Scottsdale Child Care and Learning Center

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

“Findings: Based on the Compliance Officers' observations, the diaper changing sinks in Room 6 and Room 12 were not maintained in a clean condition; there was food debris and a brown grime buildup accumulated. **Previously cited on 06.26.25.”

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. 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 Officers' observations, the Infant feeding instructions posted in the kitchen were not updated with the current feeding plan for Child #1, Child #2, and Child #3. **Previously cited on 06.26.25”

AAC R9-5-301.F. F. A licensee shall ensure that a staff member submits, on or before the starting date of employment or volunteer services, a completed self-screening form in a Department-provided format for tuberculosis screening purposes and follow recommendations for further tuberculosis testing, as applicable.

“Findings: Based on the Compliance Officers' observations and the review of 11 staff files, it was determined that the file for Staff #9 (DOE: 10.13.25) lacked documentation of the tuberculosis self-screening.”

AAC R9-5-203.G. G. As required by A.R.S. § 8-804, before an individual’s starting date of employment or volunteer service, a licensee shall comply with the submission requirements in A.R.S. § 8-804(C) for the individual.

“Findings: Based on the Compliance Officers' observations and the review of 11 staff files, it was determined that the files for Staff #1 (DOE: 03.18.26), Staff #2 (DOE: 05.04.26), Staff #4 (DOE: 01.12.26), Staff #5 (DOE: 03.17.26), Staff #8 (DOE: 06.22.26), Staff #9 (DOE: 10.13.25), Staff #10 (DOE: 04.27.26) and Staff #11 (DOE: 06.01.26) lacked documentation of a background check results.”

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 the Compliance Officers' observations and the review of the facility documentation, the medication forms lacked the following required information. *Child #5: The over-the-counter medication form lacked specific times and frequency of administration. *Child #7: The prescription number on the container does not match the prescription number on the form. Additionally, the over-the-counter medication lacked a starting year and specific reason for administration. *Child #9: The over-the-counter medication lacked a medicine administration form.”

AAC R9-5-203.E. E. If a staff member possesses a fingerprint clearance card that was issued before the staff member became a staff member at the facility, a licensee shall: 1. Contact the Department of Public Safety before the individual becomes a staff member to determine whether the fingerprint clearance card is valid; and 2. Document this determination, including the name of the staff member, the date of contact with the Department of Public Safety, and whether the fingerprint clearance card is valid.

“Findings: Based on the Compliance Officers' observations and the review of 11 staff files, it was determined that the files for Staff #6 (DOE: 05.26.25) and Staff #11 (DOE: 06.01.26) lacked a DPS verification of the fingerprint clearance card. **Previously cited on 06.26.25”

AAC R9-5-203.A. A. A licensee shall ensure that a staff member completes, signs, dates, and submits to the licensee, before the staff member’s starting date of employment or volunteer service: 1. The form required in A.R.S. § 36-883.02(C); and 2. If required by A.R.S. § 8-804, the form in A.R.S. § 8-804(I).

“Findings: Based on the Compliance Officers' observations and the review of 11 staff files, it was determined that the file for Staff #7 lacked documentation of a background check submittal.”

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 Officers' observations, the plumbing fixtures were not maintained in working condition; there was a non-flushing toilet in Room 12.”

AAC R9-5-512.F.7. F. A licensee shall ensure that: 7. Toys, materials, and equipment are maintained in a clean condition;

“Findings: Based on the Compliance officers' observations, the toys in the Infant/Toddler and Turf Outdoor activity areas were not maintained in a clean condition; there was a brown grime buildup on the walkers, ride-on toys, and trucks. Additionally, there was a brown sticky grime buildup on the bookshelf in Room 12. **Previously cited on 06.26.25.”

AAC R9-5-512.F.1. F. A licensee shall ensure that: 1. Each toilet room in a facility contains, within easy reach of enrolled children: a. Mounted toilet tissue; and b. Except as provided in subsection (G): i. A sink with running water; ii. Soap contained in a dispenser; and iii. Disposable, single-use paper towels in a mounted dispenser, or a mechanical air hand dryer;

“Findings: Based on the Compliance Officers' observations, the soap dispenser in the Toddlers Outdoor Restroom was in an inoperable condition.”

