Sunrise Preschools #317

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

“Per allegation findings: Based on Compliance Officer's observation and information provided by the staff, classroom ratios have not been maintained in the mornings when children are arriving at the facility. Per staff statements classrooms are not in state-mandated ratios for "maybe like 2 minutes" until staff management steps in or shifts staff members to the classrooms.”

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 Compliance Officer's observation and review of facility documentation, the roster in the 1's classroom reflected the presence of 11 children, however there were actually 12 children present in the classroom.”

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

“Per allegation findings: Based on Compliance Officer's observation and information provided by the staff, a child in the Toddler 2A classroom was standing atop a cabinet in the classroom while one staff member was conducting a diaper change and the other staff member was plating food for lunch. Additionally, staff stated that classrooms are "sometimes chaotic" and that supervising all children in the classrooms can "be a little hard".”

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;

“The Compliance Officer observed that the first aid kit in the bus was missing 1 gauze roll.”

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

“The Compliance Officer observed a toilet in the three year old's bathroom that was clogged and had urine and toilet paper in it. The Compliance Officer observed a toilet in the girl's bathroom of the school age classroom with urine in it.”

AAC R9-5-502.C.3.a. C. A licensee shall ensure that: 3. When preparing, using, or caring for an infant's feeding bottles, a staff member: a. Labels each bottle received from the parent with the infant's name;

“The Compliance Officer observed bottles in the refrigerator of the infant classroom that were not labeled with a name.”

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.

“The Compliance Officer observed a trash can with a broken lid that would not close with food waste in the 3B classroom.”

AAC R9-5-605.B.10. B. A licensee shall ensure that:10. Toilet rooms are ventilated to the outside of the building, either by a screened window open to the outside air or by an exhaust fan and duct system that is operated when the toilet room is in use;

“The Compliance Officer observed that the exhaust fan was not working in the three year old's bathroom.”

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.

“The Compliance Officer measured the wood chips at three inches of the required six inches under the slides on the two year old playground.”

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;

“The Compliance Officer observed diaper creams not labeled with a name in the infant and one year old classrooms.”

AAC R9-5-501.A.21. A. A licensee shall ensure that:21. Except when used as part of an activity, the following are stored in an area inaccessible to an enrolled child: a. Garden tools, such as a rake, trowel, and shovel; and b. Cleaning equipment and supplies, such as a mop and mop bucket.

“The Compliance Officer observed a broom and dust pan accessible to enrolled children in the 3A classroom.”

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;

“Upon review of staff files, it was found that Staff 1 had an online High School Diploma that could not be verified for its validity.”

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.

“Upon review of the sign in and our records, the following was found: Child 5 was not signed out on 5/22/25 and not signed in on 5/23/25; Child 6 was signed in with only a first name for the month of May 2025; Child 7 did not have a signature, only a time at sign in on 5/23/25 and was not signed out on 5/29/25; Child 8 was not signed in on 5/9/25 and 5/13/25 and did not have a signature, only a time on 5/16/25; Child 9 was not signed in on 5/9/25 and 5/30/25, and was not signed out on 5/27/25; Child 10 was not signed in on 5/5/25 through 5/7/25, 5/12/25, 5/14/25, 5/19/25 through 5/21/25; Child 11 and 12 were not signed out on on 5/1/25; Child 13 was not signed in on 5/1/25 and 5/12/25.”

AAC R9-5-305.B. B. A licensee shall attach an enrolled child’s written immunization record or exemption affidavit, required in subsection(A), to the enrolled child’s Emergency, Information, and Immunization Record card, required in R9-5 304(B).

“Upon review of the Emergency Information and Immunization Record cards, it was found that Child 1 -4 had the incorrect immunization exemption forms.”

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

“The Compliance Officer observed a cream medication in the infant classroom without a medication consent form.”

