Sunrise Preschools #137

AAC R9-5-515.F. F. A licensee shall ensure that: 1. A dated, written notice of the communicable disease or infestation is prepared and posted in the facility’s entrance as required by R9-5-303; 2. Documentation of the notification is maintained on facility premises for 12 months from the date of the notification; and 3. Documentation of the absences of staff members and enrolled children due to a communicable disease or infestation listed in 9 A.A.C. 6, Article 2, Table 2.2, is prepared and maintained on facility premises for 12 months from the first date of absence.

“Findings: Based on the Compliance Officer's observations, a discussion with staff and the Director and a review of the illness log and related documentation, it was determined that the facility had 15 cases of hand, foot and mouth disease from October 6 through October 27, 2025. The illness log only had documentation of 7 of the 15 cases. The Director acknowledged that 8 of the cases had not been documented in the illness log.”

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 and on a discussion with staff, the following items were stored in the diapering areas: *1 yr old room- the diapering procedures poster was lying on the diapering table. Staff stated it was normally on the wall; *1 and 2 year old room- part of a plastic safety door lock was on the diapering table; and *2-year-old room- an art stamper and a plastic bag of children's clothes were stored on the diapering table. The staff stated the clothes were clean.”

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 Officer's observations, 17 children were observed in the 1 & and 2-year-old room, but the licensed capacity for the room is only for 11 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

“Findings: Based on the Compliance Officer's observation, a ratio of 2:17 was observed in the 2-year-old room, rather than a ratio of 3:17.”

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's observations and on a discussion with the infant room staff, the infant room staff was observed feeding an infant in a chair, when another non-crawling infant was next to the staff on the floor in tummy time. The staff acknowledged the infant in tummy time was not able to crawl.”

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's review of the written infant feeding instructions and on a discussion with the infant room staff, the following written infant feeding instructions were not updated and lacked information: * Child 1- The staff stated the infant was eating pureed foods but the written feeding instructions only listed formula and the form was last updated 11/18/24; *Child 2- The staff stated the infant was eating both pureed foods and formula but the written feeding instructions lacked the amount and frequency of the feeding for both the food and formula; *Child #3-The staff stated the infant was eating both table foods and formula but the written feeding instructions lacked the amount and frequency of the feeding for both the food and formula; and *Child #4-The staff stated the infant was eating both pureed foods and formula but the written feeding instructions lacked the amount and frequency of the feeding for both the food and formula. The form was last updated 10/6/24.”

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, a plastic toy, a pen and a clip board were stored on the 1-year-old room's diapering counter.”

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

“Findings: Based on the Compliance Officer's observations, the following area rugs had numerous brown stains on them and were dirty: *1 year old room- the green rug near the rear exit door; and * 2 year old room- the farm rug near the front entrance door.”

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 the Compliance Officer's review of Staff #3's file (DOE 11/20/24- a toddler room assistant teacher) and on a discussion with the Director, the file lacked documentation of the staff's education. The Director stated that the staff acknowledged she did not have a high school diploma and was not enrolled in a GED program.”

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

“Findings: Based on the Compliance Officer's observations and on a discussion with staff, the following was noted regarding the Preschool room's bathroom: *One of the 2 toilets in the room had dried urine on the base of the toilet and the caulk around the base had a brown build up on it: *This same toilet’s toilet paper dispenser was empty; and *The second toilet in the room was wrapped in clear plastic and the staff stated it was not working, due to it being clogged.”

AAC R9-5-309.C. C. A licensee shall maintain on facility premises: 1. A current fire inspection report including documentation of any repairs or corrections required by the fire inspection report; and 2. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a current gas inspection report including documentation of any repairs or corrections required by the gas inspection report.

“Findings: Based on the Compliance Officer's review of the City of Phoenix fire permit, it was determined the fire permit had expired in June 2024.”

AAC R9-5-203.C. C. Except as provided in A.R.S. § 41-1758.03, a licensee shall ensure that each staff member, before starting date of employment or volunteer service, submits to the licensee a copy of the staff member’s valid fingerprint clearance card,front and back, issued under A.R.S. Title 41, Chapter 12, Article 3.1.

“Findings: Based on the Compliance Officer's review of Staff #4's file (DOE 2/7/23), the file lacked a copy of the staff's fingerprint clearance card. Note: Per the DPS website, the staff does have a valid fingerprint clearance card that expires in 1/2031.”

AAC R9-5-517.A.9. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:9. Ensure that the motor vehicle has: a. A working mechanical heating system capable of maintaining a temperature throughout the motor vehicle of at least 60° F when outside air temperatures are below 60° F; b. Except as provided in subsection (E), a working air-conditioning system capable of maintaining a temperature throughout the motor vehicle at or below 86° F when outside air temperatures are above 86° F; c. Except as provided in subsection (F), a first aid kit that meets the requirements of R9-5-514(A); d. Two large, clean towels or blankets; and e. Sufficient drinking water available to meet the needs of each enrolled child in the motor vehicle and sufficient cups or other drinking receptacles so that each enrolled child can drink from a different cup or receptacle;

“Findings: Based on the Compliance Officer's observation and on a discussion with the Assistant Director, the van named "Mike" lacked a first aid kit. The staff stated a first aid kit was on order. The first aid kit in the van named "Sully" lacked scissors, antiseptic, 2 rolls of gauze and gauze pads.”

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;

“Per allegation #2 Findings: Based on interview with staff, the Compliance Officer's observations and on a discussion with the Assistant Director, both Staff #1 and #2 were observed working in the 1 & 2-year-old room as the teacher at different times during the investigation and the 2 staff acknowledged they work as teachers. A review of Staff #1's file ( DOE 11/18/24-a toddler teacher), the file contained documentation of a foreign degree and the staff's education had not been verified to be equivalent to at least a high school diploma. The file for Staff #2 (DOE 8/6/2024- a toddler teacher)did not contain documentation of the staff's education and the staff had only 5.5 months of the required 6 months of childcare experience.”

