Busy Bees Arizona Tempe

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

“Findings: Based on the Compliance Officers' observations and a review of 7 staff files, the file for Staff #7 (DOE:08.31.26) lacked documentation of a background check. Additionally, the background check for Staff #1 (DOE: 06.28.26) was not submitted until 06.30.26, two days after the starting date of employment.”

AAC R9-5-203.D. D. A licensee shall ensure that each staff member submits to the licensee a copy of the staff member’s valid fingerprint clearance card each time the fingerprint clearance card is issued or renewed every five years.

“Findings: Based on the Compliance Officers' observations and a review of 7 staff files, the files for Staff #5 (DOE: 08.31.26) and Staff #6 (DOE: 08.31.26) lacked a copy of a current fingerprint clearance card. The CO was able to verify the cards as valid through the DPS website. ***Previously cited 9/18/2024”

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, a completed self-screening form in a Department-provided format for tuberculosis screening purposes and follow recommendations for further tuberculosis testing, as applicable.

“Findings: Based on the facility documentation and the Compliance Officer's observation of 7 staff files, the files for Staff #2 (DOE 6/22/2026) and Staff #5 (DOE 8/31/2026) lacked completed TB attestations.”

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 facility documentation and the Compliance Officer's observation, the statement of services lacked the following information: 1. Accident and emergency procedures 2. 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. 3. A statement that a parent has access to the areas on facility premises where the parent's enrolled child is receiving child care services.”

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 facility documentation and the Compliance Officer's observation, it was determined that 2 out of 20 enrolled children's Emergency Information and Immunization Records reviewed lacked the following required information: Child #1 and Child #2: The name of the individual to be contacted in case of injury or sudden illness of the child. ***Previously cited 9/19/23, 9/18/24, 12/30/24, and 9/15/2025”

AAC R9-5-310.A.B. A.B. A licensee shall make written pesticide information available to a parent, upon a parent’s request, at least 48 hours before a pesticide application occurs on facility premises, containing the: 1. Brand, concentration, rate of application, and any use restrictions required by the label of the herbicide or specific pesticide; 2. Date and time of the pesticide application; 29 3. Pesticide label, which includes the written, printed, or graphic matter approved by the United States Environmental Protection Agency on or attached to, a pesticide container; and 4. Name and telephone number of the pesticide business licensee and the name of the licensed applicator, who complies with A.A.C. R9-3-8-201(C), providing pesticide services. B. A licensee is exempt from the provisions in subsection (A), as prescribed by A.R.S. § 36-898(C).

“Findings: Based on the Compliance Officer's observation and staff statement, the Licensee failed to post pesticide application information that was scheduled in the evening on 9.11.2026. Staff stated the facility was being sprayed that evening.”

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 Officer's observation of 7 staff files, it was determined that 2 out of 7 staff files reviewed lacked the following required information: Staff #7(DOE 8/31/2026): Statement of immunity and new staff training within 10 calendar days of the starting date of employment Staff #5 (DOE 8/31/2026): Address and phone number, and new staff training within 10 calendar days of the starting date of employment ***Reference R9-5-403.A ***Previously cited 9/18/2024”

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 positive discipline, including separation; 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; 17. Field trip procedures, if applicable; 18. Infant tummy time, if applicable; 19. Prevention of sudden infant death syndrome and use of safe sleeping practices, if applicable; and 20. Prevention of shaken baby syndrome, pediatric abusive head trauma, and child maltreatment.

“Findings: Based on the Compliance Officer's observation of 7 staff files, the files for Staff #6 (DOE 8/31/2026) lacked new staff training within 10 calendar days of the starting date of employment.”

AAC R9-5-403.B. B. A licensee shall ensure that: 1. Each staff member who provides child care services completes 24 or more clock 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 below: a. Child growth and development, including: i. Infant growth and development, including sudden infant death syndrome prevention and safe sleeping practices; ii. Brain development; iii. Basic child development, including cognitive, social, emotional, and physical, as well as approaches to learning; iv. Language development; v. Observation and child assessment; vi. Developmentally-appropriate activities; vii. Child guidance and methods of positive discipline which may include techniques to promote healthy social-emotional development and reduce challenging behaviors; or viii. 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; vii. Water safety; viii. Prevention and control of infections diseases, including immunizations; ix: Prevention and response to emergencies due to food and allergic reactions, including anaphylactic shock; x. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; xi. Emergency preparedness, response, and recovery planning for emergencies resulting from a natural disaster or a human-caused event; xii. Administration of medication, consistent with standards for parental or guardian consent; xiii. Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; xiii. Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; xiiii. Prevention of shaken baby syndrome, pediatric abusive head trauma, and child maltreatment; or xv. Physical restraint techniques. c. Program administration, planning, development, or management; and d. Availability of community services and resources, including those available to children with a special health care need or a disability; and 2. As part of the required 24 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 six hours in subsection (B)(1)(c) every 12 months after the facility director’s starting date. e. A child educator for school-aged children shall complete six of the 24 hours of training within the first three months of hire.

