Kindercare Learning Center

AAC R9-5-510.A.1. A. A staff member shall provide guidance to help children respond to difficult situations. To develop self-regulation, children should receive adult support that is individual to the child and adapts as the child develops internal controls. This process should include: 1. Forming a positive relationship with the child, which occurs when the adult spends time talking to the child, listening to the child, following the child’s lead, playing with the child, and responding to the child’s needs; 2. Base expectations on the child’s developmental level; 3. Establishing and being proactive in teaching and supporting children in learning simple rules; 4. Modifying the learning/play environment to support the child’s appropriate behavior; 5. Creating a predictable daily routine and schedule; 6. Modeling desired behavior; 7. Showing children positive alternatives; 8.Using deliberate redirection, the staff member should encourage the child to use appropriate behavior, and provide positive feedback when the child exhibits the behavior; 9. Individualized positive discipline strategies based on the individual needs of children, such as using a buddy system, individualized schedule, special break, or another applicable positive discipline strategy; and 10. If applicable, a licensee shall develop a written plan with the enrolled child's parent to provide individualized social and emotional intervention supports for the enrolled child that includes methods for understanding the enrolled child's behavior, and developing, adopting, and implementing a team-based positive behavior support plan.

“Per Allegation Findings: Based on facility documentation and staff interview, Staff #1 did not model desired behavior when Staff #1 raised their voice at an enrolled child and swatted the child’s hand. Facility documentation indicated the following: *"Teacher...used a loud voice to tell the two [children] to stop twice. *[Staff] got up and walked to the lunch table where the [children] were and grabbed their spoons and said 'No!' [staff] then lightly slapped at the one child's hand." *"It was a swatting/fanning gesture towards a child that was attempting to scratch [another] child." Staff stated the following: *I pushed [the child's] hand away. *…one of the children began grabbing the spoon [of another child], and I moved [child’s] hand away. *I feel it building up when I am overwhelmed, I feel like I need to visibly breathe it out.”

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 facility documentation and the Compliance Officer’s observation, the files for Staff #1 and Staff #2 lacked documentation of the DCS background check.”

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

“Findings: Per allegation and based on Child Supervision Records review, staff statement, and the Compliance Officers' observation, an enrolled child who required diapering was placed in a room not approved for diapering that did not have a diaper-changing area. Staff stated the following: *(They) have accidents occasionally. *(Child) is always in a pull-up when in that room. *(Child) gets dropped off in a pull-up. *We take (them) to a diapering classroom to change (them). Child Supervision Records indicated the following: *On 2/03/2026, 2/04/2026, 2/05/2026, 2/11/2026, 2/12/2026, 2/13/2026, 2/19/2026, 2/20/2026, and 2/23/2026, Child #1 was placed in a non-diapering classroom when Child #1 required diapering.”

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 allegation and based on roster documentation review, in the Discovery Preschool and 1s-2s Room, the state-mandated staff-to-children ratios were not maintained on the following dates: 1/15/26: Discovery Preschool (2-year-olds) - 1:9 instead of 2:9 as required 1/21/26: Discovery Preschool (2-year-olds) - 1:9 instead of 2:9 as required 2/4/26: Discovery Preschool (2-year-olds) - 1:10 instead of 2:10 as required 2/12/26: Discovery Preschool (2-year-olds) - 1:9 instead of 2:9 as required 2/18/26: Discovery Preschool (2-year-olds) - 1:9 instead of 2:9 as required 3/5/26: 1s-2s (1-year-olds) - 1:8; 2:15 instead of 2:8 and 3:15 as required 3/9/26: Discovery Preschool (2-year-olds) - 1:9 instead of 2:9 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 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 a review of facility documentation and the Compliance Officer's observations, Child #1 and Child #2's Emergency, Information, and Immunization Records lacked the name, home address, and contact telephone number of the child's 2nd parent/guardian.”

AAC R9-5-203.G. G. As 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 a review of facility documentation and the Compliance Officer's observations, Staff #1's (DOH 01-06-2025) and Staff #2's (DOH 10-21-2024) files lacked documentation of DCS background check results prior to the starting date of employment.”

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 a review of facility documentation and the Compliance Officer's observations, in the 2s Room, there were 7 enrolled children present, but only 6 were on the roster.”

