Bright Horizons At Scottsdale Lincoln Health Network

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 observation, in the Kindergarten Prep 2 (4/5s) room, the West toilet was inoperable.”

AAC R9-5-502.A.11. A. A licensee providing child care services for infants shall: 11. Label each food container received from the parent with the infant's name.

“FIndings: Based on the Compliance Officer’s observations, in Infant 1, there were two containers of a child’s food labeled with a child’s first name and last initial.”

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 the Compliance Officers’ observations, in Preschool Room 1 (3s), there were 2 soiled diaper containers on the floor to the right of the diaper surface, accessible to enrolled children.”

AAC R9-5-511.A.1.2.3.4.5. A. A licensee shall provide each enrolled child who naps or sleeps at the facility with a separate cot or mat or a crib that meets the requirements of R9-5-502(A)(8) and ensure that: 1. A cot, mat, or crib used by the enrolled child accommodates the enrolled child’s height and weight; 2. A staff member covers each cot, or mat with a clean sheet that is laundered when soiled, or at least once every seven days and before use by a different enrolled child; 3. A clean blanket or sheet is available for each enrolled child; 4. A rug, carpet, blanket, or towel is not used as a mat; 5. Each cot, mat, or crib is maintained in a clean and repaired condition;

“Findings: Based on the Compliance Officer’s observation and staff statement, in Preschool 2 room (3s), there was an enrolled child asleep on a green couch, rather than on a mat or cot as required. Staff stated the child arrived at the facility at 6:00am.”

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, the following hazards were accessible to enrolled children: *In the Twos room 2, there was .5” & 2” of peeling blue paint located on the East wall below the window. *In the Pre-School 1 & 2 toilet rooms, there were missing toilet caps at the base of the toilets, exposing a 2” screw, protruding upwards.”

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 Officers’ (CO) observations, the health, safety and welfare of enrolled infant was placed at risk of harm. In Infant 1, an infant was seated in a feeding chair eating pineapple chunks. During the inspection, the CO entered the Infant 1 room a second time and observed another infant seated in a feeding chair eating pear chunks.”

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 Officers’ observations, the following outdoor hazards were accessible to enrolled children: *On the middle playground, there was a broken white plastic bowl with sharp edges on the ground. *On the Northeast playground, there was lifted and cracked rubber surfacing near a climbing structure.”

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, in the Twos Room 2 (2s) toilet room, there was a build-up of dirt and smears on the East and West walls, and on the light switch.”

AAC R9-5-306.A. A. A licensee shall: 1. Maintain a dated attendance form containing an enrolled child’s name with the time of each admission and release, and the parent or staff member's signature or other unique identifier. 2. If an electronic signature is used to admit or release the enrolled child, adopt policies and procedures to ensure that the individual whose signature the electronic or digital method of identification represents is accountable for the use of the electronic or digital method; 3. Develop, document, and implement policies and procedures to ensure that the identity of an individual is known to the staff member or is verified with picture identification before releasing an enrolled child to the individual. 4. Not release the enrolled child to an individual other than the enrolled child’s parent or other individual designated in writing by the enrolled child’s parent except when the enrolled child’s parent is unable to collect the enrolled child and authorizes the licensee by telephone to release the enrolled child to an individual not so designated. 5. Not permit the self-admission or self-release of an enrolled child unless the enrolled child is of school-age and the licensee has obtained and verified written permission from the enrolled child’s parent. 6. Maintain the attendance form on facility premises for 12 months after the date of attendance.

“Findings: Based on the Compliance Officer’s observations, the attendance records for 4 of 15 children lacked the following: Child #1: The release signature or unique identifier for 8/13/2026. Child #2: The release time and signature or unique identifier for 8/3/2026. Child #3: The release time and signature or unique identifier for 8/6/2026. Child #4: The release time and signature or unique identifier for 8/5/2026 and 8/7/2026.”