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 restrooms were not maintained in a clean condition. There was an unflushed toilet in Room 8, and there was a brown grime buildup in the handwashing sink and wall in Room 10. **Previously cited on 06.26.25.”

AAC R9-5-509.C.20. C. A licensee shall ensure that: 20. Perishable foods, which are foods that become unfit for human consumption if not stored to prevent spoilage, are covered and stored in a refrigerator at a temperature of 41° F or below;

“Findings: Based on the Compliance Officers' observations, the refrigerator temperature in Room 3 was 48 degrees rather than 41 degrees or below.”

ARS § 36-883.02.C. C. Applicants, licensees and child care personnel shall attest on forms that are provided by the department that: 1. They are not awaiting trial on or have never been convicted of or admitted in open court or pursuant to a plea agreement committing any of the offenses listed in section 41-1758.07, subsection B in this state or similar offenses in another state or jurisdiction. 2. They are not parents or guardians of a child adjudicated to be a dependent child as defined in section 8-201. 3. They have not been denied or had revoked a certificate to operate a child care group home or a license to operate a child care facility in this or any other state or that they have not been denied or had revoked a certification to work in a child care facility or child care group home.

“Findings: Based on the Compliance Officers' observations and the review of 11 staff files, it was determined that the files for Staff #6 (DOE: 05.26.25) and Staff #7 (DOE: 03.04.26) lacked a Criminal History Affidavit.”

AAC R9-5-502.A.7.b. A. A licensee providing child care services for infants shall: 7. Provide space, materials, and equipment in an infant room that includes the following: b. Toys, materials, and equipment, that are too large for an infant to swallow and free from sharp edges and points, in a quantity sufficient to meet the needs of the infants in attendance that include: i. Toys to enhance physical development such as toys for stacking, pulling, and grasping; ii. Soft toys; iii. Books; iv. Toys to enhance visual development such as crib mobiles and activity mats with an object or objects suspended above the infant’s head; and v. Unbreakable mirrors; and

“Findings: Based on the Compliance Officers' observations, toys were not accessible to children in the Infant room; toys were stored in large bins under the cribs. Staff stated they take some toys out when children are awake.”

AAC R9-5-502.C.1.lk. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: k. 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 the Compliance Officers' observations, the feeding instructions in the Infant Room were not updated with the current feeding plan for Child #1, Child #2, and Child #3.”

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 the Compliance Officers' observations and the review of 11 staff files, it was determined that the files for Staff #5 (DOE: 03.17.26), Staff #7 (DOE: 03.04.26), and Staff #11 (DOE: 06.01.26) lacked documentation of a new staff 10-day orientation training. **Previously cited on 06.26.25.”

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 the Compliance Officers' observations and the review of 11 staff files, it was determined that the fingerprint clearance card for Staff #5 (DOE: 03.17.26) was issued on 03.25.26, eight days after the first day of employment. **Previously cited on 06.26.25.”

AAC R9-5-516.G. G. A licensee shall return all unused prescription and nonprescription medications to a parent when the medication prescription date has expired or the medication is no longer being administered to the enrolled child or dispose of the medication if unable to locate the enrolled child's parent after the child's disenrollment.

“Findings: Based on the Compliance Officers' observations and the review of the facility documentation, the following medications were not returned to the parents when the medication was no longer administered to the child: *Child #4: The prescription medication was not returned after the end date on 05.09.26. *Child #8: The over-the-counter medication was not returned after the end date on 11.2024.”

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 the Compliance Officers' observations and the review of the facility documentation, the medication forms lacked the following required information. *Child #4: The prescription medication was not in its original container. *Child #5: The over-the-counter medication form lacked a doctor's note to administer to a child under two years old. **Previously cited on 06.26.25.”

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 the Compliance Officer's observations and the review of the facility documentation, the prescription medication for Child #6 lacked half of the prescribed dose.”

