Sunrise Preschools #113

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

“Findings: Per allegation and based on the Compliance Officer's observation, facility documentation, and staff statements, staff failed to supervise each enrolled child when a child fell and got injured without the staff member seeing. Staff stated: *A kid ran and fell on his nose. I did not see it happen. *I see things 10-15% of the time. *I would say 60% of the time, I don't see it, I just hear it. Facility documentation stated: *During diaper change, another child fell and hit (child's) nose.”

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

“Findings: Based on the Compliance Officer's observation, facility documentation, and staff statement, the licensee failed to supervise or assign a teacher-caregiver to supervise each staff member who did not meet the required qualifications for a teacher-caregiver. Staff #1 (DOE 5/6/25) was working alone in a classroom and lacked 6 months of child care experience. Staff #1 stated that they had no previous childcare experience.”

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 teacher-caregiver 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 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 the Compliance Officer's observation, facility documentation, and staff statement, the file for Staff #1 (DOE 5/6/25) lacked documentation of 6 months of child care experience. Staff #1 was working as a teacher-caregiver and stated that they did not have previous childcare experience.”

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 the Compliance Officers' observations, the following rosters did not accurately reflect the number of children in the following activity areas: *Young Achievers: There were 17 children present and 11 marked on the roster; *Bright Babies: There were 3 children present and 0 marked on the roster; and *Ready to Learn: There were 5 children present, and 4 marked on the roster.”

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 the Compliance Officer's observation, in the School Age room, there were 16 children present and 22 marked on the roster. ***Previously cited 12/13/2023, 8/8/2023, 5/15/2023, and 4/15/2025.”

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

“Findings: Based on the Compliance Officer's observation, in the Infant room, 1 bottle in the fridge and 1 bottle on the food prep counter lacked a label with the child's first and last name as required. ***Previously cited 4/15/2025.”

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's observation, the Smart Steps 1 diapering sink had a buildup of dirt and sand in the sink. ***Previously cited 5/7/2024, 5/15/2023, 5/19/2022, and 4/15/2025.”

AAC R9-5-503.A.3. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and

“Findings: Based on the Compliance Officer's observation, the soiled diaper container in the Ready to Learn 1 room lacked a lid.”

AAC R9-5-604.B.3. B. A licensee that uses a private pool for an enrolled child shall ensure that the swimming pool and its equipment meet the following requirements: 3. A portable pool that does not meet the requirements of subsection (B)(1) or (2) is prohibited;

“Findings: Based on the Compliance Officer's observations, in the Toddler Playground, there was a splash pad with a sprinkler spraying water, causing pooling at the base.”

AAC R9-5-404.C.3. C. A licensee shall ensure that:3. When six or more enrolled children are present in a facility, an infant is not placed for supervision with a child who is not an infant.

“Findings: Based on the Compliance Officer's observation and staff statement, a one-year-old child is moved to the infant room for 1 hour a day. Staff stated that the child gets moved into the infant room for 1 hour a day and then returns to the one-year-old room. ***Previously cited 4/15/2025.”

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

“Findings: Based on the Compliance Officer's observation, the following fire extinguishers were not maintained in compliance: KPA 2: The fire extinguisher was last serviced in August 2021; and KPA 1: The fire extinguisher dial was indicating toward recharge.”

AAC R9-5-605.B.6. B. A licensee shall ensure that: 6. Except for a room used only for an enrolled school-age child, each unused electrical outlet is covered with a safety plug cover or insert;

“Findings: Based on the Compliance Officer's observation, the following electrical outlets were uncovered: Infant Room: There were 5 uncovered outlets on the East wall near 2 cribs; and Pre KPA Room: There was 1 uncovered outlet on the East wall.”

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's observation, 4 green teeter totters were located on the cement and lacked 6 inches of resilient surfacing as required.”

