Tutor Time Child Care/ Learning Centers

AAC R9-5-504.A.9.d. A. A licensee providing child care services for 1-year-old and 2-year-old children shall: 9. Ensure that: d. If a parent brings a sippy cup for the parent’s enrolled child, the sippy cup, as in a lidded drinking container that is designed to be leak proof or leak-resistant and from which a child drinks through a spout or a straw, is labeled with the enrolled child’s name.

“Per allegation findings: Based on the Compliance Officer's observation and information provided by the staff at the time of the inspection, it was determined that the children's sippy cups were not labeled. Staff stated that they have implemented a process to ensure that all enrolled children's sippy cups are properly labeled.”

AAC R9-5-203.G. G. As required by A.R.S. § 8-804, before an individual’s starting date of employment or volunteer service, a licensee shall comply with the submission requirements in A.R.S. § 8-804(C) for the individual.

“Findings: Based on facility documentation and the Compliance Officer’s (CO’s) observation, Staff #1 (DOE 11/18/2025) and Staff #2 (DOE 4/09/2025) lacked documentation of the completed DCS Central Registry results.”

AAC R9-5-517.A.3. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall: 3. Ensure that the motor vehicle is registered by the Arizona Department of Transportation as required by A.R.S. Title 28, Chapter 7;

“Findings: Based on facility documentation and the CO’s observation, the bus (CL67231) lacked documentation of current registration (expired 03/31/2025).”

AAC R9-5-603.B. B. 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 CO's observation, on the Toddler playground, there was exposed rust located at the base of the South fence. There was torn resilient surface with loose rubber granules located near the bottom of the slide.”

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: Based on facility documentation and the CO's observation, 7 out of 15 Emergency Information and Immunization Record cards lacked the following information: Child #1: The date of enrollment and the name, home address, and telephone number of the second parent. Child #2: The name, home address, and telephone number of the second parent. Child #3: The contact telephone number of the child's health care provider. Child #4: The date of enrollment, the name and contact telephone number of 1 of the 2 required emergency contacts. Child #5: The name, home address, and telephone number of the second parent and the name of the individual to contact in case of injury or sudden illness of the child. Child #6: The date of enrollment and the name of the individual to contact in case of injury or sudden illness of the child. Child #7: The name and contact telephone number of the child's health care provider.”

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. Posts the current written dietary instructions in the infant room and the kitchen and maintains the instructions on facility premises for 12 months after the date of the instructions; and

“Findings: Based facility documentation and the CO’s observation, the kitchen lacked copies of the current infant feeding instructions.”

AAC R9-5-501.B.9. B. 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 CO's observation, in the Infant room there was a container of Buttpaste and CeraVe that lacked a label. In the 1s/2s classroom there was a container of Vaseline and Desitin that lacked a last name.”

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: Based on facility documentation and the CO’s observation, Staff #1 (DOE 11/18/2025) and Staff #2 (DOE 4/09/2025) lacked documentation of two good faith references.”

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 child educator 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 if working with enrolled children five years old and younger, or three months of child care experience if working with school-aged children; 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;

“Findings: Based on facility documentation and the CO’s observation, Staff #1 (DOE 11/18/2025) was observed as a child educator. Staff #1 could not be qualified as a child educator because the staff file lacked documentation of education and 6 months of child care experience. Staff #2 (DOE 4/09/2025) was the Driver (child educator) and could not be qualified as a child educator because the staff file lacked documentation of education.”

AAC R9-5-503.E.2. E. A licensee shall ensure that in an activity area with a diaper changing area: 2. A staff member: a. Documents each diaper change with the date and time, for an: i. Infant, in the infant’s dated, daily, documentation required in R9-5-502(C)(1)(d); or ii. Enrolled child who is not an infant, in a dated diaper changing log; b. Maintains the diaper changing log on facility premises for 12 months after the date of the diaper changing log; c. Empties clothing soiled with feces into a flush toilet without rinsing; d. Places an enrolled child’s clothing soiled by feces or urine in a plastic bag labeled with the enrolled child’s name, stores the clothing in a container used for this purpose, and sends the clothing home with the enrolled child’s parent; and e. Removes disposable diapers and disposable training pants from a diaper changing area as needed or at least twice every 24 hours to a waste receptacle outside the facility building.

