Regional Office Update

1. Regional Office Update

2. PRISM 2006 Health and Safety PRISM Report Results Region IX

3. PRISM 2006 Health & Safety Noncompliances Facilities, Materials, Equipment & Transportation Prevention and Early Intervention Human Resources Mental Health

4. Facilities, Materials, Equipment, & Transportation Outdoor play area allowed access to an unsafe/unsupervised area. Unsafe items in open storage Aluminum easel tray with sharp corners at a child�s eye level Items stored in unlocked cabinets were unsafe and accessible to children Failure to provide emergency lighting 8 non-compliances were corrected onsite, 3 deficiencies were corrected onsite. Although corrected onsite, they are all noted in the final PRISM reports. 1304.53(a)(7)(9) Deficiency NHA 1304.53(a)(7) ANC Santa Cruz Community Counseling Center Unsafe items include rusty gardening tool, shovels, rakes 1304.53(a)(10)(iii) ANC Southwest Human Development and Deficiency Hawaii County Economic Opportunity Council The ANC was for items including plastic bags, shampoo, long thin paring knives, shaving cream, and other items stored in an open cabinet above a classroom counter. The deficiency was for Clorox, liquid detergent, disinfectant cleanser, Borax and plastic garbage bags stored in unlocked cabinets accessible to children 8 non-compliances were corrected onsite, 3 deficiencies were corrected onsite. Although corrected onsite, they are all noted in the final PRISM reports. 1304.53(a)(7)(9) Deficiency NHA 1304.53(a)(7) ANC Santa Cruz Community Counseling Center Unsafe items include rusty gardening tool, shovels, rakes 1304.53(a)(10)(iii) ANC Southwest Human Development and Deficiency Hawaii County Economic Opportunity Council The ANC was for items including plastic bags, shampoo, long thin paring knives, shaving cream, and other items stored in an open cabinet above a classroom counter. The deficiency was for Clorox, liquid detergent, disinfectant cleanser, Borax and plastic garbage bags stored in unlocked cabinets accessible to children

5. Facilities, Materials, Equipment, & Transportation � Cont�d Poorly lit alcove at the back of the classroom that couldn�t be viewed by staff Failure to post exit signs Stand-alone air conditioning units with top-mounted fan exhaust and electrical cables were accessible to children Unsafe outdoor area Grantee did not cover electrical outlets 1304.53(a)(10)(iv) ANC Child-Parent Centers and NHA 1304.53(a)(10)(vii) ANC Hawaii County Economic Opportunity Council 1304.53(a)(10)(x) Deficiency El Dorado County Office of Education and ANC NHA The unsafe outdoor area included peeling bark, cement pillars with square bases that were not covered, trellises that were not secured to walls or fences and a play area that was landscaped with rocks and stone turtle. 1304.53(a)(10)(iv) ANC Child-Parent Centers and NHA 1304.53(a)(10)(vii) ANC Hawaii County Economic Opportunity Council 1304.53(a)(10)(x) Deficiency El Dorado County Office of Education and ANC NHA The unsafe outdoor area included peeling bark, cement pillars with square bases that were not covered, trellises that were not secured to walls or fences and a play area that was landscaped with rocks and stone turtle.

6. Facilities, Materials, Equipment, & Transportation � Cont�d Insufficient number diapers; parents were instructed to provide their own diapers and there was no written policy informing parents that they were not required to do so Rubberized safety surface in the fall zone have large gaps between blocks Insufficient selection of toys and equipment to support the children�s development of gross motor skills

7. Prevention & Early Intervention Failure to follow the state EPSDT schedule of well-child care and lead screenings Failure to obtain or arrange for further diagnostic testing, examination, and treatment by a licensed or certified professional for all children with observable or suspected health/developmental problems Children were not referred for further assessment after receiving low scores on their developmental screenings 1304.20(a)(1)(ii) ANC Child Parent Centers and 1304.20(a)(1)(ii)(A) ANC Northern California Child Development, Inc. 1304.20(a)(1)(iii) ANC Child Parent Centers 1304.20(a)(1)(ii) ANC Child Parent Centers and 1304.20(a)(1)(ii)(A) ANC Northern California Child Development, Inc. 1304.20(a)(1)(iii) ANC Child Parent Centers

8. Prevention & Early Intervention � Cont�d Did not perform hearing, sensory and vision screenings within 45 days of a child�s enrollment No posted policies or a plan of action for emergencies requiring rapid responses; no marked exit routes for emergency evacuation Lack evidence of follow-up or communication with parents of children with health needs Did not promote dental hygiene in conjunction with meals

9. Human Resources Persons driving vehicles to provide transportation services had not been trained or have on-road evaluations completed Bus drivers� records had no valid medical examinations or no current bus driver certifications 1301.31(a)(5) ANC NHA 1304.52(i) ANC Glenn County Office of Education 1310.17(d) ANC NHA 1301.31(a)(5) ANC NHA 1304.52(i) ANC Glenn County Office of Education 1310.17(d) ANC NHA

10. Mental Health No regular on-site mental health consultation Parents were not aware of mental health service availability No documentation of visits or observations by a Mental Health Consultant/Professional