Tiny Tots West

AAC R9-5-501.A.5. A. A licensee shall ensure that: 5. An enrolled child is placed in an age-appropriate or developmentally-appropriate group;

“Findings: Based on the Compliance Officer's observations, a 2 year old enrolled child was placed in the Monkey Room (infants) until a staff member arrived to take that child to the appropriate room.”

AAC R9-5-502.A.5.c. A. A licensee providing child care services for infants shall: 5. Develop, document, and implement tummy time policies and procedures that: c. Require continuous interaction between a non-crawling infant and the staff member who is supervising the non-crawling infant during tummy time;

“Findings: Based on staff statements and the Compliance Officer's observations, the Monkey Room (infants) lacked documentation of a tummy time log. Staff members stated that they were unaware of the requirement to document tummy time.”

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 infant feeding instructions for 3 of 4 enrolled infants.”

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

“Findings: Based on a review of facility documentation and the Compliance Officer's observations, Child #1's medication consent form lacked the correct dosage amount as prescribed on the bottle.”

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 a review of facility documentation and the Compliance Officer's observations, the facility failed to follow the instructions on the medication's label. The medication's label contained a different dosage amount than the dosage amount on the form.”

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 a review of facility documentation and the Compliance Officer's observations, the following rosters were not current: *Panda Room (3's)- There were 4 enrolled children present, but only 3 were marked on the roster. *Monkey Room (Infants)- There was 1 enrolled infant and a 2-year-old child present, but 0 were marked on the roster. *Giraffe Room (1's)- There was 1 enrolled child present, but 0 were marked on the roster.”

AAC R9-5-303.A. A. A licensee shall post in a place that can be conspicuously viewed by individuals entering or leaving the facility or activity area, the: 1. Facility’s license; 2. Name of the facility director; 3. Name of the individual designated to act on behalf of the facility director when the facility director is not present in the facility, as prescribed by R9-5-301(B)(1); 4. Schedule of child care services fees and policy for refunding fees as prescribed by A.R.S. § 36-882(P); 5. Breakfast, lunch, dinner, and snack menus for each calendar week at the beginning of the calendar week; 6. Notice of the presence of any communicable disease or infestation listed in 9 A.A.C. 6, Article 2, Table 2.2, from the date of discovery through the incubation period of the communicable disease or infestation; 7. Notice of the Department’s intent to deny, revoke, or suspend as prescribed by A.R.S. § 36-888 at the expiration of time in the notice for the licensee to respond; 8. Notice of an intermediate sanction imposed as prescribed by A.R.S. § 36-891.01 within 10 calendar days after the licensee received notice of the intermediate sanction; 9. Notice of a legal injunction imposed as prescribed by A.R.S. § 36-886.01 when the licensee receives the legal injunction; and 10. Notice of the availability of facility inspection reports for public viewing at the facility premises.

“Findings: Based on the Compliance Officer's observations, the posted license was not current. The posted license expired on 05-31-2025.”

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 the Compliance Officer's observations, in the Panda Room (3's), the staff-to-child ratio was 0:4 when the staff member present left the room to call another staff member for assistance. The required staff-to-child ratio is 1:4.”

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

“Findings: Based on the compliance Officers' observations, the following outdoor hazards were accessible to children, but not limited to: *Wobbly wooden playhouse with hinges exposed and detaching nails. *Rust along the base of the toddler fence. *Several empty cardboard boxes near the storage shed and the brick fence wall. *Yellow, blue, green, and red pieces of climbing equipment and a slide piled up against the wall. *Yellow metal posts of climbing equipment parts piled up on the ground. *Large tree branches on top of the piled up equipment. *A broken link sand barrier with exposed bolts. *A citrus tree with thorns. *A piece of wood with 4 exposed screws. *An uncovered plumbing box. *A 4x4" drainage hole. *An unused outlet without a safety plug cover. *A 4" bolt protruding from the sand.”

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

“Findings: Based on the review of facility documentation and the Compliance Officers' observations, it was determined that 4 of the 4 Staff files reviewed lacked: *Staff #1 (DOE 06.01.01): 13 of the 18 hours of annual training from 06.01.23 to 06.01.24. *Staff #2 (DOE 10.02.23): 3 of the 18 hours of annual training. from 10.02.23 to 10.02.24. *Staff #3 (DOE 08.08.22): 15 of the 18 hours of annual training 08.08.23 to 08.08.24. *Staff #4: (DOE 02.06.23): 18 of the 18 hours of annual training from 02.06.23 to 03.06.24.”

