NPHX Preschool

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete an Emergency, Information, and Immunization Record that is no more than a two-page written notice, and is signed by the enrolled child’s parent containing: 1. The child’s name, home address, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, email address, and telephone number of each parent of the child; 4. The name and contact telephone number of at least two individuals authorized by the child’s parent to collect the child from the facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for the nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(14); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“Findings: Based on the Compliance Officer's observation, 8 of 30 Emergency, Information, Immunization Record cards lacked the following: Child #1: The name of the individual to be contacted in case of injury or sudden illness of the child; Child #2: The home address of each parent of the child; Child #3, Child #4, Child #5: The contact telephone number of the child's health care provider; Child #6 and Child #7: The name and contact telephone number of the child's health care provider; Child #8: The child's date of enrollment.”

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 the Compliance Officer's observation, the following rosters did not accurately reflect the number of children present in the activity area: *Room 100: There were 7 children present in the room and 9 marked on the roster; and *Room 119: There were 10 children present in the room and 8 marked on the roster.”

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 observation, the following personal products lacked a label with the child's first and last name as required: *Room 101: 1 sunscreen lacked a label, and 1 sunscreen and 1 Aquaphor were labeled with the child's first name only; *Room 104: 1 Aquaphor lacked a label; and *Room 105: 1 diaper cream lacked a label, and 1 diaper cream was labeled with the child's first name only.”

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 Room 105, there was a crack in the corner of the diaper changing surface.”

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 observations, on the 2's playground, the stucco pole on the northeast corner of the playground, was cracking and breaking, leaving chunks of stucco on the ground accessible to enrolled children.”

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

“Findings: Based on the Compliance Officer's observation, the following rooms lacked plug covers for each unused outlet: Room 116, Room 117, and Room 119: 1 outlet lacked a plug cover; Room 121: 2 outlets lacked a plug cover; and Room 105: 4 outlets lacked a plug cover.”

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 observation, in Room 101, the dietary instructions for Child #1 and Child #2 lacked documentation of the time and frequency of feedings.”

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, the following diaper changing areas were not maintained seamless and smooth and free of items not required for diaper changing: Room 113: There was a tumbler cup on the counter next to the diaper changing sink; and Room 103: There were 2 holes on either side of the diaper changing surface.”

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 the Compliance Officer's observation, 3 of 5 medication authorization forms reviewed lacked the following: *The medications for Child #3 and Child #5 lacked medication authorization forms; and *The medication form for Child #4 lacked the start and end dates of authorization.”

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 Officer's observation, the following fall zones lacked 6 inches of resilient surfacing as required: Preschool Playground: *Short yellow slide: Lacked 4 of the 6 inches required; *Twist yellow slide: Lacked 1 of the 6 inches required; Two's Playground: *North slide: Lacked 4 of the 6 inches required; *South slide: Lacked 4 of the 6 inches required; and *Long yellow slide: Lacked 4 of the 6 inches required.”

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, in Room 100, a vinyl cushion and wooden stool were stacked upside down on top of a high chair tray.”

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' observation, the following hazards were accessible to enrolled children: *Room 119 (3's and 4's): The wall behind one of the toilets had buckling paint and the drywall was damp to the touch.”

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 Room 111 (2's), there was an unmounted fan located on a shelf on the east wall.”

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

“Findings: Based on the Compliance Officers' observations, the following classrooms had exposed, unused, electrical outlets: *Room 113: 2 outlets, 1 located by the window and 1 located by the art easel; *Room 114: 1 outlet located by the bookshelf; and *Room 121: 1 outlet located by the phone.”

AAC R9-5-516.I. I. Except as specified in A.R.S. § 36-2229(B) through (D), a licensee shall ensure that a facility does not stock a supply of medications for administration to enrolled children, including:1. Any prescription medication; or 2. A nonprescription medication such as aspirin, acetaminophen, ibuprofen, or cough syrup.

“Findings: Based on the Compliance Officers' observations, the following stock medications were found stored in the children's first aid kit: *Antibiotics *Lip aid; *Eye drops; *Burn relief; *Dental relief; *Muscle relief; and *Topical skin spray.”

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 Officers' observations, in Room 116 (2's and 3's), three paint brushes and a sponge were stored next to the diaper changing sink.”

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 Compliance Officers’ observations and on a discussion with infant room staff, the following infant feeding instructions were not updated or lacked the following required information: *Child 1- Staff stated the child was eating food but the form only listed breast milk and the form indicated it was last updated on 7/2023; * Child 2-Staff stated the child was eating food but the form lacked the type and amount of foods and the frequency of feeding; *Child 3 Staff stated the child was eating food but the form lacked the type and amount of food and the frequency of feedings and was last updated in 12/2023; *Child 4- Staff stated the child drank breast milk. The form lacked the amount of breast milk to be fed and the amount and frequency of the feeding; and *Child 6- Staff stated the child was eating food but the form lacked the frequency of feedings and amount of food.”