Bright Beginnings Childcare Center

AAC R9-5-605.B.8. B. A licensee shall ensure that: 8. Heating and cooling equipment is inaccessible to an enrolled child;

“Findings: Based on staff statements and the Compliance Officers' observations, in the 3s Room and 4s Room, there are portable air conditioning units accessible to enrolled children. Staff stated the AC has been broken for about a week and a half, and they were waiting on a part to be installed due to the age of the AC unit.”

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);

“Findings: Based on the Compliance Officer's observations, in the Infant Room, 1 of 2 exit doors remained open for the entirety of the inspection.”

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, 2 of 10 enrolled children's Emergency, Information, and Immunization Records lacked the following information: *Child #1: The home address for 2 of 2 of the child's parents. *Child #2: The name and contact telephone number of 1 of 2 individuals to contact in case of emergency.”

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, the following personal products were not labeled with the enrolled children's first and last names: Infant Room: *2 packs of wipes labeled with only the child's first name. *1 pack of wipes labeled with the child's first name and last initial. *1 unlabeled diaper cream. 1s Room: *1 diaper cream labeled with only the child's first name. *1 unlabeled diaper cream. 2s Room: *2 packs of wipes labeled with only the child's first name. *7 packs of wipes labeled with the child's first name and last initial. 3s Room: *1 pack of wipes labeled with only the child's first name. *2 packs of wipes labeled with the child's first name and last initial. *3 unlabeled packs of wipes.”

AAC R9-5-502.C.1.lk. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: k. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Findings: Based on facility documentation and the Compliance Officer's observations, in the Infant Room, the written feeding instructions for Child #5, Child #6, and Child #7 were not complete. The written feeding instructions for Child #8 and Child #9 were not current. The written feeding instruction for Child #10 was not complete or current.”

AAC R9-5-501.A.1. A. A licensee shall ensure that: 1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Findings: Based on the Compliance Officer's observations, the health, safety, or welfare of an enrolled infant was placed at risk of harm when an infant was in a crib with a 6-inch beaned lanyard attached to a pacifier.”

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, in the Infant Room, 8 pacifiers lacked a unique identifier specific to the enrolled child.”

AAC R9-5-404.C.3. C. A licensee shall ensure that when there are: 3. 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 the Compliance Officers' observations, 2 infants were placed for care in the 1's classroom when 6 or more children were present in the facility. There was a total of 50 children in attendance at the time of the inspection.”

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 documentation and the Compliance Officer's observations, Child #3 and Child #4's prescription medications lacked medication authorization forms.”

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 the Infant Room, a baby gate was installed in 1 of 2 doors, blocking a designated exit.”

AAC R9-5-503.A.3.4. 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 4. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled clothing.

“Findings: Based on staff statement and the Compliance Officer's observations, the 3s Room lacked a soiled clothing container. Staff stated the trash can next to the diaper changing surface is for soiled linens like blankets and dirty clothes, but, they put soiled clothing from a child into a labeled bag and into the corresponding backpack.”

AAC R9-5-502.C.3.c. C. A licensee shall ensure that: 3. When preparing, using, or caring for an infant's feeding bottles, a staff member: c. Empties and rinses bottles previously used by an infant; and

“Findings: Based on the Compliance Officer’s observation, a bottle was lying on the floor. The bottle contained a liquid and was accessible to enrolled children.”

AAC R9-5-502.C.1.c. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: c. Responds immediately to each infant's distress signals;

“Findings: Based on the Compliance Officer’s observation, an infant was observed laying on their stomach on the floor and crying and the staff in the classroom were not responding to the infant's distress signals.”

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, a green carpet was torn and frayed on the back outdoor activity area.”

AAC R9-5-501.A.21. A. A licensee shall ensure that:21. Except when used as part of an activity, the following are stored in an area inaccessible to an enrolled child: a. Garden tools, such as a rake, trowel, and shovel; and b. Cleaning equipment and supplies, such as a mop and mop bucket.

“Findings: Based on the Compliance Officer’s observation, a plunger and toilet brush were observed in the restroom, accessible to enrolled children.”

