Y Kidz - Southwest Valley Y M C A

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

“Per Allegation Findings: Based on staff interview and facility documentation, an enrolled child was left alone on the Toddler Play Area when the rest of the class transitioned back inside to their classroom. Staff stated the following: *When they noticed [child] was not there, [staff] immediately ran back outside. *At the same time, [staff] from the front desk noticed [child] outside walking alone. Facility documentation indicated the following: *"During transition from toddler play area to classroom after swim, teachers instructed children to line up. [Child] was running away from group when first teacher started walking class inside. Second teacher was calling for [child's] name, didn't see [them] and heard no response when calling [child's] name. Second teacher went in to see if [child] had ran into the Toddler classroom and when she noticed that [child] was not in there and quickly ran back out to play area where teacher saw [child] running to back of toddler play area."”

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

“Per Allegation Findings: Based on staff interview and facility documentation, the staff-to-child ratio was 0:1 instead of 1:1 as required for 3-year-old children when Child #1 was left alone in the Toddler Play Area. Staff stated the following: *We were transitioning from the pool to the Toddler Play Area then back into the classrooms around 10 am. *We split into three groups, when [Staff #1] moved into the classroom with the rest of the children, [Staff #2] had the roster and marked the children as they came in with [Staff #1] and that is when they noticed [Child #1] was not there. *[Child] was alone for a minute or two. Facility documentation indicated the following: *"I looked around calling [their] name and no answer. I assumed maybe [child] ran (past) me and I didn't see [child] or something like that so I walked back inside to ask my co teacher if [child] had come in and she replied no."”

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 observations, the diaper changing sink in the Infant classroom measured 112 degrees, and the in the 1/2’s classroom measured 126 degrees, rather than between 86-110 degrees.”

AAC R9-5-509.C.21. C. A licensee shall ensure that: 21. 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 Officer’s observations, in the infant room refrigerator the thermometer read 50.1 degrees, rather then below 41 degrees as required.”

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 the Compliance Officer observations, the following was observed: There was a buildup of a brown/gray fuzzy substance on the mounted fan in the Maker Space classroom. There were cobs webs on various areas of the ceiling in the School age 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 Officer's observations, on the Toddler Playground, the receptable contained food items, and lacked a lid.”

AAC R9-5-516.I. I. Except as specified in A.R.S. § 36-2229(B) through (D), a licensee shall ensure that a facility does not stock a supply of medications for administration to enrolled children, including: 1. Any prescription medication; or 2. A nonprescription medication such as aspirin, acetaminophen, ibuprofen, or cough syrup.

“Findings: Based on the Compliance Officer's observations, in bus with license plate #CL45913, there were stock nonprescription medications of aspirin and ibuprofen in the first aid kit.”

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, in the infant room, children’s baby wipes lacked their first and last names.”

AAC R9-5-517.A.9. A. A licensee who transports an enrolled child in a motor vehicle that the licensee owns, or acquires for use by contract, shall: 9. Ensure that the motor vehicle has: a. A working mechanical heating system capable of maintaining a temperature throughout the motor vehicle of at least 60° F when outside air temperatures are below 60° F; b. Except as provided in subsection (E), a working air-conditioning system capable of maintaining a temperature throughout the motor vehicle at or below 86° F when outside air temperatures are above 86° F; c. Except as provided in subsection (F), a first aid kit that meets the requirements of R9-5-514(A); d. Two large, clean towels or blankets; and e. Sufficient drinking water available to meet the needs of each enrolled child in the motor vehicle and sufficient cups or other drinking receptacles so that each enrolled child can drink from a different cup or receptacle;

“Findings: Based on the Compliance Officer’s observation, buses #CL45913 and #CJ07594 used for transportation, rear heaters were not functioning properly.”

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, in the infant room, the infant feeding plan for Child #1 lacked method of feeding and types of food to be prepared or fed to an infant at the facility.”

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: Per allegation, based on facility documentation, staff statements, electronic correspondence, and the Compliance Officers' observations, an enrolled child suffered an injury while in attendance at the facility. The written incident communication report documented that two enrolled children ran into each other during a group game (at 4:09pm), one child hurt their elbow, cried, and was offered an ice pack. Staff stated: *Her arm did seem fine in the morning when we were on a field trip, and the child used the playground equipment *The parent let us know that the child received medical attention, and it was determined that the arm was fractured Staff electronic correspondence: *The arm is swollen. I didn't see it swollen because of the child's sweater”

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 Officers' observations, in the Infant Room, there were 2 infants asleep in bouncers and not in a crib, as required.”

AAC R9-5-501.A.2. A. A licensee shall ensure that: 2. The facility does not allow enrolled children to mix with non-enrolled children on licensed facility premises;

“Findings: Based on staff statement and the Compliance Officers' observations, it was determined that non-enrolled children was transported to the facility during pick up. Staff stated the following: *It happened approximately 2 weeks ago. *A non-enrolled child got on the bus, and there was no bus card for that child. *Recently, a child got on the bus, and upon arriving at the facility, the child had to be transported back.”

AAC R9-5-510.B.1. B. A licensee shall ensure that a staff member does not use or permit: 1. A method of discipline that could cause harm to the health, safety, or welfare of an enrolled child;

“Findings: Per allegation and based on staff statements, written documentation, and the Compliance Officers' observations, Staff #1 in the Toddler Classroom was observed grabbing an enrolled child by the upper arm and forcefully pulling them to the handwashing sink. Written Statements: *Staff #1 was observed redirecting a child to the handwashing line by grabbing them by the upper arm and directing them in an abrupt manner, versus using words to redirect, as is our practice. *Staff #1 grabbed another child by the arm when getting down from handwashing. Staff Statements: *Sometimes Staff #1 would grab them when washing hands or sitting them down for a meal. *Staff #1 was observed placing a cubby behind a child so they couldn't move their chair back.”

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 the Compliance Officers' observations and review of facility documentation, it was determined that the roster was not accurate in the 3's/4's classroom. There were 7 children present in the classroom but the roster reflected the presence of 14 children.”

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

“Findings: Based on the Compliance Officers' observations, it was determined that the tire tread was worn on the front passenger side tire of Bus 16. Additionally, there was a build up of debris and dirt on the floor in Bus 13 and Bus 16.”

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 the Compliance Officers' observations, it was determined that there was a build-up of dust and dirt along the window sills in the School-age classroom. Additionally, there were brown smudges and stains on the restroom doors and the wall next to the hand-washing sink in the School-age classroom.”

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 Officers' observations, it was determined that there was a pacifier that lacked an identifier in the Infant classroom.”

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, it was determined that the container for soiled clothing lacked a liner in the 1's/2's classroom.”

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 Officers' observations, it was determined that there were brown stains on the carpet and the grey couch in the School-age 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 at the base of the toilet in the School-age restroom making the surface unsanitizable.”

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' observation, it was determined that the metal fence was missing a bolt and not secured at the top on the south side of the School-age playground.”

AAC R9-5-517.B.3. B. A licensee shall ensure that an individual who drives a motor vehicle used to transport an enrolled child:3. Carries a list stating the name of each enrolled child being transported and a copy of each enrolled child’s Emergency, Information, and Immunization Record card including the attached immunization record or exemption affidavit, in the motor vehicle;

“Findings: Based on the Compliance Officers' observations and review of facility documentation, it was determined that all the facility buses lacked immunizations records attached to the child's Emergency, Information, and Immunization Record card and page 2 of the Emergency, Information, and Immunization Record card was not signed by the parent.”