Fowler Elementary School

AAC R9-5-721.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 the Compliance Officer's observations and facility documentation, the facility lacked a current violation-free gas inspection report.”

AAC R9-5-716.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 an Emergency, Information, and Immunization Record that is no more than a two-page written notice, and is signed by the enrolled child’s parent containing: 1. The child’s name, home address, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, email address, and 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 the nutritional and dietary needs of the child including, if applicable, the request in R9-5-731(C)(13); 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 the Compliance Officer's observations and facility documentation, 7 of 15 Emergency, Information, and Immunization Record cards reviewed lacked the following information: **Child #1, #2, #4, #5, and #6 lacked the date of enrollemnt. **Child #1, and #3 lacked the 2nd parent information. **Child #2, #6, and #7 lacked a health care provider.”

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

“Findings: Based on the Compliance Officer's observations and facility documentation, the file for Staff #1(DOE:7/28/25) lacked documentation of the DCS background check.”

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 the Compliance Officer's observations and 2 staff files reviewed, the file for Staff #1 (DOE:7/28/25) lacked documentation that the Fingerprint Clearance Card was valid before the staff members date of employment.”

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 the Compliance Officer's observations and a review of 2 staff files, Staff #2 (DOE: 7/1/24) lacked a completed 10-day training for new staff members within the 10 calendar days of the starting date of employment. The form was completed on 7/15/24.”

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 the Compliance Officer's observations and facility documentation, 4 of 15 Emergency, Information, and Immunization Record cards reviewed lacked the following information: *Child #1: Date of enrollment *Child #3: Child's complete address, child's sex, parent #1 and #2 complete address *Child #4: Child's last name, date of enrollment, child's sex *Child #5: Parent #2 information”

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 the Compliance Officer's observations and facility documentation, the Licensee lacked written parental permission from all enrolled children's parents permitting staff to sign-in enrolled children.”

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 the Compliance Officer's observations and facility documentation, Child #1, Child #2, Child #3, and Child # 5 lacked a written immunization record attached to the Emergency, Information, and Immunization Record card.”

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 the Compliance Officer’s observation and facility documentation, the Licensee lacked documentation of a current violation-free fire inspection report and a current violation-free gas inspection.”

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 the Compliance Officer's observations and facility documentation, the Mantoux skin test for Staff #1 was not administered on or before the starting date of employment (DOE: 7/1/24, date of TB test:7/7/24)”

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 the Compliance Officer's observations and facility documentation, the posted menu documented Dole Fruit Cup (mixed fruit) but lacked the specific type of fruit to be served to the 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 observations, 1 of 2 staff files reviewed lacked the following: Staff #2 (DOE: 11/14/23): A completed Criminal History Affidavit, the facility name and facility address of CDC were not addressed.”

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 the Compliance Officer's observations, 1 of 2 staff files reviewed lacked the following: Staff #2 (DOE: 11/14/23): A copy of the fingerprint clearance card front and back.”

AAC R9-5-203.E. E. If a staff member possesses a fingerprint clearance card that was issued before the staff member became a staff member at the facility, a licensee shall:1. Contact the Department of Public Safety before the individual becomes a staff member to determine whether the fingerprint clearance card is valid; and 2. Document this determination, including the name of the staff member, the date of contact with the Department of Public Safety, and whether the fingerprint clearance card is valid.

“Findings: Based on facility documentation and the Compliance Officer's observation, 1 of 2 staff files reviewed lacked the following: Staff #2 (DOE: 11/14/23): Fingerprint clearance card was not verified by DPS before their starting date of employment. Staff #2's fingerprint clearance card was verified at the time of the inspection.”

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 the Compliance Officer's observations, 2 of 2 staff files reviewed lacked the following: Staff #1 (DOE: 7/17/23) and Staff #2 (DOE: 11/14/23): Documentation of the submission requirements. Previously cited on 10/4/2023”

AAC R9-5-301.B. B. A licensee shall ensure that a facility director: 1. Designates, in writing, an individual who meets the requirements of R9-5-401(2) to act on behalf of the facility director when the facility director is not present in the facility; 2. Supervises or assigns a teacher-caregiver to supervise each staff member who does not meet the qualifications of R9-5-401(3); 3. Prepares a dated attendance record for each day and ensures that each staff member documents on the attendance record the time of each arrival and departure of the staff member; and 4. Maintains on the facility premises, the dated attendance record required in subsection (B)(3) for 12 months after the date on the attendance record.

“Findings: Based on facility documentation and the Compliance Officer's observations, 2 of 2 staff members did not meet the qualifications of a teacher-caregiver and were not supervised by a qualified staff member. Staff #1 (DOE: 7/16/23) and Staff #2 (DOE: 11/14/23) were left alone and unsupervised with enrolled children.”

