8.9.4.24 · J OUTDOOR PLAY AREAS

Fence around the playground equipment is not safe as evidenced by the following: accessible sharp edges or points. Immediate action: All exposed wires on the fence were cut. Preventative action: New Zip ties were added to the fencing to prevent future accidents. Compliance monitoring: Will continue to monitor the playground for unsafe areas.

Corrected Corrected by Oct 6, 2025

Marked corrected in the state record.

8.9.4.22 · A ADMINISTRATIVE RECORDS

The center failed to display in a prominent place that is readily visible to parents, staff and visitors the most recent fire inspection report. Expired May 2023. Immediate action: Director will contact Fire Marshal 6/12/25 to come out and have an updated inspection done. Preventative Action: Co-Director will call Fire Marshall by 6/12/2025. Compliance monitoring: Director will put a reminder on her calendar to ensure fire inspections are done annually. 8.9.4.22.A.:ADMINISTRATION RECORDS: A licensee will display in a prominent place that is readily visible to parents, staff and visitors: 06/10/2025 http://www.nmececd.org 2 of 7 PMS - La Communidad Head Start/Early Head Start 4000761 Admin/Licensure (continued) Finding The center failed to display in a prominent place that is readily visible to parents, staff and visitors the current child care regulations. Corrective Action Plan Immediate action: Director will print out and post by tomorrow 6/12/25. Preventative maintenance: Once a month at the same time as the fire drill, director will review board. Compliance monitoring: Director will review boards once a month ongoing. 8.9.4.22.A.:ADMINISTRATION RECORDS: A licensee will display in a prominent place that is readily visible to parents, staff and visitors: Finding The center failed to display in a prominent place that is readily visible to parents, staff and visitors the guidance policy. Corrective Action Plan Immediate action: Director will print out and post by tomorrow 6/12/25. Preventative maintenance: Once a month at the same time as the fire drill, director will review board. Compliance monitoring: Director will review boards once a month ongoing.

Corrected Corrected by Jul 11, 2025

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 7 out of 21 staff records does/do not include a background check. See Staff Records 8.9.4.22 form for staff with this missing information. Immediate action: Today 6/11/25 Director will call and get copies of the background checks to be put in the files. Preventative Action: Director reviews 2-3 times a year. 06/10/2025 http://www.nmececd.org 3 of 7 PMS - La Communidad Head Start/Early Head Start 4000761 Personnel (continued) Compliance Monitoring: Ongoing Director will do checks every other month to ensure all documentations is received. 8.9.4.22.F.1.:A licensee will keep a complete file for each staff member, including substitutes and volunteers working more than six hours of any week and having direct contact with the children. A center will keep the file for one year after the staff member’s last day of employment. Records will contain at least the following: Finding From the review of staff records, it was determined that 1 out of 21 staff records does/do not include documentation of current first-aid and cardiopulmonary resuscitation training. See Staff Records 8.9.4.22 form for staff without verification of training. Corrective Action Plan Immediate action: Today 6/11/25 Director will call and get copies of the background checks to be put in the files. A CPR Class will also be held at the end of June 2025. Preventative Action: Director reviews employee files 2-3 times a year. Compliance Monitoring: Ongoing Director will do checks every other month to ensure all documentations is received.

Corrected Corrected by Jul 11, 2025

Marked corrected in the state record.

8.9.4.23 · C STAFF/CHILD RATIOS AND GROUP SIZES

The center failed to post the capacity for each activity/interest area. 1 out of 8 classrooms failed to post the capacity for each activity/interest area. Immediate action: Today, 6/11/25, Educator will post capacity signs in centers. Preventative action: Director will do walk throughs once a week. Compliance monitoring: Director will continue to do walk throughs of the classrooms. 06/10/2025 http://www.nmececd.org 4 of 7 PMS - La Communidad Head Start/Early Head Start 4000761 Services and Care of Children in Centers:

Corrected Corrected by Jul 11, 2025

Marked corrected in the state record.