AAC R9-5-510.A.1. A. A staff member shall provide guidance to help children respond to difficult situations. To develop self-regulation, children should receive adult support that is individual to the child and adapts as the child develops internal controls. This process should include: 1. Forming a positive relationship with the child, which occurs when the adult spends time talking to the child, listening to the child, following the child’s lead, playing with the child, and responding to the child’s needs; 2. Base expectations on the child’s developmental level; 3. Establishing and being proactive in teaching and supporting children in learning simple rules; 4. Modifying the learning/play environment to support the child’s appropriate behavior; 5. Creating a predictable daily routine and schedule; 6. Modeling desired behavior; 7. Showing children positive alternatives; 8.Using deliberate redirection, the staff member should encourage the child to use appropriate behavior, and provide positive feedback when the child exhibits the behavior; 9. Individualized positive discipline strategies based on the individual needs of children, such as using a buddy system, individualized schedule, special break, or another applicable positive discipline strategy; and 10. If applicable, a licensee shall develop a written plan with the enrolled child's parent to provide individualized social and emotional intervention supports for the enrolled child that includes methods for understanding the enrolled child's behavior, and developing, adopting, and implementing a team-based positive behavior support plan.

“Findings: Based on staff statements, Staff #1 failed to provide appropriate guidance to help children respond to difficult situations. Staff stated the following: *Staff #1 complained about the children, her job and stated she didn’t want to be here in front of children. *Staff sometimes used a “loud voice” with the children. *Staff #1 sounds "frustrated" when speaking to the children. *Staff #1 stated "please stop" in a deep tone to Child #1. *I can hear it in Staff #1's voice that she is irritated and she uses an irritated tone, stating "I'm done", "All done", and "I'm over it" to the children.”

AAC R9-5-510.B.4. B. A licensee shall ensure that a staff member does not use or permit: 4. Punishment associated with eating, resting, sleeping, toileting, and withholding outdoor play;

“Findings: Based on facility documentation and staff statements, a licensee failed to ensure a staff member does not use or permit punishment associated with resting and sleeping. Documentation and staff statements revealed the following: *Staff #1 covers children's faces during naptime, and recovered them when children woke up. *Staff #1 yelled at a child when they woke up because other children were laying quietly on their cots. *When a child who was tired and was asking to sleep, the child was yelled at to stay awake by Staff #1. *Staff #1 made a child stand up to stay awake so they would not wake up the other children. When the child would sit down, Staff #1 would make the child stand back up.”

AAC R9-5-510.B.1. B. A licensee shall ensure that a staff member does not use or permit: 1. The use of physical punishment including: a. Hitting, spanking, shaking, slapping, twisting, pulling, squeezing, or biting; b. Demanding excessive physical excercise or excessive rest; and c. Forcing a child to eat or consume soap, food, or foreign substances;

“Findings: Per allegation and based on facility documentation and staff statements, the licensee failed to ensure staff members do not use or permit the use of physical punishment. Documentation revealed the following: *"Children were moved aggressively, by grabbing their arms roughly or grabbing them by the shirt" by Staff #1. *Staff #1 "lifted" (child's name) "up off the ground by" their shirt and put (child) "in the chair in an aggressive" manner. When the child made contact with the seat, the child's "head did fling back" and the child looked shocked. *Staff #1 has yanked children up and "pull their arm" when they don't listen. *Staff #1 has "moved" children "aggressively, by grabbing their arms roughly or grabbing them by the shirt". Staff #2 handled 3 children " in an extreme aggressive manner". A child was "yanked and grabbed forcibly" by (child) arm between the shoulder and elbow near the bicep. The child's feet were "lifted off the floor" when Staff #2 "grabbed" the child. Staff #2 jerked a child off their chair by their arm in the same manner as above. Staff #2's face was "very tense" and the child "looked on with fear". *Staff #3 "grabbed" a child "by the left arm and pulled the child away" from another child. I noticed "some red marks" on the child's "left forearm". When I looked more closely at it, "it looked like 3 finger marks". Staff stated the following: *Staff #1 is sometimes "rough" when (staff's name) physically moves a child. *Staff #1 can use a "firm grab" when moving a child. ***For demonstration purposes, a staff member yanked the Compliance Officer's wrist to show how children are sometimes physically moved. *Staff #1 can pick children up more aggressively depending on how irritated (staff's name) is at the moment. *Staff #1 yanks/uses a hard grip with the children by one arm or by both arms at times. *Staff #1 pulled a child up by their shirt and the child's feet were off the ground, then sat the child down aggressively in a chair. The child's head went backwards, so their head rocked and the child cried more. *Staff #1 uses a hard grip on a child's wrist with a yank upwards. *Staff #1 is a "little rough" with kids, and has "grabbed a child by their clothes to move them forward due to a child not moving fast enough", and pulls on the kids. *Staff #1 has "grabbed" a child's face with "a firm squeeze" on their cheeks and yells in their face. *What really concerns me is the "physical behavior" from Staff #1. *Staff #1 has grabbed children by the collar of their shirt and pulled forward.”

