"Root"
Ms. Suzie is a new teacher, its week 2. During your visit you uncover she does not know how to use the CSR. What could be a root cause of this?
Management is not doing checks so follow up coaching is not happening
Ms. Suzie did not complete the F100 day 2 or 3
Ms. Suzie has not been trained on the CSR
Ms. Suzie was not paired with a mentor, BF at work
Infant safety is a top priority. Name an incident I would partner with my QBP about as well as reporting it to RISK?
Inappropriate safe sleep practices
Wrong bottle fed to child
Child choking requiring employee intervention
Wrong medication or dose given to a child
Child released to an unauthorized person
During the F100 day training, how many hours of training is provided to new staff?
How many pre-service hours are required by the state?
1. 24hours
2. 24hours
What document needs to be updated at minimum every 30 days?
Infant feeding preference form
What is the "danger zone" and when does it occur?
The tenure of the staff-under 1yr, the age most effected-tods/twos and the time of day.
10-11:30 and 3-4:30pm
In Q3, 16% of our centers failed the CSR audit. 9% was due to errors. What could be a root cause of this?
Management not checking (correctly)
Training of new teachers to sign in/out
Coaching/accountability
No system in place to check them nightly
What tool should we share with all CDs to ensure they know what to notify you of, as well as what incidents should be reported to risk?
Incident reporting quick guide
YTD, what area is our biggest violation in?
Administrative-78 citations
What is our #1 reason we do not pass go and move straight to enforcement?
Not having/providing proof of a valid Fingerprint card
When does the new TRS screening forms go into effect?
9/1/2024
During a recent visit, the center was cited for ratio. The teacher said they did not know how many children they were allowed to have. What could be a "root" cause of the violation?
The teacher may not have been informed during training.
They may not have attended all days of onboarding
The management did not do CSR checks
Management did not set them up for success and partner them with another teacher since they are new.
Name 3 things that fall under the "child issue" category?
Incident/Accident
Biting
Aggressive behavior
Exploratory behavior
Naptime process
My citation name is 745.641, if you get me you will lose a star.
1. What is my name?
2. What is the root reason you received me?
1. Background Checks Requirement – Providing Direct Care
2. The CD did not process the background check during the onboarding process prior to me working, or did not rerun it prior to expiring.
If not completed within the first 90 days of the hire date, it could cause a hold on my subsidy payments.
What is it?, Who checks if it is completed? and Where to they check?
DES Initial (pre-service) training on Health & Safety
The CD must validate the employment, and that the required courses have been completed.
AZ Workforce Registry
We discussed reasons for chronic fails on a CSR Audit. Name 3 of the 4
1. No response-submission
2. Not signing in/out
3. No manager checks
4. Ratio
The center was cited for not having a cleared background check for a new teacher. The citation was the result, but what is the "root" cause of the violation?
The CD did not onboard the teacher properly and make sure they processed all the required items prior to them starting.
Year over year, our region in Q4 trends with a particular top cares code.
1. What is that cares?
2. Where does it generally happen?
1. Student Accidents
2. On the playground-supervision
1. A center will go on a Probation B if they receive more than how many points (med-high,high)?
2. What happens if a center receives an additional citation med-high or high during this Probation B?
1. 25pts in a 6mos timeframe
2. If any additional CCR weighted High and/or Medium-High deficiencies are incurred but do not exceed 40 points total, within this 6-month probation, the facility loses a star level for 6-months (Two-Star facilities will be placed on suspension) and a second 6-month Probation B is established at the point of discovery.
True or False
During tummy time, when a non-crawling infant is observed on their stomach and staff are not observed in the immediate vicinity of the infant, the facility can be cited regardless if staff state "the infant can roll over and was placed on their back".
True
Continuing the importance of knowledge regarding infant safety, what will be coming soon to help support staff with this?
Required Infant Training for all staff working in the Infant room.
What % of families have only been contacted once?
46%
In Q3, how many teachers did we hire in R02?
How many teachers were signed up for the F100 day training?
1. 415
What are the top 5 violations centers receive in TX?
1. Staff Qualification/Trainings-FA/CPR, CE
2. Child Files-Statement of the child’s health from a health-care professional/Medication authorization
3. Emergency Prep-Drills
4. Staff Files
5. Ratios
What are the top 5 violation centers receive in AZ?
1. Repairs/Maintenance-broken equipment, playgrounds and hazardous chemicals at child level
2. Staff Files
3. Unhealthy environments-cleaning, dirty, sanitation
4. Child Files missing Immunization/Health records
5. Medications
We talked about the "Safety Stop" What are the 3 things we are committing to do?
1. Check in with new teachers F100 day training/CSR understanding
2. Visit the youngest classes
3. Watch a playground transition, role play, safety opportunities, active supervision