Aisling Village

AAC R9-5-510.B.6. B. A licensee shall ensure that a staff member does not use or permit: 6. Mechanical restraint to restrict a child’s freedom of movement;

“Per Allegation Findings: Based on staff interview and facility documentation, on 3/19/2026, Staff #1 used their legs to restrain a child during nap time. Facility documentation indicated the following: *"Around roughly 11 AM, [Staff #1] came into my classroom to help me pat the kids to sleep for naptime. The child she was assisting with, was fighting sleep. [Staff #1] then proceeded to throw her legs over top of the child to hold [them] down and was excessively and roughly patting [them]...on the chest." Staff stated the following: *Her legs were over [child], [child] kept trying to sit up and she kept pushing [child] down with her hand. *She said, "I am trying to lie [child] down for a nap."”

AAC R9-5-510.B.4. B. A licensee shall ensure that a staff member does not use or permit: 4. Punishment associated with eating, resting, sleeping, toileting, and withholding outdoor play;

“Per Allegation Findings: Based on staff interview, facility documentation and facility video footage, Staff #1 used a method of punishment associated with toileting in the following situations: Facility documentation indicated the following: *"[Staff #1] was in the class...A student was running and not listening so I sat [them] down to take a minute. The student started screaming as loud as [they] could and crying. [Staff #1] then told the student [they were] going to lock the student in the bathroom if [they] didn't stop...[Staff #1] angrily picked the child up, set the screaming child in the bathroom and walked out and sat there for a minute with [their] hand on the knob closing the bathroom door while the child was inside screaming." *"Child A slapped child B...[Staff #1] the[n] got this Child A and brought [them] to the bathroom and proceeded to threaten to lock [them] in the bathroom, [Staff #1] tried to shut [them] in there alone but [the child] used all [their] strength to try and prevent [Staff #1] from locking [them] in there." Review of facility video footage showed the following: *On 5/27/2026 at 11:34 AM, Staff #1 took Child #1 to the toilet room. At 11:36 AM, Staff #1 entered the toilet room and exited the toilet room with the child. *On 5/27/2026 at 11:51 AM, Staff #1 picked up Child #2 by the underarms and carried them into the toilet room while saying "If you're going to scream, you will do it in here." At 11:52 AM, the two exited the toilet room. Staff stated the following: *[Staff #1] went to the bathroom and held the door for about a minute and a half. *[Child #1] was lying on the bathroom floor. You can tell [child] was crying.”

AAC R9-5-501.B.6. B. A licensee shall ensure that a staff member: 6. For enrolled children five-years or younger, and except as provided in subsection (C), prepares, posts, and implements a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Findings: Based on the Compliance Officer's observation, in the Liberty and Stars and Stripes rooms, the lesson plans lacked a date for the current week it was posted.”

AAC R9-5-501.B.9. B. A licensee shall ensure that a staff member: 9. Does the following when a parent permits or asks a staff member to apply personal products on an enrolled child, such as petroleum jelly, diaper rash ointments, sun screen or sun block preparations, toothpaste, and baby diapering preparations: a. Obtains the enrolled child’s personal products from the enrolled child’s parent or, if the licensee provides the personal products for use by the enrolled child, obtains written approval for use of the products from the enrolled child’s parent; b. Labels the personal products with the enrolled child’s name; and c. Keeps the personal products inaccessible to enrolled children;

“Findings: Based on the Compliance Officer's observation, the following personal products lacked a label containing the enrolled child's first and last name: *Liberty: One wipe lacked the enrolled child's last name. *Eagles: Two wipes lacked the enrolled children's last name.”

AAC R9-5-502.A.11. A. A licensee providing child care services for infants shall: 11. Label each food container received from the parent with the infant's name.

“Findings: Based on the Compliance Officer's observation, in the Infant room, three food jars lacked a label containing the enrolled children's first and last name. The food jars were labeled with the enrolled children's initials only.”