AAC R9-5-303.A. A. A licensee shall post in a place that can be conspicuously viewed by individuals entering or leaving the facility or activity area, the:1. Facility’s license; 2. Name of the facility director; 3. Name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility, as prescribed by R9-5-301(B)(1); 4. Schedule of child care services fees and policy for refunding fees as prescribed by A.R.S. § 36-882(P); 5. Breakfast, lunch, dinner, and snack menus for each calendar week at the beginning of the calendar week; 6. Notice of the presence of any communicable disease or infestation listed in 9 A.A.C. 6, Article 2, Table 2, from the date of discovery through the incubation period of the communicable disease or infestation; 7. Notice of the Department’s intent to deny, revoke, or suspend as prescribed by A.R.S. § 36-888 at the expiration of time in the notice for the licensee to respond; 8. Notice of an intermediate sanction imposed as prescribed by A.R.S. § 36-891.01 within 10 calendar days after the licensee received notice of the intermediate sanction; 9. Notice of a legal injunction imposed as prescribed by A.R.S. § 36-886.01 when the licensee receives the legal injunction; and 10. Notice of the availability of facility inspection reports for public viewing at the facility premises.

“Findings: Based on facility documentation and the Compliance Officer's observations, the main posted board lacked the snack menu for the week and the name of the facility director. The name posted does not reflect the current director.”

AAC R9-5-305.A. A. A licensee shall not permit an enrolled child to attend a facility until the facility receives: 1. An immunization record for the enrolled child with the information required in 9 A.A.C. 6, Article 7, documenting that the enrolled child has received all current, age-appropriate immunizations required under 9 A.A.C. 6, Article 7: a. Provided by a healthcare provider, or b. Generated from the Arizona State Immunization Information System, which is the Department’s child immunization reporting system established in A.R.S. § 36-135; or 2. An exemption affidavit for the enrolled child provided by the enrolled child’s parent that contains: a. A statement, signed by the enrolled child’s health care provider, that the immunizations required by 9 A.A.C. 6, Article 7 would endanger the enrolled child’s health or medical condition; or b. A statement, signed by the enrolled child’s parent, that the enrolled child is being raised in a religion whose teachings are in opposition to immunization.

“Findings: Based on facility documentation and the Compliance Officer's observations, all enrolled children lacked a copy of the Immunization records. Previously cited on 10/4/2023”

AAC R9-5-306.A. A. A licensee shall maintain a dated attendance form containing an enrolled child’s name with the time of each admission and release of the enrolled child. 1. Except as provided in subsection (A)(2), a licensee shall ensure that the attendance form is signed with at least a first initial of an individual’s first name and the individual’s last name by each enrolled child’s parent or individual designated by the enrolled child’s parent, each time the enrolled child is admitted or released. 2. An electronic fingerprint verification or an electronic signature may be used in place of a signature of the enrolled child’s parent or designated individual to admit or release the enrolled child. 3. If an electronic signature is used to admit or release the enrolled child, the licensee shall adopt policies and procedures to ensure that the individual whose signature the electronic or digital method of identification represents is accountable for the use of the electronic or digital method; 4. A licensee shall develop, document, and implement policies and procedures to ensure that the identity of an individual is known to the staff member or is verified with picture identification before releasing an enrolled child to the individual. 5. A licensee shall not release the enrolled child to an individual other than the enrolled child’s parent or other individual designated in writing by the enrolled child’s parent except when the enrolled child’s parent is unable to collect the enrolled child and authorizes the licensee by telephone to release the enrolled child to an individual not so designated. a. The licensee shall verify the telephone authorization using a means of verification that has been agreed upon between the licensee and the enrolled child’s parent at the time of enrollment. b. The licensee shall document the means of verification in subsection (A)(5)(a) on the enrolled child’s Emergency, Information, and Immunization Record card. 6. A licensee shall not permit the self-admission or self-release of an enrolled child unless the enrolled child is of school age and the licensee has obtained and verified written permission from the enrolled child’s parent. 7. A licensee shall maintain the attendance form on facility premises for 12 months after the date of attendance.

