Compassion Prep Academy

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 child educator 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 if working with enrolled children five years old and younger, or three months of child care experience if working with school-aged children; 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 a review of facility documentation and the Compliance Officers' observations, Staff #1 (DOH 09-24-2025) and Staff #3's (DOH 10-06-2025) files lacked documentation of a high school diploma or high school equivalency diploma and 6 months of child care experience to qualify as child educators.”

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 staff statements, a review of facility documentation, and the Compliance Officers' observations, Staff #5 (DOH 08-15-2024) has worked in the capacity of the director's designee in the mornings. The staff member does not meet the age requirement of at least 21 years of age to qualify as the director's designee. Staff stated the following: *Staff #5 is the person in charge in the mornings before we open. *Staff #5 is in charge when the director or assistant director is not present.”

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 child educator to supervise each staff member who does not meet the qualifications of R9-5-401(3); 3. Prepares a dated attendance record for each day and ensures that each staff member documents on the attendance record the time of each arrival and departure of the staff member; and 4. Maintains on the facility premises, the dated attendance record required in subsection (B)(3) for 12 months after the date on the attendance record.

“Findings: Based on a review of facility documentation and the Compliance Officers' observations, the main posting area lacked a current designated person listed when the director is not present at the facility. Previously cited: 07-22-2025.”

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

“Findings: Based on a review of facility documentation and the Compliance Officers' observations, Staff #1 (DOH 09-24-2025), Staff #2 (DOH 11-09-2025), Staff #3 (DOH 10-06-2025), and Staff #4's (DOH 08-18-2025) files lacked documentation of DCS Registry background check results.”

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

“Findings: Per allegation, based on a review of facility documentation and photos, staff statements, and the Compliance Officers' observations, an enrolled child was not supervised at all times. An enrolled child bit another enrolled child on the back of the head and pushed the child into the corner of a shelf and some toys, and the staff present did not see it happen. Staff stated: *It happened out of the staff member's view behind a shelf. *Staff pieced together what happened. *"I suspect that the child was pushed onto a couple of toys." *There are times when staff don't always see incidents happen directly. *"It is harder to notice incidents while diapering."”

AAC R9-501.A.9. A. A licensee shall ensure that: 9. Clean clothing is available to an enrolled child when the enrolled child needs a change of clothing;

“Findings: Per allegation, based on staff statements and the Compliance Officers' observations, an enrolled child was sent home from the facility without underwear. Staff stated: *Yes, a child was sent home with clean clothing, but no underwear. *There was no extra clothing in the child's backpack. *At the time, a clean pair of underwear was unable to be located and was not available.”

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 positive discipline, including separation; 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; 17. Field trip procedures, if applicable; 18. Infant tummy time, if applicable; 19. Prevention of sudden infant death syndrome and use of safe sleeping practices, if applicable; and 20. Prevention of shaken baby syndrome, pediatric abusive head trauma, and child maltreatment.

“Findings: Based on a review of facility documentation and the Compliance Officers' observations, Staff #1 (DOH 09-24-2025), Staff #2 (DOH 09-02-2025), and Staff #3's (DOH 10-06-2025) files lacked documentation of the required 10-day new staff orientation training.”

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

“Findings: Based on a review of facility documentation and the Compliance Officers' observations, the following staff files lacked the required documentation: *Staff #1 (DOH 09-24-2025)- A written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis. *Staff #2 (DOH 09-02-2025)- The name and telephone number of an individual to be notified in case of an emergency and a written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis. *Staff #4 (DOH 08-18-2025)- The name and telephone number of an individual to be notified in case of an emergency.”

AAC R9-5-401.4. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility: 4. An assistant child educator is 16 years of age or older and provides the licensee with documentation of one of the following: a. Current and continuous enrollment in high school or a high school equivalency class; b. High school or high school equivalency diploma; c. Enrollment in vocational rehabilitation, as defined in A.R.S. § 23-501; or d. Employment or service as a volunteer in a licensed child care facility for 12 months;

“Findings: Based on a review of facility documentation and the Compliance Officers' observations, Staff #2 (DOH 09-02-2025) and Staff #4's (DOH 08-18-2025) files lacked documentation of current and continuous enrollment in high school or a high school equivalency class to qualify as an assistant child educator.”

