Ready Set Grow Casa Grande

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

“The Compliance Officer observed a side chain link gate with wood slats affixed to the gate. The spacing on each sides of the wood slats measures 6 inches. Please ensure the spacing is not greater than 4 inches, and the height measures at least 48 inches.”

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

“The Compliance Officer observed a rusted jagged metal on the exterior door in the outdoor activity area. The door is located on the back of the building.”

AAC R9-5-505. A licensee providing child care services for 3-year-old, 4-year-old, and 5-year-old children shall provide a supply of age appropriate toys, materials, and equipment accessible to enrolled children in each activity area in a quantity sufficient to meet the needs of the enrolled children in attendance including:1. Art supplies, 2. Blocks, 3. Books and posters, 4. Toys and dress-up clothes, 5. Indoor and outdoor equipment to enhance large muscle development, 6. Puzzles and toys to enhance manipulative and categorization skills, 7. Science materials, and 8. Musical instruments.

“The CO observed the children in the 4 year old room watching the movie "Vivo" which is rated PG. The Staff failed to get written parental permission for the children to view the PG movie.”

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;

“The CO observed the diapering area in the 2/3 year old room continues to have wood exposed. The diapering counter was cited on 12/17/24, and the Plan of Correction was reported to have been completed by 12/31/24. The diapering counter surface in the infant room is worn exposing the wood. Photograph taken.”

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

“The CO observed Child 2 alone in a classroom asleep on their nap mat without a staff member present in the room to supervise. The CO observed Child 1 and Child 4 asleep with their heads completely covered during nap time.”

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;

“The CO observed the infant storage room to have low accessible cabinets containing WD-40 and cleaning chemicals. The storage room has a baby gate, wood shelving, and equipment leaning against the wall posing a risk to the infant children. Photographs taken.”

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

“The CO observed Child 6 asleep on their mat with their head completely on the floor. Child 1 was observed asleep with their head completely covered. Child 4, Child 5, and Child 6 were too tall for their nap mats with their head or feet hanging over the mat.”

AAC R9-5-511.E. E. A licensee shall ensure that if an enrolled child is present at the facility during naptime, the licensee:1. Does not permit the enrolled child to lie in direct contact with the floor while napping; 2. Prohibits the operation of a television set in a room where the enrolled child is napping; 3. Ensures naptime accommodations are available for the enrolled school-age child if requested by the enrolled child or the enrolled child’s parent; 4. Requires that a staff member remain awake while supervising the enrolled sleeping child; and 5. Prohibits the enrolled child from napping in an attic or a loft during naptime.

“The CO observed the 4 year old room to have a television on with several children watching a movie. The other children in the room were observed napping.”

AAC R9-5-501.A.9. A. A licensee shall ensure that:9. If a staff member places an enrolled child in a feeding chair when feeding the enrolled child: a. The feeding chair is constructed to prevent toppling; b. The tray or feeding surface of the feeding chair is smooth and free of cracks; and c. The staff member: i Cleans the feeding chair before and after each enrolled child’s use; ii. Sanitizes the tray or feeding surface before and after each enrolled child’s use; and iii. If the feeding chair was manufactured with a safety strap, fastens the feeding chair’s safety strap while the enrolled child is in the feeding chair;

“The CO observed the infant room high chairs to have a build up of food debris and dirty straps. Photographs were taken.”

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

“The Compliance Officer (CO) observed the following rooms to be out of ratio: Staff 2 had 9 children in their room ages 2 and older. The CO went into the 1 year old room, Staff 2 reported there were no children in the room however Child 2 was observed to be asleep in the room without a staff to meet the child to staff ratio. Staff 2 reported that Staff 3 must have not moved the child over. Staff 2 was unaware that the child was in the room. Staff 6 was observed with 21 children in their room ages 4 and older.”

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.

“The CO observed the 4 year old room to have 21 children in the room, and a roster with 13 children listed. Staff 3 reported that the roster for the other children was in a different room. The CO observed 9 children in the 2 year old room and 10 listed on the roster.”

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.

“The CO observed the Infant room floor to have a build up of food and debris around the baseboards, behind the rocker and in the storage room.”

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.

“The CO measured the sand and mulch under and around the monkey bars, swings and climbing equipment to have a depth of 2 inches.”

