Perform To Learn - Performing Arts Preschool

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

“Findings: Per allegation and based on the Compliance Officer and the Compliance Officer Supervisor's observations and statements, Staff #1 left the children alone and unsupervised in the gym when they went to use the restroom. Staff stated they would leave the children in the gym while they used the restroom. Children stated they were alone when (staff name) would use the restroom and go to their car.”

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 Officer and the Compliance Officer Supervisor's observations and statements, the health, safety, or welfare of enrolled children were placed at risk of harm when 2 enorlled were left alone in the gym. Staff #1 was working alone at the facility and left the 2 enrolled children in gym when going to the bathroom. *Staff #2 has not worked at the facility since April 9, 2026. *I would leave children alone in the gym when I needed to use the restroom.”

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: Per allegation and based on the Compliance Officer and Compliance Officer Supervisor's observations, and statements, the staff-to-child ratio was 0:2, with a required ratio of 1:2 when Staff #1 needed to use the restroom. Staff stated they had the children in the gym playing, and they used the restroom that is located in the gym area. Children stated the following: *Staff #1 leaves the children in the basketball gym while they use the restroom. *Staff #1 leaves the children in the gym to use the restroom and when they go to their car.”

AAC R9-5-301.I. I. At least once a month, and at different times of the day, a licensee shall ensure that: 1. An unannounced practice drill that includes evacuation, relocation, shelter-in place, and lock downs are conducted; 2. Each staff member, volunteer, and enrolled child at the facility participates in the practice drill; 3. If applicable, accommodations are made for an enrolled child with a special need or disability according to the enrolled child's individualized plan as specified in R9-5-507(A)(1); 4. If applicable, accommodations are made for an enrolled child or infant who is not yet walking; and 5. Document each practice drill and maintain the documentation on facility premises for 12 months after the date of the practice drill.

“Findings: Based on facility documentation and the COS observations, there was no documentation of a fire drill conducted for the month of November 2025.”

AAC R9-5-302. 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. Guidelines for positive discipline reflective of age-appropriate methods for children that include clear, appropriate, consistent expectations; 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; 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; and 19. Policies and procedures for suspension and expulsion of children to include clear, appropriate, consistent expectations, including suspension and expulsion prevention strategies.

“Findings: Based on the COS observations, the facility lacked a written statement of child care services at the time of the inspection.”

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 COS observations, the Gym, Music, Art, Language, Home Economics and Center Rooms lacked a posted capacity.”

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 COS observations, on the south side of the Playground, the rain dial irrigation pipes had 4 exposed wires, accessible to enrolled children.”

AAC R9-5-501.B.6. B. A licensee shall ensure that a staff member: 6. For enrolled children five-years or younger, and except as provided in subsection (C), prepares, posts, and implements a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Findings: Based on facility documentation and the COS observations, the Music and Language room's posted lesson plan was dated for October. The Main, Art, and Home Economics rooms' posted lesson plan was dated for September.”

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 COS observations, in the Main room, there was a container of vaseline, 2 Aquaphor, and 2 buttpaste that lacked the child's first and last name. The was a diaper rash paste label with the child's first name and last initial only.”

AAC R9-5-404.E. E. In addition to maintaining the required staff-to-children ratios, a licensee shall ensure that: 1. Staff members are present on facility premises to perform facility administration, food preparation, food service, and maintenance responsibilities; and 2. Facility maintenance does not depend on the work of enrolled children.

“Findings: Based on the COS observations, the 2 staff present were working in a classroom maintaining the staff-to-child ratio, and no one was present on the facility premises to perform facility administration.”

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 COS observations, in the Main room, the diaper changing table had a build up of dirt and debris.”

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, if the intended change: a. 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. Is to increase licensed capacity, the square footage of the outdoor activity area; and c. Includes an alteration or addition to the physical plant of a licensed facility, the following, as applicable, if the facility is: i. 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. 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 Supervisor (COS) observation, the Licensee failed to notify the department of a change in space utilization within 30 days before the change.”

AAC R9-5-308.A. A. A licensee shall secure and maintain the following minimum insurance coverage: 1. General facility liability insurance of at least $300,000; and 2. Motor vehicle insurance coverage, required by A.R.S. Title 28, Chapter 9, Article 4, for each motor vehicle provided by a licensee to transport enrolled children.

“Findings: Based on the COS observations, the facility lacked a copy of the liability insurance.”

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: Based on the COS observations, in the Main room, the soiled clothing bin lacked a waterproof liner.”