AAC R9-5-307.2. A licensee shall ensure that the licensee or a staff member documents and reports all suspected or alleged cases of child abuse or neglect. 2. The licensee or staff member shall report the suspected or alleged child abuse by a staff member to the Department and to a local law enforcement agency as prescribed in A.R.S. § 13-3620. A licensee or staff member shall also send documentation to the Department and to any law enforcement agency previously notified within three calendar days of the initial report, and maintain documentation of a child abuse report on facility premises for 12 months after the date of a report.

“Findings: Based on staff statements, staff and the licensee were aware of 3 staff who were inappropriate with numerous children. They failed to document and report all suspected or alleged cases of child abuse or neglect to a local law enforcement agency and to the Department.”

AAC R9-5-510.A.1. A. A staff member shall provide guidance to help children respond to difficult situations. To develop self-regulation, children should receive adult support that is individual to the child and adapts as the child develops internal controls. This process should include: 1. Forming a positive relationship with the child, which occurs when the adult spends time talking to the child, listening to the child, following the child’s lead, playing with the child, and responding to the child’s needs; 2. Base expectations on the child’s developmental level; 3. Establishing and being proactive in teaching and supporting children in learning simple rules; 4. Modifying the learning/play environment to support the child’s appropriate behavior; 5. Creating a predictable daily routine and schedule; 6. Modeling desired behavior; 7. Showing children positive alternatives; 8.Using deliberate redirection, the staff member should encourage the child to use appropriate behavior, and provide positive feedback when the child exhibits the behavior; 9. Individualized positive discipline strategies based on the individual needs of children, such as using a buddy system, individualized schedule, special break, or another applicable positive discipline strategy; and 10. If applicable, a licensee shall develop a written plan with the enrolled child's parent to provide individualized social and emotional intervention supports for the enrolled child that includes methods for understanding the enrolled child's behavior, and developing, adopting, and implementing a team-based positive behavior support plan.

“Findings: Per allegation and based on facility documentation and staff statements, staff failed to provide appropriate guidance to help children respond to difficult situations. Documentation revealed the following: *Staff #1 was heard telling (child's name) to "be done" crying. *Staff #1 runs the classroom with "constant redirection with every child every minute of the day". *Staff #1 gives their "favorite children" a cracker or a cookie in front of other children. *Staff #1's tone "can be deemed uncomfortable" at times. *Staff #1 was heard stating if (child's name) is "not going to eat" (child) "can be all done because" (staff's) "not doing it". *Staff #1 has "yelled" at children for age-appropriate behaviors. *Staff #1 has yelled at children for crying. *Staff #2 "ripped" a doll from a child's arm. *Staff #2 tends to use "isolation". *Staff #2 tells the kids "you're fine" or then "go cry in cozy" if they are upset. *Staff #2 "yells a lot" for things that don't need yelling. Staff stated the following: *Staff #1 "aggressively redirects" children. Staff #1 might aggressively say "be all done". *Staff #1 can be loud, almost "like a yell" and uses a harsh tone. *Staff #1 does not always use "age-appropriate" standards due to wanting the room to be in order. *When children were crying, Staff #1 would yell. It was a frustrated type of yell.”

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 following was observed: Kindergarten Prep Room 1 toilet room (4/5s): There was a cracked toilet tank lid. Preschool Room 1 toilet room (3s): The toilet overflowed when it was flushed.”

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 was observed: Twos Room 2 toilet room (2s): There were dirty smears on 2 walls. Kindergarten Prep Room 1 toilet room (4/5s): There were dirty smears on the wall near the door.”

AAC R9-5-503.E.1. E. A licensee shall ensure that in an activity area with a diaper changing area: 1. The container required in subsection (A)(3) and (4) are inaccessible, and

“Findings: Based on the Compliance Officer's observation, in the Preschool Room 1 (3s), the soiled diaper container was located on the floor to the right of the diaper table, accessible to enrolled children.”

