Brilliant Blessings Christian Academy

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 Compliance Officer's observations, it was determined that Child #3 had a medication but lacked a written authorization form for the medication to be administered.”

AAC R9-5-309.C. C. A licensee shall maintain on facility premises: 1. A current fire inspection report including documentation of any repairs or corrections required by the fire inspection report; and 2. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a current gas inspection report including documentation of any repairs or corrections required by the gas inspection report.

“Findings: Based on facility documentation and the Compliance Officer's observations, it was determined that the Licensee lacked documentation of a violation-free fire inspection report.”

AAC R9-5-601.4. A licensee shall comply with the following physical plant requirements, as applicable: 4. Except as provided in subsection (5), when providing child care services for infants or children who require diapering, a diaper changing area that meets the requirements in R9-5-503 is available in each infant room or indoor activity area used by an enrolled infant or child who wears diapers or disposable training pants;

“Findings: Based on the Compliance Officer's observation, in the PreK girls' restroom, there were used pull-ups in the bathroom trash can accessible to enrolled children.”

AAC R9-5-603.D. D. 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 Officer’s observation, the outdoor activity area lacked the following resilient surfacing: *5 of the required 6 inches of resilient surfacing under the Red climber. *4 of the required 6 inches of resilient surfacing around the Yellow double slides. *6 of the required 6 inches of resilient surfacing around both the Yellow big and small slides.”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, it was determined that in the Infant Room, the written feeding instructions for the following infants lacked the following information: Child #1-Instructions if breast milk runs out, consistency of foods, foods likes/dislikes, method of feeding and feeding schedule and updates. Child #2-Foods and dates introduced at home.”

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 first stall in the PreK girls' restroom contained an elevated toilet seat with attached steps placed over the toilet. A dry yellow buildup was observed around the toilet seat, and was not maintained in a clean and sanitized condition.”

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 Supervisor and Compliance Officer's observations, in the Infant Room, there were 2 boxes of gloves,1 package of tissues, 1 package of wipes, and a clipboard with paper located on the diaper-changing surface.”

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: Per the allegation and based on staff statements and the Compliance Officer's observations, on January 9th, the facility water was shut off around 2:30 a.m. and was not turned back on until 9:00 am. Toilets could not be flushed, and hands could not be washed. Staff Statements: *We did receive children, and we were here all day. *The water was turned off in the morning when the sprinklers started going off, so from 2:30 am until around 9:00 am. *We could not flush the toilets or wash hands. *We just didn't flush the toilets.”

AAC R9-5-306.B. B. A licensee shall: 1. Develop, document, and implement policies and procedures to ensure that a staff member maintains daily documentation of the presence of an enrolled child in an activity area that includes a method to account for any temporary absences of the enrolled child from the activity area, and 2. Maintain the documentation of the presence of enrolled children in an activity area required in subsection (B)(1) on facility premises for 12 months after the date of the documentation.

“Findings: Based on the Compliance Officer's observation, 5 children were present in the 1-year-old room but the roster listed the names of only 4 children as present.”

AAC R9-5-303.A. A. A licensee shall post in a place that can be conspicuously viewed by individuals entering or leaving the facility or activity area, the: 1. Facility’s license; 2. Name of the facility director; 3. Name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility, as prescribed by R9-5-301(B)(1); 4. Schedule of child care services fees and policy for refunding fees as prescribed by A.R.S. § 36-882(P); 5. Breakfast, lunch, dinner, and snack menus for each calendar week at the beginning of the calendar week; 6. Notice of the presence of any communicable disease or infestation listed in 9 A.A.C. 6, Article 2, Table 2.2, from the date of discovery through the incubation period of the communicable disease or infestation; 7. Notice of the Department’s intent to deny, revoke, or suspend as prescribed by A.R.S. § 36-888 at the expiration of time in the notice for the licensee to respond; 8. Notice of an intermediate sanction imposed as prescribed by A.R.S. § 36-891.01 within 10 calendar days after the licensee received notice of the intermediate sanction; 9. Notice of a legal injunction imposed as prescribed by A.R.S. § 36-886.01 when the licensee receives the legal injunction; and 10. Notice of the availability of facility inspection reports for public viewing at the facility premises.

