Just Like Home Too Daycare & Preschool

AAC R9-5-502.A.8.c. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: c. Is furnished with clean, sanitized, crib-size bedding, including a fitted sheet and top sheet or a blanket;

“Findings: Based on the Compliance Officers' observations, the cribs in the Infant Room lacked fitted sheets. The sheets in the cribs were too loose and did not fit the size of the mattress.”

AAC R9-5-502.A.11. A. A licensee providing child care services for infants shall: 11. Label each food container received from the parent with the infant's name.

“Findings: Based on the Compliance Officers' observations, there were two cans of baby formula not labeled with the child’s first and last names in the Infant Room.”

AAC R9-5-502.C.1.lk. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: k. 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 Officers' observations and the review of the facility documentation, the infant Feeding forms for Child #1 and Child #2 lacked the specific feeding instructions.”

AAC R9-5-503.E.1. E. A licensee shall ensure that in an activity area with a diaper changing area: 1. The container required in subsection (A)(3) and (4) are inaccessible, and

“Findings: Based on the Compliance Officers' observations, in the Older Two's Room, a soiled diaper container was stored in the restroom next to the toilet accessible to the children.”

AAC R9-5-501.A.20. A. A licensee shall ensure that: 20. 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, there was a mop, a mop bucket, and a broom accessible to the children in the Infant Outdoor Activity area.”

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, there was peeling paint accessible to children in different areas of the wall next to the exit in the Smaller Two's Room.”

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 Officers' observations, in the Infant Room, there was dried food debris in the feeding chairs.”

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, the toys in the Toddler Outdoor area had a brown grime build-up.”

AAC R9-5-512.F.8.9. F. A licensee shall ensure that: 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, in the School-Age Restroom, there was an "Out of Order" sign in the middle toilet.”

AAC R9-5-516.A. A. A licensee shall ensure that a written statement is prepared and maintained on facility premises that specifies: 1. Whether prescription or nonprescription medications are administered to enrolled children; and 2. If prescription or nonprescription medications are administered, the requirements in subsection (B) for administering the prescription or nonprescription medications.

“Findings: Based on the Compliance Officers' observations and the review of the facility documentation, the over-the-counter medication for Child #3 and Child #4 lacked an administration permission form.”

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 children's heads were covered with a blanket during nap in the Small Two's and Young Two's Rooms.”

AAC R9-5-517.A.10. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall: 10. Ensure that the motor vehicle is: a. Maintained in a clean condition, b. In a mechanically safe condition, and c. Free from hazards; and

“Findings: Based on the Compliance Officers' observations, the van was not maintained in a clean condition; there were brown spots on the passenger seats, the plastic floor cover was peeling off, the air filter had a brown dust accumulation, and there was a brown tape residue on the AC duct.”

AAC R9-5-517.B.3. B. A licensee shall ensure that an individual who drives a motor vehicle used to transport an enrolled child: 3. Carries a list stating the name of each enrolled child being transported and a copy of each enrolled child’s Emergency, Information, and Immunization Record including the attached immunization record or exemption affidavit, in the motor vehicle;

“Findings: Based on the Compliance Officers' observations and the review of the facility documentation, all the Emergency Contact cards in the van lacked a copy of the children immunization records.”

AAC R9-5-518.A.1. A. A licensee providing a field trip for an enrolled child shall: 1. Obtain written permission from a parent before the enrolled child participates in a field trip including the: a. Date and description of the field trip; b. Times of departure from and return to the facility; and c. Name, street address, and telephone number, if any, of the field trip destination;

“Findings: Based on the Compliance Officers' observations and the review of the facility documentation, the Field Trip Permission Slips lacked the field trip destination addresses for the following dates: 06.18.25, 06.19.25, 07.14.25, and 07.24.25.”

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 Officers' observations, the following hazards were accessible to children in the Infant Outdoor Activity Area: Sections of the plastic climber parts were detaching from the unit, making the structure wobbly and unstable.”

AAC R9-5-603.D. D. 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 fall zones of all equipment on the Outdoor Activity areas lacked between four and six inches of the required six inches of wood chips.”

AAC R9-5-403.C. C. A licensee shall ensure that documentation of a staff member's completion of training required by subsection (A) is signed by the facility director and dated.

“Findings: Based on the Compliance Officers' observations and the review of the facility documentation, the 10-Day training for Staff #1 (DOE: 01.08.26) was not signed by the director.”

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, the designated emergency exits in the Infant, Small Two's, Three's, Four's, and the School-Age Room were locked. In the Four's Room, the exit was obstructed by a chair.”

