Tutor Time Child Care/ Learning Centers

AAC R9-5-509.C.13. C. A licensee shall ensure that: 13. Each staff member is informed of a modified diet prescribed for an enrolled child by the child’s parent or health care provider, and the modified diet is posted in the kitchen and in the child’s activity area;

“Findings: Based on the facility documentation and the Compliance Officers' observations, it was determined that the facility lacked an up-to-date allergy list posted in the kitchen and the classrooms. The Compliance Officers reviewed Emergency, Information, and Immunization Record (EIIR) cards, and it was determined that 9 currently enrolled children with modified diets were not included on the posted allergy lists. *Previously cited 8/13/2025”

AAC R9-5-601.4. A licensee shall comply with the following physical plant requirements, as applicable: 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: Based on the Compliance Officer's observation, in the Early Head Start classroom, there were 3 used pull-ups in the bathroom trash can accessible to enrolled children. Pull-ups (disposable training pants) must be changed in the diaper changing area.”

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

“Findings: Based on the Compliance Officer's observation, there was sticky residue on the floors of the Early Preschool 1 , Two's 2, and the Toddler 2 classrooms. In the School-Age classroom, there was a dark, sticky substance on the floor located in front of the trash can. There was heavy dirt and debris on the floor rugs in the Preschool 2 classroom and the School-age classroom. *Previously cited 7/1/2025”

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 observation, the following areas were not maintained in a clean condition: Outdoor area: *There was a heavy buildup of dark dirt and debris on the inside of a tunnel on the climbing structure located in the middle (large)playground. *There was a heavy buildup of dark dirt on the top of the slide on the climbing structure located in the preschool playground. Classrooms: *In the Pre-K classroom and the Preschool 2 Classroom, there was a dark, sticky residue on the toy shelves. In the Early Preschool 1 Classroom, there were dirt and dark marks on the cubbies used for enrolled children's personal belongings. *In the Pre- K classroom, there were dark smudges along the base of the toilet in the bathroom and the wall behind the toilet. In the Pre-K 2 Classroom, there were dark smudges along the base of the toilet in the bathroom. In the Early Preschool 1 Classroom, there were dark spots on the base and in front of the toilet. *In Two's 2 Classroom, there was a heavy buildup of dirt and debris on the handles and sides of the wooden stairs used for diaper changing. *In the Toddlers' 2 Classroom, there was a large inflatable beach ball in the bathroom. Bathrooms cannot be used as storage due to sanitation. *Previously cited 7/1/2025”

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 observation, in Tod's 2 room, the soiled diaper container lacked a tight-fitting lid. In the Early Head Start classroom, the soiled clothes container lacked a waterproof liner, *Previously cited 7/1/2025”

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, in the Two's 2 and Early Preschool 1 classrooms, the diaper changing surfaces were not seamless and smooth. The laminate was cracked at the seams with exposed raw wood. The diaper-changing sink in the Two's 2 classroom was not kept clean. There was a tambourine in the handwashing sink. *Previously cited 7/1/2025”

AAC R9-5-501.B.7. B. A licensee shall ensure that a staff member: 7. If an activity in the lesson plan required in subsection (C)(5) includes screen time, include in the lesson plan the duration of the screen time in minutes;

“Findings: Based on the Compliance Officers' observations, in the Preschool 2 and Twos' 1 classrooms, at the time of the inspection, the children were watching a video, and the lesson plans lacked documentation of screen time in minutes.”

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 of facility documentation and the Compliance Officer's observation, the School- age, Pre-K 2, Early Preschool 1, and Toddler 2 classrooms lacked a posted activity schedule. *previously cited 7/1/2025 (reference 501.C.4)”

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 the Compliance Officer's observation, children in the Two's 2 classroom were not being supervised at all times. The Compliance Officer observed the teacher using the phone to call the front office and did not supervise children as they opened and put their unwashed hands in a container with eating utensils (plates, cups, spoons).”

AAC R9-5-501.A.18. A. A licensee shall ensure that: 18. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“Findings: Based on the Compliance Officer's observation, there was a toilet brush on the floor behind the toilet located in the School-Age classroom accessible to enrolled children.”

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 the Compliance Officer’s observation, in the Early Preschool 1 classroom and the Preschool classroom, there was peeling vinyl with exposed foam located on 2 couches accessible to enrolled children.”

