Kindercare Learning Center #1465

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 Officers' review of children's Emergency and Information cards, the cards for Children 1 and 2 lacked a name and phone number for 2 emergency contacts. Instead, the cards only listed the 2 parents as emergency contacts and "911".”

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 positive discipline, including separation; 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; 17. Field trip procedures, if applicable; 18. Infant tummy time, if applicable; 19. Prevention of sudden infant death syndrome and use of safe sleeping practices, if applicable; and 20. Prevention of shaken baby syndrome, pediatric abusive head trauma, and child maltreatment.

“Findings: Based on the Compliance Officers' review of staff files, the file for Staff #1 (DOE 1/27/26) lacked documentation of the staff's completion of the new staff orientation training.”

AAC R9-5-404.C.3. C. A licensee shall ensure that when there are: 3. 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 the Compliance Officers' observation and on a discussion with staff, in Infant Room B, a one-year-old child was observed walking in the room with 4 other children present. The staff acknowledged the child had been walking for several weeks and stated there was no room to move the child up to the 1-year-old room. *Previously cited in 8/2025.”

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 the Compliance Officers' review of staff files, the file for Staff #1 (DOE 1/27/26) lacked documentation of the staff's DCS clearance.”

AAC R9-5-501.B.1. B. A licensee shall ensure that a staff member: 1. Supervises each enrolled child at all times;

“Per allegation: Findings: Based on the Compliance Officers' observations during the inspection and on interviews with staff during the complaint investigation, the licensee did not ensure that staff supervise enrolled children at all times during the following incidents: *Preschool (3-5s): 1) A child was swinging their jacket, intentionally hitting another child with it. The Compliance Officer had to ask the child to stop swinging their jacket. 2) There was a child observed sitting on top of a table. The Compliance Officer had to ask a staff to get the child off the table. *Discovery room: 1) There was a child lying on top of 13 stacked cots . 2) A child was seated at a table, eating a pink and white gummy. Another child was standing next to the table and put the gummy in their mouth, and then the other child put it back in their mouth. During the Complaint investigation interview with staff, staff stated the following: *There was a small scratch on a child’s eyelid. I did not know when or where it happened (when the parent asked me about it.) *When a parent arrived at the facility to pick up their child in the 3’s room, the parent stated the room was chaotic and unstructured.”

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 observation, the toilet tank lid for one of the toilets in the PreK bathroom was too small and was not securely fitted, leaving a one-inch gap of space on both ends of the toilet tank. *Previously cited on 10/3/2025.”

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, there was a brown buildup in the toilet bowls in the bathroom of the Toddler A room, on one of the toilets in the PreK room and a red and brown buildup on the outside of the bowl, along the side in the bathroom in the Toddler C room. *Previously cited on 10/3/2025.”

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 observation, 3 blue paint aprons, a toy and cleaning supplies were stored on an open shelf in the bathroom of the Toddler A room. *Previously cited on 10/3/2025.”

AAC R9-5-501.A.18. A. A licensee shall ensure that: 18. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Findings: Based on the Compliance Officer's observation, a toilet brush was stored on the floor in the PreK bathroom, and a plunger was stored on the floor in the Preschool room bathroom. These items were accessible to the children present in the room.”

AAC R9-5-501.C. C. A licensee is not required to have a schedule required in subsection (C)(4) or a lesson plan required in subsection (C)(5) for an indoor activity area that is approved and used: 1. By enrolled children only for: a. Snacks or meals, or b. A specific activity; 2. To provide child care services to infants; or 3. As a substitute for an outdoor activity area.

“Findings: Based on the Compliance Officer's observation, when the Compliance Officer and the Director entered the Preschool room, the Compliance Officer observed a child in one of the bathrooms with the door closed. Both staff were across the room in different areas. The child was observed lying on the floor and reaching behind the toilet. The child was not being supervised by a staff member while the child was in the bathroom.”

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 observation and a discussion with the staff, the diapering area in the Toddler A room lacked the soiled clothing container. The staff acknowledged the container was across the room in the bathroom and not in the diapering area. *Previously cited on 10/3/2025.”

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 review of 15 Children's emergency cards, 4 of the cards lacked the following information *Children 8 & 11- The name, address, email address and telephone number of the second parent; *Child 9- The name, address, email address and telephone number of the second parent and the name of the person who would be contacted first in case of an emergency; and *Child 10- The name, address, email address and telephone number of the second parent and the telephone number of the child’s health care provider.”

