Angeles Traviesos Group Home

AAC R9-3-504.A.12. A. A certificate holder shall ensure that: 12. A candle or incense is not burned in the child care group home’s residence during hours of operation; and

“Findings: Compliance Officer 1 observed a candle burning on a shelf in the daycare room during the inspection.”

AAC R9-3-303.B. B. Except as required in A.R.S. § 36-309, before a child is enrolled at a child care group home, a certificate holder shall require the individual enrolling the child to complete a Department-provided Emergency, Information, and Immunization Record card containing: 1. The child’s name, home address, city, state, zip code, 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 child care group home or to be contacted if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s physician, physician assistant, or registered nurse practitioner; 6. Written authorization for emergency medical care of the child; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. A written description provided by a child’s parent of the nutritional and dietary needs of the child; 9. A written description provided by the child’s parent noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance; and 10. The dated signature of the individual completing the Emergency, Information, and Immunization Record card.

“Findings: Based on review of ten Emergency, Information and Immunization Record (EIIR) cards, the Compliance Officer 2 noted that Child 1, Child 2, Child 3, and Child 4's cards did not document the contact telephone number of each child’s physician nor did include the name of the individual to be contacted in case of injury or sudden illness of the child.”

AAC R9-3-502.C.2.a. C. A certificate holder shall ensure that: 2. If a child can fall more than 48 inches from a climbing structure, swing, or slide in an outdoor activity area to the ground below, the climbing structure, swing, or slide: a. Has one of the following covering the fall zone of the climbing structure, swing, or slide: i. At least 6 inches of fine loose sand, pea gravel, wood fiber product, or other resilient material; or ii. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; and

“Compliance Officer observed a climbing structure with attached slides, and one stand alone slide placed over a concrete slab on the outdoor activity area.”

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;

“Compliance Officer observed that both fire extinguishers were last serviced in 9/23.”

AAC R9-3-202.G G. If required by A.R.S. § 8-804, before an individual’s starting date of employment or volunteer service, a certificate holder shall comply with the submission requirements in A.R.S. § 8-804(C) for the individual.

“Compliance Officer reviewed two personnel files and observed that Staff 1 and 2 did not have documentation of their Central Registry Background Check. Previously cited on 10/24/23.”

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;

“Compliance Officer observed the staff attendance record, and observed that Staff 1 did not document their end time on 10/21/24, and did not document their start time on 10/22/24. Staff 2 did not document their start time on 10/22/24. Previously cited on 10/24/23.”

AAC R9-3-303.B. B. Except as required in A.R.S. § 36-309, before a child is enrolled at a child care group home, a certificate holder shall require the individual enrolling the child to complete a Department-provided Emergency, Information, and Immunization Record card containing: 1. The child’s name, home address, city, state, zip code, 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 child care group home or to be contacted if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s physician, physician assistant, or registered nurse practitioner; 6. Written authorization for emergency medical care of the child; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. A written description provided by a child’s parent of the nutritional and dietary needs of the child; 9. A written description provided by the child’s parent noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance; and 10. The dated signature of the individual completing the Emergency, Information, and Immunization Record card.

“Compliance Officer reviewed ten children's emergency records. The following information was missing: Child 1 - the name of the individual to contact in case of injury or sudden illness to the child. None of the questions on the back of the emergency record were answered, and the card was not signed or dated by the parent or guardian. Child 2 - the name of the individual to contact in case of injury or sudden illness of the child. Child 3 and 4 - Dr. name and phone number, and the name of the individual to contact in case of injury or sudden illness of the child.”

AAC R9-3-305.A.1. A. A certificate holder shall ensure that: 1. An enrolled child is signed into and signed out from the child care group home by: a. The enrolled child’s parent; b. An individual authorized in writing or by telephone by the enrolled child’s parent; or c. The enrolled child, if the enrolled child is a school-age child and the enrolled child’s parent has given written permission for the enrolled child to self-admit or self-release;

“Compliance Officer observed that Child 5 was not signed out on 10/21/24; no time or signature, and was not signed in on 10/22/24; no time or signature.”

AAC R9-3-407.A.12. A. A certificate holder shall ensure that: 12. The food served to an enrolled child is consistent with a modified diet prescribed for the child by the child’s parent, physician, physician assistant, or registered nurse, as specified in R9-3-303(B)(8), and is written and posted in the kitchen;

“Compliance Officer observed a modified diet documented in the emergency record for Child 6. The modified diet was not posted in the kitchen.”

AAC R9-3-403.A.3.c. A. A certificate holder shall ensure that: 3. When feeding an enrolled infant, a staff member: c. If the enrolled infant is younger than six months of age or cannot hold a bottle for feeding, holds the enrolled infant for feeding; and

“According to staff they sometimes prop and infant's bottle with a blanket.”

