Tiny Tots Daycare Center

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 and Compliance Officer Supervisor requested to review the Infant Daily Logs, and the Director stated that she didn’t have them. (Previously cited on 5/25/2022, 5/22/2024, and 5/19/2025)”

AAC R9-5-605.B.13. B. A licensee shall ensure that: 13. A smoke detector is installed in each indoor activity area and kitchen;

“FINDINGS: The Compliance Officers observed that the Twos classroom was not equipped with a smoke detector. (Previously cited on 5/19/25)”

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: The Compliance Officers observed a bucket with standing water in the hallway accessible to enrolled children.”

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

“FINDINGS: The Compliance Officer and Compliance Officer Supervisor entered the Infant Classroom and observed that Child 1 was seated in a high chair and the safety straps were not fastened. The Director was standing away from Child 1 preparing their food.”

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.

“Upon arrival at the facility, the Compliance Officer Supervisor and the Compliance Officer were told to go to the side door where another Staff left their class to answer the door. It was observed that there were not enough staff members present on the facility premises to perform facility administration such as answering the door.”

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

“The Compliance Officer Supervisor observed that child 6, who is not an infant, was in the infant room when more than six children were present in the facility.”

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

“The Compliance Officer observed a Staff person standing at the door located between the 2s classroom and the outdoor play area. The Staff person was using a mirror to supervise a child who went through the classroom and into the bathroom. The child was left in a 0:1 ratio.”

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.

“The Compliance Officer Supervisor reviewed the file for Staff 1 and observed that it contained 0 out of the required 18 hours of annual training between 07/11/2023 - 7/11/2024 and observed that the Staff 2's file, contained 0 out of the required 18 hours of annual training between 12/02/2023 - 12/02/2024 (Previously cited on 5/25/2022).”

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;

“According to the site Director, staff 9 is not teacher qualified and she was observed to be alone with children during the inspection.”

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

“The Compliance Officer reviewed the children's sign-in and out logs and observed that Children 7 and 8 were signed in on 05/16/25 and were not signed out. (Previously cited on 5/25/20222 and 05/22/2024).”

AAC R9-5-605.B.13. B. A licensee shall ensure that: 13. A smoke detector is installed in each indoor activity area and kitchen;

“The Compliance Officer and the Compliance Officer Supervisor inspected the infant room and observed that a smoke detector had the battery removed and observed that the 2s room does not have a smoke detector.”

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 Officer Supervisor observed that the playground fence around the trees is not maintained free of hazards. The fence is not well-secured to the ground and has wires sticking out.”

AAC R9-5-516.H. H. Except as provided in subsection (J), a licensee shall ensure that prescription and nonprescription medications are stored as follows:1. An enrolled child’s medication is kept in a locked, leak-proof storage cabinet or container that is used only for storing enrolled children’s medications and is located out of reach of children; 2. Medication for a staff member is kept in a locked, leak-proof storage cabinet or container that is separate from the storage container for enrolled children’s medications and is located out of reach of children; and 3. Medications requiring refrigeration are kept in a locked leak-proof container in a refrigerator.

“The Compliance Officer and the Compliance Officer Supervisor observed an adult medication on a shelf in the toddler room and two medications for an enrolled infant in the infant room. The medications were not kept locked.”

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

“The staff member in the infant room acknowledged that she did not have medication authorization forms on file for the two medications found in the diapering area. (Previously cited on 5/23/2023).”

