Children's Place Learning Center

AAC R9-5-309.C. C. A licensee shall maintain on facility premises: 1. A current fire inspection report including documentation of any repairs or corrections required by the fire inspection report; and 2. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a current gas inspection report including documentation of any repairs or corrections required by the gas inspection report.

“Findings: Based on the Compliance Officer's review of the City of Phoenix fire permit, the fire permit had expired on 6/30/25.”

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 2.2, 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 menu that was posted on the Posting board was dated the week of Sept 8-12, 2025 and was not current.”

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

“Findings: Based on the Compliance Officer's observation, the floor of the van had numerous pieces of paper, leaves, pencils and an empty water bottle on it and the floor was not clean.”

AAC R9-5-517.A.9. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall: 9. Ensure that the motor vehicle has: a. A working mechanical heating system capable of maintaining a temperature throughout the motor vehicle of at least 60° F when outside air temperatures are below 60° F; b. Except as provided in subsection (E), a working air-conditioning system capable of maintaining a temperature throughout the motor vehicle at or below 86° F when outside air temperatures are above 86° F; c. Except as provided in subsection (F), a first aid kit that meets the requirements of R9-5-514(A); d. Two large, clean towels or blankets; and e. Sufficient drinking water available to meet the needs of each enrolled child in the motor vehicle and sufficient cups or other drinking receptacles so that each enrolled child can drink from a different cup or receptacle;

“Findings: Based on the Compliance Officer's observation, the Van's first aid kit contained only 1 gallon-sized bag,1 roll of gauze and 1 gauze pad.”

AAC R9-5-503.A.3.4. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and 4. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled clothing.

“Findings: Based on the Compliance Officer's observation, the soiled diaper container in Room 2 lacked a waterproof liner.”

AAC R9-5-401.1. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility: 1. A facility director is 21 years of age or older and provides the licensee with documentation of one of the following: a. At least 24 months of child care experience, a high school or high school equivalency diploma, and: i. Six credit hours or more in early childhood, child development, or a closely-related field from an accredited college or university; or ii. At least 60 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field, and an additional 12 hours of instruction, provided in conferences, seminars, lectures, or workshops in the area of program administration, planning, development, or management; b. At least 18 months of child care experience and: i. An N.A.C., C.D.A., or C.C.P. credential; or ii. At least 24 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; c. At least six months of child care experience and an associate degree from an accredited college or university in early childhood, child development, or a closely-related field; or d. At least three months of child care experience and a bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field;

“Findings: Based on the Compliance Officer's review of Staff #1's file (the Director- DOE 11/19/23), the file contained documentation of the staff's high school diploma but contained only 52.5 of the required 60 hours of childcare training and contained only 10 of the required 12 hours of training in program administration, planning, development, or management.”

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

“Findings: Based on the Compliance Officer's observation, the water temperature at the diapering sinks measured the following temperatures: *Room 2- 82 degrees F; and *Room 4- 113 degrees 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 Officer's observations, the following was observed regarding the diapering areas: *Room 1- a cup and a toy were stored on the diapering counter; *Room 2- a wicker basket, artwork, a blue tray and tape were stored on the diapering counter; *Room 4- 2 plastic bins and a cup were stored on the diapering counter. The caulk on the seam behind the diapering faucet had a brown buildup on it and was not clean; and *Room 5- stacks of paper and artwork were stored on the diapering counter.”

AAC R9-5-401.2. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility: 2. A facility director’s designee is 21 years of age or older and provides the licensee with documentation of one of the following: a. At least 12 months of child care experience, a high school or high school equivalency diploma, and: i. Three credit hours or more in early childhood, child development, or a closely-related field from an accredited college or university, or ii. At least 30 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field;b. At least 12 months of child care experience and: i. An N.A.C., C.D.A., or C.C.P. credential; or ii At least 24 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; c. At least six months of child care experience and an associate degree from an accredited college or university in early childhood, child development, or a closely-related field; or d. At least three months of child care experience and a bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field;

“Findings: Based on the Compliance Officer's review of Staff #2's file (The Assistant Director-DOE 3/17/25), the file contained documentation of the staff's high school diploma but contained only 19.5 of the required 30 hours of training in childcare education.”

AAC R9-5-208.B. B. At least 30 calendar days before the date of an intended change in a facility’s service classification, space utilization, or licensed capacity, a licensee shall submit a written request for approval of the intended change to the Department that includes: 1. The licensee’s name; 2. The facility’s name, street address, city, state, zip code, mailing address, and telephone number; 3. The name, telephone number, and fax number of a point of contact for the request; 4. The facility’s license number; 5. The type of change intended: a. Service classification, b. Space utilization, or c. Licensed capacity; 6. A narrative description of the intended change; and 7. The following additional information as applicable, if the intended change: a. Affects individual rooms, the following information about each affected activity area, as applicable: i. Identification of the activity area, ii. Current and intended square footage, iii. Current and intended operating hours, iv. Current and intended service classification, v. Current and intended licensed capacity, and vi. Whether the activity area has or will have a diaper changing area; b. Is to increase licensed capacity, the square footage of the outdoor activity area; and c. Includes an alteration or addition to the physical plant of a licensed facility, the following, as applicable, if the facility is: i. Not located in a public school or if providing child care services to infants, one-year-old children, or two-year-old children in a facility located in a public school, the information required in R9-5-201(A)(5)(g) and (A)(5)(h) showing the intended change; or ii. Located in a public school and provides child care only for three-year-old, four-year-old, or five-year-old, or school-age children, a set of final construction drawings or a school map, including the information required in R9-5-201(5)(j) showing the intended change.

