Kid's Corner Preschool

AAC R9-5-516.I. I. Except as specified in A.R.S. § 36-2229(B) through (D), a licensee shall ensure that a facility does not stock a supply of medications for administration to enrolled children, including: 1. Any prescription medication; or 2. A nonprescription medication such as aspirin, acetaminophen, ibuprofen, or cough syrup.

“Findings: Based on the Compliance Officer's observations, the First aid contained non-prescription medication.”

AAC R9-5-517.A.1. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall: 1. Obtain dated, written permission from the enrolled child’s parent before the licensee transports the enrolled child;

“Findings: Based on the Compliance Officer's observations and the review of facility documentation, the vehicle lacked a written permission to transport children form for all 15 school-age students who were transported during the inspection.”

AAC R9-5-518.A.3. A. A licensee providing a field trip for an enrolled child shall: 3. Maintain the written permission in subsection (A)(1) and written field trip plan in subsection (A)(2) on facility premises for 12 months after the date of the field trip.

“Findings: Based on the Compliance Officer's observations, the documentation of the field trips was not maintained in the facility for 12 months after the date of the field trip. staff stated the last field trip was this past summer, and a staff member kept the forms.”

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

“Findings: Based on the Compliance Officer's observations, the following hazards were accessible to children in the outdoor activity area: There were rusted spots on the shade posts and the gate; there was broken concrete with exposed rusted metal in the tunnel; there was a broken wooden toy, and the three whale teeter-totters lacked handlebars. **Previously cited on 10.01.24”

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 Officer's observations, the fall zones in both playgrounds lacked 3"- 5" of the resilient surface under the climbing equipment, the blue slide, and the three whale teeter-totters.”

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 Officer's observations, a bookshelf and a table were blocking the designated exits in the Twos' and Fours' Rooms.”

AAC R9-5-605.B.6. B. A licensee shall ensure that: 6. Except for a room used only for an enrolled school-age child, each unused electrical outlet is covered with a safety plug cover or insert;

“Findings: Based on the Compliance Officer's observations, the electrical outlet in the Twos' Room lacked a safety plug cover. **Previously cited on 10.01.24”

AAC R9-5-503.A.3.4. 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 4. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled clothing.

“Findings: Based on the Compliance Officer's observations, the soiled clothing container in the Ones' Room lacked a waterproof liner. *Previously cited on 10.01.24”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings: 1. In a clean condition, and 2. Free from odor.

“Findings: Based on the Compliance Officer's observations, the exhaust vents in the Boys' Main Restroom and the Boys' and Girls' in the Fours' Restroom had a dust build-up.”

AAC R9-5-512.C. C. A licensee shall ensure that floor coverings are: 1. Clean; and 2. Free from: a. Dampness, b. Odors, and c. Hazards.

“Findings: Based on the Compliance Officer's observations, the rugs in the Twos', Threes', Fours', and School-Age Rooms were not maintained in a clean condition; there were pieces of cookies, brown dirt spots, and dust build-up on the rugs.”

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

“Findings: Based on the Compliance Officer's observations, the following restrooms were not maintained in a clean condition: *Main Boys' Restroom: There were brown stains in all toilet bowls, the paint behind the toilet was bubbling and peeling off, and there was a brown build-up on both sinks and faucets. *Main Girls' Restroom: There were brown stains in all toilet bowls, and there was a brown build-up on both sinks and faucets. *Fours' Boys' Restroom: There was a brown build-up on the sink and faucet on the left side sink, and there was students' artwork taped to the wall behind both urinals. *Fours' Girls' Restroom: There was tape on the flushing handle in one of the toilets, students' artwork covering the walls, the toilet seat bolt had a thick yellowish/brown build-up, the sink and faucet had a brown grime build-up, and there were brown smears on the wall near the restroom door.”

AAC R9-5-512.F.4.5. F. A licensee shall ensure that: 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;

“Findings: Based on the Compliance Officer's observations, the food waste receptacles in Rooms Ones', Threes', Fours', and the Playground lacked a lid. **Previously cited on 10.01.24”

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

“Findings: Based on the Compliance Officer's observations, the toys in the Twos', Threes', Fours', and School-Age Rooms were not maintained in a clean condition; there were brown dirt smears and dust build-up on the toys.”

