Daycare Leon

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: Based on the Compliance Officer’s observations and review of documentation, the diaper-changing log has not been updated since May 26, 2026.”

AAC R9-3-407.A.7. A certificate holder shall ensure that: 7. Each enrolled child's bottle or sippy cup is marked with an identifier that is specific to the enrolled child;

“FINDINGS: Based on the Compliance Officers’ observations, a feeding bottle contained milk and was not labeled with an identifier specific to an enrolled child.”

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: Based on the Compliance Officers’ observations and review of documentation, it was determined that the dietary modification for Child 3 listed in the Emergency Information and Immunization Record Card was not written and posted in the kitchen.”

AAC R9-3-403.A.3.b. A. A certificate holder shall ensure that: 3. When feeding an enrolled infant, a staff member: b. Feeds formula, breast milk, or other food to the enrolled infant according to current written instructions from the enrolled infant’s parent; and

“FINDINGS: Based on the Compliance Officers’ observations and review of documentation, it was determined that the feeding written instructions for Child 1 were last updated in August, 2025.”

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 the Compliance Officers’ observations and review of documentation, it was determined that 2 out of 12 Emergency Information and Immunization Record Cards lacked the following information: Child 1 and Child 2: the name of the person to be contacted first in case of injury or sudden illness of the child.”

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: Based on the Compliance Officers’ observations and review of documentation, it was determined that Staff 1 lacked information on her attendance log. She has not been recording her start and end times since March 06, 2026.”

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: Based on the Compliance Officers’ observations and review of documentation, it was determined that diaper changes have not been documented since March 02, 2026.”

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.

“Based on review of Emergency, Information and Immunization Record (EIIR) cards the Compliance Officers noted the following: -Child 1's card did not document the person to contact first in an emergency, and it did not document the name and contact number of the child's physician, it said "the mother". -Child 2's card did not document the person to contact first in an emergency, nor did it document the date of enrollment. Additionally, the questions on the back side of the card were not answered. -Child 3's card was not complete, the back side had not been completed as required.”

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 noted that the posted menu was not current, it was dated for September 03 through September 20, 2024.”

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: The Compliance Officer reviewed the file for Staff 1 (start date 1/3/23) and observed that the DPS verification of their fingerprint card was not documented.”

A.R.S. § 36-897.03.C. C. The provider shall make documented, good faith efforts to contact previous employers of child care personnel to obtain information or recommendations that may be relevant to an individual's fitness to work in a certified child care group home.

“FINDINGS: The Compliance Officer reviewed the file for Staff 1 (start date 1/3/23) and observed that it lacked documentation of the two required good faith effort reference checks.”

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 files and observed the following: - The card for Child 1 lacked their doctor’s name and telephone number, the name of the person to call first and the parents name and dated signature - The card for Child 2 lacked the name of the person to call first.”

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: The Compliance Officer inspected the diaper changing table and observed a blue mat was stored on top of the table surface. The table surface is wooden and is therefore not sanitizable.”

AAC R9-3-301.A.4.c. A. A certificate holder shall: 4. Ensure that the provider: c. Maintains on the premises a file for each resident, for 12 months after the date the resident last resided at the child care group home, containing: i. The resident’s name and date of birth; ii. The resident’s relationship to the provider; iii. The date the resident began residing at the child care group home; iv. The date the resident last resided at the child care group home, if applicable; v. A written statement by the resident or, if the resident is a minor, the provider attesting to the resident’s current immunity against measles, rubella, diphtheria, mumps, and pertussis; vi. If the resident is an adult, the form required in A.R.S. § 36-897.03(B); vii. If the resident is an adult, the documents required by R9-3-202(C)(2) or R9-3-202(D); and viii.If the resident is 12 years of age or older, the documents required by subsection (A)(3);

“FINDINGS: The Compliance Officer reviewed the file for Resident 1 and observed that their fingerprint card was not on file.”