Bridges Preschool

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, it was determined that the following areas of the playground were not maintained free from hazards: 1's/2's playground: *The plastic treehouse was not securely fastened and was detaching in several areas. *The wood on the pickett fence was splintering. 3's/4's playground: *There was exposed concrete footing by the fence. *The wood covering the sprinkler box was splintering.”

AAC R9-5-605.B.16. B. A licensee shall ensure that: 16. The fire extinguisher required in subsection (A): a. Is serviced at least once every 12 months; and b. Has a tag attached to the fire extinguisher that specifies the date of the last servicing.

“Findings: Based on the Compliance Officer's observation, it was determined that 2 fire extinguishers lacked a tag.”

AAC R9-5-605.B.5. B. A licensee shall ensure that: 5. Electrical extension cords are not used;

“Findings: Based on the Compliance Officer's observation, it was determined that there was a white extension cord being used in the 4's classroom.”

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 Officer's observation, it was determined that there were uncovered outlets in the following classrooms: *1's classroom: 6 uncovered outlets on the wall near the sink. *4'/5's classroom: 2 uncovered outlets near the door.”

AAC R9-5-501.B.5. B. A licensee shall ensure that a staff member: 5. For enrolled children 12-months and older, except as provided in subsection (C), prepares, posts, and implements in each indoor activity area, a current schedule of children’s age-appropriate activities, including the times the following are provided: a. Meals and snacks; b. Naps; c. Indoor activities; d. If weather and air quality permit, outdoor or large muscle development activities; e. Quiet and active activities; f. Teacher-directed activities; g. Self-directed activities; h. Activities for individuals, groups of five or fewer children, and groups of six or more children; and i. Activities that develop small muscles;

“Findings: Based on the Compliance Officer's observation and review of facility documentation, it was determined that the schedule was not posted in the 2's/3's classroom.”

AAC R9-5-503.D. D. A licensee shall ensure that the written diaper changing procedure in subsection (C) states that an enrolled child’s diaper is changed as soon as it is soiled, and that a staff member, when diapering: 1. Uses a separate washcloth and towel only once for each enrolled child; 2. Washes and dries the enrolled child using the enrolled child’s individual personal products labeled with the enrolled child’s name; 3. Uses single-use non-porous gloves; 4. Washes the staff member’s own hands with soap and running water between 86° F and 110° F before and after each diaper change; 5. Washes each enrolled child’s hands with soap and running water between 86° F and 110° F after each diaper change; 6. Cleans, sanitizes, and dries the diaper changing surface following each diaper change; and 7. Uses single-use paper towels from a dispenser to dry the diaper changing surface or the hands of the enrolled child or staff member.

“Findings: Based on the Compliance Officer's observation and review of facility documentation, it was determined that the diaper changing procedure was not posted in the 2's/3's classroom.”

AAC R9-5-514. E. E. A licensee shall post, near an activity area or a room's designated exit, a building evacuation plan that details the designated exits from the activity area or room and the facility.

“Findings: Based on the Compliance Officer's observation and review of facility documentation, it was determined that the building evacuation plan was not posted in the 3's/'4s classroom.”

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 the Compliance Officer's observation and review of facility documentation, it was determined that all the enrolled children's Emergency and Information cards lacked an email address for the children's parents.”

AAC R9-5-501.B.1. B. A licensee shall ensure that a staff member: 1. Supervises each enrolled child at all times;

“Findings: Based on the Compliance Officer's observation, it was determined that on the playground the tree branches reached the ground, resulting in a low canopy that restricted the view of children present in the under-canopy space.”

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 fence footings in the Gross Motor playground were exposed, and there were spots of rust and eroded metal along the fence. Additionally, a rusted metal bridge was present in the Early Years playground, and bird feces around the playground.”

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, the toys and materials were not maintained in a clean condition in the following rooms: *Room 4 (3's & 4's): The play kitchen had a brown sticky tape residue. *Room 7 (1's): There were brown smudges and dirt build-up in the toys and the gymnastic blocks. In the Early Years playground, the push toys, trikes, and plastic playhouse had brown smudges and grime buildup.”

AAC R9-5-501.A.17. A. A licensee shall ensure that: 17. Each enrolled child’s pacifier is labeled with an identifier that is specific to the enrolled child and maintained in a clean condition;

“Findings: Based on the Compliance Officer's observations, a pacifier in Room 9 (2's) lacked an identifier specific to the child.”

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 observations, in Room 6 (3's), there was an approximately one-inch-long hole in the wall with exposed drywall. In Room 9 (2's), a fish tank cord and a lamp cord were accessible to the children. **Previously cited on 08.07.24”

AAC R9-5-501.A.3. A. A licensee shall ensure that: 3. For enrolled infants and children five-years or younger, drinking water is available to meet the needs of each enrolled child;

“Findings: Based on the Compliance Officer's (CO) observations, the water was not accessible to the enrolled children in Rooms 7 (1's) and 9 (2's). During the outdoor activity area observation, two children from Room 9 were seen crying and pulling on a staff member's leg. The CO notified the staff member that the children were pointing toward the water. When water was provided to these children, several other children ran over to get water.”

AAC R9-5-401.2. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility: 2. A facility director’s designee is 21 years of age or older and provides the licensee with documentation of one of the following: a. At least 12 months of child care experience, a high school or high school equivalency diploma, and: i. Three credit hours or more in early childhood, child development, or a closely-related field from an accredited college or university, or ii. At least 30 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field;b. At least 12 months of child care experience and: i. An N.A.C., C.D.A., or C.C.P. credential; or ii At least 24 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; c. At least six months of child care experience and an associate degree from an accredited college or university in early childhood, child development, or a closely-related field; or d. At least three months of child care experience and a bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field;

“Findings: Based on the Compliance Officer's observations and review of facility documentation, it was determined that Staff #3 (DOE 07.07.22) worked in the capacity of a center opener and did not meet the qualifications of a director's designee; the file for Staff #3 lacked a high school diploma.”