AAC R9-5-514. C. C. A licensee shall:1. Prepare and date a written fire and emergency plan that contains: a. The location of the first aid kit; b. The names of staff members who have the first aid training required by R9-5-403(E); c. The names of staff members who have the CPR training required by R9-5-403(E); d. The directions for: i. Initiating verbal notification of an enrolled child’s parent by telephone or other equally expeditious means within 30 minutes of a fire or emergency; and ii. Providing written notification to the enrolled child’s parent within 24 hours; and e. The facility’s street address and the emergency telephone numbers for the local fire department, police department, ambulance service, and poison control center; 2. Maintain the plan required in subsection (C)(1) in a location on facility premises that has an operable telephone service or two-way voice communication system that connects the facility with an individual who has direct access to an in-and-out operable telephone service; 3. Post the plan required in subsection (C)(1) in any indoor activity area that does not have an operable telephone service or two-way voice communication system that connects the indoor activity area with an individual who has direct access to an in-and-out operable telephone services; and 4. Update the plan in subsection (C)(1) every 12 months after the date of initial preparation of the plan or when any information changes.

“The Compliance Officer noted that the posted Accident and Emergency was last updated on May 22, 2024 and listed employees who are no longer employed at the facility. (Previously cited on 5/22/2024).”

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

“The Compliance Officer inspected the trash can that was located in the toddler room and observed that it contained food waste and was not covered with a lid.”

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

“The Compliance Officer and the Compliance Officer Supervisor noticed that the toddler room's floor had spills and dirt and the carpet had visible stains and dirt accumulation.”

AAC R9-5-511.F. F. A licensee shall ensure that storage space is provided in the facility for cots, mats, sheets, and blankets, that is:1. Accessible to an area used for naptime or sleeping; and 2. Separate from food service and preparation areas, toilet rooms, and laundry rooms.

“The Compliance Officer observed mats being stored in the hall bathroom.”

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;

“The Compliance Officer reviewed the posted menu and observed that the menu was dated November 4-8, 2024. (Previously cited on 5/22/2024).”

AAC R9-5-509.A. A. A licensee that prepares food for enrolled children on facility premises shall, if required by 9 A.A.C. 8, Article 1, andthe local ordinances of the local health department where the facility is located, obtain a food establishment permit issued under 9 A.A.C. 8, Article 1, and: 1. Provide the Department with a copy of the facility’s food establishment permit before the Department issues a license to the facility, 2. Maintain the facility’s current food establishment permit on the facility’s premises, and 3 Provide a copy of the facility’s current food establishment permit to the Department upon request.

“The Compliance Officer noticed that the sanitation permit posted expired on 01/31/2025. Please email a current sanitation permit to the Compliance Officer,”

AAC R9-5-503.B. B. A licensee shall ensure that a staff member does not:1. Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area; 2. Draw water for human consumption from a diaper changing area sink; or 3. Except as provided in subsection (C), if responsible for food preparation, change diapers until food preparation duties have been completed for the day.

“The Compliance Officer observed a baby bottle in the infant's diapering area sink.”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“The Compliance Officer inspected all the hand-washing sinks used in the diaper changing areas and observed that the paper towels were not in a mounted dispenser.”

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

“The Compliance Officer observed that in the diaper changing area in the two-year-old room, was not maintained seamless and smooth when they attached a small red colored bin, duct taping it to the diapering table. *Observed in the infant room, not relating diapering items to the sink and the diapering area. (Previously cited on 5/23/2023, 5/22/2024, 11/13/2024, and 12/10/2024).”

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

“The Compliance Officer observed that the bottles in the infant room were not labeled with the children's full names.”

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;

“Staff 1 in the infant room acknowledged not having written feeding instructions documented for child 5. (Previously cited on 5/23/2023 and 05/22/2024)”

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;

“According to Staff 1, the infants' activity logs were not completed for the day of the inspection. -(Previously cited on 5/22/2024 and 5/25/2022).”

AAC R9-5-502.A.1. A. A licensee providing child care services for infants shall: 1. Provide a wall-enclosed room for infants that provides exits required by R9-5-601(1);

“The Compliance Officer observed that the infant door was open, and a baby gate was used as the door. The room was not enclosed.”

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

“The Compliance Officer inspected the Infant Classroom and observed that children's items, such as diaper rash cream and wipes, were not labeled with their full names.”

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;

“The Compliance Officer reviewed the postings in the 3s Classroom and observed that the lesson plan was dated 12/20/24-12/24/2024. (Previously cited on 5/23/2023 and 5/22/2024).”

