (Licensing Program Analysts) Saraliz Velando and Stefani Mutialu, conducted an unannounced follow up visit of two self-reported incidents that occurred on 7/8/24 and 9/6/24. On 7/8/24, a 4 year old child (Child #1) was riding a tricycle that tipped over and sustained a fracture to the left arm. Child #1 did not finish the Summer program and returned to school on 9/3/24. The second incident was on 9/6/24 where a 3 year old child (Child #2) spilled milk while trying to pour it in a cup and the substitute teacher spoke to her inappropriately and made the child upset. The same teacher grabbed the shoulders of Child #2 and forced her on a chair roughly while she was eating which caused the child to choke on the food she was eating. LPA conducted staff interviews. Staff #1 stated that she witnessed the milk incident and the inappropriate comment that was made regarding the milk being spilled. She also mentioned that it was not the first time she witnessed the substitute teacher being rough and using a harsh tone towards children. Staff #1 stated that she spoke to the substitute about being gentler but did not see improvement. Staff #2 told LPA that she had also counseled the substitute regarding her loud tone in the classroom. The ratio was 3 staff to 16 children at the time of second incident and adequate supervision was in place. The facility reported the incidents timely. The tricycles for the children in the playground are age appropriate and in good condition. It seems that the first incident was a random accident. For the second incident, a type B deficiency will be issued today. An exit interview was conducted with the Director Lorena Agraz. Notice of Site Visit and Appeal Rights along with a copy of the report was provided to Director. A notice of site visit was posted and must remain for 30 days. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Saraliz Velando LICENSING EVALUATOR SIGNATURE: DATE: 09/24/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2024 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 2 FACILITY NAME: NHA EARLY LINK-SKILL CENTERS OF AMERICA HEAD START FACILITY NUMBER: 376600708 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/24/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 09/24/2024 Section Cited CCR 101223(a)(1) 1 2 3 4 5 6 7Personal Rights(a)The licensee shall ensure that each child is accorded the following personal rights:(1)To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by: 1 2 3 4 5 6 7The Director stated that she spoke with the staff that witnessed the incident and addressed personal rights of children. She submitted a signed statement to LPA during the visit and has also spoken with CCC to ensure the staff involved does not return to the facility. 8 9 10 11 12 13 14Based on file review and interviews the licensee did not comply with the section cited above in that a substitute teacher grabbed a child by the shoulders and forced her to sit on a chair and spoke in a harsh manner to her which posed a potential health, safety or personal rights risk to persons in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Joelle Redding LICENSING EVALUATOR NAME:Saraliz Velando LICENSING EVALUATOR SIGNATURE: DATE: 09/24/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2024

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25LPAs (Licensing Program Analysts) Saraliz Velando and Stefani Mutialu, conducted an unannounced follow up visit of two self-reported incidents that occurred on 7/8/24 and 9/6/24. On 7/8/24, a 4 year old child (Child #1) was riding a tricycle that tipped over and sustained a fracture to the left arm. Child #1 did not finish the Summer program and returned to school on 9/3/24. The second incident was on 9/6/24 where a 3 year old child (Child #2) spilled milk while trying to pour it in a cup and the substitute teacher spoke to her inappropriately and made the child upset. The same teacher grabbed the shoulders of Child #2 and forced her on a chair roughly while she was eating which caused the child to choke on the food she was eating. LPA conducted staff interviews. Staff #1 stated that she witnessed the milk incident and the inappropriate comment that was made regarding the milk being spilled. She also mentioned that it was not the first time she witnessed the substitute teacher being rough and using a harsh tone towards children. Staff #1 stated that she spoke to the substitute about being gentler but did not see improvement. Staff #2 told LPA that she had also counseled the substitute regarding her loud tone in the classroom. The ratio was 3 staff to 16 children at the time of second incident and adequate supervision was in place. The facility reported the incidents timely. The tricycles for the children in the playground are age appropriate and in good condition. It seems that the first incident was a random accident. For the second incident, a type B deficiency will be issued today. An exit interview was conducted with the Director Lorena Agraz. Notice of Site Visit and Appeal Rights along with a copy of the report was provided to Director. A notice of site visit was posted and must remain for 30 days. SUPERVISORS NAME: Joelle Redding LICENSING EVALUATOR NAME: Saraliz Velando LICENSING EVALUATOR SIGNATURE: DATE: 09/24/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2024 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 2 FACILITY NAME: NHA EARLY LINK-SKILL CENTERS OF AMERICA HEAD START FACILITY NUMBER: 376600708 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 09/24/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 09/24/2024 Section Cited CCR 101223(a)(1) 1 2 3 4 5 6 7Personal Rights(a)The licensee shall ensure that each child is accorded the following personal rights:(1)To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by: 1 2 3 4 5 6 7The Director stated that she spoke with the staff that witnessed the incident and addressed personal rights of children. She submitted a signed statement to LPA during the visit and has also spoken with CCC to ensure the staff involved does not return to the facility. 8 9 10 11 12 13 14Based on file review and interviews the licensee did not comply with the section cited above in that a substitute teacher grabbed a child by the shoulders and forced her to sit on a chair and spoke in a harsh manner to her which posed a potential health, safety or personal rights risk to persons in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Joelle Redding LICENSING EVALUATOR NAME:Saraliz Velando LICENSING EVALUATOR SIGNATURE: DATE: 09/24/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/24/2024