Ikm Layton Lakes

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 an enrolled child was placed at risk of harm when a staff member put tissue into a 1-year-old child's mouth to stop the child from crying. Staff then placed the child face down on their cot to take a nap with the tissue still in the child's mouth. Staff stated: *(Child) popped their head up, and (staff) saw tissue in their mouth. *(Child) had tissue in their mouth. *(Staff) put tissue in the child's mouth. Facility documentation documented that the staff member was terminated the next day. Additionally, upon the arrival of the Compliance Officer in the 1's/2's and 1's-3's classrooms, a total of 6 enrolled children had their heads and faces covered with blankets during nap time.”

AAC R9-5-510.B.1. B. A licensee shall ensure that a staff member does not use or permit: 1. The use of physical punishment including: a. Hitting, spanking, shaking, slapping, twisting, pulling, squeezing, or biting; b. Demanding excessive physical excercise or excessive rest; and c. Forcing a child to eat or consume soap, food, or foreign substances;

“Findings: Per allegation and based on the Compliance Officer's observation, the licensee failed to ensure that staff do not use or permit the use of physical punishment, including forcing a child to consume a foreign substance when a staff member put tissue paper into a 1-year-old child's mouth to stop the child from crying. Staff stated: *(Child) popped their head up, and (staff) saw tissue in their mouth. *(Child) had tissue in their mouth. *(Staff) put tissue in the child's mouth.”

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

“Findings: Based on facility documentation and the Compliance Officers' observations, in the Phoenix room (2s) there were 8 children present and 12 children documented on the roster. In the Ravens room (3-6s) there were 24 children present and 22 children documented on the roster.”

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

“Findings: Per allegation, based on staff interviews, facility documentation and the Compliance Officers' observations, staff failed to supervise enrolled children at all times when a child sustained an injury on the playground, and staff were unaware of how the injury occurred. Staff stated the following: "A friend brought the injured child to the teacher and told the teacher that they had fallen. Their mouth was bleeding, but I don't know what happened." "It happened fast, I did not see or know what happened." "The child is quiet and did not respond to any questions when asked. They just looked at me." "I didn't see them fall. They weren't crying or anything." "Their lip was a little swollen. I cleaned their lip, gave them an ice pack, and they sat with me, then wanted to play. When I asked what happened, I got no response."”

AAC R9-5-404.C.3. C. A licensee shall ensure that when there are: 3. Six or more enrolled children are present in a facility, an infant is not placed for supervision with a child who is not an infant.

“Findings: Based on the Compliance Officer's observations, in the Sparrow room (1s), there was an infant placed for supervision with 1-year-olds when there were more than 6 enrolled children present at the facility.”

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 Officers' observations, all 3 stalls in the Phoenix room bathroom lacked mounted toilet tissue.”

AAC R9-5-503.C. C. A licensee shall ensure that a written diaper changing procedure is posted and implemented in each diaper changing area.

“Findings: Based on the Compliance Officers' observations and on a discussion with staff, the staff in the Phoenix room and in the Hawk room stated that a child in each of the rooms wore pull-up training pants. The staff acknowledged the children’s soiled pull-ups were changed in the bathroom, rather than at the approved diapering areas in each of the rooms.”

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 Officers' review of the City of Chandler fire inspection, it was determined that the inspection had expired on 11/22/2025.”

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

“Findings: Based on the Compliance Officer's observations, the thermometers in the refrigerators in the following rooms read the following temperatures: *Bluebirds room- 50 degrees F; Sandpiper room read 48 degrees F; and *Eagle room- 55 degrees F.”

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

“Findings: Based on the Compliance Officers' observations, in all 9 licensed rooms, there was a white oscillating fan that was unmounted and accessible to the children present in each of the rooms.”

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 review of the medication authorization forms, the medication authorization forms for Child 1 and Child 2 lacked the specific symptom(s) and reason when staff should administer the medication.”

