Children's Safari Learning Center L L C

AAC R9-5-501.B.6. B. A licensee shall ensure that a staff member: 6. For enrolled children five-years or younger, and except as provided in subsection (C), prepares, posts, and implements a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Findings: Based on facility documentation and the Compliance Officer's observation, the Jaguar 2 classroom lacked a current lesson plan. The lesson plan was dated 6/1/2026 - 6/5/2026. The lesson plan in the Koala 1 classroom was dated for 6/29/2026 - 7/3/2026.”

AAC R9-5-503.C. C. 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, in the Jaguar 1 classroom, there was a pull-up in the trash can behind the diaper change table rather than a soiled diaper container as required, accessible to enrolled children.”

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

“Findings: Based on the Compliance Officer's observation, in the Monkey 1 and Koala 2 classrooms, there were multiple toy shelves with dark sticky residue accessible to enrolled children. *Previously cited -7/23/2026.”

AAC R9-5-501.A.3. A. A licensee shall ensure that: 3. For enrolled infants and children five-years or younger, drinking water is available to meet the needs of each enrolled child;

“Findings: Based on the Compliance Officer’s observation, in the Monkey 1 classroom and the Koala 2 classroom, drinking water was not available to enrolled children. The children's drinking water cups were stored in a latched refrigerator.”

AAC R9-5-501.A.13. A. A licensee shall ensure that: 13. Toys and play equipment, required in this Article, are maintained: a. Free from hazards, and b. In a condition that allows the toy or play equipment to be used for the original purpose of the toy or play equipment;

“Findings: Based on the Compliance Officer’s observation, in the Kangaroom, there was torn material and exposed sharp plastic on a riding dinosaur toy. In the Monkey 2 room, there was an exposed wooden dowel in the gap of a damaged vinyl sofa seat.”

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, the bathroom between Jaguar 1 & 2 classrooms was not maintained in a clean condition *There was dark build-up on the floor and baseboard behind the toilet on the right side in the boys' bathroom. *There was a urine buildup and a spot of feces on the seat of the right toilet in the boys' bathroom. *There was a round hole in the tile at the base of the right toilet in the boys' bathroom. *There were uneven, raised floor tiles with a buildup of dirt located on the left side of the toilet in the girls' bathroom. *Previously Cited- 7/23/25”

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

“Findings: Based on facility documentation and the Compliance Officers' observation, the medication for Child #1 had expired (6/2026) and had not been returned to the parent/guardian. *Previously cited- 7/23/2025”

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

“Findings: Based on facility documentation and the Compliance Officer's observation, the medication for Child #1 lacked a prescription label, and the container was dispensed by the pharmacy. *Previously cited- 7/23/25”

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

“Findings: Based on the Compliance Officer's observation, in the Monkey 1 and Giraffe classrooms, there were floor rugs with heavy dirt and debris. *Previously cited- 7/23/25”

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 observation, in the Giraffes classroom, there was dirt, debris, and a sticky, dark substance in the bottom of the refrigerator. In the Jaguar 1 classroom, there was dirt and debris in the bottom of the refrigerator and an orange sticky substance in the freezer.”

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

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the medication prescribed to Child #3 had expired (April 2024). The expired medication had not been returned to the parent.”

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

“Findings: Based on facility documentation and the Compliance Officer's observation, in the Monkey 1 classroom, an auto-injector prescribed to an enrolled child lacked a prescription label, and the container dispensed by the pharmacy.”

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, the following bathrooms were not maintained in a clean condition: Giraffe Classroom: *There was a yellow build-up on the base of the toilet and rust around the bolt. *There was dark build-up on the floor and baseboard behind the toilet on the right side. Jaguar 2 Classroom: *There was yellow and black buildup on the base of both toilets.”

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

“Findings: Based on the Compliance Officer's observation, in Monkey 1 and Jaguar 1 classrooms, there were floor rugs with heavy dirt and debris.”