“Findings: Based on the Compliance Officer's review of the parent posting board, the license posted had expired in August 2025.”

AAC R9-5-301.B. B. A licensee shall ensure that a facility director: 1. Designates, in writing, an individual who meets the requirements of R9-5-401(2) to act on behalf of the facility director when the facility director is not present in the facility; 2. Supervises or assigns a child educator to supervise each staff member who does not meet the qualifications of R9-5-401(3); 3. Prepares a dated attendance record for each day and ensures that each staff member documents on the attendance record the time of each arrival and departure of the staff member; and 4. Maintains on the facility premises, the dated attendance record required in subsection (B)(3) for 12 months after the date on the attendance record.

“Findings: Based on the Compliance Officer's interview with staff and a review of the written documentation related to the incident, the licensee failed to ensure the supervision of Individual #1 at all times. Individual #1 ( A non-staff member) placed their personal bag on the floor near the desk in the PreK room and the bag was accessible to enrolled children. Child #1 was able to retrieve a Prescription bottle of medication belonging to Individual #1 from the bag. Child #1 then hid the prescription medication in a cubby drawer that is located near the desk area where Individual #1 was working with Child #1.”

AAC R9-5-503.A.1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 1. A nonabsorbent, sanitizable diaper changing surface that is: a. Seamless and smooth, and b. Kept clear of items not required for diaper changing;

“Findings: Based on the Compliance Officer's observation, the Plexiglass divider in the one-year-old room's diapering area had completely detached from the counter area located near the diapering sink and was propped against a plastic bin. The plastic bin, an electronic tablet, a clipboard and papers were stored on the diapering counter in this area. Previously cited 7/10/25, 9/25/25 and 10/17/25.”

AAC R9-5-512.F.4.5. F. A licensee shall ensure that: 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;

“Findings: Based on the Compliance Officer's observation, an uncovered trash can container that contained numerous items of food waste was observed in the outdoor activity area. *Previously cited 9/25/25.”

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 and on a discussion with staff, the toilet in the PreK Room was not working. There was a sign on the bathroom door that stated "OUT OF ORDER" and staff were observed walking children from the room to use the bathrooms that are located in the hallway. Staff stated they have to use a plunger after every 2-3 times that the bathroom is used since it won't flush after a few times of use. Previously cited 9/25/25 and 10/7/25.”

AAC R9-5-516.G. G. A licensee shall return all unused prescription and nonprescription medications to a parent when the medication prescription date has expired or the medication is no longer being administered to the enrolled child or dispose of the medication if unable to locate the enrolled child's parent after the child's disenrollment.

“Findings: Based on the Compliance Officer's observation, a child's Benadryl medication had expired in 12/2025 and had not been returned to the parents.”

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 the Compliance Officer's interview with staff and on a review of written documentation related to the incident, an enrolled child was not supervised at all times by staff, when Child #1 was able to retrieve a prescription medication bottle from Individual #1's (a non staff member) personal bag that was on the floor near the desk in the PreK room. Individual #1's personal bag was accessible to enrolled children during that time. Staff stated they were unaware that Individual #1 had prescription medication in the bag. Child #1 then hid the prescription medication in a cubby drawer that was located near the desk area where Individual #1 was working with Child #1. When Individual #1 stated to staff that (Individual #1) could not locate the prescription medication, staff members found the medication in the cubby drawer.”

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, an audio speaker and a clipboard were observed on the diapering counter in the 2 year old room. Previously cited on 7/10/25 and 9/25/25.”

