Sunrise Preschools #129

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 Officers' observations and review of facility documentation, the classroom roster in the School-age classroom reflected the presence of 20 children in the classroom but the roster documented 21 children present.”

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 Officers' observations, the 8 children in the 3’s classroom were laying directly atop cots without a sheet between the children and the cot surfaces.”

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 Officers' observations, the following items not required for diaper changing were seen atop diapering surfaces: *In the 2's classroom there was a water jug on diapering surface. *In the 1's classroom there was a pair of shoes, 4 balls, a binder, a pen and paper towels on the diapering surface.”

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

“Findings: Based on Compliance Officers’ observations and review of facility documentation, 7 of 25 Emergency Information and Immunization record cards reviewed on the facility vehicle lacked the attached immunization records for Child #1 through Child #7.”

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 Compliance Officers’ observations, there was a bottle not labeled with the infant’s name found in the Infant room.”

AAC R9-5-501.A.18. A. A licensee shall ensure that:18. Each enrolled child’s pacifier is labeled with an identifier that is specific to the enrolled child and maintained in a clean condition;

“Findings: Based on Compliance Officers’ observations, there was a child with a pacifier in the Infant room that lacked an identifier.”

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

“Findings: Based on Compliance Officers’ observations, the exhaust fan in the outdoor restroom was inoperable.”

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 Compliance Officers’ observations, the following hazards were observed accessible to children on the facility playground: *Green paint flaking and chipping from the metal fencing. *Black felt material protruding from the wood chips creating a tripping hazard near concrete walkway. *Metal mesh exposed from the building’s stucco wall.”

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 PreK classroom reflected the presence of 11 children, however only 10 children were present. Additionally, the 4's classroom roster reflected the presence of 5 children, however 6 children were actually present in the classroom.”

AAC R9-5-510.A.2. A. A licensee shall ensure that a staff member: 2. Teaches, models, and encourages orderly conduct, personal control, and age-appropriate behavior;

“Findings: Based on Compliance Officer's observation and information provided by the staff, Staff #1 (start date 6/11/24) acknowledged that a child was told "we are gonna go in the bathroom and there are monsters in there" as a threat to get the child to behave.”

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 Officers' observations, there was an evaporative cooler unit accessible to enrolled children 1/2’s classroom.”

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: Based on Compliance Officers' observations and information provided by the staff, a teacher did not suggest an alternative behavior and assist a child to engage in an alternative activity when a child was misbehaving in the classroom. The teacher "threw away artwork" made by the child, after the staff member told the child "If you don't do what I say, I'm gonna throw it away" .”

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 Officers' observations, the following activity areas posted capacity were not accurate: *In the 1's/2's room, the posted capacity stated 26, and the licensed capacity is 18. *In the 4's/5's room, the posted capacity stated 30, and the licensed capacity is 29. Repeat Deficiency: 5/9/24”

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

“Findings: Based on the Compliance Officers' observations, staff did not supervise enrolled children in the School-Age room as the children went to the outdoor activity area to use the restroom.”

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 and review of facility documentation, there were 28 children present in the School-Age room, however, the roster reflected 29 children. There was 1 child using the restroom in the outdoor activity area and a roster was not present to account for the child's presence outdoors.”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, 8 of 25 children's Emergency, Information and Immunization Record cards reviewed lacked the following: Child #1 and Child #2: The contact telephone number of the child's health care provider. Child #3: The name and contact telephone number of the 2nd individual authorized by the child's parent to collect the child from the facility in case of emergency. Child #4: The name, home address, city, state, zip code and contact telephone number of the 2nd parent and the contact telephone number of the child's health care provider. Child #5: The name, home address, city, state, zip code and contact telephone number of the 2nd parent and the signature of the parent on the back side of the card. Child #6 and Child #7: The date of the child's enrollment and the contact telephone number of the child's health care provider. Child #8: The home address, city, state and zip code of the 2nd parent.”

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's observations, in the 1's/2's room, there was a tube of buttpaste labeled with the child's first name only. There was a diaper ointment labeled with the child's first name, last initial only. There was a diaper rash spray and tube of Aveeno that lacked a label. In the 3's/4's room, there was a tube of Desitin labeled with the child's first name only and one Desitin that lacked a label. There was a tube of Zinc labeled with the child's first name, last initial only.”

