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AAC R9-5-501.B.9. B. 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 observation, the following diapering products lacked a label with the child's first and last name as required: Toddler 2 (Room 4): 3 wipes were labeled with the child's first name only and 1 wipe was labeled with the child's first name and last initial; Toddler 1 (Room 3): 1 wipe was labeled with the child's first name last initial; and Infant 1 (Room 1): 1 diaper cream labeled with the child's first name only.”

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

“Findings: Based on the Compliance Officer's observation, the following diaper changing sink temperatures were not maintained between 86° F and 110° F as required: Toddler 4 (Room 6): The diaper changing sink temperature was read at 82.5° F; Toddler 3 (Room 5): The diaper changing sink temperature was read at 79.1° F; ° Toddler 2 (Room 4): The diaper changing sink temperature was read at 78° F; Toddler 1 (Room 3): The diaper changing sink temperature was read at 77.7° F; Infant 2 (Room 2): The diaper changing sink temperature was read at 75.2° F; and Infant 1 (Room 1): The diaper changing sink temperature was read at 76.8° F.”

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, there was a bucket of water bottles located on the diaper changing surface in the Toddler 1 (Room 3) classroom.”

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 observation, the following areas were not maintained in a clean condition: Toddler 4 (Room 4): There was a buildup of brown/yellow grime around the piping behind the toilet seat; Preschool 1 (Room 7): There was soap pooling and dirt around the diaper changing sink, and there were brown smudges of dirt on the walls throughout the room and window sill; and Toddler 3 (Room 5) and Preschool 2 (Room 8): There were brown dirt smudges on the walls throughout the rooms.”

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

“Findings: Based on the Compliance Officer's observation, the grey star carpet in Toddler 4 (Room 6) and Preschool 1 (Room 7) had dark stains scattered throughout.”

AAC R9-5-516.A. A. A licensee shall ensure that a written statement is prepared and maintained on facility premises that specifies: 1. Whether prescription or nonprescription medications are administered to enrolled children; and 2. If prescription or nonprescription medications are administered, the requirements in subsection (B) for administering the prescription or nonprescription medications.

“Findings: Based on the Compliance Officer's observation, the medication for Child #10 lacked a medication authorization form.”

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: Based on the Compliance Officer's observation, 9 of 30 Emergency, Information, Immunization Record cards reviewed lacked the following: Child #1: The home address of the second parent of the child; and Child #2, Child #3, Child #6, and Child #7: The name, home address, email address, and telephone number of the second parent of the parent; Child #4: The name and contact telephone number of the child's health care provider; Child #5: The contact telephone number of the child's health care provider; Child #8: The home address of the second parent of the child, the name and contact telephone number of the second individual 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, and the name of the individual to be contacted in case of injury or sudden illness of the child; and Child #9: The name and contact telephone number of the second individual 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.”

AAC R9-5-404.C.3. C. A licensee shall ensure that when there are: 3. 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.

“Findings: Based on the Compliance Officer's observation, there were 2 walking one-year-olds in the Infant 2 (Room 2) classroom.”

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 observation, the medication authorization forms lacked the following: Child #11 and Child #12: The times and frequency of administration, the reason for the medication, and the route of administration; Child #13: The reason for the medication and the route of administration.”

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

“Findings: Based on the Compliance Officer's observation, the medication for Child #10 was dispensed as a two-pack, but the pack contained 1 of the 2 medications. The facility lacked written documentation from the health care provider to separate the medication.”

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 observation, the following hazards were accessible to enrolled children in the outdoor activity area: 1's Playground: *There was a splintering wood post protruding from the trunk along the east fence line; *The blue and grey climber lacked a side panel on the right side of the slide; 4's/5's Playground: *2 structure poles had flaking and chipped stucco, exposing the rough interior concrete and metal netting of the interior wall.; *There was a large divot in the turf, causing a tripping hazard.”

