Naos Dba Heart Kids Academy

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 Officer's observation, the following hazards were accessible to enrolled children: Indoor Playground Room 616: *There were multiple areas of peeling vinyl with exposed foam on the corners of the multi colored foam blocks. *There was a 3-inch hole with exposed drywall in the bottom of the East wall near the roll-up door. *There was flaking drywall with exposed metal on the bottom corner of the wall near the playground door. Room 611: *There were 5 finger size holes on the East wall near the climber.”

AAC R9-5-502.A.11. A. A licensee providing child care services for infants shall: 11. Label each food container received from the parent with the infant's name.

“Findings: Based on the Compliance Officer's observation, in the infant room, 1 food container and 2 bottles lacked the enrolled infant's name.”

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 facility documentation and the Compliance Officer's observation, in the Infant room, the written dietary instructions for Child #1 lacked the updated solid food items to be fed to the infant; the last time updated was 11-20-2025. The facility lacked written dietary instructions for Child #2 and Child #3.”

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

“Findings: Based on the Compliance Officer’s observation, in Rooms 611, 612, 613, and 616, there was a dirt build-up on the surface of the diaper changing table.”

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 Officer’s observation, there was trash consisting of paper towels and toilet paper on the floor in Room 616's restroom.”

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 Officer’s observation, in the outdoor activity area, the following hazards were accessible to enrolled children: *There was cracked plastic on 4 of the playground dividers between the grass and the resilient surfacing. *There was cracked plastic with exposed sharp edges on the top of the playhouse door frame.”

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 facility documentation and the Compliance Officer’s observation, it was determined that the Licensee lacked documentation of a current violation-free fire inspection report as required.”

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 facility documentation, staff statements and the Compliance Officers' observations, the health, safety and welfare of enrolled children was placed at risk of harm. In the 1's classroom, Staff #1 threatened to harm enrolled children. Staff #1 told a 1-year-old child, "I want to punt kick you." Staff Statement: *A child was crying and Staff #1 told the 1-year-old "I'm going to punch you in the freaking face." *Staff #1 picked up a water bottle and told a 1-year-old child, I'm going to hit you over the head with this. No, wait (Picks up a metal water bottle). I'm going to hit you with this. *Staff #1 told a staff member, "Child makes me want to slap the ever loving heck out of them."”

AAC R9-5-510.A.1. A. A staff member shall provide guidance to help children respond to difficult situations. To develop self-regulation, children should receive adult support that is individual to the child and adapts as the child develops internal controls. This process should include: 1. Forming a positive relationship with the child, which occurs when the adult spends time talking to the child, listening to the child, following the child’s lead, playing with the child, and responding to the child’s needs; 2. Base expectations on the child’s developmental level; 3. Establishing and being proactive in teaching and supporting children in learning simple rules; 4. Modifying the learning/play environment to support the child’s appropriate behavior; 5. Creating a predictable daily routine and schedule; 6. Modeling desired behavior; 7. Showing children positive alternatives; 8.Using deliberate redirection, the staff member should encourage the child to use appropriate behavior, and provide positive feedback when the child exhibits the behavior; 9. Individualized positive discipline strategies based on the individual needs of children, such as using a buddy system, individualized schedule, special break, or another applicable positive discipline strategy; and 10. If applicable, a licensee shall develop a written plan with the enrolled child's parent to provide individualized social and emotional intervention supports for the enrolled child that includes methods for understanding the enrolled child's behavior, and developing, adopting, and implementing a team-based positive behavior support plan.

“Per allegation Findings: Based on staff statement and the Compliance Officers' observations, Staff #1 failed to create a positive relationship with enrolled children. Staff #1 threatened violence against multiple 1-year-old children. Staff Statements: *"[Child] makes me want to yeet them to another galaxy." *Staff #1 would get frustrated quite frequently *Staff heard Staff #1 say, "I want to punt kick you," to a 1-year-old. *Staff #1 would grab their arms a little hard.”

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 Officers’ observations upon arrival to the facility, observed through the window to Room 616 a staff member took an enrolled child from the diaper changing area and placed them in the outdoor activity area with the second staff member and the remainder of the class. The staff member walked back to the diaper changing area to complete the diaper changing process. During the staff member's absence from the outdoor activity area the ratio was 1:9 rather than 2:9 with two-year-old children present.”

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 facility documentation and the Compliance Officer’s observation, the prescription medication for Child #10 was expired (Expiration date: 6/08/2024). The expired medication had not been returned to the parent.”

AAC R9-5-516.B.4. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:4. A staff member : a. Administers a prescription medication provided by a parent only from a container dispensed by a pharmacy; b. Administers a nonprescription medication provided by a parent for an enrolled child only from a container prepackaged and labeled for use by the manufacturer and labeled with the enrolled child’s name; c. Does not administer any medication that has been transferred from one container to another; and d. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the facility receives written authorization from the enrolled child’s health care provider.

