Tutor Time Child Care/ Learning Centers

AAC R9-5-511.A.1.2.3.4.5. A. A licensee shall provide each enrolled child who naps or sleeps at the facility with a separate cot or mat or a crib that meets the requirements of R9-5-502(A)(8) and ensure that: 1. A cot, mat, or crib used by the enrolled child accommodates the enrolled child’s height and weight; 2. A staff member covers each cot, or mat with a clean sheet that is laundered when soiled, or at least once every seven days and before use by a different enrolled child; 3. A clean blanket or sheet is available for each enrolled child; 4. A rug, carpet, blanket, or towel is not used as a mat; 5. Each cot, mat, or crib is maintained in a clean and repaired condition;

“Findings: Based on Compliance Officer's observation, there was a child in the Preschool classroom sleeping atop a cot without a sheet between the child and the cot surface.”

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 Compliance Officer's observation, the 1’s classroom was operating at a staff-to-child ratio of 1:7, instead of the state mandated staff-to-child ratio of 2:7.”

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

“Per allegation findings: Based on the Compliance observation, review of facility documentation and staff interviews, it was determined that on 6/22/2026 from 12:00pm-2:00pm the ratio in the School-age classroom was 1:22 instead of the required ratio of 2:22.”

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 the Compliance Officer's observation and review of facility documentation, it was determined that the roster was not accurate in the 1's classroom. There were 9 children present in the classroom but the roster reflected the presence of 10 children.”

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

“Per allegation Findings: Based on staff statements and the Compliance Officer's observation, the health, safety, and welfare of a child were placed at risk when a child left the facility and walked to the parking lot while Staff #1 was on the playground with the children. Staff did not have knowledge of and accountability of the actions and whereabouts of the enrolled child. Staff #1 had taken their class outside to play, when a child opened the gate and moved to the adjacent playground. The child then opened another gate that a parent had not fully closed, and left the playground heading to the parking lot. Staff stated that the child "wandered" around the parking lot for "7-8 minutes" until a parent who was picking up their child walked the child back into the building. Staff #1 was unaware that the child was gone until the admin staff brought the child back to the playground.”

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

“Findings: Based on staff statements and the Compliance Officer's observations, Staff #1 did not supervise enrolled children at all times when a child left the playground through a gate and "roamed around" the parking lot for 7-8 minutes. Staff #1 was unaware that the child had left the area.”

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 the Compliance Officer's observation, it was determined that on the EHS 1 Room, there was a prescription cream for Child #13 that lacked a medication authorization form.”

AAC R9-5-512.F.8.9. F. A licensee shall ensure that: 8. Plumbing fixtures are maintained in a clean and working condition; and 9. Chipped or cracked sinks and toilets are replaced or repaired.

“Findings: Based on the Compliance Officer's observation, the following plumbing fixtures were not maintained in a clean condition: *School Aged Room: In the girls' toilet room, the caulking connecting the sink to the wall was cracked and made the sink movable. In the boys' bathroom, the toilet seat had a dried yellow substance along the surface. The base of the toilets in both toilet rooms had dirt and grime buildup. *Preschool Room, Pre-K Room: The base of the toilets had dirt and grime buildup.”

AAC R9-5-512.F.1. 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;

“Findings: Based on the Compliance Officer's observation, the following toilet rooms lacked the required disposable, single-use paper towels in a mounted dispenser: *Preschool toilet room: Lacked paper towels. *School Aged toilet rooms: The girls' and boys' toilet rooms lacked paper towels. *EHS 2 toilet room: The paper towel roll was placed on top of the mounted dispenser.”

AAC R9-5-503.D. D. A licensee shall ensure that the written diaper changing procedure in subsection (C) states that an enrolled child’s diaper is changed as soon as it is soiled, and that a staff member, when diapering: 1. Uses a separate washcloth and towel only once for each enrolled child; 2. Washes and dries the enrolled child using the enrolled child’s individual personal products labeled with the enrolled child’s name; 3. Uses single-use non-porous gloves; 4. Washes the staff member’s own hands with soap and running water between 86° F and 110° F before and after each diaper change; 5. Washes each enrolled child’s hands with soap and running water between 86° F and 110° F after each diaper change; 6. Cleans, sanitizes, and dries the diaper changing surface following each diaper change; and 7. Uses single-use paper towels from a dispenser to dry the diaper changing surface or the hands of the enrolled child or staff member.

