B.U.S.D.#9 - Bobcat Citizen Preschool

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: Upon entrance into room #P502, the Compliance Officer observed that there was a child napping in front of the exit door.”

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: The Compliance Officer reviewed the medications and medication forms and observed the following: * The medication form for Child 8 was missing the start and end dates. * The medication form for Child 9 was missing an end date.”

AAC R9-5-514. E. E. A licensee shall post, near an activity area or a room's designated exit, a building evacuation plan that details the designated exits from the activity area or room and the facility.

“Findings: * During the inspection of room P502, the Compliance Officer observed that there was evacuation map missing from one of the two exit doors. * During the inspection of room P503, the Compliance Officer observed that there was evacuation map missing from one of the two exit doors.”

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: During the inspection of the diaper changing area in room P504, the Compliance Officer observed that the diaper container was under the open sink area and was accessible to children.”

AAC R9-5-503.D. D. A licensee shall ensure that the written diaper changing procedure in subsection (C) states that an enrolled child’s diaper is changed as soon as it is soiled, and that a staff member, when diapering: 1. Uses a separate washcloth and towel only once for each enrolled child; 2. Washes and dries the enrolled child using the enrolled child’s individual personal products labeled with the enrolled child’s name; 3. Uses single-use non-porous gloves; 4. Washes the staff member’s own hands with soap and running water between 86° F and 110° F before and after each diaper change; 5. Washes each enrolled child’s hands with soap and running water between 86° F and 110° F after each diaper change; 6. Cleans, sanitizes, and dries the diaper changing surface following each diaper change; and 7. Uses single-use paper towels from a dispenser to dry the diaper changing surface or the hands of the enrolled child or staff member.

“Findings: During the inspection of room P504, the Compliance Officer observed that a staff member did not follow the written diaper changing procedures. After changing a child's diaper, the staff member did not wash the child's hands but put the child on the floor and let them go play.”

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: * During the inspection of the diaper changing area in the infant room, the Compliance Officer observed that there was a green metal cup and a purple clip at the diaper changing sink. * During the inspection of the diaper changing area in the toddler room P602, the Compliance Officer observed that there was a butter knife behind the diapering sink. * During the inspection of the diaper changing area in the toddler room P603, the Compliance Officer observed that there was a bib and knife in the diapering sink, and a hand held vacuum, a comb, a dust pan and brush, a blue mini rubber soccer ball, a gray water bottle, a wood toy stick, and a floral vinyl window covering all on the diapering counter area.”

AAC R9-5-502.A.8.c. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: c. Is furnished with clean, sanitized, crib-size bedding, including a fitted sheet and top sheet or a blanket;

“Findings: During the inspection of the infant room, the Compliance Officer observed that there were two cribs that did not have a fitted sheet as the bottom sheets had a lot of extra material that could be pulled up.”

AAC R9-5-501.A.20. A. A licensee shall ensure that: 20. Except when used as part of an activity, the following are stored in an area inaccessible to an enrolled child: a. Garden tools, such as a rake, trowel, and shovel; and b. Cleaning equipment and supplies, such as a mop and mop bucket.

“Findings: During the inspection of the bathroom in P503, the Compliance Officer observed that there was a mop that was accessible to children.”

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: * The Compliance Officer counted 13 children physically present in room P502. The roster had 14 children marked as present. * The Compliance Officer counted three children physically present in room P602. The roster had 4 children marked as present.”

AAC R9-5-305.A. A. A licensee shall not permit an enrolled child to attend a facility until the facility receives: 1. An immunization record for the enrolled child with the information required in 9 A.A.C. 6, Article 7, documenting that the enrolled child has received all current, age-appropriate immunizations required under 9 A.A.C. 6, Article 7: a. Provided by a healthcare provider, or b. Generated from the Arizona State Immunization Information System, which is the Department’s child immunization reporting system established in A.R.S. § 36-135; or 2. An exemption affidavit for the enrolled child provided by the enrolled child’s parent that contains a statement, signed by the enrolled child's: a. Health care provider, that the immunizations required by 9 A.A.C. 6, Article 7 would endanger the enrolled child’s health or medical condition; or b. Parent, that the enrolled child is being raised in a religion whose teachings are in opposition to immunization.

