Valley Child Care

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“Findings: Based on the Compliance Officer's observation, the following diaper changing sink temperatures were not maintained between 86° F and 110° F: Room #5- The diaper changing sink water temperature read at 122° F. Room #6- The diaper changing sink water temperature read at 114° F. Room #8- The diaper changing sink water temperature read at 80° F.”

AAC R9-5-503.A.3.4. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 3. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled diapers; and 4. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled clothing.

“Findings: Based on the Compliance Officer's observations, the following was observed in rooms with diaper changing areas: Room #3- Had three trash cans, one of the trash cans was not labeled had no liner. The soiled diaper bin contained soiled diapers and trash inside. Room #4- The soiled clothes bin had soiled blankets on top, and the soiled diaper bin contained soiled diapers and food trash inside. Room #5- The soiled diaper bin contained trash and soiled diapers with no lid and the soiled clothes bin contained soiled clothes not in separate bags, and bin had no lid. Room #6- The soiled diaper bin contained trash and soiled diapers. Room #7- The soiled diaper and soiled clothes bins lacked lids.”

AAC R9-5-503.E.1. E. A licensee shall ensure that in an activity area with a diaper changing area: 1. The container required in subsection (A)(3) and (4) are inaccessible, and

“Findings: Based on Compliance Officer's observations, in Room #5's restroom trash can, there was a soiled Pull-Up accessible to enrolled children.”

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 Room #7's restroom, the floor was not free from dampness when there was a puddle of water covering the middle of the floor.”

AAC R9-5-502.C.1.lk. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: k. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Findings: Based on facility documentation and the Compliance Officer’s observations, 13 out of 13 infant feeding instruction sheets reviewed were not fully completed and/or current. (Reference 502.C.1.l -Previously cited 5/29/2025)”

AAC R9-5-502.C.1.g. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: g. Does not allow bumper pads, pillows, comforters, sheepskins, stuffed toys, or other soft products in a crib when an infant is in the crib;

“Findings: Based on the Compliance Officer’s observations, in Room #1 (infants), there was a thick gray blanket in a crib used by enrolled infants. Staff stated that they use that one crib for the enrolled infants and they use the blanket when the Infant gets cold.”

AAC R9-5-502.B.7. B. A licensee providing child care services for infants shall not: 7. Permit an infant to sleep in a playpen, pack and play, car seat, stroller, swing, bouncer, high chair, or other equipment not intended for sleep purposes.

“Findings: Based on the Compliance Officer’s observations, in Room #1 (infants) there was an infant asleep in a bouncer and not in a crib as required.”

AAC R9-5-502.A.8.b. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: b. Has a commercially waterproofed mattress; and

“Findings: Based on the Compliance Officer's observations, in Room #4, 2 out of the 9 mattresses had multiple holes on the bottom side, making them no longer waterproof. (Previously cited 5/29/2025)”

AAC R9-5-502.A.8.a. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: a. Has bars or openings spaced no more than 2-3/8 inches apart and a crib mattress measured to fit not more than 1/2 inch from the crib side;

“Findings: Based on staff statements and the Compliance Officers' observations, the following was observed: In Room #1 (infants), there were 4 cribs in the room and 5 infants present. In Room #2 (infants), there were 7 cribs in the room and 9 infants present. Staff stated: If all of the children were not sleeping at the same time, we didn't think we needed the cribs.”

AAC R9-5-502.A.1. A. A licensee providing child care services for infants shall: 1. Provide a wall-enclosed room for infants that provides exits required by R9-5-601(1);

“Findings: Based on the Compliance Officer’s observations, in Room #1 and Room #2 (infants), the top half of the doors were opened and left open a minimum of 10 different times during the inspection.”

AAC R9-5-502.A.11. A. A licensee providing child care services for infants shall: 11. Label each food container received from the parent with the infant's name.

“Findings: Based on the Compliance Officer's observations, in Room #2 (Infants) there was a freezer bag of cream colored substance that lacked the enrolled child's name, and in Room #3 (1's) there was a freezer bag of cream colored substance that had first name only. In Room #1 (Infants), there were 23 freezer bags of cream colored substance that had the enrolled child's first name only and 3 freezer bags of cream colored substance that lacked the enrolled child's first and last name.”

