Valley Of The Sun Jewish Community Center

AAC R9-5-742.B. B. Except as provided in subsection (D) a licensee shall ensure that an outdoor activity area: 1. Is enclosed by a fence: a. A minimum of 4 feet high; b. Secured to the ground; and c. With either vertical or horizontal open spaces on the fence or gate that do not exceed 4.0 inches; 2. Is maintained free from hazards, such as exposed concrete footings and broken toys; and 3. Has gates that are kept closed while an enrolled child is in the outdoor activity area

“Findings: Based on the Compliance Officers' observations, it was determined that the following areas of the Ninja playground (School-age playground) were not maintained free from hazards that were accessible to the enrolled children: *Thorns were protruding from the bougainvillea plants along the east side of the playground. *The metal fencing along the east side of the playground was rusted and detached at the base.”

AAC R9-5-727.A.12. A. A licensee shall ensure that: 12. Except as provided in subsection (A)(14), 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 Officers' observations, it was determined that there was a ladder on the west wall of the Ninja playground (School-age playground) that was accessible to the enrolled children.”

AAC R9-5-731.C.20. C. A licensee shall ensure that: 20. A refrigerator at the child care facility maintains a temperature of 41° F or below and a freezer maintains a temperature of 0° F or below, as shown by a thermometer kept in the refrigerator and in the freezer at all times;

“Findings: Based on the Compliance Officers' observations, it was determined that the freezer used to store the snack for the School-age children in Room A101 lacked a thermometer.”

AAC R9-5-301.I. I. At least once a month, and at different times of the day, a licensee shall ensure that: 1. An unannounced practice drill that includes evacuation, relocation, shelter-in place, and lock downs are conducted; 2. Each staff member, volunteer, and enrolled child at the facility participates in the practice drill; 3. If applicable, accommodations are made for an enrolled child with a special need or disability according to the enrolled child's individualized plan as specified in R9-5-507(A)(1); 4. If applicable, accommodations are made for an enrolled child or infant who is not yet walking; and 5. Document each practice drill and maintain the documentation on facility premises for 12 months after the date of the practice drill.

“Findings: Based on the Compliance Officers' observations and review of facility documentation, it was determined that a fire drill for August 2025 was not documented.”

AAC R9-5-501.A.3. A. A licensee shall ensure that: 3. For enrolled infants and children five-years or younger, drinking water is available to meet the needs of each enrolled child;

“Findings: Based on the Compliance Officers' observations, it was determined that there were 7 1-year-old children in the music room who did not have drinking water available.”

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 the Compliance Officers' observations, it was determined that there were uncovered outlets in the following classrooms: Toddler 2 classroom: There was an uncovered outlet next to the sink. Toddler 3 classroom: There was an uncovered outlet next to the diaper changing sink. Room K (2's classroom): There were 3 uncovered outlets next to the sink. Room 122 N (3's classroom): There was an uncovered outlet next to the sink.”

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 Officers' observations, it was determined that there were 2 pacifiers that lacked an identifier in the Infant 1 classroom and 1 pacifier that lacked an identifier in the Toddler 2 classroom.”

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 Officers' observations, it was determined that there was one bottle of essential oil and one bag of Kinetic sand with a child warning label accessible to the enrolled children in Room 121 (4's classroom).”

AAC R9-5-501.B.6. B. A licensee shall ensure that a staff member: 6. For enrolled children five-years or younger, and except as provided in subsection (C), prepares, posts, and implements a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Findings: Based on the Compliance Officers' observations and review of facility documentation, it was determined that the lesson plan posted in Room L (2's classroom) and Room M (2's classroom) was dated for September 1st-15th.”

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 the Compliance Officers' observations and review of facility documentation, it was determined that all 5 children enrolled in the Toddler 1 classroom (Infants) lacked an infant feeding schedule.”

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 Officers' observations, it was determined that there was a paintbrush in the diaper changing sink in the Toddler 2 classroom.”

AAC R9-5-511.F. F. A licensee shall ensure that storage space is provided in the facility for cots, mats, sheets, and blankets, that is: 1. Accessible to an area used for naptime or sleeping; and 2. Separate from food service and preparation areas, toilet rooms, and laundry rooms.