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

“Findings: Based on the Compliance Officer's observation, on the 2s playground, there was a rocking horse on top of cement. ***Previously cited 10.7.2024 & 7.22.2025”

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 observations, the following was not maintained in a clean and sanitized condition: Girls’ toilet room: There was a yellow liquid on the potty seat and there was an unflushed toilet. Boys’ toilet room: There was an unflushed toilet. ***Previously cited 7.22.2025”

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, on the 2s playground, there was a dirty sink activity stand and a dirty step 2 house with black smears. ***Previously cited 7.22.2025”

AAC R9-5-511.E. E. A licensee shall ensure that if an enrolled child is present at the facility during naptime, the licensee: 1. Does not permit the enrolled child to lie in direct contact with the floor while napping; 2. Prohibits the operation of a television set in a room where the enrolled child is napping; 3. Requires that a staff member remain awake while supervising the enrolled sleeping child; and 4. Prohibits the enrolled child from napping in an attic or a loft during naptime.

“Findings: Based on the Compliance Officer's observation, in Room 6 (4s), the television was on during nap time.”

AAC R9-5-511.A.1.2.3.4.5. A. A licensee shall provide each enrolled child who naps or sleeps at the facility with a separate cot or mat or a crib that meets the requirements of R9-5-502(A)(8) and ensure that: 1. A cot, mat, or crib used by the enrolled child accommodates the enrolled child’s height and weight; 2. A staff member covers each cot, or mat with a clean sheet that is laundered when soiled, or at least once every seven days and before use by a different enrolled child; 3. A clean blanket or sheet is available for each enrolled child; 4. A rug, carpet, blanket, or towel is not used as a mat; 5. Each cot, mat, or crib is maintained in a clean and repaired condition;

“Findings: Based on the Compliance Officer's observations, in Room 6 (4/5s), there were 3 children laying directly on cots that lacked a sheet.”

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, in the 2's room, the diaper changing area was not clear of unrelated items. There was a notebook, pen, and Disinfecting wipes on the diaper surface. When a staff went to change a diaper during nap time, she placed a lamp on the surface to see the child. ***Previously cited 7.31.2024 & 7.22.2025”

AAC R9-5-501.B.7. B. A licensee shall ensure that a staff member: 7. 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 Room 6 (4s), the television was on, and the lesson plan lacked screen time in minutes.”

AAC R9-5-501.A.18. A. A licensee shall ensure that: 18. 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's observations, in the Girls’ toilet room, there was a plunger on the floor on the right side of each toilet in the left stall and in the middle stall, accessible to enrolled children.”

AAC R9-5-501.A.15. A. A licensee shall ensure that: 15. In rooms used for napping, the lighting must be dim during nap time to promote an atmosphere conducive to sleep but must be bright enought for supervision of children;

“Findings: Based on the Compliance Officer's observations, Room 6 (4s) & Room 5 (3/4s) were too dark during naptime and not bright enough for supervision of children. Staff were unable to observe the sleeping children's faces.”

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, in the Boys' and in the Girls' toilet rooms, there was an unsecured potty seat that toppled easily when light pressure was applied. ***Previously cited 7.22.2025”

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 facility documentation and the Compliance Officer's observations, Staff #1 is the Director. Staff #1 was not qualified as the director because the file lacked 27 of the required 72 hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field. ***Previously cited 7.22.2025”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, in Room 6 (4/5s), there were 10 enrolled children present and 9 children were listed on the roster. ***Previously cited 7.22.2025”

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

“Findings: Based on the Compliance Officer's observation, in Room 5 (3s), the exit door was blocked by a rolling cot stand. ***Previously cited 7.22.2025”

AAC R9-5-501.A.20. A. A licensee shall ensure that:20. Hand sanitizers: a. When being stored, are stored separate from food storage areas and are inaccessible to enrolled children; and b. When being provided for use, are accessible to enrolled children; and

“Findings: Based on the Compliance Officers' observations, in Room 5 (3s) there was a 12 fluid ounce container of hand sanitizer located on a cabinet, and in Room 6 (4s) there was a 34 ounce container of hand sanitizer on a low shelf, accessible to enrolled children.”

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

“Findings: Based on the Compliance Officers' (CO) observations, enrolled children were not supervised at all times. Upon arrival, one CO observed a child exiting Room 6 (4s) and walk out to the hallway to drink water alone and unsupervised. In the Boys' toilet room (located in the hallway), 2 boys were alone and unsupervised, while the door was closed and the staff was outside of the toilet room with other children.”

