Busy Bees Arizona North Phoenix

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

“Findings: Based on the Compliance Officers' observations and a review of 7 staff files, Staff #1's (DOE 4.14.2025) file lacked a copy of the DCS Background Check submission results.”

AAC R9-5-515.B. B. If an enrolled child exhibits signs of illness or infestation at a facility, a licensee shall ensure that a staff member: 1. Immediately separates the enrolled child from other enrolled children, 2. Immediately notifies the enrolled child’s parent by telephone or other expeditious means to arrange for the enrolled child’s removal from the facility, and 3. Maintains documentation of the notification on facility premises for 12 months after the date of the notification.

“Findings: Based on the Compliance Officers' observations, facility documentation, and staff statement, it was determined that the Illness log lacked documentation of the time, the method, and staff initials of when the children's parents were notified. Staff stated it had been about a month since they sent a child home sick.”

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 Officers' observations, the following was not maintained in a clean and sanitized condition: *Preschool 3 (3s), Pre-K1 (3/4s), and Pre-K2 (4/5s) toilet rooms: There was a thick layer of a fluffy, brown substance on the ceiling vents. *Pre-K1 (3/4s): The air filter had a buildup of a fluffy, brown substance.”

AAC R9-5-509.C.17. C. A licensee shall ensure that: 17. 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;

“Findings: Based on the Compliance Officers' observations and facility documentation, the menu dated 9/29/2025-10/3/2025, lacked specifics for the following items: *Yogurt; *Sliced cheese and; *Cheerios.”

AAC R9-5-503.E.2. E. A licensee shall ensure that in an activity area with a diaper changing area: 2. A staff member: a. Documents each diaper change with the date and time, for an: i. Infant, in the infant’s dated, daily, documentation required in R9-5-502(C)(1)(d); or ii. Enrolled child who is not an infant, in a dated diaper changing log; b. Maintains the diaper changing log on facility premises for 12 months after the date of the diaper changing log; c. Empties clothing soiled with feces into a flush toilet without rinsing; d. Places an enrolled child’s clothing soiled by feces or urine in a plastic bag labeled with the enrolled child’s name, stores the clothing in a container used for this purpose, and sends the clothing home with the enrolled child’s parent; and e. Removes disposable diapers and disposable training pants from a diaper changing area as needed or at least twice every 24 hours to a waste receptacle outside the facility building.

“Findings: Based on the Compliance Officers' observations, in Toddler 5 (2s) room, there were 2 plastic bags with enrolled children's soiled clothing placed on top of the soiled clothing container and not stored in the soiled clothing container as required.”

AAC R9-5-503.A.3.4. 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 4. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled clothing.

“Findings: Based on the Compliance Officers' observations, in the Preschool 1 room (3s), the diaper changing soiled clothing container lacked a liner as required.”

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 Officers' observations, the water temperature of the following hand washing sinks was not between 86° F and 110° F as required: *Toddler 1 (1s): 83.5° F *Toddler 2 (1s): 83.6° F *Toddler 3 (1s): 84.1° F *Toddler 4 (2s): 84.2° F *Toddler 5 (2s): 85.2° F *Preschool 1 (3s): 85.3° F”

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 observations, the following hazards were accessible to enrolled children: *Toddler 1 (1s) toilet room: The left toilet tank lid was broken and chipped on the right side. *Toddler 3 (1s) toilet room: The right toilet seat was loose, moving easily when light pressure was applied. *Toddler 3 (1s): There was a 2” x 3” hole on the outside of the toilet room door. *Preschool 1 (3s) toilet room: The right toilet tank lid was loose/unsecured and did not fit the tank properly. *Preschool 3 (3s) toilet room: The toilet tank lid was loose/unsecured and did not fit the tank properly.”

AAC R9-5-306.A. A. A licensee shall: 1. Maintain a dated attendance form containing an enrolled child’s name with the time of each admission and release, and the parent or staff member's signature or other unique identifier. 2. If an electronic signature is used to admit or release the enrolled child, 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; 3. 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. 4. 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. 5. 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. 6. Maintain the attendance form on facility premises for 12 months after the date of attendance.