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 observation, in the Jaguar 1 classroom, there was a heavy buildup of dirt and debris on a toy shelf. In the Monkey 1 and Koala 2 classrooms, there were multiple toy shelves with dark sticky residue accessible to enrolled children.”

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 observation, in the Jaguar 1 classroom, the soiled clothing container lacked a waterproof liner and a tight-fitting lid. In the Koala 1 classroom, the soiled clothing container lacked a tight-fitting lid. The container’s lid was not in place, and bags of soiled clothing were on top of the container.”

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

“Findings: Based on the Compliance Officer's observation, in the Koala 1 classroom, the soiled diaper container lacked a tight-fitting lid.”

AAC R9-5-502.C.1.l. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: l. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Findings: Based on facility documentation and the Compliance Officer's observation, in the Joey 1 and Joey 2 rooms, the written dietary instructions for Child #1 lacked the type of formula to feed the infant, and Child #2 lacked a schedule documenting when and how often to feed the infant.”

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.

“Finding: Based on the Compliance Officer's observation, the Preschool outdoor activity area lacked the following resilient surfacing: *2 of the required 6 inches of woodchips in the fall zone of the square ladder. *1 of the required 6 inches of woodchips in the fall zone of the bridge.”

AAC R9-5-510.B.1. B. A licensee shall ensure that a staff member does not use or permit: 1. A method of discipline that could cause harm to the health, safety, or welfare of an enrolled child;

“Findings: Per allegations, based on classroom video feed, staff statements, and the child's statement, a staff member used a method of discipline that caused harm to an enrolled child. According to video and staff statements, at approximately 10:02 am, 5/20/2025, while disciplining a child, Staff #1 pinched the right side of the child, breaking the skin and causing a bruise to form. After which, Staff #1 forcibly sat the child into a chair and aggressively pushed the chair under the table so that the child's abdomen made contact with the table.”

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

“Findings: Per allegation, based on classroom video feed, staff statements, and the child's statement, Staff #1 pinched a child, breaking the skin and leaving a bruise on the child's right hip. According to video and staff statements, at approximately 10:02 am, 5/20/2025, Staff #1 pinched the right side of the child, breaking the skin and causing a bruise to form.”

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 Compliance Officer #2's observation, in the Koalas 2 classroom, the cot placement during naptime lacked an unobstructed pathway to an enrolled child. Two occupied mats were placed between a shelf and the wall. One cot fully blocked access to the other.”

AAC R9-5-510.B.1. B. A licensee shall ensure that a staff member does not use or permit: 1. A method of discipline that could cause harm to the health, safety, or welfare of an enrolled child;

“Findings: Per allegation: Based on staff interviews, video, and the Compliance Officer's observation, in Joey 2's room, a staff member used a method of discipline that caused harm to the health, safety, and welfare of an enrolled child. Staff #1 picked up Child #1 and dropped them into a crib face down causing Child #1’s nose to bleed. Per video: At approximately 3:15 pm on Wednesday, November 27th Staff #1 was standing at the counter heating bottles for feeding and entering information into an iPad. Four children were sitting on the floor around Staff #1 and one child sat in a play area near the window (the ratio at the time of the incident was 1:5) One child reached up and opened a drawer, and Staff #1 closed the drawer and turned their back on the children as they marked on a whiteboard. The child then walked along the counter to stand next to Staff #1. Staff #1 abruptly picked up the child by the arms carried them to the play area near the window and forcibly placed them on a mat. Staff #1 returned to the counter. Child #1 crawled over to the counter and pulled themselves up to stand next to Staff #1. Child #1 then sat down on the floor directly in front of another infant who swung their arms and hit Child #1 in the back. Child #1 began to cry and crawl toward Staff #1. Staff #1 reached down and lifted Child #1 by the arms, Staff #1 walked the child to the cribs on the other side of the room and dropped Child #1 face down into the crib. There was a visible bounce when Child #1 hit the crib mattress. Within a few minutes, Staff #2 entered the room to speak with Staff #1. As Staff #2 was starting to leave the room, she looked toward the cribs and noticed Child #1 was standing up in the crib crying. Staff #2 walked over to the crib and took Child #1 out of the crib as they noticed Child #1 was bleeding from the nose. Staff #2 called for assistance and Staff #1 removed the soiled sheet from the crib and retrieved a cloth to clean up Child #1. According to interviews, staff stated that Staff #1 has been “visibly irritated” with infants during feeding time and when they (infants) cry.”