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

“Per allegation #1 Findings: Based on interview with staff, the Compliance Officer's observations and on a discussion with the Assistant Director, both Staff #1 and #2 were observed working in the 1 & 2-year-old room as the teacher at different times during the investigation. The Assistant Director acknowledged they were employed as teachers and Staff #1 and #2 acknowledged they worked as teachers. Based on the Compliance Officer's review of Staff #1's and Staff #2's files, it was determined both files lacked documentation to verify the staff met the minimum requirements of a teacher and are therefore required to be supervised by a teacher.”

AAC R9-5-404.C.1. C. A licensee shall ensure that:1. When there are six or more enrolled children present in a facility, the following individuals are present in the facility: a. A facility director or a director’s designee who meets the requirements in R9-5-401 for a director’s designee; and b. One additional staff member;

“Findings: Based on the Compliance Officer's observation and on a discussion with staff, neither the director or the assistant director were onsite when the Compliance Officer arrived. The staff stated the Director was offsite at a training and the assistant director was doing a bus run.”

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

“Findings: Based on the Compliance Officer's observations and on a discussion with staff, the following was observed regarding rosters: *4 yr old room- 9 children were present but the names of only 8 children were marked as present on the roster. The staff stated she had accidentally marked a child who was still present in the room as leaving earlier in the afternoon; and *3 yr old room- 7 children were present but the roster had 9 children marked present in the room. The staff stated 2 children had left for the day and had not been marked off the roster.”

AAC R9-5-503.E. E. A licensee shall ensure that the written diaper changing procedure in subsection (D) states that an enrolled child’s diaper is changed as soon as it is soiled, and that a staff member, when diapering:1. Uses a separate washcloth and towel only once for each enrolled child; 2. Washes and dries the enrolled child using the enrolled child’s individual personal products labeled with the enrolled child’s name; 3. Uses single-use non-porous gloves; 4. Washes the staff member’s own hands with soap and running water between 86° F and 110° F before and after each diaper change; 5. Washes each enrolled child’s hands with soap and running water between 86° F and 110° F after each diaper change; 6. Cleans, sanitizes, and dries the diaper changing surface following each diaper change; and 7. Uses single-use paper towels from a dispenser to dry the diaper changing surface or the hands of the enrolled child or staff member.

“Findings: Per allegation- Based on the Compliance Officer's review of diapering logs and the children's attendance logs for the corresponding day and on a discussion with staff, the diapering logs indicated that children were not being changed at least every 2 hours or when soiled, per the facility's policy. On 6/14/24, the diapering log indicated a child went 4 hours in between diaper changes, even though the child's parent requested the child's diaper to be checked every hour, due to the child's tendency to get diaper rash. On 6/11/24, a child attended from 1:31 PM to 4:47 PM but the diaper log indicated the child's diaper was changed only one time. The diaper log indicated for several children that if the child was asleep for several hours, the diapering log only stated "sleeping". The staff acknowledged they did not check the child's diaper when the child was asleep. The Director and Regional Manager stated the policy was that a child's diaper was supposed to be checked, even if a child was asleep so that the child would not be in a soiled diaper.”

AAC R9-5-402.A. A. A licensee shall maintain a file for each staff member containing:1. The staff member’s name, date of birth, home address, and telephone number; 2. The staff member’s starting date of employment or volunteer service; 3. The staff member’s ending date of employment or volunteer service, if applicable; 4. The name and telephone number of an individual to be notified in case of an emergency; 5. The staff member’s written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis; 6. The form required in A.R.S. § 36-883.02(C); 7. Documents required by R9-5-203; 8. Documents required by R9-5-301; 9. Documents required by R9-5-401, if applicable; 10. If applicable: a. The form required in A.R.S. § 8-804(I), b. Documentation of the submission required in A.R.S. § 8-804 and the information received as a result of the submission, and c. Documentation of training provided by a licensee as required by R9-5-403, if applicable; 11. A copy of any current license or certification required by A.R.S. Title 36, Chapter 7.1, Article 1. or this Chapter; and 12. Documentation of the requirements in A.R.S. § 36-883.02(D).

“Findings: Based on the Compliance Officer's review of Staff #1's file, the file lacked either a copy of the staff's immunization record or the staff's signed attestation of immunization and lacked the name and phone number of the staff’s emergency contact.”

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: Per allegation Based on the Compliance Officer's interview with staff, it was determined that moldy blueberry muffins were served twice in the last few weeks. Staff stated that school-age children had shown staff that the muffins were moldy and the staff removed the muffins from the food service on those days.”

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 the Compliance Officer's review of Staff #1's file DOE 1/30/24 (the infant room assistant teacher) and on a discussion with the Director and Staff #1, the file contained documentation of education from the country of Algeria. The file lacked documentation of the Education equivalency's verification. The staff acknowledged she did not have 12 months of previous childcare experience, in lieu of the minimum of the high school diploma. It could not verified if the staff met the minimum qualifications required for an assistant teacher.”

AAC R9-5-605.A. A. A licensee shall install and maintain a portable, pressurized fire extinguisher that meets, at a minimum, a 2A-10-BC rating of the Underwriters Laboratories in a facility's kitchen and any other location required by Standard 10-1 of the International Fire Code, incorporated by reference in A.A.C. R9-1-412.

“Findings: Based on the Compliance Officers' observations, the fire extinguisher tags were punched September, 2022, and were not maintained, as required.”

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 Officers' observations, 3 playgrounds lacked the following required 6" of resilient surfacing: 2’s Playground: 3” of the required 6” of resilient surface (wood chips) in the fall zones of the red slide. 3’s Playground: 3” of the required 6” of wood chips at the base of the blue slide. School-age Playground: Children were observed using stepping stones (short to tall) on the cement. ***Previously cited 5/4/2021, 4/25/2022, & 4/5/2023”

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 Officers' observations of the outdoor activity areas, the following hazards were accessible to enrolled children: 1’s Playground: * There was an exposed 12” wire protruding out of the lifted irrigation box. * There were 12” tall and taller weeds on the ground. * There was an unsecured basketball hoop. * There was peeling black foam on the handlebar of a small tricycle. 2’s Playground: * There was cracked plastic on the yellow dump truck. * There was a large black bucket filled with toys on top of a 2 tiered black shelf that was unsecured and wobbled easily when light pressure was applied. 3’s Playground: *There was unsealed splintered wood on the sensory table. School-age Playground: * There were 2 cracked plastic buckets (one was pink and one was blue). * There were exposed bolts protruding along the edges of the chain link fence surrounding the basketball court. * There were broken, sharp edges on a plastic black bucket. * There were 3 black caps missing from the low black posts with exposed screws on the inside of the posts. * There was peeling vinyl with exposed foam on the edges of one of the shade structure post. ***Previously cited 5/4/2021, 4/25/2022, & 4/5/2023”

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 facility documentation and Compliance Officer #1's observations, in the vehicles used to transport enrolled children, 6 out of 15 children's Emergency, Information, and Immunization Record cards lacked an attached immunization record or exemption affidavit.”