“Findings: Based on the Compliance Officer's observation, in the Twos A Room, a child from another class was brought into the room to complete a diaper change. When it was completed, the staff member did not wash the child's hands before returning to their room.”

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 the Compliance Officer's observations, in the following rooms, the water in the diaper changing sink did not meet the required temperature of 86° F to 110° F: *Infant Room: Water temperature was 62°. *Twos A Room: Water temperature was 71°. *Twos B Room: Water temperature was 70°.”

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 observation, the following diaper changing areas were not kept clear of items not required for diaper changing: *Twos A Room: There was an iPad, a clipboard, and a blue foldable chair on the diaper changing surface. *EHS 2 Room: There was a cup, a toy, and a plastic jar next to the diaper changing sink. *Toddler 2 Room: There was an orange rectangle box next to the diaper changing sink.”

AAC R9-5-501.B.6. B. A licensee shall ensure that a staff member: 6. For enrolled children five-years or younger, and except as provided in subsection (C), prepares, posts, and implements a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the following classrooms lacked a current posted lesson plan: *Preschool Room & Pre-K Room: The lesson plan posted was dated 12/15/2025-12/20/2025. *Toddler 1 Room: The lesson posted was dated 12/01/2025-12/05/2025 *Twos A Room: The lesson plan posted was dated 11/17/2025-11/21/2025. *Twos B Room & EHS 2 Room: The lesson posted was dated 12/08/2025-12/12/2025. *School Aged Room: The lesson plan posted was dated 12/22/2025-12/26/2025.”

AAC R9-5-501.B.5. B. A licensee shall ensure that a staff member: 5. For enrolled children 12-months and older, except as provided in subsection (C), prepares, posts, and implements 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. If weather and air quality permit, 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 facility documentation and the Compliance Officer's observation, it was determined that the Twos A Room and the School Aged Room lacked a posted full-day schedule with specified times.”

AAC R9-5-501.A.3. A. A licensee shall ensure that: 3. For enrolled infants and children five-years or younger, drinking water is available to meet the needs of each enrolled child;

“Findings: Based on the Compliance Officer's observations, while on the playground, the Toddler 2 Class lacked available drinking water to meet the needs of each enrolled child.”

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 Compliance Officer's observation, it was determined that 12 out of 20 Emergency, Information, and Immunization cards reviewed lacked the following information: *Child #1, Child #8: Date of enrollment and the name and telephone number of the child’s health care provider. *Child #2: Date of enrolment and the name, home address, email address, and telephone number for 1 of 2 parents/guardians. *Child #3: Date of enrolment, the name, home address, email address, and telephone number for 1 of 2 parents/guardians, the name and telephone number for 1 of 2 emergency contacts, and the telephone number of the child’s health care provider. *Child #4, Child #10: Date of enrollment. *Child #5, Child #7: The name, home address, email address, and telephone number for 1 of 2 parents/guardians. *Child #6: Date of enrollment, the child's address, the address for 2 of 2 parents/guardians, the name and telephone number of the child’s health care provider, and the name of the individual to be contacted in case of injury or sudden illness of the child. *Child #9: Date of enrollment and the name of the child’s health care provider. *Child #11: Date of enrollment, the telephone number of the child’s health care provider, and the name of the individual to be contacted in case of injury or sudden illness of the child. *Child #12: Date of enrollment, the telephone number for 1 of 2 emergency contacts, and the telephone number of the child’s health care provider.”

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 facility documentation and the Compliance Officer's observation, it was determined that the Preschool Room lacked the required posted capacity.”

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 the Compliance Officer's observation, it was determined that the facility lacked a violation-free fire inspection.”

AAC R9-5-510.B.3. B. A licensee shall ensure that a staff member does not use or permit: 3. Abusive, profane, sarcastic language, verbal abuse, threats, or derogatory remarks about the child or child’s family;

“Per allegation Findings: Based on staff statements and the Compliance Officer’s observation, Staff #1 used verbal threats when interacting with enrolled children. Staff members stated that Staff #1 threatened to call the children’s parent when they were not behaving as they liked. When the threat did not work, Staff #1 threatened that they would call the police if the children did not behave.”

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 Compliance Officers' observations, it was determined that the file for Staff #2 lacked a written statement of immunity and the name and telephone number for an emergency contact.”

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 Officers' observations, it was determined that the menu posted was for the week of 6/16/2025. The menu for the week of 6/30/2025 lacked documentation of the breakfast substitution for 7/2/2025. The menu stated that "Pineapple" and "Tropical Overnight Oats" would be served, but he children had tortillas and yogurt for breakfast.”

