Sunrise Preschools #304

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

“Findings: Based on the Compliance Officer's observations and facility documentation, the Licensee lacked the field trip plan for the trip completed in January 2025.”

AAC R9-5-518.A.1. A. A licensee providing a field trip for an enrolled child shall:1. Obtain written permission from a parent before the enrolled child participates in a field trip including: a. The date and description of the field trip; b. The times of departure from and return to the facility; and c. The name, street address, and telephone number, if any, of the field trip destination;

“Findings: Based on the Compliance Officer's observations and facility documentation, the field trip permission forms for the trip completed in January 2025 lacked the name and address of the trip destination.”

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

“Findings: Based on the Compliance Officer's observations and facility documentation, the licensee lacked a permission slip from the parent of Child #5 to transport them to the Facility.”

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

“Findings: Based on the Compliance Officer's observations, the following medications lacked a medication authorization form: **Child #1: 3 tubes of prescription medications **Child #2: 1 non prescription medication **Child #3: 1 non prescription medication **Child #4: 1 tube of prescription medication”

AAC R9-5-509.C.22. C. A licensee shall ensure that:22. A refrigerator at the child care facility maintains a temperature of 41° F or below, as shown by a thermometer kept in the refrigerator at all times;

“Findings: Based on the Compliance Officer's observations, the two mini-refrigerators in the Infant room lacked a thermometer.”

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, the following diaper changing areas were not maintained in a sanitizable condition: **1’s room: The table was not sealed where the backsplash trim meets the table. **Infants room: There was exposed compressed wood at the end of the diaper table.”

AAC R9-5-301.F. F. A licensee shall ensure that a staff member submits, on or before the starting date of employment or volunteer services, one of the following as evidence of freedom from infectious active tuberculosis: 1. Documentation of a negative Mantoux skin test or other tuberculosis screening test recommended by the U.S. Centers for Disease Control and Prevention, administered within 12 months before the starting date of employment or volunteer service, that includes the date and the type of tuberculosis screening test; or 2. If the staff member has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the staff member is free from infectious active tuberculosis that is signed and dated by a health care provider within six months before the starting date of employment or volunteer service.

“Findings: Based on the Compliance Officer’s observations and facility documentation, 2 of 5 staff files reviewed lacked the following: **Staff #3 (DOE:12/17/24) lacked evidence of freedom from infectious active tuberculosis in their staff file. The document in the file lacked the date of when the test was read. **Staff #4 (DOE:10/29/24) lacked evidence of freedom from infectious active tuberculosis on or before their starting date of employment. The TB test was completed on 10/31/24.”

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 the Compliance Officer's observations and facility documentation, 2 of 5 staff files reviewed lacked the following: **Staff #1(DOE:12/10/24) lacked a completed and submitted background check through the Direct Central Registry. **Staff #2(DOE: 4/2/24) lacked a completed and submitted background check through the Direct Central Registry.”

AAC R9-5-403.C. C. A licensee shall ensure that documentation of a staff member's completion of training required by subsection (A) is signed by the facility director and dated.

“Findings: Based on the Compliance Officer's observations and facility documentation, the file for Staff #4 lacked the director's signature for the 10-day training for new staff members. **This rule was previously cited at the Compliance inspections conducted on 2/29/24 and 3/7/2023.”

AAC R9-5-502.A.8.b. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: b. Has a commercially waterproofed mattress; and

“Findings: Based on the Compliance Officers' observations, in the Infant room, 2 crib mattresses inspected were ripped on the corners exposing the internal foam causing the mattresses to no longer be commercially waterproofed.”

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 Compliance Officer #2's observation and facility documentation, 5 out of 20 Emergency, Information, and Immunization Record cards reviewed, the following cards lacked information; *Child #1: Name and contact telephone number of the child’s health care provider. *Child #2: City, state, and zip code of the child and both parents/guardians. *Child #3 and Child #5: Child's sex. *Child #4: Name and contact telephone number of the child’s health care provider, signature of parent/guardian.”