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 observations, 20 of the 29 personal products reviewed lacked the enrolled children's full names labeled. Specifically, 5 products were labeled with the child's first name and last name initial, 6 products displayed only the first name, 8 products had no identifying name, and 1 product was labeled with the initials of the child's first and last name only. (Reference 501.C.9- Previously cited 5/29/2025)”

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 failed to supervise enrolled children at all times, when staff were observed leaving their classrooms between adjoining closets that connect to the other classrooms. (Reference 501.C.1- Previously cited 6/9/2023)”

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 Officer's observations, in Room #1 (Infants), the health, safety, or welfare of an enrolled children was placed at risk of harm when an infant was seen sleeping in a basinet, wrapped in three thick blankets.”

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

“Findings: Based on the Compliance Officer’s observation, the following diaper changing areas were not kept clear of items not required for diaper changing: Room #6- There was a white cleaning towel on top of the toilet paper dispenser and a white cleaning towel on the diaper changing table. (Previously cited 6/5/2024 and 5/29/2025)”

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 Room #5's restroom, there was a plunger accessible to enrolled children. (Reference 501.A.19- Previously cited on 6/9/2023 and 6/5/2024)”

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, the freezer's in Room's #1, Room #2, Room #3, Room #4, Room #5, Room #6 and Room #9 contained several pacifiers that were not labeled with an identifier that is specific to the enrolled children. (Reference 501.A.18- Previously cited 5/29/2025)”

AAC R9-5-501.A.10. A. A licensee shall ensure that: 10. If a staff member places an enrolled child in a feeding chair when feeding the enrolled child, the: a. Feeding chair is constructed to prevent toppling; b. Tray or feeding surface of the feeding chair is smooth and free of cracks; and c. Staff member: i. Cleans the feeding chair before and after each enrolled child's use; ii. Sanitizes the tray or feeding surface before and after each enrolled child's use; and iii. If the feeding chair was manufactured with a safety strap, fastens the feeding chair's safety strap while the enrolled child is in the feeding chair;

“Findings: Based on the Compliance Officer's observations, in Room #5, 6 enrolled children seated in the feeding table chairs were not properly secured with safety straps.”

AAC R9-5-404.D. D. A licensee shall ensure that a staff member assigned to provide child care services to enrolled children does not perform duties that may affect the staff member's ability to provide child care services to the enrolled children

“Findings: Based on the Compliance Officer's observations, in Room #5, the teacher was vacuuming, doing other tasks while enrolled children were sitting at the feeding table not strapped in the chairs.”

AAC R9-5-404.A. A. A licensee shall ensure that at least the following staff-to-children ratios are maintained at all times when providing child care services to enrolled children: Age Group/Staff: Children - Infants/1:5 or 2:11; 1-year-old children/1:6 or 2:13; 2-year-old children/1:8; 3-year-old children/1:13; 4-year-old children/1:15; 5-year-old children not school-age/1:20; School-age children/1:20

“Findings: Based on the Compliance Officer's observations, the ratio in Room 10 was 0:19 instead of 1:19, as required, when 5-year-old children were present. The ratio in Room 11 was 0:11 instead of 1:11, as required, when 4-year-old children were present. Staff were walking between the classrooms through the closet that connected the 2 classrooms. The ratio on the Big Playground was 1:17 instead of 2:17 when 4-year-old children were present. ***Previously cited 6/9/2023, 11/14/2023, 12/4/2024, 4/14/2026)”

AAC R9-5-512.F.1. 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;

“Findings: Based on the Compliance Officer's observations, the restrooms in Room #5 and Room #7, lacked mounted toilet paper. The toilet paper in both restrooms were on top of the toilet tank lids.”

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 observations, in Room #3, Room #5 and Room #6, the diaper changing area sinks were pooling with water and not draining.”

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 the facility documentation and the Compliance Officer's observations, the medication authorization form for Child #14 lacked the medication's times and frequency of administration.”

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's observations, the medication for Child #14 was dispensed as a two-pack, but only one was present at the facility, and lacked the health care providers authorization to separate the medication. Child #15's medication lacked the manufacturer's packaging.”

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. Posts the current written dietary instructions in the infant room and the kitchen and maintains the instructions on facility premises for 12 months after the date of the instructions; and

“Findings: Based on facility documentation and the Compliance Officer's observations, the kitchen lacked a copy of current infant feeding instructions. The infant feeding instructions in the kitchen were from years 2018-2023.”

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

“Findings: Based on the Compliance Officer's observations, in the Infant rooms, 5 bottles lacked the enrolled child's full name. (Previously cited 6/9/2023, 6/5/2024 and 5/29/2025)”

AAC R9-5-501.A.20. A. A licensee shall ensure that: 20. 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 the Compliance Officer's observations, the following items were accessible to enrolled children in the restrooms of: Room #4- A broom, dustpan, vacuum, and car seat. Room #5- A broom, dustpan and vacuum.”

