A Teddy Bears Learning Child Care & Preschool

AAC R9-3-301.A.4.d. A. A certificate holder shall: 4. Ensure that the provider: d. Prepares a dated attendance record for each day and ensures that each staff member records on the attendance record the staff member’s start time and end time of providing child care services for the child care group home;

“Findings: Based on the Compliance Officer's observation and on a discussion with the Provider, the Provider acknowledged that Staff #1 and #2 have not been recording their daily attendance.”

AAC R9-3-302.C. C. A certificate holder shall ensure that each staff member completes a total of 12 or more actual hours of training every 12 months after becoming a staff member in two or more of the following: 1. Child growth and development, which may include sudden infant death prevention; 2. Developmentally appropriate activities; 3. Nutrition and developmentally appropriate eating habits; 4. Responding to accidents and emergencies, including CPR and first aid for infants and children; 5. Recognizing signs of illness and infestation; 6. Detecting, preventing, and reporting child abuse or neglect; 7. Guiding and disciplining children; and 8. Availability of community services and resources, including those available to children with special needs.

“Findings: Based on the Compliance Officer's review of the 2 staff files, the following was noted: *Staff #1(DOE 1/4/2017)-the file contained documentation of only 10 of the 12 hours of required training for the period of 1/4/25 through 1/5/2026; and *Staff #2 (DOE 1/4/2017)-the file contained documentation of only 10 of the 12 hours of required training for the period of 1/4/25 through 1/5/2026. *Previously cited on 11/15/24, 11/20/2023 and 11/13/2025”

AAC R9-3-505.D.5. D. A certificate holder shall ensure that: 5. Except as provided in R9-3-503(C)(4) and subsection (D)(6)(d), the following are stored in a labeled container separate from food storage areas and are inaccessible to an enrolled child: a. Materials and chemicals labeled as a toxic substance, and b. Substances that have a child warning label and may be a hazard to a child;

“Findings: Based on the Compliance Officer's observations, a container of weed killer and a container of ant killer, with labels stating "keep out of reach of children", were stored in a planter pot on the outdoor activity area patio and were accessible to children.”

AAC R9-3-202.A.1.b. A. A certificate holder shall ensure that: 1. A staff member completes, signs, dates, and submits to the certificate holder before the staff member’s starting date of employment or volunteer service: b. If required by A.R.S. § 8-804, the form in A.R.S. § 8-804(I); and

“Findings: Based on the Compliance Officer's review of Staff #1's file (DOE 1/4/2017) and Staff #2's file (DOE 1/4/2017), the files lacked documentation of the staff's DCS clearance. The Provider showed the Compliance Officer a notice in the DCS portal that Staff #1 and #2's clearance applications, submitted on 7/4/2025, were returned for correction on 7/5/2025. The Provider acknowledged that the DCS applications for Staff #1 and #2 had not been resubmitted and acknowledged that neither Staff #1 or #2 has obtained documentation of DCS clearance. *Previously cited on 11/15/24 and 4/30/2025.”

AAC R9-3-302.C. C. A certificate holder shall ensure that each staff member completes a total of 12 or more actual hours of training every 12 months after becoming a staff member in two or more of the following: 1. Child growth and development, which may include sudden infant death prevention; 2. Developmentally appropriate activities; 3. Nutrition and developmentally appropriate eating habits; 4. Responding to accidents and emergencies, including CPR and first aid for infants and children; 5. Recognizing signs of illness and infestation; 6. Detecting, preventing, and reporting child abuse or neglect; 7. Guiding and disciplining children; and 8. Availability of community services and resources, including those available to children with special needs.

“Findings: Based on the Compliance Officer's review of Staff #1's file (DOE 1/4/2017) and Staff #2's file (DOE 1/4/2017), both files contained documentation of only 6 of the required 12 hours of annual training for the period of 1/4/2024 through 1/4/2025. *Previously cited on 11/15/24 and 11/20/2023.”

AAC R9-3-301.G. G. A certificate holder shall ensure that a staff member posts in a place that can be conspicuously viewed by individuals entering or leaving the child care group home: 1. The child care group home certificate; 2. The name of the provider; 3. The name of the staff member designated to act on behalf of the certificate holder when the provider is not present at the child care group home; 4. The hours of operation for the child care group home; 5. The weekly activity schedule required in R9-3-401(B)(4)(b); 6. The amount of time in minutes enrolled children may watch television, videos, or DVDs at the child care group home; and 7. The weekly menu, required in R9-3-406(F), before the first meal or snack of the week.

“Findings: Based on the Compliance Officer's observation, the Menu was not posted on the information posting board. *Previously cited in 11.2024.”

