Little Sunshine's Playhouse and Preschool

AAC R9-5-306.A. A. A licensee shall: 1. Maintain a dated attendance form containing an enrolled child’s name with the time of each admission and release, and the parent or staff member's signature or other unique identifier. 2. If an electronic signature is used to admit or release the enrolled child, adopt policies and procedures to ensure that the individual whose signature the electronic or digital method of identification represents is accountable for the use of the electronic or digital method; 3. Develop, document, and implement policies and procedures to ensure that the identity of an individual is known to the staff member or is verified with picture identification before releasing an enrolled child to the individual. 4. Not release the enrolled child to an individual other than the enrolled child’s parent or other individual designated in writing by the enrolled child’s parent except when the enrolled child’s parent is unable to collect the enrolled child and authorizes the licensee by telephone to release the enrolled child to an individual not so designated. 5. Not permit the self-admission or self-release of an enrolled child unless the enrolled child is of school-age and the licensee has obtained and verified written permission from the enrolled child’s parent. 6. Maintain the attendance form on facility premises for 12 months after the date of attendance.

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that 3 out of 15 of the reviewed sign-in and out records lacked the following: *Child #1: A release time and signature on 10/16/2025 and 10/21/2025. *Child #2: A release time and signature on 10/21/2025. *Child #3: A release time and signature on 10/14/2025. *Previously cited 11/7/2024.”

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;

“Per Allegation: Findings: Based on facility documentation, staff statement, and the Compliance Officer's observations, it was determined that the health, safety, and welfare of a child was put at risk of harm at the facility. Staff stated the following: Staff #1 will take an enrolled infant from their classroom, include the child on tours, walks, and meetings and then allows the infant to sleep in their arms instead of a crib. *Staff #1 will have the infant outside the classroom "for hours almost every day". *The infant is in the classroom for feedings and diaper changes; otherwise, they are with Staff #1. *Staff #1 has taking the infant into other classrooms and the child has been seen in the office. The child sleeps in Staff #1's arms. *Staff #1 has the child in the office "at least 3 times a week". *The infant is "always" out of the classroom with Staff #1.”

AAC R9-5-208.B. B. At least 30 calendar days before the date of an intended change in a facility’s service classification, space utilization, or licensed capacity, a licensee shall submit a written request for approval of the intended change to the Department that includes:1. The licensee’s name; 2. The facility’s name, street address, city, state, zip code, mailing address, and telephone number; 3. The name, telephone number, and fax number of a point of contact for the request; 4. The facility’s license number; 5. The type of change intended: a. Service classification, b. Space utilization, or c. Licensed capacity; 6. A narrative description of the intended change; and 7. The following additional information, as applicable: a. If the intended change affects individual rooms, the following information about each affected activity area, as applicable: i. Identification of the activity area, ii. Current and intended square footage, iii. Current and intended operating hours, iv. Current and intended service classification, v. Current and intended licensed capacity, and vi. Whether the activity area has or will have a diaper changing area; b. If the intended change is to increase licensed capacity, the square footage of the outdoor activity area; and c. If the intended change includes an alteration or addition to the physical plant of a licensed facility, the following, as applicable: i. If the facility is not located in a public school or if providing child care services to infants, one-year-old children, or two-year-old children in a facility located in a public school, the information required in R9-5-201(A)(5)(g) and (A)(5)(h) showing the intended change; or ii. If the facility is located in a public school and provides child care only for three-year-old, four-year-old, or five-year-old, or school-age children, a set of final construction drawings or a school map, including the information required in R9-5-201(5)(j) showing the intended change.

“Findings: Based on facility documentation, staff statements, and the Compliance Officers’ observations, it was determined that Staff #1 took an enrolled infant into unlicensed spaces (front lobby and the office), for 10 minutes to an hour, throughout the work day.”

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

“Per Allegation: Findings: Based on staff statements and the Compliance Officers’ observations, staff used a manner of discipline that could cause harm to a child's health, safety, and welfare when staff members aggressively grabbed a child by their arm. Staff stated the following: *Staff #3 does a lot of "very aggressive" arm grabbing. *Staff #2 pulls and yanks the children's arms, and the children cry. *Staff #2 roughly places children in their chairs and talks to them in an irritated/annoyed tone. *Staff #3 grabbed a child by their shirt from under the table and pushed the child behind them. The child fell on their side. *Staff #2 "ripped" a child out of the window sill aggressively. *Staff #3 uses an "aggressive tone" with the children, saying "get down" and "don't do that".”

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

“Findings: Based on Compliance Officers' observations. there was a book, a Styrofoam cup, a pen and a rag on the border around the 2’s diaper changing sink.”