AAC R9-5-514. C. C. A licensee shall: 1. Prepare and date a written fire and emergency plan that contains: a. The location of the first aid kit; b. The names of staff members who have adult and pediatric first aid and CPR certification, as required by R9-5-403(E); c. The directions for: i. Initiating verbal notification of an enrolled child’s parent by telephone or other equally expeditious means within 30 minutes of a fire or emergency; and ii. Providing written notification to the enrolled child’s parent within 24 hours; and d. The facility’s street address and the emergency telephone numbers for the local fire department, police department, ambulance service, and poison control center; e. The procedures for evacuation, relocation, shelter-in-place and lockdown, staff and volunteer emergency preparedness training and practice drills, communication and reunification with families, continuity of operations, and accommodation of infants, children with disabilities, and children with chronic medical conditions, as specified in R9-5-301; 2. Maintain the plan required in subsection (C)(1) in a location on facility premises that has an operable telephone service or two-way voice communication system that connects the facility with an individual who has direct access to an in-and-out operable telephone service; 3. Post the plan required in subsection (C)(1) in any indoor activity area that does not have an operable telephone service or two-way voice communication system that connects the indoor activity area with an individual who has direct access to an in-and-out operable telephone services; and 4. Update the plan in subsection (C)(1) every 12 months after the date of initial preparation of the plan or when any information changes.

“Findings: Based on the Compliance Officer's observations, Twos' Room lacked a written fire and emergency evacuation plan. **Previously cited on 10.01.24”

AAC R9-5-514. E. E. A licensee shall post, near an activity area or a room's designated exit, a building evacuation plan that details the designated exits from the activity area or room and the facility.

“Findings: Based on the Compliance Officer's observations, the evacuation map in the Ones' Room did not indicate the evacuation route.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete an Emergency, Information, and Immunization Record that is no more than a two-page written notice, and is signed by the enrolled child’s parent containing: 1. The child’s name, home address, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, email address, and telephone number of each parent of the child; 4. The name and contact telephone number of at least two individuals authorized by the child’s parent to collect the child from the facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for the nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(14); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“Findings: Based on the Compliance Officer's observations and the review of 25 children's files, the Emergency Contact cards lacked the following required information: *Child #1: The date of the child’s enrollment, the name, home, and email address, and phone number of the second parent, and the medical information, date, and parent signature. *Child #2 and Child #3: The name, home, email address, and phone number of the second parent. *Child #4: The name, home, email address, and phone number of the second parent, and the name and contact phone number of the child’s health care provider. *Child #7: The medical information, date, and parent signature. *Child #9 and Child #10: The name and contact phone number of the child’s health care provider, and the medical information, date, and parent signature. *Child #11: The date of the child’s enrollment and the medical information, date, and parent signature. *Child #12: Lacked an Emergency Contact card. *Child #13: The name and contact phone number of the child’s health care provider, and the name of the individual to be contacted in case of injury or sudden illness of the child. **Previously cited on 10.01.24”

AAC R9-5-305.A. A. A licensee shall not permit an enrolled child to attend a facility until the facility receives: 1. An immunization record for the enrolled child with the information required in 9 A.A.C. 6, Article 7, documenting that the enrolled child has received all current, age-appropriate immunizations required under 9 A.A.C. 6, Article 7: a. Provided by a healthcare provider, or b. Generated from the Arizona State Immunization Information System, which is the Department’s child immunization reporting system established in A.R.S. § 36-135; or 2. An exemption affidavit for the enrolled child provided by the enrolled child’s parent that contains a statement, signed by the enrolled child's: a. Health care provider, that the immunizations required by 9 A.A.C. 6, Article 7 would endanger the enrolled child’s health or medical condition; or b. Parent, that the enrolled child is being raised in a religion whose teachings are in opposition to immunization.

“Findings: Based on the Compliance Officer's observations and the review of 15 students' files, it was determined that the files for Child #5, Child #6, Child #8, Child #9, and Child #10 lacked a copy of the immunization record card. **Previously cited on 10.01.24”

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 the Compliance Observations, the were 5 children present in the Ones' Room, and 11 Children in the Threes' & Fours' Rooms, and they both lacked a roster. **Previously cited on 10.01.24”

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

“Findings: Based on the Compliance Officer's observations, the following hazards were accessible to the enrolled children: *Ones' Room: There were two open holes into the wall with exposed internal wall components behind the baby doll high chair, the corners of the blue rug were curling up, causing a tripping hazard, and there was an iPad cord on a low storage drawer next to the baby doll high chair. *Threes' Room: There was an Alexa on the play kitchen with a hanging cord, and a register machine toy on a shelf that was easily tipped when small pressure was applied, the corners of the rugs were curling up, causing a tripping hazard, and there were holes exposing drywall. *Fours' Room: The gray rug was curling up, causing a tripping hazard, the TV was not mounted, and the cord was accessible. **Previously cited on 10.01.24”

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

“Findings: Based on the Compliance Officer's observations, there was a cracked gray bucket that contained stuffed animals in the Fours' Room, and the plastic box for the magna tile in the School-Age Room was cracked.”

