Sunrise Preschools #329

AAC R9-5-504.A.3. A. 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;

“Findings: Based on the Compliance Officer and the Compliance Officer Supervisor's observations, Toddler 1 (1s) room lacked books, rubber balls, puzzles, and musical instruments.”

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

“Findings: Based on the the Compliance Officer Supervisor's observations and staff statement, the Licensee failed to ensure when six or more enrolled children are present at the facility, an infant is not placed for supervision with a child who is not an infant. In the Infant room there were 2 one-year-old children present, and a total of 8 children in the room. Staff stated the one-year-old children are walking.”

AAC R9-5-502.C.1.lk. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: k. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Findings: Based on facility documentation and the Compliance Officers' observations, in the Infant room, the written feeding instructions for Child #4 were not current. They were updated 5/19/2025 and did not reflect the current foods served to the infant.”

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, in the Two B Room, the diaper changing area was not maintained in a clean or sanitized condition. There was a pen on the sink area, and a dirt build up in two of the corners of the diaper changing surface.”

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 activity areas were not maintained in a clean and sanitized condition: Two's and Preschool B toilet rooms: The ceiling vents were covered in a thick layer of dust build-up. Intermediate B and Preschool B Rooms: The pipes below the classroom handwashing sinks had a thick layer of dust build-up.”

AAC R9-5-501.A.3. A. A licensee shall ensure that: 3. For enrolled infants and children five-years or younger, drinking water is available to meet the needs of each enrolled child;

“Findings: Based on the Compliance Officers' observations, in the Toddler 1 Room, there was no drinking water accessible to the 10 1-year-old enrolled children present in the classroom.”

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, in the Infant Room, there were 8 enrolled children in the classroom but only 7 listed on the roster.”

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.

“Findings: Based on the Compliance Officers' observations, in the Two's Room, there were dried, yellow liquid stains in areas on the alphabet rug and on the number rug.”

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

“Findings: Based on the Compliance Officer's observation, on the Intermediate Playground, there was a soft, gooey, yellow and white mold-like substance, accessible to children, in the wood chips near the slide.”

AAC R9-5-306.A. A. A licensee shall: 1. Maintain a dated attendance form containing an enrolled child’s name with the time of each admission and release, and the parent or staff member's signature or other unique identifier. 2. If an electronic signature is used to admit or release the enrolled child, 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; 3. 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. 4. 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. 5. 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. 6. Maintain the attendance form on facility premises for 12 months after the date of attendance.

“Findings: Based on facility documentation and the Compliance Officers’ observations, 4 of 20 admission and release records reviewed lacked the following information: *Child #1: Release time and signature in the morning on 9/02/2025. *Child #2: Admission time on 9/05/2025 and was pre signed out with a signature on 9/05/2025. *Child #3: Release time and signature on 9/02/2025. *Child #4: Release signature was pre signed on 9/05/2025.”

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 an Emergency, Information, and Immunization Record that is no more than a two-page written notice, and is signed by the enrolled child’s parent containing: 1. The child’s name, home address, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, email address, and 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 the nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(14); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“Findings: Based on facility documentation and the Compliance Officers’ observations, 2 of 17 Emergency, Information, and Immunization Record cards reviewed lacked the following information: Child #5: Date of enrollment. Child #6: The signature and date of signature by the parent.”

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

“Findings: Based on facility documentation and the Compliance Officers’ observations, the files for Staff #1 (DOE 2/03/2025), Staff #2 (DOE 7/15/2025), and Staff #3 (DOE 5/20/2025) lacked documentation of the DCS Registry submission results.”

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: Toddler 1 Room: There was metal protruding upward from the water fountain spigot. School-Age Room: One blue bar stool was loose and no longer safely secured to the floor.”

AAC R9-5-502.A.5.b. A. A licensee providing child care services for infants shall:5. Develop, document, and implement tummy time policies and procedures that: b. Ensure a staff member who is supervising a non-crawling infant while the infant is flat on their stomach and on the floor: i. Is within reach of the infant; ii. Does not perform any other duties while supervising the infant; iii. Does not allow the use of pillows, comforters, sheepskins, stuffed toys, or other soft products in the same floor space as the infant; and iv. Does not allow any product specified in subsection (A)(5)(b)(iii) to be within reach of the infant;

“Findings: Based on the Compliance Officer and the Office Chief's observations, in Infant A, a 4-month-old infant was in tummy time and the staff member was not within reach of the infant. When the staff picked the infant up, the infant had a snotty nose and the infant was crying.”

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;

“Findings: Based on the Compliance Officer and the Office Chief's observations, in Preschool A (4s), a staff member failed to define and maintain reasonable guidelines and limitations for an enrolled child's behavior. The staff member was ignoring a child who was clearly upset and disrupting nap time for the other children in the room. The child was yelling I'm "so mad" over and over again, while the child was throwing their shoes several times at a wooden bookshelf and around the room. The staff was standing on the opposite side of the room and did not inter act with the child.”

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

“Findings: Based on facility documentation and the Compliance Officer's observation, in Infant B, there were 5 children present and 6 children were marked on the roster.”