AAC R9-5-503.A.1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 1. A nonabsorbent, sanitizable diaper changing surface that is: a. Seamless and smooth, and b. Kept clear of items not required for diaper changing;

“Findings: Based on the Compliance Officer's observation, in the Stars and Stripes room, there was a white sensory ball on the diaper changing table near the handwashing sink.”

AAC R9-5-512.F.7. F. A licensee shall ensure that: 7. Toys, materials, and equipment are maintained in a clean condition;

“Findings: Based on the Compliance Officer's observation, in the Eagles toilet room, there were two open bins stored on a floating shelf with sheets and clothing.”

AAC R9-5-503.A.3.4. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and 4. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled clothing.

“Findings: Based on the Compliance Officer's observation, in the Infant and Liberty rooms, the soiled diaper container lacked a tight fitting lid.”

AAC R9-5-603.D. D. A licensee shall ensure that the following is provided and maintained within the fall zones of swings and climbing equipment in an outdoor activity area: 1. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; or 2. A minimum depth of 6 inches of a non-hazardous, resilient material such as fine loose sand or wood chips.

“Per Allegation Findings: Based on the Compliance Officer's observation, on the South Playground, the fall zones under all areas of the climber lacked 3 inches of the required 6 inches of resilient sand surfacing. *Previously cited as R9-5-603.E on 7/24/2025 and 4/16/2024.”

AAC R9-5-603.G. G. A licensee shall provide a shaded area for each enrolled child occupying an outdoor activity area at any time of day.

“Per Allegation Findings: Based on the Compliance Officer's observation, the South Playground lacked a shaded area for enrolled children. *Previously cited as R9-5-603.H on 3/12/2025.”

AAC R9-5-501.B.1. B. A licensee shall ensure that a staff member: 1. Supervises each enrolled child at all times;

“Per Allegation Findings: Based on staff statement, enrolled children were not supervised at all times when Staff #1 was on their phone for personal use while in the presence of enrolled children. Staff stated the following: *I constantly had to ask Staff #1 "hey, off your phone, off your phone". *Staff #1 was on their phone texting like every two minutes that day. *Staff #1 is on their phone all the time. *It feels more difficult when I have someone in there to help me and they're not helping me.”

AAC R9-5-512.F. F. A licensee shall ensure that:1. Each toilet room in a facility contains, within easy reach of enrolled children: a. Mounted toilet tissue; and b. Except as provided in subsection (G): i. A sink with running water; ii. Soap contained in a dispenser; and iii. Disposable, single-use paper towels in a mounted dispenser, or a mechanical air hand dryer; 2. Staff members wash their hands with soap and running water after toileting; 3. An enrolled child’s hands are washed with soap and running water after toileting; 4. Except for a cup or receptacle used only for water, food waste is stored in a covered container and the container is clean and lined with a plastic bag; 5. Food waste and other refuse is removed from the facility building at least once every 24 hours or more often as necessary to maintain a clean condition and avoid odors; 6. A staff member or an enrolled child does not draw water for human consumption from a toilet room handwashing sink; 7. Toys, materials, and equipment are maintained in a clean condition; 8. Plumbing fixtures are maintained in a clean and working condition; and 9. Chipped or cracked sinks and toilets are replaced or repaired.

“Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, on the south playground, there was uncovered food waste in an open container near the chain link fence and gray shelf.”

AAC R9-5-505. A licensee providing child care services for 3-year-old, 4-year-old, and 5-year-old children shall provide a supply of age appropriate toys, materials, and equipment accessible to enrolled children in each activity area in a quantity sufficient to meet the needs of the enrolled children in attendance including:1. Art supplies, 2. Blocks, 3. Books and posters, 4. Toys and dress-up clothes, 5. Indoor and outdoor equipment to enhance large muscle development, 6. Puzzles and toys to enhance manipulative and categorization skills, 7. Science materials, and 8. Musical instruments.