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, 3 of 25 children's attendance records reviewed lacked the following: **Child #11 - Arrival and departure signatures signed with a squiggly line on 02/04/2025, 02/06/2025, 02/07/2025, 02/18/2025 and 02/19/2025 **Child #12 - Arrival and departure signatures signed with initial only on 02/04/2025, 02/05/2025, 02/07/2025, 02/11/2025 , 02/13/2025, 02/14/2025, and 02/19/2025 **Child #13 - Arrival and departure signatures from 02/03/2025 - 02/06/2025”

AAC R9-5-305.B. B. A licensee shall attach an enrolled child’s written immunization record or exemption affidavit, required in subsection(A), to the enrolled child’s Emergency, Information, and Immunization Record card, required in R9-5 304(B).

“Findings: Based on CO #2's observations and a review of facility documentation, 1 of 30 (Child #9) Emergency Information and Immunization Record cards lacked a written immunization record of exemption affidavit.”

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, there was no toilet paper in the 2's/Older 2's shared restroom, and when the faucet at the diaper changing sink was turned on, there was no water.”

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, in the Infant room, there were dried food stains on the buckles and food debris on the seats of 3 high chairs. In the 2's/Older 2's shared restroom, there was storage of open plastic bins on an open shelf with children's clothing and other personal items.”

AAC R9-5-511.A. 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, crib mattress, 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; and 5. Each cot, mat, or crib is maintained in a clean and repaired condition.

“Findings: Based on CO #1's observations, 2 napping children lacked sheets on their mats in the older 2's room.”

AAC R9-5-506.3. A licensee providing child care services for school-age children shall:3. Provide age-appropriate toys, materials, and equipment accessible to enrolled children in each activity area in a quantity sufficient to meet the needs of the enrolled children in attendance including: a. Arts and crafts, b. Games, c. Puzzles and toys to enhance manipulative skills, d. Books, e. Science materials, f. Sports equipment, and g. Outdoor play equipment; and

“Findings: Based on CO #1's observations, games, puzzles, art, and science supplies were not accessible to enrolled children.”

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 CO #1's observations, the soiled clothing container in Infant room lacked a tight-fitting lid, and in the 1's room, the container lacked a waterproof liner.”

AAC R9-5-503.A.3. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and

“Findings: Based on CO #1's observations, the soiled diaper containers in the Infant room, 1's room, and Older 2's room lacked tight-fitting lids.”

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 kept clear of items: **Infant room - Bottle brush, sponges, drain plug were on the diaper changing surface, and the grab bar had unsealed gaps and debris at each end. **Older 2's - Box of facial tissue was on the diaper changing surface.”

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, 10 of 30 Emergency Information and Immunization Record cards lacked the following required information: **Child #1 - Health care provider name an phone number **Child #2 - Date of enrollment; individual to contact in case of sudden illness/injury **Child #3 - Date of enrollment **Child #4 - 2nd Parent/guardian's name, street address, city, state, zip code, phone number; health care provider name and phone number; individual to contact in case of sudden illness/injury; medical/dietary needs (page 2); parent/guardian signature **Child #5 - 2nd Parent/guardian's name, street address, city, state, zip code, phone number; health care provider name and phone number **Child #6, Child #10 - 2nd Parent/guardian's name, street address, city, state, zip code, phone number **Child #7 - Date of enrollment; 1st parent/guardian's street address, city, state, zip code, phone number; 2nd Parent/guardian's name, street address, city, state, zip code, phone number; health care provider name and phone number **Child #8 - Date of enrollment; medical/dietary needs (page 2); parent/guardian signature **Child #9 - health care provider phone number; individual to contact in case of sudden illness/injury”

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 CO #2's observations and a review of 5 staff files, Staff #2 (DOE 02/10/2025) was unsupervised, alone with enrolled children, and lacked documentation to qualify as a teacher caregiver.”

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 5 staff files, Staff #1 (DOE 01/10/2025) lacked documentation of a DCS submission 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 5 staff files, Staff #1 (DOE 01/10/2025), Staff #2 (DOE 02/10/2025), and Staff #3 (DOE 05/03/2021) lacked documentation of contact with DPS to verify their fingerprint clearance cards as valid before their starting date of employment.”

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 CO #2's observations and a review of 5 staff files, Staff #3 (DOE 05/03/2021) and Staff #4 (DOE 10/02/2017) fingerprint clearance cards were not renewed prior to their expiration dates. Staff #3's fingerprint clearance card expired on 02/26/2024, and a renewal card was not issued until 03/08/2024 (10 days without a valid card). Staff #4's (DOE 10/02/2017) fingerprint clearance card expired on 09/25/2023, and a renewal card was not issued until 10/16/2023 (20 days without a valid card).”