AAC R9-5-605.B.6. B. A licensee shall ensure that: 6. Except for a room used only for an enrolled school-age child, each unused electrical outlet is covered with a safety plug cover or insert;

“The Compliance Officer observed an outlet that was not covered in the 4A classroom.”

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.

“The CO observed Child 2 in the infant room upon entering the facility. Child 2 is not an infant child, and more than six children were in attendance during the investigation.”

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

“The CO observed Child 1 walk into the office upon entering the facility, and then into the kitchen. The CO asked the Assistant Director who had walked into the office to please get the child out of the kitchen, and walk them back to their room. Child 1 had left room 4B without either staff intercepting the child who walked unattended down the hall, around the corner, and into the office. Neither Staff 1 or Staff 2 left their room to retrieve the child. Child 1 did not have a staff member to maintain ratio when the child left the room, and walked down the hall. Previously cited 4/26/24”

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.

“The Compliance Officer (CO) observed that rooms 3B and 2B did not take the attendance rosters to the outdoor activity area.”

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;

“The CO observed Child 1 was placed at risk of harm when the child left room 4B without Staff 1 or Staff 2 intercepting the child who walked unattended down the hall, around the corner, and into the office. Neither Staff 1 or Staff 2 left their room to retrieve the child. The Assistant Director had just walked out of the bathroom as the CO was entering the office via the infant room when this incident transpired. The CO observed Child 1 walk into the office make contact with the Assistant Director and then walked into the kitchen. The CO requested that the Assistant Director retrieve Child 1 from the kitchen and return the child to their room. The CO requested the room number and went to the room. Previously cited: 7/2/24, 6/20/24, 4/26/24, 12/29/23”

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

“Per the allegations and based on the CO's observations, interviews, and investigation the following allegations was substantiated: A child's medical device was lost at the school, and staff were unaccountable for the child's medical device's whereabouts. During the inspection the following was observed: The Assistant Director was walking from the bathroom to the office as the CO came out of the infant room. The CO observed Child 1 walk into the office, then walk into the kitchen. The CO asked the Assistant Director to go get the child out of the kitchen. The CO observed that no staff members were coming to retrieve the child and asked the Assistant Director what room the child belonged in. The CO went to room 4B and the Assistant Director entered the room with the child. Staff 1 and 2 reported that Child 1 "does this" and has been referred. Neither Staff 1 nor Staff 2 attempted to look for Child 1 during this incident. Previously cited 7/2/24, 6/20/24, and 12/29/23”

AAC R9-5-504.3. A licensee providing child care services for 1-year-old and 2-year-old children shall:3. Ensure that each activity area has a supply of age-appropriate toys, materials, and equipment that are too large for a child to swallow and free from sharp edges and points, in a quantity sufficient to meet the needs of the enrolled children in attendance including: a. Art supplies; b. Books; c. Rubber or soft plastic balls; d. Puzzles and toys to enhance manipulative skills; e. Blocks; f. Washable soft toys and dolls; g. Musical instruments; and h. Indoor and outdoor equipment to enhance large muscle development;

“The CO observed that the 1 year old room did not have books, puzzles, musical items, or dolls. The Director reported that they have items from a recent order. The CO requested that they put the items in the room as specified in the rule.”

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

“The CO observed the following items stored in the shared bathroom for rooms 2A and 2B: cardboard box laundry basket towel dispenser on floor broom leaning against the wall”

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

“The CO observed the bathroom shared with room 4A and 4B to have toilet paper strewn throughout the floor. Toys were observed on the floor of the bathroom.”

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

“The CO observed a hole in the wall under the classroom sink accessible to the enrolled children. The baseboard was peeled away from the wall, with dry glue exposed to the 2 year old children. The Director reported that a work order has been put in. The CO asked that they make the area inaccessible to the enrolled children.”

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;

“The CO observed that water was not brought out to the outdoor activity area for the 2 and 3 year old playground areas. The outdoor activity areas are fenced off by age groups.”