AAC R9-5-402.A. A. A licensee shall maintain a file for each staff member containing: 1. The staff member’s name, date of birth, home address, and telephone number; 2. The staff member’s starting date of employment or volunteer service; 3. The staff member’s ending date of employment or volunteer service, if applicable; 4. The name and telephone number of an individual to be notified in case of an emergency; 5. The staff member’s written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis; 6. The form required in A.R.S. § 36-883.02(C); 7. Documents required by R9-5-203; 8. Documents required by R9-5-301; 9. Documents required by R9-5-401, if applicable; 10. If applicable: a. The form required in A.R.S. § 8-804(I), b. Documentation of the submission required in A.R.S. § 8-804 and the information received as a result of the submission, and c. Documentation of training provided by a licensee as required by R9-5-403, if applicable; 11. A copy of any current license or certification required by A.R.S. Title 36, Chapter 7.1, Article 1. or this Chapter; and 12. Documentation of the requirements in A.R.S. § 36-883.02(D).

“Findings: Based on the Compliance Officers' observations and the review of 11 staff files, it was determined that the file for Staff #5 (DOE: 03.17.26) lacked documentation of efforts to contact two good-faith references.”

AAC R9-5-505.A. A. 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.

“Findings: Based on the Compliance Officers' observations, the toys in Room 5, Room 6, Room 8, Room 9, and Room 10 were stored in large bins with lids on, making the toys not accessible to children.”

AAC R9-5-504.A.3. A. A licensee providing child care services for 1-year-old and 2-year-old children shall: 3. Ensure that each activity area has a supply of age-appropriate toys, materials, and equipment that are too large for a child to swallow and free from sharp edges and points, in a quantity sufficient to meet the needs of the enrolled children in attendance including: a. Art supplies; b. Books; c. Rubber or soft plastic balls; d. Puzzles and toys to enhance manipulative skills; e. Blocks; f. Washable soft toys and dolls; g. Musical instruments; and h. Indoor and outdoor equipment to enhance large muscle development;

“Findings: Based on the Compliance Officers' observations, toys were not accessible to children in Room 2 and Room 3. They were stored in large bins with lids on; in Room 2, the toys were in bins on a high wall shelf.”

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 the Compliance Officers' observations, the facility lacked a current fire permit; the permit on file expired in 2025”

AAC R9-5-511.A.1.2.3.4.5. 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, 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; 5. Each cot, mat, or crib is maintained in a clean and repaired condition;

“Findings: Based on the Compliance Officers' observations, the sleeping mats in Room 5 were not maintained in a repaired condition; the vinyl had holes exposing the inner part, making the mats no longer sanitizable.”

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

“Findings: Based on review of facility documentation and the Compliance Officer's observations, it was determined that the file for Staff #1 (DOE 05.26.25) lacked a copy of a current fingerprint clearance card, the card on file expired on 06.03.25, and the application for a new fingerprint card was not received until 06.17.25”

AAC R9-5-203.E. E. If a staff member possesses a fingerprint clearance card that was issued before the staff member became a staff member at the facility, a licensee shall:1. Contact the Department of Public Safety before the individual becomes a staff member to determine whether the fingerprint clearance card is valid; and 2. Document this determination, including the name of the staff member, the date of contact with the Department of Public Safety, and whether the fingerprint clearance card is valid.

“Findings: Based on review of facility documentation and the Compliance Officer's observations, the files for Staff #1 (DOE 05.26.25), Staff #3 (DOE 08.30.20), and Staff #4 (DOE 02.02.15) lacked DPS verification.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete a Department-provided Emergency, Information, and Immunization Record card that is signed by the enrolled child’s parent containing: 1. The child’s name, home address, city, state, zip code, home telephone number, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, city, state, zip code, and contact telephone number of each parent of the child; 4. The name and contact telephone number of at least two individuals authorized by the child’s parent to collect the child from the facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(9); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“Findings: Based on review of facility documentation and the Compliance Officer's observations, 3 of 22 Emergency Information Record cards reviewed lacked: *Child #1: The name, home address, city, state, zip code, and contact telephone number of the second parent, and the name and contact telephone number of the child’s health care provider. Child #2: The name, home address, city, state, zip code, and contact telephone number of the second parent. Child #3: The written medical instructions and parent signature. **Previously Cited on 07.03.24”

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 review of facility documentation and the Compliance Officer's observations, the Roster in Room Three did not reflect the number of children present; there were 7 students and 8 were marked as present.”

