Scottsdale / Paradise Valley Y M C A

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

“Findings: Based on the Compliance Officer's observation and review of facility documentation, it was determined that the fire drill was not documented for June 2026.”

AAC R9-5-303.A. A. A licensee shall post in a place that can be conspicuously viewed by individuals entering or leaving the facility or activity area, the: 1. Facility’s license; 2. Name of the facility director; 3. Name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility, as prescribed by R9-5-301(B)(1); 4. Schedule of child care services fees and policy for refunding fees as prescribed by A.R.S. § 36-882(P); 5. Breakfast, lunch, dinner, and snack menus for each calendar week at the beginning of the calendar week; 6. Notice of the presence of any communicable disease or infestation listed in 9 A.A.C. 6, Article 2, Table 2.2, from the date of discovery through the incubation period of the communicable disease or infestation; 7. Notice of the Department’s intent to deny, revoke, or suspend as prescribed by A.R.S. § 36-888 at the expiration of time in the notice for the licensee to respond; 8. Notice of an intermediate sanction imposed as prescribed by A.R.S. § 36-891.01 within 10 calendar days after the licensee received notice of the intermediate sanction; 9. Notice of a legal injunction imposed as prescribed by A.R.S. § 36-886.01 when the licensee receives the legal injunction; and 10. Notice of the availability of facility inspection reports for public viewing at the facility premises.

“Findings: Based on the Compliance Officer's observation and review of facility documentation, it was determined that the menu posted in The Zone classroom (School-age classroom) was dated for May 2026.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. The facility does not allow enrolled children to mix with non-enrolled children on licensed facility premises;

“Findings: Based on the Compliance Officer's observation, it was determined that in the Kids club area, 13 enrolled children from the licensed program were mixed with 2 children who were not enrolled in the licensed program.”

AAC R9-5-404.A. A. A licensee shall ensure that at least the following staff-to-children ratios are maintained at all times when providing child care services to enrolled children: Age Group/Staff: Children - Infants/1:5 or 2:11; 1-year-old children/1:6 or 2:13; 2-year-old children/1:8; 3-year-old children/1:13; 4-year-old children/1:15; 5-year-old children not school-age/1:20; School-age children/1:20

“Findings: Per allegation Based on the Compliance Officers' observations of facility documentation, including staff statements regarding the incident on 5.12.2026 and on staff interview, the staff-to-child ratio on 5.12.2026 was 0:1 when Child #1 exited the childcare building and was found alone near the bike rack by the main entry doors to the YMCA. Staff stated the child was gone between 5 -10 minutes. At the time of the inspection, the staff-to-child ratio was 0:3 in the toddler room (1/2s) when a staff left the room to take a child to the toilet room located in the hallway. The staff-to-child ratio was 1:17 in the preschool room (3-5s) when a staff left the classroom to place items in the kitchen area, with a required ratio of 2:17.”

AAC R9-5-501.A.5. A. A licensee shall ensure that: 5. An enrolled child is placed in an age-appropriate or developmentally-appropriate group;

“Findings: Based on the Compliance Officers' observations of facility documentation and staff statements, a three-year-old child was placed in the one and two-year-old room. Staff stated the child was placed in the room because they bit another child.”

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

“Findings: Per allegation Based on the Compliance Officers' observations of facility documentation, including staff statements regarding the 5.12.2026 and staff interview, Child #1 left the childcare building alone and was not supervised by a staff at all times. Staff stated the child was alone anywhere from 5 to 10 minutes.”

AAC R9-5-510.A.1. A. A staff member shall provide guidance to help children respond to difficult situations. To develop self-regulation, children should receive adult support that is individual to the child and adapts as the child develops internal controls. This process should include: 1. Forming a positive relationship with the child, which occurs when the adult spends time talking to the child, listening to the child, following the child’s lead, playing with the child, and responding to the child’s needs; 2. Base expectations on the child’s developmental level; 3. Establishing and being proactive in teaching and supporting children in learning simple rules; 4. Modifying the learning/play environment to support the child’s appropriate behavior; 5. Creating a predictable daily routine and schedule; 6. Modeling desired behavior; 7. Showing children positive alternatives; 8.Using deliberate redirection, the staff member should encourage the child to use appropriate behavior, and provide positive feedback when the child exhibits the behavior; 9. Individualized positive discipline strategies based on the individual needs of children, such as using a buddy system, individualized schedule, special break, or another applicable positive discipline strategy; and 10. If applicable, a licensee shall develop a written plan with the enrolled child's parent to provide individualized social and emotional intervention supports for the enrolled child that includes methods for understanding the enrolled child's behavior, and developing, adopting, and implementing a team-based positive behavior support plan.

