Bright Beginnings Preschool

AAC R9-3-505.D.5. D. A certificate holder shall ensure that: 5. Except as provided in R9-3-503(C)(4) and subsection (D)(6)(d), the following are stored in a labeled container separate from food storage areas and are inaccessible to an enrolled child: a. Materials and chemicals labeled as a toxic substance, and b. Substances that have a child warning label and may be a hazard to a child;

“Findings: Based on the Compliance Officer's observations, in the classroom, there was a bag of Arm & Hammer Baking Soda with a warning label that read "keep out of reach of children" on a storage counter accessible to enrolled children.”

AAC R9-3-502.C.1.b. C. A certificate holder shall ensure that: 1. A staff member: b. Arranges play equipment in an outdoor activity area to eliminate hazards and to minimize conflict between children using the play equipment;

“Findings: Based on the Compliance Officer's observations, in the outdoor activity area, there was a lawn mower next to the outdoor kitchen area accessible to enrolled children.”

AAC R9-3-303.B. B. Except as required in A.R.S. § 36-309, before a child is enrolled at a child care group home, a certificate holder shall require the individual enrolling the child to complete a Department-provided Emergency, Information, and Immunization Record card containing: 1. The child’s name, home address, city, state, zip code, 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 child care group home or to be contacted if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s physician, physician assistant, or registered nurse practitioner; 6. Written authorization for emergency medical care of the child; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. A written description provided by a child’s parent of the nutritional and dietary needs of the child; 9. A written description provided by the child’s parent noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance; and 10. The dated signature of the individual completing the Emergency, Information, and Immunization Record card.

“Findings: Based on the facility documentation and the Compliance Officer's observation, 2 out of 10 enrolled children's Emergency, Information, and Immunization Record cards reviewed lacked the following required information: Child #1: Date of enrollment and name, and contact information for the child's health care provider. Child #2: Emergency, Information, and Immunization Record card.”

AAC R9-3-309.B.3. B. If prescription or nonprescription medications are administered at a child care group home, a certificate holder shall ensure that: 3. The designated staff member does not administer a medication to an enrolled child unless the child care group home receives written authorization on a completed Department-provided authorization form that includes: a. The child’s first and last name; b. The name of the medication; c. The prescription number, if any; d. Instructions for administration specifying: i. The dosage, ii. The route of administration, iii. The first and last dates that the medication is to be administered, and iv. The times and frequency of administration; e. The reason for the medication; f. The signature of the child’s parent; and g. The date of signature; and

“Findings: Based on the facility documentation and the Compliance Officer's observation, the medication for Child #3 lacked documentation of written authorization signed by the enrolled child's parents or health care provider.”

AAC R9-3-301.A.4.b. A. A certificate holder shall: 4. Ensure that the provider: b. Maintains on the premises a file for each staff member, for 12 months after the date the staff member last worked at the child care group home, containing: i. The staff member’s name, date of birth, home address, and telephone number; ii. The staff member’s starting date of employment or volunteer service; iii. The staff member’s ending date of employment or volunteer service, if applicable; iv. The staff member’s written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis; v. The form required in A.R.S. § 36-897.03(B); vi. For an adult staff member, a copy of the staff member’s valid fingerprint clearance card issued under A.R.S. Title 41, Chapter 12, Article 3.1; vii. Documents required by subsection (A)(3); viii.Documentation of the requirements in A.R.S. § 36-897.03(C); ix. If applicable: 1. The form required in A.R.S. § 8-804(I); 2. Documentation of the submission required in A.R.S. § 8-804(C) and the information received as a result of the submission; and 3. Documentation of the completion of the Department-provided orientation training specified in subsection (A)(1)(e), if applicable; x. Documentation of the training required in R9-3-302; and xi. Documentation of a high school diploma, high school equivalency diploma, associate degree, or bachelor degree, if applicable;

“Findings: Based on the facility documentation and the Compliance Officer's observation, it was determined that the file for Staff #1 lacked a copy of the DCS Centralized Background check.”

AAC R9-3-301.N. When the premises of a child care group home are left unoccupied during hours of operation or the child care group home is temporarily closed due to an unexpected event, a certificate holder shall ensure that a staff member notifies the Department before leaving the child care group home unoccupied or closing the child care group home, stating the period of time during which the child care group home will be unoccupied or closed.

“Findings: Based on the Compliance Officer's observation, the child care group home failed to notify the Department of a temporary closure. Although voices were heard after ringing the doorbell and knocking, no one was available to open the door for the Compliance Officer.”

AAC R9-3-301.A.3.a. A. A certificate holder shall: 3. Ensure that each resident 12 years of age or older and each staff member submits, on or before the starting date of residency, employment, or volunteer services, one of the following as evidence of freedom from infectious active tuberculosis: a. Documentation of a negative Mantoux skin test or other tuberculosis screening test recommended by the U.S. Centers for Disease Control and Prevention, administered within 12 months before the starting date of residency, employment, or volunteer service, that includes the date and the type of tuberculosis screening test; or b. If the resident or staff member has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the resident or staff member is free from infectious active tuberculosis that is signed and dated by a physician, physician assistant, or registered nurse practitioner within six months before the starting date of residency, employment, or volunteer service; and

“Findings Based on Compliance Officer's (CO) observations and a review of staff files, Staff #1 (DOE 01/06/2025) lacked documentation of freedom from tuberculosis within 12 months before the starting date of employment. The TB result reviewed was dated 10/07/2022.”