“Findings: Based on facility documentation and the Compliance Officer's observation, Staff #4's (DOE 12/27/2022) file lacked 5 hours of the required 24 hours of annual training from 8/2025 - 8/2026. ***Previously cited 9/19/2023”

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

“Findings: Based on the Compliance Officer's observation, the following hazards were accessible to enrolled children: *There was an unsecured wrought-iron gate leading to the school-age playground. In the 3/4s room, there was torn vinyl, exposing foam on a black vinyl couch. School-age room: *There was an unsecured outlet plate that was loose and not secured to a wall. *There were 2 loose legs on a wooden table. In the 2/3s room, the edges of a car rug were curled up, posing a tripping hazard. In the 2/3s toilet room, the left toilet seat was loose. In Toddler 2 toilet room, the middle toilet seat was loose. ***Previously cited 9/19/23, 9/18/24, 12/30/24, and 9/15/2025”

AAC R9-5-501.A.17. A. A licensee shall ensure that: 17. 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 the Compliance Officer's observation, in the Infant room there were 2 unlabeled pacifiers in cribs, and an unlabeled pacifier in an infant's mouth.”

AAC R9-5-501.A.3. A. A licensee shall ensure that: 3. For enrolled infants and children five-years or younger, drinking water is available to meet the needs of each enrolled child;

“Findings: Based on the Compliance Officer’s observation, in the Toddler 1A, Toddler 1B and Toddler 2s rooms, drinking water was not accessible to enrolled children.”

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

“Findings: Based on the Compliance Officer's (CO) observation, staff failed to supervise enrolled children at the following times: *In the 3/4s room, there was a child in the toilet room, alone and unsupervised. *There was a child standing on top of a red vinyl chair. The CO had to let the teacher know. *In the 2s room, the CO turned around and observed a child jump off of a two-tiered shelving unit. The CO had to let the Assistant Director and the teacher know. ***Previously cited 2/27/26 and 9/2/2026”

AAC R9-5-501.B.6. B. A licensee shall ensure that a staff member: 6. For enrolled children five-years or younger, and except as provided in subsection (C), prepares, posts, and implements a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Findings: Based on the Compliance Officer's observation and staff statement, the following was observed: In the 3/4s room, the weekly lesson plan lacked a date. In the School-age room, the date on the lesson plan had been crossed out 2 times. In the 2/3s room and in Toddler 2s, the lesson plan was dated 9/28 - 10/2/2026. Staff stated the lesson plans are good for 5 weeks. ***Previously cited 9/19/2023”

AAC R9-5-502.A.5.b. A. A licensee providing child care services for infants shall: 5. Develop, document, and implement tummy time policies and procedures that: b. Ensure a staff member who is supervising a non-crawling infant while the infant is flat on their stomach and on the floor: i. Is within reach of the infant; ii. Does not perform any other duties while supervising the infant; iii. Does not allow the use of pillows, comforters, sheepskins, stuffed toys, or other soft products in the same floor space as the infant; and iv. Does not allow any product specified in subsection (A)(5)(b)(iii) to be within reach of the infant;

“Findings: Based on the Compliance Officer's observation, a staff member failed to supervise a non-crawling infant while the infant is flat on their stomach on the floor. A staff was observed placing a five-month-old infant in tummy time on a soft mat, and then stepped away from the infant to do something else in another area of the room.”

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

“Findings: Based on the Compliance Officer’s observation, in the Infant room, there was 1 loose crib sheet on a crib, rather than a tight-fitted sheet as required. ***Previously cited 9/15/2025”

AAC R9-5-502.B.7. B. A licensee providing child care services for infants shall not: 7. Permit an infant to sleep in a playpen, pack and play, car seat, stroller, swing, bouncer, high chair, or other equipment not intended for sleep purposes.

“Findings: Based on the Compliance Officer’s observation, in the Infant room, there was an infant sleeping in a bouncy chair, rather than in a crib as required.”

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

“Findings: Based on facility documentation and the Compliance Officer's observation, the written feeding instructions for 12 of 15 infants were not up-to-date and current. ***Previously cited 9/15/2025”

AAC R9-5-502.C.1.l. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: l. Posts the current written dietary instructions in the infant room and the kitchen and maintains the instructions on facility premises for 12 months after the date of the instructions; and

“Findings: Based on the Compliance Officer's observation, the kitchen lacked posted written dietary instructions for infants. In the Infant room, the written dietary instructions were located in a white binder in a cabinet. ***Previously cited 9/19/23, 9/18/24, and 12/30/2024”

AAC R9-5-502.C.3.a. C. A licensee shall ensure that: 3. When preparing, using, or caring for an infant's feeding bottles, a staff member: a. Labels each bottle received from the parent with the infant's name;

“Findings: Based on the Compliance Officer's observation, in the Infant room, there were 4 unlabeled bottles in the refrigerator.”

AAC R9-5-502.C.3.c. C. A licensee shall ensure that: 3. When preparing, using, or caring for an infant's feeding bottles, a staff member: c. Empties and rinses bottles previously used by an infant; and

“Findings: Based on facility documentation and the Compliance Officer's observation, staff failed to empty and rinse bottles previously used by an infant. Documentation revealed that staff stated rinsing bottles previously used is a licensing violation.”

