Children's Day Care Center

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

“Findings: The Primary Compliance Officer reviewed the posted dietary instructions for enrolled infants and noted that Child 1 did not have their dietary instructions in the classroom. The Child Educator in the room confirmed that they had given the form to the parents to update, but they had not yet been returned to the center.”

AAC R9-5-509.C.13. C. A licensee shall ensure that: 13. Each staff member is informed of a modified diet prescribed for an enrolled child by the child’s parent or health care provider, and the modified diet is posted in the kitchen and in the child’s activity area;

“Findings: The Secondary Compliance Officer noted that Child 2’s Emergency Record listed food modifications. The Compliance Officer asked the Director if Child 2’s food modifications were posted in their activity area and in the facility kitchen, and the Director reported that they were not.”

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: The Primary Compliance Officer inspected the children’s bathrooms at the facility and noted that one toilet seat in the girls’ bathroom had human waste smeared on the toilet seat, and another toilet had mold around the base of the toilet and the floor around it.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete an Emergency, Information, and Immunization Record that is no more than a two-page written notice, and is signed by the enrolled child’s parent containing: 1. The child’s name, home address, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, email address, and telephone number of each parent of the child; 4. The name and contact telephone number of at least two individuals authorized by the child’s parent to collect the child from the facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for the nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(14); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“Findings: The Primary and Secondary Compliance Officers reviewed twenty Emergency, Information, and Immunization Records and noted that Child 1’s records were not signed by their parent(s), nor were the medical questions answered.”

AAC R9-5-305.C. C. A licensee shall attach an enrolled child’s written immunization record or exemption affidavit, required in subsection(A), to the enrolled child’s Emergency, Information, and Immunization Record, required in R9-5 304(B).

“Findings: The Secondary Compliance Officer reviewed the Emergency, Information, and Immunization records of ten enrolled children and noted that Child 1 did not have their immunization record with their emergency information.”

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

“Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, the following outdoor hazards were accessible to children: Pre-K and School-Age Playground: *The gate along the West side of the playground had a 5.5" opening. *There was a crack along the brown exterior of the climber equipment. *The gray picnic tables in the Southeast corner were cracked, broken, and split across the benches and top. *The wood board along the base of the Southern fence was splintering. *The basketball hoop tipped forward easily when light pressure was applied. *The stucco surface along the building wall was cracking and flaking along the base of the building. *The bungee cords along the base of the exterior fencing was loose. *The wheel on the yellow and black toy bike was broken. Toddler Playground: *The stucco surface along the building wall was cracking and flaking along the base of the building.”

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

“Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, the outdoor activity areas lacked between 3" and 4.5" of the required 6" resilient surfacing under all fall zones in both playgrounds.”

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

“Findings: Based on Facility Director's statements and the Compliance Officer's and Compliance Officer Supervisor's observation, in the outdoor activity areas the surfacing under the climbing equipment was sand. The facility director stated that the sand surfacing was placed directly over asphalt.”

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

“Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, in the Toddler Room, the outside exit door was locked during hours of operation.”

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 and Compliance Officer Supervisor's observation, the file for Staff #1 lacked completed new staff training documentation within 10 days of date of employment.”

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 and Compliance Officer Supervisor's observation, the following hazards were accessible to children: All Rooms: *Baseboards were loose and separating from the wall in areas. Pre-K Room: *Electrical wires from a pencil sharpener were loosely hanging down the wall adjacent to the water dispenser.”

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

“Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, the following diaper changing areas were not maintained in a seamless, smooth, or sanitizable condition and were not kept clear of items not related to diaper changing: Infant Room: *The diaper changing table and sink were not located next to each other. Staff must take several steps from the diaper changing table to the hand washing sink. *There was a notebook, clipboard with a pen, a book with yellow pages, and two white tiered shelves with a plastic bin containing gloves and a white plastic bin containing four spray bottles on the sink area. *Caulking around the hand-washing sink had brown dirt build up. *The diaper changing table had a hole along the interior wooden wall. *There was a stack of paper towels in the side partition of the diaper changing table. Toddler Room: *There was a clear plastic bin with paper towels, a white bin with four spray bottles, and a tiered shelving unit with a clear bin and blue top on the sink area. *The diaper changing table had an orange warning sticker and a hole along the wooden wall.”