“Findings: A) The Compliance Officer reviewed the three emergency cards in the infant room and observed the following: * Child 1 and Child 2 were both missing a copy of their immunization records. B) Compliance Officer 2 reviewed 15 children's emergency cards and observed the following: * Child 7 did not have the correct exemption form.”

AAC R9-5-303.B. B. A licensee shall ensure that the licensed capacity of each indoor activity area or room is posted in that activity area or room.

“Findings: During the inspection of the one year-old room (#P603), the Compliance Officer observed that the incorrect capacity was posted at 18 as the actual licensed capacity is 12.”

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: The Compliance Officer observed that the main postings were missing a refund policy.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete an Emergency, Information, and Immunization Record that is no more than a two-page written notice, and is signed by the enrolled child’s parent containing: 1. The child’s name, home address, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, email address, and telephone number of each parent of the child; 4. The name and contact telephone number of at least two individuals authorized by the child’s parent to collect the child from the facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for the nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(14); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“Findings: A) The Compliance Officer reviewed the three emergency cards in the infant room and observed the following: * Child 1 was missing the date of enrollment; questions #2, #3, and#4 on the backside of the card were not acknowledged. * Child 2 was missing the phone number to the health care provider; the phone number for the two emergency contact names listed; and the name of the first person to contact in case of injury or sudden illness of the child. B) Compliance Officer 2 reviewed 15 children's emergency cards and observed the following: * Child 3 had four emergency contact names listed but no phone numbers; was missing the phone number to the health care provider; was missing the name of the first person to contact in case of injury or sudden illness of the child. * Child 4 was missing the phone number to the health care provider; and the name of the first person to contact in case of injury or sudden illness of the child. * Child 5 was missing the name and phone number to at least two emergency contacts. * Child 6 was missing the name and phone number for at least one additional emergency contact (parent cannot be listed), and the name of the first person to contact in case of injury or sudden illness of the child.”

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

“*Per allegation, the following was substantiated. Based on staff interviews, supervision was not maintained during the following incidences: * On 01/07/25, a child that was new to room #P504, followed a group of children that were being led out of the backdoor, across a grassy area and into another classroom. The child did not enter the classroom but continued to go out to the spiderweb playground area by themself. The spiderweb climber is located in an unlicensed area of the school. * On 02/03/25 a child was observed sitting on a bench outside of room #P504, by themself for an unspecified amount of time. A staff member was walking by with her group of children and observed the child sitting on the bench and pointed out to another staff member that was at the adjacent toddler building, that the child was sitting on the bench by themself.”

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

“*Per allegation and based on interviews with individual staff members, the Compliance Officers found that the health and safety for an enrolled child was placed at risk of harm for the following incidences: * On 01/07/25 a preschool child had left the classroom by following a group of children from the room and was found on an unlicensed playground area by a staff member of the public school. * On 02/03/25 a preschool child was found sitting on a bench outside of a classroom by themself.”

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

“*Per allegation, the following was substantiated. Based on staff interviews, the required staff-to-children ratios were not maintained during the following incidences: * On 01/29/25 while on the playground, the ratio was 24 children and three staff members, with the youngest child being three years-old. During that time, one staff member went into a room to help a child in the bathroom. A second staff member went into the room to grab a band-aid or ice pack for another child, leaving the third staff member outside with 21 children to supervise by herself. * On 02/03/25 an enrolled child was observed sitting on a bench outside of room #P504 by themself for an unspecified amount of time. * On 01/07/25 a child that was new to room #P504 followed a group of children out of the room but did not enter the room. The child proceeded to the unlicensed spiderweb climbing structure playground area by themself and was no longer under supervision of the licensed program.”

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

“Compliance Officer 2 observed that there were 10 children on the playground with one staff member while the other staff member was observed in the classroom with a child that was using the bathroom. The staff member on the playground acknowledged that there were two year-old children present and that she was out of ratio.”

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.

“Compliance Officer 1 inspected the diaper changing area in the one year-old room and found that the soiled clothes container did not have a waterproof liner in it.”