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

“Findings: Based on the Compliance Officer's observation, the following diaper areas were not sanitized, seamless and smooth, or kept clear of items not required for diaper changing: In the Infant room, there was a tablet on the diaper surface. In the 2/3 room, there was a hole in the diaper surface, and there were discolored smears and dirt in and around the diaper sink.”

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 Officer's observation and staff statement, the following was observed: In the Infant room, the lid was open on both the soiled diaper and the soiled clothing containers. In the 2/3s room, the soiled clothing container lacked a liner and a lid, and the lid on the soiled diaper container was open. In Toddler 2, the soiled clothing container had items inside not related to diaper changing, and the container was not lined and lacked a lid. There was no soiled diaper container. Staff stated they throw the diapers away in the large trash bin. ***Previously cited 9/18/2024”

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

“Findings: Based on the Compliance Officer's observation, in Toddler 2, a large trash bin was being used to throw away soiled diapers, and was located on the floor to the right of the diaper surface, accessible to enrolled children. ***Previously cited 9/15/2025”

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 facility documentation and the Compliance Officer's observation, the children were observed eating blueberry bagels, pineapple, cheese, and milk for breakfast. The menu stated biscuits, pineapple, cheese, and milk would be served to enrolled children. The menu lacked the type/flavors of cheese, yogurt, muffins, and cereal snack mix. ***Previously cited 9/18/24 and 9/15/2025”

AAC R9-5-509.C.21. C. A licensee shall ensure that: 21. A refrigerator at the child care facility maintains a temperature of 41° F or below and a freezer maintains a temperature of 0° F or below, as shown by a thermometer kept in the refrigerator and in the freezer at all times;

“Findings: Based on the Compliance Officer's observation, in the kitchen, the temperature of the freezer was 5.1 degrees F, rather than 0 degrees F or below as required.”

AAC R9-5-510.A.1. A. A staff member shall provide guidance to help children respond to difficult situations. To develop self-regulation, children should receive adult support that is individual to the child and adapts as the child develops internal controls. This process should include: 1. Forming a positive relationship with the child, which occurs when the adult spends time talking to the child, listening to the child, following the child’s lead, playing with the child, and responding to the child’s needs; 2. Base expectations on the child’s developmental level; 3. Establishing and being proactive in teaching and supporting children in learning simple rules; 4. Modifying the learning/play environment to support the child’s appropriate behavior; 5. Creating a predictable daily routine and schedule; 6. Modeling desired behavior; 7. Showing children positive alternatives; 8.Using deliberate redirection, the staff member should encourage the child to use appropriate behavior, and provide positive feedback when the child exhibits the behavior; 9. Individualized positive discipline strategies based on the individual needs of children, such as using a buddy system, individualized schedule, special break, or another applicable positive discipline strategy; and 10. If applicable, a licensee shall develop a written plan with the enrolled child's parent to provide individualized social and emotional intervention supports for the enrolled child that includes methods for understanding the enrolled child's behavior, and developing, adopting, and implementing a team-based positive behavior support plan.

“Findings: Based on the Compliance Officer's observation, staff members failed to teach, model, and encourage orderly conduct, personal control, and age-appropriate behavior. In the 2/3 room, the following was observed: *There were crayon markings all over the back side of a cubby shelf. *There were tubs of toys scattered on the floor, while the teacher was on the other side of the room with the children, and some of the children were walking around barefoot. ***Previously cited 2/27/2026”

AAC R9-5-512.A. A. A licensee shall maintain facility premises free of insects and vermin.

“Findings: Based on the Compliance Officers' (CO) observations and child statements, there were roaches, small bugs, and other dead bugs in the facility. In the Infant room, when the CO opened the closet door, a live roach was observed, and there was a small live bug crawling on the floor near an infant. In the hallway, there was a dead bug. In the School-age toilet room, there were dead bugs and a living bug in the cabinets below the sinks. Children were stating that there was a bee and a ladybug in the toilet room drain. ***Previously cited 9/2/2026”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings: 1. In a clean condition, and 2. Free from odor.

“Findings: Based on the Compliance Officer's observation and staff statement, the facility was not maintained in a clean condition in the following areas: School-age room: There was a dirty wall near the dance room door. There were 4 ceiling tiles with brown stains. Staff stated the tiles had just been replaced. Toddler 2: There was a thick buildup of dust in a 4" by 2" area with exposed wires to the right of the diaper sink. 2/3 room: There were large and multiple crayon marks on the back side of a two-tiered cabinet. ***Previously cited 9/18/2024”

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

“Findings: Based on the Compliance Officer's observation and staff statement, floor coverings were not maintained in a clean condition in the following areas: 3/4s room: The alphabet rug and blue circle rug were dirty. School-age room: The blue circle rug, the car area rug, the alphabet rug, and the long black rug near the toilet room were dirty with debris. 2/3s room: There was glitter on the floor, and glitter on a number rug. Staff stated they used glitter yesterday. There was dirt and debris on the car rug and on a round rug, and there were red and yellow spots on a rug. ***Previously cited 9/19/2023”

