Tutor Time Child Care/ Learning Centers

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 and on a discussion with staff, the following was noted regarding the diapering areas: *Toddler B room- the diapering area lacked the required soiled clothing container. The staff stated the container was stored in the bathroom; *Two A room- The soiled diaper container lacked a lid and the container had soiled diapering in it at the time; and *Two B room- The soiled diaper and soiled clothing containers lacked the required waterproof liner.”

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, the following was noted regarding the cleanliness of the facility premises and furnishings: *Outdoor activity area- Numerous weeds ranging in height of 6-12 inches were observed in a large section of the Toddler playground and along the entire fenceline of the Front playground that faces the parking lot; *Infant room- 2 wooden puzzles were stored in the diapering cabinet and were touching the soiled diaper container.”

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, a vertical gap measuring 4.5 inches high was observed at the bottom of one of the panels on the west fence in the rear outdoor activity area.”

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 the written infant feeding instructions and a discussion with the infant room staff, the following 6 feeding instructions had not been updated: *Child 1- Staff stated the child was fed formula and puree. The feeding instructions were dated as last updated on 5/9/25 and did not state the frequency or amount of puree to be fed; *Child 2- Staff stated the child was fed solid foods and breastmilk. The feeding instructions were dated as last updated on 7/1/25 and did not state the frequency or amount of solid foods to be fed; *Child 3- Staff stated the child was fed formula and solids. The feeding instructions were dated as last updated on 4/2025 and did not state the frequency or amount of solid food to be fed; *Child 4- Staff stated the child was fed formula and solid foods. The feeding instructions were dated as last updated on 2/24/25 and did not state the frequency or amount of solid foods to be fed; *Child 5- Staff stated the child was fed formula and solid foods. The feeding instructions did not state the frequency or amount of the formula and solid foods to be fed; and *Child 6- Staff stated the child was fed breastmilk and solid foods. The feeding instructions were dated as last updated on 5/23/25 and did not state the frequency or amount of solid foods to be fed.”

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 the Compliance Officer's observation and on a discussion with the infant room staff, the staff acknowledged they had not obtained the written feeding instructions for Child #1.”

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 the Compliance Officer's observations and on a discussion with staff, the written feeding instructions for 6 of the 7 enrolled infants were not posted in the kitchen.”

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, the following was noted: *Toddler A bathroom- a ball and small table were stored on the floor of the bathroom; *Preppers bathroom- A wicker basket, trash bags and a water bottle were stored on an open shelf; *Toddler B bathroom- The 2 walls of the bathroom had orange children paint smears and a build-up of brown grime and smudges; *The 4 drinking fountains in the outdoor play area were packed with mud and dirt; *The entire platform of the play structure on the south playground near the parking lot was covered in a layer of dirt and dust; and *Front preschool room & Preschool prep 2- the 4 white step stools were covered in brown dirt and grime.”

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, 4 rolls of toilet paper and various pieces of used paper towels were observed on the floor of the Pre-k toilet room. Various pieces of used paper towels were observed on the floor of the School-age bathroom.”

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 the Compliance Officer's review of 20 Child Information and Emergency cards, the cards for Children #7, 8, 9, and 10 lacked the name, address and telephone number of the child's second parent.”

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 observations, 9 panels on the wrought iron fence were rusted at the bottom sections in the South playground that faces the parking lot.”

AAC R9-5-502.A.5.b. A. A licensee providing child care services for infants shall:5. Develop, document, and implement tummy time policies and procedures that: b. Ensure a staff member who is supervising a non-crawling infant while the infant is flat on their stomach and on the floor: i. Is within reach of the infant; ii. Does not perform any other duties while supervising the infant; iii. Does not allow the use of pillows, comforters, sheepskins, stuffed toys, or other soft products in the same floor space as the infant; and iv. Does not allow any product specified in subsection (A)(5)(b)(iii) to be within reach of the infant;

“Findings: Based on the Compliance Officer's observation and on a discussion with the infant room staff, a non-crawling infant was observed rolling from their stomach onto their back and then back onto their stomach as the Assistant Director and CO entered the room. The sole staff in the room was across the room near the diaper changing area and was speaking to a parent. The staff stated she had placed the child on their back on the floor and said when she walked away, the infant rolled onto their stomach, and then rolled back onto their back.”

