Big Red Barn

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: The Secondary Compliance Officer reviewed the medications belonging to enrolled children at the facility and noted that Child 1 had medication that was dispensed by the pharmacy as a two pack, however, there was only one of two medications present at the facility.”

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.

“Findings: The Secondary Compliance Officer reviewed the facility's fire inspection documentation and noted that the most current inspection took place on January 9, 2025 and was therefore not current as required.”

AAC R9-5-402.A. A. A licensee shall maintain a file for each staff member containing: 1. The staff member’s name, date of birth, home address, and telephone number; 2. The staff member’s starting date of employment or volunteer service; 3. The staff member’s ending date of employment or volunteer service, if applicable; 4. The name and telephone number of an individual to be notified in case of an emergency; 5. The staff member’s written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis; 6. The form required in A.R.S. § 36-883.02(C); 7. Documents required by R9-5-203; 8. Documents required by R9-5-301; 9. Documents required by R9-5-401, if applicable; 10. If applicable: a. The form required in A.R.S. § 8-804(I), b. Documentation of the submission required in A.R.S. § 8-804 and the information received as a result of the submission, and c. Documentation of training provided by a licensee as required by R9-5-403, if applicable; 11. A copy of any current license or certification required by A.R.S. Title 36, Chapter 7.1, Article 1. or this Chapter; and 12. Documentation of the requirements in A.R.S. § 36-883.02(D).

“Findings: The Secondary Compliance Officer reviewed two staff files and noted that Staff 1's file did not have documentation of two good-faith efforts to contact their previous employers. Staff 1's start date is documented as 3/16/26.”

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.

“Findings: The Primary Compliance Officer measured the depth of the gravel in the fall zones of the playground equipement as follows: 3" in the fall zone of the Blue Dome Climber; 2" in the fall zones of the Red Twist Slide and the Double Red Slide; 1.5" in the fall zone of the of the Red Tube Slide.”

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: The Primary Compliance Officer counted 16 children napping, including 2 year old children, in the Cheerful Chicks classroom. There was one staff member present in the Activity Area.”

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: The Secondary Compliance Officer reviewed the medications belonging to enrolled children at the facility and noted the following: Child 1's written authorization form did not list the start and end dates of the dosage period for their medication as required; Child 2's written authorization form did not list the end for the dosage period for their medication.”

AAC R9-5-602.A. A. A licensee shall ensure that the facility meets the following square footage requirements for indoor activity areas based on the child care services classifications: 1. At least 35 square feet of indoor activity space for each infant and 1-year-old child; 2. At least 25 square feet of indoor activity space for each child who is not an infant or 1-year-old child; and 3. When 1-year-old children are grouped together with children older than 1-year-old children in the same activity area, at least 35 square feet of indoor activity space for each child.

“Findings: The Primary Compliance Officer observed 16 children napping in the Cheerful Chicks classroom which included two and three year old childen. The licensed capacity for the activity area is 12 children.”

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: The Secondary Compliance Officer inspected the Toddler Playground and observed that a section of the lattice fence that is between the facility and the parking lot was broken and had a missing piece.”

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.

“Findings: The Secondary Compliance Officer measured the depth of the gravel to be 1-3" in the fall zones of the playground equipment.”

AAC R9-5-305.E. E. If an enrolled child’s immunization record indicates that the enrolled child has not received an age-appropriate immunization required by 9 A.A.C. 6, Article 7, a licensee shall ensure that a staff member: 1. Notifies the enrolled child’s parent in writing that the enrolled child may attend the facility for not more than 15 calendar days after the date of the notification unless the enrolled child’s parent complies with the immunization requirements in 9 A.A.C. 6, Article 7, and 2. Documents on the enrolled child’s Emergency, Information, and Immunization Record the date on which the enrolled child’s parent is notified of an immunization required by the Department.

“Findings: The Primary Compliance Officer reviewed ten children's enrollment and immunization records and noted that Child 1's immunization record was not up to date.”

AAC R9-5-509.C.17. C. A licensee shall ensure that: 17. 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;

“Findings: The Primary Compliance Officer reviewed the posted menu and noted that the following items were listed as being served, but the specific fruits or vegetables that each item included were not listed: granola bars, shepherd's pie, and fruit.”

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 Compliance Officers' observations and review of facility documentation, the staff-to-child ratio in the 1/2's classroom was 1:7 instead of the state mandated staff-to-child ratio of 2:7.”

AAC R9-5-404.C.3. C. A licensee shall ensure that:3. When 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 Compliance Officers' observations, there was a 1 year old child in the Infant room when more than 5 children were present in the facility.”

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;

“Per Allegation Findings: Based on Compliance Officers' observations and review of facility documentation, the facility was using an inflatable slide with a pool reservoir on Fridays when enrolled children had "water day".”

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 Compliance Officers' observations and review of facility documentation, the roster in the 3/4/5's classroom reflected the presence of 37 children, however 40 children were actually present in the classroom.”

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 observation, the following hazards were observed in the outdoor activity area: **The block wall on the South end of the playground had large cracks along the bottom and leaned to the right. **There was a black pole with a sharp end in the garden accessible to enrolled children. **The white picket fence that surrounds the garden had chipping paint and splintering wood accessible to enrolled children.”

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.

“Findings: Based on the Compliance Officer’s observation and facility documentation, 1 of 4 staff files reviewed lacked the following: *Staff #1 (DOE: 4/1/24) lacked evidence of freedom from infectious active tuberculosis in their staff file.”

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);

“The Compliance Officers observed that the infant classroom was not fully wall enclosed. The classroom has an opening that leads to a kitchen and bathroom area.”

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);

“The Compliance Officers observed that the infant classroom was not fully wall enclosed. The classroom has an opening that leads to a kitchen and bathroom area.”