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 Officer's observation, the following toilet rooms were not maintained in a clean and sanitized condition: 3/4s: There were 4 sinks with dirty caulking, and there was a build-up of dirt around the nozzles. School-age room: The floorboards were dirty with discolored smears, and there was a blue substance on the floor and on the base of the second toilet. 2/3s room: There was glitter on the left toilet seat and inside the toilet, and there was a thick layer of dust on the ceiling vent. Toddler 2: The basins of 2 toilets had discolored smears, there was one unflushed toilet, and the right sink had discolored and cracked caulking around the base. ***Previously cited 9/18/24, 9/15/25, and 9/2/2026”

AAC R9-5-512.F.1. 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;

“Findings: Based on the Compliance Officer's observation, the following was observed: 2/3s room: The toilet paper was not mounted. It was located on top of the back of a toilet. Toddler 2 room: The right soap dispenser was empty, and there was no mounted toilet paper for the first 2 toilets. ***Previously cited 9/19/23, 9/18/24, 12/30/24, and 9/15/2025”

AAC R9-5-512.F.7. F. A licensee shall ensure that: 7. Toys, materials, and equipment are maintained in a clean condition;

“Findings: Based on the Compliance Officer's observation, the following toys, materials, and equipment were not maintained in a clean condition: School-age room: There was a dirty doll with discolored smears. 2/3 room: There was a dirty red and yellow car garage. Preschool playground: There were discolored stains on 2 green cushions. Toddler playground: There were discolored smears with a dried substance and 4 dirty sponges in a water table. ***Previously cited 9/18/2024”

AAC R9-5-517.A.10. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall: 10. Ensure that the motor vehicle is: a. Maintained in a clean condition, b. In a mechanically safe condition, and c. Free from hazards; and

“Findings: Based on the Compliance Officers' observation, the vehicle used to transport children was not maintained in a clean condition. There was an accumulation of dust, trash, and snack debris on the floors of Van A, Plate #PYA672, and Van B, Plate #PWA/72.”

AAC R9-5-517.B.3. B. A licensee shall ensure that an individual who drives a motor vehicle used to transport an enrolled child: 3. Carries a list stating the name of each enrolled child being transported and a copy of each enrolled child’s Emergency, Information, and Immunization Record including the attached immunization record or exemption affidavit, in the motor vehicle;

“Findings: Based on facility documentation and the Compliance Officer's observation, in the vehicle used to transport enrolled children, 2 children's Emergency, Information, and Immunization Records lacked the following required information: Child #3: Two emergency contact names and phone numbers. Child #4: The name and phone number of the child's health care provider.”

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 of 3 outdoor activity areas, the following hazards were accessible to enrolled children on the 3s playground: *There was peeling paint, exposing rust, rusted bolts and cracked plastic. *There was a missing steering wheel, exposing sharp black edges on a red riding car. *There was a broken, plastic yellow block with sharp edges. ***Previously cited 9/19/23, 9/18/24, 12/30/24, and 9/15/2025”

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

“Findings: Based on the Compliance Officer's observation, on the Preschool playground, the brown slide lacked 3" of the required 6" of wood chips in the fall zones. ***Previously cited 9/19/23, 9/18/24 and 12/30/2024”

AAC R9-5-603.E. E. A licensee shall ensure that hard surfacing material such as asphalt or concrete is not installed or used under swings or climbing equipment unless used as a base for a rubber surfacing.

“Findings: Based on the Compliance Officer's observation, on the Toddler playground, there was a Panda climber with a slide located on cement. ***Previously cited 9/15/2025”

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

“Findings: Based on the Compliance Officer's observation, in the 2/3s room, there was an easel blocking the Southwest designated exit door. ***Previously cited 9/15/2025”

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 the Compliance Officer's observation and a review of 7 staff files, Staff #1's (DOE: 06.28.26) Criminal History Affidavit was incomplete.”

AAC R9-5-501.B.9. B. A licensee shall ensure that a staff member: 9. Does the following when a parent permits or asks a staff member to apply personal products on an enrolled child, such as petroleum jelly, diaper rash ointments, sun screen or sun block preparations, toothpaste, and baby diapering preparations: a. Obtains the enrolled child’s personal products from the enrolled child’s parent or, if the licensee provides the personal products for use by the enrolled child, obtains written approval for use of the products from the enrolled child’s parent; b. Labels the personal products with the enrolled child’s name; and c. Keeps the personal products inaccessible to enrolled children;

“Findings: Based on the Compliance Officer’s observation, the following items lacked a label of the child's first and last name as required: Infant room: One diaper cream labeled with a child's first name only, one diaper cream labeled with a child's first name and last initial, an unlabeled diaper cream, and two containers of wipes labeled with a child's first name and last initial. Toddler 2: One container of wipes labeled with a child's first name only, one diaper cream labeled with a child's first name and last initial, and an unlabeled container of wipes. ***Previously cited 9/19/23, 9/18/24, and 9/15/2025”

AAC R9-5-509.C.16. C. A licensee shall ensure that: 16. An enrolled child does not use the kitchen or a food storage area as a passageway;

“Findings: Based on staff statements, the kitchen was being used as a passageway for the 2/3s children. Staff stated the main exit used to transition the kids was the door that passes through the kitchen. They stopped taking the kids through the kitchen when the remodeling started.”

