All Together Now Preschool and Childcare

AAC R9-5-517.A.10. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall: 10. Ensure that the motor vehicle is: a. Maintained in a clean condition, b. In a mechanically safe condition, and c. Free from hazards; and

“Findings: Based on the Compliance Officer’s observation, the floor in both vehicles were dirty with a build up of sand and debris.”

AAC R9-5-502.A.5.b. A. A licensee providing child care services for infants shall: 5. Develop, document, and implement tummy time policies and procedures that: b. Ensure a staff member who is supervising a non-crawling infant while the infant is flat on their stomach and on the floor: i. Is within reach of the infant; ii. Does not perform any other duties while supervising the infant; iii. Does not allow the use of pillows, comforters, sheepskins, stuffed toys, or other soft products in the same floor space as the infant; and iv. Does not allow any product specified in subsection (A)(5)(b)(iii) to be within reach of the infant;

“Findings: Based on the Compliance Officer’s observation, in the Infant room, there were 2 water mats on the floor in the Infant activity area.”

AAC R9-5-502.C.4.g. C. A licensee shall ensure that: 4. When feeding an infant, a staff member: g. Holds and feeds an infant under 6 months of age and an infant older than 6 months of age who cannot hold a bottle for feeding; and

“Findings: Based on the Compliance Officer's observation, in the Infant room, a 6-month-old infant was in a U-shaped sit-me-up on the floor, trying to drink a bottle.”

AAC R9-5-404.A. A. A licensee shall ensure that at least the following staff-to-children ratios are maintained at all times when providing child care services to enrolled children: Age Group/Staff: Children - Infants/1:5 or 2:11; 1-year-old children/1:6 or 2:13; 2-year-old children/1:8; 3-year-old children/1:13; 4-year-old children/1:15; 5-year-old children not school-age/1:20; School-age children/1:20

“Findings: Based on the Compliance Officer's observation, the ratio in the School-age Classroom was 1:21 instead of 2:21 as required for a School-age child. The ratio in the hallway was 0:1 instead of 1:1 as required for a School-age child.”

AAC R9-5-501.A.1. A. A licensee shall ensure that:1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Per allegation Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that the licensee placed the health, safety or welfare of enrolled children at risk of harm when the facility failed to protect the enrolled children in their care from Child #1. Incident reports stated: 5/23/2025 9:30, While Child #1 and a classmate were playing, the classmate didn't want to share a toy and Child #1 got upset and bit the child on the arm leaving a mark. 5/27/2025 10:30, Child #1 bit 2 students on the arm. 6/3/2025 8:45-10:45, Child #1 scratched "5 people" in the span of 2 hours. "2 people" were scratched on the arm and 3 in the face. Child #1 has been scratching, pinching, and hitting unprovoked. 6/3/2025 9:30, Child #1 and some classmates were sitting on the carpet getting ready for story time when Child #1 went to hug someone and bit them on the face, then Child #1 went over to another child and bit them on the arm. 6/4/2025 9:17, Child #1 bit "3 people" on the arm and "1 person" on the head. 6/4/2025 10:00, Child #1 has been biting since 9 am, and bit 2 more classmates, leaving marks. Date unknown 9:30, 10:15, 11:00, and 11:30, Child #1 bit 4 times unprovoked. Date unknown 4:15, Child #1 was standing next to the teacher who was helping another child when Child #1 threw the piano at the child's face. Previously Cited: 2/2/2023, 3/5/2024, and 2/14/2025”

AAC R9-5-501.A.1. A. A licensee shall ensure that:1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Findings: Based on the Compliance Officer’s observation, the health, safety or welfare of enrolled children was placed at risk of harm. Upon arrival to the facility the Compliance Officers observed the School-age and 4-year-old children having water day in 106 F at approximately 1:45 in the afternoon. On the School-age playground there were multiple children playing with the empty heavy rubber inflatable splash pad. One child was crouched over with the inflatable splash pad covering their body from head to toe. Another child was wearing part of the inflatable splash pad like a cape and a third child came over and started hitting the child that was under the inflatable splash pad. During this time, the staff member was next to the inflatable splash pad and not addressing the children and allowed their behavior to continue. Previously Cited:2/2/2023, 3/5/2024, and 2/14/2025”

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

“Findings: Based on the Compliance Officers' observations, staff did not supervise children at all times as required. On the School-age playground there were multiple children playing with a heavy inflatable splash pad. One child was crouched over with the inflatable splash pad covering their body from head to toe. Another child was wearing part of the inflatable splash pad like a cape and a third child came over and started hitting the child that was under the inflatable splash pad. During this time, the staff member was next to the inflatable splash pad and not addressing the children and allowed their behavior to continue. A child left the school-aged classroom and went outside to the school-age playground, Staff were unaware the child left the activity area. Previously Cited: 2/2/2023 and 3/5/2024”

