The Learning Experience

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, the following rosters were not current: *Twaddler B (2s): 8 children present and 11 children listed on the roster *Preschool 1A (3s): 12 children present and 15 children listed on the roster”

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 a review of facility documentation and the Compliance Officer's observations, the facility lacked documentation of completed infant feeding instructions for 2 of the 9 infants present.”

AAC R9-5-501.B.6. B. A licensee shall ensure that a staff member: 6. For enrolled children five-years or younger, and except as provided in subsection (C), prepares, posts, and implements 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 Officer's observations, the Preschool 1A (3s) and Preschool 2 (4s) rooms lacked a current weekly lesson plan. The posted lesson plans were dated for the week of 2/23-2/27.”

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 Officer's observations, in the Twaddler B (2's) room, there was a long protruding nail on the base of the toilet accessible to the enrolled children.”

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 child educator 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 if working with enrolled children five years old and younger, or three months of child care experience if working with school-aged children; 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 a review of facility documentation and the Compliance Officers' observations, Staff #1's (DOH 10-27-2025) file lacked documentation of the following to qualify as a child educator: *An evaluation of foreign education credentials. *2 of the required 6 months of childcare experience. Previously cited: 3/26/2025 and 3/6/2025”

AAC R9-5-503.A.3.4. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and 4. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled clothing.

“Findings: Based on the Compliance Officer's observations, the following soiled diaper/clothing containers were not maintained, as required: *Twaddler B (2's) room- the soiled clothing container lacked a liner, and the soiled diaper container lacked a liner and a lid. *Preppers (3's) room- the soiled clothing container lacked a liner.”

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

“Findings: Based on the Compliance Officer's observations, Child #1's medication lacked the prescription label and the original container as dispensed by the pharmacy.”

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 facility documentation and the Compliance Officer's (CO) observation, Staff #1's (DOE 8/20/2025) file lacked a copy of the front and the back of the fingerprint clearance card.”

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 facility documentation and the COs' observations, the documentation of new staff training for Staff #1 (DOE 8/20/2025), Staff #3 (DOE 9/23/2025), and Staff #5 (7/7/2025) lacked the Director's signature and date.”

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 CO's observation, Staff #3 (DOE 9/23/2025) and Staff #4's (DOE 9/7/2025) files lacked a starting date of employment.”

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, based on a review of classroom rosters, staff attendance records, staff statements, and the Compliance Officer and Compliance Officer Supervisor's observations, staff to child ratios were not maintained at all times. *On 5/12/2025, the ratio in the Toddler B (1s) classroom was 1:8 instead of 2:8 as required when 1-year-old-children are present. *On 5/9/2025, the ratio in the Infant room was 1:6 instead of 2:6 as required when infants are present. Staff stated the following: -I called the front to let them know I was over ratio. "They kept saying they would send someone, but once it took about an hour." -"I told (Staff's name) three times that I was over ratio." -"(Staff's name) did touch base with me while I was out of ratio but they didn't stay with me."”

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, it was determined that the roster in the Twaddler B did not reflect the number of children present (13 children present, 9 children listed on the roster).”

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 staff statements and Compliance Officers' observations, Staff #1 used a method of discipline that could cause harm to the health, safety, and welfare of an enrolled child: Staff stated: Staff #1 pulls children by the arm to move them to the table. Staff #1 pulls down on a child’s arm to sit them down. Staff #1 pulls the child up from the ground by the arms. Staff #1 pushes down on a child’s shoulder to get them to sit down.”

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: Per allegation, based on staff statements and Compliance Officers' observations, Staff #1 failed to teach and model, and encourage orderly conduct, personal control, and age-appropriate behavior of enrolled children. Staff #1 used aggressive tones towards children. Staff Stated: *Could be heard in the hallway yelling at a child: (Child’s name), come here. *See what you did. (Child’s name) Stop it. *Why are you crying? *If a parent were to walk by, it would be considered rude. *Child cowers when being yelled at. *Child cries when being yelled at.”

AAC R9-5-404.E. E. In addition to maintaining the required staff-to-children ratios, a licensee shall ensure that:1. Staff members are present on facility premises to perform facility administration, food preparation, food service, and maintenance responsibilities; and 2. Facility maintenance does not depend on the work of enrolled children.

“Findings: Based on the Compliance Officers' observations, the facility lacked staff members to perform facility administrative duties. Previously cited: 3/24/2025”

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: Per allegations, based on the Compliance Officer's observation, in Toddler A (1-year-old children) room, the health, safety, and welfare of a 1-year-old child was put at risk when Staff #4 grabbed a child by the upper arm and shoved the child to the ground hitting their shoulder hard enough to make a loud sound during contact. Staff #4 then yelled at the child, "You know I don't like my classroom dirty," while placing foam blocks back on the shelf. Previously cited: 5/21/2024 and 3/24/2025.”