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

“The CO observed a walker in the infant room.”

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;

“The CO observed a broom and dust pan accessible to the enrolled children in room 4A.”

AAC R9-5-504.5.a. A licensee providing child care services for 1-year-old and 2-year-old children shall: 5. Ensure that: a. If finger food is served, the food is of a size and texture that does not present a choking hazard;

“The CO observed lunch service during the inspection. The 1 and 2 year old children were served whole ravioli's without cutting them to a size that did not present a choking hazard.”

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;

“The CO observed dirt and debris on diaper counter surface in the Intermediate A room.”

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.

“The CO and COS observed sippy cups on the counter surrounding the diapering surface in the Toddler 1 room.”

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.

“The CO and COS observed that the nap mats were covered with sheets that left part of the mats exposed.”

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.

“The Compliance Officer Supervisor (COS) observed the Toddler 1 roster and observed that 12 children were present in the room, and only 11 children were listed on the roster.”

AAC R9-5-509.C.1. C. A licensee shall ensure that:1. Enrolled children, except infants and children with special needs who cannot wash their own hands, wash their hands with soap and running water before and after handling or eating food;

“The CO and COS observed children in the Toddler 1 and 2B classrooms were not cleaned after lunch.”

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

“The CO and COS observed children in the Toddler 1 room and found that the staff in the room were not maintaining consistent and reasonable guidelines and limitations for children's behavior. The CO and COS observed a child playing with a spray bottle containing a cleaning solution, a child putting their hands in the food serving bowls and grabbing the ravioli, and other children climbing on top of equipment in the room. The staff in rooms Toddler 1 and 2B did not implement a transition activity to assist with moving children from lunch to nap in a manner that maintained reasonable guidelines and limitations for the children's behavior.”

AAC R9-5-502.A.3. A. A licensee providing child care services for infants shall: 3. Provide age-appropriate indoor and outdoor activities for each infant;

“The Compliance Officer (CO) inquired about the infant outdoor activities. The Director reported that the infant children are not provided with outdoor activities. The CO requested a written plan of how the facility will ensure that infant children are provided with outdoor activity time.”

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

“The CO also witnessed children going into the restrooms that have the horseshoe magnets propping the doors open without staff knowledge. The bathrooms adjoin two rooms. Previously cited 4/26/24 and 12/29/23”

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.

“The CO observed food waste in the diapering sink located in the 1 year old room. Previously cited 6/20/24”

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

“The CO observed the blue counters surrounding the diapering area to have unrelated items stored on the surface in the Intermediate A and 1 year old rooms. The following items were observed: paint dabbers, ink stamp pads, child's shoes, tissue box, notebook, basket for dirty toys, and children's school work. Previously cited 6/20/24, 12/29/23, and 7/13/22”

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

“The CO entered Intermediate A room. The CO observed Staff 1 grabbing Child 1's arm forcefully and aggressively pulling it in front of the child, yelling at Child 1. The CO immediately instructed Staff 1 to let go of the child. Child 1 went over to the wall crying with tears streaming down their face, and with mucous coming out of their nose. Staff 1 reported that Child 1 hit her. Staff 2 was in the room and observed the incident. The CO interviewed Staff 2 to confirm her witnessing the altercation. Previously cited 6/20/24 and 5/30/23”

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;

“The CO observed Preschool A room staff to not teach, model or encourage orderly conduct. The CO observed staff threatening children with behavior reports and telling parents. Staff failed to intervene when children continued to jump on tables, chairs, and shelves. Staff were observed to continue to clean the room, and hand out lunch while children were running chaotically around the room.”

