S.U.S.D.#12 - Ocotillo Preschool

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 review of required documents Compliance Officer 2 observed that Infant Feeding Instructions were not available for review for Child 1.”

AAC R9-5-509.C.21. C. A licensee shall ensure that: 21. A refrigerator at the child care facility maintains a temperature of 41° F or below and a freezer maintains a temperature of 0° F or below, as shown by a thermometer kept in the refrigerator and in the freezer at all times;

“Findings: The Secondary Compliance Officer noted that a thermometer was not available in a small refrigerator located in the Infant Classroom. The refrigerator held infant bottles containing milk, as well as a carton of milk.”

AAC R9-5-501.B.9. B. 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 a review of personal products in the Ones Classroom, the Primary Compliance Officer observed the following items that did not document the first and last name of the child: -A tube of Desitin Paste -A tube of Comforts Diaper Rash Ointment -A tube of Boudreaux's Paste”

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

“Findings: During the inspection the Compliance Officers observed that the soiled diaper container was accessible near the changing table in the following rooms: -Ones -Twos”

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: While inspecting Classroom 3 (Four/Fives) the Compliance Officers noted that the roster documented three children in the room, but at that time there was only one children present in the classroom.”

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;

“Findings: The Primary Compliance Officer observed three uncovered electrical outlets in a power strip located on a counter in the Infant Classroom.”

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

“Findings: Based on inspection of the diaper changing areas the Compliance Officers noted that the transition between the counter top and backsplash on the diapering counter is not seamless due to gaps.”

AAC R9-5-512.F.7. F. A licensee shall ensure that: 7. Toys, materials, and equipment are maintained in a clean condition;

“Findings: While inspecting the classrooms the Primary Compliance Officer observed the following items in the child restroom located inside the classroom: -Clothing items in a partially opened plastic dresser drawer unit -Two blankets sitting on top of the plastic dresser drawer unit”

AAC R9-5-502.C.1.d. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: d. Keeps dated, daily, documentation of each infant including: i. A description of any activities the infant participated in, ii. The infant’s food consumption, iii. Diaper changes, and iv. Tummy time;

“Findings: Based on review of Infant Daily Logs the Secondary Compliance Officer observed that a description of activities was not documented for Children 1 - 4.”

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.

“Based on review of Emergency, Information and Immunization Record (EIIR) cards the Compliance Officers noted that Child 7's card did not document the contact telephone number of the child’s health care provider, it said "911".”

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.

“Upon entering Classroom 4 the Compliance Officers noted that there were seven children present, but the roster indicated that only six children were present at approximately 11:59 AM. It was determined that Child 8 had not been added back onto the roster upon returning at 11:00 AM.”

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;

“Based on review of Infant Feeding Instructions the Compliance Officers noted the following: -Child 1's forms were not updated, nor were they signed and dated by the parent/guardian. -Child 2's forms were not filled out or dated as required. -Child 3's forms have not been updated since 07/12/24. -Child 4's forms were not filled out as required. -Child 5's forms were not signed or dated as required.”

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 Officers noted that a child's bottle stored in the Infant Room refrigerator was not labeled with the child's name as required.”

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

“The Compliance Officers noted that a refrigerator in the Infant Room did not have a thermometer to document that it maintained a temperature of 41° F or below as required.”

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

“The Compliance Officers observed a garbage can that contained food waste and a Styrofoam food container in a garbage can located in Classroom 4. The garbage can had a liner, but did not have a lid as required.”

AAC R9-5-601.4. A licensee shall comply with the following physical plant requirements:4. Except as provided in subsection (5), when providing child care services for infants or children who require diapering, a diaper changing area that meets the requirements in R9-5-503 is available in each infant room or indoor activity area used by an enrolled infant or child who wears diapers or disposable training pants;

“Compliance Officers noted that the diaper changing table has been moved into the child restroom that is located inside Classroom 5. The original approved location for diaper changing was along the Southern wall of the classroom, near the exit door leading into the hallway.”

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

“The Compliance Officers noted that there were exposed nails along the bottom portion of a wooden storage shed located on the playground. Additionally, the Compliance Officers noted that the green metal fence surrounding the Northeast playground measured less than 48 inches high from the ground to the top of the fencing in several areas. One area along the Eastern fence line measured 46.25 inches, and another section along the Southern fence line measured 43 inches high.”

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 Officers observed unused electrical outlets that were not covered with a safety plug cover in a counter height outlet in Classroom 2.”

AAC R9-5-502.C.1.d. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: d. Keeps dated, daily, documentation of each infant including: i. A description of any activities the infant participated in, ii. The infant’s food consumption, iii. Diaper changes, and iv. Tummy time;

“Based on review of Infant Daily Logs the Compliance Officers noted that tummy time has not been consistently documented as required for Child 5 and Child 6.”

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: The Compliance Officer inspected the Infant Classroom and observed that water temperature measured 70 degrees Fahrenheit. She inspected the diaper changing area in Classroom 4 and observed that the diaper table was not directly next to the sink. The water Temperature measured 70 degrees Fahrenheit as well.”

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: The Compliance Officer inspected the Infant Classroom and Classroom 4 observed that they each had a clear bin containing toys stored on the diapering sink counters. The counters lacked a Plexiglass divider to separate the diaper sink counters from other counter spaces.”

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

“FINDINGS: The Compliance Officer reviewed the file for Staff 1 (start date 8/10/23) and observed that their DCS Central Registry was completed after their start date on 9/14/23.”

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.

“FINDINGS: The Compliance Officer inspected Classroom 5 and observed that 9 children were present, however 8 children were documented as present on their roster.”

AAC R9-5-309.B. B. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a licensee shall ensure that a licensed plumber or individual authorized by the local jurisdiction conducts a gas inspection that verifies there are no gas leaks in the gas pipes that run from the gas meter to any appliance or location on facility premises at least once every 12 months after the issue date of the license.

“FINDINGS: The Compliance Officer reviewed the inspection reports and observed that the most recent inspection on file was dated 4/14/19.”

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: The Compliance Officer inspected Classrooms 4 and 6 and observed that their lesson plans were dated 2/26-3/1. She inspected Classroom 2 and observed that their lesson plan was not dated.”

AAC R9-5-502.C.1.d. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: d. Keeps dated, daily, documentation of each infant including: i. A description of any activities the infant participated in, ii. The infant’s food consumption, iii. Diaper changes, and iv. Tummy time;

“FINDINGS: The Compliance Officer inspected the Infant Classroom and observed that the children's daily activities were not being documented.”

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: The Compliance Officer reviewed the file for Staff 2 (start date 7/19/23) and observed that their TB test was read after their start date on 08/06/23.”

AAC R9-5-601.4. A licensee shall comply with the following physical plant requirements:4. Except as provided in subsection (5), when providing child care services for infants or children who require diapering, a diaper changing area that meets the requirements in R9-5-503 is available in each infant room or indoor activity area used by an enrolled infant or child who wears diapers or disposable training pants;

“FINDINGS: The Compliance Officer inspected Classroom 5 and observed that the diaper table was relocated from the activity area into their restroom.”

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: The Compliance Officer inspected Classroom 6 and observed that the children's extra clothing was stored on a high shelf in their restroom, however, the clothing was stored in a bin that was not sealed with the lid.”

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

“FINDINGS: The Compliance Officer inspected Classroom 4 and observed that the dirty diaper container was stored accessible to the enrolled children.”