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's observations, the following restrooms were not maintained in a clean condition: *Room 6 (3's): There were yellow stains around the toilet seat, and the caulking around the toilet seat had a brown build-up, and there were yellow puddles on the floor behind and around the toilet base. *Room 8(2's & 3's): The sink had a grime build-up around the sink faucet and the base of the toilet seat, and there was a yellow puddle and an approximately 10" long crack on the floor. *Left side hall restroom: There was an unflushed toilet and a grime build-up at the base of the toilet seat. *Right side hall restroom: There was a grime build-up at the base of the toilet seat. **Previously cited on 08.07.24”

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 sinks in Room 4 (3's & 4's), Room 5 (3's), Room 6 (3's), and Room 7 (1y) were not maintained in a clean condition, there were brown smears and debris build-up, and a heavy gray and green calcium build-up, and there was food debris in the trash can lid and foot. Previously cited on 08.07.24”

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: Based on facility documentation and the Compliance Officer's observations, the facility did not prepare a weekly menu at least one week in advance. A generic monthly menu was posted in the main posting area; however, each classroom provided its own snack, either from the facility or from children's families. The classroom menus were only completed up through the last served meal.”

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 the Compliance Officer's observations, the following diaper changing areas were not maintained seamless and smooth, and clear of items: *Room 7 (1's): The caulking was cracked, and there was dirt, grime build-up, and debris; there were chips along the rail at the front of the surface. Additionally, the diapering sink had brown smears, and there was a box of tissues on the surface. *Room 8 (2's & 3's): There was dirt build-up and debris in the corners, and a play mirror on the counter behind the diaper changing area. *Room 9 (2's): There was dirt build-up and debris in the corners, and chips along the rail at the front of the diaper changing area. **Previously cited 08.07.24”

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 facility documentation and the Compliance Officer's observations, in Room 7 (1's), there was one child in the classroom, and staff lacked a roster. In the playground (1s), 5 children were present and 6 were marked in the roster.”

AAC R9-5-501.B.9. B. 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 the Compliance Officer's observations, in Room 9 (2's), 2 out of 4 wipes lacked the child's last name, and 2 out of 4 diaper ointments lacked the child's last name.”

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 facility documentation and the Compliance Officer's observations, four of the twenty Emergency and Immunization Record cards reviewed lacked the following required information: *Child #1, Child #2, and Child #3: The name, home address, city, state, zip code, and phone number of the second parent. *Child #4: The written instructions for the nutritional and dietary needs of the child, and the 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.”

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 the Compliance Officer's observations, in Room 1 (4's & 5's), there was a curtain blocking the emergency exit.”

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 CO #1's observations, the following toilet rooms were not kept in a clean and sanitary condition: **Hallway west - Brown build-up on the caulking at base of a toilet **Hallway east - Brown build-up on the caulking at base of 2 toilets **Rooms 5/6 shared - Heavy, dark scratches on perimeter of 2 toilet seats; dirt build-up on exhaust vent **Room 9 - Heavy, dark scratches on perimeter of a toilet seat ; dirt build-up on exhaust vent”

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 CO #1's observations, in Room 9 children's restroom, a gray pocket organizer containing wipes, diapers, and grocery bags was hanging from the wall”

AAC R9-5-503.A.3. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and

“Findings: Based on CO #1's observations, in Room 7, the soiled diaper container lacked a tight-fitting lid. The wall-mounted unit's lid was partially open and would not shut.”

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 CO #1's observations, the following diaper changing surfaces were not seamless and smooth and/or kept clear of items: **Room 7 - Cracked caulking with dirt/debris; 1-inch crack on the diaper changing surface; chips along the rail at the front of the surface **Room 8 - Dirt/debris in the corners; unsealed gaps; laminate detached at the front/side of the surface exposing raw wood; play mirror on the counter behind the diaper changing fixture **Room 9 - Dirt/debris in the corners; unsealed gaps; missing laminate and laminate detached at the front of the surface exposing raw wood; chips along the rail at the front of the surface”

AAC R9-5-501.A.13. A. A licensee shall ensure that:13. Toys and play equipment, required in this Article, are maintained: a. Free from hazards, and b. In a condition that allows the toy or play equipment to be used for the original purpose of the toy or play equipment;

“Findings: Based on CO #1's observations, in the South playground area, there was a severely worn, and broken book rack in the patio area, accessible to enrolled 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: Based on Compliance Officer (CO) #1's observations, in Room 9, there was a hanging cord in the circle area, accessible to enrolled children.”

AAC R9-5-605.B.10. B. A licensee shall ensure that:10. Toilet rooms are ventilated to the outside of the building, either by a screened window open to the outside air or by an exhaust fan and duct system that is operated when the toilet room is in use;

“Findings: Based on CO #1's observations, the exhaust fans in Room 7/8 shared children's restroom, in both hallway children's restrooms and the outside children's restroom were not operational.”

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 CO #1's observations, Room 5/6 shared restroom lacked paper towels. The paper towel dispenser was empty. A garbage can with food waste was not covered on the South playground. Room 1/2 handwashing sink had heavy, gray calcium build-up around the fixture.”

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 CO #1's observations, the following outdoor areas were not maintained free from hazards: **Southeast playground - Used plastic cups on the ground **North playground - Wooden utility box with splintering wood; cracked green bin; used plastic cup on the ground”