Mccormick Preschool

AAC R9-5-404.C.3. C. A licensee shall ensure that when there are: 3. Six or more enrolled children are present in a facility, an infant is not placed for supervision with a child who is not an infant.

“Findings: Based on the Compliance Officers' review of facility documentation and staff statements, 2 infants were moved up to the 1s room for lunch and naptime, and after nap were taken back to the Infant room. Staff stated the previous director told the infant staff to move the children up to the 1s room for lunch and naptime, and then take them back to the Infant room after naptime.”

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 facility documentation and the Compliance Officer's observations, in the 1s - S/A (4/5s room), there were 14 children present and 10 children were listed on the roster. The rosters for the 1s room dated May 4 and May 14th were not available for review. The roster for the 1s room dated May 4th was not available for review.”

AAC R9-5-401.1. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility: 1. A facility director is 21 years of age or older and provides the licensee with documentation of one of the following: a. At least 24 months of child care experience, a high school or high school equivalency diploma, and: i. Six credit hours or more in early childhood, child development, or a closely-related field from an accredited college or university; or ii. At least 60 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field, and an additional 12 hours of instruction, provided in conferences, seminars, lectures, or workshops in the area of program administration, planning, development, or management; b. At least 18 months of child care experience and: i. An N.A.C., C.D.A., or C.C.P. credential; or ii. At least 24 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; c. At least six months of child care experience and an associate degree from an accredited college or university in early childhood, child development, or a closely-related field; or d. At least three months of child care experience and a bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field;

“Findings: Based on facility documentation, the Compliance Officer's observation and staff statement, the file for Staff #1 (DOH: 6.2.26) lacked documented previous childcare experience. Staff stated Staff #1 is the Director.”

AAC R9-5-501.A.5. A. A licensee shall ensure that: 5. An enrolled child is placed in an age-appropriate or developmentally-appropriate group;

“Findings: Based on the Compliance Officers' observations, children ages 1- 8 were combined in the 4/5s room.”

AAC R9-5-502.A.1. A. A licensee providing child care services for infants shall: 1. Provide a wall-enclosed room for infants that provides exits required by R9-5-601(1);

“Findings: Based on the Compliance Officers' observations, the top half of the Infant room door was open.”

AAC R9-5-504.4. A. A licensee providing child care services for 1-year-old and 2-year-old children shall: 4. Prohibit screen time in an activity area where child care services are provided to a 1-year-old child;

“Findings: Based on the Compliance Officer's observation, in the 4/5s room, the television was on with one and two-year-old children present.”

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 Officer's observations, in the 4/5s room, there were one and two-year-old children in diapers. The 4/5s room is not equipped with a diaper changing area.”

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 observations, Staff #1 (DOE 6.2.2026) & Staff #2's (DOE 8.18.2023) files lacked a Central Registry Affidavit.”

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 the Compliance Officers' observations and staff statements, the staff-to-child ratio in the 4/5s room (1s - S/A) was 2:14 with one-year-old children present, and a required ratio of 3:14. Staff stated the following: *The ratio may be 1:10 with one-year-old children present around 4:00pm when the 1s combine in the 2s room. *The ratio may be 2:16 when the 1s combine in the 2s room. *Sometimes we are out of ratio until 4:30 - 4:45pm. *Being out of ratio happens "almost daily". *One person may have 7 children, ages 1 - 2, between 8 - 8:30.”

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

“Findings: Based on facility documentation and the Compliance Officer's observation, Staff #1's (DOH: 6.2.26) file lacked a criminal history affidavit.”

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: Based on the Compliance Officer's observations, in the 1s room, the staff to child ratio was 1:7, with a required ratio of 2:7.”

AAC R9-5-502.A.1. A. A licensee providing child care services for infants shall: 1. Provide a wall-enclosed room for infants that provides exits required by R9-5-601(1);

“Findings: Based on the Compliance Officers' observations, the top half of the Infant room door was open.”

