Tutor Time Child Care/ Learning Centers

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 staff statements and the Compliance Officers' observations, in the School-age classroom's toilet room, a toilet was inoperable. Staff stated it had been like that "since last week".”

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 staff statements and the Compliance Officers' observations, in the School-Age classroom, children were observed playing on tablets, the lesson plan lacked documentation of screen time in minutes. Staff stated that it was "fun day Friday" and the children had access to tablets and movies all day.”

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

“Per allegation findings: Based on staff statements and the Compliance Officers' observations, staff members failed to supervise enrolled children at all times in the School Age classroom. Staff stated they had to have "multiple camera reviews" done to “see what happened” in the classroom because staff members did not see the incidents take place. On 01/28/2026, a child was locked in the School Age classroom's toilet room by 2 other children. Staff stated a group of children were being signed into the classroom and they didn't see it, but heard the 2 children laughing. Staff described a second incident when one child bashed another child over the head with a toy cash register. Staff stated the staff member in the room was 2 feet away from the children and "did not see this incident".”

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;

“Per allegation findings: Based on facility documentation, staff statements, and the Compliance Officers' observations, the health, safety, or welfare of enrolled children was placed at risk of harm. On 01/28/2026, a child was locked in the School-age classroom's toilet room by 2 other children. Staff stated there are 2 groups of siblings who will tease and pick on one another. Staff stated a camera review of the incident showed that one of the children went into the toilet room and 2 children were holding the door shut. Staff stated a child came out of the second bathroom and told the children to stop holding the door shut, the 2 children released the door handle and left. There were 32 incident reports between the 2 groups of siblings from 07/2025-02/2026 that document them being physically and verbally abusive (punching, kicking, biting, spitting on food, kicking, threatening, derogatory remarks) toward each other and other children in the classroom.”

AAC R9-5-511.A.1.2.3.4.5. 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, 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; 5. Each cot, mat, or crib is maintained in a clean and repaired condition;

“Findings: Based on the Compliance Officers' observations, in the Early Head Start classroom, an enrolled child was laying on their naptime cot, their head was at the top and their feet were hanging off of the foot. In the Pre-K classroom 1 naptime cot lacked a sheet.”

AAC R9-5-510.A.1. A. A staff member shall provide guidance to help children respond to difficult situations. To develop self-regulation, children should receive adult support that is individual to the child and adapts as the child develops internal controls. This process should include: 1. Forming a positive relationship with the child, which occurs when the adult spends time talking to the child, listening to the child, following the child’s lead, playing with the child, and responding to the child’s needs; 2. Base expectations on the child’s developmental level; 3. Establishing and being proactive in teaching and supporting children in learning simple rules; 4. Modifying the learning/play environment to support the child’s appropriate behavior; 5. Creating a predictable daily routine and schedule; 6. Modeling desired behavior; 7. Showing children positive alternatives; 8.Using deliberate redirection, the staff member should encourage the child to use appropriate behavior, and provide positive feedback when the child exhibits the behavior; 9. Individualized positive discipline strategies based on the individual needs of children, such as using a buddy system, individualized schedule, special break, or another applicable positive discipline strategy; and 10. If applicable, a licensee shall develop a written plan with the enrolled child's parent to provide individualized social and emotional intervention supports for the enrolled child that includes methods for understanding the enrolled child's behavior, and developing, adopting, and implementing a team-based positive behavior support plan.

“Findings: Based on the Compliance Officer's observations, in the Twos 2 classroom, staff failed to use deliberate redirection or encourage the children to use appropriate behavior when a staff member dealt with 2 enrolled children aggressively fighting over a pillow by taking the pillow away from the children, walking a short distance away, and then standing on the pillow.”

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

“Findings: Based on the Compliance Officer's observations staff members failed to supervise each enrolled child at all times. Upon entering the Twos 2 classroom the Compliance Officer observed 2 staff members standing across the room near the tables talking to each other. During this time, 4 children were on the circle time carpet, 1 child was sitting on top of another child who was crying and 2 children were aggressively fighting over a pillow. Neither staff member was addressing the children's behavior.”