8.9.4.25 · D KITCHENS

The water bottles brought from home for children in the classroom 4 room(s) are not labeled. Immediate action: Director advised they will be labeled before the end of the week. Preventative action: Once a month Director will do walk throughs of the classrooms. Compliance monitoring: Once a month Director will do walk throughs of the classrooms to ensure compliance. 06/10/2025 http://www.nmececd.org 5 of 7 PMS - La Communidad Head Start/Early Head Start 4000761 Food Service Requirements for Centers: (continued)

Corrected Corrected by Jul 11, 2025

Marked corrected in the state record.

8.9.4.29 · A HOUSEKEEPING

The toys are not in good repair as evidenced by torn seat on truck toy. Immediate action: Director reports it is getting repaired before the end of June 2025. Preventative Action: Director will put on daily playground inspection. Compliance monitoring: Educators check weekly.

Corrected Corrected by Jul 11, 2025

Marked corrected in the state record.

8.9.4.29 · H SAFETY COMPLIANCE

The center failed to conduct a fire drill for the month(s) of May. Immediate action: Before the end of the week, a fire drill will be done. Preventative action: A fire drill will be done tomorrow. Compliance monitoring: The director will put on her calendar to do fire drills every month. 8.9.4.29.H.1.:A center will conduct emergency preparedness practice drills at least quarterly beginning January of each calendar year. Finding The center failed to conduct an emergency preparedness practice drills for at least once a quarter. Corrective Action Plan Immediate action: Before the end of the week, an emergency drill will be done. Preventative action: An emergency drill will be done tomorrow. Compliance monitoring: The director will put on her calendar to do emergency preparedness drills every month.

Corrected Corrected by Jul 11, 2025

Marked corrected in the state record.

8.9.4.21 · C INCIDENT REPORTING REQUIREMENTS

The center failed to make a report to the licensing authority within 24 hours after the incident occurred regarding a natural disaster that created structural damages to the center/posed a health hazard. Facility has been closed since 11/11/2024 due to a gas leak. On 12/9/24 Director will notify licensing by email and phone within 24 hours when a closure happens. On 12/13/24 Director will create a checklist to ensure all authorities are contacted within 24 hours. The checklist will be sent to licensing for review. Administrative Requirements for Centers:

Corrected Corrected by Dec 13, 2024

Marked corrected in the state record.

8.9.4.22 · A ADMINISTRATIVE RECORDS

The center failed to display in a prominent place that is readily visible to parents, staff and visitors the most recent fire inspection report, current child care regulations. The provider will submit a corrective action plan to licensing within 10 days.

Corrected Corrected by Jul 5, 2024

Marked corrected in the state record.

8.9.4.22 · F PERSONNEL RECORDS

From the review of staff records, it was determined that 4 out of 17 staff records does/do not include a background check. See Staff Records 8.9.4.22 form for staff with this missing information. The provider will submit a corrective action plan to licensing within 10 days. 8.9.4.22.F.1.f.:an annual signed statement that the staff member would or would not be disqualified as a direct provider of care under the most current version of the Background Checks and Employment History Verification provisions pursuant to 8.9.6 NMAC; Finding The center failed to have 2 out of 17 person(s) providing care to sign an annual statement that they have, or have never had, an arrest or substantiated referral to a child protective services agency. See Staff Records 8.9.4.22 form for staff with this missing information. Corrective Action Plan The provider will submit a corrective action plan to licensing within 10 days. 8.9.4.22.F.1.h.:documentation of all appropriate training by date, time, hours and area of competency; Finding From the review of staff records, it was determined that 17 out of 17 staff records does/do not include documentation of training by date, time, hours and area of competency or a training certificate. See Staff Records 8.9.4.22 form for staff with missing documentation. Corrective Action Plan The provider will submit a corrective action plan to licensing within 10 days. 8.9.4.22.F.1.k.:confidentiality form; Finding From the review of staff records, it was determined that 11 out of 17 staff records does/do not include a signed confidentiality form. See Staff Records 8.9.4.22 form for staff who need to complete a signed confidentiality form. Corrective Action Plan The provider will submit a corrective action plan to licensing within 10 days. 8.9.4.22.F.1.o.:signed acknowledgment that the staff have read and understand the personnel handbook; 06/24/2024 http://www.nmececd.org 3 of 7 PMS - La Communidad Head Start/Early Head Start 4000761 Personnel (continued) Finding From the review of staff records, it was determined that 11 out of 17 staff records does/do not include signed acknowledgement that the personnel handbook had been read and understood. See Staff Records 8.9.4.22 form for staff who need to complete the acknowledgement. Corrective Action Plan The provider will submit a corrective action plan to licensing within 10 days. 8.9.4.22.F.1.g.:documentation of current first-aid and cardiopulmonary resuscitation training; Finding From the review of staff records, it was determined that 6 out of 17 staff records does/do not include documentation of current first-aid and cardiopulmonary resuscitation training. See Staff Records 8.9.4.22 form for staff without verification of training. Corrective Action Plan The provider will submit a corrective action plan to licensing within 10 days.