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 COS observations, the following hazards were accessible to enrolled children: In the Gym, on the south wall the baseboard was missing, exposing drywall. In the Music room, there was an outlet starting to detach from the wall, causing a 3 inch gap. In the Main boys' bathroom, the toilet paper dispenser was detaching from the wall, exposing a nail and the second stall toilet seat was loose and wobbly.”

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 facility documentation and the COS observations, 6 out of 9 children's Emergency, Information and Immunization Record cards reviewed lacked the following: Child #1: The name, home address, and telephone number of the second parent of the child and the contact telephone number of the child's health care provider. Child #2: The name, home address, and telephone number of the second parent of the child. Child #3: The home address of each parent of the child. Child #4: The home address and telephone number of the second parent of the child. Child #5: The name and contact telephone number of 1 of 2 individuals authorized by the child's parent to collect the child from the facility in case of emergency. Child #6: The name and contact telephone number of 1 of 2 individuals authorized by the child's parent to collect the child from the facility in case of emergency, the contact telephone number of the child's health care provider and the name of the individual to be contacted in case of injury or sudden illness of the child.”

AAC R9-5-509.C.3. C. A licensee shall ensure that: 3. An enrolled child is not permitted to eat food directly off the floor, carpet, or ground or with utensils placed directly on the floor, carpet, or ground;

“Findings: Based on the COS observations, on the playground, the enrolled children were eating their snacks out of their lunch boxes off the ground.”

AAC R9-5-203.G. G. As 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 facility documentation and the COS observations, Staff #1 (DOE: 3.1.24) files lacked the DCS Central Registry Results.”

AAC R9-5-512.F.1. 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;

“Findings: Based on the COS observations, the Girl's and Boy's bathrooms lacked mounted paper towels and mounted toilet paper in the 1st and 2nd stalls.”

AAC R9-5-501.B.5. B. A licensee shall ensure that a staff member: 5. For enrolled children 12-months and older, except as provided in subsection (C), prepares, posts, and implements in each indoor activity area, a current schedule of children’s age-appropriate activities, including the times the following are provided: a. Meals and snacks; b. Naps; c. Indoor activities; d. If weather and air quality permit, outdoor or large muscle development activities; e. Quiet and active activities; f. Teacher-directed activities; g. Self-directed activities; h. Activities for individuals, groups of five or fewer children, and groups of six or more children; and i. Activities that develop small muscles;

“Findings: Based on facility documentation and the COS observations, the Main, Art, and Home Economics rooms' lacked a posted daily schedule.”

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: Based on the COS observation, in the Main room, the diaper changing area lacked soap and single-use paper towels from a dispenser.”

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 the Compliance Officers’ observations, the facility lacked a diaper changing area in the Music Room, the Language & Culture Room, and the Gym. There were diapered children present in each of these rooms for multi-use activities.”

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, enrolled children lacked supervision at all times. 6 children ran out of the Music Room barefoot into the center room. While the teacher attempted to corral the children, 2 were in the toilet room, 2 were with the teacher outside of the toilet room, and 2 children ran into the room with the half-wall right outside of the Music Room outside of the teacher's view.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Findings: Based on the Compliance Officers' observations, the following areas did not have water accessible to enrolled children: Language & Culture Room: 4 of 6 children did not have water bottles. Music Room: 1 of 6 children did not have water bottles.”

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 the Compliance Officers’ observations, in the toilet room in the Gym, there were 3 Lysol spray bottles and 2 glass cleaner spray bottles on the blue storage shelf accessible to enrolled children.”

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' observations, the following hazards were accessible to enrolled children: Center Room: *There was a loose nail on the ground in the threshold of the door to the Music Room. *There was exposed electrical wiring accessible to enrolled children on the floor of the Director's Office, which was open and accessible to the Center Room. *A thick layer of drywall dust build up settled on the baseboards, railings, benches, shelves, and activity materials. *There was exposed fiberboard on the wall near the entrance of the Language Room, on the wall outside both restroom entrances, near the STEM Room. *There were paint chips of varying sizes on the floor near the entrances to the Language, Music, Gym, Art,. and Home Economics Rooms. *There was exposed drywall along the half-wall outside of the Music Room. *There was unfinished, sharp and splintering wood under the bench of the half-wall by the Music Room. Music Room: *A wall with fully exposed drywall was installed between the Music and Theater Rooms, six enrolled children were observed running up to the exposed drywall and touching it. *The blue wall next to the constructed drywall had dozens of holes with chipped paint and exposed drywall. Gym Room: *There was approximately a 6-inch x 8-inch hole in the south wall with exposed electrical wiring accessible to enrolled children.”

