Description: H.E.S.D.#3 - HACKBERRY PRESCHOOL is a CHILD CARE PUBLIC SCHOOL in KINGMAN AZ, with a maximum capacity of 25 children. This child care center helps with children in the age range of Three to Five; School-Age. The provider does not participate in a subsidized child care program.
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Survey Date | Date Corrected | Rule/Statute | Title |
---|---|---|---|
2021-04-01 | 1970-01-01 | Article 1 | ARS 36-883.02.C.1-3. |
Findings: The Team Leader reviewed 2 staff files. Staff # 1 and # 2 lacked documentation of completing the required form provided by the department - criminal history affidavit. | |||
2021-04-01 | 1970-01-01 | article 3 | R9-5-304.B.1-9. |
Findings: The Team Leader reviewed children's Record cards. The Record card for child # 1 lacked the name and telephone number of the child's health care provider and the name of the individual to be contacted in case of injury or sudden illness. The Record card for child # 2 lacked the name and telephone number of the child's health care provider. The Record card for child # 3 lacked the telephone number of the child's health care provider and the name of the individual to be contacted in case of emergency. | |||
2021-04-01 | 1970-01-01 | article 3 | R9-5-305.B. |
Findings: The Team Leader observed that child # 1's immunization record was not attached to the child's Record card. | |||
2021-04-01 | 1970-01-01 | article 3 | R9-5-306.A.1. |
Findings: The Team Leader observed that the dated attendance form had children's first name only and each child was being signed in and out of the facility using initials only. The Team Leader observed and staff stated that the admission and release times were not the actual times of admission and release. | |||
2021-04-01 | 1970-01-01 | Article 4 | R9-5-402.A.1-12 |
Findings: The Team Leader reviewed 2 staff files. The file for staff # 1 lacked the staff member's written statement attesting to immunity, the form required in ARS 36-883.02(C) - crininal history affidavit, and the name and telephone number of an individual to be notified in case of emergency. The file for staff # 2 lacked the staff member's written statement attesting to immunity, the form required in ARS 36-883.02(C) - crininal history affidavit, documents required in R9-5-401 - educational documentation, and the name and telephone number of an individual to be notified in case of emergency | |||
2021-04-01 | 1970-01-01 | Article 5 | R9-5-501.A.19.c. |
Findings: The Team Leader observed that a plunger was accessible to children in the children's bathroom. | |||
2021-04-01 | 1970-01-01 | Article 5 | R9-5-511.F.1.2. |
Findings: The Team Leader observed that the children's nap mats were being stored in the children's toilet room. | |||
2021-04-01 | 1970-01-01 | Article 6 | R9-5-605.B.5. |
Findings: The Team Leader observed that an extension cord was being used in the children's tolet room leading out of the toilet room to an outlet in the main classroom. | |||
2021-04-01 | 1970-01-01 | Article 6 | R9-5-605.B.6. |
Findings: The Team Leader observed that an electrical outlet above the counter along the south wall of the classroom lacked a safety plug cover or insert. | |||
2020-09-10 | 2020-09-15 | Article 1 | ARS 36-883.02.C.1-3. |
Findings: The Team Leader reviewed 4 staff files. Staff # 1,2, and 3 lacked documentation of completing the the required form provided by the department - criminal history affidavit. | |||
2020-09-10 | 2020-09-15 | article 3 | R9-5-301.F.1.2. |
Findings: The director stated staff had not obtained Mantoux tb skin tests as required. | |||
2020-09-10 | 2020-09-15 | article 3 | R9-5-302.A.1-18. |
Findings: The Team Leader reviewed the written statement of child care services. The written statement of services lacked the hours of operation, the facility's street address, city, zip code, and telephone number, and a statement that a parent has access to the areas on facility premises where the parent's child is receiving child care. | |||
2020-09-10 | 2020-09-15 | article 3 | R9-5-305.B. |
Findings: The Team Leader observed that children's immunization records were not attached to the children's Record cards. | |||
2020-09-10 | 2020-09-15 | article 4 | R9-5-401.3. |
Findings: The Team Leader reviewed 4 staff files. Staff # 1 and staff # 3 lacked the required educational and child care experience documentation for a teacher caregiver. | |||
2020-09-10 | 2020-09-15 | Article 4 | R9-5-402.A.1-12 |
Findings: The Team Leader reviewed 4 staff files. All 4 staff files were incomplete and were missing required documention, including criminal history affidavit, educational documentation, DCS Registry documentation, new staff training, and negative tb test. |
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