“Findings: Based on facility documentation and the Compliance Officer's observations, 10 of 10 children's attendance records reviewed lacked the following: Child #1: The admission signatures were initials only for 12/5/23, 12/6/23, 12/7/23 and 12/9/23. Child #2: The admission signatures were initials only for 12/1/23, 12/4/23, 12/5/23, 12/6/23, 12/7/23, 12/8/23, 12/11/23 and 12/12/23. A release time and signature for 12/1/23. The release signatures were initials only for 12/4/23, 12/5/23, 12/6/23, 12/7/23, 12/8/23, 12/11/23 and 12/12/23. Child #3: The admission signatures were initials only for 12/4/23, 12/5/23, 12/6/23 and 12/7/23. A release time for 12/4/23 and 12/6/23. Child #4: The admission signatures were initials only for 12/1/23, 12/5/23, 12/6/23, 12/7/23, 12/8/23, 12/11/23 and 12/12/23. An admission time and signature for 12/4/23. Child #5: The admission signatures were initials only for 12/1/23, 12/4/23, 12/5/23, 12/6/23, 12/7/23, 12/8/23, 12/11/23 and 12/12/23. The release signatures were initials only for 12/4/23, 12/6/23, 12/7/23, 12/8/23, 12/11/23 and 12/12/23. A release signature or 12/5/23. Child #6: The admission signatures were initials only for 12/1/23, 12/7/23, 12/8/23, 12/11/23 and 12/12/23. Child #7: The admission and release signatures were initials only for 12/1/23, 12/4/23, 12/5/23, 12/11/23 and 12/12/23. Child #8: The admission signatures were initials only for 12/4/23, 12/5/23, 12/11/23 and 12/12/23. A release time and signature for 12/5/23. Child #9: The admission and release signatures were initials only for 12/4/23, 12/5/23, 12/6/23 and 12/11/23. An admission time for 12/7/23. Child #10: The admission signatures were initials only for 12/5/23, 12/6/23 and 12/7/23. Previously cited 10/4/2023”

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

“Findings: Based on the Compliance Officer's observations, when the staff took the enrolled children to the MPR, they lacked a roster.”

AAC R9-5-401.1. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:1. A facility director is 21 years of age or older and provides the licensee with documentation of one of the following: a. At least 24 months of child care experience, a high school or high school equivalency diploma, and: i. Six credit hours or more in early childhood, child development, or a closely-related field from an accredited college or university; or ii. At least 60 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field, and an additional 12 hours of instruction, provided in conferences, seminars, lectures, or workshops in the area of program administration, planning, development, or management; b. At least 18 months of child care experience and: i. An N.A.C., C.D.A., or C.C.P. credential; or ii. At least 24 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; c. At least six months of child care experience and an associate degree from an accredited college or university in early childhood, child development, or a closely-related field; or d. At least three months of child care experience and a bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field;

“Findings: Based on facility documentation and the Compliance Officer's observations, 1 of 2 staff files reviewed lacked the following to qualify as a facility director: Staff #1 (DOE: 7/16/23): At least 24 months of child care experience, a high school or high school equivalency diploma and six credit hours or more in early childhood, child development, or a closely-related field from an accredited college or university or at least 60 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field, and an additional 12 hours of instruction, provided in conferences, seminars, lectures, or workshops in the area of program administration, planning, development, or management. Or at least 18 months of child care experience and an N.A.C., C.D.A., or C.C.P. credential. Or at least 24 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field. Or at least six months of child care experience and an associate degree from an accredited college or university in early childhood, child development, or a closely-related field. Or at least three months of child care experience and a bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field. Staff #1 was observed working alone with enrolled children.”

AAC R9-5-401.2. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:2. A facility director’s designee is 21 years of age or older and provides the licensee with documentation of one of the following: a. At least 12 months of child care experience, a high school or high school equivalency diploma, and: i. Three credit hours or more in early childhood, child development, or a closely-related field from an accredited college or university, or ii. At least 30 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field; b. At least 12 months of child care experience and: i. An N.A.C., C.D.A., or C.C.P. credential; or ii At least 24 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; c. At least six months of child care experience and an associate degree from an accredited college or university in early childhood, child development, or a closely-related field; or d. At least three months of child care experience and a bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field;

“Findings: Based on facility documentation and the Compliance Officer's observations, 1 of 2 staff files reviewed lacked the following to qualify as a facility director designee: Staff #2 (DOE: 11/14/23): 21 years of age or older. At least 12 months of child care experience, a high school or high school equivalency diploma, and three credit hours or more in early childhood, child development, or a closely-related field from an accredited college or university, or at least 30 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field. At least 12 months of child care experience and an N.A.C., C.D.A., or C.C.P. credential or at least 24 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field. At least six months of child care experience and an associate degree from an accredited college or university in early childhood, child development, or a closely-related field or at least three months of child care experience and a bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field. Staff #2 was observed working alone with enrolled children.”

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

“Findings: Based on facility documentation and the Compliance Officer's observation, 1 or 2 staff files reviewed lacked the following: Staff #2 (DOE: 11/14/23): Documentation of 2 good faith effort references.”