“Per Allegation Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, in the Eagles Room, there were five books accessible and 13 enrolled children present. Music supplies and science materials were placed on shelves inaccessible to enrolled children.”

AAC R9-5-504.3. A licensee providing child care services for 1-year-old and 2-year-old children shall:3. Ensure that each activity area has a supply of age-appropriate toys, materials, and equipment that are too large for a child to swallow and free from sharp edges and points, in a quantity sufficient to meet the needs of the enrolled children in attendance including: a. Art supplies; b. Books; c. Rubber or soft plastic balls; d. Puzzles and toys to enhance manipulative skills; e. Blocks; f. Washable soft toys and dolls; g. Musical instruments; and h. Indoor and outdoor equipment to enhance large muscle development;

“Per Allegation Findings: Based on staff statement and the Compliance Officer's and Compliance Officer Supervisor's observation, the following activity areas lacked toys, materials, and equipment in a sufficient quantity to meet the needs of the enrolled children: Stars and Stripes Room: *There were six books accessible in the room and eight enrolled children present. *Staff stated that they did not leave art supplies out because the enrolled children would attempt to stick some of the supplies in their mouths. *Blocks were stored on a shelf inaccessible to enrolled children. Liberty Room: *There were four books accessible in the room and eight enrolled children present. *Blocks were stored on a shelf inaccessible to enrolled children.”

AAC R9-5-503.A.1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:1. A nonabsorbent, sanitizable diaper changing surface that is: a. Seamless and smooth, and b. Kept clear of items not required for diaper changing;

“Per Allegation Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, the following diaper changing areas were not kept clear of items not required for diaper changing: *Liberty Room: There was a paint brush and a sensory water bottle on the handwashing sink. *Eagles Room: There was a yellow cup with an orange lid on the handwashing sink.”

AAC R9-5-502.C.1.l. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: l. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Per Allegation Findings: Based on facility documentation and the Compliance Officer's and Compliance Officer Supervisor's observation, in the Infant Room, the infant feeding instructions were not updated to reflect what the children were eating. The instructions for Child #1 indicated that the child was eating pureed foods, but the child was served pineapple chunks, rice, and green chicken enchilada casserole.”

AAC R9-5-502.A.1. A. A licensee providing child care services for infants shall: 1. Provide a wall-enclosed room for infants that provides exits required by R9-5-601(1);

“Per Allegation Findings: Based on staff statement and the Compliance Officer's and Compliance Officer Supervisor's observation, in the Infant Room, staff would open the door connected to the staff breakroom to allow cooler air in the room. Staff stated they would stand in the doorway to allow the air in and would sometimes use the door as a fan.”

AAC R9-5-603.C. C. Except as provided in subsection (D), a licensee shall ensure that an outdoor activity area:1. Is enclosed by a fence: a. A minimum of 4 feet high; b. Secured to the ground; and c. With either vertical or horizontal open spaces on the fence or gate that do not exceed 4.0 inches; 2. Is maintained free from hazards, such as exposed concrete footings and broken toys; and 3. Has gates that are kept closed while an enrolled child is in the outdoor activity area

“Per Allegation Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, the following outdoor hazards were accessible to enrolled children: South Playground: *There was a heavy layer of sand on the stairs and platform of the climber causing a slipping hazard. *The chain link fence on the southern side was easily lifted and exceeded the four inches of open space. North Playground: *The bar on top of the chain link fence on the eastern side was loose and dangling. *There was areas of sharp, rusted, and oxidized metal along the base of the building wall near the drainage pipe. *There was a pile of loose pavers along the base of the building.”

AAC R9-5-603.E. E. A licensee shall ensure that the following is provided and maintained within the fall zones of swings and climbing equipment in an outdoor activity area:1. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; or 2. A minimum depth of 6 inches of a non-hazardous, resilient material such as fine loose sand or wood chips.