AAC R9-3-506.5. A certificate holder shall ensure that: 5. Each bathroom used by an enrolled child at the child care group home has the following within the reach of enrolled children: a. Mounted toilet tissue, b. Soap contained in a dispenser, and c. Singly dispensed paper towels;

“Finding: Based on CO's observations, singly-dispensed paper towels were not available in the children's restroom.”

AAC R9-3-502.C.2.a. C. A certificate holder shall ensure that: 2. If a child can fall more than 48 inches from a climbing structure, swing, or slide in an outdoor activity area to the ground below, the climbing structure, swing, or slide: a. Has one of the following covering the fall zone of the climbing structure, swing, or slide: i. At least 6 inches of fine loose sand, pea gravel, wood fiber product, or other resilient material; or ii. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; and

“Findings: Based on CO's observations, the fall zones under the climber did not meet the minimum 6 inches of resilient material (sand) in the following areas: **Rock wall, Large slide - Lacked 2 inches of the required 6 inches **Slide - Lacked 3 inches of the required 6 inches”

AAC R9-3-309.B.3. B. If prescription or nonprescription medications are administered at a child care group home, a certificate holder shall ensure that: 3. The designated staff member does not administer a medication to an enrolled child unless the child care group home receives written authorization on a completed Department-provided authorization form that includes: a. The child’s first and last name; b. The name of the medication; c. The prescription number, if any; d. Instructions for administration specifying: i. The dosage, ii. The route of administration, iii. The first and last dates that the medication is to be administered, and iv. The times and frequency of administration; e. The reason for the medication; f. The signature of the child’s parent; and g. The date of signature; and

“Findings: Based on CO's observations and staff interview, Child #1 lacked written authorization to administer their prescription medication. Staff stated that the parent had not completed the medication authorization.”

AAC R9-3-508.1. A certificate holder shall ensure that: 1. Each dog, cat, or ferret at the child care group home has a current vaccination against rabies;

“Findings: Based on CO's observations and a review of Provider documentation, 1 of 3 dogs lacked documentation of a current rabies vaccination. The rabies vaccination for Vicious was a 1-year vaccine and had expired on 12/08/2023.”

AAC R9-3-303.B. B. Except as required in A.R.S. § 36-309, before a child is enrolled at a child care group home, a certificate holder shall require the individual enrolling the child to complete a Department-provided Emergency, Information, and Immunization Record card containing: 1. The child’s name, home address, city, state, zip code, 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 child care group home or to be contacted if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s physician, physician assistant, or registered nurse practitioner; 6. Written authorization for emergency medical care of the child; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. A written description provided by a child’s parent of the nutritional and dietary needs of the child; 9. A written description provided by the child’s parent noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance; and 10. The dated signature of the individual completing the Emergency, Information, and Immunization Record card.

“Findings: Based on Compliance Officer's (CO) observations and a review of facility files, 5 of 5 Emergency Information and Immunization Record cards reviewed lacked the following required information: **Child #1 - Child's last name **Child #2, Child #4 - Health care provider and phone number **Child #3 - 2nd emergency contact; individual to contact in case of sudden injury/illness **Child #5 - Child's city, state, zip code”

AAC R9-3-401.B.2. B. A certificate holder shall ensure that: 2. The areas of the child care group home approved for providing child care services are maintained free from hazards;

“Findings: Based on CO's observations, a toilet plunger and toilet brush were accessible to children in the restroom used by enrolled children.”

AAC R9-3-301.G. G. A certificate holder shall ensure that a staff member posts in a place that can be conspicuously viewed by individuals entering or leaving the child care group home: 1. The child care group home certificate; 2. The name of the provider; 3. The name of the staff member designated to act on behalf of the certificate holder when the provider is not present at the child care group home; 4. The hours of operation for the child care group home; 5. The weekly activity schedule required in R9-3-401(B)(4)(b); 6. The amount of time in minutes enrolled children may watch television, videos, or DVDs at the child care group home; and 7. The weekly menu, required in R9-3-406(F), before the first meal or snack of the week.

“Findings: Based on the Compliance Officer's observation, the posting board lacked the name of the staff member designated to act on behalf of the certificate holder when the provider is not present at the child care group home.”

AAC R9-3-303.B. B. Except as required in A.R.S. § 36-309, before a child is enrolled at a child care group home, a certificate holder shall require the individual enrolling the child to complete a Department-provided Emergency, Information, and Immunization Record card containing: 1. The child’s name, home address, city, state, zip code, 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 child care group home or to be contacted if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s physician, physician assistant, or registered nurse practitioner; 6. Written authorization for emergency medical care of the child; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. A written description provided by a child’s parent of the nutritional and dietary needs of the child; 9. A written description provided by the child’s parent noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance; and 10. The dated signature of the individual completing the Emergency, Information, and Immunization Record card.