“Findings: Based on the Compliance Officer's observations and a discussion with the Director and one of the Owners, the staff stated the following changes had been implemented and the licensee did not submit a written request at least 30 days prior to the changes being implemented: *Classroom 1 was a 1-year-old room but is now a 1 & and 2-year-old room; *Classroom 2 was a 1-year-old room and is now a 1&2 years old room; *Classroom 4 was a 2-year-old room and is now a 1 and 2 years old room, changing the licensed capacity from 10 to 7 children. The changes implemented above changed the overall licensed capacity from 75 to 65 children.”

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

“Findings: Based on the Compliance Officers' observations, in Room 5 on the diaper changing surface, there was an unsealed seam the width of the table. ***Previously cited 9/25/2023, 12/1/2023, 2/9/2024, 2/27/2024, and 7/18/2024.”

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

“Findings: Based on the Compliance Officers' observations, the exhaust fan in the girl's bathroom was inoperable.”

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 Compliance Officer #1's observations, the bottom ledge of the toy shelf on the right of the room had a patch of sticky residue that was collecting dust and debris.”

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 outdoor activity area was not maintained free from hazards in the following areas: School-Age/Pre-K Playground: *The doll house play structure had 4 unsealed, splintering wooden posts; 1's/2's Playground: *A wooden fence plank was detached from the fence dividing the two playgrounds. ***Previously cited 9/25/2023, 12/1/2023, and 2/9/2024.”

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 in Room 3: The right corner of the far right window sill was missing a 2x3 inch patch of paint exposing raw wood.”

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

“Findings: Based on the Compliance Officer's observations, in the MPR, there were 5 children present and 7 children were listed on the roster, and 2 children were listed on the roster by their first names only. ***Discussed at Initial inspection on 9/25/2023, and previously cited 12/1/2023, 2/9/2024, and 2/27/2024.”

AAC R9-5-401.2. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:2. A facility director’s designee is 21 years of age or older and provides the licensee with documentation of one of the following: a. At least 12 months of child care experience, a high school or high school equivalency diploma, and: i. Three credit hours or more in early childhood, child development, or a closely-related field from an accredited college or university, or ii. At least 30 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field; b. At least 12 months of child care experience and: i. An N.A.C., C.D.A., or C.C.P. credential; or ii At least 24 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; c. At least six months of child care experience and an associate degree from an accredited college or university in early childhood, child development, or a closely-related field; or d. At least three months of child care experience and a bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field;

“Findings: Based on facility documentation and the Compliance Officer and the Bureau Chief's observations, it was determined that Staff #1 was in charge at the time of the inspection. Staff #1 was not qualified as the director designee because Staff #1 was not 21 years of age or older, and the file lacked 10 months of the required 12 months of previous child care experience, and 30 of the required 30 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field. ***Previously cited 9/25/2023, 12/1/2023, and 2/27/2024.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Findings: Based on the Compliance Officer's observation, in the 3’s room, drinking water was located on a high shelf, inaccessible to enrolled children. ***Discussed at Initial inspection on 9/25/2023, and previously cited 12/1/2023, 2/9/2024, and 2/27/2024.”

AAC R9-5-501.A.3. A. A licensee shall ensure that: 3. For an enrolled school-age child, if drinking water is not accessible in an indoor or outdoor activity area, drinking water sufficient to meet the individual needs of each enrolled school-aged child is available;

“Findings: Based on the Compliance Officer and the Bureau Chief's observations, in the MPR, there was no drinking water available for the 5 school-age children present.”

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 and the Bureau Chief's observation and staff statement, the main posting area lacked the name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility. The director and the name that were posted were not present at the facility. Staff #1 stated they were the only staff present, and Staff #1 was not the person listed as "in charge". ***Previously cited 12/1/2023 & 2/27/2024.”

AAC R9-5-301.G. G. A licensee shall ensure that a staff member who has current training in first aid and CPR, as required by R9-5-403(E), is present: 1. At all times during hours of operation on facility premises, 2. On field trips, and 3. While transporting enrolled children in a facility’s motor vehicle or a vehicle designated by the licensee to transport enrolled children.

“Findings: Based on documentation and the Compliance Officer and the Bureau Chief's observations, upon arrival Staff #1 was the only employee present at the facility and Staff #1 lacked current CPR and First Aid. ***Previously cited 12/1/2023.”

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 and the Bureau Chief's observations, 2 playgrounds lacked the following resilient surfacing: Preschool playground lacked 5” of the required 6” of wood chips in the fall zones of the yellow swing, and the wood chips were hard-packed. Toddler playground lacked 3” of the required 6” of wood chips in the fall zones of the multi-colored climber. ***Previously cited 9/25/2023, 12/1/2023, and 2/9/2024.”

AAC R9-5-501.A.19. A. A licensee shall ensure that:19. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Findings: Based on the Compliance Officer and the Bureau Chief's observations, in the Girls' toilet room, there was a toilet brush on the floor to the left of the right toilet.”

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 and the Bureau Chief's observations, personal products were not labeled with an enrolled child's name in the following areas: 1's room: One container of wipes was labeled with a child's first name only. 2's room: One container of wipes was labeled with a child's first name and last initial, and there were two unlabeled containers of wipes. 3's room: One unlabeled container of wipes. ***Previously cited 9/25/2023, 12/1/2023, and 2/9/2024.”

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

“Findings: Based on the Compliance Officer and the Bureau Chief's observations, diaper changing areas were not kept clear of items not required for diaper changing in the following areas: 1’s room: There was a white cord, a purple scrunchie, a pink highlighter, an allergy list and a bib on the diaper surface. 3’s room: There were 2 white rags and a green sponge on the diaper surface. ***Previously cited 9/25/2023, 12/1/2023, 2/9/2024, and 2/27/2024.”