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

“The CO observed the Preschool A-4 year old combined room to be chaotic with children jumping on tables and shelves. Staff failed to maintain consistent and reasonable guidelines and limitations for the children's behavior. Children were observed jumping from one piece of furniture to the other. Children were observed hitting each other, pulling on staff clothes, running in and out of the restroom. Previously cited 6/20/24 and 5/30/23”

AAC R9-5-510.B.4. B. A licensee shall ensure that a staff member does not use or permit:4. Discipline associated with: a. Eating, napping, sleeping, or toileting; b. Medication; or c. Mechanical restraint; or

“The CO entered the facility to observe a line of children in the lobby and Staff 4 yelling at the children, stating, “if you don’t keep your hands to yourself you’re not getting any icee.” The group of 3 year old children were waiting to go into the parking lot to get a sno cone.”

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.

“The CO observed the toilets clogged in the 4 year old room with feces, urine and paper. The 4 year old bathroom was observed to have toilet paper on the floor. The 3 year old bathroom did not have mounted toilet paper next to one of the toilets. Previously cited 6/20/24, 7/7/23, and 7/13/22”

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;

“The CO was informed that written parent permission was not obtained for children 3 and older to leave the building and go into the parking lot. The sno-cone truck was parked in the parking lot on 7/2/24. The children were observed gathered in the front of the building in the parking lot until they were served a sno-cone. No parental permission was obtained.”

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

“The CO observed that the staff did not maintain attendance for the field trip to the parking lot on 7/2/2024.”

AAC R9-5-518.D. D. A licensee shall ensure that each enrolled child participating in a field trip is wearing in plain view a written identification stating the facility's name, address, and telephone number.

“The CO observed that children were not wearing any facility information identification while participating in a field trip on 7/2/2024.”

AAC R9-5-518.E. E. A licensee shall also ensure that each enrolled child is wearing out of view a written identification stating the enrolled child's name.

“The CO observed that the licensee failed to ensure that each enrolled child was wearing out of view written identification stating the child's name.”

AAC R9-5-602.A. A. A licensee shall ensure that the facility meets the following square footage requirements for indoor activity areas based on the child care services classifications:1. At least 35 square feet of indoor activity space for each infant and 1-year-old child; 2. At least 25 square feet of indoor activity space for each child who is not an infant or 1-year-old child; and 3. When 1-year-old children are grouped together with children older than 1-year-old children in the same activity area, at least 35 square feet of indoor activity space for each child.

“The CO observed the Preschool A- 4 year old room to be licensed for 30. The licensee failed to maintain 25 square feet per child when 31 children were placed for care in the room. Previously cited 4/26/24”

ARS § 36-883.02.C. C. Applicants, licensees and child care personnel shall attest on forms that are provided by the department that:1. They are not awaiting trial on or have never been convicted of or admitted in open court or pursuant to a plea agreement committing any of the offenses listed in section 41-1758.07, subsection B in this state or similar offenses in another state or jurisdiction. 2. They are not parents or guardians of a child adjudicated to be a dependent child as defined in section 8-201. 3. They have not been denied or had revoked a certificate to operate a child care group home or a license to operate a child care facility in this or any other state or that they have not been denied or had revoked a certification to work in a child care facility or child care group home.

“The CO reviewed 4 staff files. Staff 2 did not have documentation of a completed Criminal History Affidavit documented in their file.”

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.

“The CO observed soiled clothes stored in bags that were on the floor of the bathroom, and on the bathroom shelves. The soiled clothes were not placed in a lined covered container, and were accessible to the enrolled children in rooms 2A, 3A and 3B.”

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;

“The CO observed plastic bags hanging over the trash containers accessible to the enrolled children in the Intermediate A room and room 2B. The plastic bag overhung the top of the trash at least 3/4 of the way down the trash container. Other containers had a supply of plastic bags folded for use, overhanging the side. Previously cited 6/20/24 and 5/16/23”

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;