AAC R9-5-501.B.6. B. A licensee shall ensure that a staff member: 6. For enrolled children five-years or younger, and except as provided in subsection (C), prepares, posts, and implements a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Findings: Based on the Compliance Officer's observations, the Ones' and Twos' Rooms lacked a current lesson plan, the lesson plan posted in the Ones' Room was for the week of 08.11-15.25, and the lesson plan posted in the Twos' Room was for the week of 09.8-12.25, additionally the lesson plan in the 3’s Room lacked items.”

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

“Findings: Based on the Compliance Officer's observations, the personal products in the Ones' room were not labeled with the child’s first and last name.”

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

“Findings: Based on the Compliance Officer's observations, the diaper changing area in the Ones' Room was not maintained seamless and smooth, and clear of items not required for diapering. There were 2 water bottles, a towel, and a box with teachers' supplies on the surface. Additionally, the corners of the diapering area had a brown grime build-up, and the diaper changing sink and faucet had a gray and white slimy grime build-up, and there was a washcloth behind the faucet. **Previously cited on 10.01.24”

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

“Findings: Based on the Compliance Officer's observations, the diapering area in the One's Room was not next to the sink; additionally, the sink lacked hot water, and the water temperature was 81 °F after five minutes running.”

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 Officer's observations, in the Ones' Room, the diapers were not disposed of in a container with a tight-fitting lid and were accessible to children. Staff used the food waste to dispose of the soiled diapers. **Previously cited on 10.01.24”

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 1's room, the soiled diaper container was accessible to enrolled children.”

AAC R9-5-512.A. A. A licensee shall maintain facility premises free of insects and vermin.

“Findings: Based on Compliance Officer #1's observations, near the bottom of the north side of the fence on the main playground, there were spider webs accessible to 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 Compliance Officer #1's observations, the inside of the toilet bowl of the boy's hallway bathroom had yellow-brown staining.”

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

“Findings: Based on Compliance Officer #2's observations, in the 1's classroom, there was a blue plastic toy behind the faucet of the diapering sink.”

AAC R9-5-605.B.6. B. A licensee shall ensure that: 6. Except for a room used only for an enrolled school-age child, each unused electrical outlet is covered with a safety plug cover or insert;

“Findings: Based on Compliance Officer #2's observations, one outlet of the 3's/4's room lacked a safety plug cover or insert.”

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 #2's observations, the following hazard was accessible to enrolled children: Main Playground: The wooden slats of the fence were rough and splintering.”

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 the Compliance Officers' observations, the parent permission form for the field trip taken on 6/21/2024 lacked the following: *2 children lacked a parent's signature permitting them to attend; and *1 child lacked documentation of the departure time from the field trip location.”

AAC R9-5-514. C. C. A licensee shall:1. Prepare and date a written fire and emergency plan that contains: a. The location of the first aid kit; b. The names of staff members who have the first aid training required by R9-5-403(E); c. The names of staff members who have the CPR training required by R9-5-403(E); d. The directions for: i. Initiating verbal notification of an enrolled child’s parent by telephone or other equally expeditious means within 30 minutes of a fire or emergency; and ii. Providing written notification to the enrolled child’s parent within 24 hours; and e. The facility’s street address and the emergency telephone numbers for the local fire department, police department, ambulance service, and poison control center; 2. Maintain the plan required in subsection (C)(1) in a location on facility premises that has an operable telephone service or two-way voice communication system that connects the facility with an individual who has direct access to an in-and-out operable telephone service; 3. Post the plan required in subsection (C)(1) in any indoor activity area that does not have an operable telephone service or two-way voice communication system that connects the indoor activity area with an individual who has direct access to an in-and-out operable telephone services; and 4. Update the plan in subsection (C)(1) every 12 months after the date of initial preparation of the plan or when any information changes.

“Findings: Based on Compliance Officer #1's observations, the written fire and emergency plan was last updated on 8/9/2023 and not every 12 months as required.”

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

“Findings: Based on Compliance Officer #2's observations, in the 1's room, the single-use paper towel dispenser was empty and the roll of paper towels was located outside the dispenser near the diaper changing sink.”

