Sunrise Preschools #144

AAC R9-5-514. D. D. A licensee shall post, near an activity area or a room's designated exit, a building evacuation plan that details the designated exits from the activity area or room and the facility.

“Findings: Based on the Compliance Officer's observation and review of facility documentation, it was determined that the evacuation plan was not posted by the designated exit in the 3's classroom.”

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, it was determined that there was a green soft ball next to the diaper handwashing sink in the Infant classroom.”

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, it was determined that the following areas of the Pre-K playground were not maintained free from hazards that were accessible to the enrolled children: *Three cinder blocks on the east wall of the playground were broken and flaky causing the surface to crumble. *There was splintering wood and the surface was rough to the touch on the wooden fence gate along the north side of the playground.”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings:1. In a clean condition, and 2. Free from odor.

“Findings: Based on the Compliance Officer's observation, it was determined that there were 3 unflushed toilets with urine in the toilet bowls in 3’s restroom.”

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 the Compliance Officer's observation and review of facility documentation, it was determined that the file for Staff #1 (start date: 4/22/2025) lacked a direct service position form.”

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 the Compliance Officer's observation and review of facility documentation, it was determined that 6 out of 20 reviewed attendance records were incomplete and lacked the following required information: Child #1: A release time and signature for 5/1/2025. Child #2: A release signature for 5/2/2025. Child #3: An admission time and signature for 5/5/2025. Child #4: An admission time and signature for 5/2/2025. Child #5 and Child #6: A release time and signature for 5/2/2025.”

AAC R9-5-503.B. B. A licensee shall ensure that a staff member does not:1. Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area; 2. Draw water for human consumption from a diaper changing area sink; or 3. Except as provided in subsection (C), if responsible for food preparation, change diapers until food preparation duties have been completed for the day.

“Findings: Based on the Compliance Officer's observation, it was determined that there was a green sippy cup in the diaper handwashing sink in the 1's classroom.”

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, it was determined that the water temperature in the diaper handwashing sink in the Infant classroom was 114° F, and 120° F in the 2's classroom.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Findings: Based on the Compliance Officer's observation, it was determined that drinking water was not accessible to the enrolled children on the preschool playground.”

AAC R9-5-501.C.3. C. A licensee shall ensure that a staff member:3. Except for an enrolled child who can change the enrolled child’s own clothing, changes an enrolled child’s clothing when wet or soiled;

“Findings: Based on the Compliance Officer's observations, upon entering the Intermediate B Classroom, the Compliance Officer noticed an enrolled child laying on their naptime cot with wet soiled clothing. The CO left the classroom and returned 15 minutes later, noticing the same child still laying on their naptime cot with wet soiled clothing. Approximately 15 minutes later, the child was getting picked up and was changed at that time prior to leaving.”

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 facility documentation, staff statements, and the Compliance Officer’s observation, enrolled children's soiled diapers are not being changed as soon as they are soiled. Documentation: *The 4/14/25-4/16/25 diaper changing logs do not reflect diaper changes for an enrolled child who wears disposable training pants. Staff Stated: *Sometimes it is hard to get them to the other room if we do not have enough staff.”

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

“Findings: Based on the Compliance Officers' observations, the 3's Classroom lacked a diaper changing log as required.”

AAC R9-5-605.B.1. B. A licensee shall ensure that:1. All designated exits, corridors, and passageways that provide escape from the building are unobstructed and unlocked during hours of operation;

“Findings: Based on the Compliance Officer’s observation, in the Intermediate B Classroom, a child asleep on a nap cot was in front of a designated exit that provides escape from the building.”

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: Per allegation and based on staff statements and the Compliance Officer’s observation, there were children with disposable training pants in the Intermediate B Classroom and this room is not Department-approved for diapering. The enrolled children were being changed in the classroom toilet room or taken to a classroom that was approved for diapering when staffing allowed. Staff Stated: *There is no diaper log, just a sticky note that is given to Director. *Sometimes it is hard to get them to the other room if we do not have enough staff.”

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 the Compliance Officer’s observation, the ratio in the Playground was 0:2 instead of 1:2 when children entered the toddler playground unsupervised and alone.”