“Per Allegation Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, the fall zones under all areas of the climber on the South Playground lacked three inches of sand resilient surfacing.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Per Allegation Findings: Based on staff statement and the Compliance Officer's and Compliance Officer Supervisor's observation, the following activity areas did not have sufficient water accessible to enrolled children: Playground: 15 children were on the playground and only one child had their own water bottle, no other water was provided. Liberty Room: Children's water bottles were on an over-the-door organizer out of reach of the children. Staff stated that the children ask or "make motions" when they want water and that they grab it for the children. It was also stated that every 30 minutes they will bring the water down for the children to drink.”

AAC R9-5-501.A.12. A. A licensee shall ensure that: 12. The facility premises, including the buildings, are maintained free from hazards;

“Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, in the following indoor activity areas, there were small foam climbers that enrolled children were using in an unsafe manner. The climber was not located directly over a padded floor covering. *Liberty Room: One-year-old children were jumping from the top of the climber. *Stars and Stripes Room: Two-year-old children were jumping from the top of the climber”

AAC R9-5-306.B. B. A licensee shall: 1. Develop, document, and implement policies and procedures to ensure that a staff member maintains daily documentation of the presence of an enrolled child in an activity area that includes a method to account for any temporary absences of the enrolled child from the activity area, and 2. Maintain the documentation of the presence of enrolled children in an activity area required in subsection (B)(1) on facility premises for 12 months after the date of the documentation.

“Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, in the Liberty Room, there were eight enrolled children in the classroom but only seven children documented on the roster.”

AAC R9-5-509.A. A. A licensee that prepares food for enrolled children on facility premises shall, if required by 9 A.A.C. 8, Article 1, andthe local ordinances of the local health department where the facility is located, obtain a food establishment permit issued under 9 A.A.C. 8, Article 1, and: 1. Provide the Department with a copy of the facility’s food establishment permit before the Department issues a license to the facility, 2. Maintain the facility’s current food establishment permit on the facility’s premises, and 3 Provide a copy of the facility’s current food establishment permit to the Department upon request.

“Per Allegation Findings: Based on facility documentation and the Compliance Officer's and Compliance Officer Supervisor's observation, the food establishment permit for the facility was expired on 5/31/2025.”

AAC R9-5-403.A. A. Within 10 calendar days of the starting date of employment or volunteer service, a licensee shall provide, and each staff member who provides child care services shall complete, training for new staff members that includes all of the following:1. Facility philosophy and goals; 2. Names and ages of and developmental expectations for enrolled children for whom the staff member will provide child care services; 3. Health needs, nutritional requirements, any known allergies, and information about adaptive devices of enrolled children for whom the staff member will provide child care services; 4. Lesson plans; 5. Child guidance and methods of discipline; 6. Hand washing techniques; 7. Diapering techniques and toileting, if assigned to diaper changing duties; 8. Food preparation, service, sanitation, and storage, if assigned to food preparation; 9. If a staff member is assigned to feeding infants, the preparation, handling, and storage of infant formula and breast milk; 10. Recognition of signs of illness and infestation; 11. Child abuse or neglect detection, prevention, and reporting; 12. Accident and emergency procedures; 13. Staff responsibilities as required by A.R.S. Title 36, Chapter 7.1, Article 1 and this Chapter; 14. Sun safety policies and procedures; 15. Safety in outdoor activity areas; 16. Transportation procedures, if applicable; and 17. Field trip procedures, if applicable.

“Findings: Based on CO's observations and a review of 4 staff files, Staff #1's (DOE 08/12/2024) 10-day new employee training was not completed until 09/05/2024, 23 days after the starting date of employment.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Findings: Based on CO's observations, drinking water was inaccessible to children in Stars & Stripes Room (2's).”