AAC R9-5-501.A.14. A. A licensee shall ensure that: 14. Temperatures are maintained between 68° F and 82° F in each room used by enrolled children;

“Findings: Based on Compliance Officers' observations, the thermostat displayed the temperature in Toddlers at 67 degrees F.”

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 facility documentation and Compliance Officer #1's observation, the infant feeding plans lacked the following information: Child #6.#7, #8, and #9: The amount of formula in ounces per feeding.”

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

“Findings: Based on Compliance Officer #1's observation, in the Hundred Acre Wood and Enchanted Forest classrooms, there were crumbs located in the corners of the diaper changing table. *Previously cited: 11/13/2023”

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

“Findings: Based on Compliance Officer #1's observation, the following maintained in the proper condition: Neverland: *There were multiple scratches located on the toilet seats in the first and second stalls. Arendelle: *There was a loose toilet seat in the first stall. *There was an inoperable toilet. (first stall) Ashdown: *There was a broken handle located on the toilet causing the toilet to be inoperable. Neverland and Enchanted Forest: *There was a dark dirt build-up located on the carpet. Hundred Acre Wood and Enchanted Forest: *There were dirt stains located on the multi-colored cloth turtle. *Previously cited: 11/13/2023”

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 facility documentation and Compliance Officer #2's observation, the staff files for Staff #1 and #2 lacked a copy of a Fingerprint Clearance Card.”

AAC R9-5-306.A. A. A licensee shall maintain a dated attendance form containing an enrolled child’s name with the time of each admission and release of the enrolled child. 1. Except as provided in subsection (A)(2), a licensee shall ensure that the attendance form is signed with at least a first initial of an individual’s first name and the individual’s last name by each enrolled child’s parent or individual designated by the enrolled child’s parent, each time the enrolled child is admitted or released. 2. An electronic fingerprint verification or an electronic signature may be used in place of a signature of the enrolled child’s parent or designated individual to admit or release the enrolled child. 3. If an electronic signature is used to admit or release the enrolled child, the licensee shall adopt policies and procedures to ensure that the individual whose signature the electronic or digital method of identification represents is accountable for the use of the electronic or digital method; 4. A licensee shall develop, document, and implement policies and procedures to ensure that the identity of an individual is known to the staff member or is verified with picture identification before releasing an enrolled child to the individual. 5. A licensee shall not release the enrolled child to an individual other than the enrolled child’s parent or other individual designated in writing by the enrolled child’s parent except when the enrolled child’s parent is unable to collect the enrolled child and authorizes the licensee by telephone to release the enrolled child to an individual not so designated. a. The licensee shall verify the telephone authorization using a means of verification that has been agreed upon between the licensee and the enrolled child’s parent at the time of enrollment. b. The licensee shall document the means of verification in subsection (A)(5)(a) on the enrolled child’s Emergency, Information, and Immunization Record card. 6. A licensee shall not permit the self-admission or self-release of an enrolled child unless the enrolled child is of school age and the licensee has obtained and verified written permission from the enrolled child’s parent. 7. A licensee shall maintain the attendance form on facility premises for 12 months after the date of attendance.

“Findings: Based on facility documentation and Compliance Officer #2's observation, it was determined that 5 out of 15 enrolled children's attendance forms lacked the following information: Child #1: An admission signature for 10/16/2024. Child #2: A release signature for 10/16/2024. Child #3: A release signature for 10/18/2024. Child #4: An admission and release signature for 10/15/2024 and 10/17/2024. An admission signature for 10/16/2024. Child #5: An admission and release signature for 10/14/2024 - 10/17/2024. (initials only) *Previously cited 11/13/2023”

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 Compliance Officer #1's observation, in the outdoor activity area, the following hazards were accessible to enrolled children: *There was cracked plastic with rough edges located on the seats of four tricycles. *There were multiple areas of rough splintery wood located on the treehouse. *There were exposed staples located on the roof of the treehouse. *Previously cited: 11/13/2023”

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 #1's observation, in the outdoor activity area, there were 2 water hoses accessible to enrolled children.”

AAC R9-5-502.C.4.h. C. A licensee shall ensure that:4. When feeding an infant, a staff member: h. If an infant is no longer being held for feeding, seats the infant in a feeding chair or at a table with a chair that allows the infant to reach the food while sitting.

“Findings: Based on Compliance Officer's observation and information provided by the staff, an infant child was consuming a bottle in a bouncy chair instead of a feeding chair. The staff member present stated that there was not a doctor's note to allow the modification for the child.”