“Findings: Based on the Compliance Officers' observations, it was determined that cots were stored in the food preparation area between the Toddler 1 classroom (Infants) and the Infant 2 classroom.”

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

“Findings: Based on the Compliance Officers' observations, it was determined that the caulking was separating around the base of the toilets, making the surface unsanitizable in the restroom in Room J (1's classroom) and restroom L (2's classroom).”

AAC R9-5-512.F.4.5. F. A licensee shall ensure that: 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;

“Findings: Based on the Compliance Officers' observations, it was determined that there was uncovered food waste in a trash can on the 3's/4's playground.”

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 Officers' observations, it was determined that in Room 122 (Pre-K classroom) there was a buildup of rust around the handwashing sink drain.”

AAC R9-5-603.B. B. Except as provided in subsection (D) a licensee shall ensure that an outdoor activity area: 1. Is enclosed by a fence: a. A minimum of 4 feet high; b. Secured to the ground; and c. With either vertical or horizontal open spaces on the fence or gate that do not exceed 4.0 inches; 2. Is maintained free from hazards, such as exposed concrete footings and broken toys; and 3. Has gates that are kept closed while an enrolled child is in the outdoor activity area

“Findings: Based on the Compliance Officers' observations, it was determined that in the northeast corner of the 3’s/4’s playground, wooden block furniture was stacked approximately 5' high, and in a manner that made the pieces easily tipped with minimal pressure.”

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

“Findings: Based on the Compliance Officers' observations, it was determined that there was a yellow extension cord lying on the ground in the northeast corner of the 3's/4's playground.”

AAC R9-5-501.A.14. A. A licensee shall ensure that: 14. Temperatures are maintained between 68° F and 82° F in each room used by enrolled children;

“Findings: Based on the Compliance Officers' observations, it was determined that the temperature in Room 122 (3's classroom) as read by the thermostat was 67.5° F.”

AAC R9-5-302. A. A licensee shall prepare a written statement of child care services provided by the licensee that includes the following:1. A description of the facility’s child care services classifications in R9-5-204; 2. Hours of operation; 3. The facility’s street address, city, state, zip code, mailing address, and telephone number; 4. Child enrollment and disenrollment procedures; 5. Charges, fees, and payment requirements for child care services; 6. Child admission and release requirements; 7. Age-appropriate discipline guidelines and methods; 8. Transportation procedures; 9. Field trip requirements and procedures; 10. Responsibilities and participation of parents in facility activities; 11. A general description of activities and programs; 12. A description of the liability insurance required by R9-5-308 that is carried by the licensee and a statement that documentation of the liability insurance coverage is available for review on the facility premises; 13. Medication administration procedures; 14. Accident and emergency procedures; 15. A notice stating inspection reports are available on-site; 16. A provision stating that the facility is regulated by the Arizona Department of Health Services including the Department’s local street address, city, state, zip code, and local telephone number; 17. The procedures for notifying a parent at least 48 hours before a pesticide is applied on a facility’s premises; and 18. A statement that a parent has access to the areas on facility premises where the parent’s enrolled child is receiving child care services. B. A licensee shall provide a copy of the written statement of child care services: 1. To the Department: a. Before the facility receives a license, and b. Every 12 months after the date of the license as required by A.R.S. § 36-883.01; and 2. To a parent when the parent requests a copy of the written statement of child care services.

“Findings: Based on CO #1's observations and a review of facility documentation, the facility's statement of services/parent handbook lacked documentation of their field trip and pesticide procedures.”

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, 9 of 33 Emergency Information and Immunization Record cards reviewed lacked the following required information: **Child #1 - Departure times and signatures on 09/10/2024 and 09/17/2024 **Child #2 - Departure times and signatures on 09/06/2024 and 09/10/2024; departure signature on 09/17/2024 **Child #3 - Departure time and signature on 09/04/2024; departure time on 09/17/2024 **Child #4 - Departure times and signatures from 09/10/2024 - 9/13/2024, 09/17/2024 and 09/18/2024 **Child #5 - Arrival and departure signatures on 09/03/2024, 09/04/2024, and 09/06/2024 **Child #6 - Arrival and departure signatures on 09/06/2024, 09/1092024, 09/16/2024, and 09/18/2024 signed with initials or a squiggle **Child #7 - Arrival and departure signatures on 09/10/2024, 09/12/2024, and 09/13/2024 **Child #8, Child #9 - Arrival and departure signatures on 09/03/2024, 09/04/2024, 09/06/2024, and 09/09/2024”

