Miramonte Day School

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 statement, signed by the enrolled child's: a. 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. Parent, that the enrolled child is being raised in a religion whose teachings are in opposition to immunization.

“Findings: The Secondary Compliance Officer reviewed the Emergency Information and Immunization records and found that Child 1 did not have an immunization record and Child 2 did not have a current immunization record.”

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: The Primary Compliance Officer observed a couch in the school age classroom that had rips in the vinyl that exposed the wood underneath. The wood had sharp edges.”

AAC R9-5-502.C.1.d. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: d. Keeps dated, daily, documentation of each infant including: i. A description of any activities the infant participated in, ii. The infant’s food consumption, iii. Diaper changes, and iv. Tummy time;

“Findings: The Primary Compliance Officer reviewed the infant daily logs for the week of May 11-15, 2026 and observed that activities were not being documented.”

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: The Primary Compliance Officer observed that the paper towel dispenser in the 2 year old classroom diaper sink was empty. There was a roll of paper towels on the sink children were using after washing their hands. The Primary Compliance Officer measured the water temperature of the diaper sink at 80 degrees in one year old classroom.”

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: The Primary Compliance Officer observed that the soiled clothing container in the one year old classroom did not have a liner.”

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: The Primary Compliance Officer observed that the cots in the Pre-K classroom had stains and built up dirt on them.”

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: The Primary Compliance Officer observed a broken board with jagged edges on the barrier around the electric meter on the preschool playground.”

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: The Primary Compliance Officer measured the sand in the fall zones of the swings on the preschool playground at 1 to 2 inches of the required 6 inches, and in the fall zones of the slides on the toddler playground at 4 inches of the required 6 inches.”

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: The Primary Compliance Officer observed that the window used for ventilation to the outside of the building was closed in the 2 year old classroom’s bathroom.”

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: The Primary Compliance Officer observed that the capacity was not posted in the 3 year old classroom.”

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;

“The Compliance Officer measured the temperature of the diapering sink at 80 degrees in the one year old classroom.”

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;

“The Compliance Officer observed 3 sheets in the infant room that were not tight fitting.”

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.

“The Compliance Officer observed a toilet brush in the school age bathroom.”

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

“The Compliance Officer observed a fan covered in dust and a couch/book nook area with dirt and sticks in the corners in the school age classroom.”

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

“Upon review of the field trip forms, the following was found: the forms for Lucky Strike Bowling, The Children's Museum, and Cinemark El Con did not list the adults attending and the vehicle information.”

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.

“The Compliance Officer measured the sand at one inch in the fall zone of the swings on the preschool playground and one to two inches in the fall zones of the equipment on the toddler playground.”

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

“The Compliance Officer observed a child on a cot blocking the designated exit in the Pre-K classroom.”

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;

“Per allegation and from staff interviews, Child 1 was wearing a pull up and in the 3 year old classroom that is not approved for diapering.”

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.

“Compliance Officer 2 observed an infant asleep face down on a mat in the infant classroom.”

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

“Compliance Officer 2 observed that the ratio in the School age classroom was 21 children to 1 staff member.”

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: The Compliance Officer noted that a tall wooden cabinet has been placed between the diaper changing table and the hand-washing sink in the Ones Classroom. Due to the placement of the cabinet, the sink is no longer next to the diaper changing surface as required.”

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 review of diaper changing areas the Compliance Officer noted the following: -The plastic diapering surface in the Ones Classroom has a crack along the back portion, allowing debris to collect. -The laminate diapering surface in the Twos Classroom is no longer seamless and smooth as required. The laminate finish has worn through in several spots, exposing the wood underneath. Additionally, there is debris collecting along the edges of the plexiglass divider, as well as around the metal rings surrounding the barrier bar at the front of the changing surface.”

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: The Compliance Officer Supervisor noted that fire and emergency evacuation drills were not documented for the months of June 2023 - December 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 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 review of Emergency, Information and Immunization Record (EIIR) cards the Compliance Officer Supervisor noted the following: -Child Child 4 and Child 5's cards did not document the name of the individual to be contacted in case of injury or sudden illness of the child. -Child 6's card did not document their date of enrollment or the name of the individual to be contacted in case of injury or sudden illness of the child.”

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.

“Based on review of sign in/out documents the Compliance Officer Supervisor noted the following -Child 1 was signed in/out during May 2024 with only initials, a full last name was not documented. -Child 2 was not signed into the program on the afternoons of May 01-03, May 06-10, and May 13-16, 2024. -Child 3 was not signed out on May 01 and 07, and was not signed in on May 10 and May 16, 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: The Compliance Officer noted the following items on the playground: -The wood enclosure surrounding the gas meter has splintered wood and exposed metal screws that are rusty. -The wooden platform supporting an Air Conditioning unit has wood that has split, as well as rusty metal screws that are partially exposed.”

AAC R9-5-501.A.19. A. A licensee shall ensure that:19. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Findings: The Compliance Officer observed a toilet plunger that was accessible in the restroom located in the School Age Classroom.”

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;

“THE FOLLOWING WAS SUBSTANTIATED Findings: Based on interviews, as well as photos, it was determined that on 04/24/2024 a child was sent home with the incorrect bottle. The bottle was not labeled as required, and contained formula.”

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 review of staff files the Compliance Officers noted that Staff 1 and Staff 2's Criminal History Affidavits did not document the correct facility address information.”

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: The Compliance Officer noted that the wood chips in the fall zones of the big yellow slide only measured 3 inches deep.”