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 Licensee lacked documentation of a current violation-free fire inspection report as required. The fire inspection report reviewed, expired 12/5/2025.”

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 15 out of 40 enrolled children's Emergency, Information, and Immunization Record cards reviewed lacked the following required information: *Child #1: The date of enrollment *Child #2: The name and contact information for a second emergency contact *Child #3, Child #4, Child #5, Child #7, Child #8, Child #10, Child #11, and Child #15: The name and contact information for a second parent/guardian. *Child #6: The contact phone number for the second parent/guardian. *Child #9, Child #12, Child #13 & Child # 14: The address of the second parent/guardian.”

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 staff statement and the Compliance Officer's observation, in the School-Age classroom, the toilet located in the "Boys" bathroom was not working. Staff stated, "We flushed it 4 times, and it is still not working." *Previously cited 7/1/2025”

AAC R9-5-518.A.1. A. A licensee providing a field trip for an enrolled child shall: 1. Obtain written permission from a parent before the enrolled child participates in a field trip including the: a. Date and description of the field trip; b. Times of departure from and return to the facility; and c. Name, street address, and telephone number, if any, of the field trip destination;

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the School-Age children were taken to a gaming bus in the back of the facility (not a licensed area). The licensee lacked parental permission and a field trip form.”

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 observation, the following hazards were accessible to enrolled children. On the Toddler Playground, there was peeling paint on a wooden bench. On the middle (large playground there were two loose hoses. *Previously cited 7/1/2025”

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

“Finding: Per Allegation: based on observation of the Compliance Officers, enrolled children in the School-Age classroom are not supervised at all times. During the investigation, the Compliance Officers observed two children in the library area; one child with the back of their pants down and their rear-end visible. Another child was sitting in a cozy cube a few feet away, faced toward the child with their pants down. At the time of the observation, there were two staff members in the classroom, occupied with signing the children in from school and serving snacks.”

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, the Health, Safety, and Welfare of enrolled children were placed at risk of harm when one child exposed themself to another. Based on the Compliance Officers' observations, in the School-Age classroom, two children were in the library area when one child was observed with the back of their pants down, exposing their rear-end to another child.”

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

“Findings: Per allegation: Based on staff interviews and the Compliance Officer's observation, it was determined that posted diaper changing procedures were not being implemented. Through interviews, it was determined that some staff members missed the step of removing soiled gloves during diaper changing that could result in cross-contamination.”

AAC R9-5-509.C.13. C. A licensee shall ensure that: 13. Each staff member is informed of a modified diet prescribed for an enrolled child by the child’s parent or health care provider, and the modified diet is posted in the kitchen and in the child’s activity area;

“Finding: Per allegation, based on facility documentation, staff interviews, enrolled children's emergency cards, and the Compliance Officers' observations, it was determined that the modified diets information that was listed on enrolled children's emergency cards was not posted in the kitchen. The kitchen staff and classroom staff were not aware of modifications before serving food to the enrolled children.”

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 the Compliance Officer’s observation, it was determined that an over-the-counter medication for Jock-Itch lacked the enrolled child’s name.”

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

“Findings: Based on Compliance Officer #2's observation, in the following activity areas, the floor was not maintained in a clean condition and free from hazards: School-Age Classroom: *There was dirt and debris on the carpets. *There were smears of a dark substance on the bathroom floor. *There were two corners of a carpet with frayed edges and rips in the borders. Preschool 2 Classroom: *There was dirt and debris on the carpets. *There was dirt on the bathroom floor in front of the toilet and sink. Pre-K Classroom, Early Preschool 2, and Toddler 2 Classroom: *The carpets in the classrooms had dirt and debris throughout. EHS Infant Classroom: There was white lint and debris on the blue carpet. *Previously cited 7/3/2024.”

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 the Compliance Officer’s observation, it was determined that in the following classroom, the containers for soiled clothing lacked these items: *EHS Infant room: A waterproof liner. *Preschool 2: A tight-fitting lid. *EHS Toddler: A tight-fitting lid and a waterproof liner,”

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 Officer’s observation, on the toddler playground there were dates on the ground from trees. The Compliance Officer observed a toddler picking up a date while on the playground. There was a green couch cushion that was unzipped with foam exposed and accessible to the enrolled children.”