AAC R9-5-507.A.2. A. A licensee providing child care services for a child with special needs shall:2. If an enrolled child with special needs does not have an existing individualized plan, obtain from the enrolled child’s parent written instructions for providing services to the enrolled child until a written individualized plan required in subsection (A)(1) is developed by a team consisting of staff members, the enrolled child’s parent, and health care providers that is completed within 30 calendar days after the enrolled child’s initial date of receiving child care services;

“Findings: Based on staff statements, facility documentation and the Compliance Officers’ observations, the Licensee lacked documentation of an Individual Plan or Individual Education Plan for 3 children. Staff stated they did not have documentation to review and implement when providing services for 3 enrolled children over the age of 3 that were wearing disposable diapers.”

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

“Findings: Based on the Compliance Officer’s observation, in Intermediate B Classroom, 3 of the occupied mats were spaced 2-6 inches apart rather than the required 18 inches between rows 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 3's Classroom and on the Playground, the receptacle used for water and food waste lacked a lid. On the Playground, there was a full bag of garbage next to the water fountain and children were playing in the area.”

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

“Findings: Based on the Compliance Officer's observations, children were unsupervised during the following: When a child was standing on a small step stool, playing in the water fountain unsupervised by staff on the playground. When Staff were observed retrieving 2 kids from the toddler playground where a staff member stated there was no class on that side. When a child was observed running to the toddler playground to retrieve a ball alone and unsupervised.”

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;

“Per Allegation findings: Based on Compliance Officer's observation and information provided by the staff, when children are misbehaving in the classroom a staff member has been witnessed saying to children "I'm not afraid of your parents" and that "I don't care" when told it sounds threatening to enrolled children.”

AAC R9-5-501.A.14. A. A licensee shall ensure that: 14. Temperatures are maintained between 68° F and 82° F in each room used by enrolled children;

“Findings: Based on Compliance Officer's observation, the temperature on the thermostat in the 1’s classroom registered as 65 degrees F.”

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

“Findings: Based on the Compliance Officers' observations and review of facility documentation, it was determined that the roster was not accurate in the 2's classroom. There were 8 children present in the classroom but the roster reflected the presence of 11 children.”

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 Compliance Officers' observations and review of facility documentation, it was determined that Staff #1 (start date: 8/20/2024) lacked the experience to qualify the staff as a teacher-caregiver. The staff was working in the school-age classroom as a teacher-caregiver.”

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 and review of facility documentation, it was determined that there was a 7" X 8" hole in the wall exposing the insulation and the dry wall on the east side of the school-age classroom.”

AAC R9-5-501.C.5. C. A licensee shall ensure that a staff member:5. Except as provided in subsection (D), prepares and posts a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Findings: Based on the Compliance Officers' observations and review of facility documentation, it was determined that the lesson plan posted in the school-age classroom was dated for the week of 12/20/2024-1/3/2025.”

AAC R9-5-605.B.16. B. A licensee shall ensure that:16. The fire extinguisher required in subsection (A): a. Is serviced at least once every 12 months; and b. Has a tag attached to the fire extinguisher that specifies the date of the last servicing and the identification of the person who serviced the fire extinguisher; and

“Findings: Based on the Compliance Officers' observations and review of facility documentation, it was determined that the tag on the fire extinguisher in the hallway was dated June 2023.”

AAC R9-5-605.B.1. B. A licensee shall ensure that:1. All designated exits, corridors, and passageways that provide escape from the building are unobstructed and unlocked during hours of operation;

“Findings: Based on the Compliance Officer's observations, in the 2's and 1's room, the exit doors were locked. Previously cited on 1/31/24 and 10/24/23.”

AAC R9-5-512.D. D. A licensee shall ensure that toilet bowls, lavatory fixtures, and floors in toilet rooms and kitchens are cleaned and sanitized as often as necessary to maintain them in a clean and sanitized condition or at least once every 24 hours.

“Findings: Based on the Compliance Officer's observations, in the 3's bathroom, the 1st toilet had brown smudges and, a dry and wet yellow substance on the toilet seat.”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings:1. In a clean condition, and 2. Free from odor.

