Payson Christian School

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 a review of facility documentation and the Compliance Officer's observations, 4 of 10 Emergency, Information, and Immunization Records reviewed lacked the following required information: *Child #1- The name and contact telephone number of the child’s health care provider. *Child #2- The child's 2nd parent/guardian's address, contact telephone number, and the name and contact telephone number of 2 emergency contacts. *Child #3- The name and contact telephone number of the child’s health care provider, the child's 2nd parent/guardian's name, home address and contact telephone number, and the child's parent/guardian's printed name. *Child #4- The person to contact in case of an emergency.”

AAC R9-5-603.B. B. Except as provided in subsection (D) a licensee shall ensure that an outdoor activity area: 1. Is enclosed by a fence: a. A minimum of 4 feet high; b. Secured to the ground; and c. With either vertical or horizontal open spaces on the fence or gate that do not exceed 4.0 inches; 2. Is maintained free from hazards, such as exposed concrete footings and broken toys; and 3. Has gates that are kept closed while an enrolled child is in the outdoor activity area

“Findings: Based on the Compliance Officers' observations, on the 2's Playground, there was rust on the North black fence accessible to the enrolled children.”

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

“Findings: Based on the Compliance Officers' observations, in the gym, the following hazards were accessible to the enrolled children: *There was a rip with exposed foam on the blue wall. *There was a cracked white plate on the wall next to the bleachers. *There was a part of the baseboard that was peeling under an outlet along the white wall. *There was exposed drywall cracking on the blue wall.”

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

“Findings: Based on the Compliance Officer's observations, in Room 101, the following children's personal products lacked appropriate labels: *Child #5, Child #6- A pack of wipes had the child's last name only. *Child #7- A pack of Signature Select wipes had no child's name.”

AAC R9-5-501.A.18. A. A licensee shall ensure that: 18. 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: Based on the Compliance Officers' observations, in Room 109 (4s), a can of shaving foam was accessible to the enrolled children on the green activity table.”

AAC R9-5-501.A.1. A. A licensee shall ensure that: 1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Findings: Based on the Compliance Officers' observations, the fire alarm panel located in the main office was in 'trouble' mode.”

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.

“Findings: Based on the Compliance Officer's observations and review of facility documentation, the facility was using a classroom for the 4-5-year-old children without approval from the Department.”

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 6 out of 20 enrolled children's Emergency, Information and Immunization Record cards reviewed lacked the following required information: Child #1 and Child #6: The name and contact telephone number of a 2nd 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 and the name and contact telephone number for the child's health care provider. Child #2, Child #3 and Child #4: The name and contact telephone number for the child's health care provider. Child #5: The name and contact telephone number of at least 2 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.”

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

“Findings: Based on the Compliance Officer’s observation, in the Preschool Classroom, 7 sleeping mats were torn in the corners and along the edges exposing foam.”

AAC R9-5-605.B.3. B. A licensee shall ensure that: 3. An unvented or open-flame space heater or portable heater is not used on the facility premises;

“Findings: Based on the Compliance Officers' observations, in the 2's classroom, there was a space heater accessible to enrolled children.”

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

“Findings: Based on the Compliance Officers' observations, the gym lacked an accurate posted capacity. Previously cited on 10/11/23.”

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 Compliance Officers' observations, the following hazards were accessible to enrolled children: In the 2’s room, there was a beam ledge that had detached edging exposing particle board and raw wood. In the PreK 3 room, there was a screw protruding on the East wall. In the Gymnasium, there was a foot-long hole and 2 6-10 inch holes in the East wall and sharp splintery wood on the South wall with wooden board. Previously cited on 10/11/23 and 10/18/23”

AAC R9-5-306.B. B. A licensee shall: 1. Develop, document, and implement policies and procedures to ensure that a staff member maintains daily documentation of the presence of an enrolled child in an activity area that includes a method to account for any temporary absences of the enrolled child from the activity area, and 2. Maintain the documentation of the presence of enrolled children in an activity area required in subsection (B)(1) on facility premises for 12 months after the date of the documentation.

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that the roster in the 2's classroom did not reflect the number of children present (9 children present, 7 children listed on the roster). Previously cited 10/11/23 and 10/18/22.”

AAC R9-5-605.B.5. B. A licensee shall ensure that: 5. Electrical extension cords are not used;

“Findings: Based on the Compliance Officers' observations, in 2's classroom, there was an electrical extension cord 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 Officers' observations, in the Pre-K classroom, there were 2 uncovered outlets on the South wall near the television monitor. Previously cited on 10/18/22.”