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

“Findings: Based on the Compliance Officer's observations, the infant room lacked documentation of a tummy time log.”

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 a review of facility documentation and the Compliance Officer's observations, the written infant feeding instructions posted in the kitchen were last updated in March 2025.”

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 a review of facility documentation, Staff #1's (01-06-2025) file lacked documentation of a Criminal History Affidavit.”

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

“Findings: Based on the Compliance Officers' observations, in the 3s Playground Area, the fence had a 5” space between the ground and the bottom of the fence.”

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

“Findings: Based on the Compliance Officers' observations, in the 2s Room, a staff member was changing an enrolled child's pull-up in the toilet room.”

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 2s Room, there was a dustpan on the diaper changing surface.”

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 soiled diaper/clothing containers were not maintained as required: *In the 1s Room, the soiled diaper container lacked a lid. *In the 2s Room, the soiled clothing and soiled diaper containers lacked a lid.”

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 Officers' observations, the first-aid kits reviewed contained the following stock medication: *3 packs of burn cream *5 packs of antibiotic ointment *1 burn cream packet *Eye wash container”

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 Officers' observations, in the 1s toilet room, there were towels hanging from a rack, a paper roll, and a dry-erase board being stored in the bathroom.”

AAC R9-5-512.F.1. 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;

“Findings: Based on the Compliance Officers' observations, in the 3s, 5s, and School-age Rooms, toilet tissues were not mounted, and the paper towels were not singly-dispensed as required.”

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 Officers' observations, the following toilet rooms were not maintained in a clean condition: *In the School-age boys' toilet room, there were yellow stains inside the toilet bowl and rust at the base of the toilet. *In the School-age girls' toilet room, there were yellow stains inside the toilet bowl.”

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 hazards were accessible to the enrolled children: *In the School-age Room, there was exposed sharp metal inside the drill holes of a clear wall around the dramatic play area. *In the 1s Room, there was exposed sharp metal inside the drill holes of a clear wall under shelves where children's backpacks were stored.”

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

“Findings: Based on the Compliance Officers' observations, in the 2's toilet room, there was a pull-up in the trash can.”

AAC R9-5-402.A. A. A licensee shall maintain a file for each staff member containing:1. The staff member’s name, date of birth, home address, and telephone number; 2. The staff member’s starting date of employment or volunteer service; 3. The staff member’s ending date of employment or volunteer service, if applicable; 4. The name and telephone number of an individual to be notified in case of an emergency; 5. The staff member’s written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis; 6. The form required in A.R.S. § 36-883.02(C); 7. Documents required by R9-5-203; 8. Documents required by R9-5-301; 9. Documents required by R9-5-401, if applicable; 10. If applicable: a. The form required in A.R.S. § 8-804(I), b. Documentation of the submission required in A.R.S. § 8-804 and the information received as a result of the submission, and c. Documentation of training provided by a licensee as required by R9-5-403, if applicable; 11. A copy of any current license or certification required by A.R.S. Title 36, Chapter 7.1, Article 1. or this Chapter; and 12. Documentation of the requirements in A.R.S. § 36-883.02(D).

“Findings: Based on CO's observations and a review of 7 staff files, Staff #5 (DOE 07/08/2024) lacked documentation of 2 good faith efforts to contact previous employers. Previously cited 10/24/2022”

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

“Findings: Based on CO's observations and a review of facility documentation, 7 of 7 Emergency Information and Immunization Record cards lacked the following required information: **Child #1 - Parent/guardian #2's name, street address, city, state, zip code, phone number; health care provider name and phone number **Child #2 - Child's phone number; parent/guardian #2's name, street address, city, state, zip code, phone number; health care provider name and phone number **Child #3 - Parent/guardian #2's street address, city, state, zip code **Child #4 - Date of enrollment; parent/guardian #2's street address, city, state, zip code; individual to contact in case of sudden illness/injury **Child #5, Child #6 - Date of enrollment **Child #7 - Date of enrollment; Parent/guardian #2's name, street address, city, state, zip code, phone number; health care provider name and phone number; 2nd emergency contact; individual to contact in case of sudden illness/injury *Repeat deficiency 10/22/2024; Previously cited 10/24/2022”

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

“Findings: Based on CO's observations and a review of facility documentation, licensed room capacities were not posted in the Toddler, Preschool (3's), and School-Age rooms. *Repeat deficiency 10/22/2024; Previously cited 10/24/2022”