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

“The Compliance Officer inspected a restroom in the 2's Classroom and observed that a broom and dustpan were stored next to the toilet, with the bristles down accessible to children.”

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

“The Compliance Officer and the Compliance Officer Supervisor observed a cracked window in the 2s room behind a shelf.”

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

“The Compliance Officer observed that in the toddler room, there is a 3-drawer plastic bin with mats and toys stacked on top, making it unsafe. -It was also observed that some toys, such as small cars with loose tires, and insects with legs and wings that can be easily detached, were not age-appropriate for the 2-3 year old children enrolled in the classroom.”

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

“The Compliance Officer Supervisor reviewed the children's emergency cards and observed the following: -Child 1's card did not document the name and contact telephone number of the child’s health care provider, who to call first in case of an emergency, and did not have the questions on the back form answered. -Child 2's card did not document the contact telephone number of the child’s health care provider. -Child 3's card lacked the date of enrollment. -Child 5's card did not include the date of enrollment, second contact, health provider's telephone number and who to call first in case of an emergency.”

AAC R9-5-301.G. G. A licensee shall ensure that a staff member who has current training in first aid and CPR, as required by R9-5-403(E), is present: 1. At all times during hours of operation on facility premises, 2. On field trips, and 3. While transporting enrolled children in a facility’s motor vehicle or a vehicle designated by the licensee to transport enrolled children.

“Upon arrival to the facility, Staff 1, 2, and 3 were the only Staff present. Based on a review of their files, none of the three Staff present had current CPR/First Aid. The cards viewed had expired in March 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.

“The Compliance Officer observed that Staff 9, who, according to the site director, does not meet the qualifications to be alone with enrolled children was observed being alone with enrolled children when she picked them up from their classroom to take them to their parents. Staff 9 was not supervised by a qualified teacher-caregiver.”

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

“The Compliance Officer observed that the exhaust fans in the bathroom by the laundry room and in the 2s room are not working.”

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 Compliance Officer Supervisor and the Compliance Officer inspected the Infant Classroom and observed that a power strip containing unused and uncovered outlets was in use.”

AAC R9-5-605.B.3. B. A licensee shall ensure that: 3. An unvented or open-flame space heater or portable heater is not used on the facility premises;

“FINDINGS: The Compliance Officer Supervisor and the Compliance Officer inspected the two classrooms that were in operation and observed that they were equipped with portable heaters. Staff stated that they were being used to warm the classrooms as the facility's main heating system was not working. (Previously cited 12/10/24).”

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: The Compliance Officer Supervisor and the Compliance Officer inspected the Infant Classroom and observed that a rocking chair was positioned in front of the exit door that leads outside, therefore, the exit was obstructed. (Previously cited 5/22/2024).”

AAC R9-5-605.B.9. B. A licensee shall ensure that: 9. Fans are mounted and inaccessible to an enrolled child;

“FINDINGS: The Compliance Officer Supervisor and the Compliance Officer inspected the Infant Classroom and observed that it was equipped with an unmounted fan.”

AAC R9-5-203.B. B. A licensee shall maintain documentation of a valid fingerprint clearance card issued under A.R.S. § 41-1758.03 and valid background check document issued under in A.R.S. § 46-811.

“FINDINGS: The Compliance Officer Supervisor reviewed the file for Staff 1 (start date 12/02/24) and observed that it lacked documentation of the submission of their Central Registry Background Check.”

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: The Compliance Officer Supervisor reviewed the file for Staff 1 (start date 12/02/24) and observed that it lacked documentation that their fingerprint card was verified via the DPS website. (Previously cited 12/10/24).”

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: The Director stated that the facility closed early on 1/13 and closed on 1/14 because the heater was not working, however, the facility failed to notify the Department of their closure.”

