Attachment A - Quality Improvement Plan.pdf

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Standards of Conduct 
Quality Improvement Plan 
 
 
 
 
Start Date 
Anticipated End Date 
Initiated By 
Plan Updated 
Updated By 
April 8, 2024 
January 31, 2025 
Patricia Kirkland, Deputy Director 
April 21, 2024  
April 26, 2024  
May 16, 2024 
Patti Kirkland 
 
 
Deficiency 
 
Description of Incident 
Underlying Root Causes 
Actions Taken to Address This Incident 
On September 29, 2023, the 
center's assistant director used 
their index finger to snap a 2-year-
old child in the mouth, stating, 
"You will not bite my teachers.” 
 
On November 9, 2023, a parent 
observed 2 EHS teachers pulling 2 
children apart, pushing the first 
child to the ground, and slapping 
the child on the mouth several 
times. The teacher then instructed 
the second child to hit the first 
child. One of the EHS teachers 
then grabbed the first child's 
The Birth to Five team used the Head Start 
Management Systems Wheel to identify root 
causes of the deficiency. The following 
sections of the Wheel were identified. 
 
Training and Professional Development 
Strength 
 All staff must participate in two one-hour 
modules on the Standards of Conduct.   
 All staff must sign the Standards of 
Conduct upon hire. 
Needed Improvement 
 Training occurred annually only.  
Additional training and professional 
development around the Standards of 
Conduct is needed. 
September Incident 
 Jenell Jones, owner of Cactus Kids Preschool, put the assistant director on one-week 
administrative leave from Nov. 7-14, 2023, pending an investigation. 
 Ms. Jones interviewed the assistant director and the teacher who reported the incident 
to the Head Start Birth to Five Caseworker. 
 Ms. Jones recorded the interview with the teacher, who indicated the Caseworker 
coerced her into making the statement about the assistant director’s behavior with the 
child. 
 Ms. Jones indicated she had a verbal conversation with the assistant director, who 
denied the maltreatment of the child. 
 The Head Start Birth to Five (Birth to Five) Deputy Director documented an interview 
with the Caseworker, who restated that the teacher had freely come to her with an 
allegation of the assistant director treating a child inappropriately. 
 The Arizona Department of Childcare Licensure inspected the incident to follow up on 
the complaint filed. The report indicated that there was no evidence to substantiate 
the allegation. 
 The assistant director is currently working at the facility. 
Attachment A

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hand and used her finger to flick 
the child's hand several times, then 
proceeded to hold the child to 
allow the second child to hit him. 
 
 
 Proper and regular professional 
development will reduce teacher 
frustration and the sense of being 
overwhelmed by children with challenging 
behaviors. 
 
Communication 
Strength 
 
Education Service Provider (Provider) 
Directors have indicated through 
interviews that they talk with staff about 
the Standards of Conduct when they 
violate them. 
Needed Improvement 
 
The Grantee must continually 
communicate the importance of safety in 
learning environments. 
 
Provider Directors communicating safety 
to classroom staff. 
 
Classroom staff communicating with one 
another about safety in the classroom. 
 
Ongoing Monitoring and Continuous 
Improvement 
Strength 
 
The Grantee has systems in place to 
ensure all staff sign a Standards of 
Conduct and participate in the two one-
hour modules. This information is 
communicated to the Provider Directors 
and staff supervisors. 
Needed Improvements 
 
The Grantee must monitor how Providers 
are ensuring safety in classrooms. 
 
A monitoring rubric is needed to address 
and identify actions and activities that 
support safety and abiding by the 
Standards of Conduct. 
 The Birth to Five Casework Supervisor contacted the parent to explain what had 
happened and offered mental services or referrals for the child. The parent declined. 
 
November Incident 
Birth to Five staff worked with the teachers three months before the incident to help 
resolve the biting incidents.   
 The two teachers who maltreated the child were put on administrative leave at the end 
of the day the incident happened. 
 A meeting was held on Nov. 30, 2023, with Mr. and Mrs. Jones (owners), the Birth to 
Five Deputy Director and Program Coordinator, the City of Phoenix Human Services 
Director, and the Human Services Attorney at City Hall to discuss the next steps. 
 Mr. and Mrs. Jones were given a letter indicating the following steps, which included: 
o A copy of the facility’s discipline policy will be submitted by Dec. 15, 2023. 
o A written statement identifying how children would be kept safe at the facility 
submitted by Dec. 15, 2023. 
o Professional development for all staff on the Standards of Conduct using the 
EDvantage Standards of Conduct modules to be completed by Dec. 31, 2023. 
o All staff to resign a Standards of Conduct comment and upload into ChildPlus by 
Dec. 15, 2023. 
 All items were completed by the deadline. 
 