AAC R9-3-507.B.1. B. A certificate holder shall ensure that: 1. A staff member: a. Cleans, sanitizes, and dries a diaper-changing surface using a single-use paper towel before and after each diaper change; b. Washes the staff member’s hands with soap and running water before and after each diaper change; c. Wears single-use non-porous gloves during each diaper change; d. Washes an enrolled child’s hands with soap and running water or with a washcloth or disposable wipe after the enrolled child’s diaper is changed and uses each washcloth or disposable wipe on only one child and only one time before it is laundered or discarded; and e. Documents the daily diaper changes for each enrolled child in a dated diaper-changing log after changing the enrolled child’s diaper;

“Upon review of the diaper changing log, all diaper changes are not being logged. According to staff if a child is dry, they are not documenting it. It then appears that the child has not been diapered for over two hours.”

AAC R9-3-403.A.1.f. A certificate holder shall ensure that: 1. A staff member: f. Does not permit an enrolled infant to use a walker;

“Compliance Officer's observed a staff member's child; who is an enrolled child, using a walker.”

AAC R9-3-402.A. A. A certificate holder shall ensure that: 1. Each enrolled child who naps or sleeps at the child care group home is furnished with a bed, cot, mat, or crib that accommodates the enrolled child’s height and weight; 2. The bed, cot, mat, or crib is not used by another individual while in use by the enrolled child; 3. The cot, mat, or bed’s mattress is covered with a clean sheet that is laundered when soiled, at least once every seven calendar days, and before use by a different enrolled child; 4. The crib mattress is covered with a clean fitted-sheet designed for the crib mattress size that is laundered when soiled, at least once every 24 hours, and before use by a different enrolled child; and 5. A clean blanket or sheet is provided to each enrolled child.

“The Compliance Officers observed that there were two children sleeping in separate pack and plays and not in a crib.”

AAC R9-3-403.A.3.b. A. A certificate holder shall ensure that: 3. When feeding an enrolled infant, a staff member: b. Feeds formula, breast milk, or other food to the enrolled infant according to current written instructions from the enrolled infant’s parent; and

“The Provider acknowledged that she did not have an infant feeding instruction form on file for Child 1.”

AAC R9-3-403.A.1.c. A. A certificate holder shall ensure that: 1. A staff member: c. If providing a bottle or sippy cup to an enrolled infant or one- or two-year-old child before the enrolled infant or one- or two-year-old child naps or sleeps: i. Ensures that only water is in the bottle or sippy cup unless the written instructions required by subsection (A)(3)(b) state otherwise; ii. Removes the used bottle or sippy cup from the enrolled infant or one- or two-year-old child’s crib, bed, cot, or mat as soon as the enrolled infant or one- or two-year-old child finishes drinking or falls asleep; and iii. Cleans the used bottle or sippy cup before the bottle or sippy cup is reused;

“Compliance Officer 2 observed that Child 1 was sleeping with a bottle of milk in their mouth in the pack and play.”

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

“It was found that Child 1 was present at the home but was not signed-in.”

AAC R9-3-302.A. A. Within 10 calendar days after the starting date of employment or volunteer service, a certificate holder shall provide, and each staff member shall complete, training for new staff members that includes all of the following: 1. Names, ages, and developmental stages of enrolled children; 2. Health needs, nutritional requirements, any known allergies, and information about adaptive devices of enrolled children; 3. Guiding and disciplining children; 4. Hand washing techniques; 5. Diapering techniques and toileting, if any enrolled children are in diapers or require assistance in using the toilet; 6. Sudden infant death syndrome awareness, if child care services are provided to an infant or a one year-old child; 7. Preparing, serving, and storing food; 8. Preparing, handling, and storing infant formula and breast milk, if any enrolled children are fed infant formula or breast milk; 9. Recognizing signs of illness and infestation; 10. Detecting, preventing, and reporting child abuse or neglect; 11. Responding to accidents and emergencies; 12. Sun safety; 13. Procedures for trips away from the child care group home, if applicable; and 14. Staff responsibilities as required by A.R.S. Title 36, Chapter 7.1, Article 4 and this Chapter.

“Compliance Officer 2 reviewed two personnel files and observed the following: * Staff 1 was missing documentation of the new staff training form (start date 06/13/23). * The Provider was missing documentation of the new staff training form (start date 12/01/22).”

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;

“Compliance Officer 2 requested to see the sign-in and out log for Staff 1 and was told that she has not been signing-in and out.”