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: The Compliance Officer Supervisor reviewed the file for Staff 1 (start date 12/02/24) and observed that it lacked both required references checks, an immunization record or signed statement, or information for an emergency contact. (Previously cited 12/10/24).”

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: The Compliance Officer Supervisor reviewed the file for Staff 1 (start date 12/02/24) and observed that it lacked a New Employee 10 Day Checklist.”

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 Supervisor inspected the diaper changing table that is located in the main Classroom and observed that on the surface was a vape pen and soap dispenser. (Picture taken) (Previously cited 12/10/24, 11/13/24, 5/22/24, 5/23/23)”

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

“FINDINGS: The Compliance Officer Supervisor and Compliance Officer inspected the Infant Classroom and observed it to be overcrowded and, therefore, creating a space that was placing the children's health, safety and welfare at risk of harm. Items seen overcrowding the classroom were a crib storing an adult folding chair, multiple bouncer chairs and toys; a second unused crib storing a high chair, multiple saucers, bouncer chairs, and a mat stored in between the crib and diaper changing table; a standing musical activity unit, and a tower fan stored in a toy bin on a shelf. (Pictures were taken) The facility placed the children's health, safety and welfare at risk of harm by providing care for them while their main heating system was inoperable and the room temperature measured 61 degrees Fahrenheit. (Previously cited 11/13/24, 5/22/24)”

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: The Compliance Officer Supervisor and Compliance Officer approached the Infant Classroom and observed that the door knob was broken. The teacher inside had to stop feeding the infants in her care to open the door and let them inside.”

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: The Compliance Officer Supervisor and the Compliance Officer measured the temperature of the facility and the thermometer read 61 degrees Fahrenheit.”

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).

“Upon review of staff files, the following was missing for Staff 1: an emergency contact, the statement of immunity, and the good faith efforts to contact previous employers.”

AAC R9-5-605.B.3. B. A licensee shall ensure that: 3. An unvented or open-flame space heater or portable heater is not used on the facility premises;

“The Compliance Officer Supervisor observed a portable heater on a shelf 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;

“The Compliance Officer Supervisor observed the following items on the diaper table in the 2 to 5 year old classroom: art projects, a toy block, and a toy phone. On the diapering sink, there was an outlet cover, a charger and a container.”

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.

“Upon review of staff files, it was found that Staff 1's fingerprint clearance card was not verified for validity.”

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

“The Compliance Officer observed Child 1, a one year old, in the infant room laying an a mat.”

AAC R9-5-605.B.14. B. A licensee shall ensure that:14. Each smoke detector required in subsection (B)(13) is: a. Maintained in an operable condition; b. Either battery operated or, if hard wired into the electrical system of the child care facility, has a backup battery; and c. Tested monthly;

“Senior Compliance Officer observed a smoke detector chirping in the infant room.”

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;

“Senior Compliance Officer observed that the designated exit located in the hallway near of the office was obstructed by a wooden shelf, a bouncy seat and a large roll of paper. The passageway in the two year old classroom was obstructed by a child sleeping on a mat during naptime.”

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.

“Senior Compliance Officer and Compliance Officer Supervisor observed an infant sleeping on a mat in the one year old children. There were three infants in one year old classroom. One sleeping on a mat, one laying in a bouncy sit and other infant being held by the staff.”

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;

“Senior Compliance Officer observed a box of diapers, a plastic bin, and a plastic bags of clothes sitting on top of the diapering surface in the infant room. A doll, a tin water bottle, a walkie talkie and a vape container were sitting on the top the diapering table in the one year old classroom.”

AAC R9-5-502.A.1. A. A licensee providing child care services for infants shall: 1. Provide a wall-enclosed room for infants that provides exits required by R9-5-601(1);

“Three infants were placed for care in a one year old classroom with 4 one year old children. The classroom is not enclosed.”

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

“Per Allegation: Based on staff interviews, it was determined that at the end of the day there is only 1 staff left to close the facility. When the parents arrive to pick of their children, the staff member opens the front door for the parents, leaving the children unsupervised in the back rooms.”

