Great Beginnings Preschool # 7

AAC R9-5-512.F.7. F. A licensee shall ensure that: 7. Toys, materials, and equipment are maintained in a clean condition;

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, the following toys and materials were not maintained in a clean condition: *In Room 106 (3s-4s), there was a yellow bus and a yellow truck toy that had a black build-up of matted dirt, and there was a white pillow with brown liquid stains across the fabric. *In Room 107 (1s-2s), there was a vinyl mat in the corner with hair, dirt, and fabric bits stuck to it.”

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 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 R9-5-509(C)(14); 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 a review of facility documentation and the Compliance Officer's observations, 2 of 15 Emergency, Information, and Immunization Records reviewed lacked the following required information: *Child #1- The name, home address, and contact telephone number of the child's 2nd parent/guardian. *Child #2- The name of the 2nd individual to conatct in case of an emergency.”

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 a review of facility documentation and the Compliance Officer's observations, 3 of 10 child attendance records reviewed lacked the following required information: *Child #3- A release time and signature for 10-13-2025 and the child was pre-signed out for 10-15-2025. *Child #4- A release time and signature for 10-08-2025.”

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 and Compliance Officer Supervisor's observations, in Room 202's (4s-5s) toilet room, there was an empty toilet paper roll in the dispenser.”

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 the Compliance Officer and Compliance Officer Supervisor's observations, the following areas were not maintained in a clean condition: *In Room 202 (4s-5s), the ceiling vent had a build-up of dirt and dust. *In Room 106 (3s-4s), the exit door had a yellow build-up of dirt, there was water damage on the ceiling tile, causing it to bow in, and there was dust build-up inside the vent in the toilet room. *In the Hallway bathrooms, there was an unclean toilet bowl in the first stall with brown substance stains.”

AAC R9-5-508.D. D. If an enrolled child's parent provides food for the parent's enrolled child, the licensee shall provide milk or juice to the enrolled child if not provided by the parent.

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, in Room 205 (1s-2s), milk or juice was not provided during snack time when the enrolled children's parents did not provide milk or juice.”

AAC R9-5-503.D. D. A licensee shall ensure that the written diaper changing procedure in subsection (C) states that an enrolled child’s diaper is changed as soon as it is soiled, and that a staff member, when diapering: 1. Uses a separate washcloth and towel only once for each enrolled child; 2. Washes and dries the enrolled child using the enrolled child’s individual personal products labeled with the enrolled child’s name; 3. Uses single-use non-porous gloves; 4. Washes the staff member’s own hands with soap and running water between 86° F and 110° F before and after each diaper change; 5. Washes each enrolled child’s hands with soap and running water between 86° F and 110° F after each diaper change; 6. Cleans, sanitizes, and dries the diaper changing surface following each diaper change; and 7. Uses single-use paper towels from a dispenser to dry the diaper changing surface or the hands of the enrolled child or staff member.

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, in Room 205 (1s-2s), the staff member present did not wash an enrolled child’s hands after changing the child's diaper.”

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 and Compliance Officer Supervisor's observations, the following hazards in the outdoor activity areas were accessible to the enrolled children: *On playground 1, there was a 1x1 3/4” hole and a 5” hole in the building walls, exposing the inner wall material. There was a fan blower attached to the back of the bouncy house, with the electrical cord extended across the sidewalk to an outlet on the building wall. *On playground 2, there was a 6” gap under the fence, there were cracks in the blue play bridge equipment that caved in when pressure was applied, and the rubber coating on the stairs to the slide had multiple holes, was loose, and separating from the stairs.”

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 and Compliance Officer Supervisor's observations, on Playground 2, the ratio was 2:14 with a required ratio of 3:14, with 1,2, and 3-year-old children present.”

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 and Compliance Officer Supervisor's observations, the following diaper changing surfaces were not maintained as required: *In Room 107 (1s-2s), the circular hole cover on the diaper-changing sink was covered with rust, and the area surrounding the faucet had a build-up of dirt around it, with hair stuck to it and not sanitized. *In Room 205 (1s-2s), there were items unrelated to diaper changing kept on the surface. There were fall-themed decorations behind the diaper-changing surface, and a cord unrelated to diaper changing draping onto the diaper-changing surface.”

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 and Compliance Officer Supervisor's observations, in Room 107 (1s-2s), the diaper-changing sink's temperature was maintained at 78° F and not between 86° F and 110° F as required.”

AAC R9-5-501.B.6. B. A licensee shall ensure that a staff member: 6. For enrolled children five-years or younger, and except as provided in subsection (C), prepares, posts, and implements 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 and Compliance Officer Supervisor's observations, the following posted lesson plans were not current: *In Room 202 (4s-5s), the posted lesson plan was dated for the week of September 22-26. *In Room 107 (1s-2s), the posted lesson plan was dated for the week of October 6-10.”

