La Petite Academy

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

“Findings: Based on the Compliance Officer's observations, it was determined that there was a dirty diaper in the trash bin with no lid in the Early Preschool Classroom bathroom.”

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

“Findings: Based on the Compliance Officer's observations, the diaper container in the Toddler 2 classroom was open and accessible to enrolled children.”

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 following diaper changing hand-washing sinks measured the following: Toddler 1 Classroom: 75 ° F. Early Preschool: 81 ° F.”

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

“Findings: Based on the Compliance Officer’s observations, the following diaper changing areas were not kept clear of items not required for diaper changing: -Toddler 1 Classroom: Rattle, clear plastic storage container, pencil. -Toddler 2 Classroom: Clear plastic file container with folders, sign-in sheets. -Early Preschool Classroom: Tissues, sign-in sheet, Two I-Pads, children's book, pen.”

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

“Findings: Based on the Compliance Officer's observations and the review of facility documentation, it was determined that the Emergency, Information, and Immunization Record cards lacked the following; Child #1 - The telephone number of the child’s health care provider. Child #2 - Date of enrollment and telephone number of the child’s health care provider.”

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 Officer's observations, the two bathrooms in the Early Preschool Classroom lacked accesible paper towels for enrolled children.”

AAC R9-5-509.C.21. C. A licensee shall ensure that: 21. A refrigerator at the child care facility maintains a temperature of 41° F or below and a freezer maintains a temperature of 0° F or below, as shown by a thermometer kept in the refrigerator and in the freezer at all times;

“Findings: Based on the Compliance Officer's observations, the temperature of the fridge in the Infant's Classroom measured 50 ° F.”

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

“The Compliance Officer observed a crib and a piece of foam equipment obstructing the exterior exit door in the infant room.”

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.

“The Compliance Officer observed the Preschool female bathroom to have no mounted toilet paper.”

AAC R9-5-510.A.2. A. A licensee shall ensure that a staff member: 2. Teaches, models, and encourages orderly conduct, personal control, and age-appropriate behavior;

“The Compliance Officer observed a child in the school age room exhibiting inappropriate behavior toward another child and the Staff 2 failed to intervene. The CO discussed the concern with Staff 2 and the Acting Director.”

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).

“The Compliance Officer reviewed 3 staff files. Staff 1, 2, and 3 did not have documentation of the Central registry Background Check documented in their files.”

AAC R9-5-309.B. B. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a licensee shall ensure that a licensed plumber or individual authorized by the local jurisdiction conducts a gas inspection that verifies there are no gas leaks in the gas pipes that run from the gas meter to any appliance or location on facility premises at least once every 12 months after the issue date of the license.

“The Compliance Officer requested the current gas inspection. The current gas inspection was not provided to the Department.”

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.

“The Compliance Officer reviewed the staff files for Staff 1 and Staff 2 and found that neither staff member had documentation of the annual training hours. Staff 1 was hired 2/6/23 and Staff 2 was hired 9/16/22.”

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

“The Compliance Officer observed the School Age room to be at a 1:24 ratio during the inspection. The School Age room had children 5 and older present.”

AAC R9-5-501.C.6. C. A licensee shall ensure that a staff member: 6. If an activity in the lesson plan required in subsection (C)(5) includes screen time, include in the lesson plan the duration of the screen time in minutes;

“The Compliance Officer observed the school age lesson plan did not include documentation of screen time, and 6 children were observed on their phones or tablets for at least 35 minutes during the inspection.”

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;

“The Compliance Officer observed the diapering areas in the following rooms to have unrelated items on the diapering surface, in the sink, and on the surrounding counter: 1 year old room- Clear ball, toy discs, clipboard and papers 2 year old room- Toys and a clipboard and papers Early PS 1 room- Toys and equipment PS A room- Toys and equipment Infant room- Toy in diapering sink”

AAC R9-5-503.B. B. A licensee shall ensure that a staff member does not:1. Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area; 2. Draw water for human consumption from a diaper changing area sink; or 3. Except as provided in subsection (C), if responsible for food preparation, change diapers until food preparation duties have been completed for the day.

“The Compliance Officer observed the infant room and observed the staff member warming the bottle by placing the bottle in the diapering sink drain with water running and pooling in the sink. The 1 year old room diapering counter had a water pitcher sitting on the edge of the diapering sink.”

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

“The Compliance Officer observed 24 children in the School Age classroom. The room was not equipped with science materials, nor sufficient quantity of materials in the following areas: arts and crafts puzzles toys to enhance manipulative skills”

AAC R9-5-509.C.18. C. A licensee shall ensure that:18. A staff member: a. Prepares a weekly menu at least one week in advance, b. Includes on the menu the specific foods to be served on each day, c. Dates each menu, d. Posts each menu at least one day before the first meal on the menu will be served, and e. Writes food substitutions on a posted menu no later than the morning of the day of meal service;

“The Compliance Officer observed the posted menu to state breakfast would consist of milk, brushetta, and an english muffin. The enrolled children were served cheerios, mixed fruit and / or peaches, and milk. No substitution was noted on the menu posted at the entry.”

