Busy Bees Arizona El Mirage

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 a review of facility documentation and the Compliance Officer's observations, 3 of 20 Emergency, Information, and Immunization Records reviewed lacked the following required information: *Child #1 and Child #3- The contact telephone number of the child’s health care provider. *Child #2- The name and contact telephone number of the child’s health care provider.”

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 observations, in the 1's room, the staff-to-child ratio was 1:7 at the time of the inspection, with a required ratio of 2:7.”

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 a review of facility documentation and the Compliance Officer's observations, in the 1's room, the roster did not accurately reflect the presence of enrolled children. There were 6 enrolled children marked on the roster, but 7 enrolled children were present.”

AAC R9-5-308.A. A. A licensee shall secure and maintain the following minimum insurance coverage: 1. General facility liability insurance of at least $300,000; and 2. Motor vehicle insurance coverage, required by A.R.S. Title 28, Chapter 9, Article 4, for each motor vehicle provided by a licensee to transport enrolled children.

“Findings: Based on the Compliance Officer's observations, the current general liability insurance was not available for review.”

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 a review of facility documentation and the Compliance Officer's observations, a current violation-free fire inspection report was not available for review. The fire inspection provided contained violations.”

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 observations, the medications for Child #4 and Child #5 lacked a medication consent form.”

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, in Preschool 2, the staff-to-child ratios were not maintained. The ratio was 1:18 instead of the required 2:18 for 3-year-old 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, the health, safety, or welfare of an enrolled child was placed at risk of harm when two enrolled children's heads were covered with a blanket during naptime.”

AAC R9-5-510.B.3. B. A licensee shall ensure that a staff member does not use or permit: 3. Abusive, profane, sarcastic language, verbal abuse, threats, or derogatory remarks about the child or child’s family;

“Findings: Based on the Compliance Officer's observation, a staff member was heard aggressively yelling multiple times at enrolled children. The Compliance Officer heard a staff member aggressively yell, "Sit down and knock it off."”

AAC R9-5-510.B.2. B. A licensee shall ensure that a staff member does not use or permit: 2. Any form of emotional abuse, including rejecting, extended ignoring, public or private humiliation;

“Findings: Per allegation: Based on staff statements and the Compliance Officer's observation, a form of emotional abuse was used by a staff member. Staff stated: You are too big to be pooping on yourself. Ugh, I have to change them.”

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.

“Findings: Based on the COs’ observations, there were several torn sleeping mats with exposed foam located in each classroom.”

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 CO’s observation, in the PreK 2 (4s) toilet room, there were brown smears on the toilet seat. In the PreK playground toilet room, there was unflushed urine in the toilet.”

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 the CO's observation, on the Young Playground, there was a sensory table and several toys with dark smudges and built-up grime. On the PreK Playground, there was food waste located in a trash receptacle that lacked a lid.”

AAC R9-5-516.B.3. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child’s parent or health care provider that includes the: a. Name of the enrolled child; b. Type of the medication; c. Prescription number, if any; d. Instructions for administration specifying the: i. Dosage and route of administration; ii. If indicated, starting and ending dates of the dosage period; and iii. Times and frequency of administration; e. Reason for the medication; and f. Date of authorization; and

“Findings: Based on facility documentation and the CO’s observation, the written authorization for Child #9’s medication lacked the end date of the dosage period and the time and frequency of administration.”

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.

“Findings: Based on facility documentation and the CO’s observation, Staff #1 (DOE 4/7/2025) lacked a Criminal History Affidavit.”

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

“Findings: Based on the CO’s observation, the following outdoor activity areas were not maintained free from hazards: Toddler Playground (East): *There was cracked plastic with exposed sharp edges located on the green bin and 1 trike seat. *There were exposed sharp edges and a protruding post located on the plastic tree base. Toddler Playground (South) *There were exposed sharp edges and a protruding post located on the plastic tree base. Young Playground: *There was exposed splintery wood located on the table. *There was sharp wood located on the white gate. PreK Playground: *There was a red trike with exposed splintery wood located on the trike step. *There was a yellow trike with one missing pedal and a yellow trike with two missing pedals. *There was a double yellow trike with one missing pedal and a double yellow trike with two missing pedals.”