AAC R9-5-404.A. A. A licensee shall ensure that at least the following staff-to-children ratios are maintained at all times when providing child care services to enrolled children: Age Group/Staff: Children - Infants/1:5 or 2:11; 1-year-old children/1:6 or 2:13; 2-year-old children/1:8; 3-year-old children/1:13; 4-year-old children/1:15; 5-year-old children not school-age/1:20; School-age children/1:20

“Findings: Per allegation: Based on interviews with staff members, classrooms are out of ratio in the mornings and during nap time. Staff stated the following: *Sometimes during drop off, we are out of ratio for up to 30 minutes. *We are out of ratio a couple of times a week. *Classrooms are out of ratio in the morning and during nap time. *We were out of ratio for an hour during nap time.”

AAC R9-5-502.A.8.b. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: b. Has a commercially waterproofed mattress; and

“Findings: Based on the Compliance Officer's observation, the following rooms had mattresses that were not commercially waterproof: *Room 1 (Infants): 1 mattress had a 10 inch and a 4 inch rip on the bottom. *Room 2 (Infants): 1 mattress had multiple small rips along the side. *Room 5 (1s): 1 mattress had a 3 inch rip on the side.”

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

“Findings: Based on the Compliances Officer's observation, the following rooms had personal items that lacked the required labeling: *Room 2 (Infants): 2 diaper ointments lacked a child's last name. *Room 3 (1s): 2 diaper ointments lacked a child's first and last name. *Room 4 (1s): 1 baby powder and 1 diaper ointment lacked a child's first and last name. *Room 5 (1s/2s): 1 diaper ointment lacked a child's last name. *Room 6 (2s): 1 sunscreen lacked a child's last name. *Room 7 (2s/3s): 1 diaper ointment lacked a child's last name.”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“Findings: Based on the Compliance Officer's observation, in Room 8 (3s/4s), the diaper changing area lacked single-use paper towels from a dispenser.”

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 the Compliance Officer's observation, the soiled diaper containers for Room 5 (1s/2s), Room 6 (2s), and Room 7 (2s/3s) lacked a tight fitting lid.”

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

“Findings: Based on the Compliance Officer's observation, the soiled clothing containers for Room 2 (Infants), Room 5 (1s/2s), Room 6 (2s), and Room 7 (2s/3s) lacked a tight fitting lid.”

AAC R9-5-501.A.18. A. A licensee shall ensure that:18. Each enrolled child’s pacifier is labeled with an identifier that is specific to the enrolled child and maintained in a clean condition;

“Findings: Based on the Compliance Officer's observation, in Room 1 (Infants), Room 2 (Infants), and Room 3 (1s), the pacifiers lacked a label with an identifier specific to each enrolled child.”

AAC R9-5-203.G. G. If required by A.R.S. § 8-804, before an individual’s starting date of employment or volunteer service, a licensee shall comply with the submission requirements in A.R.S. § 8-804(C) for the individual.

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the following staff files lacked documentation of a submitted DCS Registry form prior the their date of hire (DOH): *Staff #1 (DOH 5/20/2025): Form was submitted on 5/20/2025. *Staff #2 (DOH 2/24/2025): Form was submitted on 2/24/2025. *Staff #3 (DOH 4/18/2025): Form was submitted on 4/22/2025. *Staff #4 (DOH 4/30/2025): Form was submitted on 5/11/2025. *Staff #5 (DOH 4/14/2025): Form was submitted on 4/15/2025. *Staff #6 (DOH 4/21/2025): Form was submitted on 4/21/2025.”

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

“Findings: Based on the Compliances Officer's observation, in Room 2 (Infants), there were 3 bottles that lacked a child's last name, and 2 bottles that lacked a child's first and last name.”

AAC R9-5-504.5.c. A licensee providing child care services for 1-year-old and 2-year-old children shall: 5. Ensure that: c. If a child is fed with a bottle, a staff member complies with the requirements in R9-5-502(C)(3); and

“Findings: Based on the Compliance Officer's observation, the following rooms had bottles that lacked the required labeling: *Room 3 (1s): 3 bottles lacked a child's last name and 1 bottle lacked a child's first and last name. *Room 4 (1s): 3 bottles lacked a child's last name and 1 bottle lacked a child's first and last name. *Room 5 (1s/2s): 2 bottles lacked a child's last name”

AAC R9-5-504.5.d. A licensee providing child care services for 1-year-old and 2-year-old children shall:5. Ensure that: d. If a parent brings a sippy cup for the parent’s enrolled child, the sippy cup is labeled with the enrolled child’s name.