AAC R9-5-306.B. B. A licensee shall: 1. Develop, document, and implement policies and procedures to ensure that a staff member maintains daily documentation of the presence of an enrolled child in an activity area that includes a method to account for any temporary absences of the enrolled child from the activity area, and 2. Maintain the documentation of the presence of enrolled children in an activity area required in subsection (B)(1) on facility premises for 12 months after the date of the documentation.

“Findings: Based on COs' observations and a review of facility documentation, the following activity area rosters did not reflect the number of children in the activity area: **Room 121 - 21 children present, 19 noted on the roster **Room L - 12 children present, 11 noted on the roster **Room M - 10 children present, 11 noted on the roster **Room N - 14 children present, 15 noted on the roster”

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 CO #1's observations, 2 enrolled children left Room 121 for the restroom in the hallway. The 2 enrolled children were unsupervised and at a ratio of 0:2, with a required ratio of 1:2.”

AAC R9-5-501.A.9. A. A licensee shall ensure that:9. If a staff member places an enrolled child in a feeding chair when feeding the enrolled child: a. The feeding chair is constructed to prevent toppling; b. The tray or feeding surface of the feeding chair is smooth and free of cracks; and c. The 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 CO #1's observations, in Infant 2, 2 children were in feeding chairs without the straps fastened.”

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, in Room I, there was a hanging cord above the diaper changing sink, accessible to enrolled children.”

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 CO #1's observations, cleaning equipment was accessible to enrolled children in the following activity areas: **Room I - Broom **Room K - Broom; 2 dust pans **Room L - Dust pan **Room H, Room M, Room O - Broom; dust pan”

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

“Findings: Based on CO #1's observations, 2 enrolled children left Room 121, unsupervised, for the restroom in the hallway.”

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 CO #1's observations, enrolled children's personal products were not labeled in the following activity areas: **Infant 2 - Wipes with no name and first name and last initial **Infant 1, Room H - Wipes with no name **Room J, RoomK - Wipes labeled with first name only **Room M - Wipes labeled with no name and first name and last initial; ointment with no name **Room N - Wipes labeled with a first name and last initial **Room O - Wipes labeled with a first name only **Room P - Wipes labeled with a last name only, first name only, and first name and last initial”

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 CO #1's observations, 2 of 9 crib sheets were loose and not fitted to the size of the mattress.”

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 CO #1's observations, in Infant 2, a food container lacked a child's first and last name, and a 2nd container was labeled with a first name only.”

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, in Infant 2, 8 of 8 enrolled infant's feeding instructions lacked parent signatures. In Infant 1, 2 of 7 enrolled infants lacked feeding instructions from the parent, and 2 of 7 children lacked times to be fed on their feeding instructions.”

AAC R9-5-502.C.1.m. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: m. Posts the current written dietary instructions in the infant room and the kitchen and maintains the instructions on facility premises for 12 months after the date of the instructions; and

“Findings: Based on CO #1's observations and a review of facility documentation, 15 of 15 enrolled infants' feeding instructions were not posted in the kitchen areas.”

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 CO #1's observations, in Infant 2, 3 bottles lacked a child's first and last name.”

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, the following diaper changing areas were not kept clear of items not required for diaper changing: **Room H - Box of facial tissues **Room I - Magic eraser at back of counter **Room K - cardboard box of gloves on counter **Room M - Cloth on counter **Room N - Wash cloths on sink fixture; book on counter; debris at the roll joint covers on the diaper changing table”

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 CO #1's observations, the diaper changing sinks in Room F and Infant 2 were not next to the diaper changing surfaces. In Room F, the changing table was around the corner from the diaper-changing sink. In Infant 2, the changing table was several steps away from the diaper-changing sink.”

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, the soiled diaper containers in the following areas were not maintained as required: **Room F - Diaper container lacked a lid. **Room H, Room J, Room M - Diaper container lid was left open.”

