*Note: It is the responsibility of the architect hired by the applicant to complete the Child Care Physical Plant Evaluation.

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1 Arizona Department of Health Services Office of Child Care Licensing Child Care Physical Plant Architectural Evaluation Dear Applicant, The expectation of the general public and a preliminary requirement for the Office of Child Care Licensing (OCCL) is that a building or physical plant of any facility used for the care of infants and children be evaluated for construction safety and building code compliance. It is a requirement for the applicant to obtain a Child Care Physical Plant Evaluation by hiring their own contracted architect to certify that new and existing facilities have been checked for compliance with the local building codes and with the child care rules for the physical plant. * An architect may call for assistance with the building s design, remodeling or in preparation for the building s use as a child care facility. The Department of Health Services - Architectural Review staff can be reached by phone at or by fax at The Office of Child Care Licensing has compiled a list of architects who are interested in evaluating child care facilities statewide. This list is available on the Arizona State Health Department/Child Care Licensing s website at or by calling the Child Care Licensing office at *Note: It is the responsibility of the architect hired by the applicant to complete the Child Care Physical Plant Evaluation.

2 DRAWING REQUIREMENTS Arizona Department of Health Services Office of Child Care Licensing Child Care Physical Plant Evaluation AAC R The Architect must provide the following: A brief narrative description of the new facility, existing facility or proposed modification, including the location and assigned age groups of each room in which activities are or will be conducted. If the facility will be in an existing building: A copy of the drawings can be obtained and these plans may be utilized in completing this Evaluation, even if the drawings were prepared by a different architect. These drawings must be supplemented by indicating the current as-built condition on a revised floor plan. To obtain such drawings, contact the building owner, landlord, architect of record, the city or the county. If the physical plant of a facility is less than 3,000 square feet and is occupied by less than 20 enrolled children and staff members, then submit a copy of all building or zoning permits or certificate of occupancy issued by the local city/county to the facility. If the building is newly constructed, added to or remodeled, provide a copy of the Certificate of Occupancy issued by the local City/County Building Department. Drawings shall include only the following: NOTE: Full sets of construction documents will not be accepted. 1. One copy each of the architect s final drawings as described below, approved by the city/county, with necessary information to show compliance with these rules. 2. An electronic.dwf format on a CD diskette. 3. An 11 x17 or an 8½"x11" reduction of the drawings (floor plan, site plan and building section with graphic scales.) Full sets of construction documents will not be accepted. I. SITE PLAN A site plan, drawn to scale which includes: Location of building(s) with site dimensions. Accessible routes and ramps. Location of parking and driveway paths. Major street names. Adjacent buildings, if the facility is located in a shopping center or school. North arrow, drawing scale and site plan key notes. Fenced playground adjacent to building, with area, type and height of fence and gates. Proposed shade. The location of swimming pool, if applicable, and the protective fence.

3 II. FLOOR PLANS The floor plan shall be an architectural drawing, drawn to scale. Indicate the rooms to be licensed with the following information: Room number or name. Purpose of room. Square footage of each room. Note: The definition of a room is a space or area enclosed on more than 80 percent of the perimeter of such space or area. When determining the enclosed area, openings less than 3 feet in clear width and less than 6 feet 8 inches high need not be considered. Age group of children using each room (infant, one year olds, preschool, school age.) Toilet rooms and fixtures, including accessibility requirements, if applicable. Diaper Changing Area: Indicate location of counter top and adjacent sink within each room that will have diapered children. All cabinets, sinks, drinking fountains, fire extinguishers, smoke detectors, fire alarm-pull stations, horns/strobes, etc. Wall and floor finishes. Direction of door swings and the width of the doors. North arrow, drawing scale and floor plan key notes. III. BUILDING CROSS SECTION The building cross section shall be an architectural drawing, drawn to scale, which includes the following information: IBC construction type. Building materials. Structure (roof and floor framing, etc.) Foundation and footings. Any additional comments, if needed. IV. SPECIAL REQUIREMENTS: FACTORY-BUILT BUILDING Factory-built buildings and their foundation systems shall be approved for permanent installation, at the facility address, by the State Office of Manufactured Housing (OMH), Department of Building and Fire Safety, per ARS 41-Chapter 16 and R (E). Submit the following: *Copies of OMH approved documents, site plan, floor plan and foundation plan, drawn to scale. *OMH Installation Permit. V. SUBMIT DRAWINGS, CHILD CARE PHYSICAL PLANT EVALUATION, AND ALL OTHER ITEMS TO: Phoenix Metro Area: Tucson/Yuma Area: Flagstaff/Northern Arizona Area: Office of Child Care Licensing Office of Child Care Licensing Office of Child Care Licensing 150 North 18th Ave., Suite West Congress, Suite East Cedar Ave., Suite 22 Phoenix, AZ Tucson, AZ Flagstaff, AZ Phone: Phone: Phone:

