Countryside Recreation Center

AAC R9-5-209.2. A licensee shall: Notify the Department within 24 hours, prior to the next business day, of business closure; and

“Findings: Based on the Compliance Officers' observations, the licensee failed to notify the Department of the temporary closure on 07/07/2026 as required.”

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 the Compliance Officer’s observation, it was determined that the following medication authorization forms were incomplete: Child #1 and Child #3: Lacked end dates for the dosage period. Child #2: Lacked start and end dates for the dosage period and the times and frequency of administration. Child #4: Lacked the dosage or route of administration.”

ARS § 36-883.02.C. C. Applicants, licensees and child care personnel shall attest on forms that are provided by the department that:1. They are not awaiting trial on or have never been convicted of or admitted in open court or pursuant to a plea agreement committing any of the offenses listed in section 41-1758.07, subsection B in this state or similar offenses in another state or jurisdiction. 2. They are not parents or guardians of a child adjudicated to be a dependent child as defined in section 8-201. 3. They have not been denied or had revoked a certificate to operate a child care group home or a license to operate a child care facility in this or any other state or that they have not been denied or had revoked a certification to work in a child care facility or child care group home.

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the Criminal History Affidavit for Staff #1 (start date 05/27/2025) lacked the facility name and address or CDC number and question #2 was not answered.”

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 Compliance Officer's observation, it was determined that the file for Staff #1 (Start Date 05/27/2025) lacked documentation of a negative Mantoux skin test. The "PPD Interpretation" section of the form was blank.”

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 Compliance Officer's observation, it was determined that the file for Staff #1 (Start Date 05/27/2025) lacked documentation that the Fingerprint Clearance Card was valid prior to the staff members start date as required. The fingerprint clearance card was verified to be valid through the DPS website at the time of the inspection.”

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 the Compliance Officer's observation, the nonprescription medication for Child #4 lacked written authorization from the enrolled child's health care provider to administer the medication inconsistent with the manufacturers label.”

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 observations, it was determined that the Mantoux skin tests for Staff #2 (start date 05/13/2024) was read on 05/24/2024, Staff #3 (start date 03/31/2023) was read on 04/30/2023, and Staff #4 (start date 03/04/2023) was read on 03/05/2023, rather than on or before the starting dates of employment as required.”

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 Officers' observations, upon entering the Art room, the roster indicated 18 children, but there were 19 children present in the room. Upon entering the Game room, the roster indicated 14 children, but there were 13 children present in the room. Previously cited on 07/13/2023 and 07/13/2022.”

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 the Compliance Officers' observations, it was determined that the file for Staff #3 (start date 03/31/2023) lacked documentation of the 10-day training for new staff members.”

ARS § 36-883.02.D. D. Employers of child care personnel shall make documented, good faith efforts to contact previous employers of child care personnel to obtain information or recommendations that may be relevant to an individual's fitness for employment in a child care facility.

“Findings: Based on the Compliance Officers' observations, it was determined that the file for Staff #4 (start date 03/04/2023) lacked documentation of 2 good faith efforts to contact professional references.”

ARS § 36-883.02.A. A. Except as provided in subsection B of this section, child care personnel, including volunteers, shall submit the form prescribed in subsection C of this section to the employer and shall have valid fingerprint clearance cards issued pursuant to section 41-1758.07 before starting employment or volunteer work.

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that the Criminal History Affidavit for Staff #3 (start date 03/31/2023) lacked the facility name and address or the CDC number of the location. Previously cited on 07/13/2024 (under R9-5-203.A) and 07/13/2022.”

AAC R9-5-518.C. C. A staff member shall verify the presence of each enrolled child and place a checkmark next to the enrolled child’s name on the list required in subsection (B)(3) for each enrolled child who is present at the following times:1. At the beginning of the field trip or when boarding the motor vehicle, 2. Upon arrival and each hour while at the field trip destination, 3. When preparing to leave the field trip destination or when boarding the motor vehicle to return to the facility, and 4. When reentering the facility at the conclusion of the field trip.

