Sunrise Preschools #136

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 Officers' observations, the caulk at the base of the toilets in the 3's and 4's restrooms was detaching from the base of the toilets and the flooring beneath, rendering the flooring unable to be sanitized.”

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 and review of facility documentation, there was an infant bottle lacking a label with the enrolled infant's name.”

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 Officers' observations, the water temperature in the 2’s diaper changing area measured a temperature of 120 degrees F.”

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 facility playground had the following hazards: *There was a protruding screw at the base of the fencing in the toddler playground. *There was exposed sprinkler tubing causing a tripping hazard near the basketball court. *The bolt on the the northern fence had become loose and the fence was in danger of becoming detached.”

AAC R9-5-605.B.2. B. A licensee shall ensure that:2. Combustible material, such as paper, boxes, or rags, is not permitted to accumulate inside or outside the facility premises;

“Findings: Based on Compliance Officers' observations, there was an accumulation of leaves and cardboard on the patio of the eastern side of the building.”

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 Officers' observations, there was a stereo cord dangling off of a cabinet that was accessible to enrolled children in the 3’s classroom.”

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 Toddler room reflected the presence of 4 children, however 9 children were actually present in the classroom.”

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 Officer's observations, in the Infant room, there were two enrolled infants playing with a dirty broom and the teachers were not aware of the infants playing with the broom. Previously cited on 12/26/23 and 5/2/23”

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 the Compliance Officer's observations, in the Intermediate B (3's) bathroom, the exhaust fan was not in operation.”

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 the Compliance Officer's observations, on the playground, the 12 enrolled 1-year-olds and 8 enrolled 2-year-olds lacked drinking water.”

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 Toddler 2B (2's) room, the sink outside the bathroom caulking was cracking causing the sink to detach from the wall and become wobbly. In the Preschool (4's) room, the two sinks outside the bathroom caulking were cracking causing the sink to detach from the wall and become very wobbly. In the Intermediate B (3's) bathroom, both toilet seats were very loose and wobbly. Previously cited on 10/25/23 and 5/2/23”

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 facility documentation and the Compliance Officer's observations, the medication authorization form for Child #1's and Child #2's prescription medicine lacked the times and frequency of administration.”

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 the Compliance Officer's observations, in the Toddler 2B (2's) room, the teacher failed to teach and model age appropriate behavior when a staff member was sitting in a chair and holding a child's upper arm and picking up one of the child's leg and forcefully sitting the child on the floor. The child got up and as the child was walking away the staff member grabbed the back of the child's shirt and yank the child back towards the staff member. Previously cited on 5/2/23”

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 observations, in the Infant room, there were 3 bottles labeled with the child's first name only. There were 3 bottles labeled with the child's first name, last initial only.”

AAC R9-5-502.A.11. A. A licensee providing child care services for infants shall: 11. Label each food container received from the parent with the infant's name.

“Findings: Based on the Compliance Officer's observations, in the Infant room, there were 3 squeeze foods, 2 yogurts and an applesauce labeled with the child's initials only. There was a yogurt cup that lacked a label.”

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 7 staff files reviewed lacked the following: Staff #2 (DOE: 4/9/24): Documentation of the DCS Central Registry Affidavit dated 4/10/24, rather than before the starting date of employment as required.”

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 #4's (DOE: 2/17/91) fingerprint clearance card expired on 11/17/22. Staff #4's fingerprint clearance card was received by DPS on 12/28/22 and issued on 1/3/23.”

AAC R9-5-501.A.21. A. A licensee shall ensure that:21. Except when used as part of an activity, the following are stored in an area inaccessible to an enrolled child: a. Garden tools, such as a rake, trowel, and shovel; and b. Cleaning equipment and supplies, such as a mop and mop bucket.

“Findings: Based on the Compliance Officer's observations, in the Infant room, there was a dirty broom on the ground, accessible to the enrolled infants.”

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 1's room, there were 12 enrolled children present and there were 1 child marked on the roster. Previously cited on 12/26/23”

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 the Compliance Officer's observations, 2 of 7 staff files reviewed lacked the following: Staff #1 (DOE: 11/21/23) and Staff #3 (DOE: 1/23/24): Documentation of the DCS submission requirements.”

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 a review of Staff files, interview with the Director and the Compliance Officers' observations, it was found that the file for Staff #1 (start date-9/5/2023) contained a diploma written in a foreign language and was not evaluated so compliance was unable to be determined as an Assistant Teacher-Caregiver.”

