Tutor Time Child Care/ Learning Centers

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 observations, the facility lacked a violation-free fire inspection.”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, Staff #1's (DOH: 9/15/2025) file lacked a copy of the front and back of their fingerprint clearance card. Staff #2's (DOH: 11/3/2025) file lacked a copy of the back of their fingerprint clearance card.”

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 observations, in the Early Preschool Room (2s), 2 of 3 rugs had an accumulation of dark black and brown spots.”

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, in the Preschool B (4s) toilet room, there was a dried yellow substance at the bottom of the toilet. In the PreK 1 Room (3s), there was a dried yellow substance on the toilet, behind the toilet seat.”

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 the Compliance Officer's observations, on the floor of the vehicle used to transport enrolled children, there was an accumulation of crumbs, wrappers, ripped paper, and a brown apple core.”

AAC R9-5-501.A.17. A. A licensee shall ensure that: 17. 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 the Compliance Officer's observations, in the Infant Room, 5 pacifiers lacked a labeled identifier that is specific to the enrolled child.”

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 observations, in the Preschool A (2s), PreK 1 (3s), and the Early Preschool Rooms (2s-3s), the vinyl couches and chairs had rips and tears, exposing the inner mesh and 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 the Compliance Officer's observations, in the School-Age Room (5s and up), on the West wall's windowsill, there was a 2.5-3" hole in the drywall, exposing dust and pieces of chipped paint, and a cracked plastic chair with sharp edges, accessible to enrolled children. In the PreK1 Room (3s), on the North West wall, the baseboard was detached from the wall, exposing inner wall material and adhesive.”

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 facility documentation and the Compliance Officer's observations, Staff #3's (DOH: 3/18/2025) and Staff#4's (DOH: 1/13/2025) files lacked documentation of a translated and evaluated high school diploma or high school equivalency diploma to qualify as an assistant child educator.”

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 outdoor activity areas had the following hazards accessible to enrolled children: *The Big Playground (5s and up) had peeling paint along the bottom of the North fence, exposing rusty metal. *The Toddlers Playground (2s) had peeling paint on the entrance gate, exposing sharp and rough metal pieces to the touch. *The Boat Playground (3s-4s) had peeling paint and exposed sharp, rusty metal along the sides and bottom of the dumpster gate.”

AAC R9-5-501.B.5. B. A licensee shall ensure that a staff member: 5. For enrolled children 12-months and older, except as provided in subsection (C), prepares, posts, and implements in each indoor activity area, a current schedule of children’s age-appropriate activities, including the times the following are provided: a. Meals and snacks; b. Naps; c. Indoor activities; d. If weather and air quality permit, outdoor or large muscle development activities; e. Quiet and active activities; f. Teacher-directed activities; g. Self-directed activities; h. Activities for individuals, groups of five or fewer children, and groups of six or more children; and i. Activities that develop small muscles;

“Findings: Based on facility documentation and the Compliance Officer's observations, in the School-Age Room (5s and up), the activity schedule lacked documentation of a full-day schedule. At the time of the inspection, School-Age children were in attendance on a full-day schedule due to winter break, and the posted activity schedule only included before and after-school times and activities.”

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 observations, in the PreK B (3s) toilet room, there was a toilet brush stored on the floor, next to the toilet, and accessible to enrolled children.”

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 facility documentation and the Compliance Officer's observations, in the School-Age Room (5s and up), the lesson plan lacked documentation of the duration of screen time in minutes.”

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

“Finding: Per allegation: Based on staff statements and the Compliance Officers' observations, there was a lack of supervision when an infant strapped in a bouncer fell backwards. Staff stated that the bouncer was tipped backwards for "like 10 seconds". Staff #1 was making a bottle, and another staff member was changing a diaper with their backs turned to the infant.”

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;

“Finding: Per allegation: Based on staff statements and the Compliance Officers' observations, the health, safety, and welfare of an enrolled child was placed at risk of harm when Staff #1 grabbed an enrolled child under their armpit and pulled the child from under the crib. Staff #1 was holding another child at the same time.”

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: Based on staff statements and the Compliance Officer's observations, the health, safety, and welfare of a child was put at risk of harm at the facility. Staff stated the following: *Staff #1 used their hand to grab a child's bicep "aggressively" to hold them in place and put them into their chair. During the inspection, in the Three's Room, 2 children were sleeping with their faces covered by their blankets.”

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 facility documentation, staff statements, and the Compliance Officer's observation, it was determined that a staff member failed to supervise the enrolled children at all times. The Compliance Officer reviewed the documentation of Staff #1, who received a "Note To Employee" regarding the staff's use of technology (phone, iPad, smart devices) while supervising children. Staff stated the following: *Staff #1 is on their phone in the classroom and does not supervise the children.”

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

“Findings: Per allegation: Based on staff statements and the Compliance Officer's observation, staff used a manner of discipline that could cause harm to a child's health, safety, and welfare when the staff member aggressively grabbed a child by their arm. Staff stated the following: *Staff #1 used their hand to grab a child's bicep "aggressively" to hold them in place and put them into their chair.”