AAC R9-5-501.A.1. A. A licensee shall ensure that:1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Findings: Based on the Compliance Officer and the Office Chief's observations, the health, safety and welfare of enrolled children was placed at risk of harm. Infant A: A 4-month-old in infant was not being directly supervised in tummy time. The staff member in the room was located behind the diaper table. In the following rooms, enrolled children were observed sleeping with blankets covering their faces. Staff were unable to observe the sleeping children’s faces. Preschool A (4s): 2 children. Toddler B (2s): 2 children. Older 2's: 2 children. Intermediate B (3s): 1 child was completely wrapped in a blanket with their head covered.”

AAC R9-5-208.B. B. At least 30 calendar days before the date of an intended change in a facility’s service classification, space utilization, or licensed capacity, a licensee shall submit a written request for approval of the intended change to the Department that includes:1. The licensee’s name; 2. The facility’s name, street address, city, state, zip code, mailing address, and telephone number; 3. The name, telephone number, and fax number of a point of contact for the request; 4. The facility’s license number; 5. The type of change intended: a. Service classification, b. Space utilization, or c. Licensed capacity; 6. A narrative description of the intended change; and 7. The following additional information, as applicable: a. If the intended change affects individual rooms, the following information about each affected activity area, as applicable: i. Identification of the activity area, ii. Current and intended square footage, iii. Current and intended operating hours, iv. Current and intended service classification, v. Current and intended licensed capacity, and vi. Whether the activity area has or will have a diaper changing area; b. If the intended change is to increase licensed capacity, the square footage of the outdoor activity area; and c. If the intended change includes an alteration or addition to the physical plant of a licensed facility, the following, as applicable: i. If the facility is not located in a public school or if providing child care services to infants, one-year-old children, or two-year-old children in a facility located in a public school, the information required in R9-5-201(A)(5)(g) and (A)(5)(h) showing the intended change; or ii. If the facility is located in a public school and provides child care only for three-year-old, four-year-old, or five-year-old, or school-age children, a set of final construction drawings or a school map, including the information required in R9-5-201(5)(j) showing the intended change.

“Findings: Based on the Compliance Officers’ observations and staff statement, two children were observed in the front entry/hallway area. The front entry area/hallway are not licensed space. Staff stated the children were waiting for the school-age children to arrive.”

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

“Findings: Based on facility documentation, the Compliance Officers’ observations of 5 staff files and staff statement, Staff #1’s (DOE 2/6/2023) file lacked documentation of a valid fingerprint clearance card. The card in the file expired 11/28/2024. Staff stated they did not know the card was expired.”

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

“Findings: Based on the Compliance Officers' observations and staff statements, staff members failed to teach, model and encourage orderly conduct, personal control, and age-appropriate behavior. Children were observed in the School-age room with their heads down from 2:51pm - 3:20pm, while Staff #1 was standing in the front of the room. One of the COs heard Staff #2 state in a "harsh" voice, while raising their voice to a child "get back to your bed. I told you this so many times, leave" the person "alone". Staff stated the following: *Children in the School-age room have been observed with their heads down on the table. *If the children "owe me time", they have to put their heads down on the table. *They put their heads down on the table if they do not have good days. *When the children are being rowdy, or rambunctious, they have to put their heads down on the table. Children stated the following: *We have to put our heads down on the table if we don't listen. *Sometimes we have to sit outside on the bench if we have been bad.”

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;

“Findings: Per allegation and based on the Compliance Officer's observations, staff statements and children's statements, the licensee failed to define and maintain consistent and reasonable guidelines and limitations for enrolled children's behavior. The Compliance Officers' observed Staff #1 standing in the School-age room while some of the children had their heads down on the tables. Staff stated the following: *If the children owe me time, they put their heads down on the table. *I have seen the children in the School-age room with their heads down on the table. Children stated the following: *We have to put our heads down if we get in trouble. *Only some of the kids have to put their heads down and the rest of the kids get free time. *Sometimes the kids have to sit on the bench outside because they get in trouble.”

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

“Findings: Per allegation and based on staff statements, staff failed to supervise enrolled children at all times. Staff stated the following: *I don't always see when children get injured or bit. *I see it happen 90% of the time, but 10% of the time I might not see a child get bitten. *50% of the time I might not see a child get injured. It usually happens when I am changing a child's diaper. *Sometimes when I am changing diapers I do not see children get bit. *A child might get hurt when I am assisting another child and I don't see what happened.”

AAC R9-5-501.A.1. A. A licensee shall ensure that:1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Findings: Based on the Compliance Officers' (CO) observations, staff statements and child statements, the health, safety and welfare of enrolled children was placed at risk of harm in the School-age room. Children were observed with their heads down on the table from 2:51pm until at least 3:14pm. A female child was observed with their head down on the table and asleep. Staff #1 stated they tried to wake the child up two different times but the child just kept falling back asleep. When the CO woke the child up, the child stated they did not feel well. The CO asked if there was a mat or cot available for the child to lay down on. Staff stated they did not have a mat or cot for the child to lay down on in the room. The CO asked the Director to obtain a mat or cot with a sheet and blanket for the child to lay on. The child stated their stomach hurt. The CO informed the staff that the child was not feeling well. The CO asked the child if they would like some water to drink and the child stated yes, so Staff #1 gave the child some water to drink. Staff stated the following: *If the children owe me time, they put their heads down on Wednesdays. *It might be for a maximum of 30 minutes. Children stated the following: *Sometimes we have to put our heads down for 30 minutes, and sometimes it might be for 60 minutes. *Children have to put their heads down because they don't listen. *Staff #1 asked us to put our heads down for 30 minutes because we are taking a time-out. *Sometimes we have to put our heads down for 60 minutes if we did something "really bad".”

