Chabad Aleph Bet Preschool

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

“Findings: Based on the Compliance Officers' observations, all of the rooms had white, round toddler locks covering all of the exit door knobs. In Gimme 1 (3/4s), the South exit door was locked. ***Previously cited 8.25.2023, 9.24.2024 & 3.17.2025”

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

“Findings: Based on the Compliance Officer's observation, there was an 8 inch vertical gap on the Northeast side of the East wrought-iron fence on the large playground. ***Previously cited 8.25.2023 & 9.24.2024”

AAC R9-5-516.G. G. A licensee shall return all unused prescription and nonprescription medications to a parent when the medication prescription date has expired or the medication is no longer being administered to the enrolled child or dispose of the medication if unable to locate the enrolled child's parent after the child's disenrollment.

“Findings: Based on facility documentation and the Compliance Officer's observations of 5 medications, 2 of 5 children’s medications were expired: Child #1's expired 9/2024. Child #2's expired 9.5.2025. ***Previously cited 8.25.2023”

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 observations, in the Girls' toilet room, 2 of 5 toilets had discolored and cracked caulking at the base of the toilets. ***Previously cited 9.24.2024”

AAC R9-5-511.A.1.2.3.4.5. 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, 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; 5. Each cot, mat, or crib is maintained in a clean and repaired condition;

“Findings: Based on the Compliance Officer's observation, in Gimmel 1 (3/4s), there was a child sleeping on a vinyl couch. ***Previously cited 9.24.2024 & 3.17.2025”

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 Bet 2 (2s), the soiled diaper container was located on the floor between the diaper surface and the sink, accessible to enrolled children. ***Previously cited 3.17.2025”

AAC R9-5-301.B. B. A licensee shall ensure that a facility director: 1. Designates, in writing, an individual who meets the requirements of R9-5-401(2) to act on behalf of the facility director when the facility director is not present in the facility; 2. Supervises or assigns a child educator to supervise each staff member who does not meet the qualifications of R9-5-401(3); 3. Prepares a dated attendance record for each day and ensures that each staff member documents on the attendance record the time of each arrival and departure of the staff member; and 4. Maintains on the facility premises, the dated attendance record required in subsection (B)(3) for 12 months after the date on the attendance record.

“Findings: Based on the Compliance Officer's observations, the following staff attendance records lacked departure times on the following dates: Staff #2: 9/12/2025. Staff #3: 9/15/2025. Staff #4: 9/15/2025. Staff #5: 9/12/2025. ***Previously cited 8.25.2023 & 3.17.2025”

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

“Findings: Based on the Compliance Officer's observation, in Bet 2 (2s), the water temperature of the diaper sink was 122.9 degrees F rather than between 86 - 110 degrees F as required. *** Previously cited 9.24.2024”

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 children's personal products lacked a child's first and last name as required: Bet 2 (2s): Desitin, 2 containers of wipes, and a container of sunscreen were labeled with a child's first name only. Bet 1 (2s): A container of wipes was labeled with a child's first initial and last name only. ***Previously cited 9.24.2024 & 3.17.2025”

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 Officers' observations, lesson plans in the following rooms were not dated for the current calendar week: Bet 2 (2s): The lesson plan was dated 9/8 - 9/12/2025. Bet 1 (2/3s): There was no date on the lesson plan. Daled 2 (4/5s): The lesson plan was dated 9/2 - 9/5/2025.”

AAC R9-5-501.A.18. A. A licensee shall ensure that: 18. 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, in Gimmel 1 (3/4s), there were 2 containers of Clorox wipes on a cabinet, accessible to enrolled children.”

