D.U.S.D.#89 - Growing Minds Preschool

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 observation, it was determined that there were 2 rags on the diaper handwashing faucet in Room 124 (2's classroom).”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“Findings: Based on the Compliance Officer's observation, it was determined that the water temperature in the diaper handwashing sink in Room 122 (2's classroom) was 78° F.”

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 Officer's observation, it was determined that the container for soiled clothing lacked a liner in Room 122 (2's classroom).”

AAC R9-5-503.E.1. E. A licensee shall ensure that in an activity area with a diaper changing area: 1. The container required in subsection (A)(3) and (4) are inaccessible, and

“Findings: Based on the Compliance Officer's observation, it was determined that the container for soiled diapers was accessible to the enrolled children in Room 122 (2's classroom, Room 124 (2's classroom) and Room 125 (2's classroom).”

AAC R9-5-512.F.1. 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;

“Findings: Based on the Compliance Officer's observation, it was determined that there were no paper towels in the dispenser in Room 113 (3's/4's classroom) restroom.”

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 and review of facility documentation, it was determined that the medication #2 for Child #1 lacked a consent form.”

AAC R9-5-603.B. B. 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 Officer's observation, it was determined that the picnic tables on the playground had chipped and splintering wood.”

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 observation, it was determined that there was an uncovered outlet in Room 122 (2's classroom) and in Room 124 (2's classroom).”

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

“Findings: Based on the Compliance Officer's observation, it was determined that children were not supervised at all times. A child was observed leaving Room 112 (the 3’s/4’s classroom) and walking independently to their cubby located in the hallway outside the classroom. A staff member was standing in the doorway between the classroom and the hallway, and the staff member was not able to fully account for all the children's actions or whereabouts during this time.”

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 Compliance Officer #1's observation, in the following classrooms, personal products lacked an enrolled child's name: Classroom 122 *There was 1 wipe that lacked the enrolled child's first and last name. Classroom 125 *There were 2 wipes that lacked the enrolled child's first and last name and 2 diaper creams that lacked the enrolled child's last name.”

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 observation, the surface of the diaper changing tables in the following rooms were not seamless and smooth: Classroom 127 and Classroom 124 *There were 2 screws at the middle of the diaper changing area making it not seamless and smooth. Classroom 125 *There were 2 screws at the middle of the diaper changing area making it not seamless and smooth. *There was a plastic tray with 5 plastic cups, 1 bottle of glitter tempera paint, 4 pinecones, 1 sponge, a ceramic cup, a glass jar, 3 metal tins with markers, paint brushes, dot pens, a metal shelf with paper, plastic tray, a plastic bin with toys, 2 cloth bags with items, a purple plastic container with manipulatives, a metal pitcher, a clear container with vinegar, and laminated papers behind the sink.”

AAC R9-5-203.C. C. Except as provided in A.R.S. § 41-1758.03, a licensee shall ensure that each staff member, before starting date of employment or volunteer service, submits to the licensee a copy of the staff member’s valid fingerprint clearance card,front and back, issued under A.R.S. Title 41, Chapter 12, Article 3.1.

“Findings: Based on facility documentation and Compliance Officer #2's observation, the file for Staff #1(DOE-06/26/23) lacked a copy of a valid fingerprint clearance card. The fingerprint clearance card was validated at the time of the inspection.”

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 #2’s observation, it was determined that the files for Staff #2 ( DOE-8/21/2024) and Staff #3 ( DOE-11/14/2024), lacked contact with The Department of Public Safety to verify the validity of the fingerprint clearance card before the date of employment. The cards were validated on the date of employment.”

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 Officer #2's observations, the file for Staff #2 (DOE-08/02/24), and Staff #4 (DOE-06/03/24), lacked documentation of the submitted DCS Registry form.”

AAC R9-5-303.B. B. A licensee shall ensure that the licensed capacity of each indoor activity area or room is posted in that activity area or room.

“Findings: Based on Compliance Officer #1's observation, Rooms 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 124, 125, 131, 132, and 133 lacked an accurate posted capacity in the activity area as required.”

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 Compliance Officer #2’s observation, it was determined that the file for Staff #2 (DOE-08/02/24), Staff #3 (DOE-11/14/24), Staff #4 (DOE-06/03/24), Staff #5(DOE-12/09/24) and Child #6 (DOE-12/11/24) lacked documentation of a Criminal History Affidavit signed prior to employment.”

