Bright Horizons Family Center

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, based on a review of facility documentation, staff statements, and the Compliance Officers' observations, a staff member aggressively grabbed an enrolled child's arm during the transition from the playground to the classroom. Statements obtained: *I witnessed (Staff name) grab a child by the arm aggressively *After (Staff name) grabbed the child's arm, the child ran up to (Staff name) holding their arm and crying *When the staff member was asked why the child in their class was crying, the staff member said that the child was not listening. *The staff member reached out, took the child's arm, and walked them inside the classroom *The staff member stated they were overstimulated, and that may be why they grabbed the child”

AAC R9-5-502.A.8.b. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: b. Has a commercially waterproofed mattress; and

“Findings: Based on the Compliance Officer's observations, the following activity areas had crib mattresses with ripped corners and edges, making them no longer commercially waterproof. *Infant 1 Room: 3 of 8 crib mattresses *Infant 2 and Infant 3 Rooms: 6 of 8 crib mattresses”

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, in the Toddler 1 (1s) and Early Preschool (2-3s) Rooms, the caulking on the handwashing sinks had exposed cracks and gaps, and was no longer securely fastened to the wall.”

AAC R9-5-603.B. B. Except as provided in subsection (D) a licensee shall ensure that an outdoor activity area: 1. Is enclosed by a fence: a. A minimum of 4 feet high; b. Secured to the ground; and c. With either vertical or horizontal open spaces on the fence or gate that do not exceed 4.0 inches; 2. Is maintained free from hazards, such as exposed concrete footings and broken toys; and 3. Has gates that are kept closed while an enrolled child is in the outdoor activity area

“Findings: Based on the Compliance Officer's observations, in the outdoor activity areas, the following hazards were accessible to enrolled children: Infant/Toddler Playground: *There were two exposed irrigation valves that lacked a cover located on the West side. *There was exposed rebar located in the concrete on the West side. Preschool/KP Playground: *There was exposed splintery wood located at the base of the shed.”

AAC R9-5-203.G. G. As required by A.R.S. § 8-804, before an individual’s starting date of employment or volunteer service, a licensee shall comply with the submission requirements in A.R.S. § 8-804(C) for the individual.

“Findings: Based on facility documentation and the Compliance Officer's observation, Staff #1 lacked the DCS Central Registry submission before their starting date of employment: DOE: 09/02/2025, DCS Submission: 09/05/2025.”

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 facility documentation and Compliance Officer (CO) #2's observation, the file for Staff #1 (DOE 7/22/2024), Staff #2 (DOE 2/12/2024), and Staff #3 (DOE 12/3/2018) lacked a copy of the back of the fingerprint clearance card.”

AAC R9-5-503.B. B. A licensee shall ensure that a staff member does not:1. Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area; 2. Draw water for human consumption from a diaper changing area sink; or 3. Except as provided in subsection (C), if responsible for food preparation, change diapers until food preparation duties have been completed for the day.

“Findings: Based on CO #1's observation, in the 1's classroom (Toddler 1), there were cottage cheese curds and a Cheerio in the diaper handwashing sink basin.”

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 facility documentation and CO #1's observation, Child #5 lacked written authorization forms for two medications.”

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 CO #1's observation, in the Infant 1 room, there were 2 written dietary instructions that lacked a schedule documenting when and how much to feed the infant.”

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 CO #1's observation, 4 out of 28 reviewed attendance records lacked the following information: *Child #1: The release signature and time for 01/03/2025 and 01/13/2025. *Child #2: The admission signature and time for 01/01/2025. *Child #3: The release signature for 01/06/2025. *Child #4: The release signature and time for 07/07/2025.”

AAC R9-5-603.C. C. Except as provided in subsection (D), a licensee shall ensure that an outdoor activity area:1. Is enclosed by a fence: a. A minimum of 4 feet high; b. Secured to the ground; and c. With either vertical or horizontal open spaces on the fence or gate that do not exceed 4.0 inches; 2. Is maintained free from hazards, such as exposed concrete footings and broken toys; and 3. Has gates that are kept closed while an enrolled child is in the outdoor activity area

“Findings: Based on CO #2's observation, in the outdoor activity areas, the following hazards were accessible to enrolled children: Loose Parts Playground: *There was exposed splintery wood located on the shed. *There was exposed sharp metal located on the garden fence. *There was peeling paint with exposed splintery wood located on the black wood near the sink. *There was peeling paint with exposed splintery wood located on the blue base. Toddler Playground: *There was exposed rust located at the bottom of the shade posts. 2's Playground: *There was peeling paint with exposed splintery wood located on the sink vanity. *There was peeling paint with exposed splintery wood located throughout the climber.”

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 CO #2's observation, the outdoor activity area lacked the following resilient surfacing: *4 of the required 6 inches of wood chips in the fall zone of the double blue slide. *2 of the required 6 inches of wood chips in the fall zone of the blue tube slide.”

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 facility documentation and CO #1's observation, Child #6, Child #7, and Child #8's prescription medication only contained 1/2 of the prescription as dispensed by the pharmacy.”

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 CO’s observation, in the outdoor activity area, the following hazards were accessible to enrolled children: Two's Playground: *There was peeling paint with exposed rust located on the North fence. *There was exposed rust on a metal plate located on the concrete block wall on the North side. *There was a 4.5 inch gap from the base of the fence to the ground located on the North side. Toddler Playground: *There was peeling paint with exposed rust located at the base of the patio post. *There was broken concrete with exposed rebar located near the patio post.”

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 CO’s observation, the Toddler 1 classroom lacked drinking water in the outdoor activity area.”

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 facility documentation and the CO’s observation, the medication for Child #6 lacked a written authorization signed by the enrolled child's parent or health care provider.”

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 facility documentation and the CO's observation, it was found that Child #6’s prescription medication was dispensed as a two-pack but only one injection was present at the facility and a physician’s authorization to separate the injections was not present.”

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 the Compliance Officer’s (CO’s) observation, it was determined that 5 out of 20 enrolled children's attendance forms lacked the following information: Child #1: A release signature and time on 01/03/2024. Child #2: A release signature on 01/03/2024. Child #3: A release signature and time on 01/05/2024 and 01/12/2024. Child #4: A release time on 01/08/2024. Child #5: An admission signature and time on 01/11/2024 and 01/12/2024. A release signature and time on 01/23/2024 and 01/24/2024.”

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 CO’s observation, the following hazards were accessible to enrolled children: Infant 3 Room: *There was peeling paint with exposed raw wood on the legs of a small table located near the cribs. Kinder Toilet Rooms: *There were several small holes located in the wall next to the sink. These holes were created by a previously mounted paper towel dispenser. *There were 4 small holes located behind the toilet. These holes were created by a previously mounted handicap bar.”