AAC R9-5-501.C.4. C. A licensee shall ensure that a staff member:4. Except as provided in subsection (D), prepares and posts in each indoor activity area, a current schedule of children’s age-appropriate activities, including the times the following are provided: a. Meals and snacks; b. Naps; c. Indoor activities; d. Outdoor or large muscle development activities; e. Quiet and active activities; f. Teacher-directed activities; g. Self-directed activities; h. Activities for individuals, groups of five or fewer children, and groups of six or more children; and i. Activities that develop small muscles;

“Findings: Based on the Compliance Officer's observation, the Preschool 2 and Kinder/School Age rooms lacked a posted schedule.”

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;

“Findings: Based on the Compliance Officer's observation, the Preschool 2 classroom lacked a posted lesson plan.”

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, the following personal products reviewed lacked a label with the child's first and last names required: Toddler 4: 2 wipes were labeled with the child's first name only; Toddler 3: 3 wipes were labeled with the child's first name only, and 1 wipe was labeled with the child's first name and last initial; and Toddler 1: 2 diaper creams were labeled with the child's first name only.”

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 following diaper changing areas were not maintained seamless and smooth or kept clear of items not required for diaper changing: Toddler 1: The caulking around the perimeter of the table was cracked and there was a roster and an iPad on the diaper changing table; and Toddler 4: The caulking around the perimeter of the table was cracked and there was a roster, pen, tablet, and a toy on the diaper changing table.”

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

“Findings: Based on the Compliance Officer's observation, the following was observed: Preschool 1: The paper towel dispenser was broken, staff stated they were using a paper towel roll that was located on a shelf; Toddler 3: The diaper changing sink temperature was 81.6° F and not between 86° F and 110° F as required; Toddler 2: The diaper changing sink temperature was 79.4° F and not between 86° F and 110° F as required; Infant 1: The diaper changing sink temperature was 80.2 and not between 86° F and 110° F as required; and Infant 2: The diaper changing sink temperature was 79.1° F and not between 86° F and 110° F as required.”

AAC R9-5-503.A.3. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and

“Findings: Based on the Compliance Officer's observation, the diaper changing container in the Preschool 1 and Toddler 2 rooms lacked a lid.”

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

“Findings: Based on the Compliance Officer’s observation, the soiled clothing container in the Toddler 4, Preschool 1, and Toddler 2 rooms lacked 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 observation, the ceiling vents of the toilet rooms in the Pre K 1 room and Kinder/School Age room had a build up of dust.”

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

“Findings: Based on the Compliance Officer's observation, the following hazards were accessible to enrolled children in the outdoor activity area: 1's Playground: *1 of 3 alligators on the alligator push toy was broken in half, exposing sharp wood edges; *The second alligator push toy had a 1 inch screw protruding out from the back and splintering wood on the base; *1 music bike was missing 1 of 4 wheels; Preschool Playground: *There was a 23" x 9" divot in the turf on the west side of the playground with an exposed bolt; and *The cover on the air vent on the south wall was detached, exposing sharp metal edging.”

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, the ratio in the Preschool 2 room was 1:15 with 3-year-olds present instead of 2:15 as required.”

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

“Findings: Based on the Compliance Officer's observation, the following hazards were accessible to enrolled children: Toddler 4: *2 of the air vent caps were opening, exposing the internal part of the air conditioner below the classroom window; and Kinder/School Age: *The light table was cracked and broken, exposing sharp plastic edging.”

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.

“Findings: Based on facility documentation and the Compliance Officer's observation, the files for Staff #1, Staff #2, and Staff #3 lacked verification documentation of the staff's fingerprint clearance card before the staff's starting date of employment: Staff #1 (DOE 5/12/25) and Staff #4 (DOE 3/25/24): The card was verified on the staff's starting date of employment; Staff #2 (DOE 2/24/25): The verification documentation lacked a date; and Staff #3 (DOE 5/19/25): The card was verified on 5/25/25, after the staff's starting date of employment.”

AAC R9-5-203.G. G. If 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, the background checks located in the files for Staff #1 (DOE 5/12/25), Staff #3 (DOE 5/19/25), and Staff #5 (DOE 4/20/24) were submitted on the staff's starting date of employment.”

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.

