Children's Learning Adventure Childcare Center

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 inspection of the diaper changing areas the Primary Compliance Officer noted that the front edge of the counter top in Voyagers 3 was missing a piece of linoleum, leaving the wood substrate exposed.”

AAC R9-5-605.B.16. B. A licensee shall ensure that: 16. The fire extinguisher required in subsection (A): a. Is serviced at least once every 12 months; and b. Has a tag attached to the fire extinguisher that specifies the date of the last servicing.

“Findings: The Primary Compliance Officer observed that the service tags attached to the fire extinguishers indicated that they expired August 2026.”

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

“THE FOLLOWING WAS SUBSTANTIATED: Findings: Based on staff interview and documentation provided during the Complaint Investigation the Compliance Officer determined that Staff 1 was not accountable for the actions of a child that injured themselves while in the restroom. Child 1 cut their left hand, between the index and middle finger, when they ran their hand along a metal shelf that was hanging above the toilet in the child restroom located in the Explorers 6 Classroom. According to staff interview, Staff 1 was completing lunch service at the child tables, and Child 1 was using the restroom. Staff said that while Child 1 was using the restroom, some of the children were still sitting at the lunch tables, and others had moved to their cots in preparation for nap time. Staff 1 heard Child 1 scream from the restroom, and when the staff member entered the restroom they saw that Child 1 was holding their left hand, and blood was visible. Upon being picked up from the facility, Child 1's injury required stitches on their left hand during a hospital visit.”

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: During the inspection the Compliance Officers observed toilets that had not been flushed after use in the following classrooms: -Voyagers 3 -Voyagers 1 -Voyagers 4 -School Age”

AAC R9-5-510.B.3. B. A licensee shall ensure that a staff member does not use or permit: 3. Abusive, profane, sarcastic language, verbal abuse, threats, or derogatory remarks about the child or child’s family;

“Findings: While inspecting the Voyagers 2 Classroom Compliance Officer 1 observed Staff 1 tell a child "I'm going to tell other teacher on you" while trying to get the child to stop sitting on a low wooden shelf located in the dress-up clothing area.”

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 noted that the Formica counter top edge is pulling away from the base, leaving exposed wood on the edge of the diapering area counter top in the Voyager 5 Classroom.”

AAC R9-5-501.B.5. B. A licensee shall ensure that a staff member: 5. For enrolled children 12-months and older, except as provided in subsection (C), prepares, posts, and implements in each indoor activity area, a current schedule of children’s age-appropriate activities, including the times the following are provided: a. Meals and snacks; b. Naps; c. Indoor activities; d. If weather and air quality permit, outdoor or large muscle development activities; e. Quiet and active activities; f. Teacher-directed activities; g. Self-directed activities; h. Activities for individuals, groups of five or fewer children, and groups of six or more children; and i. Activities that develop small muscles;

“Findings: During the inspection Compliance Officer 1 noted that the posted Activity Schedule in the Voyagers 3 Classroom did not document activities for the time period of 11:00 AM to 11:30 AM.”

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: During the inspection Compliance Officer 2 noted that the restroom fan was not operable in the child restroom located in the Explorers 4 Classroom.”

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 review of child medications stored onsite Compliance Officer 2 noted the following: -Child 1's Medication Consent form was not signed by the parent. -Child 2's Medication Consent form did not document an end date of authorization. -Child 3's Medication Consent form documented "as needed" for the dosage.”

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

“Findings: During the inspection Compliance Officer 1 observed a green woven basket on the floor of the child restroom located in the Voyagers 3 Classroom.”

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: During the inspection the Compliance Officers observed toilet paper rolls that were not in their mounted dispensers in the following classrooms: -School Age (1 toilet paper roll sitting on top of mounted dispenser, 1 sitting on shelf) -Explorers 6 (Toilet paper roll sitting on shelf above toilet tank)”

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;

“THE FOLLOWING WAS SUBSTANTIATED Findings: Based on review of conflicting Incident/Accident documents, as well as inconsistent staff descriptions of the incident, the Compliance Officer and Compliance Officer Supervisor determined that the health and safety of an enrolled child was compromised due to a lack of supervision that contributed to a child being injured on the playground.”

