Coolidge Head Start

AAC R9-5-501.A.11. A. A licensee shall ensure that: 11. For enrolled children one to five years old, at least one indoor activity area in the facility is equipped with at least one cot or mat, a sheet, and a blanket, where an enrolled child can rest quietly away from other enrolled children;

“Findings: Based on Compliance Officer's observation, in the 3/4/5's classroom there was a child asleep on a small couch, that had not been transferred to a cot to sleep.”

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 Compliance Officer's observation, there was a canister of disinfecting wipes and a bottle of sunscreen labeled "keep out of reach of children" that were both accessible to enrolled children in the 3/4/5'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 classroom roster in the 3/4/5's classroom reflected the presence of 11 children, however there were 13 children actually present in the classroom.”

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

“The Compliance Officer observed a bin with pull ups and wipes. The CO asked who is in the disposable training pants. Staff reported that Child 1 uses the pull ups. The room is not equipped with a diaper changing area in the room. According to the Director and staff in room CLPM Child 1 was not enrolled with any identified special needs and would be required to be cared for in a room equipped with a diapering area.”

AAC R9-5-501.A.16. A. A licensee shall ensure that:16. When an enrolled child is napping or sleeping in a room, the room is maintained at a minimum of five foot candles of illumination;

“The Compliance Officer observed that room CL1 was too dark. The CO asked the Staff how many children were in the room. The staff could not see the children to do their count. A staff member got up and turned on the bathroom light and the CO removed the magnetic curtain from the door window so that a count could be completed. Staff must be able to supervise the children during nap.”

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;

“The Compliance Officer observed classroom CL2 had an exit that was obstructed. Staff had moved a table and chairs in front of an exit during naptime, obstructing the exit.”

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

“The Compliance Officer interviewed children and staff, and observed documentation. Child 1 sustained an injury to their neck while in the care of the Licensee. Staff are not aware of how the injuries occurred. Child 1 had a health check conducted upon arrival by Staff 1, and Child 1 was found to be "ok" as documented on the form to document no injuries or illness. Child 1 was observed by Staff 1 coming in from the playground with marks on their neck. Child 1 was observed by Staff 3 as they were getting ready for nap to have marks on their neck. Child 1 did not report how the injury was sustained when questioned by staff. Staff failed to be accountable for how the child sustained the injury. The injury incident report signed on 4/4/24 documents the injury, but no explanation of how it happened.”

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

“The Compliance Officer interviewed children and staff, and reviewed documentation. Based on the investigation Child 1's health, safety and welfare was placed at risk of harm when Child 1 sustained an injury to their neck while in the care of staff at the facility. Child 1 had a health check conducted upon arrival by Staff 1, and Child 1 was found to be "ok" as documented on the form to document no injuries or illness. Child 1 was observed by Staff 1 coming in from the playground with marks on their neck. Staff 3 reported also observing marks on Child 1's neck as they were getting ready for nap.”

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.

“The Compliance Officer (CO) observed that Staff 1 was hired 2/21/2023 and did not have a negative Mantoux TB test documented in their file.”

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).

“The CO observed that Staff 1 did not have the following items documented in their file: emergency contact immunizations references”

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.

“The CO observed that the HQEL room did not have dispensed soap accessible to the enrolled children at the bathroom sink.”

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

“The CO inspected the medication and found that Child 1 did not have a prescription number listed on the medication form.”