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 the 2's classroom, there was a green cloth and a plastic bag container on the diaper changing surface. Previously cited on 10/11/23, 10/18/22 and 9/15/21”

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 Compliance Officer #1’s observation, the outdoor activity area lacked the following resilient surfacing: Preschool Playground *1 of the required 6 inches of sand in the fall zones of the big green slide, green twisted steps, and black steps. *4 of the required 6 inches of sand in the fall zones of the brown steps to the play structure. *3 of the required 6 inches of sand in the fall zones of the twisted green slide. 2's Playground *5 of the required 6 inches of sand in the fall zones around the plastic play structure. *The slide near the classroom door lacked resilient surface underneath.”

AAC R9-5-603.C. C. Except as provided in subsection (D), a licensee shall ensure that an outdoor activity area: 1. Is enclosed by a fence: a. A minimum of 4 feet high; b. Secured to the ground; and c. With either vertical or horizontal open spaces on the fence or gate that do not exceed 4.0 inches; 2. Is maintained free from hazards, such as exposed concrete footings and broken toys; and 3. Has gates that are kept closed while an enrolled child is in the outdoor activity area

“Findings: Based on Compliance Officer #1’s observation, in the outdoor activity area, the following hazards were accessible to enrolled children: Preschool Playground: *There was a metal grate around the base of the double trees that is lifted and detached. *There was a lifted and cracked plastic floor piece in the plastic cabin. *There were several large weeds scattered throughout the sand. 2's Playground *There was a panel of metal fence that was loose and detached from the building. *There was a white basket that was broken and a broken plastic lawnmower toy. ***Previously cited 10/18/22”

AAC R9-5-601.4. A licensee shall comply with the following physical plant requirements: 4. Except as provided in subsection (5), when providing child care services for infants or children who require diapering, a diaper changing area that meets the requirements in R9-5-503 is available in each infant room or indoor activity area used by an enrolled infant or child who wears diapers or disposable training pants;

“Findings: Based on Compliance Officer #1's observation, in PreK 3, enrolled children with disposable training pants were being changed in the toilet room rather than a diaper changing area as required.”

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

“Findings: Based on Compliance Officer #1’s observations, in the School-Age boys' toilet room, the first 2 urinals had large actively peeling paint behind them. The School-Age girls and boys toilet room sink areas were missing rubber baseboards by the base of the bathroom entrance doors exposing drywall. ***Previously cited 10/18/22, 9/15/21”

AAC R9-5-512.D. D. A licensee shall ensure that toilet bowls, lavatory fixtures, and floors in toilet rooms and kitchens are cleaned and sanitized as often as necessary to maintain them in a clean and sanitized condition or at least once every 24 hours.

“Findings: Based on the Compliance Officers' observations, the 2's toilet room was not maintained in a clean condition there were 2-3 large pieces of toilet paper on the floor. ***Previously cited 10/18/22”

AAC R9-5-504.3. A licensee providing child care services for 1-year-old and 2-year-old children shall: 3. Ensure that each activity area has a supply of age-appropriate toys, materials, and equipment that are too large for a child to swallow and free from sharp edges and points, in a quantity sufficient to meet the needs of the enrolled children in attendance including: a. Art supplies; b. Books; c. Rubber or soft plastic balls; d. Puzzles and toys to enhance manipulative skills; e. Blocks; f. Washable soft toys and dolls; g. Musical instruments; and h. Indoor and outdoor equipment to enhance large muscle development;

“Findings: Based on the Compliance Officers' observations, the 2's classroom lacked enough toys for the 8 enrolled children present in the room. 2 of 3 toy selves were covered with large covers while enrolled children were present.”

AAC R9-5-503.F.1. F. A licensee shall ensure that in an activity area with a diaper changing area: 1. The containers required in subsections (A)(3) and (4) are inaccessible, and

“Findings: Based on Compliance Officer #1's observations, in the 2's classroom, there was a diaper in the food trash container accessible to enrolled children rather than the diaper container as required.”

AAC R9-5-503.B. B. A licensee shall ensure that a staff member does not: 1. Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area; 2. Draw water for human consumption from a diaper changing area sink; or 3. Except as provided in subsection (C), if responsible for food preparation, change diapers until food preparation duties have been completed for the day.

