Bright Horizons At Downtown Phoenix

AAC R9-5-404.A. A. A licensee shall ensure that at least the following staff-to-children ratios are maintained at all times when providing child care services to enrolled children: Age Group/Staff: Children - Infants/1:5 or 2:11; 1-year-old children/1:6 or 2:13; 2-year-old children/1:8; 3-year-old children/1:13; 4-year-old children/1:15; 5-year-old children not school-age/1:20; School-age children/1:20

“Findings: Per allegation, staff-to-child ratio was not maintained at all times. Based on facility documentation, staff interview, and the Compliance Officers' observations, in the Preschool 1 classroom, the ratio was 1:9 rather than 2:9 when two-year-old children were present. Documentation (roster) of the Preschool 1 classroom for 5/27/2026 indicated a 2-year-old child was present with a 1:9 ratio. The Emergency, Information, and Immunization Record confirmed that one of the children present was two years old. During interviews, staff stated: "...It was my understanding that if they (children) were a week or 2 before their birthday, they could be in the next class at ratio." "Last week a child was visiting (3-year-old classroom), and we had 9 children with a 2-year-old. They visited for a couple hours before going back to their class."”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“Findings: Based on the Compliance Officer's observation, the water temperature in the diaper-changing sink was 115° F in the Infant 2 room.”

AAC R9-5-512.F.7. F. A licensee shall ensure that: 7. Toys, materials, and equipment are maintained in a clean condition;

“Findings: Based on the Compliance Officer's observation, in the outdoor activity area, on the divide panel between the Infant and Toddler playgrounds, the sensory tube containing liquid was leaking onto the base of the panel and the resilient surface below. This caused a heavy build-up of dirt and an oily substances to be accessible to the enrolled children.”

AAC R9-5-505.A. A. A licensee providing child care services for 3-year-old, 4-year-old, and 5-year-old children shall provide a supply of age appropriate toys, materials, and equipment accessible to enrolled children in each activity area in a quantity sufficient to meet the needs of the enrolled children in attendance including: 1. Art supplies, 2. Blocks, 3. Books and posters, 4. Toys and dress-up clothes, 5. Indoor and outdoor equipment to enhance large muscle development, 6. Puzzles and toys to enhance manipulative and categorization skills, 7. Science materials, and 8. Musical instruments.

“Findings: Based on the Compliance Officer's observation, there was an insufficient number of books accessible for children in Preschool 1 and Preschool 2 classrooms. There were 2 books accessible and 6 children present in Preschool 1. There were 3 books accessible and 10 children present in Preschool 2.”

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

“Findings: Per Allegation; based on facility documentation, staff statements, and the Compliance Officer's observation, it was determined that in the Two's 2 classroom, during a transition from the playground to the classroom, a child was left unsupervised on the playground.”

AAC R9-5-404.A. A. A licensee shall ensure that at least the following staff-to-children ratios are maintained at all times when providing child care services to enrolled children: Age Group/Staff: Children - Infants/1:5 or 2:11; 1-year-old children/1:6 or 2:13; 2-year-old children/1:8; 3-year-old children/1:13; 4-year-old children/1:15; 5-year-old children not school-age/1:20; School-age children/1:20

“Findings: Per Allegation, based on facility documentation, staff statements, and the Compliance Officer's observation, it was determined that during a transition from the playground to the classroom, a child was left unattended.. The ratio was 0:1, rather than 1:1 as required for 2-year-old 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 Officer's observation, in the outdoor activity area, the following hazards were accessible to enrolled children: Preschool/Pre-K Playground: *There was an exposed brick with rough edges protruding from the ground under a tree. *There were 4" and 5" tears with exposed foam in the covering surrounding a post of the shade cover. *There was a gap in the wall around a pipe cover exposing raw crumbling stucco. *The resilient surface was damaged in several areas exposing rough crumbling edges and holes; the largest area measured 7"x 4". Splash Pad: *There was rusted and crumbing metal on the base of a fence post. Movement Matters: *There was a rough rusted metal strip on the fence post on the southwest side.”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“Findings: Based on the Compliance Officer's observation, in the Preschool 1 classroom the water at the diaper changing sink reached 70° F rather than 86° F as required.”

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, in the Two's 2 classroom, the diaper changing area was not kept clear of items unrelated to diaper-changing. There was a bottle of hair oil on the diaper changing sink.”

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

“Findings: Based on the Compliance Officer's observation, the Two's 2 classroom lacked supervision as two children were observed hitting one another, one child pulled a peer's hair and the teachers did not engage with the children to redirect their behavior. Three teachers were present in the room, but were not supervising and redirecting a group of children fighting near the felt board.”

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, in the Preschool 2 classroom, there was a missing baseboard and the exposed raw/unfinished wall was accessible to children.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Findings: Based on the Compliance Officer's observation, in the Toddler 2 classroom and the Preschool 2 classroom, water was not accessible to enrolled children. In the Toddler 2 classroom, the drinking water and cups were on the countertop out of the reach of the children. The children of the Preschool 2 classroom were outside on the playground while the water remained in the classroom.”