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

“Findings: Based on facility documentation and staff statement, a one year old child was placed in the Infant room with 8 children present in the Infant room. There were 7 infants listed on the roster and a child was listed on the roster at 7:35 and was moved to Toddler 1 at 8:20am. Staff stated the child is one year old and walking, but was placed in the Infant room this morning.”

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 staff statements, the licensee failed to maintain staff-to-children ratios at all times. Staff stated the following: *Being out of ratio happens a lot. *Sometimes in the morning the ratio is 1:7 or 1:8 in the Infant room. *In the School-age room, there might be 30 kids with 1 staff. *In the 3's room, the ratio might be 1:20 in the afternoon. *In the 1's room when a staff calls out, the ratio might be 1:8 at 7:00am. *We were "probably" out of ratio this morning for a few minutes in the 3's room. It might have been 1:14 or 1:15 for a 10 - 15 minute window. *We have had issues during the past 2 weeks with ratios.”

AAC R9-5-403.B. B. A licensee shall ensure that:1. Each staff member who provides child care services completes 18 or more actual hours of training every 12 months after the effective date of this Chapter or the staff member’s starting date of employment or volunteer service in at least two topics listed in this subsection: a. Child growth and development, including: i. Infant growth and development, which may include sudden infant death syndrome prevention; ii. Developmental psychology; iii. Language development; iv. Observation and child assessment; v. Developmentally-appropriate activities; vi. Child guidance and methods of discipline which may include training on the appropriate techniques to prevent a child from harm or to prevent the child from harming others; and vii. Developmentally-appropriate activity areas; b. Health and safety issues, including: i. Accident and emergency procedures, including CPR and first aid for infants and children; ii. Recognition of signs of illness and infestation; iii. Nutrition and developmentally-appropriate eating habits; iv. Child abuse detection, reporting, and prevention; v. Safety of indoor and outdoor activity areas; and vi. Sun safety policies and procedures; c. Program administration, planning, development, or management; and d. Availability of community services and resources, including those available to children with special needs; and 2. As part of the required 18 hours of training in subsection (B)(1): a. A staff member who has less than 12 months of child care experience before the staff member’s starting date, completes at least 12 hours in one or more of the topics in subsection (B)(1)(a) in the staff member’s first 12 months at the facility; b. A staff member who has 12 months or more of child care experience, completes at least 6 hours in one or more of the topics in subsection (B)(1)(a) every 12 months after the staff member’s starting date; c. A staff member who provides child care services to an infant completes at least 6 hours in subsection (B)(1)(a)(i) every 12 months after the staff member’s starting date; and d. A facility director completes at least 6 hours in subsection (B)(1)(c) every 12 months after the facility director’s starting date.

“Findings: Based on facility documentation and the Compliance Officer's observations, the following staff files lacked: Staff #2 (DOE 4/23/2018): 8 of the required 18 hours of annual training from 4/2023 - 4/2024. Staff #3 (DOE 8/4/2021): 16 of the required 18 hours of annual training from 8/2023 - 8/2024. Staff #4 (DOE 5/16/2022): 18 of the required 18 hours of annual training from 5/2023 - 5/2024.”

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

“Findings: Based on facility documentation and the Compliance Officer’s observation, in Preschool A (3’s), there were 11 children present and 12 children were marked on the roster.”

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

“Findings: Based on the Compliance Officer's observations, in the Intermediate room and in Preschool B, there were 3 children in each room sleeping on cots located 6 - 8 inches apart, rather than at least 18 inches between each row of mats to allow a staff member access to enrolled children.”

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

“Findings: Based on the Compliance Officers' observations and staff statement, in the School-age room a child was observed sleeping with their head down on a table. Staff #1 stated they had tried to wake the child up twice, but the child just fell back asleep.”

AAC R9-5-510.C. C. A licensee may allow a staff member to separate an enrolled child from other enrolled children for unacceptable age appropriate behavior.1. The separation period shall be for no longer than three minutes after the enrolled child has regained control or composure. 2. A staff member shall not allow an enrolled child to be separated for longer than 10 minutes without the staff member interacting with the enrolled child.

“Findings: Based on the Compliance Officers' (COs) observations and children's statements, the licensee separated enrolled children from other enrolled children at a table for unacceptable age appropriate behavior. In the School-age room, the COs observed children separated at tables. At 2 tables, the children had their heads down on the tables. There were children at other tables that did not have their heads down. Some children were in other areas of the room playing. Staff #1 was observed standing in the front area between tables. Children stated the following: *Sometimes we have to sit with our heads down while other children get to play. *Sometimes we have to have our heads down for 5 minutes and up to 60 minutes. *Sometimes we have to sit on the bench outside until the teacher tells us we can get up.”