AAC R9-5-502.C.1.n. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: n. Follows the current written dietary instructions of a parent when feeding the infant;

“Per allegation findings: Based on Compliance Officer's observation and review of facility documentation, the infant feeding instructions were not followed for an infant child on 9/24/24 when a bottle was skipped and not fed to an infant.”

AAC R9-5-511.E. E. A licensee shall ensure that if an enrolled child is present at the facility during naptime, the licensee:1. Does not permit the enrolled child to lie in direct contact with the floor while napping; 2. Prohibits the operation of a television set in a room where the enrolled child is napping; 3. Ensures naptime accommodations are available for the enrolled school-age child if requested by the enrolled child or the enrolled child’s parent; 4. Requires that a staff member remain awake while supervising the enrolled sleeping child; and 5. Prohibits the enrolled child from napping in an attic or a loft during naptime.

“Findings: Per allegation and based on staff interview, Staff #2 stated that she fell asleep in the Infant room (Emerald City) with infants present. She stated that she didn't realize she had drifted off, and another staff member woke her up. The 2nd staff member stated that she observed Staff #2 leaning on her arm sleeping and woke Staff #2 up.”

AAC R9-5-502.C.4.h. C. A licensee shall ensure that:4. When feeding an infant, a staff member: h. If an infant is no longer being held for feeding, seats the infant in a feeding chair or at a table with a chair that allows the infant to reach the food while sitting.

“Findings: Based on COs' observations, in Infant 1 (Emerald City), there were 2 infants, and in Infant 3 (Green Gables), there was 1 infant on the floor feeding from bottles.”

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 staff interview, Staff #1 stated that she stepped out of the Infant room (Emerald City) near the end of the day leaving 1 sleeping infant alone at a ratio of 0:1 with a required ratio of 1:1. Staff #1 stated that when closing down the classroom at the end of the day, there are usually no children present in the room and without thinking, Staff #1 stepped out to go the restroom. A 2nd staff person stated that Staff #1 was outside the classroom door leaving the sleeping infant alone in the room.”

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: Per allegation and based on staff interview, 2 unenrolled children of a staff member were brought into the center and left in the front area of the center, under the supervision of the Director and/or the Director Designee while the children waited for the 2nd parent to pick them up. The staff member then went into their classroom to begin their day as a teacher. The Director stated that care was provided for the unenrolled children in the front area of the center 1-2 times per week.”

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

“Findings: Per allegation and based on staff interview, Staff #1 stated that she left the infant room (Emerald City) to go to the restroom, leaving 1 sleeping infant alone and unsupervised. A 2nd staff member observed Staff #1 outside the Infant room, leaving the sleeping infant unsupervised.”

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 the Compliance Officer’s observation, 1 of 5 staff files reviewed lacked the required annual training documentation: Staff #1: 9 of 18 hours of annual training for the time period of 3/1/2023 - 3/1/2024.”

AAC R9-5-511.C. C. A licensee shall provide an unobstructed passageway at least 18 inches wide between each row of cots or mats to allow a staff member access to each enrolled child.

“Findings: Based on the Compliance Officer's observation, in the Ashdown classroom, 4 of 14 cots used by sleeping children were less than the required 18 inches apart.”

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

“Findings: Based on facility documentation and the Compliance Officer’s observation, it was determined that 1 of 12 enrolled children’s Emergency, Information, and Immunization Record cards lacked an attached written immunization record.”

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: Per allegation and based on Compliance Officers' observations, a review of facility documentation and staff interview, the health, safety, or welfare of an enrolled child was placed at risk of harm when Staff #1 mistreated children, including slapping a 1-year-old child in the face on 04/26/2024. Per written staff statements and staff interview, prior to the 04/26/2024 incident Staff #1 was observed shoving 1-year-old children's heads back onto cots, grabbing children by their arms, tossing children when they fell, screaming in the children's faces, and speaking aggressively to children.”

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

“Findings: Per allegation and based on Compliance Officers' observations, a review of facility documentation and staff interview, Staff #1 consistently used a method of discipline that could cause harm to the health, safety, or welfare of 1-year-old enrolled children, including hitting and demeaning the children. **Staff interview/statements- ---"tapped child on face after watching a video because (staff member) didn't get the reaction intended" ---staff member was observed to "slap a child on the face while on the playground" ---"while on the playground, (staff member) was showing (child) a video, and when she did not laugh, (staff member) smacked her on the face." --"very rough with children" --"shoved (children's) head back into cot" --"grabbing children by arms, screaming in their face, pointing fingers in their face, no food if children didn't use utensils, and putting them hard on cots" ---"(staff member) does not speak kindly to the children and says that they are ugly, they stink or are not bathed." ---(child) "was still not steady on his feet, tripped on the way outside. (Staff member) picked (child) up and 'tossed' him on the sidewalk outside and said, 'this is why I can't have kids who can't walk in my class'."”

