Sunrise Preschools #147

AAC R9-5-510.A.1. A. A staff member shall provide guidance to help children respond to difficult situations. To develop self-regulation, children should receive adult support that is individual to the child and adapts as the child develops internal controls. This process should include: 1. Forming a positive relationship with the child, which occurs when the adult spends time talking to the child, listening to the child, following the child’s lead, playing with the child, and responding to the child’s needs; 2. Base expectations on the child’s developmental level; 3. Establishing and being proactive in teaching and supporting children in learning simple rules; 4. Modifying the learning/play environment to support the child’s appropriate behavior; 5. Creating a predictable daily routine and schedule; 6. Modeling desired behavior; 7. Showing children positive alternatives; 8.Using deliberate redirection, the staff member should encourage the child to use appropriate behavior, and provide positive feedback when the child exhibits the behavior; 9. Individualized positive discipline strategies based on the individual needs of children, such as using a buddy system, individualized schedule, special break, or another applicable positive discipline strategy; and 10. If applicable, a licensee shall develop a written plan with the enrolled child's parent to provide individualized social and emotional intervention supports for the enrolled child that includes methods for understanding the enrolled child's behavior, and developing, adopting, and implementing a team-based positive behavior support plan.

“Findings: Based on the Compliance Officers' observations and staff statement, staff failed to model desired behavior, show children positive alternatives, use deliberate redirection and encourage appropriate behavior when the following was observed by the Compliance Officers: * 4-year-old room: Two separate times, a staff was observed standing and walking around eating from a bowl. A child was crying at a table and the staff was standing above the child eating, and not engaging with the child. When the Compliance Officer asked why the child was crying, the staff said “(the child) does want to do the work” but did not engage with the child. *3-year-old room: A staff was observed standing near the diapering area/wall, and there was a crying child laying on the rug near the entry door. Staff did not engage with the crying child.”

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 4's room, there were 14 children present and 13 children were listed on the roster.”

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

“Findings: Based on the Compliance Officer's observation and staff statement, a 13-month-old was observed walking in the Infant room. The staff stated the child has been walking for a few weeks, and the parent dropped the child off in the infant room, but the child is now supposed to be in the one-year-old room.”

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, the designed exit that leads to the exterior of the building in the Preschool B room was locked from the inside. In addition, two occupied nap mats obstructed this exit.”

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, 5 paint brushes were observed stored on the diapering counter in Room 1A. Twelve inches of the laminate on the diapering counter's ledge in this room was missing and this area was not waterproof.”

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

“Findings: Based on the Compliance Officer's observation, on the 3-year-old playground, the concrete bases of the 3 rocking horses were exposed and the concrete was jagged and sharp.”

AAC R9-5-603.D. D. 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 Officer's observation, the depth of the wood chips in the fall zones under the 3 rocking horses on the 3-year-old playground measured only 3 of the required 6 inches.”

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, there was a pungent odor of musk in the Preschool A room's bathroom.”

AAC R9-5-502.C.1.lk. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: k. 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 feeding instructions lacked the following information and had not been updated: *Child 1- The staff stated the child was fed solid foods but the form lacked the amount to be fed and the frequency of the feedings. The back of the form that lists the foods the infant had been introduced to was only partially filled and was last updated 11/2025; *Child 2- The Staff stated the child was fed solid foods but the form lacked the amount of food to be fed and the frequency of feedings. *Child 3- The staff stated the child was fed puréed foods but the form lacked the amount of food to be fed and the frequency of the feedings; and *Child 4-The staff stated the child was fed solid foods but the back of the form listing what foods the infant has been introduced to was only partially filled out and last updated 10/22/25.”

AAC R9-5-512.F.8.9. F. A licensee shall ensure that: 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, the caulk around the base of the 2 toilets in the Preschool A room bathroom was yellow-brownish.”

AAC R9-5-510.A.1. A. A staff member shall provide guidance to help children respond to difficult situations. To develop self-regulation, children should receive adult support that is individual to the child and adapts as the child develops internal controls. This process should include: 1. Forming a positive relationship with the child, which occurs when the adult spends time talking to the child, listening to the child, following the child’s lead, playing with the child, and responding to the child’s needs; 2. Base expectations on the child’s developmental level; 3. Establishing and being proactive in teaching and supporting children in learning simple rules; 4. Modifying the learning/play environment to support the child’s appropriate behavior; 5. Creating a predictable daily routine and schedule; 6. Modeling desired behavior; 7. Showing children positive alternatives; 8.Using deliberate redirection, the staff member should encourage the child to use appropriate behavior, and provide positive feedback when the child exhibits the behavior; 9. Individualized positive discipline strategies based on the individual needs of children, such as using a buddy system, individualized schedule, special break, or another applicable positive discipline strategy; and 10. If applicable, a licensee shall develop a written plan with the enrolled child's parent to provide individualized social and emotional intervention supports for the enrolled child that includes methods for understanding the enrolled child's behavior, and developing, adopting, and implementing a team-based positive behavior support plan.