“Findings: Based on the Compliance Officer's observations, on the Preschool playground, there was trash debris throughout the playground. In the School-age room, there was dirt and debris on the window sill. Previously cited on 11/6/23, 10/24/23, 5/22/23, and 5/23/2022”

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

“Findings: Based on the Compliance Officer's observations, in the Preschool (3's) bathroom, the sink's caulking was cracking causing the sink to detach from the wall and become wobbly. In the 2's bathroom, the middle sink caulking was cracking causing the sink to detach from the wall and become wobbly. In Toddler 2A (1's), there was a charger plug into the wall causing the cord to dangle 4 feet down the wall, accessible to the enrolled children. The metal part of the ceiling tile was detaching from the ceiling and hanging down. Previously cited 1/31/24, 11/6/23, 10/24/23, 5/22/23, 5/23/22, 9/10/21 and 5/18/21.”

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 Bureau Chief's observations, 7 of 25 children's attendance records reviewed lacked the following: Child #1: An admission time and signature for 5/2/24. Child #2: A release time and signature for 5/1/24. Child #3: A release time and signature for 5/13/24. Child #4: A release time and signature for 5/2/24 and 5/3/24. Child #5 and Child #7: An admission time and signature for 5/1/24, 5/2/24 and 5/3/24. Child #6: An admission time and signature for 5/1/24. Previously cited on 6/29/23, 6/7/23, 5/22/23, 5/18/2021 and 9/10/2021”

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

“Findings: Based on facility documentation and the Bureau Chief's observations, 2 of 25 children's Emergency, Information and Immunization Record cards reviewed lacked the following: Child #8: The date of the child's enrollment. Child #9: The parent's signature, the written instructions of a child’s parent or health care provider for nutritional and dietary needs of the child and 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. Previously cited on 6/29/23, 10/24/23, 5/2/23, 9/10/2021, and 5/18/2021”

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

“Findings: Based on the Compliance Officer's observations, in the Preschool (3's) room, there were 10 cots measuring 9 inches to 11 inches between each cot.”

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 observations, 4 of 8 infant written dietary instructions reviewed lacked the following: Child #10: Written dietary instruction was last updated on 9/25/23. Child #11: Written dietary instruction was last updated on 7/12/23. Child #12: Written dietary instruction was last updated on 7/18/23. Child #13: A written dietary instruction.”

AAC R9-5-501.C.4. C. A licensee shall ensure that a staff member:4. Except as provided in subsection (D), prepares and posts in each indoor activity area, a current schedule of children’s age-appropriate activities, including the times the following are provided: a. Meals and snacks; b. Naps; c. Indoor activities; d. Outdoor or large muscle development activities; e. Quiet and active activities; f. Teacher-directed activities; g. Self-directed activities; h. Activities for individuals, groups of five or fewer children, and groups of six or more children; and i. Activities that develop small muscles;

“Findings: Based on the Compliance Officer's observations, the School-age and Toddler 2A (1's) rooms, lacked a posted daily schedule.”

AAC R9-5-203.G. G. If required by A.R.S. § 8-804, before an individual’s starting date of employment or volunteer service, a licensee shall comply with the submission requirements in A.R.S. § 8-804(C) for the individual.

“Findings: Based on facility documentation and the Bureau Chief's observations, 3 of 4 staff files reviewed lacked the following: Staff #1 (DOE: 4/18/23), Staff #2 (DOE: 4/2/24) and Staff #3 (DOE: 12/5/23): Documentation of the DCS Central Registry submission requirements.”

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

“Findings: Based on facility documentation and the Bureau Chief's observations, 1 of 4 staff files reviewed lacked the following: Staff #4 (DOE: 10/10/23): Documentation of the DCS Central Registry Affidavit and documentation of the DCS Central Registry submission requirements.”