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 observations, upon entering Infant Room 1, there were 2 non-crawling infants on their stomachs playing with soft toys on the floor. Staff were not within reach of the infants and were performing other tasks. Previously cited on 01/17/2024”

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

“Findings: Based on staff statements, facility documentation, and the Compliance Officers' observations, it was determined that an infant was placed for supervision in the Toddler classroom. The Incident report dated 04/25/2025 at 10:40 am. states Child #1 bit another child on the arm and was sent "back to the infant room" from the one-year-old classroom. Staff stated that Child #1 would go back and forth from the infants to the Ones because they weren't quit walking yet and they were transitioning to the Ones.”

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 facility documentation and the Compliance Officers’ observations, it was determined that the licensee placed the health, safety, or welfare of children at risk of harm when the facility failed to protect the enrolled children in their care from Child #1. While in the Infant room, between January 2025 and April 2025, there were 10 Incident Reports documenting Child #1 biting other children. 01/13/2025, a child was bitten on the hand. 01/13/2025, a child was bitten on the fingers. 01/20/2025, a child was bitten on the fingers. 03/05/2025, a child was bitten on the hand and arms. 03/07/2025, a child was bitten on the fingers. 03/10/2025, a child was bitten while sitting next to them. 03/17/2025, a child was bitten while sitting next to them. 03/25/2025, a child was bitten while sitting next to them. 04/25/2025, a child was bitten on the arm. 04/25/2025, a child was bitten while sitting next to them. While in the Ones classroom, between April 2025 and July 2025, there were 27 Incident Reports documenting acts of aggression towards other children by Child #1, 23 of those 27 incident reports were for biting other children. 04/15/2025, a child was bitten when they took a toy away from them. 04/29/2025, a child was bitten while sitting next to them. 04/30/2025, a child was bitten while sitting next to them. 05/05/2025, a child was bitten on the hand when their hand was in front of their face. 05/23/2025, a child was bitten while sitting next to them during circle time. 05/27/2025, a child was bitten on the arm while standing next to them in line. 05/30/2025, a child was bitten on the arm, breaking the skin. 05/30/2025, a child was bitten on the hand, breaking the skin. 05/30/2025, a child was bitten on the finger, breaking the skin. 06/04/2025, a child was bitten on the leg. 06/20/2025, a child was bitten on the toe twice over a chair. 06/25/2025, a child was scratched on the arm. 06/25/2025, a child’s hair was pulled out of their head. 07/11/2025, a child was bitten on the hand. 07/24/2025, a child was bitten on the hand over a toy. 07/24/2025, a child was bitten over a toy. 07/29/2025, continues to scratch other children. 07/30/2025, a child was bitten while sitting in between a staff member and another child. 07/30/2025, one minute later, a child was bitten when another child sat on the staff member’s lap. 07/30/2025, a child was bitten over a chair. 07/30/2025, a child was bitten when another child tried taking their food. 07/30/2025, a child was bitten over a toy. 07/31/2025, attempted to bite a child during circle time. 007/31/2025, a child was bitten. 7/31/2025, three minutes later a child was bitten. 07/31/2025, a child’s hair was pulled out of their head. 07/31/2025, one minute later a child was bitten.”

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 the Compliance Officers’ observations the licensee placed the health, safety, or welfare of an child at risk of harm in the Headstart classroom. The Compliance Officers' observed an enrolled child sitting on their naptime cot with a blanket wrapped around their neck and the child was pulling on the ends tightening the blanket.”