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 CO's observations and a review of 7 staff files, staff lacked the following required information: **Staff #2 (DOE 09/30/2024) - Facility name and facility address or CDC on the criminal history affidavit **Staff #3 (DOE 07/16/2024), Staff #5 (DOE 07/08/2024) - Facility address or CDC on the criminal history affidavit *Repeat deficiency 10/22/2024”

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 CO's observations, the exhaust fans in the Toddler, 2's, and Pre-K children's restrooms were not operational. *Repeat deficiency 10/22/2024 and 09/05/2023”

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

“Findings: Based on CO's observations, the following outdoor activity areas were not maintained free from hazards and accessible to enrolled children: **Toddler playground - Wooden sensory table splintering on the top; 3-inch X 3-inch hole in block wall; rubber covering detached from the step of the climbing structure *Preschool/Pre-K playground - Splintering, wooden border along the base of the west building wall with peeling paint; west block wall with peeling, bubbling paint and chipping block pieces; peeling paint at the bottom of the north block wall *Repeat deficiency 10/22/2024; Previously cited 10/24/2023 and 10/24/2022”

AAC R9-5-517.B.2. B. A licensee shall ensure that an individual who drives a motor vehicle used to transport an enrolled child:2. Holds a valid driver’s license issued by the Arizona Department of Motor Vehicles as prescribed by A.R.S. Title 28, Chapter 8;

“Findings: Based on CO’s observations and a review of 7 staff files, Staff #4 (DOE 07/18/2007) and Staff #6 (DOE unknown) were van drivers transporting enrolled children and each lacked a copy of the back of their driver’s licenses.”

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 CO’s observations and a review of facility documentation, the School-Age room lacked a posted evacuation plan. *Repeat deficiency 10/22/2024”

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 CO’s observations, the following toilet rooms were not maintained in a clean and sanitary condition: **Toddler - Dark rings in 2 of 2 toilet basins **2's - Gray ring in 1 of 2 toilets **Pre-K - Cracked caulking at back of sink in the north children's restroom; chips in wall exposing particle board, dark ring/gray build-up in toilet basin, and gray build-up around sink fixture in the Girls’ restroom **School-Age - 2 of 2 toilets with stains on the seats in the basins, debris in the sink basin, and gray build-up around the sink fixture in the Boys' restroom *Previous deficiency 10/22/2024 and 09/05/2023”

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 CO's observations, in the Pre-K room, there was build-up of debris on the floor, to the right of the classroom sink in the corner. *Previous deficiency 10/22/2024”

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

“Findings: Based on CO's observations, the following areas were not maintained in a clean condition: **Toddler Room - Laundry basket on the floor and a bath towel hanging from the shelf in the children's restroom **2's Room - 4-drawer plastic bin, box of gloves, rolls of toilet paper in a plastic bin, and a cardboard box stored on the floor in the north children's restroom **Pre-K Room - child's chair stored in the both children's restroom *Previous deficiency 10/22/2024 and 10/24/2022”

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

“Findings: Based on CO's observations, soiled clothing containers were not maintained as required: **Toddlers - Lacked a container in the diaper changing area **Twos - Lacked a tight-fitting lid and a waterproof liner *Previous deficiency 10/22/2024; Previously cited 10/24/2022”

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

“Findings: Based on CO's observations, soiled diaper containers were not maintained as required: **Infants - Lacked a tight-fitting lid **Toddlers - Lacked a container **Twos - Lacked a tight-fitting lid *Previous deficiency 10/22/2024”

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

“Findings: Based on CO's observations, the following diaper changing areas were not kept seamless/smooth and/or clear of items: **Toddlers - Plastic bin with miscellaneous diaper changing items on the changing surface **Twos - Label (“Soiled Clothes”) with clear tape on the outside of the side rail of the changing surface; facial tissue on top of the attached cabinet; top of attached cabinet cracked in 2 areas; miscellaneous items in the roll compartment; white build-up around sink fixture *Repeat deficiency 10-22-2024”

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

“Findings: Based on CO's observations and a review of facility documentation, the Toddler’s, Two’s, and Pre-K lesson plans lacked dates, and the Preschool (3's) lesson plan was dated “Week 1/Week 2”. The School-age room lacked a lesson plan. *Previous deficiency 10/22/2024 and 10/24/2022”