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 the Compliance Officer's interview with staff and on a review of Child #2's medication permission form, Child #2’s medication form did not list the reason for the medication. Instead, the form listed "Tree nuts" under the reason for the EpiPen, rather than the child's symptoms that would manifest during that child's allergic reaction, so that the staff who administers the Epipen during an emergency knows when to administer the Benadryl versus the Epipen, based on that Child's symptoms that are manifesting. Staff stated that during Child#2's allergic reaction due to Child#2's onsite exposure to nuts that required paramedics to be called, the staff acknowledged not knowing what symptoms required the administration of the Benadryl versus the EpiPen to be injected.”

AAC R9-5-516.B.1. B. If prescription or nonprescription medications are administered, a licensee shall ensure that: 1. A facility director, or a staff member designated in writing by the facility director, is responsible for the administration of all medications in the facility, including storing, supervising an enrolled child’s ingestion of a medication, and documenting all medications administered to an enrolled child;

“Findings: Based on the Compliance Officer's interview with staff and review of facility documentation, including the written medication administration chain of command, the licensee failed to designate in writing a staff member who is responsible for the administration of all medications, including the storage, administration, and documentation of the administration of the medication. The chain of command did not state the names of the individuals assigned to the medication duties. Instead, the form only stated the "Director" was in charge and "if not Director is not present, the "Assistant Director" is in charge of the medications. The parent posting board, however, lists the names of 9 different individuals as Assistant Directors. During the incident when Child #2 had an allergic reaction to nuts, Staff #2 was the only Assistant Director listed on the posting board who was present at the time of the incident. Staff #2 stated she was not aware she was in charge of the medications during that time and did not administer the medications. When Staff #2 was asked if the medications were given and by who, Staff #2 stated she thought Staff #3 administered the EpiPen to the child. Staff #2 said she went back to her classroom during the incident and let Staff #3 assist Child #2. Staff #3 (who is not listed as one of the Assistant Directors in charge of the medications) stated she tended to the child by herself, while calling the paramedics and the child's parent. Staff #3 stated she did not administer the Benadryl since it could not be located and did not administer the EpiPen, as Staff #2 stated.”

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 and on a discussion with the staff in the Preschool room, the toilet would not flush when the Compliance Officer attempted to flush it and the water in the bowl rose in the toilet bowl. The staff stated the toilet needed to be plunged after several uses of the toilet and said that it does not always flush immediately. *Previously cited on 9/25/25.”

AAC R9-5-301.A. A. A licensee shall: 1. Designate a facility director who acts on behalf of the licensee and is responsible for the daily on-site operation of a facility; 2. Submit the name of the designated facility director in a written notice to the Department before a license is issued; 3. Except as provided in subsection (A)(4), within 10 calendar days before changing a facility director, submit written notice of the change including the new designated facility director’s name and starting date; 4. If the licensee is not aware of a change in the facility director 10 calendar days before the effective date of the change, submit written notice of the change to the Department including the new designated facility director’s name and starting date within 72 hours after becoming aware of the change.

“Findings: Based on the Compliance Officer's review of the staff attendance documentation and on a discussion with Staff #1 (The Director, who is listed as the Director in the Licensing portal and on the Parent posting board), Staff #1 acknowledged they are not the on site daily director, as the person responsible for the daily on-site operation of a facility, as required per the rule. They stated they come to the site "about once a week" and acknowledged they are not on site daily.”

AAC R9-5-516.D. D. A licensee shall maintain the health care provider's written authorization required in subsection (C) on facility premises for 12 months after the date of the written authorization.

“Findings: Based on the Compliance Officer's interview with staff and on a review of Child #2's medication permission form and related documentation, the licensee failed to maintain the health care provider’s written authorization for 12 months after the date of the written authorization. The staff stated the child's parents had provided additional medication documentation from the child's health care provider that provided a list of symptoms and instructed when the child's Benadryl should be administered versus when the child's EpiPen should be administered. The staff stated the child's last day of enrollment was 9/5/25. Staff acknowledged that this section of Child #2's medication form documentation had not been maintained on premises for at least 12 months after the date of the authorization.”