AAC R9-5-501.A.17. A. A licensee shall ensure that: 17. Each enrolled child’s pacifier is labeled with an identifier that is specific to the enrolled child and maintained in a clean condition;

“Findings: Based on the Compliance Officer's observation, in the Infant room, 1 of 1 pacifier (located in a crib) lacked an identifier specific to the enrolled child.”

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 facility documentation and the Compliance Officer's observation, in the Infant room, there were 6 children present and 5 children were marked on the roster. ***Previously cited 7/27/2023 & 11/12/2025”

AAC R9-5-501.B.9. B. 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 the Compliance Officer's observations, in the 2s room, the following children's personal products lacked the enrolled child's first and last name as required: 1 unlabeled Butt paste, 1 container of wipes was labeled with a child's 1st name only, and 1 container of wipes was labeled with a child's first name and last initial.”

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: Based on facility documentation and the Compliance Officers' observations, the facility's illness log was not current. The illness log documented that a child was sent home sick on 9/24/2025, and there was no documentation of the call made to the parent or the time of the notification.”

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

“Findings: Based on the Compliance Officers' observations, the Preschool Playground lacked the minimum depth of resilient surfacing in the following fall zones: *1” of the required 6” of wood chips under the red swirl climber. *4” of the required 6" of wood chips under the end of the blue slide. ***Previously cited 12/7/2022 and 11/14/2024.”

AAC R9-5-512.F.7. F. A licensee shall ensure that: 7. Toys, materials, and equipment are maintained in a clean condition;

“Findings: Based on the Compliance Officer's observations, in the 4's toilet room, there were stacks of paper towel rolls and toilet paper rolls stored on an open shelf. ***Previously cited 11/14/2024.”

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 observations, school-age children were not being signed out of the facility to go to school, and were not being signed in when returning to the facility from school, by a parent or staff member using a signature or other unique identifier.”

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 facility documentation and the Compliance Officer's observations, in the 4’s Room, there were 12 children present, but only 11 children were documented on the roster. ***Previously cited 7/27/2023.”

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

“Findings: Based on the Compliance Officers' observations, in the 2's Room, a black fan was not mounted. ***Previously cited 11/14/2024.”

AAC R9-5-512.F.4.5. F. A licensee shall ensure that: 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;

“Findings: Based on the Compliance Officer's observations, on the Toddler Playground, there was uncovered food waste in a white container. ***Previously cited 11/14/2024.”

AAC R9-5-605.B.14. B. A licensee shall ensure that: 14. Each smoke detector required in subsection (B)(13) is: a. Maintained in an operable condition; b. Either battery operated or, if hard wired into the electrical system of the child care facility, has a backup battery; and c. Tested monthly;

“Findings: Based on the Compliance Officers' observations, in the Infant Room, the smoke detector was beeping continually.”

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 observations, in the 2’s Room, 3 children's cots lacked an 18" wide passageway to access the children. The children's cots were placed between shelves, tables, and behind other children's cots.”

AAC R9-5-511.A.1.2.3.4.5. A. A licensee shall provide each enrolled child who naps or sleeps at the facility with a separate cot or mat or a crib that meets the requirements of R9-5-502(A)(8) and ensure that: 1. A cot, mat, or crib used by the enrolled child accommodates the enrolled child’s height and weight; 2. A staff member covers each cot, or mat with a clean sheet that is laundered when soiled, or at least once every seven days and before use by a different enrolled child; 3. A clean blanket or sheet is available for each enrolled child; 4. A rug, carpet, blanket, or towel is not used as a mat; 5. Each cot, mat, or crib is maintained in a clean and repaired condition;

“Findings: Based on the Compliance Officers' observations, in the Preschool Room (4s-5s), there was 1 School-Age child napping on a mat that did not accommodate their height. The child's legs were hanging off the mat and on the floor. ***Previously cited 11/14/2024.”

AAC R9-5-509.C.13. C. A licensee shall ensure that: 13. 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;

“Findings: Based on facility documentation and the Compliance Officers' observations, the allergy lists posted were not current. Child #3's allergies were not listed, and 3 children listed were no longer enrolled.”