AAC R9-5-501.C.4. C. A licensee shall ensure that a staff member:4. Except as provided in subsection (D), prepares and posts in each indoor activity area, a current schedule of children’s age-appropriate activities, including the times the following are provided: a. Meals and snacks; b. Naps; c. Indoor activities; d. Outdoor or large muscle development activities; e. Quiet and active activities; f. Teacher-directed activities; g. Self-directed activities; h. Activities for individuals, groups of five or fewer children, and groups of six or more children; and i. Activities that develop small muscles;

“Findings: Based on CO’s observations and a review of facility documentation, the Pre-K room's activity schedule was not posted in the activity area. The School-Age room had no activity schedule posted. *Repeat deficiency 10-22-2024; Previously cited 10/24/2022”

AAC R9-5-501.A.21. A. A licensee shall ensure that:21. Except when used as part of an activity, the following are stored in an area inaccessible to an enrolled child: a. Garden tools, such as a rake, trowel, and shovel; and b. Cleaning equipment and supplies, such as a mop and mop bucket.

“Findings: Based on CO's observations, cleaning equipment was accessible to enrolled children in the following activity areas: **Toddler - Toilet brush in children's restroom **Pre-K - Broom in children's restroom **Preschool (3's) - Broom in north children's restroom; toilet plunger in south children's restroom **School-Age - Plunger, broom, and dust pan in Boys' restroom; toilet plunger in Girls' restroom *Previous deficiency 10-22-2024 **Toddler - Broom and toilet brush in children's restroom **Twos, Pre-K - Broom in children's restroom”

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

“Findings: Based on CO's observations and staff statements, in the School-Age room, a small, protruding nail head at the corner moulding of the sink was accessible to enrolled children. *Repeat deficiency 10/22/2024”

AAC R9-5-301.G. G. A licensee shall ensure that a staff member who has current training in first aid and CPR, as required by R9-5-403(E), is present: 1. At all times during hours of operation on facility premises, 2. On field trips, and 3. While transporting enrolled children in a facility’s motor vehicle or a vehicle designated by the licensee to transport enrolled children.

“Findings: Based on CO's observations and a review of 7 staff files, Staff #4 (DOE 07/18/2007) was a driver for the school-age program and lacked documentation of current first aid and CPR.”

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

“Findings: Based on CO's observations and a review of 7 staff files, Staff #3 (DOE 07/16/2024) lacked documentation of contact with DPS to verify their fingerprint card as valid. *Repeat deficiency 10/22/2024”

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

“Findings: Based on CO's observations and a review of 7 staff files, Staff #2 (DOE 09/30/2024) lacked a copy of the front and back of their fingerprint clearance card. *Repeat deficiency 10/22/2024”

AAC R9-5-203.A. A. A licensee shall ensure that a staff member completes, signs, dates, and submits to the licensee, before the staff member’s starting date of employment or volunteer service:1. The form required in A.R.S. § 36-883.02(C); and 2. If required by A.R.S. § 8-804, the form in A.R.S. § 8-804(I).

“Findings: Based on Compliance Officer's (CO) observations and a review of 7 staff files, Staff #1 (DOE 06/24/2024) lacked a signature on the DCS affidavit. *Repeat deficiency 10/22/2024)”

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

“Findings: Based on CO's observations, children’s restrooms were not maintained as required: **Toddler Room - Unmounted toilet paper in the children's restroom **Pre-K - Toilet paper dispenser was empty. **School-Age - Empty paper towel dispenser in the Boys' restroom; a loose roll of toilet paper and an empty toilet paper dispenser in the Girls' restroom *Repeat deficiency 10/22/2024; Previously cited 10/24/2022 and 09/05/2023”

AAC R9-5-514. D. D. 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 COs' observations and a review of facility documentation, the School-Age room lacked a posted evacuation plan.”