“Findings: Based on the CO's observation, in the 2s classroom, there were several bags of soiled clothes located in the soiled clothes container that had not been sent home with the parent.”

AAC R9-5-305.B. B. A licensee shall attach an enrolled child’s written immunization record or exemption affidavit, required in subsection(A), to the enrolled child’s Emergency, Information, and Immunization Record card, required in R9-5 304(B).

“Findings: Based on facility documentation and CO #2's observation, Child #3 lacked a written immunization record. Previously cited: 01/05/2023”

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

“Findings: Based on facility documentation and Compliance Officer (CO) #2’s observation, 2 of 9 Emergency, Information, and Immunization Record Cards lacked the following information: *Child #1: The name and contact telephone number of the child's health care provider. *Child #2: The name of the individual to be contacted in case of injury or sudden illness of the child. Previously cited: 02/06/2024, 01/04/2024, 01/05/2023”

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.

“Findings: Based on facility documentation and CO #2’s observation, 3 of 9 enrolled children's attendance forms lacked the following information: *Child #4: A release time and signature for 12/03/2024, 12/05/2024, and 12/10/2024 *Child #5: An admission time and signature for 12/04/2024 *Child #6: A release time and signature for 12/13/2024 and 12/19/2024 Previously cited: 01/04/2024 , 01/05/2023”

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

“Findings: Based on CO #1's observation the following floor coverings were not maintained in a clean condition: *In the Two’s 1 classroom, there was dirt and loose debris located near the diaper changing table and toilet room door. *In the PreK (3-5 yo) classroom, there was dirt and loose debris located near the classroom sink vanity on the Southeast side. *In the Toddler 1 (1's) classroom, there was loose debris located on the blue fish rug. *In the Village, there was loose debris located in the corners of the floor and dirt and grime along the edges of the carpeted loft stairs. Previously cited: 02/06/2024, 01/04/2024”

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.

“Findings: Based on CO #2's observation, in the Music Room, the toilet was inoperable. Previously cited: 01/04/2024, 01/05/2023”

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 CO #1's observations, the following hazards were accessible in the outdoor activity area: Toddler-Two's (Pelican Harbor) Playground: *There was a one-inch gap in the green turf located on the west side. *There was uneven rubber surface located on the west side. *There were several tears in the green rubber resilient surfacing. Threes and Up (Pirate Bay) Playground: *There was rust located throughout the base of the fence. *There was a two-seat yellow trike with a missing pedal. *There was standing water with moss located near the cement pillar on the East side. *There was a missing irrigation box cover which exposed a 10-inch hole located on the West side. *There was green turf protruding upward located near the interior fence. *There were several tears in the green rubber resilient surfacing Previously cited: 01/04/2024, 01/05/2023”

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.

“Findings: Based on facility documentation and CO #1’s observation, the facility lacked a current fire inspection. The fire inspection expired on 01/31/2022. Previously cited: 01/04/2024”

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 COs' observations, the following hazards were accessible to enrolled children: *In the Music Room there was splintery wood located on the wall near the exit door. *In the Village, there was raw wood and splintery wood located on the grocery store shelving. *In the School Age classroom there was peeling laminate with exposed raw wood located at the base of the wardrobe cabinet. Previously cited: 01/04/2024”

AAC R9-5-501.A.19. A. A licensee shall ensure that:19. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Findings: Based on CO #1’s observation, in the School Age toilet room, there was a toilet brush located on the floor next to the toilet accessible to enrolled children. Previously cited: 01/04/2024”

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 CO #1’s observation, in the Infant Room and the Two’s 1 classroom, the diaper changing surface had built up dust and debris near the sink basin. Previously cited: 01/04/2024”

AAC R9-5-503.D. D. A licensee shall ensure that a written diaper changing procedure is posted and implemented in each diaper changing area.

“Findings: Based on CO #1's observation, the Two’s 1 classroom lacked posted diaper changing procedures.”