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 videos, staff statements, facility documentation and the Compliance Officers' observations, on 2.19.2026, Child #1 was left alone in the 2/3s room. Video revealed Staff #1 was exiting the room with 7 children, when the door closed and Child #1 (the 8th child) was left alone in the room. Per videos, Child #1 was alone in the room for 1 hour and 18 minutes, until another staff found the child alone in the room. Staff stated the following: *Staff #1 did not communicate to us how many children they had when they transferred the children to the 2s room. *When I checked the roster, I did not see Child #1 and thought the child must be in the back room. I called to the back room and they did not know who Child #1 was and they did not have Child #1. "It went over my head and I went back to doing what I was doing." *I did not move the children to the other room on the tablet, as it was hectic that day. *Staff #2 found Child #1 in the 2/3s room alone (they went back to the room to get their child's belongings). As soon as Staff #2 found Child #1, they called me to let me know. *You could tell Child #1 had been crying some. *When I entered the 2/3s room to get my child's stuff, the lights were off. I did not see anyone until the door closed and Child #1 "popped" their head up from behind a low shelf. *Child #1 was "clingy" and a little "shaky" when they were found. *When we were walking up the hall to enter the 2s room, Child #1's parent was walking in the lobby area. Another staff informed Child #1's parent of what had happened.”

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

“Findings: Per allegation and based on videos, facility documentation, staff statements and the Compliance Officers' observations, on 2.19.2026, Child #1 was alone and unsupervised in the 2/3s room for an hour and eighteen minutes (from 3:55pm - 5:13pm). Staff stated they found Child #1 alone in the room when they went in the room to gather their own child's belongings.”

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

“Findings: Based on facility documentation and the Compliance Officers' observations, on 2.19.2026, Child #1 was not added to the roster in the 2's room when all of the children from the 2/3s room were taken to the 2's room at 4:00pm.”

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: Per allegation and based on videos, facility documentation and the Compliance Officers' observations, in the 2/3s room, the staff-to-child ratio on 2.19.2026 was 0:1, when a child was left alone in the room.”

AAC R9-5-510.A.1. A. A staff member shall provide guidance to help children respond to difficult situations. To develop self-regulation, children should receive adult support that is individual to the child and adapts as the child develops internal controls. This process should include: 1. Forming a positive relationship with the child, which occurs when the adult spends time talking to the child, listening to the child, following the child’s lead, playing with the child, and responding to the child’s needs; 2. Base expectations on the child’s developmental level; 3. Establishing and being proactive in teaching and supporting children in learning simple rules; 4. Modifying the learning/play environment to support the child’s appropriate behavior; 5. Creating a predictable daily routine and schedule; 6. Modeling desired behavior; 7. Showing children positive alternatives; 8.Using deliberate redirection, the staff member should encourage the child to use appropriate behavior, and provide positive feedback when the child exhibits the behavior; 9. Individualized positive discipline strategies based on the individual needs of children, such as using a buddy system, individualized schedule, special break, or another applicable positive discipline strategy; and 10. If applicable, a licensee shall develop a written plan with the enrolled child's parent to provide individualized social and emotional intervention supports for the enrolled child that includes methods for understanding the enrolled child's behavior, and developing, adopting, and implementing a team-based positive behavior support plan.

“Findings: Per allegation and based on the Compliance Officers' observations and staff statements, the Licensee failed to develop a written plan with the enrolled child's parent to provide individualized needs Staff stated the following: *Child #2 is strongly opinionated. (Child's name) will swear and get physical with staff and other children. *Child #2 has hit, kicked and pushed other children. *Child #2 has kicked a staff, and bitten another staff when they were trying to intervene so Child #2 did not bite another child. *When Child #2 gets mad, (child's name) gets angry and will cuss and throw stuff at staff. *Child #2 might get taken to the front for about 10 minutes and then is brought back to class. *There are a few children in the class that are rough, and one parent is afraid of one of their own children. (Child #3) was asked to leave 5 other places. *Child #3 "slammed" a child into a cubby. (Child's name) grabs children too rough, leaves the room, and cusses. *Child #3 scratched and hit me on my arms 3 - 4 months ago. *I "fear" Child #3, and am terrified of (child's name). *I am not aware if there is a plan in place for Child #2.”

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 Officers' observations, the following rosters were not accurate: * Infant room had 10 children present and 9 children were marked on the roster. * Toddler 2's had 10 children present and 8 children were marked on the roster.”

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 facility documentation, the Compliance Officers' observations, and staff statements, the illness log was not current. Staff stated they sent children home recently and it was not documented.”

AAC R9-5-515.A. A. A licensee shall not permit an enrolled child to remain at the facility if a staff member determines that the enrolled child shows signs of illness or infestation.

“Findings: Based on the Compliance Officers' observations and staff statements, a child showed signs of illness and was permitted to remain at the facility. Staff stated the following: *Sick children are not sent home right away. We try to keep them separated in the room. *Sometimes when we notify the front that a child is sick, the front tells us "let's just see if it happens again" prior to sending the child home. *Staff in the front do not like to send kids home.”