Grantee Actions  
 Birth to Five staff visited the facility weekly, but starting at the end of November, a 
schedule was created to ensure that staff was on site every day. 
 Quality Assurance monitoring was conducted weekly, monitoring one to two rooms 
per visit. Identify any health or safety issues and notify the director immediately.   
 Training and technical assistance were provided “in the moment” during the 
monitoring visits. 
 On Dec. 26, 2023, the Deputy Director was notified that the two teachers at the facility 
would not return to work due to the child's behavior from the Sept. incident. 
 A schedule was developed for Birth to Five staff to work with the child and teacher in 
the classroom daily starting Jan. 2, 2024, to ensure the child's safety, model 
appropriate strategies and techniques for the teachers, and ensure the safety of the 
other children in the classroom. 
 This continued through on a waning schedule through March 29, 2024.  The outcome 
was dramatic: the child began self-regulating their behavior, the teachers learned how 
to de-escalate the child’s behaviors, and the teachers used strategies and techniques 
to keep the child from becoming dysregulated.

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Recordkeeping and Reporting 
Strength 
 
Monthly reports are distributed to 
Provider Directors and staff supervisors 
regarding who participated in the online 
learning modules and what score was 
received on the quiz. 
Needed Improvement 
 
All Provider Directors and supervisors 
must have regular conversations about 
online learning modules and how staff 
scored. 
 
All provider directors and supervisors 
must ensure that all staff members 
participate in the Standards of Conduct 
online learning module and regular 
training throughout the year. 
 
Human Resources 
Strength 
 
All staff must sign a Standards of 
Conduct when hired. 
 
All staff must participate in Standards of 
Conduct online learning modules at some 
point in the year. 
Needed Improvements 
 
Update policies and procedures around 
the Standards of Conduct and a culture of 
safety. 
 
All new hires will sign the Standards of 
Conduct and participate in the online 
learning modules prior to providing 
service or working with children. 
 
Add language in Provider contracts 
outlining the expectations of creating and 
maintaining safety and implementing the 
Standards of Conduct. 
 Staff will continue to be on-site a minimum of three times per week through June 30, 
2024.

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 
Add language in the Provider contracts 
for the consequences of not following the 
expectations of creating safety and 
implementing the Standards of Conduct. 
 
Data and Evaluation 
Needed Improvement 
 
The Grantee was not looking at any data 
beyond the signed Standards of Conduct 
and the annual training. 
 
Ensure all data gathered from monitoring 
Standards of Conduct is shared with the 
Policy Council and Governing Board.

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Actions Taken to Strengthen Systems Program-Wide 
 
Key Element:  
Effective policies and procedures focused on alignment with a systematic culture of safety. 
Intended Outcome:  
A systematic culture of safety that prioritizes the well-being of staff and children and ensures safe learning environments. 
Activities 
Timeline 
Staff Responsible 
Resources/TTA 
Documentation 
Status of Activities 
Update or develop 
policies and 
procedures focused 
on the Standards of 
Conduct.   
Review and update the 
Grantee’s Standards of 
Conduct Policy to include 
professional development, 
monitoring, reporting, and 
follow-up. 
April 19, 
2024 
Quality Assurance 
Manager 
Professional Development 
Specialist 
Deputy Director 
 Arizona Administrative Code 
and Arizona Revised Statutes 
for Childcare Facilities 
 Caring For Our Children 
Standards  
 Head Start Program 
Performance Standards 
(HSPPS) 1302.17, 
1302.90(c)(i-v) (2) 
Updated Standards of 
Conduct Policy 
Completed 
April 18, 2024 
Present updates to the 
Policy Council (PC) and 
Governing Board (GB) 
PC – June 
10, 2024 
GB – June 
12, 2024 
Deputy Director and 
Admin. Assist. II 
Updated Standards of Conduct 
Approval of updates by the 
Head Start Birth to Five 
Policy Council and 
Governing Board 
 
