Chai Childhood Center

AAC R9-5-306.A. A. A licensee shall: 1. Maintain a dated attendance form containing an enrolled child’s name with the time of each admission and release, and the parent or staff member's signature or other unique identifier. 2. If an electronic signature is used to admit or release the enrolled child, adopt policies and procedures to ensure that the individual whose signature the electronic or digital method of identification represents is accountable for the use of the electronic or digital method; 3. Develop, document, and implement policies and procedures to ensure that the identity of an individual is known to the staff member or is verified with picture identification before releasing an enrolled child to the individual. 4. Not release the enrolled child to an individual other than the enrolled child’s parent or other individual designated in writing by the enrolled child’s parent except when the enrolled child’s parent is unable to collect the enrolled child and authorizes the licensee by telephone to release the enrolled child to an individual not so designated. 5. Not permit the self-admission or self-release of an enrolled child unless the enrolled child is of school-age and the licensee has obtained and verified written permission from the enrolled child’s parent. 6. Maintain the attendance form on facility premises for 12 months after the date of attendance.

“Findings: Based on facility documentation and the Compliance Officer's observations, it was determined that 8 out of 12 enrolled children's attendance forms reviewed lacked the following required information or unique identifier: Child #1: Release time and signature or unique identifier on 4/21/2026. Child #2: Release time and signature or unique identifier on 4/21/2026, and an arrival signature or unique identifier on 4/24/2026. Child #3: Release time and signature or unique identifier on 4/23/2026. Child #4 & Child #5: Arrival signatures or unique identifiers on 4/23/2026. Child #6: Arrival and release times and signatures or unique identifier on 4/24 & 4/28/2026. Child #7 & Child #8: Release signature or unique identifier on 4/28/2026.”

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 Officer's observations, in Room 11 (2s), there were 8 children present and 12 children were marked on the roster”

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 enough for supervision of children;

“Findings: Based on the Compliance Officer's observation, in Room 9 (Infants), the room was dark. Staff held a cell phone light on to be able to see in the room where infants were sleeping.”

AAC R9-5-501.B.11. B. A licensee shall ensure that a staff member: 11. Monitors an enrolled child for overheating or overexposure to the sun. If the enrolled child exhibits signs of overheating or overexposure to the sun, a staff member who has the first aid training required by R9-5-403(E) shall evaluate and treat the enrolled child.

“Findings: Based on the Compliance Officers' observations and staff statements, at 11:30 am, children from Room 7 (2s) were entering the facility from the playground, the children had red cheeks. Staff stated they were outside from 11:00 - 11:30am. When the children from Room 6 (1/2s) entered the facility from the playground, they had red cheeks. Staff stated the children were outside from 11:15 - 11:45am. When the Compliance Officers arrived at the facility at 10:33am, the children from Room 7 (2s) were observed on the playground.”

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

“Findings: Based on the Compliance Officer's observation, Child #20’s medication lacked the required dosage in the box. Only 1/2 of the medication was in the box.”

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, the written medication authorization form for Child #17 and Child #18's medicine lacked the starting and ending dates. Child #19's prescription number did not match the medication label prescription number. Child #20's authorization form dosage did not match the prescription label.”

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, Room 7 (2s) and Room 8 (2s) toilet rooms lacked dispensed paper towels.”

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 observations, the temperatures of the refrigerators in the following areas were above 41 degrees F, rather than 41 degrees F or below as required: Room 3 (4/5s) & Room 11 (1s): 50 degrees F.”

AAC R9-5-504.A.9.d. A. A licensee providing child care services for 1-year-old and 2-year-old children shall: 9. Ensure that: d. If a parent brings a sippy cup for the parent’s enrolled child, the sippy cup, as in a lidded drinking container that is designed to be leak proof or leak-resistant and from which a child drinks through a spout or a straw, is labeled with the enrolled child’s name.

“Findings: Based on the Compliance Officers’ observations, in Room 7 (1s), 3 of 7 sippy cups lacked a child's first and last name.”

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 observations, in Room 10 (Infants) and Room 7 (2s), the diaper areas lacked single-use paper towels from a dispenser.”

