Az Western College Child Development Learning Lab

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: The Primary Compliance Officer reviewed the classroom roster in the Roadrunner's classroom and noted that it listed 7 children in attendance, however, the CO counted 8 children that were present in the activity area. Classroom staff reported that one child had come after attendance had been taken.”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings: 1. In a clean condition, and 2. Free from odor.

“Findings: The Primary Compliance Officer observed open bins that contained children’s clothing directly in front of toilets in the sidewinders’ classroom bathroom.”

AAC R9-5-605.B.1. B. A licensee shall ensure that:1. All designated exits, corridors, and passageways that provide escape from the building are unobstructed and unlocked during hours of operation;

“Findings: Based on staff interview and Compliance Officer and Compliance Officer Supervisor's observations, the following designated exits were obstructed during hours of operation: HUMMINGBIRDS ROOM: There were two activity shelves blocking the main exit. The Director stated they restricted the area to keep parents from entering the activity space. JACKRABBITS ROOM: There was a brown child-size couch obstructing the emergency exit.”

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 and Compliance Officer Supervisor's observations the following hazards were accessible to enrolled children in the outdoor activity area: *The plastic curbing was gapped and cracked in several areas, exposing the screws.”

AAC R9-5-512.D. D. A licensee shall ensure that toilet bowls, lavatory fixtures, and floors in toilet rooms and kitchens are cleaned and sanitized as often as necessary to maintain them in a clean and sanitized condition or at least once every 24 hours.

“Findings: Based on the Compliance Officer Supervisor's observation, the caulking at the base of the toilets in the restroom between the Sidewinders and Scorpions Rooms was separating and was no longer able to be cleaned or sanitized.”

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 and Compliance Officer Supervisor's observations, uncovered food waste was accessible to children in the following areas: ROADRUNNERS ROOM: *One of the trash can lid flaps was missing, exposing food waste. JACKRABBITS ROOM: *The trash can lid was cracked, exposing food waste. SCORPIONS ROOM: *The trash can lid was broken and missing both flaps, exposing food waste.”

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 Compliance Officer and Compliance Officer Supervisor's observations, the water temperature at the following diaper changing sinks was not maintained between 86° and 110°F as required: HUMMINGBIRDS ROOM: 117.9° ROADRUNNERS ROOM: 114° JACKRABBITS ROOM: 115°”

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 Compliance Officer and Compliance Officer Supervisor's observations, the following diapering areas were not maintained in a smooth and sanitizable condition: ROADRUNNERS ROOM: The seam between the diapering surface and the sink was raised and the caulking was not smooth and seamless. JACKRABBITS ROOM: The seam between the diapering surface and the sink was raised and the caulking was not smooth and seamless, and the metal cap on the sink counter lacked caulking. SIDEWINDERS ROOM: The mat on the surface had cloth seams and had a layer of dust on the top of the plastic. There was a dirt and debris build up on the diapering surface under the mat, including a pencil and a white unknown object.”

AAC R9-5-511.A. A. A licensee shall provide each enrolled child who naps or sleeps at the facility with a separate cot or mat or a crib that meets the requirements of R9-5-502(A)(8) and ensure that:1. A cot, mat, or crib used by the enrolled child accommodates the enrolled child’s height and weight; 2. A staff member covers each cot, crib mattress, or mat with a clean sheet that is laundered when soiled, or at least once every seven days and before use by a different enrolled child; 3. A clean blanket or sheet is available for each enrolled child; 4. A rug, carpet, blanket, or towel is not used as a mat; and 5. Each cot, mat, or crib is maintained in a clean and repaired condition.

“Findings: Based on Compliance Officer and Compliance Officer Supervisor's observations, all children in the Scorpions and Sidewinders Rooms were lying directly on the cot surfaces, as the cots were not covered with sheets.”

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;

“Findings: Based on Compliance Officer and Compliance Officer Supervisor's observations, the following personal products were not labeled with children's names: HUMMINGBIRDS ROOM (Infants): Two unlabeled wipes, and one ointment labeled with initials. ROADRUNNERS ROOM (1s): One unlabeled ointment, one ointment labeled with initials, one ointment labeled with two first names, one wipe with initials, one unlabeled wipe, and one wipe with last name. JACKRABBITS ROOM (2s): One unlabeled sunscreen, one ointment with last name, one ointment with initials, two wipes with initials, one wipe with first name.”

AAC R9-5-511.C. C. A licensee shall provide an unobstructed passageway at least 18 inches wide between each row of cots or mats to allow a staff member access to each enrolled child.

“Findings: Based on Compliance Officer and Compliance Officer Supervisor's observations, the cots in the Scorpions and Sidewinders Rooms were not placed at least 18" between each row.”

AAC R9-5-502.C.1.m. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: m. Posts the current written dietary instructions in the infant room and the kitchen and maintains the instructions on facility premises for 12 months after the date of the instructions; and

“Senior Compliance Officer observed that the Infant feeding instructions for infants 6, 7, and 8 were being stored in a binder located in a cabinet. None if the infant feeding instructions were posted.”

AAC R9-5-501.A.19. A. A licensee shall ensure that: 19. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Senior Compliance Officer observed a can of shaving cream in the inclusion classroom. The can had a flammable warning label and was sitting next to a hand washing sink; accessible to the enrolled children.”

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.

“Compliance Officer observed that the last fire inspection on file was dated February 2022. Please send a current copy upon receipt.”

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.

“Senior Compliance Officer reviewed the roster in the one-year-old room and observed 6 children physically present. There were 9 children documented on the roster.”

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.

“Compliance Officer reviewed fifteen children's emergency records. The following information was missing: Child 1 - date of enrollment. Child 2 - date of enrollment and the name of the individual to contact in case of injury or sudden illness of the child.”

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).

“Compliance Officer observed that the Criminal History Affidavit for Staff 1 was missing the facility address.”

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.

“Senior Compliance Officer observed several packets of hydrocortisone and triple antibiotic ointment in the first aid kit.”

AAC R9-5-513.B. B. A licensee shall ensure that a staff member: 1. Keeps all pet and animal habitats clean; 2. Prohibits reptiles, such as turtles, iguanas, snakes, and lizards, in the facility; 3. Prohibits birds in food preparation and eating areas; 4. Keeps pets and animals clean; 5. Prohibits pets and animals from endangering an enrolled child, staff member, or other individual on facility premises; and 6. Keeps birds and animals such as horses, sheep, cattle, and poultry in an enclosure that is not accessible to an enrolled child except as part of an activity.

“Senior Compliance Officer observed a turtle located in a glass enclosure in the in the 3-5 year old classroom.”

AAC R9-5-509.C.14. C. A licensee shall ensure that: 14. Each staff member is informed of a modified diet prescribed for an enrolled child by the child’s parent or health care provider, and the modified diet is posted in the kitchen and in the child’s activity area;

“Senior Compliance Officer observed that the modified diet for Child 3 was not posted in their activity area.”

AAC R9-5-503.D. D. A licensee shall ensure that a written diaper changing procedure is posted and implemented in each diaper changing area.

“Senior Compliance Officer observed that the diaper changing procedures were not posted in the infant room.”

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

“Compliance Officer reviewed the medicine consent form for Child 4. The time and frequency indicated "as needed" " every 6 hours" The directions are not clear. Child 5 - under time and frequency the medication consent form states "....12 pm today" . The directions are not clear.”