“Per Allegation: Findings: Based on staff interviews and on a review of documentation regarding the incident, 2 staff did not model desired behavior in front of the children during an incident on 9/12/25 that took place in the toddler room. Staff #1 and Staff #2 acknowledged having a heated verbal argument in front of the children in which staff were yelling and using profanity in front of the children, including "Fuck" and "Bitch".”

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 staff interview and on a review of documentation regarding the incident, the health, safety and welfare of enrolled children were placed at risk of harm during an incident between staff on 9/12/25 that took place during hours of operation in and near the toddler room. Staff stated Staff #1 entered the room and made a charging motion/lunge toward Staff #3 who was sitting on the ground with children. Staff stated it was to intimidate Staff #3. Later, Staff #1 and Staff #2 got into a verbal argument in front of the children. Staff #1 acknowledged raising their voice to Staff #3 and then starting to argue with Staff #2. Staff #1 said "The fight was so escalated at that point, I told (Staff #2) "I don't respect you. Fuck you". Staff #2 acknowledged replying to Staff #1 "Fuck me? Fuck you and fuck your son. Fuck your entire family". In the hallway, Staff #1 told the Director, "You better get that bitch out of my face". Staff acknowledged that the fight took place in front of the children and stated one child was upset and began crying during the fight.”

AAC R9-5-510.B.3. B. A licensee shall ensure that a staff member does not use or permit: 3. Abusive, profane, sarcastic language, verbal abuse, threats, or derogatory remarks about the child or child’s family;

“Findings: Based on staff interview and on a review of documentation regarding the incident on 9/12/25, 2 staff used profanity in front of children in the toddler room. Staff #1 and Staff #2 acknowledged getting into a verbal argument in front of the children. Staff #1 said, "The fight was so escalated at that point, I told (Staff #2) "I don't respect you. Fuck you". Staff #2 acknowledged replying to Staff #1 "Fuck me? Fuck you and fuck your son. Fuck your entire family". In the hallway, Staff #1 told the Director, "You better get that bitch out of my face".”

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, the wood chips in the Preschool playground measured the following depths in the fall zones: *3 of the required 6 inches at the base of the double slide and under the blue platform's steps.”

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 Officers' observations, there was only 1 of the 2 required towels or blankets in Van #2 (license plate CK19358).”

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, in the Intermediate playground, the following hazards were accessible to the enrolled children: *4 exposed concrete footings under the small play structure with the yellow awning; and *Various trash including plastic cups, plastic bags, plastic soda bottles, and food wrappers.”

ARS § 36-882.C. C. An application for an initial license shall include:1. The form that is required pursuant to section 36-883.02, subsection C and that is completed by the applicant. 2. A copy of a valid fingerprint clearance card issued to the applicant pursuant to section 41-1758.07. 3. If the applicant's facility is located within one-fourth mile of any agricultural land, the names and addresses of the owners and lessees of the agricultural land and a copy of the agreement required pursuant to subsection D of this section.

“Findings: Based on facility documentation and the Compliance Officers' observations, the file of Staff #2 (DOE 7/24/23) lacked documentation of the staff’s completion of the criminal history affidavit form.”

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 facility documentation and the Compliance Officers' observations, Staff #2's (DOE 7/24/23) file lacked a copy of the fingerprint clearance card. Per the DPS website, the staff does have a valid fingerprint clearance card that will expire in July 2029.”

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

“Findings: Based on the facility documentation and the Compliance Officers' observations, in PreK A/Room, 9 children were present, but only 7 were listed as present on the roster. In the Two A/ Room, 8 children were present, but 9 were listed on the roster.”

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 review of facility documentation and the Compliance Officers' observations, it was determined that the City of Phoenix fire permit expired on 07.24.2023. *Repeat deficiency cited in April 2024.”