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 observations, in Room 10 (Infants), there were 2 bottles labeled with a child's first name only in the refrigerator.”

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 Officers' observations, Child #9, Child #10, Child #11, Child #12, Child #13, Child #14 and Child #15's feeding plans were not completed.”

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 Officer's observations, in Room 10 (Infants), there were several containers of unlabeled food items belonging to infants in the refrigerator.”

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 the Compliance Officer's observation, Child #16's medication expired 10/01/2025.”

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 observations, in Room 10 (Infants), the following items lacked a label of the child's first and last name as required: *One unlabeled container of wipes. *Two tubes of Desitin and one container of wipes were labeled with a child's first name and last initial. *One diaper cream and 2 containers of wipes were labeled with a child's first name only.”

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, Room 7 (2s) lacked a lesson plan. In Room 11 (1s), the lesson plan was dated "April".”

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 observations, the outdoor activity areas lacked the following resilient surfacing: Preschool playground: *1” of the required 6" of wood chips in the fall zones of the climber, swings, dome & single orange slide. *2” of the required 6" of wood chips in the fall zones of the double orange slide. The 2s playground lacked 4” of the required 6" of wood chips in the fall zones of the swings.”

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 the Compliance Officer's observations of 5 staff files, the file for Staff #1 (DOE 2.6.2026) lacked the DCS background check.”

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 a review of facility documentation and the Compliance Officer's observations, the medication for Child #2 lacked a doctor's note to administer the medication.”

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, the health, safety and welfare of enrolled children was placed at risk of harm. In the Room 10 (Infants) and Room 11 (1s) where enrolled children were sleeping, the rooms were dark. The staff were not able to observe the sleeping children's faces.”

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 Officers' observations, on the 1’s playground, there was a brown playhouse with brown smudges on and around the faucet and near the base of the structure.”

AAC R9-5-504.A.3. A. A licensee providing child care services for 1-year-old and 2-year-old children shall: 3. Ensure that each activity area has a supply of age-appropriate toys, materials, and equipment that are too large for a child to swallow and free from sharp edges and points, in a quantity sufficient to meet the needs of the enrolled children in attendance including: a. Art supplies; b. Books; c. Rubber or soft plastic balls; d. Puzzles and toys to enhance manipulative skills; e. Blocks; f. Washable soft toys and dolls; g. Musical instruments; and h. Indoor and outdoor equipment to enhance large muscle development;

“Findings: Based on the Compliance Officers’ observations, Room 7 (1s) lacked blocks.”

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 1’s (Art Room) toilet room, there were gaps in the floor tiles and a 1/4" gap in the formica to the left of the left sink with debris in the gap.”

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 a review of facility documentation and the Compliance Officer's observations, Child #1’s medication consent form lacked the end date for the dosage period.”

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 fixtures were not maintained in a clean condition: *In Room 1 (2-4s) toilet room, there was a cracked floor tile to the left of the toilet, small gaps between the floor tiles, a 1/4” gap in the Formica counter with debris in the gap on the left side of the left sink, and 2 of 2 sinks had chipped and discolored caulking around the base. *In Room 7 (1s) toilet room, 2 of 2 sinks had chipped and discolored caulking around the base, and there were 1/4” gaps in the floor tiles with debris in the gaps. *In Room 8 (1-2s) toilet room, 2 of 2 sinks had discolored and chipped caulking around the base.”

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 Officers’ observations, the floors in the following rooms were not maintained in a clean condition and free from hazards: *In Room 11 (1s), there was sticky tape residue on the floor, and debris in the corners of the floor and below the sink used for diapering; *In Room 7 (1s), there was a 4” gap in the floor tile near the entry door with debris in the gap; and *In Room 4 (2-3s), there were 4 cracked floor tiles.”

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, in Room 7's (1s) toilet room, there was a brown basket on the counter between the 2 sinks and in Room 8's (1-2s) toilet room, there was a basket on the counter with paper towels.”

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

“Findings: Based on the Compliance Officers’ observations, in Room 7 (1s), the facility lacked a sufficient number of balls, manipulative, blocks, and puzzles for the enrolled children. (There was only 1 puzzle for 5 children.)”