AAC R9-5-502.C.1.m. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: m. 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

“During the inspection of the infant room, Compliance Officer 1 reviewed the infant feeding instruction forms and observed the following: * The forms for Child 1, Child 2, and Child 3 were not current as they were last updated in July 2024 and the staff acknowledged that they did children were eating more than what was documented. * The staff acknowledged that they did not have an Infant feeding instruction form for Child 4.”

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

“The staff acknowledged that they did not have a medication form for the prescription medication found in room P706 for Child 5.”

AAC R9-5-502.A.8.c. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: c. Is furnished with clean, sanitized, crib-size bedding, including a fitted sheet and top sheet or a blanket;

“During the inspection of the infant room, Compliance Officer 2 observed that there were two cribs with loose fitting sheets.”

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;

“During the inspection of the diapering area in the infant room, Compliance Officer 2 observed that there was a tub of Vaseline and two tubes of diaper cream that were not labeled with a child’s name.”

AAC R9-5-501.C.5. C. A licensee shall ensure that a staff member:5. Except as provided in subsection (D), prepares and posts a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“* Compliance Officer 2 observed that the posted lesson plan in the one-year old room was dated for the previous week (10/14 - 10/18). * Compliance Officer 2 was unable to find a posted lesson plan in the two year-old room.”

AAC R9-5-404.C.3. C. A licensee shall ensure that:3. When six or more enrolled children are present in a facility, an infant is not placed for supervision with a child who is not an infant.

“During the inspection of the infant room, Compliance Officer 2 observed that Child 8 was walking. The Compliance Officer verified that Child 8 is over 12 months old and was still being cared for in the infant room.”

AAC R9-5-403.C. C. A licensee shall ensure that documentation of a staff member's completion of training required by subsection (A) is signed by the facility director and dated.

“Compliance Officer 2 reviewed two personnel files and observed the following: * The 10 day training form found in the file for Staff 1 did not list her name and was not signed or dated by the Director.”

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.

“Compliance Officer 1 reviewed the sign-in and out report for the one year-old room for the date of 10/21/2024 and found that a staff member has been logging the children in or out when the parent forgets to do it but the staff members are not signing the form. * Child 1 was missing a signature for the time-out recorded. * Child 2 was missing a signature for the time-in and time-out recorded. * Child 3 was missing a signature for the time-out recorded. * Chilld 4 was missing a signature for the time-in recorded.”

AAC R9-5-305.A. A. A licensee shall not permit an enrolled child to attend a facility until the facility receives: 1. An immunization record for the enrolled child with the information required in 9 A.A.C. 6, Article 7, documenting that the enrolled child has received all current, age-appropriate immunizations required under 9 A.A.C. 6, Article 7: a. Provided by a healthcare provider, or b. Generated from the Arizona State Immunization Information System, which is the Department’s child immunization reporting system established in A.R.S. § 36-135; or 2. An exemption affidavit for the enrolled child provided by the enrolled child’s parent that contains: a. A statement, signed by the enrolled child’s health care provider, that the immunizations required by 9 A.A.C. 6, Article 7 would endanger the enrolled child’s health or medical condition; or b. A statement, signed by the enrolled child’s parent, that the enrolled child is being raised in a religion whose teachings are in opposition to immunization.

“Compliance Officer 1 reviewed five children’s emergency cards in the binder found in room #P502 and observed the following: * Child 7 was missing a copy of an immunization record.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete a Department-provided Emergency, Information, and Immunization Record card that is signed by the enrolled child’s parent containing: 1. The child’s name, home address, city, state, zip code, home telephone number, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, city, state, zip code, and contact telephone number of each parent of the child; 4. The name and contact telephone number of at least two individuals authorized by the child’s parent to collect the child from the facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(9); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“Compliance Officer 1 reviewed five children’s emergency cards in the binder found in room #P502 and observed the following: * Child 5 was missing the name and phone number to one additional emergency contact. * Child 6 was missing the phone number to the listed health care provider.”

AAC R9-5-303.B. B. A licensee shall ensure that the licensed capacity of each indoor activity area or room is posted in that activity area or room.