“Findings: Per allegation Based on the Compliance Officers' observations of facility documentation, including staff statements regarding the 5.12.26 incident, and staff interview, staff members failed to model desired behavior and used deliberate redirection. Staff stated that Child #1 was placed in the 1/2s room as punishment for biting another child, while the rest of the 3-5s class went to the Ninja room to play. Documentation regarding the incident stated that Child #1 was placed in the 1/2s room for biting another child and was not allowed to go to the Ninja room with the rest of the class. Staff stated Child #1 bit another child, so the child was taken to the 1/2s room.”

AAC R9-5-515.A. A. A licensee shall not permit an enrolled child to remain at the facility if a staff member determines that the enrolled child shows signs of illness or infestation.

“Findings: Per allegation Based on the Compliance Officers' observations of facility documentation and staff statements, Child #2 was permitted to stay at the facility when the child showed signs of illness. Staff stated the following: *The child was "out of it". *The child's nose was "runny a lot". *The child's eyes didn't look good and looked like "the child was not there". *The child's eyes were puffy. *The parent was called to pick the child up after the child had been at the facility for about 35 minutes. *I should not have let the child stay.”

AAC R9-5-515.B. B. If an enrolled child exhibits signs of illness or infestation at a facility, a licensee shall ensure that a staff member: 1. Immediately separates the enrolled child from other enrolled children, 2. Immediately notifies the enrolled child’s parent by telephone or other expeditious means to arrange for the enrolled child’s removal from the facility, and 3. Maintains documentation of the notification on facility premises for 12 months after the date of the notification.

“Findings: Based on the Compliance Officers' observations of facility documentation and staff statement, the facility lacked the written documentation of the notification of Child #2's parent to arrange for the enrolled child's removal from the facility when the child was ill. Staff stated they did not document the phone call when they sent the child home sick.”

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: Per allegation Based on the Compliance Officers' observations of facility documentation, including staff statements regarding the 5.12.2026 incident, and staff interview, the health, safety and welfare of Child #1 was placed at risk of harm when Child #1 left the toddler classroom, entered the hallway area, entered the preschool classroom and used a step-stool to climb over the half door and walked out of the childcare building. Once Child #1 was out of the building, Child #1 walked up the sidewalk heading to the main entrance to the YMCA and walked near the bike rack area located between the school-age playground fence and the main entry building. When Staff #1 was leaving the childcare building, they observed Child #1 by the bike rack playing with hose attachments. Staff stated the following: *Child #1 used a stepstool to open the half door latch and exit the preschool room. *Child #1 was in the toddler room prior to leaving the building. *Child #1 was gone for about 5 - 10 minutes; it all happened so quick. *Child #1 was found alone in an area near the main entry doors. Documentation stated the following: A "Level 2 - Major Incident" form revealed that Child #1 was alone for "around 4-5 minutes". The form also stated that Child #1 has "ran into the parking lot" previously. Per written staff statements: *Child #1 asked for assistance at 11:20am. Shortly after, another child in the room asked "Where's (Child #1's name)"? *(We) were unaware that (Child #1) was not in the room.”

AAC R9-5-501.A.5. A. A licensee shall ensure that: 5. An enrolled child is placed in an age-appropriate or developmentally-appropriate group;

“Findings: Based on the Compliance Officer's observation and staff statements, in the Toddler room (1/2s), a 4-year-old child was sleeping in the room when 2 children (age 2) were present in the room. The staff acknowledged the child, who was 4 years old and stated the child is normally in the Preschool room.”

AAC R9-5-516.J. J. A staff member’s or enrolled child’s prescription medication necessary to treat life-threatening symptoms: 1. May be kept in the activity area where the staff member or enrolled child is present; and 2. Except when the prescription medication is administered to treat life-threatening symptoms, is inaccessible to an enrolled child.

“Findings: Based on the Compliance Officer's observations on the Playground, a life-saving medication was accessible to enrolled children who were present at the time. The medication was in an open black container that was on the ground.”