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: Per allegation: Based on the Compliance Officer's interview with staff and review of medication documentation and Child #2 medication permission form related to the child's nut allergy, the licensee did not administer Child #2's medication consistent with the child’s health care provider’s written instructions. In August 2025, Child #2 came in contact with another child's nut bar. Staff stated Child #2's eyes and lip area became red and the child's eyes, lips and tongue became swollen and the child had red spots on their chest. Staff stated the child's parents had provided the school with Benadryl and an EpiPen but at the time of the incident, the staff stated the Benadryl could not be located on the premises at the time of the incident. The staff stated the child’s supplemental administration instructions instructed that Benadryl should be administered to the child for the symptoms the child was exhibiting at the time. The staff member stated the parent had to be contacted and the parent had to bring Benadryl to the facility and administer the Benadryl to their child, since the facility could not locate the Benadryl that the parents had originally provided.”

AAC R9-5-514. G.2. G. If while attending a facility an enrolled child has an accident, serious physical injury, or emergency that, based on an evaluation by a staff member, requires medical treatment by a health care provider, a licensee shall ensure that a staff member: 2. Documents: a. A description of the accident, serious physical injury, or emergency, including the date, time, and location of the accident, serious physical injury, or emergency; b. The method used to notify the enrolled child’s parent; and c. The time the enrolled child’s parent was notified; and

“Findings: Based on the Compliance Officer's interview with staff and review of facility documentation, the facility contacted the paramedics on two separate occasions and the paramedics came to the facility both times. One incident occurred in October 2025, when child #1 suffered a possible seizure. The other incident occurred in August 2025, when Child #2 had an allergic reaction after exposure to nuts. The facility did not have the required documentation of either incident, which included the following required information: 1)The description of the emergency, including the date, time, and location of the emergency; b. The method used to notify the enrolled child’s parent; and c. The time the enrolled child’s parent was notified.”

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

“Findings: Based on the Compliance Officer's interview with staff and review of medication documentation and Child #2’s medication permission form related to the child's nut allergy, the licensee failed to ensure that the health, safety and welfare of Child #2 was not placed at risk of harm when Child #2 came in contact with another child's nut bar. Staff stated Child #2's eyes and lip area became red and the child's eyes, lips and tongue became swollen and the child had red spots on their chest. Staff stated the child's parents had provided the school with Benadryl and an EpiPen but at the time of the incident, the staff stated the Benadryl could not be located on the premises. Staff stated it had been stored in the one-year-old room's refrigerator but it could not be located during the incident or after the incident. A staff member contacted one of the child's parent during the incident and also called the paramedics. The staff stated the paramedics arrived first and asked if the child had been given the Benadryl and the staff stated "No". One of Child #2's parents arrived shortly afterward and brought some Benadryl and administered it to the child.”

AAC R9-5-301.B. B. A licensee shall ensure that a facility director: 1. Designates, in writing, an individual who meets the requirements of R9-5-401(2) to act on behalf of the facility director when the facility director is not present in the facility; 2. Supervises or assigns a child educator to supervise each staff member who does not meet the qualifications of R9-5-401(3); 3. Prepares a dated attendance record for each day and ensures that each staff member documents on the attendance record the time of each arrival and departure of the staff member; and 4. Maintains on the facility premises, the dated attendance record required in subsection (B)(3) for 12 months after the date on the attendance record.

“Findings: Based on the Compliance Officer's review of the staff attendance documentation and on a discussion with Staff #1 (The Director, who is listed as the Director in the Licensing portal and on the Parent posting board), Staff #1 acknowledged she does not record her attendance when she is on site.”

AAC R9-5-512.F.4.5. F. A licensee shall ensure that: 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;

“Findings: Based on the Compliance Officer's observation, the trash can in the outdoor activity area contained food waste, including a donut and various fast food. The can was not covered with a lid.”