“During the inspection of room # P706, Compliance Officer 1 was unable to find the licensed capacity posted in the room.”

AAC R9-5-301.I. I. At least once a month, and at different times of the day, a licensee shall ensure that an unannounced fire and emergency evacuation drill is conducted and each staff member and enrolled child at the facility participates in the fire and emergency evacuation drill. 1. If child care services for a child with special needs are provided at a facility, the licensee shall provide for the enrolled child’s participation in each fire and emergency evacuation drill according to the enrolled child’s individualized plan as specified in R9-5-507(A)(1). 2. A licensee shall document each fire and emergency evacuation drill and maintain the documentation on facility premises for 12 months after the date of the fire and emergency evacuation drill.

“Compliance Officer 2 reviewed the fire drill log and observed that there was no documentation of a fire drill being conducted in June or September 2024.”

AAC R9-5-203.E. E. If a staff member possesses a fingerprint clearance card that was issued before the staff member became a staff member at the facility, a licensee shall:1. Contact the Department of Public Safety before the individual becomes a staff member to determine whether the fingerprint clearance card is valid; and 2. Document this determination, including the name of the staff member, the date of contact with the Department of Public Safety, and whether the fingerprint clearance card is valid.

“Compliance Officer 2 reviewed two personnel files and observed the following: * Staff 2 was missing documentation that her fingerprint clearance card was verified as valid through the DPS website.”

AAC R9-5-203.A. A. A licensee shall ensure that a staff member completes, signs, dates, and submits to the licensee, before the staff member’s starting date of employment or volunteer service:1. The form required in A.R.S. § 36-883.02(C); and 2. If required by A.R.S. § 8-804, the form in A.R.S. § 8-804(I).

“Compliance Officer 2 reviewed two personnel files and observed the following: * Staff 1 did not have a DCS background check (start date 08/27/2024). * Staff 2 did not have documentation of a DCS background check (start date 10/14/2024).”

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.

“During the inspection of the toddler playground area, Compliance Officer 2 observed that the resilient surface under the yellow slide was too compact to get a measurement.”

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

“During the inspection of the toddler playground area, Compliance Officer 1 observed the following: * An area on the rubber flooring had a seam that was detached and causing a tripping hazard. * The base of the blue slide is positioned to land on the cement bike path.”

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

“Compliance Officer 2 reviewed the medications and medication forms and found the following: * There was no medication form for the prescription medication for Child 10. * The medication form for Child 11 was not complete as it was missing the type of medication, the prescription number, the dosage and route of administration, the end date, and the time and frequency.”

AAC R9-5-509.C.18. C. A licensee shall ensure that:18. A staff member: a. Prepares a weekly menu at least one week in advance, b. Includes on the menu the specific foods to be served on each day, c. Dates each menu, d. Posts each menu at least one day before the first meal on the menu will be served, and e. Writes food substitutions on a posted menu no later than the morning of the day of meal service;

“Compliance Officer 1 reviewed the Bobcat Club snack menu and observed that it was not specific as it did not list the type off muffins or cereal to be served.”

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.

“During the inspection of the diaper changing areas in the one and two-year old classrooms, Compliance Officer 2 observed that both rooms were missing a soiled clothes container.”

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;

“* During the inspection of the diaper changing area in the one year-old room, Compliance Officer 2 observed that the diapering table was no longer positioned next to the hand washing sink and was at least three steps away. * During the inspection of the diaper changing area in the two year-old room, Compliance Officer 2 was told by the staff that the bathroom sink is used to wash hands after diapering.”

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;

“* During the inspection of the diaper changing area in the one year-old room, Compliance Officer 2 observed that a stack of cots were up against the diaper changing table. * During the inspection of the diaper changing area in the two year-old room, Compliance Officer 2 observed that there were items that were not related to diapering placed on the sink (two boxes of Ziploc bags, a clear plastic tub, a plastic clear bottle).”

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;

“During the inspection of the infant room, the staff acknowledged to Compliance Officer 2 that they did not have infant feeding instructions for Child 8 and Child 9.”