“Findings: Based on facility documentation and the Compliance Officer's observation, 9 of 50 Emergency, Information, Immunization Record cards reviewed lacked the following: Child #1: The child's date of enrollment; Child #2, Child #3, Child #4, and Child #9:: The child's home telephone number; Child #5: The name and contact telephone number of the second individual authorized by the child's parents to collect the child from the facility in case of emergency, or if the child's parents cannot be contacted; Child #6 and Child #7: The home address, city, state, zip code, and contact telephone number of the second parent of the child; Child #8: The back side of the card and a parent's signature.”

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

“Findings: Based on Compliance Officer #2's observation, it was determined that there was a wash cloth and 2 magic erasers on the diaper surface in Preschool 1 classroom.”

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

“Findings: Based on Compliance Officer #2’s observation, it was determined that the soiled clothing container in the Toddler 2 room lacked a liner.”

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

“Findings: Based on Compliance Officer #2's, it was determined that the diaper changing area in the Toddler 3 classroom lacked single-use paper towels from a dispenser.”

AAC R9-5-512.F. F. A licensee shall ensure that:1. Each toilet room in a facility contains, within easy reach of enrolled children: a. Mounted toilet tissue; and b. Except as provided in subsection (G): i. A sink with running water; ii. Soap contained in a dispenser; and iii. Disposable, single-use paper towels in a mounted dispenser, or a mechanical air hand dryer; 2. Staff members wash their hands with soap and running water after toileting; 3. An enrolled child’s hands are washed with soap and running water after toileting; 4. Except for a cup or receptacle used only for water, food waste is stored in a covered container and the container is clean and lined with a plastic bag; 5. Food waste and other refuse is removed from the facility building at least once every 24 hours or more often as necessary to maintain a clean condition and avoid odors; 6. A staff member or an enrolled child does not draw water for human consumption from a toilet room handwashing sink; 7. Toys, materials, and equipment are maintained in a clean condition; 8. Plumbing fixtures are maintained in a clean and working condition; and 9. Chipped or cracked sinks and toilets are replaced or repaired.

“Findings: Based on Compliance Officer #2's observation, it was determined that there were brown smudges and build up of dirt on the pink slide and 2 of the Little Tikes cozy coupe on the 1's/2's playground.”

AAC R9-5-514. C. C. A licensee shall:1. Prepare and date a written fire and emergency plan that contains: a. The location of the first aid kit; b. The names of staff members who have the first aid training required by R9-5-403(E); c. The names of staff members who have the CPR training required by R9-5-403(E); d. The directions for: i. Initiating verbal notification of an enrolled child’s parent by telephone or other equally expeditious means within 30 minutes of a fire or emergency; and ii. Providing written notification to the enrolled child’s parent within 24 hours; and e. The facility’s street address and the emergency telephone numbers for the local fire department, police department, ambulance service, and poison control center; 2. Maintain the plan required in subsection (C)(1) in a location on facility premises that has an operable telephone service or two-way voice communication system that connects the facility with an individual who has direct access to an in-and-out operable telephone service; 3. Post the plan required in subsection (C)(1) in any indoor activity area that does not have an operable telephone service or two-way voice communication system that connects the indoor activity area with an individual who has direct access to an in-and-out operable telephone services; and 4. Update the plan in subsection (C)(1) every 12 months after the date of initial preparation of the plan or when any information changes.

“Findings: Based on Compliance Officer #1's observation and review of facility documentation, it was determined that the evacuation plan was last updated on 1/11/2023.”

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 Compliance Officer #1's observation and review of facility documentation, it was determined that Child #1 and Child #2 lacked the prescription number on the medication consent form. Additionally, Child #3 lacked a medication consent form.”

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

“Findings: Based on Compliance Officer #1's observation and review of facility documentation, it was determined that the prescription medication for Child #1 was inconsistent with the instructions on the prescription's medication label. There was only one 1 of 2 prescribed units in the box, and the facility had not received written authorization to separate the units from the child's health care provider. Additionally, the medication for Child #2 was not in the original container as dispensed by the pharmacy.”