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

“THE FOLLOWING WAS SUBSTANTIATED Findings: Based on interviews and documentation, the Compliance Officer and Compliance Officer Supervisor determined that Staff 1 and Staff 2 were not adequately supervising the children that were present on the playground when a child was injured. At 5:20 PM on May 01, 2025, a child received abrasions on the tip and bridge of their nose, their chin, and their upper forehead. Upon receiving medical attention at the hospital, it was determined that the child had received a concussion due to the incident. The incident reports that were written to document the incident did not match one another, and the two staff that were present during the incident gave different accounts of what occurred.”

AAC R9-5-304.D. When an enrolled child is disenrolled from a facility, the licensee shall: 1. Enter the date of disenrollment on the child’s Emergency, Information, and Immunization Record; and 2. Maintain the records in subsection (D)(1) for 12 months after the date of disenrollment on facility premises in a place separate from the current Emergency, Information, and Immunization Record. If a licensee is a school governing board, a charter school, or a person operating multiple child care facilities, the licensee may maintain disenrollment records in a single central administrative office located in the same city, town, or school attendance area as the facility.

“Findings: Based on review of two Emergency, Information, and Immunization Record (EIIR) cards during the Complaint Inspection, the Compliance Officers noted that Child 1's card did not document their date of disenrollment, which was confirmed by the Director during the investigation.”

AAC R9-5-514. G.2. G. If while attending a facility an enrolled child has an accident, serious physical injury, or emergency that, based on an evaluation by a staff member, requires medical treatment by a health care provider, a licensee shall ensure that a staff member: 2. Documents: a. A description of the accident, serious physical injury, or emergency, including the date, time, and location of the accident, serious physical injury, or emergency; b. The method used to notify the enrolled child’s parent; and c. The time the enrolled child’s parent was notified; and

“Findings: During the course of the investigation Compliance Officers received two different written Incident/Accident Reports regarding the incident, but the information documented on the reports, which were written and signed by Staff 1, did not match one another: -Report 1 "Description of Incident": Was tripped by another student and hit "themself" on a tree. *Broken Skin: Yes, Exposure to Blood: Yes, First Aid Provided: Yes *Where was the child injured: nose, lip, chin -Report 2 "Description of Incident": ....was pushed by another child, falling, hitting head on tree. *Broken Skin: No, Exposure to Blood: No, First Aid Provided: Yes *Where was the child injured: head”

AAC R9-5-514. H. H. If an enrolled child’s parent informs a staff member at the facility that the enrolled child’s parent obtained medical treatment from a health care provider for an accident, serious physical injury, or emergency the enrolled child had while attending the facility, a licensee shall ensure that a staff member: 1. Documents any information about the enrolled child’s accident, serious physical injury, or emergency received from the enrolled child’s parent; and 2. Maintains documentation required in subsection (G)(1) on facility premises for 12 months after the date of the child’s disenrollment.

“Findings: Based on interview, as well as review of documents, the Compliance Officers determined that the facility was informed that the injured child received medical treatment following the incident, but did not document the information as required.”

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 review of three staff files the Compliance Officers noted that Staff 2 and Staff 3's files did not document the end date of employment for each of them.”

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 review of sign in and sign out records Compliance Officer 2 noted the following: -Child 3, Child 4, Child 5, and Child 6 were signed in and out using only initials throughout the month of September, 2024. -Child 7 was signed in and out with a first name and last initial throughout the month of September, 2024. -Child 8 was not signed out from the facility on September 16, 2024.”

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 review of Emergency, Information and Immunization Record (EIIR) cards Compliance Officer 2 noted the following: -Child 1 and Child 2's cards were not complete. The questions on the back side had not been answered, and the cards were not signed by the enrolled child’s parent as required.”