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 toilet tank lid for one of the toilets in the PreK bathroom was too small and did not fit the tank. The water in the toilet tank was exposed on both sides of the lid and the lid was not secure on the tank.”

AAC R9-5-501.C. C. A licensee is not required to have a schedule required in subsection (C)(4) or a lesson plan required in subsection (C)(5) for an indoor activity area that is approved and used: 1. By enrolled children only for: a. Snacks or meals, or b. A specific activity; 2. To provide child care services to infants; or 3. As a substitute for an outdoor activity area.

“Findings: Based on the Compliance Officer's observation and on a discussion with staff, the lesson plan in the Discovery B room was dated the week of 8/12/2025 and was not current. The staff acknowledged that the lesson plan had not been updated in several months.”

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. Posts the current written dietary instructions in the infant room and the kitchen and maintains the instructions on facility premises for 12 months after the date of the instructions; and

“Findings: Based on the Compliance Officer's review of infant feeding instructions and on a discussion with the infant room staff, 7 of the written feeding instructions lacked the following information: *Child 1- Staff stated the child was eating solid food but the form lacked the amount and frequency of the feedings; *Child 2- Staff stated the child was on formula and puréed food but the form lacked the frequency and amount to be fed for the formula and purees; *Child 3- Staff stated the child was eating puréed and solid food but the form lacked the amount and frequency of the feeding and the form was not signed and dated by the parent; *Child 4 The form lacked the amount of formula to be fed and the amount and frequency of the feedings for the solid foods that the child was eating; *Children 5, 6 and 7- The form lacked the amount and frequency for the solid foods the child was eating”

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 the Compliance Officer's observations, 3 bottles in Infant room A were not labeled with the infant'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, an electronic tablet was stored on the diapering table in the Toddler B room.”

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 water temperature at the diapering sinks in the Infant A and Infant B rooms measured 120 degrees F. *Previously cited in 10/2024 and 8/2025.”

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 following was noted regarding the diapering areas: *Toddler B room- The soiled diaper container lacked the required liner; and *Toddler C room- The soiled clothing container lacked the required liner. *Previously cited 10/2024 and 8/2025.”

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 observation, there was a pungent, musty odor in the bathroom of the PreK room. *Previously cited in 10/2024.”

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, 2 Toilets in the PreK room had red and brown stains in the toilet bowls. There was feces and wads of toilet tissue in one of the Preschool toilets. The outside base of one of the toilets in the Toddler C room bathroom had a buildup of brown and black stains on the side. *Previously cited in 10/2024.”

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

“Findings: Based on the Compliance Officer's observations, the bathroom exhaust fans in the Preschool room, PreK room, Discovery B room and Toddler C rooms were not operating. *Previously cited in 10/2024.”

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, various supplies and materials, including cleaning supplies, sponges, and rolls of toilet paper were stored on an open shelf in the PreK bathroom and in the Toddler C bathroom. *Previously cited in 10/2024.”

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 following was noted regarding the diapering areas: *Infant room- The soiled clothing container was not equipped with a waterproof liner; and *Toddler B room (1 year old room)- The diapering area was not equipped with a soiled clothing container. The soiled diaper container lacked a lid.”

AAC R9-5-208.F. F. A licensee shall not implement any change described under subsection (B) until the Department issues an approval or amended license.

“Findings: Based on the Compliance Officer's observations and on a discussion with the Director and the Regional Manager, the licensee submitted the modification application to add a second infant room on 7/28/25. The Director and Regional Manager acknowledged that the second infant room had opened and has had infants in the second infant room since 3/24/25.”

AAC R9-5-404.C.3. C. A licensee shall ensure that when there are: 3. 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 the Compliance Officer's observations and on a discussion with the Director and the infant room staff, Child #1, who is a 15-month-old child and is walking was observed in infant room B. Staff acknowledged the child is walking unassisted and has been walking for about a month.”

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 Officer's review of the written infant feeding instructions and on a discussion with the Director and the infant room staff, the following written infant feeding instructions lacked required information: *Child #1-staff stated the child was eating pureed foods, but the instructions lacked the amount of purée to be fed; *Child #2- staff stated the child was eating food, but the instructions lacked the amount of food, the type of food and the frequency of the feeding; *Child #3 -staff stated the child was eating food, but the instructions lacked the amount of food, the type of food and the frequency of the feeding; and Child #4-staff stated the child was eating both food and formula, but the instructions lacked the amount of food and formula, the type of food and the frequency of the feeding of both the formula and the food.”