Child Discipline 
Policies 
Collect child discipline 
policies from all Providers 
April 12-
19, 2024 
Program Coordinator 
 
Child discipline policies from 
the six HS Providers and 
three EHS providers 
Completed 
April 19, 2024 
Review the Education 
Service Provider and Child 
Care Partner’s (Providers) 
child discipline policies to 
ensure appropriate and 
positive practices are being 
implemented. 
April 22 - 
26, 2024 
Behavior Support, 
Education Specialists 
Provider Parent 
Handbooks/Child Discipline 
Policies or Procedures 
Feedback to Providers. 
Create guidelines for child 
discipline policies and 
share with Providers 
May 30, 
2024 
 Arizona Administrative Code 
and Arizona Revised Statutes 
for Childcare Facilities 
 Caring For Our Children 
Standards  
Written document that will 
be shared with all Providers 
and included in the Birth to 
Five Procedural Manual.

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 Head Start Program 
Performance Standards 
(HSPPS) 1302.17, 
1302.90(c)(i-v) (2) 
 U.S. Dept. of Health and 
Human Services Policy 
Statement on Expulsion and 
Suspension in Early 
Childhood Settings 
 Conscious Discipline 
strategies 
 Strategies and 
Recommendations for 
Supporting Mental Health 
ACF-OHS-IM-24-01 
Providers will submit their 
updated child discipline 
policies for review and 
approval by the Grantee. 
July 15, 
2024 
Program Coordinators 
Behavior Support Staff 
Child Discipline guidelines and 
Provider’s child discipline 
policies 
Criteria and feedback the 
Grantee provides should be 
evident in the updated 
policy. 
 
 
The grantee will approve 
the Providers’ updated 
child discipline policy. 
July 30, 
2024 
Grantee Management 
Team 
Provider’s policies 
Approval of the Provider’s 
policy by the Grantee 
 
Work with Providers to develop a teacher wellness 
plan that promotes staff well-being.  
July 30, 
2024 
Behavior Support Team, 
Education Team 
Utilize strategies and techniques 
from the following;   
Conscious Discipline,  
Pyramid Model,  
Mental Health IM,  
Wellness Learning Community  
Completed Teacher 
Wellness Plan 
 
Summary of progress toward outcome: 
The Standards of Conduct policy was updated to include current language identified in the HSPPS 1302.90(c). 
The behavior support specialists and program coordinator collected and reviewed provider and EHS center-based provider child discipline policies. The majority of 
policies were short and weak. Guidelines for discipline policies have been drafted. 
The Behavior Support team drafted guidance for child discipline policies that will be provided to Education Service Providers and Child Care Partners to include in their 
policies.

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Activities 
Timeline 
Staff Responsible 
Resources/TTA 
Documentation 
Status of Activities 
Review and update 
Education Service 
Provider and Child 
Care Partner 
Contracts as needed 
to include 
professional 
development 
reporting 
requirements and 
ensure alignment 
with the Head Start 
Program 
Performance 
Standards, 
Standards of 
Conduct 
Update Section IV - 
Standard Terms and 
Conditions focusing on  
 3.6 – Compliance with 
Laws 
 4.2 – Costs and 
Payments - Invoicing 
 6 – No Oral Alterations 
Professional Competency 
 10.1 –- Qualifications 
 10.2 – Level of Care and 
Skill 
 11 – Specific 
Performance 
Documentation 
 12.3 - Document Review 
April 19, 
2024 
Management Team 
 
 
 
 
 
 
 Arizona Administrative Code 
and Arizona Revised Statutes 
for Childcare Facilities 
 Caring For Our Children 
Standards  
 Head Start Program 
Performance Standards 
(HSPPS) 1302.17, 
1302.90(c)(i-v) (2) 
 Universal Child Discipline 
Policy 
 
 
 
 
 
Updated Section IV 
Standard Terms and 
Conditions and Section V 
Special Terms and 
Conditions 
 to be used for  
FY 2024-2025  
Education Service Provider 
and Child Care Partner 
contracts  
5/13/2024 
In Process – see 
notes below in 
Summary of 
progress toward 
outcome. 
  