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: The health, safety and welfare of the enrolled children is being placed at risk of harm. Based on observation, it was determined that the classrooms are being combined because there are not enough staff to cover each classroom. Infants are being combined with the one year old children in a non enclosed classroom. Cribs are not available in that classroom leaving them to nap on a mat, bouncy seat, or in the arms of a staff member. A staff member held an infant the entire inspection because there was no where to place the infant. There is not enough floor space for the infants as the one year old children occupy that space. Classrooms are left out of ratio or unsupervised due to the lack of staff, an unqualified staff is being used to act in the capacity of a teacher caregiver. Senior Compliance Officer observed a container of vape, "The Hype Collection"; "tobacco free nicotine" sitting on the diaper changing table in the one year old classroom. Staff 2 stated that they had placed the container on the diapering surface.”

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.

“Upon arriving to the facility, Staff 2, who had been on a break in the front room answered the door. Based on staff interviews, it was determined that at the end of the day there is only one staff remaining to close the facility, and the enrolled children are left alone in their classroom because staff have to answer the front door. Classrooms are left out of ratio when breaks are taken. There is not enough staff at the facility to perform administration duties including answering the front door and incoming phone calls. Staff 1 who is not qualified to act in the capacity of a teacher caregiver is often used to give other staff members their breaks; leaving Staff 1 alone with the enrolled children.”

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.

“Senior Compliance Officer and Compliance Officer Supervisor observed fifteen enrolled children at the facility. There were 3 infants placed for care with 4 one-year old children in the one year old classroom.”

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;

“During staff interviews, it was learned that Staff 1 covers the two year old classroom while the assigned teacher caregiver goes on a break. Upon review of their file, Staff 1 is not qualified to act in the capacity of a teacher caregiver.”

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.

“Staff 1 is not qualified as a teacher-caregiver and is not being supervised.”

AAC R9-5-404.B. B. A licensee shall:1. Determine and maintain the required staff-to-children ratio for each group of enrolled children based on the age of the youngest child in the group; 2. Allow a volunteer qualified as a director, teacher-caregiver, or an assistant-teacher caregiver to be counted as staff in staff-to-children ratios; and 3. Not allow a student-aide or an individual qualified as a teacher-caregiver-aide to be counted as staff in staff-to-children ratios.

“Per Allegation: Senior Compliance Officer and Compliance Officer Supervisor observed 3 infants placed for care with 4 one year old children in the one year old classroom. Upon arrival, there were two adults in the classroom, but one of the adults is not qualified to act in the capacity of a teacher-caregiver or an assistant teacher-caregiver and therefore does not count in the staff-to-child ratio.”

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.

“The facility lacked documentation of a current gas inspection. Compliance Officer 1 had previously recorded that the last gas inspection was dated 06/23/22.”

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;

“The staff member in the infant room acknowledged that she did not have a written infant feeding instruction form for Child 5 and Child 6.”

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;

“* During the inspection of the diaper changing area in the two year-old room, Compliance Officer 1 observed that there was a small red colored bin duct taped to the diapering table. * During the inspection of the diaper changing are in the one year-old room, Compliance Officer observed that there was a white plastic liner on top of diapering table surface that was buckling and it had the caulking around it separating from the diapering table where dirt build up was visible.”

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;

“During the inspection of the diaper changing area in the two year-old room, Compliance Officer 1 measured the water temperature at 124 degrees.”

AAC R9-5-509.C.14. C. A licensee shall ensure that:14. Each staff member is informed of a modified diet prescribed for an enrolled child by the child’s parent or health care provider, and the modified diet is posted in the kitchen and in the child’s activity area;

“Compliance Officer 2 observed that the food restrictions for Child 6, Child 7, Child 8, and Child 9 were not posted in the kitchen.”

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;

“Compliance Officer 2 reviewed the posted menu and observed the following: * The menu was not dated, it was only listed as “week 2”. * Yogurt was not specific as it did not list the type/flavor being offered.”