AAC R9-5-404.E. E. In addition to maintaining the required staff-to-children ratios, a licensee shall ensure that:1. Staff members are present on facility premises to perform facility administration, food preparation, food service, and maintenance responsibilities; and 2. Facility maintenance does not depend on the work of enrolled children.

“Findings: Based on the Compliance Officers’ observations, the facility lacked adequate staff members present to perform facility administration and maintenance responsibilities. When the Compliance Officers arrived at the facility, there were 3 staff members on site with 3 activity areas in use by enrolled children.”

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 Officers’ observations, the Language & Culture Room lacked a roster for the 6 enrolled children present.”

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 Officers' observations, 6 of 6 Emergency, Information, and Immunization Record (EIIR) cards reviewed lacked the following information: Child #1: Date of enrollment and information for the child's second parent. Child #2 and #3: Date of enrollment. Child #4: The back page of the EIIR card. Child #5: *Phone number for Parent #1 and #2. *Phone number for first emergency contact. *A second emergency contact. *Contact information for the child's health care provider. Child #6: *Date of enrollment. *The name and contact number of the child's health care provider. *The back page of the EIIR card.”

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 Officers’ observations, the facility was under construction to change the facility’s space utilization without a modification application submission.”

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;

“Per Allegation Findings: Based on the Compliance Officers' observations, the health, safety, and welfare of enrolled children was placed at risk of harm when the children had access to an active construction zone in multiple activity areas. The following was observed, but not limited to: 6 enrolled children were observed running out of the Music Room barefoot into the Center Room, where there was an exposed loose nail on the ground. There was drywall dust covering many parts of the floor, baseboards, railings, benches, walls, and activity materials in the Center Room. The Compliance Officers also observed exposed electrical wiring accessible to enrolled children in the following areas: Gym: A 6-inch x 8-inch hole in the south wall with wiring hanging down. Director's Office: There was an outlet on a metal rod on the floor with wiring zip-tied along it accessible to children in the Center Room through the open door.”

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 the Compliance Officer's observations, the statement of services lacked the following information: 1. Field trip requirements and procedures, 2.Transportation procedures, 2. A description of the liability insurance that is carried by the Licensee and a statement that documentation of the liability insurance coverage is available for review on the facility premises, 3. A statement that a parent has access to the areas on facility premises where the parent's enrolled child is receiving child care services, and 4.The Department’s name, address and phone number.”

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 and the Compliance Officer Supervisor's observations, on the playground, there were 2 multi-colored platform swings that lacked resilient surfacing in the fall zones that were located on artificial turf.”

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 Officer and the Compliance Officer Supervisor's observations, in both toilet rooms in the Main room, there was a thick build-up of a brown fluffy substance on the ceiling vents. In the Theater room, there was a build-up of dirt and grime along the edges of the floor and some of the blue seats.”

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 the Compliance Officer's observations, on the playground, there was a white post missing the top cap, exposing sharp plastic, and a broken white fence post with sharp edges.”

AAC R9-5-304.A. A. A licensee shall require that a child be enrolled by the child’s parent or an individual authorized in writing by the parent.

“Findings: Based on facility documentation and the Compliance Officer Supervisor's observations, it was determined that 5 out of 10 enrolled children's Emergency Information and Immunization Record Cards reviewed lacked the following required information: Child #1: Health care provider name and phone number. Child #2: 2nd parent name, address and phone number, the health care provider phone number, and the name of the person to contact in case of sudden injury/illness. Child #3: Date of enrollment, a second emergency contact name and phone number, and the name of the person to contact in case of sudden injury/illness. Child #4: Date of enrollment, the 2nd parent name, address and phone number, the health care provider name and phone number, and a parent signature. Child #5: The name of the person to contact in case of sudden injury/illness.”

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 Supervisor's observation, in the Theater, there was a loose blue shelf detaching from the wall.”

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 and the Compliance Officer Supervisor's observations and staff statement, in the 1’s room, the following diaper products lacked a child's first and last name as required: *There was a container of Aquaphor labeled with a first name only. *There was an unlabeled diaper balm and an unlabeled container of sunscreen. The facility lacked written approval for use of the wipes from enrolled children's parents. Staff stated the parents bring in containers of wipes to use on all of the children.”

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 Officer and the Compliance Officer Supervisor's observations, on the playground, the staff to child ratio was 3:26, with two-year-old children present, and a required ratio of 4:26.”