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

“Per allegation Findings: Based on staff statement and the Compliance Officers' observations, in the 2’s classroom, staff failed to supervise enrolled children at all times. During the classroom observation the Compliance Officers noticed scratches on a child’s left cheek and 2 bite marks on the child’s right forearm. The teacher said they were new scratches and bites and they did not know how it happened. Previously Cited: 2/2/2023 and 3/5/2024”

AAC R9-5-510.A.2. A. A licensee shall ensure that a staff member: 2. Teaches, models, and encourages orderly conduct, personal control, and age-appropriate behavior;

“Findings: Based on the live video feed and the Compliance Officer's observation, in the Twos classroom, a staff member failed to teach, model, and encourage orderly conduct, personal control, and age-appropriate behavior. The Compliance Officer observed a staff member pulling a child by the forearm out of a center, seconds later, the same staff member was observed chasing another child down and aggressively grabbing a toy out of their hand. Previously Cited: 2/25/2025”

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 the Compliance Officers' observations, the gate to the small playground was open instead of shut while enrolled children were present in the activity area. Previously Cited: 2/14/2025, 9/30/2024, and 10/3/2024”

AAC R9-5-604.B.3. B. A licensee that uses a private pool for an enrolled child shall ensure that the swimming pool and its equipment meet the following requirements: 3. A portable pool that does not meet the requirements of subsection (B)(1) or (2) is prohibited;

“Findings: Based on the Compliance Officers' observations, on the small playground, there were 2 inflatable pools being used for water play by enrolled children.”

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 facility documentation and the Compliance Officer’s observation, the rosters in the 3's classroom reflected 12 enrolled children, with 10 enrolled children present. The roster in the School-age classroom reflected 15 enrolled children, with 14 enrolled children present.”

AAC R9-5-510.A.2. A. A licensee shall ensure that a staff member: 2. Teaches, models, and encourages orderly conduct, personal control, and age-appropriate behavior;

“Findings: Based on the Compliance Officer's observation, Staff #1 failed to model and maintain personal control with enrolled children. The class was lined up next to the facility door coming from the playground. Staff #1 grabbed an enrolled child by the chin and got into the child's face to speak to them.”

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 video footage and the Compliance Officers' observations, on the small playground, a child came onto the playground to get a basketball. When the child left the gate was left open.”

AAC R9-5-501.A.1. A. A licensee shall ensure that:1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Per allegation findings: Based on video footage and the Compliance Officers' observations, the health, safety and welfare of an enrolled child was placed at risk of harm. On the small playground an enrolled child's first digit on their finger was pinched off in the gate. Video: 16:47:09 The teacher started taking Child #1 out of the swing. 16:47:29 The teacher tells the children as they are getting them out of the swings to "Go line up at the gate. Hold on, hold on, stay right there." Child #1 was starting to walk over to the gate. 16:47:33 The teacher gets Child #2 out of the swing and tells Child #1 "Nope stay there". 16:47:36 Child #1 started walking towards the open gate. 16:47:45 The Teacher gets the third child from the swing and tells the two children walking towards the gate to "Wait for me please." 16:47:48 Child #2 starts running to the open gate. 16:47:50 Child #1 gets to the open gate, was holding onto the post with the lock and waits for the teacher. The teacher starts walking towards the ramada. 16:47:57 Child #1 and Child #2 were outside the open gate, the teacher said "Stay there" turned their back to the children and grabbed the roster by the ramada. 16:48:03 Child #1 lets go of the bar with the lock and grabs the pole that the gate is attached to. Child #2 starts to move the gate back and forth. The teacher walks towards the gate where the children are. 16:48:06 Child #1's finger is pinched in the gate. Child #1 pulls their finger back and screams. Child #1's first digit was found by another staff member on the gate.”

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 Compliance Officer #1’s observation, in the front playground area, the following hazards were accessible to enrolled children: *There were 2 bolts protruding up 2 1/5 inches on the missing teeter totter section. *There was broken plastic with sharp edges on the apple balance beam.”

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 the Compliance Officers' observations, the back playground lacked resilient surfacing for the slide, worm and little climber (artificial turf).”

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 Compliance Officer #1’s observation, on the front playground, the receptacle used for water and food waste was overflowing and not taken out.”

AAC R9-5-503.E. E. A licensee shall ensure that the written diaper changing procedure in subsection (D) states that an enrolled child’s diaper is changed as soon as it is soiled, and that a staff member, when diapering:1. Uses a separate washcloth and towel only once for each enrolled child; 2. Washes and dries the enrolled child using the enrolled child’s individual personal products labeled with the enrolled child’s name; 3. Uses single-use non-porous gloves; 4. Washes the staff member’s own hands with soap and running water between 86° F and 110° F before and after each diaper change; 5. Washes each enrolled child’s hands with soap and running water between 86° F and 110° F after each diaper change; 6. Cleans, sanitizes, and dries the diaper changing surface following each diaper change; and 7. Uses single-use paper towels from a dispenser to dry the diaper changing surface or the hands of the enrolled child or staff member.