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 the Compliance Officer’s observation, soiled diapers/pull-ups were accessible to enrolled children. In the Early Preschool 2 classroom and the Preschool 2 classroom, there was a soiled diaper/pull-up in the trash cans on the floor near the sinks.”

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 observation, the following activity areas were not maintained in a clean condition: School-Age Classroom: *There was a buildup of debris and black smudges on the Southeast wall near the bathroom. *There was a dark buildup on the tables and chairs used by the children. Preschool 2 Classroom: *There was dirt and debris buildup on the bathroom door. *There was a dark buildup on the tables and chairs used by the children. Pre-K Classroom: *There was a dark buildup on the chairs used by the children. There was a dark buildup of dirt and debris on the trash can used by enrolled children. Early Preschool 2 Classroom and Toddler 2 Classroom: *There was a dark buildup on the chairs used by the children. *Previously cited 7/3/2024”

AAC R9-5-503.A.1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:1. A nonabsorbent, sanitizable diaper changing surface that is: a. Seamless and smooth, and b. Kept clear of items not required for diaper changing;

“Findings: Based on the Compliance Officer’s observation, in the EHS Toddler room, there was a clipboard and an iPad on the ledge of the diaper changing area. In the Toddler 2 classroom, the diaper changing surface was not seamless and smooth; there was a crack the length of the table along the back side. *Previously cited 7/3/2024”

AAC R9-5-502.C.3.a. C. A licensee shall ensure that: 3. When preparing, using, or caring for an infant's feeding bottles, a staff member: a. Labels each bottle received from the parent with the infant's name;

“Findings: Based on the Compliance Officer’s observation, in the EHS Infant room, a bottle in the refrigerator lacked a label with the enrolled child’s name.”

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 facility documentation and the Compliance Officer’s observation, in the Infant room and the EHS Infant room, the written infant feeding instructions lacked the following required information: *Child #1 and #3: How much formula and how often to feed the infants. *Child #2: A parent's/guardian's signature, how much, and how often to feed the infants. *Child #4, #5, and #6: How often to feed the infants.”

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 the Compliance Officer's observation, in the EHS Infant room, EHS Toddler classroom, Toddler 2's classroom, and the Early Preschool 2's classroom, there were 5 packages of wipes and 7 diaper creams that lacked the enrolled child's first and last name.”

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 facility documentation and the Compliance Officer’s observation, the Toddler 2 room and the Early Preschool 2 room lacked posted activity schedules.”

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 Officer’s observation, in the School-age classroom and the EHS Infant room, the emergency exits providing escape to the outside of the building were blocked. In the School-age classroom, the exit door was blocked by a child-sized table and chairs. In the EHS Infant, the exit door was partially blocked by a round vinyl play pit. *Previously cited 7/1/2024”

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 staff statement and the Compliance Officer’s observation, the water at the diaper changing sinks in the Infant room, EHS Infant room, EHS Toddler classroom, Toddler 2 classroom, and the Early Preschool 2 classroom registered 71° F - 73° F instead of 86° F to 110° F as required. The staff member stated that the hot water was not working at the time of the inspection and was not sure when it would be fixed.”

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

“Findings: Based on the Compliance Officers' observations, in the outdoor activity area, the water fountains were not maintained in clean conditions. The mouthpiece of the water fountain on the east playground was black with dirt buildup. The water fountain in the center playground had dirt and debris in the bowl and drain.”

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

“Findings: Per allegation: Based on staff interviews, it was determined that a 1-year-old child was left alone and unsupervised on the playground. Staff stated that upon returning to the classroom a counting error was made and one child was left on the playground. A staff member from a different classroom saw the child through a window and retrieved the child from the playground. The staff member brought the child from the playground into their classroom and alerted the administration. The child was then returned to their classroom through the hallway entrance.”

AAC R9-5-503.E. E. A licensee shall ensure that the written diaper changing procedure in subsection (D) 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: Per allegations, based on staff interviews and Compliance Officers’ observations, enrolled children’s diapers were not being changed as soon as soiled. Staff stated that children in the Preschool 2 classroom waited to be brought to the Early Preschool Room to be changed. It was determined that a child from the Preschool 2 classroom (non-diapering room) was in pull-ups throughout the day. The child waited for available staff or administration to walk the child down to a classroom on the opposite side of the facility to have their diaper changed. At times, the child waited 1-2 hours to be changed.”