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

“Findings: Based on the Compliance Officer and the Bureau Chief's observations, rugs in the following areas were not maintained in a clean condition: 2's room: There were discolored stains on an ABC rug. 3’s room: There were discolored stains on a blue rug and on a number rug. ***Previously cited 9/25/2023 and 2/27/2024.”

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

“Findings: Based on the Compliance Officer and the Bureau Chief's observations, in the Girls’ toilet room, there were black paint smears on the front of the right sink, and there were discolored paint smears on the inside of the right sink. ***Previously cited 2/9/2024.”

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

“Findings: Based on the Compliance Officer and the Bureau Chief's observations, on the Preschool playground, there was food waste in an uncovered container, and there was discarded trash (a pencil, paper, and cups) on the ground. On the Toddler playground, there was discarded trash on the ground. ***Previously cited 9/25/2023, 12/1/2023, and 2/9/2024.”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, it was determined that 1 out of 2 enrolled children's attendance forms reviewed lacked the following required information: Child #1: Not signed out with a complete signature on 7/16 & 7/17/2024. 2 children were located in an unused room at the facility with a speech therapist. The children had not been signed out of the facility. ***Discussed at Initial inspection on 9/25/2023, and previously cited 12/1/2023 & 2/9/2024.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Findings: Per allegation and based on the Compliance Officers' observations, water was not accessible to enrolled children in the following rooms: 1’s room: The water and cups were located on a high shelf. 3’s & up room: There were no cups available for the children. ***Discussed at Initial inspection 9/25/2023 ***Previously cited 12/1/2023 & 2/9/2024”

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

“Findings: Per allegation and based on the Compliance Officers' (COs) observations and staff statements, children were not being supervised at all times. A child left the 3’s & up room alone and unsupervised and entered the MPR 2 times during the investigation. Staff stated: *Staff let the children go down the hallway alone to use the restroom and the staff watch from the door. *Some of the kids don't listen and just walk out the classroom door. *We send children down the hall and a staff watches the children in the restroom from their classroom. ***Previously cited 2/9/2024”

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

“Findings: Per allegation and based on the Compliance Officers' (COs) observations, children were not being supervised at all times. A child left the 3's and up room and entered the MPR, and then entered the front entry area alone and unsupervised. ***Previously cited 2/9/2024”

AAC R9-5-401.3. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:3. A teacher-caregiver is 18 years of age or older and provides the licensee with documentation of one of the following: a. Six months of child care experience and: i. A high school diploma or high school equivalency diploma; or ii. At least 12 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; b. Associate or bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field; or c. N.A.C., C.D.A., or C.C.P. credential;

“Findings: Based on facility documentation, the Compliance Officers' observations and staff statement, it was determined that Staff #1 was a teacher caregiver in the 1's room at the time of the inspection. Staff #1 was not qualified as a teacher caregiver because their file lacked documentation of 6 of the required 6 months of child care experience. Staff stated yesterday was their first day of employment at the facility. ***Previously cited 9/25/23, 12/1/2023 & 2/9/2024”

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 Officers' observations and staff statements, the main posting area lacked the name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility. The director and the name that was posted were not present at the facility. Staff stated that Staff #2 was in charge at that time, and Staff #2 was not the person listed as "in charge". Staff stated the designee listed n longer works at the facility. ***Previously cited 12/1/2023”

AAC R9-5-403.A. A. Within 10 calendar days of the starting date of employment or volunteer service, a licensee shall provide, and each staff member who provides child care services shall complete, training for new staff members that includes all of the following:1. Facility philosophy and goals; 2. Names and ages of and developmental expectations for enrolled children for whom the staff member will provide child care services; 3. Health needs, nutritional requirements, any known allergies, and information about adaptive devices of enrolled children for whom the staff member will provide child care services; 4. Lesson plans; 5. Child guidance and methods of discipline; 6. Hand washing techniques; 7. Diapering techniques and toileting, if assigned to diaper changing duties; 8. Food preparation, service, sanitation, and storage, if assigned to food preparation; 9. If a staff member is assigned to feeding infants, the preparation, handling, and storage of infant formula and breast milk; 10. Recognition of signs of illness and infestation; 11. Child abuse or neglect detection, prevention, and reporting; 12. Accident and emergency procedures; 13. Staff responsibilities as required by A.R.S. Title 36, Chapter 7.1, Article 1 and this Chapter; 14. Sun safety policies and procedures; 15. Safety in outdoor activity areas; 16. Transportation procedures, if applicable; and 17. Field trip procedures, if applicable.

“Findings: Based on the Compliance Officers' observations of 3 staff files, the file for Staff #2 & Staff #3 lacked new staff training that was signed by the staff and therefore it could not be verified that the staff completed the required new staff training within 10 days of employment. ***Previously cited 9/25/23 & 12/1/2023”

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

“Findings: Based on the Compliance Officers' observations, the following rosters were incomplete: * 1's room had 4 children present and 2 children were marked on the roster. *2's room had 2 children listed on the roster by their first name only. * 3's & up had 9 children present and 11 children marked on the roster, and the roster was located in the MPR room. ***Discussed at Initial inspection 9/25/2023 ***Previously cited 12/1/2023 & 2/9/2024”

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

“Findings: Based on facility documentation and Compliance Officer #1's observation, it was determined that Staff #1 was a teacher caregiver alone with a group of children in the 1's room at the time of the inspection. Staff #1 was not qualified as a teacher-caregiver and was not supervised by a qualified staff member. ***Discussed at Initial inspection 9/25/2023 ***Previously cited 12/1/2023 & 2/9/2024”

