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 Officer's observations, the following toilet rooms were not maintained as required: *3s room- there was rust around the base of the toilet on the right and around the toilet cap. *4s room- there was a build-up of dirt and debris around the walls and floor. *School-age room- The caulking around the toilets was chipping and had a build-up of dirt and grime, and there was dirt and debris on the floor.”

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 a review of facility documentation and the Compliance Officer's observations, Staff #2 (DOH 11-19-2025) and Staff #3's (DOH 10-27-2025) files lacked a copy of the front and back of their fingerprint clearance cards.”

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 Officer's observations, in the 1s room, the soiled diaper container being used was located outside of the designated diaper-changing area and was accessible to the enrolled children. Staff stated that waterproof lining was not available, so they used the trash container present in the classroom.”

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, the following diaper changing area containers were not maintained as required: *1s room- The soiled diaper container lacked a waterproof lining. *2s room- The soiled clothing container lacked a lid.”

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 a review of facility documentation and the Compliance Officer's observations, the Infant room lacked documentation of feeding plans and instructions for 3 of 12 enrolled infants.”

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

“Findings: Based on the Compliance Officer's observations, the following outdoor hazards were accessible to the enrolled children: *Older Playground- there was a broken green drain lid, and cracked plastic with sharp edges on the red and blue Connect-4 toy. *Younger Playground- There was exposed foam from the white covering on a shade structure pillar.”

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 the Compliance Officer's observations, in the Infant room, 5 crib mattresses were ripped and no longer waterproof.”

AAC R9-5-502.A.5.d. A. A licensee providing child care services for infants shall: 5. Develop, document, and implement tummy time policies and procedures that: d. Ensure, as an infant demonstrates ability and strength to control physical movement and greater sensory perception and social interaction, an assigned staff member provide a tummy-time period to: i. A 2 - 3 month old infant of no more than 15 minutes; ii. A 3 - 4 month old infant of no more than 20 minutes; and iii. A 5 - 6 month old infant of 20 minutes; and

“Findings: Based on staff statements and the Compliance Officer's observations, the Infant room lacked documentation of a tummy time log. Staff stated they do not have or maintain a log for tummy time.”

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, the following hazards were accessible to the enrolled children: *3s room- The baseboard under the paper alphabet posters was peeling, exposing the underlying material. *4s room- The baseboard to the left of the exit door was peeling, exposing the underlying material, and there was a crack on the white plastic succulent window sill cover, exposing sharp plastic and inner metal. *School-age room- The baseboard behind the wooden shelf with stuffed animals was peeling, exposing the underlying material, and the toilet room light switch plate was loose and wobbly, exposing a gap between the plate and the wall.”

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 child educator 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; or d. Employment or service as a volunteer in a licensed child care facility for 12 months;

“Findings: Based on a review of facility documentation and the Compliance Officer's observations, Staff #1's (DOH 06-18-2025) file lacked documentation of a high school or a high school equivalency diploma.”

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 a review of facility documentation and the Compliance Officers' observations, the following rosters were not current: *The Village room (2s)- There were 6 children present, and 0 were marked on the roster. *Infant room- There were 9 infants present, and 10 were marked on the roster. *Preschool room (3s)- There were 13 children present, and 14 were marked on the roster.”

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 the Toddler 1 classroom, the temperature of the diaper changing sink was 65° F. rather than 86° F to 110° F. as required. In the 2-year-old Classroom, the temperature of the diaper changing sink was 68° F. rather than 86° F to 110° F. as required. In the Infant Room, the temperature of the diaper changing sink was 62.7° F. rather than 86° F to 110° F. as required”

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: Younger Playground: *There was broken plastic with exposed sharp edges on the small little tikes car located next to the interior wall. Larger Playground: *There were several large tree roots and tree trunks exposing sharp edges located close to the exterior fencing. *The front exterior fence has pulled away from the brick wall leaving a space of 5.5 inches in the far Northeast corner.”

AAC R9-5-517.A.10. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:10. Ensure that the motor vehicle is: a. Maintained in a clean condition, b. In a mechanically safe condition, and c. Free from hazards; and

“Findings: Based on Compliance Officer #2’s observation, Bus #1 had trash on the floor, two rips in the vinyl seats with exposed foam behind the driver's seat, and the aluminum border on the steps was broken and had 2 screws protruding upward.”

