Daffodils

AAC R9-3-507.B.3. B. A certificate holder shall ensure that: 3. Soiled cloth diapers or plastic pants from an enrolled child are: a. If soiled with feces, emptied into a flush toilet without rinsing the cloth diapers or plastic pants; b. Placed in a plastic bag labeled with an identifier that is specific to the enrolled child; c. Stored in a waterproof container that is tightly covered and lined with a plastic bag; and d. Sent home with the enrolled child’s parent; and

“Findings: Based on the Compliance Officers' observations, the diaper changing area lacked a soiled clothing container.”

AAC R9-3-507.A.1. A. A certificate holder shall ensure that a staff member changes diapers only on a nonabsorbent, sanitizable diaper changing surface that: 1. Is kept clear of items not required for diaper changing;

“Findings: Based on the Compliance Officers' observations, the diaper changing pad had fabric straps, making the surface not sanitizable.”

AAC R9-3-301.F.1. F. A certificate holder shall: 1. Prepare a document that includes the following information: a. The name and contact telephone number of the provider; b. The hours of operation of the child care group home; c. Charges, fees, and payment requirements for child care services; d. Whether medications are administered at the child care group home and, if so, a description of what the parent is required to give to the child care group home; e. Whether enrolled children go on field trips under the supervision of a staff member; f. Whether the child care group home provides transportation for enrolled children to or from school, a school bus stop, or other locations; g. The mechanism by which a staff member will verify that an individual contacting the child care group home by telephone claiming to be the parent of an enrolled child is the enrolled child’s parent; h. A statement that a parent has access to the areas on the premises where the parent’s enrolled child is receiving child care services; i. A statement that inspection reports for the child care group home are available for review at the child care group home; and j. The local address and contact telephone number for the Department; and

“Findings: Based on the review of the facility documentation and the Compliance Officer's observations, the statement of services lacked the following required information: *Field trip policy. *Transportation policy. *Parent verification method. *Parent access policy. *A statement that parents have access to the areas where children are receiving care. *Department phone number and address.”

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

“Findings: Based on the review of the facility documentation and the Compliance Officer's observations, the files for Staff #1 (DOE 10.23.23), Staff #2 (DOE 10.23.23), and Resident #1 lacked a DPS verification prior to the starting date of employment or the resident's 18th birthday.”

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 review of facility documentation and the Compliance Officer's observations, the files for Staff #1 (DOE 10.23.23) and Staff #2 (10.23.23) lacked documentation of two good-faith efforts to contact previous employers.”

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.

“Findings: Based on the review of facility documentation and the Compliance Officer's observations, two of three files reviewed lacked documentation of a background check result for Staff #1 (DOE 10.23.23), Staff #2 (DOE 10.23.23), and the file for Resident #1 lacked documentation of a background check submittal.”

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: Based on the review of facility documentation and the Compliance Officer's observations, the files for Staff #1 (DOE 10.23.23) and Resident #1 lacked documentation of valid negative Mantoux skin tests, as the documents in the files were similar copies with the following amendments: *Staff #1: The year the test was applied (20[23]), the year the provider administered the test (20[23]), the lot expiration year (20[25]), and the year the test was read (20[23]) were written over correction fluid with a different pen type than the rest of the document. *Resident #1: The document in the file contained the same handwriting, signatures, and pen types as Staff #1's document, with the following exceptions. The "patient information" header was partially removed. Resident #1's first name and date of birth, the year the test was applied (20[23]), the year the provider administered the test (20[23]), the lot expiration year (20[25]), and the year the test was read (20[23]) were written over correction fluid with a different pen type than the rest of the document.”

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 the review of the facility documentation and the Compliance Officer's observations, the main posting lacked the name of the staff member designated to act on behalf of the provider.”

AAC R9-3-301.N. When the premises of a child care group home are left unoccupied during hours of operation or the child care group home is temporarily closed due to an unexpected event, a certificate holder shall ensure that a staff member notifies the Department before leaving the child care group home unoccupied or closing the child care group home, stating the period of time during which the child care group home will be unoccupied or closed.

“Findings: Based on facility documentation and the Compliance Officer's observation, it was determined that the licensee did not notify the department before leaving the child care group home unoccupied during hours of operation or closing the child care group home, stating the time during which the child care group home will be unoccupied or closed.”