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

“Findings: Per allegation and based on the Compliance Officers' (COs) observations, children were not being supervised at all times. While the COs were outside on the playground, a child was observed on top of the roof of a school house play structure. ***Previously cited 2/9/2024”

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

“Findings: Based on the Compliance Officers' observations, the 3's and up room diaper changing area was not kept clear of items not required for diaper changing. There was a yellow rag to the left side of the sink, a spray bottle, a pitcher, a green sponge, 2 cups, and an empty clear bottle in the diaper sink. On the diaper surface, there was a box of tissue, a child’s blue hair clip, and markers in a clear tub. ***Previously cited 0/25/23, 12/1/2023 & 2/9/2024”

AAC R9-5-503.F.2. F. A licensee shall ensure that in an activity area with a diaper changing area:2. A staff member: a. Documents each diaper change: i. For an infant, in the infant’s dated, daily, documentation required in R9-5-502(C)(1)(d); or ii. For an enrolled child who is not an infant, in a dated diaper changing log; b. Maintains the diaper changing log on facility premises for 12 months after the date of the diaper changing log; c. Empties clothing soiled with feces into a flush toilet without rinsing; d. Places an enrolled child’s clothing soiled by feces or urine in a plastic bag labeled with the enrolled child’s name, stores the clothing in a container used for this purpose, and sends the clothing home with the enrolled child’s parent; and e. Removes disposable diapers and disposable training pants from a diaper changing area as needed or at least twice every 24 hours to a waste receptacle outside the facility building.

“Findings: Based on documentation, staff members failed to document diaper changes for enrolled children. The 2's room lacked documentation of diaper changes on 2/26/2024 from 2 pm until close. The diaper log showed Child #1's diaper was not changed from 2 - 5:40 pm. Child #2's diaper was not changed from 2 - 6:07 pm. Child #3's diaper was not changed from 2 - 6:04 pm. ***Previously cited 12/1/2023”

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

“Findings: Based on the Compliance Officers' observations, in the 3's and up room, there were 9 children sleeping on cots located 4 inches apart, rather than at least 18 inches between each row of mats to allow a staff member access to enrolled children. The staff had to step over 2 occupied cots on the floor to get to the other side of the room. ***Discussed at the initial inspection on 12/1/2023”

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, floor coverings were not clean in the following areas: School-age room: There were discolored smears and stains on the number rug. 3 's and up room: There was pink paint on the floor in the southeast corner and there were discolored stains on a grey rug. ***Previously cited 9/25/2023”

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;

“Findings: Based on on the Compliance Officers' observations and staff statements, prior to the conclusion of the investigation, in the MPR room there were 2 children in diapers/pull-ups, and the MPR is not equipped with a diaper changing area. Staff stated the following: *Children in pull-ups are taken to the toilet room located in the hallway to change a child’s soiled clothing. * Children from the 3's and up room are taken to the 2’s room to be changed when soiled or wet. ***Previously cited 12/1/2023 & 2/9/2024”

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

“Findings: Based on the Compliance Officers' observations, in the 3's and up room, the designated (and only) exit was blocked by 2 children’s occupied mats.”

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

“Findings: Per allegation and based on the Compliance Officers' (COs) observations, children were not being supervised at all times. A child left the MPR room and entered the office area alone and unsupervised. ***Previously cited 2/9/2024”

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

“Findings: Per allegation and based on the Compliance Officers' (COs) observations, children were not being supervised at all times. A child left the playground and entered the building alone and unsupervised. ***Previously cited 2/9/2024”

AAC R9-5-401.2. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:2. A facility director’s designee is 21 years of age or older and provides the licensee with documentation of one of the following: a. At least 12 months of child care experience, a high school or high school equivalency diploma, and: i. Three credit hours or more in early childhood, child development, or a closely-related field from an accredited college or university, or ii. At least 30 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field; b. At least 12 months of child care experience and: i. An N.A.C., C.D.A., or C.C.P. credential; or ii At least 24 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; c. At least six months of child care experience and an associate degree from an accredited college or university in early childhood, child development, or a closely-related field; or d. At least three months of child care experience and a bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field;

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that Staff #2 was in charge at the time of the inspection. Staff #2 was not qualified as the director designee because the file lacked 23 of the required 30 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field and 6 of the required 12 months of child care experience. ***Previously cited 9/25/23 & 12/1/2023”

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

“Findings: Based on facility documentation and the Compliance Officer's observation, in the MPR there were 10 children present and 7 children were listed on the roster. ***Discussed at Initial inspection 9/25/23 ***Previously cited 12/1/23”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, it was determined that 1 out of 4 enrolled children's attendance forms reviewed lacked the following required information: Child #4: Arrival time and signature in the afternoon on 2/2/2024. ***Discussed at Initial inspection 9/25/23 ***Previously cited 12/1/23”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete a Department-provided Emergency, Information, and Immunization Record card that is signed by the enrolled child’s parent containing: 1. The child’s name, home address, city, state, zip code, home telephone number, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, city, state, zip code, and contact telephone number of each parent of the child; 4. The name and contact telephone number of at least two individuals authorized by the child’s parent to collect the child from the facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(9); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“Findings: Based on facility documentation and the Compliance Officer's observations, it was determined that 3 out of 5 enrolled children's Emergency Information and Immunization Record Cards reviewed lacked the following required information: Child #1 & Child #2: Dates of enrollment and the name of the person to contact in case of sudden injury/illness. Child #3: A second emergency contact name and phone number. (Both parents were listed on the form with one additional name and number.) ***Previously cited 9/25/23 & 12/1/23”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, it was determined that the files for Staff #1 & Staff #2 lacked documentation of teacher-caregiver qualifications. Staff #1 was alone with enrolled children in the 1's room and was not supervised by a qualified staff member. Staff #2 is a van driver and picks children up from school alone and unsupervised. ***Discussed at Initial inspection 9/25/23 ***Previously cited 12/1/23”

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

“Findings: Based on facility documentation and the Compliance Officer's observations of 6 staff files, fingerprint clearance cards were not determined to be valid prior to the starting date of employment. Staff #3’s (start date 1/1/2024) fingerprint card was verified as valid on 1/23/2024, and Staff #4’s (start date 12/13/2023) fingerprint card was verified as valid on 1/23/2024.”

