Anna Bower

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.

“Findings: Based on the Compliance Officer's observation, there was a plunger in the bathroom accessible to enrolled children.”

A.R.S. § 36-897.02.B. B. At least two adults shall be present in the child care group home when six to ten children are cared for in the home.

“Findings: Based on facility documentation and the Compliance Officer's observation, two adults were not present in the child care group home while six children were present. The ratio at the time of the inspection was 1:6 rather than 2:6 as required.”

AAC R9-3-401.A. In addition to complying with the requirements in this Chapter, a certificate holder shall ensure that the health, safety, or welfare of an enrolled child is not placed at risk of harm.

“Findings: Based on the Compliance Officer's observation, the following hazards were accessible to enrolled children, indoors and outdoors: Indoors: There was a bottle of Quikrete Concrete Bonding liquid on the floor behind the sofa. Outdoors: There was a loose garden hose on the patio.”

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: Based on the facility documentation and the Compliance Officer's observation, the file for Staff #1 lacked a copy of the Centralized Background Check.”

AAC R9-3-508.1. A certificate holder shall ensure that: 1. Each dog, cat, or ferret at the child care group home has a current vaccination against rabies;

“Finding: Based on facility documentation and the Compliance Officer's observation, the immunization for one of the three pets had expired.”

AAC R9-3-502.C.3. C. A certificate holder shall ensure that: 3. If a child can fall between 24 and 48 inches from a climbing structure, swing, or slide in an outdoor activity area to the ground below, the climbing structure, swing, or slide has covering the fall zone of the climbing structure, swing, or slide non-dormant, growing grass or the resilient material required in subsection (C)(2)(a)(i) or (ii).

“Findings: Based on the Compliance Officer's observation, in the outdoor activity area, there was insufficient resilient surfacing under two plastic slides and a roller coaster riding toy. The grass under the structures was dormant.”

AAC R9-3-401.B.3.d. B. A certificate holder shall ensure that: 3. The toys, materials, and equipment for use by enrolled children: d. Are maintained free from hazards and in a condition that allows the toys, materials, and equipment to be used for their original purpose;

“Findings: Based on the Compliance Officer's observation, in the outdoor activity area, two riding toys were missing rubber grips for the handles and had exposed rough metal.”

AAC R9-3-508.3. A certificate holder shall ensure that: 3. All pet and animal habitats at the child care group home are kept clean;

“Findings: Based on the Compliance Officer's observation, in the outdoor activity area, there was a heavy buildup of dog feces in multiple areas.”

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.

“Findings: Based on the Compliance Officer's observation, there was a plunger in the bathroom behind the toilet, accessible to enrolled children.”

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;

“Findings: Based on the facility documentation and the Compliance Officer's observation, it was determined that three out of eight enrolled children's attendance forms lacked the following information: *Child #1, #2, and #3: an admission signature and time for 8/12/2025.”

AAC R9-3-401.B.2. B. A certificate holder shall ensure that: 2. The areas of the child care group home approved for providing child care services are maintained free from hazards;

“Finding: Based on the Compliance Officer’s observation, in the outdoor area, the following hazards were accessible to enrolled children: *A tricycle with handle bars lacking rubber grip had exposed metal edges. *There was standing water with green slimy substance near the water faucet.”

AAC R9-3-401.B.2. B. A certificate holder shall ensure that: 2. The areas of the child care group home approved for providing child care services are maintained free from hazards;

“Finding: Based on the Compliance Officer's observation, the following hazards were accessible to enrolled children: *There was a crack with sharp edges in the seat of a white picnic table. *There were white capped mushrooms in the grassy area.”

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 documentation and the Compliance Officer's observation, it was determined the main posting board lacked the child care group home current certificate and a current weekly menu.”

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 facility documentation and the Compliance Officer's observation, it was determined that 2 out of 10 enrolled children's Emergency, Information, and Immunization Record cards reviewed lacked the following required information: *Child #1: The name and contact number for the child's health care provider. *Child #2: The contact number for the child's heath care provider.”

AAC R9-3-304.B. A certificate holder shall ensure that a staff member attaches an enrolled child's written immunization record or exemption affidavit, required in subsection (A), to the enrolled child's Emergency, Information, and Immunization Record card, required in R9-3-303(B).

“Findings: Based on documentation and the Compliance Officer's observation, Child #3 and Child #4's Emergency, Information, and Immunization Record cards lacked an attached written immunization record.”

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;

“Findings: Based on documentation and the Compliance Officer's observation, it was determined that 2 out of 10 enrolled children's attendance forms lacked the following information: *Child #5: A release signature for 4/23/2024. *Child #6: A release signature for 4/17/2024.”

AAC R9-3-401.B.2. B. A certificate holder shall ensure that: 2. The areas of the child care group home approved for providing child care services are maintained free from hazards;

“Findings: Based on the Compliance Officer's observation, the sofa located in the living room had torn fabric with foam exposed. *Previously cited 2/28/2024.”

AAC R9-3-506.2. A certificate holder shall ensure that: 2. All equipment, materials, and toys used by or accessible to enrolled children are cleaned and disinfected as often as necessary to maintain them in a clean and disinfected condition and, for items used by infants or one- or two-year-old children, at least once every 24 hours;

“Findings: Based on the Compliance Officer's observation, there was dirt and debris on the tables used for serving lunch. The tables were in the outdoor area at the time of the inspection.”