Sunrise Preschools #116

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 Supervisor's observations, upon arrival in the one-year-old classroom, there were 9 children present and 4 children marked on the roster. Upon arrival in the 2-year-old classroom, the child educator was completing the roster when the Compliance Officer asked for it.”

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;

“Per Allegation: Findings: Based on the Compliance Officer Supervisor's observation, facility documentation, and staff statements the health, safety or welfare of an enrolled child was placed at risk of harm, when in the Infant Room a staff member was cleaning a canvas picture frame above the crib of a sleeping infant. The picture frame canvas became detached from the wall, and hit the sleeping infant on the left side of the child's forehead, leaving a laceration/bump on the forehead of the child. Facility Documentation Incident Report: *A teacher was cleaning the walls and a picture canvas frame fell and landed in his crib hitting his forehead leaving a bruise. Staff Statements: A teacher was cleaning and a wooden canvas feel into his crib and left a mark on the left side of his head. A teacher was dusting a picture canvas and the canvas fell, hitting the baby of the side of his head, leaving a mark.”

AAC R9-5-510.A.3. A. A licensee shall ensure that a staff member:3. Explains to an enrolled child why a particular behavior is not allowed, suggests an alternative, and assists the enrolled child to become engaged in an alternative activity; and

“Findings include: Based on video documentation and the Compliance Officer's and Compliance Officer Supervisor's observations, on 7/22/2025 Staff #1 did not redirect behavior with an alternative activity, or explain to Child #1 why a particular behavior was not allowed. Per video documentation, two school-age children were engaged in a physical altercation in the School-Age Room. A third child attempted to diffuse the situation, then Staff #1 approached the children and waved Child #1 away from the area, stating, "Go to the table, go". Staff #1 then walked away with the third child to the other side of the room, telling Child #1, "Sit right there". Staff #1 did not redirect Child #1 with another activity or assist them with behavior management techniques.”

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 include: Based on facility documentation and the Compliance Officer's and Compliance Officer Supervisor's observations, rosters were not maintained at all times as follows: *T2B: There were 13 children present in the activity area, and only 12 children documented on the roster. *KPrep: There were 12 children present in the activity area, and only 10 children documented on the roster.”

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

“Findings include: Based on video documentation and the Compliance Officer's and Compliance Officer Supervisor's observations, school-age children were not supervised at all times on 7/22/2025. Per video documentation, two school-age children were engaged in a physical altercation in the School-Age Room. A third school-age child attempted to diffuse the situation. Staff #1 was present in the activity area, but was not accountable for the children's actions and did not intervene until after the third child's involvement.”

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 include: Based on the Compliance Officer's and Compliance Officer Supervisor's observations, a wooden table and two chairs were obstructing the exit door of the Intermediate 3's Room.”

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 include: Based on the Compliance Officer's and Compliance Officer Supervisor's observations, there was a sippy cup and a cup full of sponges, paint brushes, and blue water on the T2B diaper changing area.”

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

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, the facility Restrooms were not maintained in a clean and sanitized condition: 1's Restroom: There was rust and dirt build-up in the sinks; *T2B Restroom: There was a large area of rough rust in the sink basin. The sink had a build-up of a thick slimy layer of dirt and debris in the corner and along the counter, and the faucet had a heavy layer of rust build-up eroding causing pieces to come off; the caulking in the 3 toilets had a heavy dark dirty build-up; *Two's Restroom: There was a puddle of a yellowish substance in the toilet lid, and calcium build-up in the sinks; *4's Restroom: There was a dirt build-up at the base of the toilets, and rust and erosion in the left side sink. **Previously cited on: 04.05.2024.”