AAC R9-5-517.A.10. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:10. Ensure that the motor vehicle is: a. Maintained in a clean condition, b. In a mechanically safe condition, and c. Free from hazards; and

“Findings: Based on Compliance Officer #1's observations, in Vehicle CK19306 used to transport enrolled children, there was exposed foam and torn vinyl on 3 seats. (The front passenger seat had torn vinyl on the edge and in the seat belt area. The seat behind the driver had torn vinyl in the seat belt area.) ***Previously cited 4/5/2023”

AAC R9-5-517.A.9. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:9. Ensure that the motor vehicle has: a. A working mechanical heating system capable of maintaining a temperature throughout the motor vehicle of at least 60° F when outside air temperatures are below 60° F; b. Except as provided in subsection (E), a working air-conditioning system capable of maintaining a temperature throughout the motor vehicle at or below 86° F when outside air temperatures are above 86° F; c. Except as provided in subsection (F), a first aid kit that meets the requirements of R9-5-514(A); d. Two large, clean towels or blankets; and e. Sufficient drinking water available to meet the needs of each enrolled child in the motor vehicle and sufficient cups or other drinking receptacles so that each enrolled child can drink from a different cup or receptacle;

“Findings: Based on Compliance Officer #1's observation, the first aid kit in Vehicle CK19306 used to transport enrolled children lacked antiseptic and gallon size baggies. ***Previously cited 5/4/2021”

AAC R9-5-517.A.1. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:1. Obtain dated, written permission from the enrolled child’s parent before the licensee transports the enrolled child;

“Findings: Based on Compliance Officer #1's observation of 2 vehicles used to transport enrolled children, 7 out of 15 children’s Records lacked written permission to transport enrolled children. ***Previously cited 10/17/2023”

AAC R9-5-516.G. G. A licensee shall return all unused prescription and nonprescription medications to a parent when the medication prescription date has expired or the medication is no longer being administered to the enrolled child or dispose of the medication if unable to locate the enrolled child's parent after the child's disenrollment

“Findings: Based on Compliance Officer #2's observations, Child #11's medication was no longer being administered. The medication inside the bottle for Child #11 expired 3/2024. (The prescription label on the bottle expired 1/7/2023.)”

AAC R9-5-516.B.4. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:4. A staff member : a. Administers a prescription medication provided by a parent only from a container dispensed by a pharmacy; b. Administers a nonprescription medication provided by a parent for an enrolled child only from a container prepackaged and labeled for use by the manufacturer and labeled with the enrolled child’s name; c. Does not administer any medication that has been transferred from one container to another; and d. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the facility receives written authorization from the enrolled child’s health care provider.

“Findings: Based on Compliance Officer #2's observation, the prescription medication for Child #10 lacked 1/2 of the prescribed medication.”

AAC R9-5-516.B.3. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child’s parent or health care provider that includes the: a. Name of the enrolled child; b. Type of the medication; c. Prescription number, if any; d. Instructions for administration specifying the: i. Dosage and route of administration; ii. If indicated, starting and ending dates of the dosage period; and iii. Times and frequency of administration; e. Reason for the medication; and f. Date of authorization; and

“Findings: Based on Compliance Officer #2's observations, medication forms lacked the following required information: Child #10: Prescription number and ending date. Child #11: Starting and ending dates, and the route of the administration of the medication. Child #12: Ending date.”

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 Officers' observations, the following was observed: Toilet rooms in 4A/4B: The toilets lacked mounted tissue. 2's Playground: There were discarded cups in a bag hanging off a two tiered shelf. Room 2A: Several of the blue child sized chairs had dried food grime and discolored stains on the front and back sides. School-age Playground: There was bird feces on the surface of 2 water fountains. Room 4A: *When the nozzle was turned for the water fountain, the water shot over the sink and onto the counter top. *The black food waste container lid was dirty with dried smears. ***Previously cited 5/4/2021, 4/25/2022, & 4/5/2023”

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 following was observed: Toilet room in 2A: *There was a build-up of grime in the caulking on the base of the toilet. Room 2A: *The soap was dripping from the right side of the sink and puddled on the floor. *There was discolored caulking on the right side of the sink. Toilet room in 2B: *There was a build-up of grime in the caulking on the base of the toilet. *There were dark stains inside the toilet bowl. *There was loose debris and stains on the floor. Toilet room in 3A: *There was a build-up of grime in the caulking on the base of the toilet. *There was a build-up of grime on the floor. Toilet room in 3B: There was a build-up of grime on the floor. Room 3A: There was a build-up of grime around the sink nozzle. School-age Girls’ toilet room: *There was a build-up of grime in the caulking on the base of the toilet and on the floor. *There were discolored stains/streaks around the handwashing sink. Room 4A: There was a build-up of grime on the handwashing sink. *There was a roll of loose toilet paper on the floor. School-age room: There was rust on the water fountain nozzle. Room 4B: *There was a build-up of grime on the caulking at the base of the toilet and grime build up on the floor. *The wall had discolored stains near the handwashing sink. Playground Toilet room: *There were yellow stains on the toilet seat. *There was a thick layer of a brown fluffy substance on the ceiling vent. ***Previously cited 5/4/2021, 4/25/2022, & 4/5/2023”

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 on the Compliance Officers' observations, floor coverings in the following areas were not maintained in a clean condition: Room 4B: *There was a gap in the baseboard with exposed dried glue and stains on the floor near the handwashing sink. * There were discolored stains on an alphabet rug Room 4A: *There was a build-up of grime and dirt along the edges of the floor near the toilet room door and along the south wall. * There were discolored stains on a green car rug Room 1A: There was a build-up of dirt and smudges on a green car rug. Room 2A: There was a 1/4”gap in the floor tile. Room 2B: There was a 1/4” gap in the floor tile, and there were 4 cracked floor tiles. Room 3B: There was peeling and discolored green tape on the floor. ***Previously cited 5/4/2021, 4/25/2022, & 4/5/2023”

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 Compliance Officer #1's observation, in the kitchen, the thermometer in one of the freezers was 16 degrees, rather than 0 degrees F or below as required.”

