Y.M.C.A. - Booth Fickett

AAC R9-5-518.B. B. A licensee shall ensure that a staff member taking enrolled children on a field trip carries the following on the field trip: 1. Documentation of the Emergency, Information, and Immunization Record including the attached immunization record or exemption affidavit, of each enrolled child participating in the field trip; 2. A copy of the written field trip plan required in subsection (A)(2); 3. A list stating the name of each participating enrolled child; and 4. Sufficient water to meet the needs of each enrolled child participating in the field trip.

“FINDINGS: Based on the Compliance Officer’s observations and review of documentation, a staff member and a group of eight children were waiting at the facility for the next bus to take them on a field trip. The staff member did not have the following for the eight children on site: Emergency Information and Immunization Record Cards”

AAC R9-5-309.C. C. A licensee shall maintain on facility premises: 1. A current fire inspection report including documentation of any repairs or corrections required by the fire inspection report; and 2. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a current gas inspection report including documentation of any repairs or corrections required by the gas inspection report.

“FINDINGS: Based on the Compliance Officer’s observation and review of documentation, the fire inspection report listed violations; however, the corrections of the violations were not documented by the State Fire Marshal.”

AAC R9-5-512.A. A. A licensee shall maintain facility premises free of insects and vermin.

“The Compliance Officer inspected the outdoor activity area and observed several mounds of dirt with red ants surrounding the climbing equipment.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete a Department-provided Emergency, Information, and Immunization Record card that is signed by the enrolled child’s parent containing: 1. The child’s name, home address, city, state, zip code, home telephone number, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, city, state, zip code, and contact telephone number of each parent of the child; 4. The name and contact telephone number of at least two individuals authorized by the child’s parent to collect the child from the facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(9); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“The Compliance Officer reviewed 10 EIIR cards and the following were incomplete: Child 1- one emergency contact not documented. Child 2- 2 questions on the back of the EIIR card were not completed.”

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

“The CO observed the filed trip form for the swimming field trip conducted on 6/10/2024. The staff failed to document the license plates of the vehicles used on the trip.”

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.

“The CO observed medication for Child 6. The prescription label specifically states a time that the medication is to be given. The staff administered the medication on 6/3, 6/5, 6/6, 6/7, and 6/10/2024 an hour prior to the time listed on the prescription.”

AAC R9-5-518.D. D. A licensee shall ensure that each enrolled child participating in a field trip is wearing in plain view a written identification stating the facility's name, address, and telephone number.

“The CO observed the filed trip form for the swimming field trip conducted on 6/10/2024. Interviews with staff determined that the children did not wear identification as required by the rule during the field trip. The staff reported that the children wear color bands to determine the swimming proficiency level that they have attained. The CO discussed identification options for swimming field trips with the Director.”

AAC R9-5-518.B. B. A licensee shall ensure that a staff member taking enrolled children on a field trip carries the following on the field trip:1. A copy of the Emergency, Information, and Immunization Record card including the attached immunization record or exemption affidavit, of each enrolled child participating in the field trip; 2. A copy of the written field trip plan required in subsection (A)(2); 3. A list stating the name of each participating enrolled child; and 4. Sufficient water to meet the needs of each enrolled child participating in the field trip.

“The CO observed the filed trip form for the swimming field trip conducted on 6/10/2024. The staff failed to ensure that a copy of the EIIR card was taken on the field trip for Child 3.”

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.

“The CO observed food waste stored in a waste container that was not covered by a lid in the cafeteria.”

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.

“The CO observed 33 children signed in on the tablet, and 3 on a sticky note. The groups of "bigs" and "littles" separated into different activity areas, however a roster with the children's names in each area was not documented and maintained by the staff responsible for each group during the inspection.”

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.

“The CO observed the filed trip form for the swimming field trip conducted on 6/10/2024. The staff failed to document the attendance as required for the 6/10/24 trip.”

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.

“The CO reviewed the sign in and out records on the tablet. Child 1, 2, and 3 were not signed in on 6/11/2024.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete a Department-provided Emergency, Information, and Immunization Record card that is signed by the enrolled child’s parent containing: 1. The child’s name, home address, city, state, zip code, home telephone number, sex, and date of birth; 2. The date of the child’s enrollment; 3. The name, home address, city, state, zip code, and contact telephone number of each parent of the child; 4. The name and contact telephone number of at least two individuals authorized by the child’s parent to collect the child from the facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(9); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“The Compliance Officer (CO) observed 10 EIIR cards scanned into the tablet. Child 3's profile did not have a copy of the EIIR card scanned in. Child 1 and Child 2 did not have a parent signature. Child 4 did not have a physician's name and phone number documented, and a date of enrollment. Child 5 did not have who to call first in the event of an emergency, and a physician's phone number documented on their card.”