AAC R9-5-502.C.3.a. C. A licensee shall ensure that: 3. When preparing, using, or caring for an infant's feeding bottles, a staff member: a. Labels each bottle received from the parent with the infant's name;

“Findings: Based on CO #1's observations, in the Infant room, 1 bag of breast milk lacked a child's first and last name, 1 bottle was labeled with a first initial and last name, and 1 bottle was not labeled with a name.”

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 #2's observations and a review of facility documentation, the roster in the 2's room did not match the number of children present. There were 14 children present and only 13 noted on the roster as in attendance.”

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 fire inspection reviewed had expired on 01/23/2025.”

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 CO #2's observations and a review of 5 staff files, Staff #2 (DOE 02/10/2025) was alone with enrolled children and lacked documentation of an evaluation of foreign education and related experience.”

AAC R9-5-517.A.9. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:9. Ensure that the motor vehicle has: a. A working mechanical heating system capable of maintaining a temperature throughout the motor vehicle of at least 60° F when outside air temperatures are below 60° F; b. Except as provided in subsection (E), a working air-conditioning system capable of maintaining a temperature throughout the motor vehicle at or below 86° F when outside air temperatures are above 86° F; c. Except as provided in subsection (F), a first aid kit that meets the requirements of R9-5-514(A); d. Two large, clean towels or blankets; and e. Sufficient drinking water available to meet the needs of each enrolled child in the motor vehicle and sufficient cups or other drinking receptacles so that each enrolled child can drink from a different cup or receptacle;

“Findings: Based on CO #2's observations, the air conditioning in the motor vehicle was blowing hot air.”

AAC R9-5-517.A.10. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:10. Ensure that the motor vehicle is: a. Maintained in a clean condition, b. In a mechanically safe condition, and c. Free from hazards; and

“Findings: Based on CO #2's observations, the vehicle used to transport enrolled children had a build-up of dirt and debris on the seats and floor boards.”

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, there was a 4-inch crack, on the plastic Little Tykes climber, at a screw joint, accessible to enrolled children.”

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 CO #1's observations: **South playground - 2 to 4-inches of the required 6-inches of resilient material (wood chips) lacked in several fall zone areas on the playground (blue car tunnel, east and west yellow slides, rings, blue truck climber, east monkey bars, swings). A metal airplane climber was placed on turf without fall zone material. **North east playground (Toddler) - 3 pieces of climbing equipment were placed on turf without fall zone material.”

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

“Findings: Based on COs' observations, the Facility failed to notify the Department of a change in Facility Director. Staff stated the current Director had been in place since January 2025.”

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 CO #1's observations, staff interview and a review of facility documentation, 2 infants lacked infant feeding instructions. Staff stated 3 infants were on solid foods, but the infant feeding instructions did not indicate this, and one infant's feeding instructions was not dated”

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 5 staff files, Staff #1's (DOE 01/10/2025) lacked documentation of new employee training within 10 calendar of days of the starting date of employment, and Staff #2's (DOE 02/10/2025) lacked the completed dates in each of the required topics.”

AAC R9-5-403.C. C. A licensee shall ensure that documentation of a staff member's completion of training required by subsection (A) is signed by the facility director and dated.

“Findings: Based on CO #2's observations and a review of 5 staff files, Staff #2's (DOE 02/10/2025) 10-day new employee training lacked the Director's signature.”

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 CO #2's observations, the ratio in the 2's room, with a 1-year-old present, was 2:14 with a required ratio of 3:14.”

AAC R9-5-404.C.3. C. A licensee shall ensure that:3. When 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 COs' observations and staff interview, 2 infants were placed in the 1's room (14 children present). Staff stated that these 2 infants go back and forth as a transition to the 1's room, and both children are not yet able to walk independently.”

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 CO #'1 observations and staff interview, in the 1's room, children are placed at risk of harm when a diaper changing surface is not large enough to change a child. Staff stated that enrolled children were being changed on a counter space that CO #1 measured at 27-inches long. The tallest child in diapers was measured at 40-inches.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Findings: Based on CO #1's observations and staff interview, water was not accessible to enrolled children in the 2's, 3's and 4's rooms. In the 3's room, water and cups were located on a high counter out of reach of children, and in the 2's and 4's rooms, there were no cups available for water. Staff stated that the cups were taken to the kitchen for washing.”