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's observation, the following hazards were accessible to enrolled children in the outdoor activity areas: Toddler Playground: There was animal feces in the wood chips on the east corner of the playground, 2 waffle blocks were cracked exposing sharp edges, and the blue slide was not securely attached to the top surface of the playground; Preschool Playground: There were 2 trikes with cracked seats exposing sharp plastic edging, peeling chunks of paint on the black rod iron gate, and the wall between the playground and the front entrance of the building was only 44 inches tall.”

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 observation, there was eye wash, burn cream, triple antibiotic cream, and burn dressing located in the bus's first aid kits. ***Previously cited 5/7/2024 and 8/8/2023.”

AAC R9-5-514. A. A. A licensee shall ensure that there is a first aid kit on facility premises that contains first aid supplies in a quantity sufficient to meet the needs of the enrolled children including the following:1. Sterile bandages including: a. Adhesive bandages of assorted sizes, b. Sterile gauze pads, and c. Sterile gauze rolls; 2. Antiseptic solution or sealed antiseptic wipes; 3. A pair of scissors; 4. Adhesive tape; 5. Single-use, non-porous gloves; and 6. Reclosable plastic bags of at least one-gallon size.

“Findings: Based on the Compliance Officer's observation, there were burn cream and antibiotic cream packets located in the facility's first aid kit. ***Previously cited 5/7/2024.”

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's observation, the following was observed: Preschool Playground toilet room: There was a buildup of dirt and wood chips on the sink and toilet, spots of a dried red substance on the sink and toilet, a buildup of dust on the exhaust vent, and 2 missing ceiling tiles; KPA 1 toilet room: There was a black trash bag covering 1 of 3 toilets and a buildup of dust on the exhaust fan; and Young Achievers 1 toilet room: There was a wooden toilet tank cover with chipped paint exposing raw wood.”

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

“Findings: Based on the Compliance Officer's observation, the following floor coverings were not maintained in a clean condition and free from hazards: Preschool Playground toilet room: There was a dried brown substance on the floor around the toilet and a pile of paper towels under the sink; and Smart Steps 2: The car carpet had frayed and ripped edges.”

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 observation, in KPA 1, there was a buildup of a grey substance on the wooden ledge of the walls and a buildup of dirt on the toy kitchen set. ***Previously cited 5/7/2024 and 5/19/2022.”

AAC R9-5-503.A.3. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and

“Findings: Based on the Compliance Officer's observation, in Ready to Learn, the soiled clothing container lacked a lid. ***Previously cited 5/7/2024 and 5/19/2022.”

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 diaper changing sink temperature in Bright Babies 1 was 72.8° F rather than between 86° F and 110° F as required. ***Previously cited 5/7/2024.”

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's observation, the following diaper changing surfaces were not seamless, smooth, and kept clear of items not required for diapering: Bright Babies 1: There was a "changing table" label taped on the side of the diaper changing surface; and Smart Steps 1: There was a yellow toy and a phone located on the diaper changing surface. ***Previously cited 5/7/2024, 5/15/2023, and 5/19/2022.”

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

“Findings: Based on the Compliance Officer's observation, there were 4 unlabeled bottles located in the fridge in the Infant room.”

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

“Findings: Based on the Compliance Officer's observation, in the Kitchen, the infant feeding instructions were located in a binder in a cabinet and were not posted as required. ***Previously cited 5/15/2023.”

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's observation, the following hazards were accessible to enrolled children: Infant room: There was a cracked outlet wall plate with sharp edges on the wall next to a crib; Smart Steps 2: There were rough wood edges on top of the white child-sized fridge; Young Achievers 1: There was a 14-inch by 4-inch area of peeling white paint on the toilet room door, the lid of the sand table and the side of a toy shelf was chipped, exposing sharp wood; and Pre KPA: There was sharp wood edging on the lid of the sensory table. ***Previously cited 5/7/2024 and 5/19/2022.”

AAC R9-5-404.C.3. C. A licensee shall ensure that:3. When six or more enrolled children are present in a facility, an infant is not placed for supervision with a child who is not an infant.

“Findings: Based on the Compliance Officer's observation and staff statement, upon arrival, there were 3 one-year-old children mixed with 2 infants in the Infant room. Staff stated the 3 children walk, and they are mixed in the morning until 8:03am.”