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

“Findings: Based on CO #1's observations, restrooms did not contain all required items as follows: **Toddler Room - Unmounted toilet paper in the children's restroom **School-Age - Empty paper towel dispenser in the Boys' restroom; a loose roll of toilet paper and an empty toilet paper dispenser in the Girls' restroom”

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

“Findings: Based on CO #1's observations, the following toilet rooms were not maintained in a clean and sanitary condition: **Toddler - Dark rings in 2 of 2 toilet basins **2's - Gray build-up in the sink basin and around fixture **Pre-K - Cracked caulking at back of sink and gray buildup around sink fixture in the north children's restroom; chips in wall exposing particle board, dark ring/gray build-up in toilet basin, and gray build-up around sink fixture and in sink basin in the south children's restroom **School-Age - 2 of 2 toilets with stains on the seats and dark rings in the basins, blue debris and cardboard in the sink basin, and gray build-up around the sink fixture in the Boys' restroom; 1 of 2 unflushed toilets and 1 of 2 toilets with stains on the seat in the Girls' restroom”

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 CO #1's observations, in the Pre-K room, there was build-up of debris on the floor between the classroom sink and trash can.”

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

“Findings: Based on CO #1's observations, the following areas were not maintained in a clean condition: **Toddler Room - Laundry basket on the floor and a bath towel hanging from the shelf in the children's restroom **2's Room - 4-drawer plastic bin, box of gloves, rolls of toilet paper in a plastic bin, and a cardboard box stored on the floor in the north children's restroom **Pre-K Room - child's chair stored in the south children's restroom, paint buildup on a trash can lid”

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

“Findings: Based on CO #1's observations, soiled clothing containers were not maintained as required: **Toddlers - Lacked a container in the diaper changing area **Twos - Lacked a tight-fitting lid and a waterproof liner”

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

“Findings: Based on CO #1's observations, soiled diaper containers were not maintained as required: **Infants, Toddlers - Lacked a tight-fitting lid **Twos - Container was placed inside a cabinet with a flip-up lid, and lacked a tight-fitting lid on the container itself.”

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

“Findings: Based on CO #1's observations, the following diaper changing areas were not kept seamless/smooth and/or clear of items: **Toddlers - Marker, facial tissue, garbage bags, cardboard box of gloves on changing surface **Twos - Labels with clear tape at the head and on the outside of the side rail of the changing surface; a piece of scotch tape on top of the rail of the surface; facial tissue on top of the attached cabinet; top of attached cabinet cracked in 2 areas; items in the roll compartment (plastic garbage bags, marker, keys, pipe cleaners); white build-up around sink fixture”

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 CO #1's observations and a review of facility documentation, the infant feeding instructions in the infant room were in individual children's files in the room, and the kitchen lacked posted infant feeding instructions.”

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

“Findings: Based on CO #1's observations and a review of facility documentation, enrolled children's personal products were not labeled with a child's first and last name: **Infants - Diaper ointments stored in quart-sized bags were not individually labeled **Toddlers - Wipes labeled with a first name and last initial; diaper ointment labeled with first name only **Twos - Wipes labeled with first name only or first name and last initial”

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

“Findings: Based on CO #1's observations and a review of facility documentation, the Toddler’s lesson plan was dated 09/24, the Preschool (3's) lesson plan was dated 09/09 - 09/22,and the School-age lacked a lesson plan.”

AAC R9-5-501.C.4. C. A licensee shall ensure that a staff member:4. Except as provided in subsection (D), prepares and posts in each indoor activity area, a current schedule of children’s age-appropriate activities, including the times the following are provided: a. Meals and snacks; b. Naps; c. Indoor activities; d. Outdoor or large muscle development activities; e. Quiet and active activities; f. Teacher-directed activities; g. Self-directed activities; h. Activities for individuals, groups of five or fewer children, and groups of six or more children; and i. Activities that develop small muscles;

“Findings: Based on CO #1's observations and a review of facility documentation, the Pre-K room's activity schedule was not posted in the activity area. The schedule was posted in the hallway outside of the classroom door. The School-Age room had no activity schedule posted.”

AAC R9-5-501.A.21. A. A licensee shall ensure that:21. Except when used as part of an activity, the following are stored in an area inaccessible to an enrolled child: a. Garden tools, such as a rake, trowel, and shovel; and b. Cleaning equipment and supplies, such as a mop and mop bucket.