AAC R9-5-504.3. A licensee providing child care services for 1-year-old and 2-year-old children shall:3. Ensure that each activity area has a supply of age-appropriate toys, materials, and equipment that are too large for a child to swallow and free from sharp edges and points, in a quantity sufficient to meet the needs of the enrolled children in attendance including: a. Art supplies; b. Books; c. Rubber or soft plastic balls; d. Puzzles and toys to enhance manipulative skills; e. Blocks; f. Washable soft toys and dolls; g. Musical instruments; and h. Indoor and outdoor equipment to enhance large muscle development;

“Findings: Based on CO's observations, 2 of 5 activity areas lacked the following required materials accessible to enrolled children: **Liberty room (1's) - Puzzles **Eagles room (2's) - Puzzles, musical instruments, art supplies”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete a Department-provided Emergency, Information, and Immunization Record card that is signed by the enrolled child’s parent containing: 1. The child’s name, home address, city, state, zip code, home telephone number, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, city, state, zip code, and contact telephone number of each parent of the child; 4. The name and contact telephone number of at least two individuals authorized by the child’s parent to collect the child from the facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(9); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“Findings: Based on Compliance Officer's (CO) observations and a review of facility documentation, 6 of 20 Emergency Information and Immunization Record cards lacked the following required information: **Child #1 - Both parent/guardians' city, state, zip code **Child #2 - Child's city, state, zip code **Child #3, Child #5 - Child and both parent/guardians' city, state, zip code **Child #4 - Both parent/guardians' state **Child #6 - Child's state; both parent/guardians' city, state, zip code”

AAC R9-5-603.H. H. A licensee shall provide a shaded area for each enrolled child occupying an outdoor activity area at any time of day.

“Findings: Based on CO's observations, the South Playground lacked shade. The installed sail shades were wrapped around a pole or on the ground.”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“Findings: Based on CO's observations, the water temperature at the diaper changing sink in the Stars & Stripes room (2's) was measured at 121.8° F.”

AAC R9-5-516.B.4. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:4. A staff member : a. Administers a prescription medication provided by a parent only from a container dispensed by a pharmacy; b. Administers a nonprescription medication provided by a parent for an enrolled child only from a container prepackaged and labeled for use by the manufacturer and labeled with the enrolled child’s name; c. Does not administer any medication that has been transferred from one container to another; and d. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the facility receives written authorization from the enrolled child’s health care provider.

“Findings: Based on CO's observations and a review of facility documentation, Child #7's 3 of 5 non-prescription medications lacked health care provider authorizations to administer medications inconsistent with the instructions.”

AAC R9-5-503.A.3. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and

“Findings: Based on CO's observations, the soiled diaper containers in the Freedom (Infants), Liberty (1's) and Stars & Stripes (1's/2's) rooms, were left open and not tight-fitting.”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“Findings: Based on CO's observations, the water temperatures at the diaper changing sinks in the Liberty (1's) and Stars & Stripes (1's/2's) were each measured at 122.9° F.”

AAC R9-5-503.A.1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:1. A nonabsorbent, sanitizable diaper changing surface that is: a. Seamless and smooth, and b. Kept clear of items not required for diaper changing;

“Findings: Based on CO's observations, a strip of laminate was missing from the side of the diaper changing surface in the Stars & Stripes (1's/2's) room, exposing raw particle wood.”

AAC R9-5-516.I. I. Except as specified in A.R.S. § 36-2229(B) through (D), a licensee shall ensure that a facility does not stock a supply of medications for administration to enrolled children, including:1. Any prescription medication; or 2. A nonprescription medication such as aspirin, acetaminophen, ibuprofen, or cough syrup.

“Findings: Based on CO's observations and a review of facility documentation, the facility had a supply of Tylenol, ibuprofen, testing gel/tablets, and gas relief tablets/drops.”