AAC R9-5-401.2. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:2. A facility director’s designee is 21 years of age or older and provides the licensee with documentation of one of the following: a. At least 12 months of child care experience, a high school or high school equivalency diploma, and: i. Three credit hours or more in early childhood, child development, or a closely-related field from an accredited college or university, or ii. At least 30 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field; b. At least 12 months of child care experience and: i. An N.A.C., C.D.A., or C.C.P. credential; or ii At least 24 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; c. At least six months of child care experience and an associate degree from an accredited college or university in early childhood, child development, or a closely-related field; or d. At least three months of child care experience and a bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field;

“Findings: Based on review of facility documentation and the Compliance Officer's observations, Staff #4 (DOE 02.02.15) worked in the capacity of director designee. Staff #4's file lacked documentation of High School Diploma, three credit hours or more, or at least 30 actual hours of instruction in early childhood, or a closely-related field to qualify as a director designee.”

AAC R9-5-402.A. A. A licensee shall maintain a file for each staff member containing:1. The staff member’s name, date of birth, home address, and telephone number; 2. The staff member’s starting date of employment or volunteer service; 3. The staff member’s ending date of employment or volunteer service, if applicable; 4. The name and telephone number of an individual to be notified in case of an emergency; 5. The staff member’s written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis; 6. The form required in A.R.S. § 36-883.02(C); 7. Documents required by R9-5-203; 8. Documents required by R9-5-301; 9. Documents required by R9-5-401, if applicable; 10. If applicable: a. The form required in A.R.S. § 8-804(I), b. Documentation of the submission required in A.R.S. § 8-804 and the information received as a result of the submission, and c. Documentation of training provided by a licensee as required by R9-5-403, if applicable; 11. A copy of any current license or certification required by A.R.S. Title 36, Chapter 7.1, Article 1. or this Chapter; and 12. Documentation of the requirements in A.R.S. § 36-883.02(D).

“Findings: Based on the Compliance Officer's observations, the file for Staff #1 (DOE 05.26.25) lacked a 10-day new staff training. **10-day previously cited 07.03.24 Reference R9-5-403”

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 review of facility documentation and the Compliance Officer's observations, the following items found in the facility kitchen had expiration dates that had passed: *Cottage Cheese Exp. 06.17.25 *Salami Exp. 05.22.25 *Prepackaged broccoli Exp. 06.25.25”

AAC R9-5-501.A.12. A. A licensee shall ensure that: 12. The facility premises, including the buildings, are maintained free from hazards;

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's the following indoor hazards were accessible to the enrolled children: *Room Six: There was a standing mirror that easily tilted when light pressure was applied, there was a broken light switch on the wall near the restroom door, and areas of exposed drywall. *Room Seven Restroom: The bottom of the stall was rusted, and there was water damage on the wall. *Room Eight: There was a broken toy shelf. *Room Ten Restroom: There was water damage on the wall behind the toilet. *Room Fourteen: There was water damage on the wall below the soap dispenser.”

AAC R9-5-501.A.14. A. A licensee shall ensure that: 14. Temperatures are maintained between 68° F and 82° F in each room used by enrolled children;

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, the room temperature in Room One and Room Two was not maintained between 68 °F and 82 °F. The room temperature recorded was 64 °F.”

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 observations of the Compliance Officer and Compliance Officer Supervisor, the following toxic and flammable materials labeled "keep out of reach" were accessible to children: *Playground Room Five and Six: Disinfecting wipes. *Toddler Playground: Disinfecting spray, Lysol, and lime away. *Room Six: There was a basket on the desk that contained hand lotion, hydration multiplier, facial spray, and a chopstick. *Room Eight: There was a medication labeled as "Medicamento Calmante".”