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 observations, the water temperature in the following diaper changing sinks measured above 110 degrees F, rather than between 86 - 110 degrees F as required: Infant Room 1: 116.3 degrees F. Infant Room 2: 116.1 degrees F. Toddler Room 1 (1s): 113.4 degrees F. Toddler Room 2 (1s): 115.2 degrees F. Twos Room 1 (2s): 118.1 degrees F. Twos Room 2 (2s): 117.2 degrees F. Preschool Room 1 (3s): 118.4 degrees F. Preschool Room 2 (3s): 116.9 degrees F.”

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 seamless and smooth, and kept clear of unrelated items not required for diaper changing: Toddler Room 1 (1s): There was missing laminate on the side of the diaper surface. Preschool Room 2 (3s): There was a paint brush on the diaper surface and there were paint smears in the diaper sink.”

AAC R9-5-516.B.4. B. If prescription or nonprescription medications are administered, a licensee shall ensure that: 4. A staff member: a. Administers a prescription medication provided by a parent only from a container dispensed by a pharmacy; b. Administers a nonprescription medication provided by a parent for an enrolled child only from a container prepackaged and labeled for use by the manufacturer and labeled with the enrolled child’s name; c. Does not administer any medication that has been transferred from one container to another; and d. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the facility receives written authorization from the enrolled child’s health care provider.

“Findings: Based on the Compliance Officer's observation, the prescription medication for Child #1 was in a bag and not in a container dispensed by a pharmacy.”

AAC R9-5-514. A. A. A licensee shall ensure that there is a first aid kit on facility premises that contains first aid supplies in a quantity sufficient to meet the needs of the enrolled children including the following: 1. Sterile bandages including: a. Adhesive bandages of assorted sizes, b. Sterile gauze pads, and c. Sterile gauze rolls; 2. Antiseptic solution or sealed antiseptic wipes; 3. A pair of scissors; 4. Adhesive or self-adhering tape; 5. Single-use, non-porous gloves; and 6. Reclosable plastic bags of at least one-gallon size.

“Findings: Based on the Compliance Officer's observation, the first aid kit lacked sterile gauze rolls.”

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 Compliance Officer #2's observation of the Outdoor environment, there were cribs and boxes blocking the outdoor sidewalk that provides egress from the facility hallway.”

AAC R9-5-302. A. A licensee shall prepare a written statement of child care services provided by the licensee that includes the following:1. A description of the facility’s child care services classifications in R9-5-204; 2. Hours of operation; 3. The facility’s street address, city, state, zip code, mailing address, and telephone number; 4. Child enrollment and disenrollment procedures; 5. Charges, fees, and payment requirements for child care services; 6. Child admission and release requirements; 7. Age-appropriate discipline guidelines and methods; 8. Transportation procedures; 9. Field trip requirements and procedures; 10. Responsibilities and participation of parents in facility activities; 11. A general description of activities and programs; 12. A description of the liability insurance required by R9-5-308 that is carried by the licensee and a statement that documentation of the liability insurance coverage is available for review on the facility premises; 13. Medication administration procedures; 14. Accident and emergency procedures; 15. A notice stating inspection reports are available on-site; 16. A provision stating that the facility is regulated by the Arizona Department of Health Services including the Department’s local street address, city, state, zip code, and local telephone number; 17. The procedures for notifying a parent at least 48 hours before a pesticide is applied on a facility’s premises; and 18. A statement that a parent has access to the areas on facility premises where the parent’s enrolled child is receiving child care services. B. A licensee shall provide a copy of the written statement of child care services: 1. To the Department: a. Before the facility receives a license, and b. Every 12 months after the date of the license as required by A.R.S. § 36-883.01; and 2. To a parent when the parent requests a copy of the written statement of child care services.

“Findings: Based on facility documentation and the Compliance Officers' observations, the statement of services lacked a description of the liability insurance and a statement that documentation of the liability insurance coverage is available for review on the facility premises.”