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

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, the facility premises were not maintained in a clean condition: *Older Infant Room: There was a dried white substance, spots of thick, sticky brown film, and areas with dirt on the counter by the handwashing sink and food preparation area; there was a dried substance on the blue vinyl couch; *T2B Restroom: The exhaust vent had a layer of dust; *3's Rooms: The dust pan had a heavy gooey brown build-up, and one of the ceiling tiles had a yellow stain; *Kinder Prep. Room: There was a thick dirt build-up in the AC vent and there was a thick calcium build-up on the counter around the classroom handwashing sink. **Previously cited on: 04.05.24. ”

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 and the Compliance Officer Supervisor's observations, the following areas were not maintained cleaned, and free from hazards: *Older Infant Room: Throughout the rug, there were multiple areas with large brown dirt spots; *1's Room: The rugs in the Pretend Play and Library area were covered with brown dirt spots; in the restroom, there were chipped and cracked tiles; *T2B Restroom: There were chipped and cracked tiles; 2's Room: There was a brown dirt build-up in the area rugs, and there were chipped and cracked tiles in the restroom; *Kinder Prep. Room: There was a thick dirt build-up of dirt and debris along the baseboard edging and rugs. **Previously cited on: 04.05.24.”

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 the Compliance Officer's observations, the following rooms lacked a current lesson plan: *3’s Room: The lesson plan was dated 03.17-21.25; *Kinder Prep Room: The lesson plan was 03.24-28.25.”

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

“Findings: Based on the Compliance Officer Supervisor's observation, 8 containers of wipes in the following rooms lacked: *Older Infant Room: The enrolled child's last name; *Infant Room and 1's Room: The enrolled child's first and last name; *T2B Room: The enrolled child's first name. **Previously cited on: 04.05.24.”

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

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, the sheets on 8 of 8 infants cribs in the Infant Room were too tight causing the mattress to bow.”

AAC R9-5-502.B.3. B. A licensee providing child care services for infants shall not: 3. Permit an infant to use a walker; or

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, 2 walkers were accessible to the enrolled children in the Older Infant Room.”

AAC R9-5-502.A.5.b. A. A licensee providing child care services for infants shall:5. Develop, document, and implement tummy time policies and procedures that: b. Ensure a staff member who is supervising a non-crawling infant while the infant is flat on their stomach and on the floor: i. Is within reach of the infant; ii. Does not perform any other duties while supervising the infant; iii. Does not allow the use of pillows, comforters, sheepskins, stuffed toys, or other soft products in the same floor space as the infant; and iv. Does not allow any product specified in subsection (A)(5)(b)(iii) to be within reach of the infant;

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, in the Infant Room, a Staff member was observed feeding an infant while another non-crawling infant (4mos) was placed on tummy time. The mat used for tummy time was “bunching” up while infants were lying on it. **Tummy time supervision was previously cited on: 04.05.24.”

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

“Findings: Based on the Compliance Officer Supervisor's observation, the water temperature in the diaper changing area in the 2's Room was not maintained between 86°F and 110°F; the water temperature was 70°F.”

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 and Compliance Officer Supervisor's observations, the Older Infant Room lacked the posted capacity for the activity area.”

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 Supervisor's observation, the surfacing in the playgrounds lacked the following: *Playground #1: 3” of the 6" required resilient material underneath the swings and the multicolored climber; *Playground #2: 3" of the 6" required resilient material underneath the multicolored climber and the slide.”

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

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, the outdoor activity area was not maintained free from hazards, when rust was observed along the fence, and there was peeling rubber with rusty metal underneath.”

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 Supervisor's observation, in the Kinder Prep. Room A enrolled child was observed returning to the activity area without washing their hands after using the restroom.”

AAC R9-5-509.C.23. C. A licensee shall ensure that:23. A freezer at the child care facility maintains a temperature of 0° F or below, as shown by a thermometer kept in the freezer at all times; and

“Findings: Based on the Compliance Officer Supervisor's observation the freezer in the Older Infant Room lacked a thermometer.”

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

“Findings: Based on the facility documentation and the Compliance Officer Supervisor's observation, the file for Staff #3 lacked documentation of the DCS Central Registry Background check.”

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 the facility documentation and the Compliance Officer's observation, the main posting lacked the following: *Name of the facility Director; *Name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility; *Notice of the availability of facility inspection reports.”