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 and on a discussion with the infant room staff, the Compliance Officer was entering the infant room and observed the sole staff in the room leaving the area where the staff had been supervising a child who was in tummy time and walking over to a crib and placing another infant in a crib. The staff acknowledged they had been sitting in the chair and had been feeding another infant while supervising tummy time. The staff stated that the child who was in tummy time had just fallen asleep, so the staff stated they went to place the child who was being fed, in a crib so that the staff could come back and move the infant who had fallen asleep on the floor to a crib. The Compliance Officer explained that staff can not perform other duties, including feeding another infant, while supervising an infant who is in tummy time. In addition, the staff must remain within reach of an infant who is in tummy time.”

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 Officers' observations, a ratio of 1:9 was observed in the Two B Room (2-year-old), rather than a ratio of 2:9.”

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 facility documentation, staff statements and the Compliance Officers' observations, the written feeding instructions for the following infants were not updated: Infant #1: The staff stated the child was eating baby food but the feeding instructions only listed the feeding instructions for formula and the form was last updated on 10/7/24; *Infant #2: The staff stated the child was eating formula but the form did not state the frequency of feedings and the amount to be fed. The form was last updated on 6/2024; *Infant #3: The staff stated the child was eating formula but page 1 of the feeding schedule was missing and the amount and frequency of formula had not been obtained in writing from the parent; and *Infant #4: The staff stated the child was eating food but the written feeding instructions only stated the feeding schedule for formula, and the form was last updated on 11/6/24.”

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 Officers' observations, the following designated exits were locked from the inside. The Director stated that the staff were responsible to unlock the doors before the children arrive: *Preschool B room; *Toddler B room; and *Intermediate A 3-year-old room.”

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, in vehicle CK19309 used to transport enrolled children, the air conditioning blower was not operable in the back of the bus. *** Previously cited 4/28/2021, 4/13/2022, & 4/13/2023”

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 observation, in Vehicle CK19309 used to transport enrolled children, there was an unsecured fire extinguisher on the floor in the front of the bus. *** Previously cited 4/13/2022 & 4/13/2022”

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 in the outdoor activity areas, the following hazards were accessible to enrolled children: 3’s playground: *There were 2 exposed concrete footers below rocking horses. *There were weeds protruding through the fence along the south side and along the east side. *There was trash on the ground along the northeast corner. * There was an exposed hole with rough edges on the gas station post. 1’s playground: *There was a white styrofoam food container on the opposite side of the black wrought-iron fence. *There was trash within reach on the opposite side of the fence. *There was a palm tree trunk with sharp edges within reach on the opposite side of the fence. *** Previously cited 4/28/2021, 4/13/2022, & 4/13/2023”

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 of 4 playgrounds: School-age playground lacked: *3” of the required 6” of resilient surface (wood chips) in the fall zones of the rock wall on the climber. * 4” of the required 6” of wood chips at the base of both blue slides. 3’s playground lacked: * 2” of the required 6” of wood chips in the fall zones of the blue bumpy slide. * 3” of the required 6” of wood chips at the base of the double blue slide. Southwest playground lacked 3” of the required 6” of wood chips in the fall zones of the red fire truck. 1’s playground lacked 4” of the required 6" of wood chips in the fall zones of the yellow slide and yellow steps. *** Previously cited 4/13/2022 & 4/13/2023”

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;

“Findings: Based on facility documentation and Compliance Officer #1's observations, it was determined that the following staff were not qualified as a teacher caregiver and their files lacked the following: *Staff #1: Documentation of current and continuous enrollment in high school or a high school equivalency class. *Staff #2: Documentation of a high school diploma or high school equivalency diploma. *Staff #7: Documentation of a high school diploma or high school equivalency diploma.”

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, the following lacked: Toddler A: The dispenser lacked soap. Room 2B: The paper towel dispensers were empty in both diapering areas.”

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 Officers' observations and staff statement, in Intermediate A, the staff to child ratio was 1:14, with three-year-old children present in the room, and a required ratio of 2:14. Staff stated they were out of ratio from 8:05 - 8:53am. *** Previously cited 4/21/2021, 4/13/2022, & 4/13/2023”

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 Compliance Officer #1's observations, staff attendance records lacked the following: Staff #5: Departure time in the afternoons on 4/1, 4/4, & 4/5/2023. Staff #6: Arrival time in the afternoon on 4/2/2024. Staff #9: Departure time in the afternoon on 4/5/2024. *** Previously cited 4/13/2023”

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 Officers' observations, the health, safety and welfare of enrolled children was placed at risk of harm. In the Infant room the following was observed: * There was a 7-month-old child laying on their back on an Infantino, a 3-In-1 tummy time, sit support, & mini gym. *The same 7-month-old infant was observed in tummy time alone, with an Infantino near the child. The two staff in the room were a distance away from the child. *** Previously cited 4/28/2021, 4/13/2022, 5/17/2022, & 4/13/2023”

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

“Findings: Based on Compliance Officer #1's observations, in the Infant room, there was torn vinyl and exposed foam on the bottom edges of 2 of 11 crib mattress pads.”