Update Section V – Special 
Terms and Conditions 
 17, C. – Prof. Stand. 
Scope of Work 
Safety Practices 
 2.13.2 – Orientation 
 
Policies and Procedures 
 2.17.1(l) – Standards of 
Conduct

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Review of Contracts 
with Providers 
Review updated portions of 
the contract with all 
Providers prior to 
signature. 
June 27, 
2024 
Program Coordinators 
Deputy Director 
Updated Sections of the 
Contract 
 
Section IV 
 
Section V 
 
Scope of Work 
Agenda and Sign-in In 
Sheets 
 
Summary of progress toward outcome: 
In reviewing the contracts, professional development focused on the Standards of Conduct, reporting child incidents, and alignment with the Standards of Conduct was already in 
many sections of the contract.  The following additions are enhancements to the contracts. 
5/13/2024 – The Procurement Specialist included the following changes to the Scope of Work: Section IV - Standard Terms and Conditions and Section V – Special Terms and 
Conditions. 
Scope of Work 
2.13 Safety Practices—2.13.1 (n)—A statement was added to ensure that all staff with regular child contact receive an initial orientation training on the Standards of Conduct within 30 
days of hire.  
2.17 Policies and Procedures—2.17.1 a): The Standards of Conduct were added to each Provider’s Human Resources Management Guide. 
2.19 Training and Professional Development – 2.19.1 b), added the Standards of Conduct in all new employee orientation within 30 days of hire 
 
Section IV 
4.2 Invoicing – a statement was added that monthly reimbursement will be held if required documents are not submitted on time, as outlined in the Scope of Work, Section 7, 
Reporting Requirements.  This included reporting of child incidents. 
 
Section V 
17. Professional Standards, C, all training needs to be documented.

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Activities 
Timeline 
Staff Responsible 
Resources/TTA 
Documentation 
Status of Activities 
Cross Walk  
Identify how the 
activities align with 
policies and procedures 
focused on creating 
safety and adhering to 
the Standards of 
Conduct. 
Creative Curriculum 
Fidelity Tool 
May 31, 
2024 
Education Specialists 
Fidelity Tool 
Coaching Action Plans 
Curriculum Fidelity Results 
CLASS Assessment Results 
Professional Growth Plans 
Results of TPOT and 
TPITOS Observations 
Completed 
April 24, 2024 
Practice-Based 
Coaching 
Coaching Practices Tool 
Classroom Assessment 
Scoring System 
(CLASS) 
CLASS Tool 
Home Observation 
Visitor Rating Scale 
Teaching Pyramid 
Observations Tool 
(TPOT) for Preschool 
Classrooms 
Behavior Support 
Specialists 
TPOT Observation Tool 
Teaching Pyramid 
Infant-Toddler 
Observation Scale 
(TPITOS) 
TPITOS Observation Tool 
Head Start Birth to Five 
Procedure Manual 
Include updated 
procedures and 
processes focused on 
creating safety and 
adhering to the 
Standards of Conduct 
sections. 
 Learning 
Environments 
 Health and Safety 
 Child Discipline 
 Professional 
Development 
 Mental Health 
August 30, 
2024 
Management Team 
Standards of Conduct 
Universal Child Discipline 
Statement 
 
Updated manual

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 Procedures for 
Standards of Conduct 
Policy 
Summary of progress toward outcome:   
The crosswalk between the Standards of Conduct and observation tools was aligned with various pieces of the Standards of Conduct to illustrate that Birth to Five staff are regularly 
monitoring Education Service Providers and Child Care Partner’s behavior and conduct with children. 
 
 
 
 
 
Professional Development 
 
Key Element:  
Foster a culture of continuous learning and improvement among staff in safety and appropriate interactions with children. 
Intended Outcome:  
Staff will foster a learning mindset that enables them to continuously improve their knowledge, skills, attitudes, and behaviors related to a culture of safety. 
Activities 
Timeline 
Staff Responsible 
Resources/ TTA 
Documentation 
Status of Activities 
Conscious Discipline 
Training  
De-escalation 
Strategies 
June 3-7, 2024 
Behavior Support Team 
 
