Happy Kids Kare Learning Center

A.R.S. § 36-897.02.B. B. At least two adults shall be present in the child care group home when six to ten children are cared for in the home.

“Findings: Per allegation and based on the Compliance Officers' observations and interview of facility staff, it was determined that on 2/13/2025, the staff-to-child ratio was 1:9 instead of the required ratio of 2:9. The Licensee stated "The other staff member had called out sick that day."”

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: Based on Compliance Officer #1's observation, it was determined that there were 3 diaper rash creams that lacked an identifier.”

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 Compliance Officer #2's observation and review of facility documentation, it was determined that 4 out of 10 Emergency, Information and Immunization Record cards were incomplete and lacked the following required information: Child #1: The date of the child's enrollment. Child #2: The name and phone number of the child's health care provider. Child #3 and Child #5: The name and phone number of the child's second emergency contact. Child #4: The date of the child's enrollment, the name, address and phone number of the child's parents, the name and phone number of the child's health care provider and the name of the individual to be contacted in case of injury or sudden illness of the child.”

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 Compliance Officer #1's observation, it was determined that the toilet paper was not mounted in the restroom.”

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 Compliance Officer #1's observation, it was determined that there was a canister of disinfecting wipes with a child warning label accessible to the enrolled children.”

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: Based on Compliance Officer #2's observation, it was determined that there was an electrical outlet that lacked a safety cover in the main activity area.”

AAC R9-3-403.A.4.b. A. A certificate holder shall ensure that: 4. When feeding an enrolled infant who is no longer being held for feeding or an enrolled one- or two-year-old child, a staff member: b. If the feeding chair is manufactured with a safety strap, fastens the safety strap around the enrolled infant or one- or two-year-old child while the enrolled infant or one- or two year-old child is seated in the feeding chair

“Findings: Based on Compliance Officer #2's observation, it was determined that a 2 year old child was not strapped in the feeding chair. The provider stated that the child had removed the straps.”

AAC R9-3-402.C.4. C. A certificate holder shall ensure that a crib used by an enrolled child: 4. Does not contain bumper pads, pillows, comforters, sheepskins, stuffed toys, or other soft products when an enrolled child is in the crib.

“Findings: Based on Compliance Officer #1's observation, it was determined that there was a boppy pillow in the crib with an infant present in it.”

AAC R9-3-507.B.4. B. A certificate holder shall ensure that: 4. Soiled disposable diapers and disposable training pants are: a. Stored in a waterproof container that is tightly covered and lined with a plastic bag; and b. Removed from the diaper-changing area and discarded in an outside waste receptacle once daily or, if necessary, more often.

“Findings: Based on Compliance Officer #1's observation, it was determined that there was a diaper in a container that lacked a tight fitting lid and a liner.”

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 observation and review of facility documentation, it was determined that the files for Staff #1 and Staff #2, lacked a DCS Direct Service Position Affidavit.”

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 Compliance Officer #1's observation and review of facility documentation, it was determined that the file for Staff #1 (start date: 3/20/2024) lacked a negative Mantoux TB test.”

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 Compliance Officer #1's observation and review of facility documentation, it was determined that the following staff files were incomplete and lacked the following required information: Staff #1: *Immunity statement Staff #2: *Emergency contact name and phone number *2 good faith references”

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 facility documentation and Compliance Officer #1's observation, it was determined that 5 out of 8 enrolled children's Emergency, Information, and Immunization Record cards reviewed were incomplete and lacked the following required information: Child #1: The date of child's enrollment and the name of the individual to be contacted in case of injury or sudden illness of the child. Child #2: The address of the child's second parent. Child #3: The date of child's enrollment and the name and phone number of a second emergency contact. Child #4: The date of child's enrollment. Child #5: The name, address and phone number of the child's second parent, the phone number of the child's health care provider and the name of the individual to be contacted in case of injury or sudden illness of the child.”

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: Based on Compliance Officer #1's observation and review of facility documentation, it was determined that the file for Staff #2 lacked the new hire training within 10 days of the starting date of employment.”

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 Compliance Officer #1's observation and review of facility documentation, it was determined that the posting board lacked 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.”