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 observation, the water at the diapering sink in Toddler B-1 year old room measured 125 degrees F.”

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 the Compliance Officer's review of Staff #3's file (DOE 3/5/24), the licensee failed to validate the staff fingerprint clearance card's validity until 3/6/24, rather than before the staff’s date of employment.”

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

“Findings: Based on the Compliance Officer's observations, the following room's capacities were incorrectly posted: *Preschool room- Capacity is 30- incorrectly posted as 33; *3 year old room-A- Capacity is 13- incorrectly posted as 16; *3 year old room -B- Capacity is 26-incorrectly posted as 33; *4 year old room-Capacity is 30-incorrectly posted as 44; and *2 year old room-Capacity is 16-incorrectly posted as 37.”

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

“Findings: Based on the Compliance Officer's review of 20 Children Emergency Information cards, 5 of the cards lacked the following information: *Children #6, #7 and #10- The name, address and telephone number of the second parent; *Child #8- The name of the individual to be contacted first in an emergency; and *Child #9- The name, address and telephone number of the second parent and the name of the individual to be contacted first in an emergency.”

AAC R9-5-403.B. B. A licensee shall ensure that:1. Each staff member who provides child care services completes 18 or more actual hours of training every 12 months after the effective date of this Chapter or the staff member’s starting date of employment or volunteer service in at least two topics listed in this subsection: a. Child growth and development, including: i. Infant growth and development, which may include sudden infant death syndrome prevention; ii. Developmental psychology; iii. Language development; iv. Observation and child assessment; v. Developmentally-appropriate activities; vi. Child guidance and methods of discipline which may include training on the appropriate techniques to prevent a child from harm or to prevent the child from harming others; and vii. Developmentally-appropriate activity areas; b. Health and safety issues, including: i. Accident and emergency procedures, including CPR and first aid for infants and children; ii. Recognition of signs of illness and infestation; iii. Nutrition and developmentally-appropriate eating habits; iv. Child abuse detection, reporting, and prevention; v. Safety of indoor and outdoor activity areas; and vi. Sun safety policies and procedures; c. Program administration, planning, development, or management; and d. Availability of community services and resources, including those available to children with special needs; and 2. As part of the required 18 hours of training in subsection (B)(1): a. A staff member who has less than 12 months of child care experience before the staff member’s starting date, completes at least 12 hours in one or more of the topics in subsection (B)(1)(a) in the staff member’s first 12 months at the facility; b. A staff member who has 12 months or more of child care experience, completes at least 6 hours in one or more of the topics in subsection (B)(1)(a) every 12 months after the staff member’s starting date; c. A staff member who provides child care services to an infant completes at least 6 hours in subsection (B)(1)(a)(i) every 12 months after the staff member’s starting date; and d. A facility director completes at least 6 hours in subsection (B)(1)(c) every 12 months after the facility director’s starting date.

“Findings: Based on the Compliance Officer's review of 6 staff files, the following staff lacked the 18 hours of required annual training: *Staff #1 (DOE 4/18/22)- The file contained only .5 hours of the required 18 hours of annual training for the period of 4/18/23-4/18/24; * Staff #2 (DOE 1/16/20)- The file contained only 8 hours of the required 18 hours of annual training for the period of 1/16/23-1/16/24; *Staff #4 (DOE 3/21/22)- The file contained only 7 hours of the required 18 hours of annual training for the period of 3/21/23-3/21/24; and *Staff #6 (DOE 6/3/13)- The file contained only 7 hours of the required 18 hours of annual training for the period of 6/3/23-6/3/24.”

AAC R9-5-502.C.1.l. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: l. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Findings: Based on the Compliance Officer's review of the written feeding instructions and on a discussion with the infant room staff, the feeding instructions for 5 infants lacked the following information: *Child #1- Staff stated the child was on formula but the feeding instructions lacked the frequency and amount of formula to be fed; and *Child #2- Staff stated the child was eating food but only the feeding instructions for formula were listed; *Children #3, #4 and #5- Staff stated the children were eating food but only the feeding instructions for formula were listed on the children's feeding instructions;”

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

“Findings: Based on the Compliance Officer's observations and on a discussion with the Director, the temperatures at the diapering sinks in the following rooms measured the following temperatures: *Infant room & 1 year old room B- 118 degrees F; and *1-year old room A & 3 year old room A-84 degrees F. *Previously cited on November 8, 2023.”