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 COs' observations, in the Music Room, there was a pungent odor and smudges located throughout the wall of mirrors. In the Village, there were several dirty and dusty velcro squares located on the wall near the post office. Previously cited: 02/06/2024, 01/04/2024, 01/05/2023”

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 CO #1's observation, the following toilet rooms were not maintained in a clean condition: *In the PreK (3-5 yo) toilet room, there was a brown-orange build-up located on the floor between the toilet and the wall. *In the Two's 1 toilet room, there was dried red debris located on the handwashing sink basin and nozzle, brown streaks located on the wall near the paper towel dispenser, and red handprints located on the toilet room door. *In the Early Preschool (2's) toilet room, there was dried debris located on the handwashing sink basin and nozzle, red streaks located on the wall near the soap dispenser, and dried orange paint and white streaks located on the toilet room door. Previously cited: 02/06/2024, 01/04/2024”

AAC R9-5-501.A.4. A. A licensee shall ensure that: 4. An enrolled child is placed in an age-appropriate or developmentally-appropriate group;

“Findings: Per allegation, based on facility documentation, staff statements, and the COs' observations, there were 1 year old children mixed with School Age children in the Music Room on 2/06/2024. *The classroom roster had children's ages listed and revealed a one-year-old children present in the room prior to the COs' arrival. *Staff stated: -1's and up were combined in the Music Room until the School Age children departed for school about 7:40am. -In the morning all classrooms are combined, and they separate when School Age leave for school.”

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

“Findings: Per allegation, based on facility documentation, staff statements, and the COs' observations, there was a child left alone and unsupervised: *Per the written statement of an incident signed by a teacher, a child was alone on the playground for 10-15 minutes. Staff stated: -A teacher left a child on the playground when it was kind of dark outside. -When the mom arrived at the facility she didn't see her child in the Music Room, so the staff member ran down the hallway. The child was outside, sitting on a bike crying.”

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

“Findings: Per allegation, based on facility documentation, staff statements, and the COs' observations, there was a child left alone and unsupervised: *Per the written statement in the staff file, a child was left unattended in the Village classroom on 12/19/2023. -Staff stated the teacher was moving kids from the Village to the Music Room. The teacher had 3-4 children when they realized they didn't have one enrolled child, they took all the kids back to the Village. The child was not crying, but a parent did see the child alone through the window.”

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: Per allegation, based on the COs’ observations, the Preschool classroom was not maintained in a clean condition: *There was built up grime in and around the classroom handwashing sinks. *There were brown stains on the soap dispenser handle. *There was built up grime on the dustpan. *There was loose gray matter, purple stains, and black sticky residue on the shelves that held learning materials. *There was loose debris on the red couch.”

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

“Findings: Per allegation, based on the COs’ observations and staff statements, in the Preschool classroom there was loose debris on the carpet and along the baseboards, and black smudges throughout the tile floor. Staff stated: *There was food stuck on the floor in Preschool and the room smelled like urine. I saw urine on the toilet and feces on the floor. There was trash everywhere. *Preschool looks like it has never been mopped. *Preschool is kind of yucky; the floors are not swept or mopped.”

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: Per allegation, based on the COs’ observations and staff statement, the Preschool toilet room was not maintained in a clean condition: *There were black smudges on the wall. *There was red marker on the interior door, door frame and light switch cover. *There was a yellow substance in the toilet bowl. *There was black loose debris behind the toilet. *There were two red spots in the handwashing sink basin. Staff stated they saw urine on the toilet and feces on the floor.”

AAC R9-5-515.B. B. If an enrolled child exhibits signs of illness or infestation at a facility, a licensee shall ensure that a staff member:1. Immediately separates the enrolled child from other enrolled children, 2. Immediately notifies the enrolled child’s parent by telephone or other expeditious means to arrange for the enrolled child’s removal from the facility, and 3. Maintains documentation of the notification on facility premises for 12 months after the date of the notification.