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 and Compliance Officer Supervisor's observations, the Infant Room and the Toddler Room lacked single-use paper towels from a dispenser in the diaper changing area.”

AAC R9-5-511.A. A. A licensee shall provide each enrolled child who naps or sleeps at the facility with a separate cot or mat or a crib that meets the requirements of R9-5-502(A)(8) and ensure that:1. A cot, mat, or crib used by the enrolled child accommodates the enrolled child’s height and weight; 2. A staff member covers each cot, crib mattress, or mat with a clean sheet that is laundered when soiled, or at least once every seven days and before use by a different enrolled child; 3. A clean blanket or sheet is available for each enrolled child; 4. A rug, carpet, blanket, or towel is not used as a mat; and 5. Each cot, mat, or crib is maintained in a clean and repaired condition.

“Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, in the Toddler and School-Age Room, the mats used for sleeping were ripped with interior material exposed, not maintained in a repaired condition.”

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

“Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, the following areas were not maintained in a clean condition: Infant Room: *There was a build up of dirt and grime on the wall near the crib closest to the diaper changing area. Toddler Room: *The mounted fan had a layer of dust build up. School-Age Restroom: *The exhaust fan had dust and material build up.”

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

“Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, there was a build up of dirt and debris on the floor in the following areas: Infant Room: *Under the rocking chair and crib areas. School-Age Room: *Along the base boards of the yellow wall.”

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

“Findings: Based on Compliance Officer's and Compliance Officer Supervisor's observation, the following restrooms were not maintained in a clean and sanitized condition: School-Age Room: *There was dirt and grime build up on the flooring behind the toilets in the South restroom. *The caulking along the sink in the North restroom was cracked.”

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 and Compliance Officer Supervisor's observation, in the Pre-K Room, there were 12 children in the activity area and 13 documented on the roster”

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

“Findings: Based on facility documentation and the Compliance Officer's and Compliance Officer Supervisor's observation, the files for Staff #1 and Staff #2 lacked documentation of a Central Registry (CR) background check before the start of employment. Staff #1's DOE was 3/17/2025 and CR background check dated 3/19/2025. Staff #2's DOE was 1/31/2025 and CR background check dated 5/14/2025.”

AAC R9-5-605.B.9. B. A licensee shall ensure that: 9. Fans are mounted and inaccessible to an enrolled child;

“Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, in the School-Age Room, the fan on top of the shelving unit was not mounted.”

AAC R9-5-305.B. B. A licensee shall attach an enrolled child’s written immunization record or exemption affidavit, required in subsection(A), to the enrolled child’s Emergency, Information, and Immunization Record card, required in R9-5 304(B).

“FINDINGS: Compliance Officer 1 reviewed the children's immunization records in the Preschool Classroom and observed that records for Children 4-6 were not attached to or filed with their emergency card.”

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: Compliance Officer 1 reviewed the children's emergency cards and observed the following: The card for Child 1 lacked their doctor's name and telephone number The cards for Children 2 and 3 lacked their dates of enrollment”

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: Compliance Officer 1 reviewed the parent handbook and observed that it lacked the following: -Discipline guidelines -Parent access statement”

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: Compliance Officer 1 inspected the medications in the Preschool Classroom and observed that the Medication Consent Form for Child 7 lacked an end date.”

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: Compliance Officer 1 inspected the diaper changing table in the Preschool Classroom and observed that some of the seams along the surface lacked caulking, therefore, the table was not seamless and sanitizable.”

AAC R9-5-601.4. A licensee shall comply with the following physical plant requirements: 4. Except as provided in subsection (5), when providing child care services for infants or children who require diapering, a diaper changing area that meets the requirements in R9-5-503 is available in each infant room or indoor activity area used by an enrolled infant or child who wears diapers or disposable training pants;

“The Compliance Officer Supervisor and the Compliance Officer were told by staff that Child 1 was in pull ups in a classroom without diapering.”