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, the soiled diaper containers in the following areas were not maintained as required: **Room F - Soiled clothing container lacked a lid and a waterproof liner. **Room I, Room J, Room O - Soiled clothing container lacked a waterproof liner. **Room P - Diaper changing area lacked a soiled diaper container.”

AAC R9-5-509.C.14. C. A licensee shall ensure that:14. Each staff member is informed of a modified diet prescribed for an enrolled child by the child’s parent or health care provider, and the modified diet is posted in the kitchen and in the child’s activity area;

“Findings: Based on CO #1's observations and a review of facility documentation, enrolled children's modified diets were not posted in Room M, Room N, and Room P.”

AAC R9-5-509.C.22. C. A licensee shall ensure that:22. A refrigerator at the child care facility maintains a temperature of 41° F or below, as shown by a thermometer kept in the refrigerator at all times;

“Findings: Based on CO #1's observations, the temperatures in the refrigerators used to store enrolled children's food were not maintained as required: **Infant 2 - Thermometer read at 47° F. **Rooms H and I (shared) - No thermometer. **Rooms J and K (shared) - Thermometer read at 44° F. **Rooms L and M (shared) - Thermometer read at 82° F. **Rooms P and Q (shared) - Thermometer read at 54° F.”

AAC R9-5-509.C.23. C. A licensee shall ensure that:23. A freezer at the child care facility maintains a temperature of 0° F or below, as shown by a thermometer kept in the freezer at all times; and

“Findings: Based on CO #1's observations, the thermometer in the freezer used to store enrolled children's food in Rooms J and K (shared) was broken.”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings:1. In a clean condition, and 2. Free from odor.

“Findings: Based on CO #1's observations, the following areas were not maintained in a clean condition: **Room O, Room P, Room Q - Gray drip-stains and white red, and green build-up on the trash can lid. **Room K and Room J (shared) - 2 children's chairs in the restroom **Room P and Room Q (shared) - Child's chair in the restroom”

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: **Room K, Room O - Food waste in an uncovered garbage can. **Room N - Restroom handwashing sink lacked paper towels.”

AAC R9-5-514. A. A. A licensee shall ensure that there is a first aid kit on facility premises that contains first aid supplies in a quantity sufficient to meet the needs of the enrolled children including the following:1. Sterile bandages including: a. Adhesive bandages of assorted sizes, b. Sterile gauze pads, and c. Sterile gauze rolls; 2. Antiseptic solution or sealed antiseptic wipes; 3. A pair of scissors; 4. Adhesive tape; 5. Single-use, non-porous gloves; and 6. Reclosable plastic bags of at least one-gallon size.

“Findings: Based on CO #1's observations, the first aid kits in the vehicles used to transport enrolled children lacked the following: **Van #1 (Lic# RVA 9JX) - Scissors, recloseable gallon-size bags. **Van #2 (Lic# GYA 80D) - Gauze rolls, adhesive tape, recloseable gallon-size bags. **Van #3 (Lic# GDA 6ZD) - Gauze rolls, gauze pads, scissors, adhesive tape, recloseable gallon-size bags.”

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 CO #1's observations, a diaper-changing area in Room P was set up and used, and was not previously approved by the Dept.”

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 (CO) #2's observations and a review of 16 staff files, the following staff lacked documentation of contact with DPS to verify fingerprint clearance cards as valid before the starting date of employment: **Staff #1 (DOE 08/13/2024) - Verification dated 08/20/2024 **Staff #2 (DOE 05/10/2024) - Verification dated 05/31/2024 **Staff #3 (DOE 05/16/2024) - Verification dated 05/31/2024 **Staff #4 (DOE 05/19/2024) - Verification dated 06/20/2024 **Staff #5 (DOE 06/10/2024) - Verification dated 09/12/2024 **Staff #7 (DOE 08/05/2024) - Verification dated 09/17/2024”