AAC R9-5-509.C.18. C. A licensee shall ensure that:18. A staff member: a. Prepares a weekly menu at least one week in advance, b. Includes on the menu the specific foods to be served on each day, c. Dates each menu, d. Posts each menu at least one day before the first meal on the menu will be served, and e. Writes food substitutions on a posted menu no later than the morning of the day of meal service;

“Findings: Based on on facility documentation and the Compliance Officers' observations, the children in 2A were observed eating rice Krispy cereal, pears and milk. The menu stated that rice Krispy cereal, bananas, and milk would be served to enrolled children and these substitutions were not documented on the menu. The menu lacked the specific flavors of mixed fruit, fruit and cheese. ***Previously cited 10/17/2023”

AAC R9-5-504.5.d. A licensee providing child care services for 1-year-old and 2-year-old children shall:5. Ensure that: d. If a parent brings a sippy cup for the parent’s enrolled child, the sippy cup is labeled with the enrolled child’s name.

“Findings: Based on Compliance Officer #1's observations, the following rooms lacked sippy cups labeled with a child's first and last name, as required: 2A: There was an unlabeled sippy cup, a sippy cup labeled with a child’s first name, and a sippy cup labeled with a child’s first name and last initial only. 2B: There was an unlabeled sippy cup hanging below a cubby shelf.”

AAC R9-5-504.5.c. A licensee providing child care services for 1-year-old and 2-year-old children shall: 5. Ensure that: c. If a child is fed with a bottle, a staff member complies with the requirements in R9-5-502(C)(3); and

“Findings: Based on Compliance Officer #1's observations, each child's bottle must be labeled with the child's name. In 2A, there was 1 unlabeled bottle in a cubby. In 2B, there was one unlabeled bottle.”

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 1A, the soiled clothing container lacked a liner. ***Previously cited 5/4/2021”

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 2B, the soiled diaper container lacked a liner. ***Previously cited 5/4/2021 & TA given 4/25/2022”

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

“Findings: Based on the Compliance Officers' observations, in the Infant room, the diaper changing area lacked paper towels. The paper towel dispenser was located on the wall behind the diaper changing area, rather than in the diaper area as required. ***Previously cited 5/4/2021 & 4/25/2022”

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' observations, the following diaper changing areas were not seamless and smooth, and clear of unrelated items: Room 1A: There was a clipboard on the diaper surface, there were breaks in the caulking behind the sink and on the ledge. Room 2A: There were breaks in the caulking on the ledge, there was dust and debris throughout the caulking of the diaper changing surface. Room 2B: There was dust and debris throughout the caulking on the diaper changing surface. Rooms 2A & 2B: The diaper changing surface was not long enough to accommodate the length of the children present. One child's feet dangled over the surface and in to the sink basin. Infant room: There was a roll of paper towels, 3 books and a box of tissue on the diaper surface. ***Previously cited 4/5/2023”

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

“Findings: Based on Compliance Officer #1's observation and staff statement, the kitchen lacked posted written dietary instructions for some of the infants present. Staff stated some of the infants are new and parents are completing the forms. ***Previously cited 4/25/2022 & 4/5/2023”

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 Officer #2's observation, the written feeding instructions for 1 of 9 infants was not signed and dated by the parent. ***Previously cited 5/4/2021”

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 Officers' observations, the following items lacked a label of the child's first and last name as required: Room 2B: One diaper cream and 3 containers of wipes lacked a last name. Infant room: 2 packages of wipes were labeled with a child’s first name only, one package of wipes was labeled with a child’s first name and last initial only, and there was 1 package of unlabeled wipes. ***Previously cited 5/4/2021, 4/25/2022, & 4/5/2023”

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' (COs) observations, in 1A children were not being supervised at all times. During the inspection of the room, the COs observed a child eating remnants of rice cereal off of the floor. The staff in the room did not observe the child eating remnants from the floor until the COs told them. ***Previously cited 10/17/2023, 1/3/2024, & 2/28/2024”

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 Officers' observations, the following hazards were accessible to enrolled children: Room 2A toilet room: There were 2 exposed bolts at the base of the toilet. Room 3B, 4A, 4B, and School-age toilet rooms: There was 1 exposed bolt at the base of a toilet. Room 1A: * There was peeling blue paint by the entry door and below a window. *There was peeling blue paint with exposed drywall on the north wall *There was peeling purple paint with exposed drywall on the east wall. 2A: *There was peeling blue paint on the east wall near the outside door. *There was exposed drywall and peeling paint next to the soap dispenser. Room 2B: * There was peeling blue paint below the window sill. * There was peeling green paint on the edge of the wall near the sink. Room 3A: There was peeling purple paint to the left of the soap dispenser. Room 3B: * There was 6” of loose baseboard to the left of the exit door. * There was peeling blue baseboard on the corner trim with rust behind the baseboard to the left of the toilet sink. * There was peeling purple paint to the left of the soap dispenser. Room 4B: There was 6” of loose baseboard below the water fountain. School-age room: * There was peeling green paint on the east wall. * There was torn vinyl with exposed foam on a blue bar stool. * There was peeling purple paint on the edge of the wall near the blue counter. *There was peeling green paint with exposed drywall (18 x 30") on the west wall near the lockers. ***Previously cited 5/4/2021, 4/25/2022, 4/5/2023, & 1/3/2024”

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 Compliance Officer #2's observation, in the Infant room, 1 of 2 feeding chair trays was rough to the touch and the tray was not smooth.”