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' observation, the outdoor activity area lacked the following resilient surfacing: *2 of the required 6 inches of woodchips in the fall zones of the swings.”

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' observation, in the outdoor activity area, the following hazards were accessible to enrolled children: *One Trike was missing a petal *Slide had caution tape around the top of it.”

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

“Findings: Based on Compliance Officer #1’s observation, in Classrooms 122 and 124 toilet room, there were 2 blue chairs in front of the toilets.”

AAC R9-5-503.F.1. F. A licensee shall ensure that in an activity area with a diaper changing area: 1. The containers required in subsections (A)(3) and (4) are inaccessible, and

“Findings: Based on Staff statement and Compliance Officer #1's observation, in Classrooms 122 and 124, the diaper changing container was accessible to enrolled children in the toilet room. In Classrooms 125 and 127 the diaper changing container was next to the diaper changing table accessible to enrolled children. Staff Statement "Sometimes we use the big trash next to the diaper changing area"”

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, in Classrooms 114,115, 119, and 120, the soiled clothes containers lacked a tight-fitting lid. In Classrooms 117 and 125, the soiled clothes container lacked a waterproof liner.”

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 Officers' observation, the following medication forms were incomplete: Child #1 and Child #4: The route of administration, times and frequency of administration, and reason for the medication. Child #2 and Child #5: The times and frequency of administration and reason for the medication. Child #3: The times and frequency of administration and the dosage to be given.”

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

“Findings: Based on Compliance Officer #1’s observation, in Classrooms 122, 124, and 125 the soiled diaper container lacked a tight-fitting lid.”

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 the Compliance Officers’ observations, the ratio in Classroom 112 was 1:15 instead of 2:15 as required for 3-year-old children. The ratio in Classroom 125 was 1:12 instead of 2:12 as required for 3-year-old children.”

AAC R9-5-309.C. C. A licensee shall maintain on facility premises: 1. A current fire inspection report including documentation of any repairs or corrections required by the fire inspection report; and 2. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a current gas inspection report including documentation of any repairs or corrections required by the gas inspection report.

“Findings: Based on facility documentation and Compliance Officer #2’s observation, it was determined that the Licensee lacked documentation of a current violation-free fire inspection report including documentation of any repairs or corrections as required.”

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 Officers' observation, the health, safety, and welfare of enrolled children was placed at risk of harm. In Classrooms 125 and 127, it was observed that 1 enrolled child in each classroom was sleeping with their blankets covering the children’s faces.”

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, in the outdoor activity area, 2 wooden garden boxes were separated at the corners exposing screws.”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“Findings: Based on Compliance Officer #1's observations, in Rooms 122, 124, 125, and 127, the temperature of the diaper changing sink was 78° F. rather than 86° F to 110° F. as required.”

AAC R9-5-516.A. A. A licensee shall ensure that a written statement is prepared and maintained on facility premises that specifies:1. Whether prescription or nonprescription medications are administered to enrolled children; and 2. If prescription or nonprescription medications are administered, the requirements in subsection (B) for administering the prescription or nonprescription medications.

“Findings: Based on facility documentation and Compliance Officer #2’s observation, the medication for Child #9 lacked documentation of medication being given to the enrolled child. Medication start date 10/23/23 and End date 4/20/25, stopped giving medication on 11/16/23.”

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 observations, in Rooms 114 and 111 toilet rooms, the toilet seat was loose and lacked a plastic cap on the hinge of the toilet seat.”

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 Compliance Officer #2’s observation, it was determined that 7 out of 15 enrolled children's attendance forms lacked the following information: Child #1: An admission and release signature (initials only) for 01/08/2024-01/12/2024, 01/16/2024-01/18/2024, 01/22/2024 and 01/29/2024-01/30/2024. A release signature and time for 01/23/2024. Child #2: An admission signature (first name only) for 01/10/2024 and a release signature (first name only) for 01/9/2024, 01/10/2024, 01/16/2024-01/19/2024 and 01/23/2024-1/30/2024. Child #3: A release time and signature for 01/19/2024. Child #4: An admission signature (first initial only) for 01/16/2024 01/17/2024,01/19/2024,01/22/2024,01/29/2024,01/30/2024 and a release signature (first initial only) for 01/12/2024,01/17/2024,01/18/2024,01/19/2024,01/29/2024. Child #5: An admission signature (initials only) for 01/08/2024-01/12/2024, 01/15/2024-01/19/2024, 01/22/2024-01/26/2024 and 01/29/2024-01/30/2024 and a release signature (initials only) for 01/08/2024-01/11/2024, 01/16/2024-01/18/2024, and 01/22/2024-01/26/2024. Child #6: A release time and signature for 01/19/2024 and an admission time and signature for 01/28/2024. Child #7: A release time and signature for 01/08/2024-01/11/2024, 01/16/2024, 01/18/2024, 01/25/2024, 01/26/2024, and 01/29/2024.”

