Sunrise Preschools #134

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 a review of facility documentation and the Compliance Officer and Compliance Officer Supervisor's observations, in the infant room, the roster available did not accurately reflect the number of enrolled children present. There were 5 children present, but only 2 were marked as present.”

AAC R9-5-511.A.1.2.3.4.5. A. A licensee shall provide each enrolled child who naps or sleeps at the facility with a separate cot or mat or a crib that meets the requirements of R9-5-502(A)(8) and ensure that: 1. A cot, mat, or crib used by the enrolled child accommodates the enrolled child’s height and weight; 2. A staff member covers each cot, or mat with a clean sheet that is laundered when soiled, or at least once every seven days and before use by a different enrolled child; 3. A clean blanket or sheet is available for each enrolled child; 4. A rug, carpet, blanket, or towel is not used as a mat; 5. Each cot, mat, or crib is maintained in a clean and repaired condition;

“Findings: Based on the Compliance Officer Supervisor's observations, in the 3's-4's room, a child was sleeping on the floor and not on a cot, as required.”

AAC R9-5-404.C.3. C. A licensee shall ensure that when there are: 3. 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: Per allegation, based on staff statements, the Compliance Officer and Compliance Officer Supervisor's observations, enrolled infants present at the facility were placed for supervision with children who were not infants when more than 6 children were present in the facility on multiple occasions. At the time of the inspection, there were 2 enrolled children, 1 year old and walking, who were placed in the infant room when more than 6 children were present in the facility. Staff stated the following: *It is an everyday occurrence. *More than 6 children are present at the facility by 7:30. *1-year-old children are present in the infant room while passing by. *It's common that infants are combined with 1-year-old and 2-year-old children in the morning during drop-off. *There are more than 6 enrolled children present at drop-off when infants are in a room with other enrolled children.”

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 the Compliance Officer (CO) and Compliance Officer Supervisor's (COS's) observations, the health, safety or welfare of an enrolled children were placed at risk of harm when the fire panel located in the front lobby was observed to be in "trouble" mode.”

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 CO and COS's observations, in the School-Age Room's girls’s bathroom, the following were hazards: *There was a large crack that ran across the entire restroom floor. *There was a gap in the toilet cap, exposing rust located on the base of the toilet. *There was a build-up of a dark-colored residue at the base of the toilet caulking.”

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 a review of 4 infant feeding instruction forms and the CO and COS's observations, 4 of 4 instruction forms lacked the following required information: *Child #9 and Child #11- The method of feeding and the infant's feeding schedule. *Child #10 and Child #12- The method of feeding and types of foods to be fed to the infant.”

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 CO and COS's observations, in the Infant’s room, the refrigerator's temperature was 46° F at the time of the inspection.”

AAC R9-5-511.C. C. A licensee shall provide an unobstructed passageway at least 18 inches wide between each row of cots or mats to allow a staff member access to each enrolled child.

“Findings: Based on the CO and COS's observations, in the Pre-K Room, the space between cots during afternoon nap time was spaced 10-12 inches wide, rather than 18 inches wide between each row of cots.”

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 CO's observations, the fall zones in the following outdoor activity areas lacked sufficient resilient material: *1's Playground- There were 3" of the required 6" of woodchips in front of the sole play structure. *2's Playground- There were 3" of the required 6" woodchips in front of the tan slide and 3" of the required 6" of woodchips under the arching log climber. *School-Age Playground- There were 2" of the required 6" of woodchips under the green climber.”

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 CO and the COS's observations, in the School-Age Room, the following areas were not maintained in a clean condition: *There was a build-up of dust on the ceiling vents. *There was some dust and spotty stains on the egg-shaped chair.”

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 CO and the COS's observations, in the School-Age Room, the multi-colored carpet had dark and spotty stains throughout.”

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 COS's observations, 8 of 15 Emergency, Information, and Immunization Record cards lacked the following required information: *Child #1 and Child #2- The child's date of enrollment; *Child #3, Child #4, Child #5, Child #6, Child #7, and Child #8- The child's health care provider's name and telephone number.”

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, the laminate at the bottom edge of the diaper counters in the Intermediate A Room and the Todd 2 Room was missing exposing raw wood.”

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 Compliance Officer #2's observation, children in the Toddler 1 classroom were not supervised at all times as required. One child was standing and jumping on top of a table in front of another child reading a book, while another child was climbing on top of a book shelf. The staff member was in the middle of the classroom blowing bubbles, and was not aware or accountable for the children's actions.”

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

“Findings: Based on facility documentation and Compliance Officers’ observations, 6 of 7 infant feeding instructions lacked documentation of the method of feeding for each infant.”

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 facility documentation and Compliance Officer #2’s observation, the roster for the Infant classroom did not reflect the number present (3 children present, 6 listed on the roster).”