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 observations, in Room 1A, drinking water was not accessible to enrolled children. The water was located on a high shelf inaccessible to the 10 children present in the room.”

AAC R9-5-403.A. A. Within 10 calendar days of the starting date of employment or volunteer service, a licensee shall provide, and each staff member who provides child care services shall complete, training for new staff members that includes all of the following:1. Facility philosophy and goals; 2. Names and ages of and developmental expectations for enrolled children for whom the staff member will provide child care services; 3. Health needs, nutritional requirements, any known allergies, and information about adaptive devices of enrolled children for whom the staff member will provide child care services; 4. Lesson plans; 5. Child guidance and methods of discipline; 6. Hand washing techniques; 7. Diapering techniques and toileting, if assigned to diaper changing duties; 8. Food preparation, service, sanitation, and storage, if assigned to food preparation; 9. If a staff member is assigned to feeding infants, the preparation, handling, and storage of infant formula and breast milk; 10. Recognition of signs of illness and infestation; 11. Child abuse or neglect detection, prevention, and reporting; 12. Accident and emergency procedures; 13. Staff responsibilities as required by A.R.S. Title 36, Chapter 7.1, Article 1 and this Chapter; 14. Sun safety policies and procedures; 15. Safety in outdoor activity areas; 16. Transportation procedures, if applicable; and 17. Field trip procedures, if applicable.

“Findings: Based on the Compliance Officers' observations of 7 staff files, the file for Staff #2 (start date 12/19/2023) lacked the date the new staff training was completed. Staff #1's training lacked the director's signature. Reference R9-5-403.C.”

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 Officers' observations of 7 staff files, it was determined that 2 out of 7 staff files reviewed lacked the following required information: Staff #1: 2 of the required 2 good faith effort references. Staff #3: An emergency contact name and a signed statement of immunity. ***Previously cited 10/17/2023”

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;

“Finding: Based on facility documentation and Compliance Officer #2's observations, Staff #1, Staff #2, Staff #4, & Staff #5 were assistant teacher caregivers and their files lacked the following required documentation: Staff #4: A graduation date on the transcript or current enrollment in high school. (Staff #4 had 2 of the required 12 months of previous child care experience.) Staff #2: A high school or high school equivalency diploma. Staff #1 and Staff #5: The documents were in a language other than English and were not translated or evaluated to be equivalent to a high school diploma or high school equivalency diploma from the United States.”

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, it was determined that 6 out of 20 enrolled children's attendance forms reviewed lacked the following required information: Child #4: Arrival time and signature in the afternoon on 4/2/2024. Child #5: Arrival times and signatures in the afternoons on 4/1 & 4/2/2024. Child #6: Release time and signature on 4/1/2024. Child #7: Release time and signature on 4/2/2024. Child #8: Arrival time and signature on 4/2/2024. Child #9: Release time and signature on 4/3/2024. ***Previously cited 5/4/2021, & TA given 4/5/2023”

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 Compliance Officer #2's observations, it was determined that 3 out of 20 enrolled children's Emergency Information and Immunization Record Cards reviewed lacked the following required information: Child #1: Parent signature. Child #2: A second parent's name, address and phone number. Child #3: The name of the individual to call in case of sudden illness or injury. ***Previously cited 4/25/2022 (TA given) & 4/5/2023”

AAC R9-5-303.A. A. A licensee shall post in a place that can be conspicuously viewed by individuals entering or leaving the facility or activity area, the:1. Facility’s license; 2. Name of the facility director; 3. Name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility, as prescribed by R9-5-301(B)(1); 4. Schedule of child care services fees and policy for refunding fees as prescribed by A.R.S. § 36-882(P); 5. Breakfast, lunch, dinner, and snack menus for each calendar week at the beginning of the calendar week; 6. Notice of the presence of any communicable disease or infestation listed in 9 A.A.C. 6, Article 2, Table 2, from the date of discovery through the incubation period of the communicable disease or infestation; 7. Notice of the Department’s intent to deny, revoke, or suspend as prescribed by A.R.S. § 36-888 at the expiration of time in the notice for the licensee to respond; 8. Notice of an intermediate sanction imposed as prescribed by A.R.S. § 36-891.01 within 10 calendar days after the licensee received notice of the intermediate sanction; 9. Notice of a legal injunction imposed as prescribed by A.R.S. § 36-886.01 when the licensee receives the legal injunction; and 10. Notice of the availability of facility inspection reports for public viewing at the facility premises.

“Findings: Based on Compliance Officer #1's observation, the main posting area lacked a notice of the availability of facility inspection reports for public viewing at the facility premises. ***Previously cited 4/25/2022”

AAC R9-5-301.G. G. A licensee shall ensure that a staff member who has current training in first aid and CPR, as required by R9-5-403(E), is present: 1. At all times during hours of operation on facility premises, 2. On field trips, and 3. While transporting enrolled children in a facility’s motor vehicle or a vehicle designated by the licensee to transport enrolled children.

“Findings: Based on facility documentation, Compliance Officer #1's observations, and staff statement, Staff #7 transports enrolled children as a vehicle driver and did not have current CPR/First Aid. The cards in the file expired 3/2023. Staff stated Staff #7 is one of the vehicle drivers.”

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 the Compliance Officers' observation of 7 staff files, the file for Staff #4 (start date 1/30/2024) lacked documentation of a negative Mantoux skin test administered within 12 months before the starting date of employment or documentation of freedom from infectious active tuberculosis. Staff #5's (start date 11/28/2023) file lacked the date the TB test was read. ***Previously cited 10/17/2023”

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 on facility documentation and the Compliance Officers' observations of 7 staff files, Staff #1 lacked the DCS submittal requirements.”

AAC R9-5-203.E. E. If a staff member possesses a fingerprint clearance card that was issued before the staff member became a staff member at the facility, a licensee shall:1. Contact the Department of Public Safety before the individual becomes a staff member to determine whether the fingerprint clearance card is valid; and 2. Document this determination, including the name of the staff member, the date of contact with the Department of Public Safety, and whether the fingerprint clearance card is valid.