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

“Findings: Based on the Compliance Officer's observations, a staff member used a method of discipline that would cause harm to the health, safety and welfare to an enrolled child. Staff #2 was observed "pulling" a child forcefully between the elbow and the shoulder. The child was near their cot and the child was "pulled" onto their cot.”

AAC R9-5-510.A.3. A. A licensee shall ensure that a staff member:3. Explains to an enrolled child why a particular behavior is not allowed, suggests an alternative, and assists the enrolled child to become engaged in an alternative activity; and

“Findings: Based on the Compliance Officers' observations, staff statement and children's statements, a staff member failed to explain to an enrolled child why a particular behavior is not allowed, suggest an alternative, and assist the enrolled child to become engaged in an alternative activity. The Compliance Officers' observed children with their heads down on tables for 29 minutes without observing Staff #1 interact with the children with their heads down. Staff stated they have the children put their heads down on the table when they "owe time" for not listening. Children stated the following: *We have to put our heads down on the table when we don't listen and have to take a time-out. *We have to sit on the bench outside for maybe 30 minutes when we get in trouble.”

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 of the outdoor activity areas, the following hazards were accessible to enrolled children: 3's/4's playground: *There was a 12 1/2" long pipe with 2 hose spigots and a square wooden post between the fence of the 3's playground and school-age playground. 3's playground: *There was a broken sharp tree branch that was 38 1/2" tall protruding from the tree near the west wall. 2's playground: *There was a blue toy car that was cracked exposing a hole in the middle of the car with sharp plastic edging. *There was a tricycle that had a broken seat with sharp plastic edging. *There was a spigot protruding upward from a container on the ground.”

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, in the boys' School-age toilet room, there was cracked and discolored caulking on the base of the toilet.”

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

“Findings: Based on the Compliance Officers' observations, in Toddler A (1s), the interior exit door was locked and there were children present in the room.”

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

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that 9 out of 11 enrolled children's Emergency Information and Immunization Record Cards reviewed lacked the following required information: Child #1: Date of enrollment, and the second parent name, address and phone number. Child #2: Date of enrollment, the second parent name, address and phone number, and a second emergency contact name and phone number. Child #3: The health care provider name and phone number. Child #4: Date of enrollment and the name of the person to contact in case of sudden injury/illness. Child #5: Date of enrollment and the health care provider's name and phone number. Child #6: The second parent name, address and phone number, and two emergency contact names and phone numbers. Child #7 & Child #8: The second emergency contact name and phone number. Child #9: The second parent, name, address and phone number, two emergency contact names and phone numbers, and the health care provider name and phone number.”

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

“Findings: Based on facility documentation and Compliance Officer #2's observation, in the Infant room, there were 3 children present and 0 children were marked on the roster.”

AAC R9-5-501.A.1. A. A licensee shall ensure that:1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Findings: Based on the Compliance Officers' observations, the fire alarm panel was in trouble mode.”

AAC R9-5-514. G. G. If an enrolled child’s parent informs a staff member at the facility that the enrolled child’s parent obtained medical treatment from a health care provider for an accident, injury, or emergency the enrolled child had while attending the facility, a licensee shall ensure that a staff member:1. Documents any information about the enrolled child’s accident, injury, or emergency received from the enrolled child’s parent; and 2. Maintains documentation required in subsection (G)(1) on facility premises for 12 months after the date of the child’s disenrollment.

“Findings: Based on the Compliance Officers' observation, the licensee did not document Child #1's injury after receiving notice from the child's parent that they received medical treatment from a healthcare provider for an injury the child obtained while at the facility.”

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;

“Per allegation findings: Based on the Compliance Officers' observations, a review of facility incident reports, and a staff interview, the health, safety, and welfare of a child was placed at risk of harm when a child sustained a dislocated elbow while at the facility. Per staff statements, at 9:45 AM on 10/29/2024, Child #1 was crouched face down crying on the sidewalk on the 1's playground. Staff #1 while holding a binder in one hand, attempted to pick Child #1 up with their free hand by grabbing the child by the left hand, Child #1 stumbled down and Staff #1 stated they thought Child #1 was going to hit their head on the cement and pulled the child up again. After seeking medical attention, it was determined that the child's elbow was dislocated. Staff #1 stated "Totally my mistake and I own it".”

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

“Findings: Based on the Compliance Officers' observations, the following lesson plans were not dated for the current calendar week: Intermediate B (3's/4's), School age, Toddler 2 A (1's): The lesson plans were dated 9/3/2024 - 9/6/2024.”

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.

“Findings: Based on facility documentation and the Compliance Officers' observations of 13 staff files, the following 9 staff were missing completed Criminal History Affidavits: Staff #2 (DOE 5/7/24), Staff #3 (DOE 5/7/24), Staff #4 (DOE 11/7/23), Staff #5 (DOE 8/27/24), Staff #6 (DOE 6/11/24), Staff #9 (DOE 5/14/24), Staff #10 (DOE 12/12/23), Staff #11 (DOE 8/19/24), and Staff #12 (DOE unknown).”

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

“Findings: Based on Compliance Officer #1's observation, in Room 2B (2s), the exterior designated exit door was locked during the hours of operation and there were children present in the room.”

