Imagination Station Child Care

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, the Compliance Officer's observations and staff statement, in the 2's room, there were 15 children present and 19 children were listed on the roster. Staff stated 4 children were moved up to the 3s room.”

AAC R9-5-510.A.1. A. A staff member shall provide guidance to help children respond to difficult situations. To develop self-regulation, children should receive adult support that is individual to the child and adapts as the child develops internal controls. This process should include: 1. Forming a positive relationship with the child, which occurs when the adult spends time talking to the child, listening to the child, following the child’s lead, playing with the child, and responding to the child’s needs; 2. Base expectations on the child’s developmental level; 3. Establishing and being proactive in teaching and supporting children in learning simple rules; 4. Modifying the learning/play environment to support the child’s appropriate behavior; 5. Creating a predictable daily routine and schedule; 6. Modeling desired behavior; 7. Showing children positive alternatives; 8.Using deliberate redirection, the staff member should encourage the child to use appropriate behavior, and provide positive feedback when the child exhibits the behavior; 9. Individualized positive discipline strategies based on the individual needs of children, such as using a buddy system, individualized schedule, special break, or another applicable positive discipline strategy; and 10. If applicable, a licensee shall develop a written plan with the enrolled child's parent to provide individualized social and emotional intervention supports for the enrolled child that includes methods for understanding the enrolled child's behavior, and developing, adopting, and implementing a team-based positive behavior support plan.

“Findings: Based on the Compliance Officers' observations of a video, Staff #1 was observed redirecting a child back in line by pushing the child up against a wall, then forcefully grabbed the child's hand and pulled the child to their side.”

AAC R9-5-507.A.2. A. A licensee providing child care services for a a child with a special health care need or a disability shall: 2. If an enrolled a child with a special health care need or a disability does not have an existing individualized plan, obtain from the enrolled child’s parent written instructions for providing services to the enrolled child until a written individualized plan required in subsection (A)(1) is developed by a team consisting of staff members, the enrolled child’s parent, and health care providers, if applicable, that is completed within 30 calendar days after the enrolled child’s initial date of receiving child care services;

“Findings: Based on facility documentation and the Compliance Officers' observations, the licensee lacked an individualized plan for Child #1. On an About Me Questionnaire, it stated Child #1 had a special health care need. The facility was unaware that Child #1 had a diagnosis, and an individualized plan had not been developed. Child #1 started attending the facility on 1-15-2026.”

AAC R9-5-603.B. B. Except as provided in subsection (D) a licensee shall ensure that an outdoor activity area: 1. Is enclosed by a fence: a. A minimum of 4 feet high; b. Secured to the ground; and c. With either vertical or horizontal open spaces on the fence or gate that do not exceed 4.0 inches; 2. Is maintained free from hazards, such as exposed concrete footings and broken toys; and 3. Has gates that are kept closed while an enrolled child is in the outdoor activity area

“Findings: Based on the Compliance Officer's observations, the following hazards were accessible to the enrolled children in the outdoor activity areas: *Younger kids' playground- There were exposed rusted screws at the base of the fence. *Older kids' playground- There was a black/gray storage box bowing outwards with a protruding screw.”

AAC R9-5-502.A.8.b. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: b. Has a commercially waterproofed mattress; and

“Findings: Based on the Compliance Officer's observations, in the Infant room, 3 mattresses were ripped and were no longer waterproof.”

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, the following hazards were accessible to the enrolled children: *2s room- There was a sharp plastic shard on a screw in the diapering area. *4s Room- There was a cracked plastic toy storage container on the shelf with exposed sharp plastic.”

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

“Findings: Based on the Compliance Officer's observations, the following diaper changing areas were not maintained as required: *Infant room- There was a gap around the sink, and a build-up of a dark substance along the cracks of the wall. *1s Room- There was a gap around the sink.”

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

“Findings: Based on the Compliance Officer's observations and on a discussion with the Co-director, the water temperature at the diapering sinks measured the following temperatures: *Toddler 1 room, Toddler 2 room and the 2-3 year old room- 120 degrees F; and *Both Infant rooms- 112 degrees F.”