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 CO’s observation, the outdoor activity area lacked the following resilient surfacing: Toddler Playground (East) *2 of the required 6 inches of sand in the fall zone of the blue straight slide *5 of the required 6 inches of sand in the fall zone of the blue curved slide Toddler Playground (South) *2 of the required 6 inches of sand in the fall zone of the blue straight slide *6 of the required 6 inches of sand in the fall zone of the blue curved slide PreK Playground *2 of the required 6 inches of sand in the fall zone of the red slide”

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

“Findings: Based on facility documentation and the CO’s observation, in the Infant 1 room, 2 of 6 dietary instructions reviewed lacked a schedule documenting when and how much to feed the infant. In the Infant 2 room, 2 of 4 dietary instructions reviewed lacked the specific puréed food approved to feed the infant.”

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 (CO’s) observation, the files for Staff #1 (DOE 4/7/2025) and Staff #2 (DOE 4/7/2025) lacked documentation that DPS was contacted to validate the fingerprint clearance card before their starting date of employment.”

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 CO’s observation, in the Tod 4 (2s), Tod 5 (2s), and Tod 6 (2s) classrooms, there were containers of diaper wipes that were labeled with 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 CO’s observation, the following diaper changing surfaces were not seamless and smooth: *Tod 5 (2s): There was an unsealed seam where the ledge and diaper surface meet. *PS1 (3s): There was an unsealed seam around the diaper changing sink. *PS2 (3s): There was exposed raw wood (piece of trim missing) on the edge of the diaper surface.”

AAC R9-5-504.3. A licensee providing child care services for 1-year-old and 2-year-old children shall:3. Ensure that each activity area has a supply of age-appropriate toys, materials, and equipment that are too large for a child to swallow and free from sharp edges and points, in a quantity sufficient to meet the needs of the enrolled children in attendance including: a. Art supplies; b. Books; c. Rubber or soft plastic balls; d. Puzzles and toys to enhance manipulative skills; e. Blocks; f. Washable soft toys and dolls; g. Musical instruments; and h. Indoor and outdoor equipment to enhance large muscle development;

“Findings: Based on the CO's observation, the Tod 5 (2s) classroom, lacked books to meet the needs of the enrolled children in attendance.”

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

“Findings: Based on the CO’s observation, in the Tod 4 (2s), Tod 6 (2s), and PS2 (3s) toilet rooms, there were uncovered bolts protruding upward from the base of toilet.”

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 CO’s observation, in the PreK playground toilet room, there was a plunger on the floor next to the toilet and unraveled garden hoses under the sink accessible to enrolled children.”

AAC R9-5-505. A licensee providing child care services for 3-year-old, 4-year-old, and 5-year-old children shall provide a supply of age appropriate toys, materials, and equipment accessible to enrolled children in each activity area in a quantity sufficient to meet the needs of the enrolled children in attendance including:1. Art supplies, 2. Blocks, 3. Books and posters, 4. Toys and dress-up clothes, 5. Indoor and outdoor equipment to enhance large muscle development, 6. Puzzles and toys to enhance manipulative and categorization skills, 7. Science materials, and 8. Musical instruments.

“Findings: Based on the CO's observation, the PS2 (3s) classroom, lacked a sufficient number of books: 2 books available with 14 children present.”

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 CO’s observation, on the PreK and Young Playgrounds, there were used cups and pieces of paper located on the ground. In the PreK Playground toilet room, there was a pungent urine odor. In the PreK (4s) classroom, there was built-up grime located on the trash can lid.”

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

“Findings: Based on facility documentation and the CO’s observation, 8 out of 15 attendance records lacked the following information: *Child #1, Child #2, and Child #3: An admission and release signature (initials only) for 4/7/2025-4/11/2025. *Child #4 and Child #5: An admission and release signature (squiggle line only) for 4/7/2025-4/11/2025. *Child #6, Child #7, and Child #8: A release time and signature for 4/7/2025-4/11/2025.”

AAC R9-5-510.B.1. B. A licensee shall ensure that a staff member does not use or permit: 1. A method of discipline that could cause harm to the health, safety, or welfare of an enrolled child;

“Findings: Per allegation and based on staff statements, video footage, and the Compliance Officers' observations, in the Preschool 2 classroom, Staff #1 used a form of discipline that could cause harm to an enrolled child when they aggressively grabbed an enrolled child by the arms above the wrist, drug them while Staff #1's arms were at chest level to their sleeping mat and tossed the child onto a 1-inch mat, then tossed the child's blanket over their face and body. Staff Statements: *When we observed the video footage, we saw Staff #1 grab a child by both wrists and drag them on the mat, flop them down, and throw a blanket on the child's face. *We reviewed the video footage and saw Staff #1 grab the child with both hands and pull and drop them on the mat. The child's upper body was off the floor. Video Footage: *Staff #1 aggressively grabbed the child at the wrists and was dragging the child at the staffs chest level, they dragged the legs and feet of the child, with the child's chest off the ground and tossed the child onto a 1-inch mat to the ground, and threw the blanket over the child's face.”