“The health, safety, and welfare of enrolled children were endangered when: The CO observed Staff 1 grab Child 1 forcefully and aggressively by their arm, yelling at the child while taking the child by the arm across the room, and causing the child to cry. (Room 2B) The CO observed Preschool A room licensed for 30 children, with 31 children present. The CO observed children jumping on top of tables, shelves, and furniture. The CO observed jumping from one piece of furniture to the other. Upon arrival the CO witnessed Staff 3 open the front door to the facility and a group of at least 8 children approximately 3-4 years of age ran out into the parking lot. Staff 3 held the door open, and the children ran out ahead with no staff present to be accountable for the children's safety. Previously cited 4/26/24 and 12/29/23”

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

“The CO reviewed 4 staff files. Staff 4 did not have documentation of immunization records, and an emergency contact was not listed in the staff members file. Previously cited 6/20/24 and 4/26/24”

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.

“The Compliance Officer (CO) observed that the roster had 11 children listed and 12 children were observed to be present in Intermediate A room. Child 2 was not listed on the roster. Previously cited 6/20/24, 4/26/24, 12/29/23”

AAC R9-5-511.E. E. A licensee shall ensure that if an enrolled child is present at the facility during naptime, the licensee:1. Does not permit the enrolled child to lie in direct contact with the floor while napping; 2. Prohibits the operation of a television set in a room where the enrolled child is napping; 3. Ensures naptime accommodations are available for the enrolled school-age child if requested by the enrolled child or the enrolled child’s parent; 4. Requires that a staff member remain awake while supervising the enrolled sleeping child; and 5. Prohibits the enrolled child from napping in an attic or a loft during naptime.

“The CO observed Child 6 asleep on floor in the school age room. The CO observed Child 4 asleep on the floor in the Intermediate 3A room. Both Child 4 and 6 were observed to have their face and body in direct contact with the flooring.”

AAC R9-5-504.5.a. A licensee providing child care services for 1-year-old and 2-year-old children shall: 5. Ensure that: a. If finger food is served, the food is of a size and texture that does not present a choking hazard;

“The CO observed that children in the 1, 2, and 3 year old rooms were served whole fish nuggets. The CO observed children in the Toddler 2A room pushing the entire nugget into their mouth. The nuggets were not bite size. *Previously cited 4/26/24”

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.

“The CO observed that staff in Intermediate 3A are not maintaining diaper logs. The CO observed that diaper changes were only logged for 9 of 19 children. The CO inspected room 3A at 12:30p.m. and diaper changes had not been logged since 8:00a.m. Child 5 arrived at 8:30a.m. and had not had a diaper change logged at all on 6/20/24. The CO had requested that Child 5's diaper be changed at 12:30p.m. when the child was observed laying on their mat with a full diaper.”

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.

“The CO observed children's water bottles and sippy cups stored in the cubbies used for diapers, wipes, and diaper cream in room 3A.”

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;

“The CO measured the hot water at 82 degrees Fahrenheit at the diapering sink in the 3 year old room. The hot water measured 80 degrees Fahrenheit in the toddler 2A and toddler 2B rooms. The CO observed staff in the Intermediate 3A room change diapers, and then send the children to a sink on the other side of the room to wash their hands. The CO observed a child who had just had their diaper change engaged in play without washing their hands. The CO had to request that the staff pick the child up and wash their hands at the diapering sink located in the diapering counter. *Previously cited 7/7/23”

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;

“The CO observed a green plastic toy in the diaper sink in the Toddler 1 room. The blue counters surrounding the diapering areas throughout the facility are being used as storage for items unrelated to diapering. The CO observed papers, water bottles, baskets, and other items on the counters. *Previously cited 12/29/23 and 7/13/22”

AAC R9-5-502.C.1.n. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: n. Follows the current written dietary instructions of a parent when feeding the infant;

“The CO reviewed 5 infant feeding instruction forms. Child 11's form states "breast milk only", however Child 11 was fed cookies, bananas and milk. *Previously cited 7/13/21”

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

“The CO heard a child crying in the bathroom. The CO and Director observed a child from Intermediate 3A room in the bathroom alone crying. Staff were unaware that the child was in the restroom, and were not accountable for the child. The CO had to intervene throughout the inspection to ask staff to attend to children who were climbing on equipment, hitting each other, and not washing hands. Staff were not able to adequately supervise within sight or sound and accountability when occupied with diapering and cleaning tasks. *Previously cited 12/29/23”

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;

“The CO observed extra plastic trash bags draped over the side of the trash container accessible to children in the 3 year old room. *Previously cited 5/16/23”

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.