Behavior Support and 
Management Teams  
 
Materials and information 
from the training 
 
Adult/child self-
regulation 
Train the Trainer – Standards of Conduct 
Policy  
July 15-30, 2024 
Professional Development 
Specialist 
Standards of Conduct Training 
PowerPoint  
Agenda and Sign-In sheets 
 
Training on Classroom Walk-throughs for 
Coaches. 
July 30, 2024 
Education Specialists 
Procedure  
Agenda and Sign-In Sheet 
 
All staff will be trained on the updated 
Standards of Conduct Policy.  
Provider staff will be trained during staff 
meetings. 
August 15 - 
Sept.15, 2024 
Professional Development 
Specialist 
Education Specialist, 
Coaches, Program 
Coordinators 
Standards of Conduct 
PowerPoint and Interactive 
Scenarios

Page 11 of 15 
 
Birth to Five staff will be trained at an 
Education Divisional meeting 
Training for teachers to use with children 
who display characteristics of autism or 
developmental delays 
August 21, 2024 
In-Service Committee 
Kits will contain fidget items, 
weighted items, and visual 
sensory. 
Sign-In Sheets for Initial 
Training 
 
 
Train all staff on updates to the Birth to Five 
Procedure Manual 
October 30, 
2024 
Management Team 
 
Updated Procedure Manual 
Staff signature on 
acknowledgment form 
 
Summary of progress toward outcome:  
 
Timeline of Activities 
 
Key Element:  
A shared commitment to safety throughout the organization. 
Intended Outcome:  
Staff feels empowered to prioritize safety in all aspects of the daily routine and actively contribute to a safe and healthy learning environment. 
Activities 
Timeline 
Staff Responsible 
Resources/ TTA 
Documentation 
Status of Activities 
Identify the Root Cause of Deficiency 
April 18, 2024 
Management Team, 
Education Specialist,  
and Behavior Support 
Specialist 
Head Start Management 
Systems Wheel 
Birth to Five Policies and 
Procedures 
Indicated in this plan 
Completed  
April 18, 2024 
Update the current Standards of Conduct 
Policy 
 
April 19, 2024 
 
 
Quality Assurance 
Manager 
and 
Deputy Director 
Head Start Program 
Performance Standards 1302.90 
 
 
Updated policy approved by 
the Policy Council (6/10) and 
Governing Board (6/12) 
 
   Completed 
 April 18, 2024 
Update Provider Contracts 
May 17, 2024 
Management Team 
See Section:  Actions Taken to 
Strengthen Systems Program-
Wide, update contracts. 
 
Updated 2024-2025 
Provider contracts 
 
Update Birth to Five Procedure Manual 
August 30, 2024 
Management Team 
Standards of Conduct Policy 
Monitoring procedures 
Information from Staff Training 
Updated Manual

Page 12 of 15 
 
Professional development on policies and 
procedures. 
August 15-Sept. 
15, 2024 
Professional Development 
Specialist to monitor and 
oversee 
Standards of Conduct Policy 
Conscious Discipline Training 
Agendas and Sign-In 
Sheets 
 
Monitoring for implementation of safety and 
adhering to the Standards of Conduct. 
June 1 –  
June 21, 2024 
Quality Assurance 
Monitoring Team 
Education and Behavior 
Support Specialists 
Health and Safety Monitoring 
Protocol 
Classroom Walk-through 
observation sheets 
Monitoring results will be 
uploaded to ChildPlus 
 
Analyze data from monitoring. 
June 24 – June 
28, 2024 
Management Team 
Monitoring Results 
A written analysis of trends, 
outcomes, and 
recommendations. 
 
Share data analysis 
results with 
Providers, Birth to 
Five staff, EHS 
center-based teams, 
the Policy Council, 
and the Governing 
Board. 
Standards of 
Conduct 
Implementation 
 
January 24, 
2025 
Standards of Conduct 
Monitoring Rubric 
Classroom Walk-throughs 
Feedback from training 
Meeting minutes, 
agendas, and sign-in 
sheets 
 
Summary of progress toward outcome:

Page 13 of 15 
 
Monitoring 
 
Key Element:  
Ensuring the culture of safety policies and procedures is implemented with fidelity. 
Intended Outcome:  
Continuous quality improvement that fosters and maintains a culture of accountability, transparency, and safety. 
Activities 
Timeline 
Staff Responsible 
Resources/ TTA 
Documentation 
Status of Activities 
Add Standards of Conduct domains to the 
Health and Safety Monitoring Protocol, 
including appropriate language, use of 
Conscious Discipline strategies, and positive 
discipline practices. 
 