AAC R9-5-516.B.1. B. If prescription or nonprescription medications are administered, a licensee shall ensure that: 1. A facility director, or a staff member designated in writing by the facility director, is responsible for the administration of all medications in the facility, including storing, supervising an enrolled child’s ingestion of a medication, and documenting all medications administered to an enrolled child;

“Findings: Based on the Compliance Officers' discussion with the Director, the Director acknowledged there was not a written chain of command that listed the name of the staff member who is responsible for the administration of all medications in the facility, including storing, supervising an enrolled child’s ingestion of a medication, and documenting all medications administered to an enrolled child.”

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 rosters were inaccurate in the following rooms: *Infant room - 3 children were listed on the roster, but 5 children were present in the room: *Phoenix room- 20 children were listed on the roster, but 21 children were present in the room; and *Sparrow room- 3 children were listed on the roster, but 4 children were present in the room.”

AAC R9-5-401.3. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility: 3. A child educator is 18 years of age or older and provides the licensee with documentation of one of the following: a. Six months of child care experience if working with enrolled children five years old and younger, or three months of child care experience if working with school-aged children; and: i. A high school diploma or high school equivalency diploma; or ii. At least 12 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; b. Associate or bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field; or c. N.A.C., C.D.A., or C.C.P. credential;

“Findings: Based on the Compliance Officers' review of Staff #1’s file (Employed as a Child Educator-DOE 9/10/25), the file contained documentation of foreign education but lacked documentation of the equivalency verification of the education.”

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

“Findings: Based on the Compliance Officers' observations, the diapering areas in the Hawk and Phoenix rooms had various items stored on the diapering areas, including books, notebooks, binders and classroom supplies stored on the diapering counters.”

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

“Findings: Based on the Compliance Officer's review of Staff #1's file (DOE 9/10/25), the file contained documentation of an incomplete criminal history affidavit. None of the 4 questions had been completed by the staff.”

AAC R9-5-508.C. C. If a licensee provides food, a licensee shall prepare and serve food according to the meal pattern requirements found in Table 5.1, "Meal Pattern Requirements for Children."

“Findings: Based on the Compliance Officers' review of the PM Snack menu, the menu listed only one of the required two components for the entire week. Examples include "Animal crackers", "Crackers", "Graham Crackers", but a second component was not listed.”

AAC R9-5-501.B.9. B. 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 the Compliance Officers' observations, the following personal products were not labeled with the child's first and last name: *Sparrow room- 2 containers of wipes; and *Infant room- 3 containers of wipes.”

AAC R9-5-508.G. G. In addition to the required daily servings of food stated in subsection (C), a licensee: 1. Shall make second servings of food available to each enrolled child at meals and at snack time, 2. May substitute a food that is equivalent to a specific food component if second servings of the specific food component are not available, and 3. Shall ensure that a food substitution in subsection (G)(2) is written on the posted weekly menu by the end of the meal or snack service.

“Findings: Based on the Compliance Officers' observations, the Morning snack was listed as Pretzels and strawberries. The Raven room was seen serving oranges and animal crackers, the Eagle room was seen serving bagels, crackers and sunbutter, the Robin room was seen serving grapes and vegetable straws, the Sparrow room was seen serving apples and cheese. None of the substitutions were recorded on the menu later in the morning, after the morning snack had been served.”

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

“Findings: Based on the Compliance Officers' observations, in the Hawk, Sandpiper, and Wren Rooms, there were fans that were not mounted. In the Phoenix Room, there was a fan that was not mounted and accessible to enrolled children.”

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 the Compliance Officers' observations, the following plumbing fixtures were not maintained in a clean condition: *Toilet Room between the Raven Room and the Robin Room: 1 of 3 toilets had exposed rust around the metal piping connected to the toilet. *Toilet Room between the Eagle Room and the Blue Bird Room: 1 of 3 toilets had transferable rust around the metal piping connected to the toilet. *Starling Toilet Room: The toilet had transferable rust around the metal piping connected to the toilet.”

AAC R9-5-502.C.1.l. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: l. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Findings: Based on facility documentation and Compliance Officer #1's observation, in the Wren Room (Infants), 1 of 8 infant feeding plans reviewed lacked the following items: *Child #1: Types of foods are to be prepared or served and the frequency of feedings.”