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: Based on staff statements and the Compliance Officer's observation, a staff member failed to teach, model, and encourage orderly conduct when redirecting a child. Staff stated the following: *Staff #1 will yell in a child's face aggressively, saying, "No, don't do that". *Staff #1 yells at the children "every day".”

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

“Findings: Based on facility documentation and the Compliance Officer's observations, there was a 1-year-old child, who was able to walk, in the Infant Room when more than 6 children were present at the facility.”

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 Officers' observations, the flooring, walls and furnishings in the 2's, Toddler 2's and School Age classrooms had an accumulation of grime and debris. Additionally the restroom in the School Age classroom had a strong odor of stale urine.”

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 Officers' observations, the rugs in the School Age classroom were soiled with stains and debris.”

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

“Findings: Based on Compliance Officers' observations, the toilets in the PreK 4/5's classroom had caulking at the base of the toilet that was stained brown and detaching from the base of the toilet and the floor below, and were unable to be sanitized.”

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 Officers' observations, the facility vehicle lacked 2 blankets/towels and a first-aid kit.”

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 Officers' observations, the following hazards were observed on the facility's playground: *there were 2 nitrous oxide canisters in the drain spigots on the western side of the building. *the metal fencing surrounding the playground had several areas of rust, and sharp metal along the base of the metal fencing that was accessible to enrolled children. *the green artificial turf had several trees that had been removed, leaving holes in the surface that were tripping hazards.”

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 Compliance Officers' observations and review of facility documentation, the roster in the Preschool B classroom reflected the presence of 12 children, however only 8 children were actually present in the classroom.”

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 Compliance Officers' observations, there was a 1-year-old child that was walking in the Infant room, with other infants present, when more than 6 children were present at the facility.”

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 Officers' observations, there were cabinets in the Preschool B, PreK 4/5's , Early Preschool and Preschool 1 classrooms that were not anchored to the wall, creating a tipping hazard. Additionally, the sleeping cots were stacked at a height in the 2's classroom that was creating a tipping hazard.”

AAC R9-5-501.C.4. C. A licensee shall ensure that a staff member:4. Except as provided in subsection (D), prepares and posts in each indoor activity area, a current schedule of children’s age-appropriate activities, including the times the following are provided: a. Meals and snacks; b. Naps; c. Indoor activities; d. Outdoor or large muscle development activities; e. Quiet and active activities; f. Teacher-directed activities; g. Self-directed activities; h. Activities for individuals, groups of five or fewer children, and groups of six or more children; and i. Activities that develop small muscles;

“Findings: Based on Compliance Officers' observations and review of facility documentation, the 4's classroom lacked documentation of a posted activity schedule with times.”

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

“Findings: Based on Compliance Officers' observations and review of facility documentation, the lesson plan posted in the Preschool B classroom was posted for the week of 12/23/24.”

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 Officers' observations, there was a roll of trash bags, and an "expo" marker on the diapering surface in the Preschool 1 classroom.”

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 Officers' observations, the diaper changing area in the Preschool 1 classroom lacked a lined, soiled clothing container.”

AAC R9-5-517.B.3. B. A licensee shall ensure that an individual who drives a motor vehicle used to transport an enrolled child:3. Carries a list stating the name of each enrolled child being transported and a copy of each enrolled child’s Emergency, Information, and Immunization Record card including the attached immunization record or exemption affidavit, in the motor vehicle;

“Findings: Based on Compliance Officers' observations and review of facility documentation, the facility vehicle's transportation binder lacked documentation of the second page of the Emergency Information and Immunization cards and the attached immunization records for all of the enrolled children being transported.”

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 Officers' observations, the facility vehicle had an accumulation of food waste and debris.”

AAC R9-5-605.B.6. B. A licensee shall ensure that: 6. Except for a room used only for an enrolled school-age child, each unused electrical outlet is covered with a safety plug cover or insert;

“Findings: Based on Compliance Officers' observations, electrical outlets were lacking safety covers in the following classrooms: *in the 4's classroom there were 2 outlets on the western wall. *in the PreK 4/5's classroom there were 2 outlets on the southern wall.”

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 Officers' observations and review of facility documentation, the ADOT registration tags on the facility vehicle were from March, 2023.”

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: Based on Compliance Officers' observations and review of facility documentation, diaper changing procedures were not implemented in the Early Preschool and Preschool 1 classrooms, as staff changed children's diapers in the restrooms.”

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 Officers' observations, the diaper changing trash was accessible in the Toddler 1 classroom's diaper changing area.”

