Angelita’s Little Angel’s Childcare Group Home

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.

“FINDINGS: The Secondary Compliance Officer reviewed the files for Staff 1 and Staff 2 and observed that they lacked copies of their new employee training checklist.”

AAC R9-3-304.A.1. A. A certificate holder shall not permit an enrolled child to receive child care services at a child care group home until the child care group home receives: 1. An immunization record for the enrolled child with the information required in 9 A.A.C. 6, Article 7, stating that the enrolled child has received all current, age-appropriate immunizations required under 9 A.A.C. 6, Article 7, that is: a. Provided by a physician, physician assistant, registered nurse practitioner, or another individual authorized by state law to administer immunizations; or b. Generated from the Arizona State Immunization Information System, which is the Department’s child immunization reporting system established in A.R.S. § 36-135; or

“FINDINGS: The Secondary Compliance Officer reviewed the children’s files and observed that the file for Child 1 lacked an immunization record.”

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: The Secondary Compliance Officer reviewed the children’s sign in and out logs and observed the following: -Child 2 was not signed out on 1/29 -Child 3 was not signed out on 1/12, 1/14 and 1/15 -Children 4 and 5 were not signed out on 1/17 Child 6 was not signed out on 1/28.”

A.R.S. § 36-897.03.A. A. Child care personnel, including volunteers, shall submit the form prescribed in subsection B of this section to the employer and shall have valid fingerprint clearance cards issued pursuant to section 41-1758.07 before starting employment or volunteer work.

“FINDINGS: The Compliance Officer reviewed the file for Staff 1 (start date 1/6/25) and observed that it lacked a copy of their fingerprint clearance card. Per Provider and Staff 1, Staff 1 submitted an application with DPS in October 2024 and was not given an application number to track the status of the card. Per Staff 1, she does not have an issued fingerprint card.”

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.

“FINDINGS: The Compliance Officer reviewed the files for Staff 1 (start date 1/6/25) and Staff 2 (start date 2/28/24) and observed that they lacked documentation that their Central Registry Background Checks were submitted.”

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: The Compliance Officer reviewed the file for Staff 1 (start date 1/6/25) and observed that it lacked documentation of a negative TB test result.”

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;

“FINDINGS: The Compliance Officer reviewed the file for Staff 1 (start date 1/6/25) and observed that it lacked dated reference checks.”

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: The Compliance Officer reviewed the staff sign in and out logs and observed that Staff 1 (start date 1/6/25) and Staff 3 (start date 2/05/24) did not sign in or out on 1/29-1/31 and did not sign in on 2/3.”

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: The Compliance Officer reviewed the children's emergency cards and observed the following: The card for Child 1 lacked a second emergency contact. The card for Child 2 lacked the name of the person to call first and the answers to the questions on the backside. The cards for Children 3-4 lacked their doctor's names and telephone numbers. The cards for Children 5-7 lacked a second emergency contact and the names of the people to call first. The cards for Children 8-9 lacked their doctor's names and telephone numbers and the names of the people to call first. The card for Child 10 lacked the name of the person to call first. A card was not on file for child 16.”

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: The Compliance Officer reviewed the children's sign in and out logs and observed the following: Children 1, 14 and 15 were not signed out on 1/2 and 1/3 Children 6 and 13 were not signed out on 1/28 and 1/31 Children 11 and 12 were signed out with out the times on 1/13 - 1/17 and 1/20-1/23. They were not signed out on 1/10, 1/14, 1/27 and 1/28”

AAC R9-3-309.B.1. B. If prescription or nonprescription medications are administered at a child care group home, a certificate holder shall ensure that: 1. The provider or another staff member designated in writing by the provider is responsible for: a. Administering medications at the child care group home, b. Storing medications at the child care group home, c. Supervising the ingestion of medications, and d. Documenting the administration of medications;

“FINDINGS: The Compliance Officer reviewed the medication for Child 16 and observed that the group home failed to obtain the Medication Consent Form from the parent.”

AAC R9-3-309.B.4. B. If prescription or nonprescription medications are administered at a child care group home, a certificate holder shall ensure that: 4. The designated staff member: a. Measures liquid medications for oral administration using a measuring cup, spoon, or dropper specifically made for measuring liquid medication; b. Administers prescription medications provided by an enrolled child’s parent to the enrolled child only from a container dispensed by a pharmacy and accompanied by a pharmacy generated prescription label that includes the child’s first and last name and administration instructions; c. Administers nonprescription medications provided by an enrolled child’s parent to the enrolled child only from an original manufacturer’s container labeled with the enrolled child’s first and last name; d. Does not administer a medication that has been transferred from one container to another; e. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the child care group home receives written administration instructions from the enrolled child’s physician, physician assistant, or registered nurse practitioner; f. Documents each administration of medication to an enrolled child on the Department provided form required in subsection (B)(3) including: i. The name of the enrolled child; ii. The name and amount of medication administered and the prescription number, if any; iii. The date and time the medication was administered; and iv. The signature of the staff member who administered the medication to the enrolled child; and g. Maintains the record on the premises for 12 months after the date the medication is administered.