AAC R9-5-501.A.21. A. A licensee shall ensure that:21. Except when used as part of an activity, the following are stored in an area inaccessible to an enrolled child: a. Garden tools, such as a rake, trowel, and shovel; and b. Cleaning equipment and supplies, such as a mop and mop bucket.

“Findings: Based on the Compliance Officer's observation, in the Language room, there was a yellow broom and dust pan on the floor near the door, accessible to enrolled children.”

AAC R9-5-604.B.3. B. A licensee that uses a private pool for an enrolled child shall ensure that the swimming pool and its equipment meet the following requirements: 3. A portable pool that does not meet the requirements of subsection (B)(1) or (2) is prohibited;

“Findings: Based on the Compliance Officers' observations and staff statement, in the outdoor activity area, there were 2 deflated portable pools on the ground with 1/2" of standing water in one of them and standing water in the other. One of the pool warning signs stated "not suitable for children under 3 years of age or up to 10 years old". The second inflatable pool stated "ages 3 - 10 years". The orange and yellow fans to inflate the pools were located on the ground. Staff stated children ages 1 and up used the inflatable pools that morning.”

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 #1's observations of 6 staff files, the Licensee lacked documentation of a negative Mantoux skin test administered within 12 months before the starting date of employment for the following staff: Staff #1 (DOE 6/24/2024): TB test dated 6/27/2024. Staff #2 (DOE 6/24/2024): TB test dated 6/26/2024.”

AAC R9-5-303.A. A. A licensee shall post in a place that can be conspicuously viewed by individuals entering or leaving the facility or activity area, the:1. Facility’s license; 2. Name of the facility director; 3. Name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility, as prescribed by R9-5-301(B)(1); 4. Schedule of child care services fees and policy for refunding fees as prescribed by A.R.S. § 36-882(P); 5. Breakfast, lunch, dinner, and snack menus for each calendar week at the beginning of the calendar week; 6. Notice of the presence of any communicable disease or infestation listed in 9 A.A.C. 6, Article 2, Table 2, from the date of discovery through the incubation period of the communicable disease or infestation; 7. Notice of the Department’s intent to deny, revoke, or suspend as prescribed by A.R.S. § 36-888 at the expiration of time in the notice for the licensee to respond; 8. Notice of an intermediate sanction imposed as prescribed by A.R.S. § 36-891.01 within 10 calendar days after the licensee received notice of the intermediate sanction; 9. Notice of a legal injunction imposed as prescribed by A.R.S. § 36-886.01 when the licensee receives the legal injunction; and 10. Notice of the availability of facility inspection reports for public viewing at the facility premises.

“Findings: Per allegation and based on the Compliance Officers' observations, the main posting board lacked the current license (The posted license expired 4/30/2024), the name of the Director and the name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility, and the policy for refunding fees.”

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' observations, the following hazard was observed and accessible to enrolled children: There was a yellow fan to inflate the obstacle course that was located on the floor and was accessible to 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 the Compliance Officers' observations of 6 staff files, the Licensee failed to contact DPS to determine the validity of the staff member's fingerprint clearance card before the individual becomes a staff member for the following staff: Staff #1 (DOE 6/24/2024), Staff #2 (DOE 6/24/2024), Staff #3 (DOE 1/7/2024): the fingerprint cards were not verified as valid. Staff #5 (DOE 3/25/2024): Verified as valid on 3/26/2024. Staff #6 (DOE 3/1/2024): Verified as valid on 3/7/2024.”

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

“Per Allegation: Findings: Based on the Compliance Officers' observations and on a discussion staff, a ratio of 2:18 was observed in the center room, the youngest child in the group was 1 years old. The 3rd staff was observed re-entering the room and stated he had stepped out of the Center room to retrieve an item in the lobby.”

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 Officers' observations, there were 18 children present in the Center room, the roster listed the names of only 9 children as present.”

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 the Compliance Officers' review of staff files and on a discussion with the Director/Owner, it was determined the fingerprint clearance cards for Staff #2 and Staff #3 had been issued prior to the two staff's employment with this licensee. The files for Staff #2 and Staff #3 lacked documentation verifying the licensee had contacted the Department of Public Safety before the staff's employment date to verify the fingerprint clearance cards were valid.”

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 Officers' observations and on a discussion with the Director/Owner, it was determined that the staff did not have a roster for the 12 children that were in the outside playground area. The staff stated the roster is usually on her phone on the ProCare application, but the application was not working on her phone. The Compliance Officers observed 28 children present in the Center room, but the roster listed the names of only 19 children as present.”