AAC R9-5-501.A.15. A. A licensee shall ensure that: 15. In rooms used for napping, the lighting must be dim during nap time to promote an atmosphere conducive to sleep but must be bright enought for supervision of children;

“Findings: Based on the Compliance Officers' observations and staff statement, in Bet 1 (2/3s), the room was dark. When the COs’ entered the room, they were unable to observe children and the staff in the room. Staff stated the bathroom door is usually open with the light on. ***Previously cited on 9.24.2024 under 501.A”

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 observations of 4 staff files, it was determined that 3 out of 4 staff files reviewed lacked the following required information: Staff #1 (DOE 8.18.2025): 2 of the required 2 good faith effort references. Staff #3 (DOE “8.25.2025): Starting date of employment and 2 of the required 2 good faith effort references. ***Previously cited 9.24.2024 & 3.17.2025”

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 child educator 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 if working with enrolled children five years old and younger, or three months of child care experience if working with school-aged children; 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 Officer's observation and staff statement, it was determined that Staff #1 was a child educator. Staff #1 (DOE 8.18.2025) was not qualified as a child educator because their file lacked documentation of 6 months of childcare experience. Staff stated Staff #1 is a child educator. ***Previously cited 8.25.2023, 9.24.2024 & 3.17.2025”

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 staff statement, the following rosters were incomplete: Bet 1 (2/3s): There were 9 enrolled children present and 10 children were listed on the roster. Gimmel 1 (3/4s): There were 9 enrolled children present and 8 children were listed on the roster. Daled 2 (4/5s): There was no roster available for the 11 enrolled children present. Staff stated they may have left it outside. ***Previously cited 9.24.2024 & 3.17.2025”

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

“Findings: Based on facility documentation and the Compliance Officer's observations of 4 staff files, the following fingerprint clearance card was not verified as valid before the starting date of employment: Staff #1 (DOE 8.18.2025): Verified as valid on 8.26.2025. ***Previously cited 9.24.2024”

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, in the Girls’ toilet room, there were 2 clear trash bags filled with soiled diapers in an uncovered white container. ***Previously cited 9.24.2024”

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 and the Bureau Chief's observations, in Room 9 (1s), there was a green couch blocking a designated exit. In Room 11 (3s), there was a child sleeping on a mat blocking a designated exit.”

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 Officer and the Bureau Chief's observations, in Room 6 (2s) and on the Main playground, there was food waste in uncovered containers.”

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 and the Bureau Chief's observations, in the toilet room in Room 9 (1s), there was a sensory table with a clear bin with toys inside on top of the table.”

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 and the Bureau Chief's observations, the Licensee failed to cover a mat for an enrolled child who naps or sleeps at the facility. In Gimmel 2 (3/4s), there were 2 children laying directly on red mats.”

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

“Findings: Based on the Compliance Officer and the Bureau Chief's observations, in Room 6 (2s), the black soiled diaper container was on the floor next to the diaper changing area, accessible to enrolled children.”

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

“Findings: Based on the Compliance Officer's observations, in Room 6, the following personal products were not labeled with an enrolled child's first and last name as required: *1 tube of Desitin was labeled with a first name and last initial. *1 unlabeled container of wipes, diaper paste and ointment. *Butt Paste labeled with a child's first name only.”

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 observations of 4 staff files, it was determined that Staff #5's (DOE 10/29/2024) file lacked 2 of the required 2 good faith effort references. ***Previously cited 9/24/2024 * Reference ARS § 36-883.02.D.”

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 and the Compliance Officer's observations of 4 staff files, it was determined that Staff #1 was a teacher caregiver at the time of the inspection. Staff #1 was not qualified as a teacher caregiver because their file lacked documentation of a high school/ high school equivalency diploma.”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, it was determined that 8 out of 10 enrolled children's attendance forms reviewed lacked the following required information: Child #1 and Child #3: A release time and signature on 3/7/2025. Child #2: A release time and signature on 3/3/2023. Child #4: Release times and signatures on 3/5 and 3/7/2025. Child #5: Release times and signatures on 3/3 and 3/5/2025. Child #6: Release times and complete signatures on 3/5, 3/7, and 3/10/2025. Child #7: A release time and signature on 3/5/2025. Child #8: Complete arrival and departure signatures from 3/5 - 3/17/2025.”