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 facility documentation and the Compliance Officer Supervisor's observation, 2 out of 20 Emergency Record Cards reviewed lacked: *Child #4: The name and contact telephone number of the enrolled child's Health care provider; *Child #7: The child’s date of birth and the name and contact telephone number of the enrolled child's Healthcare provider.”

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 and the Compliance Officer Supervisor's observations, the diapering surface was not kept clear of items not required for diaper changing in the following rooms: *Infants: A clipboard was placed on the side of the diaper changing area; *1's Room: There was dried-out paint in the diaper changing sink; *T2B Room: The diaper changing sink had a heavy dirt build-up; The following items were observed on the diaper changing counter: -A sippy cup; -A Scorpions and Spiders Specimen Set; -A roster; -Two pens; -A black duct tape; -Student crafts; -Two boxes of tissues; -A metal water bottle; -Two packages of wipes; and -A blue storage box; **Previously cited on 04.05.24.”

AAC R9-5-502.C.4.h. C. A licensee shall ensure that:4. When feeding an infant, a staff member: h. If an infant is no longer being held for feeding, seats the infant in a feeding chair or at a table with a chair that allows the infant to reach the food while sitting.

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, an infant was eating from a bottle while lying on the floor next to the staff, while the Staff was feeding another infant.”

AAC R9-5-502.C.1.l. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: l. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Findings: Based on the Compliance Officer Supervisor's observation, the Older Infant Room and the facility Kitchen lacked written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant; In the Infant Room, 3 feeding logs were missing information regarding the time and amount to be fed.”

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 the facility documentation and the Compliance Officer Supervisor's observation, 5 out of 20 Emergency Contact Cards reviewed lacked a copy of the Immunization Records for Child #1, Child #2, Child #3, Child #5, and Child #6.”

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 facility documentation and the Compliance Officer Supervisor's observation, 2 out of 20 admission and release cards reviewed lacked: *Child #8: Release time and signature on 04.01.25 and 04.02.25; *Child #9: Release time and signature on 04.02.25.”

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 facility documentation and the Compliance Officer Supervisor's observation, the Staff file for Staff #3 lacked the following: *Starting date of employment; *The name and telephone number of an individual to be notified in case of an emergency; *Statement of Immunity; *Documentation of 10-day new staff training, and documentation of 18 hours of annual training. ** Reference R9-5-403.A, R9-5-403.B **Previously cited on: 04.05.2024.”

AAC R9-5-403.B. B. A licensee shall ensure that:1. Each staff member who provides child care services completes 18 or more actual hours of training every 12 months after the effective date of this Chapter or the staff member’s starting date of employment or volunteer service in at least two topics listed in this subsection: a. Child growth and development, including: i. Infant growth and development, which may include sudden infant death syndrome prevention; ii. Developmental psychology; iii. Language development; iv. Observation and child assessment; v. Developmentally-appropriate activities; vi. Child guidance and methods of discipline which may include training on the appropriate techniques to prevent a child from harm or to prevent the child from harming others; and vii. Developmentally-appropriate activity areas; b. Health and safety issues, including: i. Accident and emergency procedures, including CPR and first aid for infants and children; ii. Recognition of signs of illness and infestation; iii. Nutrition and developmentally-appropriate eating habits; iv. Child abuse detection, reporting, and prevention; v. Safety of indoor and outdoor activity areas; and vi. Sun safety policies and procedures; c. Program administration, planning, development, or management; and d. Availability of community services and resources, including those available to children with special needs; and 2. As part of the required 18 hours of training in subsection (B)(1): a. A staff member who has less than 12 months of child care experience before the staff member’s starting date, completes at least 12 hours in one or more of the topics in subsection (B)(1)(a) in the staff member’s first 12 months at the facility; b. A staff member who has 12 months or more of child care experience, completes at least 6 hours in one or more of the topics in subsection (B)(1)(a) every 12 months after the staff member’s starting date; c. A staff member who provides child care services to an infant completes at least 6 hours in subsection (B)(1)(a)(i) every 12 months after the staff member’s starting date; and d. A facility director completes at least 6 hours in subsection (B)(1)(c) every 12 months after the facility director’s starting date.

