Primrose School of North Phoenix

AAC R9-5-501.A.18. A. A licensee shall ensure that: 18. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Findings: Based on the Compliance Officers' observations, there was a plunger accessible to children in Prekindergarten Room.”

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

“Findings: Based on the Compliance Officer's observations, there was an unflushed toilet in Prekindergarten Room, Preschool Pathway Room 10, and in Preschool Two Room 12 there were two unflushed toilets.”

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;

“Per allegation findings: Based on the Compliance Officer's observations and staff statements the restrooms in the following rooms lacked mounted paper towels or paper towel dispensers: *Early Preschool Room Seven: One stall lacked toilet paper *Prekindergarten Room: Lacked paper towels. *Preschool Pathways 2's Room 10: Two of two paper towel dispensers were in an inoperable condition. *Todd. Three Room Six: Lacked paper towels. *Preschool Two Room 12: Lacked paper towels. *Multipurpose Room: The Boys' and Girls' Restroom to the left lacked paper towels, and the Boys' and Girls' Restroom to the right lacked a paper towel dispenser and single use paper towels. *Staff stated the following: -"We never have paper towels in the restrooms, it is always outside [the restrooms]. Kids complain there's no soap or paper towels; they tell us to use the handwashing sinks". -"My kids always use the outside sink, so I don't know if there's paper towels". -"We go to the sink outside the bathroom". -"In here [multipurpose room] they don't get stocked very often; in the classroom they generally wash their hands in the classroom sink".”

AAC R9-5-512.F.2.3. F. A licensee shall ensure that: 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;

“Findings: Based on staff interviews, children's hands were not washed with soap and running water after toileting. "There's no soap or paper towels [in the restroom]. Kids tend to go back to toys instead of washing their hands [on the way to the sink]. They tell us to use handwashing sinks [outside the restroom]".”

AAC R9-5-512.F.8.9. F. A licensee shall ensure that: 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 the Compliance Officer's observations, the plumbing fixtures were not maintained in a repaired condition; one of the toilets in Early Preschool Room 7 lacked a tank lid.”

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 staff interview and facility documentation, in the Early Preschool 1 Classroom, the staff-to-children ratios were not maintained at all times on the following dates: *On 3/02/2026, the staff-to-children ratio was 2:17 instead of the required 3:17 with two-year-old children present. *On 3/06/2026, the staff-to-children ratio was 1:9 instead of the required 2:9 with two-year-old children present. Staff stated the following: *On days (staff) would open, we would have ratio issues. *It takes 5-10 minutes after I call (the front). they tell me "we are trying to figure something out." *When we get a lot of drop-offs, we are usually 1-2 children over (ratio) when a lot get dropped off between 9 and 10 am. *We are out of ratio for 5-10 minutes.”

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 review of facility documentation and the Compliance Officers' observations, the Parent Handbook lacked the following required information: *The facility’s address and telephone number. *A statement that documentation of the liability insurance coverage is available for review on the facility premises. *A notice stating inspection reports are available upon request. * A statement that the facility is regulated by the Arizona Department of Health Services, including the Department’s address and telephone number. *The procedures for notifying a parent at least 48 hours before a pesticide is applied on a facility’s premises.”

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

“Findings: Based on the Compliance Officers' observations, assorted personal products for diapering in Toddler 1, Infant 3, and Early Preschool 2 Room lacked enrolled children's first and last names.”

AAC R9-5-403.A. A. Within 10 calendar days of the starting date of employment or volunteer service, a licensee shall provide, and each staff member who provides child care services shall complete, training for new staff members that includes all of the following: 1. Facility philosophy and goals; 2. Names and ages of and developmental expectations for enrolled children for whom the staff member will provide child care services; 3. Health needs, nutritional requirements, any known allergies, and information about adaptive devices of enrolled children for whom the staff member will provide child care services; 4. Lesson plans; 5. Child guidance and methods of positive discipline, including separation; 6. Hand washing techniques; 7. Diapering techniques and toileting, if assigned to diaper changing duties; 8. Food preparation, service, sanitation, and storage, if assigned to food preparation; 9. If a staff member is assigned to feeding infants, the preparation, handling, and storage of infant formula and breast milk; 10. Recognition of signs of illness and infestation; 11. Child abuse or neglect detection, prevention, and reporting; 12. Accident and emergency procedures; 13. Staff responsibilities as required by A.R.S. Title 36, Chapter 7.1, Article 1 and this Chapter; 14. Sun safety policies and procedures; 15. Safety in outdoor activity areas; 16. Transportation procedures, if applicable; 17. Field trip procedures, if applicable; 18. Infant tummy time, if applicable; 19. Prevention of sudden infant death syndrome and use of safe sleeping practices, if applicable; and 20. Prevention of shaken baby syndrome, pediatric abusive head trauma, and child maltreatment.