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 in the 1's Room, the soiled clothing container lacked a lid, lacked a liner, and was not being used to store children's soiled clothing. Two children's soiled clothing bags were placed in a different basket in the cabinet. ***Previously cited 11/21/2023”

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 staff statement and the Compliance Officers' observations, in the 1s Room, the diaper changing area lacked single dispensed paper towels. The paper towels were stacked in a container, labeled "paper towels" on a shelf above the diaper changing sink. Staff stated they were all out of paper towel rolls to put in the dispenser. ***Previously cited 11/14/2024.”

AAC R9-5-502.C.1.l. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: l. Posts the current written dietary instructions in the infant room and the kitchen and maintains the instructions on facility premises for 12 months after the date of the instructions; and

“Findings: Based on facility documentation and the Compliance Officers' observations, in the kitchen, the infant feeding plans were not current. The infant feeding plans were dated 2023-2024 and were not specific to the current enrolled infants. ***Previously cited 11/21/2023 and 11/14/2024.”

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 staff statement, facility documentation, and the Compliance Officer's observations, in the Infant Room, 2 of 3 infant feeding plans reviewed were not current. Staff stated Child #1 eats food from the kitchen and Child #2 eats pears and bananas, which were not documented on the infant feeding plans. ***Previously cited 11/14/2024 and 11/21/2023.”

AAC R9-5-502.A.8.c. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: c. Is furnished with clean, sanitized, crib-size bedding, including a fitted sheet and top sheet or a blanket;

“Findings: Based on the Compliance Officers' observations, in the Infant Room, 9 of 10 crib sheets were loose and gathered up, rather than tight-fitted as required.”

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;

“Findings: Based on staff statement and the Compliance Officers' observations, in the Infant Room, a 6-month-old infant was in tummy time alone, while the staff performed other duties around the room. Staff stated the infant “scoots, but is not crawling yet”.”

AAC R9-5-501.B.9. B. 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 the Compliance Officer's observations, in the 2s Room, there was a child's Aquaphor labeled with their first name only and a child's Triple Paste labeled with their first name and last initial only. ***Previously cited 12/7/2022, 11/21/2023, and 11/14/2024.”

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

“Findings: Based on the Compliance Officers' observations, in the 1s toilet room sink, the metal drain cover was broken, exposing sharp metal edges. ***Previously cited 11/14/2024.”

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;

“Findings: Based on the Compliance Officer's observations, in the 1s Room, the health, safety, and welfare of enrolled children was placed at risk of harm during naptime when 3 of the 8 children's faces and heads were covered with blankets.”

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 staff statement, facility documentation, and the Compliance Officers' observations, the facility lacked a current gas inspection. The gas inspection on file expired on 11/11/2025, and staff stated an inspection is scheduled. ***Previously cited 11/21/2023.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete 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 facility documentation and the Compliance Officer's observations, 9 of the 16 Emergency, Information, and Immunization Records reviewed lacked the following documentation: Child #2: The enrolled child's second parent's address. Child #3: The enrolled child's date of enrollment and the child's second parent's address. Child #4 and Child #9: The enrolled child's health care provider name and contact telephone number. Child #5 and Child #6: The enrolled child's second parent's name, address, and phone number. Child #7: The enrolled child's health care provider contact telephone number. Child #8: The enrolled child's health care provider name and contact telephone number. Child #9: The enrolled child's date of enrollment, the child's second parent's name, address, and phone number, the child's health care provider contact telephone number, and a second person's name and phone number to contact in case of an emergency. Child #10: The enrolled child's address, the child's second parent's name and address, the last name of two emergency contacts, and the last name of the child's health care provider. ***Previously cited 12/7/2022, 11/21/2023, and 11/14/2024”

AAC R9-5-516.G. G. A licensee shall return all unused prescription and nonprescription medications to a parent when the medication prescription date has expired or the medication is no longer being administered to the enrolled child or dispose of the medication if unable to locate the enrolled child's parent after the child's disenrollment.

“Findings: Based on the Compliance Officer's observations, in the 2s Room, Child #12's medication expired 9/2025 and was not returned to the child's parent.”