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, 4 feet of plywood paneling was split at the bottom, exposing gaps behind the wall in the School-Age room near the restroom.”

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, mop buckets were accessible to enrolled children in the 2's shared restroom and in the School-Age hallway near the restroom.”

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, the 2's room lesson plan was dated 01/06 - 01/10, and in the School-Age room, it was dated 04/29 - 05/03.”

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, enrolled children's personal products were not labeled with the child's first and last name. **Infant room - 2 packages of wipes with no name **1's room, 2's room, older 2's room - 1 wipe with first name and last initial”

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 5 staff files, Staff #1's (DOE 01/10/2025) criminal history affidavit and Direct Service affidavit were signed 10 days and 7 days, respectively, after the starting date of employment. Staff #2 (DOE ) lacked documentation of a completed Direct Service affidavit (Reference R9-5-203.G).”

AAC R9-5-502.B.2. B. A licensee providing child care services for infants shall not:2. Permit an infant who is awake to remain for more than 30 consecutive minutes in a crib, swing, feeding chair, infant seat, or any equipment that confines movement;

“Findings: Based on CO #1's observations and staff interview, an infant was swaddled while napping in a crib. Staff stated that there was no authorization from the child's health care provider allowing the staff to swaddle the child.”

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 #2’s observation, it was determined that the Mantoux skin test was not administered on or before start date for Staff #1 (start date 2/16/24): no TB test. Staff, #2 (start date 5/15/23): TB test dated 1/7/2024 and Staff #3 (start date 12/4/23): TB test dated 12/20/23.”

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

“Findings: Based on facility documentation and Compliance Officer #2’s observation, it was determined that 4 out of 16 enrolled children's Emergency, Information and Immunization Record cards reviewed lacked the following required information: Child #1: second parent's name, address, and phone number, and the health care provider's name and phone number. Child #2 & Child #3: second parent's name, address, and phone number. Child #4: Date of enrollment.”

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 Compliance Officer #2’s observation, it was determined that 6 out of 15 enrolled children's attendance forms lacked the following information: Child #5: not present and presigned in at 3 and presigned out at 6:06 pm. Child #6: Release time and signature on 3/4/22024. Child #7: Release time and signature on 3/5/2024. Child #8: Not signed in and out with a complete signature during the month of March, 2024. Child #9: Release signature on 3/1/2024. Child #10: Release time and signature on 3/5/2024.”

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, it was determined that the roster in the Infant Classroom did not reflect the number of children present (6 children present, 5 children listed on the roster). In the School-Age Classroom, it was determined the roster did not reflect the number of children present (25 children present, 26 children listed on the roster).”

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 facility documentation and Compliance Officer #2’s observation, it was determined that Staff #4 was a teacher-caregiver in the 3's Classroom. Staff #4 was not qualified as a teacher-caregiver because the staff file lacked documentation of a high school diploma or high school equivalency diploma. Staff #4 is enrolled to get a GED, however, has no previous experience.”

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 Officer#1’s observations, the following hazards were accessible to enrolled children: 1's Classroom: *There were indentations with cracks and chipping paint; 1 was 6-8 inches, 1 was 3 inches and 1 was 2 inches exposing drywall on the east wall. *There was a 2-3 inch hole in the drywall next to the food prep wall. Young 2's Classroom: There were 2, 1 inch indents with cracks and chipping paint in the west wall exposing drywall. Older 2's Classroom: *There was chipped paint with exposed drywall on the east wall. *There was chipped and peeling paint with exposed drywall on the west wall and the door frame. 3's Classroom: *There was peeling paint exposing drywall on the west wall. 4's Classroom: *There was 2-3 inches of exposed drywall on the wall closest to the toilet room.”

AAC R9-5-502.A.5.d. A. A licensee providing child care services for infants shall:5. Develop, document, and implement tummy time policies and procedures that: d. Ensure, as an infant demonstrates ability and strength to control physical movement and greater sensory perception and social interaction, an assigned staff member provide a tummy-time period to: i. A 2 - 3 month old infant of no more than 15 minutes; ii. A 3 - 4 month old infant of no more than 20 minutes; and iii. A 5 - 6 month old infant of 20 minutes; and

“Findings: Based on facility documentation and Compliance Officer #1's observation, the Infant classroom lacked tummy time documentation.”

AAC R9-5-503.A.3. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and

“Findings: Based on Compliance Officer #1’s observation, in the 1's Classroom, the soiled diaper container lacked a tight-fitting lid.”

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 Compliance Officer #1’s observation, the 1's Classroom lacked a soiled clothes container.”

