Isaac Preschool

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 the Compliance Officer's observations and facility documentation, 1 of 5 staff files reviewed lacked the following: *Staff #1: The file lacked a copy of the back of their current fingerprint clearance card.”

AAC R9-5-511.A.1.2.3.4.5. A. A licensee shall provide each enrolled child who naps or sleeps at the facility with a separate cot or mat or a crib that meets the requirements of R9-5-502(A)(8) and ensure that: 1. A cot, mat, or crib used by the enrolled child accommodates the enrolled child’s height and weight; 2. A staff member covers each cot, or mat with a clean sheet that is laundered when soiled, or at least once every seven days and before use by a different enrolled child; 3. A clean blanket or sheet is available for each enrolled child; 4. A rug, carpet, blanket, or towel is not used as a mat; 5. Each cot, mat, or crib is maintained in a clean and repaired condition;

“Findings: Based on the Compliance Officer's observations, in Room 8, three napping children were found to be lacking a sheet cover on their mats.”

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 CO #2's observations and a review of 12 staff files, Staff #1 (DOE 08/05/2024), Staff #2 (DOE 08/05/2024), and Staff #3 (DOE 07/08/2024) lacked documentation of contact with DPS to verify the fingerprint cards as valid before the starting date of employment.”

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

“Findings: Based on CO #2's observations and a review of 12 staff files, Staff #1 (DOE 08/05/2024), Staff #2 (DOE 08/05/2024), and Staff #3 (DOE 07/08/2024), Staff #4 (DOE 10/14/2024), and Staff #5 (DOE 01/08/2024) lacked documentation of submission to DCS to complete a background check.”

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 CO #2's observations and a review of facility documentation, 4 of 45 Emergency Information and Immunization Record cards lacked the following required information: **Child #1 - 2nd parent/guardian's name, street address, city, state, zip code, phone number **Child #2 - Health care provider name, phone number **Child #3 - Health care provider phone number **Child #4 - 2nd emergency contact”

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 CO #2's observations and a review of facility documentation, 8 of 45 children's attendance records lacked the following required information: **Child #5, Child #6 - Arrival and departure signatures on 01/06/2025 signed with a first name only; arrival signature on 01/07/2025 signed with a first name only **Child #7, Child #8, Child #9 - Arrival and departure signatures on 01/06/2025 signed with initials only; arrival signature on 01/07/2025 signed with initials only **Child #10, Child #11 - Departure signature on 01/06/2025 **Child #12 - Departure signatures on 01/06/2025 and 01/07/2025”

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 CO #1's observations and a review of facility documentation, rosters in the following activity areas did not match the number of children present: **Room 1 - 11 children present and 12 noted on the roster **Room 4 - 13 children present and 15 noted on the roster **Room 9 - 9 children present and 8 noted on the roster **Room 11 - 18 children present and 17 noted on the roster”

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 CO #2's observations and a review of facility documentation, the facility lacked a current, violation-free fire inspection. The inspection reviewed had expired on 03/02/2024.”

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

“Findings: Based on CO #1's observations, the toilet seat in Room 11 was loose and moved easily.”

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 CO #1's observations, cleaning equipment was accessible to enrolled children in Rooms 1 (Broom/dust pan in children's restroom) and 2 (swiffer sweeper in classroom).”

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 CO #1's observations and a review of facility documentation, Room 1's activity schedule lacked the times the activities are provided.”

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 CO #1's observations and a review of facility documentation, Room 2's lesson plan was dated 12/16/2024.”

AAC R9-5-509.C.14. C. A licensee shall ensure that:14. Each staff member is informed of a modified diet prescribed for an enrolled child by the child’s parent or health care provider, and the modified diet is posted in the kitchen and in the child’s activity area;

“Findings: Based on CO #1's observations and a review of facility documentation, Rooms 5 and 11 lacked posted modified diets of enrolled children.”

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 CO #1's observations, there was an unflushed toilet in Room 11 and in the North playground Men's restroom, used by 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 CO #1's observations, 1 of 2 urinals was out of order in the North playground Men's restroom used by enrolled children.”

AAC R9-5-516.J. J. A staff member’s or enrolled child’s prescription medication necessary to treat life-threatening symptoms:1. May be kept in the activity area where the staff member or enrolled child is present; and 2. Except when the prescription medication is administered to treat life-threatening symptoms, is inaccessible to an enrolled child.

“Findings: Based on CO #1's observations, staff in Room 1 left a backpack of emergency medication on a low shelf, accessible to enrolled children.”

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 CO #1's observations, vertical gaps in the iron fencing were greater than 4 inches. 4.5 inches on the north side near the large double gates, and 4.25 inches on the west side.”

AAC R9-5-203.D. D. A licensee shall ensure that each staff member submits to the licensee a copy of the staff member’s valid fingerprint clearance card each time the fingerprint clearance card is issued or renewed every six years.

