Phoenix Children's Academy Private Preschool #221

AAC R9-5-301.G. G. A licensee shall ensure that a staff member who has current certification in adult and pediatric first aid and CPR, as required by R9-5-403(E), is present: 1. At all times during hours of operation on facility premises, 2. On field trips, and 3. While transporting enrolled children in a facility’s motor vehicle or a vehicle designated by the licensee to transport enrolled children.

“Findings: Based on facility documentation and the Compliance Officer’s observations, Staff #1 (employment date 02/20/2024) transported enrolled children on the facility van, the file for Staff #1 lacked current training in CPR and First Aid (expired, 01/2026).”

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

“Findings: Based on the Compliance Officer’s observation, the outdoor activity area lacked the following resilient surfacing in the following areas of the large play structure: 3 of the required 6 inches of rubberized chips under the platform to the double slide. 4 of the required 6 inches of rubberized chips under the beam/catwalk that leads up to the double slide. 4 of the required 6 inches of rubberized chips under the double slide. 4 of the required 6 inches of rubberized chips under the ladder that leads up to the double slide. 4 of the required 6 inches of rubberized chips under the corkscrew ladder. 5 of the required 6 inches of rubberized chips under the beam/catwalk that leads to the slide large slide. 4 of the required 6 inches of rubberized chips under the platform to the large slide. 5 of the required 6 inches of rubberized chips under the small slide. 3 of the required 6 inches of rubberized chips under the corkscrew slide.”

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 staff statements and the Compliance Officers' observations, it was determined that the licensee failed to maintain staff-to-children ratios at all time. Staff stated on 03/26/2025 the staff-to-children ratio was 0:1 when an enrolled 3 year-old child was left on the playground by Staff #1. Staff stated on 01/27/2026 the staff-to-children ratio was 0:1 when an enrolled 2 year-old child was left in the classroom by Staff #1 and Staff #2. Previously cited on 06/18/2025, 04/21/2025, and 05/16/2023.”

AAC R9-5-514. G.1. G. If while attending a facility an enrolled child has an accident, injury, or emergency that, based on an evaluation by a staff member, requires medical treatment by a health care provider, a licensee shall ensure that a staff member: 1. Notifies the enrolled child's parent and the Department immediately after the accident, serious physical injury, as defined in A.R.S. § 8-201, or emergency;

“Findings: Based on facility documentation, staff statements, and the Compliance Officers' observations', it was determined that the facility failed to notify the Department after an enrolled child had an accident that required medical treatment. Facility documentation stated that medical treatment by physician was provided. Staff stated they knew the child was seeing a medical provider for the injury.”

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

“Findings: Based on facility documentation, staff statements, and the Compliance Officers' observations, staff members failed to supervise each enrolled child at all times. Staff stated there were 3 occasions that enrolled children were left alone and unsupervised by Staff #1, but they do not remember details of the third time. Staff stated on 01/27/2026 a 2 year-old child was left in the classroom alone and unsupervised when the children were being brought to the playground during an observation. Staff #2 was in the classroom with the observer and they were following behind the line of children. Staff #1 reached the front of the building, did name-to-face, and realized a child was left in the classroom. Facility documentation stated that on 03/06/2025 a 3 year-old child was left outside alone and unsupervised when the class was coming in from the playground. A staff member brought the child to the office, who returned them to their classroom.”

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

“Findings: Based on facility documentation, staff statements, and the Compliance Officers' observations, the licensee failed to ensure that the health, safety, or welfare of enrolled children was not placed at risk of harm. Staff stated there were 3 occasions that enrolled children were left alone by Staff #1, but they do not remember details of the third time. Staff stated on 01/27/2026 a 2 year-old child was left alone in the classroom when the children were being brought to the playground during an observation. Staff #2 was in the classroom with the observer and was following behind the line of children when the door closed. Facility documentation stated that on 03/06/2025 an enrolled child was left outside when the class was coming in from the playground a and staff member brought the child to the office, who returned the child to their classroom. Previously cited on 08/07/2025, 05/29/2025, 05/14/2024, and 04/11/2024.”

