Sunrise Preschools #139

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 the Compliance Officer's observation, the files for Staff #1 (DOE 8/13/2024) lacked documentation of a negative TB test.”

AAC R9-5-301.H. H. A licensee shall prohibit the use or possession of the following items when an enrolled child is on facility premises, during hours of operation, or in any motor vehicle used for transporting an enrolled child:1. Any beverage containing alcohol; 2. A controlled substance as listed in A.R.S. Title 36, Chapter 27, Article 2, except where used as a prescription medication in the manner prescribed; 3. A dangerous drug as defined in A.R.S. § 13-3401, except where used as a prescription medication in the manner prescribed; 4. A prescription medication as defined in A.R.S. § 32-1901, except where used in the manner prescribed; or 5. A firearm as defined in A.R.S. § 13-105.

“Findings: Per allegation and based on the Compliance Officer's observation and staff statement, a staff member smoked an electronic vape in the facility bathroom. Staff stated: *I have heard about vaping in the bathroom. *(Staff) had a verbal conversation with the staff about vaping.”

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 observation, the following rosters did not accurately reflect the number of children present in the activity area: Infants: 2 children were present, and 0 were marked on the roster; 1's/2's: 14 children were present, and 4 were marked on the roster; and Pre-K: 12 children were present, and 10 were marked on the roster.”

AAC R9-5-404.C.3. C. A licensee shall ensure that:3. When six or more enrolled children are present in a facility, an infant is not placed for supervision with a child who is not an infant.

“Findings: Based on the Compliance Officer's observation, an infant was placed in the 1's/2's room. Per staff statement, Child #1 was unable to walk across the room unassisted. The child stood up, walked a few steps, fell, and began to crawl.”

AAC R9-5-501.C.2. C. A licensee shall ensure that a staff member:2. Does not smoke or use tobacco: a. On facility premises, except in designated areas separated from the children; or b. On a field trip or when transporting an enrolled child;

“Findings: Based on the Compliance Officer's observation and staff statement, a staff member smoked an electronic vape in the facility bathroom. Staff stated: *I have heard about vaping in the bathroom. *(Staff) had a verbal conversation with the staff about vaping.”

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 facility documentation and the Compliance Officer's observation, it was determined that 2 of 4 staff files lacked written documentation that the dates the fingerprint clearance cards were verified through the DPS website were before the dates of hire.”

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

“Findings: Based on the facility documentation and the Compliance Officer's observation, 3 out of 20 enrolled children's Emergency, Information, and Immunization Record cards reviewed lacked the following required information: Child #1 and Child #3: The name of the individual to be contacted in case of injury or sudden illness of the child. Child #2: The name, date, and signature of the enrolling parent.”

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, the following hazards were accessible to enrolled children: *In the Pre-K classroom, there was a 6x3" area of peeling paint with exposed drywall and an exposed screw on the back wall. *In the 1's classroom, there were two 2x2" areas of peeling paint with exposed drywall on the wall near the back door. *In the Infant room, there was a broken tile with rough edges on a shelf behind a crib accessible to enrolled children.”

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 the Compliance Officer's observation, the written dietary instructions lacked the following information: Child #4: How much formula and how often the infant is to be fed.”

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 facility documentation and the Compliance Officer's observation, the written dietary instructions were not posted in the kitchen.”

AAC R9-5-503.A.1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:1. A nonabsorbent, sanitizable diaper changing surface that is: a. Seamless and smooth, and b. Kept clear of items not required for diaper changing;

“Findings: Based on the Compliance Officer's observation, in the 1's classroom, the diaper changing surface was not smooth; there were several small chips/divots on the table surface. In the 2's classroom, there was a long crack in the caulk along the inside of the diaper changing ledge.”

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

“Findings: Based on the Compliance Officer's observation, in the 2's classroom, the water at the diaper changing sink was 74°F rather than 86° F to 110° F as required.”

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 observation, in the Pre-K classroom and the School-Age classroom, there were toilets that were not flushed with a dark substance in the toilet bowl.”