“Findings: Based on the Group Home documentation and the Compliance Officer's observations, 6 of 10 children's Emergency, Information and Immunization Record cards reviewed lacked the following: Child #1: The name and contact telephone number of the child's physician, physician assistant or registered nurse practitioner. Child #2: The name and contact telephone number of the 2nd individual authorized by the child's parent to collect the child from the child care group home. Child #3: The date of the child's enrollment and the name of the individual to be contacted in case of injury or sudden illness of the child. Child #4, Child #5 and Child #6: The date of the child's enrollment.”

AAC R9-3-401.B.2. B. A certificate holder shall ensure that: 2. The areas of the child care group home approved for providing child care services are maintained free from hazards;

“Findings: Based on the Compliance Officer's observations, in the classroom, the red vinyl climber was ripped in the center exposing the inner foam.”

AAC R9-3-301.A.3.a. A. A certificate holder shall: 3. Ensure that each resident 12 years of age or older and each staff member submits, on or before the starting date of residency, employment, or volunteer services, one of the following as evidence of freedom from infectious active tuberculosis: a. Documentation of a negative Mantoux skin test or other tuberculosis screening test recommended by the U.S. Centers for Disease Control and Prevention, administered within 12 months before the starting date of residency, employment, or volunteer service, that includes the date and the type of tuberculosis screening test; or b. If the resident or staff member has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the resident or staff member is free from infectious active tuberculosis that is signed and dated by a physician, physician assistant, or registered nurse practitioner within six months before the starting date of residency, employment, or volunteer service; and

“Findings: Based on the Group Home documentation and the Compliance Officer's observation, 1 of 3 staff files reviewed lacked the following: Staff #1 (DOE: 8/9/23): Documentation of a negative Mantoux skin test. Test was dated 8/18/23, not on or before their starting date of employment.”

AAC R9-3-302.C. C. A certificate holder shall ensure that each staff member completes a total of 12 or more actual hours of training every 12 months after becoming a staff member in two or more of the following: 1. Child growth and development, which may include sudden infant death prevention; 2. Developmentally appropriate activities; 3. Nutrition and developmentally appropriate eating habits; 4. Responding to accidents and emergencies, including CPR and first aid for infants and children; 5. Recognizing signs of illness and infestation; 6. Detecting, preventing, and reporting child abuse or neglect; 7. Guiding and disciplining children; and 8. Availability of community services and resources, including those available to children with special needs.

“Findings: Based on the Group Home documentation and the Compliance Officer's observation, 1 of 3 staff files reviewed lacked the following: Staff #2 (DOE: 6/1/2020): 12 hours of the required 12 of annual training for the time period of 6/1/22-6/1/23.”

AAC R9-3-502.C.1.b. C. A certificate holder shall ensure that: 1. A staff member: b. Arranges play equipment in an outdoor activity area to eliminate hazards and to minimize conflict between children using the play equipment;

“Findings: Based on the Compliance Officer's observations, on the playground, the white play house had two panels detaching from the door exposing two nails.”

AAC R9-3-505.D.5. D. A certificate holder shall ensure that: 5. Except as provided in R9-3-503(C)(4) and subsection (D)(6)(d), the following are stored in a labeled container separate from food storage areas and are inaccessible to an enrolled child: a. Materials and chemicals labeled as a toxic substance, and b. Substances that have a child warning label and may be a hazard to a child;

“Findings: Based on the Compliance Officer's observation, in the bathroom, there were two disinfectant wipes.”

AAC R9-3-506.1. A certificate holder shall ensure that: 1. All areas of the child care group home approved for providing child care services and the furnishings, equipment, supplies, materials, utensils, and toys in those areas are kept clean and free of insects and vermin;

“Findings: Based on the Compliance Officer's observations, in the bathroom, there were two mats, a shelf with toys, toilet paper, paper towels and a basket of bags being stored in the bathroom. In the classroom, there was build up of a gray fuzzy substance on the black rail in the play area.”

AAC R9-3-202.B. B. A certificate holder shall maintain documentation of a valid fingerprint clearance card issued under A.R.S. § 41-1758.03 and documentation of a valid background check document issued under A.R.S. § 46-811.

“Findings: Based on the Group Home documentation and the Compliance Officer's observation, 1 of 3 staff files reviewed lacked the following: Staff #1 (DOE: 8/9/23): Fingerprint clearance card was not verified by DPS before their starting date of employment. Staff #1's fingerprint clearance card was verified at the time of the inspection.”

AAC R9-3-202.A.1.b. A. A certificate holder shall ensure that: 1. A staff member completes, signs, dates, and submits to the certificate holder before the staff member’s starting date of employment or volunteer service: b. If required by A.R.S. § 8-804, the form in A.R.S. § 8-804(I); and

“Findings: Based on the Group Home documentation and the Compliance Officer's observation, 1 of 3 staff files reviewed lacked the following: Staff #1 (DOE: 8/9/23): The DCS Central Registry Affidavit was dated 8/16/23 and not before their starting date of employment.”