The Treehouse Kids Club

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 1 inspected the diapering table in the Ones Classroom and observed that one portion of the seam along the back edge of the table was exposed.”

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 Compliance Officer and Compliance Officer Supervisor's observations, diaper changing areas were not maintained in a sanitizable, seamless, and smooth condition as follows: INFANT ROOM: *There was a sticker on the side of the changing table. *The caulking around the sink and the plexiglass divider was not smooth and seamless. 1'S ROOM: *There was a heavy dirt and grime build up along the caulking around the sink and the plexiglass divider, and the caulking was chipped and peeling. *There was a section of missing caulking on the back edge of the changing table, and there was a sticker on the side of the changing table. 2'S ROOM: *There was a heavy dirt and grime build up along the caulking around the sink and the plexiglass divider, and the caulking was chipped and peeling. *The raised area on the changing table was not smooth or seamless, as the caulking was cracked and missing, and the surfacing was cracked.”

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 Compliance Officer and Compliance Officer Supervisor's observations, the diaper changing sink water temperature in the 2's Room was 112°F. In addition, the sink was 39" from the changing table, not "next to" as required.”

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

“Findings: Based on the Compliance Officer and Compliance Officer Supervisor's observations, the following areas were not maintained in a clean condition as follows: *There was a thick brown dirt build up in the circular cabinet handles throughout the facility. *There was a fluffy brown dirt build up on the restroom exhaust fans and the ceiling fans throughout the facility. *There was a spiderweb on the ceiling sprinkler head and a brown and black dirt stain on the wall behind the garbage can in the 3's Room. *There was a heavy dirt build up on the garbage can lid and in the wooden toy cart on the Main Playground.”

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 Officer and Compliance Officer Supervisor's observations, there was a tear in the carpeting between the 3's and 4's Rooms, which was loose and caused a tripping hazard.”

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 Officer and Compliance Officer Supervisor's observations, the following restrooms were not maintained in a clean and sanitized condition: 2'S ROOM: *There was a chip in the tile at the base of the toilet. *There were multiple decorations on the ceiling and walls. *There was a heavy dark brown dirty substance in the areas where the toilet seat was attached. *There was a thick brown build up around the sink faucet. PRESCHOOL BOYS' RESTROOM: *There were yellow stains at the base of the toilet. HALLWAY RESTROOM: *There was a chip in the tile at the base of the toilet.”

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 and Compliance Officer Supervisor's observations, the following areas were not maintained in a clean condition: *There was a dust build up on the toys, materials, and equipment in the indoor activity areas. *There was a heavy dust and debris build up on the toys, materials, and equipment in the outdoor activity areas. *The 2's Room restroom lacked paper towels.”

AAC R9-5-516.G. G. A licensee shall return all unused prescription and nonprescription medications to a parent when the medication prescription date has expired or the medication is no longer being administered to the enrolled child or dispose of the medication if unable to locate the enrolled child's parent after the child's disenrollment

“Findings: Based on facility documentation and the Compliance Officer and Compliance Officer Supervisor's observations, the medications for Child #5 and Child #6 expired in November 2024 and were not returned to the children's parents.”

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 Compliance Officer and Compliance Officer Supervisor's observations, the outdoor activity areas were not maintained free from hazards as follows: TODDLER PLAYGROUND: *One tricycle was missing the handlebar covers. *One tricycle had a broken plastic seat. *There were areas of rusted metal on the dump truck. *There was bird feces on the plastic riding car. *There were areas of broken and sharp plastic on the puzzle block unit. *There were areas of sharp metal on the base of the chain link fencing. MAIN PLAYGROUND: *There was a build up of water and sand in one drinking fountain. *The wooden toy cart was splintered and had exposed screws in the corner joints. *There was rust on the riser unit.”

AAC R9-5-502.C.1.m. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: m. Posts the current written dietary instructions in the infant room and the kitchen and maintains the instructions on facility premises for 12 months after the date of the instructions; and

“Findings: Based on facility documentation and the Compliance Officer and Compliance Officer Supervisor's observations, infant feeding instructions were not posted in the kitchen as required.”