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 of 5 outdoor activity areas, the following hazards were observed: 3's/4's PLAYGROUND: *There was a 12 1/2" long pipe with 2 hose spigots and a square wooden post between the fence of the 3's playground and school-age playground. 3's PLAYGROUND: *There was a broken sharp tree branch that was 38 1/2" tall protruding from the tree near the west wall. 2's PLAYGROUND: *There was a blue toy car that was cracked exposing a hole in the middle of the car with sharp plastic edging; and *There was a tricycle that had a broken seat with sharp plastic edging.”

AAC R9-5-517.B.3. B. A licensee shall ensure that an individual who drives a motor vehicle used to transport an enrolled child:3. Carries a list stating the name of each enrolled child being transported and a copy of each enrolled child’s Emergency, Information, and Immunization Record card including the attached immunization record or exemption affidavit, in the motor vehicle;

“Findings: Based on facility documentation and Compliance Officer #1's observations, in the vehicle (C9AOCAA) used to transport enrolled children, the children's Emergency, Information, and Immunization Record cards lacked the back side of the Record cards and an attached immunization record or exemption affidavit.”

AAC R9-5-517.A.10. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:10. Ensure that the motor vehicle is: a. Maintained in a clean condition, b. In a mechanically safe condition, and c. Free from hazards; and

“Findings: Based on Compliance Officer #1's observations, the vehicle (C9AOCAA) used to transport enrolled children had wrappers and debris on the floor.”

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

“Findings: Based on Compliance Officer #1's observation, in vehicle (C9AOCAA) used to transport enrolled children, only the front air vents were working. No cold air was blowing from the back vents.”

AAC R9-5-516.F. F. A licensee shall maintain documentation of all medications administered to an enrolled child.1. Documentation shall contain: a. The name of the enrolled child; b. The name and amount of medication administered and the prescription number, if any; c. The date and time the medication was administered; and d. The signature of the staff member who administered the medication to the enrolled child; and 2. A licensee shall maintain the documentation on facility premises for 12 months after the date the medication is administered.

“Findings: Based on facility documentation and Compliance Officer #1's observations of 2 medication forms, Child #13 and Child #14 lacked the dosage, prescription number, and the names of the medications administered.”

AAC R9-5-502.C.1.l. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: l. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Findings: Based on the Compliance Officers' observations of 9 infant feeding instructions and staff statement, Child #12's form was dated 3/7/2024 and did not list the current foods the infant eats. Staff stated the infant eats peas and carrots, and those foods were not listed on the form.”

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, diaper changing areas in the following rooms were not kept clear of items not required for diaper changing: Twos B (2's): There was brown playdough on the ledge of the diaper changing surface; and Toddler 2A (1's): There was a roll of paper towels on the ledge of the diaper changing surface.”

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 was observed: Toddler 1 (1's): In the toilet room, the toilet on the far right lacked mounted toilet tissue. In the activity area, the "art" sink was inoperable. School-age: In the girl's toilet room, the toilet was covered with a black plastic bag.”

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 following was not maintained in a clean condition: School-age: The caulking around the base of the toilet in the boys toilet was discolored and cracked; Toddler 2A Toilet Room(1's): There was a dark-colored splatter inside the toilet bowl of the far left toilet. Toddler 1 Toilet Room(1's): Inside the toilet bowl in the far right toilet there was a yellow liquid substance.”

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

“Findings: Based on the Compliance Officers' observations, the following was not maintained in a clean condition: Intermediate B (3's/4's): In the toy kitchen sink in the back of the room, there was a build-up of a sticky brown and grey substance; Twos B (2's): On the ceiling vent in the toilet room, there was a thick build-up of a grey fuzzy substance.”

AAC R9-5-509.C.18. C. A licensee shall ensure that:18. A staff member: a. Prepares a weekly menu at least one week in advance, b. Includes on the menu the specific foods to be served on each day, c. Dates each menu, d. Posts each menu at least one day before the first meal on the menu will be served, and e. Writes food substitutions on a posted menu no later than the morning of the day of meal service;

“Findings: Based on Compliance Officer #1's observations, the posted menu lacked the specific type/flavor of yogurt and sliced cheese to be served to enrolled children.”

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

“Findings: Based on the Compliance Officers' observations, the following was observed: Toddler 2A (1's): The soiled clothing container lacked a lid and there was a scrubbing brush located inside the container; Toddler 1 (1's): The soiled clothing container was located in the toilet room and not the diaper changing area; and Intermediate B (3's/4's): The soiled clothing container lacked a lid and was located in the toilet room and not the diaper changing area.”

AAC R9-5-501.C.9. C. A licensee shall ensure that a staff member:9. Does the following when a parent permits or asks a staff member to apply personal products on an enrolled child, such as petroleum jelly, diaper rash ointments, sun screen or sun block preparations, toothpaste, and baby diapering preparations: a. Obtains the enrolled child’s personal products from the enrolled child’s parent or, if the licensee provides the personal products for use by the enrolled child, obtains written approval for use of the products from the enrolled child’s parent; b. Labels the personal products with the enrolled child’s name; and c. Keeps the personal products inaccessible to enrolled children;

“Findings: Based on the Compliance Officers' observations, the following items lacked a label of the child's first and last name as required: Twos B (2's): 2 wipes were labeled with the first name only; Toddler 2 A (1's): 1 diaper cream labeled with the first name only; and Toddler 1 (1's): 1 wipe labeled with the first name only and 1 diaper cream with no name.”