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 observation, a child was laying on a cot that blocked the designated exit in the front preschool classroom.”

AAC R9-5-511.C. C. A licensee shall provide an unobstructed passageway at least 18 inches wide between each row of cots or mats to allow a staff member access to each enrolled child.

“Fibdupings: Based on the Compliance Officer’s observation, the enrolled children were laying on cots in the 1-year-old and 2-year-old classrooms that lacked an 18-inch passageway between rows of cots to allow staff member access to each enrolled child.”

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 observation, the diaper changing areas and sink areas in the infant, 1-year-old and 2-year-old classrooms contained items not required for diaper changing.”

AAC R9-5-502.A.5.c. A. A licensee providing child care services for infants shall:5. Develop, document, and implement tummy time policies and procedures that: c. Require continuous interaction between a non-crawling infant and the staff member who is supervising the non-crawling infant during tummy time;

“Findings: Based on the Compliance Officer’s observation, an infant was lying on their stomach on the floor in the infant classroom and staff were not observed on the floor or interacting with the infant.”

AAC R9-5-502.A.5.b. A. A licensee providing child care services for infants shall:5. Develop, document, and implement tummy time policies and procedures that: b. Ensure a staff member who is supervising a non-crawling infant while the infant is flat on their stomach and on the floor: i. Is within reach of the infant; ii. Does not perform any other duties while supervising the infant; iii. Does not allow the use of pillows, comforters, sheepskins, stuffed toys, or other soft products in the same floor space as the infant; and iv. Does not allow any product specified in subsection (A)(5)(b)(iii) to be within reach of the infant;

“Findings: Based on the Compliance Officer’s observation, an infant was laying on their stomach and crying on the floor in the infant classroom. A staff member was observed standing near the infant and another staff member was observed sitting in a rocker holding an infant next to the infant on the floor. At that time, the staff member who was standing next to the infant on the floor, walked away to get another infant and placed that infant on the floor next to the crying infant. A basket of stuffed toys and other soft toys were in the area of the infants on the floor. The Compliance Officer informed the staff that a staff member needs to be on the floor during tummy time. At that time, the staff member sat on the floor with the infant on their tummy, picked up the child, and began interacting with the infants.”

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: The Compliance Officer observed that there were more than 6 children present in the facility and 1 year old's were mixed with infants in the infant room.”

AAC R9-5-502.C.1.m. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: m. Posts the current written dietary instructions in the infant room and the kitchen and maintains the instructions on facility premises for 12 months after the date of the instructions; and

“Findings: The Compliance Officer observed that the current written feeding instructions for the infants were not posted in the infant room and kitchen.”

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 a Department-provided Emergency, Information, and Immunization Record card that is signed by the enrolled child’s parent containing: 1. The child’s name, home address, city, state, zip code, home telephone number, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, city, state, zip code, and contact 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 nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(9); 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: The Compliance Officer reviewed children's Record cards. The Record cards for children 1,2, and 3 lacked the date of the children's enrollment. The Record card for child 4 lacked the name of the individual to be contacted in case of injury or sudden illness.”

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: The Compliance Officer observed that there was a wheelbarrow leaned up against a wall on the outdoor playground accessible to children. There was a connecting spike that was not completely set connecting two barriers on the outdoor activity area.”

AAC R9-5-502.C.4.g. C. A licensee shall ensure that: 4. When feeding an infant, a staff member: g. Holds and feeds an infant under 6 months of age and an infant older than 6 months of age who cannot hold a bottle for feeding; and

“Findings: The Compliance Officer observed an infant laying on their back in a crib drinking from a bottle.”

AAC R9-5-502.C.3.b. C. A licensee shall ensure that:3. When preparing, using, or caring for an infant’s feeding bottles, a staff member: b. Ensures that a bottle is not: i. Heated in a microwave oven; ii. Propped for an infant feeding; or iii. Permitted in an infant’s crib unless the written instructions required by subsection (C)(1)(l) state otherwise;

“Findings: The Compliance Officer observed that an infant had a bottle In their crib.”

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: The Compliance Officer observed that a children's book was placed on the diaper changing surface.”