Care Time

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.

“Compliance Officer 2 reviewed Staff 1's file and noted that they had no training hours between 4/8/23 - 4/8/24. Staff 1's start date is documented as 4/8/2007.”

AAC R9-3-508.10. A certificate holder shall ensure that: 10. Pet feces in an outdoor activity area are cleaned up before enrolled children are permitted in the outdoor activity area; and

“Compliance Officer 1 observed dog feces in the outdoor area while children were playing in the area.”

AAC R9-3-504.D.2. D. If there are gas pipes that run from a gas meter to an appliance or location on the premises: 2. A certificate holder shall ensure that: a. Each unused natural gas outlet at the child care group home has its valves removed by and is capped at the wall or floor by a licensed plumber or individual authorized by the local jurisdiction; b. A licensed plumber or individual authorized by the local jurisdiction conducts a gas inspection that verifies there are no gas leaks in the gas pipes that run from the gas meter to any appliance or location on the premises at least once every 12 months after the date of the certificate; and c. A copy of a current gas inspection report, including documentation of any repairs or corrections required by the gas inspection report, is maintained on the premises.

“Compliance Officer 2 reviewed the group home's gas inspection documentation and noted that it was dated 10/7/2022, and was therefore not completed within the last 12 months as required.”

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 2 reviewed three Emergency, Information and Immunization records and noted the following: Child 1's record listed one of two required emergency contacts, and did not list their date of enrollment, their doctor's name and contact number, the name of the individual to be contacted in case of injury or sudden illness of the child. The medical questions on the back to Child 1's card had not been anwered nor was the card signed nor dated by their parents.”

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

“Compliance Officer 1 reviewed the group home’s sign in/out records and noted that Child 1 was not signed out on 10/4/24 and 10/8/24, but were signed in on that day.”

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.

“Compliance Officer 1 noted that the tags on the two fire extinguishers in the group home were dated for September, 2022. The Provider reported that they had not been serviced since then.”

AAC R9-3-504.A.2. A. A certificate holder shall ensure that: 2. A smoke detector is installed in each indoor area of the child care group home approved for providing child care services and in each hallway of the child care group home’s residence;

“Compliance Officer 1 observed that there were no smoke detectors installed in the living room and in the playroom. Both rooms were in use by children on the day of the inspection.”

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.

“Compliance Officer 1 reviewed the posted items at the group home and noted that the hours of operation nor a weekly schedule were posted. The Provider reported that they did not have either posted.”

AAC R9-3-301.I. A certificate holder shall ensure that a staff member who has current training in first aid and CPR is present during hours of operation when an enrolled child is on the premises or on a trip away from the premises under the supervision of a staff member

“Compliance Officer 2 reviewed the Provider’s staff file and noted that the Provider did not have a current First Aid/CPR card. The Provider confirmed that they do not have current certification.”

AAC R9-3-405.A.2. A certificate holder shall ensure that a staff member: 2. Teaches, models, and encourages orderly conduct, selfcontrol, and age-appropriate behavior;

“Per the allegation and based on Provider interview, Pima County Sheriff's report, and a video recording, the following was substantiated: The Provider raised their voice at a parent and used foul language while children were present and in the care of the Provider.”

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: Upon entry to the Group Home, the Compliance Officers observed an incense burning near the front door.”