“Findings: Based on Compliance Officer #1’s observations, in the 2's Classroom, there were 9 enrolled children's water bottles, a plastic container with granola bars, a plastic container with plastic utensils and paper plates stored above the diaper changing sink.”

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 the 2's Room, there was a blue sponge on the diaper-changing handwashing sink. ***Previously cited 10/18/22, 9/15/21”

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

“Findings: Based on Compliance Officer #1's observations, in the 2's room, there were 6 diaper wipes that lacked the enrolled child's first and last name. ***Previously cited 10/18/22”

AAC R9-5-501.C.6. C. A licensee shall ensure that a staff member: 6. If an activity in the lesson plan required in subsection (C)(5) includes screen time, include in the lesson plan the duration of the screen time in minutes;

“Findings: Based on the Compliance Officers' observations, in the PreK 3 classroom, the lesson plan lacked documentation of screen time in minutes.”

AAC R9-5-501.C.1. C. A licensee shall ensure that a staff member: 1. Supervises each enrolled child at all times;

“Findings: Based on the Compliance Officers' observations, in the 2's room, there was 1 enrolled child in the restroom around the corner and unsupervised while staff was on the playground with 7 enrolled children. In PreK 4, there were several children who left the classroom and went to the restroom while staff stood in between the doorway to hear the child. ***Previously cited 10/18/22”

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: Based on Compliance Officer #1’s observations, in the 2’s classroom, there was a vacuum next to the diaper-changing handwashing sink, and there was a diffuser on a low shelf by the staff desk accessible to enrolled children. In the PreK 4 toilet room, there was a toilet plunger next to the toilet accessible to enrolled children. In the PreK 4 classroom, there was a vacuum in the dramatic play area, 3 bottles of liquids labeled all-purpose cleaner on the paper towel rack, Clorox wipes and glass and surface cleaner in a plastic container on the hand washing sink accessible to enrolled children. In the Cafeteria, there were 5 unlocked, low and open cabinets that contained containers of Clorox wipes accessible to enrolled children. ***Previously cited 10/18/22”

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 Compliance Officer #1’s observations, the following hazards were accessible to enrolled children: 2's Classroom: *There was a hole in the west wall large enough for an adult finger. *There was a ledge that had detached edging exposing particle board and raw wood. PreK 3 Classroom: *There was a hole in the north wall exposing drywall. Cafeteria: *There were 2 shelves behind the cubbies with large missing pieces of laminate exposing raw particle board. *There were 7 large missing pieces of laminate on the back of a shelf exposing particle board and nails. ***Previously cited 10/18/22”

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, the ratio in the 2's toilet room was 0:1 instead of 1:1 as required with a 2-year-old child, when a teacher allowed a child to enter the classroom from the playground to use the toilet room. The ratio in the Prek 4 toilet room was 0:1 on 2 occasions instead of 1:1 as required with a 4-year-old child present when teachers let the children enter the restroom around the corner where they could not be seen. ***Previously cited 10/18/22”

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 #2's observations, 2 of 7 staff files reviewed lacked the following: Staff #1 (DOE: 3/7/22): 15 hours of the required 18 hours of annual training for the time period of 3/7/22-3/7/23. Staff #2 (DOE: 8/1/22): 18 hours of the required 18 hours of annual training for the time period of 8/1/22-8/1/23. ***Previously cited 10/18/22”

AAC R9-5-306.B. B. A licensee shall: 1. Develop, document, and implement policies and procedures to ensure that a staff member maintains daily documentation of the presence of an enrolled child in an activity area that includes a method to account for any temporary absences of the enrolled child from the activity area, and 2. Maintain the documentation of the presence of enrolled children in an activity area required in subsection (B)(1) on facility premises for 12 months after the date of the documentation.

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that the roster in the PreK 3 classroom did not reflect the number of children present (15 children present, 14 children listed on the roster). In the 2's class, the roster was not located in the activity area as required when the children were on the playground and the roster was located in the classroom.”

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 Compliance Officer #1's observations, there was a black metal fan located on the teacher's desk in the 2's classroom accessible to enrolled children. In PreK 3's classroom, there was a white fan located on the teacher's desk accessible to enrolled children. ***Previously cited 10/18/22”

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 4 out of 13 enrolled children's Emergency, Information and Immunization Record cards reviewed lacked the following required information: Child #1 and Child #2: The date of enrollment and the name and contact telephone number of the child's health care provider. Child #3 and Child #4: The date of enrollment. ***Previously cited 10/18/22, 9/15/21”

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

“Findings: Based on the Compliance Officers' observations, the Cafeteria lacked a posted capacity.”