“Per Allegation : Findings: Based on facility documentation and the Compliance Officers' observations, the following diaper changing logs lacked documentation of each diaper change for June 10, 2024: Child #1: Last diaper change documented 8:30 AM, left facility 2:14 PM. Child #2: Last diaper change documented 8:35 AM, left facility 3:45 PM. Child #3: Last diaper change documented 8:15 AM, left facility 5:15 PM. Child #4: Last diaper change documented 8:25 AM, left facility 4:24 PM. Child #5: No diaper change documented, at the facility from 8:56 AM-2:29 PM. Child #6: Last diaper change documented 8:40 AM, left facility 5:58 PM. Child #7: Last diaper change documented 8:45 AM, left facility 6:15 PM. Child #8: Last diaper change documented 8:50 AM, left facility 4:37 PM. Child #9: Last diaper change documented 8:55 AM, left facility 4:42 PM. Child #10: Last diaper change documented 8:10 AM, left facility 3:17 PM. Child #11: Last diaper change documented 8:20 AM, left facility 5:21 PM. Child #12: No diaper change documented, at the facility from 8:56 AM-6:18 PM. Previously cited: 3-5-2024 and 10-3-2023”

AAC R9-5-501.C.6. C. A licensee shall ensure that a staff member: 6. If an activity in the lesson plan required in subsection (C)(5) includes screen time, include in the lesson plan the duration of the screen time in minutes;

“Findings: Based on Compliance Officer #1's observation, in the School-age classroom, the lesson plan lacked documentation of screen time in minutes.”

AAC R9-5-503.F.2. F. A licensee shall ensure that in an activity area with a diaper changing area:2. A staff member: a. Documents each diaper change: i. For an infant, in the infant’s dated, daily, documentation required in R9-5-502(C)(1)(d); or ii. For an enrolled child who is not an infant, in a dated diaper changing log; b. Maintains the diaper changing log on facility premises for 12 months after the date of the diaper changing log; c. Empties clothing soiled with feces into a flush toilet without rinsing; d. Places an enrolled child’s clothing soiled by feces or urine in a plastic bag labeled with the enrolled child’s name, stores the clothing in a container used for this purpose, and sends the clothing home with the enrolled child’s parent; and e. Removes disposable diapers and disposable training pants from a diaper changing area as needed or at least twice every 24 hours to a waste receptacle outside the facility building.

“Per Allegation : Findings: Based on facility documentation and the Compliance Officers' observations, the following diaper changing logs lacked documentation for each diaper change: Child #1: 12-6-24 last diaper change documented 2:10 PM left facility 5:39 PM. 12-8-24 last diaper change documented 11:00 left facility 1:27 PM Child #2: 12-5-24 last diaper change documented 11:30 AM left facility 5:41 PM. 12-7-24 last diaper change documented 11:30AM left facility 4:52 PM. 12-8-24 last diaper change documented 11:30 AM left facility 5:27 PM. Child #3: 12-6-24 last diaper change documented 2:25 PM left facility 5:03 PM. Child #4: 12-5-24 last diaper change documented 9:12 AM left facility 5:49 PM. Child #5: 12-6-24 last diaper change documented 1:41 AM left facility 5:16 PM.”

AAC R9-5-605.B.6. B. A licensee shall ensure that: 6. Except for a room used only for an enrolled school-age child, each unused electrical outlet is covered with a safety plug cover or insert;

“Findings: Based on the Compliance Officers' observations, in the School-Age classroom with 4-year-olds present, there were 4 unused electrical outlets on a power strip behind the fish tank that lacked a safety plug”

AAC R9-5-512.C. C. A licensee shall ensure that floor coverings are:1. Clean; and 2. Free from: a. Dampness, b. Odors, and c. Hazards.

“Findings: Based on the Compliance Officers' observations, in the School-Age classroom, there were multiple spots of various colors and sizes on the multicolor rug and the people rug. There was a dried white substance on the blue circle rug.”

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

“Per Allegation: Findings: Based on the Compliance Officers' observations and review of photographs, on the outside activity area, there was an enrolled child hanging over the facility wall. The teacher was sitting down on their phone on the other side of the playground. Staff were unaware of the situation. The director stated there was a staff meeting regarding a problem with teachers being on their phones while in classrooms with enrolled children.”

AAC R9-5-501.A.1. A. A licensee shall ensure that:1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Findings: Based on Compliance Officer #2's observation, the facility fire control panel indicated 2 trouble signals.”