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

“Findings: Based on the Compliance Officer's observation, the diapering area in the 2 year old room lacked a soiled clothing container.”

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 observation and on a discussion with the Director, the following was noted: 1) Items, including extra toilet paper and extra diapers were stored on open shelves in the 3 year old room A bathroom and the 2 year old room; and 2) A pungent, musty odor observed in the preschool room bathroom.”

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

“Findings: Based on the Compliance Officer's observation and on a discussion with the Director, one of the toilet bowls in the 3 year old B bathroom and one of the toilet bowls in the Preschool room bathroom had a large brown stain in the bottom of the toilet bowls.”

AAC R9-5-516.B.4. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:4. A staff member : a. Administers a prescription medication provided by a parent only from a container dispensed by a pharmacy; b. Administers a nonprescription medication provided by a parent for an enrolled child only from a container prepackaged and labeled for use by the manufacturer and labeled with the enrolled child’s name; c. Does not administer any medication that has been transferred from one container to another; and d. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the facility receives written authorization from the enrolled child’s health care provider.

“Findings: Based on the Compliance Officer's observation and a discussion with the Director, a twin pack of Epipens injectors only contained 1 of the 2 injectors. The Director acknowledged that the parent had one of the injectors at home.”

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

“Findings: Based on the Compliance Officer's observations, the exhaust fans were not operating in the 3 year old room A, 3 year old room B and the 2 year old bathrooms.”

AAC R9-5-602.A. A. A licensee shall ensure that the facility meets the following square footage requirements for indoor activity areas based on the child care services classifications:1. At least 35 square feet of indoor activity space for each infant and 1-year-old child; 2. At least 25 square feet of indoor activity space for each child who is not an infant or 1-year-old child; and 3. When 1-year-old children are grouped together with children older than 1-year-old children in the same activity area, at least 35 square feet of indoor activity space for each child.

“Findings: Based on the Compliance Officer's observation, 32 children were observed in the Preschool room (ages 3-4 year olds). The licensed capacity of the room, however, is only 30 children.”

ARS § 36-883.02.C. C. Applicants, licensees and child care personnel shall attest on forms that are provided by the department that: 1. They are not awaiting trial on or have never been convicted of or admitted in open court or pursuant to a plea agreement committing any of the offenses listed in section 41-1758.07, subsection B in this state or similar offenses in another state or jurisdiction. 2. They are not parents or guardians of a child adjudicated to be a dependent child as defined in section 8-201. 3. They have not been denied or had revoked a certificate to operate a child care group home or a license to operate a child care facility in this or any other state or that they have not been denied or had revoked a certification to work in a child care facility or child care group home.

“Findings: Based on facility documentation and Compliance Officer #1's observations of 5 staff files, Staff #2's file lacked a completed Criminal History Affidavit. ***Previously cited 10/3/2023”

ARS § 36-883.02.D. D. Employers of child care personnel shall make documented, good faith efforts to contact previous employers of child care personnel to obtain information or recommendations that may be relevant to an individual's fitness for employment in a child care facility.

“Findings: Based on Compliance Officer #1’s observations of 5 staff files, Staff #2’s file lacked 2 of the 2 required good faith effort references.”

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 facility documentation and Compliance Officer #1's observations of 5 staff files, Staff #1(DOH 8/1/2022) lacked the DCS submittal requirements. ***Previously cited 10/3/2023”

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 #1's observations, it was determined that Staff #2 was a teacher caregiver and works alone with children in Just Sports (An optional program provided to the parents). Staff #2 was not qualified as a teacher-caregiver and was not supervised by a qualified staff member. ***Previously cited 11/3/2021, 3/3/2022, 12/28/2022, & 10/3/2023”