AAC R9-5-517.A.9. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:9. Ensure that the motor vehicle has: a. A working mechanical heating system capable of maintaining a temperature throughout the motor vehicle of at least 60° F when outside air temperatures are below 60° F; b. Except as provided in subsection (E), a working air-conditioning system capable of maintaining a temperature throughout the motor vehicle at or below 86° F when outside air temperatures are above 86° F; c. Except as provided in subsection (F), a first aid kit that meets the requirements of R9-5-514(A); d. Two large, clean towels or blankets; and e. Sufficient drinking water available to meet the needs of each enrolled child in the motor vehicle and sufficient cups or other drinking receptacles so that each enrolled child can drink from a different cup or receptacle;

“Findings: The Compliance Officer Supervisor noted that the first aid kit located in Van CH-15212 was not complete, it was missing a second sterile gauze roll and two or more reclosable gallon sized bags.”

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: The Compliance Officer noted that the toilet paper dispenser was empty in the restroom located in the School Age Classroom. Additionally, there was a roll of toilet paper sitting on the counter, and another roll sitting on the lid of the toilet tank.”

AAC R9-5-514. D. D. A licensee shall post, near an activity area or a room's designated exit, a building evacuation plan that details the designated exits from the activity area or room and the facility.

“Findings: The Compliance Officer noted that building evacuation maps were not posted near two designated (lit) exits leading out of the School Age Classroom.”

AAC R9-5-516.H. H. Except as provided in subsection (J), a licensee shall ensure that prescription and nonprescription medications are stored as follows:1. An enrolled child’s medication is kept in a locked, leak-proof storage cabinet or container that is used only for storing enrolled children’s medications and is located out of reach of children; 2. Medication for a staff member is kept in a locked, leak-proof storage cabinet or container that is separate from the storage container for enrolled children’s medications and is located out of reach of children; and 3. Medications requiring refrigeration are kept in a locked leak-proof container in a refrigerator.

“Findings: The Compliance Officer Supervisor noted that there were 2 packets of Tylenol Extra Strength in the first aid kit located in Van CH-15212. Medication must be kept in a locked, leak-proof container.”

AAC R9-5-307.2. A licensee shall ensure that the licensee or a staff member documents and reports all suspected or alleged cases of child abuse or neglect.2. The licensee or staff member shall report the suspected or alleged child abuse by a staff member to the Department and to a local law enforcement agency as prescribed in A.R.S. § 13-3620. A licensee or staff member shall also send documentation to the Department and to any law enforcement agency previously notified within three calendar days of the initial report, and maintain documentation of a child abuse report on facility premises for 12 months after the date of a report.

“Findings: Based on staff interviews, as well as video provided by the facility, it was determined that on May 10, 2024 Staff 2 pushed a child down to the floor, and when the child got up, the staff member pushed the child down again and then used their foot to try and keep the child from getting up. The Compliance Officer and Supervisor were made aware of the incident while onsite during the initial complaint investigation on May 14, 2024, at which time Staff 1 and Staff 3 informed them that they had not reported the abuse to the Department or the police as required. Based on documents provided to the Compliance Officer, Tucson Police Department contact was made at 6:32 PM on May 14, 2024.”

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.

“THE FOLLOWING WAS SUBSTANTIATED Findings: Based on staff and child interviews, as well as photographic evidence, it was determined that enrolled children have been brought into the front office/reception area while being cared for by staff. The front office/reception area has not been approved as licensed space for enrolled children.”

AAC R9-5-510.B.3. B. A licensee shall ensure that a staff member does not use or permit: 3. Abusive language;

“Findings: Based on Staff interviews and written documentation it was determined that Staff 2 used a tone of voice that was not appropriate for children, and in one incident, threatened to tie a child up and put them in the corner as punishment.”

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 video evidence, as well as staff interviews, it was determined that on May 10, 2024 Staff 2 pushed a child down to the floor twice, and then the staff member used their foot to try and keep the child from getting away.”

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: Based on video evidence, as well as staff interviews, it was determined that on May 10, 2024 Staff 2 pushed a child down to the floor while located in the corner of a classroom, and when the child got up, the staff member pushed the child down again. While the child was on the ground, Staff 2 placed their right foot onto the child's left foot in an effort to restrict movement, and as the child moved around, Staff 2 then placed their foot on the child's right thigh, then their right ankle, right foot again, and then finally on the child's left foot. At that point the child was able to get free and move to another part of the classroom. While the child was moving away from Staff 2, Staff 3 entered the classroom and confronted Staff 2 regarding what had just happened.”

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.

“THE FOLLOWING WAS SUBSTANTIATED Findings: Based on interviews, as well as photographic evidence, it was determined that on April 10, 2024 Staff 1 had Child 1 in the front office area, and rather than returning the child to their crib in the Infant Classroom, Staff 1 laid the child into a cardboard box. While Staff 1 stepped out of the office to use the restroom, Staff 2 stayed in the office to supervise Child 1, who was asleep in the cardboard box. The box was located on the floor of the front office and contained fabric sheets, clear plastic packaging, a large blanket, and an infant bottle.”

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;

“THE FOLLOWING WAS SUBSTANTIATED Findings: Based on staff interviews, as well as photographic evidence, it was determined that on April 10, 2024 Staff 1 placed Child 1 at risk of harm when they were placed into a cardboard box that was located on the floor of the front office. In addition to the infant, the cardboard box also contained fabric sheets, clear plastic packaging, a large blanket, and an infant bottle.”