Corrected Corrected by Jul 5, 2024

Marked corrected in the state record.

8.9.4.23 · A PERSONNEL AND STAFFING REQUIREMENTS

In the absence of the director, the center does not have a notice posted naming the person designated to be in charge. The provider will submit a corrective action plan to licensing within 10 days.

Corrected Corrected by Jul 5, 2024

Marked corrected in the state record.

8.9.4.23 · C STAFF/CHILD RATIOS AND GROUP SIZES

The center failed to post the capacity for each activity/interest area. 2 out of 7 classrooms failed to post the capacity for each activity/interest area. Classroom number 2 and 3 are without capacities. The provider will submit a corrective action plan to licensing within 10 days. 06/24/2024 http://www.nmececd.org 4 of 7 PMS - La Communidad Head Start/Early Head Start 4000761 Services and Care of Children in Centers:

Corrected Corrected by Jul 5, 2024

Marked corrected in the state record.

8.9.4.24 · J OUTDOOR PLAY AREAS

Playground for the second buildings' equipment is not safe as evidenced by the following: in one of the play structures there is a tripping hazard as it is not properly placed in the ground. The provider will submit a corrective action plan to licensing within 10 days. 8.9.4.24.J.1.:Outdoor play equipment used in child care centers shall be: Finding Playgrounds sandbox equipment in the second building is not safe as evidenced by the following: there is a tarp on top of the sandbox and it is full of water. Corrective Action Plan The provider will submit a corrective action plan to licensing within 10 days. 8.9.4.24.J.2.:A center will enclose the outdoor play area with a fence at least four feet high and with at least one latched gate available for an emergency exit. Outside play areas must be on the premises and approved by the licensing authority. Finding The facility’s outdoor play area is not adequately enclosed as evidenced by fencing has openings large enough for a child to crawl or fall through. Corrective Action Plan The provider will submit a corrective action plan to licensing within 10 days. 06/24/2024 http://www.nmececd.org 5 of 7 PMS - La Communidad Head Start/Early Head Start 4000761 Services and Care of Children in Centers: (continued)

Corrected Corrected by Jul 5, 2024

Marked corrected in the state record.

8.9.4.29 · E LIGHTING, LIGHTING FIXTURES AND ELECTRICAL

Lighting in the 2's and 3's classroom in the second building are not sufficient. Three of the lights do not turn on. The provider will submit a corrective action plan to licensing within 10 days. 06/24/2024 http://www.nmececd.org 6 of 7 PMS - La Communidad Head Start/Early Head Start 4000761 Building, Ground and Safety Requirements for Centers: (continued)

Corrected Corrected by Jul 5, 2024

Marked corrected in the state record.

8.9.4.29 · H SAFETY COMPLIANCE

A copy of the latest fire inspection is not posted in the center. The provider will submit a corrective action plan to licensing within 10 days. 8.9.4.29.H.:Safety Compliance: Finding The center’s fire extinguishers are not inspected yearly. The fire extinguishers in the second building need to be inspected. Corrective Action Plan The provider will submit a corrective action plan to licensing within 10 days.

Corrected Corrected by Jul 5, 2024

Marked corrected in the state record.