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;

“The CO tried to open the emergency exit door in the Infant room leading to the outdoor activity area. The CO videoed the door not opening. Staff 4 attempted to open the door and had to pull and push, shaking the door to get it open. A video was taken.”

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;

“The CO inspected the 2 year old room. The CO asked Staff 2 how many children they had in their room, Staff 2 reported 10 a couple of times. The CO informed Staff 2 that she had conducted a couple of counts and can only account for 9 children in her room. The CO asked for Staff 2's roster. Staff 2 counted and reported that Child 2 was marked present, however was not in the room and must have left for the day. Staff 2 marked Child 2 off the roster. The CO went into the 1 year old room, the CO observed Child 2 was asleep in the 1 year old room unattended. Staff 2 was not aware that Child 2 was still present at the center.”

AAC R9-5-501.A.7. A. A licensee shall ensure that:7. Storage space is provided in the facility for indoor and outdoor toys, materials, and equipment in areas accessible to enrolled children;

“The CO observed storage of items in the infant room. The CO observed a closet / workroom space in the infant room that was accessible to the infant children. The room does not have a door attached to the frame. The room was observed to have a bean bag, plastic bags, stacked items such as car seats, positioning devices, bouncy seats, and bins.”

AAC R9-5-309.A. A. An applicant shall obtain the following inspections of a facility and make any repairs or corrections stated on an inspection report before a license is issued by the Department: 1. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a gas inspection by a licensed plumber or individual authorized by the local jurisdiction that verifies there are no gas leaks in the gas pipes that run from the gas meter to any appliance or location on facility premises; and 2. A fire inspection by a local fire department.

“The Compliance Officer (CO) requested a fire inspection from the Director. The Director reported that she does not have a copy of a current fire inspection.”

AAC R9-5-605.B.10. B. A licensee shall ensure that:10. Toilet rooms are ventilated to the outside of the building, either by a screened window open to the outside air or by an exhaust fan and duct system that is operated when the toilet room is in use;

“The CO observed the toddler toilet room to have a light and fan that were not operable.”

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 and the identification of the person who serviced the fire extinguisher; and

“The CO observed the fire extinguishers throughout the facility to have tags affixed that were not punched with a month and year of inspection. The extinguisher in the toddler room is in the “recharge” section of the meter.”

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;

“The CO observed the exit leading to the outdoor activity area to be obstructed by a napping child in the toddler room.”

AAC R9-5-502.A.5.a. A. A licensee providing child care services for infants shall:5. Develop, document, and implement tummy time policies and procedures that: a. Provide an opportunity for a non-crawling infant to experience tummy time each day: i. While the infant is awake, and ii. On the infant’s stomach;

“The CO requested to view the documentation of tummy time for Child 2, a non-crawling child. Staff 1 reported that she was not aware of the tummy time documentation for Child 2. Tummy time protocols were reviewed with Staff 1.”

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;

“The CO observed a plunger in the toddler restroom accessible to the enrolled children. The CO observed a vacuum and a moving dolly in the school age bathroom. The CO observed a bottle of Fabuloso and a bottle of bleach labeled toxic in the toddler room on the back of the sink. The sink had a stool in front of it, making the items accessible to the enrolled children.”

AAC R9-5-502.A.6. A. A licensee providing child care services for infants shall:6. Provide an outdoor activity area or an indoor activity area for large muscle development substituted for an outdoor activity area that is used by infants when enrolled children older than infants are not present;

“The CO inquired about the infant outdoor activity time. The Director reported that the infants are not taken outdoor daily, and that the carriage that they used to use is no longer implemented.”

AAC R9-5-502.C.1.d. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: d. Keeps dated, daily, documentation of each infant including: i. A description of any activities the infant participated in, ii. The infant’s food consumption, iii. Diaper changes, and iv. Tummy time;

“The CO requested the documentation of Child 1 and Child 2's activities as specified in the rule. Staff 1 reported that she was not given the documentation for 12/17/2024 by the main teacher.”

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;

“The CO requested the feeding instructions for Child 1 and Child 2. Staff 1 was not aware of where the feeding instructions were. When the Director arrived she found one part of the instructions for Child 1, however the form was incomplete and no instructions were documented for Child 2.”

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;

“The CO observed that the diapering counter and sink area in the toddler room had exposed wood, and seams that were not caulked.”