“The CO reviewed 2 staff files and observed that the training required within 10 days of hire was not signed by the director. *Previously cited 7/7/23 and 7/13/22”

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

“The CO observed 2 staff files and found that neither Staff 1 and Staff 2 had emergency contacts and immunization records documented in their staff files. *Previously cited 4/26/23”

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.

“The CO observed that the attendance rosters were not maintained in the toddler 2A and Intermediate 3A rooms. Toddler 2A had 6 children in the room and 8 on the roster. Intermediate 3A room had 19 children in the room and 10 on the roster. *Previously cited 4/26/24, 12/29/23 and 7/13/21”

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.

“The CO observed that Child 11 was not signed in on 6/20/24. The Director reported that families are signing in on a new digital system utilizing a code. Parents and guardians are not signing in using a signature or fingerprint as required.”

AAC R9-5-301.I. I. At least once a month, and at different times of the day, a licensee shall ensure that an unannounced fire and emergency evacuation drill is conducted and each staff member and enrolled child at the facility participates in the fire and emergency evacuation drill. 1. If child care services for a child with special needs are provided at a facility, the licensee shall provide for the enrolled child’s participation in each fire and emergency evacuation drill according to the enrolled child’s individualized plan as specified in R9-5-507(A)(1). 2. A licensee shall document each fire and emergency evacuation drill and maintain the documentation on facility premises for 12 months after the date of the fire and emergency evacuation drill.

“The Compliance Officer (CO) interviewed infant staff regarding the fire drill protocols and the last drill. Staff reported that the infants were not taken out any recent drills. The CO observed a fire drill was documented as having taken place on 6/13/2024, however the drill had not been conducted. The CO interviewed the Director and reviewed the safety concerns regarding not practicing monthly fire drills as required.”

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

“The CO smelled a strong urine odor in school age restrooms. Staff reported cleaning and bleaching the restrooms daily, however the odor remains. *Previously cited 7/7/23”

AAC R9-5-605.B.10. B. A licensee shall ensure that:10. Toilet rooms are ventilated to the outside of the building, either by a screened window open to the outside air or by an exhaust fan and duct system that is operated when the toilet room is in use;

“The CO observed that the vent fans were observed to have dust covering the vent cover in the Preschool B room. The vent fans in the school age room are on a motion switch and are inoperable when there is no activity in the room. The school age restrooms smell of urine and are in need of constant ventilation.”

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.

“The CO measured 1-2” of resilient wood chips under and around the climbing structures in 3 of the playgrounds.”

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.

“The CO observed toilet paper debris on the floor in the girls school age bathroom. Toilet paper was not mounted in the boys and girls school age bathrooms. The floor in the school age bathrooms was sticky when the CO walked into the restroom. Food waste was observed in trashcans throughout the facility that were not covered with a tight fitting lid. The flip lids on the trash cans do not stay in the closed position. *Previously cited 7/7/23”

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.

“The CO observed 20 Emergency Information and Immunization Record cards. The CO observed Child 7 and Child 8's cards did not have who to call first in the event of an emergency documented on the cards. *Previously cited 7/7/23”

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

“The CO reviewed 1 staff file. Staff 1 did not have an emergency contact, immunizations, and references documented in their file.”