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 Compliance Officer #2's observation and facility documentation, 4 of the 20 children's attendance records reviewed lacked information; *Child #6: Time and arrival signature on 2/6/24 *Child #7: Time and release signature on 2/12/24, 2/28/24 *Child #8: Time and release signature on 2/2/24, 2/5/24, 2/6/24, 2/8/24 *Child #9: Arrival signature on 2/2/24, 2/5/24, 2/6/24, 2/7/24, 2/8/24, 2/9/24, 2/12/24, 2/13/24, 2/14/24”

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 facility documentation, in the 3's classroom there were 10 children in attendance and the roster reflected 11. *This rule was previously cited at the Compliance inspection conducted on 3/7/2023.”

AAC R9-5-403.C. C. A licensee shall ensure that documentation of a staff member's completion of training required by subsection (A) is signed by the facility director and dated.

“Findings: Based on Compliance Officer #1's observation, facility documentation, and 4 staff files reviewed, it was determined that the file for Staff #1 lacked the director's signature for the 10-day training for new staff members. *This rule was previously cited at the Compliance inspection conducted on 3/7/2023.”

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 Compliance Officers' observations and staff interview, the health, safety, and welfare of enrolled infants was placed at risk of harm when staff used a crescent shaped pillow, approximately 12 inches long, as a pillow for infants. Staff stated that they rest the babies' heads on the pillow.”

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, drinking water was not available to 9 1-year-old children on the toddler playground.”

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: *A climber in the 1's room lacked impact protection in the fall zone. *There were areas of chipped and flaking paint exposing raw drywall on the east and west walls of the 2's room. *The sensory table's 2 side storage holes had missing, warped, and peeling laminate exposing raw pressed wood in the 2-3's room. *There were areas of chipped and flaking paint exposing raw drywall on the west wall of the 4's room. *This rule was previously cited at the Compliance inspection conducted on 3/7/2023.”

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 Officers' observations, a 6ft aluminum ladder was leaning against the wall outside of the 3's room and was accessible to enrolled children.”

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 Officers' observations, in the 2-3's room, the soiled diaper container lacked a tight-fitting lid.”

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 water temperature of the diaper changing sink in the 1's room was 111.9° F, and in the 2-3's room was 76.6° F rather than 86° F to 110° F. as required.”

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 diaper changing areas were not maintained clear of items not required for diaper changing as follows: Infant Room: There was a clipboard, paper, pens, tissue box, outlet cover, a strip of tape extending the width of the counter, and 4 stacks of paper towels on the diaper changing sink counter. There was a thick dark brown buildup under the paper guide on the diaper changing surface. 1's Room: There was a thick dark brown buildup under the paper guide on the diaper changing surface. 2-3's Room: There was a cardboard box of gloves and a roll of small black plastic bags on the diaper changing sick counter. There was a thick dark brown buildup under the paper guide on the diaper changing surface. *This rule was previously cited at the Compliance inspection conducted on 3/7/2023.”

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 Officers' observations, facility documentation, and staff interview, the School-Age, 2-3's, and 4's rooms lacked activity schedules. Staff stated the schedules were being updated.”

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, personal products were not labeled as follows: 1's Room: 3 packages of diaper wipes were not labeled. 2-3's Room: 4 packages of diaper wipes were not labeled. *This rule was previously cited at the Compliance inspection conducted on 3/7/2023.”

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, 4 crib sheets in the Infant room were not maintained in a clean condition. 2 sheets contained dried cloudy white liquid stains, 1 contained food crumbs, and 1 contained light black-grey marks across the surface of the sheet.”

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, it was determined that there were areas of rust and deteriorating metal along the base of the south fence on the School-Age playground. Additionally, there was a gap of 11” between the base of the fence and the ground on the southeast corner of the School-Age playground. *This rule was previously cited at the Compliance inspection conducted on 3/7/2023.”

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 the Compliance Officers' observations, it was determined that there was a build up of food wrappers, trash, and debris on the floor of the facility bus. *This rule was previously cited at the Compliance inspection conducted on 3/7/2023.”

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

“Findings:Based on the Compliance Officers' observations, the first aid kit in the facility vehicle lacked rolled gauze and gallon-size bags. *This is a repeat deficiency from the Compliance inspection conducted on 3/7/2023.”

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

“Findings: Based on the Compliance Officers' observations, the instructions for Child #10's prescription medication were inconsistent with the instructions on the prescription's medication label. There was only one 1 of 2 prescribed units in the box, and the facility had not received written authorization to separate the units from the child's health care provider.”