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 the Compliance Officer's observations and on a discussion with the infant room staff, the infant feeding instructions lacked the following information: *Seven of the 8 feeding instructions lacked the infant’s last name and only listed the infant’s first name; *Child #1- The written feeding instructions were last updated on 6/2/24 and the staff acknowledged that changes in the amount of jar food fed had increased but the changes had not been updated on the written feeding instructions; *Child 2- The written feeding instructions lacked the amount of breast milk to be fed to the child; *Child 3- The staff stated the child was fed food but the written feeding instructions lacked the frequency of the feedings and the form indicated it was last updated in 8/2024; and *Child 4-The staff stated that the child was now fed table food but the form lacked the frequency and amount of table food to be fed.”

AAC R9-5-502.C.1.m. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: m. Posts the current written dietary instructions in the infant room and the kitchen and maintains the instructions on facility premises for 12 months after the date of the instructions; and

“Findings: Based on the Compliance Officer's observations and on a discussion with the Co-Director, 6 of the 8 written infant feeding instructions that were posted in the kitchen, lacked page 1 of the form, which lists whether the child is fed breast milk, formula, puree or table food and the frequency and the amount of the feedings.”

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 Officer's observations, in the Kinder Prep room, there were 10 children present and 7 children were listed on the roster.”

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 documentation and staff statements, enrolled children were not supervised at all times. Per accident reports dated 7/1/2024, 7/2/2024, 7/17/2024 & 7/18/2024, staff did not see the incidents happen. The word "noticed" was on the reports. Staff stated the word noticed means that staff had to watch the video to see what happened. Staff stated the following: *I usually see things when they happen part of the time, maybe 75% of the time. *I do not always see it when incidents happen. *I try my hardest to see things when they happen. I see 80% of the time when it happens. *I see things happen 95% of the time. *Sometimes things happen and staff do not see it, so they ask to see it on the video.”

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 and the Director's observations and on a review of the medication permission forms, it was observed that the written medication permission forms for the 2 Epipens did not list instructions of when to administer the medication. Instead the forms only stated "allergic reaction" but did not state the specific symptoms of the allergic reaction to watch for to ensure the medication is administered when required.”

AAC R9-5-512.D. D. A licensee shall ensure that toilet bowls, lavatory fixtures, and floors in toilet rooms and kitchens are cleaned and sanitized as often as necessary to maintain them in a clean and sanitized condition or at least once every 24 hours.

“Findings: Based on the Compliance Officer's observation and on a discussion with the Pre-K room staff, one of the toilets in the bathroom was not flushed and contained urine. The staff acknowledged one of the children had used the bathroom earlier and the staff said she thought the child had flushed the toilet.”

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 Officer's and the Director's observations, the soiled clothing container in the Toddler 2 room lacked a waterproof liner.”

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 the Compliance Officer's and the Director's observations and on a discussion with the Infant Room staff (Room 1), the staff acknowledged she did not have the written infant feeding instructions for children #2 and #3. The staff stated that the infants were now eating solid food and indicated she had given the parents the original copies of the feeding instructions to take home and update. She stated the parents had not returned the updated forms.”

AAC R9-5-502.B.3. B. A licensee providing child care services for infants shall not: 3. Permit an infant to use a walker; or

“Findings: Based on the Compliance Officer's and the Director's observations, 6 walkers were observed in the older infant room (Room #2). The room had been closed at the time of the previous compliance inspection that was conducted in January 2023 and the Director stated the room had re-opened in May of 2023.”

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 and the Director's observations, the Emergency Information card for Child #1 lacked the following required information: *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)(9); and * 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; and *The dated signature of the parent.”

AAC R9-5-605.B.10. B. A licensee shall ensure that: 10. Toilet rooms are ventilated to the outside of the building, either by a screened window open to the outside air or by an exhaust fan and duct system that is operated when the toilet room is in use;

“Findings: Based on the Compliance Officer's and the Director's observations, the exhaust fans were not operating in the Preschool room bathroom and the Pre-K room bathroom.”