AAC R9-5-501.A.9. A. A licensee shall ensure that:9. If a staff member places an enrolled child in a feeding chair when feeding the enrolled child: a. The feeding chair is constructed to prevent toppling; b. The tray or feeding surface of the feeding chair is smooth and free of cracks; and c. The staff member: i Cleans the feeding chair before and after each enrolled child’s use; ii. Sanitizes the tray or feeding surface before and after each enrolled child’s use; and iii. If the feeding chair was manufactured with a safety strap, fastens the feeding chair’s safety strap while the enrolled child is in the feeding chair;

“The CO observed 2 children in the infant room not buckled with a safety strap while seated in the feeding chairs.”

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

“The CO reviewed the rosters for 2/16/2024, the day of the reported incident. The CO observed that room 2A was out of ratio on 2/16/24. The roster showed 14 children, ages 1-2 years, present and based on staff interviews only 2 staff were reported to be working in room.”

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

“Per the allegation and based on the CO's investigation the following was substantiated: The CO interviewed 10 staff and found that Staff 5 grabbed Child 1 by one arm causing the child's arm to audibly pop, and suffer a sprain injury as documented in the medical report.”

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;

“The CO observed rooms 4A (4 year old) and 2B (2 year old) to be chaotic, and not within staff control. Children were observed standing on tables, hitting other children, running through the room and climbing on equipment. The CO also observed chairs placed on top of a table in room 2B, and children had climbed on top of the table and were on top of the chairs that were placed on top of the table. The CO intervened multiple times to ask staff to attend to the children, or point out the behavior. so that they could intervene.”

AAC R9-5-514. F.1. F. If while attending a facility an enrolled child has an accident, injury, or emergency that, based on an evaluation by a staff member, requires medical treatment by a health care provider, a licensee shall ensure that a staff member: 1. Notifies the enrolled child's parent immediately after the accident, injury, or emergency;

“Per the allegation and based on the CO's investigation the following was substantiated: The CO interviewed Staff 5 who reported that she did not notify the parent immediately of the injury. Child 1 required medical attention as evidenced by the doctor's report.”

AAC R9-5-602.A. A. A licensee shall ensure that the facility meets the following square footage requirements for indoor activity areas based on the child care services classifications:1. At least 35 square feet of indoor activity space for each infant and 1-year-old child; 2. At least 25 square feet of indoor activity space for each child who is not an infant or 1-year-old child; and 3. When 1-year-old children are grouped together with children older than 1-year-old children in the same activity area, at least 35 square feet of indoor activity space for each child.

“The CO observed 16 children ages 1 -2 year old placed for care in the two year old room (2A). The capacity was calculated at 25 square feet per child for a capacity of 16. On the day of the incident the roster shows 14 children with a 1 year old child in the room. The capacity when calculated at 35 square feet per child would be a capacity of eleven.”

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.

“The CO observed 30 children on roster and 22 in the room in the 4A classroom. Staff reported that children had been moved into the school age room and not removed from the 4A roster. Previously cited 12/29/2023”

AAC R9-5-504.5.a. A licensee providing child care services for 1-year-old and 2-year-old children shall: 5. Ensure that: a. If finger food is served, the food is of a size and texture that does not present a choking hazard;

“The CO observed children in the Infant, 1, and 2 year old rooms were served mandarin orange segments, and whole slices of bread that were not cut into a size that did not present a choking hazard.”

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;

“The CO interviewed 10 staff and reviewed documentation to determine that Child 1 suffered a sprained arm injury when Staff 5 grabbed Child 1 by the arm. The Director and Assistant Director both reported having had to talk to Staff 5 about how to redirect the children. Staff 5 was instructed to place their hands under a child's underarms, instead of grabbing a child's wrist or arm. It was also reported that staff members have raised concerns directly to Staff 5 on how Staff 5 was physically redirecting children. Several staff members reported that Staff 5 is too rough with the children. Staff 5 also reported that they are aware of how to move a child after watching a training video on redirecting children. A child in room 4A was observed to slip due to the water accumulation on the floor under the sink. Previously cited 12/29/2023”