Booker T Washington Child Development Center

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 ten Emergency Information and Immunization Record (EIIR) forms and the Compliance Officer's observation, the EIIR Record forms for Child #1, #2, #3, #4 and #5 lacked attached immunization documentation.”

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 a review of four medication permission forms, the form for Medication #1 (Child #6) lacked the prescription number.”

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 ten Emergency Information and Immunization Record (EIIR) forms and the Compliance Officer's observation, the EIIR Record forms for Child #1, #2, #3, #4 and #5 lacked dates of enrollment.”

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;

“Findings: Based on facility documentation and the Compliance Officers' observations, the posted menu lacked the specific type of meal items to be served to the enrolled children.”

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 Officers' observations, in the outdoor activity area, the following hazards were accessible to enrolled children: *There were 5 wooden garden boxes with splintering, rough wood and peeling sealant coating. *There was a bench with yellow chipping paint, wood splintering and the vinyl cushion had 7 half-inch to one-inch holes in the vinyl. *There were 2 plexiglass panels connected with tree poles that were extremely wobbly and loose to touch with exposed screws. *There was a large double-doored gate that had 4 loose wood panels and a small gate that had 1 loose panel on the north cement wall of the playground fence. *There was adhesive on the north wall that was peeling and sharp to touch in some areas. *There was a gutter that was cracked and lacked pieces leaving sharp edges on the west building wall. *There was a garden irrigation hose that was 4 feet long loose on the playground. *The wooden platform had 2 panels that had broken and sharp edges in the knotted part of the wood. *There were 2 green bench covers that had a build-up of gray and black hair and dark-colored spots on the seat. *There was a small Adirondack chair that was splintering and rough to the touch. *The metal bench had a build-up of bird feces.”

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 Compliance Officer #1's observations, the Boot 6 classroom toilet rooms were not maintained in a clean condition. There was a puddle of substance on the floor on both sides and the back of the base of the toilet.”