AAC R9-5-501.A.19. A. A licensee shall ensure that:19. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Findings: Based on the Compliance Officer's observations, in the School-age bathroom, there was a toilet brush cleaner next to the toilet. Previously cited 1/31/24”

AAC R9-5-506.3. A licensee providing child care services for school-age children shall:3. Provide age-appropriate toys, materials, and equipment accessible to enrolled children in each activity area in a quantity sufficient to meet the needs of the enrolled children in attendance including: a. Arts and crafts, b. Games, c. Puzzles and toys to enhance manipulative skills, d. Books, e. Science materials, f. Sports equipment, and g. Outdoor play equipment; and

“Findings: Based on staff statement and the Compliance Officers’ observations, the 2’s room lacked age-appropraite toys, materials and equipment for the School-age children in the mornings. The staff state the School-age children are in the 2’s room in the morning before opening all the classrooms.”

AAC R9-5-602.B. B. When computing indoor activity space for subsections (A)(1) through (A)(3) to determine licensed capacity, the floor space occupied by the following shall be excluded:1. The interior walls; 2. A kitchen, bathroom, closet, hallway, stair, entryway, office, a room designated for isolating an enrolled child from other children, storage rooms, and a room designated for the sole use of child care staff; and 3. Room space occupied by teacher-caregiver desks, file cabinets, storage cabinets, and hand-washing sinks for staff use.

“Findings: Based on staff statements and the Compliance Officers' observations, in the morning 4 to 5 enrolled children are coloring at the table in the front lobby. The staff stated that they would have 4 to 5 children sit up front when opening for about 30 minutes before going into the classroom.”

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

“Findings: Based on staff statement and the Compliance Officers’ observations, Child #1 finger got cut and was bleeding, staff were not aware of what happen to the child. Staff stated the following: Child #1 came up to me and their finger was bleeding, I think the child may have smashed the finger in the door. Previously cited on 11/6/23, 6/29/23, 6/7/23, 5/22/23 and 5/23/22.”

AAC R9-5-505. A licensee providing child care services for 3-year-old, 4-year-old, and 5-year-old children shall provide a supply of age appropriate toys, materials, and equipment accessible to enrolled children in each activity area in a quantity sufficient to meet the needs of the enrolled children in attendance including:1. Art supplies, 2. Blocks, 3. Books and posters, 4. Toys and dress-up clothes, 5. Indoor and outdoor equipment to enhance large muscle development, 6. Puzzles and toys to enhance manipulative and categorization skills, 7. Science materials, and 8. Musical instruments.

“Findings: Based on staff statement and the Compliance Officers’ observations, the 2’s room lacked age-appropraite toys, materials and equipment for the 3’s/4’s/5’s children in the mornings. The staff state 3’s/4’s/5’s children are in the 2’s room in the morning before opening all the classrooms.”

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 Supervisor's observations, in the 2's room, the diaper changing sink was clogged and the sink was leaking at the bottom.”

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

“Findings: Based on the Compliance Officer's observations, in the Preschool room, the following hazards were accessible to enrolled children: There were 3 areas of peeling paint with exposed drywall located on the East wall. There was a 6 inch dent/hole at the baseboard with exposed dry wall in the Northeast wall behind the exit door to the outside. There was a 1 1/2 inch dent/hole with exposed dry wall in the North wall behind the exit door to the hall. There was a 2 inch by 2 inch dent/hole on the green wall. There were 2 inch by 2 inch, 3 inch by 3 inch and 4 inch by 4 inch active peeling paint with exposed dry wall on the purple wall. Previously cited 11/6/23, 10/24/23, 5/22/23, 5/23/22, 9/10/21 and 5/18/21.”

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 observations, in the outdoor activity areas, the following hazards were accessible to the enrolled children: Preschool: There was splintering wood with sharp edges at the base of the helicopter. The cooler spout was cracked with exposed sharp plastic edges. There was a cracked blue plastic bucket with sharp edges. There was a cracked green bucket with sharp edges. Intermediate: The green swer lid on the floor was cracked with sharp edges leaving a 2 inch by 2 inch gap in the ground. There was a rake with the head broken off leaving the wood stick with splintery ends. Previously cited on 11/6/23, 10/24/23, 5/22/23 and 5/18/23.”

AAC R9-5-501.A.19. A. A licensee shall ensure that:19. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Findings: Based on the Compliance Officer's observations, on the Intermediate playground, there was a paint can on the ground next to the water fountain.”