AAC R9-5-502.A.1. A. A licensee providing child care services for infants shall: 1. Provide a wall-enclosed room for infants that provides exits required by R9-5-601(1);

“Findings: Based on the Compliance Officers' observations, the door/main entrance for the Starling Room (Infants) was propped open making the room no longer wall-enclosed.”

AAC R9-5-516.F. F. A licensee shall maintain documentation of all medications administered to an enrolled child.1. Documentation shall contain: a. The name of the enrolled child; b. The name and amount of medication administered and the prescription number, if any; c. The date and time the medication was administered; and d. The signature of the staff member who administered the medication to the enrolled child; and 2. A licensee shall maintain the documentation on facility premises for 12 months after the date the medication is administered.

“Findings: Based on facility documentation and Compliance Officer #2's observation, it was determined that the documentation of medication administration for Child #2 lacked the prescription number.”

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

“Findings: Based on facility documentation and Compliance Officer #2's observations, it was determined that the morning snack items served in multiple classrooms did not match the menu posted on the main posting board.”

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, there was a table with peeling laminated and exposed particle board in the Sandpiper classroom. The table was not able to be cleaned.”

AAC R9-5-512.F. F. A licensee shall ensure that: 1. Each toilet room in a facility contains, within easy reach of enrolled children: a. Mounted toilet tissue; and b. Except as provided in subsection (G): i. A sink with running water; ii. Soap contained in a dispenser; and iii. Disposable, single-use paper towels in a mounted dispenser, or a mechanical air hand dryer; 2. Staff members wash their hands with soap and running water after toileting; 3. An enrolled child’s hands are washed with soap and running water after toileting; 4. Except for a cup or receptacle used only for water, food waste is stored in a covered container and the container is clean and lined with a plastic bag; 5. Food waste and other refuse is removed from the facility building at least once every 24 hours or more often as necessary to maintain a clean condition and avoid odors; 6. A staff member or an enrolled child does not draw water for human consumption from a toilet room handwashing sink; 7. Toys, materials, and equipment are maintained in a clean condition; 8. Plumbing fixtures are maintained in a clean and working condition; and 9. Chipped or cracked sinks and toilets are replaced or repaired.

“Findings: Based on Compliance Officer #1's observation, in the Raven Classroom, the receptacle used for water and food waste lacked a lid. There was a empty bottle of drinkable yogurt and chip bag.”

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 a review of facility records and Compliance Officer #1's observation, Child #4’s prescription medication was dispensed as a two-pack but only one injection was present at the facility and a physician’s authorization to separate the injections was not present. *previously cited 12/8/2022 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 R9-5-516.B.3. B. If prescription or nonprescription medications are administered, a licensee shall ensure that: 3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child’s parent or health care provider that includes the: a. Name of the enrolled child; b. Type of the medication; c. Prescription number, if any; d. Instructions for administration specifying the: i. Dosage and route of administration; ii. If indicated, starting and ending dates of the dosage period; and iii. Times and frequency of administration; e. Reason for the medication; and f. Date of authorization; and

“Findings: Based on facility documentation and the Compliance Officer #1’s observation, the medication for Child #4 lacked documentation of the ending date of the dosage period on the written authorization form.”

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' observations, in the outdoor activity area, the following hazards were accessible to enrolled children: Primary Playground (3-6 year old's): *There was rough, splintered wood located on the rungs of the ladder of the climber. *There was a 2 inch gap in the artificial turf with exposed foam and liner located at the end of the slide. Two's Playground: *There was warped wood with protruding edges on the step to the climber.”

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 Courtyard area (used by enrolled children) lacked a resilient surface. The play equipment (stationary bus and 4-seat spring rider) was over concrete pavers.”

AAC R9-5-605.B.1. B. A licensee shall ensure that: 1. All designated exits, corridors, and passageways that provide escape from the building are unobstructed and unlocked during hours of operation;

“Findings: Based on the Compliance Officers' observations, in the Eagles classroom, a stack of cots partially blocked the designated exit that provided an escape from the building.”