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

“Findings: Based on the Compliance Officers' observations and staff statements, in the Infant room, there were 2 children who were age 1 and walking, and there were 10 infants in the room. Staff stated the 2 children walk and have been walking for a while. The Director stated the 2 children were going to be moved up next week.”

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 Officers' observations, in the 2's-3's room, the staff to child ratio was 1:16, with two-year-old children present in the room, with a required ratio of 2:16.”

AAC R9-5-605.B.10. B. A licensee shall ensure that: 10. Toilet rooms are ventilated to the outside of the building, either by a screened window open to the outside air or by an exhaust fan and duct system that is operated when the toilet room is in use;

“Findings: Based on the Compliance Officers' observations, in the Toddler 2 (2's) Toilet Room, the vent was inoperable.”

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

“Findings: Based on the Compliance Officers' observations and staff statement, in the Infant room, Child #3 and Child #4 lacked documentation of current, updated feeding instructions. Staff stated Child #3 was starting table food the day of the inspection and Child #4 eats everything.”

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 Officers' observations and facility documentation, the Infant room had 7 enrolled children present and 5 children were marked on the roster.”

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 and staff statement, the following hazards were observed and accessible to enrolled children: *Pre-K/School-Age Room (4's and up): There were 9 discolored ceiling tiles. Staff stated that the ceiling leaks. *Pre-K/School-Age (4's and up) Toilet Room: The right toilet seat was loose and moved easily when light pressure was applied, and the left toilet tank lid was cracked along the bottom and not secured to fit the toilet. *Toddler 2 Room (2's): 7 exposed nails were protruding from the back side of a red vinyl couch. *Toddler 2 (2's) Toilet Room: The middle toilet seat was loose and moved easily when light pressure was applied.”

AAC R9-5-501.B.9. B. A licensee shall ensure that a staff member: 9. Does the following when a parent permits or asks a staff member to apply personal products on an enrolled child, such as petroleum jelly, diaper rash ointments, sun screen or sun block preparations, toothpaste, and baby diapering preparations: a. Obtains the enrolled child’s personal products from the enrolled child’s parent or, if the licensee provides the personal products for use by the enrolled child, obtains written approval for use of the products from the enrolled child’s parent; b. Labels the personal products with the enrolled child’s name; and c. Keeps the personal products inaccessible to enrolled children;

“Findings: Based on the Compliance Officers' observations, the following diaper changing areas contained personal products that lacked the enrolled child's first and last name: Infant Room: There were 2 unlabeled jars of Vaseline and 1 pack of wipes that was labeled with a child's first name only. Toddler 2 Room (2's): There was an unlabeled pack of wipes, AD Ointment, and Aquaphor. Toddler 3 Room (2-3's): There were 2 packs of wipes labeled with the child's first name only.”

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

“Findings: Based on the Compliance Officers' observations, in the Infant Room, one crib had a loose sheet that was not fitted properly around the mattress, causing material to gather in the middle of the mattress.”

AAC R9-5-502.A.11. A. A licensee providing child care services for infants shall: 11. Label each food container received from the parent with the infant's name.

“Findings: Based on the Compliance Officers' observation, in the Infant Room, there was an unlabeled container of soy milk in the refrigerator.”

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 in the following diaper changing sinks measured below 86 degrees F, rather than between 86 - 110 degrees F as required: *Toddler 1A Room (1's): 83.7°F. *Toddler 1B Room (1's): 82°F.”

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

“Findings: Based on the Compliance Officers' observations, in the Toddler Room (2's), the soiled diaper container was on the floor to the left of the diaper surface, accessible to enrolled children.”

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 a review of weekly menus, the posted menus lacked the specific type/flavors of sliced cheese, cubed cheese, yogurt and hummus to be served to enrolled children.”

AAC R9-5-509.C.20. C. A licensee shall ensure that: 20. Perishable foods, which are foods that become unfit for human consumption if not stored to prevent spoilage, are covered and stored in a refrigerator at a temperature of 41° F or below;

“Findings: Based on the Compliance Officers' observations, in the Infant Room, the refrigerator temperature was measured at 50°F, rather than 41°F or below as required.”

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 ceiling vents in the following toilet rooms were dusty with a buildup of a fluffy brown substance: Toddler 3 (2-3's) and Pre-K/School-Age (4's and up).”

AAC R9-5-512.F.1. 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;

“Findings: Based on the Compliance Officers' observations, in the Toddler 3 (2-3's) toilet room, the paper towel dispenser was empty and lacked single-use paper towels.”

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 observed in the outdoor activity areas: Preschool playground: There were sharp edges on a broken wooden slat on the South gate. 1’s Playground: There was an 8” area with peeling stucco on the lower section of the North wall.”

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

“Findings: Based on the Compliance Officers' observations, on the 1’s Playground, there was a Panda climber slide located on the cement, lacking a shock-absorbing or resilient material underneath.”

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

“Findings: Based on the Compliance Officers' observations, it was determined the following designated exits did not remain unobstructed and or unlocked: Infant Room: There was a play sink blocking part of the exit door. Toddler 3 Room (2-3's): The exit door to the playground was locked. Preschool 1 Room (3-4's): The back playground exit door was blocked with an art drying rack.”