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 observation, the file for Staff #1 (DOE 5/30/2025) lacked the name and telephone number of an individual to be notified in case of an emergency, and the staff member's written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis. ***Previously cited 5/7/2024, 8/8/2023, and 5/15/2023.”

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 Officer's observation, the facility lacked a current fire inspection. ***Previously cited 8/8/2023, 5/15/2023, and 5/19/2022.”

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 the Compliance Officer's observation, the following attendance rosters did not accurately reflect the number of children in the room: 3's Room: There were 10 children present and 6 marked on the roster; and 2's Room: There were 6 children present and 4 marked on the roster. ***Previously cited 12/13/2023, 8/8/2023, and 5/15/2023.”

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 the Compliance Officer's observation, the following child admission and release records lacked the following: Child #4: A release time and signature on 4/11/2025, and an admission time and signature on 4/14/2025; Child #5: A release time and signature on 4/8/2025; Child #6: An admission time and signature on 4/7/2025, 4/8/2025, and 4/10/2025; and Child #7: An admission time and signature on 4/10/2025. **Previously cited 5/7/2024 and 5/19/2022.”

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 observation, 3 of 16 Emergency, Information, and Immunization Record cards lacked the following: Child #1: The home address, city, state, zip code of the first parent of the child, the name, home address, city, state, zip code, and contact telephone number of the second parent of the child, the name and contact telephone number of 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, the name and contact telephone number of the child's health care provider, and the name of the individual to be contacted in case of injury or sudden illness of the child; Child #2: The child's last name, the name, home address, city, state, zip code, and contact phone number of the second parent of the child, the name and contact telephone number of 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, the name and contact telephone number of the child's health care provider, the name of the individual to be contacted in case of injury or sudden illness of the child, and the questions on the back side of the card were incomplete; and Child #3: The home address, city, state, and zip code of the second parent of the child. ***Previously cited 8/8/2023, 5/15/2023, and 5/19/2022.”

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 Officer's observation, the file for Staff #1 (DOE 5/30/2023) lacked documentation of the staff's fingerprint clearance card validity. ***Previously cited 5/7/2024, 5/15/2023, and 5/19/2022.”

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 the Compliance Officer's observation, the files for Staff #1 (DOE 5/30/2025) and Staff #2 (DOE 5/14/2024) lacked a copy of the back side of their fingerprint clearance card.”

AAC R9-5-605.B.1. B. A licensee shall ensure that:1. All designated exits, corridors, and passageways that provide escape from the building are unobstructed and unlocked during hours of operation;

“Findings: Based on facility documentation and Compliance Officer's #1's observations, in the Intermediate A (2's), Toddler 2A (2's), Preschool A (3's), Infant and School-age rooms, the exit door was locked.”

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 Compliance Officer #1's observations, Child #5's prescription medication lacked a written authorization form.”

AAC R9-5-516.H. H. Except as provided in subsection (J), a licensee shall ensure that prescription and nonprescription medications are stored as follows:1. An enrolled child’s medication is kept in a locked, leak-proof storage cabinet or container that is used only for storing enrolled children’s medications and is located out of reach of children; 2. Medication for a staff member is kept in a locked, leak-proof storage cabinet or container that is separate from the storage container for enrolled children’s medications and is located out of reach of children; and 3. Medications requiring refrigeration are kept in a locked leak-proof container in a refrigerator.

“Findings: Based on Compliance Officer #1's observations, Child #5's prescription medication was in a bucket in the diaper changing area and not kept in a locked leak-proof container as required.”

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 Compliance Officer #1's observations, Van CK19340 and Van CK19355 lacked a 2nd large, clean towel or blankets. Van CK79990 lacked drinking water and the towels were dirty and crusty.”

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 Compliance Officer #1's observations, Intermediate A (2's), Toddler 1B (1's), Toddler 2A (2's) and the Infant rooms, lacked a soiled clothing bin in the diaper changing area.”