“Findings: Based on CO #1's observations, cleaning equipment was accessible to enrolled children in the following activity areas: **Toddler - Broom and toilet brush in children's restroom **Twos, Pre-K - Broom in children's restroom **Preschool (3's) - Broom in north children's restroom; toilet plunger in south children's restroom **School-Age - Plunger, broom, and dust pan in Boys' restroom; toilet plunger in Girls' restroom”

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 CO #1's observations, in the Preschool (3's) room, a children's blue vinyl couch had a 6-inch tear on the seat exposing foam and accessible 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 CO #1's observations and staff statements, the following activity areas were not maintained free from hazards and accessible to enrolled children: **Toddlers - The diaper step hook was broken off on one side; peeling contact paper on the wall near the back door. **Twos - There was peeling paint on the wall just above the tile baseboard next to the toilet in the south children's restroom **Preschool (3's) - The South children's restroom light was not operational. Staff stated that "the light chooses when to come on." **Pre-K - The corner of the classroom sink was missing the corner moulding exposing a sharp edge of wood. **School-Age - There was peeling contact paper on the wall near the back door; the classroom sink cabinet had peeling laminate on the side, and a small, protruding nail head at the corner moulding.”

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

“Findings: Based on CO #2's review of 8 staff files and staff interview, Staff #1 (DOE 05/09/2024) acts in a capacity of an assistant teacher-caregiver, and lacked documentation of education or child care experience to qualify. Staff stated that Staff #1 is an assistant teacher-caregiver.”

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

“Findings: Based on CO #2's observations and a review of facility documentation, 7 of 20 Emergency Information and Immunization Record cards lacked the following required information: **Child #1 - Parent/guardian #2's name, street address, city, state, zip code, phone number; health care provider name and phone number; individual to contact in case of sudden illness/injury **Child #2 - Child's phone number; parent/guardian #2's name, street address, city, state, zip code, phone number; health care provider name and phone number; individual to contact in case of sudden illness/injury **Child #3 - Parent/guardian #2's street address, city, state, zip code **Child #4 - Date of enrollment; parent/guardian #2's street address, city, state, zip code; individual to contact in case of sudden illness/injury **Child #5, Child #6 - Date of enrollment **Child #7 - Date of enrollment; Parent/guardian #2's name, street address, city, state, zip code, phone number; health care provider name and phone number; 2nd emergency contact; individual to contact in case of sudden illness/injury”

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

“Findings: Based on CO #1's observations and a review of facility documentation, licensed room capacities were not posted in the Toddler, Preschool (3's), and School-Age rooms.”

AAC R9-5-301.F. F. A licensee shall ensure that a staff member submits, on or before the starting date of employment or volunteer services, one of the following as evidence of freedom from infectious active tuberculosis: 1. Documentation of a negative Mantoux skin test or other tuberculosis screening test recommended by the U.S. Centers for Disease Control and Prevention, administered within 12 months before the starting date of employment or volunteer service, that includes the date and the type of tuberculosis screening test; or 2. If the staff member has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the staff member is free from infectious active tuberculosis that is signed and dated by a health care provider within six months before the starting date of employment or volunteer service.

“Findings: Based on CO #2's observations and a review of 8 staff files, 2 of 8 staff lacked documentation of freedom from tuberculosis on or before the starting date of employment: **Staff #3 (DOE 07/16/2024) - Negative results dated 08/19/2024 **Staff #7 (DOE 03/04/2023) - Negative results dated 08/26/2021”

AAC R9-5-209.A. A. A licensee shall allow the Department immediate access to all areas of the facility affecting the health, safety, or welfare of an enrolled child or to which an enrolled child has access during hours of operation.

“Findings: Based on the COs' observations, the facility failed to provide immediate access to the COs at the time of inspection. The door bell was pushed three times, and several knocks were made on the door before the Assistant Director opened the door.”

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

“Findings: Based on CO #2's observations and a review of 8 staff files, Staff #1 (DOE 05/09/2024) and Staff #8's (DOE 03/26/2024) submissions to DCS were submitted on 06/12/2024 after the starting date of employment.”

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

“Findings: Based on CO #2's observations and a review of 8 staff files, Staff #3 (DOE 07/16/2024) and Staff #6 (DOE 06/24/2024) lacked documentation of contact with DPS to verify their fingerprint cards as valid. Staff #7's (DOE 03/04/2023) fingerprint card was verified as valid after their starting date of employment.”

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

“Findings: Based on CO #2's observations and a review of 8 staff files, Staff #4's (DOE 07/16/2019) fingerprint clearance card expired on 08/14/2024, and a renewal card wasn't issued until 09/03/2024.”

