There has been a trend toward increased in educational accountability for the past fifty years as seen through legislation, policy, and guidance implemented by state education agencies. While states had accountability systems, the federal NCLB Act of 2001 formalized the current system that worked to remediate schools challenged to meet the accountability expectations? Exacerbating these circumstances was a shifting accountability model, AZ LEARNS, that measured school performance from 2007–2009. The Arizona Department of Education formalized processes and structures to address the needs of low-capacity schools through the State System of Support. This research examined the role of the ASSIST Coach in underperforming schools as a measure of state intervention in Arizona. Data revealed at insufficient time, resources, and support were afforded to low-capacity schools by the ASSIST Coach to affect change that resulted in school improvement within the AZ LEARNS model. Additionally, the skills, experience, and background did not align to the needs of low-capacity schools that participated in this study. In the absence of effective state intervention, schools turned to internal capacities to plan for and implement school improvement initiatives that were minimally effective in turning around their respective underperformance. Based on these findings, recommendations for future research were offered to strengthen the support for schools under the State System of Support.