4 Arizona Department of Health Services Office of Child Care Licensing Child Care Physical Plant Architectural Evaluation Name of facility: Address of facility: The facility is a (check one) Charter School or Private facility Public School (for children younger than 3 years of age.) City: Zip Code: CDC Number (if existing facility): Name of Applicant or Licensee: Name of CONTACT PERSON: Address: Telephone #: Name of Architect: Architect Seal Here Name of firm: Address: City Zip Telephone number: Fax: ARCHITECT STATEMENT: I certify to the best of my knowledge and belief that this building design is in substantial compliance with the minimum Licensure requirements of the Arizona Department of Health Services for construction or modification of this child care facility and that the information contained in the attached Child Care Physical Plant Evaluation is accurate. I certify that I have complied with all provisions of the Rules of Professional Conduct in reviewing this facility and preparing the Evaluation. (AAC R ) Date I inspected the facility: Signature Date For OCCL use only Total Capacity: Infants: One year olds: Data Input Date: Facility CDC #: Previous CDC #: L.S. #: Office: PHX TUC FLA Initials G:\Facilities\CDC\Child Care Physical Plant Architectural Evaluation.doc (8-09) - 4 -

5 Child Care Physical Plant Architectural Evaluation To be completed by the Applicant s Contracted Architect. References represent the Arizona Administrative Code - Title 9 - Chapter 5 Please select the purpose for this evaluation: A building not currently licensed*: (R and 607) 1. New construction. 2. An existing unlicensed building. Are all modifications or renovations reflected on these plans? Yes No If no, please, explain: 3. A public school building for children younger than 3 years of age. Note: A different Submittal form is used for children 3 years of age and older in public school buildings. (Refer to Definition R ) Do not use this form. A Change of Ownership for a facility currently licensed* as CDC# (R and 607) Modification of a currently licensed facility. (R and 607) CDC #: Note: A different Submittal form is used for children 3 years of age and older in public school buildings. (Refer to Definition R ) Do not use this form. *For any of the above (except for a public school building), submit the following: A new Certificate of Occupancy (R ) The original Certificate of Occupancy (R ) Zoning clearance certificate. (R ) 4. Not Applicable. Please explain. Provide a short narrative indicating the scope and special nature of the project: G:\Facilities\CDC\Child Care Physical Plant Architectural Evaluation.doc (8-09) - 5 -

6 1. Child Care Services Classification: 1.1 Age Groups: School-age Yes No Preschool One year olds Infants 1.2 Program: More than 4 hours Evenings Diapered children (R ; R C.) Will the program(s) operate year round? 1.3 Will hot meals be served? (R ) 2. Outdoor Activity Areas: Include existing, modifications and additions for all ages. 2.1 Available fenced area 1a - Name: square feet (R ) Available fenced area 1b - Name: square feet Available fenced area 1c - Name: square feet Area-2: Indoor substitution, if applicable: square feet (R C.2.) *Total capacity = Area-1 + Area-2: divided by 75, then multiplied by 2, equals square feet, Total Outdoor Capacity (9.A). 2.2 Fenced Outdoor Activity Area: Verify local building department requirements for location(s) of unlocked gate(s), per 2006 IBC per local code Provided Architect to verify: Required: Shade R F. Fence/gate enclosure: Minimum 4 foot height R B. Swimming pool and pool enclosure R ; R9-8- Article 8

7 3. Indoor Activity Areas: R A. and 603.B. Include existing, modifications and additions. Note: Place a check mark next to the modification or addition. (see 5.1: 25 sq. ft. for 2 year olds and up; 35 sq. ft. for infants and 1 year olds; 50 sq. ft. if no outdoor play area and 4 hours maximum per day.) ***Capacity Room Number/Name Modification or Addition (see 5.1) *Age **DCA Net SF 25 SF 35 SF 50 SF Total Total Capacity (9.B) *Age = Age of youngest child to occupy the room. **DCA = Diaper Changing Area located in the room. ***Round off all capacities to the lowest whole number (ex: would be 14 children.)

8 4. Fire Safety Systems: R , 606 and 607 Provided: Yes N/A Required - City and Architect to verify: Fire Protection Systems Fire Wall between building City/State Fire Marshal requirements for fire walls, type of fire alarm, smoke/heat detectors, portable fire extinguishers and automatic fire extinguishing systems, if required. 4.1 Public School and Charter School buildings with more than 49 occupants: (9.D) Provide a Class A Fire Alarm System for centers located in public and charter schools and in centers where specifically required by the Office of the State Fire Marshal. Provide a Class A or B Fire Alarm System for other center locations. 5. Construction: R Provided: Yes NA Required - City and Architect to verify: 5.1 Floor area at 35 sq. ft. per occupant 5.2 Building construction type 5.3 Occupancy separation wall 5.4 Wall/ceiling finish 5.5 Low glass protection 5.6 Lighting (minimum 30 FC) 5.7 Separated infant room 5.8 Separated kitchen area 5.9 Separated laundry area 5.10 Factory built building R A.2. requires for children 2 years and older 25 square feet per child. However, the 2006 IBC requires for day care floor area 35 square feet per occupant. Verify with the City which will govern. ADHS will accept the City's decision. IBC Table local code. IBC Table local code. New and existing buildings: Class A, B or C wall/ceiling finish, as approved per local building department and/or State Fire Marshal, per IBC Table R D. and local code. R A.16.a. and local code. Infant room: Room shall be separated from other room areas by walls that continue from floor to ceiling and have full height doors. R A.1. An infant room cannot be used as a passageway. R B.1. Kitchen and Food Preparation areas: Areas shall be separated from other activity areas. R B.12 and 13 Laundry area: Area shall be separated from other activity, kitchen and food preparation areas. R C. Factory built buildings and their foundation systems shall be approved for permanent installation at the facility address by the State Office of Manufactured Housing (OMH), Department of Building and Fire Safety, per ARS.41 Chapter 16, R E. Submit copies of OMH approved documents, site plan, floor plan and foundation plan, drawn to scale. Submit OMH Installation Permit.