AAC R9-5-502.A.5.b. A. A licensee providing child care services for infants shall:5. Develop, document, and implement tummy time policies and procedures that: b. Ensure a staff member who is supervising a non-crawling infant while the infant is flat on their stomach and on the floor: i. Is within reach of the infant; ii. Does not perform any other duties while supervising the infant; iii. Does not allow the use of pillows, comforters, sheepskins, stuffed toys, or other soft products in the same floor space as the infant; and iv. Does not allow any product specified in subsection (A)(5)(b)(iii) to be within reach of the infant;

“The Compliance Officer observed the infant room staff behind the counter at the diapering sink with a non-crawling infant child was placed on their stomach on the floor for tummy time. Staff 1 was not within reach of the child, and was performing other duties while supervising the infant. Staff 1 was warming a bottle at the sink. The Compliance Officer informed the staff member of the regulation and then had to request that Staff 1 place the infant on their back.”

AAC R9-5-509.C.14. C. A licensee shall ensure that:14. Each staff member is informed of a modified diet prescribed for an enrolled child by the child’s parent or health care provider, and the modified diet is posted in the kitchen and in the child’s activity area;

“Compliance Officer observed that the modified diet for Child 2 was not posted in their activity area nor the facility kitchen.”

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.

“Senior Compliance Officer observed a dirty rug in the school age classroom with several stains all over the rug. The enrolled children were observed sitting and rolling around on the rug.”

AAC R9-5-501.A.18. A. A licensee shall ensure that:18. Each enrolled child’s pacifier is labeled with an identifier that is specific to the enrolled child and maintained in a clean condition;

“Senior Compliance Officer observed a pacifier in the one year old classroom was not labeled.”

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

“Senior Compliance Officer observed an adult chair obstructing the designated exit in the infant room. A bookshelf was obstructing the designated exit in the one year old room.”

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

“Per Allegation: Based on staff interviews and documentation of the incident report, staff heard a child crying and asked the child what happened. Based on the incident report, it stated that the child reported that another child kicked them in the head, but the child blocked their head with a pillow. Staff asked the child if they were ok. The child responded "my head is fine, it's my back" The child stated that they hit their back on the wall. The staff observed the child's back, and could not see any markings. The child was picked up from the facility shortly after. The incident report indicated that the individual picking up the child looked at the child's back and could not see any markings.”

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;

“Senior Compliance Officer observed a tube of diaper cream and a container of Vaseline in the one year old classroom that were not labeled. The facility provides “Cutie” diapers and wipes for the enrolled children. There was no written permission to use these specific products.”

AAC R9-5-502.A.5.b. A. A licensee providing child care services for infants shall:5. Develop, document, and implement tummy time policies and procedures that: b. Ensure a staff member who is supervising a non-crawling infant while the infant is flat on their stomach and on the floor: i. Is within reach of the infant; ii. Does not perform any other duties while supervising the infant; iii. Does not allow the use of pillows, comforters, sheepskins, stuffed toys, or other soft products in the same floor space as the infant; and iv. Does not allow any product specified in subsection (A)(5)(b)(iii) to be within reach of the infant;

“Senior Compliance Officer observed an infant (child 1), on their tummy. One staff was feeding a child in their high chair. The other staff was diapering an infant. Soft toys were within reach of the infant. According to the staff, the infant is placed on their back, rolls over to their tummy, but does not how to roll themselves to their back.”

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

“Senior Compliance Officer observed the fence leading to the parking lot measured 3.9’ in one area and sloped down to 3.7’ in another area.”

AAC R9-5-502.A.10. A. A licensee providing child care services for infants shall: 10. Ensure that an occupied crib with a crib side that does not have a non-porous barrier is placed at least 2 feet from another occupied crib side that does not have a non porous barrier; and

“Senior Compliance Officer observed a crib positioned 9” away from another other crib.”

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;

“Based on an interview with staff members, the Compliance Officers found that the health and safety of Child 1 was placed at risk when the child was left alone on the playground.”

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

“Per allegation: Based on interview with staff members, the Compliance Officers were told that Child 1 was left unsupervised on the playground. The class had just come inside from being out on the playground. The child’s grandparent came to pick up the child and when they walked into the room, the child was not present. A staff member looked in the bathroom and then looked outside and the child was found to be outside alone.”

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

“Per allegation: Based on an interview with staff members, the Compliance Officers found that the facility was out of ratio when Child 1 was left on the playground area alone with no staff member present. According to staff, the incident occurred at the end of the day when the class had come in from the playground and they did not know that the child was hiding behind a play structure. The staff acknowledged not doing their face to name check when they came in from outdoors.”