“Findings: Based on Compliance Officers' observations and facility documentation, 3 of 15 enrolled children's attendance forms lacked the following information: *Child #5: A release time and signature on 9/26/2025. *Child #6: A release time and signature on 9/9/2025 and an admission time and signature on 9/10/2025. *Child #7: A release time and signature on 9/10/2025.”

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 Officers' observations and facility documentation, it was determined that 4 out of 25 enrolled children's Emergency, Information, and Immunization Records, lacked the following required information: *Child #1 and Child #4: The telephone number for the child's second parent. *Child #2: The name, telephone number, and address for the child's second parent. *Child #3: The address for the child's second parent.”

AAC R9-5-302. A licensee shall prepare a written statement of child care services provided by the licensee that includes the following: 1. A description of the facility’s child care services classifications in R9-5-204; 2. Hours of operation; 3. The facility’s street address, city, state, zip code, mailing address, and telephone number; 4. Child enrollment and disenrollment procedures; 5. Charges, fees, and payment requirements for child care services; 6. Child admission and release requirements; 7. Guidelines for positive discipline reflective of age-appropriate methods for children that include clear, appropriate, consistent expectations; 8. Transportation procedures; 9. Field trip requirements and procedures; 10. Responsibilities and participation of parents in facility activities; 11. A general description of activities and programs; 12. A description of the liability insurance required by R9-5-308 that is carried by the licensee and a statement that documentation of the liability insurance coverage is available for review on the facility premises; 13. Medication administration procedures; 14. Accident and emergency procedures; 15. A notice stating inspection reports are available on-site; 16. A provision stating that the facility is regulated by the Arizona Department of Health Services including the Department’s local street address, city, state, zip code, and local telephone number; 17. The procedures for notifying a parent at least 48 hours before a pesticide is applied on a facility’s premises; 18. A statement that a parent has access to the areas on facility premises where the parent’s enrolled child is receiving child care services; and 19. Policies and procedures for suspension and expulsion of children to include clear, appropriate, consistent expectations, including suspension and expulsion prevention strategies.

“Findings: Based on the Compliance Officers' observations and facility documentation, the facility's Statement of Services lacked a description of the liability insurance that is carried by the licensee and a statement that documentation of the liability insurance coverage is available for review on the facility premises. *Previously cited 10/2/2024”

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 Officers' observations, the following hazards were accessible to enrolled children in the outdoor activity areas: *1s Playground: There was a slide with a large crack in the bottom, and a broken/cracked activity bin. *2s Playground: Concrete footings were exposed. *3s Playground: The wood lining the North chain link fence was dry-rotted and rough to the touch. *4s-5s Playground: The stucco on the West wall had patches of peeling paint that were easily pliable and flaked off, and the climbing structure had a broken plastic window with sharp edges exposed.”

AAC R9-5-512.F.8.9. F. A licensee shall ensure that: 8. Plumbing fixtures are maintained in a clean and working condition; and 9. Chipped or cracked sinks and toilets are replaced or repaired.

“Findings: Based on the Compliance Officers' observations, in the Toddler 1 (1s) room, the diaper sink pipe was leaking and dripped into the cabinet below.”

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 the Compliance Officers' observations, on the 2’s playground, there were 2 uncovered outlets on the bottom of the East wall, to the left of the toilet room door.”

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 Officers' observations of the outdoor activity areas, the following hazards were accessible to enrolled children: 1’s Playground: There were 2 unsecured Little Tikes structures in the wood chips. 2’s Playground: There was exposed concrete footing protruding from the wood chips, and peeling chunks of paint on the west wall. 4’s Playground: *1 of 4 wooden legs was loose and unsecured to a table. *There was broken plastic with sharp edges on the irrigation lid on the ground. *There were 7 exposed bolts near the wooden border protruding up through the wood chips.”

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 Officers' observations, the following was not maintained in a clean condition: 3’s playground toilet room: There were paper towels stored on a shelf. 2’s playground toilet room: There was a thick layer of dust on the ceiling vent.”

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

“Findings: Based on the Compliance Officers' observations, the following was observed: 2’s playground toilet room: There was liquid on the floor. 3’s playground toilet room: There were brown smears/ build up on the toilet, and there was a dirt build-up on the sink counter.”