AAC R9-5-605.B.6. B. A licensee shall ensure that: 6. Except for a room used only for an enrolled school-age child, each unused electrical outlet is covered with a safety plug cover or insert;

“Findings: Based on the Compliance Officer's observation, in the 2’s room, there was an uncovered outlet on the west wall. ***Previously cited 12/1/23”

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 of 2 playgrounds, the following was observed: Preschool playground lacked 2” of the required 6” of resilient surfacing (wood chips) in the fall zones of the yellow swing. Toddler playground lacked 2-3” of the required 6” of wood chips in the fall zones of the multi-colored climber. ***Previously cited 12/1/23”

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 of the outdoor activity areas, the following hazards were accessible to enrolled children on the Preschool playground: *There was an iPhone cord on the ground. *There was a broken, cracked blue car with sharp edges on the ground near the slide. ***Previously cited 9/25/23 & 12/1/23”

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;

“Findings: Based on on the Compliance Officer's observations, in the MPR, there were 2 children wearing pull-ups and the MPR is not equipped with a diaper changing area. ***Previously cited 12/1/23”

AAC R9-5-517.C. C. When transporting an enrolled school-age child in a motor vehicle, a licensee shall ensure that the staff-to-children ratios required in R9-5-404(A) are met. A motor vehicle driver may be counted in the staff-to-children ratio, when transporting an enrolled school-age child in a motor vehicle, if the motor vehicle driver meets the qualifications of a teacher-caregiver

“Findings: Based on the Compliance Officer's observations of the drivers' staff files, Staff #1 & Staff #2’s lacked teacher-caregiver qualifications. ***Previously cited 12/1/23”

AAC R9-5-516.F. F. A licensee shall maintain documentation of all medications administered to an enrolled child.1. Documentation shall contain: a. The name of the enrolled child; b. The name and amount of medication administered and the prescription number, if any; c. The date and time the medication was administered; and d. The signature of the staff member who administered the medication to the enrolled child; and 2. A licensee shall maintain the documentation on facility premises for 12 months after the date the medication is administered.

“Findings: Based on facility documentation and the Compliance Officer's observation, the facility lacked documentation of the administration of a diaper cream to Child #3 from 1/15 - 1/29/2024, to be applied 4 times per day.”

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 the Compliance Officer's observation, Child #4 lacked a medication form for the administration of a prescribed diaper cream.”

AAC R9-5-515.C. C. A licensee shall ensure that a staff member who has signs of illness or infestation is excluded from a facility.

“Findings: Based on the Compliance Officer's observation and staff statement, a staff member who showed signs of illness was not excluded from the facility. A staff stated they had been sick all week but came in because the school-age children would be there and staff were needed. The staff member threw up and then went back in to the 3’s room to care for the children. After a discussion between the Owner and the Compliance Officer in regards to the ill staff member, the staff member was sent home.”

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

“Findings: Based on the Compliance Officer's observations, the following was observed: *Girls’ toilet room lacked dispensed paper towels. The dispenser was empty. * Preschool playground: There were discarded white paper cups and a straw on the surface of the wood chips, and there was food waste in an uncovered white container that lacked a liner. (The lid was open on the container.) ***Previously cited 9/25/23 & 12/1/23”

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

“Findings: Based on the Compliance Officer's observation, in the Girls’ toilet room, there was a sticky residue on the soap dispenser.”

AAC R9-5-510.A.2. A. A licensee shall ensure that a staff member: 2. Teaches, models, and encourages orderly conduct, personal control, and age-appropriate behavior;

“Findings: Per allegation and based on the Compliance Officer's observation and staff statement, staff members failed to teach, model and encourage orderly conduct, personal control, and age-appropriate behavior. Staff was heard stating the following: *”What are you doing… stop that” in a harsh tone. *”You’re in trouble buddy” in a harsh tone. *”Stop” in a loud voice *”No, we don’t talk like that” in a loud voice *”Stop, no more” in a loud voice *”That’s it, go find something to do now” while pointing a finger at the child *”I’m not going to tell you one more time, find something to do.” *Hey, what is your problem today." *”Sit” in a loud tone. When the CO arrived, the children were not engaged in any specific activities. Children were laying on the floor, seated at a table, and others were playing in centers. One staff was standing in the room while the other staff was in the toilet room with a child. Staff stated: *They have heard staff yelling at the kids. ***Discussed at Initial inspection 9/25/23 ***Previously cited 12/1/23”

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: Based on the Compliance Officer's observations, the following diaper areas lacked single-use paper towels from a dispenser: 2’s room: The paper towel dispenser was empty. 3’s room: The paper towels were stuck in the dispenser and there were no paper towels available for use.”

AAC R9-5-503.D. D. A licensee shall ensure that a written diaper changing procedure is posted and implemented in each diaper changing area.