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- Based on staff interviews, staff acknowledged that there was a child in pull-ups in the Preschool 2 classroom (a non-diapering room). Staff stated that the child is not fully potty trained and wears pull ups throughout the day and is brought to a diapering room to have their pull-up changed.”

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 staff interview and a review of the infant room rosters, and the 1 & 2 year old rosters for November 2024, Child #1 (15 months) was not walking (per staff statement) and was placed in a 1-2 year old classroom. Staff stated that Child #1 could not walk unassisted at the time of the incident. Facility documentation of rosters indicated, Child #1 transitioned between the infant room and the 1-2 year old classroom and was listed on both rosters on 11/1, 11/6, and 11/7/2024.”

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 Compliance Officer #2's observation, it was determined the the roster in the Twaddler 3 classroom did not reflect the number of children present (8 children present, 10 children 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 allegations, based on staff interviews it was determined that staff-to-children ratio was not maintained when a 1-year-old child was left on the playground. The ratio was 0:1 instead of 1:1 as required for 1-year-old children. According to staff statements, during the week of November 18-22, 2024, Child #1 was sitting on the ground behind a play structure when the teachers brought the rest of the children into the room from the playground. A staff member from another classroom saw the child through the window and retrieved the child from the playground. The administration was alerted and the child was taken back to their classroom. In addition, it was determined through staff interviews that staff-to-children ratios have not been maintained in some classrooms. Staff stated the classrooms are over ratio "mostly in the morning", due to low teacher attendance and staffing.”

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 #2's observation, in the infant room, there was loose fitting sheets on 4 out of 11 cribs used for enrolled children. 4/11 sheets not tight fitting, torn and tattered edges.”

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 #2's observation, in the Toddler 2 classroom, there was a clipboard and an iPad in the diaper changing area.”

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

“Findings: Based on Compliance Officer #2's observation, in the following activity areas, the floor was not maintained: Toddler 3 Classroom: *The carpet in the classroom had dirt and debris throughout. Preschool 3 Classroom: *The carpet was rolled and turned up at the corner. *There was a dark stain on the carpet. *There was dried food on the floor near the ? School-Age Classroom: *There was food on the floor near the trash can. *There was dried food and a dark substance on the floor. *The connecting strip between the carpet and tile flooring was lifted and crack with sharp edges. Preschool 2 Classroom: *The tile was lifting behind the toilet in the bathroom.”

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 #1's observation, on the Toddler/Two's playground there was a pink bike with missing handles and sharp edges.”

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 #2's observation, the following toilet rooms were not maintained in a clean condition: School-Age Classroom: *There was a brown substance in the toilet bowl of the "men's" bathroom. *There were dried yellow/brown spots on the toilet lid of the "men's" bathroom. Preschool 3 Classroom: *There were dark yellow/brown stains around the base of the toilet. Preschool 2 Classroom: *There was a yellow substance and toilet paper in the toilet bowl. Early Preschool 2 Classroom: *There was a dark substance around the caulking at the base of the toilet.”

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 #2's observation, the following activity areas were not maintained in a clean conditions: Early Preschool 2 Classroom: *There was dirt and debris with dark build-up on wooden stairs near the sink. *There were white smudges on the Southwest window near the diaper changing area. Toddler 2 Classroom: *There was sticky build-up on the backsplash ledge. Preschool 3 Classroom: *There was a dark build-up on the chairs used by the children. School-Age Classroom: *There was fuzzy gray matter in the corners along the Southwest wall and in the TV area. *There were black smudges along the wall of the fish tank. *There was food debris and black smudges on the Southeast wall near the bathroom. *There was a dark build-up on the chairs used by the children. Preschool 2 Classroom: *There was dirt and debris build-up in the bathroom corners. *There was dark matter on the baseboards in all corners of the room. In the Early Preschool 2 classroom, there was a strong odor of urine present.”

AAC R9-5-512.A. A. A licensee shall maintain facility premises free of insects and vermin.

“Findings: Based on Compliance Officer #2's observation, in the School-Age Classroom, there was an infestation of ants located in the bathroom and under the window in the TV area.”