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 Compliance Officers' observations, the following was observed: Toilet room Toddler 2 (1s): The lid on 1 of 2 toilets was chipped, exposing a 1 inch hole. 2’s toilet room: The toilet was inoperable.”

AAC R9-5-302. A. A licensee shall prepare a written statement of child care services provided by the licensee that includes the following:1. A description of the facility’s child care services classifications in R9-5-204; 2. Hours of operation; 3. The facility’s street address, city, state, zip code, mailing address, and telephone number; 4. Child enrollment and disenrollment procedures; 5. Charges, fees, and payment requirements for child care services; 6. Child admission and release requirements; 7. Age-appropriate discipline guidelines and methods; 8. Transportation procedures; 9. Field trip requirements and procedures; 10. Responsibilities and participation of parents in facility activities; 11. A general description of activities and programs; 12. A description of the liability insurance required by R9-5-308 that is carried by the licensee and a statement that documentation of the liability insurance coverage is available for review on the facility premises; 13. Medication administration procedures; 14. Accident and emergency procedures; 15. A notice stating inspection reports are available on-site; 16. A provision stating that the facility is regulated by the Arizona Department of Health Services including the Department’s local street address, city, state, zip code, and local telephone number; 17. The procedures for notifying a parent at least 48 hours before a pesticide is applied on a facility’s premises; and 18. A statement that a parent has access to the areas on facility premises where the parent’s enrolled child is receiving child care services. B. A licensee shall provide a copy of the written statement of child care services: 1. To the Department: a. Before the facility receives a license, and b. Every 12 months after the date of the license as required by A.R.S. § 36-883.01; and 2. To a parent when the parent requests a copy of the written statement of child care services.

“Findings: Based on facility documentation and Compliance Officers' observations, the statement of services lacked the following information: 1.Transportation procedures; 2.Field trip requirements and procedures; 3.A description of the liability insurance required by R9-5-308 that is carried by the licensee and a statement that documentation of the liability insurance coverage is available for review on the facility premises; 4. The procedures for notifying a parent at least 48 hours before a pesticide is applied on a facility’s premises; 5.The facility’s street address, city, state, zip code, mailing address, and telephone number; and 6.A provision stating that the facility is regulated by the Arizona Department of Health Services including the Department's local street address, city, state, zip code, and local telephone number.”

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

“Findings: Based on facility documentation and the Compliance Officers' observations, the Licensee lacked documentation of a violation-free fire inspection report.”

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 Officers' observations, the following hazards were accessible to enrolled children: Toddler Room 3 (2s): There was a 2x1 inch in hole in the toilet room door. Toddler room 4 (2s): There was a 1 inch gap in the door frame on the bottom of the exit door, and the bottom of the toilet room door was warped. Preschool 3 toilet room: *There was a hole in the wall next to the left toilet. *There were exposed bolts at the base of the toilets. *The right toilet lid was to small for the tank and was unsecured to the tank on the right side. School-age room: *There was a 1 inch x 1/4 inch chunk of missing laminate on the corner of the table by the entry door. Preschool 1 (3/4s): There were areas of exposed drywall on the West wall.”

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 Officers' observations, the following diaper changing areas were not seamless and smooth, and clear of unrelated items: Toddler room 2 (1s): There were several paint brushes located in the diapering sink. Toddler 5 (2s): There was rust and green calcium deposits on the nozzle of the diapering sink.”

AAC R9-5-509.A. A. A licensee that prepares food for enrolled children on facility premises shall, if required by 9 A.A.C. 8, Article 1, andthe local ordinances of the local health department where the facility is located, obtain a food establishment permit issued under 9 A.A.C. 8, Article 1, and: 1. Provide the Department with a copy of the facility’s food establishment permit before the Department issues a license to the facility, 2. Maintain the facility’s current food establishment permit on the facility’s premises, and 3 Provide a copy of the facility’s current food establishment permit to the Department upon request.

“Findings: Based on facility documentation, the Licensee lacked a current food establishment permit. The permit expired 1.31.2025.”

AAC R9-5-603.E. E. A licensee shall ensure that the following is provided and maintained within the fall zones of swings and climbing equipment in an outdoor activity area:1. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; or 2. A minimum depth of 6 inches of a non-hazardous, resilient material such as fine loose sand or wood chips.