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 staff statements and the Compliance Officers' observations, the health, safety, or welfare of enrolled children was placed at risk of harm in the outdoor activity area when 3 and 4 year-old children were permitted to play on a play structure that has a safety sticker, written in Spanish, with an age-limit for 5-12 years-old. On 03/11/2026 staff stated that a 3 year-old was on the play structure, stepped back off the platform next to the bridge, hitting their face as they fell loosing a tooth. Staff stated another child brought the tooth to them. Staff stated they had the child rinse their bloody mouth, letting them spit the water out next to the water cart on the playground. Staff stated there were 2 other 4 year-olds who broke bones when they were playing on the monkey bars, which have since been removed. One incident happened about 4 years ago that required surgery and the second incident happened prior to that but they were unsure of the date. Previously cited on 08/07/2025, 05/29/2025, 05/14/2024, and 04/11/2024.”

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

“Findings: Based on facility documentation and the Compliance Officers’ observations, it was determined that the licensee placed the health, safety, or welfare of children at risk of harm when the facility failed to protect the enrolled children in their care from Child #1 and when the facility failed to implement Support Plans that were put in place in 03/2024 and 05/2025. Between 12/08/2023-08/26/2025 (reports not found for 05/2025-07/2025, 07/2024, 02/2024-04/2024) there were 105 incident reports documenting unsafe behavior (climbing on furniture) and acts of aggression (biting, scratching, hitting with toys, and pushing) towards other children by Child #1. Some reports list multiple incidents in one day. There were 9 incident reports from 08/11/2025-08/26/2025 (reports not found for May-July of 2025) documenting unsafe behavior and acts of aggression towards other children by Child #1. Some reports list multiple incidents in one day. Staff stated that Child #1 “is very aggressive, it’s bad”, “attacks everyone”, and that Child #1’s “behavior is unsafe for [them] and the other kids”.”

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 facility documentation and the Compliance Officers’ observations, it was determined that the licensee failed to maintain staff-to-children ratios at all times: 06/18/2025 Pre-K classroom At 8:11 am the 15th, 16th, and 17th child arrived and at 8:14 am the 18th child arrived. The ratio was 1:18 rather than 2:18 with 4-year-old children present. The second staff member came into the room at 8:16 am. Two A classroom At 7:25 am the 9th child arrived, at 7:29 am the 10th child arrived, and at 7:30 am the 11th child arrived. The ratio was 1:11 rather than 2:11 with 2-year-old children present. The second staff member came into the room at 7:36 am. 06/12/2025 Two A classroom At 7:39 am the 9th child arrived and at 7:45 am the 10th child arrived. The ratio was 1:10 rather than 2:10 with 2-year-old children present. The second staff member came into the room at 8:05 am. Two B classroom At 8:52 am the 9th child arrived. The ratio was 1:9 rather than 2:9 with 2-year-old children present. The second staff member came into the room at 9:38 am. 06/10/2025 Preschool classroom At 7:10 am the 14th and 15th child arrived. The ratio was 1:15 rather than 2:15 with 2-year-old children present. At 7:14 am and 7:15 am 10 children were moved to 2 different classrooms. 06/03/2025 Two A classroom: At 8:20 am the 9th and 10th child arrived, at 8:22 am the 11th child arrived. The ratio was 1:11 rather than 2:11 with 3-year-old children present. The second staff member came into the room at 8:23 am. Two B classroom: At 8:35 am the 9th child arrived and at 8:51 am the 10th child arrived. The ratio was 1:10 rather than 2:10 with 2-year-old children present. The second staff member came into the room at 9:20 am. Undated Roster Preschool classroom: At 8:44 am the 14th child arrived and at 8:51 am the 15th child arrived. The ratio was 1:15 rather than 2:15 with 3-year-old children present. The second staff member came into the room at 8:55 am. Previously cited on 04/21/2025 and 05/16/2023.”