ARS § 36-883.02.D. D. Employers of child care personnel shall make documented, good faith efforts to contact previous employers of child care personnel to obtain information or recommendations that may be relevant to an individual's fitness for employment in a child care facility.

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that the file for Staff #2 lacked documentation of good faith efforts to contact 2 of the 2 required references.”

AAC R9-5-203.E. E. If a staff member possesses a fingerprint clearance card that was issued before the staff member became a staff member at the facility, a licensee shall:1. Contact the Department of Public Safety before the individual becomes a staff member to determine whether the fingerprint clearance card is valid; and 2. Document this determination, including the name of the staff member, the date of contact with the Department of Public Safety, and whether the fingerprint clearance card is valid.

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that the fingerprint clearance card for Staff #1 (DOE 4/23/2025) was validated after their date of employment on 5/2/2025.”

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

“Findings: Per allegation: Based on facility documentation, staff statements, and the Compliance Officer’s observation, it was determined that child-to-staff ratios were not maintained at all times at the facility. During the inspection, in the Pre-K Classroom (3s-5s), the ratio was 1:19 instead of 1:13 as required for 3-year-old children. Staff stated the following: *Classrooms are out of ratio all the time. *Sometimes, during pick up and drop off, we are out of ratio because we don't have enough staff. *About 2-3 times a week, we are out of ratio. 30 minutes is the longest time we are out of ratio. *Classrooms are out of ratio throughout the day. We are usually over ratio for 10-15 minutes. *There was a week we were out of ratio every day.”

AAC R9-5-404.E. E. In addition to maintaining the required staff-to-children ratios, a licensee shall ensure that:1. Staff members are present on facility premises to perform facility administration, food preparation, food service, and maintenance responsibilities; and 2. Facility maintenance does not depend on the work of enrolled children.

“Findings: Based on facility documentation, staff statements, and the Compliance Officer's observations, it was determined that the facility lacked enough staff members to perform administrative duties. The director designee was required to supervise children in the classroom while performing administrative duties. The director designee was required to be in the classroom to maintain ratio and was unable to relieve staff members for interviews at the beginning of the investigation.”

AAC R9-5-404.E. E. In addition to maintaining the required staff-to-children ratios, a licensee shall ensure that:1. Staff members are present on facility premises to perform facility administration, food preparation, food service, and maintenance responsibilities; and 2. Facility maintenance does not depend on the work of enrolled children.

“Finding: Based on staff statements and Compliance Officers' observations, it was determined that the licensee lacked enough staff members to perform administrative duties. The staff member in charge in the director's absence was required to supervise children in the classroom while performing administrative duties. The staff member in charge was required to be in classroom ratios in order to allow staff members to be interviewed during the investigation. The staff stated the following: *Classroom teachers are being asked to fill in for administration. * At times, these classroom teachers are in classrooms answering phones or managing day-to-day operations while supervising children. *Several staff members stated that they do not have the administrative support and sometimes wait hours for assistance or do not receive the assistance needed.”

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

“Findings: Based on facility documentation and staff statements, it was determined that an Infant was moved to the 1-year old classroom and then returned to the Infant room. The staff stated the following: *One of the infants was moved into the Ones room and then moved back to the infant room to meet ratios. I put a one-year-old back in the infant room this week. *They switch kids a lot. Yesterday, I got a one-year-old, then they took him back to the infant room and brought two more children from another room.”

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 allegations and based on interviews with staff members, classrooms are out of ratio in the mornings and afternoons. Staff stated the following: *Sometimes, we wait for up to 15 minutes to get another staff member in the room after letting them know we are over ratio. *One day, the room was over ratio for over two hours while waiting for a child to be picked up. *Generally, we are out of ratio for only a few minutes until a staff member is available to come in. *Sometimes, parents sit in the room with me for up to 5 minutes until another staff member can clock in. *Sometimes, I have to leave my other teacher alone with too many children to take a bathroom break.”

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 interviews with staff members, it was determined that children have not been sent home when exhibiting signs of illness. Staff members stated the following: *Children were allowed to stay in the classroom while exhibiting signs of fever and illness. *At the beginning of February, a child with a fever was not sent home and stayed in the classroom until the end of the day. *A child with a fever had to stay in the classroom. *Sometimes, [children exhibiting signs of illness] are here longer than they should be. Sometimes, they come up to the office, or they stay in the classroom; it depends on ratios. *Children stay in the classroom with loose B/M's and fevers.”