AAC R9-5-503.B. B. A licensee shall ensure that a staff member does not:1. Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area; 2. Draw water for human consumption from a diaper changing area sink; or 3. Except as provided in subsection (C), if responsible for food preparation, change diapers until food preparation duties have been completed for the day.

“Findings: Based on staff statement, in Room 6 (2s), staff stated that they cut fruit on the diaper changing surface.”

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 7 (1s) toilet room, there was a diaper rolled up in the trash can.”

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 and staff statement, in Room 6 (2s), there was a sharp knife in the diaper sink, accessible to the enrolled children present. Staff stated that they use the knife to cut fruit.”

AAC R9-5-403.B. B. A licensee shall ensure that:1. Each staff member who provides child care services completes 18 or more actual hours of training every 12 months after the effective date of this Chapter or the staff member’s starting date of employment or volunteer service in at least two topics listed in this subsection: a. Child growth and development, including: i. Infant growth and development, which may include sudden infant death syndrome prevention; ii. Developmental psychology; iii. Language development; iv. Observation and child assessment; v. Developmentally-appropriate activities; vi. Child guidance and methods of discipline which may include training on the appropriate techniques to prevent a child from harm or to prevent the child from harming others; and vii. Developmentally-appropriate activity areas; b. Health and safety issues, including: i. Accident and emergency procedures, including CPR and first aid for infants and children; ii. Recognition of signs of illness and infestation; iii. Nutrition and developmentally-appropriate eating habits; iv. Child abuse detection, reporting, and prevention; v. Safety of indoor and outdoor activity areas; and vi. Sun safety policies and procedures; c. Program administration, planning, development, or management; and d. Availability of community services and resources, including those available to children with special needs; and 2. As part of the required 18 hours of training in subsection (B)(1): a. A staff member who has less than 12 months of child care experience before the staff member’s starting date, completes at least 12 hours in one or more of the topics in subsection (B)(1)(a) in the staff member’s first 12 months at the facility; b. A staff member who has 12 months or more of child care experience, completes at least 6 hours in one or more of the topics in subsection (B)(1)(a) every 12 months after the staff member’s starting date; c. A staff member who provides child care services to an infant completes at least 6 hours in subsection (B)(1)(a)(i) every 12 months after the staff member’s starting date; and d. A facility director completes at least 6 hours in subsection (B)(1)(c) every 12 months after the facility director’s starting date.

“Findings: Based on a review of facility documentation and the Compliance Officer’s observations, the following staff member’s files lacked documentation of 18 hours of required annual training: *Staff #2 (DOE 5.15.2023)- 18 of the required 18 hours of annual training from 5/2024 - 5/2025; and *Staff #3 (DOE 3.20.2023)- 18 of the required 18 hours of annual training from 3/2024 - 3/2025.”

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 a review of facility documentation and the Compliance Officer’s observations, Staff #1’s (DOE 2.14.2025) file lacked documentation of the 10-day new staff training.”

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 a review of facility documentation and the Compliance Officer’s observations, the files for Staff #1 (DOE 2.14.2025), Staff #2 (5.15.2023), Staff #3 (DOE 3.20.2023), and Staff #4 (DOE 3.31.2025) lacked documentation of 2 of the required 2 good faith effort references.”

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

“Findings: Based on a review of facility documentation and the Compliance Officers’ observations, in Room 5 (3-5s), there were 2 children present with only 1 child marked on the roster.”