“Findings: Based on facility documentation and Compliance Officer #1's observations of 7 staff files, Staff #6's (start date 6/19/2023) fingerprint clearance card was not determined to be valid prior to the starting date of employment. The card was validated on 12/12/2023.”

AAC R9-5-203.C. C. Except as provided in A.R.S. § 41-1758.03, a licensee shall ensure that each staff member, before starting date of employment or volunteer service, submits to the licensee a copy of the staff member’s valid fingerprint clearance card,front and back, issued under A.R.S. Title 41, Chapter 12, Article 3.1.

“Findings: Based on documentation and Compliance Officer #2's observation, Staff #2's file lacked documentation of the front and back side of their fingerprint clearance card.”

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

“Findings: Based on facility documentation and Compliance Officer #2's observations of 7 staff files, Staff #1 and Staff #2's files lacked a Criminal History Affidavit. Staff #3's file lacked a signature/date on the Criminal History Affidavit.”

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 following was not maintained in a clean condition: Room 2A: *There were dark streaks/stains on the wall behind the toilet. * There was sticky tape residue on a tall wooden cabinet. *There were stains and crayon marks on a wooden cubby shelf. Room 2B: * There was dirt and smears on the east purple wall and on the door. Room 3A: *There were dark and discolored stains on the toilet room door. *There was exposed raw wood on the sensory table. Room 3B: There was exposed, raw wood on the edges of the red dollhouse. Room 4A: *There were stains on the south wall. *There was a brown grime build up (easily wiped off with paper towel) around the sink faucets. * There was exposed, raw wood on wooden shelves in all of the classrooms. Room 4B: *There was exposed raw wood on the sensory tables. *There was exposed raw wood on the edges of the red dollhouse. School-age playground: There was exposed raw wood on the sensory table. School-age room: There were smudges of dirt on the east wall. ***Previously cited 5/4/2021, 4/25/2022, 4/5/2023, & 10/17/2023”

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: Per allegation and based on staff statements, staff members failed to document diaper changes for enrolled children. Staff stated: *Sometimes staff forget to log diaper changes. *Sometimes when we go on a break, the staff forget to log the diaper change. *Child #1's parents requested the diaper to be checked every hour.”

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 observations, staff-to-child ratios were not maintained in the following rooms: 4's room: 2:21 at the beginning of the inspection, with two-year-old children present in the room, rather than 3:21 as required. 4’s room prior to 6:57am: 2:20 with one-year-old children present, rather than 4:20 as required.”

AAC R9-5-515.B. B. If an enrolled child exhibits signs of illness or infestation at a facility, a licensee shall ensure that a staff member:1. Immediately separates the enrolled child from other enrolled children, 2. Immediately notifies the enrolled child’s parent by telephone or other expeditious means to arrange for the enrolled child’s removal from the facility, and 3. Maintains documentation of the notification on facility premises for 12 months after the date of the notification.

“Findings: Based on documentation, the Compliance Officer’s observations and staff statement, the illness log was not current. Staff stated they sent a child home on 2/13 & another child home on 2/15/2024 for a tummy bug and it was not documented.”

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 observations, the health, safety and welfare of enrolled children was placed at risk of harm. In the Infant room, a 5 month-old infant was not being directly supervised in tummy time. A staff had 2 infants seated in high chairs eating more than 10 feet away from the infant in tummy time. The staff was seated next to the infants in the high chairs, and was holding an infant.”

AAC R9-5-503.E. E. A licensee shall ensure that the written diaper changing procedure in subsection (D) states that an enrolled child’s diaper is changed as soon as it is soiled, and that a staff member, when diapering:1. Uses a separate washcloth and towel only once for each enrolled child; 2. Washes and dries the enrolled child using the enrolled child’s individual personal products labeled with the enrolled child’s name; 3. Uses single-use non-porous gloves; 4. Washes the staff member’s own hands with soap and running water between 86° F and 110° F before and after each diaper change; 5. Washes each enrolled child’s hands with soap and running water between 86° F and 110° F after each diaper change; 6. Cleans, sanitizes, and dries the diaper changing surface following each diaper change; and 7. Uses single-use paper towels from a dispenser to dry the diaper changing surface or the hands of the enrolled child or staff member.

“Findings: Per allegation and based on the Compliance Officer's observations, a staff was observed changing a child’s diaper, placed the child in a crib, then grabbed another child from a parent dropping the infant off. The staff failed to wash the child’s hands and wash their own hands at the completion of the diaper change. In the Infant room, the written diaper log and/or tablet revealed the following: On 2/20/2024, the following was documented: * Child #2's last documented diaper change was at 3:30 and the child was signed out of the facility at 5:50. *Child #4's diaper was changed at 11, the child woke up at 1:23 and the next diaper change was documented at 3:21pm. * Child #5's diaper was changed at 12:35, the child woke up at 2:00 and was changed at 3:21. On 2/21/2024, Child #1's diaper was not changed from 9:49 - 12:12 on 2/21/2024, and from 7:58 - 10:35. On 2/22/2024, Child #1 napped from 8:47 - 10:50 & 1:25 - 2:09. The child had not been changed from 11:48 - 2:12. On 2/23/2024, Child #1 napped from 11:44 - 1:05. Diaper changes were not documented from 7:58 - 10:35, and from 2:10 - 3:47. The child was signed out of the facility at 3:47pm.”

AAC R9-5-208.B. B. At least 30 calendar days before the date of an intended change in a facility’s service classification, space utilization, or licensed capacity, a licensee shall submit a written request for approval of the intended change to the Department that includes:1. The licensee’s name; 2. The facility’s name, street address, city, state, zip code, mailing address, and telephone number; 3. The name, telephone number, and fax number of a point of contact for the request; 4. The facility’s license number; 5. The type of change intended: a. Service classification, b. Space utilization, or c. Licensed capacity; 6. A narrative description of the intended change; and 7. The following additional information, as applicable: a. If the intended change affects individual rooms, the following information about each affected activity area, as applicable: i. Identification of the activity area, ii. Current and intended square footage, iii. Current and intended operating hours, iv. Current and intended service classification, v. Current and intended licensed capacity, and vi. Whether the activity area has or will have a diaper changing area; b. If the intended change is to increase licensed capacity, the square footage of the outdoor activity area; and c. If the intended change includes an alteration or addition to the physical plant of a licensed facility, the following, as applicable: i. If the facility is not located in a public school or if providing child care services to infants, one-year-old children, or two-year-old children in a facility located in a public school, the information required in R9-5-201(A)(5)(g) and (A)(5)(h) showing the intended change; or ii. If the facility is located in a public school and provides child care only for three-year-old, four-year-old, or five-year-old, or school-age children, a set of final construction drawings or a school map, including the information required in R9-5-201(5)(j) showing the intended change.