AAC R9-5-302. A. A licensee shall prepare a written statement of child care services provided by the licensee that includes the following: 1. A description of the facility’s child care services classifications in R9-5-204; 2. Hours of operation; 3. The facility’s street address, city, state, zip code, mailing address, and telephone number; 4. Child enrollment and disenrollment procedures; 5. Charges, fees, and payment requirements for child care services; 6. Child admission and release requirements; 7. Age-appropriate discipline guidelines and methods; 8. Transportation procedures; 9. Field trip requirements and procedures; 10. Responsibilities and participation of parents in facility activities; 11. A general description of activities and programs; 12. A description of the liability insurance required by R9-5-308 that is carried by the licensee and a statement that documentation of the liability insurance coverage is available for review on the facility premises; 13. Medication administration procedures; 14. Accident and emergency procedures; 15. A notice stating inspection reports are available on-site; 16. A provision stating that the facility is regulated by the Arizona Department of Health Services including the Department’s local street address, city, state, zip code, and local telephone number; 17. The procedures for notifying a parent at least 48 hours before a pesticide is applied on a facility’s premises; and 18. A statement that a parent has access to the areas on facility premises where the parent’s enrolled child is receiving child care services. B. A licensee shall provide a copy of the written statement of child care services: 1. To the Department: a. Before the facility receives a license, and b. Every 12 months after the date of the license as required by A.R.S. § 36-883.01; and 2. To a parent when the parent requests a copy of the written statement of child care services.

“Findings: Based on facility documentation and Compliance Officer #1's observations, the written statement of child care services lacked the following required information: the transportation procedures, responsibilities and participation of parents in facility activities, a description of the liability insurance, a notice stating inspection reports are available on-site, the procedures for notifying a parent at least 48 hours before a pesticide is applied on a facility’s premises and a statement that a parent has access to the areas on facility premises where the parent’s enrolled child is receiving child care services.”

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 Compliance Officer #2's observations, 1 of 7 staff files reviewed lacked the following: Staff #4 (DOE: 7/31/23): Documentation of a negative Manoux skin test on 8/9/23, outside the required timeframe. ***Previously cited 10/18/22, 9/15/21”

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 #2's observations, 1 of 7 staff files reviewed lacked the following: Staff #4 (DOE: 7/31/23): Fingerprint clearance card was not verified by DPS before their starting date of employment.”

AAC R9-5-203.D. D. A licensee shall ensure that each staff member submits to the licensee a copy of the staff member’s valid fingerprint clearance card each time the fingerprint clearance card is issued or renewed every six years.

“Findings: Based on facility documentation and Compliance Officer #1's observations, Staff #3's (DOE: 7/31/2017) fingerprint clearance card expired on 7/20/23. Staff #3's fingerprint clearance card application was received by DPS on 7/22/23 and issued on 7/24/23. Staff #5's (DOE: 1/4/2017) fingerprint clearance card expired on 9/5/22. Staff #5's fingerprint clearance card was received by DPS on 7/24/23 and issued on 7/24/23.”

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 Compliance Officer #2's observations, 1 of 7 staff files reviewed lacked the following: Staff #5 (DOE: 1/4/2017): The backside of the Fingerprint clearance card.”

ARS § 36-882.C. C. An application for an initial license shall include: 1. The form that is required pursuant to section 36-883.02, subsection C and that is completed by the applicant. 2. A copy of a valid fingerprint clearance card issued to the applicant pursuant to section 41-1758.07. 3. If the applicant's facility is located within one-fourth mile of any agricultural land, the names and addresses of the owners and lessees of the agricultural land and a copy of the agreement required pursuant to subsection D of this section.

“Findings: Based on facility documentation and Compliance Officer #2's observations, Staff #4's (DOE: 7/31/23) fingerprint clearance card was not issued before their starting date of employment. Staff #4's fingerprint clearance card application was received by DPS on 7/31/23 and issued on 8/4/23. ***Previously cited 9/15/21”

AAC R9-5-305.B. B. A licensee shall attach an enrolled child’s written immunization record or exemption affidavit, required in subsection(A), to the enrolled child’s Emergency, Information, and Immunization Record card, required in R9-5 304(B).

“Findings: Based on facility documentation and the Compliance Officer’s observation, it was determined that 1 out of 13 enrolled children's Emergency, Information, and Immunization Record card lacked an attached written immunization record.”