“Findings: Based on the Compliance Officer's observation, the 3's room lacked a posted diaper changing procedure. ***Previously cited 9/25/23 & 12/1/23”

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 the the Compliance Officer's observations, in the 2’s room diaper sink, there was remnants of a tissue and an unknown brown substance in the sink drain.”

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 observations, the diaper changing area in the 2's room was not seamless and smooth and clear of unrelated items. There was a yellow rag on the diaper surface, and there was a 10” crack behind the sink. When the crack was pushed, the surface caved downward. ***Previously cited 9/25/23 & 12/1/23”

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 observation, in the 2's room there was one package of wipes labeled with a child's first name only, rather than labeled with a child's first and last name as required. ***Previously cited 9/25/23 & 12/1/23”

AAC R9-5-501.C.6. C. A licensee shall ensure that a staff member: 6. If an activity in the lesson plan required in subsection (C)(5) includes screen time, include in the lesson plan the duration of the screen time in minutes;

“Findings: Based on the Compliance Officer's observation, in the MPR room the lesson plan lacked the duration in minutes for screen time. There were 3 school-age children on electronics (2 playing on phones and 1 playing on a kindle). Children in the room were one-year-old and up. ***Previously cited 12/1/23”

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

“Findings: Per allegation and based on the Compliance Officer's (CO) observations and staff statements, enrolled children were not being supervised at all times. *A school-age child was alone and unsupervised in the 3’s room. * A child was observed leaving the MPR and entered the 3’s room alone and unsupervised. *A non school-age child was alone in the toilet room located down the hallway. *A child left the MPR and walked down the hallway into the “alcove” area alone. *2’s room: When the CO entered the room, the staff was on the phone assisting a child washing their hands with a second child behind the staff. Staff stated the following: *A child was bitten on the playground and I did not see it happen. I knew about the bite when the child that was bitten came up to me crying and showed me their arm. *I do not always see when the bite happens. I would turn around because I would hear a child crying and see the child's bite. *I see bites happen about 50% of the time.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Findings: Based on the Compliance Officer's observations, drinking water was not accessible to enrolled children in the following rooms: 2’s room: The water pitcher was located on a high shelf inaccessible to 3 children present in the room. MRP: The water pitcher was located on a high shelf inaccessible to the two-year-old children present in the room. ***Discussed at Initial inspection 9/25/23 ***Previously cited 12/1/23”

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

“Findings: Based on the Compliance Officer's observations, in the MPR room, the staff to child ratio was 1:7, with one-year-old children present in the room, and a required ratio of 2:7. The staff to child ratio in the 3's room was 0:1, and a required ratio of 1:1. A school-age child was alone in the room laying on the floor. The staff-to-child ratio in the hallway was 0:1 when a child left the MPR and went into the hallway alcove, with a required ratio of 1:1.”

AAC R9-5-401.3. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:3. A teacher-caregiver is 18 years of age or older and provides the licensee with documentation of one of the following: a. Six months of child care experience and: i. A high school diploma or high school equivalency diploma; or ii. At least 12 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; b. Associate or bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field; or c. N.A.C., C.D.A., or C.C.P. credential;

“Findings: Based on facility documentation and the Compliance Officer's observations of 6 staff files, it was determined that: *Staff #1 (start date 8/21/2023) was not qualified as a teacher-caregiver because the file lacked documentation of 1 of the required 6 months of pervious child care experience. *Staff #2 (start date 10/18/2023) was not qualified as a teacher-caregiver because the file lacked documentation of 5 of the required 6 months of pervious child care experience. ***Previously cited 9/25/23 & 12/1/23”

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 observations, the following hazards were accessible to enrolled children: Girls’ toilet room: The right toilet seat was loose. 2’s room: There was an unstable 4 tiered white shelf that wobbled easily when light pressure was applied. ***Previously cited 9/25/23”

AAC R9-5-203.C. C. Except as provided in A.R.S. § 41-1758.03, a licensee shall ensure that each staff member, before starting date of employment or volunteer service, submits to the licensee a copy of the staff member’s valid fingerprint clearance card, front and back, issued under A.R.S. Title 41, Chapter 12, Article 3.1.

“Findings: Based on documentation and the Compliance Officer's observations of 5 staff files, Staff #3's file lacked the back side of the fingerprint card, and Staff #4's file lacked documentation of the front and back side of their fingerprint clearance card.”

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 the facility documentation, the Compliance Officer's observation and staff statement, staff stated Staff #1, Staff #2, & Staff #3 work alone with children as teacher-caregivers. Staff #1, Staff #2, & Staff #3’s files lacked teacher-caregiver qualifications, and work alone with children and are not supervised by a qualified staff member.”

AAC R9-5-301.F. F. A licensee shall ensure that a staff member submits, on or before the starting date of employment or volunteer services, one of the following as evidence of freedom from infectious active tuberculosis: 1. Documentation of a negative Mantoux skin test or other tuberculosis screening test recommended by the U.S. Centers for Disease Control and Prevention, administered within 12 months before the starting date of employment or volunteer service, that includes the date and the type of tuberculosis screening test; or 2. If the staff member has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the staff member is free from infectious active tuberculosis that is signed and dated by a health care provider within six months before the starting date of employment or volunteer service.

“Findings: Based on facility documentation and the Compliance Officer's observation of 5 staff files, the files for Staff #2 (DOH 10/9/23) & Staff #3 (DOH 10/12/23) lacked documentation of a negative Mantoux skin test administered within 12 months before the starting date of employment. The test in Staff #2's file was dated 10/12/2023, and the test in Staff #3's file was dated 10/14/2023. Staff #4's (DOH 10/23/2023) file lacked documentation of a negative TB skin test administered within 12 months before the starting date of employment.”