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 the Compliance Officer's observations, 1 of 10 staff files reviewed lacked the following: Staff #4 (DOE: 5/7/24): Documentation of 2 good faith effort references.”

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 staff statement and the Compliance Officer's observations, in the 1's bathroom, the 1st toilet was not flushing. The staff stated that it has not been working for a couple of months.”

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

“Findings: Based on the Compliance Officer's observations, the following activity areas posted capacity were not accurate: In the Infant room, the posted capacity stated 26, and the licensed capacity is 10. In the 1's/2's room, the posted capacity stated 19, and the licensed capacity is 18. In the 4's/5's room, the posted capacity stated 30, and the licensed capacity is 29.”

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's observations, in the Infant room, the temperature in the freezer read 10°F.”

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

“Findings: Based on the Compliance Officer's observations, in the Infant room, the soiled clothing bin lacked a liner. The 3's/4's room lacked a soiled clothing bin. In the 3's/4's bathroom, there were two bags of soiled clothes on top of a bin and not inside the bin.”

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's observations, in the Infant room, the temperature in the refrigerator read 51°F.”

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 observations, in the 3's/4's room, the soiled diaper bin lacked a liner and lid.”

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's observations, in the Infant room, there were 7 cribs with very loose sheets.”

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 observations, in the 1's/2's room, there was a sharpie and pen on the diaper changing table. The diaper changing sink had fuzzy substance by the handles and gray, brown, and green substance in the sink. In the 3's/4's room, there was a sink stopper, hair tie, empty pitcher, green toy and a dirty glove in the diaper changing area.”

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 observations, in the 3's/4's room, the diaper changing area lacked a single-use paper towel dispenser.”

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 observations, in the 1's/2's room, the baseboard was detaching from the wall by the exit door exposing the drywall. In the 1's/2's bathroom, the 2nd toilet seat was loose and wobbly. In the 3's/4's bathroom, the 2 sink's caulking was cracking causing the sinks to detach from the wall and become wobbly. In the School-age room, the baseboard around the whole room was removed exposing the dry wall and 3 inch holes in multiple spots. There were 6 ceiling tiles not attached to the ceiling and an outlet cover missing the face plate. The bathroom door and the door to the hallways were missing one side of the door frame modeling, exposing splintery wood.”

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 observations, in the 1's/2's, 3's/4's and 4's/5's rooms, the exit doors were locked.”

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 facility documentation and the Compliance Officer's observations, Staff #2's (DOE 4/2/24) fingerprint clearance card expired on 5/4/24. Staff #3's (DOE: 7/25/23) fingerprint clearance card expired on 4/27/24. There was no documentation of Staff #2 of Staff #3's applications on file.”

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 the Compliance Officer's observations, 1 of 10 staff files reviewed lacked the following to qualify as a teacher-caregiver: Staff #4 (DOE: 5/7/24): 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 R9-5-203.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 the Compliance Officer's observations, 1 of 10 staff files reviewed lacked the following: Staff #4 (DOE: 5/7/24): A completed DCS Central Registry Affidavit and the DCS Central Registry submission requirements.”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, 1 of 10 staff files reviewed lacked the following to qualify as the director designee: Staff #1 (DOE: 1/9/24): Documentation of transcripts to verify the home school diploma and 14 hours of 30 hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field.”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, 8 of 25 children's attendance records reviewed lacked the following: Child #9: An admission and release signature for 5/3/24. Child #10: An admission time and signature for 5/2/24 and 5/3/24. Child #11: An admission signature for 5/1/24 and a release signature signature for 5/2/24. Child #12: An admission time and signature for 5/1/24, 5/2/24, 5/3/24 and 5/8/24. Child #13 and Child #14 A release time and signature for 5/2/24, 5/6/24 and 5/9/24. Child #15: An admission time and signature for 5/7/24 and a release time for 5/8/24. Child #16: An admission time and signature for 5/7/24.”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, 3 of 25 children's Immunization records reviewed lacked the following: Child #3, Child #5 and Child #6: Documentation of an immunization record or an exemption affidavit.”

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's observations, in the 1's/2's bathroom, the 2nd toilet had a dry yellow substance and gray smudges on the toilet seat. There was a sticky substance on top of the toilet paper dispenser. In the 3's/4's bathroom, the first toilet had brown smudges on the seat, and toilet paper and a brown substance in the toilet bowl. The 2nd toilet had a dry yellow substance on the toilet seat and an orange and brown crusty substance on the lid.”