AAC R9-5-504.3. A licensee providing child care services for 1-year-old and 2-year-old children shall:3. Ensure that each activity area has a supply of age-appropriate toys, materials, and equipment that are too large for a child to swallow and free from sharp edges and points, in a quantity sufficient to meet the needs of the enrolled children in attendance including: a. Art supplies; b. Books; c. Rubber or soft plastic balls; d. Puzzles and toys to enhance manipulative skills; e. Blocks; f. Washable soft toys and dolls; g. Musical instruments; and h. Indoor and outdoor equipment to enhance large muscle development;

“Findings: Based on Compliance Officers' observations, the bookshelves in the 2’s classroom lacked books for the enrolled children to access.”

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, it was found that facility vehicle License Plate # CH 66335 lacked a current registration by the Arizona Department of Transportation.”

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 observations, it was determined that the facility vehicle license CH 66335 first aid kit lacked tape.”

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, the following hazards were accessible on the outdoor playground: PRESCHOOL TO SCHOOL AGE PLAYGROUND: 1) There are 2 wood slats missing from each of the 2 benches at the backrest; 2) There was a hole in the cement basketball court 6 " by 3" ; 3) There were several holes in the ground throughout the play area. WESTSIDE PLAYGROUND: 1) There were several holes in the stucco on the pillars exposing styrofoam.”

AAC R9-5-503.F.2. F. A licensee shall ensure that in an activity area with a diaper changing area:2. A staff member: a. Documents each diaper change: i. For an infant, in the infant’s dated, daily, documentation required in R9-5-502(C)(1)(d); or ii. For an enrolled child who is not an infant, in a dated diaper changing log; b. Maintains the diaper changing log on facility premises for 12 months after the date of the diaper changing log; c. Empties clothing soiled with feces into a flush toilet without rinsing; d. Places an enrolled child’s clothing soiled by feces or urine in a plastic bag labeled with the enrolled child’s name, stores the clothing in a container used for this purpose, and sends the clothing home with the enrolled child’s parent; and e. Removes disposable diapers and disposable training pants from a diaper changing area as needed or at least twice every 24 hours to a waste receptacle outside the facility building.

“Findings: Based on Compliance Officer #1's observations, and interviews with Staff and Director, it was found that 22 enrolled children in the Preschool 1 Room had their diaper changed the day of the inspection, 1/18/2024, but the changes were not documented on the diaper log.”

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, the Infant 1 Room soiled clothing container lacked a waterproof liner..”

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 facility documentation and Compliance Officer #1's observations, it was found that the tummy-time period each day was not documented in the Infant 1 and Infant 2 Rooms..”

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 observations, it was found that 1 tube of Desitin Diaper Rash Paste was labeled with 1st name only and 1 tube of Desitin Diaper Rash Ointment was not labeled in the Todd 2 Room.”

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 found: EP Room: * The diaper cabinet door had exposed untreated wood School Age Room: *The black laminate edge of the counter top had 6 areas where it was missing”

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 the Compliance Officers' observations and a review of facility documentation, it was found that a current violation-free fire inspection from a local fire department was not available for the facility.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete a Department-provided Emergency, Information, and Immunization Record card that is signed by the enrolled child’s parent containing: 1. The child’s name, home address, city, state, zip code, home telephone number, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, city, state, zip code, and contact telephone number of each parent of the child; 4. The name and contact telephone number of at least two individuals authorized by the child’s parent to collect the child from the facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(9); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“Findings: Based on Compliance Officer #2's observations and a review of 20 Emergency Cards, it was determined that 7 of 20 cards lacked documentation of some of the required information: *The card for Child #1 did not include the child's and parent #1 and parent #2's full address and doctor's name and phone number. *The card for Child #2 did not include the child's, parent #1 and parent #2's full address. *The card for Child #3 did not include the child's and parent #1's full address. Emergency contact #2 was missing (911). *The cards for Child #4 and Child #6 did not include the 2nd emergency contact (used a parent). *The cards for Child #5 and Child #7 did not include the child's and parent #1's full address.”

AAC R9-5-301.G. G. A licensee shall ensure that a staff member who has current training in first aid and CPR, as required by R9-5-403(E), is present: 1. At all times during hours of operation on facility premises, 2. On field trips, and 3. While transporting enrolled children in a facility’s motor vehicle or a vehicle designated by the licensee to transport enrolled children.

“Findings: Based on facility documentation and Compliance Officer #2's observations, it was determined that Staff #1 is the facility van driver who transports enrolled children alone in the facility vehicle. The file for Staff #1 lacked documentation of current training in first aid and CPR.”

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 observations, it was found that the right most bathroom lacked single-use paper towels in a mounted dispenser in the School Age Room.”

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 found: 1) The ceiling vent had a white fluffy substance on the grill area in the bathroom in the PreK Room; 2) Several step stools throughout the facility had dirt and grime on the surface; 3) The laundry basket was being stored in the bathroom in the 2's Room; 4) The gray garbage container foot pedal had packed dirt and grime on it in the Preschool 1 Room.”

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 observations and staff interview, the following items were determined: Vehicle CH 66335 * The 3 bench seats had rips with foam exposed * Vehicle CL67246: *There were papers, wrappers and garbage on the floor area.”