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 a review of facility documentation and the Compliance Officer’s observations, 9 of 10 children’s attendance records lacked the following: *Child #1, Child #3 & Child #4- A complete arrival and departure signature on 6.23.2025; *Child #2- An arrival signature on 6.23.2025; *Child #5- An arrival signature on 6.16.2025 and a release signature on 6.17.2025 and 6.20.2025; *Child #6- An arrival signature on 6.20.2025 and a release signature on 6.18.2025; *Child #7- A release signature on 6.16.2025 and a release time and signature on 6.18.2025; *Child #8- A release time and signature on 6.16.2025; and *Child #9- A release signature on 6.16.2025.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete 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 a review of facility documentation and the Compliance Officer’s observations, 12 of 20 Emergency, Information, and Immunization Record cards lacked the following required information: *Child #10- The child’s parent’s printed name and date; *Child #11- The child’s health care provider’s information and second emergency contact’s information; *Child #12 and Child #20- The child’s 2nd emergency contact’s information; *Child #13 and Child #14-The child’s date of enrollment; *Child #15- The child’s health care provider’s information; *Child #16- The child’s home phone number, the home address for both parents, the parent’s printed name, the parent’s signature, and the date; *Child #17 and Child #18- The child’s gender and the second parent’s information; *Child #19- The child’s date of enrollment and the child’s second emergency contact’s information; and *Child #21- The child’s home phone number.”

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 a review of facility documentation and the Compliance Officers’ observations, the written statement of child care services lacked transportation procedures and field trip requirements and procedures.”

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 a review of facility documentation and the Compliance Officer’s observations, the following staff attendance records lacked: *Staff #5: Time of departure on 6.18.2025; *Staff #6: Time of departure on 6.23.2025; *Staff #7: Time of departure on 6.23.2025; and *Staff #8: Time of departure on 6.17.2025.”

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

“Findings: Based on a review of facility documentation and the Compliance Officers’ observations, Staff #4’s (DOE 3.31.2025) file lacked documentation of the DCS submittal.”

AAC R9-5-604.B.3. B. A licensee that uses a private pool for an enrolled child shall ensure that the swimming pool and its equipment meet the following requirements: 3. A portable pool that does not meet the requirements of subsection (B)(1) or (2) is prohibited;

“Findings: Based on the Compliance Officers' observations, in the Patio area (3-5s), there was an inflatable pool on the ground, and a slip and slide hanging on the fence. On the 1’s playground, there was an inflatable pool on the ground.”

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 outdoor activity areas lacked sufficient resilient surfacing in the fall zones: *The 3-5’s playground lacked 5” of the required 6” of wood chips near the stairs, and 3-4” of the required 6” of wood chips near the double red slide climber. *The 2’s playground lacked: * 5" of the required 6” of wood chips near the rocking horse and pink seesaw. * 2” of the required 6” of wood chips near 5 tires on the ground. * 2.5” of the required 6” of wood chips near 2 toddler swings. * 2-3” of the required 6” of wood chips under the small climber with 3 orange slides. * 3” of the required 6” of wood chips near the swings. *On the 1’s playground, the grassy turf under the 4-way yellow tunnel and the Little Tikes climber with 2 slides did not provide resiliency.”

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 observed in the outdoor activity areas: On the Patio areas (3-5s), there was 1 tricycle missing both pedals. On the 3-5’s playground, there was a Palm tree with thorns, and the South side of the wrought-iron fence was not secured to the fence post. On the 2’s Playground: *There was an exposed concrete border protruding through the wood chips. *There were protruding weeds in the wood chips. *There was a build-up of pollen on the ground near the garden area. *There was an 8” gap between the bottom of the wrought-iron fence and the ground. *There were cracked tiles with sharp edges on the wall. *There were 6 rusted swing chains. *On the 1’s playground, there was a cracked green bin with sharp edges on the ground, and a green and white play cabinet with warped edges and loose, unsecured trim on the edges.”

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

“Findings: Based on the Compliance Officer's observations, the medication forms for Child #21, Child #24, Child #25, Child #26, and Child #27 lacked a written authorization from the enrolled child's health care provider. Per the medication's label, a written authorization was required to administer the medications.”

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 a review of facility documentation and the Compliance Officer's observations, children's medication consent forms lacked the following required information: *Child #8, Child #24, and Child #25: The end dates of the medication; and *Child #21: The route of administration, prescription number, and the end date of the medication.”

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

“Findings: Based on the Compliance Officers' observations, all of the classrooms lacked a posted written accident, evacuation, and emergency plan.”