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 observations and facility documentation, 11 of 20 Emergency, Information, and Immunization Record cards reviewed lacked the following: Child #1: The name of the individual to be contacted in case of injury or sudden illness of the child; Child #2: A parent signature; Child #3: The name and contact telephone number of the child’s health care provider and the date of the child’s enrollment; Child #4: The name, home address, city, state, zip code, and contact telephone number for the second parent of the child and 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; Child #5 and Child #6: The name and contact telephone number for the second individual authorized by the child’s parent to collect the child from the facility in case of an emergency; Child #7: The name, home address, city, state, zip code, and contact telephone number for the second parent of the child, A 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, and the name and contact telephone number of the child’s health care provider; Child #8: The name of the individual to be contacted in case of injury or sudden illness of the child, the name and contact telephone number of the child’s health care provider, and the questions were not addressed on the back side; Child #9: The date of the child’s enrollment; Child #10: The date of the child’s enrollment, the name, home address, city, state, zip code, and contact telephone number for the second parent of the child, The name and contact telephone number for the second individual authorized by the child’s parent to collect the child from the facility in case of an emergency; and Child #11: The name and contact telephone number of the child’s healthcare provider.”

AAC R9-5-306.A. A. A licensee shall maintain a dated attendance form containing an enrolled child’s name with the time of each admission and release of the enrolled child. 1. Except as provided in subsection (A)(2), a licensee shall ensure that the attendance form is signed with at least a first initial of an individual’s first name and the individual’s last name by each enrolled child’s parent or individual designated by the enrolled child’s parent, each time the enrolled child is admitted or released. 2. An electronic fingerprint verification or an electronic signature may be used in place of a signature of the enrolled child’s parent or designated individual to admit or release the enrolled child. 3. If an electronic signature is used to admit or release the enrolled child, the licensee shall adopt policies and procedures to ensure that the individual whose signature the electronic or digital method of identification represents is accountable for the use of the electronic or digital method; 4. A licensee shall develop, document, and implement policies and procedures to ensure that the identity of an individual is known to the staff member or is verified with picture identification before releasing an enrolled child to the individual. 5. A licensee shall not release the enrolled child to an individual other than the enrolled child’s parent or other individual designated in writing by the enrolled child’s parent except when the enrolled child’s parent is unable to collect the enrolled child and authorizes the licensee by telephone to release the enrolled child to an individual not so designated. a. The licensee shall verify the telephone authorization using a means of verification that has been agreed upon between the licensee and the enrolled child’s parent at the time of enrollment. b. The licensee shall document the means of verification in subsection (A)(5)(a) on the enrolled child’s Emergency, Information, and Immunization Record card. 6. A licensee shall not permit the self-admission or self-release of an enrolled child unless the enrolled child is of school age and the licensee has obtained and verified written permission from the enrolled child’s parent. 7. A licensee shall maintain the attendance form on facility premises for 12 months after the date of attendance.

“Findings: Based on facility documentation and Compliance Officer #1's observations, it was determined that 3 out of 12 enrolled children's attendance forms reviewed lacked the following required information: Child #15: An admission signature for 9/3/24; Child #16: An admission signature for 9/3/24 and 9/6/24; and Child #17: An admission time for 9/9/24 and 9/10/24.”

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 Compliance Officer #2's observations, the following rosters were incomplete: * The Infant room had 7 children present and 6 children were marked on the roster. * Intermediate B (3's/4's) had 12 children present and 6 children were marked on the roster.”

AAC R9-5-401.2. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:2. A facility director’s designee is 21 years of age or older and provides the licensee with documentation of one of the following: a. At least 12 months of child care experience, a high school or high school equivalency diploma, and: i. Three credit hours or more in early childhood, child development, or a closely-related field from an accredited college or university, or ii. At least 30 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field; b. At least 12 months of child care experience and: i. An N.A.C., C.D.A., or C.C.P. credential; or ii At least 24 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; c. At least six months of child care experience and an associate degree from an accredited college or university in early childhood, child development, or a closely-related field; or d. At least three months of child care experience and a bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field;

“Findings: Based on facility documentation and the Compliance Officers' observations, Staff #8 (DOE 8/15/23) was listed as the director designee. Staff #8 was not qualified as the director designee because the file lacked 12 of the required 30 actual hours of instruction, provided in conferences, seminars, lectures, or workshops in early childhood, child development, or a closely-related field.”

AAC R9-5-401.3. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:3. A teacher-caregiver is 18 years of age or older and provides the licensee with documentation of one of the following: a. Six months of child care experience and: i. A high school diploma or high school equivalency diploma; or ii. At least 12 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; b. Associate or bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field; or c. N.A.C., C.D.A., or C.C.P. credential;

“Findings: Based on facility documentation and the Compliance Officer's observations of 13 staff files, Staff #1's (DOE 4/2/24) file lacked documentation of a high school diploma or high school equivalency diploma. The document in the file was not evaluated to be equivalent to a high school diploma or high school equivalency diploma from the United States.”