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;

“Findings: Per allegation and based on Compliance Officers' observations, a review of facility documentation and staff interview, Staff #1 failed to teach model and encourage orderly conduct personal control, and age-appropriate behavior, including slapping a 1-year-old child in the face on 04/26/2024. **Staff interview/statements- ---"tapped child on face after watching a video because staff member didn't get the reaction intended" ---staff member was observed to "slap a child on the face while on the playground" ---"while on the playground, (staff member) was showing (child) a video, and when (child) did not laugh, (staff member) smacked (child) on the face." --"very rough with children" --"shoved (children's) head back into cot" --"grabbing children by arms, screaming in their face, pointing fingers in their face, no food if children didn't use utensils, and putting them hard on cots" ---"(staff member) does not speak kindly to the children and says that they are ugly, they stink or are not bathed." ---(child) "was still not steady on their feet, tripped on the way outside. (Staff member) picked (child) up and 'tossed' (child) on the sidewalk outside and said, 'this is why I can't have kids who can't walk in my class'."”

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 48 enrolled children's Emergency Information and Immunization Record cards reviewed lacked the following required information: Child #1 - Parent/Guardian #1's street address, city, state, zip code Child #2 - Date of enrollment Child #3, Child #7 - 2nd emergency contact Child #4 - Individual to contact in case of sudden injury/illness Child #5, Child #6 - Date of enrollment; 2nd emergency contact”

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, a review of facility documentation, and staff interview, Child #5, in Lilliput, lacked infant feeding instructions. Staff stated that the child's feeding instructions were located in the other infant room, Emerald City. 6 of 18 infant feeding instructions were also not posted in the kitchen.”

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, in Enchanted Forest and Wonderland, there were diaper creams that lacked the enrolled child's name.”

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

“Findings: Based on CO #1's observations, the following activity areas were not maintained free from hazards and accessible to enrolled children: **Neverland - long edge of large area rug curling up **Ashdown Forest - wall vent in the children's restroom with a 1" gap between the metal screen covering and the drywall; 2" x 2" hole in a wall behind a door, with exposed drywall and peeling wallpaper **Where the Wild Things Are - long edge of large area rug curling up”

AAC R9-5-404.C.3. C. A licensee shall ensure that: 3. When 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 CO #1's observations, in Lilliput, there were 2 toddlers present in the room with 6 infants.”

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 CO #2's observations and a review of 14 staff files, Staff #1 and Staff #2 lacked documentation of the minimum 18 hours of annual training: **Staff #1 (date of hire 07/11/2022) - lacked 10 hours of the required 18 hours based on the review period 07/11/2023 - 07/11/2023 **Staff #2 (date of hire 05/17/2022 - lacked 12 hours of the required 18 hours based on the review period 05/17/2022 - 05/17/2023”

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 CO #2's observations and a review of facility documentation, the facility lacked documentation of a current, violation-free fire inspection.”

AAC R9-5-306.A. A. A licensee shall maintain a dated attendance form containing an enrolled child’s name with the time of each admission and release of the enrolled child. 1. Except as provided in subsection (A)(2), a licensee shall ensure that the attendance form is signed with at least a first initial of an individual’s first name and the individual’s last name by each enrolled child’s parent or individual designated by the enrolled child’s parent, each time the enrolled child is admitted or released. 2. An electronic fingerprint verification or an electronic signature may be used in place of a signature of the enrolled child’s parent or designated individual to admit or release the enrolled child. 3. If an electronic signature is used to admit or release the enrolled child, the licensee shall adopt policies and procedures to ensure that the individual whose signature the electronic or digital method of identification represents is accountable for the use of the electronic or digital method; 4. A licensee shall develop, document, and implement policies and procedures to ensure that the identity of an individual is known to the staff member or is verified with picture identification before releasing an enrolled child to the individual. 5. A licensee shall not release the enrolled child to an individual other than the enrolled child’s parent or other individual designated in writing by the enrolled child’s parent except when the enrolled child’s parent is unable to collect the enrolled child and authorizes the licensee by telephone to release the enrolled child to an individual not so designated. a. The licensee shall verify the telephone authorization using a means of verification that has been agreed upon between the licensee and the enrolled child’s parent at the time of enrollment. b. The licensee shall document the means of verification in subsection (A)(5)(a) on the enrolled child’s Emergency, Information, and Immunization Record card. 6. A licensee shall not permit the self-admission or self-release of an enrolled child unless the enrolled child is of school age and the licensee has obtained and verified written permission from the enrolled child’s parent. 7. A licensee shall maintain the attendance form on facility premises for 12 months after the date of attendance.