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 a review of 15 Emergency Information and Immunization Records, 2 of 15 children's records lacked the following information: Child #1: The name and telephone number of the child's health care provider. Child #2: A second emergency contact name and phone number.”

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 observation, there were 4 children present in the Infant Room and only 3 children documented on the roster.”

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: 3's/4's Room: Laminate was missing along the side of the counter on the south wall exposing raw wood.”

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 Compliance Officer #2's observation, in the 2's Room bathroom, there was a plunger to the left of the right toilet.”

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 Compliance Officer #2's observation and staff statement, the facility lacked written dietary instructions for Child #3. Child #3 was present in the Infant Room at the time of the inspection. Staff stated the child had just started and they did not have the form.”

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

“Findings: Based on Compliance Officer #1's observation, in the 2's Room, there was construction paper, a rubber duck toy, a plastic snowflake, and an iPad on the diapering table.”

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

“Findings: Based on Compliance Officer #2's observation, in the 2's Room bathroom, the left sink was covered in a plastic bag and inoperable, and 2 of 2 toilet paper dispensers lacked toilet paper.”

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 the Compliance Officers' observations, the Infant Room lacked a posted evacuation plan.”

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, the following hazards were accessible to enrolled children in the outdoor activity area: Pre K Playground: *1 red tricycle lacked 2 of 2 pedals and the front tire was cracked; *1 yellow tricycle lacked 1 of 2 pedals and there was a deep ridge throughout the entire front tire; Toddler Playground: and *The red sensory table lid was cracked exposing sharp jagged plastic.”

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, the following fall zones lacked 6 inches of resilient surfacing as required: Toddler Playground: *The Panda Climber lacked 5 inches of the 6 inches required; and Two's Playground: *There was a hard rubber mat at the base of the tan slide.”

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 the Compliance Officers' observations, 2 of 7 Emergency, Information, Immunization Record cards lacked the following: Child #1: The child's date of enrollment and the name, home address, city, state, zip code, and contact telephone number of the second parent of the child; and Child #2: The name, home address, city, state, zip code, and contact telephone number of the second parent of the child.”

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, in the Infant room, there were 9 cribs with exposed wood along the top side edges, and raw wood on the top end of the 2nd crib near the divided area of the room.”

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

“Findings: Based on the Compliance Officers' observations, the following outdoor activity areas were not maintained free from hazards: Pre K/3's/4's Playground: *The south gate had a broken wood slat exposing a hole in the gate and sharp wood edging; *2 of 4 tricycles front tires were worn down and 1 had divots in the tire; 2's Playground: *The metal rod base of the east gate had a 2-inch hole with rust; *There were two broken edges on the red sensory table exposing sharp plastic; Toddler Playground: *The plastic wicker on the Lakeshore lounger was peeled and cracked, causing small plastic wicker pieces to be scattered on the ground of the activity area; and *1 of 2 green teeter totters had 2 cracks causing holes in the plastic along the side.”

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 Compliance Officer #1's observations of 4 staff files, Staff #2's (DOE 9/16/2024) file lacked an emergency contact name and phone number, a statement of immunity, and 2 of the required 2 good faith effort references.”

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: Pre K/School age Toilet Room: *2 of 2 toilet paper dispensers were empty; 2's Toilet Room: *1 of 3 sinks was inoperable; 2's Room: *There were dried crusty stains on a doll; and Pre K Playground: *There was food waste in a brown container that lacked half of a lid. 3's/4's Toilet Room: *There was a build-up of a green/blue substance on the pipe located between the urinal and toilet.”

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 7 out of 25 enrolled children's Emergency Information and Immunization Record Cards reviewed lacked the following required information: Child #1: The name of the person to contact in case of sudden injury/illness; Child #2: City, state and zip code; Child #3: Questions were not addressed on the second page; Child #4: The name of the person to contact in case of sudden injury/ illness; Child #5: Questions were not addressed on the back side and a parent signature; and Child #6 & Child #7: A second parent name, address and phone number.”

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 Officers' observations, the room capacity was not posted in the following rooms: PreK, 3' s/4’s, 2’s room, and Toddler A.”

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 the Compliance Officers' observations, the Pre K (4's), 3's/4's, 2's, Toddler A (1's), Infant A, and Infant B Rooms lacked a posted evacuation plan.”

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 facility documentation and Compliance Officer #1's observations of 4 staff files, the following files lacked: Staff #1 (DOE 7/22/2024) and Staff #2 (DOE 9/16/2024) : A copy of the back side of their fingerprint clearance cards. Staff #3 (DOE 6/17/2024): A copy of the front and back sides of the fingerprint clearance card.”

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 areas were not maintained in a clean condition: Pre K/School Age: *There was a grey fuzzy substance on the vent on the North wall; 3's/4's: *A foot of laminate was missing from the left side of the counter along the South wall; Infant 1: *There was a build-up of dirt on the window sill of the West wall next to the cribs; and Pre K (4's): *There were 3 discolored and stained ceiling tiles, and discolored smears on the Lego table. 2's Toilet Room: *There was a drying rack leaning against the south wall. Toddler Playground: *There were areas of bird feces on the ground outside of the classroom doors.”