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, the following hazards were observed on the Preschool Playground: *There was exposed asphalt in multiple areas, including in the fall zones of an unsecured blue and yellow merry-go-round. *There were exposed concrete footings from the northeast shade post. *There was broken, unsecured wood with sharp, splintery edges and an exposed bolt protruding upward, as part of the playground threshold. *There were sharp metal pieces protruding outward on a broken chain link fence. ***Previously cited 11/21/2023 and 11/14/2024.”

AAC R9-5-303.A. A. A licensee shall post in a place that can be conspicuously viewed by individuals entering or leaving the facility or activity area, the: 1. Facility’s license; 2. Name of the facility director; 3. Name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility, as prescribed by R9-5-301(B)(1); 4. Schedule of child care services fees and policy for refunding fees as prescribed by A.R.S. § 36-882(P); 5. Breakfast, lunch, dinner, and snack menus for each calendar week at the beginning of the calendar week; 6. Notice of the presence of any communicable disease or infestation listed in 9 A.A.C. 6, Article 2, Table 2.2, from the date of discovery through the incubation period of the communicable disease or infestation; 7. Notice of the Department’s intent to deny, revoke, or suspend as prescribed by A.R.S. § 36-888 at the expiration of time in the notice for the licensee to respond; 8. Notice of an intermediate sanction imposed as prescribed by A.R.S. § 36-891.01 within 10 calendar days after the licensee received notice of the intermediate sanction; 9. Notice of a legal injunction imposed as prescribed by A.R.S. § 36-886.01 when the licensee receives the legal injunction; and 10. Notice of the availability of facility inspection reports for public viewing at the facility premises.

“Findings: Based on facility documentation and the Compliance Officer's observations, the 4 posted menus lacked dates. ***Previously cited 11/14/2024.”

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

“Findings: Based on the Compliance Officers' observations, the following air exhaust fans were not operable: 2’s toilet room, 3’s toilet room, and hallway toilet room.”

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

“Findings: Based on the Compliance Officers' observations, in the 1’s room, there was an unmounted black fan on a cabinet. In the School-age room, there was an unmounted white fan on top of a white freezer.”

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

“Findings: Based on the Compliance Officers' observations of 2 outdoor activity areas, the following was observed: Toddler playground lacked: * 3” of the required 6” of wood chips in the fall zones of 2 blue teeter totters, and white slide. * 2” of 6” of wood chips in the fall zones on 2 blue teeter totters. * 5” of 6” of wood chips in the fall zones of the blue slide. Preschool playground lacked: * 2” of the required 6” of wood chips in the fall zones of the blue and purple dinosaurs. * 1” of 6” of wood chips in the fall zones of the red bouncer. * 3” of 6’ of wood chips in the fall zones of the black steps on the climber. *4” of 6” in the fall zones of the blue twist slide. ***Previously cited 12/7/2022”

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 the Compliance Officers' observations of the outdoor activity areas, the following hazards were accessible to enrolled children: Toddler playground: *There was an unsecured white slide that tipped easily when light pressure was applied. * There were sharp metal edges protruding from the chain link gate. * There was a hard brown mat protruding up from wood chips posing a tripping hazard. Preschool playground: * There was a 1.25" sharp piece of metal protruding upward in the round red bouncer. * There was peeling black rubber surfacing on the steps on the climbing structure and along the sides. * There was sharp metal edges protruding on the chain link gate. *There was an exposed concrete footing on one white shade structure post. * There was exposed uneven and sharp asphalt below the blue and yellow bench carousel. *There were 2 exposed bolts protruding up from the asphalt near the blue carousel. ***Previously cited 11/21/2023”

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

“Findings: Based on documentation and the Compliance Officers' observations, the following rooms were over capacity: In the 1's room, the licensed capacity is 10, and there were 12 children present in the room. In the 2's room, the licensed capacity is 15, and there were 17 children present in the room. ***Previously cited 11/12/2024”

AAC R9-5-518.C. C. A staff member shall verify the presence of each enrolled child and place a checkmark next to the enrolled child’s name on the list required in subsection (B)(3) for each enrolled child who is present at the following times:1. At the beginning of the field trip or when boarding the motor vehicle, 2. Upon arrival and each hour while at the field trip destination, 3. When preparing to leave the field trip destination or when boarding the motor vehicle to return to the facility, and 4. When reentering the facility at the conclusion of the field trip.

