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Review of Head Start Prek Quality Assurance Report

San Antonio, TX January 30, 2026 - January 30, 2026

Summary

This item presents the Head Start Pre-K Quality Assurance Report for December 2025, detailing findings from reviews of 45-day education and health screenings for 285 child files. The 45-Day Education Screening Review found that only 34% of files met all requirements. Significant areas of non-compliance included missing evidence of ASQ-3 (47 files) and ASQ:SE-2 (45 files) screenings within the 45-day window. Areas of concern included incorrect data entry in ChildPlus for screening dates and statuses.

The 45-Day Health Screening Review showed a higher compliance rate, with 86% of files meeting all requirements. However, areas of concern were identified, including missing monthly follow-up documentation for abnormal vision screenings (18 files), and missing evidence of hearing screenings within 45 days (9 files). The Department of Human Services (DHS) Quality Assurance team is working with District Staff and Family Support Teams to address these issues through corrective action plans and technical assistance. There is no fiscal impact to the general fund.

Citizen Impact

This report highlights areas where early childhood screenings for education and health may not have been completed or documented correctly within the required 45-day timeframe for some children. The city's Department of Human Services is implementing corrective actions to ensure these critical developmental checks are properly managed for all participants.

Confidence

high