“Findings: Based on the Compliance Officers' observations, playgrounds lacked the following resilient surfacing: 1’s Playground: * There were hard-packed wood chips in the fall zones of 1 Little Tikes climber. * 4” of the required 6” of resilient surfacing (wood chips) in the fall zones of 1 Little Tikes climber. *5” of wood chips in the fall zones of the red tree steps. 2’s Playground: * 3"- 4” of wood chips in the fall zones of 2 climbing structures. * 4” of wood chips in the fall zones of the red and brown slide. *5” of wood chips in the fall zones of the blue slide. 4’s Playground; The wood chips were hard packed in the fall zones of 4 yellow swings.”

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, the following diaper changing areas were not seamless and smooth: Infant 1: There was white debris on the top left of the diaper surface. Toddler 2 (1s): There was a gap between the ledge and the diaper surface. Toddler 5 (2s/3s): There was a 1/4” gap between the ledge and the diaper surface. Preschool 1 (3s): There was a 1/4” gap on the right side of the diaper surface near the sink. Toddler 3 (2s): There was brown debris build-up on the top right corner of the diaper surface. ***Previously cited 11/2/2022 and 10/11/2023.”

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 Officers' observations, in Toddler 1 room (1s), the soiled diaper container lid was open and there were soiled diapers in the container. ***Previously cited 11/14/2021 and 11/2/2022.”

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 Compliance Officers' observations, the following rooms had mats with torn vinyl and exposed foam at the seams: Toddler 3 (2s): 1 blue mat. Preschool 3 (3s): 1 blue mat. PreK 2 (4s): 10 blue mats. ***Previously cited 10/11/2023.”

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 Officers' observations, the following was not maintained in a clean condition: Toddler 3 (2s): There was a dirty red stool with discolored smears. Toddler 2 (1s): There was a dirty red stool with discolored smears. Toddler 5 (2s/3s): *There was a sticky residue on the cube climber near the front right side of the room. *There was a white shelf missing laminate in multiple areas, with exposed raw wood. *There was rust and green calcium deposits on the diaper sink nozzle. ***Previously cited 11/2/2022 and 10/11/2023.”

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

“Findings: Based on the Compliance Officers' observations, the following was observed: Toddler 2 toilet room (1s): There was a brown substance around the bolt on the bottom of the right toilet. PreK 2 toilet room (4s): There was debris on the floor behind the left toilet. 3’s playground toilet room: There was a fluffy brown substance on the ceiling vent. *There was discolored caulking around the edges of the counter. 4’s playground toilet room: * There was cracked caulking at the base of the sink. * The left toilet base was dirty with brown discolored stains. *There was a dirty ceiling vent with a thick layer of a brown fluffy substance. Toddler 3 toilet room (2s): *There was a dirty ceiling vent with a thick layer of a brown fluffy substance. *There was a yellow substance on the base of the toilet. PreK 2 toilet room (4s):There were black stains in the toilet. PreK 1 toilet room (4s): There were black smears in the toilet. ***Previously cited 11/24/2021 and 11/2/2022.”

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 Compliance Officers' observations, the following was observed: Toddler 2 toilet room (1s): There was a nicked toilet tank lid. Toddler 3 toilet room (2s): *The left sink was inoperable. *There was cracked caulking on the left side of the counter. Toddler 3 toilet room (2s): The left toilet lacked mounted toilet tissue. Preschool 1 (3s): The lid on the food waste container was dirty with discolored smears. Preschool 3 toilet room (3s): The lid on the right toilet did not fit the tank and was loose. 4’s playground toilet room: The toilet was inoperable and started to overflow when it was flushed. ***Previously cited 11/24/2021.”

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 #2's observations, the following medication forms were lacking the following information: Child #7: The ending date to administer the medication. Child #8: Starting and ending dates, prescription number, and the times to administer the medication. The written medication for a second medication.”

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 Officers' observations, the following children's personal products lacked a label of the child's first and last name as required: Toddler 2 (1s): There were 2 unlabeled diaper creams, and 1 diaper cream labeled with a child's first name and last initial only. Toddler 1 (1s): There was an unlabeled diaper cream, and 1 diaper cream labeled with a child’s first name only.”