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, a dish tray containing numerous children's dishes was stored in the bottom of the diapering cabinet next to the soiled clothes container. The step stools in both the Preschool bathroom and the Two's room bathroom were covered in a brown buildup. The wall in the Preschool Bathroom had numerous brown smudges on it.”

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, the soiled diaper container was stored on the floor. *Previously cited on 7/10/25.”

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. Change diapers until food preparation duties have been completed for the day.

“Findings: Based on the Compliance Officer's observation and on a discussion with the staff in the Two's room, a child's plastic spoon and several blueberries were observed in the diapering sink. The staff acknowledged washing dishes in the diapering sink.”

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 and on a discussion with the Two's room staff and the Director, the following unrelated items were stored on the diapering counter or in the diapering sink in the Two's room: *A computer tablet, a clipboard, 2 paint brushes, a purple child's spoon. *Previously cited on 7/10/25.”

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. Posts the current written dietary instructions in the infant room and the kitchen and maintains the instructions on facility premises for 12 months after the date of the instructions; and

“Findings: Based on the Compliance Officer's observation and on a discussion with the infant room staff and the Director, 3 written infant feeding instructions lacked information or had not been updated: *Child 1- The form indicated it was last updated by the parent on 4/15/25 and the staff acknowledged lacking documentation to verify there were not any changes in the amount, the types of food or the frequency of the feedings; *Child 2- The staff stated the child was now eating solid foods but the form lacked the frequency and the amount of food to be fed and the form indicated it had last been updated by the parent on 5/26/25; and *Child #3-The staff stated the child was now eating pureed foods but the form lacked the type, frequency and amount of food to be fed and the form indicated it had last been updated by the parent on 6/4/25. *Previously cited on 7/10/25.”

AAC R9-5-605.B.1. B. A licensee shall ensure that: 1. All designated exits, corridors, and passageways that provide escape from the building are unobstructed and unlocked during hours of operation;

“Findings: Based on the Compliance Officer’s observation, the designated exit in the hallway that is near preschool room was blocked by 5 foot tall storage shelf and 2 plastic storage bins. *Previously cited in July 2025.”

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 and on a discussion with the staff in the Preschool room, the staff stated the toilet was not working because it 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 toilet bowls and the sinks in both the Two's room bathroom and the preschool room bathroom had a buildup of brown film in the bowls and on the sinks.”

AAC R9-5-605.B.1. B. A licensee shall ensure that:1. All designated exits, corridors, and passageways that provide escape from the building are unobstructed and unlocked during hours of operation;

“Findings: Based on the Compliance Officer's observation, the designated exit in the hallway near the preschool room was obstructed by 2 rolling storage carts, a folded area rug, a plastic tricycle and a cloth storage bin.”

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 Officer's observation, the sand measured 2-3 inches of the required 6 inches in the fall zones of the 3 yellow slides, the red climbing steps, the tan climbing steps, and the red stairs.”

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

“Findings: Based on the Compliance Officer's observation, the soiled diaper container in the 2-year-old room was stored on the floor and was accessible to the children in the room.”

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 of the diapering changing areas, the following areas were not kept clear of items not required for diaper changing: *Infant Room-A roll of plastic bags; and *Two-year-old Room- A plastic pitcher.”

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 the Compliance Officer's review of the written infant feeding instructions and on a discussion with staff, the staff stated Child #1 was fed both formula and purée. The written feeding instructions for Child #1 did not list the type of pureed food to be fed and the amount and frequency of the feedings.”

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 observation, 7 bottles of purée in the infant room were not labeled with the child’s first and last name.”

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 the Compliance Officer's observation, a plunger was stored on the floor of the Preschool bathroom and was accessible to children.”

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

“Findings: Based on the Compliance Officer's observation and on a discussion with the Infant room staff, a boppy pillow was observed in the infant room. The staff acknowledged that the boppy pillow was used to prop up child #2 when the infant was in tummy time. The staff stated Child #2 is a non-crawling infant. Reference: Per Rule, R9-5-502.A.5.b, the use of pillows and other soft products is prohibited when a non-crawling infant is flat on their stomach and is on the floor.”