“Findings: Per allegation, based on facility documentation, staff statements, and the COs' observations, enrolled children who exhibited signs of illness or infestation were not immediately separated from other enrolled children. The facility lacked an illness log and had no record of telephone calls or other means to notify the child's parent to arrange for removal from the facility. Staff stated: *I kept sick children in my classroom. Even if they are throwing up they stay in the room with the other kids until the parent comes. *If I call the desk to tell them a child threw up, they will say call me if it happens again. *Sick kids are sometimes left in the room, and I try to separate them, but I can't really. *It depends on the symptoms, sometimes they stay in the classroom and sometimes they go to the office.”

AAC R9-5-515.C. C. A licensee shall ensure that a staff member who has signs of illness or infestation is excluded from a facility.

“Findings: Per allegation, based on staff statements and the COs' observations, staff who have signs of illness and infestation are not excluded from the facility. Staff stated: *They have us come in if we are sick and we stay for a couple hours until they can send us home. *I tried to call out and they said no I need you here. I worked all day and had a temperature of 103 degrees. *I called in and told them I had a fever. They said I had to come in. I sent a picture of the thermometer at 101.6. I went to sleep, and when I woke up I had twenty something text messages that said I needed to come in.”

AAC R9-5-601.5. A licensee shall comply with the following physical plant requirements:5. A diaper changing area is not required in an activity area that is: a. Only used by enrolled children for snacks or meals, b. Used for a specific activity by enrolled children who are two years of age or older; or c. An indoor activity area that is being substituted for an outdoor activity area under R9-5-602(D); and

“Findings: Based on documentation, there were one-year-old children present in the Music Room. The Music Room is not equipped with a diaper changing area.”

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

“Findings: Based on facility documentation and Compliance Officer (CO) #2's observation, it was determined that 1 of 1 children's Emergency, Information and Immunization Record card reviewed lacked a parent signature and date.”

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;

“Findings: Per allegation, based on facility documentation, staff statements and the COs’ observations, it was determined that Staff #1 was a teacher-caregiver in the 1's classroom. Staff #1 was not qualified as a teacher-caregiver because the staff file lacked six months of childcare experience. Documentation: *The 1's classroom rosters for 12/7/2023, 12/8/2023, 12/11/2023, and 1/11/2024 documented that Staff #1 was alone with a group of children. *Staff stated the following: -I observed Staff #1 alone with a group of children. -Staff #1 would be alone because another staff was terminated. -Staff #1 would be in the 2's room by themself and they were an assistant teacher. -A staff was fired and Staff #1 was alone in the 2's room until a new teacher was hired.”

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: Based on facility documentation and the COs’ observations, it was determined that the file for Staff #2, Staff #3, and Staff #4 lacked the staff member's ending date of employment.”

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: Per allegation, based on facility documentation and CO #2's observation, it was determined that the following classrooms did not meet the required staff to child ratio: Classroom Rosters reviewed for 12/29/2023: *The ratio in Toddler 2 was 1:11 instead of 2:11 as required when 1 year old children are present. *The ratio in Preschool was 1:15 instead of the required 2:16 as required when 3 year old children are present. Classroom Rosters reviewed for 1/04/2024: *The ratio in Toddler 1 was 1:16 instead of 3:16 as required when 1 year old children are present. *The ratio in Preschool was 1:21 instead of 2:21 as required when 3 year old children are present. *The ratio in PreK was 1:17 instead of 2:17 as required when 3 year old children are present.”

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.

“Findings: Based on facility documentation and CO #1’s observation, it was determined that 7 out of 20 enrolled children's attendance forms lacked the following information: Child #1, Child #3, Child #14, and Child #15: An admission signature and time for 01/03/2024. Child #12 and Child #16: An admission signature and time for 01/02/2024 and 1/03/2024. Child #13: An admission signature for 01/04/2024. *Previously cited: 01/05/2023”

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 CO #2's observation, it was determined that 11 out of 15 enrolled children's Emergency, Information and Immunization Record cards reviewed lacked the following required information: Child #1, Child #2, Child #5, Child #6, Child #7, and Child #10: The date and signature of the parent who completed the written record card. Child #3: The name, address and phone number of the second parent, the name and contact telephone number of the child's health care provider, and the date and signature of the parent who completed the written record card. Child #4: The address of the second parent and the date and signature of the parent who completed the written record card. Child #8: The name, address and phone number of the second parent, and the date and signature of the parent who completed the written record card. Child #9: The name and contact telephone number of the child's health care provider, and the date and signature of the parent who completed the written record card. Child #11: The name of the individual to be contacted in case of injury or sudden illness of the child, and the date and signature of the parent who completed the written record. *Previously cited: 01/05/2023 and 09/22/2022”

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.