“Findings: Based on the facility documentation and the Compliance Officer Supervisor's observation, 2 out of 6 Staff files reviewed lacked the following: *Staff #1 (DOE 11.20.13): 6 of the of the required 18 hours of training from 11.20.23 to 11.20.24; *Staff #3: Unable to determine because the starting date was not documented. **Previously cited on: 04.05.24.”

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 the Compliance Officer and the Compliance Officer Supervisor's observations, the following areas were not maintained free from hazards: *1's Room: There were spots with chipped paint and exposed drywall; *T2B Restroom: There was a large area of rough rust in the left sink basin, and the rust build-up eroding the right faucet was causing pieces to come off; *Kinder Prep Room: A gray table with a broken leg was accessible to enrolled children in the Pretend Play area, and the base of the storage closet near the restroom was cracking exposing the compressed wood; *4's Restroom: There was rust and erosion in the left side sink faucet.”

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 unused electrical outlets in the T2B and 3's Rooms lacked a safety plug cover. **Previously cited on 04.05.24.”

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 the Compliance Officer's observation, the emergency exits were locked and obstructed in the following rooms: *T2B Room: The exit was locked; *3's Room: The exit was locked and blocked with a whiteboard and a plastic lid; *4's Room: The exit was locked; *Kinder Prep Room: The exit was locked.”

AAC R9-5-512.F. F. A licensee shall ensure that:1. Each toilet room in a facility contains, within easy reach of enrolled children: a. Mounted toilet tissue; and b. Except as provided in subsection (G): i. A sink with running water; ii. Soap contained in a dispenser; and iii. Disposable, single-use paper towels in a mounted dispenser, or a mechanical air hand dryer; 2. Staff members wash their hands with soap and running water after toileting; 3. An enrolled child’s hands are washed with soap and running water after toileting; 4. Except for a cup or receptacle used only for water, food waste is stored in a covered container and the container is clean and lined with a plastic bag; 5. Food waste and other refuse is removed from the facility building at least once every 24 hours or more often as necessary to maintain a clean condition and avoid odors; 6. A staff member or an enrolled child does not draw water for human consumption from a toilet room handwashing sink; 7. Toys, materials, and equipment are maintained in a clean condition; 8. Plumbing fixtures are maintained in a clean and working condition; and 9. Chipped or cracked sinks and toilets are replaced or repaired.

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, the toilet tank lid in the 1's Room was peeling and cracked.”

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

“Findings: Based on the Compliance Officer's observation, the straps of the feeding chair in the Infant Room had dried food debris.”

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 Officer Supervisor's observation, the fridge in the Older Infant Room lacked a thermometer.”

AAC R9-5-605.B.8. B. A licensee shall ensure that: 8. Heating and cooling equipment is inaccessible to an enrolled child;

“Findings: Based on Compliance Officer's observation, there was a portable A/C unit accessible to enrolled children in the 3's classroom.”

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's observation, there were 8 children in the 2's classroom laying directly on the cot surfaces without a sheet between the cot and the children.”

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

“Per allegation findings: Based on Compliance Officer's observation and information provided by the staff, staff-to-children ratios are not maintained at all times. Staff stated they are over ratio in the mornings approximately one to two times per week when teachers are late for shifts or call out.”

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 Compliance Officer's observation and review of facility documentation, the roster in the SA classroom reflected the presence of 16 children, however only 14 children were actually present in the classroom.”

