Explora Childcare

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 Compliance Officer's observations and documentation reviewed, the file for Staff #1 lacked documentation of a negative TB test.”

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, a binder was placed in the diaper changing area.”

AAC R9-3-202.A.1.b. A. A certificate holder shall ensure that: 1. A staff member completes, signs, dates, and submits to the certificate holder before the staff member’s starting date of employment or volunteer service: b. If required by A.R.S. § 8-804, the form in A.R.S. § 8-804(I); and

“Findings: Based on Compliance Officer #1's observations and facility documentation, 1 of 5 staff and resident files reviewed lacked the following: **Staff #1: proof of background check submission to the direct central registry.”

AAC R9-3-202.D. D. A certificate holder shall ensure that each individual who is a staff member or an adult resident submits to the certificate holder a copy of the individual’s a valid fingerprint clearance card each time the fingerprint clearance card is issued or renewed every six years.

“Findings: Based on Compliance Officer #1's observations and facility documentation, the fingerprint clearance card for Staff #1 (DOE: 04/07/12) expired on 06/07/24 and a new one was issued on 06/26/24. Staff did not have a valid card between 06/08/24 and 06/25/24.”

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

“Findings: Based on the Compliance Officers' observations, there were feces in multiple areas of the outdoor activity area.”

AAC R9-3-505.D.9. D. A certificate holder shall ensure that: 9. An enrolled child does not have access to the following on the premises: a. Lawn mowers, ladders, toilet brushes, plungers, and other equipment that may be a hazard to a child; b. An air conditioner, evaporative cooler, heat pump, or furnace; c. A hot tub or spa; d. A pond or fountain; e. An irrigation ditch, abandoned mine, or well; or f. A trampoline.

“Findings: Based on the Compliance Officers' observations, a plunger was accessible to enrolled children in the restroom.”

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.

“Findings: Based on facility documentation and the Compliance Officers' observations, the licensee lacked documentation of a current gas inspection report (expired 03/01/2024).”

AAC R9-3-302.E. E. A certificate holder shall ensure that a staff member required by R9-3-301(I) meets all of the following: 1. The staff member obtains first aid training specific to infants and children; 2. The staff member obtains CPR training specific to infants and children, which includes a demonstration of the staff member’s ability to perform CPR; 3. The staff member maintains current training in first aid and CPR; and 4. The staff member provides the certificate holder with a copy of the front and back of the current card issued to the staff member upon completing first aid and CPR training as proof of completion of the requirements in this subsection.

“Findings: Based on CO's observations, a review of 4 staff files and 4 resident files, and staff interview, all staff in the group home, Staff #1 (date of hire 07/17/2023, Staff #2 (date of hire 07/17/2023), Staff #3 (date of hire 11/16/2011), and Staff #4 (date of hire 04/07/2012), lacked documentation of a physical demonstration of the staff member's ability to perform CPR. Staff stated that the CPR training was an online course with no physical demonstration. REFERENCE R9-5-301.I”

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 CO's observations and a review of Provider documentation, enrolled children's attendance records lacked the following required information: **Child #1 and Child #2 - arrival and departure signatures signed with initials only on 08/18/2023, 09/11/2023, 09/13/2023, 09/19/2023, and 10/13/2023 **Child #3 - arrival and departure signatures signed with initials only on 10/13/2023 **Child #4 - arrival and departure signatures signed with initials only on 08/18/2023”

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;

“Findings: Based on CO's observations, there were 3 containers of fragrance sprays in the hall bathroom accessible to enrolled children.”

AAC R9-3-202.A.1.b. A. A certificate holder shall ensure that: 1. A staff member completes, signs, dates, and submits to the certificate holder before the staff member’s starting date of employment or volunteer service: b. If required by A.R.S. § 8-804, the form in A.R.S. § 8-804(I); and

“Findings: Based on Compliance Officer's (CO) observations and a review of 4 staff files and 4 resident files, Staff #1 (date of hire 07/17/2023) lacked documentation of a completed DCS affidavit. REFERENCE: R9-5-203.G”

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 CO's observations and a review of 4 staff files and 4 resident files, Staff #2 (date of hire 07/17/2023) lacked documentation of submission to DCS to complete a background check.”

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 CO's observations and a review of 4 staff files and 4 resident files, Staff #2 (date of hire 07/17/2023) lacked documentation of freedom from tuberculosis.”

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 CO's observations and a review of Provider documentation, Staff #1 (date of hire 07/17/2023), Staff #2 (date of hire 07/17/2023) and Staff #3 (date of hire 11/16/2011) lacked documentation of a dated attendance record.”

AAC R9-3-302.B. A certificate holder shall ensure that a staff member's completion of the training required by subsection (A) is documented and signed by the provider, including the date of completion of the training.

“Findings: Based on CO's observations and a review of 4 staff files and 4 resident files, Staff #2's (date of hire 07/17/2023) new staff training lacked the Provider's signature and a date.”

AAC R9-3-506.5. A certificate holder shall ensure that: 5. Each bathroom used by an enrolled child at the child care group home has the following within the reach of enrolled children: a. Mounted toilet tissue, b. Soap contained in a dispenser, and c. Singly dispensed paper towels;

“Findings: Based on CO's observations, the hall bathroom lacked singly dispensed paper towels.”

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: Based on CO's observations and a review of 4 staff files and 4 resident files, Staff #3 (date of hire 11/16/2011) lacked documentation of 4 hours of the required 12 hours of annual training.”