Toddler's Inn

AAC R9-5-301.B. B. A licensee shall ensure that a facility director: 1. Designates, in writing, an individual who meets the requirements of R9-5-401(2) to act on behalf of the facility director when the facility director is not present in the facility; 2. Supervises or assigns a teacher-caregiver to supervise each staff member who does not meet the qualifications of R9-5-401(3); 3. Prepares a dated attendance record for each day and ensures that each staff member documents on the attendance record the time of each arrival and departure of the staff member; and 4. Maintains on the facility premises, the dated attendance record required in subsection (B)(3) for 12 months after the date on the attendance record.

“Findings: Based on the Director's statement and the Compliance Officer's observation, the facility lacked a director designee. Upon arrival to the facility, the Director was not present and then entered a short time later after a staff member contacted them. They were asked who is in charge when they are not present and they stated they did not have a person designated to be in charge.”

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 Officer's observation, in the outdoor activity area, the following hazards were accessible to enrolled children: There was a ripped shade canopy with frayed edges on the plastic play structure. There were missing shingles with exposed splintered wood on the roof of the log cabin.”

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's observations the following areas were not maintained in a clean condition: Toddler playground: There were empty water bottles and plastic cups on the ground next to the tables. There was crumpled paper and bird feathers next to the entrance gate. Four and up playground: There were cob webs at the base of the table and chairs under the porch. There was an empty water bottle, 2 broken plastic cups, and crumpled paper in the sand box.”

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;

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the posted menu listed Nutrigrain bars, but lacked the specific type of Nutrigrain bar to be served to enrolled children.”

AAC R9-5-508.G. G. In addition to the required daily servings of food stated in subsection (C), a licensee:1. Shall make second servings of food available to each enrolled child at meals and at snack time, 2. May substitute a food that is equivalent to a specific food component if second servings of the specific food component are not available, and 3. Shall ensure that a food substitution in subsection (G)(2) is written on the posted weekly menu by the end of the meal or snack service.

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the posted menu listed popcorn for the PM snack, but gummy fruit was served instead. The substitution was not documented on the menu.”

AAC R9-5-508.E. E. If a licensee plans and serves meals, the licensee shall ensure that the meals:1. Meet the age-appropriate nutritional requirements of an enrolled child; and 2. For each calendar week, provide a variety of foods within each food group from the meal pattern requirements.

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the licensee failed to serve a variety of food within each food group for each calendar week. The menu dated for the week of 08/05/2024-08/09/2024, lists a choice of cereal with 2% milk rather than a variety of grains as required.”

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

“Findings: Based on the Compliance Officer's observation, the PM snack served to the enrolled children was a snack size bag of gummy fruit. The snack lacked a second component of milk/fluid, vegetables/fruits, grains, or a meat/meat alternative. Based on facility documentation and the Compliance Officer's observation, it was determined that the menu dated for the week of 08/05/2024-08/09/2024, the breakfast to be served is a choice of cereal with 2% milk. The breakfast lacks a third component of a vegetable/fruit or both. The AM snack on 08/05/2024, 08/06/2024, 08/09/2024 lists only a grain and lacks a second component of milk/fluid, vegetables/fruits, or a meat/meat alternative.”

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

“Findings: Based on the Compliance Officer's observations, in the Toddler classroom, there was a green sponge next to the sink and a foot stool hanging from the barrier between the diaper changing surface and the second sink.”

AAC R9-5-605.B.16. B. A licensee shall ensure that:16. The fire extinguisher required in subsection (A): a. Is serviced at least once every 12 months; and b. Has a tag attached to the fire extinguisher that specifies the date of the last servicing and the identification of the person who serviced the fire extinguisher; and

“Findings: Based on facility documentation and the Compliance Officer's observation, in the Toddler classroom and School-age classroom, the fire extinguisher's service tags expired in 09/2023.”

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 the Compliance Officer's observation, in the Toddler classroom, 2 of the 3 packages of wipes were labeled with the child's first name only rather than first and last name as required.”

AAC R9-5-501.A.13. A. A licensee shall ensure that:13. Toys and play equipment, required in this Article, are maintained: a. Free from hazards, and b. In a condition that allows the toy or play equipment to be used for the original purpose of the toy or play equipment;

“Findings: Based on the Compliance Officer's observation, in the Toddler classroom, there was a 4 inch long hole with sharp plastic edges on the blue toy bin in the kitchen center.”

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

“Findings: Based on facility documentation and the Compliance Officer’s observation, it was determined that 5 out of 8 enrolled children's Emergency, Information and Immunization Record cards reviewed lacked the following required information: Child #1: The date of enrollment and the name and phone number of a second individual to contact in case of an emergency. Child #2: The date of enrollment and the phone number of the child's health care provider. Child #3: The date of enrollment. The name, address, and phone number of the second parent. The phone number of the child's health care provider. The name of the individual to be contacted first in case of injury or sudden illness. Child #4 and Child #5: The date of enrollment. The name and phone number of the child’s health care provider. The name and phone number of a second individual to contact in case of an emergency.”

AAC R9-5-306.B. B. A licensee shall: 1. Develop, document, and implement policies and procedures to ensure that a staff member maintains daily documentation of the presence of an enrolled child in an activity area that includes a method to account for any temporary absences of the enrolled child from the activity area, and 2. Maintain the documentation of the presence of enrolled children in an activity area required in subsection (B)(1) on facility premises for 12 months after the date of the documentation.

“Findings: Based on facility documentation and the Compliance Officer's observation, upon arrival in the Toddler classroom, the roster indicated 9 children, but there were 10 children present.”