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 Compliance Officer #2's observation, it was determined that there was a canister of disinfectant wipes on the counter top that was accessible to the enrolled children.”

AAC R9-3-504.C.2. C. A certificate holder shall: 2. Ensure that each rechargeable fire extinguisher in the child care group home’s residence: a. Is serviced at least once every 12 months, and b. Has a tag attached to the fire extinguisher that specifies the date of the last servicing and the identification of the person who serviced the fire extinguisher.

“Findings: Based on Compliance Officer #2's observation and review of facility documentation, it was determined that there was no documentation that the fire extinguishers had been serviced in last 12 months.”

AAC R9-3-202.A.1.a. 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: a. The form required in A.R.S. § 36-897.03(B); and

“Findings: Based on Compliance Officer #1's observation and review of facility documentation, it was determined that the file for Staff #1 lacked a Criminal History Affidavit.”

AAC R9-3-504.F.1. F. A certificate holder shall ensure that: 1. An unannounced fire and emergency evacuation drill are: a. At least once each month; and b. Each fire drill and emergency evacuation drill at a different time of day than the fire and emergency evacuation drill conducted in the previous month;

“Findings: Based on Compliance Officer #1's observation and review of facility documentation, it was determined that the facility lacked documentation of a fire drill for 2024.”

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: Based on Compliance Officer's observation and review of facility documentation, the 10 day training form not completed and signed for Staff #1 (start date 8/17/22). *Previously cited on 7/13/23.”

AAC R9-3-505.D.2. D. A certificate holder shall ensure that: 2. A glass window, mirror, or other glass surface that is located lower than 36 inches above the floor, a sliding glass door, or another type of glass partition that is located lower than 36 inches above the floor: a. Is made of safety glass that has been manufactured, fabricated, or treated to prevent the glass from shattering or flying when struck or broken; b. Is shielded by a barrier to prevent impact by or physical injury to an enrolled child; or c. Has conspicuous markings located at a child’s eye level;

“Findings: Based on Compliance Officer's observation, the sliding door leading to the backyard needed conspicuous markings for the door at children's eye level. *Repeat citation from 7/13/23.”

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 Compliance Officer's observation and review of facility documentation, the facility lacked documentation of a current gas inspection. *Repeat citation from 7/13/23.”

AAC R9-3-407.A.17. A. A certificate holder shall ensure that: 17. A freezer at the child care group home maintains a temperature of 0° F or below, as shown by a thermometer kept in the freezer at all times;

“Findings: Based on Compliance Officer's observation, the facility freezer lacked a thermometer. *Repeat citation from 7/13/23.”

AAC R9-3-407.A.16. A. A certificate holder shall ensure that: 16. A refrigerator at the child care group home maintains a temperature of 41° F or below, as shown by a thermometer kept in the refrigerator at all times;

“Findings: Based on Compliance Officer's observation. the refrigerator lacked a thermometer *Repeat citation from 7/13/23.”

AAC R9-3-402.C.4. C. A certificate holder shall ensure that a crib used by an enrolled child: 4. Does not contain bumper pads, pillows, comforters, sheepskins, stuffed toys, or other soft products when an enrolled child is in the crib.

“Findings: Based on Compliance Officer's observation, an infant was sleeping on top of a pillow in a crib, without a doctor’s note stating that the child needed the pillow.”

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 Compliance Officer's observation and review of facility documentation, 8 of 10 Emergency Information and Immunization record cards reviewed lacked the following required documentation: Child #1: Parent/Guardian contact information; Health care provider's contact information; name of the individual to be contacted in case of sudden injury or illness. Child #2: was missing a card. Child #3: Date of enrollment; Parent/guardian's contact information; Health care provider's contact information; Health care provider's contact information; the name of the individual to be contacted in case of sudden injury or illness. Child #4: Parent/Guardian's contact information; Health care provider's contact information. Child #5: Date of enrollment; 1 emergency contact's information; Health care provider's contact phone number. Child #6: Date of enrollment; Name of the individual to be contacted in case of sudden injury/illness. Child #7: Date of enrollment; Parent/guardian's contact information. Child #8: was missing a card.”