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

“Findings: Based on facility documentation and Compliance Officer #2's observations, it was determined that 8 out of 20 enrolled children's Emergency Information and Immunization Record Cards reviewed lacked the following required information: Child #1: A second emergency contact name and phone number. (A parent was listed.) Child #2: The second parent's name, address and phone number, the health care provider's name and phone number, and the name of the individual to be contacted in case of injury or sudden illness of the child. Child #3: A second emergency contact name and phone number. Child #4: A second emergency contact name and phone number, the health care provider's name and phone number, and the name of the individual to be contacted in case of injury or sudden illness of the child. Child #5: The name of the individual to be contacted in case of injury or sudden illness of the child. Child #6: A second emergency contact name and phone number. Child #7: The health care provider's name and phone number. Child #8: The name of the individual to be contacted in case of injury or sudden illness of the child. ***Previously cited 11/3/2021, 11/9/2022, & 8/31/2023”

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 facility documentation and Compliance Officer #2’s observation, the Licensee lacked documentation of a current gas inspection. The most recent gas inspection was dated 11/10/2021. ***Previously cited 11/3/2021, 3/3/2022, & 11/9/2022”

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 #1's observations, it was determined that Staff #2 was a teacher caregiver. Staff #2 was not qualified as a teacher caregiver because the file lacked documentation of a high school/ high school equivalency diploma. ***Previously cited 10/3/2023”

AAC R9-5-403.A. A. Within 10 calendar days of the starting date of employment or volunteer service, a licensee shall provide, and each staff member who provides child care services shall complete, training for new staff members that includes all of the following: 1. Facility philosophy and goals; 2. Names and ages of and developmental expectations for enrolled children for whom the staff member will provide child care services; 3. Health needs, nutritional requirements, any known allergies, and information about adaptive devices of enrolled children for whom the staff member will provide child care services; 4. Lesson plans; 5. Child guidance and methods of discipline; 6. Hand washing techniques; 7. Diapering techniques and toileting, if assigned to diaper changing duties; 8. Food preparation, service, sanitation, and storage, if assigned to food preparation; 9. If a staff member is assigned to feeding infants, the preparation, handling, and storage of infant formula and breast milk; 10. Recognition of signs of illness and infestation; 11. Child abuse or neglect detection, prevention, and reporting; 12. Accident and emergency procedures; 13. Staff responsibilities as required by A.R.S. Title 36, Chapter 7.1, Article 1 and this Chapter; 14. Sun safety policies and procedures; 15. Safety in outdoor activity areas; 16. Transportation procedures, if applicable; and 17. Field trip procedures, if applicable.

“Findings: Based on Compliance Officer #1's observations of 5 staff files, the file for Staff #2 (DOH "3/2023") lacked new staff training within 10 calendar days of the starting date of employment. ***Previously cited 11/9/2022”

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 #1's observations, the health, safety, and welfare of enrolled children were placed at risk of harm. Discovery Preschool B: a child was on the diaper surface and the surface was not long enough to accommodate the child's length. The child's head was tilted and their feet stuck over the table. Infant room: 2 infants were observed being fed 1/2 of grilled chicken nuggets. The pieces were too large for the infants. ***Previously cited 10/3/2023”

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 #1's observations, water was not accessible to enrolled children in the following rooms: 1’s room, Toddler B and Discovery room. The water was located on high shelves in each room. ***Previously cited 11/9/2022”

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 observed: Toddler A: There was sticky tape residue along the west wall. Toddler B: There was exposed wood on the edge of a round table, and on a wooden shelf, and there was sticky tape residue on a wood shelf. Discovery Preschool: There was sticky tape residue on the lower shelf of a white cubby, exposed particle board on the left edge of a cabinet, and the lower left side of a white shelving unit had exposed particle board. Pre-K toilet room: 2 toilet tank lids did not fit the tanks, and were loose and not secured to the tanks. ***Previously cited 11/3/2021, 3/3/2022, & 11/9/2022”

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 #2's observations, play equipment in the 3's room was not maintained free from hazards. A blue sofa and a teal couch had ripped vinyl along the armrests, exposing the seam. ***Previously cited 11/3/2021”

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 Compliance Officer #2’s observation, in the 3's toilet room, there was a broom on the floor accessible to enrolled children. ***Previously cited 11/3/2021”

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 Compliance Officer #1's observations, in Discovery Preschool, there was unlabeled Desitin and Corn starch, and a container of powder labeled with a child's first name only, rather than with a child's first and last name as required. ***Previously cited 11/3/2021, 11/9/2022, & 12/28/2022”