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: Based on the Compliance Officers' observations, there was a buildup of food debris in the feeding chair straps in the Infant Room.”

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

“Findings: Based on the Compliance Officers' observations, in the 3’s-5’s Room, the temperature in the refrigerator was 49°F rather than 41°F or below as required.”

AAC R9-5-509.C.23. C. A licensee shall ensure that:23. A freezer at the child care facility maintains a temperature of 0° F or below, as shown by a thermometer kept in the freezer at all times; and

“Findings: Based on the Compliance Officers' observations, in the 2’s and 3's-5’s Room, the freezer lacked a thermometer.”

AAC R9-5-512.D. D. A licensee shall ensure that toilet bowls, lavatory fixtures, and floors in toilet rooms and kitchens are cleaned and sanitized as often as necessary to maintain them in a clean and sanitized condition or at least once every 24 hours.

“Findings: Based on the Compliance Officers' observations, the following Restrooms were not maintained in a clean and sanitized condition: *2's Restroom: There were brown smudges behind the toilet tank. *Preschool Restroom: There was grime and a brown buildup on the caulking around the sink and the base of the toilet. There was a sticky substance on the wall near the sink. There was grime buildup along the baseboard, and there was dust buildup on the dryer vent behind the toilet seat and the floor, and there was exposed untreated drywall around the dryer vent. *School-Age Restroom: In the sink, there was grime and dirt buildup; the base of the toilet had a dirt buildup and lacked caulking. *Outdoor Restroom: There was dirt buildup covering the toilet seat, toilet tank, bowl, and floor; the toilet bowl was rusted.”

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

“Findings: Based on the Compliance Officers' observations, the School-Age Restroom lacked soap, and the Preschool Restroom lacked toilet paper.”

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

“Findings: Based on the Compliance Officers' observations, in the 3's-5's Room, the chairs were stacked up blocking the designated exit.”

AAC R9-5-603.E. E. A licensee shall ensure that the following is provided and maintained within the fall zones of swings and climbing equipment in an outdoor activity area:1. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; or 2. A minimum depth of 6 inches of a non-hazardous, resilient material such as fine loose sand or wood chips.

“Findings: Based on the Compliance Officers' observations, the following fall zones lacked sand as resilient material as required: *Main Playground: 4" of the 6" underneath the swings and play structure. *School-age Playground: 5" of the 6" underneath the swings; 4" of the 6" underneath the play structure; 4" of the 6" underneath the climbing structure, and 5" of the 6" underneath the rock climbing. *Toddler Playground: 4" of the 6" underneath the blue slide.”

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

“Findings: Based on the Compliance Officers' observations, the following hazards were accessible to children: *2's Restroom: There was a 3" bolt protruding from the toilet base, and there was an unsecured closet door that swung when light pressure was applied. *School-Age Restroom: There was a rusted toilet paper mount next to the toilet, and the laminate covering of the sink cabinet was peeling off, exposing the wood, making it no longer accessible.”

AAC R9-5-502.A.8.b. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: b. Has a commercially waterproofed mattress; and

“Findings: Based on the Compliance Officers' observations, in the Infant Room, there were 5 mattresses with tears, making them no longer waterproof.”

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

“Findings: Based on the Compliance Officers' observations, it was determined that the following areas of the playground were not maintained free from hazards that were accessible to the enrolled children: 2's playground: *There was electrical wiring hanging loosely on the east side on the playground. Pre-K playground: *There were animal droppings near the climbing structure. *The wooden plank was deteriorating and splintering at the base of the wired fencing on the west side of the playground.”

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

“Findings: Based on the Compliance Officers' observations, it was determined that the diaper genie that is used to stored the soiled diapers were accessible to the enrolled children in the 1's classroom.”

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

“Findings: Based on the Compliance Officers' observations, it was determined that the black refrigerator that is used to store the children's food in the 1's and 2's classroom lacked a thermometer.”

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

“Findings: Based on the Compliance Officers' observations, it was determined that there were 2 infants in the 1 year old classroom when there were more that 6 children present in the facility.”

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

“Findings: Based on the Compliance Officers' observations, it was determined that the following areas of the facility were not maintained free from hazards that were accessible to the enrolled children: *The plastic outlet plate on the east wall in the 1's classroom was cracked. *There was peeling paint on the north wall in the 3's/4's classroom.”