AAC R9-5-514. C. C. A licensee shall:1. Prepare and date a written fire and emergency plan that contains: a. The location of the first aid kit; b. The names of staff members who have the first aid training required by R9-5-403(E); c. The names of staff members who have the CPR training required by R9-5-403(E); d. The directions for: i. Initiating verbal notification of an enrolled child’s parent by telephone or other equally expeditious means within 30 minutes of a fire or emergency; and ii. Providing written notification to the enrolled child’s parent within 24 hours; and e. The facility’s street address and the emergency telephone numbers for the local fire department, police department, ambulance service, and poison control center; 2. Maintain the plan required in subsection (C)(1) in a location on facility premises that has an operable telephone service or two-way voice communication system that connects the facility with an individual who has direct access to an in-and-out operable telephone service; 3. Post the plan required in subsection (C)(1) in any indoor activity area that does not have an operable telephone service or two-way voice communication system that connects the indoor activity area with an individual who has direct access to an in-and-out operable telephone services; and 4. Update the plan in subsection (C)(1) every 12 months after the date of initial preparation of the plan or when any information changes.

“Findings: Based on the Compliance Officers' observations and review of facility documentation it was determined that the written fire and emergency plan posted in the lobby was last updated in June 2021.”

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

“Findings: Based on the Compliance Officers’ observations the following indoor activity areas were not maintained in a clean condition: * Caulking at the base of the toilets had brown and yellow stains in the 3's, 4's, and School-Age rooms. * Caulking around the handwashing sink in the 4's room was peeling and missing, and there was a build up of black smears on the wall behind the sink. *There was an uncovered trash bin with food waste on the Pre-K playground. * The paper towel dispenser lacked paper towels in the 3's restroom. * The toilet seat in the 2-3's restroom was chipped. *This rule was previously cited at the Compliance inspection conducted on 3/7/2023.”

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

“Findings: Based on the Compliance Officers' observations, the boys' bathroom in the School-Age room had a yellow substance inside the toilet bowl. *This rule was previously cited at the Compliance inspection conducted on 3/7/2023.”

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 areas were not maintained in a clean condition: * The sides of the infant changing table had tape residue. * There were black dirt marks in the following areas: on the exit doors in the 2-3's and 3's rooms; on the west wall next to the sand table in the 3’s room * The refrigerator in the infant room had yellow and white cloudy stains.”

AAC R9-5-509.C.14. C. A licensee shall ensure that:14. Each staff member is informed of a modified diet prescribed for an enrolled child by the child’s parent or health care provider, and the modified diet is posted in the kitchen and in the child’s activity area;

“Findings: Based on the Compliance Officers' observations and a review of facility documentation, the 1's, 3's, and 4's rooms lacked a modified diet posting.”

AAC R9-5-508.G. G. In addition to the required daily servings of food stated in subsection (C), a licensee:1. Shall make second servings of food available to each enrolled child at meals and at snack time, 2. May substitute a food that is equivalent to a specific food component if second servings of the specific food component are not available, and 3. Shall ensure that a food substitution in subsection (G)(2) is written on the posted weekly menu by the end of the meal or snack service.

“Findings: Based on the Compliance Officers' observations and facility documentation, the posted weekly menu lacked substitutions for 2/29/24. The components listed on the posted menu for lunch on 2/29/24 were Milk, Fish Sticks, Diced Carrots, Mixed Fruit, Whole Grain Brown Rice and the components served for lunch on 2/29/24 were Milk, Chicken, Carrots, Mashed Potatoes, and Peaches.”

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 Officers' observations, it was determined that the roster in the 2's classroom did not reflect the number of children present (9 children present, 10 children listed on the roster). The roster in the 3's classroom did not reflect the number of children present (14 children present, 15 children listed on the roster).”

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 facility documentation and the Compliance Officers' observations, it was determined that the ratio in the 2's room was 1:9 instead of 2:9 as required for 2-year-old children.”

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

“Findings: Per allegation and based on facility documentation and staff statements, staff-to-child ratios were not maintained in the Infant room on 12/08/2023. The ratio was 1:6 instead of 2:6 as required for infants: *Per the dated classroom roster, the sixth Infant arrived at 8:19am and the seventh Infant arrived at 8:28am. *Staff stated that they asked the seventh Infant parent to wait in the classroom until a second staff arrived.”