AAC R9-5-502.C.1.e. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: e. Maintains the documentation in subsection (C)(1)(d) on facility premises for 12 months after the date on the documentation;

“During the inspection of the infant room, Compliance Officer 2 requested to see the infant daily log sheets and was told that they are given to the parent and that the facility did not maintain copies.”

ARS § 36-883.02.A. A. Except as provided in subsection B of this section, child care personnel, including volunteers, shall submit the form prescribed in subsection C of this section to the employer and shall have valid fingerprint clearance cards issued pursuant to section 41-1758.07 before starting employment or volunteer work.

“Compliance Officer 2 reviewed the personnel file for Staff 1 and observed that her fingerprint clearance card was issued on 09/18/2024, which is dated after her starting date of employment of 08/27/2024.”

AAC R9-5-404.C.3. C. A licensee shall ensure that:3. When six or more enrolled children are present in a facility, an infant is not placed for supervision with a child who is not an infant.

“Compliance Officer 2 observed a 6 year old child present for care in the infant room. There were more than 6 children present for care at the facility on the day of the inspection.”

AAC R9-5-511.A. 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, crib mattress, 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; and 5. Each cot, mat, or crib is maintained in a clean and repaired condition.

“Compliance Officer 2 observed Child 2 napping in a baby swing.”

AAC R9-5-402.A. A. A licensee shall maintain a file for each staff member containing:1. The staff member’s name, date of birth, home address, and telephone number; 2. The staff member’s starting date of employment or volunteer service; 3. The staff member’s ending date of employment or volunteer service, if applicable; 4. The name and telephone number of an individual to be notified in case of an emergency; 5. The staff member’s written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis; 6. The form required in A.R.S. § 36-883.02(C); 7. Documents required by R9-5-203; 8. Documents required by R9-5-301; 9. Documents required by R9-5-401, if applicable; 10. If applicable: a. The form required in A.R.S. § 8-804(I), b. Documentation of the submission required in A.R.S. § 8-804 and the information received as a result of the submission, and c. Documentation of training provided by a licensee as required by R9-5-403, if applicable; 11. A copy of any current license or certification required by A.R.S. Title 36, Chapter 7.1, Article 1. or this Chapter; and 12. Documentation of the requirements in A.R.S. § 36-883.02(D).

“Per allegation and based on review of staff files, Compliance Officer 1 found that staff files were incomplete. Staff 1 was missing the phone number for the emergency contact, a TB test, good faith efforts to contact previous employers, and the 10 day training for new staff members. Staff 2 did not have a staff file and was missing the emergency contact, TB test, immunization statement, good faith efforts to contact previous employers, and the 10 day training for new staff members.”

AAC R9-5-502.C.4.h. C. A licensee shall ensure that:4. When feeding an infant, a staff member: h. If an infant is no longer being held for feeding, seats the infant in a feeding chair or at a table with a chair that allows the infant to reach the food while sitting.

“Compliance Officer 2 observed Child 1 in a bouncy seat with a sippy cup with formula.”

AAC R9-5-203.A. A. A licensee shall ensure that a staff member completes, signs, dates, and submits to the licensee, before the staff member’s starting date of employment or volunteer service:1. The form required in A.R.S. § 36-883.02(C); and 2. If required by A.R.S. § 8-804, the form in A.R.S. § 8-804(I).

“Compliance Officer 1 reviewed staff files and found that Staff 1, 2, and 3 did not have the Central Registry Background Check documentation. Staff 2 did not have the Criminal History Affidavit.”

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;

“Compliance Officer 2 observed that Child 3 was napping with their face covered with a blanket in the ones and twos classroom. One of the classroom teachers pulled the blanket down off of he face during the inspection.”

AAC R9-5-503.A.2.a. 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;

“Compliance Officer 1 measured the water temperature for the diaper changing sinks as follows: 64 °F in the infant room; 120°F in the 1 year old and 2 year old rooms.”

AAC R9-5-501.A.12. A. A licensee shall ensure that: 12. The facility premises, including the buildings, are maintained free from hazards;

“Compliance Officer 1 observed chipped/peeling paint on a wall in the two year old room.”

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

“Compliance Officer 1 observed that the surface on the outdoor activity area is raised in two corners, creating a tripping hazard.”