AAC R9-3-202.A.1.b. A. A certificate holder shall ensure that: 1. A staff member completes, signs, dates, and submits to the certificate holder before the staff member’s starting date of employment or volunteer service: b. If required by A.R.S. § 8-804, the form in A.R.S. § 8-804(I); and

“Findings: Based on the Compliance Officer's review of staff files and on a discussion with the Provider, the files for Staff #1(DOE 1.4.2017) and Staff #2 (DOE 1.4.2017) lacked documentation of the required DCS clearance application and results. The Provider acknowledged not ensuring the DCS clearance application was completed and ensuring the results were obtained. *Previously cited 11/2024.”

AAC R9-3-302.E. E. A certificate holder shall ensure that a staff member required by R9-3-301(I) meets all of the following: 1. The staff member obtains first aid training specific to infants and children; 2. The staff member obtains CPR training specific to infants and children, which includes a demonstration of the staff member’s ability to perform CPR; 3. The staff member maintains current training in first aid and CPR; and 4. The staff member provides the certificate holder with a copy of the front and back of the current card issued to the staff member upon completing first aid and CPR training as proof of completion of the requirements in this subsection.

“Findings: Based on the Compliance Officer's review of Staff #1's and Staff #2's files, Staff #1’s CPR/FA certification expired in 12/2023 and Staff #2’s FA/CPR certification expired in 7/2024.”

AAC R9-3-504.A.4. A. A certificate holder shall ensure that: 4. The child care group home’s residence has at least two portable fire extinguishers: a. One of which is labeled as rated at least 1A-10-BC by the Underwriters Laboratories is mounted on the kitchen wall and is easily accessible, and b. One of which is labeled as rated at least 2A-10-BC by the Underwriters Laboratories and is maintained in a location accessible to staff members in an area of the child care group home approved for providing child care services;

“Findings: Based on the Compliance Officer's observation, the fire extinguisher in the kitchen was not mounted and was placed on top of the kitchen counter.”

AAC R9-3-302.C. C. A certificate holder shall ensure that each staff member completes a total of 12 or more actual hours of training every 12 months after becoming a staff member in two or more of the following: 1. Child growth and development, which may include sudden infant death prevention; 2. Developmentally appropriate activities; 3. Nutrition and developmentally appropriate eating habits; 4. Responding to accidents and emergencies, including CPR and first aid for infants and children; 5. Recognizing signs of illness and infestation; 6. Detecting, preventing, and reporting child abuse or neglect; 7. Guiding and disciplining children; and 8. Availability of community services and resources, including those available to children with special needs.

“Findings: Based on the Compliance Officer's review of Staff #1's file (DOE 1/4/2017) and Staff #2's file (DOE 1/4/2017), the staff files lacked documentation of any of the 12 hours of required annual training for the period of 1/4/23 through 1/4/24. *Previously cited on 11/20/23.”

AAC R9-3-202.A.1.b. A. A certificate holder shall ensure that: 1. A staff member completes, signs, dates, and submits to the certificate holder before the staff member’s starting date of employment or volunteer service: b. If required by A.R.S. § 8-804, the form in A.R.S. § 8-804(I); and

“Findings: Based on the Compliance Officer's review of Staff #1 (1/4/2017)and #2's (DOE 1/4/2017) files and on a discussion with the Provider, the files for Staff #1 and Staff #2 lacked documentation that the DCS application was submitted to DCS and lacked documentation of each staff's DCS clearance. The Provider acknowledged that the required DCS application was never submitted to DCS for Staff #1 and Staff #2.”

AAC R9-3-301.G. G. A certificate holder shall ensure that a staff member posts in a place that can be conspicuously viewed by individuals entering or leaving the child care group home: 1. The child care group home certificate; 2. The name of the provider; 3. The name of the staff member designated to act on behalf of the certificate holder when the provider is not present at the child care group home; 4. The hours of operation for the child care group home; 5. The weekly activity schedule required in R9-3-401(B)(4)(b); 6. The amount of time in minutes enrolled children may watch television, videos, or DVDs at the child care group home; and 7. The weekly menu, required in R9-3-406(F), before the first meal or snack of the week.

“Findings: Based on the Compliance Officer's observation, the weekly menu was not posted on the parent posting board.”