“Findings: Based on the Compliance Officer's (CO) observation, when the CO arrived, there was a school-age child hanging out at the front desk in the entry area. The front desk is not approved licensed space.”

AAC R9-5-501.A.4. A. A licensee shall ensure that: 4. An enrolled child is placed in an age-appropriate or developmentally-appropriate group;

“Findings: Based on documentation, the Compliance Officer's observations and staff statement, in the 4's room there were 21 children ages 2 through school-age, rather than children being placed in an age-appropriate or developmentally-appropriate group. Prior to 6:57am, there were 20 children ages 1 and up in the 4's room. Staff stated they were short-staffed this morning.”

AAC R9-5-502.A.5.a. A. A licensee providing child care services for infants shall:5. Develop, document, and implement tummy time policies and procedures that: a. Provide an opportunity for a non-crawling infant to experience tummy time each day: i. While the infant is awake, and ii. On the infant’s stomach;

“Findings: Based on staff statement, tummy time was not being documented for infants.”

AAC R9-5-601.4. A licensee shall comply with the following physical plant requirements:4. Except as provided in subsection (5), when providing child care services for infants or children who require diapering, a diaper changing area that meets the requirements in R9-5-503 is available in each infant room or indoor activity area used by an enrolled infant or child who wears diapers or disposable training pants;

“Findings: Based on the Compliance Officer's observation, there were children ages 1 through school-age in the 4’s room. The 4’s room is not equipped with a diaper changing area.”

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's observation, in the Infant room there was a 5 month-old infant in tummy time with soft products on the floor within reach of the infant.”

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 (COs) observations, in the Infant room children were not being supervised at all times. There were 2 infants eating while seated in high chairs that were facing south. One staff was changing a child's diaper, and the diaper changing table is located behind and to the left of the high chairs where the 2 infants were seated. The other staff was seated in a chair holding and feeding an infant on the north side of the diaper changing table. The 2 staff in the room were not able to supervise the infants eating in the high chairs.”

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, in the 4's room, the staff to child ratio was 1:17, with a required ratio of 2:17.”

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, it was determined that Staff #1 was a teacher caregiver in the 4's room at the time of the inspection. Staff #1 was not qualified as a teacher caregiver because their file lacked documentation of .5 months of child care experience.”

AAC R9-5-308.A. A. A licensee shall secure and maintain the following minimum insurance coverage: 1. General facility liability insurance of at least $300,000; and 2. Motor vehicle insurance coverage, required by A.R.S. Title 28, Chapter 9, Article 4, for each motor vehicle provided by a licensee to transport enrolled children.

“Findings: Based on facility documentation in enrolled children's files and the Compliance Officer's observation, the Licensee had a waiver included in the enrollment packet that parents complete online. Insurance Liability waivers are not acceptable.”

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 2’s room, there were 10 children present and 10 children were listed on the roster. 2 of the children listed on the roster were not accurately reflected on the roster. 1 child was in the room next door (and was still marked on the roster as present and 1 child that was marked off the roster had returned back to the room.)”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, it was determined that Staff #1 was a teacher caregiver alone with a group of children in the 4's room at the time of the inspection. Staff #1 was not qualified as a teacher-caregiver and was not supervised by a qualified staff member.”

AAC R9-5-510.C. C. A licensee may allow a staff member to separate an enrolled child from other enrolled children for unacceptable age appropriate behavior. 1. The separation period shall be for no longer than three minutes after the enrolled child has regained control or composure. 2. A staff member shall not allow an enrolled child to be separated for longer than 10 minutes without the staff member interacting with the enrolled child.

“Findings: Based on staff statements, a staff member separated an enrolled child from other enrolled children for unacceptable age appropriate behavior for longer than three minutes after the enrolled child has regained control or composure. Staff stated the following: *A two-year-old child was seated alone at a table without staff interaction for approximately 10 minutes. *Staff #2 did not engage with the child until a staff confronted Staff #2.”

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 staff statements, staff failed to supervise enrolled children at all times. Staff stated: *Staff #2 would fall asleep standing up with children present in the 2's room. *Staff #2 would fall asleep for a few seconds and up to a 5 minutes, even while changing a child's diaper. *We would make a loud noise to wake Staff #2 up.”

AAC R9-5-501.A.12. A. A licensee shall ensure that: 12. The facility premises, including the buildings, are maintained free from hazards;

“Findings: Based on the Compliance Officer's observation, in the 1's room, there was peeling blue paint by the entry door and on other walls in the room, accessible to enrolled children.”

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 staff statements, a staff member failed to teach, model and encourage orderly conduct, personal control, and age-appropriate behavior. Staff stated the following: *Staff #2 would make the children sit longer on the toilet than they needed to. *Staff #2 would "yell" at the children if they had a potty "accident". *Sometimes it appeared that the children got "shooken up or scared". *You could tell the difference if a child went to the room with Staff #2 or to another room with a different teacher. *Some of the kids would cry at drop-off and would kick their feet so they wouldn't have to go in the room with Staff #2. *Staff #2 was very strict with the kids. *Staff #2 would often degrade the children. *If a child had a potty accident, Staff #2 would make them feel like it was their fault and make comments such as "you are a big (boy or girl) and you are acting like a baby, do you need to go to the baby room? *Staff #2 used a stern voice and shamed the children. *A child was standing in the restroom with their diaper off. The child had a BM on the floor and on a chair. Staff #2 was "really mad" and made the child sit in the soiled chair for a couple of minutes. *Staff #2 was like a drill sergeant, and used an aggressive and firm voice to make the kids feel bad.”