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

“Findings: Based on the Compliance Officer's observation, staff failed to supervise children at all times; On the playground, Staff #5 was heard raising their voice with little interaction. Children were crying when Staff #5 raised their voice. Staff #5 Statements were: *Not yours, please stop. *Get off the wall. *Please go away, I don't need you licking the fence. *The class was in between outside and inside when two children ran off; 11 children looked at books located down the hall from the classroom, and 2 children had returned to the soccer field on the playground. In Preschool #2 during the opening hours of 8:00-8:30 am. There were several incidents that the teachers did not supervise: *A child stomped on another child's arm over a basket she was playing with. *A child threw a book and hit another child in the head. *A child hid in the toilet room. *A child pushed another child onto the carpet. *A child was climbing and sat down on a table. *A child was doing flips on the carpet.”

AAC R9-5-510.B.2. B. A licensee shall ensure that a staff member does not use or permit: 2. Corporal punishment;

“Findings: Based on the Compliance Officer's observation, Staff #5 pulled a child down the slide, and the child hit the back of their head on the slide. Staff #6 pushed a chair forcefully to the table with a child in it. The child began to cry that it hurt their tummy. Previously cited. 3/12/2025”

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: Per allegations, based on the Compliance Officers' observations, the teachers failed to teach, model, and encourage orderly conduct, personal control, and age-appropriate behaviors. The Compliance Officers observed: *A staff member pushed a chair forcefully to the table with a child in it. The child began to cry that it hurt their tummy. *A staff member grabbed a child by the upper arm with force to try to make the child sit during circle time. *A staff member pulled a child down the slide, and the child hit the back of their head on the slide. *A staff member was heard telling children to sit down in a raised voice. *The staff demanded the children get back in line and not touch the walls with a scolding tone. *A staff member told a child not to touch the toys in a loud voice. *A staff member told a child that the teacher does not like a messy room in a scolding voice. *Several staff members used a loud, stern voice, "It's too loud in here." *A staff member told a child not to touch their hand and then walked away from the child. Previously cited: 3/12/2025 and 3/24/2025 Previously cited: 3/12/2025 and 3/24/2025”

AAC R9-5-602.B. B. When computing indoor activity space for subsections (A)(1) through (A)(3) to determine licensed capacity, the floor space occupied by the following shall be excluded:1. The interior walls; 2. A kitchen, bathroom, closet, hallway, stair, entryway, office, a room designated for isolating an enrolled child from other children, storage rooms, and a room designated for the sole use of child care staff; and 3. Room space occupied by teacher-caregiver desks, file cabinets, storage cabinets, and hand-washing sinks for staff use.

“Findings: Based on the Compliance Officer’s observation, in the Toddler C (1-year-old-children) room, there were 22 enrolled children present. Toddler C is licensed for a capacity of 18 children.”

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 facility documentation and the Compliance Officer’s observation, it was determined that Staff #1 was a teacher-caregiver in the classroom at the time of the inspection. Staff #1 was not qualified as a teacher-caregiver and was not supervised by a qualified staff member.”

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 observation, it was determined that Staff #1 was a teacher-caregiver in Twaddler 1 ( 2/3-year-old children) room. Staff #1 was not qualified as a teacher-caregiver because the staff file lacked documentation of a high school diploma or high school equivalency diploma.”

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 Officer's Supervisor's observations, it was determined that the files for Staff #2 (DOH 3/11/2025) and Staff #3 (DOH 3/20/2025) lacked documentation of the staff members' starting dates of employment.”

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

“Findings: Based on facility documentation and the Compliance Officers' observations, the following Classrooms exceeded the required ratios on Wednesday, March 26, 2025: Infant Room: *At 8:15 am, the ratio was 1:6, the required ratio is 2:6. Toddler B (1-year-old children): *At 9:07 am, the ratio was 1:7; the required ratio is 2:7. Toddler C (2/3-year-old children): *At 8:20 am, the ratio was 2:17; the required ratio is 3:17. *At 8:59 am, the ratio was 2:19; the required ratio is 3:19. *At 9:03 am, the ratio was 2:20; the required ratio is 3:20 *At 9:08 am, the ratio was 2:22; the required ratio is 3:22. Prepper Classroom (2/3 3-year-old children): *At 8:17 am, the ratio was 1:9; the required ratio is 2:9 *At 9:03 am, the ratio was 1:9; the required ratio is 2:9. Preschool A1 (3-year-old children): *At 8:28 am, the ratio was 1:17; the required ratio is 2:17. *At 9:03 am, the ratio was 1:17; the required ratio is 2:17. Previously cited: 3/15/2025;10/4/2023; 5/21/2024; 3/12/2024;and 3/24/2025.”

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 facility documentation and the Compliance Officer’s observation, the licensee listed Staff #1 as a facility director designee. Staff #1 does not meet the requirements of R9-5-401(2) to act on behalf of the facility director when the facility director is not present at the facility. *Previously cited: 5/21/2024”

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 Officer’s observation, it was determined that Staff #1 was the director designee. Staff #1 was not qualified as the director designee because they did not meet the minimum age requirement. Previously sited: 5/21/2024”

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

“Findings: Based on facility documentation and the Compliance Officers' observations, the staff-to-child ratio in the Infant room was 1:8 instead of 2:8 as required for infant care. Previously cited: 10/4/2024; 3/15/2023; 5/21/2024; and 3/12/2024.”