“Findings: Based on Compliance Officer #1's observations, the field trip on 10/11/2024 to Tumble Masters Gymnastics and the field trip form on 10/11/2024 to Agua Linda Park lacked checkmarks next to 19 of 20 children's names in attendance at the start of the trip, at the arrival at the location, hour #1 of the field trip, when leaving the field trip destination, and upon return to the facility.”

AAC R9-5-518.A.2. A. A licensee providing a field trip for an enrolled child shall:2. Prepare a written field trip plan including: a. The name of each participating enrolled child, staff member, and other individuals on the field trip; b. The times of departure from and return to the facility; c. If applicable, license plate number of any motor vehicle used on the field trip; and d. The name, street address, and telephone number, if any, of the field trip destination; and

“Findings: Based on documentation and Compliance Officer #1's observation, the field trip form to Agua Linda Park dated 10/11/2024 lacked the license plate number of any motor vehicle used on the field trip.”

AAC R9-5-512.G. G. A licensee may have a sink with running water, soap contained in a dispenser, and single-use paper towels in a mounted dispenser or a mechanical air hand dryer located directly outside a toilet room if an enrolled child exiting the toilet room can access the sink, soap, and paper towels or air hand dryer without having to cross space that is used for any activity.

“Findings: Based on the Compliance Officers' observations, in the 2’s room, the handwashing sink was located outside of the toilet room, and there was a table with 4 chairs stacked on top of the table between the toilet room and the handwashing sink.”

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

“Findings: Based on the Compliance Officers' observations, the following was observed: 1’s room: *There was uncovered food waste in a container. *The handwashing sink was inoperable. The water did not drain properly and dripped onto the floor below the sink. School-age room: There was uncovered food waste inside a container. 2’s toilet room: The left toilet paper dispenser lacked toilet paper. Toddler playground: The play structures and teeter totters were dirty with discolored smears.”

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 Compliance Officer #1's observations, in the 3’s toilet room, there was cracked and discolored caulking around the right sink, and there was discolored caulking around left sink.”

AAC R9-5-512.C. C. A licensee shall ensure that floor coverings are:1. Clean; and 2. Free from: a. Dampness, b. Odors, and c. Hazards.

“Findings: Based on the Compliance Officers' observations, floor coverings in the following areas were not maintained in a clean condition: 2’s room: There were discolored stains on a blue turtle number rug and on a puzzle rug. 4’s room: *There were 4 areas on the blue floor with missing floor tile, and there was debris inside the holes.”

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 was not maintained in a clean condition: Infant room: There was a thick layer of dust on 2 ceiling vents. 2’s room: * There was unsealed, raw wood on the bottom shelves of 2 blue and white cabinets, and the bottom shelf on one of the cabinets had cracked wood. *There was sticky tape residue on a shelf. * There was a thick layer of dust on a Sony DVD player located on a dirty and dusty shelf. * There were discolored smears on the North and West walls. *There was a layer of dust on a white shelf above a table. *There were discolored smears on the East wall by the door. *There was a build-up of dust on a shelf near the toilet room. *There were discolored smudges on the North wall near the refrigerator. 2’s toilet room: * There were 2 hanging plants, and shoes and toys in an open bin on a shelf. *There were packs of diapers on the base of the toilet and on the floor. * There were discolored smears on the door frame. 4’s room: There was discolored purple stains on the bottom of the freezer, and there was a build-up of grime along the sides of the bottom of the inside of the freezer. 3’s room: * There was chipped laminate with exposed raw wood on the top shelf of a white cabinet. * There was a build-up of dirt on the shelf containing personal products on the South wall. Infant room: *There was a dried, dirty white substance on the plastic side of the first crib and on a crib on the left wall. *There was a build-up of grime on the right top corner of a crib. School-age room: There were 2 turquoise chairs with a thick layer of dirt/dust on the North wall.”

