Watch Me Grow Child Care

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

“Findings: Based on Compliance Officers' observations, the diaper trash container was accessible to enrolled children in the Infant room.”

AAC R9-5-512.E. E. If laundry belonging to a facility is done on facility premises, a licensee shall:1. Not use a kitchen or food storage area for sorting, handling, washing, or drying laundry; 2. Locate the laundry equipment in an area that is separate from licensed activity areas and inaccessible to enrolled children; 3. Not permit an enrolled child to be in a laundry room or use a laundry area as a passageway for enrolled children; and 4. Ensure that laundry soiled by vomitus, urine, feces, blood, or other body fluid is stored, cleaned, and sanitized separately from other laundry.

“Findings: Based on Compliance Officers' observations, the washer/dryer in the Infant room was accessible to enrolled children.”

AAC R9-5-514. C. C. A licensee shall:1. Prepare and date a written fire and emergency plan that contains: a. The location of the first aid kit; b. The names of staff members who have the first aid training required by R9-5-403(E); c. The names of staff members who have the CPR training required by R9-5-403(E); d. The directions for: i. Initiating verbal notification of an enrolled child’s parent by telephone or other equally expeditious means within 30 minutes of a fire or emergency; and ii. Providing written notification to the enrolled child’s parent within 24 hours; and e. The facility’s street address and the emergency telephone numbers for the local fire department, police department, ambulance service, and poison control center; 2. Maintain the plan required in subsection (C)(1) in a location on facility premises that has an operable telephone service or two-way voice communication system that connects the facility with an individual who has direct access to an in-and-out operable telephone service; 3. Post the plan required in subsection (C)(1) in any indoor activity area that does not have an operable telephone service or two-way voice communication system that connects the indoor activity area with an individual who has direct access to an in-and-out operable telephone services; and 4. Update the plan in subsection (C)(1) every 12 months after the date of initial preparation of the plan or when any information changes.

“Findings: Based on Compliance Officers' observations and review of facility documentation, the fire and emergency plans posted throughout the facility documented the last update as 7/11/2023.”

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

“Findings: Based on Compliance Officers' observations, there was an electrical outlet lacking a safety cover in the Infant room.”

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

“Findings: Based on Compliance Officers' observations and review of facility documentation, the stucco along the north side of the Toddler playground had paint chipping and flaking from the stucco.”

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

“Findings: Based on Compliance Officers' observations, there was an extension cord being used in the Infant room.”

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

“Findings: Based on Compliance Officers' observations and review of facility documentation, the roster in the Infant room reflected 9 children on the roster, however only 7 children were actually present in the classroom.”

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 Compliance Officers' observations and review of facility documentation, the facility's fire inspection report was not violation-free.”

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

“Findings: Based on Compliance Officers' observations, two 1 year-old children were moved from the Infant room to a 1’s classroom, and were moved back to the Infant room later in the day.”

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 Officers' observations, there was a tube of lotion with a label warning "keep out of reach of children" that was accessible to enrolled children in the Grasshopper 4's classroom.”

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 Officers' observations, there were two bottles in the Infant room that lacked a label as only the bottle caps were labeled.”

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

“Findings: Based on Compliance Officers' observations, the diapering surfaces in the Infant and 1's classroom had seams lacking caulking along the sides of the surfaces. Additionally, there were paint brushes on side of the diapering sink in the Caterpillars 1's classroom.”

AAC R9-5-401.4. A licensee shall ensure that staff members meet the following qualifications for employment or volunteer service at a facility: 4. An assistant teacher-caregiver is 16 years of age or older and provides the licensee with documentation of one of the following: a. Current and continuous enrollment in high school or a high school equivalency class; b. High school or high school equivalency diploma; c. Enrollment in vocational rehabilitation, as defined in A.R.S. § 23-501; d. Employment as a teacher-caregiver aide for 12 months; or e. Service as a volunteer in a child care facility for 12 months;

“Findings: Based on facility documentation, director statement, and Compliance Officer #1's observation, it was determined that staff #1 was the assistant teacher-caregiver. Staff #1 was not qualified as the assistant teacher-caregiver because the staff file lacked documentation of a high school diploma that the director stated the staff had.”

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 facility documentation and Compliance Officer #2's observation, the ratio in the Bumblebee 1 classroom was 1:9 instead of 2:9 as required for 2-year-old children.”

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 and the Compliance Officers' observations, a one-year-old was placed in the Infant room with a group of infants. The one-year-old was observed walking. Staff stated the child was walking but had not yet transitioned.”

AAC R9-5-501.A.12. A. A licensee shall ensure that: 12. The facility premises, including the buildings, are maintained free from hazards;

“Findings: Based on the Compliance Officers' observations, in the toilet room between Bumblebee 1 and Bumblebee 2 classrooms, the seat on the middle toilet moved from side to side when Compliance Officer #1 touched it.”

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 staff statements, facility documentation, and Compliance Officer #2's observation, it was determined that the infant dietary instructions for enrolled children lacked the following: *Child #1: The amount of formula to be fed. *Child #2, Child #3, and Child #4: The amount and frequency of the formula feedings. *Child #5 , Child #6, and Child#7: The feeding instructions for solid food. The documentation stated formula, but the staff stated the infants were eating solid foods. The 3 feeding instructions had last been updated 8-9 months prior.”

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 facility documents and the Compliance Officers' observations, the written dietary instructions for enrolled infants were not posted in the infant room. The documents were stored in a binder on a cabinet shelf.”

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

“Findings: Based on the Compliance Officers' observations, in the infant room, Caterpillar 1, Caterpillar 2, and Bumblebee 1 classrooms, the temperature of the diaper changing sink ranged between 115° F and 122° F.”

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 Officers' observations, in the Bumblebee 2 classroom, the soiled diaper container lacked a waterproof liner.”

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 Compliance Officer #1's observation, the freezer lacked a thermometer in the infant room. The freezer contained breast milk for an enrolled child.”

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 the Compliance Officers' observations, the following deficiencies were observed: Preschool Playground: *There was a trash can located in the large outdoor activity area outside of the Grasshopper classroom, that had empty cups and food wrappers that lacked a lid. Toddler Playground: *There was a build-up of brown smudges covering the seat of a toy riding horse, the top ledge of a toddler play house, and the top of a toy bus.”

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 the Compliance Officers' observations, in the outdoor activity areas located outside of the Grasshopper classroom, there was a 4 man spring teeter-totter, with 2 bolts protruding upward from the ground. The base of the teeter-totter lifted as the enrolled children used the toy.”

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 Officers' observations, the designated exit leading to the outside, in the infant room, was blocked by an activity mat that was in use and also a closed gate that leads to the crib bay area.”

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 facility documentation and the Compliance Officers' observations, it was determined that the rosters in the following activity areas did not reflect the number of children present: *Caterpillar: There were 6 children present, 9 children listed on the roster. *Bumblebee 2: There were 6 children present, 13 children listed on the roster. *Bumble bee 2 (outside): There were 7 children present on the playground, and no roster was available.”