AAC R9-5-306.B. B. A licensee shall: 1. Develop, document, and implement policies and procedures to ensure that a staff member maintains daily documentation of the presence of an enrolled child in an activity area that includes a method to account for any temporary absences of the enrolled child from the activity area, and 2. Maintain the documentation of the presence of enrolled children in an activity area required in subsection (B)(1) on facility premises for 12 months after the date of the documentation.

“Findings: Based on the Compliance Officer's observation and on a discussion with staff, 8 children from the School age room were observed in the outside area. The Staff stated she did not have the roster with her.”

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, a phone, a purse and a toy were observed stored on the diapering counter in Room 1 (a 2 year old room).”

AAC R9-5-306.B. B. A licensee shall: 1. Develop, document, and implement policies and procedures to ensure that a staff member maintains daily documentation of the presence of an enrolled child in an activity area that includes a method to account for any temporary absences of the enrolled child from the activity area, and 2. Maintain the documentation of the presence of enrolled children in an activity area required in subsection (B)(1) on facility premises for 12 months after the date of the documentation.

“Findings: Based on the Compliance Officer’s observation, 6 children were present in Room 1 (a 2 year old room) but the roster listed the names of only 3 children as present.”

AAC R9-5-403.B. B. A licensee shall ensure that:1. Each staff member who provides child care services completes 18 or more actual hours of training every 12 months after the effective date of this Chapter or the staff member’s starting date of employment or volunteer service in at least two topics listed in this subsection: a. Child growth and development, including: i. Infant growth and development, which may include sudden infant death syndrome prevention; ii. Developmental psychology; iii. Language development; iv. Observation and child assessment; v. Developmentally-appropriate activities; vi. Child guidance and methods of discipline which may include training on the appropriate techniques to prevent a child from harm or to prevent the child from harming others; and vii. Developmentally-appropriate activity areas; b. Health and safety issues, including: i. Accident and emergency procedures, including CPR and first aid for infants and children; ii. Recognition of signs of illness and infestation; iii. Nutrition and developmentally-appropriate eating habits; iv. Child abuse detection, reporting, and prevention; v. Safety of indoor and outdoor activity areas; and vi. Sun safety policies and procedures; c. Program administration, planning, development, or management; and d. Availability of community services and resources, including those available to children with special needs; and 2. As part of the required 18 hours of training in subsection (B)(1): a. A staff member who has less than 12 months of child care experience before the staff member’s starting date, completes at least 12 hours in one or more of the topics in subsection (B)(1)(a) in the staff member’s first 12 months at the facility; b. A staff member who has 12 months or more of child care experience, completes at least 6 hours in one or more of the topics in subsection (B)(1)(a) every 12 months after the staff member’s starting date; c. A staff member who provides child care services to an infant completes at least 6 hours in subsection (B)(1)(a)(i) every 12 months after the staff member’s starting date; and d. A facility director completes at least 6 hours in subsection (B)(1)(c) every 12 months after the facility director’s starting date.

“Findings: Based on the Compliance Officer’s review of staff files, the following was noted regarding annual training hours: *Staff #1 (DOE 3/6/23)- the file contained documentation indicating the staff had completed only 2 of the required 18 hours of annual training for the period of 3/6/23 through 3/6/24; and *Staff #2 (DOE 6/28/23) - The file contained documentation indicating the staff had completed only 14 of the required 18 hours of annual training for the period of 6/28/23 through 6/28/24.”

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: Based on the Compliance Officer’s observation, a ratio of 1:14 was observed in Room 4. The staff stated the youngest child in the room was 3 years old.”