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 the Compliance Officer's review of 20 Child attendance records, the following was observed: * Child #3 lacked a release signature for 2/5/24: and *The records for Children #2, #4, #5 and #6 contained only the parent's initials throughout the month of December 2024, rather than the individual's signature, which requires at least the first initial of the individual's 1st name and the individual's full last name.”

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 Officer's observations, dried urine was observed on the base of the toilet in the Prek room.”

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 on facility documentation and the Compliance Officer's observation, it was determined that: *Staff #1 (Start date 9/11/2023) was not qualified as a teacher-caregiver because the file lacked documentation of a high school diploma or high school equivalency diploma. The document in the file was not translated or evaluated to be equivalent to a high school diploma or high school equivalency diploma from the United States.”

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, enrolled children were not supervised at all times when children were bitten or hit each other. Staff stated the following: *I do not see when children bite or hit each other all of the time. *Most of the time I catch it, but maybe 20% of the time I do not see it happen, but I hear a child crying and know something happened. *I do not always see an injury happen. *Sometimes staff do not see injuries happen. *There are times when a child has bitten and I did not see it happen.”

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, staff members failed to teach, model and encourage orderly conduct, personal control, and age-appropriate behavior. Staff stated the following: *A child was pulled by their hoodie so they would not leave the village when the child saw their parent in the front lobby area. *I grabbed the child's hoodie to stop the child from leaving the village to get to their parent. *The child cried when they got to their parent and told the parent the teacher "choked" me. *Staff #1 was spoken to about their tone and their body language. *I have heard Staff #1 almost lose their patience with the children.”

AAC R9-5-305.A. A. A licensee shall not permit an enrolled child to attend a facility until the facility receives: 1. An immunization record for the enrolled child with the information required in 9 A.A.C. 6, Article 7, documenting that the enrolled child has received all current, age-appropriate immunizations required under 9 A.A.C. 6, Article 7: a. Provided by a healthcare provider, or b. Generated from the Arizona State Immunization Information System, which is the Department’s child immunization reporting system established in A.R.S. § 36-135; or 2. An exemption affidavit for the enrolled child provided by the enrolled child’s parent that contains: a. A statement, signed by the enrolled child’s health care provider, that the immunizations required by 9 A.A.C. 6, Article 7 would endanger the enrolled child’s health or medical condition; or b. A statement, signed by the enrolled child’s parent, that the enrolled child is being raised in a religion whose teachings are in opposition to immunization.

“Findings: Based on facility documentation and the Compliance Officer's observations, it was determined that the Emergency, Information and Immunization Record Card for Child #1 lacked a written immunization record or exemption affidavit.”

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 the Compliance Officer's observations, it was determined that 1 out of 3 enrolled children's Emergency Information and Immunization Record Cards reviewed lacked the following required information: Child #1: Date of disenrollment.”

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 of 1 staff file, the file for Staff #1 (start date 9/11/2023) lacked documentation of a negative Mantoux skin test.”

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, in the 4's & 5's room, there were 14 children present and 16 children were marked on the roster.”

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 #1's observation, the vehicle (CK49126) used to transport enrolled children had wrappers, dirt, and debris on the floor.”

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

“Findings: Based on Compliance Officer #1's observation, the Licensee lacked current motor vehicle registration. The tag on the vehicle (CK49126) expired 11/2023.”

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 room there was dried liquid and discolored smears on the white trash container lid.”