“Findings: Based on facility documentation and the Compliance Officer's observation, the non-prescription medication for Child #6, Child #7, Child #8 and Child #9 lacked written authorization from the enrolled children's healthcare providers to administer the medication inconsistent with the manufacturer's label. The non-prescription medication for Child #6 lacked the child's name.”

AAC R9-5-516.B.3. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child’s parent or health care provider that includes the: a. Name of the enrolled child; b. Type of the medication; c. Prescription number, if any; d. Instructions for administration specifying the: i. Dosage and route of administration; ii. If indicated, starting and ending dates of the dosage period; and iii. Times and frequency of administration; e. Reason for the medication; and f. Date of authorization; and

“Findings: Based on facility documentation and the Compliance Officer’s observation, the medication forms lacked the following required information: Child #4: The dosage, time and frequency, and reason of administration. Child #5 and Child #6: The time and frequency of administration.”

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 the Compliance Officer’s observation, it was determined that 3 out of 15 enrolled children's Emergency, Information and Immunization Record cards reviewed lacked the following required information: Child #1: The name, home address, city, state, zip code, and contact telephone number of a second parent of the child. Child #2: The date of enrollment. Child #3: The date of enrollment and the name of the individual to be contacted in case of injury or sudden illness of the child.”

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: Based on facility documentation and the Compliance Officer’s observation, in Room 611 there was a medication diaper cream in a child's bin near the diaper changing area.”

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 facility documentation and the Compliance Officer’s observation, the Mantoux skin test for Staff #1 was not administered on or before the starting date of employment (Date of employment- 1/13/2025, date of TB test- 1/15/2025).”

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 Compliance Officer #2's observation, upon entering the Infant room, a staff member was sitting on the floor supervising 5 infants. One infant was on their lap and two other infants were sitting up playing with toys. There was a non-crawling infant on their stomach playing with a soft toy next to the staff member and a second non-crawling infant was out of the staff members reach laying on their stomach.”

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 facility documentation and Compliance Officer #1's observation, it was determined that Staff #1 was hired as a teacher caregiver. Staff #1 was not qualified as a teacher caregiver because the file lacked documentation of 6 of the required 6 months of previous child care experience.”

AAC R9-5-402.A. A. A licensee shall maintain a file for each staff member containing:1. The staff member’s name, date of birth, home address, and telephone number; 2. The staff member’s starting date of employment or volunteer service; 3. The staff member’s ending date of employment or volunteer service, if applicable; 4. The name and telephone number of an individual to be notified in case of an emergency; 5. The staff member’s written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis; 6. The form required in A.R.S. § 36-883.02(C); 7. Documents required by R9-5-203; 8. Documents required by R9-5-301; 9. Documents required by R9-5-401, if applicable; 10. If applicable: a. The form required in A.R.S. § 8-804(I), b. Documentation of the submission required in A.R.S. § 8-804 and the information received as a result of the submission, and c. Documentation of training provided by a licensee as required by R9-5-403, if applicable; 11. A copy of any current license or certification required by A.R.S. Title 36, Chapter 7.1, Article 1. or this Chapter; and 12. Documentation of the requirements in A.R.S. § 36-883.02(D).

“Findings: Based on facility documentation and Compliance Officer #1's review of Staff #1's file, the file lacked documentation of the staff's negative TB test within the required timeframes. The Director stated the staff no longer worked at the facility but the file lacked the staff's ending date of employment. Reference R9-5-301.F.”

AAC R9-5-403.B. B. A licensee shall ensure that:1. Each staff member who provides child care services completes 18 or more actual hours of training every 12 months after the effective date of this Chapter or the staff member’s starting date of employment or volunteer service in at least two topics listed in this subsection: a. Child growth and development, including: i. Infant growth and development, which may include sudden infant death syndrome prevention; ii. Developmental psychology; iii. Language development; iv. Observation and child assessment; v. Developmentally-appropriate activities; vi. Child guidance and methods of discipline which may include training on the appropriate techniques to prevent a child from harm or to prevent the child from harming others; and vii. Developmentally-appropriate activity areas; b. Health and safety issues, including: i. Accident and emergency procedures, including CPR and first aid for infants and children; ii. Recognition of signs of illness and infestation; iii. Nutrition and developmentally-appropriate eating habits; iv. Child abuse detection, reporting, and prevention; v. Safety of indoor and outdoor activity areas; and vi. Sun safety policies and procedures; c. Program administration, planning, development, or management; and d. Availability of community services and resources, including those available to children with special needs; and 2. As part of the required 18 hours of training in subsection (B)(1): a. A staff member who has less than 12 months of child care experience before the staff member’s starting date, completes at least 12 hours in one or more of the topics in subsection (B)(1)(a) in the staff member’s first 12 months at the facility; b. A staff member who has 12 months or more of child care experience, completes at least 6 hours in one or more of the topics in subsection (B)(1)(a) every 12 months after the staff member’s starting date; c. A staff member who provides child care services to an infant completes at least 6 hours in subsection (B)(1)(a)(i) every 12 months after the staff member’s starting date; and d. A facility director completes at least 6 hours in subsection (B)(1)(c) every 12 months after the facility director’s starting date.