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 Officers' observations, the following items lacked a label of the child's first and last name as required: Room 1: There was 1 diaper cream and 1 container of wipes labeled with a child’s first name and last initial, and there was 1 unlabeled container of wipes. Room 2 (2s): There was 1 unlabeled diaper cream.”

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

“Findings: Based on the Compliance Officer's observations and staff statement, on the Middle Playground there was 1 pink portable pool, and there were 2 pink portable pools on the East Playground. Staff stated the pools are filled with water on Fridays.”

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

“Findings: Based on the Compliance Officers' observations, the Middle Playground lacked 6" of the required 6" of resilient surfacing in the fall zones of one Step 2 teeter totter, one blue Little tikes rocking horse, and one blue Simplay teeter totter.”

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 2 (2s), there was a first aid kit on the diaper surface, and there were remnants of milk and a whitish-colored dried substance in the diaper sink.”

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 Officers' observations and staff statement, in Room 1 (1s), there were 5 enrolled children present and only 1 water bottle available. There was a pitcher of water on a high shelf and no cups were available. Staff stated the cups were located in a closet.”

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

“Findings: Based on the Compliance Officers' observations, plumbing fixtures were not maintained in a working condition in the following toilet rooms: Boys' toilet room: When the urinal was flushed, water sprayed out of the urinal and onto the floor. Girls’ toilet room: When the right sink was turned on, the water sprayed out and onto the floor. On the Preschool Playground, there was bird feces on the green slide and in the wood chips.”

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

“Findings: Based on the Compliance Officers' observations, in the Boys' toilet room, there was an unflushed urinal. In the Girls’ toilet room, there were 2 unflushed toilets.”

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 Officers' observations, in Room 1 (1s) and Room 2 (2s), the soiled clothing containers lacked a lid.”

AAC R9-5-501.A.12. A. A licensee shall ensure that: 12. The facility premises, including the buildings, are maintained free from hazards;

“Findings: Based on the Compliance Officers' observations, the following hazards were accessible to enrolled children: Room 2 (2s): There was a sharp metal edge on the border of the dry erase white board. Boys' and Girls' toilet rooms: There was an unsecured potty seat on a toilet in each toilet room. Room 4 (3- 5s): The puppet theater was unsecured and toppled easily when light pressure was applied.”

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: Based on the Compliance Officer's observations and staff statement, in Room 2 (2s), children were observed eating goldfish and water. This snack lacked 1 of the 2 required meal components. Staff stated they ran out of apple juice.”

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

“Findings: Based on the Compliance Officers' observations, the following was not maintained in a clean condition: Middle Playground: There was a built-up of discolored and dirty smears on the multicolored caterpillar and in the sink activity stand. East Playground: There were dried up pieces of stickers on the turf. Room 1: There were 3 dirty high-chairs and crumbs in the seats.”

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

“Findings: Based on the Compliance Officer's observations, the light on the fire panel was in "trouble" mode.”

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 facility documentation and the Compliance Officers' observations, it was determined that Staff #3 is the director. Staff #3 (DOE 9.9.2024) was not qualified as the director because the file lacked an additional 50 of the required 72 hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field.”

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 the Compliance Officers' observations, the Licensee lacked documentation of a violation-free fire inspection report. The last fire inspection was dated 3.26.2025 and contained violations.”

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: Room 1 had 5 enrolled children present and no children were marked on the roster. Room 6 had 7 enrolled children present and no children were marked on the roster. Room 5 had 6 enrolled children present and no children were marked on the roster.”

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 Room 5 (3s), the exit door was blocked by 6 vertical blue cots and 3 smaller cots. In Room 4 (3 - 5s), the exit door handle was covered with green tape and there was a white child lock on the door knob.”

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 2 out of 15 enrolled children's Emergency Information and Immunization Record (EIIR) Cards reviewed lacked the following required information: Child #1: The health care provider's name and phone number. Child #2: Second parent's name, address and phone number. The EIIR cards were not the Department-provided cards. The EIIR cards had been altered with additional information.”

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 file for Staff #1 (DOE 6.11.2025) lacked documentation of a negative Mantoux skin test administered within 12 months before the starting date of employment. The test in Staff #1's file was dated 6.12.2025.”