AAC R9-5-502.A.5.b. A. A licensee providing child care services for infants shall:5. Develop, document, and implement tummy time policies and procedures that: b. Ensure a staff member who is supervising a non-crawling infant while the infant is flat on their stomach and on the floor: i. Is within reach of the infant; ii. Does not perform any other duties while supervising the infant; iii. Does not allow the use of pillows, comforters, sheepskins, stuffed toys, or other soft products in the same floor space as the infant; and iv. Does not allow any product specified in subsection (A)(5)(b)(iii) to be within reach of the infant;

“Findings: Based on the Compliance Officers' observations, while standing in the hallway and observing through the window of the Infant room, a non-crawling infant was on their stomach playing with a soft toy on the floor and staff were not within reach of the infant. The staff members were at the counter with their backs turned toward the infant and performing tasks. Previously cited on 05/13/2025 and 08/04/2022.”

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's observations, the health, safety, or welfare of an enrolled child was placed at risk of harm. when upon entering the hallway the Compliance Officer observed a staff member and an enrolled child exiting a doorway. The Compliance Officer asked the staff member if the child was part of the the program, the staff member stated the child was signed-out of the program and they were leaving. 30 minutes later, the Compliance Officer observed the enrolled child in a classroom. The Compliance Officer checked the attendance records and learned the child had not been signed out of the program and was brought into the laundry room where chemicals were stored and accessible.”

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 facility documentation and the Compliance Officer's observation, on 05/29/2025 Staff #1 failed to sign-out for their break and sign back in when they returned from their break.”

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 Officer's observations, upon entering the hallway, a staff member and an enrolled child were observed exiting a doorway. The enrolled child was heard asking the staff member "what do I do with these cups?" The Staff member stated go give them to that teacher.”

AAC R9-5-508.G. G. In addition to the required daily servings of food stated in subsection (C), a licensee:1. Shall make second servings of food available to each enrolled child at meals and at snack time, 2. May substitute a food that is equivalent to a specific food component if second servings of the specific food component are not available, and 3. Shall ensure that a food substitution in subsection (G)(2) is written on the posted weekly menu by the end of the meal or snack service.

“Per allegation findings: Based on staff statements, children's statements, and the Compliance Officers' observations, the licensee lacks enough servings to provide the enrolled children with second servings. Children stated sometimes they run out of milk and sometimes there isn't enough bread or fruit for everyone to have seconds. Staff stated sometimes there isn't enough of an item to give children seconds.”

AAC R9-5-512.E. E. If laundry belonging to a facility is done on facility premises, a licensee shall:1. Not use a kitchen or food storage area for sorting, handling, washing, or drying laundry; 2. Locate the laundry equipment in an area that is separate from licensed activity areas and inaccessible to enrolled children; 3. Not permit an enrolled child to be in a laundry room or use a laundry area as a passageway for enrolled children; and 4. Ensure that laundry soiled by vomitus, urine, feces, blood, or other body fluid is stored, cleaned, and sanitized separately from other laundry.

“Findings: Based on staff statements and the Compliance Officer's observations, upon entering the hallway the Compliance Officer observed a staff member and an enrolled child exiting a doorway. The staff member stated they were coming out of the laundry room.”

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 staff statements and the Compliance Officer's observations, upon entering the hallway the Compliance Officer observed a staff member and an enrolled child exiting a doorway. The staff member stated they were coming out of the laundry room. On the bottom 2 shelves of the wire rack there was laundry detergent and 8 1-gallon containers of disinfectant that were accessible to the enrolled child.”

AAC R9-5-518.A.2. A. A licensee providing a field trip for an enrolled child shall:2. Prepare a written field trip plan including: a. The name of each participating enrolled child, staff member, and other individuals on the field trip; b. The times of departure from and return to the facility; c. If applicable, license plate number of any motor vehicle used on the field trip; and d. The name, street address, and telephone number, if any, of the field trip destination; and

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that the field trip permission form to Harkins on 06/20/2024 and 07/11/2024 lacked the license plate number the vehicle used on the field trip. The field trip permission form to Pioneer park on 06/14/2024 lacked the license plate number the vehicle used on the field trip.”