AAC R9-5-401.4. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:4. An assistant teacher-caregiver is 16 years of age or older and provides the licensee with documentation of one of the following: a. Current and continuous enrollment in high school or a high school equivalency class; b. High school or high school equivalency diploma; c. Enrollment in vocational rehabilitation, as defined in A.R.S. § 23-501; d. Employment as a teacher-caregiver aide for 12 months; or e. Service as a volunteer in a child care facility for 12 months;

“Findings: Based on facility documentation and the Compliance Officers' observations of 13 staff files, the file for Staff #1 (DOE 4/2/24) lacked documentation of verified education. The document in the file was not evaluated to be equivalent to a high school diploma or high school equivalency diploma from the United States.”

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, in Toddler 2A (1's), the diaper changing area lacked single-use paper towels.”

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).

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that 3 out of 13 staff files lacked the following required information: Staff #6 (DOE 6/11/24): 2 of 2 good faith effort references; Staff #9 (DOE 5/14/24): The name and telephone number of an individual to be notified in case of an emergency; and Staff #12 (DOE unknown): The staff member's date of birth, starting date of employment, the name and telephone number of an individual to be notified in case of an emergency, and a written statement attesting to current immunity against measles, rubella, diphtheria.”

AAC R9-5-403.A. A. Within 10 calendar days of the starting date of employment or volunteer service, a licensee shall provide, and each staff member who provides child care services shall complete, training for new staff members that includes all of the following:1. Facility philosophy and goals; 2. Names and ages of and developmental expectations for enrolled children for whom the staff member will provide child care services; 3. Health needs, nutritional requirements, any known allergies, and information about adaptive devices of enrolled children for whom the staff member will provide child care services; 4. Lesson plans; 5. Child guidance and methods of discipline; 6. Hand washing techniques; 7. Diapering techniques and toileting, if assigned to diaper changing duties; 8. Food preparation, service, sanitation, and storage, if assigned to food preparation; 9. If a staff member is assigned to feeding infants, the preparation, handling, and storage of infant formula and breast milk; 10. Recognition of signs of illness and infestation; 11. Child abuse or neglect detection, prevention, and reporting; 12. Accident and emergency procedures; 13. Staff responsibilities as required by A.R.S. Title 36, Chapter 7.1, Article 1 and this Chapter; 14. Sun safety policies and procedures; 15. Safety in outdoor activity areas; 16. Transportation procedures, if applicable; and 17. Field trip procedures, if applicable.

“Findings: Based on the Compliance Officers' observations of 13 staff files, the file for Staff #12 (DOE unknown) lacked new staff training within 10 calendar days of the starting date of employment.”

AAC R9-5-403.B. B. A licensee shall ensure that:1. Each staff member who provides child care services completes 18 or more actual hours of training every 12 months after the effective date of this Chapter or the staff member’s starting date of employment or volunteer service in at least two topics listed in this subsection: a. Child growth and development, including: i. Infant growth and development, which may include sudden infant death syndrome prevention; ii. Developmental psychology; iii. Language development; iv. Observation and child assessment; v. Developmentally-appropriate activities; vi. Child guidance and methods of discipline which may include training on the appropriate techniques to prevent a child from harm or to prevent the child from harming others; and vii. Developmentally-appropriate activity areas; b. Health and safety issues, including: i. Accident and emergency procedures, including CPR and first aid for infants and children; ii. Recognition of signs of illness and infestation; iii. Nutrition and developmentally-appropriate eating habits; iv. Child abuse detection, reporting, and prevention; v. Safety of indoor and outdoor activity areas; and vi. Sun safety policies and procedures; c. Program administration, planning, development, or management; and d. Availability of community services and resources, including those available to children with special needs; and 2. As part of the required 18 hours of training in subsection (B)(1): a. A staff member who has less than 12 months of child care experience before the staff member’s starting date, completes at least 12 hours in one or more of the topics in subsection (B)(1)(a) in the staff member’s first 12 months at the facility; b. A staff member who has 12 months or more of child care experience, completes at least 6 hours in one or more of the topics in subsection (B)(1)(a) every 12 months after the staff member’s starting date; c. A staff member who provides child care services to an infant completes at least 6 hours in subsection (B)(1)(a)(i) every 12 months after the staff member’s starting date; and d. A facility director completes at least 6 hours in subsection (B)(1)(c) every 12 months after the facility director’s starting date.

“Findings: Based on facility documentation and the Compliance Officers' observations of 13 staff files, the following staff files lacked: Staff #7 (DOE 2/6/23): 16 of the 18 required hours of annual training from 2/2023 - 2/2024; and Staff #8 (DOE 8/15/23):17 of the required 18 hours of annual training from 8/2023 - 8/2024.”

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 Officers' observations of 13 staff files, the files for Staff #2 (DOE 5/7/24), Staff #3 (DOE 5/7/24), Staff #6 (DOE 6/11/24), Staff #10 (DOE 12/12/23), and Staff #11 (DOE 8/19/24) lacked documentation of the staff member's completion of training that is signed by the facility director and dated.”