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 a review of facility documentation, Staff Statements, and the Compliance Officers' Observations, it was determined that Staff #1 and Staff #2 did not supervise children in the 1-2’s Room at all times when they were not accountable for the actions of Child #1 and Child #2 while Staff #2 performed a diaper change and Staff #1 was distracted for a moment on 12/8/2023. Child #2 grabbed and bit Child #1 while Staff #1 turned around in the middle of the room to grab the food cart that was placed inside the door and Staff #2 was occupied at the diaper changing table attending to and changing another child's diaper. Staff #1 and Staff #2 were unable to intervene as they were engaging in other activities when Child #2 bit Child #1 on the face causing a red mark. Staff stated the following: Staff #1 walked away for a moment to grab the food cart towards the front of the room while Staff #2 was changing a diaper when Child #1 was bitten by Child #2, 5 feet away from the diaper changing area. Staff #2 saw Child #2 latch onto and bite Child #1, but could not intervene because both Staff #1 (attending to the food cart) and Staff #2 (changing a child's diaper) were occupied. Staff #2 motioned and told Staff #1 about the biting incident while diapering the other child.”

AAC R9-5-602.A. A. A licensee shall ensure that the facility meets the following square footage requirements for indoor activity areas based on the child care services classifications: 1. At least 35 square feet of indoor activity space for each infant and 1-year-old child; 2. At least 25 square feet of indoor activity space for each child who is not an infant or 1-year-old child; and 3. When 1-year-old children are grouped together with children older than 1-year-old children in the same activity area, at least 35 square feet of indoor activity space for each child.

“Findings: Based on the Compliance Officers' observations and Staff Statements, it was determined that on occasion there has been more than 13 children present in the Todd 2 B Room, which has a capacity of 13 when a one-year-old is present.”

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 was determined: 1) There were 21 children in the 3-4 year old room, but the roster listed the names of 22 children as present; 2) There was no roster for the 3's class outside, but 5 children were present; 3) There were 5 children on the roster for the 1's class outside, but there were 6 children present.”

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, in the Infant room, there were around 15 pin hole size chips in the diaper changing surface.”

AAC R9-5-503.F.2. F. A licensee shall ensure that in an activity area with a diaper changing area: 2. A staff member: a. Documents each diaper change: i. For an infant, in the infant’s dated, daily, documentation required in R9-5-502(C)(1)(d); or ii. For an enrolled child who is not an infant, in a dated diaper changing log; b. Maintains the diaper changing log on facility premises for 12 months after the date of the diaper changing log; c. Empties clothing soiled with feces into a flush toilet without rinsing; d. Places an enrolled child’s clothing soiled by feces or urine in a plastic bag labeled with the enrolled child’s name, stores the clothing in a container used for this purpose, and sends the clothing home with the enrolled child’s parent; and e. Removes disposable diapers and disposable training pants from a diaper changing area as needed or at least twice every 24 hours to a waste receptacle outside the facility building.

“Findings: Based on the Compliance Officer’s observation, in the 2’s classroom, there were 8 bags of enrolled children’s soiled clothes in the soiled clothes container at 9:00 A.M.”

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 observations, the following areas lacked a clean condition: 2’s classroom: *There was a dust build-up on top of the fire extinguisher case. Toddler and Intermediate A classrooms: *There were multiple pillows with multiple various stains in the library area.”

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, on the Preschool playground, there was a 6 1/2- inch gap on the North gate from the base of the fence to the ground.”

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 following hazards were accessible to enrolled children: School-age classroom: *There was a 17-inch detached baseboard near the lockers on the East wall. *There was a 2-inch hole with exposed drywall under the window on the East wall.”

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

“Findings: Based on the Compliance Officer’s observation, the ratio in the Preschool B classroom was 0:7 instead of 1:7 as required for 3-year-old 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’s observation, the health, safety and welfare of enrolled children was placed at risk of harm. In the Preschool B classroom, there were 7 enrolled children waiting for picture day. There were 2 photographers with the enrolled children. The teacher was in the next classroom with both classroom doors shut.”

AAC R9-5-301.E. E. A licensee shall, with the exception of individuals listed in subsection (D)(2), ensure that a staff member supervises any individual that is not a staff member who is on facility premises where enrolled children are present.

“Findings: Based on the Compliance Officer’s observation, the Licensee failed to ensure each non-staff member was supervised at all times by a staff member while on facility premises. There were 2 photographers observed alone and unsupervised in a classroom with 7 enrolled children.”

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 Officer’s observation, in the Preschool B classroom, there were 7 enrolled children unsupervised in the room.”

AAC R9-5-503.A.2.a. 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, in the Toddler classroom, the temperature of the diaper changing sink was 116 F, rather than 86 F. to 110 F. as required.”