“Findings: Based on CO #2’s observation, the Prekindergarten classroom and the Music and Movement room lacked a posted capacity.”

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.

“Findings: Based on facility documentation and CO #2’s observation, it was determined that the licensee lacked documentation of a fire drill conducted during the months of November and December 2023.”

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.

“Findings: Based on facility documentation and the Compliance Officers’ observations, the licensee lacked a staff member who has current CPR/First Aid certification on site. Staff #6 opened the facility alone and lacked documentation of current CPR/First aid certification.”

AAC R9-5-301.F. F. A licensee shall ensure that a staff member submits, on or before the starting date of employment or volunteer services, one of the following as evidence of freedom from infectious active tuberculosis: 1. Documentation of a negative Mantoux skin test or other tuberculosis screening test recommended by the U.S. Centers for Disease Control and Prevention, administered within 12 months before the starting date of employment or volunteer service, that includes the date and the type of tuberculosis screening test; or 2. If the staff member has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the staff member is free from infectious active tuberculosis that is signed and dated by a health care provider within six months before the starting date of employment or volunteer service.

“Findings: Based on facility documentation and the COs' observations, it was determined that the Mantoux skin test for the following staff was not administered on or before the starting date of employment: Staff #1: Date of employment- 3/20/2023, date of TB test- 3/23/2023. Staff #2: Date of employment- 6/19/2023, date of TB test- 6/21/2023. Staff #3: Date of employment- 8/21/2023, lacked a TB test. Staff #4: Date of employment- 5/15/2023, date of TB test- 5/17/2023. Staff #5: Date of employment- 10-09-2023, date of TB test-10/13/2023.”

AAC R9-5-203.A. A. A licensee shall ensure that a staff member completes, signs, dates, and submits to the licensee, before the staff member’s starting date of employment or volunteer service:1. The form required in A.R.S. § 36-883.02(C); and 2. If required by A.R.S. § 8-804, the form in A.R.S. § 8-804(I).

“Findings: Based on facility documentation and Compliance Officer (CO) #1's observation, it was determined that the file for Staff #1 and Staff #2 lacked documentation of the Criminal History Affidavit.”

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 facility documentation, staff statement, and CO #2’s observation, the ratio in the Pre-K classroom was 1:16 instead of 2:16 as required for 3-year-old children. Staff stated they had been out of ratio for about 15-20 minutes.”

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 enrolled children: Village: *There was exposed raw wood located on the edges of the shelf in the "store" and on the white window of the "laundry" area. Music and Movement: *There was a dangling black cord protruding down from the television. Preschool 1: *There was torn vinyl with exposed foam located on the red couch. Older Toddler: *There was a car carpet with rolled up edges located near the diaper changing area.”

AAC R9-5-501.A.19. A. A licensee shall ensure that:19. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Findings: Based on CO #2’s observation, in the Preschool 1 classroom, there was a container of Sanivit cleaner located on a low shelf accessible to enrolled children. There was an Expo board cleaner located on a low black shelf accessible to enrolled children.”

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.

“Findings: Based on CO #2’s observation, in the Preschool 1 classroom, there was a black broom and dustpan leaning against a cabinet accessible to enrolled children. In the Music & Movement room, there was a black broom and dustpan located near the entry door accessible to enrolled children.”

AAC R9-5-501.C.4. C. A licensee shall ensure that a staff member:4. Except as provided in subsection (D), prepares and posts in each indoor activity area, a current schedule of children’s age-appropriate activities, including the times the following are provided: a. Meals and snacks; b. Naps; c. Indoor activities; d. Outdoor or large muscle development activities; e. Quiet and active activities; f. Teacher-directed activities; g. Self-directed activities; h. Activities for individuals, groups of five or fewer children, and groups of six or more children; and i. Activities that develop small muscles;

“Findings: Based on CO #2’s observation, the Village and the Music and Movement rooms lacked a current schedule of children's age-appropriate activities. In the Pre-K classroom, the posted activity schedule lacked the time each activity was offered.”

