Tutor Time Child Care/ Learning Centers

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 observation, the following activity areas were not maintained free from hazards: *Pre-K Room: The rubber wall base near the circle time area was detached from the wall and had a loose, exposed nail accessible to enrolled children. In the toilet room, there was a 1-inch screw protruding from the base of the toilet. *Preschool 1 & Toddler #1: In the toilet room, there was a .5-1-inch screw protruding from the base of the toilet.”

AAC R9-5-203.E. E. If a staff member possesses a fingerprint clearance card that was issued before the staff member became a staff member at the facility, a licensee shall: 1. Contact the Department of Public Safety before the individual becomes a staff member to determine whether the fingerprint clearance card is valid; and 2. Document this determination, including the name of the staff member, the date of contact with the Department of Public Safety, and whether the fingerprint clearance card is valid.

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the files for Staff #2 and Staff #3 lacked documentation that the fingerprint clearance cards were validated.”

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 3 out of 25 Emergency, Information, and Immunization cards reviewed lacked the following information: *Child #1: The name and telephone number of the child’s health care provider. *Child #2: The name and telephone number of the child’s health care provider. The parent listed "AHCCCS" as the provider. *Child #3: The name and telephone number of the child’s health care provider. The parent listed "Any Family Physician" as the provider. *Previously cited 11/20/2024”

AAC R9-5-309.C. C. A licensee shall maintain on facility premises: 1. A current fire inspection report including documentation of any repairs or corrections required by the fire inspection report; and 2. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a current gas inspection report including documentation of any repairs or corrections required by the gas inspection report.

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the facility lacked documentation of current violation-free fire inspection.”

ARS § 36-883.02.C. C. Applicants, licensees and child care personnel shall attest on forms that are provided by the department that: 1. They are not awaiting trial on or have never been convicted of or admitted in open court or pursuant to a plea agreement committing any of the offenses listed in section 41-1758.07, subsection B in this state or similar offenses in another state or jurisdiction. 2. They are not parents or guardians of a child adjudicated to be a dependent child as defined in section 8-201. 3. They have not been denied or had revoked a certificate to operate a child care group home or a license to operate a child care facility in this or any other state or that they have not been denied or had revoked a certification to work in a child care facility or child care group home.

“Findings: Based on facility documentation and the Compliance Officer's observations, it was determined that the files for Staff #2 (DOE 08/18/2025) and Staff #3 (DOE 08/18/2025) lacked documentation of a completed Criminal History Affidavit.”

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 observations, it was determined that 5 out of 7 field trip forms reviewed lacked the location's street address and telephone number.”

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 Compliance Officer's observation, in the Preschool 1 toilet room, the sink faucet lacked caulking, making it loose and movable.”

AAC R9-5-501.B.9. B. A licensee shall ensure that a staff member: 9. Does the following when a parent permits or asks a staff member to apply personal products on an enrolled child, such as petroleum jelly, diaper rash ointments, sun screen or sun block preparations, toothpaste, and baby diapering preparations: a. Obtains the enrolled child’s personal products from the enrolled child’s parent or, if the licensee provides the personal products for use by the enrolled child, obtains written approval for use of the products from the enrolled child’s parent; b. Labels the personal products with the enrolled child’s name; and c. Keeps the personal products inaccessible to enrolled children;

“Findings: Based on the Compliance Officer's observation, the following rooms had personal items that lacked the required labeling: *Toddler 1 Room: 3 diaper creamed lacked a child's last name. *Toddler 2 Room: 2 diaper creams lacked a child's last name, and 1 diaper cream lacked a child's first and last name. *Twaddlers 2 Room: 1 diaper cream lacked a child's last name.”

AAC R9-5-203.D. D. A licensee shall ensure that each staff member submits to the licensee a copy of the staff member’s valid fingerprint clearance card each time the fingerprint clearance card is issued or renewed every five years.

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that Staff #1's (DOE 07/11/2022) fingerprint clearance card expired on 03/31/2025. Staff #1 worked from 03/31/2025 through 11/14/2025 (228 days) without a valid fingerprint clearance card.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete 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 #1's observations and facility documentation, 3 of 15 Emergency, Information, Immunization Record cards reviewed lacked the following: *Child #1 and Child #3: The child's city, state, and zip code; and *Child #2: The city, state, and zip code of the child's second parent or guardian.”