AAC R9-5-303.A. A. A licensee shall post in a place that can be conspicuously viewed by individuals entering or leaving the facility or activity area, the:1. Facility’s license; 2. Name of the facility director; 3. Name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility, as prescribed by R9-5-301(B)(1); 4. Schedule of child care services fees and policy for refunding fees as prescribed by A.R.S. § 36-882(P); 5. Breakfast, lunch, dinner, and snack menus for each calendar week at the beginning of the calendar week; 6. Notice of the presence of any communicable disease or infestation listed in 9 A.A.C. 6, Article 2, Table 2, from the date of discovery through the incubation period of the communicable disease or infestation; 7. Notice of the Department’s intent to deny, revoke, or suspend as prescribed by A.R.S. § 36-888 at the expiration of time in the notice for the licensee to respond; 8. Notice of an intermediate sanction imposed as prescribed by A.R.S. § 36-891.01 within 10 calendar days after the licensee received notice of the intermediate sanction; 9. Notice of a legal injunction imposed as prescribed by A.R.S. § 36-886.01 when the licensee receives the legal injunction; and 10. Notice of the availability of facility inspection reports for public viewing at the facility premises.

“Findings: Based on Compliance Officer #1's observation, the main posting area lacked the current weekly menu.”

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

“Findings: Based on facility documentation and Compliance Officer #2's observations, it was determined that 6 out of 10 enrolled children's Emergency Information and Immunization Record Cards reviewed lacked the following required information: Child #1: Both parent addresses, and the second parent's phone number. Child #2: The second parent's address and a phone number for the second emergency contact. Child #3 & Child #6: The second parent's name, address and phone number, and the name of the person to contact in case of sudden injury/illness. Child #4: The second parent's address and phone number. Child #5: Parent signature. ***Previously cited 12/28/21, 12/7/22, & 11/21/2023”

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

“Findings: Based on Compliance Officer #2's observations of 3 staff files, the file for Staff #1 (DOE 9/30/2024) lacked new staff training within 10 calendar days of the starting date of employment.”

AAC R9-5-501.A.9. A. A licensee shall ensure that:9. If a staff member places an enrolled child in a feeding chair when feeding the enrolled child: a. The feeding chair is constructed to prevent toppling; b. The tray or feeding surface of the feeding chair is smooth and free of cracks; and c. The staff member: i Cleans the feeding chair before and after each enrolled child’s use; ii. Sanitizes the tray or feeding surface before and after each enrolled child’s use; and iii. If the feeding chair was manufactured with a safety strap, fastens the feeding chair’s safety strap while the enrolled child is in the feeding chair;

“Findings: Based on Compliance Officer #1's observation, in the Infant room, there was an infant being fed in a feeding chair and the infant was not buckled with the safety strap.”

AAC R9-5-511.A. A. A licensee shall provide each enrolled child who naps or sleeps at the facility with a separate cot or mat or a crib that meets the requirements of R9-5-502(A)(8) and ensure that:1. A cot, mat, or crib used by the enrolled child accommodates the enrolled child’s height and weight; 2. A staff member covers each cot, crib mattress, or mat with a clean sheet that is laundered when soiled, or at least once every seven days and before use by a different enrolled child; 3. A clean blanket or sheet is available for each enrolled child; 4. A rug, carpet, blanket, or towel is not used as a mat; and 5. Each cot, mat, or crib is maintained in a clean and repaired condition.

“Findings: Based on the Compliance Officers' observations, in the Infant room, there were 2 of 10 mattress pads with tears at the seams. One of the pads had a 3.5" tear on the seam.”

AAC R9-5-509.C.23. C. A licensee shall ensure that:23. A freezer at the child care facility maintains a temperature of 0° F or below, as shown by a thermometer kept in the freezer at all times; and

“Findings: Based on Compliance Officer #1's observation, in the Infant room, the freezer lacked a thermometer and there were bags with a white substance inside in the freezer.”

