Booker T. Washingon Cdc - Wilson

AAC R9-5-512.F.8.9. F. A licensee shall ensure that: 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 the Compliance Officer's observations, in room 606, the North sink in the child restroom lacked a faucet and was not in working condition.”

AAC R9-5-603.B. B. 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, the following hazards were accessible to enrolled children in the playground: **The planter beds had loose wooden slats on the South end of the playground. **A shovel and a rake on the South end of the playground. **A stack of wooden slats next to the storage on the South end of the playground. **A wire tomato cage on the South end of the playground.”

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: Based on the Compliance Officer's observation and facility documentation, the licensee lacked documentation of a current, violation-free fire inspection report.”

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: Based on the Compliance Officer's observations, the outdoor activity area was not maintained in a clean condition. The concrete floor had scattered bits of dark debris along the south end of the playground. The gray trashcan lid was visibly dirty with dark smears. The synthetic grass area was covered in twig and leaf debris. The green padding in the child sitting area had dark stains and white dry liquid.”

AAC R9-5-209.2. A licensee shall: Notify the Department within 24 hours, prior to the next business day, of business closure; and

“Findings: Based on the Compliance Officer's observations, the facility failed to notify the Department of the closure of the facility on 02/04/26.”

AAC R9-5-305.B. B. A licensee shall attach an enrolled child’s written immunization record or exemption affidavit, required in subsection(A), to the enrolled child’s Emergency, Information, and Immunization Record card, required in R9-5 304(B).

“Findings: Based on the Compliance Officer’s observations and facility documentation, 2 of 14 Emergency, Information, and Immunization Record cards reviewed lacked the following: **Child #1: Immunization record attached **Child #2: Immunization record attached”

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 the Compliance Officer's observations and facility documentation, the medication for Child #2 lacked 5 of the 6 medications as specified on the prescription label.”

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;

“Findings: Based on the Compliance Officers' observations, on the playground, there was a bag of potting soil sitting on a red table that was labeled "keep out of reach of children" accessible to enrolled children.”

AAC R9-5-301.D. D. A licensee shall ensure that the following individuals are allowed immediate access to facility premises during hours of operation: 1. A parent of an enrolled child or an individual designated in writing by the parent of an enrolled child; or 2. A representative of: a. The Department, b. The local health department, c. Arizona Department of Child Safety, or d. The local fire department or State Fire Marshal.

“Findings: Based on the Compliance Officers' observations, the facility did not allow immediate access to the Compliance Officers. The front doors were locked, and the Compliance Officers buzzed the ring camera twice, and knocked on the door multiple times before the facility staff answered the door.”

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.

“Findings: Based on the Compliance Officers' observations, in the preschool room, the posted capacity stated 22, however, the licensed capacity of the room is 37.”

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 a review of facility documentation and Compliance Officer #1's observation, 1 out of 4 staff files reviewed lacked documentation of required annual training. Staff #2 (DOE 8/8/2022) lacked 4 of the required 18 hours of annual training for the time period of 8/8/2022-8/8/2023.”

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, Classroom #606 lacked 2 safety plugs in an unused electrical outlet on the East wall.”

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 Officers' observations, on the facility playground there were 4 wood planter boxes with sharp, rough, and splintering edges accessible to children.”

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 the Compliance Officers' observations and facility documentation, the medication consent form for Child #1 lacked the specific time and frequency of the medication. The form documented “every 4 hours as needed”.”

AAC R9-5-203.C. C. Except as provided in A.R.S. § 41-1758.03, a licensee shall ensure that each staff member, before starting date of employment or volunteer service, submits to the licensee a copy of the staff member’s valid fingerprint clearance card,front and back, issued under A.R.S. Title 41, Chapter 12, Article 3.1.

“Findings: Based on facility documentation and Compliance Officer #1’s observation, it was determined that the file for Staff #1 (DOE 01/03/2022) and Staff #2 (DOE 08/08/2022) lacked documentation of copies of their fingerprint cards. The fingerprint clearance cards were validated through the DPS website during the time of the inspection.”

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 Officers' observations, the toilet room was not maintained in a clean condition: *There were areas of a dried brown, sticky build up around and in front of each toilet. *There was a pile of loose toilet paper in the third stall on the ground by the toilet.”

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: Based on the Compliance Officers' observations, the following areas were not maintained in a clean condition: Classroom 605: *There were ramen noodles in the North sink drain. Playground: *There were multiple brown dirt stains on the green sofa and green chair cushions.”

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: Based on the Compliance Officers' observations, the following hazards were accessible to enrolled children: Classroom 605: *There was a 2-foot cord extending from under the light table and dangling in the activity area. *There were 2 wooden child-sized chairs stacked on top of a table in the activity area. A child was placed for a nap next to the table, and the child was observed playing with the leg of the table. *There was a wooden child-sized chair stacked on top of the activity shelf in between napping children. *There was one stack of 12 wooden child-sized chairs located next to the drinking fountain and adjacent to a child laying down for nap. Classroom 605 & 606: *The area rugs in the center areas were curling up at the corners, causing a tripping hazard.”