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 #2's observation, the prescription medication for Child #8 was in a red bag and not in a container dispensed by a pharmacy, and lacked the prescription label.”

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 Officers' observations of 4 outdoor activity areas, the following hazards were accessible to enrolled children: 2’s playground: *There were sharp edges on the broken piece of the planter. * There was exposed concrete footing protruding up in the wood chips. * There were peeling chunks of paint on the west wall. * There was splintered wood on a toy shelf. 4’s playground: * 2 of 4 wooden legs on a table were unsecured to the table and the table wobbled when touched. * There was peeling black plastic on the swing chains. * There was broken plastic with sharp edges on the irrigation lid on the ground. * 1 yellow tricycle was missing a pedal. 3’s playground: * There was broken and hard peeling material on 2 swings. * 1 tricycle was missing a pedal. * 1 tricycle was missing both handlebars and 2 tires were peeling. 1’s playground: * There were 2 unsecured Little Tikes climbers in the wood chips. * There was a rug with curled up edges on top of the wood chips. ***Previously cited 10/11/2023.”

AAC R9-5-603.E. E. A licensee shall ensure that the following is provided and maintained within the fall zones of swings and climbing equipment in an outdoor activity area:1. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; or 2. A minimum depth of 6 inches of a non-hazardous, resilient material such as fine loose sand or wood chips.

“Findings: Based on the Compliance Officers' observations of 4 outdoor activity areas, the following was observed: 2’s playground lacked: * 4” of the required 6” of resilient surface (wood chips) in the fall zones of the Little Tikes green slide, Little Tikes blue slide, and red slide. 4’s playground lacked: * 4” of the required 6” of resilient surface (wood chips) in the fall zones of the short blue climber and 3 swings. * 5” of 6” of wood chips at the end of the straight blue slide. 1’s playground lacked: *6” of 6” of wood chips at the bottom of 2 red slides. There was dirt at the end of the slides. ***Previously cited 11/24/2021 and 10/11/2023.”

ARS § 36-883.02.C. C. Applicants, licensees and child care personnel shall attest on forms that are provided by the department that:1. They are not awaiting trial on or have never been convicted of or admitted in open court or pursuant to a plea agreement committing any of the offenses listed in section 41-1758.07, subsection B in this state or similar offenses in another state or jurisdiction. 2. They are not parents or guardians of a child adjudicated to be a dependent child as defined in section 8-201. 3. They have not been denied or had revoked a certificate to operate a child care group home or a license to operate a child care facility in this or any other state or that they have not been denied or had revoked a certification to work in a child care facility or child care group home.

“Findings: Based on facility documentation and the Compliance Officers' observations of 14 staff files, Staff #1 (DOE 7/5/2024), Staff #2, Staff #6, Staff #7, & Staff #8's (DOEs unknown) files lacked criminal history affidavits.”

AAC R9-5-203.C. C. Except as provided in A.R.S. § 41-1758.03, a licensee shall ensure that each staff member, before starting date of employment or volunteer service, submits to the licensee a copy of the staff member’s valid fingerprint clearance card,front and back, issued under A.R.S. Title 41, Chapter 12, Article 3.1.

“Findings: Based on documentation and Compliance Officer #1's observation, Staff #4's (DOE 7/22/2024) file lacked documentation of a copy of the back side of their fingerprint clearance card. Staff #1's (DOE 7/5/2024) file lacked documentation of a copy of the front and back sides of their fingerprint clearance card.”

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 Officers' observations of 14 staff files, Staff #1 (DOE 7/5/2024), Staff #2, Staff #6, Staff #7 & Staff #8’s (DOEs unknown) files lacked the DCS submittal requirements.”

AAC R9-5-301.F. F. A licensee shall ensure that a staff member submits, on or before the starting date of employment or volunteer services, one of the following as evidence of freedom from infectious active tuberculosis: 1. Documentation of a negative Mantoux skin test or other tuberculosis screening test recommended by the U.S. Centers for Disease Control and Prevention, administered within 12 months before the starting date of employment or volunteer service, that includes the date and the type of tuberculosis screening test; or 2. If the staff member has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the staff member is free from infectious active tuberculosis that is signed and dated by a health care provider within six months before the starting date of employment or volunteer service.