AAC R9-3-301.A.3.a. A. A certificate holder shall: 3. Ensure that each resident 12 years of age or older and each staff member submits, on or before the starting date of residency, employment, or volunteer services, one of the following as evidence of freedom from infectious active tuberculosis: a. Documentation of a negative Mantoux skin test or other tuberculosis screening test recommended by the U.S. Centers for Disease Control and Prevention, administered within 12 months before the starting date of residency, employment, or volunteer service, that includes the date and the type of tuberculosis screening test; or b. If the resident or staff member has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the resident or staff member is free from infectious active tuberculosis that is signed and dated by a physician, physician assistant, or registered nurse practitioner within six months before the starting date of residency, employment, or volunteer service; and

“Findings: Based on the Compliance Officer’s observations of 2 staff files and 3 resident files, the file for Resident #1 lacked documentation of a negative Mantoux skin test.”

AAC R9-3-305.A.2. A. A certificate holder shall ensure that: 2. The individual signing the enrolled child into or out from the child care group home: a. Records the time of the enrolled child’s arrival or departure, and b. Signs the attendance record with at least the first initial of the individual’s first name and the individual’s last name; and

“Findings: Based on documentation and the Compliance Officer’s observation, it was determined that 1 out of 4 enrolled children's attendance records reviewed lacked the following required documentation: Child #1: Not signed in with a complete signature during the month of May, 2024.”

AAC R9-3-301.D.1. D. A certificate holder shall ensure that: 1. While acting on behalf of the certificate holder when the provider is not present at the child care group home, an adult staff member with a high school diploma or high school equivalency certificate and one of the following is on the premises: a. At least six months of child care experience; b. Two or more credit hours in child growth and development, nutrition, psychology, or early childhood education; or c. At least 30 hours of training in child growth and development, nutrition, psychology, or early childhood education; and

“Findings: Based on the Compliance Officer's observations of 2 staff files, Staff #1 was listed as the person to act on behalf of the certificate holder when the provider is not present at the home. Staff #1's file lacked a high school diploma or high school equivalency certificate.”

AAC R9-3-301.C. C. A certificate holder shall: 1. Secure and maintain general liability insurance of at least $100,000 for the child care group home; and 2. Maintain on the premises documentation of the insurance coverage required in subsection (C)(1).

“Findings: Based on the Compliance Officer's observations, the Certificate Holder had a waiver of liability included in the parent policies handbook.”

AAC R9-3-504.C.2. C. A certificate holder shall: 2. Ensure that each rechargeable fire extinguisher in the child care group home’s residence: a. Is serviced at least once every 12 months, and b. Has a tag attached to the fire extinguisher that specifies the date of the last servicing and the identification of the person who serviced the fire extinguisher.

“Findings: Based on documentation and the CO’s observation, there were two fire extinguishers that were not serviced within the last 12 months. The expiration date on the tag was January 2023.”

AAC R9-3-401.C.4. A certificate holder shall ensure that a staff member: 4. Except as specified in subsection (C)(5), labels the personal items of an enrolled child with an identifier that is specific to the enrolled child and stores the personal items separately from the personal items of other enrolled children and residents;

“Findings: Based on the CO’s observation, 3 of 7 water cups lacked a label or personal identifier of the specific enrolled child.”

AAC R9-3-305.A.2. A. A certificate holder shall ensure that: 2. The individual signing the enrolled child into or out from the child care group home: a. Records the time of the enrolled child’s arrival or departure, and b. Signs the attendance record with at least the first initial of the individual’s first name and the individual’s last name; and

“Findings: Based on documentation and the CO’s observation, it was determined that 2 out of 7 children’s attendance forms lacked the following information: Child #1: A release time and signature for 11/3/2023. Child #2: A release signature for 11/9/2023.”

AAC R9-3-301.D.2. D. A certificate holder shall ensure that: 2. At least one adult staff member, in addition to the provider or the staff member specified in subsection (D)(1), is on the premises when six or more enrolled children are at the child care group home.

“Findings: Based on the Compliance Officer’s (CO) observation, upon arrival (2:20pm) at the inspection there were 7 children present with 1 staff. The second staff arrived at 2:57pm.”

AAC R9-3-302.C. C. A certificate holder shall ensure that each staff member completes a total of 12 or more actual hours of training every 12 months after becoming a staff member in two or more of the following: 1. Child growth and development, which may include sudden infant death prevention; 2. Developmentally appropriate activities; 3. Nutrition and developmentally appropriate eating habits; 4. Responding to accidents and emergencies, including CPR and first aid for infants and children; 5. Recognizing signs of illness and infestation; 6. Detecting, preventing, and reporting child abuse or neglect; 7. Guiding and disciplining children; and 8. Availability of community services and resources, including those available to children with special needs.

“Findings: Based on documentation and the CO’s observation, Staff #1 and Staff #2 lacked documentation of 12 hours of annual training.”