AAC R9-5-501.A.20. A. A licensee shall ensure that:20. Hand sanitizers: a. When being stored, are stored separate from food storage areas and are inaccessible to enrolled children; and b. When being provided for use, are accessible to enrolled children; and

“Findings Based on the Compliance Officer and the Compliance Officer Supervisor's observations, hand sanitizers were accessible to enrolled children in Room Six and Room Eight. **Previously Cited on 07.03.24”

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

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, a plunger was accessible to the enrolled children in Room Fourteen Restroom.”

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;

“Findings: Based on the compliance Officer and the Compliance Officer Supervisor's observations, the surface on the infant feeding chairs in Rooms One, Two and Three were not maintained smooth and free from cracks, pieces of the laminate was chipping off exposing the particle wood; areas of the sitting part were worn and had a build-up of food debris on it. In Room Two, the feeding chairs lacked manufacturer safety straps.”

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

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, students were walking alone and unsupervised from the playground, through the room, and in the hallway. Students stated, "We were going to the kitchen to get an ice pack".”

AAC R9-5-502.A.10. A. A licensee providing child care services for infants shall: 10. Ensure that an occupied crib with a crib side that does not have a non-porous barrier is placed at least 2 feet from another occupied crib side that does not have a non porous barrier; and

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, the non-porous barrier of the occupied cribs were not spaced at least 2 ft from other cribs in Room One.”

AAC R9-5-502.A.4. A. A licensee providing child care services for infants shall: 4. Permit an infant to maintain the infant's pattern of sleeping and waking;

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations and staff statement, in Room One, Infants did not have their own pattern of sleeping and waking. When the COs entered the room, all infants were napping. Staff stated the infants were placed on a schedule to nap at the same time.”

AAC R9-5-502.A.8.a. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: a. Has bars or openings spaced no more than 2-3/8 inches apart and a crib mattress measured to fit not more than 1/2 inch from the crib side;

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, in Room One and Room Two, 8 out of 12 crib mattresses had gaps that measured more than 1/2" from the crib side.”

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;

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations and staff statements, tummy time was not being documented. Staff stated they were not documenting tummy time.”

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 review of facility documentation and the Compliance Officer and Compliance Officer Supervisor's observations, 8 out of 12 infant dietary instructions forms reviewed were not updated with the current dietary instructions for the infants. **Previously Cited on 07.03.24”

AAC R9-5-502.C.2.b. C. A licensee shall ensure that:2. A staff member providing child care services in an infant room does not: b. Place an infant to sleep using a positioning device that restricts movement, unless the infant’s health care provider has instructed otherwise in writing;

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, in the Infant Room One, two infants were sleeping in swings with only parent permission.”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, the diapering water temperature in Room One was 78°F, and Room 12 was 76°F, rather than between 86°F and 110°F. **Previously Cited: 07.03.24”

AAC R9-5-503.A.4. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:4. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled clothing.

“Findings: Based on the Compliance Officer's observations, the diaper changing area in Room One lacked a soiled clothing container lid.”

AAC R9-5-503.E. E. A licensee shall ensure that the written diaper changing procedure in subsection (D) states that an enrolled child’s diaper is changed as soon as it is soiled, and that a staff member, when diapering:1. Uses a separate washcloth and towel only once for each enrolled child; 2. Washes and dries the enrolled child using the enrolled child’s individual personal products labeled with the enrolled child’s name; 3. Uses single-use non-porous gloves; 4. Washes the staff member’s own hands with soap and running water between 86° F and 110° F before and after each diaper change; 5. Washes each enrolled child’s hands with soap and running water between 86° F and 110° F after each diaper change; 6. Cleans, sanitizes, and dries the diaper changing surface following each diaper change; and 7. Uses single-use paper towels from a dispenser to dry the diaper changing surface or the hands of the enrolled child or staff member.

“Findings: Based on the Compliance Officer Supervisor's observations, in the Infant Room One staff did not wash a child’s hands following a diaper change.”