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' review of medication forms and staff member, Child #2 had a medication that was for a fever/pain relief. Child #2's form, however, stated to administer the medication "for a cough/cold". In reviewing the medication form, it was determined that the medication had been administered to the child on 4.10.2026. Staff stated that the medication was administered for a cough.”

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: Per allegation and based on the Compliance Officers' observations and facility documentation, the written medication authorization form for Child #1's medicine lacked the reason to administer the medicine. Child #2's medicine lacked a written medication authorization form.”

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 Officer's observation, in the Toddler room (1/2s), a child was asleep in a treehouse structure, rather than on a mat or cot, as required.”

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

“Findings: Based on the Compliance Officer's observations, in Room Studio 2, there were 2 electrical extension cords in use. One was connected to the music system, and the other was connected to the television.”

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

“Findings: Based on the Compliance Officers' observations and staff statement, in the After-school room, the circle dot rug was dirty with discolored stains. Staff stated a child had spilled something on the rug and acknowledged it needed to be cleaned.”

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 five years.

“Findings: Based on facility documentation and the Compliance Officer's observations, Staff #1's (DOE 2-1-2023) fingerprint clearance card expired 3.21.2024 and the renewal was issued 3.29.2024.”

AAC R9-5-517.A.9. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall: 9. Ensure that the motor vehicle has: a. A working mechanical heating system capable of maintaining a temperature throughout the motor vehicle of at least 60° F when outside air temperatures are below 60° F; b. Except as provided in subsection (E), a working air-conditioning system capable of maintaining a temperature throughout the motor vehicle at or below 86° F when outside air temperatures are above 86° F; c. Except as provided in subsection (F), a first aid kit that meets the requirements of R9-5-514(A); d. Two large, clean towels or blankets; and e. Sufficient drinking water available to meet the needs of each enrolled child in the motor vehicle and sufficient cups or other drinking receptacles so that each enrolled child can drink from a different cup or receptacle;

“Findings: Based on the Compliance Officer's inspection of 4 vehicles used to transport enrolled children, the following was observed: Bus 1: The first aid kit lacked 1 of 2 of the rolls of gauze. Bus 37: The first aid kit lacked the 2 required one-gallon resealable plastic bags.”

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

“Findings: Based on staff statement and the Compliance Officer's review of Staff #1's (DOE 2/1/23) file, Staff #1 was not supervised by a qualified child educator. Staff #1 stated they are a van driver and their file lacks qualifications of a child educator.”

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

“Findings: Based on facility documentation, the Compliance Officer's observation and staff statement, in the 1s room, there were 6 children present and 7 children were listed on the roster. Staff stated a child had been moved to the other room.”

AAC R9-5-401.3. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility: 3. A child educator is 18 years of age or older and provides the licensee with documentation of one of the following: a. Six months of child care experience if working with enrolled children five years old and younger, or three months of child care experience if working with school-aged children; and: i. A high school diploma or high school equivalency diploma; or ii. At least 12 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; b. Associate or bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field; or c. N.A.C., C.D.A., or C.C.P. credential;

“Findings: Based on facility documentation, the Compliance Officer's observations and staff statement, it was determined that Staff #1 (DOE 2/1/23) was not qualified as a child educator because the staff file lacked documentation of a high school diploma or high school equivalency diploma. The education document in the file was from a foreign country and the file lacked documentation that the education had been verified to be equivalent to at least a high school diploma or high school equivalency diploma from the United States. Staff #1 stated they are in charge of the school-age program and drive the vehicle to pick children up from school.”

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

“Findings: Based on a review of the main posting board and the Compliance Officers' observations, the 2 staff present at the facility were not listed as the designated individuals in charge when the Director is absent, and the Director was not present at the beginning of the investigation.”

AAC R9-5-404.A. A. A licensee shall ensure that at least the following staff-to-children ratios are maintained at all times when providing child care services to enrolled children: Age Group/Staff: Children - Infants/1:5 or 2:11; 1-year-old children/1:6 or 2:13; 2-year-old children/1:8; 3-year-old children/1:13; 4-year-old children/1:15; 5-year-old children not school-age/1:20; School-age children/1:20

“Findings: Based on the Compliance Officers' observations and staff statement, the staff-to-child ratio was 1:12 with children ages 1-5 present at the beginning of the inspection and a required ratio of 2:12. At 7:55 am, the ratio was 2:15 with 1's present, and a required ratio of 3:15. Staff stated they were in the kitchen prepping snack.”