AAC R9-3-301.A.4.b. A. A certificate holder shall: 4. Ensure that the provider: b. Maintains on the premises a file for each staff member, for 12 months after the date the staff member last worked at the child care group home, containing: i. The staff member’s name, date of birth, home address, and telephone number; ii. The staff member’s starting date of employment or volunteer service; iii. The staff member’s ending date of employment or volunteer service, if applicable; iv. The staff member’s written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis; v. The form required in A.R.S. § 36-897.03(B); vi. For an adult staff member, a copy of the staff member’s valid fingerprint clearance card issued under A.R.S. Title 41, Chapter 12, Article 3.1; vii. Documents required by subsection (A)(3); viii.Documentation of the requirements in A.R.S. § 36-897.03(C); ix. If applicable: 1. The form required in A.R.S. § 8-804(I); 2. Documentation of the submission required in A.R.S. § 8-804(C) and the information received as a result of the submission; and 3. Documentation of the completion of the Department-provided orientation training specified in subsection (A)(1)(e), if applicable; x. Documentation of the training required in R9-3-302; and xi. Documentation of a high school diploma, high school equivalency diploma, associate degree, or bachelor degree, if applicable;

“Compliance Officer 2 reviewed two personnel files and observed the following: * Staff 1 was missing documentation of a start date (was verified as 06/13/23); a written statement of current immunity against measles, rubella, diphtheria, mumps, and pertussis; and the licensee’s good faith effort to document two professional references.”

AAC R9-3-202.F. F. A certificate holder shall ensure each staff member and each adult resident submits to the certificate holder documentation of the staff member’s or adult resident’s valid: 1. Background check issued under A.R.S. § 46-811(A) within 10 calendar days after stating date of employment or volunteer service; and 2. Background check each time the background check document is issued or renewed every five years.

“Compliance Officer 2 reviewed two personnel files and observed the following: * Staff 1 was missing documentation of the DCS submittal (start date 06/13/23). * The Provider was missing documentation of the DCS submittal (start date 12/01/22).”

AAC R9-3-202.E.1. E. If a staff member or resident possesses a fingerprint clearance card that was issued before the staff member or resident became a staff member or resident at the child care group home, a certificate holder shall: 1. Contact the Department of Public Safety before the individual becomes a staff member or resident to determine whether the fingerprint clearance card is valid; and

“Compliance Officer 2 reviewed two personnel files and observed the following: * Staff 1 was missing documentation that her fingerprint clearance card was verified as valid with DPS at the time of employment (start date 06/13/23).”

AAC R9-3-507.B.1. B. A certificate holder shall ensure that: 1. A staff member: a. Cleans, sanitizes, and dries a diaper-changing surface using a single-use paper towel before and after each diaper change; b. Washes the staff member’s hands with soap and running water before and after each diaper change; c. Wears single-use non-porous gloves during each diaper change; d. Washes an enrolled child’s hands with soap and running water or with a washcloth or disposable wipe after the enrolled child’s diaper is changed and uses each washcloth or disposable wipe on only one child and only one time before it is laundered or discarded; and e. Documents the daily diaper changes for each enrolled child in a dated diaper-changing log after changing the enrolled child’s diaper;

“The Provider acknowledged that she had not been maintaining a diaper log.”

AAC R9-3-505.D.9. D. A certificate holder shall ensure that: 9. An enrolled child does not have access to the following on the premises: a. Lawn mowers, ladders, toilet brushes, plungers, and other equipment that may be a hazard to a child; b. An air conditioner, evaporative cooler, heat pump, or furnace; c. A hot tub or spa; d. A pond or fountain; e. An irrigation ditch, abandoned mine, or well; or f. A trampoline.

“During the inspection of the bathroom in the child care room, Compliance Officer 1 observed that there was a toilet brush in the corner that was accessible to children.”

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;

“During the inspection of the child care room, Compliance Officer 1 observed that there was an Air Wick plug-in that was in an outlet on the wall that was accessible to children.”

AAC R9-3-408.A.1. A. A certificate holder shall only allow a staff member to take an enrolled child away from an area of the child care group home approved for providing child care services during hours of operation with written permission from the enrolled child’s parent as follows: 1. For a trip to drop off the enrolled child at or pick up the enrolled child from the enrolled child’s school, bus stop, or another location, the written permission shall include: a. The enrolled child’s name; b. The location where the enrolled child will be dropped off or picked up; c. The time at which the enrolled child will be dropped off or picked up; d. The time period, not to exceed 12 months, during which the permission is given; and e. The dated signature of the enrolled child’s parent; and

“Compliance Officer 1 reviewed the travel permission forms and observed the following: * The form for Child 2 was not complete as it was missing the name of the location for drop off/pick up, the time of drop off/pick up, and the end date. * The form for Child 3 was missing the name of the location for drop off/pick up, the time period (start/end dates), the parent did not date the form when signing their signature. * The form for Child 4 was missing the time period (start/end date), and the name of the location for drop off/pick up.”

AAC R9-3-403.A.1.f. A certificate holder shall ensure that: 1. A staff member: f. Does not permit an enrolled infant to use a walker;

“The Compliance Officers observed that there was a walker in the living room area. Staff 1 acknowledged that she brought it to use for her child.”