AAC R9-5-518.A.2. A. A licensee providing a field trip for an enrolled child shall:2. Prepare a written field trip plan including: a. The name of each participating enrolled child, staff member, and other individuals on the field trip; b. The times of departure from and return to the facility; c. If applicable, license plate number of any motor vehicle used on the field trip; and d. The name, street address, and telephone number, if any, of the field trip destination; and

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the prepared written field trip plans reviewed lacked the license plate number of the motor vehicle used on the field trips.”

AAC R9-5-518.C. C. A staff member shall verify the presence of each enrolled child and place a checkmark next to the enrolled child’s name on the list required in subsection (B)(3) for each enrolled child who is present at the following times:1. At the beginning of the field trip or when boarding the motor vehicle, 2. Upon arrival and each hour while at the field trip destination, 3. When preparing to leave the field trip destination or when boarding the motor vehicle to return to the facility, and 4. When reentering the facility at the conclusion of the field trip.

“Findings: Based on facility documentation and the Compliance Officer's observation, the prepared written field trip plans reviewed lacked documentation of a checkmark system confirming the attendance of enrolled children throughout the field trip and upon return to the facility.”

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

“Findings: Based on the Compliance Officer's observation, in the outdoor activity area, the following hazards were observed: 1's playground: *There was a 4 3/4" gap from the base of the fence to the ground on the South side. Cinderblock wall surrounding all playgrounds: *There are several areas of peeling/buckling paint with rough, crumbled, raw cinderblock accessible to enrolled children, the largest area of peeling paint measures 8x7" wide.”

AAC R9-5-510.B.1. B. A licensee shall ensure that a staff member does not use or permit: 1. A method of discipline that could cause harm to the health, safety, or welfare of an enrolled child;

“Findings: Per allegation and based on written staff statements, staff interview, and police report findings, Staff #1 used a method of discipline that could cause harm to the health, safety, or welfare of an enrolled child when Staff #1 slapped a child in the face. **Staff statement - "(Child) was kicking and screaming at (Staff #1), while (Staff #1) tried to talk to (child) at their level. (Child) scratched (Staff #1) and slapped (Staff #1) across the face, and (Staff #1's) glasses fell off. (Staff #1's) reaction was to slap (child) back. (Staff #1) said, OMG, I can't believe I just did that." **Staff interview - "(Staff #1) was slapped by (child). (Staff #1) reacted and hit back on (child's) cheek. **Police report - ---"On March 25, 2024, a daycare worker, (Staff #1), at the Sunrise Preschools located at 1114 Westw Elliot Road slapped a three-year-old juvenile student victim. " ---"Based off the observed body movements (video), it is likely the juvenile victim was hit by (Staff #1) in some fashion. " ---"At about 0830 hours, (child) needed their pull-up to be changed but there is no changing table in the 3-year-old classroom the (child) was asked to go to the 2-year-old classroom to get changed. (Child) was said to be hitting and kicking (Staff #1) as (Staff #1) tried to get (child) to go continue walking from one classroom to the other. (Staff #1) bent down to ask (child) to cooperate and was slapped by (child) in the face knocking (Staff #1's) glasses from (Staff #1's) face. (Staff #1) immediately slapped (child) on the mouth or cheek in direct response to the slap by (child).”

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: Per allegation and based on written staff statements, staff interview, and police report findings, Staff #1 failed to teach, model, and encourage orderly conduct, personal control, and age-appropriate behavior when Staff #1 slapped a child in the face. **Staff statement - "(Child) was kicking and screaming at (Staff #1), while (Staff #1) tried to talk to (child) at their level. (Child) scratched (Staff #1) and slapped (Staff #1) across the face, and (Staff #1's) glasses fell off. (Staff #1's) reaction was to slap (child) back. (Staff #1) said, OMG, I can't believe I just did that." ***Staff interview - "teacher hit the child"; (Staff #1) "slapped right back on cheek" ***Police Report - ---"On March 25, 2024 at approximately 0830 hours a daycare worker, (Staff #1), at the Sunrise Preschools located at 1114 West Elliot Road slapped a ... juvenile student." ---"In the interview with (Staff), (Staff) tells Officer that "it happened. (Staff) describes (Staff #1) slapping (child) in response to (child's) hitting (Staff #1)." ---(Staff) told me the hit did happen"”