AAC R9-5-301.B. B. A licensee shall ensure that a facility director: 1. Designates, in writing, an individual who meets the requirements of R9-5-401(2) to act on behalf of the facility director when the facility director is not present in the facility; 2. Supervises or assigns a teacher-caregiver to supervise each staff member who does not meet the qualifications of R9-5-401(3); 3. Prepares a dated attendance record for each day and ensures that each staff member documents on the attendance record the time of each arrival and departure of the staff member; and 4. Maintains on the facility premises, the dated attendance record required in subsection (B)(3) for 12 months after the date on the attendance record.

“Findings: Based on facility documentation and the Compliance Officer and the Bureau Chief's observations, it was determined that Staff #1 (DOE 8/14/2024) was a teacher caregiver alone with enrolled children at the time of the inspection. Staff #1 was not qualified as a teacher-caregiver and was not supervised by a qualified staff member. The following staff attendance records lacked: Staff #2: Time of departure on 3/3/2025. Staff #3: Times of departure on 3/3, 3/4, and 3/5/2025. Staff #4: Time of departure on 3/3 and 3/4/2025.”

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 and the Bureau Chief's observations, the following rosters were incomplete: Gimmel 1 on the playground (3/4s): There were 8 children present and 11 children were marked on the roster. Gimmel 1 (3/4s): There were 3 children present and 11 children were marked on the roster. Gimmel 2 (3/4s): There were 9 children present and 13 children were marked on the roster. Daled 1 (4/5s): There were 10 children present and 13 children were marked on the roster.”

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 the Compliance Officers' observations, in Room 6 (2s) two pacifiers did not have an identifier specific to an enrolled child.”

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 activity areas were not maintained free from hazards: *Room 9 (1s): A plastic orange construction hat was broken, exposing sharp edges, and 2 stacks of chairs (5 chairs, 6 chairs) were stacked on top of each other with children present. *Room 9 (1s) toilet room: 2 black dangling cords and 1 white cord. *Room 8 (2s) toilet room: A 1-inch hole behind the door. *Room 6 (2s): A screw was protruding 1/2 inch from the northwest wall, located 33 inches from the floor. ***Previously cited 8/25/2023”

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

“Findings: Based on the Compliance Officers' observations, the health, safety, and welfare of enrolled children were put at risk in Room 1 (2s) and Room 6 (2s) when the classrooms were pitch black during rest time and the staff could not see the children.”

AAC R9-5-501.A.21. A. A licensee shall ensure that:21. Except when used as part of an activity, the following are stored in an area inaccessible to an enrolled child: a. Garden tools, such as a rake, trowel, and shovel; and b. Cleaning equipment and supplies, such as a mop and mop bucket.

“Findings: Based on the Compliance Officers' observations, the following cleaning equipment was accessible to enrolled children: *Room 11 (3s): There was an orange and black broom and dustpan. *Room 8 (2s): There were two black brooms and a dustpan.”

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 observation, it was determined that 10 out of 15 reviewed sign-in and out records lacked the following: *Child #17, Child #20, Child #21, Child #22, Child #24: A release time and signature on 9/20/2024. *Child #18, Child #19: A release time and signature on 9/11/2024. *Child #23: A release and signature on 9/19/2024. *Child #25: A release and signature on 9/19/2024 and 9/20/2024. *Child #26:The required arrival and departure signatures on 9/9/24 through 9/20/2024 (10 days). The parent/guardian used a line as a signature.”

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 observation, it was determined that 14 out of 25 Emergency, Information, and Immunization cards reviewed lacked the following information: *Child #1: The name of the individual to be contacted in case of injury or sudden illness. *Child #2: The child’s name, home address, city, state, zip code, home telephone number, sex, date of birth, and date of enrollment. The name, home address, city, state, zip code, and contact telephone number of each parent. The name and contact telephone number for 2 of 2 emergency contacts. The name and telephone number of the child’s health care provider, and written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency. The name of the individual to be contacted in case of injury or sudden illness of the child. The page 2/back side of the Emergency, Information, and Immunization card. *Child #3: The child's last name, both parent's last names, and page 2/back side of the Emergency, Information, and Immunization card. *Child #4, Child #8, and Child #14: Page 2/back side of the Emergency, Information, and Immunization card. *Child #5: An answer for 1 of 4 questions on page 2/the back side of the Emergency, Information, and Immunization card. *Child #6: An answer for 2 of 4 questions on page 2/the back side of the Emergency, Information, and Immunization card. *Child #7: The child's gender, and page 2/the back side of the Emergency, Information, and Immunization card. *Child #9: The telephone number of the child’s health care provider. *Child #10 and Child #11: The name and telephone number of the child’s health care provider. *Child #12: The name and telephone number of the child’s health care provider, and page 2/the back side of the Emergency, Information, and Immunization card. *Child #13: The telephone number of the child’s health care provider, and the telephone number for 1 of 2 emergency contacts.”