“Findings: Based on review of facility documentation and the Compliance Officers' observations, the 10-day new staff training was not conducted within 10 calendar days of the starting date of employment for Staff #1 (DOE: 01.15.24) and Staff #2 9 (DOE: 01.15.24)”

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 review of facility documentation and the Compliance Officers' observations, five out of 20 Emergency, Information, and Immunization Record Cards lacked the following required information: *Child #1 and Child #2: The name and telephone number of at least two individuals authorized by the parents to collect the child if the child’s parent cannot be contacted. *Child #3: The name and telephone number of the child’s health care provider. *Child #4: The answers to the card's second page.”

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 child educator 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 if working with enrolled children five years old and younger, or three months of child care experience if working with school-aged children; 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 review of facility documentation and the Compliance Officers' observations, it was determined that Staff #2 acted in the capacity of a child educator; the file for Staff #2 lacked a foreign country evaluation.”

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

“Findings: Based on the Compliance Officers' observations, the following toilets lacked caulking that was clean and sanitized around the base of the toilets: *Two of the four toilets in Early Preschool 2 *One of the three toilets in PreK 1.”

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 Compliance Officers' observations, the Early Preschool 2 diaper changing area lacked a liner in the soiled clothing container, and the Young Toddler 2 diaper changing area lacked a lid on the soiled clothing container.”

AAC R9-5-605.B.16. B. A licensee shall ensure that: 16. The fire extinguisher required in subsection (A): a. Is serviced at least once every 12 months; and b. Has a tag attached to the fire extinguisher that specifies the date of the last servicing.

“Findings: Based on the Compliance Officers' observations, several fire extinguishers were not serviced every 12 months; the tags on the extinguishers showed that they were last serviced in 2024.”

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 review of facility documentation and the Compliance Officers' observations, the prescription medication forms for Child #5 and Child #6 lacked specific instructions for the reason and frequency of the administration of the prescribed medication.”

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

“Findings: Based on facility documentation and the Compliance Officers' observations, in the Infant room, there were 9 enrolled children present but only 7 children listed as present on the roster. Additionally, in the Two's Room, there were 19 enrolled children present but only 18 children listed as present on the roster.”

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

“Per Allegation Findings: Based on staff statements, enrolled children were not supervised at all times when staff were unaware of, and were not accountable for children's actions. Staff stated the following: *Bites and hits happen almost every day. *Two times, I was not aware of a bite. *Most of the time, it's when our backs are turned away. We try to figure out why the child is crying. *I hear crying and don't see it happen. A couple of times a week I don't see it happen. *I see it happen 80% of the time. I try to do my best to say what I think happened.”

ARS § 36-883.02.A. A. Except as provided in subsection B of this section, child care personnel, including volunteers, shall submit the form prescribed in subsection C of this section to the employer and shall have valid fingerprint clearance cards issued pursuant to section 41-1758.07 before starting employment or volunteer work.

“Findings: Based on facility documentation and the Compliance Officers' observations, the file for Staff #1 lacked documentation of a completed Criminal History Affidavit.”

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 facility documentation, staff statements, and the Compliance Officers’ observations, in the Two-year-old classroom, the staff-to-child ratio was 2:17 instead of the required 3:17 with two-year-old children present. Upon the Compliance Officers’ arrival to the facility, one staff member was observed in the office and shortly thereafter, the same staff member was observed in the classroom. Classroom staff stated that they were out of ratio, at 2:17, before the third staff member entered the classroom. Staff stated the following: *We are over ratio "pretty often". *In the mornings, we are "always" over ratio. *About three days a week we are over ratio by 1 or 2 kids.”

AAC R9-5-403.A. A. Within 10 calendar days of the starting date of employment or volunteer service, a licensee shall provide, and each staff member who provides child care services shall complete, training for new staff members that includes all of the following: 1. Facility philosophy and goals; 2. Names and ages of and developmental expectations for enrolled children for whom the staff member will provide child care services; 3. Health needs, nutritional requirements, any known allergies, and information about adaptive devices of enrolled children for whom the staff member will provide child care services; 4. Lesson plans; 5. Child guidance and methods of positive discipline, including separation; 6. Hand washing techniques; 7. Diapering techniques and toileting, if assigned to diaper changing duties; 8. Food preparation, service, sanitation, and storage, if assigned to food preparation; 9. If a staff member is assigned to feeding infants, the preparation, handling, and storage of infant formula and breast milk; 10. Recognition of signs of illness and infestation; 11. Child abuse or neglect detection, prevention, and reporting; 12. Accident and emergency procedures; 13. Staff responsibilities as required by A.R.S. Title 36, Chapter 7.1, Article 1 and this Chapter; 14. Sun safety policies and procedures; 15. Safety in outdoor activity areas; 16. Transportation procedures, if applicable; 17. Field trip procedures, if applicable; 18. Infant tummy time, if applicable; 19. Prevention of sudden infant death syndrome and use of safe sleeping practices, if applicable; and 20. Prevention of shaken baby syndrome, pediatric abusive head trauma, and child maltreatment.