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 CO #1's observation, in the Older Toddler classroom, there were 3 diaper creams labeled with a first name only. In the Two's 2 classroom, there was 1 diaper wipe and 1 diaper cream labeled with a first name only.”

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 CO #1's observation, in the Infant room, there was torn vinyl with exposed foam located on three crib mattresses.”

AAC R9-5-502.A.8.c. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: c. Is furnished with clean, sanitized, crib-size bedding, including a fitted sheet and top sheet or a blanket;

“Findings: Based on CO #1’s observation, in the Infant room, 1 crib sheet (blue velour) was loose/not tight-fitting to the mattress.”

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 CO #1’s observation, in the younger Toddler classroom, the diaper changing surface was not seamless and smooth. There was cracked and missing caulking located on the rear ledge and near the sink of the diaper changing surface.”

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

“Findings: Based on CO #1’s observation, in the Infant room, the temperature of the diaper changing sink was 82° F rather than 86° F to 110° F as required.”

AAC R9-5-503.A.3. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and

“Findings: Based on CO #1's observation, in the Infant room and Two's 2 classroom, the soiled diaper container lacked a waterproof liner. *Previously cited: 01/05/2023”

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;

“Findings: Based on facility documentation and CO #2's observation, the Kitchen lacked the posted modified diet. The Pre-K classroom lacked a current modified diet. (An enrolled child was present in the Pre-K classroom with a peanut allergy and the allergy was not posted on the posted modified diet chart.)”

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

“Findings: Based on the COs' observations, the following areas were not maintained in a clean condition: PreK classroom: *There was a build-up of dirt and grime located along the edges of the floor. *There was a cracked floor tile with loose debris located near the toilet room door. *There was purple paint located on the floor under the table. Village: *There was lifted black rubber surfacing located on the bottom of the two stairs. *There was a build-up of dirt on the floor located near the carpet covered wall. *There was a broken floor tile with loose debris. *There was bubbled and lifted carpet on the second floor of the loft. *There was dirt and grime along the edges of the carpet located on the steps of the loft. Preschool 1 classroom: *There was a cracked floor tile located near the toilet room door. Older Toddler classroom: *There was loose debris and dark stains located throughout the large shape carpet.”

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 CO #2's observation, the following areas were not maintained in a clean condition: Preschool 1 Toilet Room: *There was a build-up of grime and discolored caulking located at the base of the toilet. Pre-K Toilet Room: *There was a gap in the caulking where the sink attached to the wall. *There were two cracked floor tiles.”

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 COs' observations, the Village toilet room and Preschool 1 toilet room, lacked mounted paper towels. On the younger playground, there were three wipes and a cup on the ground. There was also a 32-ounce styrofroam cup with red liquid located inside the sensory table. *Previously cited: 01/05/2023”

AAC R9-5-515.B. B. If an enrolled child exhibits signs of illness or infestation at a facility, a licensee shall ensure that a staff member:1. Immediately separates the enrolled child from other enrolled children, 2. Immediately notifies the enrolled child’s parent by telephone or other expeditious means to arrange for the enrolled child’s removal from the facility, and 3. Maintains documentation of the notification on facility premises for 12 months after the date of the notification.

“Findings: Based on facility documentation and CO #1’s observation, the Licensee lacked documentation of notifying the enrolled child's parent by telephone to arrange for the enrolled child's removal from the facility. Staff stated that an enrolled child was sent home on 1/03/2024 due to fever.”

AAC R9-5-515.F. F. A licensee shall ensure that:1. A dated, written notice of the communicable disease or infestation is prepared and posted in the facility’s entrance as required by R9-5-303; 2. Documentation of the notification is maintained on facility premises for 12 months from the date of the notification; and 3. Documentation of the absences of staff members and enrolled children due to a communicable disease or infestation listed in 9 A.A.C. 6, Article 2, Table 2, is prepared and maintained on facility premises for 12 months from the first date of absence.