“Findings: Based on facility documentation and the Compliance Officers' observation of 14 staff files, the following files lacked: Staff #1 (DOE 7/5/2024), Staff #2, Staff #6, Staff #7, & Staff #8 (DOEs unknown): A negative TB test. Staff #9 (DOE 7/3/2023): The TB test was read 7/6/2023. Staff #10 (DOE 8/15/2022): The TB test was read 8/23/2022. Staff #12 (DOE 2/26/2024): The TB test was dated 8/19/2022.”

AAC R9-5-302. A. A licensee shall prepare a written statement of child care services provided by the licensee that includes the following:1. A description of the facility’s child care services classifications in R9-5-204; 2. Hours of operation; 3. The facility’s street address, city, state, zip code, mailing address, and telephone number; 4. Child enrollment and disenrollment procedures; 5. Charges, fees, and payment requirements for child care services; 6. Child admission and release requirements; 7. Age-appropriate discipline guidelines and methods; 8. Transportation procedures; 9. Field trip requirements and procedures; 10. Responsibilities and participation of parents in facility activities; 11. A general description of activities and programs; 12. A description of the liability insurance required by R9-5-308 that is carried by the licensee and a statement that documentation of the liability insurance coverage is available for review on the facility premises; 13. Medication administration procedures; 14. Accident and emergency procedures; 15. A notice stating inspection reports are available on-site; 16. A provision stating that the facility is regulated by the Arizona Department of Health Services including the Department’s local street address, city, state, zip code, and local telephone number; 17. The procedures for notifying a parent at least 48 hours before a pesticide is applied on a facility’s premises; and 18. A statement that a parent has access to the areas on facility premises where the parent’s enrolled child is receiving child care services. B. A licensee shall provide a copy of the written statement of child care services: 1. To the Department: a. Before the facility receives a license, and b. Every 12 months after the date of the license as required by A.R.S. § 36-883.01; and 2. To a parent when the parent requests a copy of the written statement of child care services.

“Findings: Based on facility documentation and Compliance Officer #2's observations, the statement of services lacked the following information: 1.Charges, fees, and payment requirements for child care services, 2. Field trip requirements and procedures, 3.Transportation procedures, 4. A description of the liability insurance that is carried by the Licensee and a statement that documentation of the liability insurance coverage is available for review on the facility premises, 5. The procedures for notifying a parent at least 48 hours before a pesticide is applied on a facility’s premises, 6.The facility’s street address, city, state, zip code, mailing address, and telephone number, 7.A notice stating inspection reports are available on-site, 8.A provision stating that the facility is regulated by the Arizona Department of Health Services including the Department’s local street address, city, state, zip code, and local telephone number, and 9.Accident and emergency procedures.”

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, from the date of discovery through the incubation period of the communicable disease or infestation; 7. Notice of the Department’s intent to deny, revoke, or suspend as prescribed by A.R.S. § 36-888 at the expiration of time in the notice for the licensee to respond; 8. Notice of an intermediate sanction imposed as prescribed by A.R.S. § 36-891.01 within 10 calendar days after the licensee received notice of the intermediate sanction; 9. Notice of a legal injunction imposed as prescribed by A.R.S. § 36-886.01 when the licensee receives the legal injunction; and 10. Notice of the availability of facility inspection reports for public viewing at the facility premises.

“Findings: Based on the Compliance Officers' observations, the main posting area lacked the following required information: 1. Name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility, 2.Facility’s license (the posted license expired 12/1/2020), 3.Notice of the availability of facility inspection reports for public viewing at the facility premises, and 4.A dated weekly menu.”

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 Compliance Officer #2's observations, it was determined that 2 out of 20 enrolled children's Emergency Information and Immunization Record Cards reviewed lacked the following required information: Child #5: The 2nd parent name, address and phone number. Child #6: Child’s home phone number. ***Previously cited 9/15/2021 and 6/25/2024”

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 Compliance Officer #2's observations, it was determined that 4 out of 10 enrolled children's attendance forms reviewed lacked the following required information: Child 1: Arrival time and signature on 9/5/2024. Child 2: Release time and signature on 9/11/2024. Child 3: Release time and signature on 9/11/2024. Child 4: Arrival signature on 9/6/2024. ***Previously cited 10/11/2023.”