“Findings: Based on facility documentation and Compliance Officer #1's observation, Staff #1's (DOE 2/27/2023) file lacked 18 hours of the required 18 hours of annual training from 2/27/2023 - 2/27/2024.”

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

“Findings: Based on Compliance Officer #1's observation, in the Infant room, an infant was observed holding and drinking from a bottle while lying on the floor, rather than in a feeding chair or at a table.”

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

“Findings: Based on staff statements during staff interviews, a staff member failed to teach, model and encourage orderly conduct, personal control, and age-appropriate behavior. Staff stated the following: *Staff #1 had a few moments when they were "short" with the children. *Staff #1 spoke sternly to the children at times. *Staff #1 would speak about the children in a negative way and sometimes in front of the children. *Staff #1 would walk quickly down the hall while holding a toddler's hand and the child would fall and trip on their feet since they could not keep up.”

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

“Findings: Per allegation and based on documentation and staff statements, documentation in Staff #1's file stated Staff #1 displayed "physically and verbally harmful behaviors". Staff stated the following: *Staff #1 was pinched by a one-year-old child and got upset so Staff #1 pinched the child back. *Staff #1 would "grab" a child's arm a little too rough to move the child to a different area. *Staff #1 "grabbed" a child's arm "roughly a few times". *Staff #1 would "pull a child's hair" to teach the child a lesson and so the child would see how it felt. *Staff #1 would redirect children by "grabbing" their "arm above the elbow" and "pulling the child roughly". Staff #1 also self reported to the Director that they pinched a child back after the child pinched them.”

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 statements made during staff interviews, the licensee failed to ensure that a staff member does not use abusive language. Staff stated the following: *Staff #1 would curse and use inappropriate language in front of the children. *Staff #1 used derogatory language to describe the children to other staff and said it within hearing range of the children.”

AAC R9-5-203.E. E. If a staff member possesses a fingerprint clearance card that was issued before the staff member became a staff member at the facility, a licensee shall:1. Contact the Department of Public Safety before the individual becomes a staff member to determine whether the fingerprint clearance card is valid; and 2. Document this determination, including the name of the staff member, the date of contact with the Department of Public Safety, and whether the fingerprint clearance card is valid.

“Findings: Based on facility documentation and Compliance Officer #1's observation of 1 staff file, Staff #1's (hire date 2/27/2023) fingerprint clearance card was not verified as valid with DPS prior to the starting date of employment. The card was verified to be valid on 3/1/2023.”

AAC R9-5-203.G. G. If required by A.R.S. § 8-804, before an individual’s starting date of employment or volunteer service, a licensee shall comply with the submission requirements in A.R.S. § 8-804(C) for the individual.

“Findings: Based on on facility documentation and Compliance Officer #1's review of Staff #1’s file, the file lacked the documentation of the submittal of the required DCS Central Registry.”

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 Compliance Officer #2's observations, in Room 613, there were 8 children present but 10 children were marked as present on the roster.”

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 documentation and staff statements, the facility staff failed to immediately report an alleged case of child abuse to the local law enforcement agency. Staff #1 informed the Director that they pinched a one-year-old child because the child pinched them. The incident occurred on 5/1/2024 and was not reported to the local police until 5/20/2024 after the Compliance Officers told the facility at the time of the investigation that the abuse is required to be reported to local law enforcement. In addition, the Department was not notified until 5/10/2024 via email. Documentation in Staff #1's file stated the reason the staff was terminated was due to "physical and verbally harmful behaviors". During staff interview, staff stated the following: *Staff #1 would "grab" children's arms above the elbow in a rough manner. *Staff #1 pulled a child’s hair to show (the child) what it felt like (when a child had pulled another child’s hair). Staff acknowledged that Staff #1's pulling children's hair and grabbing children's arms was also not reported to the police. *Reference A.R.S. § 13-3620”

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 facility documentation and the Compliance Officer’s observations, it was determined that the Mantoux skin test for Staff #1 and Staff #2 was not administered on or before the starting date of employment. Staff #1 Date of employment- 11/17/2023, date of TB test- 11/24/2023. Staff #2 Date of employment-10/16/2023, date of TB test-1/07/2024.”