“Findings: Based on facility documentation and CO #1’s observation, the Licensee lacked documentation of the absences of enrolled children due to a communicable disease or infestation, though there was a written notice of communicable disease posted.”

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 facility documentation and CO #1's observation, the medication for Child #18 lacked documentation of the prescription number on the written authorization form. The medication for Child #8 lacked documentation of a written authorization signed by the enrolled child's parent or health care provider.”

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

“Findings: Based on staff statements and the Compliance Officers' observations, it was determined that the medication for Child #17 was no longer being administered to the enrolled child. Staff stated the child no longer required the medication. The medication had not been returned to the parent.”

AAC R9-5-517.A.1. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:1. Obtain dated, written permission from the enrolled child’s parent before the licensee transports the enrolled child;

“Findings: Based on facility documentation and CO #2’s observation, it was determined that Child #10, Child #14, and Child #15 lacked written permission from the enrolled child's parent before the licensee transports the enrolled child.”

AAC R9-5-517.B.3. B. A licensee shall ensure that an individual who drives a motor vehicle used to transport an enrolled child:3. Carries a list stating the name of each enrolled child being transported and a copy of each enrolled child’s Emergency, Information, and Immunization Record card including the attached immunization record or exemption affidavit, in the motor vehicle;

“Findings: Based on facility documentation (van book) and CO #1’s observation, it was determined that 11 out of 11 enrolled children's Emergency, Information, and Immunization Record cards lacked an attached written immunization record. 8 of 11 Emergency Information, and Immunization Record cards lacked a copy of the second page of the record card.”

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 COs' observations, in the outdoor activity area, the following hazards were accessible to enrolled children: Younger Playground: *There was exposed black landscape fabric protruding up from the green turf. *There was a loose section of turf located near the exterior fence. *There were thorns and sharp pointy edges located on the branches of the tree protruding inward from the wrought iron fence. *There was raised (3-4 inches) and bubbled turf located near the concrete border. Older Playground: *There was a yellow trike with a missing foot pedal. *There was peeling paint with exposed rusty metal located at the base of the gate on the East side. *There was peeling paint with exposed rusty metal located in the rear East corner of the play yard. *There was exposed rust on the fence located behind the red bench. *There was splintery wood located on the red bench in the Northwest corner. *There was an eight-inch gap from the base of the fence to the ground located in the Northwest corner. *There was a missing irrigation box cover which exposed a 10-inch hole located on the West side. *Previously cited: 01/05/2023”

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: Based on CO #2's observation, the following rooms lacked a safety plug in an unused electrical outlet: *Village room lacked one safety plug on the West wall below a window. *Music and Movement room lacked one safety plug below the paint keys on the wall and one safety plug on the opposite wall. *Previously cited: 01/05/2023”

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: Based on facility documentation and CO #2’s observation, it was determined that the file for Staff #2 lacked documentation for the 10-day training for new staff members. (Start date-6/19/2023). The file for Staff #6 lacked documentation for the 10-day training for new staff members. (Start date-11/28/2022).”

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: Based on facility documentation and CO #2's observation, it was determined that the file for Staff #2 and Staff #3 lacked the name and telephone number of an individual to be notified in case of an emergency. Staff #3 lacked the written statement attesting to current immunity against measles, rubella, diphtheria, mumps and pertussis.”

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;

“Findings: Based on facility documentation and CO #2's observation, it was determined that the file for Staff #4 lacked documentation of a high school diploma or high school equivalency diploma.”

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.

“Findings: Based on facility documentation and CO #1’s observation, it was determined that the Licensee lacked documentation of a current violation-free fire inspection report as required. The most recent fire inspection expired 1/31/2022.”

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 COs' observations, the following facility premises and furnishing were not maintained in a clean condition: Preschool 1 classroom: *There were dried paint smears located on the wall and door frame of the toilet room door. *There were blue smears and sticky tape residue located on the bottom shelf of the blue cabinet. *There were discolored smears on the wall located near the light switch in the toilet room. Two's 2 classroom: *There were brown smudges on the wall located under the light switch in the toilet room. Younger Playground: *There was scattered rabbit feces located in multiple areas of the turf.”