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

“Findings: Based on Compliance Officer #1's observations, the following areas lacked: Boys hallway bathroom: *The single-use paper towel dispenser was empty; and School-Age room: *There was food waste located in an uncovered container.”

AAC R9-5-301.I. I. At least once a month, and at different times of the day, a licensee shall ensure that an unannounced fire and emergency evacuation drill is conducted and each staff member and enrolled child at the facility participates in the fire and emergency evacuation drill. 1. If child care services for a child with special needs are provided at a facility, the licensee shall provide for the enrolled child’s participation in each fire and emergency evacuation drill according to the enrolled child’s individualized plan as specified in R9-5-507(A)(1). 2. A licensee shall document each fire and emergency evacuation drill and maintain the documentation on facility premises for 12 months after the date of the fire and emergency evacuation drill.

“Findings: Based on Compliance Officer #2's observations and facility documentation, the licensee lacked documentation of a fire drill conducted for the month of September 2024.”

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 Compliance Officer #1's observations, 8 of 15 Emergency, Information, Immunization Record cards reviewed lacked the following: Child #1, Child #4, Child #5: The name, home address, city, state, zip code, and contact telephone number of the second parent of the child; Child #2: The name of the individual to be contacted in case of injury or sudden illness of the child; Child #6, Child #9: The back side/second page of the Record card; Child #7: The telephone number of the child's health care provider; and Child #8: The date of the child's enrollment and the name and telephone number of the child's health care provider.”

AAC R9-5-305.A. A. A licensee shall not permit an enrolled child to attend a facility until the facility receives: 1. An immunization record for the enrolled child with the information required in 9 A.A.C. 6, Article 7, documenting that the enrolled child has received all current, age-appropriate immunizations required under 9 A.A.C. 6, Article 7: a. Provided by a healthcare provider, or b. Generated from the Arizona State Immunization Information System, which is the Department’s child immunization reporting system established in A.R.S. § 36-135; or 2. An exemption affidavit for the enrolled child provided by the enrolled child’s parent that contains: a. A statement, signed by the enrolled child’s health care provider, that the immunizations required by 9 A.A.C. 6, Article 7 would endanger the enrolled child’s health or medical condition; or b. A statement, signed by the enrolled child’s parent, that the enrolled child is being raised in a religion whose teachings are in opposition to immunization.

“Findings: Based on Compliance Officer #1's observations 2 of 15 Emergency, Information, Immunization Record cards lacked the following: Child #2 and Child #3: Immunization records.”

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

“Findings: Based on Compliance Officer #2's observations, in the School Age room, 11 children were present and 14 children were marked on the roster. In the 2's room, 6 children were present and 4 were marked 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 the Compliance Officers' observations, the licensee lacked documentation of a current violation-free fire inspection.”

AAC R9-5-501.A.1. A. A licensee shall ensure that:1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Findings: Based on Compliance Officer #2's observations, on the Toddler playground, there was a 3-foot wide Little Tikes trampoline.”

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 Compliance Officer #2's observations, in the 1's and 2's classrooms, water was inaccessible to enrolled children.”

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 #2's observations, the following areas were not maintained free from hazards: 2's room: *The window of the room had a large crack expanding in multiple directions; and 3's room: *There was an unmounted television on top of the wood play house cube.”

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 #2's observations, in the 1's room, soiled clothing was placed in enrolled children's cubbies and not in a soiled clothing container as required.”

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 5 out of 10 enrolled children's Emergency, Information, and Immunization Record cards reviewed lacked the following required information: Child #1 and Child #2: The date of the child's enrollment. Child #3: The date of the child's enrollment and the name, home address, city, state, zip code, and contact telephone number of a second parent. Child #4: The signature of the enrolled child's parent. Child #5 The name and contact telephone number of a second individual 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.”

AAC R9-5-203.E. E. If a staff member possesses a fingerprint clearance card that was issued before the staff member became a staff member at the facility, a licensee shall: 1. Contact the Department of Public Safety before the individual becomes a staff member to determine whether the fingerprint clearance card is valid; and 2. Document this determination, including the name of the staff member, the date of contact with the Department of Public Safety, and whether the fingerprint clearance card is valid.

“Findings: Based on facility documentation, staff interview, and Compliance Officer #1's observation, it was determined that the files for Staff #1, Staff #2, and Staff #3 lacked documentation of the Licensee's contact with DPS to verify the staff members' fingerprint clearance cards as valid prior to employment. The Licensee stated they had verified the cards with DPS, but did not document the findings.”

