Kids Learning Centers Algodon

AAC R9-5-516.B.3. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child’s parent or health care provider that includes the: a. Name of the enrolled child; b. Type of the medication; c. Prescription number, if any; d. Instructions for administration specifying the: i. Dosage and route of administration; ii. If indicated, starting and ending dates of the dosage period; and iii. Times and frequency of administration; e. Reason for the medication; and f. Date of authorization; and

“Findings: Based on Compliance Officer #2's observation, the medication authorization forms lacked the following information: Child # 15: The times & frequency to administer the medication. The authorization form expired as of 8/2/2024. Child # 16 & Child #18: The route and reason for administering the medication. Child # 17: The route and reason for administering the medication. The prescription number on the form was inconsistent with the number on the prescription label. Child # 19: The end date, route & reason, and times & frequency for administering the medication.”

AAC R9-5-517.A.8. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:8. Use a child passenger restraint system, as required by A.R.S. § 28-907, for each enrolled child who is: a. Under eight years of age, and b. Not more than four feet nine inches tall.

“Findings: Based on Compliance Officer #1's observation, vehicle #2 (plate CF82511) 1 of 13 seat belts used by enrolled children was inoperable and unable to fully latch.”

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 Compliance Officer #1's observation, vehicle #1 ( plate CK80277) had two rips in the vinyl with foam exposed located on the back of the second to last seat on the left.”

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 areas, the following hazards were accessible to enrolled children: 2's Playground: * There were 4 tricycles missing rubber handles and exposed sharp edges. Older (Preschool) Playground: *There was a broken board on a fence with sharp edges.”

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 9 out of 25 enrolled children's attendance forms lacked the following information: *Child #1: An arrival signature (first name, last initial) for 9/4, 9/5, 9/6, 9/10, 9/16, 9/18 and 9/18/2024. *Child #2: An arrival and release signature (initials only) for 9/3, 9/4, 9/5, 9/6, 9/10, 9/12, 9/13, 9/16 and 9/17/2024. *Child #3: An arrival and release signature for 9/13/2024. *Child #4 & Child #5: A release signature for 9/12 and 9/13/2024. *Child #6: A release signature (first name only) for 9/3, 9/4, 9/5, 9/6, 9/9, 9/10, 9/11, 9/12, 9/13, 9/16, and 9/17/2024. *Child #7: A release time and signature for 9/5/2024. *Child #8: A release time and signature for 9/3/2024. *Child #9: A release signature for 9/4/2024.”

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

“Findings: Based on Compliance Officer #1's observation, in the School-Age classroom, there was a broken wooden shelf with exposed particle board.”

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 Compliance Officer #1's observation, in the 4A classroom, there was a toy shelf with worn laminate and exposed raw wood.”

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

“Findings: Based on Compliance Officer #1's observation, the infant feeding instruction lacked the following information: Child # 10, Child #3, & Child #15: The amount and times the child is to be fed. Child # 11, Child #12: The amount the child is to be fed. Child # 13: The times the child is to be fed.”

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 Compliance Officer #1's observation, the following areas were not maintained in a clean condition: In the Outdoor activity areas (1's, 2's, and Older/Preschool playground) there was dark, dirt build-up on the slides and handles of the climbers. In multiple classrooms (1B, 2A, 2-3B, 3B, 4A, 4B, and School-age) there was dark, dirt build-up on toy shelves. In the School-Age boy's bathroom, there was a pungent odor.”

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

“Findings: Based on Compliance Officer #1's observation, in the outdoor activity area, the following toys/equipment was not maintained in a clean condition: 1's Playground: *There was dark, dirt build-up on the green slide and handles of the climber. 2's Playground: *There was dark, dirt build-up on the sides of the tan slide. Older (Preschool) Playground: *There was dark, dirt build-up slide and handles of the climber.”

AAC R9-5-510.B.1. B. A licensee shall ensure that a staff member does not use or permit: 1. A method of discipline that could cause harm to the health, safety, or welfare of an enrolled child;

“Findings: Per allegation and based on staff written statements, child statements, and staff statements, a method of discipline that could cause harm to the health, safety, or welfare of an enrolled child was used when a staff member held an enrolled child over a trashcan. Written statements: Staff held a child upside down and put the child's head in the trash can. Child stated: When I was 8 or 9 a teacher grabbed a child and held the child over the trash can because they were not listening. Staff stated: Towards closing time 2 staff who were not on the clock anymore went into the School-Age room and Child #1 was picked up and they pretended to throw the child in the trash.”

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 combined rosters for the 2/3 A classroom and the 2/3 B classroom did not reflect the number of children present (17 children present on the playground, 18 children listed on the rosters).”

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: Per allegations and based on facility documentation and the Compliance Officers' observations, on 12/18/2023, the combined ratio for the 2/3 A classroom and 2/3 B classroom was 2:17 instead of 3:17 as required for 2 year-old children. The classrooms were combined with Staff #1 and Staff #2 on playground with the children. Staff #3 went indoors with 1 child to change a diaper, leaving the group on the playground out of ratio.”