AAC R9-5-509.C.22. C. A licensee shall ensure that:22. A refrigerator at the child care facility maintains a temperature of 41° F or below, as shown by a thermometer kept in the refrigerator at all times;

“Findings: Based on the Compliance Officers' observations, the Infant 1 refrigerator lacked a thermometer and there was a packet with a white substance located inside.”

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 facility documentation and the Compliance Officers' observations, the menu stated oatmeal, peaches and milk would be served to enrolled children. Children were observed eating Rice Krispy cereal, peaches and milk. The posted menu lacked the specific ingredients for mixed fruit and mixed vegetables.”

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 Officers' observations, the following was observed: Toddler 1A (1's): The soiled clothing container lacked a lid and there was a blue net toy, a baby doll, and a bottle of vinegar located inside the container; and 2's Room: The soiled clothing container lacked a liner and lid and there was a bag with soiled clothing located inside the container.”

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, the following was observed: *Toddler 1A (1's), Toddler B(1's): The soiled diaper container lacked a liner; and *Infant 2, Infant 1: The soiled diaper container lacked a lid.”

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 areas were not maintained in a clean and sanitized condition: 3's/4's Toilet Room: *There were scratches on 2 of 3 toilet seats; *The left edge of the sink counter lacked a laminate strip and had exposed wood; *3 of 3 sinks had cracked and discolored caulking around the sinks; *1 of 3 sinks had a build-up of discolored substance around the drain.”

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 in the following diaper sinks measured below 86 degrees F, rather than between 86 - 110 degrees F as required: *2's Room: The diaper sink temperature was 80.9°F; *2's/3's Room: The diaper sink temperature was 77.9°F; and *Toddler B (1's): The diaper-changing sink temperature was 80.2°F.”

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, the following fall zones lacked 6 inches of resilient surfacing: Toddler Playground: *The 2 green teeter totters lacked 6 of the required 6 inches; *The Panda Climber lacked 6 of the required 6 inches; 2's Playground: *The bottom of 2 of 2 slides had non-resilient surfacing rubber mats and lacked 6 of the required 6 inches.”

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, and clear of items not required for diaper changing: 2's Room: *The left side of the diaper surface was missing a strip of laminate exposing raw wood; *There was food debris in the diaper sink; Infant 2: *There was food debris in the diaper-changing sink; 2's/3's Room: *There was a build-up of a dark brown substance around the drain of the diaper sink; Room 3A (1's): *There was a black clip, a pen, an IPad, and papers on the diaper surface; Toddler B (1's): *There was a black Sharpie on the diaper surface; *5 bibs were hanging down from the cabinets above the diaper sink; and *There was a drain cover in the diaper sink.”

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 Compliance Officers' observations, the following written feeding instructions were not current: Child #14: Lacked a feeding schedule; Child #15: Lacked the type of milk or formula; Child #16: Lacked the types of food the infant eats and was last updated 2/5/2024.”

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 items lacked a label of the child's first and last name as required: 2's Room: *One wipe and one diaper cream lacked a first and last name; *Infant 2: One wipe lacked a last name; and *Infant 1: One wipe lacked a first and last name.”

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: Pre K/School Age Room: *The bulletin board on the East wall behind the kitchen play set had loose and protruding staples, and a 2-inch hole exposing sharp wood edging; *There was a 1/2-inch hole behind the door handle to the staff room; *The laminate siding of the hand washing sink counter was chipped and cracked exposing sharp edges; 3's/4's Toilet Room: *Six 3-inch bolts were protruding from the base of 3 of 3 toilets; 3's/4's Room: *One pillow in the wooden cube play space was ripped and the interior stuffing was falling out and scattered on the carpet; 2's Room: *The wooden window sill of the South West corner window had two 3x2-inch holes; 2's/3's Toilet Room: *Four 2-inch rusty bolts were protruding from the base of 2 of 2 toilets; and 3's/4's Room: *There was a 2.5-inch long broken piece of plastic with sharp edges on the grey rug. *The ceiling vent was not secured to the ceiling and was hanging down.”

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 #1's observations, it was determined that 6 out of 10 enrolled children's attendance forms reviewed lacked the following required information: Child #8 & Child #9: Arrival time and signature on 9/12/2024; Child #10: Not signed in and out during the month of September, 2024 with a complete signature; Child #11: Release time on 9/12/2024; Child #12: Arrival times on 9/9, 9/11, & 9/16/2024; and Child #13: Release time and signature on 9/9/2024.”

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

“Findings: Based on the Compliance Officer's observation, 2 clipboards were observed on the diapering table in room #4 (the 2 year old room).”

AAC R9-5-404.A. A. A licensee shall ensure that at least the following staff-to-children ratios are maintained at all times when providing child care services to enrolled children: Age Group/Staff: Children - Infants/1:5 or 2:11; 1-year-old children/1:6 or 2:13; 2-year-old children/1:8; 3-year-old children/1:13; 4-year-old children/1:15; 5-year-old children not school-age/1:20; School-age children/1:20

“Findings: Based on the Compliance officer's observation, a ratio of 1:7 was observed in the one year old room.”