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: Per allegation (Ratios not maintained)- Based on the Compliance Officers' and the Director/Owner's observations, ratios were not maintained at all times: 1) A ratio of 4:28 was observed in the Center room, the youngest children in the group were 1 year olds; and 2) A ratio of 0:1 was observed when the Compliance Officers observed a child enter the building unaccompanied by staff from the outside playground area, walk down the hallway towards the Center room door, open the door and enter the room to use the bathroom.”

AAC R9-5-602.A. A. A licensee shall ensure that the facility meets the following square footage requirements for indoor activity areas based on the child care services classifications:1. At least 35 square feet of indoor activity space for each infant and 1-year-old child; 2. At least 25 square feet of indoor activity space for each child who is not an infant or 1-year-old child; and 3. When 1-year-old children are grouped together with children older than 1-year-old children in the same activity area, at least 35 square feet of indoor activity space for each child.

“Findings: Per Allegation- (The number of children in the room exceeds the room's licensed Capacity) Based on the Compliance Officers' and the Director's observations and on a discussion with staff and the Owner/Director, 28 children were observed in the Center room. The licensed capacity of the room, however, is only 23 children.”

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

“Findings: Per Allegation- (Children are not being supervised at all times) Based on the Compliance Officers' observations and on a discussion with the staff and the Owner/Director, the Compliance Officers observed a child enter the building from the outside playground area, walk towards the Center room door, open the door and enter the room to use the bathroom. The Compliance Officers could see the staff who was in the playground area at the time through the glass door and could see the staff had her back to that child. The staff did not supervise that child at all times to ensure the child went to the Center room. The staff acknowledged to the Compliance Officers that she had not supervised that child after the child entered the building.”

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 the Compliance Officers' and the Director/Owner's observation and on a review of staff files, it was determined that Staff #3's file lacked a copy of the back side of the staff's fingerprint clearance card.”

AAC R9-5-303.A. A. A licensee shall post in a place that can be conspicuously viewed by individuals entering or leaving the facility or activity area, the: 1. Facility’s license; 2. Name of the facility director; 3. Name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility, as prescribed by R9-5-301(B)(1); 4. Schedule of child care services fees and policy for refunding fees as prescribed by A.R.S. § 36-882(P); 5. Breakfast, lunch, dinner, and snack menus for each calendar week at the beginning of the calendar week; 6. Notice of the presence of any communicable disease or infestation listed in 9 A.A.C. 6, Article 2, Table 2, from the date of discovery through the incubation period of the communicable disease or infestation; 7. Notice of the Department’s intent to deny, revoke, or suspend as prescribed by A.R.S. § 36-888 at the expiration of time in the notice for the licensee to respond; 8. Notice of an intermediate sanction imposed as prescribed by A.R.S. § 36-891.01 within 10 calendar days after the licensee received notice of the intermediate sanction; 9. Notice of a legal injunction imposed as prescribed by A.R.S. § 36-886.01 when the licensee receives the legal injunction; and 10. Notice of the availability of facility inspection reports for public viewing at the facility premises.

“Findings: Based on the Compliance Officers' and the Director/Licensee's observations, the parent posting board lacked the name of the current director, the name of the current assistant director, and the refund policy.”

AAC R9-5-301.I. I. At least once a month, and at different times of the day, a licensee shall ensure that an unannounced fire and emergency evacuation drill is conducted and each staff member and enrolled child at the facility participates in the fire and emergency evacuation drill. 1. If child care services for a child with special needs are provided at a facility, the licensee shall provide for the enrolled child’s participation in each fire and emergency evacuation drill according to the enrolled child’s individualized plan as specified in R9-5-507(A)(1). 2. A licensee shall document each fire and emergency evacuation drill and maintain the documentation on facility premises for 12 months after the date of the fire and emergency evacuation drill.

“Findings: Based on the Compliance Officer #1's and the Director/Licensee's review of the fire drill log, the fire drill log lacked documentation that a fire drill had been conducted in the months of October 2023, November 2023, and December 2023.”

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 the Compliance Officers' review of Staff #1's file and on a discussion with the Director/Licensee, the file for Staff #1 (date of employment- 6/12/2023) contained documentation indicating the staff's TB test was completed on 2/4/2022, rather than being administered within 12 months before the starting date of employment.”