“Findings: Based on CO #2's observations and a review of facility documentation, enrolled children's attendance records lacked the following required information: **Child #1 - departure time and signature on 10/25/2023 **Child #8 - departure times and signatures on 10/02/2023 and 10/04/2023 **Child #9 - arrival signature on 10/04/2023 **Child #10 - arrival signature signed with initials only on 10/04//2023 **Child #11 - departure time and signature on 10/11/2023 **Child #12 - departure times and signatures on 10/13/2023 and 10/25/2023 **Child #13 - departure times and signatures on 10/16/2023, 11/01/2023, and 11/03/2023 **Child #14 - departure time and signature on 10/27/2023”

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

“Findings: Based on CO #1's observations, there were unused outlets without a safety cover or insert in Ashdown Forest and Neverland.”

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 Preschool playground was not maintained free from hazards: **Infant/Toddler Playground - drain on 1 of 2 drinking fountain was broken, exposing sharp edges **Preschool Playground - flaking paint on the rails and splintering wood at the bottom of the steps on the wooden play structure”

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: **Neverland - 1 toilet out of order **Arendelle - 1 toilet out of order **Where the Wild Things Are - handwashing sink out of order; no water from faucet when turned on; 2 of 2 handwashing sinks lacked soap (soap containers located on top of paper towel dispenser, inaccessible to enrolled children); 1 of 2 toilets lacked mounted toilet tissue **Hundred Acre Wood - handwashing sink lacked soap (soap container located on top of paper towel dispenser, inaccessible to enrolled children) **IT Playground - 1 of 2 drinking fountains cascading water onto the ground when turned on **Preschool Playground - 1 of 2 drinking fountains with standing, sandy water in the basin”

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: **Neverland - handwashing sink had heavy, gray build-up in the basin; toilet seats heavily scratched; toilets with orange stains in the basins; exhaust vents in 2 of 2 toilet rooms with dirt buildup **Arendelle - exhaust fans in both restrooms with dirt buildup in one toilet room; light switch in one restroom with dirt buildup **Ashdown Forest - exhaust fan with dirt buildup **Where the Wild Things Are - gray buildup in the basin of a toilet; exhaust vent with dirt buildup **Enchanted Forest - handwashing sink with gray buildup in the basin; exhaust vent with dirt buildup **Hundred Acre Wood - handwashing sink with gray buildup in the basin; calcium buildup ring in a toilet basin; yellow stains under a toilet seat”

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: **Neverland - red and white stains on the sides of the garbage can **Where the Wild Things Are - dirt build-up at the east window sills **Green Gables - drip stains on the refrigerator door **Enchanted Forest - red and white stains on the side and top of garbage can”

AAC R9-5-509.C.22. C. A licensee shall ensure that: 22. A refrigerator at the child care facility maintains a temperature of 41° F or below, as shown by a thermometer kept in the refrigerator at all times;

“Findings: Based on CO #1's observations, the refrigerators used to store children's food, in the following areas, were not maintained at 41° F or below, as required: **Enchanted Forest - 44° F **Wonderland - 52 ° F **Lilliput - 54° F”

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 CO #1's observations, the soiled diaper containers in Ashdown Forest and Where the Wild Things Are were accessible to enrolled children.”

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, the soiled clothing container in Lilliput lacked 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: **Ashdown Forest - lacked a soiled diaper container; container located in the children's restroom **Where the Wild Things Are - lacked a soiled diaper container”

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

“Findings: Based on Compliance Officer (CO) #2's observations and a review of facility documentation, the facility lacked documentation of completed fire drills.”

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, the room capacities in Neverland and Ash Down Forest were not posted.”

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: **Ashdown Forest - construction paper and a plastic bin on the diaper changing surface; a container of rubber bands, hair tire, bottle of lotion next to the diaper changing sink; and toys in the sink basin **Enchanted Forest - Items on surface; laminate missing from one edge and taped over with masking tape, exposing raw particle wood **Hundred Acre Wood - used paper towel in the diaper changing sink **Lilliput - Ipad next to the diaper changing sink **Emerald City - pen on the surface; lotion at the diaper changing sink; caulked seal at the back of the diaper changing surface cracking and separating **Where the Wild Things Are - bottle of water, pack of unused diapers next to the diaper changing sink; laminate edge of the diaper changing surface missing exposing raw particle wood **Green Gables - box of facial tissue and a used paper towel on the diaper changing surface;”