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 Compliance Officer #2's observation, in the 2's room, the paper towel dispenser was empty and the paper towel roll was placed on top of the dispenser. ***Previously cited 12/7/2022”

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 #2's observations, the following diaper changing areas were not seamless and smooth, and clear of unrelated items: Infant room: There was a pen and a sharpie on the diaper surface. 1’s room: The diaper changing sink caulking was cracked with gaps. 2’s room: The paper towel dispenser was located on the diaper changing surface, and there was brown debris inside the sink.”

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 the Compliance Officers' observations, the Infant room lacked posted written dietary feeding instructions for infants. The plans were located in a black box inside a cabinet. The kitchen lacked posted written dietary instructions for infants. ***Previously cited 11/21/2023”

AAC R9-5-502.A.5.a. A. A licensee providing child care services for infants shall:5. Develop, document, and implement tummy time policies and procedures that: a. Provide an opportunity for a non-crawling infant to experience tummy time each day: i. While the infant is awake, and ii. On the infant’s stomach;

“Findings: Based on staff statement, tummy time was not being documented for infants.”

AAC R9-5-502.A.1. A. A licensee providing child care services for infants shall: 1. Provide a wall-enclosed room for infants that provides exits required by R9-5-601(1);

“Findings: Based on Compliance Officer #1's observation, upon arrival at the facility, in the Infant room the top 1/2 of the Dutch door was open. ***Previously cited 11/21/2023”

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

“Findings: Based on Compliance Officer #2's observations, the following items lacked a label of the child's first and last name as required: Infant room: There was an Aquaphor labeled with a child’s first name only. 1’s room: Three containers of wipes were labeled with a child’s first name only. 2’s room: Five containers of wipes were labeled with a child’s first name only, and there was one unlabeled diaper cream. ***Previously cited 12/7/22 & 11/21/2023”

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 the Compliance Officers' observations, the following lesson plans were not dated for the current calendar week: 4’s: Lacked a posted lesson plan. 2’s room: Lacked a posted lesson plan. The plan was located in a cabinet. School-age room: The lesson plan was dated 11/28 - 12/2/2024. ***Previously cited 11/21/2023”

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;

“Findings: Based on Compliance Officer #1's observations, in the Infant room, 3 of 4 pacifiers lacked an identifier specific to an enrolled child.”

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

“Findings: Based on the Compliance Officers' observations, the following hazards were accessible to enrolled children: 2’s room: *There was peeling laminate on a shelf. * There was peeling clear plastic film on the black refrigerator near the entry door. * There was a 6” section of peeling paint on the West wall. 4’s room: The 2 top drawers on the desk lacked face plates. 3’s toilet room: The right sink was missing the front right leg, causing the sink to be wobbly.”

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 the Compliance Officers' observations, the following written feeding instructions were not current: Child #7: Did not list the feeding schedule. Child #8: Did not list the feeding schedule and the current foods the infants eats. Child #9: Did not list the feeding schedule and the current foods the infants eats. (The plan was dated 5/7/2024.) Child #10: Did not list the feeding schedule and the current foods the infants eats. (The plan was dated 7/10/2024.) ***Previously cited 11/21/2023”

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 Compliance Officer #1's observation, in the Infant room, the refrigerator lacked a thermometer.”

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 the Compliance Officers' observations, the files for Staff #1 (DOE 9/25/2024), Staff #2 (DOE 10/15/2024), and Staff #3 (DOE 10/17/2024) lacked documentation of a negative Mantoux skin test or other tuberculosis screening test.”

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

“Findings: Based on the Compliance Officers' observations, the capacity in the following rooms was not maintained: 1's Room: The room capacity is 10 and there were 15 children present; 2's Room: The room capacity is 15 and there were 17 children present.”

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 the Compliance Officers' observations, the staff-to-child ratios in the following rooms were not maintained: 1's Room: The ratio was 2:15 with a required ratio of 3:15. 2's Room: The ratio was 2:17 with a required ratio of 3:17.”