AAC R9-5-510.D. D. A licensee shall not physically restrain an enrolled child, except when necessary to protect an enrolled child from physical injury, to protect persons on the premises from physical injury, or to protect property from damage. 1. When a child has an out-of-control behavior, the enrolled child may be removed from the company of other enrolled children until the enrolled child's behavior has stabilized. Removal of a child is only to be used when there is a safety concern that cannot be reduced or eliminated with reasonable accommodations; 2. After determining that an enrolled child’s behavior may result in harm, a staff member may safely hold the child until the enrolled child regains control or composure; and 4. A licensee shall develop and implement written policies and procedures on physical restraint to protect children’s safety and development.

“Findings: Based on staff statements and the Compliance Officer's observations, while standing in the hallway and observing through the window of the Headstart classroom, a staff member was observed using a method of discipline that could cause harm to the health, safety, or welfare of an enrolled child. It was naptime and children were laying on their naptime cots, a staff member and enrolled child were by the stacked cots near the tables. The Compliance Officer noticed there were stacked chairs blocking the child from leaving the area. The staff member was holding the child by the forearms to restrict the child's movement. The child dropped their body while tugging and pulling their arms down. The staff member did not release their grip and was left holding onto the child's wrists. The child tugged and pulled down a second time and their wrist slid out of the staff member's grasp. The staff member restrained the child again by grabbing the child's forearms and the child struggled to release themselves from the staff member's grasp. Staff stated the child would not lay down and was jumping on their cot. Refer to R9-5-510.B.1 (rules prior to 08/04/2025): A licensee shall ensure that a staff member does not use or permit: A method of discipline that could cause harm to the health, safety, or welfare of an enrolled child.”

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

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the file for Staff #1 (start date 03/10/2025) lacked documentation of the 10-day training for new staff members.”

AAC R9-5-605.B.1. B. A licensee shall ensure that:1. All designated exits, corridors, and passageways that provide escape from the building are unobstructed and unlocked during hours of operation;

“Findings: Based on the Compliance Officer's observation, in the Toddler 2 classroom, an enrolled child's naptime cot was obstructing the exit door.”

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 Compliance Officer #2’s observation, it was determined that the file for Staff #1 (start date 10/14/2024) lacked documentation of a copy of a valid fingerprint clearance card. The fingerprint clearance card was validated through the DPS website during the time of the inspection”

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 observation, it was determined that 7 out of 20 enrolled children's Emergency, Information and Immunization Record cards reviewed lacked the following required information: Child #1, Child #2, Child #3 and Child #5: The child's date of enrollment. Child #4: The name and contact telephone number of a second individual 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. Child #6: The name, home address, city, state, zip code, and contact telephone number of a second parent of the child. Child #7: The child's home phone and date of enrollment.”

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 observation, it was determined that 4 out of 15 enrolled children's attendance forms lacked the following information: Child #8: A release time and signature on 1/6/24. Child #9: A release time and signature on 1/13/24. Child #10: A release time and signature on 1/7/24. Child #11: A release time and signature for 1/6/24 and 1/8/24.”

AAC R9-5-308.A. A. A licensee shall secure and maintain the following minimum insurance coverage: 1. General facility liability insurance of at least $300,000; and 2. Motor vehicle insurance coverage, required by A.R.S. Title 28, Chapter 9, Article 4, for each motor vehicle provided by a licensee to transport enrolled children.

“Findings: Based on facility documentation and Compliance Officer #1's observation, it was determined that the Prescription Medication Administration Consent Form for Child #12, Child #13, Child #14, and Child #15's medications contained release and waiver of liability agreements.”

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 observation, in the Twos B classroom, there was flaking blue paint with crumbled drywall that had exposed the metal strip on the window ledge of the west wall.”

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

“Findings: Based on Compliance Officer #1's observation, in the School-age classroom's girls toilet room, there were paper towels in sink. In the boys toilet room, there were greyish brown colored smudges in the sink and smeared splatters on the mirror.”

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 classroom, there was a greyish brown colored film with paint splatters in the sink and drinking fountain.”