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 and sanitizable condition: Room 2B: The tops of 3 shelves had exposed, raw wood. Preschool A: The play sink basin had orange stains and grime build up. Infant room: The base rockers of the white rocking chair were dirty with dark and discolored smudges. Room 1A: *There was exposed wood on the play stove and on the play sink. *There was exposed wood on 3 two-tiered wooden cabinets. Intermediate A: exposed wood on a wooden child-sized table. Exposed wood on 3 two-tiered wooded cabinets. Intermediate A2: There was exposed, raw wood on the edges of a sensory table. Preschool A: *There were exposed, raw edges on the bottom shelf of the cabinet with the wooden blocks. *There were dried liquid smears on 2 walls near the sink. School-age room: *There was exposed, raw wood on 2 two-tiered shelves. *There was exposed foam with torn vinyl on 2 blue bar stools. *There were discolored stains and smears on several stacked blue chairs. *There was chipped Formica on the edge of a counter near the blue bar stools. *There were paint smears on top of a four-tiered wooden cabinet. *There were dirty smears on 2 walls near the Guinea pig and bar stools. *** Previously cited 4/28/2021, 4/13/2022, & 4/13/2023”

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 kept clear of items not related for diaper changing: Infant Room: There was a clipboard, tablet, and diaper bag on the diaper changing surface. Room 2B: There was a green notebook, a tablet, and a roster on the surface. Intermediate A (3's): There was a milk pitcher on the diaper surface. Toddler A: There were six small holes on the diaper ledge, and there was missing laminate with exposed raw wood on the opposite side of the diaper ledge. *** Previously cited 4/28/2021 & 5/17/2022”

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' (CO) observations, enrolled children were not supervised at all times. In Room 2B, there were 2 children sitting on top of a table. Staff were unaware the children were on the table. On the 3’s playground, a child was observed picking a weed (Stinknet) protruding through the fence on the playground. The same child placed a round yellow bulb from the weed in their mouth. Three children sitting with the child informed the CO that the child put something in their mouth. The CO asked the child to take it out of their mouth and informed the staff of the situation. *** Previously cited 5/17/2022”

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 Officers' observations, on the 3's playground, drinking water was not available for the 10 children present. The drinking fountain was not operable. *** Previously cited 4/28/2021”

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: School-age room: There was a shelf with exposed splintery wood at the base. Preschool A: *There was a play fridge with exposed splintery wood at the top of the door. *There was an easel with exposed splintery wood on the paint tray. *There was loose and unsecured white border on the wall behind the door to the toilet room. Intermediate A (3's): There was a broken light switch cover with exposed sharp edges located in the toilet room. Infant room: There were sharp edges on the broken plastic on the side of a multi-colored soft cube. *** Previously cited 4/28/21, 4/13/2022, & 4/13/2023”

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, in Preschool A toilet room: *There was a thick layer of a fluffy, brown substance on the ceiling vent. *There was cracked and discolored caulking around the base of 2 toilets. *There was cracked and lifted laminate on the right side of the left toilet. *** Previously cited 4/28/2021 & 4/13/2023”

AAC R9-5-502.B.3. B. A licensee providing child care services for infants shall not: 3. Permit an infant to use a walker; or

“Findings: Based on the Compliance Officers’ observations and staff statement, in the Infant room, there was a walker accessible to enrolled children. Staff stated they use it to help children who are starting to walk.”

AAC R9-5-502.A.8.c. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: c. Is furnished with clean, sanitized, crib-size bedding, including a fitted sheet and top sheet or a blanket;

“Findings: Based on the Compliance Officers' observations, in the Infant room there were loose crib sheets on 3 of 11 crib mattresses, rather than tight-fitted sheets as required.”