“Findings: Based on facility documentation and the Compliance Officers' observations, the file for Staff #1 (DOE 5/22/2024) lacked documentation of the 10-day new staff training.”

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 CO #1's observations, children's personal products were not labeled with a child's first and last name. **Infant 1 - Wipes with first names only **Infant 2, Early Preschool 1 - Wipes with no name or a first name only”

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 CO #1's observations and a review of facility documentation, Child #1, Child #2, and Child #3 in Infant 2 lacked feeding instructions.”

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 CO #1's observations and a review of facility documentation, 8 (Children #1-8) of 24 infant feeding instructions were not posted in the kitchen.”

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 CO #1's observations, the water temperature at diaper changing sinks in the following activity areas was measured at: **Infant 1 - 120° F **Infant 2 - 112° F **Infant 3 - 115° F **Toddler 1 - 113° F”

AAC R9-5-509.C.18. C. A licensee shall ensure that:18. A staff member: a. Prepares a weekly menu at least one week in advance, b. Includes on the menu the specific foods to be served on each day, c. Dates each menu, d. Posts each menu at least one day before the first meal on the menu will be served, and e. Writes food substitutions on a posted menu no later than the morning of the day of meal service;

“Findings: Based on CO #2's observations and a review of facility documentation, the posted menu for the week of 01/05/2025 did not specify the specific food components for mixed fruit and mixed vegetables.”

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 CO #1's observations: **Toddler 2 children's restroom - The paper towel dispenser was empty. **Early Preschool 1/Pathways 1 shared children's restroom - 1 of 4 toilets lacked mounted toilet paper, and 1 of 4 sink fixtures was loose and not secured to the sink. **Explorers children's restroom - East restroom lacked a paper towel dispenser, and west restroom's paper towel dispenser was empty.”

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 Compliance Officer (CO) #2's observations and a review of facility documentation, the facility lacked a current, violation-free fire inspection. The fire inspection reviewed expired on 12/21/2024.”

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 CO #1's observations, for those children who did not have personal water bottles, drinking water and cups were not accessible in Toddler 3, Preschool 1, and Pathways 1 rooms.”

AAC R9-5-501.C.4. C. A licensee shall ensure that a staff member:4. Except as provided in subsection (D), prepares and posts 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. 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 CO #1's observations and a review of facility documentation, Pathways 1 lacked a posted activity schedule.”

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 CO #1's observations and a review of facility documentation, children's medication authorizations lacked the following required information: **Child #9 - start and end dates **Child #10 - end date”

AAC R9-5-516.B.1. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:1. A facility director, or a staff member designated in writing by the facility director, is responsible for the administration of all medications in the facility, including storing, supervising an enrolled child’s ingestion of a medication, and documenting all medications administered to an enrolled child;

“Findings: Based on CO #1's observations and a review of facility documentation, the facility lacked a written policy designating a staff member responsible for the administration of all medication in the facility.”

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 CO's observations, there were 6 push riders and a large bag of playground balls blocking the exit in the hallway that leads to the west playground area,”

AAC R9-5-502.A.11. A. A licensee providing child care services for infants shall: 11. Label each food container received from the parent with the infant's name.

“Findings: Based on Compliance Officer's (CO) observations, in Infant A2, an infant's food pouch was not labeled with the child's name.”

AAC R9-5-502.C.3.a. C. A licensee shall ensure that: 3. When preparing, using, or caring for an infant's feeding bottles, a staff member: a. Labels each bottle received from the parent with the infant's name;

“Findings: Based on CO's observations, in Infant A2, 3 infant bottles were labeled with a child's first name and last initial only.”

AAC R9-5-503.A.1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:1. A nonabsorbent, sanitizable diaper changing surface that is: a. Seamless and smooth, and b. Kept clear of items not required for diaper changing;

“Findings: Based on CO's observations in Infant A2, there was a white towel next to the the diaper changing sink.”

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 CO's observations and a review of facility documentation, Child #1's medication authorization lacked the prescription number, a start date, and an end date.”