“Findings: Based on the Compliance Officer's observation, the following rooms had sippy cups that lacked the required labeling: *Room 3 (1s): 2 sippy cups lacked a child's last name. *Room 4 (1s): 5 sippy cups lacked a child's last name.”

AAC R9-5-503.F.1. F. A licensee shall ensure that in an activity area with a diaper changing area: 1. The containers required in subsections (A)(3) and (4) are inaccessible, and

“Findings: Based on the Compliance Officer's observation, in the Room 6 (2s) toilet room, there were two pull ups located in the trash can, accessible to enrolled children.”

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

“Findings: Based on the Compliance Officer's observation, in Room 8 (3s/4s), there was a magic eraser on the diaper changing surface.”

AAC R9-5-502.C.1.l. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: l. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that in Room 1 (Infants), 14 out of the 15 feeding instruction reviewed lacked a date and signature on the front and/or back of the document.”

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 the Compliance Officer's observation, in Room 5 (1s), the staff member did not wash a child's hands with soap and water after a diaper change. The staff member wiped the child's hand with a wipe instead.”

AAC R9-5-502.B.3. B. A licensee providing child care services for infants shall not: 3. Permit an infant to use a walker; or

“Findings: Based on the Compliance Officer's observation, it was determined that there was a walker in Room 2 (Infant classroom).”

AAC R9-5-404.A. A. A licensee shall ensure that at least the following staff-to-children ratios are maintained at all times when providing child care services to enrolled children: Age Group/Staff: Children - Infants/1:5 or 2:11; 1-year-old children/1:6 or 2:13; 2-year-old children/1:8; 3-year-old children/1:13; 4-year-old children/1:15; 5-year-old children not school-age/1:20; School-age children/1:20

“Findings: Based on the Compliance Officer's observation, it was determined that the ratio in Room 3 (Infant classroom) was 1:6 instead of the required ratio of 2:6.”

AAC R9-5-208.B. B. At least 30 calendar days before the date of an intended change in a facility’s service classification, space utilization, or licensed capacity, a licensee shall submit a written request for approval of the intended change to the Department that includes:1. The licensee’s name; 2. The facility’s name, street address, city, state, zip code, mailing address, and telephone number; 3. The name, telephone number, and fax number of a point of contact for the request; 4. The facility’s license number; 5. The type of change intended: a. Service classification, b. Space utilization, or c. Licensed capacity; 6. A narrative description of the intended change; and 7. The following additional information, as applicable: a. If the intended change affects individual rooms, the following information about each affected activity area, as applicable: i. Identification of the activity area, ii. Current and intended square footage, iii. Current and intended operating hours, iv. Current and intended service classification, v. Current and intended licensed capacity, and vi. Whether the activity area has or will have a diaper changing area; b. If the intended change is to increase licensed capacity, the square footage of the outdoor activity area; and c. If the intended change includes an alteration or addition to the physical plant of a licensed facility, the following, as applicable: i. If the facility is not located in a public school or if providing child care services to infants, one-year-old children, or two-year-old children in a facility located in a public school, the information required in R9-5-201(A)(5)(g) and (A)(5)(h) showing the intended change; or ii. If the facility is located in a public school and provides child care only for three-year-old, four-year-old, or five-year-old, or school-age children, a set of final construction drawings or a school map, including the information required in R9-5-201(5)(j) showing the intended change.

“Findings: Based on the Compliance Officer's observation, it was determined that the Department was not notified about the change of space utilization for Room 3. Room 3 is licensed as a 1-year-old classroom but is currently being used as an Infant classroom.”