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 kitchen lacked posted written dietary instructions for infants. ***Previously cited 11/3/2021 & 11/9/2022”

AAC R9-5-503.A.2.a. 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 Officers' observations, the water temperature in the following diaper changing sinks measured below 86 degrees F, rather than between 86 - 110 degrees F as required: Toddler A: 80.4 degrees F. Toddler B: 75.3 degrees F. Discovery Pre B: 80.4 degrees F. Infant: 69.0 degrees F. Discovery Preschool: 74 degrees F. ***Previously cited 11/3/2021, 3/3/2022, (TA given 11/9/2022), & 12/28/2022”

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 observation, in the Preschool room west toilet room, there was a soiled clothing container on the floor accessible to enrolled children. ***Previously cited 11/3/2021”

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 Officers' observations, floor coverings in the following areas were not maintained in a clean condition: Preschool: There was a stained blue rug with discolored smears. Discovery Preschool: There was a stained farm animal rug with discolored smears. Toddler B: There was debris and stains on a blue rug.”

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, the following was observed: 1's toilet room: The toilet seat was loose and wobbled. Discovery toilet room: 1 of 2 toilet paper dispensers was empty, and there was a puddle of water on the floor behind the right toilet, and the water tank was loose and unsecured. ***Previously cited 11/3/2021, 3/3/2022, & 11/9/2022”

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 observations, medication forms lacked the following: Child #9: The route to administer the medication. Child #10: The ending date on the medication form did not match the ending date on the prescription vial. Child #11: An ending date. ***Previously cited 11/3/2021, 3/3/2022, 11/9/2022, & 12/28/2022”

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 the Compliance Officers' observations, the South toddler playground lacked resilient surfacing below a treehouse, a multicolored dragon, and a Little Tikes green teeter totter. ***Previously cited 11/3/2021, 3/3/2022, 11/9/2022, & 12/28/2022”

AAC R9-5-605.B.9. B. A licensee shall ensure that: 9. Fans are mounted and inaccessible to an enrolled child;

“Findings: Based on Compliance Officer #2's observations, in the Infant room, there was an unmounted black tower fan on top of the fridge and an unmounted black tower fan on top of a storage cabinet. ***Previously cited 11/3/2021”

AAC R9-5-403.B. B. A licensee shall ensure that: 1. Each staff member who provides child care services completes 18 or more actual hours of training every 12 months after the effective date of this Chapter or the staff member’s starting date of employment or volunteer service in at least two topics listed in this subsection: a. Child growth and development, including: i. Infant growth and development, which may include sudden infant death syndrome prevention; ii. Developmental psychology; iii. Language development; iv. Observation and child assessment; v. Developmentally-appropriate activities; vi. Child guidance and methods of discipline which may include training on the appropriate techniques to prevent a child from harm or to prevent the child from harming others; and vii. Developmentally-appropriate activity areas; b. Health and safety issues, including: i. Accident and emergency procedures, including CPR and first aid for infants and children; ii. Recognition of signs of illness and infestation; iii. Nutrition and developmentally-appropriate eating habits; iv. Child abuse detection, reporting, and prevention; v. Safety of indoor and outdoor activity areas; and vi. Sun safety policies and procedures; c. Program administration, planning, development, or management; and d. Availability of community services and resources, including those available to children with special needs; and 2. As part of the required 18 hours of training in subsection (B)(1): a. A staff member who has less than 12 months of child care experience before the staff member’s starting date, completes at least 12 hours in one or more of the topics in subsection (B)(1)(a) in the staff member’s first 12 months at the facility; b. A staff member who has 12 months or more of child care experience, completes at least 6 hours in one or more of the topics in subsection (B)(1)(a) every 12 months after the staff member’s starting date; c. A staff member who provides child care services to an infant completes at least 6 hours in subsection (B)(1)(a)(i) every 12 months after the staff member’s starting date; and d. A facility director completes at least 6 hours in subsection (B)(1)(c) every 12 months after the facility director’s starting date.

“Findings: Based on facility documentation and Compliance Officer #1's observations of 5 staff files, the following staff files lacked: Staff #1 (DOE 8/1/2022): 18 of the required 18 hours of annual training from 8/2022 - 8/2023. Staff #3 (DOE 3/21/2022): 18 of the required 18 hours of annual training from 3/2022 - 3/2023.”