AAC R9-5-605.B.1. B. A licensee shall ensure that:1. All designated exits, corridors, and passageways that provide escape from the building are unobstructed and unlocked during hours of operation;

“Findings: Based on the Compliance Officer's observations, the exit door to the playground in the hall and the School-age door was locked. Previously cited on 10/24/23.”

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 Supervisor's observations, in the 2's room, there was an unsupervised 2-year-old child in the bathroom with the door closed. Previously cirted on 11/6/23, 6/29/23, 6/7/23, 5/22/23, 5/23/22.”

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 Supervisor's observations, in the 2's room, there was an Ipad, roster and toys on the diaper changing table. Previously cited on 11/6/23, 10/24/23, 5/22/23, 9/10/21, 5/18/21 and 5/19/20.”

AAC R9-5-503.A.3. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and

“Findings: Based on the Compliance Officer Supervisor's observations, in the 2's room, the soiled diaper bin lacked a waterproof liner and a tight fitting lid.”

AAC R9-5-509.C.23. C. A licensee shall ensure that:23. A freezer at the child care facility maintains a temperature of 0° F or below, as shown by a thermometer kept in the freezer at all times; and

“Findings: Based on the Compliance Officer Supervisor's observations, in the Infant room, the freezer lacked a thermometer.”

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

“Findings: Based on the Compliance Officer's observations, in the Preschool room, the staff member said the following in an aggressive tone to the enrolled children: -You get what you get. -Sit, share. -stop that I'm going to take away from you.”

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

“Findings: Based on the Compliance Officer's observations, the following hazards were accessible to enrolled children: In the Two B (2's) room, there were a 3 inch pieces of wall concaved inward making it soft and peeling paint with exposed drywall in the north wall. In the Preschool B (4's) room, there were 3 areas of peeling paint with exposed drywall located on the east wall. In the School-age room, there were areas of peeling paint with exposed drywall on the east and west walls and a 3 inch piece of wall concaved inward making it soft on the west wall. Previously cited 10/24/23, 5/22/23, 5/23/22, 9/10/21 and 5/18/21”

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 observations, in the outdoor activity areas, the following hazards were accessible to enrolled children: 4's: There was splintering wood the sharp edges at the base of the helicopter and all over the sensory table. Intermediate: The cooler spout was cracked with exposed sharp plastic edges. The green sewer lid on the floor was cracked with sharp edges leaving a 2 inch by 2 inch gap in the ground. Toddler: The north part of the play structure was very wobbly and not secured to the ground. Previously cited 10/24/23, 5/22/23 and 5/18/23.”

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, in the School-age bathroom, there was a broken toilet seat cap on the south toilet. The back toilet lid was removed and on the ground next to the south toilet seat. Previously cited 10/24/22.”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings: 1. In a clean condition, and 2. Free from odor.

“Findings: Based on the Compliance Officer's observations, in the School-age bathroom, there were clothes and boxes of diapers being stored in the bathroom. Previously cited 10/24/23, 5/22/23, 5/23/22 and 5/19/20.”

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: Based on the Compliance Officer's observations, in the Two B (2's) room, after changing an enrolled child's diaper, the staff member did not wash the enrolled child's hands before the enrolled child returned to play.”

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

“Findings: Based on the Compliance Officer's observations, in the Toddler 1 (1's) room, there was a towel on the diaper changing sink and dry paint spots on the diaper changing table. In the Two B (2's) room, there were 2 sensory bottles and a paintbrush on the diaper changing sink. Previously cited 10/24/23, 5/22/23, 9/10/21, 5/18/21 and 5/19/20.”

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

“Findings: Based on the Compliance Officer's observations, in the Two B (2's) room, there was an enrolled laying inside a shelf in a cubby, and there was an enrolled child sitting in the kitchen sink. There was an enrolled child standing on top of a table and walking onto a chair and back onto the table and then back on the chair. The staff members were changing diapers or helping other enrolled children and were not aware of any of the situations that were happening.”

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 staff statements and the Compliance Officer's observations, in the Infant room, there was a 1-year-old enrolled child walking and there were more than 6 enrolled children present at the facility. The staff stated the child was 1-year-old and walking well.”