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

“Findings: Based on the Compliance Officers' observations, facility documentation and staff statement, the file for Staff #3 (DOE 10/17/2024) lacked a copy of a high school diploma or other approved education documents. Staff stated Staff #3 works alone with children.”

ARS § 36-883.02.A. A. Except as provided in subsection B of this section, child care personnel, including volunteers, shall submit the form prescribed in subsection C of this section to the employer and shall have valid fingerprint clearance cards issued pursuant to section 41-1758.07 before starting employment or volunteer work.

“Findings: Based on the Compliance Officers' observations, Staff #1 (DOE 9/25/2024) lacked a valid fingerprint clearance card, and worked in a classroom without a fingerprint clearance card for 35 days. As of 11/18/2024, DPS had not received an application to reprint Staff #1.”

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

“Findings: Based on the Compliance Officer's and the Director's observations, the licensed capacity was not posted in the 3-year-old room (capacity is 25) and in the 1-year-old room (capacity is 10).”

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

“Findings: Based on the Compliance Officer's review of 20 children's Emergency and Information cards, 4 of the cards reviewed lacked the following information: *Child #1- The health care provider's name and telephone number; *Child #2- The father's name, address and telephone number; and *Child #3 and #4- The health care provider's telephone number.”

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.

“Findings: Based on the Compliance Officer's and the Director's observations, it was determined that the annual Gas inspection had expired on 11/9/23.”

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 the Compliance Officer's and the Director's observations, it was determined that the City of Scottsdale Fire inspection had expired on 11/15/23. The Director acknowledged that the Scottsdale Fire Department had not been contacted to schedule the annual Fire inspection.”

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 the Compliance Officer's and the Director's observations, it was determined that a lesson plan was not posted in the 2-year-old room. The lesson plan that was posted in the School age room was dated for the future week of 12/5/2023 and was not current.”

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 the Compliance Officer's and the Director's observations, 4 packages of diapering wipes in the infant room were not labeled with the child's first and last name.”

AAC R9-5-502.A.1. A. A licensee providing child care services for infants shall: 1. Provide a wall-enclosed room for infants that provides exits required by R9-5-601(1);

“Findings: Based on the Compliance Officer's and the Director's observations, the top half of the Dutch door in the infant room was open when the Compliance Officer arrived.”

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

“Findings: Based on the Compliance Officer's and the Director's observations and on a discussion with the Infant room staff, the staff acknowledged that the written feeding instructions for 4 of the infants had not been obtained.”

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 the Compliance Officer's and the Director's observations, none of the infant written feeding instructions for the 10 enrolled infants were posted in the kitchen.”

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

“Findings: Based on the Compliance Officer's and the Director's observations and staff statements, the staff in the 2 year old room acknowledged they did not have a soiled clothing container. In the 1 year old room, the soiled clothing container was not equipped with a waterproof liner and a lid. The staff stated they did not have a lid for the container.”

AAC R9-5-601.4. A licensee shall comply with the following physical plant requirements: 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 Officer's and the Director's observations, 3 children who were in diapers were observed in the 3-year-old classroom. The 3-year-old room does not have an approved diapering area. The Director acknowledged that the 2-year-old children are dropped off in this room in the morning, before transitioning to the 2-year-old room.”

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 the Compliance Officer's and the Director's observations, the following hazards were observed in the Preschool Outdoor activity area: *The 4 white, metal shade structure posts had various areas of rust on them, ranging in size from 10- 12 inches; * 2 metal bolts were protruding 1 inch from cement in the ground area under the merry-go-round; and *A 4 foot long piece of sharp, jagged cement was exposed and protruding from the cement slab near the merry go round; and *The concrete footing was exposed on the white post near the merry-go-round.”

AAC R9-5-502.C.3.a. C. A licensee shall ensure that: 3. When preparing, using, or caring for an infant's feeding bottles, a staff member: a. Labels each bottle received from the parent with the infant's name;

“Findings: Based on the Compliance Officer's and the Director's observations and on a discussion with the infant room staff, 4 bottles in the infant room were not labeled with the infant’s first and last name.”