AAC R9-5-509.C.24. C. A licensee shall ensure that:24. Foods are prepared as close as possible to serving time and, if prepared in advance, are either: a. Cold held at a temperature of 45° F or below or hot held at a temperature of 130° F or above until served; or b. Cold held at a temperature of 45° F or below and then reheated to a temperature of at least 165° F before being served.

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, the food in the Infant Room One was sitting on the counter rather than cold held at 45°F or below until it was served at lunchtime.”

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

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, the following activity areas were not maintained clean and free from odor: *Room Two: All 12 cribs had dust and debris between the mattress and the bars. *Room Three: There was dust debris in the black fridge and black tape residue on the students' shelves. *Room Six: The bookshelf had a brown grime build-up. *Room Eight: There was food debris on the trash can lid and tape residue on the toy shelves. *Room Nine: There was tape residue on the shelf near the playground exit, and the shelf near the whiteboard *Room Ten: There was a pungent smell in the restroom. *Previously Cited on 07.03.24”

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 and Compliance Officer Supervisor's observations, the following areas were not maintained in a clean and sanitized condition: *Room Five and Six: The Restroom baseboard and the toilet base caulking had a brown dirt build-up. *Room Three: There was a dirt build-up on the door threshold, and two soft floor mats with exposed foam. *Room Nine: The caulking around the toilet base had a grime build-up, and there was a lifting tile. In the classroom, there was a brown sticky tape residue on the carpet. *Room Ten Restroom: There was a yellow liquid in the caulking around the toilet base. *Room Eleven: There was a dirt build-up in the caulking around the toilet base. *Room Fourteen: There was a dirt build-up on the floor and caulking around the toilet base. *Room Five: In the Restroom, there was an unflushed toilet with tape over the bowl, and the sink had a brown grime build-up. *Room Seven Restroom: There was a grime build-up in the sink around the faucet. **Previously Cited on 07.03.24”

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 the Compliance Officer and Compliance Officer Supervisor's observations, the toys and restrooms in the following rooms were not maintained in a clean condition: *Room Eight, Nine, and Ten: The Playground climbing structure had a brown grime build-up. *2 years Playground: There was a black grime build-up on four ride-on toys, three playhouses, and the climbing structure. *Toddler Playground: All push toys had black grime build up. *Room Five: There was dust and debris in the play kitchen. *Room Six: The play kitchen had a brown grime build-up. *Room Eight: There was a dirt build-up on toy boxes. *Room Nine: Dirty caulking around sink, all toy boxes and shelves had a grime build-up. *Room Eleven: There was a grime build-up in the sink faucet. Additionally, Room Five and Six Playground Restrooms lacked mounted toilet paper. In the 2-year-old playground restroom, there were no mounted toilet paper and paper towels. In Room Ten restroom, there were no paper towels.”

AAC R9-5-514. D. D. A licensee shall post, near an activity area or a room's designated exit, a building evacuation plan that details the designated exits from the activity area or room and the facility.

“Findings: Based on the Compliance Officer Supervisor's observations, Room Three lacked a fire exit route.”

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 review of facility documentation and the Compliance Officer Supervisor's observations, it was determined that 4 of 8 medication consent forms for the following children lacked: *Child #4: The non-prescription medication was not labeled with the child's first and last name. *Child #12, Child #13, Child #14, Child #16, and Child #17: Directions were inconsistent with Dr's notes or medication labels. *Child #15: The non-prescription medication was not labeled with the child's first and last name, and directions were inconsistent with Dr's notes or medication labels. **Previously Cited on 07.03.24”

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

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, in the Playground for Rooms Five, Six, and Toddlers, 13 out of 13 tricycles lacked seats. Staff stated that children remove them, then they throw them away. **Previously Cited on 07.03.24”

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;

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, the outdoor restrooms lacked an exhaust fan, and the windows were not maintained open.”