AAC R9-5-301.G. G. A licensee shall ensure that a staff member who has current training in first aid and CPR, as required by R9-5-403(E), is present: 1. At all times during hours of operation on facility premises, 2. On field trips, and 3. While transporting enrolled children in a facility’s motor vehicle or a vehicle designated by the licensee to transport enrolled children.

“Findings: Based on facility documentation, the Compliance Officer's observations of 5 staff files, and staff statement, no staff present at the the beginning of the inspection had current documentation of CPR training of which included demonstration of the staff member's ability to perform CPR. The Director stated she took an online class and was scheduling a class for the staff. From 6-8:00am and from 4-6:00pm, no staff present had current CPR and First Aid. Reference R9-5-403 E.”

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 main posting area lacked a menu dated for the current calendar week.”

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 facility documentation and the Compliance Officer's observations, it was determined that 5 out of 5 enrolled children's Emergency Information and Immunization Record Cards reviewed lacked the following required information: Child #1: A second parent name, address and phone number, and the health care provider name and phone number. Child #2: Two emergency contact names and phone numbers. Child #3: Date of enrollment. Child #4: A second parent name, address and phone number. Child #5: Date of enrollment, a second parent name, address and phone number, and a second emergency contact name and phone number.”

AAC R9-5-305.A. A. A licensee shall not permit an enrolled child to attend a facility until the facility receives: 1. An immunization record for the enrolled child with the information required in 9 A.A.C. 6, Article 7, documenting that the enrolled child has received all current, age-appropriate immunizations required under 9 A.A.C. 6, Article 7: a. Provided by a healthcare provider, or b. Generated from the Arizona State Immunization Information System, which is the Department’s child immunization reporting system established in A.R.S. § 36-135; or 2. An exemption affidavit for the enrolled child provided by the enrolled child’s parent that contains: a. A statement, signed by the enrolled child’s health care provider, that the immunizations required by 9 A.A.C. 6, Article 7 would endanger the enrolled child’s health or medical condition; or b. A statement, signed by the enrolled child’s parent, that the enrolled child is being raised in a religion whose teachings are in opposition to immunization.

“Findings: Based on facility documentation, the Compliance Officer's observations, and staff statement, it was determined that the Emergency, Information and Immunization Record Cards for Child #1 & Child #4 lacked a written immunization record or exemption affidavit. The Director stated that she was still waiting on the immunization record from the parent.”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, it was determined that 3 out of 10 enrolled children's attendance forms reviewed lacked the following required information: Child #6: Arrival signature on 11/30/23. Child #7: Arrival time and signature in the afternoon on 11/29/23. Child #8: Release time and signature on 11/14 & 11/15/23.”

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 observation, in the 1 & 2's room, there were 6 children present and 5 children were marked on the roster.”

AAC R9-5-401.2. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility: 2. A facility director’s designee is 21 years of age or older and provides the licensee with documentation of one of the following: a. At least 12 months of child care experience, a high school or high school equivalency diploma, and: i. Three credit hours or more in early childhood, child development, or a closely-related field from an accredited college or university, or ii. At least 30 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field; b. At least 12 months of child care experience and: i. An N.A.C., C.D.A., or C.C.P. credential; or ii At least 24 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; c. At least six months of child care experience and an associate degree from an accredited college or university in early childhood, child development, or a closely-related field; or d. At least three months of child care experience and a bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field;

“Findings: Based on facility documentation, the Compliance Officer's observations and staff statement, it was determined that Staff #1, Staff #2, & Staff #4 were in charge at the facility during different times of the day. Staff #2 was not qualified as the director designee because the file lacked 20 of the required 30 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field. Staff #1 & Staff #4 lacked 30 of the required 30 training hours in the file. The Director stated Staff #1, Staff #2 & Staff #4 have been in charge.”

AAC R9-5-401.3. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility: 3. A teacher-caregiver is 18 years of age or older and provides the licensee with documentation of one of the following: a. Six months of child care experience and: i. A high school diploma or high school equivalency diploma; or ii. At least 12 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; b. Associate or bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field; or c. N.A.C., C.D.A., or C.C.P. credential;

“Findings: Based on facility documentation and the Compliance Officer's observations, Staff #1, Staff #2, & Staff #3, are teacher-caregivers (per staff statement). The files lacked the following of the required 6 months of previous childcare experience: Staff #1: 2.5 months. Staff #2: 4.5 months. Staff #3: 4.5 months.”

AAC R9-5-402.A. A. A licensee shall maintain a file for each staff member containing: 1. The staff member’s name, date of birth, home address, and telephone number; 2. The staff member’s starting date of employment or volunteer service; 3. The staff member’s ending date of employment or volunteer service, if applicable; 4. The name and telephone number of an individual to be notified in case of an emergency; 5. The staff member’s written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis; 6. The form required in A.R.S. § 36-883.02(C); 7. Documents required by R9-5-203; 8. Documents required by R9-5-301; 9. Documents required by R9-5-401, if applicable; 10. If applicable: a. The form required in A.R.S. § 8-804(I), b. Documentation of the submission required in A.R.S. § 8-804 and the information received as a result of the submission, and c. Documentation of training provided by a licensee as required by R9-5-403, if applicable; 11. A copy of any current license or certification required by A.R.S. Title 36, Chapter 7.1, Article 1. or this Chapter; and 12. Documentation of the requirements in A.R.S. § 36-883.02(D).