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

“Findings: Based on CO #2's observations and a review of 8 staff files, Staff #5 (DOE 09/30/2024) lacked a copy of the front and back of their fingerprint clearance card. Staff #9 and Staff #10 lacked a copy of the back of their fingerprint card.”

AAC R9-5-203.A. A. A licensee shall ensure that a staff member completes, signs, dates, and submits to the licensee, before the staff member’s starting date of employment or volunteer service:1. The form required in A.R.S. § 36-883.02(C); and 2. If required by A.R.S. § 8-804, the form in A.R.S. § 8-804(I).

“Findings: Based on Compliance Officer (CO) #2's observations and a review of 8 staff files, Staff #6 (DOE 06/24/2024) lacked a signature on the DCS affidavit.”

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 Compliance Officer (CO) #2's observations and a review of 8 staff files, staff lacked the following required information: **Staff #1 (DOE 05/09/2024) - Facility address on the criminal history affidavit **Staff #2 (DOE 07/08/2024) - Facility name and facility address on the criminal history affidavit **Staff #3 (DOE 07/16/2024), Staff #4 (DOE 07/16/2019), Staff #5 (DOE 09/30/2024) - Facility address on the criminal history affidavit”

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 CO #1's observations, the exhaust fans in the Toddler, 2's, and Pre-K children's restrooms were not operational.”

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

“Findings: Based on CO #1's observations, the following outdoor activity areas were not maintained free from hazards and accessible to enrolled children: **Toddler playground - Wooden sensory table splintering on the top and sides with spider webs underneath at the back of one corner; 3-inch X 3-inch hole in block wall; rubber covering detached from the step of the climbing structure *Preschool/Pre-K playground - Splintering, wooden border along the base of the west building wall with peeling paint; west block wall with peeling, bubbling paint and chipping block pieces; peeling paint at the bottom of the north block wall”

AAC R9-5-517.A.4. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall: 4. Maintain documentation of current motor vehicle insurance coverage inside the motor vehicle;

“Findings: Based on CO #1's observations and a review of facility documentation, a facility vehicle (LIC#CJ-22340) used to transport enrolled children lacked current auto insurance. The insurance documentation in the vehicle expired in 2016.”

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 COs' observations, the facility's transportation and center first aid kits contained anti-biotic and burn cream packets.”

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

“Findings: Based on CO #1's observations, drinking water was not accessible to enrolled children in the 2's room. 2 pitchers of water and disposable cups were on a high shelf inaccessible to enrolled children.”

AAC R9-5-514. A. A. A licensee shall ensure that there is a first aid kit on facility premises that contains first aid supplies in a quantity sufficient to meet the needs of the enrolled children including the following: 1. Sterile bandages including: a. Adhesive bandages of assorted sizes, b. Sterile gauze pads, and c. Sterile gauze rolls; 2. Antiseptic solution or sealed antiseptic wipes; 3. A pair of scissors; 4. Adhesive tape; 5. Single-use, non-porous gloves; and 6. Reclosable plastic bags of at least one-gallon size.

“Findings include: Based on the Compliance Officer’s observation, the facility’s first aid kit lacked sterile gauze pads and rolls.”

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

“Findings include: Based on the Compliance Officer’s observation and information provided by the staff, it was determined that an illness or infestation record log was not available for review.”

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

“Findings include: Based on the Compliance Officer’s observation, review of the transportation folder and information provided by the staff, it was determined that the transportation folder lacked the back copy of the enrolled children’s emergency cards and their immunization record card.”

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 include: Based on the Compliance Officer’s observation, the following was observed: i) the water container and cups were on a shelf next to the Toddler room door; inaccessible to the enrolled children ii) the water container and cups were on a shelf on the north wall of 2’s room”

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 include: Based on the Compliance Officer’s observation and information provided by the staff, it was determined that the soiled clothes container was not in the Toddler room diaper changing station and stored in the closet. Staff stated that the soiled clothes container closet had a work order placed to be open.”

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 include: Based on the Compliance Officer’s observation, the following was observed in the outdoor activity area: i) In the Preschool outdoor activity area, there was chipped and peeling paint on the west cylinder brick wall; two tricycles were missing a pedal. ii) In the 2’s outdoor activity area, there was a broken handle on 2 pink horse rockers”