AAC R9-5-503.A.3. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and

“Findings: Based on Compliance Officer #1's observations, Toddler 2A (2's) lacked a tight fitting lid for the soiled diaper bin.”

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 Compliance Officer #1’s observations, in the Intermediate A (2’s) and Toddler 1B (1’s) rooms, the diaper changing table sink temperature was 80°F and not between 86°F and 110°F as required. In the Toddler 2A (2’s) and Infant rooms, the diaper changing table sink temperature was 75°F and not between 86°F and 110°F as required. In the Toddler 1B (1's) room, the single-use paper towel dispenser lacked paper towels.”

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 Compliance Officer #1's observations, in the Intermediate A (2's) room, there was a bucket, market, tape and of bag with a blanket in it on the diaper changing table.”

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 Compliance Officer #1's observations, in Toddler 1B (1's) room, there was a tube of Aquaphor and 2 dream creams labeled with the child's first name only. There was a bottle of lotion labeled with the child's first name last initial only. In Toddler 2A (2's), there were 2 desitins and diaper creams labeled with the child's first name only. There was a container of gel with no label.”

AAC R9-5-501.C.5. C. A licensee shall ensure that a staff member:5. Except as provided in subsection (D), prepares and posts a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Findings: Based on facility documentation and Compliance Officer's #1's observations, Intermediate A (2's), Preschool B (3's/4's), Toddler 1B (1's), Toddler 2A (2's), Preschool A (3's) and Infant rooms, posted lesson plan was dated 4/29/24-5/3/24.”

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 Compliance Officer #1's observations, in the School-age room, the edge of the blue carpet was fraying in multiple areas. In the Preschool B (3's/4's) bathroom, the 1st stall toilet seat lid was cracked on the lid exposing particle board.”

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 Compliance Officer #2's observations, 1 of 7 staff files reviewed lacked the following: Staff #6 (DOE: 4/2/24): 10 day new hire training lacked a signature by the director.”

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 facility documentation and Compliance Officer #2's observations, 3 of 7 staff files reviewed lacked the following: Staff #1 (DOE: 4/16/24), Staff #4 (DOE: 2/13/24): The name and telephone number of an individual to be notified in case of an emergency and the written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis. Staff #6 (DOE: 4/2/24): Documentation of 2 good faith effort references.”

AAC R9-5-401.4. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:4. An assistant teacher-caregiver is 16 years of age or older and provides the licensee with documentation of one of the following: a. Current and continuous enrollment in high school or a high school equivalency class; b. High school or high school equivalency diploma; c. Enrollment in vocational rehabilitation, as defined in A.R.S. § 23-501; d. Employment as a teacher-caregiver aide for 12 months; or e. Service as a volunteer in a child care facility for 12 months;

“Findings: Based on facility documentation and Compliance Officer #2's observations, 1 of 7 staff files reviewed lacked the following to qualify as an assistant teacher-caregiver: Staff #5 (DOE: 10/17/23): Current and continuous enrollment in high school or a high school equivalency class or a High school or high school equivalency diploma or enrollment in vocational rehabilitation or employment as a teacher-caregiver aide for 12 months or service as a volunteer in a child care facility for 12 months.”

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 teacher-caregiver 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 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 and Compliance Officer #2's observations, 3 of 7 staff files reviewed lacked the following to qualify as a teacher-caregiver: Staff #1 (DOE: 4/16/24): Six months of child care experience. Staff #2 (DOE: 2/22/24) and Staff #6 (DOE: 4/2/24): Six months of child care experience, a high school diploma or high school equivalency diploma or 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 or an Associate or bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field; or N.A.C., C.D.A., or C.C.P. credential.”

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 Compliance Officer #1’s observations, 4 of 15 children’s attendance records reviewed lacked the following: Child #1: The admission signatures for 5/1/24, 5/2/24, 5/3/24 and 5/4/24 were first name last initial only. The release signatures for 5/2/24, 5/3/24 and 5/4/24 were first name last initial only. Child #2: A release time and signature for 5/3/24. Child #3: A release time and signature for 5/1/24. Child #4: A release time and signature for 5/1/24, 5/2/24, 5/3/24 and 5/6/24.”