AAC R9-5-605.B.1. B. A licensee shall ensure that: 1. All designated exits, corridors, and passageways that provide escape from the building are unobstructed and unlocked during hours of operation;

“Findings: Based on the Compliance Officer's observations, all classroom exit doors were locked.”

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 staff statement and the Compliance Officer's observations, in the Preschools (4's) bathroom, there was a pull-up in the trash can with no lid. The staff stated there is an enrolled child in a pull-up at nap time.”

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

“Findings: Based on facility documentation and the Compliance Officer Supervisor's observations, 3 of 17 enrolled children's Emergency, Information and Immunization Record cards reviewed lacked the following: Child #1: The name, home address, city, state, zip code, and contact telephone number of the second parent of the child. Child #2: The Child's home phone number. Child #3: The name and contact telephone number of the child's health care provider. Previously cited on 5/22/2023, 9/10/2021, 5/18/2021 and 5/19/2020.”

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

“Findings: Based on the Compliance Officer's observations, the following hazards were accessible to enrolled children: In the Preschool B (4's) Room, there were 3 areas of peeling paint with exposed drywall located on the East wall. In the School-age room, the thermostat was detached from the wall with exposed wires, a ceiling tile broken in half, 2 areas of peeling paint with exposed drywall on the east wall and a 3 inch piece of wall concaved inward making it soft on the west wall. Previously cited on 5/22/2023, 5/23/2022, 9/10/2021 and 5/18/2021”

AAC R9-5-501.C.5. C. A licensee shall ensure that a staff member: 5. Except as provided in subsection (D), prepares and posts a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Findings: Based on facility documentation and the Compliance Officer's observation, in the School-age room, the posted lesson plan was date 10/2/23-10/6/23. Previously cited 5/22/23, 5/23/2023 and 5/18/2021”

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 Supervisor's observations, in the Toddler 1 (1's) room, there was a clipboard and tub on the diaper changing table and cups in the diaper changing sink. In the 2's room, there was a sock, toy, paint dotter and roster on the diaper changing table. Previously cited on 5/22/2023, 9/10/2021, 5/18/2021 and 5/19/2020”

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

“Findings: Based on the Staff Statements and Compliance Officer's Supervisor's observation, in the Toddler 1 (1's) room, the diaper changing sink hot water was not in operation. Staff stated the hot water faucet leaked and was currently turned off. Previously cited on 5/22/23 and 5/19/2020”

AAC R9-5-503.B. B. A licensee shall ensure that a staff member does not: 1. Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area; 2. Draw water for human consumption from a diaper changing area sink; or 3. Except as provided in subsection (C), if responsible for food preparation, change diapers until food preparation duties have been completed for the day.

“Findings: Based on the Compliance Officer Supervisor's observations, in the Toddler 1 (1's) room, there were sippy cups in the diaper changing sink.”

AAC R9-5-512.A. A. A licensee shall maintain facility premises free of insects and vermin.

“Findings: Based on the Compliance Officer's observations, on the 4's playground, there were cobwebs along the south wall and basketball fence. Previously cited 5/22/23 and 9/10/2021”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings: 1. In a clean condition, and 2. Free from odor.

“Findings: Based on the Compliance Officer's observations, in the Infant room, there was hair and a crusty substance at the bottom of the refrigerator. In the School-age bathroom, there were clothes, boxes of diapers being stored in the bathroom. Previously cited 5/22/23, 5/23/2022 and 5/19/2020”

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 Supervisor and the Compliance Officer's observations, in the School-age bathroom, there was a broken toilet seat cap.”

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 observations, in the outdoor activity areas, the following hazards were accessible to enrolled children: 4's: -There was splintering wood with sharp edges and a nail protruding 2 inches on the kitchen equipment. -There was splintering wood with sharp edges at the base of the helicopter and all over the sensory table. -There was trash throughout the playground. Intermediate: -The cooler spout was cracked with exposed sharp plastic edges. -The shed had a bent metal with exposed sharp edges at the base. -There was peeling paint with exposed cement along the east wall. Toddler: -The north part of the play structure was very wobbly and not secured to the ground. Previously cited 5/22/23 and 5/18/2021”