Olga & Bob Strauss Center for Early Childhood Education

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 The Compliance Officers observed that in the Infants’ Room (Deeshonim) 2 out 8 cribs had fitted sheets that were loose.”

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 Compliance Officers observed that the exhaust fan in the bathroom between the rooms Dagim and Peelim was not working.”

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 Compliance Officers observed that in the Two’s and Three’s Room (Tukim) the container for soiled clothing was missing a waterproof liner.”

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 Officers checked the water temperatures in the diapering sinks finding the following water temperatures were out of range: Peelim Room (twos): 114°F Yonim Room (twos): 116°F Tzfardim Room (ones): 113°F Geerafot (ones): 113°F”

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. Follows the current written dietary instructions of a parent when feeding the infant;

“FINDINGS The Compliance Officers observed that in the Infants’ Room (Deeshonim) the written dietary instructions from the parent of Child 2 were missing a feeding schedule, date and signature. The dietary instructions for Child 3 did not have a feeding schedule.”

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: The Compliance Officers checked ratios and roster in the Twos’ (Peelim) Room and noticed that 10 children were signed in the roster and 11 children were in the classroom.”

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 Compliance Officers observed that in the Infants’ Room (Deeshonim), there was no daily documentation of activities for Child 1.”

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 The Compliance Officers observed that in the Infants’ Room (Deeshonim), one pacifier was not labeled with an identifier.”

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 Officers’ observations in all activity rooms there were personal products not labeled with children’s full name or first initial and last name.”

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.

“Compliance Officer 1 observed that the soiled clothing container in the Infants' classroom did not have a lid. The container was not large enough for all of the soiled clothing that had been placed in it to fit properly; it was overflowing.”

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;

“Complaince Officer 1 observed a wooden block on the diaper changing surface in the 1’s activity area. Classroom staff reported that they had placed it there to be washed.”

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

“Compliance Officer 2 reviewed the medications belonging to enrolled children at the facility and noted that the prescription numbers listed on the medication consent forms for Child 2, Child 3 and Child 4 contained different prescription numbers than those on the labels of their medications.”

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;

“Compliance Officer 1 inspected the boys’ restroom and noted that the exhaust fan was not working nor was there a window that opened to the outside air.”

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.

“Complaince Officer 2 requested the facility's most current fire inspection documentation, but facility staff reported that they did not have a current fire permit. The facility's Tucson Fire Department issued permit expired on 10/8/24. The Director explained that they would schedule an inspection and provide documentation when it had been completed.”

AAC R9-5-503.F.2. F. A licensee shall ensure that in an activity area with a diaper changing area:2. A staff member: a. Documents each diaper change: i. For an infant, in the infant’s dated, daily, documentation required in R9-5-502(C)(1)(d); or ii. For an enrolled child who is not an infant, in a dated diaper changing log; b. Maintains the diaper changing log on facility premises for 12 months after the date of the diaper changing log; c. Empties clothing soiled with feces into a flush toilet without rinsing; d. Places an enrolled child’s clothing soiled by feces or urine in a plastic bag labeled with the enrolled child’s name, stores the clothing in a container used for this purpose, and sends the clothing home with the enrolled child’s parent; and e. Removes disposable diapers and disposable training pants from a diaper changing area as needed or at least twice every 24 hours to a waste receptacle outside the facility building.

“Classroom staff in the Two Year Old classroom reported to Compliance Officer 1 that Child 3's diaper changes had not been logged on the day of the inspection.”

AAC R9-5-503.A.3. 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

“Compliance Officer 1 observed that the soiled diaper container in the Older Infants' classroom did not have a liner.”

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

“Compliance Officer 1 measured the depth of the sand in the fall zones of the playground equipment on the Big Kid Playground as follows: 4 " of sand in the fall zone of the small gray slide; 2" of sand in the fall zone of the balance beam.”

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;

“Compliance Officer 1 reviewed the infant's dietary instructions and noted that there were no foods listed on Child 1's form. Classroom staff reported that Child 1 is eating solid foods.”

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;

“Compliance Officer 1 measured the water temperature of two diaper changing sinks to be below 86°F. The water temperature of the diaper changing sink in the Tzfardim classroom, (1 year olds) measured 81°F and the water temperature of the diaper changing sink in the Tukim classroom, (2s/ 3s room measured 61°F. Maintenance was called on the day of the inspection and both sinks' water heaters were adjusted that day.”

AAC R9-5-301.H. H. A licensee shall prohibit the use or possession of the following items when an enrolled child is on facility premises, during hours of operation, or in any motor vehicle used for transporting an enrolled child:1. Any beverage containing alcohol; 2. A controlled substance as listed in A.R.S. Title 36, Chapter 27, Article 2, except where used as a prescription medication in the manner prescribed; 3. A dangerous drug as defined in A.R.S. § 13-3401, except where used as a prescription medication in the manner prescribed; 4. A prescription medication as defined in A.R.S. § 32-1901, except where used in the manner prescribed; or 5. A firearm as defined in A.R.S. § 13-105.

“Per allegation and per interviews, it was found that an Armed Security Guard was on the facility premises. The Security Guard was using the facility restroom.”