Creme De La Creme - Mesa

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 Officers' observations, the electrical outlets in Room 101 (STEM Lab), 119 (Pre-K 1), Room 130 (Art) and Room 136 (Preschool 1) lacked a safety plug or cover.”

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 the Compliance Officers' observations and the review of 12 staff files, the Criminal History Affidavit for Staff # 3 (DOE 09.03.24) was signed on 09.20.24 after date of hire, and for Staff #2 (DOE 05.27.25), the Criminal History Affidavit was signed on 06.02.25 after date of hire.”

AAC R9-5-509.C.21. C. A licensee shall ensure that: 21. A refrigerator at the child care facility maintains a temperature of 41° F or below and a freezer maintains a temperature of 0° F or below, as shown by a thermometer kept in the refrigerator and in the freezer at all times;

“Findings: Based on the Compliance Officers' observations, the refrigerators were not maintained at 41°F or below, and the freezers were not maintained at 0°F or below in the following rooms. *Room 148 (Tod. 1-B): The freezer lacked a thermometer. *Room 156 (Tod. 1-C): The refrigerator temperature was 45°F. *Kitchen: The refrigerator temperature was 43°F. Additionally, the freezer temperature was 2°F.”

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, a completed self-screening form in a Department-provided format for tuberculosis screening purposes and follow recommendations for further tuberculosis testing, as applicable.

“Findings: Based on the review of facility documentation and the Compliance Officers' observations, the tuberculosis screening test was read after the start day for Staff #2 and Staff #3. *Staff #2 (DOE 05.27.25), test read on 06.01.25, and *Staff #3 (DOE 02.10.25), test read on 02.10.25.”

AAC R9-5-306.A. A. A licensee shall: 1. Maintain a dated attendance form containing an enrolled child’s name with the time of each admission and release, and the parent or staff member's signature or other unique identifier. 2. If an electronic signature is used to admit or release the enrolled child, 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; 3. 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. 4. 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. 5. 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. 6. Maintain the attendance form on facility premises for 12 months after the date of attendance.

“Findings: Based on the review of facility documentation and the Compliance Officers' observations, 10 out of 10 student attendance records reviewed lacked required information for the following children: *Child #8: Dismissal signature on 09.05.25. *Child #9, Child #10, Child #11 and Child #12: Arrival time and dismissal signature on 09.26.25. *Child #13: Arrival and dismissal time from 09.05 to 09.15, and 09.22 to 09.23.25. *Child #14: Dismissal time and signature on 09.04.25, 09.05.25, and 09.25.25. Additionally, the child was pre-signed in and out on 09.29 afternoon and 09.30 morning. *Child #15: Dismissal time and signature on 09.25.25 and 09.26.25. *Child #16: Dismissal time and signature on 09.26.25. **Previously cited on 10.01.24”

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 children: *Room 101 (STEM Lab): A loose phone charger cord was in the hand-washing area. *Room 132 (Preschool): The play refrigerator was not secured to the wall and was easily tipping when small pressure was applied. *Room 146 (Tod. 2-B): The top of a children's table was separated from the base, and splintered wood was exposed.”

AAC R9-5-501.A.17. A. A licensee shall ensure that: 17. Each enrolled child’s pacifier is labeled with an identifier that is specific to the enrolled child and maintained in a clean condition;

“Findings: Based on the Compliance Officers' observations, the pacifiers in Room 148 (Tod. 1-B) were not labeled with an identifier.”

AAC R9-5-502.A.11. A. A licensee providing child care services for infants shall: 11. Label each food container received from the parent with the infant's name.

“Findings: Based on the Compliance Officers' observations, the breast milk in the Infant Room was not labeled with the child's first and last name.”

AAC R9-5-502.C.1.lk. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: k. 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 the review of facility documentation and the Compliance Officers' observations, the infant feeding instructions were not completed or updated for the following children: *Child #1: Lacked specific feeding instructions, and the form was last updated on 12.05.24 *Child #2: The feeding instruction form was last updated on 03.03.25 *Child #3: Lacked specific feeding instructions, and the form was last updated on 01.23.25 *Child #4: Lacked specific feeding instructions, and the form was last updated on 12.26.24 *Child #5: Lacked specific feeding instructions. *Child #6: Lacked specific feeding instructions, and the form was last updated on 02.19.25 *Child #7: Lacked specific feeding instructions, and the form was last updated on 02.08.25 **Previously cited on 10.01.24”

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

“Findings: Based on the Compliance Officers' observations, the diaper changing area in Room 145 (Tod. 2A) was not maintained free of items not required for diapering. There were wipes on the surface. **Previously cited on 10.01.24”

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

“Findings: Based on the Compliance Officers' observations, the soiled diaper container in Room 141 (Preschool) lacked a waterproof liner.”

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 Officers' observations, the water was not accessible in Room 148 (Toddler 1-B). The water was on a high counter.”

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, the following emergency exits were blocked: *Rooms 132 (Preschool), 145 (Tod. 2-A), and 148 (Tod. 1-B), were blocked by toys *Room 156 (Tod.1-C) cubes were blocking the handlebars. *Room 107 (Preschool), the CO had to apply heavy pressure to open the emergency exit.”

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

“Findings: Based on the Compliance Officers' observations, on Van #5 floor, there was an accumulation of trash, snack wrappers, and debris.”