AAC R9-5-301.A. A licensee shall: 1. Designate a facility director who acts on behalf of the licensee and is responsible for the daily on-site operation of a facility; 2. Submit the name of the designated facility director in writing to the Department before a license is issued; 3. Except as provided in subsection (A)(4), within 10 calendar days before changing a facility director, submit written notice of the change including the new designated facility director’s name and starting date; 4. If the licensee is not aware of a change in the facility director 10 calendar days before the effective date of the change, submit written notice of the change to the Department including the new designated facility director’s name and starting date within 72 hours after becoming aware of the change.

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that the licensee did not notify the department in writing within the required time frame of a change in the facility's director.”

AAC R9-5-402.A. A. A licensee shall maintain a file for each staff member containing: 1. The staff member’s name, date of birth, home address, and telephone number; 2. The staff member’s starting date of employment or volunteer service; 3. The staff member’s ending date of employment or volunteer service, if applicable; 4. The name and telephone number of an individual to be notified in case of an emergency; 5. The staff member’s written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis; 6. The form required in A.R.S. § 36-883.02(C); 7. Documents required by R9-5-203; 8. Documents required by R9-5-301; 9. Documents required by R9-5-401, if applicable; 10. If applicable: a. The form required in A.R.S. § 8-804(I), b. Documentation of the submission required in A.R.S. § 8-804 and the information received as a result of the submission, and c. Documentation of training provided by a licensee as required by R9-5-403, if applicable; 11. A copy of any current license or certification required by A.R.S. Title 36, Chapter 7.1, Article 1. or this Chapter; and 12. Documentation of the requirements in A.R.S. § 36-883.02(D).

“Findings: Based on facility documentation and Compliance Officer #1’s observations, it was determined that the files for Staff #1 and Staff #3 lacked documentation of 2 of the required 2 good-faith effort professional references.”

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 Compliance Officer #2's observation, it was determined that the roster in 3A's classroom did not reflect the number of children present (7 children present, 6 children listed on the roster).”

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 #1’s observation, it was determined that the Mantoux skin test for Staff #3 was not administered on or before the starting date of employment (DOE- 07/11/2023, date of TB test- 07/12/2023).”

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 observation, it was determined that 1 out of 7 staff files reviewed lacked the required training documentation: Staff #1: 1 of the required 18 hours of annual training for the time period of 12/31/2021-12/31/2022.”

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 facility documentation and Compliance Officer #2’s observation, the ratio in the T2A classroom was 1:10 instead of 2:10 as required for 2-year-old 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 #2's observation, in the T2A classroom, there were children seated and unsupervised by the back door while 1 staff prepared an incident report and 1 staff was working with another child.”

AAC R9-5-509.C.18. C. A licensee shall ensure that: 18. A staff member: a. Prepares a weekly menu at least one week in advance, b. Includes on the menu the specific foods to be served on each day, c. Dates each menu, d. Posts each menu at least one day before the first meal on the menu will be served, and e. Writes food substitutions on a posted menu no later than the morning of the day of meal service;

“Findings: Based on facility documentation and Compliance Officer #2's observations, the posted menu documented Crispy Rice to be served to the enrolled children. The enrolled children received KIX cereal for breakfast. The substitution was not posted on the menu.”

AAC R9-5-510.A.1. A. A licensee shall ensure that a staff member: 1. Defines and maintains consistent and reasonable guidelines and limitations for an enrolled child’s behavior;

“Findings: Per allegations and based on Compliance Officer (CO) #2’s observation and Staff statements, a staff member in T2B was heard loudly and aggressively stating "WHAT" at an enrolled child in the toilet room (the enrolled child called the staff member 3 times to tell them they had pooped). When the staff walked over to check on the enrolled child, the staff started to aggressively ask "WHY, then quickly changed their tone after seeing the CO sitting in T2A classroom observing. Staff finished asking "Why did you get poop on the floor?" in a less aggressive and loud tone. Staff stated: *One of the staff's voices is loud. *I can hear a staff's voice when the door is closed. It is an eye-raising and aggressive tone.”

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 #2's observation, in T2A, staff were not modeling appropriate behavior to an enrolled child when the child had bitten another student. Staff were not observed communicating with the child or modeling how to appropriately interact with other children.”

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 Officer #2’s observation, in T2A classroom, an enrolled child bit another enrolled child. The child was seated at a table away from their peers. The enrolled child was told "NO more biting people" before being allowed to interact with the other children.”

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 and staff statement, in the Preschool Classroom, there was a musky odor. Staff stated that the air conditioner was not working.”

AAC R9-5-203.F F. A licensee shall ensure that each staff member submits to the licensee a copy of the staff member’s valid: 1. Background check document issued under A.R.S. § 46-811(A) within 10 working days after starting date of employment or volunteer service; and 2. Background check document each time a background check is issued or renewed every five years.

“Findings: Based on facility documentation and Compliance Officer #1's observations, it was determined that the file for Staff #1 and Staff #4 lacked documentation of a background check submittal. Staff #3 lacked documentation of a background check in their file.”

AAC R9-5-517.A.1. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall: 1. Obtain dated, written permission from the enrolled child’s parent before the licensee transports the enrolled child;

“Findings: Per allegation and based on facility documentation, staff statements and the Compliance Officers' observation, Child #1 was left at a school until 3:51pm. (School was released at 3:15pm.) The school called to inform the facility that the child needed to be picked up. The child stayed with school staff until the facility picked the child up. Staff stated: *There has been a child left at a school, and the school called and we went to pick up the child that was left. *The first day of school a student was left at a school. The school called around 3:20pm and said there was a child that needed to be picked up from us. We went back to pick up the child and the child was in the office with a front duty aid.”

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 the Compliance Officers' observation, in Preschool C, there was a portable a/c unit, accessible to enrolled children.”

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 Compliance Officer #1’s observation, it was determined that Staff #1 was the director designee. Staff #1 was not qualified as the director designee because the staff file lacked documentation of 30 hours of Early Childhood Education.”