AAC R9-5-307.2. A licensee shall ensure that the licensee or a staff member documents and reports all suspected or alleged cases of child abuse or neglect.2. The licensee or staff member shall report the suspected or alleged child abuse by a staff member to the Department and to a local law enforcement agency as prescribed in A.R.S. § 13-3620. A licensee or staff member shall also send documentation to the Department and to any law enforcement agency previously notified within three calendar days of the initial report, and maintain documentation of a child abuse report on facility premises for 12 months after the date of a report.

“Findings: Based on Compliance Officers' (CO) and staff interview, the Licensee failed to notify the Department and law enforcement of an incident involving child abuse by a staff member. Staff stated they did not know that the Department or law enforcement had to be notified.”

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 and based on written staff statements, staff interview, and police report findings, the health, safety, or welfare of an enrolled child was placed at risk of harm when Staff #1 slapped a child in the face. **Staff statement - "(Child) was kicking and screaming at (Staff #1), while (Staff #1) tried to talk to (child) at their level. (Child) scratched (Staff #1) and slapped (Staff #1) across the face, and (Staff #1's) glasses fell off. (Staff #1's) reaction was to slap (child) back. (Staff #1) said, OMG, I can't believe I just did that." **Staff interview - "(Staff #1) was slapped by (child). (Staff #1) reacted and hit back on (child's) cheek. **Police report - ---"On March 25, 2024, a daycare worker, (Staff #1), at the Sunrise Preschools located at 1114 Westw Elliot Road slapped a ... juvenile student victim. " ---"Based off the observed body movements (video), it is likely the juvenile victim was hit by (Staff #1) in some fashion. " ---"At about 0830 hours, (child) needed their pull-up to be changed but there is no changing table in the 3-year-old classroom the (child) was asked to go to the 2-year-old classroom to get changed. (Child) was said to be hitting and kicking (Staff #1) as (Staff #1) tried to get (child) to go continue walking from one classroom to the other. (Staff #1) bent down to ask (child) to cooperate and was slapped by (child) in the face knocking (Staff #1's) glasses from (Staff #1's) face. (Staff #1) immediately slapped (child) on the mouth or cheek in direct response to the slap by (child)."”

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 CO's observations, the following diaper changing surfaces were not seamless and smooth: **Infants - Caulking at the back of the sink separating from the backsplash; sideboard chipped exposing 1" x 1" of exposed particle board **1's - Caulking cracked and multiple small chips on the diaper changing surface **2's - Caulking around the surface perimeter cracked and separating at the back and side”

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 CO's observations the following areas were not maintained in a clean condition: **Infants - Calcium and dirt build-up around the fixture at the diaper changing sink. **Outdoor area (southwest) - Play shopping carts with heavy dirt build-up”

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 CO's observations, the following toilet rooms were not maintained in a clean and sanitary condition: **2's - Toilet seat with heavy, deep scratches on the top **3's - Toilet seat caps missing exposing a rust-colored build-up inside/around the exposed plastic screw caps; chipped and scratched toilet seat lid and seat.”

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 CO's observations, the vehicle (Lic#CK19337) used to transport enrolled children had a 3" x 2" tear in a vinyl seat at the buckle, and a 2" tear at the corner seam of a seat.”

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

“Findings: Based on Compliance Officer's (CO) observations, the Pre-K room was not kept free from hazards, accessible to enrolled children: **2 areas (6" x 6"; 3" x 3") of peeling and flaking paint near the baseboards on the north and east walls **Area rug unraveling along one edge”

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 CO's observations, on the Toddler playground on the side of the tree climber, there was a foam raccoon face that was cracking and flaking, accessible to enrolled children.”