AAC R9-5-512.C. C. A licensee shall ensure that floor coverings are:1. Clean; and 2. Free from: a. Dampness, b. Odors, and c. Hazards.

“Findings: Based on the Compliance Officer's observations, in Room 104 and Room 109, there were dark colored stains on the circle time carpets. In Room 115's toilet room, there were 2, 5-inch long cracks with gaps between the pieces on 2 tiles next to the base of the toilet.”

AAC R9-5-518.G. G. When six or more enrolled children are participating in a field trip, a licensee shall ensure that a teacher-caregiver and at least one additional staff member are present on the field trip.

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the field trip to Harkins on 06/20/2024 had 19 children in attendance but 1 staff member was present, rather than 2 staff member's as required.”

AAC R9-5-516.F. F. A licensee shall maintain documentation of all medications administered to an enrolled child.1. Documentation shall contain: a. The name of the enrolled child; b. The name and amount of medication administered and the prescription number, if any; c. The date and time the medication was administered; and d. The signature of the staff member who administered the medication to the enrolled child; and 2. A licensee shall maintain the documentation on facility premises for 12 months after the date the medication is administered.

“Findings: Based on facility documentation, staff statements, and the Compliance Officers' observations, it was determined that the Medication Consent Form had 04/29/2025 as the start date for the dosage period and 04/28/2026 as the end date for the dosage period. The medication was dispensed on 05/01/2025 and 05/02/2025, but lacked entries for the week of 05/05/2025. The attendance records show the child was present at the facility during the time the medication needed to be given. Staff stated the medication was not dispensed to the child because it was brought in on 05/13/2025.”

AAC R9-5-309.C. C. A licensee shall maintain on facility premises: 1. A current fire inspection report including documentation of any repairs or corrections required by the fire inspection report; and 2. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a current gas inspection report including documentation of any repairs or corrections required by the gas inspection report.

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the licensee lacked a fire inspection report (dated 05/05/2025) that documented the repairs or corrections for the violation.”

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

“Findings: Based on facility documentation, staff statements, and the Compliance Officers' observations, it was determined that the the medication for Child #2 was transferred from one container to another. Staff stated that the container only had 2 doses when it was provided by the parent on 04/29/2025 and the medication was administered to the child on 05/01/2025 and 05/02/2025. The parent took the container back and returned the same container on 05/13/2025 with additional doses of medication.”

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

“Findings: Based on facility documentation and the Compliance Officer’s observation, it was determined that the medication authorization form for child #1 lacked the the times and frequency of administration, the end dates for the dosage period and the reason for the medication.”

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 staff statements and the Compliance Officer's observation, in Room 106, staff stated that they get drinking water from the handwashing sink located in the toilet room. Based on the Compliance Officer's observations, the following fixtures were not maintained in a clean condition: Room 109: There was dark colored matter in the 1/2-inch gap between the counter top and wall behind the handwashing sink. There was a dark colored buildup of grime on the stool in-front of the handwashing sink. In the girl's toilet room, the toilet seat was not stable and slid to the side when touched. There was a buildup of a dark grimy matter on the toilet room's doors. Room 104: There was a build-up of a white/grey matter on the drinking fountains bubbler head. In the toilet room the east toilet seat was not stable and slid to the side when touched. There was a grimy build-up of dark colored matter on the toilet paper holder. Room 115: There was a build-up of a white/grey matter on the drinking fountains bubbler head. In the toilet room the south toilet seat was not stable and slid to the side when touched. Room 117: There was a build-up of brownish-grey matter along the base of the countertop and wall behind the handwashing sink.”

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's observations the following areas were not maintained in a clean condition: Infant room: 2 infant buggies had food debris in the seats and on the floors. The bars and seatbelts of the buggies were stained with a dried white substance. Room 117: The doll cradle had a brownish/grey layer of buildup along the edges of the cradle.”

