Claudia Montijo Alvarez

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: The Compliance Officer reviewed the personnel file for Staff 1 and observed that there was only three hours of documented training between 11/2023 - 11/2024 (start date 11/06/2023).”

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 2 reviewed six children's emergency cards and observed that Child 1, Child 2, Child 3, Child 4, and Child 5 were missing the date of enrollment.”

AAC R9-3-309.B.3. B. If prescription or nonprescription medications are administered at a child care group home, a certificate holder shall ensure that: 3. The designated staff member does not administer a medication to an enrolled child unless the child care group home receives written authorization on a completed Department-provided authorization form that includes: a. The child’s first and last name; b. The name of the medication; c. The prescription number, if any; d. Instructions for administration specifying: i. The dosage, ii. The route of administration, iii. The first and last dates that the medication is to be administered, and iv. The times and frequency of administration; e. The reason for the medication; f. The signature of the child’s parent; and g. The date of signature; and

“Findings: The Compliance Officer observed that there was no medication form for the medication prescribed for Child 6.”

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 Provider acknowledged that she did not have the food restriction for Child 6 posted in the kitchen.”

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 observed that the medication for Child 6 is prescribed as a two pack and that there was only one medication in the box. The Provider acknowledged that she did not have a letter from the child's health care provider authorizing the separation of the two pack.”

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 1 observed that the documentation of last gas inspection was over 12 months old as it was dated 05/02/23.”

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;

“Compliance Officer 2 observed that there was a plug-in air freshener that was at an outlet in the living room that was accessible to children.”

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 2 reviewed the required postings and observed that the amount of screen time was not listed on the weekly activity schedule, the chain of command was missing, and the hours of operation were missing.”

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 reviewed the sign-in and out log for the Provider and observed that she did not sign-in and out on 07/01, 07/02, and 07/03.”

AAC R9-3-202.E.2. 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: 2. Document this determination, including the name of the staff member or resident, the date of contact with the Department of Public Safety, and whether the fingerprint clearance card is valid.

“Compliance Officer 1 reviewed three personnel files and one resident file and observed that all four files (Provider, Assistant, Staff 1, Resident 1) were missing documentation that their fingerprint clearance cards were verified as valid on the DPS website.”

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 10 children's emergency cards and observed the following: * Child 1 and Child 2 were missing the name and phone number for one additional emergency contact, and the name of the first person to be contacted in case of injury or sudden illness of the child. * Child 3 was missing the name and phone number for one additional emergency contact.”