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 Officer's observation, 1 or 2 staff files reviewed lacked the following: Staff #2 (DOE: 11/14/23): Documentation of a completed 10 day new hire training.”

AAC R9-5-403.E. E. A licensee shall ensure that a staff member required by R9-5-301(G) meets all of the following:1. The staff member obtains first aid training specific to infants and children, 2. The staff member obtains CPR training specific to infants and children, which includes a demonstration of the staff member’s ability to perform CPR, 3. The staff member maintains current training in first aid and CPR, and 4. The staff member provides the licensee with a copy of the front and back of the current card issued to the staff member upon completing first aid and CPR training as proof of completion of the requirements of this subsection.

“Findings: Based on facility documentation and the Compliance Officer's observations, 2 or 2 staff files reviewed lacked the following: Staff #1 (DOE: 7/16/23): The first aid and CPR lacked training specific to infants. Staff #2 (DOE: 11/14/23): A first aid and CPR card. Staff #2 was alone with enrolled children for over 20 minutes before Staff #1 arrived. Previously cited on 10/4/2023”

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 Officer's observations, the staff-to-child was 0:1, 0:1 and 0:2 when enrolled children left Room 122 (SA) and went into the hallway to their backpacks. Previously cited on 10/4/2023”

AAC R9-5-404.C.1. C. A licensee shall ensure that:1. When there are six or more enrolled children present in a facility, the following individuals are present in the facility: a. A facility director or a director’s designee who meets the requirements in R9-5-401 for a director’s designee; and b. One additional staff member;

“Findings: Based on the Compliance Officer's observations, there were 8 enrolled children present with only the director designee, there was not an additional staff member present, as required. Previously cited on 10/4/2023”

AAC R9-5-404.C.2. C. A licensee shall ensure that:2. When five or fewer enrolled children are present in a facility, the facility director or director’s designee who meets the requirements in R9-5-401 is present in the facility, and an additional staff member is available by telephone or other equally expeditious means and able to reach the facility within 15 minutes after notification; and

“Findings: Based on the Compliance Officer's observations, there were 8 enrolled children present with only the director designee, the additional staff member did not arrive within 15 minutes.”

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

“Findings: Based on the Compliance Officer's observations, the health, safety or welfare of enrolled children was placed at risk of harm when the 2 staff members present were working alone with enrolled children and not qualified as teacher-caregivers.”

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

“Findings: Based on the Compliance Officer's observations, in Room 122 (SA), there was a cord dangling across 6 feet from the computer to the outlet plug.”

AAC R9-5-501.A.19. A. A licensee shall ensure that:19. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Findings: Based on the Compliance Officer's observations, in Room 122's (SA) bathroom, there was a Febreze air fresher on a shelf above the toilet accessible to the enrolled children.”

AAC R9-5-501.A.21. A. A licensee shall ensure that:21. Except when used as part of an activity, the following are stored in an area inaccessible to an enrolled child: a. Garden tools, such as a rake, trowel, and shovel; and b. Cleaning equipment and supplies, such as a mop and mop bucket.

“Findings: Based on the Compliance Officer's observations, in Room 122 (SA), there was a vacuum next to a book shelf accessible to the enrolled children.”

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

“Findings: Based on the Compliance Officer's observations, the staff members failed to supervise enrolled children when 4 different enrolled children at different times were alone and unsupervised when they left Room 122 and walked in the hallway to their backpacks. Staff were not aware of the enrolled children leaving the room. Previously cited on 10/4/2023”

AAC R9-5-501.C.5. C. A licensee shall ensure that a staff member:5. Except as provided in subsection (D), prepares and posts a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Findings: Based on the Compliance Officer's observation, the MPR lacked a posted lesson plan.”

AAC R9-5-510.A.2. A. A licensee shall ensure that a staff member: 2. Teaches, models, and encourages orderly conduct, personal control, and age-appropriate behavior;

“Findings: Based on the Compliance Officer's observations, the staff member failed to teach, model and encourage orderly conduct when Staff #1 stated the following to enrolled children: No stop, why do I hear voices. Stop just stop, you better stop, you are going to have a desk all be yourself.”

ARS § 36-882.M. M. The licensee shall notify the department in writing within ten days of any change in the child care facility's director.

“Findings: Based on the Compliance Officer's observation, the licensee failed to notify the department in writing within ten days of any change in the child care facility's director.”

