Helpful Little Hands

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: The Primary Compliance Officer observed the following items that were accessible to enrolled children in a linen closet located across from the restroom utilized by children. The closet door track was damaged, causing the bi-fold closet door to remain partially opened. -Toilet brush -Clorox Disinfecting Wipes -Febreze Air Mist”

AAC R9-3-406.C.1. When a child care group home provides food for enrolled children, the certificate holder shall ensure that: 1. Each meal or snack is prepared and served according to the meal pattern requirements in Table 4.2;

“Findings: Based on review of the posted menu the Primary Compliance Officer noted that the AM Snack contained only one component on the following dates: -04/07/2026: Bagel -04/16/2026: Bagel -04/18/2026: Cantaloupe”

AAC R9-3-302.D. A certificate holder shall ensure that a staff member submits to the certificate holder documentation of training received as required by subsection (C) as the training is completed.

“The Compliance Officers noted that documentation of 12 or more training hours was not available for Staff 1 between the dates of 07/11/2023 and 07/11/2024.”

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 that Child 1's card was not complete, as it was lacking the following information: -The name of the individual to be contacted in case of injury or sudden illness of the child -The medical info on the back side of the card -The Parent's dated signature”

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 review of sign in/out documents Compliance Officer noted that Child 1 and Child 2 were not signed out from the facility on 05/01/2024.”

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: Compliance Officers noted that the weekly menu was not available to review during the inspection. *The Provider emailed the current menu to the Department on 05/02/24*”

AAC R9-3-310.A. A. A certificate holder shall ensure that a child care group home has a first-aid kit on the premises that contains at least the following items, in a quantity sufficient to meet the needs of the enrolled children at the child care group home: 1. Sterile bandages including: a. Adhesive bandages of assorted sizes, b. Sterile gauze pads, and c. Sterile gauze rolls, 2. Antiseptic solution or sealed antiseptic wipes, 3. Single-use non-porous gloves, 4. Reclosable plastic bags of at least one-gallon size, 5. Scissors, and 6. Adhesive or self-adhering tape.

“Findings: Based on review of the supplied first aid kit Compliance Officer 2 noted that it only contained one gauze pad. Multiple gauze pads are required to be available.”