The purpose of the inspection was to conduct a complaint investigation for case #89738 on 9/9/2024. A full inspection was not conducted at this time. Senior Compliance Officer - Cara Leyme, MC Ratios observed: 2 year old and older- 3:20 during inspection 2 year old and older- 9/5/24 2:19 4 staff members were interviewed. The Complainant was interviewed. 6 Staff files were reviewed. 1 children's file was reviewed. Documentation observed was: Video documentation Incident report Upon completion of the complaint investigation, it was determined from observation, interview, and documentation that 5 of 5 allegations were substantiated. The following deficiencies were observed and are subject to changes pending programmatic review.

Disposition: Complete

A Complaint for Case #00078508 and Compliance inspection were conducted on 2/16/2024. The following deficiencies were cited and are subject to changes pending programmatic review. Senior Compliance Officer- Cara Leyme, MC 2 of 2 Fingerprint clearance cards were verified to be valid on the AZ DPS website during the inspection. Fire inspection- 2/28/2023 Insurance expires 6/1/2024 Ratios observed: 3 year old-2:6 4 year old- 3:14 There was 2 staff interviewed. There were 2 staff files reviewed. Video footage of the incident was viewed. Documentation observed: attendance rosters Incident report sign in and out records children's files Upon completion of the complaint investigation, it was determined from observation, interviews, and documentation that 1 of 2 allegations were substantiated. Please complete the Plan of Corrections on the portal within 10 days of receiving this report.

Disposition: Complete

The purpose of the inspection was to conduct a complaint investigation for case #00067200 on 12/29/2023. A full inspection was not conducted. Senior Compliance Officer- Cara Leyme, MC Ratios observed: 3 year old- 2:3 There was 1 staff interviewed. There were 2 staff files reviewed. Documentation observed: Attendance rosters Incident report Upon completion of the complaint investigation, it was determined from observation, interviews, and documentation that 3 of 3 allegations were substantiated.

Disposition: Complete