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 facility premises and furnishing were not maintained in a clean condition. In the Kinder Prep and 4's classrooms, there was a thick layer of dust on top of the fire extinguisher case and a mineral build-up on the counter around the classroom handwashing sink. In the 3's room, there was dirt and debris on the floor near the exit door to the outside. In the Older 2's, T1B, School-age, and 2's classrooms, there was a thick build up of dirt and debris along the baseboards, cabinets, and door entries. In the School-age classroom, there was dirt, food crumbs, and wood chips on 3 area rugs, there were brown food crumbs on the table top and on the floor at the large far table, and there was dirt and debris on the yellow counter around the sink. In the 1's, 2's, and School-age classrooms, there was a thick layer of dried food, dried white substance, paint, and debris on the top of the trashcan lids. In the Infant classroom, there was a dried white substance, spots of thick, sticky brown film, and areas with dirt on the counter by handwashing sink and food prep area. Throughout the gray and blue circle rug, there were multiple areas with large brown dirt spots. In the back of the older 2's classroom, there was an area of a thick slimy brown substance on the floor near the multi-colored rug.”

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 #1's observations, 1 of 5 files reviewed lacked the following: Staff #4 (start date 5/23/22): A high school diploma or GED.”

AAC R9-5-403.B. B. A licensee shall ensure that:1. Each staff member who provides child care services completes 18 or more actual hours of training every 12 months after the effective date of this Chapter or the staff member’s starting date of employment or volunteer service in at least two topics listed in this subsection: a. Child growth and development, including: i. Infant growth and development, which may include sudden infant death syndrome prevention; ii. Developmental psychology; iii. Language development; iv. Observation and child assessment; v. Developmentally-appropriate activities; vi. Child guidance and methods of discipline which may include training on the appropriate techniques to prevent a child from harm or to prevent the child from harming others; and vii. Developmentally-appropriate activity areas; b. Health and safety issues, including: i. Accident and emergency procedures, including CPR and first aid for infants and children; ii. Recognition of signs of illness and infestation; iii. Nutrition and developmentally-appropriate eating habits; iv. Child abuse detection, reporting, and prevention; v. Safety of indoor and outdoor activity areas; and vi. Sun safety policies and procedures; c. Program administration, planning, development, or management; and d. Availability of community services and resources, including those available to children with special needs; and 2. As part of the required 18 hours of training in subsection (B)(1): a. A staff member who has less than 12 months of child care experience before the staff member’s starting date, completes at least 12 hours in one or more of the topics in subsection (B)(1)(a) in the staff member’s first 12 months at the facility; b. A staff member who has 12 months or more of child care experience, completes at least 6 hours in one or more of the topics in subsection (B)(1)(a) every 12 months after the staff member’s starting date; c. A staff member who provides child care services to an infant completes at least 6 hours in subsection (B)(1)(a)(i) every 12 months after the staff member’s starting date; and d. A facility director completes at least 6 hours in subsection (B)(1)(c) every 12 months after the facility director’s starting date.

“Findings: Based on facility documentation and Compliance Officer #1's observations, 2 of the 5 files reviewed lacked the following: Staff #1 (start date 3/27/2023) lacked 18 of the required 18 hours of annual training conducted between 3/27/2023 and 3/27/2024. Staff #4 (start date 5/23/2022) lacked 6.5 of the required 18 hours of annual training conducted between 5/23/2022 and 5/23/2023.”

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 Compliance Officer #1's observation, there were 12 chipped tiles in 3's bathroom. Based on Compliance Officer #2's observation, there were 10 cracked tiles and a strong odor of urine in the 2's bathroom .”

AAC R9-5-509.C.23. C. A licensee shall ensure that:23. A freezer at the child care facility maintains a temperature of 0° F or below, as shown by a thermometer kept in the freezer at all times; and

“Findings: Based on facility documentation and Compliance Officer #2's observation, the thermometer in the infant room freezer read 58° rather than 0°, as required.”

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 facility documentation and Compliance Officer #2's observation, the thermometer in the infant room refrigerator read 52° rather than 41°, as required.”

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 #2's observation, in the older 2's, the soiled diaper container lacked a liner and a tight-fitting lid. The 1's room lacked a soiled clothing container with a waterproof liner and a tight-fitting lid.”