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 and Compliance Officer Supervisor's observations, on Playground 1, enrolled children were playing with the air blower behind the inflatable bouncy house. An enrolled child was trying to stick their fingers into the blower, and the staff members present were not aware of the situation.”

AAC R9-5-501.A.10. A. A licensee shall ensure that: 10. If a staff member places an enrolled child in a feeding chair when feeding the enrolled child, the: a. Feeding chair is constructed to prevent toppling; b. Tray or feeding surface of the feeding chair is smooth and free of cracks; and c. Staff member: i. Cleans the feeding chair before and after each enrolled child's use; ii. Sanitizes the tray or feeding surface before and after each enrolled child's use; and iii. If the feeding chair was manufactured with a safety strap, fastens the feeding chair's safety strap while the enrolled child is in the feeding chair;

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, in Room 107 (1s-2s), 1 of 6 feeding chairs lacked a strap. There was leftover food residue on the feeding chairs.”

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 and Compliance Officer Supervisor's observations, the following hazards were accessible to enrolled children: *In Room 107 (1s-2s), the bottom of the red metal shelf had an exposed sharp edge, and there were ripped foam play steps in the play area. *In Room 201 (4s-5s), there was a splintery wooden clock toy on the shelf. *In Room 205 (1s-2s), a corner of the wall was chipped, with exposed drywall.”

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 the Compliance Officer and Compliance Officer Supervisor's observations, in Room 205 (1s-2s), Child #5's expired prescription medication was kept in the classroom and not returned to the enrolled child's parents. The medication expired on 01-11-2025.”

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

“Per Allegation Findings: Based on Compliance Officer's observation and information provided by the staff, on 2/20/25 Staff #1(start date 8/6/24) propped the classroom door opening to the playground, leaving the classroom to take a child to a staff member sitting outside on the playground, leaving the classroom in a staff-to-child ratio of 0:9 instead of the state mandated ratio of 1:9.”

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 Compliance Officer's observation and information provided by staff, on 2/20/25 a child's health, safety and welfare was placed at risk of harm due to Staff #2 (start date 1/2/23) instructing an enrolled child to "hit another child in the back" because of misbehavior.”

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

“Per Allegation Findings: Based on Compliance Officer's observation and information provided by the staff, Staff #1 (start date 8/6/24) propped a classroom door opening to the facility playground and "walked out to the playground" leaving the rest of the children in the classroom unsupervised, to take a child to a picnic table to sit with additional staff members. Staff #1 was then observed to have "left for the office" before returning to the classroom via the playground door.”

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's observation, there was a small speaker on the diapering surface and 5 glass jars in the diapering sink of Room 205.”

AAC R9-5-510.B.5. B. A licensee shall ensure that a staff member does not use or permit: 5. Discipline administered to any enrolled child by another enrolled child.

“Findings: Based on Compliance Officer's observation and information provided by staff, staff used and permitted discipline administered to any enrolled child by another enrolled child. Staff #2 (start date 1/2/23) instructed an enrolled child to "hit another child in the back" because the child was misbehaving.”

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

“Findings: Based on Compliance Officer's observation and review of facility documentation, the classroom roster for the 1's classroom reflected the presence of 8 children, however only 6 children were present in the classroom.”

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 Compliance Officers' observations, there was a deodorant stick labeled "keep out of reach of children" accessible to enrolled children in both Room 201 and Room 202.”

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 Compliance Officers' observations, there was a plunger and a toilet brush adjacent to the toilet in Room 202.”

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 Officers' observations, the large, red shelving units in Room 106, Room 201 and Room 202 lacked safety anchors to prevent the shelving units from accidentally tipping over.”

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 Compliance Officers' observations and review of facility documentation, there was medication for Child #1 that had expired in October, 2024.”

AAC R9-5-511.D. D. A licensee shall ensure that if an enrolled child is present at the facility during evening and nighttime hours, the licensee:1. Permits the enrolled child to use a mat only when used on top of a cot; 2. Before bathing the enrolled child at the facility, obtains written consent and bathing instructions from the enrolled child’s parent and follows the instructions when bathing the enrolled child; 3. Requires that a staff member cleans and sanitizes a bathtub or shower stall after bathing each enrolled child; 4. Requires that a staff member remains awake while supervising the sleeping enrolled child; and 5. Prohibits the operation of a television set in a room where the enrolled child is sleeping.

“Findings: Based on Compliance Officers' observations, there was a television set operating during nap time in Room 205 where children were sleeping.”