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 Compliance Officer #1’s observations, in the Intermediate A (2’s) room, there were blue and brown smudges on the west wall. In the Preschool B (3’s) room, there was a gray fuzzy substance along the window sill.”

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 Compliance Officer #1’s observations, in the Intermediate A’s (2’s) bathroom, in the 1st stall, there was a gray fuzzy substance on the lid and a yellow crusty substance on the back of the toilet seat. In the 2nd stall, there was a yellow substance in the toilet and brown smudges on the lid. There were brown, orange and red substances on both white doors. In the Preschool B’s (3’s) bathroom, in the 1st stall, there was a crusty yellow fuzzy substance on the floor around the toilet. In the 2nd stall, there was a gray and brown smudge inside the toilet bowl and a fuzzy substance at the base of the toilet. In the School-age bathroom, there were gray smudges going down the bathroom’s door. In the Preschool A’s (3’s) bathroom, in the 3rd stall, there was a yellow substance in the toilet bowl and there was a yellow crusty substance along the floor behind all three toilets.”

AAC R9-5-514. A. A. A licensee shall ensure that there is a first aid kit on facility premises that contains first aid supplies in a quantity sufficient to meet the needs of the enrolled children including the following:1. Sterile bandages including: a. Adhesive bandages of assorted sizes, b. Sterile gauze pads, and c. Sterile gauze rolls; 2. Antiseptic solution or sealed antiseptic wipes; 3. A pair of scissors; 4. Adhesive tape; 5. Single-use, non-porous gloves; and 6. Reclosable plastic bags of at least one-gallon size.

“Findings: Based on the Compliance Officers' observations, the facility's first aid kit lacked 1 gauze roll and 2 gallon size bags. Van CK79990, Van CK19340 and Van CK19355 first aid kit lacked 1 gauze roll.”

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 Compliance Officer #1's observations, in the infant room, there were 10 mats ripped in the corners.”

ARS § 36-882.C. C. An application for an initial license shall include:1. The form that is required pursuant to section 36-883.02, subsection C and that is completed by the applicant. 2. A copy of a valid fingerprint clearance card issued to the applicant pursuant to section 41-1758.07. 3. If the applicant's facility is located within one-fourth mile of any agricultural land, the names and addresses of the owners and lessees of the agricultural land and a copy of the agreement required pursuant to subsection D of this section.

“Findings: Based on facility documentation and Compliance #2's observations, 2 of 7 staff files reviewed lacked the following: Staff #1 (DOE: 4/16/24) and Staff #6 (DOE: 4/2/24): A completed Criminal History Affidavit.”

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 facility documentation and Compliance Officer #2's observations, 1 of 7 staff files reviewed lacked the following: Staff #1 (DOE: 4/16/24): A completed DCS Central Registry Affidavit and documentation of the DCS Central Registry submission requirements.”

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 Compliance Officer #1's observations, the license failed to post a notice stating the availability of facility inspection reports for public viewing at the facility premises in a place that can be conspicuously viewed by individuals entering or leaving the facility or activity area.”

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 facility documentation and Compliance Officer #2's observations, 2 of 7 staff files reviewed lacked the following: Staff #5 (DOE: 10/17/23) and Staff #6 (DOE: 4/2/24): Fingerprint clearance cards were not verified by DPS before their starting date of employment. Staff #5 and Staff #6 fingerprint clearance cards were verified at the time of the inspection.”

AAC R9-5-203.G. G. If 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 facility documentation and Compliance Officer #2's observations, 3 of 7 staff files reviewed lacked the following: Staff #3 (DOE: 10/17/23), Staff #4 (DOE: 2/13/24) and Staff #5 (10/17/23): Documentation of the DCS Central Registry submission requirements.”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, in the 3's room, there were 5 enrolled children present, however 4 were marked on the roster. In the Preschool room, there were 12 enrolled children present, however 14 were marked on the roster.”