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 Compliance Officer's observations and staff statement, Staff #3 (DOH 9.9.2024) lacked a dated attendance record. Staff stated they hadn't been recording their arrival and departure times. The remaining staff attendance forms were not available for review.”

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 5 staff files, the Licensee failed to contact DPS to determine the validity of the staff member's fingerprint clearance card before the individual becomes a staff member for the following staff: Staff #1 (DOE 6.11.2025) and Staff #2 (DOE 7.21.2025).”

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, in the Boys' toilet room, the air exhaust fan was not operable.”

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

“Findings: Based on the Compliance Officers' observations, the following hazards were observed: Preschool playground: There was rust inside a sprinkler connection where the orange cap was missing. Middle playground: There were 2 exposed screws on the right side of a wooden kitchen set near the knobs.”

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 #2's medication form had 2 medications listed on the same form, and the form lacked the reason for the administration of medications.”

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 Officers' observations, in Room 5 (3s), there were 2 cans of shaving cream on a low white shelf, accessible to enrolled children.”

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

“Findings: Based on the Compliance Officer's (CO) observations, in Room 2 (1-3s) children were not being supervised at all times. There was a child sitting criss-cross-apple-sauce on top of a table with 4 staff unaware of the child on the table. (One staff was speaking with the CO.)”

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 items lacked a label of the child's first and last name as required: Room 1 (1s): There were 3 containers of wipes labeled with a child's first name only. Room 2 (2/3s): There were 2 containers of wipes labeled with a child's 1st name only, 1 diaper cream labeled with a child's 1st name only, and 1 unlabeled diaper cream.”

AAC R9-5-504.4. A licensee providing child care services for 1-year-old and 2-year-old children shall: 4. Prohibit screen time in an activity area where child care services are provided to a 1-year-old child; and

“Findings: Based on staff statement, there was a television located in Room 1 (1s). Staff stated children watch the television for 30 minutes a day with one year old children present.”

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 #10's medication form listed 2 medications on the same form, and lacked the ending date of the dosage period.”

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 on the Compliance Officer's observation, the medication form for Child #10 lacked a doctor's note to administer the medication. The medication stated "do not use unless directed by a doctor" for children ages 2 - 5 years old.”

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 on the Compliance Officer's observations of 3 outdoor activity areas, the following lacked 6" of the required 6" of resilient surfacing in the fall zones, the astro turf lacked a shock-absorbing material required for a resilient surface: Middle playground: *There was a blue and green Little Tikes slide and a green teeter totter located on astro turf with a puzzle mat below. *There was a yellow bouncer bus located on astro turf with 2 puzzle mats bellow the bouncer on the turf. Back playground: There was a Happy Castle, a Ferber multicolored climber, and 2 teeter totters located on astro turf.”

AAC R9-5-605.B.5. B. A licensee shall ensure that: 5. Electrical extension cords are not used;

“Findings: Based on the Compliance Officer's observation, in Room 2 (1-3s), there was a grey extension cord draped over the paper towel dispenser and plugged in to an outlet.”

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, there were uncovered outlets in the following areas: Room 1 (1s): There was an uncovered outlet below a green circle on a wall. Room 2 (2-3s): There was an uncovered outlet near the toilet room door.”

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, there was no drinking water available for the children present in Room 1 (1-3s) and Room 2 (1/2s). The water pitchers were located on a high shelf, inaccessible to enrolled children.”

AAC R9-5-209.A. A. A licensee shall allow the Department immediate access to all areas of the facility affecting the health, safety, or welfare of an enrolled child or to which an enrolled child has access during hours of operation.

“Findings: Based on the Compliance Officer's (CO) observations, the Department was not given immediate access to the facility. The CO knocked but no one answered the door. The CO waited at the front door until a staff arrived and used their code to enter the building.”

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 14 enrolled children's Emergency Information and Immunization Record Cards reviewed lacked the following required information: Child #1: City, state and zip code. Child #2: A second parent's name, address and phone number. Child #3: Date of enrollment, first and second parent's addresses, and the name of the health care provider and phone number.”

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 6 out of 15 enrolled children's attendance forms reviewed lacked the following required information: Child #4: Release time and signature on 9/16/2024. Child #5: Incomplete arrival and departure signatures 9/16/2024. Child #6: Incomplete arrival and departure signatures on 9/17/2024. Child #7: Release time and signature on 9/17/2024. Child #8 & Child #9: Arrival signatures and release times and signatures on 9/17/2024.”