AAC R9-5-301.B. B. A licensee shall ensure that a facility director: 1. Designates, in writing, an individual who meets the requirements of R9-5-401(2) to act on behalf of the facility director when the facility director is not present in the facility; 2. Supervises or assigns a teacher-caregiver to supervise each staff member who does not meet the qualifications of R9-5-401(3); 3. Prepares a dated attendance record for each day and ensures that each staff member documents on the attendance record the time of each arrival and departure of the staff member; and 4. Maintains on the facility premises, the dated attendance record required in subsection (B)(3) for 12 months after the date on the attendance record.

“Findings: Based on the Compliance Officers' and the Director/Licensee's observations, Staff #2 was working alone and unsupervised at the time of the inspection. Based on a review of Staff #2's file, it was determined the file lacked documentation verifying that Staff #2 met the minimum qualifications required of a teacher-caregiver.”

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 Compliance Officers' and the Director/Licensee's observations, various stock medications including packets of burn cream, a tube of antibiotic cream, and a bottle of Tylenol were found stored in the various first aid kits located in the Home Ec room, near the office and the kit located in the hallway bathroom near the entrance door.”

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 Compliance Officers' and the Director/Licensee's observations, a container of Claritin and a bottle of Benadryl was not labeled with the first and last name of the child.”

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

“Findings: Based on Compliance Officers' and the Director/Licensee's observations, the designated exit that leads to the alleyway near the STEM room was blocked by 5 stacks of children's chairs (a total of 23 chairs), and a mat that was strapped across and attached to the hallway walls that lead to the exit door.”

AAC R9-5-501.C.5. C. A licensee shall ensure that a staff member: 5. Except as provided in subsection (D), prepares and posts a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Findings: Based on Compliance Officer #1's observations and on a discussion with the Director/Licensee, the Lesson plans posted in the following rooms were not current: *Stem room & Language room-dated September 2023; *Center room- not dated; and *Home Ec. room- dated August 2023.”

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 and Staff #2's observations, a can of Aerosol Cleaner (flammable) was observed on the shelf by the exit door of the Language room and was accessible to children.”

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 the Compliance Officers' review of the staff files and on a discussion with the Director/Licensee, the following was determined regarding staff qualifications: *Staff #2 (date of employment 9/5/23)-working as a teacher-caregiver at the time of the inspection. The file lacked documentation of the staff's education and contained documentation that the staff had only 4 of the 6 months of the required childcare experience; and *Staff #3 (date of employment 2/21/2023)- The file stated the staff was hired as a teacher-caregiver. The file lacked documentation of the staff's education. It could not be verified that Staff #2 and Staff #3 met the minimum qualifications of a teacher-caregiver.”

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 Officers' and the Director/Licensee's observations, the rosters were not accurate in the following rooms: *The Center Room-17 children were present in the room, but the roster listed only 14 children as present; and *The Language room- 8 children were present in the room, but the roster listed the names of 9 children as present.”

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 Officers' observations and on a discussion with the Director/Licensee, a 5-foot-long seam on the artificial turf near the climbing globe was not secured to the ground and was pulled up away from the ground, exposing the nails used to secure it to the ground.”

AAC R9-5-514. A. A. A licensee shall ensure that there is a first aid kit on facility premises that contains first aid supplies in a quantity sufficient to meet the needs of the enrolled children including the following: 1. Sterile bandages including: a. Adhesive bandages of assorted sizes, b. Sterile gauze pads, and c. Sterile gauze rolls; 2. Antiseptic solution or sealed antiseptic wipes; 3. A pair of scissors; 4. Adhesive tape; 5. Single-use, non-porous gloves; and 6. Reclosable plastic bags of at least one-gallon size.

“Findings: Based on Compliance Officer #1's and the Director/Licensee's observations, the first aid kit lacked a second roll of gauze.”

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 Compliance Officer #1's review of 20 Child Emergency and Information cards and on a discussion with the Director/Licensee, it was determined 4 of the Emergency cards lacked the following required information: *Child #1- The child's health care provider's name and address; *Child #2- The name, address and telephone number of the child's father and the name and telephone number of a second emergency contact; *Child #3- The child's health care provider's name and address and the name of the individual to be contacted in case of injury or sudden illness of the child; and] *Child #4- The name and telephone number of a second emergency contact.”

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 Compliance Officers' and the Director/Licensee's observations, a container of Claritin medication indicated it had expired in 9/2021.”

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 observation and on a discussion with the Director/Licensee, 6 personal products, including diapering wipes and diapering cream in the Center room were not labeled with the child's first and last name.”