AAC R9-5-306.A. A. A licensee shall maintain a dated attendance form containing an enrolled child’s name with the time of each admission and release of the enrolled child. 1. Except as provided in subsection (A)(2), a licensee shall ensure that the attendance form is signed with at least a first initial of an individual’s first name and the individual’s last name by each enrolled child’s parent or individual designated by the enrolled child’s parent, each time the enrolled child is admitted or released. 2. An electronic fingerprint verification or an electronic signature may be used in place of a signature of the enrolled child’s parent or designated individual to admit or release the enrolled child. 3. If an electronic signature is used to admit or release the enrolled child, the licensee shall adopt policies and procedures to ensure that the individual whose signature the electronic or digital method of identification represents is accountable for the use of the electronic or digital method; 4. A licensee shall develop, document, and implement policies and procedures to ensure that the identity of an individual is known to the staff member or is verified with picture identification before releasing an enrolled child to the individual. 5. A licensee shall not release the enrolled child to an individual other than the enrolled child’s parent or other individual designated in writing by the enrolled child’s parent except when the enrolled child’s parent is unable to collect the enrolled child and authorizes the licensee by telephone to release the enrolled child to an individual not so designated. a. The licensee shall verify the telephone authorization using a means of verification that has been agreed upon between the licensee and the enrolled child’s parent at the time of enrollment. b. The licensee shall document the means of verification in subsection (A)(5)(a) on the enrolled child’s Emergency, Information, and Immunization Record card. 6. A licensee shall not permit the self-admission or self-release of an enrolled child unless the enrolled child is of school age and the licensee has obtained and verified written permission from the enrolled child’s parent. 7. A licensee shall maintain the attendance form on facility premises for 12 months after the date of attendance.

“Findings: Based on facility documentation and Compliance Officer #2's observations, it was determined that 5 out of 20 enrolled children's attendance forms reviewed lacked the following required information: Child #1: Release times and signatures on 8/6, 8/7, 8/8, 8/9, 8/0, 8/21, 8/22 & 8/29/2024. Child #2: Release time on 8/1/2024. Child #3: Release time and signature on 8/1 & 8/22/2024. Child #4: Arrival time and signature on 8/27/2024. Child #5: Release time and signature on 8/2/2024.”

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 Compliance Officer #1's observations, drinking water was not accessible to enrolled children present in the following rooms: Toddler room 2 (1's) & Toddler room 1 (1's): The water cups were located on a high shelf.”

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 Toddler Room 2 (1’s), there was a chunk of peeling paint on the west wall to the left of the bulletin board, accessible to enrolled children.”

AAC R9-5-516.B.4. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:4. A staff member : a. Administers a prescription medication provided by a parent only from a container dispensed by a pharmacy; b. Administers a nonprescription medication provided by a parent for an enrolled child only from a container prepackaged and labeled for use by the manufacturer and labeled with the enrolled child’s name; c. Does not administer any medication that has been transferred from one container to another; and d. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the facility receives written authorization from the enrolled child’s health care provider.

“Findings: Based on Compliance Officer #2's observation, the prescription medication for Child #1 lacked a container with a prescription label affixed to the medication.”

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 Compliance Officer #2's observations, the following was observed: Infant playground: The trash receptacle contained food waste and lacked a lid. Infant room 1: There was a calcium build up around the sink nozzle. Toddler Room 2 (1's) and Twos Room 1: There was calcium build up on the sink nozzles.”

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 following was observed: Two’s room 2: There was cracked and discolored caulking at the base of 2 toilets and around the base of the left sink. Two’s room 1: There was cracked and discolored caulking at the base of 2 toilets. Preschool room 2 (3's): There was cracked and discolored caulking at the base of 2 toilets. Preschool room 1 (3's): There was cracked and discolored caulking at the base of 1 toilet. Kindergarten Prep room 1 (4’s): There was cracked and discolored caulking at the base of 1 toilet.”

AAC R9-5-501.A.18. A. A licensee shall ensure that:18. 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 Compliance Officer #1's observation, in Infant Room 2, there was an unlabeled grey pacifier in a crib that lacked an identifier.”