“FINDINGS: The Compliance Officer inspected the medication for Child 16 and observed that the pharmacy dispensed the medication as a 2-pack, however, the group home was equipped with one of the two medications instead of both medications.”

AAC R9-3-406.F. F. A certificate holder shall ensure that a staff member: 1. Prepares a weekly menu specifying the foods to be served at each meal and snack on each day, 2. Dates each menu, and 3. Writes food substitutions on a posted menu no later than the morning of the day of the meal or snack to which the substitution applies.

“FINDINGS: The Compliance Officer reviewed the postings and observed that the menu was dated 1/27-1/31 and was, therefore, not current.”

AAC R9-3-407.A.11. A. A certificate holder shall ensure that: 11. Each staff member is informed of a modified diet prescribed for an enrolled child by the child’s parent, physician, physician assistant, or registered nurse practitioner, as specified in R9-3-303(B)(8), and is written and posted in the kitchen;

“FINDINGS: The Compliance Officer reviewed the files for Child 3 and observed that the parent documented a food sensitivity. The Child's modified diet was not posted in the kitchen.”

AAC R9-3-407.A.17. A. A certificate holder shall ensure that: 17. A freezer at the child care group home maintains a temperature of 0° F or below, as shown by a thermometer kept in the freezer at all times;

“FINDINGS: The Compliance Officer inspected the freezer and observed that it was not equipped with a thermometer. The refrigerator is manufactured with a digital thermometer, however, the Provider was unable to utilize it.”

AAC R9-3-504.B. B. A certificate holder shall ensure that a staff member: 1. Tests the battery for each smoke detector required under subsection (A)(2) each month, 2. Makes a record of each test performed, 3. Replaces a smoke detector battery that is no longer charged, and 4. Maintains the record of the test on the premises for 12 months after the date of the test.

“FINDINGS: The Compliance Officer reviewed the file drill log and observed that a drill was not documented in January 2025.”

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: The Compliance Officer inspected the fire extinguishers and observed that the 2A-10-BC extinguisher was not tagged and the Provider was unable to locate the receipt.”

AAC R9-3-506.5. A certificate holder shall ensure that: 5. Each bathroom used by an enrolled child at the child care group home has the following within the reach of enrolled children: a. Mounted toilet tissue, b. Soap contained in a dispenser, and c. Singly dispensed paper towels;

“FINDINGS: The Compliance Officer inspected the restroom that the children use and observed that the toilet paper was not mounted.”

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;

“FINDINGS: The Compliance Officer reviewed the diaper changing log and observed that it was not being maintained.”

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: The Compliance Officer reviewed the postings and observed that the schedule began at 6a, however, the group home is open at open 5a.”

AAC R9-3-504.F.1. F. A certificate holder shall ensure that: 1. An unannounced fire and emergency evacuation drill are: a. At least once each month; and b. Each fire drill and emergency evacuation drill at a different time of day than the fire and emergency evacuation drill conducted in the previous month;

“FINDINGS: Compliance Officer 2 reviewed the postings and observed that fire drills for March and April 2024 were not documented on the log.”

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: Compliance Officer 1 reviewed the staff sign in and out logs and observed that Staff 1 did not sign in and out on 4/19, 4/23, 4/24, 4/26, and 4/30.”

AAC R9-3-406.F. F. A certificate holder shall ensure that a staff member: 1. Prepares a weekly menu specifying the foods to be served at each meal and snack on each day, 2. Dates each menu, and 3. Writes food substitutions on a posted menu no later than the morning of the day of the meal or snack to which the substitution applies.

“FINDINGS: Compliance Officer 2 reviewed the postings and observed that the menu was dated March 11-15, 2024.”

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: Compliance Officer 2 reviewed the children's sign in and out logs and observed the following: Child 1 was not signed in at the time of the inspection and was present. Children 2 and 3 were not signed out on 5/2/24.”

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: Compliance Officer 1 reviewed the children's emergency cards and observed the following: The cards for Children 1 - 3 lacked their date of enrollment, a second emergency contact, the name of the person to call first, the answers to the questions on the back, and the parent's name and dated signature. The cards for Children 4 - 6 lacked the name of the person to call first, the answers to the questions on the back, and the parent's name and dated signature. The card for Child 7 lacked their date of enrollment, the name of the person to call first, and the parent's name and dated signature. The card for Child 8 - lacked a second emergency contact, the name of the person to call first, the answers to the questions on the back, and the parent's name and dated signature. The card for Child 9 lacked their date of enrollment, the name of the person to call first, the answers to the questions on the back, and the parent's name and dated signature. The card for Child 10 lacked the name of the person to call first and the parent's name and dated signature. An emergency card was not on file for Child 11.”

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.

“FINDINGS: Compliance Officer 2 reviewed the file for Staff 2 and observed that their new employee training checklist was incomplete.”

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;

“FINDINGS: Compliance Officer 1 reviewed the children's diaper log and observed that the last entry was dated 4/16/24, however, a child who wears diapers was present 5/2 and 5/3.”