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 Compliance Officer and Compliance Officer Supervisor's observations, an infant was wearing a bib during tummy time in the Infant Room. *Reference R9-5-501.A.1”

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 Compliance Officer and Compliance Officer Supervisor's observations, personal products were not labeled with children's first and last names in the 1's and 2's Rooms.”

AAC R9-5-501.A.14. A. A licensee shall ensure that: 14. Temperatures are maintained between 68° F and 82° F in each room used by enrolled children;

“Findings: Based on Compliance Officer and Compliance Officer Supervisor's observations, the temperatures in the activity areas used by children were between 66 - 67°F, rather than between 68-82°F as required.”

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

“Findings: Based on Compliance Officer and Compliance Officer Supervisor's observations, the exhaust fan in the Preschool girls' restroom was inoperable.”

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 Compliance Officer and Compliance Officer Supervisor's observations, the following hazards were observed accessible to children: INFANT ROOM: *The hinge pin at the base of the diaper changing cabinet was exposed approximately 1" at the bottom of the cabinet door. 1'S ROOM: *The pink kitchen shelf tipped easily forward when light pressure was applied. *The wall coat rack was loose and easily movable from the wall. 2'S ROOM: *There was a quarter-sized hole on the top of the small black wooden activity table. *The vinyl was peeling off of the brown child-sized couch. DINING ROOM/SCHOOL-AGE ROOM: *The side panel on the block shelf was loose and separated from the rest of the unit. *There was an area of exposed rough particle wood on the edge of the dining room shelf. HALLWAY RESTROOM: *Cracked and broken plastic on the garbage can lid. PRESCHOOL BOYS' AND GIRLS' RESTROOMS: *There were tears in the drywall covering above the restroom sink area from where a dispenser had torn from the wall.”

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 Compliance Officer and Compliance Officer Supervisor's observations, 4 out of 10 children's emergency cards reviewed lacked the following information: Child #1, Child #2: Individual to be contacted first. Child #3: Second guardian's information. Child #4: Second guardian's phone number.”

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;

“Findings: Based on Compliance Officer and Compliance Officer Supervisor's observations, three feeding bottles in the Infant Room were not labeled with children's first and last names.”

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.

“Compliance Officer 1 observed urine in the toilet of the preschool bathroom.”

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

“Compliance Officer 2 observed that the medication consent forms were incomplete. The form for Child 1 was missing the start and end date; Child 2's form had a prescription number but there was no number on the medication and the end date says "indefinitely but the medication expires 1/24; and Child 3's form did not have an end date or the time and frequency; Child 4's form said until further notice.”

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.

“Compliance Officer 2 observed a medication for Child 2 loose in a gallon sized bag with no prescription label, a non-prescription medication that says do not use for children 2 to 5 for Child 5 who is 3 years old and there was no Dr's note, and a medication prescribed in a quantity of 2 for Child 4 and the facility only had one medication.”

AAC R9-5-303.B. B. A licensee shall ensure that the licensed capacity of each indoor activity area or room is posted in that activity area or room.

“Compliance Officer 1 observed that the capacity was not posted in the 2 year old classroom.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Compliance Officer 1 observed that the water was not accessible to enrolled children in the 1 year old classroom. It was on the counter in the classroom.”

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

“Compliance Officer 1 observed a broken cabinet where the soiled clothing container was in the 2 year old classroom.”

AAC R9-5-502.C.1.m. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: m. Posts the current written dietary instructions in the infant room and the kitchen and maintains the instructions on facility premises for 12 months after the date of the instructions; and

“Compliance Officer observed that the feeding instructions for Child 1 did not have a signature or date.”

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;

“Compliance Officer 1 observed that the caulking by the diapering sink was dirty and was coming up and cannot be sanitized in the 1 and 2 year old classrooms.”