AAC R9-5-306.A. A. A licensee shall maintain a dated attendance form containing an enrolled child’s name with the time of each admission and release of the enrolled child. 1. Except as provided in subsection (A)(2), a licensee shall ensure that the attendance form is signed with at least a first initial of an individual’s first name and the individual’s last name by each enrolled child’s parent or individual designated by the enrolled child’s parent, each time the enrolled child is admitted or released. 2. An electronic fingerprint verification or an electronic signature may be used in place of a signature of the enrolled child’s parent or designated individual to admit or release the enrolled child. 3. If an electronic signature is used to admit or release the enrolled child, the licensee shall adopt policies and procedures to ensure that the individual whose signature the electronic or digital method of identification represents is accountable for the use of the electronic or digital method; 4. A licensee shall develop, document, and implement policies and procedures to ensure that the identity of an individual is known to the staff member or is verified with picture identification before releasing an enrolled child to the individual. 5. A licensee shall not release the enrolled child to an individual other than the enrolled child’s parent or other individual designated in writing by the enrolled child’s parent except when the enrolled child’s parent is unable to collect the enrolled child and authorizes the licensee by telephone to release the enrolled child to an individual not so designated. a. The licensee shall verify the telephone authorization using a means of verification that has been agreed upon between the licensee and the enrolled child’s parent at the time of enrollment. b. The licensee shall document the means of verification in subsection (A)(5)(a) on the enrolled child’s Emergency, Information, and Immunization Record card. 6. A licensee shall not permit the self-admission or self-release of an enrolled child unless the enrolled child is of school age and the licensee has obtained and verified written permission from the enrolled child’s parent. 7. A licensee shall maintain the attendance form on facility premises for 12 months after the date of attendance.

“Findings: Based on the Compliance Officer's observation and review of facility documentation, it was determined that there was no roster in Room 1 (Infant classroom) to reflect the presence of 5 children. Additionally, there were 9 children present in Room 5 (1's/2's classroom) but the roster reflected the presence of 13 children.”

AAC R9-5-516.G. G. A licensee shall return all unused prescription and nonprescription medications to a parent when the medication prescription date has expired or the medication is no longer being administered to the enrolled child or dispose of the medication if unable to locate the enrolled child's parent after the child's disenrollment

“Findings: Based on Compliance Officer's observation and review of facility documentation, there was an albuterol medication for Child #1 that had expired on 12/31/23 that was being stored at the facility.”

AAC R9-5-501.A.19. A. A licensee shall ensure that:19. 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 Compliance Officer's observation, there was a bottle of "Bic" cover-up fluid accessible to enrolled children in Room 10.”

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 Officer's observation, the following areas in the facility had electrical outlets lacking safety covers: *In the Infant Room 2's surge protector near the refrigerator. *In Room 4 on the south wall. *in Room 7 on the surge protector. *in Room 8 on the surge protector near the television set. *in Room 11 there were 4 outlets not covered on the surge protector near the refrigerator.”

AAC R9-5-516.H. H. Except as provided in subsection (J), a licensee shall ensure that prescription and nonprescription medications are stored as follows:1. An enrolled child’s medication is kept in a locked, leak-proof storage cabinet or container that is used only for storing enrolled children’s medications and is located out of reach of children; 2. Medication for a staff member is kept in a locked, leak-proof storage cabinet or container that is separate from the storage container for enrolled children’s medications and is located out of reach of children; and 3. Medications requiring refrigeration are kept in a locked leak-proof container in a refrigerator.

“Findings: Based on Compliance Officer's observation, there was a diapering medication for Child #2 in the Infant Room 1 that was not being kept in a locked cabinet or container.”

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's observation, there was a washcloth on the diapering surface in Infant Room 1.”

AAC R9-5-605.B.5. B. A licensee shall ensure that: 5. Electrical extension cords are not used;

“Findings: Based on Compliance Officer's observation, there was an extension cord being used for an infant swing in the Infant Room 2.”

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

“Findings: Based on Compliance Officer's observation, there were 2 infant bottles that lacked a label with the enrolled child's name in the refrigerator of Infant Room 2.”

AAC R9-5-404.A. A. A licensee shall ensure that at least the following staff-to-children ratios are maintained at all times when providing child care services to enrolled children: Age Group/Staff: Children - Infants/1:5 or 2:11; 1-year-old children/1:6 or 2:13; 2-year-old children/1:8; 3-year-old children/1:13; 4-year-old children/1:15; 5-year-old children not school-age/1:20; School-age children/1:20

“Findings: Based on Compliance Officers' observations and review of facility documentation, the staff-to-child ratio in Room 5 (1 year old's) was 1:13, instead of the state mandated ratio of 2:13.”

AAC R9-5-503.B. B. A licensee shall ensure that a staff member does not: 1. Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area; 2. Draw water for human consumption from a diaper changing area sink; or 3. Except as provided in subsection (C), if responsible for food preparation, change diapers until food preparation duties have been completed for the day.

“Findings: Based on Compliance Officers' observations, there was a bottle on the diaper changing surface of the Infant 1 classroom.”

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

“Findings: Based on Compliance Officers' observations, water was not accessible to 2 year old children that were on the playground, as the water fountain's water source had been turned off, and wasn't operable after the water source had been turned back on.”