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

“Findings: Based on the Compliance Officers' observations, in the Toddler Room, 3 children were left alone and unsupervised while Staff #1 assisted 3 other children in the toilet room, which was located across a hallway.”

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

“Findings: Based on the Compliance Officers' observations, the following hazards were accessible to enrolled children: *East Preschool toilet room: The ceiling vent lacked a cover. *Studio 1: *1 piece of black cove base was unsecured to the South wall. * 2 pieces of unsecured black cove base were unsecured to the Northeast corner of the room. * There was a 4” x 4” hole in the West wall with exposed drywall. *Boys’ toilet room in the Fitness hallway: The toilet seat was loose and moved easily when light pressure was applied. *Girls’ toilet room in the Fitness hallway: There were 3 sharp holes in the metal handicap door. *Teen Center: There was exposed drywall with two 1/2” holes in the wall. *Gym: * 3 bleachers were lacking metal end caps, exposing sharp edging. * There was a missing piece of corner cove base exposing a 5" x 6” hole.”

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 areas were not maintained in a clean and sanitized condition: West Preschool toilet room: There was peeling coating on the back of the right toilet seat. East Preschool toilet room: * There was warped edging on the bottom right side of the left toilet divider. *There was cracked edging on the left side of the left toilet divider. *There were chunks of missing grout on the base of the left toilet.”

AAC R9-5-509.C.22. C. A licensee shall ensure that:22. A refrigerator at the child care facility maintains a temperature of 41° F or below, as shown by a thermometer kept in the refrigerator at all times;

“Findings: Based on the Compliance Officers' observations, in the main room, the thermometer in the white refrigerator was inoperable.”

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 Officers' observations, the following areas were not maintained in a clean condition: East Preschool toilet room: There was a dusty ceiling vent. Preschool room: There were dirt smears on the white exit door and on the window to the left side of the exit door.”

AAC R9-5-517.A.10. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:10. Ensure that the motor vehicle is: a. Maintained in a clean condition, b. In a mechanically safe condition, and c. Free from hazards; and

“Findings: Based on the Compliance Officers' observations, the following vehicles were not maintained free from hazards: Van #1: The back seat belt on the driver's side was inoperable due to the seatbelt missing a piece of the buckle. Van #2: The first seat on the passenger side had exposed foam, and the “tire bump” was missing the rubber cover, exposing the metal part. Van #3: 3 heavy reflective lights were not secured. Van #4: The 3rd seat belt on the passenger side was inoperable due to the seatbelt missing a piece of the buckle.”

AAC R9-5-305.A. A. A licensee shall not permit an enrolled child to attend a facility until the facility receives: 1. An immunization record for the enrolled child with the information required in 9 A.A.C. 6, Article 7, documenting that the enrolled child has received all current, age-appropriate immunizations required under 9 A.A.C. 6, Article 7: a. Provided by a healthcare provider, or b. Generated from the Arizona State Immunization Information System, which is the Department’s child immunization reporting system established in A.R.S. § 36-135; or 2. An exemption affidavit for the enrolled child provided by the enrolled child’s parent that contains: a. A statement, signed by the enrolled child’s health care provider, that the immunizations required by 9 A.A.C. 6, Article 7 would endanger the enrolled child’s health or medical condition; or b. A statement, signed by the enrolled child’s parent, that the enrolled child is being raised in a religion whose teachings are in opposition to immunization.

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that the Emergency, Information and Immunization Record Cards for Child #6, Child #7, and Child #8 lacked a written immunization record or exemption affidavit”

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 diapering area in the Toddler room was not maintained seamless and smooth. There were black smears on the caulking around the diaper changing surface, and there was sharp edging on the left side of the diaper surface.”

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 Officers' observations of the outdoor activity areas, the following hazards were accessible to enrolled children: New East playground: * There was sharp metal edging on the corner section of a low wall. * There were sharp edges on the middle of 2 tables where the umbrellas were missing from the tables. Preschool Playground: * There were 3 cracked orange cones with sharp edges on the top of the cones. * There were 2 pieces of cracked lego type blue and green pieces with sharp edges. *There was an unstable and unsecured Simplay 3 structure with a blue slide. *There were 2 areas of lifted rubber surfacing near the climber, posing a tripping hazard.”