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 Compliance Officers' observations and review of facility documentation, the file for Staff #1 (start date: 12/1/23) lacked documentation of a tuberculosis test administered and read negative within 12 months prior to the starting date of the staff member. The tuberculosis test was read negative on 1/7/24.”

AAC R9-5-503.A.2.a. 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 Officers' observations, in classroom 107 (1 year old's), the temperature of the water at the diaper changing sink was 71° F. rather than 86° F to 110° F. as required.”

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 facility documentation and the Compliance Officers' observations, the non-prescription medication for Child #5 and Child #6 lacked written authorization from the enrolled children's health care providers to administer the medication inconsistent with the manufacturer's label.”

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' observations, the outdoor activity areas lacked the following resilient surfacing: Toddler area: *5 of the required 6 inches of wood chips in the fall zones of the red slide. *4 of the required 6 inches of wood chips in the fall zones of the blue slide. *2 of the required 6 inches of wood chips in the fall zone of the green slide. Preschool area: *5 of the required 6 inches of wood chips in the fall zone of the long slide. *3 of the required 6 inches of wood chips in the fall zone of the double slide.”

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, it was determined that 3 out of 15 enrolled children's attendance forms lacked the following information: Child #2: An admission and release signature for 11/1/2023, 11/2/2023, 11/3/2023, 1/6/2023, 11/7/2023, & 11/8/2023. Child #3: An admission signature (initials only) for 11/8/2023. Child #4: An admission and release signature (initials only) for 11/2/2023 & 11/3/2023.”

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 Compliance Officer #2's observation, it was determined that Child #1 lacked a written immunization record.”

AAC R9-5-301.F. F. A licensee shall ensure that a staff member submits, on or before the starting date of employment or volunteer services, one of the following as evidence of freedom from infectious active tuberculosis: 1. Documentation of a negative Mantoux skin test or other tuberculosis screening test recommended by the U.S. Centers for Disease Control and Prevention, administered within 12 months before the starting date of employment or volunteer service, that includes the date and the type of tuberculosis screening test; or 2. If the staff member has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the staff member is free from infectious active tuberculosis that is signed and dated by a health care provider within six months before the starting date of employment or volunteer service.

“Findings: Based on facility documentation and Compliance Officer #1’s observation, it was determined that the Mantoux skin test for Staff #1 was not administered on or before the starting date of employment (Start date - 1/24/2023, date of TB test- 1/26/2023).”

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 #1's observation, it was determined that the files for Staff #1 (Start date 1/24/2023 - validated 1/27/2023), Staff #2 (Start date 7/31/2023 - validated 10/5/2023), Staff #3 (Start date 1/2/2023 - validated 1/3/2023), Staff #4 (Start date 7/31/2023 - validated 7/31/2023) , and Staff #5 (Start date 5/1/2023 - validated 10/13/2023) lacked documentation of a validated fingerprint clearance card before employment.”

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 the Compliance Officers' observations, in the Toddler outdoor activity area, there was a heavy brown build-up of dirt located on the yellow handrails of the large climber.”

AAC R9-5-509.C.3. C. A licensee shall ensure that: 3. An enrolled child is not permitted to eat food directly off the floor, carpet, or ground or with utensils placed directly on the floor, carpet, or ground;

“Findings: Based on the Compliance Officers' observations, in classroom 107 (1 year old's) 2 children were drinking from bottles while lying on nap mats.”

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 the Compliance Officers' observations, the 1st aid kit contained a stock supply of medication (i.e., antacid, aspirin, and antibiotic ointment).”

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' observations, the health, safety, and welfare of enrolled children were placed at risk of harm. 1 enrolled child in classroom 105 (3-4 year old's) and 1 enrolled child in classroom 107 (1 year old's), were sleeping with their heads covered by a blanket during nap.”

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 enrolled children: *Room 202 (4-5 year old's): There were a pair adult scissors. *Room 201 (4-5 year old's): There were a pair of adult scissors and a nap mat with torn plastic and exposed foam.”

AAC R9-5-501.A.13. A. A licensee shall ensure that: 13. Toys and play equipment, required in this Article, are maintained: a. Free from hazards, and b. In a condition that allows the toy or play equipment to be used for the original purpose of the toy or play equipment;

“Findings: Based on the Compliance Officers' observations, in classroom 107 (1 year old's) there was torn vinyl with exposed foam located on the blocks in the cushioned vinyl pit, accessible to enrolled children.”

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 Officers' observations, in classroom 202 (4-5 year old's), there was a container of Lysol wipes located on a low shelf accessible to 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 Officers’ observations, in Classroom 105 (3-4 year old's), there was a broom located in the activity area, accessible to enrolled children.”