AAC R9-5-501.C.4. C. A licensee shall ensure that a staff member:4. Except as provided in subsection (D), prepares and posts in each indoor activity area, a current schedule of children’s age-appropriate activities, including the times the following are provided: a. Meals and snacks; b. Naps; c. Indoor activities; d. Outdoor or large muscle development activities; e. Quiet and active activities; f. Teacher-directed activities; g. Self-directed activities; h. Activities for individuals, groups of five or fewer children, and groups of six or more children; and i. Activities that develop small muscles;

“Findings: Based on the Compliance Officer's observation, the MPR lacked a posted activity schedule.”

AAC R9-5-305.A. A. A licensee shall not permit an enrolled child to attend a facility until the facility receives: 1. An immunization record for the enrolled child with the information required in 9 A.A.C. 6, Article 7, documenting that the enrolled child has received all current, age-appropriate immunizations required under 9 A.A.C. 6, Article 7: a. Provided by a healthcare provider, or b. Generated from the Arizona State Immunization Information System, which is the Department’s child immunization reporting system established in A.R.S. § 36-135; or 2. An exemption affidavit for the enrolled child provided by the enrolled child’s parent that contains: a. A statement, signed by the enrolled child’s health care provider, that the immunizations required by 9 A.A.C. 6, Article 7 would endanger the enrolled child’s health or medical condition; or b. A statement, signed by the enrolled child’s parent, that the enrolled child is being raised in a religion whose teachings are in opposition to immunization.

“Findings: Based on facility documentation and the Compliance Officer's observations, 7 of 10 children's Immunization records reviewed lacked the following: Child #1, Child #2, Child #3, Child #4, Child #5, Child #6 and Child #7: A copy of the Immunization record.”

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

“Findings: Based on the Compliance Officer's observations, the staff member failed to supervise enrolled children in the following areas: One enrolled child was alone and unsupervised when the child left Room 122 and walked into the hall to get a drink without informing the teacher. Three enrolled children were alone and unsupervised when they walking in the MPR (20 feet away) from Room 122 to get items from their backpacks. Four enrolled children were alone and unsupervised when they walked from the MPR (20 feet away) to Room 122 after being dropped off on the bus.”

AAC R9-5-403.E. E. A licensee shall ensure that a staff member required by R9-5-301(G) meets all of the following: 1. The staff member obtains first aid training specific to infants and children, 2. The staff member obtains CPR training specific to infants and children, which includes a demonstration of the staff member’s ability to perform CPR, 3. The staff member maintains current training in first aid and CPR, and 4. The staff member provides the licensee with a copy of the front and back of the current card issued to the staff member upon completing first aid and CPR training as proof of completion of the requirements of this subsection.

“Findings: Based on facility documentation and the Compliance Officer's observation, Staff #1 (DOE: 7/17/23) lacked a current first aid and CPR card. Staff #1 was the only staff present at the time of the inspection.”

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 Officer's observations, the staff-to-child was 0:1, when an enrolled child left Room 122 to the hallway to get a drink. The staff-to-child was 0:1 three different times, when the enrolled children left Room 122 and walked 20 feet away to the MPR. The staff-to-child ratio was 0:4, when the enrolled children walked from the MPR 20 feet away to Room 122.”

AAC R9-5-404.C.1. C. A licensee shall ensure that: 1. When there are six or more enrolled children present in a facility, the following individuals are present in the facility: a. A facility director or a director’s designee who meets the requirements in R9-5-401 for a director’s designee; and b. One additional staff member;

“Findings: Based on the Compliance Officer's observation, there were 13 enrolled children present with only the director designee, there was not an additional staff member present, as required.”

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 the Compliance Officer's observation, Staff #1's (DOE: 7/17/23) file lacked documentation of the submission requirements.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete a Department-provided Emergency, Information, and Immunization Record card that is signed by the enrolled child’s parent containing: 1. The child’s name, home address, city, state, zip code, home telephone number, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, city, state, zip code, and contact telephone number of each parent of the child; 4. The name and contact telephone number of at least two individuals authorized by the child’s parent to collect the child from the facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(9); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“Findings: Based on facility documentation and the Compliance Officer's observations, 5 of 10 enrolled children's Emergency, Information and Immunization Record cards reviewed lacked the following: Child #1: The date of the child's enrollment, the name and contact telephone number of the child's health care provider and the name of the individual to be contacted in case of injury or sudden illness of the child. Child #2: The date of the child's enrollment, the name, home address, city, state, zip code and contact telephone of the 2nd parent, the name and contact telephone number of the child's health care provider and the name of the individual to be contacted in case of injury or sudden illness of the child. Child #3 and Child #4: The name, home address, city, state, zip code and contact telephone of the 2nd parent and the name and contact telephone number of the child's health care provider. Child #5: The name and contact telephone number of the child's health care provider.”