AAC R9-5-517.B.3. B. A licensee shall ensure that an individual who drives a motor vehicle used to transport an enrolled child:3. Carries a list stating the name of each enrolled child being transported and a copy of each enrolled child’s Emergency, Information, and Immunization Record card including the attached immunization record or exemption affidavit, in the motor vehicle;

“Findings: Based on facility documentation and Compliance Officers' observations, children's Emergency, Information, and Immunization Record cards in 4 vans were missing the back side of the Record card and attached immunization records.”

AAC R9-5-517.A.1. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:1. Obtain dated, written permission from the enrolled child’s parent before the licensee transports the enrolled child;

“Findings: Based on facility documentation and the Compliance Officers' observations, in 4 of 4 vehicles used by enrolled children, the attached written permission lacked the school names and the times to drop children off and the times to pick them up from school.”

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

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that 5 out of 15 enrolled children's Emergency, Information, and Immunization Record cards reviewed lacked the following required information: Child #1 & Child #4: The name and contact phone number of the child's health care provider. Child #2: The parent/guardian’s last name. Child #3: The parent/guardian's signature. Child #5: 2 The phone number of the second authorized emergency contact.”

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 Officers' observations, it was determined that the file for Staff #1 (DOE 9/23/2024) lacked documentation of the required 10-day new staff training.”

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.

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that 3 out of 15 enrolled children's attendance forms lacked the following information: Child #9: A departure signature on 02.25 & 02.26.25 Child #10: A complete signature on 02.06.25 Child #11 A complete signature on 02.7 & 2.18.25”

AAC R9-5-501.A.19. A. A licensee shall ensure that:19. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Findings: Based on the Compliance Officers' observations, the following was accessible to enrolled children: *Girls’ toilet room in the Fitness hallway: There was a plunger on the floor to the right side of the right toilet. *Family toilet room: There was a plunger on the floor across from the toilet.”

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 the Compliance Officer's review of 20 Child Emergency cards, it was determined that 4 of the cards lacked the following required information: *Children #1 and #2-The date of enrollment; *Child #3-The name and telephone number of a second emergency contact; and *Child #4- The parent answered "yes" to the questions that the child has a susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance but did not provide the additional required information.”

AAC R9-5-303.B. B. A licensee shall ensure that the licensed capacity of each indoor activity area or room is posted in that activity area or room.

“Findings: Based on the Compliance Officer's observation, it was determined the licensed capacity of the center room (33) was incorrectly posted as 36.”

AAC R9-5-517.A.9. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:9. Ensure that the motor vehicle has: a. A working mechanical heating system capable of maintaining a temperature throughout the motor vehicle of at least 60° F when outside air temperatures are below 60° F; b. Except as provided in subsection (E), a working air-conditioning system capable of maintaining a temperature throughout the motor vehicle at or below 86° F when outside air temperatures are above 86° F; c. Except as provided in subsection (F), a first aid kit that meets the requirements of R9-5-514(A); d. Two large, clean towels or blankets; and e. Sufficient drinking water available to meet the needs of each enrolled child in the motor vehicle and sufficient cups or other drinking receptacles so that each enrolled child can drink from a different cup or receptacle;

“Findings: Based on the Compliance Officer's and the Director's observations, the van’s first aid kit lacked the second required roll of gauze and a roll of tape.”

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

“Findings: Based on the Compliance Officer's, the Program Manager's, and the Director's observations, the following areas were not maintained in a clean condition: 1) The Preschool's outdoor playground trash can lid and the side of the trash can numerous brown smudges and was dirty; 2) The tops and one of the bench seats of the 2 white, outdoor picnic area tables had numerous areas of a build-up of dirt and dust; and 3) The plexiglass rails on the diapering table in the toddler room had a build-up of dirt and sand on 2 of the rails.”

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's observation, the water temperature at the diapering sink in the toddler room was 116 degrees 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 Compliance Officer's and the Program Manager's observations, a plunger was stored on the floor of the girl's fitness bathroom and it was accessible to children.”

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 Officer's review of Staff 2's file and on a discussion with the Director, the criminal history affidavit was incomplete. Question #2 was not answered.”

AAC R9-5-516.I. I. Except as specified in A.R.S. § 36-2229(B) through (D), a licensee shall ensure that a facility does not stock a supply of medications for administration to enrolled children, including:1. Any prescription medication; or 2. A nonprescription medication such as aspirin, acetaminophen, ibuprofen, or cough syrup.

“Findings: Based on the Compliance Officer's and the Director's observations, the first aid kit in the van contained various packets of burn cream, a stock medication,”