Arcadia Montessori 52nd Street Campus

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, in the Toddler 1 classroom, the ratio was 1:9 rather than 2:9 with 1-year-old children present when a staff member stepped out of the classroom and and into the courtyard.”

AAC R9-5-404.C.3. C. A licensee shall ensure that when there are: 3. Six or more enrolled children are present in a facility, an infant is not placed for supervision with a child who is not an infant.

“Findings: Based on the Compliance Officers' observations, in the Transition Classroom, 3 infants were placed with 1-year-old children and there were 62 children present in the facility.”

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 facility documentation and the Compliance Officer’s observation, it was determined that the medication for Child #12 lacked 1 of 2 doses of the medication prescribed by the health care provider and dispensed by the pharmacy.”

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 facility documentation and the Compliance Officers' observations, the nonprescription medication for Child #2 (medication 2) lacked written authorization from the enrolled child's health care provider to administer the medication inconsistent with the manufacturers label.”

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 facility documentation and the Compliance Officer’s observation, it was determined that the following medication authorization forms were incomplete: Child #1: Lacked the dosage to be administered. Child #2: Medication 1 lacked the dosage to be administered and reason for the medication. Medication 2 lacked the reason for the medication. Child #3, Child #4, and Child #11: Lacked the times and frequency of administration.”

AAC R9-5-502.C.1.lk. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: k. 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 facility documentation and the Compliance Officer's observation, in the Infant room, 5 out of 11 enrolled infants dietary instructions lacked a schedule documenting when and/or how much to feed the infant.”

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 Officers' observations, in the Infant room and Transition classroom's diaper changing area, there was a soft squishy pad on top of the diaper changing surface.”

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 an Emergency, Information, and Immunization Record that is no more than a two-page written notice, and is signed by the enrolled child’s parent containing: 1. The child’s name, home address, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, email address, and 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 the nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(14); 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 facility documentation and the Compliance Officer’s observation, it was determined that 6 out of 20 enrolled children's Emergency, Information and Immunization Record Cards reviewed lacked the following required information: Child #5: The name, address, and phone number of the second parent. Child #6, Child #7, and Child #9: The name and phone number of the child’s health care provider. Child #8, and Child #10: The date of enrollment.”

AAC R9-5-501.C.5. C. A licensee shall ensure that a staff member:5. Except as provided in subsection (D), prepares and posts 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 facility documentation and the Compliance Officer's observation it was determined that the Toddler 1 classroom lacked a current lesson plan. The posted lesson plan was dated July of 2024 and did not list specific activities that would be done with the children. During the week of: Monday July 1: Care of Environment with an arrow through the week was listed as the activity. Monday July 8: Practical Life with an arrow through the week was listed as the activity. Monday July 15: Care of Self with an arrow through the week was listed as the activity. Monday July 22: Sensorial with an arrow through the week was listed as the activity. In the Toddler 2 classroom, the lesson plan lacked documentation of any activities after August 16, 2024.”

AAC R9-5-403.B. B. A licensee shall ensure that:1. Each staff member who provides child care services completes 18 or more actual hours of training every 12 months after the effective date of this Chapter or the staff member’s starting date of employment or volunteer service in at least two topics listed in this subsection: a. Child growth and development, including: i. Infant growth and development, which may include sudden infant death syndrome prevention; ii. Developmental psychology; iii. Language development; iv. Observation and child assessment; v. Developmentally-appropriate activities; vi. Child guidance and methods of discipline which may include training on the appropriate techniques to prevent a child from harm or to prevent the child from harming others; and vii. Developmentally-appropriate activity areas; b. Health and safety issues, including: i. Accident and emergency procedures, including CPR and first aid for infants and children; ii. Recognition of signs of illness and infestation; iii. Nutrition and developmentally-appropriate eating habits; iv. Child abuse detection, reporting, and prevention; v. Safety of indoor and outdoor activity areas; and vi. Sun safety policies and procedures; c. Program administration, planning, development, or management; and d. Availability of community services and resources, including those available to children with special needs; and 2. As part of the required 18 hours of training in subsection (B)(1): a. A staff member who has less than 12 months of child care experience before the staff member’s starting date, completes at least 12 hours in one or more of the topics in subsection (B)(1)(a) in the staff member’s first 12 months at the facility; b. A staff member who has 12 months or more of child care experience, completes at least 6 hours in one or more of the topics in subsection (B)(1)(a) every 12 months after the staff member’s starting date; c. A staff member who provides child care services to an infant completes at least 6 hours in subsection (B)(1)(a)(i) every 12 months after the staff member’s starting date; and d. A facility director completes at least 6 hours in subsection (B)(1)(c) every 12 months after the facility director’s starting date.

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that 4 out of 6 staff files reviewed lacked documentation for the required annual training: Staff #1 (start date 05/30/2023) lacked 2 of the additional 18 hours of required annual training for the time period between 05/30/2023-05/30/2024. As part of the 18 hours of training, Staff #1 lacked 5 of the 6 hours that are required for staff that care for infants. Staff #2 (start date 02/21/2023) lacked 5.5 of the additional 18 hours of required annual training for the time period between 02/21/2023-02/21/2024. As part of the 18 hours of training, Staff #2 lacked 6 of the 6 hours that are required for staff that care for infants. Staff #3 (start date 11/09/2023) lacked 11 of the additional 18 hours of required annual training for the time period between 11/09/2023-11/09/2024. As part of the 18 hours of training, Staff #3 lacked 6 of the 6 hours that are required for staff that care for infants. Staff #4 (start date 02/01/2023) lacked 4.5 of the additional 18 hours of required annual training for the time period between 02/01/2023-02/01/2024. As part of the 18 hours of training, Staff #4 lacked 6 of the 6 hours that are required for staff that care for infants.”