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 the Compliance Officer’s review of the written infant feeding instructions and on a discussion with the infant room staff, it was determined that 3 of the infant feeding instructions had not been updated: *Child #1- The staff stated the infant was eating food and purée. The form lacked the amount of food & purée to be fed and the frequency of the feedings; *Child #2- The staff stated the infant was eating food. The form lacked the amount of food to be fed and the frequency of the feedings; and *Child #3- The staff stated the infant was drinking both breast milk and formula and was also eating purée. The form lacked the amounts of breast milk, formula and purée to be fed and the frequency of each of the feedings.”

AAC R9-5-601.4. A licensee shall comply with the following physical plant requirements:4. Except as provided in subsection (5), when providing child care services for infants or children who require diapering, a diaper changing area that meets the requirements in R9-5-503 is available in each infant room or indoor activity area used by an enrolled infant or child who wears diapers or disposable training pants;

“Findings: Based on the Compliance Officer’s observation and on a discussion with staff in Room 2, the staff acknowledged a child in the room was wearing pull-ups and that the child was not fully potty trained. This room is not equipped with an approved diapering area.”

AAC R9-5-306.B. B. A licensee shall: 1. Develop, document, and implement policies and procedures to ensure that a staff member maintains daily documentation of the presence of an enrolled child in an activity area that includes a method to account for any temporary absences of the enrolled child from the activity area, and 2. Maintain the documentation of the presence of enrolled children in an activity area required in subsection (B)(1) on facility premises for 12 months after the date of the documentation.

“Findings: Based on the Compliance Officer's observations, the following rosters were incomplete: 3’s room: There were 10 children present and 9 were marked on the roster. Pre-K room: There were 17 children present and 18 were marked on the roster.”

AAC R9-5-301.D. D. A licensee shall ensure that the following individuals are allowed immediate access to facility premises during hours of operation: 1. A parent of an enrolled child or an individual designated in writing by the parent of an enrolled child; or 2. A representative of: a. The Department, b. The local health department, c. Arizona Department of Child Safety, or d. The local fire department or State Fire Marshal.

“Findings: Based on the Compliance Officer's (CO) observation, the Licensee failed to ensure the Department is allowed immediate access to facility premises during hours of operation. When the CO arrived, there was a sign on the door that stated “ring doorbell”. The CO rang the bell twice and waited for 2 minutes until a person walked by and noticed the CO standing there.”

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

“Findings: Based on the Compliance Officer's observations, in the Infant room where 3 enrolled children were sleeping, the room was dark. The staff was not able to observe the sleeping children's faces.”

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 the Compliance Officer’s observations, in the Young 2's room, the following items lacked a label of the child's first and last name as required: There were 2 diaper creams and one container of sunscreen labeled with a child’s first name only, and there were 4 unlabeled containers of sunscreen that lacked an enrolled child’s first and last name.”

AAC R9-5-502.C.2.b. C. A licensee shall ensure that:2. A staff member providing child care services in an infant room does not: b. Place an infant to sleep using a positioning device that restricts movement, unless the infant’s health care provider has instructed otherwise in writing;

“Findings: Based on the Compliance Officer's observation and staff statement, in the Infant room an infant was asleep in a "cradle rocker". Staff stated the infant had been asleep for about 5 minutes.”

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 the Compliance Officer's observation, in the 1's room there was an unlabeled sippy cup, rather than labeled with a child's first and last name as required.”

AAC R9-5-516.G. G. A licensee shall return all unused prescription and nonprescription medications to a parent when the medication prescription date has expired or the medication is no longer being administered to the enrolled child or dispose of the medication if unable to locate the enrolled child's parent after the child's disenrollment

“Findings: Based on the Compliance Officer's observations, 1 of 3 medications were no longer being administered to an enrolled child and was not returned to the parent as required for all unused medications. The medication for Child #1's last date of administration was 12/7/2023.”

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 Officer's observations, the playground lacked the following: *2” of the required 6” of resilient surfacing (sand) in the fall zones of the red stairs. *1” of the required 6” of sand in the fall zones of the double yellow slide.”