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: *In Room 11 (1s), there was torn vinyl with exposed foam on a blue couch, and torn fabric with exposed foam on the right edge of an adult chair. *In Room 7 (1s), there was a black cord dangling from the refrigerator on the floor to an outlet. *In Room 8’s (1-2s) toilet room, there was a loose toilet seat that wobbled. *In Room 6 (2s), there was a lamp cord draped downward and across the floor to an outlet. *In Room 10 (Infants), there were cords attached to the light and sensory table bunched on the floor, and there was a clear sensory table with Cheerios inside with the lid ajar 6” on the floor. *In Room 1’s (2-4s) toilet room, there was 2” of loose baseboard with debris and chipped drywall on the left side of the left toilet, and 8” of baseboard missing from the wall on the right side of the right sink.”

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 following diapering sinks were not maintained between 86° F - 110° F as required: *In Room 9 (infants), the temperature measured at 84° F; and *In Room 10 (infants) and Room 11, the temperatures were measured at 78.2° F.”

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 diaper changing areas in the following rooms were not clear of items not required for diaper changing: *In Room 6 (2s), there was an iPad, a child’s cup, and 2 extra containers of soap on the diaper changing surface, and a long, sharp knife in the diaper sink; *In Room 7 (1s), there was a white plastic zip bag on the diaper changing surface; and *In Room 10 (infants), there was an outlet cover on the diaper surface.”

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 Room 9 (infants), 3 of 6 crib sheets were loose fitting.”

AAC R9-5-502.A.8.b. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: b. Has a commercially waterproofed mattress; and

“Findings: Based on the Compliance Officer's observations, in Room 10 (infants), 2 cribs had torn mattresses with exposed foam and were no longer waterproof.”

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

“Findings: Based on the Compliance Officer’s observations, the following children’s personal products lacked the enrolled child's name: *Room 7 (1s): Child #23’s healing ointment; and *Room 11 (1-2s): Child #3’s butt paste.”

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 9 (infants), 3 of 3 pacifiers were not labeled with an identifier specific to an enrolled child.”

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: *On the Patio of the 3 -5’s playground, on the 3-5's playground, and on the 2’s playground, there was uncovered food waste inside the blue containers. *On the 1’s playground, there were discolored smears and a dried, white-colored substance on the brown playhouse. *In Room 8 (1-2s) toilet room, there was a basket with cut paper towels on the counter.”

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, in Room 7 (1s), there was an unsecured, 5 tiered brown shelf (50.5” tall) that was unstable and swayed easily when light pressure was applied.”

AAC R9-5-503.E. E. A licensee shall ensure that the written diaper changing procedure in subsection (D) states that an enrolled child’s diaper is changed as soon as it is soiled, and that a staff member, when diapering:1. Uses a separate washcloth and towel only once for each enrolled child; 2. Washes and dries the enrolled child using the enrolled child’s individual personal products labeled with the enrolled child’s name; 3. Uses single-use non-porous gloves; 4. Washes the staff member’s own hands with soap and running water between 86° F and 110° F before and after each diaper change; 5. Washes each enrolled child’s hands with soap and running water between 86° F and 110° F after each diaper change; 6. Cleans, sanitizes, and dries the diaper changing surface following each diaper change; and 7. Uses single-use paper towels from a dispenser to dry the diaper changing surface or the hands of the enrolled child or staff member.

“Findings: Per allegation and based on staff statements, Staff #1 has been observed changing children's diapers without wearing gloves. Staff stated the following: *Staff #1 admitted to not wearing gloves when changing children's diapers when they first started at the facility. *Staff #1 has been observed not wearing gloves when changing diapers.”

AAC R9-5-301.E. E. A licensee shall, with the exception of individuals listed in subsection (D)(2), ensure that a staff member supervises any individual that is not a staff member who is on facility premises where enrolled children are present.

“Findings: Based on facility documentation, Staff #1's file and on staff statements, it was determined that Staff #1 (DOH 8/26/2024) was a teacher-caregiver. Staff #1 was not qualified as a teacher-caregiver and was not supervised by a qualified staff member. Staff stated Staff #1 works alone in the Infant room and in the 2's room.”