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 Compliance Officer's observation, there was a toy baby, a washcloth and a pen on the diaper changing surface in the 2’s classroom.”

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 Compliance Officer's observation and review of facility documentation, the roster in the 1's classroom documented the presence of 4 children, however there were actually 5 children present in the classroom.”

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, it was determined that the rosters did not reflect the number of children present in the following rooms: The Joey's 2 (infant) (4 children present, 5 on roster), the Koala's 2 (1-year-olds) ( 7 children present, 5 on roster).”

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 facility documentation and Compliance Officer #2’s observation, the fire inspection report was not current. The report on file expired on 12/20/2023. The current inspection report conducted on 12/14/2023 was not available at the time of the inspection.”

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

“Findings: Based on facility documentation and Compliance Officer #2’s observation, Staff #1 (date of employment-4/1/2024 ) and Staff #2 (date of employment -3/25/2024) lacked documentation of 6 months of experience in a licensed child care setting.”

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

“Findings: Based on facility documentation and Compliance Officer #2’s observation, the files for Staff #1 (date of employment-4/1/2024), Staff #2(date of employment-3/25/2024), and Staff #3(date of employment-6/12/2023) lacked documentation of 10-day training for new staff members.”

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: Per allegation; based on the Compliance Officers' observations, staff-to-child ratios were not maintained in the following classrooms: *Koala's 2 : 1:7 instead of 2:7 as required for 1-year-old children. *Joey's 2 - 0:4 instead of 1:4 as required for Infants. A teacher stepped into the hallway to put items in a trash can. Staff stated during interviews that they have been over ratio periodically and staff leave the classroom to step into the hallway to perform another job function such as throwing out trash or updating bulletin boards. *Previously cited 1/4/2024.”

AAC R9-5-404.C.3. C. A licensee shall ensure that:3. When six or more enrolled children are present in a facility, an infant is not placed for supervision with a child who is not an infant.

“Findings: Based on Compliance Officer #2’s observation, in Joey’s 2 (infant )room, there was a one-year-old who was walking.”

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

“Findings: Based on Compliance Officer #2's observation, in the Monkey's 2 (2-year-old) classroom, the children's health, safety, and welfare were placed at risk of harm. Staff #4 was observed standing near the refrigerator using a loud and aggressive tone to redirect the children. Staff #4 saw Compliance Officer #2 observing the room and moved to investigate. Staff #4 then saw two children standing on a stool and another child on a plastic two-drawer storage tower playing with water in the handwashing sink. Staff #4 pulled a child down from a hand-washing sink and pulled another child aggressively by the arm into a line of other children. In the Monkey's 1 (2-year-old) classroom, the children were observed using latex balloons, some children were chewing on the ends of the balloons.”

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, Based on Compliance Officer #2's observation, in Monkey's 1(2-year-old children) classroom, the teacher was at the refrigerator putting lunch boxes away and did not see two children standing on a stool and another child on a plastic two drawer storage tower playing with water in the handwashing sink. In the Koala's 1 (1-year-old children) classroom, two children were climbing on top of a table while the teacher was hanging items on the wall. In the Joey's 2 (Infant) classroom, the teacher was observed stepping out of the classroom and into the hallway to throw trash away, leaving four infants unsupervised.”

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

“Findings: Based on facility documentation and Compliance Officer #1’s observation, in Joey’s 1 (infant) room, 3 out of 9 infant feeding forms lacked the type of formula the children were to be fed.”

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 Compliance Officer #1’s observation, in Koala 1’s classroom, the posted diaper-changing procedures were not implemented. The staff member did not remove soiled gloves before re-diapering and dressing the child.”