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

“Findings: Based on staff statements and the Compliance Officers' observations, it was determined that the facility failed to report to the Department suspected or alleged cases of child abuse or neglect. Staff stated: *I did not call your department to report, I was unaware of that rule.”

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: Per allegation and based on staff statements, video footage, and the Compliance Officers' observations, the health, safety, and welfare of an enrolled child was placed at risk of harm when in the Preschool 2 classroom, Staff #1 aggressively grabbed an enrolled child by the arms above the wrist, drug them while Staff #1's arms were at chest level to their sleeping mat and tossed the child onto a 1-inch mat, then tossed the child's blanket over their face and body. Staff Statements: *It was reported to me that Staff #1 threw a kid onto the mat, and then tossed a blanket over the child's head. *When we observed the video footage, we saw Staff #1 grab a child by both wrists and drag them on the mat, flop them down, and throw a blanket on the child's face. *It was reported to me that Staff #1 was being aggressive and grabbed a child. Video Footage: **Staff #1 aggressively grabbed the child at the wrists and was dragging the child at the staffs chest level, the staff dragged the legs and feet of the child, with the child's chest off the ground and tossed the child onto a 1-inch mat to the ground, and threw the blanket over the child's face. In the Toddler 2 classroom, enrolled children were placed at risk of harm when 3 children were sleeping with blankets covering their faces and staff were not able to observe the sleeping children’s faces.”

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 Compliance Officer's observation and review of facility documentation, the activity schedules were not posted in the Toddler 3, Toddler 5 and the Toddler 6 classrooms.”

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 Compliance Officer's observation and review of facility documentation, the lesson plans were not posted the Toddler 2. Toddler 3, Toddler 5 and Toddler 6 classrooms.”

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's observation, the soiled clothing container in the Toddler 1 classroom's diaper changing area lacked a liner.”

AAC R9-5-503.D. D. A licensee shall ensure that a written diaper changing procedure is posted and implemented in each diaper changing area.

“Findings: Based on Compliance Officer's observation and review of facility documentation, the Toddler 6 classroom's diaper changing area lacked posted diaper changing procedures.”

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.

“Findings: Based on Compliance Officer's observation, the nap mats were torn and not repaired in both the Toddler 5 and Toddler 6 classrooms.”

AAC R9-5-512.D. D. A licensee shall ensure that toilet bowls, lavatory fixtures, and floors in toilet rooms and kitchens are cleaned and sanitized as often as necessary to maintain them in a clean and sanitized condition or at least once every 24 hours.

“Findings: Based on Compliance Officer's observation, the toilet bowl in Toddler 5 classroom was stained with dark mold.”

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's observation, there were paper towel dispensers not attached in the restrooms of the Toddler 5 and Preschool 3 classrooms, and toilet paper not mounted in the restroom of the Toddler 5 restroom.”

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's observation and review of facility documentation, the Accident/Emergency plans were not updated the Toddler 4, Preschool 3 and PreK 2 classrooms. The last update on the plans were documented as 6/2022.”

AAC R9-5-514. D. D. 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: Based on Compliance Officer's observation and review of facility documentation, the evacuation maps were not posted near the designated exits in the Infants, Toddler 2, Toddler 5 and PreK 2 classrooms.”

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's observation, there was chipped and flaking paint on the wooden gate on the PreK playground and there was rusted sharp metal on the metal gate near the Toddler's playground.”

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's observation, the cabinet door to the diaper bin was not attached in the Toddler 5 classroom. Additionally, the baseboard in the restroom of Preschool 1 classroom was missing, exposing the untreated drywall underneath the baseboard.”

AAC R9-5-501.A.18. A. A licensee shall ensure that:18. Each enrolled child’s pacifier is labeled with an identifier that is specific to the enrolled child and maintained in a clean condition;

“Findings: Based on Compliance Officer's observation, a child in the Infant 1 classroom had a pacifier that lacked an identifier.”