“Findings: Based on facility documentation and the Compliance Officer's observations, it was determined that 4 out of 5 staff files reviewed lacked the following required information: Staff #2: 2 of the 2 required good faith effort references. Staff #3: 2 of the 2 required good faith effort references. Staff #4: 2 of the 2 required good faith effort references. Staff #5: Start date (“10/6/2023”) and 2 of the 2 required good faith effort references.”

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 the Compliance Officer's observations of 5 staff files, the file for Staff #5 (DOH "10/6/2023") lacked new staff training within 10 calendar days of the starting date of employment.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Findings: Based on the Compliance Officer's observations and staff statement, in the 1 & 2's room, drinking water was not accessible to enrolled children. The water cups were located 41" up on a cabinet, and the pitcher was empty. Staff stated the cups were from the previous day. The 3’s room lacked water for the 6 children present. In the main room, there were no cups available for the children to obtain a drink of water from the pitcher.”

AAC R9-5-501.C.6. C. A licensee shall ensure that a staff member: 6. If an activity in the lesson plan required in subsection (C)(5) includes screen time, include in the lesson plan the duration of the screen time in minutes;

“Findings: Based on the Compliance Officer's observations, the 1 & 2's lesson plan lacked the duration in minutes for screen time. There was a two-year-old child laying on a stack of 8 blue cots watching a blue iPad. No screen time was listed on the lesson plan.”

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 an enrolled child's first and last name: 1 & 2’s room: 3 wipes and 1 diaper cream were labeled with a child’s first name only. 3’s room: 2 wipes were labeled with a child’s first name only, and there was 1 unlabeled container of wipes.”

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

“Findings: Based on the Compliance Officer's observation, the 1 & 2's room diaper changing area was not kept clear of items not required for diaper changing. There was a roll of paper towels, a large roll of clear bags, a styrofoam bowl with 2 sponges inside, a yellow rag, and a container of hand sanitizer on the diaper surface near the sink.”

AAC R9-5-503.A.2.a. 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 and staff statement, the 1 & 2's room diaper changing area lacked paper towels. The 3’s room diaper changing area lacked singly dispensed paper towels. The paper towels were stuck and would not dispense. Staff stated the dispenser was empty.”

AAC R9-5-503.A.4. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 4. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled clothing.

“Findings: Based on the Compliance Officer's observations, the 3's room lacked a soiled clothing container. In the 1 & 2’s room the soiled clothing container lacked a liner and a lid, and there was soiled clothing and a yellow rag inside the container.”

AAC R9-5-503.D. D. A licensee shall ensure that a written diaper changing procedure is posted and implemented in each diaper changing area.

“Findings: Based on the Compliance Officer's observations, the 1 & 2's room and the 3's room lacked a posted diaper changing procedure.”

AAC R9-5-510.A.2. A. A licensee shall ensure that a staff member: 2. Teaches, models, and encourages orderly conduct, personal control, and age-appropriate behavior;

“Findings: Based on the Compliance Officer's (CO) observations, staff members failed to teach, model and encourage orderly conduct, personal control, and age-appropriate behavior. In the main room a school-age child was yelling and cussing with 5 other children present. The teacher had their back turned and ignored the child. The CO looked through the window as the child was overheard yelling and cussing many times during the inspection. The teacher was not observed encouraging orderly conduct. The teacher was heard raising her voice a few times during the inspection stating “hey” and “sit down”.”

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 observations and staff statement, there was a strong odor of diapers and discarded trash in the hallway. (There were 4 bags of discarded trash on the floor.) Staff stated they could not take the trash out because they could not locate the key the previous night.”

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

“Findings: Based on the Compliance Officer's observations, the following was observed: *There was food waste on the floor in the hallway alcove. *On the playground the trash was overflowing in the black can, and there was a styrofoam cup on a Lakeshore kitchen set and a styrofoam bowl on the ground. *In the 1 & 2’s room, the diaper sink squirted water upward from the middle nozzle when the water was turned on.”

AAC R9-5-514. D. D. A licensee shall post, near an activity area or a room's designated exit, a building evacuation plan that details the designated exits from the activity area or room and the facility.

“Findings: Based on the Compliance Officer's observations, the 1 & 2's room and the 3's room lacked a posted building evacuation plan.”

AAC R9-5-517.C. C. When transporting an enrolled school-age child in a motor vehicle, a licensee shall ensure that the staff-to-children ratios required in R9-5-404(A) are met. A motor vehicle driver may be counted in the staff-to-children ratio, when transporting an enrolled school-age child in a motor vehicle, if the motor vehicle driver meets the qualifications of a teacher-caregiver

“Findings: Based on the Compliance Officer's observations of the drivers' files, Staff #1 & Staff #2’s files lacked teacher-caregiver qualifications.”

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;

“Findings: Based on staff statement, in the main room, one and two-year-old children in diapers and/or pull-ups gather in the room from 6-8:30am. The main room is not equipped with a diaper changing area.”

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, on the Preschool playground, there was a broken yellow swing hanging by one chain only, and there was exposed raw wood on the sides of a piece of wood located at the top of the blue slide structure.”

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 of 2 playgrounds, the following was observed: The Preschool playground lacked 4” of the required 6” of wood chips in the fall zones of a yellow swing. The Toddler playground lacked 4” of the required 6” of wood chips in the fall zones of the multi-colored climber.”

AAC R9-5-605.B.6. B. A licensee shall ensure that: 6. Except for a room used only for an enrolled school-age child, each unused electrical outlet is covered with a safety plug cover or insert;

“Findings: Based on the Compliance Officer's observations, in the 1 & 2’s room there were 2 uncovered outlets on the north wall.”

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

“Findings: Based on the Compliance Officer's observation, in the 3's room, the soiled diaper container was on the floor next to the diaper changing area accessible to enrolled children.”