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 Compliance Officer #2's observations, the following rosters were incomplete: * Infant room 1 had 8 children present and 7 children were marked on the roster. * Toddler room 2 (1s) had 17 children present and 18 children were marked on the roster. ***Previously cited 9/15/2021 and 6/25/2024.”

AAC R9-5-401.3. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:3. A teacher-caregiver is 18 years of age or older and provides the licensee with documentation of one of the following: a. Six months of child care experience and: i. A high school diploma or high school equivalency diploma; or ii. At least 12 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; b. Associate or bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field; or c. N.A.C., C.D.A., or C.C.P. credential;

“Findings: Based on facility documentation, the Compliance Officers' observations and staff statement, Staff #1 (DOE 7/5/2024), Staff #2, Staff #6, Staff #7, & Staff #8 (DOEs unknown) are teacher-caregivers. The files lacked documentation of education and the required 6 months of previous child care experience. Staff stated these people work with enrolled children alone and unsupervised.”

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).

“Findings: Based on facility documentation and the Compliance Officers' observations of 14 staff files, it was determined that 5 out of 14 staff files reviewed lacked the following required information: Staff #1 (DOE 7/5/2024): Address, phone number, an emergency contact name and number, a statement of immunity, and 2 of the required 2 good faith effort references. Staff #1, Staff #2, Staff #6, Staff #7, & Staff #8: Starting dates of employment, address, phone number, an emergency contact name and number, a statement of immunity, and 2 of the required 2 good faith effort references. Reference ARS § 36-883.02.D. ***Previously cited 11/24/2021.”

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 facility documentation and the Compliance Officers' review of 14 staff files, Staff #1 (DOE 7/5/2024), Staff #2, Staff #6, Staff #7, & Staff #8's (DOEs unknown) files lacked documentation of 10 day training. ***Previously cited 11/24/2021.”

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 Compliance Officer #2's observation, in the Toddler 2 room (1s), the staff to child ratio was 2:17, with one-year-old children present in the room, with a required ratio of 3:17. ***Previously cited 9/15/2021 and 5/4/2022.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Findings: Based on Compliance Officer #1's observations, water was not accessible to enrolled children in Toddler 3 (2s) & Toddler 4 (2s) rooms. The water and cups were located on a high shelf 4 feet from the ground.”

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 Officers' observations, the following hazards were accessible to enrolled children: Toddler 2 (1s): There was a 4 x 2” hole in the southeast wall by the trash can where the wall cover was missing. Toddler 3 (2s): There was a 2 x 1” hole in the toilet room door. Toddler 4 (2s): There was a 1” gap in the door frame on the bottom of the exit door. Preschool 3 toilet room (3s): *There was an unsecured light on the ceiling. *There were 2 holes in the wall. *There were two 2" bolts protruding upward from the base of the toilet. *The toilet tank lid was unsecured and did not fit the toilet. Toddler 3 toilet room (2s): There were 2 loose and unsecured toilet seats, and the bottom of the door was warped. School-age room: *There was unsealed wood where the laminate was missing on the side edge of a counter. *There was a 2” chunk of laminate missing from the science table, exposing raw wood. PreK 2 (4s): There was an unsecured 5 tiered shelf in the corner of the room that wobbled when light pressure was applied. Preschool 1 (3s): There was exposed drywall on the wall near the adult chair. Preschool 1 toilet room (3s): *There was 3 feet of unattached baseboard behind the toilets. *There was an unsecured light handing down from ceiling. * There was a 1.5" x 1” hole with exposed drywall on a wall. Preschool 2 toilet room (3s): The ceiling light was not operable. 3’s playground toilet room: The bottom of the door was off its hinges. ***Previously cited 11/24/21.”

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 #1's observation, in Infant room 1, there was a pacifier in an infant’s mouth in a crib that lacked an identifier specific to the enrolled child.”