“Findings: Based on Compliance Officer (CO) #2's observations, a review of 12 staff files, and staff interview, Staff #1's (DOE 08/05/2024) fingerprint clearance card had expired on 11/29/2024. Staff stated a renewal application had not yet been submitted.”

ARS § 36-883.02.A. A. Except as provided in subsection B of this section, child care personnel, including volunteers, shall submit the form prescribed in subsection C of this section to the employer and shall have valid fingerprint clearance cards issued pursuant to section 41-1758.07 before starting employment or volunteer work.

“Findings: Based on CO #2's observations and a review of staff files, Staff #4 (DOE unknown) lacked documentation of a completed Criminal History affidavit. *Previously cited 12/01/2023”

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 CO #1's observations, the North playground was not maintained free from hazards and accessible to enrolled children: **Opening of 6-1/2" on each side of the northeast gate between the concrete and bottom of the fencing **Spider webs in several places on north fence at the bottom posts **Opening of 4-1/2" at bottom of fence between the gravel and bottom of fence *Previously cited 12/01/2023”

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 CO #1's observations and a review of facility documentation, Child #16 and Child #17's medication authorizations lacked the prescription number, start and end dates. *Previously cited 12/01/2023”

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 CO #1's observations, the following toilet rooms used by enrolled children were not maintained in a clean and sanitary condition: **Room 2 - Unflushed toilet **Room 4, Room 8 - Dirt build-up on the wall-mounted diaper changing surface **Room 11 - brown stains on the toilet seat; pieces of toilet paper on floor; dirt build-up on the wall-mounted diaper changing surface **Men's restroom (front office area) - brown stains in toilet basin *Previously cited 12/01/2023”

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 CO #1's observations, the following areas were not maintained in a clean condition: **Room 3 - Plastic bins and an adult office chair stored in the children's restroom **Room 5 - Shelf with miscellaneous items and a child's chair stored in the children's restroom **Room 11 - Art easel stored in children's restroom *Previously cited 12/01/2023”

AAC R9-5-509.C.22. C. A licensee shall ensure that:22. A refrigerator at the child care facility maintains a temperature of 41° F or below, as shown by a thermometer kept in the refrigerator at all times;

“Findings: Based on CO #1's observations: **Room 3 - Refrigerator thermometer reading 46° F **Room 11 - Refrigerator lacked a thermometer *Previously cited 12/01/2023”

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 CO #1's observations, the following diaper changing areas were not maintained as required: **Room 1, Room 5 - Mat with stitching on diaper changing surface **Room 3 - Mat with stitching and a soiled diaper bin on diaper changing surface *Previously cited 12/01/2023”

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 CO #1's observations and a review of facility documentation, Room 8's lesson plan was dated for the week of 02/19/2024. *Previously cited 12/01/2023”

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 CO #1's observations, cleaning equipment was accessible to enrolled children in the following activity areas: **Room 2 - swiffer sweeper **Room 3 - broom in children's restroom **Room 4 - broom and dustpans in children's restroom *Previously cited 12/01/2023”

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 CO #1's observations, Room 4 had sanitizing wipes and a gallon of bleach accessible to enrolled children. *Previously cited 12/01/2023”

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 CO #1's observations, the following areas were not maintained free from hazards and were accessible to enrolled children: **Room 11 - Hanging cord from a large screen television monitor **North playground - loose toilet seat in Women's restroom used by enrolled children *Previously cited 12/01/2023”

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 CO #2's observations and a review of staff files, the following staff lacked documentation of a 10-day new staff training: **Staff #1 (DOE 01/08/2024), Staff #2 (DOE 01/08/2024), Staff #3 (DOE 01/08/2024), Staff #4 (DOE unknown), Staff #5 (DOE 01/08/2024), Staff #6 (DOE 01/08/2024), and Staff #7 (DOE 01/08/2024)”

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 CO #2's observations and a review of staff files, staff lacked the following required information: **Staff #2 (DOE 01/08/2024), Staff #3 (DOE 01/08/2024), Staff #6 (DOE 01/08/2024), Staff #7 (DOE 01/08/2024), Staff #8 (DOE 02/23/2024) - 2 good faith efforts to contact previous employers **Staff #4 (DOE unknown) - Address; phone number; emergency contact; statement of immunity; 2 good faith efforts to contact previous employers; file was not available for review **Staff #5 (DOE01/08/2024) - Statement of immunity; 2 good faith efforts to contact previous employers”

AAC R9-5-401.4. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:4. An assistant teacher-caregiver is 16 years of age or older and provides the licensee with documentation of one of the following: a. Current and continuous enrollment in high school or a high school equivalency class; b. High school or high school equivalency diploma; c. Enrollment in vocational rehabilitation, as defined in A.R.S. § 23-501; d. Employment as a teacher-caregiver aide for 12 months; or e. Service as a volunteer in a child care facility for 12 months;