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: Per allegation and based on facility documentation, Staff #1's file and staff statements, it was determined that Staff #1 was a teacher caregiver in the Infant room and in the 2's room. Staff #1 was not qualified as a teacher caregiver because their file lacked documentation of 2.5 months of the required 6 months of child care experience. Staff stated the following: *Staff #1 works alone with enrolled children. *Staff #1 works alone a lot and does not have experience.”

AAC R9-5-404.C.1. C. A licensee shall ensure that:1. When there are six or more enrolled children present in a facility, the following individuals are present in the facility: a. A facility director or a director’s designee who meets the requirements in R9-5-401 for a director’s designee; and b. One additional staff member;

“Findings: Based on staff statements, the Licensee failed to ensure a facility director or a director’s designee who meets the requirements in R9-5-401 for a director’s designee is present in the facility when six or more children are present. Staff stated the following: *There are times when one of the designees should be here and they are not and the Director has already left for the day. *On a day in October, 2024, the Director was supposed to be here and had already left for the day. The designee had already left for the day and no one was in charge. *It happened 3 times in October when the Director was supposed to be the closer and left early, and no one present was a designee.”

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 the Compliance Officer's review of Staff files, the files for Staff #1 (DOE 6/17/24) and Staff #4 (DOE 8/2/21) lacked documentation of the licensee's verification of the staff's fingerprint clearance card's validity through DPS.”

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

“Findings: Based on the Compliance Officer's observations, the red slide on the preschool playground had a 6-inch long crack near the base of the slide and the plastic was raised and sharp. The climbing globe in the toddler playground swayed when touched and was not stable.”

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 Officer's review of 20 children’s emergency and information cards, 6 of the cards lacked the following information: *Child #7- the name and phone number of a second emergency contact; *Child #8- the name, address and phone number of the second parent; *Child #9- the name and phone number of a second emergency contact and the name and phone number of the child's health care provider; *Child #10 -the name and phone number of a second emergency contact; *Child #11- the name and phone number of at least 2 emergency contacts; and *Child #12- the name and phone number of at least 2 emergency contacts and the phone number of the child's health care provider.”

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 Officer's observation, the exhaust fan in the bathroom of Room 5 was not operating.”

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

“Findings: Based on the Compliance Officer's observations, the wood chips in the fall zone under the climbing globes in both the toddler and the preschool playground lacked any of the 6 inches of resilient surfacing.”

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

“Findings: Based on the Compliance Officer's observations, the following personal products were not labeled with the child's first and last name: *Room 11- 1 tube of diapering cream; and *Room 9- 3 containers of diapering wipes.”

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 the Compliance Officer's review of the infant written feeding instructions and on a discussion with the infant room staff, 6 infant feeding instructions had not been updated and lacked the following required information: *Child #1- the staff stated the infant was eating puree. The instructions had not been updated since 1/2024 and lacked the frequency of the feedings and the amount to be fed: *Child #2- the instructions lacked the amount of formula to be fed; *Child #3- the staff stated the infant was eating food. The instructions had not been updated since 3/7/2024 and lacked the type and amount of food to be fed and the frequency of the feedings; *Child #4- the staff stated the infant was eating food. The instructions had not been updated since 2/29/2024 and lacked the type and amount of food to be fed and the frequency of the feedings; *Child #5- the staff stated the infant was eating food. The instructions lacked the frequency and amount of food to be fed; and *Child #6-the staff stated the infant was eating puree. The instructions lacked the frequency of the feedings and the amount to be fed.”

AAC R9-5-303.A. A. A licensee shall post in a place that can be conspicuously viewed by individuals entering or leaving the facility or activity area, the:1. Facility’s license; 2. Name of the facility director; 3. Name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility, as prescribed by R9-5-301(B)(1); 4. Schedule of child care services fees and policy for refunding fees as prescribed by A.R.S. § 36-882(P); 5. Breakfast, lunch, dinner, and snack menus for each calendar week at the beginning of the calendar week; 6. Notice of the presence of any communicable disease or infestation listed in 9 A.A.C. 6, Article 2, Table 2, from the date of discovery through the incubation period of the communicable disease or infestation; 7. Notice of the Department’s intent to deny, revoke, or suspend as prescribed by A.R.S. § 36-888 at the expiration of time in the notice for the licensee to respond; 8. Notice of an intermediate sanction imposed as prescribed by A.R.S. § 36-891.01 within 10 calendar days after the licensee received notice of the intermediate sanction; 9. Notice of a legal injunction imposed as prescribed by A.R.S. § 36-886.01 when the licensee receives the legal injunction; and 10. Notice of the availability of facility inspection reports for public viewing at the facility premises.