AAC R9-5-516.B.3. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child’s parent or health care provider that includes the: a. Name of the enrolled child; b. Type of the medication; c. Prescription number, if any; d. Instructions for administration specifying the: i. Dosage and route of administration; ii. If indicated, starting and ending dates of the dosage period; and iii. Times and frequency of administration; e. Reason for the medication; and f. Date of authorization; and

“Findings: Based on facility documentation and Compliance Officer #1's observation, it was determined that the medication authorization form for child #12 and Child #15 lacked a prescription number for the medication.”

AAC R9-5-516.B.4. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:4. A staff member : a. Administers a prescription medication provided by a parent only from a container dispensed by a pharmacy; b. Administers a nonprescription medication provided by a parent for an enrolled child only from a container prepackaged and labeled for use by the manufacturer and labeled with the enrolled child’s name; c. Does not administer any medication that has been transferred from one container to another; and d. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the facility receives written authorization from the enrolled child’s health care provider.

“Findings: Based on facility documentation and the Compliance Officer #1's observation, it was determined that the medication for Child #15 lacked 1 of 2 doses of the medication prescribed by the health care provider and dispensed by the pharmacy.”

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, in the outdoor activity area, the following hazards were accessible to enrolled children: East playground: There was missing rubber with exposed metal on the handlebars of 2 yellow scooters. There was an uncoiled hose on the walkway in front of the drinking fountain. There were missing blocks that left a 2-inch by 7-inch long gap between the wall and gate column. North side: There were 2 blocks on the ground that had broken off from the gate column.”

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 six years.

“Findings: Based on facility documentation and Compliance Officer #2's observation, it was determined that the fingerprint clearance card for Staff #2 (start date 07/25/2022) expired on 09/25/2024. The DPS website indicated a new application was not submitted.”

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

“Per allegation finding: Based on the Compliance Officers' observations, the licensee lacked documentation of tummy time.”

AAC R9-5-510.A.2. A. A licensee shall ensure that a staff member: 2. Teaches, models, and encourages orderly conduct, personal control, and age-appropriate behavior;

“Findings: Based on the Compliance Officers’ observations, a review of videotape, and interviews with Staff and the Director, Staff #1 used a method of re-direction that did not teach, model, and encourage orderly conduct, personal control, and age-appropriate behavior. Based on the video, Staff #1 was seated on the floor and attempted to calm Child #1 and have the child sit down. Staff #1 used her hands to grab and hold Child #1 by their arm which resulted in using more force to guide Child #1 to a sitting position. Staff #1 stated that the child was put into a sitting position between her legs for safety reasons. Staff stated that Staff #1 appeared overwhelmed and was struggling to gain control.”

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;

“Per Allegation Findings: Based on the Surprise Police Report and the Compliance Officer's observations, in the Toddler classroom, it was determined the health, safety, or welfare of an enrolled child was placed at risk of harm when Staff #1 struck Child #1 with a broomstick. Per the Surprise Police Report: Staff stated that Staff #1 was sweeping and tapped the child telling them not to do something. Staff described the video footage, saying that Staff #1 appeared to go over to Child #1 to intervene and lightly tapped the child on the head with the handle of the broom. Staff also advised that it was inappropriate for the employee to tap the child with the broom. Findings: Based on the Compliance Officer's observations, upon entering the Toddler 2 classroom, the health, safety, or welfare of an enrolled child was placed at risk of harm during naptime when an enrolled child was observed sleeping with a blanket covering their face”

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;

“Per Allegation Findings: Based on the Surprise Police Report and the Compliance Officer's observations, in the Toddler classroom, it was determined that Staff #1 did not teach, model, or encourage orderly conduct, personal control, and age-appropriate behavior, when Staff #1 hit Child #1 with a broomstick. Per the Surprise Police Report: Staff stated Staff #1 tapped child #1 with a broom while they were sweeping telling the child "don't do that".”