AAC R9-5-404.E. E. In addition to maintaining the required staff-to-children ratios, a licensee shall ensure that:1. Staff members are present on facility premises to perform facility administration, food preparation, food service, and maintenance responsibilities; and 2. Facility maintenance does not depend on the work of enrolled children.

“Findings: Based on the Compliance Officers' observations, the facility lacked staff members to perform facility administration duties.”

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: Per allegation, based on staff statements and the Compliance Officers' observations, the teachers failed to teach, model, and encourage orderly conduct, personal control, and age-appropriate behaviors. Staff Stated: *We pick up children to move them. *We do threaten to call the parents. *Staff consistently raise voices in a stern tone. *I use my hands to move a child's face so that they will look at my eyes. *Sometimes, I will raise my voice. *Yes, I pick up children to remove them from a situation. *Yes, I have heard threats to call mom.”

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 Officer’s observation, the Twaddler #C (2/3 -year-old children) toilet room lacked paper towels.”

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 Officer’s observation, in Twaddler C (2/3-year-old children), the soiled clothes container lacked a waterproof liner.”

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

“Findings: Based on the Compliance Officer’s observation, the surface of the diaper changing table in the Preppers Classroom (2/3-year-old children) was not seamless and smooth. It had a black sticky substance in the areas of the caulking.”

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 Officer’s observation, it was determined that 4 out of 20 enrolled children's Emergency, Information, and Immunization Record cards reviewed lacked the following required information: Child #1: The name, home address, city, state, zip code, and home telephone number of the 2nd parent or guardian. Child #2: The contact telephone number of the child's health care provider and the name of the individual to be contacted in case of injury or sudden illness of the child. Child #3 and Child #4: The contact telephone number of the child's health care provider.”

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 facility documentation and the Compliance Officers' observation, it was determined that the file for Staff #1 and Staff #2 lacked documentation of the 18 hours of the required annual training. Staff #1: 06/20/02023 - 6/20/2024 Staff #2: 07/18/2023 - 7/18/2024”

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

“Findings: Based on facility documentation and the Compliance Officers' observation, it was determined that the Licensee lacked documentation of a current violation-free fire inspection report as required.”

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: Per the allegation, based on staff statements, and the Compliance Officer's observation, the staff failed to ensure the health, safety, and welfare of an enrolled child was not placed at risk of harm. Staff were grabbing, pulling, and pushing children to where the staff member wanted them. Staff stated the following: *That they have witnessed other staff grabbing children inappropriately. *The staff will grab children around the wrist with pressure and pull the children by the wrist. *Some staff grabbed children by the upper arm with force while pushing children down to the ground. *That other staff members pushed children along. Previously Cited: 5/21/2024”

AAC R9-5-508.C. C. If a licensee provides food, a licensee shall prepare and serve food according to the meal pattern requirements found in Table 5.1, "Meal Pattern Requirements for Children."

“Findings: Per the allegation, based on staff statements, and the Compliance Officer's observation, the enrolled children were not being served the required portion sizes of the meal pattern requirements. Staff stated the following: *The facility ran out of milk before lunch. *That leftovers from breakfast were served for lunch because of the lack of lunch food. *They can only serve 1/3 cup of milk to 3-5-year-old children. *There are no seconds available to be served.”

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 facility documentation and the Compliance Officer’s observation, it was determined that Staff #1(DOE 4/25/2024) was a teacher-caregiver in the classrooms at the end of each day. Staff #1 was not qualified as a teacher-caregiver and was not supervised by a qualified staff member.”

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 observation, it was determined that Staff #1 (DOE 4/25/2024) was a teacher-caregiver. Staff #1 was not qualified as a teacher-caregiver because the staff file lacked documentation of a high school diploma or high school equivalency diploma.”

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: Per the allegation, based on documentation, staff statements, and the Compliance Officer's observation, staff members used a method of discipline that would cause harm to the health, safety, and welfare of enrolled children. The documentation observed showed marks on two children where the staff had grabbed them inappropriately. *Several staff grab children by the wrist to move. *Several staff grab children by the upper arm to place children where they want them. *Staff throws big rubber balls at young children's faces (1-3-year-old children).”

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

“Findings: Per the allegation, based on facility documentation, staff statements, and the Compliance Officer's observation, the staff-to-children ratio on 3/4/2025 in Preschool 2 (3-5-year-old children) was 2:29 instead of 3:29 as required for 3-year-old children. The staff stated that the roster for 3/4/2025 was correct and accurate. Previously Cited:3/15/2023; 10/4/2023; and 5/21/2024;”

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: Per the allegation, based on staff statements, and the Compliance Officer's observation, staff members in the PreSchool A2, Twaddler C, Twaddler A classrooms failed to teach, model, and encourage orderly conduct, personal control, and age-appropriate behaviors. Staff statements include: *Staff are always yelling at children. *Staff are telling children to "Sit Down" in a loud and firm voice. *Staff are yelling across the room at children.”