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 CO #1's observations and a review of facility documentation, the following enrolled children's medication authorizations lacked the following: **Child #10 - Route for medication #1; authorization for medication #2 **Child #11- Route **Child #12 - Prescription # was left blank, and did not note the medication as non-prescription; start date; end date on 2 medications; medication not in its original container; authorization for medication #2; times and frequency **Child #13 - Times and frequency **Child #14 - Dosage; times and frequency; authorizations for 2 medications; medication not in its original container **Child #15 - Route; times and frequency **Child #16 - Start date; end date; times and frequency **Child #17, Child #18 - Dosage; route; times and frequency **Child #19 - Route; end date **Child #20 - End date; medication not in its original container **Child #21 - Prescription number; times and frequency **Child #23, Child #24 - Authorization for current medication; medication not in its original container **Child #25 - Medication not in its original container; prescription number; medication on authorization form did not match current medication **Child #26 - Medication not in its original container; prescription number; start and end dates noted as "PRN"; times and frequency noted as "PRN" **Child #27 - Route; end date expired - 08/11/2024 **Child #28 - Start date; end date **Child #29 - Prescription number on medication did not match number on authorization; end date expired - 08/01/2024 **Child #30 - Times and frequency noted as "as needed"; end date expired - 08/02/2024 **Child #31 - Authorization for 1 of 2 medications **Child #32 - Name on 1 of 2 authorizations did not match child's name; prescription number on 1 of 2 medications did not match authorization”

AAC R9-5-301.F. F. A licensee shall ensure that a staff member submits, on or before the starting date of employment or volunteer services, one of the following as evidence of freedom from infectious active tuberculosis: 1. Documentation of a negative Mantoux skin test or other tuberculosis screening test recommended by the U.S. Centers for Disease Control and Prevention, administered within 12 months before the starting date of employment or volunteer service, that includes the date and the type of tuberculosis screening test; or 2. If the staff member has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the staff member is free from infectious active tuberculosis that is signed and dated by a health care provider within six months before the starting date of employment or volunteer service.

“Findings: Based on CO #2's observations and a review of 16 staff files, Staff #6 (DOE 08/01/2024) lacked documentation of freedom from tuberculosis.”

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 COs' observations and a review of facility documentation, medications for the following enrolled children were not in their original containers: **Child #12, Child #14, Child #15, Child #20, Child #21, Child #23, Child #24, Child #25, Child #26”

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 COs' observations and a review of facility documentation, Child #31's two medications had expiration dates of 08/2024.”

AAC R9-5-518.A.2. A. A licensee providing a field trip for an enrolled child shall:2. Prepare a written field trip plan including: a. The name of each participating enrolled child, staff member, and other individuals on the field trip; b. The times of departure from and return to the facility; c. If applicable, license plate number of any motor vehicle used on the field trip; and d. The name, street address, and telephone number, if any, of the field trip destination; and

“Findings: Based on CO #1's observations and a review of facility documentation, the facility's field trip plans did not include the destination's telephone number, and the license numbers of the vehicles used to transport enrolled children.”

AAC R9-5-518.C. C. A staff member shall verify the presence of each enrolled child and place a checkmark next to the enrolled child’s name on the list required in subsection (B)(3) for each enrolled child who is present at the following times:1. At the beginning of the field trip or when boarding the motor vehicle, 2. Upon arrival and each hour while at the field trip destination, 3. When preparing to leave the field trip destination or when boarding the motor vehicle to return to the facility, and 4. When reentering the facility at the conclusion of the field trip.

“Findings: Based on CO #1's observations and a review of facility documentation, enrolled children's attendance records while on field trips in the last 12 months were not available for review. Staff stated that the records were stored off-site.”

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, there was exposed rust and peeling paint on a canopy pole on the school-age playground, accessible to enrolled children.”

ARS § 36-883.02.A. A. Except as provided in subsection B of this section, child care personnel, including volunteers, shall submit the form prescribed in subsection C of this section to the employer and shall have valid fingerprint clearance cards issued pursuant to section 41-1758.07 before starting employment or volunteer work.

“Findings: Based on CO #2's observations and a review of 16 staff files, Staff #5 and Staff #7 lacked documentation of valid fingerprint clearance cards before their starting date of employment: **Staff #5 (DOE 06/10/2024) - Fingerprint card issued 08/15/2024. **Staff #7 (DOE 08/05/2024) - Fingerprint card issued 09/16/2024.”