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 Compliance Officer #1's observation, the following hazards were accessible to enrolled children in the outdoor activity area: Boat Playground: *Two metal picnic tables outside of the side door had multiple areas of rusted flaking metal on the table surface and bench; *There were multiple areas of deteriorated, rusted, and flaking metal with sharp edging along the North fence line; Preschool/School Age Playground: *1 of 2 handles on a yellow trike was cracked and broken; *There were multiple areas of deteriorated, rusted, flaking metal with sharp edging along the West, North, and East fence lines; 1's/2's Playground: *2 yellow tricycles were missing 1 of 2 handles; Splash Pad: *There were multiple areas of deteriorated, rusted, flaking metal with sharp edging on the East fence line; and *There was a 9 1/2-inch gap between the ground and the bottom of the fence line on the East fence near the storage shed.”

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

“Findings: Based on Compliance Officer #1's observation, the following diaper changing surfaces were not kept clear of items not required for diaper changing: Early Head Start 2: There was a sippy cup on the counter next to the diaper changing sink; and Early Head Start 1: There was a Brita water jug and three sippy cups on the counter next to the diaper changing sink.”

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 Compliance Officer #1's observation, the soiled diaper container in the Infant 2 Room lacked a lid.”

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 Compliance Officer #1's observation, the following diaper changing sink temperatures were not maintained between 86°F and 110°F as required: *Early Head Start 2: The diaper changing sink temperature was 64.5°F; *Early Head Start 1: The diaper changing sink temperature was 80.9°F; and *Toddler 2: The diaper changing sink temperature was 69.2°F.”

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 Compliance Officer #1's observation, the following diaper changing surfaces were not kept clear of items not required for diaper changing: Twos 1 Room: There was gapping between the side ledge and the surface of the table; Early Head Start 2: There was 4 plastic trays, 3 watering cans, and 2 rocks on the counter around the diaper changing sink; and Early Head Start 1: There was dried paint and 5 plastic toys in the diapering sink, an iPad, and iPad charger on the counter around the diaper-changing sink, and a peeling warning sticker on the diaper-changing surface.”

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 the Compliance Officers' observations, the roster in the School-Age room documented 29 children and there were 31 children were present.”

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 Compliance Officer #2's observation and facility documentation, 4 of 20 Emergency, Information, Immunization Record cards reviewed lacked the following: Child #1: The child's home telephone number, the contact telephone number of the first parent of the child, and the back side of the card was incomplete; Child #2: The child's home telephone number; Child #3: The child's home telephone number and the name and contact telephone number of the child's health care provider; Child #4: The child's date of enrollment, the name, home address, city, state, zip code, and contact telephone number of the second parent of the child, and the name and contact telephone number of the child's health care provider.”

AAC R9-5-502.C.1.d. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: d. Keeps dated, daily, documentation of each infant including: i. A description of any activities the infant participated in, ii. The infant’s food consumption, iii. Diaper changes, and iv. Tummy time;

“Findings: Based on Compliance Officer #1's observation, Infant 1 and Infant 2 lacked dated, daily, documentation of tummy time.”

AAC R9-5-501.C.5. C. A licensee shall ensure that a staff member:5. Except as provided in subsection (D), prepares and posts a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Findings: Based on Compliance Officer #1's observation, the following lesson plans were not current: Twos 1 Room: The posted lesson plan was dated for the week of 12/16/2024; Toddler 1 Room: The posted lesson plan was dated for the week of 12/23/24; and Early Head Start 2: The posted lesson plan was dated for the week of 12/16/2024.”

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 Compliance Officer #1's observation, the School-Age Room lacked a current schedule for the winter break program. The posted schedule was for the before and after school program.”

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

“Findings: Based on Compliance Officer #1's observation, staff failed to supervise children at all times when a child was in the bathroom of the Pre-Kindergarten room with the door closed.”

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 Compliance Officer #1's observation, the following hazards were accessible to enrolled children in the School-Age Room: *There was a bundle of cords in the corner of the tree storage shelf with exposed fraying wires; *The red counter in the middle of the room had multiple areas of missing laminate exposing rough raw wood.”

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

“Findings: Based on the Compliance Officers' observations, the ratio in the School-Age Room was 2:31, with four-year-olds present.”

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 Compliance Officer #1's observation, the Twos 1 room had one uncovered outlet on the West wall and two uncovered outlets on the East wall. In the Twos 2 Room, there was one uncovered outlet on the West wall and one uncovered outlet on the East wall.”