De Los Rios Childcare

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

“Findings: Based on a review of sign-in and out documents, the Compliance Officers noted that Child 1 and Child 2 have been signed in and out during the month with only initials documented, and not a full last name.”

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 review of required documents, as well as staff statements, it was determined that staff are not recording their start and end times consistently since July 2025.”

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: Based on a review of medications, the Compliance Officers noted that two medicines stored onsite for Child 2 did not have medication consent forms as required. The consent form for each medication must document the following: 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”

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 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 call first in an emergency, nor did it include their date of enrollment. -Child 2's card did not document their date of enrollment. -Child 3's card was not complete, the questions on the backside were not answered by the parent/guardian.”

AAC R9-3-504.A.5. A. A certificate holder shall ensure that: 5. Each electrical outlet in an area of the child care group home approved for providing child care services is covered with a safety plug cover or insert when not in use;

“Findings: The Compliance Officers noted that an unused electrical outlet on the back porch was not covered with a safety plug cover 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 Officers noted that the posted menu was not for the current week, it was dated for February 03 - February 07, 2025.”

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 Compliance Officers noted that Child 3's modified diet was not posted in the kitchen as required.”

AAC R9-3-401.C.4. A certificate holder shall ensure that a staff member: 4. Except as specified in subsection (C)(5), labels the personal items of an enrolled child with an identifier that is specific to the enrolled child and stores the personal items separately from the personal items of other enrolled children and residents;

“Findings: The Compliance Officers noted that a tube of Aquaphor in the the diapering area was not labeled or marked with an identifier.”

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.

“Findings: Based on review of staff and resident files the Compliance Officers noted that the files lacked documentation that the existing fingerprint cards were validated via DPS at the time of licensure.”

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: Based on review of medications stored onsite the Compliance Officers noted that a Medication Consent Form was not available for Child 2's medication. Additionally, there was a plastic bottle of Genexa liquid pain reliever in a gallon-sized bag in the diapering area, but it did not have a corresponding medication consent form, nor was it labeled with a child's name.”

AAC R9-3-302.A. A. Within 10 calendar days after the starting date of employment or volunteer service, a certificate holder shall provide, and each staff member shall complete, training for new staff members that includes all of the following: 1. Names, ages, and developmental stages of enrolled children; 2. Health needs, nutritional requirements, any known allergies, and information about adaptive devices of enrolled children; 3. Guiding and disciplining children; 4. Hand washing techniques; 5. Diapering techniques and toileting, if any enrolled children are in diapers or require assistance in using the toilet; 6. Sudden infant death syndrome awareness, if child care services are provided to an infant or a one year-old child; 7. Preparing, serving, and storing food; 8. Preparing, handling, and storing infant formula and breast milk, if any enrolled children are fed infant formula or breast milk; 9. Recognizing signs of illness and infestation; 10. Detecting, preventing, and reporting child abuse or neglect; 11. Responding to accidents and emergencies; 12. Sun safety; 13. Procedures for trips away from the child care group home, if applicable; and 14. Staff responsibilities as required by A.R.S. Title 36, Chapter 7.1, Article 4 and this Chapter.

“FINDINGS: The Compliance Officer reviewed the files for Staff 1 and Staff 2 and observed that they lacked copies of their New Employee Checklists.”

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 files for Staff 1 and Staff 2 and observed that they lacked documentation of the verification of their fingerprint cards.”

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: The Compliance Officer reviewed the infant feeding instructions for Child 5 and observed that it had zero food entries since it was completed on 7/24/23 and the Child was eating food at the time of the inspection.”

AAC R9-3-401.C.4. A certificate holder shall ensure that a staff member: 4. Except as specified in subsection (C)(5), labels the personal items of an enrolled child with an identifier that is specific to the enrolled child and stores the personal items separately from the personal items of other enrolled children and residents;

“FINDINGS: The Compliance Officer inspected the diaper changing area and observed a tube of Destin that was not marked with an identifier.”

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 reviewed the posted menu and observed that it was dated 2/5-2/9.”

AAC R9-3-309.H. A certificate holder shall ensure that a child care group home does not stock a supply of prescription or nonprescription medications for administration to enrolled children.

“FINDINGS: The Compliance Officer inspected the first aid kit and observed that it contained a packet of burn cream.”

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 emergency cards and observed the following: The card for Child 1 lacked their doctor's name and telephone number. The card for Child 2 lacked two emergency contacts, the name of the person to call first, answers to the back page, and the parent's name and dated signature. The card for Child 3 lacked a second emergency contact and their doctor's name and telephone number. The card for Child 4 lacked the name of the person to call first.”