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;

“Finding: Based on the Compliance Officer's observation, in the Preschool 1 classroom, the designated exit that provides an escape to the outside of the building was blocked as the teacher and a group of children sat in front of it for circle time.”

AAC R9-5-512.C. C. A licensee shall ensure that floor coverings are:1. Clean; and 2. Free from: a. Dampness, b. Odors, and c. Hazards.

“Findings: Based on the Compliance Officer's observation, in the Two's 2 classroom there was smashed food on the floor near the table.”

AAC R9-5-603.E. E. A licensee shall ensure that the following is provided and maintained within the fall zones of swings and climbing equipment in an outdoor activity area:1. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; or 2. A minimum depth of 6 inches of a non-hazardous, resilient material such as fine loose sand or wood chips.

“Findings: Based on the Compliance Officers' observations, in the outdoor activity area, the poured rubber resilient surface had tears and a 4x4 inch hole located in the fall zones of the climber.”

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 observation, the following toilet rooms were not maintained in a clean condition: Kinder Prep #1/Kinder Prep #2: *There was yellow liquid on the toilet seat and floor of the right side stall. Two's #1 /Two's #2: *There was a black substance around the base of the toilet in the right side stall.”

AAC R9-5-509.C.22. C. A licensee shall ensure that:22. A refrigerator at the child care facility maintains a temperature of 41° F or below, as shown by a thermometer kept in the refrigerator at all times;

“Findings: Based on Compliance Officer #1's observation, in the Toddler #1 classroom, the temperature in the refrigerator was 42° F, and in the Toddler #3 classroom the temperature in the refrigerator was 50° F, rather than 41° F degrees or below as required.”

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

“Findings: Based on Compliance Officer #1's observation, in the Toddler #1 classroom, the soiled clothing container lacked a lid and in the Toddler #3 classroom, the soiled clothing container lacked a waterproof liner.”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“Findings: Based on Compliance Officer #1's observation, the temperature of the water in the diaper changing sink in the Two's #2 classroom was 116° F, in Toddler #3 classroom the water was 115° F, and in the Infant #2 room, it was 118° F, rather than 86° F to 110° F as required.”

AAC R9-5-502.C.1.l. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: l. 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 Compliance Officer #1’s observation, in Infant Room #1, 5 of 8 written dietary instructions, and in Infant Room #2, 7 of 9 written dietary instructions lacked the required information regarding the method of feeding and types of formula to feed the infants.”

AAC R9-5-501.C.9. C. 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 Compliance Officer #1's observation, in the Toddler #1, Toddler #2, Toddler, #3, Two's #1, and Preschool #1 rooms, there were diaper wipe containers that lacked the enrolled children's first and last names. In the Infant #1 and Toddler #3 rooms, there were diaper creams that lacked the enrolled children's first and last names.”

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 #1’s observation, in the Two’s #2 classroom, there was a loose seat on the toilet in the right side stall.”

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 Officers' observation, in the outdoor area, there were toys and equipment with a build-up of dark substances. In the Toddler outdoor activity area, there was dirt build up on the slide and handles of a plastic climber, 2 blue dog rockers had dirt build up on the handles and the heads, and black smudges on the purple fence that separates the play areas. In the Infant outdoor activity area, there were dark brown and black smudges on a vinyl climbing set and dirt build-up on the edges and tops of a wooden shelf.”

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

“Findings: Based on the Compliance Officers' observations and staff documentation, it was determined that in the Infant classroom, an Infant was not supervised resulting in the Infant getting burned after grabbing a bottle warmer. Per Staff written statements: "Around 1:34pm after (child) was done with (their) puree I went into the food service area with (child) to change the cap from (their) bottle to (their) nipple. When (the child) reached for the bottle warmer while I was screwing on the nipple, when I noticed (the child) was reaching for it I dropped the bottle to reach for (their) hand to stop (the child) but (they) managed to still grab it and spill it over (their) back leg. I immediately took (their) pants off to check (them) and seen the skin had spilled. After asking (staff) if we had any first aid items I called management to come and look at (child)." "At 1:30pm on 10/13/2023, (staff) was holding (child) while also trying to get a bottle out of the bottle warmer. (Staff) asked me to come over to the kitchen area (I was working in the other infant classroom) and see (child's ) leg because (staff) saw that (the child) had been burned. (Staff) immediately explained to me what happened and I told the (staff) to call the front desk right away. When (staff) did this, our director came to the door immediately and took (the child) to the front to give first aid."”

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;

“Per allegation findings: Based on the Compliance Officers' observations and interview with the facility staff, it was determined that an Infant was burned after grabbing a bottle warmer in the Infant classroom. Additionally the Infant was in an area that was not approved for use by an enrolled child.”