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 #2’s observation, the outdoor activity area lacked the following resilient surfacing: Preschool Playground: *3 of the required 6 inches of pea gravel in the fall zones of the slide to the climbing structure on the South side. *2 of the required 6 inches required in the fall zones of steps to the climbing structure on the South side. *5 of the required 6 inches of pea gravel in the fall zones of the slide of the climbing structure on the North side.”

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

“Findings: Based on the Compliance Officers' observations, in the outdoor activity areas, the following hazards were accessible to enrolled children: Preschool Playground: *There was splintered wood with sharp edges on a gate located on the North Side . *There was a 1 to 2 inch crack in the brick column on the left side of the gate. *There was cracked plastic with sharp edges in two areas on the base of the Basketball hoop. *There was cracked plastic with sharp edges on the window of the play house. *There was pea gravel on multiple surfaces of two climbing structures. *There was concrete footing with exposed rough edges along the entrance of the playground. Toddler Playground: *There was peeling laminate with sharp edges on a blue and white shelf.”

AAC R9-5-513.B. B. A licensee shall ensure that a staff member: 1. Keeps all pet and animal habitats clean; 2. Prohibits reptiles, such as turtles, iguanas, snakes, and lizards, in the facility; 3. Prohibits birds in food preparation and eating areas; 4. Keeps pets and animals clean; 5. Prohibits pets and animals from endangering an enrolled child, staff member, or other individual on facility premises; and 6. Keeps birds and animals such as horses, sheep, cattle, and poultry in an enclosure that is not accessible to an enrolled child except as part of an activity.

“Findings: Based on the Compliance Officers' observations, in the 4's classroom, there was a turtle in an aquarium.”

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

“Findings: Based on the Compliance Officers' observations, in the 2’s classroom, the diaper changing sink was not in working condition. The water in the sink did not drain.”

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 Compliance Officer #1's observation, the following toilet rooms were not maintained in a clean condition: 4's classroom: *There was a diaper located on the floor near the sink. *There was a yellow substance inside 1 of the toilets. Toilet room between 1's and 2's classrooms: *There was a yellow substance inside 2 of 2 toilets.”

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 following areas were not maintained in a clean condition: Infant room: *There was a splatter of a brown substance on the wall behind the feeding chairs. 2's Classroom: *There was a sticky residue with dirt build-up on the side of the cabinet near the diaper changing table. School-Age Classroom: *There was a flaky substance and dark stains on the blue alphabet carpet. Preschool and *There was a dark brown build-up covering the inside of the climber located near the south fence. *There was a dark brown build-up on the inside of the playhouse. Toddler Playground: *There was a dark brown build-up on the sides of toy cars *There was a dark brown build-up on a toy vacuum.”

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 the Compliance Officers' observations, in the 2’s classroom, 1 out of 8 enrolled children lacked a sheet on their cot for nap time.”

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 the Compliance Officers' observations, the posted menu lacked a written food substitution for the p.m. snack. The enrolled children were served sliced cucumbers and sliced cheese rather than the rice cakes and green grapes that the menu stated.”

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

“Findings: Based on the Compliance Officers' observations, in the 1's classroom, there was a box of facial tissues on the diaper changing area.”

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 the Compliance Officers' observations, in the Infant room, 1's classroom and 2's classroom, there was Petroleum Jelly, Boudreaux Butt Paste and a container of wipes that lacked the enrolled child's first and last name.”

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

“Findings: Based on the Compliance Officers' observations, the following hazards were accessible to enrolled children: School-Age Classroom: *There was a cracked plastic container with sharp edges located on a shelf near the South wall. 4's Classroom: *There was ripped fabric with exposed stuffing on a doll's body. 3's Classroom: *There were television cords hanging loosely from the wall to the top of the shelf near the East wall.”

AAC R9-5-605.B.6. B. A licensee shall ensure that: 6. Except for a room used only for an enrolled school-age child, each unused electrical outlet is covered with a safety plug cover or insert;

“Findings: Based on the Compliance Officers' observations, the 3's classrooms lacked safety plugs in unused electrical outlets on the East, West, and North walls.”

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

“Findings: Based on the Compliance Officers' observations, in the 4's classroom, a table was in front of a designated exit that provides an escape from the building.”

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 the Compliance Officers' observations, the 2's classroom and the 3's classroom lacked accessible drinking water and cups for enrolled children.”