9 6. Exiting: R Provided: Yes No Required - City and Architect to verify: 6.1 Infant room - 2 exits 6.2 Fire rated corridor inch corridor width 6.4 Exit travel distance inch wide exit doors 6.6 Exit lighting (minimum 1 FC) 6.7 Accessibility 6.8 Unlocked exit doors An infant room must have two exits to be licensed for more than 5 children. R A. One exit door directly to the exterior, per 2006 IBC IBC Table per local code. IBC per local code. IBC 1016 per local code. IBC 1008 per local code. IBC 1006 per local code. IBC Chapter 11 per local code. R A.2./601. Can be opened from inside without a deadbolt. IBC 1008 per local code. 7. Toilet Room Facilities: R B. Include existing, modifications and additions. 1. At least 1 flush toilet and 1 hand washing sink for 10 or fewer children. 2. At least 2 flush toilets and 2 hand washing sinks for 11 to 25 children, up to At least 1 flush toilet and 1 hand washing sink for each additional 20 children, over the first 25. Number of Sanitary Units Provided: (One Sanitary Unit is a combination of one toilet or urinal plus one hand washing sink.) Number of toilets plus number of urinals Number of toilet hand washing sinks (Drinking attachments not allowed.) Provided: Total Sanitary Units (lower of two numbers) 7.1 Toilet spacing and clearances 7.2 Wall and floor finish 7.3 Accessible toilet room Wheelchair clearances Grab bars 3 foot wide door 7.7 Architect to verify: Plumbing fixtures Toilet mechanical exhaust system or open, screened window Capacity based on sanitary units (Children 2 years old and older.) Total Capacity (9.C) Required - City and Architect to verify: Toilets shall be spaced not less than 30 inches apart. Clearance between front of toilet and wall surface shall not be less than 24 inches per local building department. 48 inch high wall-protection (wainscot) shall be provided where toilets, urinals and sinks occur. Floor and wall finishes shall be smooth, hard, non-absorbent materials per local building department. Buildings: Because accessibility standards are not available for children, the staff toilet room may be used. IBC Chapter 11, ICC/ANSI A Chapter 6 per local building department shall apply to all buildings. ICC/ANSI A Required: R A., 602.B. and 602.C. R A.17., 512 and UMC 403 and 402 per local code. G:\Facilities\CDC\Child Care Physical Plant Architectural Evaluation.doc (8-09) - 9 -

10 8. Other Fixtures and Equipment: Diaper Changing area and sink, if applicable. 8.1 Diaper Changing area(s) and sink(s) are located in the following rooms: Room # Room # Room # Room # Room # Room # Required - City and Architect to verify: Infants and children with diapering needs. R A.2. and 602.C. Required - City and Architect to verify: 8.2 Food Preparation for hot meals only: Kitchen: 3 compartment sink Kitchen: hand washing sink Ventilation - grease removal County Health Department County Health Department Commercial kitchen hood: IMC Chapter 5 per local code. Plumbing fixtures and equipment requirements: Verify with local County Health Department. 9. Summary: Pursuant to R (53), compliance to building codes and standards, fire codes, zoning, accessibility, and total child and staff capacity shall be subject to approval by the local government agency. Total Child Capacity is limited to the LOWEST number of the following: A. Capacity based on Outdoor Activity Area (item 2.1) B. Capacity based on Indoor Activity Area Total (item 3) Capacity based on total number of Sanitary Units C. (see section 7 and add total of infants and one year olds from section 3) Is the facility in a charter school or a center? yes no Are there more than 49 occupants (children + staff)? yes no D. If yes to both of the above questions, there must be a Class A Fire Alarm System. If there is not a Class A Fire Alarm System, the capacity is based on the maximum number of occupants allowed, which is 49 (see section 4.1) or as allowed by local government codes. Subject to these approvals and to the final inspection by the Licensing Surveyor, the Total Capacity may be children. G:\Facilities\CDC\Child Care Physical Plant Architectural Evaluation.doc (8-09)