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: Toddler 2 A (1's): The pony wall door between the toilet room and the activity area was broken and off the hinges. The Compliance Officers had to move the door to the side of the doorway to access the toilet room. Toddler 1 (1's): The black baseboard panel on the right edge of the exit door was loose exposing the interior drywall and the wall panel to the right of the exit door was detached exposing sharp edging.”

AAC R9-5-501.A.18. A. A licensee shall ensure that:18. Each enrolled child’s pacifier is labeled with an identifier that is specific to the enrolled child and maintained in a clean condition;

“Findings: Based on Compliance Officer #1's observations, in the Infant room, 2 pacifiers in cribs lacked an identifier specific to an enrolled child.”

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, in Toddler 2A (1's) toilet room, there was a plunger on the floor to the left of the left toilet.”

AAC R9-5-203.C. C. Except as provided in A.R.S. § 41-1758.03, a licensee shall ensure that each staff member, before starting date of employment or volunteer service, submits to the licensee a copy of the staff member’s valid fingerprint clearance card,front and back, issued under A.R.S. Title 41, Chapter 12, Article 3.1.

“Findings: Based on Compliance Officer #1's observations and facility documentation, the file for Staff #6 (DOE 6/11/24) lacked documentation of a Fingerprint Clearance Card. The staff had a card, but a copy was not in the file.”

AAC R9-5-203.E. E. If a staff member possesses a fingerprint clearance card that was issued before the staff member became a staff member at the facility, a licensee shall:1. Contact the Department of Public Safety before the individual becomes a staff member to determine whether the fingerprint clearance card is valid; and 2. Document this determination, including the name of the staff member, the date of contact with the Department of Public Safety, and whether the fingerprint clearance card is valid.

“Findings: Based on Compliance Officer #2's observations and facility documentation, the files for Staff #11 (DOE 8/19/24) and Staff #12 (DOE unknown) lacked documentation of a validated fingerprint clearance card.”

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 Officers' observations and facility documentation, the files for Staff #5 (DOE 8/27/24), Staff #11 (DOE 8/19/24), and Staff #12 (DOE unknown) lacked documentation of the DCS registry submittal.”

AAC R9-5-301.B. B. A licensee shall ensure that a facility director: 1. Designates, in writing, an individual who meets the requirements of R9-5-401(2) to act on behalf of the facility director when the facility director is not present in the facility; 2. Supervises or assigns a teacher-caregiver to supervise each staff member who does not meet the qualifications of R9-5-401(3); 3. Prepares a dated attendance record for each day and ensures that each staff member documents on the attendance record the time of each arrival and departure of the staff member; and 4. Maintains on the facility premises, the dated attendance record required in subsection (B)(3) for 12 months after the date on the attendance record.

“Findings: Based on Compliance Officer #1's observation and facility documentation, the Director failed to record their times of arrival and time of departure.”

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 Compliance Officer #2's observations and facility documentation, the Mantoux skin test for Staff #10 (DOE 12/12/23) was not read on or before the starting date of employment (TB test read 12/13/23). The file for Staff #12 (DOE unknown) lacked documentation of a negative Mantoux skin test or other tuberculosis screening test.”

AAC R9-5-303.A. A. A licensee shall post in a place that can be conspicuously viewed by individuals entering or leaving the facility or activity area, the:1. Facility’s license; 2. Name of the facility director; 3. Name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility, as prescribed by R9-5-301(B)(1); 4. Schedule of child care services fees and policy for refunding fees as prescribed by A.R.S. § 36-882(P); 5. Breakfast, lunch, dinner, and snack menus for each calendar week at the beginning of the calendar week; 6. Notice of the presence of any communicable disease or infestation listed in 9 A.A.C. 6, Article 2, Table 2, from the date of discovery through the incubation period of the communicable disease or infestation; 7. Notice of the Department’s intent to deny, revoke, or suspend as prescribed by A.R.S. § 36-888 at the expiration of time in the notice for the licensee to respond; 8. Notice of an intermediate sanction imposed as prescribed by A.R.S. § 36-891.01 within 10 calendar days after the licensee received notice of the intermediate sanction; 9. Notice of a legal injunction imposed as prescribed by A.R.S. § 36-886.01 when the licensee receives the legal injunction; and 10. Notice of the availability of facility inspection reports for public viewing at the facility premises.

“Findings: Based on Compliance Officer #1's observations, the main posting board lacked postings for child care services fees and a policy for refunding fees.”

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

“Findings: Based on the Compliance Officer's observation and on a discussion with staff in the 3 year old room, 8 children were present in the room but 9 children were listed as present on the roster.”

AAC R9-5-309.C. C. A licensee shall maintain on facility premises: 1. A current fire inspection report including documentation of any repairs or corrections required by the fire inspection report; and 2. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a current gas inspection report including documentation of any repairs or corrections required by the gas inspection report.

“Findings: Based on the Compliance Officer's observation and on a discussion with the Director, it was determined that the City of Phoenix fire permit had expired on 10/27/21 and the licensee has not obtained a current City of Phoenix fire permit. *Repeat Deficiency that was also cited at the time of the 9/2023 inspection.”