AAC R9-5-508.C. C. If a licensee provides food, a licensee shall prepare and serve food according to the meal pattern requirements found in Table 5.1, "Meal Pattern Requirements for Children."

“Findings: Per allegation, Based on staff interviews and Compliance Officers' observations, it was determined that food provided as a replacement lunch does not meet the meal pattern requirements. Staff members stated that if lunch is not provided, they give the children extra snacks such as goldfish crackers and apple sauce. *previously cited 8/28/2023”

AAC R9-5-509.C.1. C. A licensee shall ensure that:1. Enrolled children, except infants and children with special needs who cannot wash their own hands, wash their hands with soap and running water before and after handling or eating food;

“Findings: Based on Compliance Officer #1’s observation, in the Monkey’s 2 (2-year-old) classroom, the children did not wash their hands before being served snack.”

AAC R9-5-509.C.23. C. A licensee shall ensure that:23. A freezer at the child care facility maintains a temperature of 0° F or below, as shown by a thermometer kept in the freezer at all times; and

“Findings: Based on Compliance Officer #1’s observation, in the Jaguars 1’s (2-3-year-old) classroom the temperature of the freezer was 17° rather than 0° or below as required. The freezer in the Koala’s 2 (1-year-old) classroom lacked a thermometer.”

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 Compliance Officer #2's observation, in the Monkey's 1 (2-year-old) classroom, the teacher did not model appropriate behavior. The teacher was observed using a loud and aggressive tone to redirect the children. The teacher pulled a child down from a hand-washing sink and pulled another child aggressively by the arm into a line of other children.”

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

“Findings: Based on Compliance Officer #1’s observation, in the Giraffes, Jaguar 1's, Monkey 2's, Monkey 1's, and Koala 1's classrooms, there was a heavy build-up of dirt and debris on the carpets. In the Giraffes, Monkey 1's, Koala 2's, and Koala 1's classroom, there was sticky residue on toy shelves.”

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

“Findings: Based on Compliance Officer #1’s observation, in Monkey 2’s classroom, there was fecal matter in the toilet bowl. The baseboard behind the toilet had a build-up of dirt and debris.”

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 Compliance Officer #1’s observation, in the Toddler outdoor activity area, there was a build-up of dirt on the handles of the zebra and dog push toys. In the Preschool outdoor activity area, there was a build-up of dirt on the handrails of the climber. In the Monkey 2’s classroom, there was a crack in the porcelain lid of the toilet tank.”

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

“Findings: Based on facility documentation and Compliance Officer #1’s observation, the following medication forms were incomplete: Child #1 and Child #2: A written authorization form was not present with the medication. *previously cited 8/28/2023.”

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

“Findings: Based on Compliance Officer #1’s observation, it was found the 2 enrolled children’s prescription medications were dispensed as a two-pack but only one unit was present at the facility and a physician's authorization to separate the units was not present.”

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 Compliance Officer #1's observation, the outdoor activity areas, the following hazards were accessible to enrolled children: Preschool Playground: *There was a 5" gap between the bottom of the gate and the ground. *There was broken plastic with sharp edges on the lattice on the East fence. *There was a bolt protruding from the ground on the base of the drum set.”

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 Compliance Officer #1's observation, the Preschool outdoor activity area lacked the following resilient surfacing: *2 of the required 6 inches of woodchips in the fall zones of the disc poles on the climber.”

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 Compliance Officer #1's observation, in the Joey 2's (infant) room, an infant play seat partially blocked a designated exit that provides escape in an emergency.”

AAC R9-5-509.C.22. C. A licensee shall ensure that:22. A refrigerator at the child care facility maintains a temperature of 41° F or below, as shown by a thermometer kept in the refrigerator at all times;

“Findings: Based on Compliance Officer #1’s observation, in the Giraffe's (4-5-year-old) classroom, the temperature of the refrigerator was 51° and in the Jaguar 1’s (2-3-year-old) classroom the temperature was 46° rather than 41° or below as required.”