AAC R9-5-517.A.9. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall:9. Ensure that the motor vehicle has: a. A working mechanical heating system capable of maintaining a temperature throughout the motor vehicle of at least 60° F when outside air temperatures are below 60° F; b. Except as provided in subsection (E), a working air-conditioning system capable of maintaining a temperature throughout the motor vehicle at or below 86° F when outside air temperatures are above 86° F; c. Except as provided in subsection (F), a first aid kit that meets the requirements of R9-5-514(A); d. Two large, clean towels or blankets; and e. Sufficient drinking water available to meet the needs of each enrolled child in the motor vehicle and sufficient cups or other drinking receptacles so that each enrolled child can drink from a different cup or receptacle;

“Findings: Based on Compliance Officer #2’s observation, Bus #1 and Bus #2 lacked 2 towels or blankets.”

AAC R9-5-502.C.1.e. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: e. Maintains the documentation in subsection (C)(1)(d) on facility premises for 12 months after the date on the documentation;

“Findings: Based on Compliance Officer #1's observations, the Infant Room lacked documentation of tummy time implemented.”

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 observations, in the One-year-old Classroom, there were classroom toys in the diaper-changing sink.”

AAC R9-5-501.A.18. A. A licensee shall ensure that:18. Each enrolled child’s pacifier is labeled with an identifier that is specific to the enrolled child and maintained in a clean condition;

“Findings: Based on Compliance Officer #1's observation, in the Infant room, there was one pacifier that lacked an identifier.”

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, in the 2-year-old Classroom, there was one container of wipes and a package of diapers not labeled with a first and last name.”

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: 2-year-old Classroom: *There were two teacher floor chairs with torn fabric located in the reading area. *There were two rusty screws protruding upward located on the base of the toilet. Preschool Classroom: *There was bare splintery wood on the music shelf located in the back of the room. *There were two rusty screws protruding upward located on the base of the toilet.”

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: Based on Compliance Officer #2's observation, it was determined that a staff member transporting children failed to ensure the health, safety, and welfare of enrolled children. There were three small white pills on the floor in the aisle located on bus #1 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 Compliance Officer #1's observations, in the 2-year-old Classroom, the mirror had smudges, and handprints located throughout in the reading area. In the 3-year-old Classroom, there was black sticky residue build-up on all the bookshelves. The doors entering the classroom, toilet room, exit door, and windows had a build-up of black handprints and smudges. The outside toys and climbers had black handprints, dust, and dirt build-up throughout both playgrounds.”

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 observation, the following toilet rooms were not maintained in a clean condition: 3 year-old Toilet Room: *The toilet room floors had brown substance build up in the corners. *There was rust build-up on the base and behind the 1st toilet. 2-year-old Toilet Room: *There was dirt and debris built up in the corners of the toilet room floor. *The caulk around the hand washing sink was cracked and had brown and green buildup around the faucet. Jr. Preschool (3-4 year-old) Classroom: *There was a black sticky residue located on the third toilet seat. *There was exposed rust on the pipes under the hand-washing sink.”

AAC R9-5-512.F. F. A licensee shall ensure that:1. Each toilet room in a facility contains, within easy reach of enrolled children: a. Mounted toilet tissue; and b. Except as provided in subsection (G): i. A sink with running water; ii. Soap contained in a dispenser; and iii. Disposable, single-use paper towels in a mounted dispenser, or a mechanical air hand dryer; 2. Staff members wash their hands with soap and running water after toileting; 3. An enrolled child’s hands are washed with soap and running water after toileting; 4. Except for a cup or receptacle used only for water, food waste is stored in a covered container and the container is clean and lined with a plastic bag; 5. Food waste and other refuse is removed from the facility building at least once every 24 hours or more often as necessary to maintain a clean condition and avoid odors; 6. A staff member or an enrolled child does not draw water for human consumption from a toilet room handwashing sink; 7. Toys, materials, and equipment are maintained in a clean condition; 8. Plumbing fixtures are maintained in a clean and working condition; and 9. Chipped or cracked sinks and toilets are replaced or repaired.

“Findings: Based on Compliance Officer #1's observation, in the School-age toilet room, the hand sink faucet was not in working condition.”

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

“Findings: Based on Compliance Officer #1's observation, in the 1-year-old Classroom, the soiled diaper container was next to the diaper changing table accessible to enrolled children.”