AAC R9-5-503.F.1. F. A licensee shall ensure that in an activity area with a diaper changing area: 1. The containers required in subsections (A)(3) and (4) are inaccessible, and

“Findings: Based on Compliance Officer #1's observations, in the Infant and 1's classroom, the diaper changing container was accessible to enrolled children.”

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, the posted menu documented cheese slices, mixed fruit, and crackers but lacked the specific type of cheese slices, mixed fruit, and crackers to be served to the enrolled children.”

AAC R9-5-511.A. 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, crib mattress, 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; and 5. Each cot, mat, or crib is maintained in a clean and repaired condition.

“Findings: Based on Compliance Officer #1’s observation, in the following classrooms, the sleeping mats were cracked and torn at corners and seams exposing foam: Young 2's Classroom:4 mats Older 2's Classroom: 6 mats 3's Classroom: 17 mats 4's Classroom: 6 mats”

AAC R9-5-515.B. B. If an enrolled child exhibits signs of illness or infestation at a facility, a licensee shall ensure that a staff member:1. Immediately separates the enrolled child from other enrolled children, 2. Immediately notifies the enrolled child’s parent by telephone or other expeditious means to arrange for the enrolled child’s removal from the facility, and 3. Maintains documentation of the notification on facility premises for 12 months after the date of the notification.

“Findings: Based on facility documentation, Compliance Officer #2’s observation, and staff statement, the Licensee lacked documentation of sending a child home with a fever. Staff stated, "Didn't know we had to document".”

AAC R9-5-518.A.1. A. A licensee providing a field trip for an enrolled child shall:1. Obtain written permission from a parent before the enrolled child participates in a field trip including: a. The date and description of the field trip; b. The times of departure from and return to the facility; and c. The name, street address, and telephone number, if any, of the field trip destination;

“Findings: Based on facility documentation and Compliance Officer #2's observation, the field trip form dated 6/13/2023 to Mesa Aquatic Complex lacked a parent signature next to one child's name that was present on the trip. The field trip form dated 6/21/2023 to Peter Piper Pizza lacked 3 parent signatures for 3 children that were present on the trip.”

AAC R9-5-601.4. A licensee shall comply with the following physical plant requirements:4. Except as provided in subsection (5), when providing child care services for infants or children who require diapering, a diaper changing area that meets the requirements in R9-5-503 is available in each infant room or indoor activity area used by an enrolled infant or child who wears diapers or disposable training pants;

“Findings: Based on Compliance Officer #1's observation, in Older 2's and 3's Classrooms, enrolled children with disposable training pants were being changed in the toilet room, rather than the diaper changing area as required.”

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 Compliance Officer #1’s observation, in the outdoor activity area, the following hazards were accessible to enrolled children: 1's/2's Playground: *There were 4 loose cinderblock tops at the edge on the north fence wall. *There was a broken shopping cart with sharp edges and a little tykes playcenter that was cracked at the top with sharp edges. *The green platform of the Little Tykes climber was cracked and detached. *There were 3 loose wooden gate panels on the west gate. PreK Playground: *There is an 8-10 foot concrete footing that was exposed at the entrance of the playground.”

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 Compliance Officer #1’s observation, the outdoor activity area lacked the following resilient surfacing: 1's/2's Playground: *5 of the required 6 inches of resilient surface under the green slide. Older Playground: *6 of the required 6 inches of resilient surface under the swings (there was a large rock under the swing area) *6 of the required 6 inches of resilient surface under the monkey bars, yellow slides and the web climber. PreK Playground: *6 of the required 6 inches of resilient surface under the swings, slides and bar swings.”

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 Compliance Officer #2’s observation, in the 3's Classroom, 2 children sleeping on mats were blocking a designated exit that provides escape from the building.”

AAC R9-5-203.C. C. Except as provided in A.R.S. § 41-1758.03, a licensee shall ensure that each staff member, before starting date of employment or volunteer service, submits to the licensee a copy of the staff member’s valid fingerprint clearance card,front and back, issued under A.R.S. Title 41, Chapter 12, Article 3.1.

“Findings: Based on facility documentation and Compliance Officer #2’s observation, it was determined that the file for Staff #1 lacked documentation of a front and back copy of a valid fingerprint card. The fingerprint clearance card was validated through the DPS website during the time of the inspection.”

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 Compliance Officer #2’s observation, it was determined that Staff #3 and Staff #4 were a teacher-caregiver in the classroom at the time of the inspection. Staff #3 and Staff #4 were not qualified as a teacher-caregiver and were not supervised by a qualified staff member.”