“Findings: Based on facility documentation and the Compliance Officers' observations, the field trip permission form to the Playground and Field dated 03/17/2025 lacked checkmarks next to each child’s name who was present at the beginning of the field trip, upon arrival to the location, during each hour of the field trip, upon departure of the location, and upon arrival at the facility at the end of the field trip. The field trip permission form to the Playground and Field dated 03/18/2025 lacked checkmarks next to each child’s name during each hour of the field trip. The field trip permission form to the Playground and Field dated 03/19/2025 lacked checkmarks next to each child’s name upon arrival to the location, during each hour of the field trip, and upon departure of the location.”

AAC R9-5-518.A.2. A. A licensee providing a field trip for an enrolled child shall:2. Prepare a written field trip plan including: a. The name of each participating enrolled child, staff member, and other individuals on the field trip; b. The times of departure from and return to the facility; c. If applicable, license plate number of any motor vehicle used on the field trip; and d. The name, street address, and telephone number, if any, of the field trip destination; and

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that the field trip permission form to the Playground and Field dated 03/17/2025, 03/18/2025, and 03/19/2025 lacked the name of each staff member attending. The field trip permission form to the Playground and Field dated 03/17/2025 lacked the times of departure from and return to the facility. Previously cited on 07/13/2022.”

AAC R9-5-203.D. D. A licensee shall ensure that each staff member submits to the licensee a copy of the staff member’s valid fingerprint clearance card each time the fingerprint clearance card is issued or renewed every six years.

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that Staff #4 (start date 03/04/2023) lacked a valid fingerprint clearance card. The fingerprint clearance card expired on 02/06/2025 and the DPS website indicated a new application had not been submitted.”

AAC R9-5-203.G. G. If 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 facility documentation and Compliance Officers' observations, the files for Staff #1 (start date 09/16/2024) and Staff #2 (start date 05/13/2024) lacked documentation of the submitted DCS Central Registry Clearance form. Previously cited on 07/13/2022 under R9-5-203.E”

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 Compliance Officers' observations, the files for Staff #1 (Start Date 09/16/2024), Staff #2 (start date 05/13/2024), and Staff #4 (start date 03/04/2023) lacked documentation that the Fingerprint Clearance Cards were valid before the staff member's start date. 2 of the 3 fingerprint clearance cards were verified to be valid through the DPS website at the time of the inspection. Previously cited on 07/13/2022 under R9-5-203.C”

AAC R9-5-518.A.1. A. A licensee providing a field trip for an enrolled child shall:1. Obtain written permission from a parent before the enrolled child participates in a field trip including: a. The date and description of the field trip; b. The times of departure from and return to the facility; and c. The name, street address, and telephone number, if any, of the field trip destination;

“Findings: Based on facility documentation, staff statements, and the Compliance Officers' observations, it was determined that 5 enrolled children attended the field trip on 03/19/2025 without written permission from the parents. The facility roster for 03/19/2025 indicated the children were present at the facility and their names were checked off in the start and end column of the field trip permission form. Staff stated the parents didn't sign the consent form and the children were taken on the field trip anyway. Based on facility documentation, staff statements, and the Compliance Officers' observations, it was determined that the field trip permission forms dated 03/17/2025, 03/18/2025, and 03/19/2025 to the Playground and Field lacked descriptions of the field trips. Staff stated the children will eat lunch on the field trips, however this is not documented on the field trip permission form.”

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

“Per allegation finding: Based on the children/city employee statements, and the Compliance Officers' observations, the Licensee failed to supervise enrolled children at all times during the 03/17/2025-03/19/2025 field trips to the Playground and Fields. Children stated that the staff will be sitting down or standing near the benches (located by the bathrooms) or on the grass, and will intervene "after something happens". Children stated that more than one child will be riding on the zip-line at once. Children stated they will push each other on the zip line and they will fight over who's turn it is. A city employee who has observed the enrolled children on the playground equipment stated they are "wild" and not using the equipment how it should be used. The city employee stated the staff are clumped together "doing their own thing" and there is no supervision happening, "it's a mess". Based on the Compliance Officers' observations, at the time of the inspection, the Licensee failed to supervise enrolled children at all times when an enrolled child left the Game room and walked to the other side of the Gym into the Art room alone and unsupervised. The staff member's were in their classrooms during this time. Based on the Compliance Officers' observations, at the time of the inspection, an enrolled child left the Game room and went into the Gym to get a drink from their water bottle that was located in a crate on the floor alone and unsupervised. The staff member was standing near the desk at this time. Previously cited on 07/13/2023.”

