Booker T. Washington - Bethune

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 observation and staff interview, there were several areas of rusty metal and holes with rough and sharp edges accessible to children along the base of the fence and at the base of two fence posts on the west side of the playground. The director stated that the issues have been reported to the facility maintenance department.”

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 a review of facility documentation, staff interview, and the Compliance Officer's observation, the fire inspection report available for review expired 2/26/25, and the gas inspection report expired 3/5/26. Current reports were not available for review. The director stated that new reports have been requested from the school several times.”

AAC R9-5-308.B. B. A licensee shall maintain documentation of the insurance coverage required in subsection (A) on facility premises.

“Findings: Based on a review of facility documentation and the Compliance Officer's observation, the certificate of insurance available for review expired on 7/1/25.”

AAC R9-5-305.C. C. 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, required in R9-5 304(B).

“Findings: Based on a review of 12 Emergency Information and Immunization Record forms and the Compliance Officer's observation, the form for Child #1 lacked an attached immunization record.”

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 a review of 12 Emergency Information and Immunization Record forms and the Compliance Officer's observation, these three forms lacked the following information: Child #2: Name and telephone number for second emergency contact person. Child #3: Father's complete home address. Child #4: Father's telephone number; name of individual to be contacted in case of child's injury or sudden illness.”

AAC R9-5-402.B. B. A licensee shall ensure that, for a staff member who is currently working at the facility, the staff member’s information required by: 1. Subsections (A)(1) through (11) is maintained in a single location on facility premises, and 2. Subsection (A)(12) is maintained and provided to the Department within two hours of the Department’s request.

“Findings: Based on a review of two staff files and the Compliance Officer's observation, the file for Staff #1 was unavailable for review on facility premises.”

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 a review of facility documentation, interviews with staff and the Compliance Officers' observations, there were 16 enrolled children on the playground and the roster was not available for review. Staff stated that they left the iPad with the roster in the classroom when they came outside.”

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 facility documentation and the Compliance Officers' observations, a current gas inspection report was unavailable for review. The gas inspection report available was dated 2/15/24.”

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 a review of four medications and the Compliance Officer's observations, Medication #1 for child #1 was not labeled with the child’s first and last name.”

AAC R9-5-301.I. I. At least once a month, and at different times of the day, a licensee shall ensure that an unannounced fire and emergency evacuation drill is conducted and each staff member and enrolled child at the facility participates in the fire and emergency evacuation drill. 1. If child care services for a child with special needs are provided at a facility, the licensee shall provide for the enrolled child’s participation in each fire and emergency evacuation drill according to the enrolled child’s individualized plan as specified in R9-5-507(A)(1). 2. A licensee shall document each fire and emergency evacuation drill and maintain the documentation on facility premises for 12 months after the date of the fire and emergency evacuation drill.

“Findings: Based on facility documentation and the Compliance Officers' observations, the fire drill log lacked documentation for a drill in October 2024.”

AAC R9-5-518.A.1. A. A licensee providing a field trip for an enrolled child shall:1. Obtain written permission from a parent before the enrolled child participates in a field trip including: a. The date and description of the field trip; b. The times of departure from and return to the facility; and c. The name, street address, and telephone number, if any, of the field trip destination;

“Findings: Based on a review of facility documentation, staff interview and the Compliance Officer's observations, the permission form used for field trips to unlicensed areas on the school campus lacked dates, times and specific locations. Staff stated that the general form was the only permission form used for campus field trips.”

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 observation and staff interview, the restrooms used by enrolled children were not maintained in a clean condition: Girls' Restroom: There was a build-up of dried brown and black substances on the tiles and grout along the base of the wall in both toilet stalls and behind the sink. Boys' Restroom: There was a build-up of dried brown and black substances on the tiles and grout along the base of the wall in the toilet stall, around the urinal, and next to the sink. Staff stated that they had contacted the school regarding the restroom cleaning issues.”

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 facility documentation, staff interview and the Compliance Officer's observation, the licensee did not submit a request for approving an alternate playground area for the facility's enrolled children to use while the regular playground was under construction and not available. Staff stated that the regular playground has been unavailable for 3 weeks.”

AAC R9-5-208.F. F. A licensee shall not implement any change described under subsection (B) until the Department issues an approval or amended license.

“Findings: Based on staff interviews and the Compliance Officer's observations, there were 13 enrolled children using an unlicensed outdoor activity area at the time of the inspection. Staff stated that the regular playground has been under construction for 3 weeks and they have been using the grassy area across from the gym for outdoor time.”

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 the Compliance Officer's observations and staff interview, there was a heavy build-up of dried black substances on the caulking between one toilet (of two) and the wall in the Girls' Restroom. Staff stated that they had contacted the school regarding the restroom cleaning issues.”

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 Officer's observation, these hazards were accessible to enrolled children in the Boys' Restroom: There was a strip of metal with rough edges hanging from the base of the stall partition next to the urinal. There was a gap with missing grout, from the ceiling to the floor, between the wall tiles in the corner behind the sink.”