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, the following was not maintained in a clean condition: PreK toilet room: There was a thick layer of a brown fluffy substance on the ceiling vent. PreK room: There was a build-up of grime on the inside of the water fountain nozzle, and debris inside the white trash container. (There was no bag inside the container.) School-age toilet room: There were smears on the wall by the light switch. School-age room: There were smears on the grey metal cabinet doors. 2B: There was sticky tape residue on a wooden shelf. 2B toilet room: There was a thick layer of a brown fluffy substance on the ceiling vent. 2A: There was sticky tape residue on 2 wooden shelves and on a low wall and a low white door, discolored smears on a blue cushion seat, and exposed wood on a shelf. 2A toilet room: There were smears on the wall by the sink and near the light switch by the entry door, and there was a thick layer of a brown fluffy substance on the ceiling vent. Tod B: There was sticky tape residue on the door and smears on the clear back side of a wooden cabinet. Tod B toilet room: There was a blue chair and 3 red shirts. Tod.A.: There was peeling paint on the exterior of the restroom wall. Tod A toilet room: There was a table, artwork, shelf, buckets, puzzles, sign and 2 red chairs. Music and Movement: There was sticky tape residue on a wooden shelf. Preschool: There was sticky tape residue on the wooden shelves. Preschool toilet room: There was purple paint and discolored smears on white step stool, stains on the wall by the light switch, and there was a thick layer of a brown fluffy substance on the ceiling vent. Village: There was a red stain on the bottom of a wooden shelf, sticky tape residue on a wooden shelf, and exposed drywall and peeling paint on the side rails to go upstairs to the loft.”

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 #1's observations, floor coverings in the following areas were not maintained in a clean condition: School-age room: *There was dirt and debris on the blue floor. *There was a buildup of grime on the metal door frame. 2B: There was a build-up of grime in the door jam. 2A: There was a broken blue floor tile with exposed wood, and debris on the floor. Tod B: There was a buildup of grime on the floor. Village: There was dirt and debris on the edges of the blue carpet.”

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, Toddler B lacked a thermometer in the white refrigerator.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. Except for an enrolled school-age child, drinking water is provided sufficient for the needs of and accessible to each enrolled child in both indoor and outdoor activity areas;

“Findings: Based on Compliance Officer #1's observations, drinking water was not accessible to enrolled children in the following rooms: 2B, 2A, Tod B, & [name] The pitchers of water were located in the refrigerator with the cups located on a high shelf.”

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: Pre-K room: There was torn and peeling vinyl on a brown couch. Village: There was torn vinyl on a couch.”

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 room the diaper changing area was not sanitizable. There was a calcium buildup on the red diaper surface behind the 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 observations, in the Infant room there were 2 pacifiers that lacked an identifier specific to an enrolled child.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete 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 observations, it was determined that 2 out of 20 enrolled children's Emergency Information and Immunization Record Cards reviewed lacked the following required information: Child #1: A second emergency contact. Child #2: Two emergency contact names and phone numbers, and the health care provider's name and phone number.”

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, in the School-age toilet room, there were discolored smears on the floor, there was discarded toilet paper on the floor, and there was cracked caulking at the back of the sink.”

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 observations of 2 outdoor activity areas, the following hazards were accessible to enrolled children: Toddler: There was peeling paint on the lower section of the wrought-iron fence and there was green colored mold on the wall near a drain spout. Preschool: There were 2 broken/cracked red tricycle seats, there was rust and peeling paint on the low section of the south wrought-iron fence, and there was broken plastic on a cracked globe in the large climbing structure.”

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 observations, Room 2B lacked a soiled clothing container. In Tod.B the soiled clothing container lacked a lid.”

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 observations, it was determined that 8 out of 22 enrolled children's attendance forms reviewed lacked the following required information: Child #3: Time and release signature on 1/19/24. Child #4: Release time and signature on 1/11/24. Child #5 & Child #6: Complete signatures for the month of January, 2024. Child #7, Child #8, Child #9, & Child #10: Signatures out in the morning and in in the afternoon.”