AAC R9-5-512.F. F. A licensee shall ensure that:1. Each toilet room in a facility contains, within easy reach of enrolled children: a. Mounted toilet tissue; and b. Except as provided in subsection (G): i. A sink with running water; ii. Soap contained in a dispenser; and iii. Disposable, single-use paper towels in a mounted dispenser, or a mechanical air hand dryer; 2. Staff members wash their hands with soap and running water after toileting; 3. An enrolled child’s hands are washed with soap and running water after toileting; 4. Except for a cup or receptacle used only for water, food waste is stored in a covered container and the container is clean and lined with a plastic bag; 5. Food waste and other refuse is removed from the facility building at least once every 24 hours or more often as necessary to maintain a clean condition and avoid odors; 6. A staff member or an enrolled child does not draw water for human consumption from a toilet room handwashing sink; 7. Toys, materials, and equipment are maintained in a clean condition; 8. Plumbing fixtures are maintained in a clean and working condition; and 9. Chipped or cracked sinks and toilets are replaced or repaired.

“Findings: Based on CO's observations, food waste was in an uncovered garbage can in the Eagles (2's/3's) room. In the Red, White & Blue (3's/4's) room, the caulking at the back of the handwashing sink was cracked and separated from the wall.”

AAC R9-5-501.A.21. A. A licensee shall ensure that:21. Except when used as part of an activity, the following are stored in an area inaccessible to an enrolled child: a. Garden tools, such as a rake, trowel, and shovel; and b. Cleaning equipment and supplies, such as a mop and mop bucket.

“Findings: Based on CO's observations, a plunger was accessible to enrolled children in the restroom between the Liberty (1's) and Stars & Stripes (1's/2's) rooms.”

AAC R9-5-501.A.12. A. A licensee shall ensure that: 12. The facility premises, including the buildings, are maintained free from hazards;

“Findings: Based on CO's observations, there was a broken faceplate on the outlet next to the handwashing sink in the children's restroom between the Liberty (1's) and Stars & Stripes (1's/2's) rooms.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Findings: Based on Compliance Officer's (CO) observations, water was inaccessible to enrolled children in the Liberty (1's) room.”

AAC R9-5-603.C. C. Except as provided in subsection (D), a licensee shall ensure that an outdoor activity area:1. Is enclosed by a fence: a. A minimum of 4 feet high; b. Secured to the ground; and c. With either vertical or horizontal open spaces on the fence or gate that do not exceed 4.0 inches; 2. Is maintained free from hazards, such as exposed concrete footings and broken toys; and 3. Has gates that are kept closed while an enrolled child is in the outdoor activity area

“Findings: Based on CO's observations, the north playground was not maintained free from hazards and accessible to enrolled children: **Northwest corner of fence measured at a height of 42" **Northeast corner of fence not secured to the ground **Sand on the sloping sidewalk causing a slip hazard **Protruding chain link wires at the gate between the north and south playgrounds”

AAC R9-5-502.C.1.l. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: l. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Findings: Based on CO's observations and a review of facility documentation, 3 (Child #1, Child #2, Child #3) of 10 Infant feeding instructions lacked the times and amounts to feed.”

AAC R9-5-603.E. E. A licensee shall ensure that the following is provided and maintained within the fall zones of swings and climbing equipment in an outdoor activity area:1. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; or 2. A minimum depth of 6 inches of a non-hazardous, resilient material such as fine loose sand or wood chips.

“Findings: Based on CO's observations, the sand in the fall zones of the north playground lacked 4" and 2" of the required 6" at the plastic slide.”

AAC R9-5-516.B.3. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child’s parent or health care provider that includes the: a. Name of the enrolled child; b. Type of the medication; c. Prescription number, if any; d. Instructions for administration specifying the: i. Dosage and route of administration; ii. If indicated, starting and ending dates of the dosage period; and iii. Times and frequency of administration; e. Reason for the medication; and f. Date of authorization; and

“Findings: Based on CO's observations and a review of facility documentation, enrolled children's medication authorizations lacked the following required information: **Child #4, Child #6 - Times and frequency noted for 2 medications as "as needed" **Child #5 - Times and frequency; dosage; route **Child #1, Child #2, Child #8, Child #9 - Times and frequency noted as "as needed" **Child #7 - Dosage; times and frequency noted for 4 medications as "as needed" or blank”