AAC R9-5-501.A.19. A. A licensee shall ensure that:19. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Findings: Based on the Compliance Officers' observations, the following was accessible to enrolled children: Toddler 1 (1s): There were Disinfecting wipes, soapy water solution, and a bleach and water solution on a shelf. Toddler 2 toilet room (1s): There was a swifter mop next to the right toilet. 4’s playground: There was a toilet brush on the floor to the left of the toilet. ***Previously cited 11/2/2022 and 10/11/2023.”

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 facility documentation and Compliance Officer #1's observations, Staff #13's (DOE 1/6/2003) file lacked 2 hours of the required 18 hours of annual training from 1/2023 - 1/2024.”

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

“Findings: Based on the Compliance Officer's observations, the following was noted regarding the rosters: *1 year old room- Six children were present in the room but the roster listed the names of 7 children as present; and *4 year old room- Fourteen children were present in the room but the roster listed the names of 16 children as present.”

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: Based on the Compliance Officer's and the Director's observations, the licensed capacities were incorrectly posted in the following rooms: *Room 6-the licensed capacity (13) was incorrectly posted as 16; *Room 7- the licensed capacity (15) was incorrectly posted as 20; and *Room 9- the licensed capacity (20) was incorrectly posted as 25.”

AAC R9-5-208.F. F. A licensee shall not implement any change described under subsection (B) until the Department issues an approval or amended license.

“Findings: Based on the Compliance Officer's observation and on a discussion with the Director, the licensee had purchased a vehicle for this location and began transporting children in August 2023. The licensee failed to submit the modification request to add this service at least 30 days prior to adding this service and began transporting children without the Department's approval.”

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 and the Director's observations, the following hazards were noted in the outdoor activity area: *The top of one of the wooden tables had rough, splintering wood on it; *The top of a second wooden table had broken particle board, that left sharp pieces of wood; * A 4-foot-long plastic PVC irrigation pipe was protruding above the wood chips near the toddler swing set. Two children were swinging on the swings above the protruding pipe; and *The fence gate on the North East side of the playground had a horizontal opening that measured 5 inches at the bottom of the gate.”

AAC R9-5-603.E. E. A licensee shall ensure that the following is provided and maintained within the fall zones of swings and climbing equipment in an outdoor activity area: 1. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; or 2. A minimum depth of 6 inches of a non-hazardous, resilient material such as fine loose sand or wood chips.

“Findings: Based on the Compliance Officer's and the Director's observations, the depth of the wood chips measured 1-3 inches of the required 6 inches at the base of 2 of the slides and under the swings.”

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 and the Director's observations, the following was noted: *Room 14- The entire ceiling vent near the hall exit door was covered in a brown fluffy substance; *Room 6- the left inside wall and the steps on the wooden step stool had a build-up of a brown, sticky substance. The Director stated it was a build-up of soap residue from the wall soap dispenser that was mounted above the stool.”

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 Compliance Officer's and the Director's observations the mats in the following rooms had areas of exposed foam: *10 Mats in Room 6; and *4 mats in Room 4.”

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;

“Findings: Based on the Compliance Officer's and the Director's observations, the October 2023 menu that was posted listed "mixed berries", "tropical mixed fruit", and "cereal" but did not state the specific components of these food items.”

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 and the Director's observations, the diaper changing areas in Rooms 6 and 14 lacked the required soiled clothing container.”

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 and the Director's observations, the following items were found stored in the diaper changing sinks: *Room 14- a paintbrush; and *Room 5- a box of tissue and a paintbrush.”

AAC R9-5-501.A.19. A. A licensee shall ensure that: 19. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Findings: Based on the Compliance Officer's and the Director's observations, a plunger and a toilet brush were stored on the floor of the bathroom in Room #9 and were accessible to the children.”

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 the Compliance Officer's and the Director's review of the Fire Permit and on a phone call made by the Assistant Director to the City of Phoenix Fire Department during the inspection, it was determined that the City of Phoenix Fire permit had expired in 12/2022.”

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 the Compliance Officer's review of 18 children's attendance records, it was determined that 8 of the attendance records contained only the parent’s or guardian's initials, rather than the individual's signature, that consists of at least a first initial of an individual’s first name and the individual’s last name.”