“Findings: Based on CO #2's observations and a review of staff files, the following staff lacked documentation to qualify as assistant teacher caregivers: **Staff #3 (DOE 01/08/2024), Staff #4 (DOE unknown), Staff #6 (DOE 01/08/2024), Staff #7 (DOE 01/08/2024), Staff #8 (DOE 02/23/2024) - Education or related experience **Staff #10 (DOE 01/08/2024) - Education or related experience; evaluation of foreign education equivalency to a high school diploma in the United States”

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 CO #1's observations and a review of facility documentation, in Room 11, there were 11 enrolled children present with only 8 noted on the roster as in attendance.”

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 CO #1's observations and a review of facility documentation, enrolled children's attendance records reviewed lacked the following required information: **Child #2, Child #12, Child #14 - Arrival time and signature on 02/02/2024 **Child #13 - Departure time and signature on 02/02/2024 and 02/16/2024 **Child #15 - Arrival and departure times on 02/16/2024 The facility lacked documentation of authorization from the parents for the staff to sign them in and out of their program. *Previously cited 12/01/2023”

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 CO #1's observations and a review of facility documentation, 11 of 20 Emergency Information and Immunization Record cards reviewed lacked the following required information: **Child #1, Child #3, Child #8 - Date of enrollment **Child #2 - Date of enrollment; health care provider name and phone number; medical needs (susceptibility to illness, physical conditions) **Child #4 - Date of enrollment; child and both Parents' city, state, zip code; parent signature **Child #5 - Date of enrollment; child's street address, city, state, zip code, phone number **Child #6 - Child's city, state, zip code **Child #7 - Medical/dietary needs (allergies, susceptibility to illness, physical conditions); parent signature **Child #9 - Child and both Parents' zip code; **Child #10 - 2nd emergency contact noted as "911, non-emergency" **Child #11 - Date of enrollment; child and both Parents' city, state; health care provider phone number”

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

“Findings: Based on CO #1's observations and a review of facility documentation, all licensed indoor activity areas lacked a posted capacity (Rooms 1, 2, 3, 4, 5, 7, 8, 9, 11).”

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 CO #2's observations and a review of staff files, Staff #4 (DOE unknown), Staff #5 (DOE 01/08/2024), Staff #7 (DOE 01/08/2024), and Staff #8 (DOE 02/23/2024) each lacked documentation of freedom from tuberculosis. A file for Staff #4 was not available for review. *Previously cited 12/01/2023”

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 CO #2's observations and a review of staff files, Staff #7 (DOE 01/08/2024) lacked documentation of submission to DCS to complete a 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 CO #2's observations and a review of staff files, Staff #5 (DOE 01/08/2024), Staff #6 (DOE 01/08/2024), Staff #7 (DOE 01/08/2024), and Staff #8 (DOE 02/23/2024 each lacked documentation of contact with DPS to verify their fingerprint clearance cards as valid. *Previously cited 12/01/2023”

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 CO #2's observations and a review of staff files, Staff #2 (DOE 01/08/2024) and Staff #6 (DOE 01/08/2024) each lacked a copy of the back of their fingerprint clearance card.”

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 Compliance Officer (CO) #2's observations and a review of staff files: **Staff #1 (DOE 01/08/2024) - Criminal History and Direct Service affidavits signed on 03/02/2023. **Staff #2 (DOE 01/08/2024) - Criminal History signed on 07/11/2016; lacked documentation of a completed Direct Service Affidavit. **Staff #3 (DOE 01/08/2024) - Direct Service affidavit signed on 03/02/2023. **Staff #4 (DOE unknown) - Lacked documentation of a completed Direct Service affidavit; a staff file was not available for review. **Staff #5 (DOE 01/08/2024) - Direct Service affidavit signed on 03/21/2023. REFERENCE: R9-5-203.G *Previously cited 12/01/2023”

AAC R9-5-501.C.9. C. A licensee shall ensure that a staff member:9. Does the following when a parent permits or asks a staff member to apply personal products on an enrolled child, such as petroleum jelly, diaper rash ointments, sun screen or sun block preparations, toothpaste, and baby diapering preparations: a. Obtains the enrolled child’s personal products from the enrolled child’s parent or, if the licensee provides the personal products for use by the enrolled child, obtains written approval for use of the products from the enrolled child’s parent; b. Labels the personal products with the enrolled child’s name; and c. Keeps the personal products inaccessible to enrolled children;

“Findings: Based on CO #1's observations: **Room 1 - Wipes labeled with child's first name and last initial only and accessible to enrolled children **Room 3 - Wipes accessible to enrolled children **Room 5 - Wipes not labeled and accessible to enrolled children *Previously cited 12/01/2023”