AAC R9-5-514. C. C. A licensee shall:1. Prepare and date a written fire and emergency plan that contains: a. The location of the first aid kit; b. The names of staff members who have the first aid training required by R9-5-403(E); c. The names of staff members who have the CPR training required by R9-5-403(E); d. The directions for: i. Initiating verbal notification of an enrolled child’s parent by telephone or other equally expeditious means within 30 minutes of a fire or emergency; and ii. Providing written notification to the enrolled child’s parent within 24 hours; and e. The facility’s street address and the emergency telephone numbers for the local fire department, police department, ambulance service, and poison control center; 2. Maintain the plan required in subsection (C)(1) in a location on facility premises that has an operable telephone service or two-way voice communication system that connects the facility with an individual who has direct access to an in-and-out operable telephone service; 3. Post the plan required in subsection (C)(1) in any indoor activity area that does not have an operable telephone service or two-way voice communication system that connects the indoor activity area with an individual who has direct access to an in-and-out operable telephone services; and 4. Update the plan in subsection (C)(1) every 12 months after the date of initial preparation of the plan or when any information changes.

“Compliance Officer 1 observed that the posted emergency plan was not current as it was last updated 04/28/23 and at least one person on the list is no longer working at the facility.”

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.

“Compliance Officer 2 observed that the last (annual) fire inspection was dated 09/12/22 and no longer current.”

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;

“During the inspection of the infant room, Compliance Officer 1 observed that there was a crib labeled with Child 5's name on it and that it had a blanket under the mattress at one end. The staff member said it was under the mattress to help alleviate the child's cough and acknowledged that they did not have a note from the doctor to do this.”

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;

“* During the inspection of the one year-old room, Compliance Officer 1 was unable to find a posted lesson plan. The Director acknowledged that it was not posted in the room. * During the inspection of the three year-old room, Compliance Officer 1 observed that the posted lesson plan was dated for the previous week 05/13-05/17.”

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.

“Compliance Officer 2 reviewed two personnel files and observed the following: * Staff 1 had a fingerprint clearance card expire on 11/04/23. The DPS website shows that a renewal application was not received until 01/12/24 and the new card issued on 02/02/24.”

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

“Compliance Officer 2 reviewed the fire drill log for the past 12 months and observed that there was no documentation of a fire drill conducted in March or April 2024.”

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.

“Compliance Officer 2 reviewed the children’s emergency cards and observed the following: * Child 1 was missing the phone number to one of two emergency contacts. * Child 2 was missing the name and phone number to a health care 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.

“Compliance Officer 2 reviewed the sign-in and out logs for May 2024 and observed the following: * Child 3 was not signed-out on 05/21. * Child 4 was missing the time-out for the signature recorded on 05/06.”

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;

“During the inspection of the infant room, Compliance Officer 1 reviewed the daily activities the staff recorded on an app, and observed that the staff were not recording the amount of time a child spent in tummy time.”

AAC R9-5-510.B.3. B. A licensee shall ensure that a staff member does not use or permit: 3. Abusive language;

“Based on an interview with staff members, the Compliance Officers were told that the staff member that was upset during the incident on November 8th, had used abusive language in front of children as the staff member was yelling at the staff in an open setting.”

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;

“Per allegation: Based on interviews with staff and a review of documentation, the Compliance Officers found that on November 8th, after 4pm, a staff member became upset with the other staff members that were present and was yelling at the them in front of the children and was slamming two of the class doors. The staff member had used vulgar language and had clenched her hands into fists at one point when she was mad and yelling.”

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

“During the inspection, Compliance Officer 2 observed that there were two children in the hallway bathroom that were unsupervised. A staff member said that there would normally be another staff member present to watch them, but they were short staffed that day.”

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.

“Based on an interview with staff and reviewing rosters, the Compliance Officers found that the facility was combining infants into the one year-old room at the end of the day when there were more than six children present at the center.”