AAC R9-5-208.B. B. At least 30 calendar days before the date of an intended change in a facility’s service classification, space utilization, or licensed capacity, a licensee shall submit a written request for approval of the intended change to the Department that includes:1. The licensee’s name; 2. The facility’s name, street address, city, state, zip code, mailing address, and telephone number; 3. The name, telephone number, and fax number of a point of contact for the request; 4. The facility’s license number; 5. The type of change intended: a. Service classification, b. Space utilization, or c. Licensed capacity; 6. A narrative description of the intended change; and 7. The following additional information, as applicable: a. If the intended change affects individual rooms, the following information about each affected activity area, as applicable: i. Identification of the activity area, ii. Current and intended square footage, iii. Current and intended operating hours, iv. Current and intended service classification, v. Current and intended licensed capacity, and vi. Whether the activity area has or will have a diaper changing area; b. If the intended change is to increase licensed capacity, the square footage of the outdoor activity area; and c. If the intended change includes an alteration or addition to the physical plant of a licensed facility, the following, as applicable: i. If the facility is not located in a public school or if providing child care services to infants, one-year-old children, or two-year-old children in a facility located in a public school, the information required in R9-5-201(A)(5)(g) and (A)(5)(h) showing the intended change; or ii. If the facility is located in a public school and provides child care only for three-year-old, four-year-old, or five-year-old, or school-age children, a set of final construction drawings or a school map, including the information required in R9-5-201(5)(j) showing the intended change.

“Findings: Based on the Compliance Officer's observation and a discussion with the Director's Designee, the licensee added a diaper changing area in the Toddler 2's toilet room and began using it a few months ago. The licensee failed to submit a modification request to add the diaper changing area at least 30 days prior and began using it without the Department's approval.”

ARS § 36-883.05.B. B. Floor bedding pursuant to subsection a of this section must meet all of the following requirements:1. Be a mat that meets the following dimensions: a. Is not less than two inches and not more than three inches thick. b. Is not less than three feet and not more than four feet long. c. Is not less than two feet and not more than three feet wide. 2. Not be elevated or raised in any way. 3. Be covered with a waterproof and washable mattress pad, a washable zip cover and an individually assigned sheet. 4. Be assigned to an individual infant and not shared with another infant. 5. Be turned over at least once a week. 6. Be placed at least eighteen inches apart, eighteen inches from any wall and two feet from any other object. 7. Be placed on a floor that is vacuumed and sanitized every day and, if the floor is carpeted, is shampooed at least twice a month.

“Findings: Based on the Compliance Officer's observation, in the Infant room the licensed capacity of the room is 11 and there were 7 floor beds rather than 11 in the resting area as required. 5 floor beds were in the resting area and 2 floor beds were on a carpeted area that was not separate from the other activity areas. Refer to ARS § 36-883.05.H.2 Previously cited: 08/23/2023”

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 Officer's observations, in the outdoor activity area, the following hazards were accessible to enrolled children: There was torn vinyl padding with exposed foam on 2 steel beams of the shade structure used for the plastic climber. There was rough wood with sharp edges on the red wooden picnic table outside of the Toddler 1 classroom door.”

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 the Compliance Officer's observation, in the Toddler 2's toilet room, the diaper changing surface was on the opposite wall directly across from the handwashing sink rather than next to the handwashing sink as required.”

AAC R9-5-502.B.3. B. A licensee providing child care services for infants shall not: 3. Permit an infant to use a walker; or

“Findings: Based on the Compliance Officer's observation, in the Infant room, an infant was pushing a wooden walker across the tile floor. When the Compliance Officer exited the room and looked through the window, another infant was grabbing the wooden walker and began pulling themselves up into a standing position when the walker slid out from underneath them. The infant toppled onto the tile floor landing on their back and started crying.”

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 was a non-crawling infant flat on their stomach on the floor playing with a black/white striped soft crinkle toy with a crawling infant playing around them. The staff were not within reach of the infant and were performing other duties.”

AAC R9-5-501.C.9. C. 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;

“Based on the Compliance Officer's observation, in the following rooms, enrolled children's personal products lacked a first and last name as required: Toddler 1 classroom: There was 1 ointment labeled with the first name and last initial and 1 ointment labeled with the last name. Toddler 2 classroom: There were 2 bottles of sunscreen without a label and 1 bottle of sunscreen labeled with the first name. There was 1 package of wipes without a label and 1 package of wipes labeled with the first name.”

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 facility documentation and the Compliance Officer’s observation, it was determined that 8 out of 20 enrolled children's Emergency, Information and Immunization Record Cards reviewed lacked the following required information: Child #1: The phone number of the child’s health care provider. The name of the individual to be contacted first in case of injury or sudden illness. Child #2 and Child #3: The name, address, and phone number of the second parent. Child #4 and Child #5: The date of enrollment. The name and phone number of the child’s health care provider. Child #6: The name and phone number of the child’s health care provider. Child #7: The phone number of the child’s health care provider. Child #8: The name of the individual to be contacted first in case of injury or sudden illness.”

ARS § 36-883.05.C. C. The ratio of staff members to resting infants in the resting area must be at least one staff member to every four infants. A staff member in the resting area must be supervised for the first ninety days of employment to ensure the staff member's proper use of the floor bedding pursuant to this section. Any staff member in the resting area shall have current certification in cardiopulmonary resuscitation and first aid.

“Findings: Based on the Compliance Officer's observation, upon entering the Infant room, the ratio was 0:1 in the resting area, rather than 1:1 as required. 1 infant was observed sleeping and a staff member was sitting outside of the resting area next to the bookshelf interacting with another infant. Previously cited: 08/23/2023”

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 Officer's observation, in the outdoor activity area, a portable pool was on the cement walkway by the infant room's outside door.”