AAC R9-5-307.2. A licensee shall ensure that the licensee or a staff member documents and reports all suspected or alleged cases of child abuse or neglect.2. The licensee or staff member shall report the suspected or alleged child abuse by a staff member to the Department and to a local law enforcement agency as prescribed in A.R.S. § 13-3620. A licensee or staff member shall also send documentation to the Department and to any law enforcement agency previously notified within three calendar days of the initial report, and maintain documentation of a child abuse report on facility premises for 12 months after the date of a report.

“Findings: Based on the Surprise Police Report and the Compliance Officer's observations, the licensee failed to report suspected abuse by a staff member to local law enforcement and the Department. Per the Surprise Police Report, the officer asked staff if anyone notified law enforcement and they responded no.”

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;

“Per allegation findings: Based on the interviews with the Director/2 staff members and the Compliance Officers' observations, the health, safety, and welfare of an enrolled child was placed at risk of harm when Staff #1 blew in an infants face twice. The Director and Staff members stated that "Staff #1 said the child was crying and Staff #1 was told to blow in the child's face to get the child to breath." The Director stated it is unknown who or when Staff #1 was told to blow in a child's face.”

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 3 out of 15 enrolled children's attendance forms lacked the following information: Child #1: An arrival time for 01/08/2024. Child #2: A release signature and time for 01/08/2024. Child #3: An arrival signature and time for 01/16/2024.”

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 Staff statements and Compliance Officer #1's observation, upon entering the Infant room, an infant was lying on their stomach with their face down and crying on the floor while staff were engaged in other duties. Staff stated the infant is non-crawling.”

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

“Findings: Based on Compliance Officer #2's observation in the School-age classroom girls toilet room, toilet paper was on top of the dispenser rather than mounted as required. The Preschool I's toilet room lacked toilet paper. In the Preschool I girls toilet room, the toilet had a yellow colored substance in the bowl.”

AAC R9-5-516.B.4. B. If prescription or nonprescription medications are administered, a licensee shall ensure that: 4. A staff member : a. Administers a prescription medication provided by a parent only from a container dispensed by a pharmacy; b. Administers a nonprescription medication provided by a parent for an enrolled child only from a container prepackaged and labeled for use by the manufacturer and labeled with the enrolled child’s name; c. Does not administer any medication that has been transferred from one container to another; and d. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the facility receives written authorization from the enrolled child’s health care provider.

“Findings: Based on facility documentation and Compliance Officer #2's observation, the medication for Child #1 lacked 1 of 2 doses of the medication prescribed by the health care provider in the container dispensed by the pharmacy.”

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 rubber molding was separating away from the top step of the vehicle.”

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, in the outdoor activity area the following hazards were accessible to enrolled children: There was chipped paint with exposed splintered wood on the red bench. There was missing bar caps with exposed sharp metal on the handlebars of 3 yellow trikes. There was a broken yellow trike, 2 orange buckets, and a piece plexiglass in a broken wire equipment holder on the south wall. There were cracks with sharp edges on the brown steps of the large play equipment.”

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' observation, the licensee lacked a current violation free fire inspection. The fire inspection report on file was dated 12/16/2022 and expired on 12/16/2023.”

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 Officer #1's observation, the Toddler and Twos II classroom's lacked a posted daily schedule.”

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, in the Early Head Start Toddler I's classroom, there was torn vinyl with exposed foam on the blue chair in the reading center. In the Toddler II's classroom, there was a sink insert missing from the kitchen set. In the School-age classroom, there was torn vinyl with exposed foam on the arms of the red chair in the reading center.”

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

“Findings: Based on Compliance Officer #2's observation, in the School-age classroom boys toilet room, toilet paper was on the floor underneath the dispenser.”

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, in Infant room II, there was peeling paint with exposed rusted metal on the inside bottom left of the entry door. In the Preschool I classroom, there were 2 horizontal scrapes on the wall with exposed drywall and drywall dust on the floor by the entry door.”