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 observation, it was determined that the statement of services lacked the following items: *Transportation procedures; *Field trip requirements and procedures; and *A statement that documentation of the liability insurance coverage is available for review on the facility premises.”

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 Compliance Officer #1's observation, it was determined that the files for Staff #1 and Staff #3 lacked documentation of a negative TB test, and the files for Staff #2 and Staff #5 show documentation of negative TB test after their date of hire. Staff #2 was hired on 1/15/2024 and their TB test was completed on 9/6/2024. Staff #5 was hired on 8/14/2024 and their TB test was completed on 8/25/2024. ***Previously cited 9/2/2022”

AAC R9-5-301.B. B. A licensee shall ensure that a facility director: 1. Designates, in writing, an individual who meets the requirements of R9-5-401(2) to act on behalf of the facility director when the facility director is not present in the facility; 2. Supervises or assigns a teacher-caregiver to supervise each staff member who does not meet the qualifications of R9-5-401(3); 3. Prepares a dated attendance record for each day and ensures that each staff member documents on the attendance record the time of each arrival and departure of the staff member; and 4. Maintains on the facility premises, the dated attendance record required in subsection (B)(3) for 12 months after the date on the attendance record.

“Findings: Based on facility documentation and Compliance Officer #1's observations, it was determined that 4 of 8 staff attendance records lacked the following: *Staff #1, Staff #7: lacked a time out on 9/23/2024. *Staff #6: lacked a time out on 9/20/2024. *Staff #8: lacked a time out on 9/20/2024 and 9/23/2024.”

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 Officers' observations, it was determined that Room 11 (3s) implemented diaper changing in the room without prior approval from the Department.”

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

“Findings: Based on facility documentation and Compliance Officer #1's observation, it was determined that the fingerprint clearance card for Staff #2 was verified on 8/19/2024 while their start date was 1/15/2024. The fingerprint clearance cards for Staff #1, Staff #3, Staff #4, and Staff #5 lacked documentation of verification before their starting date of employment. ***Previously cited 9/2/2022”

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 observation, it was determined that the files for Staff #2 (DOE 1/15/2024) and Staff #3 (DOE 8/14/2024) lacked a copy of their valid fingerprint clearance card.”

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 Compliances Officers' observations, the following rooms had personal items that lacked the required labeling: *In Room 6 (2s) a pack of wipes and an A&D diaper ointment that lacked a child's first and last name. *In Room 8 (2s) 3 packs of wipes lacked a child's last name and 2 sunscreens lacked a child's first and last name. *In Room 9 (1s) 3 packs of wipes lacked a child's first and last name, and 1 wipe packet and a diaper ointment that lacked a child's last name. *In Room 11 (3s) a pack of wipes lacked a child's last name. In Room 6 (2s) and Room 8 (2s), the children's personal products were kept in bins on low shelves accessible to children.”

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

“Findings: Based on the Compliance Officers' observations, in Room 11 (3s) there was an orange sticker on the diaper changing table and a blue mat with stitching on the diaper surface making the surface absorbent and un-sanitizable. ***Previously cited 9/2/2022 & 8/25/2023, TA 8/20/2024”

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, in Room 6 (2s) the diaper changing sink had a water temperature of 83 degrees F. Room 11 (3s) diaper changing sink had a water temperature of 82.7 degrees F.”

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 Room 8 (2s) there was a soiled diaper in an uncovered trash can accessible to children. ***Previously cited 9/2/2022”

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, in Room 11 (3s) there was a bag of soiled clothes located on top of the soiled clothing container.”