AAC R9-5-502.C.1.m. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: m. Posts the current written dietary instructions in the infant room and the kitchen and maintains the instructions on facility premises for 12 months after the date of the instructions; and

“Findings: Based on the Compliance Officer's observation, the kitchen lacked the posted written infant dietary instructions.”

AAC R9-5-502.C.1.l. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: l. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Findings: Based on facility documentation and the Compliance Officer's observation, in the Infant room, 4 enrolled infants lacked written, current, and dated dietary instructions. 3 out of 11 dietary instructions lacked a schedule documenting when and how much to feed the infant.”

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 the Compliance Officer’s observation, it was determined that the files for the following staff lacked the required training documentation: Staff #1 (start date 05/02/2024): For the time period between 05/02/2024-05/02/2025, 5.5 of 6 hours of training that is required for staff that provide care for infants. Staff #2 (start date 12/12/2022): For the time period between 12/12/2023-12/12/2024, 6 of 6 hours of training that is required for staff that provide care for infants. Staff #3: (start date 02/01/2016): For the time period between 02/01/2024-02/01/2025, 5 of 6 hours of training that is required for staff that provide care for infants.”

AAC R9-5-502.C.1.c. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: c. Responds immediately to each infant's distress signals;

“Findings: Based on the Compliance Officer's observations, while standing in the hallway and observing through the window of the Infant room, an infant was in a bouncy chair and was heard crying for 2-4 minutes. During this time, staff were observed performing tasks and not responding to the infants distress signals.”

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 facility documentation and the Compliance Officer's observation, it was determined that the facility lacked documentation of fire drills for March and April of 2025.”

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 Officer's observations, in Room 106's toilet room, there was a toilet brush next to the toilet and accessible to enrolled children.”

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

“Findings: Based on facility documentation and the Compliance Officer’s observations, it was determined that the file for Staff #4 (start date 04/30/2025) lacked a copy of a valid fingerprint card. The fingerprint clearance card was validated through the DPS website during the time of the inspection”

AAC R9-5-502.A.5.b. A. A licensee providing child care services for infants shall:5. Develop, document, and implement tummy time policies and procedures that: b. Ensure a staff member who is supervising a non-crawling infant while the infant is flat on their stomach and on the floor: i. Is within reach of the infant; ii. Does not perform any other duties while supervising the infant; iii. Does not allow the use of pillows, comforters, sheepskins, stuffed toys, or other soft products in the same floor space as the infant; and iv. Does not allow any product specified in subsection (A)(5)(b)(iii) to be within reach of the infant;

“Findings: Based on the Compliance Officer's observations, while standing in the hallway and observing through the window of the Infant room, there were 3 non-crawling infants on their stomachs without a staff member present. The infants were observed lifting their heads up, appearing to become tired, and then laying their bodies flat on the floor with their faces on the ground. During this time, staff in the room were observed performing other tasks. Previously cited on 08/24/2022 as R9-5-502.A.5.b. and R9-5-501.A.1.”

AAC R9-5-517.A.3. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:3. Ensure that the motor vehicle is registered by the Arizona Department of Transportation as required by A.R.S. Title 28, Chapter 7;

“Findings: Based on facility documentation and the Compliance Officers' observations, the registration for the vehicle plate CF11147 expired September of 2024. The registration for the vehicle plate CK25502 expired May 2024.”

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 Officer's observations, in room 109, there was a bag of potting soil labeled keep out-of-reach of children on the floor next to the drinking fountain and accessible to enrolled 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

“Per allegation findings: Based on facility documentation, staff statements, and the Compliance Officers' observations, it was determined that the roster dated 04/09/2025 shows the staff-to-children ratio was 14 1-year-old's with 2 staff member's from 10:00 am to 12:00 pm. rather than 3:14 as required for 1-year-old children. Staff stated they will be over ratio for 5-10 minutes in the morning and this will happen a few times a week.”