ARS § 36-883.02.C. C. Applicants, licensees and child care personnel shall attest on forms that are provided by the department that:1. They are not awaiting trial on or have never been convicted of or admitted in open court or pursuant to a plea agreement committing any of the offenses listed in section 41-1758.07, subsection B in this state or similar offenses in another state or jurisdiction. 2. They are not parents or guardians of a child adjudicated to be a dependent child as defined in section 8-201. 3. They have not been denied or had revoked a certificate to operate a child care group home or a license to operate a child care facility in this or any other state or that they have not been denied or had revoked a certification to work in a child care facility or child care group home.

“Findings: Based on review of facility documentation and the Compliance Officer's observations, it was determined that the file for Staff #1 (DOE 05.26.25) lacked a copy of a current Criminal history affidavit. The affidavit on file was signed by the staff member in 2019.”

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

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, the following diaper changing areas were not maintained in a clean and sanitizable condition: *Room One: The caulking had grime and dirt build-up and was separating from the surface; there was a sticker on the side, and the sink had a brown build-up around the diaper changing sink faucet. *Room Two: There was a brown grime build-up, and the caulking was separating from the surface. *Room Three: There was a dust build-up, a sticker on the diaper changing surface, and a calcium build-up in the diaper changing sink. *Room Four: There was dirt debris on the diaper changing surface, and a brown grime build-up around the faucet. A diaper changing surface was not used to change diapers, staff stated that 3 children are in diapers and they had been changed in the restroom, and soiled diapers are disposed in the regular trash container rather than a soiled diaper container inaccessible to children. *Room Eleven, Twelve, and Fourteen: There was dust and debris build-up on the diaper changing surface, and the caulking was separating from the area. **Previously Cited on 07.03.24”

AAC R9-5-501.A.20. A. A licensee shall ensure that:20. Hand sanitizers: a. When being stored, are stored separate from food storage areas and are inaccessible to enrolled children; and b. When being provided for use, are accessible to enrolled children; and

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, in Room 9 (5's), there was a hand sanitizer bottle on the teacher's desk, accessible to enrolled children. In Room 6 (3's), there were 2 hand sanitizer bottles on the teacher's desk, accessible to the enrolled children.”

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 discipline; 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; and 17. Field trip procedures, if applicable.

“Findings: Based on facility documentation and the Compliance Officer and Compliance Officer Supervisor's observations, 1 of 6 staff files reviewed lacked the following: Staff #2 (DOE: 5/6/24): The 10-day new hire training lacked a signature from the director.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete a Department-provided Emergency, Information, and Immunization Record card that is signed by the enrolled child’s parent containing: 1. The child’s name, home address, city, state, zip code, home telephone number, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, city, state, zip code, and contact telephone number of each parent of the child; 4. The name and contact telephone number of at least two individuals authorized by the child’s parent to collect the child from the facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(9); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“Findings: Based on facility documentation and the Compliance Officer and Compliance Officer Supervisor's observations, 5 of 20 children's Emergency, Information, and Immunization Record cards reviewed lacked the following: *Child #1, Child#2, Child #3, Child #4, Child #5: A telephone number for the child's health care provider.”

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 and Compliance Officer Supervisor's observations, 2 of 6 staff files reviewed lacked the following: Staff #1 (DOE: 8/28/23): The backside of the fingerprint clearance card. Staff #6 (DOE: 3/18/24): A copy of the fingerprint clearance card.”

AAC R9-5-516.G. G. A licensee shall return all unused prescription and nonprescription medications to a parent when the medication prescription date has expired or the medication is no longer being administered to the enrolled child or dispose of the medication if unable to locate the enrolled child's parent after the child's disenrollment

“Findings: Based on facility documentation and the Compliance Officer and Compliance Officer Supervisor's observations, Child #2's prescription medicine end date stated 08/18/2023, the medicine was not returned as required. Child #12's over-the-counter medicine end date stated 06/2024, and the medicine was not returned as required. Child #13 no longer attends, and the prescription medicine was not returned as required.”

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 and the Compliance Officer and Compliance Officer Supervisor's observations, Child #9's and Child #13's over-the-counter medicine lacked written authorization from the child's doctor. Child #10's, Child #11's, and Child #14's prescription medicine lacked the written authorization form from the child's doctor.”