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 Compliance Officer #1's observations, the following was not maintained in a clean condition: Preschool room 1 (3's): There was dust build-up on the back of the exposed writing center. Kindergarten Prep room 2 (4's): There were discolored stains on the exit door. Kindergarten toilet rooms: There were discolored stains on the walls. Infant playground: There was a blue wheelbarrow with a build up of grime located near the North wall. Preschool playground: There was standing water in the drinking fountain basin, there was a build up of grime on a dust pan. Toddler/2 playground: There was a build up of dirt on Rubbermaid bins, on a football, and on cones.”

AAC R9-5-504.5.d. A licensee providing child care services for 1-year-old and 2-year-old children shall:5. Ensure that: d. If a parent brings a sippy cup for the parent’s enrolled child, the sippy cup is labeled with the enrolled child’s name.

“Findings: Based on Compliance Officer #1's observations, the following rooms lacked sippy cups labeled with a child's first and last name, as required: Toddler room 2 (1's): There were 4 unlabeled sippy cups. Toddler room 1 (1's): There were 2 sippy cups labeled with a child’s first name and last initials, 1 unlabeled sippy cup, and 1 labeled with a child’s first name only. Two’s room 1: There were 2 sippy cups labeled with a child’s first name only, and 1 sippy cup labeled with a child’s first name and last initial only.”

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 observations, the following was observed: Toddler room 1 (1’s): The soiled clothing container lacked a liner. Two’s room 2: The soiled clothing container lacked a lid on the container, and there was soiled clothing in the container. Preschool room 1 (3’s): The diaper area lacked a soiled clothing container.”

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 Compliance Officer #1's observations, the following diaper changing areas were not seamless and smooth and kept clear of items unrelated to diaper changing: Infant room 1: There was a 1/4 inch gap to the left of the diaper sink, and the diaper handwashing sink was slow draining, Toddler Room 2 (1’s): There were paint smears in the diaper sink, and loose dirt/debris on the diaper surface. Preschool Room 2 (3’s): There was Dawn dish soap and 2 white sponges to the right of the diaper sink, and there were paint smears and glitter inside the diaper sink. Preschool room 1 (3’s): There were 2 small holes on each side of the diaper surface, an orange sticker on the diaper surface, and the diaper sink had cracked caulking at the base of the sink.”

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 observations, the following items lacked a label of an enrolled child's first and last name as required: Infant room 2: 2 unlabeled wipes and 2 diaper creams labeled with a child’s first name only. Infant Room 1: 3 unlabeled wipes, and 2 wipes labeled with a child’s first name only. Toddler Room 2 (1’s): 2 unlabeled diaper creams, 2 labeled with a child’s first name, 2 diaper creams labeled with a child’s first name and last initial only, 4 wipes labeled with a child’s first name, and 2 wipes labeled with a child’s first name and last initial only. Toddler Room 1 (1’s): 1 unlabeled diaper cream, 1 wipes labeled with a child’s first name only, and 1 unlabeled container of wipes. Two’s room 1: 1 container of sunscreen labeled with a child’s first name only, and 1 container of sunscreen labeled with a child’s first name and last initial only.”

AAC R9-5-501.A.19. A. A licensee shall ensure that:19. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Findings: Based on Compliance Officer #2's observations, the following was accessible to enrolled children in the outdoor activity areas: Infant playground: There was a bag of potting soil on the ground near the North wall. Toddler/2's playground: There was a broom on the West side. Preschool playground: There was a bag of potting soil on the ground near the West wall, and there was a broom and a shop vacuum accessible. K Prep playground: There was a bag of potting soil on the ground near the West wall.”

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 Compliance Officer #2's observations, on the Infant playground, there was cracked plastic with exposed sharp edges located on the blue lid of the clear container in the Southwest corner.”

AAC R9-5-203.C. C. Except as provided in A.R.S. § 41-1758.03, a licensee shall ensure that each staff member, before starting date of employment or volunteer service, submits to the licensee a copy of the staff member’s valid fingerprint clearance card, front and back, issued under A.R.S. Title 41, Chapter 12, Article 3.1.

“Findings: Based on the Compliance Officers' review of staff files and a discussion with the Director, Staff #1's file lacked a copy of the staff's current fingerprint clearance card. Note: Per the DPS website, the staff has a valid fingerprint clearance card that expires in 7/2028 and the card was issued in 7/2022. *Repeat Deficiency- Staff #1's file was cited at the time of the 9/2023 compliance inspection.”