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 the Compliance Officers' observations, it was determined that the Licensee lacked documentation of a current violation-free fire inspection report as required. The last inspection was dated 9/15/22 with violations.”

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 #2’s observation, it was determined that 3 out of 15 enrolled children's attendance forms lacked the following information: Child #1 and Child #2: A release signature and time for 10/30/2023. Child #3: An admission signature for 11/21/2023.”

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 Officers' observations, it was determined that Staff #1 and Staff #2 were teacher-caregivers in the Hawk classroom at the time of the inspection. Staff #1 and Staff #2 was not qualified as a teacher-caregiver and were not supervised by a qualified staff member.”

AAC R9-5-502.C.1.g. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: g. Does not allow bumper pads, pillows, comforters, sheepskins, stuffed toys, or other soft products in a crib when an infant is in the crib;

“Findings: Based on Compliance Officer #1's observation, there was one infant in the young Infant room and one infant in the older Infant room who were sleeping in cribs with pacifiers with straps.”

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, the following hazards were accessible to enrolled children: Sandpiper toilet room: *There was a plunger located behind the toilet on the left side. Robin/Raven toilet room: *There was a plunger, two brooms, and a dust pan near the water fountain.”

AAC R9-5-501.A.14. A. A licensee shall ensure that: 14. Temperatures are maintained between 68° F and 82° F in each room used by enrolled children;

“Findings: Based on the Compliance Officers' observations, it was determined that in the Raven classroom, the temperature was 63°F instead of the required minimum temperature of 68°F.”

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 the Hawk classroom( 2-3 year-olds) was 1:12 instead of 2:12 as required for 2-year-old children. One staff was with the 12 children while the second staff was in the kitchen (adjacent to the classroom) with the door closed.”

AAC R9-5-401.3. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility: 3. A teacher-caregiver is 18 years of age or older and provides the licensee with documentation of one of the following: a. Six months of child care experience and: i. A high school diploma or high school equivalency diploma; or ii. At least 12 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; b. Associate or bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field; or c. N.A.C., C.D.A., or C.C.P. credential;

“Findings: Based on the facility documentation and the Compliance Officers' observations, it was determined that Staff #1 was a teacher-caregiver. Staff #1 lacked documentation of an evaluated diploma issued in a foreign country that is equivalent to a high school diploma in the United States.”

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 the Compliance Officers' observations, in the Starling classroom, the soiled clothing container lacked a tight-fitting lid. In the Sparrow classroom, the container being used for soiled clothing, lacked a waterproof liner and a tight-fitting lid.”

AAC R9-5-504.3. A licensee providing child care services for 1-year-old and 2-year-old children shall: 3. Ensure that each activity area has a supply of age-appropriate toys, materials, and equipment that are too large for a child to swallow and free from sharp edges and points, in a quantity sufficient to meet the needs of the enrolled children in attendance including: a. Art supplies; b. Books; c. Rubber or soft plastic balls; d. Puzzles and toys to enhance manipulative skills; e. Blocks; f. Washable soft toys and dolls; g. Musical instruments; and h. Indoor and outdoor equipment to enhance large muscle development;

“Findings: Based on the Compliance Officers' observations, the Sandpiper classroom (1-2 year-olds) lacked a sufficient quantity of books for the 19 enrolled children present in the room. There were no books accessible to the enrolled children, the books were in a cabinet out of reach of children.”

AAC R9-5-509.C.21. C. A licensee shall ensure that: 21. Perishable foods are covered and stored in a refrigerator at a temperature of 41° F or below;

“Findings: Based on Compliance Officer #1s' observation, in the Sparrow classroom, the temperature in the refrigerator was at 50° F, in the Hawk and the Eagle classrooms the temperature in the refrigerators was at 47° F rather than 41°F or below as required.”

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

“Findings: Based on Compliance Officers' observations and review of facility documentation, the roster in the Primary Raven classroom documented that there were 13 children present but only 12 were actually present.”