“Findings: Based on the Compliance Officer's observation, the Parent posting board lacked the refund of fees policy and the notice of inspection reports.”

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 a review of Staff #1's file (DOE 4/22/24), and staff statement, the file lacked documentation of the staff's negative TB test. Staff #1 is the New Director and acknowledged she did not have a negative TB test.”

ARS § 36-883.02.A. A. Except as provided in subsection B of this section, child care personnel, including volunteers, shall submit the form prescribed in subsection C of this section to the employer and shall have valid fingerprint clearance cards issued pursuant to section 41-1758.07 before starting employment or volunteer work.

“Findings: Based on the Compliance Officers' review of Staff files, it was determined that two staff did not have a valid fingerprint card upon the date of employment. *Staff #2 (DOE 10/26/23) The fingerprint clearance card was not issued until 11/16/23; and *Staff #3 (DOE 10/26/23). The staff's fingerprint clearance card was not issued until 11/20/23. **Repeat deficiency cited in July 2022.”

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

“Findings: Based on Compliance Officer #1's observation, a ratio of 2:15, rather than 3:15 was observed on the outside toddler playground. The youngest children in the group were 1-year-olds. The 2 other staff were observed inside the one year old classroom.”

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' review of staff files, it was determined that the licensee failed to ensure the health, safety, or welfare of an enrolled child was not placed at risk of harm when Staff #2 and #3 were employed before the staff had obtained a valid fingerprint clearance card. The rule (ARS 36.883.02.A) was also cited at the time of the July 2022 inspection.”

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

“Findings: Based on the Compliance Officers' interview with staff, a review of the Post Remediation Report from the pest control company and on a review of the text messages between the staff and the Director & Assistant Director regarding the Rodent (rat) issue, it was determined the licensee failed to maintain the facility free from rodents. On April 9, 2024, another staff found rat feces in the closet between rooms 10 (infants) and 11 (one year old room) and heard something scurry across the floor when the light was turned on. Staff notified the Director that day. The School's Maintenance man stated he was notified of the issue and placed a glue trap in the closet on April 10th. The next day a live rat was found on that glue strip. In addition, a rat nest was found in the closet with 2 live baby rats.”

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' interview with staff, a review of the Post Remediation Report from the pest control company and on a review of the text messages between the staff and the Director & Assistant Director regarding the Rodent (rat) issue, the licensee failed to ensure the health and safety and welfare of children in regards to the live rats found in the closet that is located between rooms 10 and 11. Staff stated they had begun to notice an odor in the closet located between rooms 10 (Infant) and 11 (One year old room). They stated the closet was previously a bathroom but stated it was now being used for storage. On April 9, 2024, another staff found rat feces in the closet and heard something scurry when the light was turned on. Staff notified the Director that day. The Director told the staff that she would notify the Executive Director and the School's maintenance man immediately. The Executive Director stated she was not notified of the rat issue until April 12, 2024. The Executive Director further stated the Director acknowledged she had not notified any of the parents. The Executive Director requested that parents be notified and a notice was sent out to parents on April 15th. The School's Maintenance man stated he was notified of the issue and placed a glue trap in the closet on April 10th. The next day a live rat was found on that glue strip. He further explained that previously the closet was a bathroom and the toilet had been removed. He stated upon his inspection, the remaining toilet sewer was no longer fitted with the required sewer cap and the drain was exposed. A rat nest with 2 live baby rats was found in the closet and he stated he removed them. Staff, including the Director, cleaned out the remaining items that were stored in the closet on April 17th and 18th. The School was closed on 4/19/24 for cleaning and sanitizing by a Pest control company. Two staff that had touched items in the closet became ill. One had a rash and another staff was hospitalized overnight.”