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 Compliance Officer #2's observations and facility documentation, 7 of 15 enrolled children's attendance forms reviewed lacked the following: Child #4: An admission time and signature for 11/4/24, 11/5/24, 11/8/24,11/14/24, 11/15/24, 11/18/24, and 11/19/24; Child #5: A release time for 11/5/24; Child #6: A release time and signature for 11/14/24 and 11/18/24; Child #7: A release time and signature for 11/5/24; Child #8: A release time and signature for 11/4/24, 11/5/24, 11/6/24, and 11/7/24; Child #9: A release time and signature for 11/4/24, 11/5/24, 11/6/24, 11/7/24, 11/8/24, 11/12/24, 11/13/24, 11/18/24, and 11/19/24; and Child #10: An admission time and signature for 11/14/24.”

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

“Findings: Based on Compliance Officer #1's observations, the fire extinguisher in the hallway was last serviced in September 2023.”

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 to enrolled children: Preschool Playground: *There were multiple areas of rusted, flaking metal on the west fence; *There were multiple holes in the rubber surfacing; Toddler 2 Playground: *1 of 2 red wooden benches was splintering causing sharp pieces of wood to stick out; and *There were multiple holes in the rubber surfacing.”

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 that were accessible to enrolled children: *Toddler 2: There was a large chunk of peeling paint on the wall next to the gate separating the rooms; *Twaddlers 2: There were multiple areas of exposed drywall next to the gate separating the rooms; *School-age: There was a 1-inch screw protruding from the base of the toilet in the boy's bathroom and multiple areas of exposed drywall throughout the room; and *Music and Movement: There was a 1/2 inch exposed screw at the base of the toilet.”

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

“Findings: Based on Compliance Officer #2's observation, the facility bus passenger side view mirror was missing.”

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

“Findings: Based on Compliance Officer #1's observations, the diaper-changing surface in the following area was not seamless and smooth: Infant Room: The caulking along the wall on the right side of the diaper-changing table by the sink was cracked and gapping.”

AAC R9-5-502.C.1.d. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: d. Keeps dated, daily, documentation of each infant including: i. A description of any activities the infant participated in, ii. The infant’s food consumption, iii. Diaper changes, and iv. Tummy time;

“Findings: Based on Compliance Officer #1's observations, the Infant room lacked dated, daily, documentation of each infant's tummy time.”

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 observations, the following play equipment hazards were accessible to enrolled children: Preschool Playground: *There was an orange floor scooter that was missing 1 of 2 handles exposing sharp plastic edging; *The blue and black trike had divots in the front rubber tire; and Basketball Court: *There was a blue floor scooter with 1 of 2 handles cracked and broken exposing sharp plastic edging.”

AAC R9-5-501.A.21. A. A licensee shall ensure that:21. Except when used as part of an activity, the following are stored in an area inaccessible to an enrolled child: a. Garden tools, such as a rake, trowel, and shovel; and b. Cleaning equipment and supplies, such as a mop and mop bucket.

“Findings: Based on Compliance Officer's (CO) observations, cleaning equipment was accessible to enrolled children in the following areas: **Preschool 1 - broom and dust pan in the children's restroom **Pre-K - dust pan in the children's restroom”

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 CO's observations, the Toddler and Preschool playgrounds were not maintained free from hazards and accessible to enrolled children: **Toddler - 5" x 4" area of rubber surfacing chipping **Preschool - West fence bottom rail and post deteriorating with flaking rust”

AAC R9-5-203.E. E. If a staff member possesses a fingerprint clearance card that was issued before the staff member became a staff member at the facility, a licensee shall: 1. Contact the Department of Public Safety before the individual becomes a staff member to determine whether the fingerprint clearance card is valid; and 2. Document this determination, including the name of the staff member, the date of contact with the Department of Public Safety, and whether the fingerprint clearance card is valid.

“Findings: Based on Compliance Officer #2's (CO) observations and a review of 7 staff files, Staff #1 (date of hire 10/10/2022) and Staff #2 (date of hire 05/08/2023) lacked documentation of contact with DPS to verify their fingerprint clearance cards as valid prior to them becoming staff members. **Staff #1 - verified on 10/10/2022 **Staff #2 - verified on 05/08/2023”

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 CO #2's observations and a review of facility documentation, 6 of 14 Emergency Information and Immunization Record cards reviewed lacked the following required information: **Child #1 - child's home address, city, state, phone number **Child #2, Child #3, Child #4, Child #5 - 2nd parent's home address, city, state, phone number **Child #6 - individual to contact in case of sudden illness/injury 5 of 10 Emergency Information and Immunization Record cards reviewed (used when transporting children) lacked the following required information: **Child #7 - child's home phone number; health care provider's phone number; individual to contact in case of sudden injury/illness **Child #8 - date of enrollment; child's city, state, zip code; parent/guardian #2's home address, phone number **Child #9 - child's city, state, zip code; parent/guardian #1's home address; zip code **Child #10 - parent/guardian #2's home address; phone number; **Child #11 - date of enrollment”

AAC R9-5-305.B. B. A licensee shall attach an enrolled child’s written immunization record or exemption affidavit, required in subsection(A), to the enrolled child’s Emergency, Information, and Immunization Record card, required in R9-5 304(B).

