A.U.S.D. #10 - Imagine Preschool at Donaldson Elementary

AAC R9-5-203.A. A. A licensee shall ensure that a staff member completes, signs, dates, and submits to the licensee, before the staff member’s starting date of employment or volunteer service: 1. The form required in A.R.S. § 36-883.02(C); and 2. If required by A.R.S. § 8-804, the form in A.R.S. § 8-804(I).

“FINDINGS: Based on the Compliance Officer’s observations and review of documentation, the files for Staff 1 and Staff 2 lacked documentation of the Central Registry Background Check prior to the starting date of employment.”

AAC R9-5-203.E. E. If a staff member possesses a fingerprint clearance card that was issued before the staff member became a staff member at the facility, a licensee shall: 1. Contact the Department of Public Safety before the individual becomes a staff member to determine whether the fingerprint clearance card is valid; and 2. Document this determination, including the name of the staff member, the date of contact with the Department of Public Safety, and whether the fingerprint clearance card is valid.

“FINDINGS: Based on the Compliance Officer's observations and review of documentation, the file for Staff 2 lacked documentation that the Fingerprint Clearance Card was validated before the current employment date.”

AAC R9-5-301.F. F. A licensee shall ensure that a staff member submits, on or before the starting date of employment or volunteer services, a completed self-screening form in a Department-provided format for tuberculosis screening purposes and follow recommendations for further tuberculosis testing, as applicable.

“FINDINGS: Based on the Compliance Officer’s observations, and review of documentation, the files for Staff 1 and Staff 2 indicate that the tuberculosis screening was not performed on or before the starting date of employment.”

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.

“The Compliance Officer measured the depth of the sand in the fall zones of the playground equipment as follows: 1.5" in the fall zones of the orange double slide and the west side swings; 2" in the fall zones of wavy slide, the east side swings and inside the metal dome climber; 3" outside of the metal dome climber.”

AAC R9-5-309.C. C. A licensee shall maintain on facility premises: 1. A current fire inspection report including documentation of any repairs or corrections required by the fire inspection report; and 2. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a current gas inspection report including documentation of any repairs or corrections required by the gas inspection report.

“The Compliance Officers requested the facility's fire inspection documentation for review. The facility director reported that they did not have a copy. The assigned CO contacted Administrative staff to request a copy, but as of 5/12/25, a copy of a current fire inspection report has not been provided. The most current documentation reviewed was for an inspection that took place on 6/13/2022.”

AAC R9-5-303.B. B. A licensee shall ensure that the licensed capacity of each indoor activity area or room is posted in that activity area or room.

“Compliance Officer 1 reviewed the facility's Multi Purpose Room and observed that there was no posted licensed capacity.”

AAC R9-5-301.F. F. A licensee shall ensure that a staff member submits, on or before the starting date of employment or volunteer services, one of the following as evidence of freedom from infectious active tuberculosis: 1. Documentation of a negative Mantoux skin test or other tuberculosis screening test recommended by the U.S. Centers for Disease Control and Prevention, administered within 12 months before the starting date of employment or volunteer service, that includes the date and the type of tuberculosis screening test; or 2. If the staff member has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the staff member is free from infectious active tuberculosis that is signed and dated by a health care provider within six months before the starting date of employment or volunteer service.

“Compliance Officer 2 reviewed two staff files and noted that the TB test results for both staff members was not dated within 12 months of their start dates. Staff 1's start date is documented as 10/24/2023 and their TB documentation is dated 6/2/2016. Staff 2's start date is documented as 8/14/2023 and their TB documentation is dated 3/3/2022.”

AAC R9-5-309.C. C. A licensee shall maintain on facility premises: 1. A current fire inspection report including documentation of any repairs or corrections required by the fire inspection report; and 2. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a current gas inspection report including documentation of any repairs or corrections required by the gas inspection report.

“The facility director reported that they did not have documentation of a current fire inspection report when Compliance Officer 1 requested the documentation for review.”

AAC R9-5-605.B.10. B. A licensee shall ensure that:10. Toilet rooms are ventilated to the outside of the building, either by a screened window open to the outside air or by an exhaust fan and duct system that is operated when the toilet room is in use;

“Compliance Officer 1 noted that the exhaust fan in the girl's bathroom in the Multi Purpose Room was not in working order.”

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.

“Compliance Officer 1 measured the depth of the sand in the fall zones of the playground equipment on the outdoor activity area as follows: 3" in the fall zone of the wavy slide; 4.5" in the fall zone of the double orange slide; 5" in the fall zone of the swings.”

AAC R9-5-509.C.18. C. A licensee shall ensure that:18. A staff member: a. Prepares a weekly menu at least one week in advance, b. Includes on the menu the specific foods to be served on each day, c. Dates each menu, d. Posts each menu at least one day before the first meal on the menu will be served, and e. Writes food substitutions on a posted menu no later than the morning of the day of meal service;

“Compliance Officer 1 reviewed the facility's lunch menu and noted that on 8/12/24 and 8/28/24, the menu lists “Mixed Fruit” as a component to be served, however it did not list the specific fruits included in the mix.”

AAC R9-5-514. D. D. A licensee shall post, near an activity area or a room's designated exit, a building evacuation plan that details the designated exits from the activity area or room and the facility.

“Compliance Officer 1 noted that there were no evacuation plans posted at any of the four exits in the Multi Purpose Room which is a licensed space at the facility.”