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, the following hazards were accessible to enrolled children: The Village: *There was a rolling stool that had exposed foam and metal screws. Room 120: *There were 9 holes in the SE wall exposing drywall. *There were 27 cots stacked on top of one another near the bathroom entrance. Room 118: *There were 3 pillows with dark gray substance covering large areas. Room 117: *There were 2 holes in the NE wall exposing drywall. Room 119: *There was a crack in the seam of the wall in the dramatic play area exposing metal and drywall. Room 114: *There were 3 holes on the SW wall by the dramatic play area with exposed drywall. Room 111: *There were 3 holes on the NE wall and 5 holes on the E wall exposing drywall. Room 125: There were 2 holes on SE wall exposing drywall.”

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

“Findings: Based on facility documentation and Compliance Officer #2’s observations, the following medication forms were incomplete: Child #8: The dosage and route of administration, times and frequency of administration and reason. Child #9: The times and frequency of administration. Child #10 and Child #12: The times and frequency of administration and reason. Child #11: The prescription number. Child #12: The reason for the medication. Child #13: The times and frequency of administration. Child #14: The end date, dosage, times and frequency. Child #15: The times and frequency.”

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

“Findings: Based on Compliance Officer #1’s observations, in Rooms 122 and 125 the soiled diaper container lacked a tight-fitting lid.”

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

“Findings: Based on Compliance Officer #1’s observations, in the Village toilet room, there was a 3-drawer plastic shelf in the bathroom and in Room 125 there was a plastic chair next to the toilet.”

AAC R9-5-503.F.1. F. A licensee shall ensure that in an activity area with a diaper changing area: 1. The containers required in subsections (A)(3) and (4) are inaccessible, and

“Findings: Based on Compliance Officer #1's observations, in Rooms 122 and 125, the diaper changing container was accessible to enrolled children.”

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

“Findings: Based on Compliance Officer #1’s observations, in Room 122, the soiled clothes container lacked a tight-fitting lid. In Rooms 122 and 117, the soiled clothes container lacked a waterproof liner as required.”

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

“Findings: Based on facility documentation and Compliance Officer #2’s observation, it was determined that the medication prescription for Child #9 was expired (Expiration date: 08/2023). The expired medication had not been returned to the parent.”

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 Compliance Officer #2’s observations, it was determined that the files for Staff #2, Staff #3, Staff #4, and Staff #5 lacked documentation of the Criminal History Affidavit being signed before the staff member's starting date of employment. It was also determined that the files for Staff #4, and Staff #5 lacked documentation of the DCS Registry being signed before starting date of employment.”

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 Rooms 122, 124, and 125 the surface of the diaper changing table had vinyl mats on the diaper changing surface. In Room 122, there were diaper wipes, a clear cup, a pink cup, a packet of applesauce, a yellow plastic toy, and 2 plastic bins 1 with books and 1 with toys on the counter next to the diaper changing sink. In Room 124, there were 3 plastic children's cups, a pink lotion bottle, 2 clear water bottles, 2 clipboards with papers, a white plastic 2-drawer container, and a blue plastic 3-drawer container next to the diaper changing sink. In Room 125, there were 2 plastic trays, 1 wooden tray, 2 plastic cups, 1 white bin with a bucket, papers, and a plastic bag, 1 cardboard box, 1 plastic cup with papers and a metal stand with papers in it next to the diaper changing sink.”

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 facility documentation and Compliance Officer #2’s observation, it was determined that all enrolled children's Emergency, Information, and Immunization Record cards lacked an attached written immunization record.”

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 Compliance Officer #2’s observation, it was determined that all enrolled children's Emergency, Information and Immunization Record cards reviewed lacked signatures and dates on the back of the card as required.”