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;

“The CO observed that the paper towels were not dispensed at the diapering sink in the infant room. The towels were stored in a cubby above.”

AAC R9-5-504.5.a. A licensee providing child care services for 1-year-old and 2-year-old children shall: 5. Ensure that: a. If finger food is served, the food is of a size and texture that does not present a choking hazard;

“The CO observed that the 1 and 2 year old children were given a whole peanut butter granola bar. The food was of a size and texture that presented a choking hazard.”

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

“The CO observed an extension cord in use in the preschool classroom.”

AAC R9-5-508.C. C. If a licensee provides food, a licensee shall prepare and serve food according to the meal pattern requirements found in Table 5.1, "Meal Pattern Requirements for Children."

“The CO observed that the toddler children were provided with one component for snack. The staff reported that they are serving the peanut butter granola bar and water. The CO informed the Director that a second component must be served for snack.”

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

“The CO observed that the school age bathroom was used to store boxes.”

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.

“The CO observed that the toddler outdoor activity area does not have 6 inches of resilient material under and around the climbing equipment. The CO and Director discussed grouping the equipment.”

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.

“The CO observed that the diapering sink in the infant room does not drain.”

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.

“The CO observed that the sink in the infant room was not draining. The sink in the 1 year old bathroom was rusted at the drains and overflow. The floor tiles in the school age bathroom are lifting exposing the sub floor. The flooring has dirt and debris build up, and is no longer able to be cleaned and sanitized due to the condition of the flooring.”

AAC R9-5-306.A. A. A licensee shall maintain a dated attendance form containing an enrolled child’s name with the time of each admission and release of the enrolled child. 1. Except as provided in subsection (A)(2), a licensee shall ensure that the attendance form is signed with at least a first initial of an individual’s first name and the individual’s last name by each enrolled child’s parent or individual designated by the enrolled child’s parent, each time the enrolled child is admitted or released. 2. An electronic fingerprint verification or an electronic signature may be used in place of a signature of the enrolled child’s parent or designated individual to admit or release the enrolled child. 3. If an electronic signature is used to admit or release the enrolled child, the licensee shall adopt policies and procedures to ensure that the individual whose signature the electronic or digital method of identification represents is accountable for the use of the electronic or digital method; 4. A licensee shall develop, document, and implement policies and procedures to ensure that the identity of an individual is known to the staff member or is verified with picture identification before releasing an enrolled child to the individual. 5. A licensee shall not release the enrolled child to an individual other than the enrolled child’s parent or other individual designated in writing by the enrolled child’s parent except when the enrolled child’s parent is unable to collect the enrolled child and authorizes the licensee by telephone to release the enrolled child to an individual not so designated. a. The licensee shall verify the telephone authorization using a means of verification that has been agreed upon between the licensee and the enrolled child’s parent at the time of enrollment. b. The licensee shall document the means of verification in subsection (A)(5)(a) on the enrolled child’s Emergency, Information, and Immunization Record card. 6. A licensee shall not permit the self-admission or self-release of an enrolled child unless the enrolled child is of school age and the licensee has obtained and verified written permission from the enrolled child’s parent. 7. A licensee shall maintain the attendance form on facility premises for 12 months after the date of attendance.

“The Compliance Officer (CO) observed the following children were not signed in or out as required: Child 1- Not signed in 1/10 and 1/16. On 1/3, 1/4, 1/8, 1/9, 1/22, 1/23, 1/24, and 1/25 the child was signed in with a line. Child 2- Not signed in 1/2 and 1/3. Not signed out on 1/11/24. Child 3- Not signed in on 1/17, 1/18, 1/22, and 1/25. Not signed out on 1/29/24.”

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;

“The CO observed an aerosol air freshener spray accessible to the enrolled children in the 4 year old bathroom.”

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;

“The CO and the Director observed that there was no hot water at the diapering sinks throughout the facility. The hot water was repaired after the inspection, and readings that the temperature was in the required range was submitted via email.”

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.

“The CO observed the outdoor activity area. The resilient surface under climbers and swings was observed to be 1-2" in depth.”

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;

“The CO observed the emergency exit door in the 1 year old room was locked.”

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

“The CO observed the bathroom in the 2 year old room was used for storage purposes. The CO observed cleaning supplies, extra clothes, and bins.”