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 review of facility documentation and the Compliance Officers' observations, the authorization form for Child #19 was inconsistent with the medication label and lacked a doctor's note to authorize the usage. **Previously cited on 10.01.24”

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 review of facility documentation and the Compliance Officers' observations, the prescribed medication authorization form for Child #17 lacked a prescription number.”

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, the following restroom floors were not maintained in a clean condition: *Room 107 (preschool 2): Girls’ restroom, the caulking at the base of the toilet had a brown grime build-up, and the caulking at the base of the toilet in the Boys' restroom was cracking and separating from the toilet. *Room 132 (Preschool), Room 136 (Preschool 1), Room 141 (Preschool), and Kinder: The caulking at the base of the toilet was cracking and had yellow stains. *Room 116 (Pre-K 2): There were yellow stains at the base of the toilet. *Gym: There were yellow and brown stains on the restroom floor.”

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 Compliance Officer #2's observation, 2 of the 35 Emergency, Information, Immunization Record cards reviewed lacked the following: Child #1: The back of the record card was not complete; and Child #2: The name and contact telephone number of the child's health care provider.”

AAC R9-5-305.B. B. A licensee shall attach an enrolled child’s written immunization record or exemption affidavit, required in subsection(A), to the enrolled child’s Emergency, Information, and Immunization Record card, required in R9-5 304(B).

“Findings: Based on Compliance Officer #2's observations, 5 of 35 Emergency, Information, and Immunization Record cards reviewed lacked Immunization documentation for Child #1, Child #3, Child #4, Child #5, Child #6, and Child #7.”

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 Compliance Officer #1's observations, in the Toddler 1B bathroom, the light strip over the mirror was dim and not working properly causing the bathroom to be dark when the door was closed.”

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 Compliance Officer #1's observations, 2 of 5 infant feeding instructions reviewed were lacking the following: Child #15: The specific type of milk to be fed to the infant; and Child #16: A parent signature.”

AAC R9-5-605.B.9. B. A licensee shall ensure that: 9. Fans are mounted and inaccessible to an enrolled child;

“Findings: Based on Compliance Officer #1's observation, in the Preschool 2 Room, there was an unmounted fan on top of the classroom refrigerator.”

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 following hazards were accessible to enrolled children: 2's Playground: *The rubber of the playground platform was cracked and lifting exposing sharp metal edging; and Tennis Court: *There was a bundle of frayed and sharp metal wire wrapped around 1 of 2 equipment net poles.”

AAC R9-5-516.I. I. Except as specified in A.R.S. § 36-2229(B) through (D), a licensee shall ensure that a facility does not stock a supply of medications for administration to enrolled children, including:1. Any prescription medication; or 2. A nonprescription medication such as aspirin, acetaminophen, ibuprofen, or cough syrup.

“Findings: Based on Compliance Officer #2's observation, the first aid kit in Bus 5 contained 4 packets of triple antibiotic ointment.”

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 Compliance Officer #2's observations, the following medication authorization forms lacked: Child #17, Child #18: The medication expiration date and times and frequency of administration; and Child #19: The times and frequency of administration.”

AAC R9-5-514. A. A. A licensee shall ensure that there is a first aid kit on facility premises that contains first aid supplies in a quantity sufficient to meet the needs of the enrolled children including the following:1. Sterile bandages including: a. Adhesive bandages of assorted sizes, b. Sterile gauze pads, and c. Sterile gauze rolls; 2. Antiseptic solution or sealed antiseptic wipes; 3. A pair of scissors; 4. Adhesive tape; 5. Single-use, non-porous gloves; and 6. Reclosable plastic bags of at least one-gallon size.

“Findings: Based on Compliance Officer #1's observations, the first aid kit lacked sterile gauze rolls.”

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, the STEAM Lab bathroom lacked soap.”

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 observations, the freezer in Toddler 1A was 14°F.”

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 Compliance Officer #1's observation, the soiled clothing container in Toddler 2C lacked a waterproof liner.”

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 #1's observations, in Toddler 1B, the black rubber edging of the diaper changing surface was unattached on the perimeter near the table entrance, leaving a small gap between the table and the edging.”

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 Compliance Officer #2's observation, 7 of 20 admission and release forms reviewed lacked the following: Child #8: A release time and signature for 9/30/24; Child #9, Child #10, Child #11, Child #12, Child #13: An admission time and signature for 9/30/24; and Child #14: A release time and signature for 9/17/24, 9/20/24, 9/23/24, 9/24/24, 9/26/24, and 9/27/24.”

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

“Findings: Based on Compliance Officer #1’s observations, the ratio in the 2’s Todd Room 3B was 2:17 with 2-year-olds present, and a required ratio of 3:17.”

AAC R9-5-514. G. G. If an enrolled child’s parent informs a staff member at the facility that the enrolled child’s parent obtained medical treatment from a health care provider for an accident, injury, or emergency the enrolled child had while attending the facility, a licensee shall ensure that a staff member:1. Documents any information about the enrolled child’s accident, injury, or emergency received from the enrolled child’s parent; and 2. Maintains documentation required in subsection (G)(1) on facility premises for 12 months after the date of the child’s disenrollment.

“Findings: Based on the Compliance Officers' observations and an interview with the Director, it was determined that a staff member at the facility was notified that Child #1 had received medical treatment from a healthcare provider for an emergency the enrolled child had while attending the facility but the information was not documented.”