“Findings: Based on CO #2's observations and a review of facility documentation, 4 of 10 Emergency Information and Immunization Record cards (used when transporting children) reviewed each lacked the enrolled child's immunizations or exemption affidavit. **Child #10, Child #11, Child #12, Child #13”

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 CO #2's observations and a review of facility documentation, enrolled children's attendance records lacked the following required information: **Child #14 - admission signature signed with initial only on 12/05/2023 **Child #15 - admission signatures and times on 12/01/2023, 12/04/2023 and 12/05/2023 **Child #16, Child #17, Child #18 - admission signature signed with initial only on 12/01/2023 **Child #19 - departure signature and time on 12/05/2023”

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 CO #2's observations and a review of facility documentation, the facility lacked a current, violation-free fire inspection.”

AAC R9-5-501.A.1. A. A licensee shall ensure that: 1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Findings: Based on CO #1's observations and a review of facility documentation, the facility lacked a current staffing report per Enforcement agreement dated 03/28/2022. Staff #6 and Staff #7 were not included on the report.”

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 CO #1's observations, the following activity areas were not maintained free from hazards and accessible to enrolled children: **Preschool 1 - adult scissors on a low shelf **Pre-K - 18" of baseboard detached from wall with exposed screw tips **School-Age - 2-1/2" x 4" hole on the television wall, with exposed wiring; shelf with exposed raw wood (laminate top missing); girls' restroom - loose toilet seat”

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 CO #1's observations and a review of facility documentation, 6 of 6 enrolled infants' feeding instructions lacked the amounts of formula to feed and times to feed.”

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 CO #1's observations, in Infant 1, the north diaper changing surface had unsealed gaps around the perimeter of the surface.”

AAC R9-5-503.A.2.a. 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 CO #1's observation of diaper changing areas: **Infant 1 - south station - lacked single-use paper towels; lacked soap; north station - water temperature measured at 115.9° F; lacked soap **Infant 2 - water temperature measured at 132° F; caulking at the south station separating or had unsealed gaps **Toddler 1 - water temperature measured at 122.5° F **Twaddlers 1 - water temperature measured at 131.9° F **Twaddlers 2 - water temperature measured at 127.4° F”

AAC R9-5-503.A.3. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and

“Findings: Based on CO #1's observations, in Infant 1, the south diaper changing station lacked a soiled diaper container.”

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 CO #1's observations, in Infant 1, the south diaper changing station lacked a soiled clothing container.”

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 CO #1's observations, in Infant 2, there were brown and black stains along one edge of a crib mattress.”

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 CO #1's observations, in Preschool 1, the flooring (15" x 15" x 12") near the handwashing sink, was peeled back and chipping in some areas, exposing the concrete sub-floor and accessible to enrolled children.”

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 CO #1's observations, the following toilet rooms were not kept in a clean and sanitized condition: **Twaddler 2: calcium and dirt build-up around fixture of sink; toilet rim stained yellow; toilet basin with tan-colored build-up **Preschool 1 - dirt buildup on exhaust vent; calcium/dirt build-up around fixture of sink **Pre-K - toilet unflushed; calcium/dirt build-up around fixture of sink **School-Age Boys - toilet paper pieces on the floor; dirt buildup on exhaust vent **School-Age Girls - toilet paper pieces on the floor; dirt buildup on exhaust vent; calcium/dirt build-up around fixture of sink **Music & Movement - calcium build-up in toilet basin”

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 CO #1's observations, in Infant 1, the water pressure at the south diaper changing sink had low pressure and flowed out of the faucet very slowly.”

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 CO #1's observations, the following playground areas were not kept free from hazards and accessible to enrolled children: **Toddler - 6" x 6" area of rubber surfacing chipping **Preschool/School-Age - bottom rail of iron fencing with flaking rust; fence post deteriorating from rust (flaking) with sharp edges; 12" x 12" x 6" hole next to a tree”

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 CO #1's observations, in School-Age (3's/4's in room at the time of inspection), there were unused outlets at the television wall and both boys' and girls' restrooms that lacked safety plug covers or inserts.”

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 CO #1's observations, the fire extinguisher's service tag, in the School-Age room, was dated 09/2022.”

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 CO #1's observations, both diaper changing stations in Infant 1, lacked cleaning and sanitizing solutions.”