AAC R9-5-401.3. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility:3. A teacher-caregiver is 18 years of age or older and provides the licensee with documentation of one of the following: a. Six months of child care experience and: i. A high school diploma or high school equivalency diploma; or ii. At least 12 credit hours from an accredited college or university, including at least six credit hours in early childhood, child development, or a closely-related field; b. Associate or bachelor degree from an accredited college or university in early childhood, child development, or a closely-related field; or c. N.A.C., C.D.A., or C.C.P. credential;

“Findings: Based on facility documentation and Compliance Officer #1's observation, it was determined that Staff #1 was a teacher-caregiver in a preschool classroom. Staff #1 was not qualified as the staff file lacks documentation of an evaluated diploma issued in a foreign country that is equivalent to a degree in the United States.”

AAC R9-5-511.A. 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, crib mattress, 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; and 5. Each cot, mat, or crib is maintained in a clean and repaired condition.

“Findings: Based on Compliance Officer #2's observation, in the infant room, there were 6 of 11 crib mattresses with tears and exposed foam accessible to enrolled children.”

AAC R9-5-501.A.6. A. A licensee shall ensure that: 6. Age-appropriate toys, materials, and equipment are provided to enable each enrolled child to participate in an activity;

“Findings: Based on Compliance Officer #2's observation, the Toddler 2 classroom lacked a sufficient number of books for enrolled children present. There were 0 books for the 10 children present.”

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, in the Preschool 2 classroom, there was rusty, sharp edges of a metal shelf located in the bathroom. In the Preschool 7 bathroom, there was exposed rust on a pull up bar on the wall behind the toilet.”

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 Compliance Officer #2's observation, in the Early Preschool 2 classroom, a teacher was heard telling a crying child, "Just be good". The teacher used harsh tones in one instance when the child continued to cry.”

AAC R9-5-603.E. E. A licensee shall ensure that the following is provided and maintained within the fall zones of swings and climbing equipment in an outdoor activity area:1. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; or 2. A minimum depth of 6 inches of a non-hazardous, resilient material such as fine loose sand or wood chips.

“Findings: Based on Compliance Officer #1's observation, there were cracks within the fall zone areas of the poured rubber resilient surfaces on the Preschool playground, Junior K playground, and the Toddler/Twos playground.”

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 Compliance Officer #1's observation, it was determined that the Mantoux skin test for Staff #1 was not administered on or before the starting date of employment (Date of employment- 6/23/2023, date of TB test 6/30/2024).”

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

“Findings: Based on the Compliance Officers' observations, the following conditions were observed: Preschool Playground: *There was a dark build-up of dirt on the plastic component surrounding the slide and the spyglass of the climber. Junior K Playground: *There was a dark build-up of dirt on the plastic component surrounding the slide of the climber. School-Age Classroom: *There were thick dark smudges on the wooden surface of the dramatic play kitchen set. *There was brown/green slime located on the drain cover of the hand-washing sink. Preschool 2 Classroom: *There was green build-up around the faucet of the handwashing sink.”

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 #1's observation, in vehicle #1(plate CL84858) and vehicle #3(plate CF42155), the first aid kits lacked a pair of scissors and a 1 gallon reclosable plastic bag.”

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

“Finding: Based on Compliance Officer #1's observation, in vehicle #1 (plate CL84858) there were rips with exposed foam in the vinyl seat at the point where the shoulder belt retracts.”

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 the following hazards were accessible to enrolled children: Junior K Playground: *There was a 3" hole in the cinderblock wall with bolts protruding. *There was rust and limescale build up in a water fountain. Toddler/Two's Playground: *There was peeling paint with exposed rough wood located on a red bench.”

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 Compliance Officer #2's observation, in the Early Preschool 1 classroom, a tall wooden cabinet and an orange sensory partially blocked a designated exit that provided escape to the outside of the building. In the School-Age classroom, a blue fabric chair blocked the North East designated exit that provided escape to the outside of the building. In the Toddler 2 classroom, there was a door lever lock engaged on the designated exit that provided escape to the inside hallway of the building.”

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 Officers' observations, it was determined that the roster for the Toddler 2 classroom did not reflect the number of children present (13 children present, 12 children listed on roster).”

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, staff statement, and the Compliance Officers' observations, a one-year-old child was placed in the Infant room with a group of infants. The staff stated, "They moved them back to the infant room due to ratios."”