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 the Infant Room, the soiled clothes container lacked a tight-fitting lid. In the 2-year-old Classroom, the soiled clothes container lacked a waterproof liner.”

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 the 2-year-old toilet room, there were dirty diapers located in the regular trash can and accessible to enrolled children.”

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

“Findings: Based on Compliance Officer #1's observation, it was determined that the fire extinguisher on the facility vehicle was last serviced in February 2022.”

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

“Findings: Based on Compliance Officer #2's observation, it was determined that the brown couch in 3’s classroom was damaged exposing the foam.”

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 #2's observation, it was determined that the following indoor areas of the facility were not maintained free from hazards and were accessible to the enrolled children: 2's classroom: *The shelving unit was not secured to the wall and was easily tippable. *There were areas of chipped paint on the wall below the bulletin board. School-age classroom: *The threshold on the window sills were chipped exposing the drywall.”

AAC R9-5-403.A. A. Within 10 calendar days of the starting date of employment or volunteer service, a licensee shall provide, and each staff member who provides child care services shall complete, training for new staff members that includes all of the following: 1. Facility philosophy and goals; 2. Names and ages of and developmental expectations for enrolled children for whom the staff member will provide child care services; 3. Health needs, nutritional requirements, any known allergies, and information about adaptive devices of enrolled children for whom the staff member will provide child care services; 4. Lesson plans; 5. Child guidance and methods of discipline; 6. Hand washing techniques; 7. Diapering techniques and toileting, if assigned to diaper changing duties; 8. Food preparation, service, sanitation, and storage, if assigned to food preparation; 9. If a staff member is assigned to feeding infants, the preparation, handling, and storage of infant formula and breast milk; 10. Recognition of signs of illness and infestation; 11. Child abuse or neglect detection, prevention, and reporting; 12. Accident and emergency procedures; 13. Staff responsibilities as required by A.R.S. Title 36, Chapter 7.1, Article 1 and this Chapter; 14. Sun safety policies and procedures; 15. Safety in outdoor activity areas; 16. Transportation procedures, if applicable; and 17. Field trip procedures, if applicable.

“Findings: Based on Compliance Officer #1's observation and review of facility documentation, it was determined that the file for Staff #1 (start date: 12/18/2023) lacked the new staff training within 10 days of the starting date of employment.”

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 #2's observation, it was determined that the following areas of the outdoor activity areas were not maintained free from hazards and were accessible to the enrolled children: *There was paint chipping on the walls along north west side of the pre-school playground. *The fencing along the pre-school playground was rusting and beginning to deteriorate.”

AAC R9-5-512.F. F. A licensee shall ensure that: 1. Each toilet room in a facility contains, within easy reach of enrolled children: a. Mounted toilet tissue; and b. Except as provided in subsection (G): i. A sink with running water; ii. Soap contained in a dispenser; and iii. Disposable, single-use paper towels in a mounted dispenser, or a mechanical air hand dryer; 2. Staff members wash their hands with soap and running water after toileting; 3. An enrolled child’s hands are washed with soap and running water after toileting; 4. Except for a cup or receptacle used only for water, food waste is stored in a covered container and the container is clean and lined with a plastic bag; 5. Food waste and other refuse is removed from the facility building at least once every 24 hours or more often as necessary to maintain a clean condition and avoid odors; 6. A staff member or an enrolled child does not draw water for human consumption from a toilet room handwashing sink; 7. Toys, materials, and equipment are maintained in a clean condition; 8. Plumbing fixtures are maintained in a clean and working condition; and 9. Chipped or cracked sinks and toilets are replaced or repaired.

“Findings: Based on Compliance Officer #2's observation, it was determined that the toilet tissue was not mounted in the Junior K (4's classroom) restroom and the School-age restroom.”

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 the Compliance Officer #1's observation, it was determined that 9 out of 25 reviewed enrolled children's attendance forms were incomplete and lacked the following required information: Child #1: A release time and signature for 12/7/2023 Child #2: A release time and signature for 12/22/2023 Child #3: A release signature for 12/4/2023 Child #4: A release time and signature for 12/19/2023 Child #5 and Child #6: An admission time and signature for 12/28/2023 and 12/29/2023 Child #7: An admission time and signature for 12/15/2023 Child #8: A release time and signature for 12/20/2023 Child #9: A release time and signature for 12/19/2023 and 12/20/2023”