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 5 of 7 rooms, several children were sleeping on sleeping bags and lacked a cot or mat below the sleeping bag. Several children were observed sleeping directly on a mat that lacked a sheet or blanket. In Room 11 (3s), a child was laying directly on a couch.”

AAC R9-5-511.C. C. A licensee shall provide an unobstructed passageway at least 18 inches wide between each row of cots or mats to allow a staff member access to each enrolled child.

“Findings: Based on the Compliance Officers' observations, in Room 10 (3s), 4 children who were sleeping were not spaced 18 inches apart. A staff would have to step over a child to access one of the children.”

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 activity areas were not maintained in a clean condition: *Main Playground: There were multiple tables, and a drinking fountain, with built-up dirt and grime on them. *Room 1 (4s): There were multiple paper towels on the floor near the hand-washing sinks. *Room 9 (18 months): A wooden storage unit with baggies, tissues, a clear box, and paper towels on the floor of the toilet room. There was sticky tape residue on 2 wooden cabinets. *Room 8 (2s): There was a dusty ceiling vent. ***Previously cited 8/25/2023”

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, in Room 11 (3s) there was a vent fan with thick chunks of dust.”

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, on the main playground, 2 black trash cans contained uncovered food waste. In Room 6 (2s), a white diaper-changing trash can contained uncovered pieces of apple.”

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

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that 3 of 3 medications reviewed lacked the following: *Child #15: The prescription number, dosage and route of administration, start date, end date, detailed reason ("in case of emergency" was used), and the time and frequency. *Child #16: The prescription number, dosage, start date, end date, and time and frequency. Child #16 also lacked a written authorization form for an over-the-counter medication.”

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 facility documentation and the Compliance Officers' observations, it was determined that the over-the-counter medication for Child #16 lacked a doctor's note to be administered the medication. The bottle stated, "Children 2 to 5 years: do not use unless directed by a doctor". ***Previously cited 8/25/2023”

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

“Findings: Based on the Compliance Officers' observations, the following outside activity areas were not maintained free from hazards: Main Playground: *A 7-inch deep and 6-inch-long hole in the turf in the Northeast corner. *A sharp piece of black metal protruding from the black door frame. *Peeling paint exposing rough wood on the black door. *Peeling paint and rust on the black metal fence. *Rusted sharp metal below the freezer on the Southeast corner. Outdoor Classroom: *A 4 foot x 3 foot hole with mulch and loose turf on top. *A 3 foot x 3 foot circular hole partially filled with scattered wood chips. *A broken ground light with sharp plastic edges. ***Previously cited 8/25/2023”

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 facility documentation and Compliance Officer #1's observation, it was determined that the files for Staff #2 (DOE 1/15/2024), Staff #3 (DOE 8/14/2024), Staff #4 (8/14/2024), and Staff #5 (DOE 8/22/2022) lacked a DCS background check submittal form. ***Previously cited 8/25/2023”

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 Compliance Officer #1's observation, it was determined that the 10-day orientation for Staff #4 (DOE 8/14/2024) lacked the staff's name and the signature of the facility director.”

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 observation, it was determined that the files for Staff #1 (DOE 6/24/2024), Staff #2 (DOE 1/15/2024), Staff #3 (DOE 8/14/2024), Staff #4 (DOE 8/14/2024), and Staff #5 (DOE 8/22/2022) lacked the required two good-faith effort references.”

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 and Compliance Officer #1's observations, it was determined that the following staff lacked documentation of the required experience and/or education to be a teacher-caregiver: *Staff #1 (DOE6/24/2024): 3 of 6 months of childcare experience. *Staff #3 (DOE 8/14/2024): 5 of 6 months of childcare experience and the required education. *Staff #4 (DOE 8/14/2024): 5 of 6 months of childcare experience. ***Previously cited 9/2/2022 & 8/25/2023”

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 facility documentation and the Compliance Officers' observations, it was determined that the roster in Room 1 (4s) indicated there were 10 children present when there were 9 children, and the roster for Room 10 (3s) indicated there were 11 children present when there were 8 children. ***Previously cited 9/2/2022”