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 Officer and Compliance Officer Supervisor's observations, Staff #2's (DOE: 05/06/24) fingerprint clearance card was not issued before their starting date of employment. Staff #2's fingerprint clearance card application was received by DPS on 5/8/24 and the fingerprint clearance card was issued on 05/10/24.”

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 and Compliance Officer Supervisor's observations, the medication authorization form for Child #5 and Child #2 prescription medicine lacked a reason for the medication. The medication authorization form for Child #4 prescription medicine lacked the route, times, and frequency of administration. Child #12 lacked a medication authorization form for their over-the-counter medication.”

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 and Compliance Officer Supervisor's observations, in Room 7 (3's), there was a liquid substance located on the floor of the toilet room.”

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

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, the following areas were not maintained in a clean condition: *Infant room: There was dry crusty food waste located on the interior sides of the high chairs. *Room 2 (1's): There was a brown fuzzy substance located on the window sill.”

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

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, each cot, mat, or crib was not maintained in a clean and repaired condition as evidenced by: *Room 3 (2's), Room 5 (3's), Room 6 (3's), and Room 7 (3's): Sleeping mats had rips and tears with exposed foam. *Infant Room and Room 2 (1's): Gray and brown stains located on crib sheets.”

AAC R9-5-502.A.8.c. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: c. Is furnished with clean, sanitized, crib-size bedding, including a fitted sheet and top sheet or a blanket;

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, in the Infant Room, there were 10 sheets with brown/gray spots. There were 2 sheets that were too small causing the mat to bow upwards.”

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

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, in Room 14 (2's), there were two sunscreens and 2 aquaphor containers that lacked the child's first and last name.”

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 and Compliance Officer Supervisor's observations, 3 of 6 staff files reviewed lacked the following: Staff #3 (DOE: 01/21/19): 5.25 hours of the required 18 hours of annual training for the time period of 01/21/23-1/21/24. Staff #4 (DOE: 01/3/22): 18 hours of the required 18 hours of annual training for the time period of 01/3/23-1/3/24). Staff #5 (DOE: 04/18/22): 10 hours of the required 18 hours of annual training and 6 hours of infant training for the time period 04/18/23-04/18/24.”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, the following diaper changing sinks did not measure between 86°F-110°F as required: *Infant Room: Read at 81°F. *Room 2 (1's): Read at 76°F. *Room 4 (1's): Read at 117° F. *Room 12 (2's): Read at 79° F. *Room 14 (2's): Lacked single-use paper hand towels from a dispenser.”

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

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, the following hazards were accessible to enrolled children: Older Children's Playground: *The slide had one 11" crack with sharp edges and four, 5" cracks. 3's Playground: *The slide had four, 5" cracks.”

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

“Findings: Based on the Compliance Officer and Compliance Officer's Supervisor's observation, the outdoor activity area lacked the following required resilient surfacing: OLDER CHILDREN PLAYGROUND *5 inches of the required 6 inches of loose wood chips in the fall zone of the stairs. *3 inches of the required 6 inches of loose wood chips in the fall zone of the ladder. *6 inches of the required 6 inches of loose wood chips in the fall zone of the straight slide. *4 inches of the required 6 inches of loose wood chips in the fall zone of the short slide. 3'S PLAYGROUND *4 inches of the required 6 inches of loose wood chips in the fall zone of the Little Tikes slide. *4 inches of the required 6 inches of loose wood chips in the fall zone of the stairs.”

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

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observation, the following diaper changing areas lacked a seamless and smooth surface: *Infant Room: There was a build-up of a brown substance located around the diaper changing sink drain. *Room 2 (1's): There was a build-up of yellow and gray smudges located on the diaper changing table and around the faucets. *Room 4 (1's): There was a build-up of a yellow substance located on the perimeter of the diaper changing surface.”

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 and Compliance Officer Supervisor's observations, 3 of 3 written dietary instructions reviewed lacked the following: Child #6: Was last updated on 4/28/24. Child #7: There was no date listed. Child #8: Was last updated on 2/29/24.”