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 facility documentation, the Proper Use playground equipment warning tag, children/city employee statements, and the Compliance Officers' observations, the Licensee failed to ensure the play equipment was used for it's original purpose during the 03/17/2025-03/19/2025 field trips to the Playground and fields. The playground equipment Proper Use warning tag states that there should only be one user at a time, the user must be seated, there is no pushing or shoving, and adult supervision is strongly recommended. Children stated that more than one child will be riding on the zip-line at once and they will push each other on it. The 03/18/2025 incident report states that a child pushed another child on the "swing". A city employee who has observed the enrolled children on the playground equipment stated they are "wild" and not using the equipment how it should be used.”

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;

“Per allegation finding: Based on facility documentation, the Proper Use playground equipment warning tag, children statements, and the Compliance Officers' observations, the health, safety, or welfare of an enrolled child was placed at risk of harm during the 03/18/2025 field trip to the Playground and Fields. Children stated that more than one child will be riding on the zip-line at once, they will push each other on it, and they will fight over who's turn it is. The 03/18/2025 incident report states that a child pushed another child on the "swing". The playground equipment Proper Use warning tag states that there should only be one user at a time, the user must be seated, there is no pushing or shoving, and adult supervision is strongly recommended. The incident report stated that when the child was pushed in the "swing" by the other child, it caused the child to fly forward, hitting a bar, resulting in an injury that required medical attention. Based on facility documentation, staff member statements, and the Compliance Officers' observations, the health, safety, or welfare of enrolled children was placed at risk of harm when 5 enrolled children were removed from licensed space and taken on the 03/19/2025 field trip to the Playground and Fields, located offsite, without parental consent. The facility roster for 03/19/2025 indicated the children were present at the facility and their names were checked off in the start and end column of the field trip permission form. Staff stated the parents didn't sign the consent form and the children were taken on the field trip anyway.”

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

“Per allegation findings: Based on the Compliance Officers' observations, at the time of the inspection, the staff-to-children ratio for the Gym was 0:1 rather than 1:1 for school-age children when an enrolled child left the Game room and walked to the other side of the Gym into the Art room. At the time of the inspection, the staff-to-children ratio for the Gym was 0:1 rather than 1:1 for school-age children when an enrolled child left the Game room and went into the Gym to get a drink from their water bottle that was located in a crate on the floor. Previously cited on 07/13/2023 and 07/13/2022.”

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 observation, it was determined that 7 out of 25 enrolled children's attendance forms lacked the following information: Child #1: A release signature for 06/24/2024. Child #2: A release signature and time for 06/25/2024 and 06/26/2024. Child #3: A release time for 06/06/2024. Child #4: A release signature and time for 06/03/2024. Child #5: A release signature and time for 06/28/2024. Child #6: A release signature and time for 06/07/2024, 06/14/2024, 06/19/2024, 06/28/2024. Child #7: A release signature and time for 06/24/2024.”

AAC R9-5-509.C.18. C. A licensee shall ensure that:18. A staff member: a. Prepares a weekly menu at least one week in advance, b. Includes on the menu the specific foods to be served on each day, c. Dates each menu, d. Posts each menu at least one day before the first meal on the menu will be served, and e. Writes food substitutions on a posted menu no later than the morning of the day of meal service;

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the posted menu listed fruit/veggie pouches, multigrain bars, and 100% fruit juice, but lacked the specific type of fruit/veggie pouches, bars, and juice to be served to enrolled children.”

AAC R9-5-203.A. A. A licensee shall ensure that a staff member completes, signs, dates, and submits to the licensee, before the staff member’s starting date of employment or volunteer service:1. The form required in A.R.S. § 36-883.02(C); and 2. If required by A.R.S. § 8-804, the form in A.R.S. § 8-804(I).

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the Criminal History Affidavit for Staff #1 (start date 05/28/2024) was incomplete. The affidavit lacked answers to questions 1, 2, and 3.”

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 observation, it was determined that 5 out of 25 enrolled children's Emergency, Information and Immunization Record cards reviewed lacked the following required information: Child #8, Child #10, and Child #11: The date of enrollment. Child #2 and Child #9: The name and phone number of a second individual to contact in case of an emergency.”