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 on facility documentation and Compliance Officer #1's observations of 8 staff files, the following files lacked documentation of a negative TB skin test administered within 12 months before the starting date of employment: Staff #4 (start date 3/9/2023): TB test dated 3/22/2023. Staff #2 (start date 10/27/2023): TB test dated 11/22/2023. Staff #1 (start date 7/11/2023): TB test dated 7/15/2023. Staff #5 (start date 2/14/2024): TB test dated 2/18/2024. Staff #6 (start date 1/30/2024): TB test dated 2/6/2024. *** Previously cited 4/13/2022”

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, Compliance Officer #2's observation and staff statement, the written feeding instruction for 1 infant was not current. The plan was dated 11/2023 and did not include the foods to be fed to the child. Staff stated that the child does eat food. *** Previously cited 4/28/2021 & TA 4/13/2022”

AAC R9-5-503.F.1. F. A licensee shall ensure that in an activity area with a diaper changing area: 1. The containers required in subsections (A)(3) and (4) are inaccessible, and

“Findings: Based on the Compliance Officers' observations, in Intermediate A (3's), the soiled diaper container was on the floor next to the diaper changing area, accessible to enrolled children. *** Previously cited 4/28/2021 & 4/13/2023”

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 #1's observation, in Room 2B, there were 13 children present and 12 children were marked on the roster. *** Previously cited 5/17/2023 & 4/13/2023”

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: Infant Room: One unlabeled container of water wipes. Intermediate A (3's): Two containers of wipes lacked a last name. Room 2B: Three of 6 wipes were labeled with a first name only. *** Previously cited 4/28/2021, 4/13/2022, & 4/13/2023”

AAC R9-5-203.D. D. A licensee shall ensure that each staff member submits to the licensee a copy of the staff member’s valid fingerprint clearance card each time the fingerprint clearance card is issued or renewed every six years.

“Findings: Based on facility documentation and Compliance Officer #2's observation, Staff #3's file (DOH 3/4/2005) lacked documentation of a copy of a valid fingerprint clearance card. The card expired 6/14/2023, DPS received the application on 8/8/2023, and a new card was issued 8/14/2023.”

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 Compliance Officer #2's observation, the posted menu lacked the specific type/flavor of mixed fruit to be served to enrolled children. The menu stated mixed fruit equals fruit currently serving.”

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 observations, Staff #8's (start date 10/22/2018) file lacked 10 hours of the required 18 hours of annual training from 10/2022 - 10/2023. *** Previously cited 4/28/2021”

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 facility documentation and the Compliance Officers' observations, the Licensee lacked documentation of a violation-free fire inspection report. The last fire inspection expired 7/24/2023. *** Previously cited 4/28/2021”

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 #2's observation, the freezer in the Infant room lacked a thermometer. *** Previously cited TA 4/13/2022 & repeat deficiency 4/13/2023”

ARS § 36-883.02.A. A. Except as provided in subsection B of this section, child care personnel, including volunteers, shall submit the form prescribed in subsection C of this section to the employer and shall have valid fingerprint clearance cards issued pursuant to section 41-1758.07 before starting employment or volunteer work.

“Findings: Based on facility documentation and Compliance Officer #1's observation, Staff #2 (start date 10/27/2023) lacked documentation of a fingerprint card prior to the starting date of employment. The application was received by DPS on 11/23/2023 and the card was issued 12/4/2023.”

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 Compliance Officer #1's observations, in the Infant room, there was an adult-sized rocking chair partially blocking the south exit door. Exit doors were locked in the following rooms: Infant room, T1A, Intermediate 3’s, & Intermediate A2.”

AAC R9-5-203.I. I. Within 30 calendar days after the day of a staff member’s or volunteer’s 18th birthday, the staff member or volunteer shall provide to the licensee copies of a valid fingerprint clearance card and background check document specified in subsection (C).

“Findings: Based on facility documentation and Compliance Officer #1’s observations of 8 staff files, Staff #1 (start date 7/11/2023) turned 18 and the file lacked a copy of a valid fingerprint clearance card.”

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 observations, the following diaper changing areas lacked a soiled clothing container: Intermediate A (3's) & Room 2B. *** Previously cited 4/28/2021 & TA 4/13/2022”

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, in toilet rooms: Room 2B: *There was a loose toilet seat in the first stall. *The left toilet lacked toilet paper, the black dispenser was empty. Pre-K Room: *There was a build-up of grime along the sink caulking. *There was a loose toilet seat. *** Previously cited 4/28/2021, 4/13/2022, 5/17/2022, & 4/13/2023”