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 #2's observation, in the 2's room, the soiled diaper container lacked a tight-fitting lid.”

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 facility documentation and Compliance Officer #1's observations, 2 of 5 files reviewed lacked the following: Staff #3's (start date 5/23/2022) affidavit lacked the facility's address or CDC number. Staff #5's (start date 5/3/2022) affidavit did not answer question #2.”

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 #1's observation, 5 of the 5 staff files reviewed lacked the following: Staff #1 (start date 3/27/2023), Staff #2 (start date 1/19/2024), Staff #3 (start date 7/26/2022), Staff #4 (start date 5/23/2022), and Staff #5 (start date 5/3/2022): Documentation of the DCS submission requirements or results.”

AAC R9-5-301.F. F. A licensee shall ensure that a staff member submits, on or before the starting date of employment or volunteer services, one of the following as evidence of freedom from infectious active tuberculosis: 1. Documentation of a negative Mantoux skin test or other tuberculosis screening test recommended by the U.S. Centers for Disease Control and Prevention, administered within 12 months before the starting date of employment or volunteer service, that includes the date and the type of tuberculosis screening test; or 2. If the staff member has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the staff member is free from infectious active tuberculosis that is signed and dated by a health care provider within six months before the starting date of employment or volunteer service.

“Findings: Based on facility documentation and Compliance Officer #2's observation, 1 of 5 files reviewed lacked: Staff #3 (start date 7/26/22): A negative TB test.”

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 Compliance Officer #2's observation, in the Infant room, there was an uncovered outlet on the east wall under the window.”

AAC R9-5-502.A.8.b. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: b. Has a commercially waterproofed mattress; and

“Findings: Based on facility documentation and Compliance Officer #2's observation, 6 of the 10 crib mattresses in the infant room had rips or cracks on the mattress exterior and were no longer waterproof.”

AAC R9-5-502.A.5.b. A. A licensee providing child care services for infants shall:5. Develop, document, and implement tummy time policies and procedures that: b. Ensure a staff member who is supervising a non-crawling infant while the infant is flat on their stomach and on the floor: i. Is within reach of the infant; ii. Does not perform any other duties while supervising the infant; iii. Does not allow the use of pillows, comforters, sheepskins, stuffed toys, or other soft products in the same floor space as the infant; and iv. Does not allow any product specified in subsection (A)(5)(b)(iii) to be within reach of the infant;

“Findings: Based on Compliance #2's observation, three non-crawling infants were participating in tummy time on a mat on the floor in the infant room. No staff was within arm's reach of the three enrolled infants.”

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 facility bathrooms were not maintained in a clean and sanitized condition. In the 3's bathroom, there was a dried yellow substance around the base of the south toilet and dirt and debris under the hand washing sinks. In the Older 2's bathroom, there was a large area of rough rust in the sink basin. The sink had a build up of gray dust, dirt and debris in the corner and along the counter. In the 2's bathroom, the sink had a thick layer of a slimy gray and green substance around and behind the faucet and in the basin of the sink. There was rust and dirt at the bottom of the mirror behind the sink. In the Older 2's bathroom, there was a puddle of yellow substance in front of and beside the toilet.”

AAC R9-5-501.A.1. A. A licensee shall ensure that:1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Findings: Based on facility documentation and Compliance Officer #2's observation, the health, safety, and welfare of an enrolled infant was placed at risk of harm when a staff member grabbed the ankles of an infant in tummy time (who could not roll over on their own) and pulled the infant across a mat.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Findings: Based on Compliance Officer #2's observation, no water was available outside for the one-year-old children on the playground.”

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 facility documentation and Compliance Officer #2's observation, in the infant room, 6 containers of wipes were labeled with only a first name and last initial.”

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 observation, in the 2's room, on the diapering surface, there were items not required for diaper changing, such as a bottle of water, a unicorn toy, four art projects, a box of tissues, and a container of wipes.”