 
May 10, 2024 
 
 
 
 
Quality Assurance Team 
Provider Directors 
 
 Arizona Administrative Code 
and Arizona Revised Statutes 
for Childcare Facilities 
 Caring For Our Children 
Standards  
 Head Start Program 
Performance Standards 
(HSPPS) 1302.90(c)(i-v) (2) 
Health and Safety 
Monitoring Protocol 
Completed  
April 23, 2024 
Develop a timeline for monitoring in FY 
2024-2025 
July 30, 2024 
Child Care Partners and 
Education Service Provider 
Calendars 
 
Written timeline provided to 
Providers, Child Care 
Partners, and Birth to Five 
Staff. 
 
 
Health and Safety Monitoring Protocol 
(includes Standards of Conduct domains as 
outlined above) 
September 25, 
2024 
Quality Assurance 
Monitoring Team 
Health and Safety Monitoring 
Protocol 
Individual classroom results 
uploaded to ChildPlus 
 
Classroom Walk-Throughs 
Sept. 15 – Oct. 
30, 2024  
 
Quality Assurance 
Monitors, Education 
Specialist and Coaches, 
Behavior Support 
Specialists, Program 
Coordinators 
Provider Directors 
 Standards of Conduct Policy 
Head Start Program 
Performance Standards 
(HSPPS) 1302.90(c)(i-v) (2) 
 
Summary of progress toward outcome:

Page 14 of 15 
 
Analysis 
 
Key Element:  
Systematically examining the effectiveness, compliance, and impact of the safety of culture policies and procedures. 
Intended Outcome:  
Enhance and sustain a culture of safety through continuous quality improvement and strategic alignment with policies and procedures. 
Activities 
Timeline 
Staff Responsible 
Resources/ TTA 
Documentation 
Status of Activities 
Analyze 2023/2024 data to identify any 
trends or patterns related to safety and the 
Standards of Conduct 
June 1- July 30, 
2024 
Leadership Team 
Crosswalks 
 Curriculum Fidelity 
 Classroom Assessment 
Scoring System   
 Practice-Based Coaching 
 Teaching Pyramid 
Observations Tool / Teaching 
Pyramid Infant-Toddler 
Observation Scale 
 Child Incident Reports 
 Health and Safety Monitoring  
Written analysis of trends, 
outcomes, and 
recommendations. 
 
Staff feedback from Training (all staff) 
 
 
September 30, 
2024 
 
Trainers 
Professional Development 
Specialist 
Evaluations indicating the 
effectiveness of the training, the 
relevance to staff positions, and 
additional comments for 
improvements 
Evaluation results will be 
aggregated by question and 
additional comments.  
 
Collect and 
aggregate data by 
classroom and 
Provider to identify 
trends, gaps, and 
evidence of 
implementation 
Standards of 
Conduct 
Implementation 
September 25, 
2024 
Quality Assurance 
Monitoring Team 
Health and Safety Monitoring 
Protocol 
Provider reports by 
classroom and agency 
 
 
 
 
Classroom Walk-
Throughs 
November 30, 
2024 
 
Quality Assurance 
Monitors, Education 
Specialist and Coaches, 
Behavior Support 
Specialists, Program 
Coordinators 
Provider Directors 
Observations Sheets

Page 15 of 15 
 
Analyze collected data to identify any trends 
or patterns related to safety and the 
Standards of Conduct. 
December 20, 
2024 
Data Team, Specialists, 
Management Team 
Health and Safety Monitoring 
Protocol, Classroom 
Walkthrough Observations, and 
staff feedback. 
Written report of trends, 
outcomes, and 
recommendations by 
classroom and Provider. 
 
Provider Action Plans to be completed for 
areas of non-compliance or areas of need. 
Within ten days 
of monitoring 
Quality Assurance 
Monitoring Team 
Health and Safety Monitoring 
Protocol 
Written plan in ChildPlus 
 
Follow-up on Provider Action Plans 
Within 30 days 
of plan 
development 
 
Tasks or activities on the 
Action Plan are completed. 
 
Summary of progress toward outcome: