Tutor Time Child Care/ Learning Centers

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

“Findings: Based on the Compliance Officers' observations, in the restrooms in the Preschool Room (3s), 2A Room (2s), 2B Room (2s), and the EPS Room (3s), there was a buildup of grime and brown smudges on the walls around the light switches, sinks, and the paper towel dispensers.”

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 Compliance Officers' observations, the following personal products were not labeled with the enrolled children's first and last names: *In the Infant Room 2 unlabeled packs of wipes. 1 Bordeaux Butt Paste with the enrolled child's first name. 1 pack of wipes with the enrolled child's first name and last initial. *In the Toddler A Room 1 pack of unlabeled wipes. 1 unlabeled Bordeaux Butt Paste. 1 diaper cream with the enrolled child's first name. *In the Toddler B Room: 4 packs of unlabeled wipes. 3 packs of wipes labeled with the enrolled child's first name. 1 pack of wipes labeled with the enrolled child's first name and last initial. *In the 2s A Room 1 unlabeled diaper cream. 1 diaper cream labeled with the enrolled child's first name. *In the 2s B Room 1 pack of unlabeled wipes 1 pack of wipes with the enrolled child's first name and last initial.”

AAC R9-5-503.A.3.4. 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 4. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled clothing.

“Findings: Based on the Compliance Officer's observations, in the Toddler 2 Room (1s), the soiled clothing container lacked a lid. In the 2A Room (2s), the soiled diaper container's lid was open, due to an overflow of soiled diapers.”

AAC R9-5-203.C. C. Except as provided in A.R.S. § 41-1758.03, a licensee shall ensure that each staff member, before starting date of employment or volunteer service, submits to the licensee a copy of the staff member’s valid fingerprint clearance card, front and back, issued under A.R.S. Title 41, Chapter 12, Article 3.1.

“Findings: Based on facility documentation and the Compliance Officer's observations, Staff #1's file lacked a copy of the front and back of the fingerprint clearance card.”

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 observations, 6 of 20 Emergency, Information, and Immunization Records lacked the following information: *Child #1 and Child #2: The name, address, and phone number of the enrolled child's second parent. *Child #3 and Child #4: A phone number of the enrolled child's health care provider. *Child #5: The address of the enrolled child's first parent. *Child #6: The phone number of the enrolled child's second parent.”

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

“Findings: Based on the Compliance Officers' observations, in the Toddler B Room (2s), there was a diaper in the restroom trash can, rather than in the appropriate diaper changing area, and accessible to enrolled children.”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings: 1. In a clean condition, and 2. Free from odor.

“Findings: Based on the Compliance Officer's observations, in the 2A Room (2s), the soiled diaper container emitted a strong odor.”

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 Officer's observations, in the Toddler B (2s) restroom, there was a broken baseboard tile lying on the floor, exposing inner wall material and debris.”

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 Officer's observations, the staff files for Staff #2 and Staff #3 lacked 1 of the 2 required good-faith references.”

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 on facility documentation and the Compliance Officers' observations, in the kitchen the infant feeding plans were not current.”

AAC R9-5-502.C.1.lk. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: k. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Findings: Based on facility documentation and the Compliance Officers' observations, in the Infant room, the infant feeding plans for Child #3, Child #7, Child #8, Child #9, Child #10, and Child #11 were not current, and lacked specific amounts and frequencies of food to be fed.”

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 Officers' observations, the medication authorization form for Child #3's medication lacked the dosage, times, and frequency of administration. The prescription label on the child's medication could not be read due to the label being worn off. The medication authorization form for Child #12's medication lacked the start and end date, dosage amount, and route of administration. The child's medication also lacked the original prescription box.”

AAC R9-5-208.B. B. At least 30 calendar days before the date of an intended change in a facility’s service classification, space utilization, or licensed capacity, a licensee shall submit a written request for approval of the intended change to the Department that includes:1. The licensee’s name; 2. The facility’s name, street address, city, state, zip code, mailing address, and telephone number; 3. The name, telephone number, and fax number of a point of contact for the request; 4. The facility’s license number; 5. The type of change intended: a. Service classification, b. Space utilization, or c. Licensed capacity; 6. A narrative description of the intended change; and 7. The following additional information, as applicable: a. If the intended change affects individual rooms, the following information about each affected activity area, as applicable: i. Identification of the activity area, ii. Current and intended square footage, iii. Current and intended operating hours, iv. Current and intended service classification, v. Current and intended licensed capacity, and vi. Whether the activity area has or will have a diaper changing area; b. If the intended change is to increase licensed capacity, the square footage of the outdoor activity area; and c. If the intended change includes an alteration or addition to the physical plant of a licensed facility, the following, as applicable: i. If the facility is not located in a public school or if providing child care services to infants, one-year-old children, or two-year-old children in a facility located in a public school, the information required in R9-5-201(A)(5)(g) and (A)(5)(h) showing the intended change; or ii. If the facility is located in a public school and provides child care only for three-year-old, four-year-old, or five-year-old, or school-age children, a set of final construction drawings or a school map, including the information required in R9-5-201(5)(j) showing the intended change.

“Findings: Based on facility documentation and the Compliance Officers' observations, in the Preschool Classroom, the facility had set up a diaper changing table without prior department approval.”

AAC R9-5-203.G. G. If 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 Officers' observations, the file for Staff #1(DOE-05/12/2025) lacked documentation of the DCS Registry submitted before employment.”

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 and based on staff statements and the Compliance Officers' observations, it was determined that an enrolled child was alone and unsupervised in an unused classroom for approximately 2-3 minutes. Staff Statements: *I was doing face to name, and a child took off down the hallway. *A staff member went to get the student and couldn't find them. *We went and got the visiting Director who was assisting from another center to help look; the child was in an unused classroom, hiding under the table. *The child was alone for about 2-3 minutes while we looked for them. *When we were lining up, a child ran away from the staff and hid in an unopened classroom. *It was scary, we didn't know where the child was. *Had to get the visiting director to find the child. They were alone for about 1-2 minutes. ***Previously Cited 05/13/2025, 02/25/25, 05/01/2024, 03/14/2024”

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 allegations and based on staff statements, and the Compliance Officers' observations, it was determined that a 3-year-old child was not supervised when the child was left in the Preschool Classroom for up to 15 minutes alone and unsupervised when staff and children went to the Village. Staff Statements: *A child was left in the Preschool 2 classroom for 10-15 minutes. *While completing face to name after about 15 minutes, the class was rowdy, and that was when the child was noticed as missing. *The child was alone, kneeling in the quiet cubby, crying. *After completing face to name, and noticing the child was not in the village, the Staff went back to Preschool 2. *A child was separated back in the Preschool room.”

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 Officer's observation, it was determined that the files for Staff #1 (DOE-4/14/25), Staff #2(DOE-3/24/25), Staff #3 (DOE-4/14/25), and Staff #4(DOE-8/7/23) lacked documentation of validation through DPS for their fingerprint clearance card before their start date of employment. The fingerprint clearance cards were validated at the time of the inspection.”

AAC R9-5-203.G. G. If 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 Officers' observations, the files for Staff #1 (DOE-4/14/25), Staff #2(DOE-3/24/25), and Staff #3 (DOE-4/14/25) lacked documentation of the submitted DCS Registry form before the start date of employment.”

AAC R9-5-402.C. C. A licensee shall ensure that, for an individual who is not currently working at the facility, the information required in subsections (A)(1) through (12) is:1. Maintained for 12 months after the date the individual last worked at the facility, and 2. Provided to the Department within two hours of the Department’s request.

“Findings: Based on facility documentation and the Compliance Officer’s observation, it was determined that the facility failed to maintain the staff file for Staff #5 (DOE-12/23/24), who no longer worked at the facility.”

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 and based on facility documentation, staff statements, and the Compliance Officer’s observations, it was determined that the facility did not maintain ratios on the following occasions: Preschool 2 Classroom: *The ratio was 0:1 when a 3-year-old child was left in the classroom while the staff member and enrolled children went to the village. Toddler One Classroom: *On 5/8/2025, the ratio was 1:7 with 1-year-old children present from 7:23-7:46 am; the required ratio was 2:7. *On 5/12/2025, the ratio was 1:8 with 1-year-old children present from 4:15-4:17 pm; the required ratio was 2:8. *On 5/07/2025, the ratio was 1:12 with 1-year-old children present from 4:30-5:30 pm; the required ratio was 2:12. Toddler Two Classroom: *On 5/13/2025, the ratio was 1:7 with 1-year-old children present from 8:52-9:00 am; the required ratio was 2:7. Two's 2 Classroom: *On 5/7/2025, the ratio was 1:9 with 2-year-old children present from 8:30-8:40 am; the required ratio was 2:9. *On 5/9/2025, the ratio was 1:10 with 1-year-old children present from 6:55-7:07 am; the required ratio was 2:10. *On 5/9/2025, the ratio was 1:11 with 2-year-old children present from 8:03-10:30 am; the required ratio was 2:10. Preschool Classroom: *On 5/1/2025, the ratio was 1:15 with 3-year-old children present from 8:26-8:30 am; the required ratio was 2:15. School-Age Classroom: *On 5/2/2025, the ratio was 1:16 with 4-year-old children present from 11:09-11:19 am; the required ratio was 2:16. Staff Statements: *The whole school is overwhelming and out of ratio. It sometimes takes 30 minutes to an hour to get support. *Over by 2-3 children for up to 30 minutes. *Depending on the time, usually mornings, we are over by 1 or 2, and can take up to 10-15 mins to correct. *There was a day we had 31 with 3's, and there were 2 staff. * A little bit, 1 or 2 kids, no more than 5-7 minutes to correct. *Over by 2, no more than 20 minutes, and twice a week.”

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;

“Findings: Per allegations and based on staff statements, and the Compliance Officers' observations, it was determined that the health, safety, and welfare of an enrolled child was placed at risk of harm when a 3 year old child was left in the Preschool Classroom for up to 15 minutes alone and unsupervised when staff and children went to the Village. Staff Statements: *A child was left in the Preschool 2 classroom for 10-15 minutes. *Staff went back to Preschool 2 after completing face to name and noticed the child was not in the village. *A child was separated back in the Preschool room.”

AAC R9-5-510.A.2. A. A licensee shall ensure that a staff member: 2. Teaches, models, and encourages orderly conduct, personal control, and age-appropriate behavior;

“Findings: Per allegation and based on staff statements and the Compliance Officers' observations, it was determined that staff members failed to teach, model, and encourage orderly conduct, personal control, and age-appropriate behavior when Staff yelled at enrolled children. Staff Stated: *Staff yell at the children to go to the potty. *Staff yell at the children a lot. *Staff yell at the children to "lay down". *Staff know when to yell at children so that other staff members will not correct them. *Staff are aggressive when they speak to the children, they say Knock it off, I'm so tired of this, and a staff member was heard cursing under their breath.”

AAC R9-5-510.B.4. B. A licensee shall ensure that a staff member does not use or permit:4. Discipline associated with: a. Eating, napping, sleeping, or toileting; b. Medication; or c. Mechanical restraint; or

“Findings: Based on staff statements and the Compliance Officers' observations, it was determined that staff members used a form of discipline associated with napping. Staff Stated: *Children are given a time out during naptime, or staff will "take away" their beds. *Children's blankets have been yanked away from them during naptime. *Staff will take blankets and throw them. *Staff yell at the children to lay down. *Instead of sitting with child, staff will take bed away or make child sit in a chair next to the diaper changing area.”

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 Compliance Officer’s observation, it was determined that the Mantoux Skin Tests for Staff #1 (DOE-1/29/24, TB Test 1/30/24) and Staff #2 (DOE-7/08/24, TB Test 7/9/24) were not read on or before the starting date of employment.”

AAC R9-5-510.B.1. B. A licensee shall ensure that a staff member does not use or permit: 1. A method of discipline that could cause harm to the health, safety, or welfare of an enrolled child;

“Findings: Per allegation and based on Staff Statements, video evidence, and the Compliance Officer’s observations, it was determined that Staff #2 used a method of discipline that could cause harm to the health, safety or welfare of an enrolled child when Staff #2 took an enrolled child by both arms and pushes them down onto the mat aggressively and then can be observed pushing the child onto their belly and starts patting the child roughly. Staff Statements: *Staff #1 was sent home for 2 days. *Staff #1 was put on disciplinary leave. *Staff #1 was full on screaming at them. *Staff #1 has grabbed a child by their rib cage and forcefully set them down within the last month. *Staff would not be comfortable leaving children with Staff #1. *There was a forced lay down incident. Video Evidence: Staff #1 can be observed grabbing a child by both arms at the bicep, and picking them up where their feet are off the ground and pushing them onto the cot, Staff can be observed aggressively rolling the child over and started patting the child at the hip area roughly.”

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;

“Findings: Per allegation and based on staff statements, documentation and the Compliance Officers’ observations it was determined that the health, safety and welfare of enrolled children was placed at risk of harm when 2 enrolled children left a classroom and ran down the hall away from the staff and 1 child turned back to run away from a staff trying to stop them and another staff member opened the door to assist and the child hit their head on the door. Staff Statements: *A Child ran out of the classroom and around the corner, I asked the teacher in the classroom closest to mine to assist on the other side of the hallway. *A Child was running down the hall, turned back to come towards me, right when a staff member who was trying to assist opened the door and the child hit their head on the door. *A Child ran from the class in the hallway, turned down the other hallway and when a staff member was trying to help them by opening the door to get the child's attention they hit their head on the door. A 2nd Child ran to another classroom.”

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 and based on Staff Statements, documentation and observation, it was determined that 2 children left Staff, ran down the hallway and around a corner unsupervised by staff until 2 additional Staff were asked to assist in getting the children back to class. Staff Statements: *A Child ran out of the classroom and around the corner, I asked the teacher in the classroom closest to mine to assist on the other side of the hallway. *A Child was running down the hall, turned back to come towards me, right when a staff member who was trying to assist opened the door and the child hit their head on the door. *A Child ran from the class in the hallway, turned down the other hallway and when a staff member was trying to help them by opening the door to get Child #1’s attention they hit their head on the door. Child #2 ran to another classroom.”

AAC R9-5-601.4. A licensee shall comply with the following physical plant requirements:4. Except as provided in subsection (5), when providing child care services for infants or children who require diapering, a diaper changing area that meets the requirements in R9-5-503 is available in each infant room or indoor activity area used by an enrolled infant or child who wears diapers or disposable training pants;

“Findings: Per allegation and based on Staff Statements, documentation and the Compliance Officers’ observations, it was determined that children were wearing pull-ups classrooms that are not licensed for diaper changing. Staff Statements: *Oh yes that child is in a pull-up and I have a couple others too. *When the children who wear pull-ups need changed I have to call the office so they can come and take them from my room to a diaper changing room. Sometimes it can take them 30 minutes or more to come get the children when they need to be changed. *Parents have complained that they have gotten rashes from sitting in their pull-ups for too long.”

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 #2’s observation, it was determined that the file for Staff #2 (DOE-11/11/24) and Staff #4 (DOE-10/07/24) lacked documentation of a signed and dated Criminal History Affidavit prior to start date.”

AAC R9-5-203.C. C. Except as provided in A.R.S. § 41-1758.03, a licensee shall ensure that each staff member, before starting date of employment or volunteer service, submits to the licensee a copy of the staff member’s valid fingerprint clearance card,front and back, issued under A.R.S. Title 41, Chapter 12, Article 3.1.

“Findings: Based on facility documentation and Compliance Officer #2’s observation, it was determined that the files for Staff #2(DOE-11/11/24) and Staff #4(DOE-10/07/24) lacked documentation of a front and back copy of a valid fingerprint card. The files for Staff #1(DOE-08/12/24), Staff #3 (DOE-07/08/24), and Staff #5 (DOE-09/03/24) lacked documentation of the back copy of a valid fingerprint card. The fingerprint clearance cards were validated through the DPS website during the time of the inspection.”

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 #2’s observation, it was determined that 16 out of 45 enrolled children's Emergency, Information, and Immunization Record cards reviewed lacked the following required information: Child #5, Child #7, Child #8, and Child #12: The name, home address, city, state, zip code, and contact telephone number of the 2nd parent of the child. Child #1: The child's contact telephone number and the name, home address, city, state, zip code, and contact telephone number of each parent of the child. Child #6, Child #11, Child #13, and Child #14: The child's contact telephone number. Child #9 and Child #16: The contact telephone number of the child's healthcare provider. Child #10, Child #17, and Child #18: The date of the child's enrollment. Child #15: 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. Child #19:The name of the individual to be contacted in case of injury or sudden illness of the child.”

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 Compliance Officer #2’s observation, it was determined that 9 out of 20 enrolled children's attendance forms lacked the following information: Child #20: An arrival and departure signature, initials only on 11/5/2024, 11/07/2024, 11/12/2024, 11/13/2024, 11/19/2024, 11/21/2024. Child #21:An arrival time and signature on 11/01/2024. Child #22:A departure signature on 11/01/2024. Child #9:A departure time and signature on 11/04/2024. Child #23:A departure time and signature on 11/08/2024. Child #24: A departure time and signature 11/01/2024. Child #25: A departure time and signature 11/07/2024. Child #6 and Child #26: An arrival signature first name last initial only on 11/01-11/08/2024, 11/12-11/19/2024, and arrival and departure signature first name last initial only on 11/22/2024 and 11/25/2024.”

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 Compliance Officer #2’s observation, it was determined that the Licensee lacked documentation of a current fire inspection report as required. Expired 12/06/2023.”

AAC R9-5-401.4. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:4. An assistant teacher-caregiver is 16 years of age or older and provides the licensee with documentation of one of the following: a. Current and continuous enrollment in high school or a high school equivalency class; b. High school or high school equivalency diploma; c. Enrollment in vocational rehabilitation, as defined in A.R.S. § 23-501; d. Employment as a teacher-caregiver aide for 12 months; or e. Service as a volunteer in a child care facility for 12 months;

“Findings: Based on the facility documentation and Compliance Officer #2's observation, it was determined that Staff #1 was acting as an assistant teacher-caregiver in Toddler 1 Classroom. Staff #1 lacked documentation of a high school diploma, enrollment in a high school equivalency class or 12 months early childhood education experience.”

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 observations, the following hazards were accessible to enrolled children: Two's Two Classroom: *There was a vinyl couch that had 3 areas 4 inches torn exposing foam. *The west half wall had a 2-inch hole exposing drywall. Preschool 1: *There was a vinyl couch and vinyl chair that was cracked and had torn vinyl exposing foam. *The northeast wall had a 16-inch crack next to the window exposing drywall. Preschool 2: *There was a 12-inch crack on the west wall exposing drywall. Toddler 1 *There was a loose outlet cover on the south wall. *There was a 2 inch chip in the east wall by the door exposing drywall.”

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 Village Activity area lacked a current schedule of children's age-appropriate activities.”

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 facility documentation and Compliance Officer #1’s observation, it was determined that School Age, Preschool 1, Toddler 1, and Two's One, Two's Two, and Preschool 2 classrooms lacked documentation of a current lesson plan. The lesson plans were dated for the week of November 18-22.”

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 Compliance Officer #1's observation, the following classrooms lacked the required labels on personal products: Infant 1 *1 diaper cream lacked the enrolled child's last name. Infant 2 *3 diaper creams lacked the enrolled child's first and last name. Toddler 1 *3 diaper creams lacked the enrolled child's last name. *1 diaper cream lacked the enrolled child's first and last name. Toddler 2 *6 diaper creams lacked the enrolled child's last name. *4 diaper creams lacked the enrolled child's first and last name. Two's 1 *3 diaper creams lacked the enrolled child's last name. Two's 2 *1 diaper cream lacked the enrolled child's last name. *2 diaper creams lacked the enrolled child's first and last name. *1 chest rub lacked the enrolled child's first and last name.”

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 Compliance Officer #1’s observation, in the Infant 1 Classroom, 4 mattresses had torn vinyl exposing foam making the mattress no longer waterproof. In the Infant 2 Classroom, 12 mattresses had torn vinyl exposing foam making the mattress no longer waterproof.”

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 Compliance Officer #1’s observation, in Infant 1 Classroom, 1 crib sheet was torn and 3 sheets were too tight-fitting causing the mattress to bow.”

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. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Findings: Based on Compliance Officer#1's observation, the infant feeding instructions lacked the following information: *Child #1, Child #2, Child #3 and Child #4 -amount and times the child is to be fed.”

AAC R9-5-502.C.1.m. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: m. 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 on facility documentation and Compliance Officer #1's observation, the Kitchen lacked written dietary instructions for all of the enrolled infants.”

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, in the Infant 2 Classroom, there was a cloth towel behind the diaper changing sink. In Toddler 1 Classroom, there was a paper towel roll and cloth towel on the diaper changing sink.”

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, in Toddler 1 Classroom, the diaper changing area lacked single-use paper hand towels from a dispenser.”

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, in Toddler 1 and Two's 1 Classrooms, the soiled diaper containers lacked a tight-fitting lid. In the Two's 1 classroom, the soiled diaper container lacked a waterproof liner.”

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

“Findings: Based on Compliance Officer #1’s observation, in Toddler 2 and Two's 1 Classrooms, the soiled clothing was placed on top of the soiled clothing container.”

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 Compliance Officer #2's observation, the main posting lacked a current weekly menu. (Menu documented 10/28/2024.)”

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

“Findings: Based on Compliance Officer #1’s observation, in the Infant 2 classroom, the temperature in the refrigerator was at 50° F rather than 41 degrees or below as required. In the Two's 2 Classroom, the temperature in the refrigerator was at 70° F rather than 41 degrees or below as required.”

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

“Findings: Based on Compliance Officer #1’s observation, in Toddler 2 Classroom, the freezer lacked a thermometer as required. In the Two's 2 Classroom, the temperature in the freezer was at 70° F rather than 0 degrees or below as required.”

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 Compliance Officer #1’s observation, the following areas were not maintained in a clean condition: School Age Classroom: *There was cereal from breakfast in the sink. *There was a build-up of food debris on the wall behind the trash can. Toddler 2 Classroom: *There was a build-up of debris on the fridge and freezer shelves. Two's 2 Classroom: *There was a 15-inch area of dark grayish and green matter with fuzz growing in the freezer. *There was a build-up of debris on the fridge and freezer shelves.”

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 Compliance Officer #1's observations, the following toilet rooms were not maintained in a clean condition: Preschool 2: *The toilet had a brown substance smeared on the seat. *The sink had a brown substance smeared on the edge. *The toilet had a yellow substance in the bowl. School-Age: *The toilet had a yellow substance on the seat. *The floor had a build-up of debris under the sink area and around the door.”

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 Compliance Officer #2's observation, the following medication forms were incomplete: Child #27: The prescription number did not match the package, times and frequency of the medication to be given, the end date was not accurate and the medication was expired. Child #29: The end date of the prescription and times and frequency of the medication to be given.”

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

“Findings: Based on facility documentation and Compliance Officer #2's observation, it was found that Child #28’s prescription medication was dispensed as a two-pack but only one injection was present at the facility and a physician’s authorization to separate the injections was not present.”

AAC R9-5-518.A.3. A. A licensee providing a field trip for an enrolled child shall: 3. Maintain the written permission in subsection (A)(1) and written field trip plan in subsection (A)(2) on facility premises for 12 months after the date of the field trip.

“Findings: Based on facility documentation, staff statement and the Compliance Officers' observations, it was determined that there were no field trip forms maintained at the premises for review. Staff Statement: *I was not aware that they had to be kept for 12 months, I do not believe we kept them.”

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, in the outdoor activity area, the following hazards were accessible to enrolled children: Preschool Playground *There were 2 scooters that lacked handle covers exposing sharp metal. *There was 1 metal fence panel that had 6 inches of broken jagged edges.”

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

“Findings: Based on the Compliance Officers' observations, in the Toddler 2 Classroom, a child on a nap cot blocked a designated exit that provides an escape to the outside of the building.”

ARS § 36-883.02.A. A. Except as provided in subsection B of this section, child care personnel, including volunteers, shall submit the form prescribed in subsection C of this section to the employer and shall have valid fingerprint clearance cards issued pursuant to section 41-1758.07 before starting employment or volunteer work.

“Findings: Based on facility documentation and Compliance Officer #2’s observation, Staff #1 lacked a valid fingerprint card before their starting date of employment. (DOE 8/12/2024, Issued: 8/13/2024)”

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 allegations and based on facility documentation, staff statement, and the Compliance Officers' observations, it was determined that Staff #1 acted as a teacher-caregiver in the School-Age classroom. Staff #1 was not qualified as a teacher-caregiver because the staff file lacked documentation of six months of child care experience.”

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

“Findings: Based on facility documentation and Compliance Officer #2’s observation, it was determined that the roster in the 2's Classroom did not reflect the number of children present (16 children present, 17 children listed on the roster).”

AAC R9-5-605.B.9. B. A licensee shall ensure that: 9. Fans are mounted and inaccessible to an enrolled child;

“Findings: Based on Compliance Officer #2's observations, in the Preschool Classroom, there was a fan located on the cubbies accessible to enrolled children.”

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

“Findings: Based on the Compliance Officers' observations, in the outdoor activity area, the following hazards were accessible to enrolled children: Preschool Playground and School-Age Playgrounds *There were several fence panels with rust at the base that was breaking through exposing sharp edges. *There were loose pieces of rusted metal from the fence panels on the ground. ***Previously Cited 12/01/2023, 02/9/2024”

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

“Findings: Based on facility documentation and the Compliance Officer’s observation, it was determined that the roster in Toddler 2 classroom did not reflect the number of children present (13 children present, 14 children listed on the roster). In Preschool 1 classroom the roster did not reflect the number of children present (17 children present, 18 children listed on the roster).”

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 and based on staff statements, facility documentation, the Compliance Officer, and the Office Chief's observations, the ratio in the Preschool 2 Classroom was 0:1 when a 3-year-old child was left in the classroom when staff and students went to the playground. At the time of the inspection, the ratio in the PreK classroom, was 1:14 with a 3-year-old child present. Additionally, the ratio in Preschool 1 was 1:11 on 04/02/2024 and 1:15 on 04/15/2024; Facility Documentation: Preschool 1: On 04/02/2024, ratio was 1:11, required ratio is 2:11 with a 2-year-old present. On 04/15/2024, ratio was 1:15, required ratio is 2:15 with a 2-year-old present. Staff Stated: *The staff were taking the children out- didn't do the face to name and Child #1 was left in the classroom alone. *Out of ratio maybe every 2 weeks, for about an hour. *I am out of ratio once a week for about 10-15 minutes. *Child #1 was alone in the bathroom. *Once a week at least over by 3.”

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;

“Findings: Per allegation and based on staff statements, the Office Chief and the Compliance Officer’s observations, the health, safety and welfare of enrolled children was placed at risk of harm when an enrolled child was alone and unsupervised in the classroom; eventually, the child wandered to the bathroom when staff and students went to the playground. Additionally, children were placed at risk of harm when an enrolled child threw toys and chairs and was also hitting children. Staff Stated: *The staff were taking the children out- didn't do the face to name and Child #1 was left in the classroom alone. *Child #1 was alone in the bathroom. *Children throw toys. *Children have hit me, bite me, throw blocks in the morning. *Some of the kids are out of control. *My child was hurt, they were hit in the face while on the playground. Another child kicked and hit them.”

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 allegations and based on staff statements and the Office Chief and the Compliance Officer's observations, Child #1, a 3-year-old child was left alone and unsupervised when staff and children went to the playground. Staff Stated: *The staff were taking the children out- didn't do the face to name and Child #1 was left in the classroom alone. *Child #1 was alone in the bathroom.”

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 Office Chief and the Compliance Officer’s observations, in the Infant 2 classroom, there was a bib, an iPad, and a cloth on the backside of the diaper-changing sink. There was a 5-inch hole with exposed raw wood, that was uncovered above the diaper bin for discarding diapers.”

AAC R9-5-510.A.2. A. A licensee shall ensure that a staff member: 2. Teaches, models, and encourages orderly conduct, personal control, and age-appropriate behavior;

“Findings: Based on the Office Chief and the Compliance Officer's observations, during the inspection, in Toddler 1 classroom, a Staff was observed aggressively grabbing and swinging a child to pick them up and move them to their cot. In Toddler 1 and Toddler 2 classrooms, staff was heard using aggressive loud tones saying "PUT THE BED DOWN", and "LET'S GO" while enrolled children were getting ready for rest time.”

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 Office Chief and the Compliance Officer’s observations, the following areas were not maintained in a clean condition: Infant 2 Classroom: *There was a strong ammonia odor. School-Age Classroom: *The trash can lid had a build-up of dark gray substance and debris. Two's 1: *There were boxes of clothing items, extra diapers, and toys in the toilet room. *The trash can lid had a build-up of red, brown sticky substance and debris.”

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

“Findings: Based on the Office Chief and the Compliance Officer's observations, in the School-Age and Preschool 1 toilet rooms, there was toilet paper and trash on the floor.”

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 the Office Chief and the Compliance Officer's observations, the School-Age classroom lacked a safety plug in 2 unused electrical outlets with 4-year-old children present.”

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 the Office Chief and the Compliance Officer’s observation, in Infant 2, Toddler 1, and Toddler 2 classrooms, the soiled diaper containers lacked a tight-fitting lid.”