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

“Findings: Based on Compliance Officer #2's observation, it was determined that there was exposed drywall near the exit door in the Toddler 2 classroom.”

AAC R9-5-605.B.6. B. A licensee shall ensure that: 6. Except for a room used only for an enrolled school-age child, each unused electrical outlet is covered with a safety plug cover or insert;

“Findings: Based on Compliance Officer #2's observation, it was determined that the outlets lacked safety covers in the following classrooms: *There were 2 uncovered outlets on a power strip in the Infant 1 and Infant 2 classroom. *There were 6 uncovered outlets on the wall in the Toddler 1 classroom. *There were 2 uncovered outlets in the lunch classroom.”

AAC R9-5-605.B.9. B. A licensee shall ensure that: 9. Fans are mounted and inaccessible to an enrolled child;

“Findings: Based on Compliance Officer #2’s observation, it was determined that there was a fan on a shelf that was not mounted in the Infant 2 classroom.”

AAC R9-5-403.A. A. Within 10 calendar days of the starting date of employment or volunteer service, a licensee shall provide, and each staff member who provides child care services shall complete, training for new staff members that includes all of the following:1. Facility philosophy and goals; 2. Names and ages of and developmental expectations for enrolled children for whom the staff member will provide child care services; 3. Health needs, nutritional requirements, any known allergies, and information about adaptive devices of enrolled children for whom the staff member will provide child care services; 4. Lesson plans; 5. Child guidance and methods of discipline; 6. Hand washing techniques; 7. Diapering techniques and toileting, if assigned to diaper changing duties; 8. Food preparation, service, sanitation, and storage, if assigned to food preparation; 9. If a staff member is assigned to feeding infants, the preparation, handling, and storage of infant formula and breast milk; 10. Recognition of signs of illness and infestation; 11. Child abuse or neglect detection, prevention, and reporting; 12. Accident and emergency procedures; 13. Staff responsibilities as required by A.R.S. Title 36, Chapter 7.1, Article 1 and this Chapter; 14. Sun safety policies and procedures; 15. Safety in outdoor activity areas; 16. Transportation procedures, if applicable; and 17. Field trip procedures, if applicable.

“Findings: Based on Compliance Officer #1's observation and review of facility documentation, it was determined that the new staff training for Staff #1 was not completed within 10 days of the starting date of employment. Staff #1 started employment on 2/25/2024 but the new hire training was signed on 4/8/2024.”

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 Compliance Officer #1's observation and review of facility documentation, it was determined that the following staff lacked the 18 hours of annual training: *Staff #2 (start date: 11/28/2022): Lacked 12 of the 18 hours of required training for the time frame11/28/2022-11/28/2023. *Staff #3 (start date: 12/29/2021): Lacked 13 of the 18 hours of required training for the time frame 12/29/2022-12/29/2023.”

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

“Findings: Based on Compliance Officer #2's observation, it was determined that the Stucco was chipped along the east wall of the 2's playground. Additionally, the stucco was chipped on the side of the drinking fountain and there was build up of rust below the drinking fountain on the Pre-K playground.”

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 facility documentation and Compliance Officer #2’s observation, in the Infant 2 room, the roster indicated 10 children , when 11 children were present in the activity area.”

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 Officers' observations, in the Toddler 4 classroom, there were 2 wash cloths on the diaper changing surface.”

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 the Compliance Officers' observations, in the Toddler 4 classroom, there was a water bottle in the diaper changing area.”

AAC R9-5-501.A.3. A. A licensee shall ensure that: 3. For an enrolled school-age child, if drinking water is not accessible in an indoor or outdoor activity area, drinking water sufficient to meet the individual needs of each enrolled school-aged child is available;

“Findings: Based on the Compliance Officers' observations, there were 7 children with red and flushed faces while in the outdoor activity area, the Toddler 1 classroom lacked water accessible to children.”

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.

“Findings: Based on the Compliance Officers' observations, there was a non-walking infant, placed with older walking 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 Officers' observations, in the Infant 1 room, there was a long pink, soft ,stuffed snake in the tummy time area. Based on staff statements, the snake is used to prop infants during tummy time.”