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 observations, in the Infant room, classroom 611 and classroom 612 there were 16 diaper creams that lacked the enrolled child's first and last name.”

AAC R9-5-516.B.3. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child’s parent or health care provider that includes the: a. Name of the enrolled child; b. Type of the medication; c. Prescription number, if any; d. Instructions for administration specifying the: i. Dosage and route of administration; ii. If indicated, starting and ending dates of the dosage period; and iii. Times and frequency of administration; e. Reason for the medication; and f. Date of authorization; and

“Findings: Based on facility documentation and the Compliance Officer’s observations, the following medication forms were incomplete: Child #5: The dosage and time and frequency of administration. Child #6: The correct name of the enrolled child, end date of the dosage period and reason for medication. Child #8: Times and frequency of administration and reason for medication. Child #9: The end date of the dosage period and time and frequency of administration. Child #12: The dosage and route, time and frequency of administration, starting and ending date of the dosage period. Child #13:Time and frequency (medication #1, medication #2 and medication #3), the end date of the dosage period (medication #2). Child #14: The start and end date of the dosage period and time and frequency of administration (medication #1 and medication #2). Child #15: The time and frequency of administration. Child #16: The end date of the dosage period, dosage and route, and time and frequency of administration. Child #17: The end date of the dosage period and dosage of administration. Child #18: The time and frequency of administration (medication #1) and dosage of administration (medication #2). Child #19: The end date of the dosage period. Child #20: The end date of the dosage period. Child #21:The start and end date of the dosage period, dosage, and time and frequency of administration. Child #22: The time and frequency of administration.”

AAC R9-5-203.C. C. Except as provided in A.R.S. § 41-1758.03, a licensee shall ensure that each staff member, before starting date of employment or volunteer service, submits to the licensee a copy of the staff member’s valid fingerprint clearance card,front and back, issued under A.R.S. Title 41, Chapter 12, Article 3.1.

“Findings: Based on facility documentation and the Compliance Officer’s observation, it was determined that the file for Staff #1 lacked documentation of a copy of a valid fingerprint card. The fingerprint clearance card was validated through the DPS website during the time of the inspection.”

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 facility documentation and the Compliance Officer’s observation, it was determined that the file for Staff #1 lacked documentation of the Criminal History Affidavit.”

AAC R9-5-516.B.4. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:4. A staff member : a. Administers a prescription medication provided by a parent only from a container dispensed by a pharmacy; b. Administers a nonprescription medication provided by a parent for an enrolled child only from a container prepackaged and labeled for use by the manufacturer and labeled with the enrolled child’s name; c. Does not administer any medication that has been transferred from one container to another; and d. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the facility receives written authorization from the enrolled child’s health care provider.

“Findings: Based on facility documentation and Compliance Officer's observations, it was found that Child #23’s prescription medication was dispensed as a two-pack, but only one injection was present at the facility and a physician’s authorization to separate the injections was not present. Based on facility documentation and the Compliance Officer's observation, the non-prescription medication for Child #6, Child #7, Child #8, Child #10 and Child #11 lacked written authorization from the enrolled children's health care providers to administer the medication inconsistent with the manufacturer's label.”

AAC R9-5-402.A. A. A licensee shall maintain a file for each staff member containing:1. The staff member’s name, date of birth, home address, and telephone number; 2. The staff member’s starting date of employment or volunteer service; 3. The staff member’s ending date of employment or volunteer service, if applicable; 4. The name and telephone number of an individual to be notified in case of an emergency; 5. The staff member’s written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis; 6. The form required in A.R.S. § 36-883.02(C); 7. Documents required by R9-5-203; 8. Documents required by R9-5-301; 9. Documents required by R9-5-401, if applicable; 10. If applicable: a. The form required in A.R.S. § 8-804(I), b. Documentation of the submission required in A.R.S. § 8-804 and the information received as a result of the submission, and c. Documentation of training provided by a licensee as required by R9-5-403, if applicable; 11. A copy of any current license or certification required by A.R.S. Title 36, Chapter 7.1, Article 1. or this Chapter; and 12. Documentation of the requirements in A.R.S. § 36-883.02(D).

“Findings: Based on facility documentation and the Compliance Officer’s observations, it was determined that the files for Staff #1 and Staff #3 lacked documentation of 2 good-faith effort professional references.”

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 the Compliance Officer’s observations, it was determined that 4 out of 20 enrolled children's Emergency, Information and Immunization Record cards reviewed lacked the following required information: Child #1: The name and contact telephone number of a second individual 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. The name and contact telephone number of the child’s health care provider. Child #2: The contact telephone number of the child’s health care provider. Child #3: The date submitted. Child #4: The name of the child's health care provider.”