T.U.S.D.#1 - Sewell Elementary

AAC R9-5-301.I. I. At least once a month, and at different times of the day, a licensee shall ensure that: 1. An unannounced practice drill that includes evacuation, relocation, shelter-in place, and lock downs are conducted; 2. Each staff member, volunteer, and enrolled child at the facility participates in the practice drill; 3. If applicable, accommodations are made for an enrolled child with a special need or disability according to the enrolled child's individualized plan as specified in R9-5-507(A)(1); 4. If applicable, accommodations are made for an enrolled child or infant who is not yet walking; and 5. Document each practice drill and maintain the documentation on facility premises for 12 months after the date of the practice drill.

“Findings: The Compliance Officer reviewed the fire drill logged in the aftercare program and observed that there was no fire drill documented for the month of April 2026.”

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 an Emergency, Information, and Immunization Record that is no more than a two-page written notice, and is signed by the enrolled child’s parent containing: 1. The child’s name, home address, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, email address, and 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 the nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(14); 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: A) Compliance Officer 2 reviewed 15 emergency cards in the preschool room and observed the following: * Child 1 was missing the name and phone number for at least two (required) emergency contacts. * Child 2 and Child 3 were missing the date of enrollment. * Child 4 was missing the name and phone number to a health care provider. * Child 5 was missing the phone number for at least one emergency contact (had three names listed all with same phone number). B) The Compliance Officer reviewed eight children’s emergency cards in the aftercare program and observed the following: * Child 6 was missing the phone number to the listed health care provider. * The parent did not sign and date the backside of the card for Child 7 and Child 8. * Child 2 Aftercare - missing info”

AAC R9-5-603.D. D. 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: During the inspection of the outdoor activity area used by the preschool, the Compliance Officer measured the wood chips at 4.0 inches under the curved yellow slide.”

AAC R9-5-305.A. A. A licensee shall not permit an enrolled child to attend a facility until the facility receives: 1. An immunization record for the enrolled child with the information required in 9 A.A.C. 6, Article 7, documenting that the enrolled child has received all current, age-appropriate immunizations required under 9 A.A.C. 6, Article 7: a. Provided by a healthcare provider, or b. Generated from the Arizona State Immunization Information System, which is the Department’s child immunization reporting system established in A.R.S. § 36-135; or 2. An exemption affidavit for the enrolled child provided by the enrolled child’s parent that contains a statement, signed by the enrolled child's: a. Health care provider, that the immunizations required by 9 A.A.C. 6, Article 7 would endanger the enrolled child’s health or medical condition; or b. Parent, that the enrolled child is being raised in a religion whose teachings are in opposition to immunization.

“Findings: The Compliance Officer reviewed eight children’s emergency cards in the aftercare program and observed that Child 9 did not have proper immunization documentation as a copy from the school immunization record was attached and not one provided from a health care provider or ASIIS.”

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: Compliance Officer 2 reviewed the medication form for Child 10, in the preschool room, and observed that it was missing the start and end date as well as the route for administration.”

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 located in the emergency binder and observed the following: * Child 1 was missing the name and phone number for one additional emergency contact (parent cannot be listed as an additional emergency contact). * Child 2 was missing the date of enrollment, and the parent did not sign or date the backside of the card. * Child 3 was missing the date of enrollment; the name and phone number to the health care provider; and the name of the first person to be contacted in case of injury or sudden illness of the child. * Child 4 was missing the name and phone number for one additional emergency contact. * Child 5 was missing the name and phone number for a health care provider. * Child 6 was missing the name and phone number for two emergency contacts (parent cannot be listed as an emergency contact); the name and phone number to a health care provider; the name of the first person to be contacted in case of injury or sudden illness of the child.”

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

“Compliance Officer 2 reviewed the medications and medication forms and observed the following: * There was no medication consent form for the prescription medication for Child 8.”

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.

“During the inspection of the outdoor activity area, the Compliance Officer measured the sand at 4.0 inches under the curved yellow slide (under the climber on the west side).”

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

“Compliance Officer 2 reviewed the medications and medication forms and observed the following: * The prescription medication box for Child 7 did not have any medication in it (only a "trainer"). * The prescription medication for Child 8 was missing the prescription box.”

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 was unable to find a posting in the room with the food restrictions for Child 1 and Child 7. The staff acknowledged that they were not posted.”

AAC R9-5-501.A.10. A. A licensee shall ensure that:10. At least one indoor activity area in the facility is equipped with at least one cot or mat, a sheet, and a blanket, where an enrolled child can rest quietly away from other enrolled children;

“The staff acknowledged that they did not have a sheet available for use on top of the cot/mat.”

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

“Compliance Officer 1 noted that the capacity was not posted in the children’s activity area.”

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).

“Compliance Officer 2 reviewed Staff 2's file, (start date 1/17/2016) and noted that there was no Criminal History Affidavit nor was there documentation of their education as required to act as a teacher-caregiver.”

AAC R9-5-516.I. I. Except as specified in A.R.S. § 36-2229(B) through (D), a licensee shall ensure that a facility does not stock a supply of medications for administration to enrolled children, including:1. Any prescription medication; or 2. A nonprescription medication such as aspirin, acetaminophen, ibuprofen, or cough syrup.

“Compliance Officer 2 inspected the first aid kit and observed that it contained a packet of aspirin, a packet of acetaminophen, a packet of ibuprofen, and 2 packets of antibiotic ointment. All of the medications were removed during the inspection.”

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.

“Compliance Officer 1 measured the depth of the sand and the wood chips in the fall zones of the playground equipment as follows: 1 " of sand in the fall zones of the metal bar and the yellow metal ladder; 1.5" of sand in the fall zone of the monkey bars; 2" of sand in the fall zone of the curved metal climber; 4" of sand in the fall zone of the yellow slide; 3" of wood chips and sand in the fall zone of the curved yellow slide; 4.5" of wood chips and sand in the fall zone of another yellow slide.”

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.

“Staff 1 was in the after care activity area with 5 children in their care, but did not have a roster to account for the children. Staff 2 was in the outdoor activity area and had 12 children in their care, however there were 19 children listed as present on their roster.”