Loving Hands Early Childhood Learning Academy

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 review of documentation, the Emergency, Information, and Immunization Record Cards lacked the following information: Child 1: The name and telephone number for: a second emergency contact, the medical provider and the person to call first in case of injury. Child 2: A second emergency contact. Child 3: The name and telephone number for the person to call first in case of injury.”

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: The Compliance Officer observed items not related to diapering in the diaper changing area. There was a water dispenser, cups with pens and other toys, such as two bubble makers.”

AAC R9-5-401.3. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:3. A teacher-caregiver is 18 years of age or older and provides the licensee with documentation of one of the following: a. Six months of child care experience and: i. A high school diploma or high school equivalency diploma; or ii. At least 12 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; b. Associate or bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field; or c. N.A.C., C.D.A., or C.C.P. credential;

“Compliance Officer 1 reviewed two staff files and noted that Staff 1's file did not have documentation of child care experience prior to their start date of 6/4/2024. The facility director confirmed that they did not have prior experience. Staff 1 was working as a teacher-caregiver on the day of the inspection.”

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.

“Compiance Officer 2 reviewed the immunization records of ten enrolled children and noted that Child 1's immunization records are not up to date.”

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;

“Complaince Officer 1 observed one uncovered outlet in the 1’s classroom.”

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.

“Complaince Officer 1 observed that the facility first aid kit had one gauze roll. The faciity director reported that there were no additional gauze rolls at center.”

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.

“Compliance Officer 1 reviewed the facility’s fire drill documentation and noted that there were no fire drills documented for May nor June of 2024.”

AAC R9-5-603.E. E. A licensee shall ensure that the following is provided and maintained within the fall zones of swings and climbing equipment in an outdoor activity area:1. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; or 2. A minimum depth of 6 inches of a non-hazardous, resilient material such as fine loose sand or wood chips.

“Compliance Officer 1 measured the depth of the wood chips in the fall zones of the playground equipment as follows: 4" in the fall zone of the blue, white and yellow slide on the 1 year old playground; 3" in the fall zone of the yellow slide on the 1 year old playground; 3” in the fall zone of the swings on the 2-5 year old playground; 2" in the fall zone of the monkey bars on the 2-5 year old playground; 1.5" in the fall zone of the green/blue slide on the 2-5 year old playground.”

AAC R9-5-502.C.1.k. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: k. Places an infant to sleep on the infant’s back, unless the infant’s parent submits written instructions from the infant’s health care provider that states otherwise;

“Compliance Officer 1 observed Child 2 asleep on their tummy in a crib in the infant room. Compliance Officer 1 asked how Child 1 was placed in the crib. The facility director and Infant teacher reported that they place them to sleep in the crib on their side, because this is what parents have requested. The facility director reported that the facility does not have written permission from Child 2's doctor to place them in the crib on their side.”

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.

“Compliance Officer 1 observed Child 1 napping on the floor next to their mat in the 3s, 4s and 5s activity area.”

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.

“Compliance Officer 1 observed a school age child placed for care in the Infant activity area. The facility director reported that the child was signed in to the center earlier than expected, therefore the school age teacher had not yet arrived at the facility.”

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

“The Compliance Officers observed that 3 of the cribs in the infant room did not have a non-porous barrier and were spaced 14 inches apart, not 2 feet apart.”