Home Of Hope Christian Childcare Center

AAC R9-5-403.B. B. A licensee shall ensure that:1. Each staff member who provides child care services completes 18 or more actual hours of training every 12 months after the effective date of this Chapter or the staff member’s starting date of employment or volunteer service in at least two topics listed in this subsection: a. Child growth and development, including: i. Infant growth and development, which may include sudden infant death syndrome prevention; ii. Developmental psychology; iii. Language development; iv. Observation and child assessment; v. Developmentally-appropriate activities; vi. Child guidance and methods of discipline which may include training on the appropriate techniques to prevent a child from harm or to prevent the child from harming others; and vii. Developmentally-appropriate activity areas; b. Health and safety issues, including: i. Accident and emergency procedures, including CPR and first aid for infants and children; ii. Recognition of signs of illness and infestation; iii. Nutrition and developmentally-appropriate eating habits; iv. Child abuse detection, reporting, and prevention; v. Safety of indoor and outdoor activity areas; and vi. Sun safety policies and procedures; c. Program administration, planning, development, or management; and d. Availability of community services and resources, including those available to children with special needs; and 2. As part of the required 18 hours of training in subsection (B)(1): a. A staff member who has less than 12 months of child care experience before the staff member’s starting date, completes at least 12 hours in one or more of the topics in subsection (B)(1)(a) in the staff member’s first 12 months at the facility; b. A staff member who has 12 months or more of child care experience, completes at least 6 hours in one or more of the topics in subsection (B)(1)(a) every 12 months after the staff member’s starting date; c. A staff member who provides child care services to an infant completes at least 6 hours in subsection (B)(1)(a)(i) every 12 months after the staff member’s starting date; and d. A facility director completes at least 6 hours in subsection (B)(1)(c) every 12 months after the facility director’s starting date.

“The Compliance Officer reviewed two staff files and observed Staff 1, hired 3/4/2024 did not have documentation of 18 hours of annual training.”

AAC R9-5-501.A.12. A. A licensee shall ensure that: 12. The facility premises, including the buildings, are maintained free from hazards;

“The Compliance Officer observed the shelves in the 1 year old room next to the hand washing sink were not secured to the wall, and were unstable.”

AAC R9-5-501.A.19. A. A licensee shall ensure that:19. Except as provided in subsection (A)(20), the following are stored separate from food storage areas and are inaccessible to an enrolled child: a. All materials and chemicals labeled as a toxic or flammable substance; b. All substances that have a child warning label and may be a hazard to a child; and c. Lawn mowers, ladders, toilet brushes, plungers, and other facility equipment that may be a hazard to a child;

“The Compliance Officer observed a bag of potting soil accessible to the enrolled children in the school age classroom. The soil had a warning label on the bag.”

AAC R9-5-502.C.1.n. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: n. Follows the current written dietary instructions of a parent when feeding the infant;

“The Compliance Officer reviewed the infant feeding instructions and the food logged for the day for Child 1. Child 1 was fed mangos which were not documented on the written feeding instructions.”

AAC R9-5-502.C.3.a. C. A licensee shall ensure that: 3. When preparing, using, or caring for an infant's feeding bottles, a staff member: a. Labels each bottle received from the parent with the infant's name;

“The Compliance Officer observed 2 bottles not labeled with Child 2's name stored in the refrigerator in the infant room.”

AAC R9-5-504.5.a. A licensee providing child care services for 1-year-old and 2-year-old children shall: 5. Ensure that: a. If finger food is served, the food is of a size and texture that does not present a choking hazard;

“The Compliance Officer observed thick french fries that were served to the 1 and 2 year old children without ensuring that they were cut into a size and texture that did not present a choking hazard.”

AAC R9-5-518.G. G. When six or more enrolled children are participating in a field trip, a licensee shall ensure that a teacher-caregiver and at least one additional staff member are present on the field trip.

“The Compliance Officer inquired about the field trip to the pool on 6/20/2025 and found that only 1 staff with 10 children attended the trip. The Licensee failed to ensure that the staff to children ratio was maintained to include an additional staff member while on the filed trip.”

AAC R9-5-501.A.1. A. A licensee shall ensure that:1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Per the allegations and based on the Compliance Officers interviews and investigation the following allegation was substantiated: Child 1 exhibits behavior that endangers the health, safety, and welfare of the enrolled children at the facility. The incident reports dated 11/4/24, 11/8/24, 1/11/24, 11/12/24, and 11/14/24 documented physical and verbal aggressive behaviors including; yelling at and hitting enrolled children, pushing a chair into an enrolled child, throwing a chair, and two reports of exposing the child's genitals to other children.”

AAC R9-5-510.A.1. A. A licensee shall ensure that a staff member: 1. Defines and maintains consistent and reasonable guidelines and limitations for an enrolled child’s behavior;

“Per the allegations and based on the Compliance Officers investigation the following allegation was substantiated: Staff report that they are not able to establish reasonable guidelines for Child 1's behavior to ensure the safety of the other children in the room. Examples of Child 1's behavior include: spitting in a child's hair, hitting, yelling, throwing a chair at a child, and exposing themselves to enrolled children. Staff report that Child 1 has had to be put in a restraint hold, removed from the classroom, and has had to go home early when behaviors are unmanageable.”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“The Compliance Officer (CO) measured the water used for diapering in the 1 year old room to measure 80 degrees Fahrenheit at the diaper sink.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete a Department-provided Emergency, Information, and Immunization Record card that is signed by the enrolled child’s parent containing: 1. The child’s name, home address, city, state, zip code, home telephone number, 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 facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(9); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“The CO reviewed 15 EIIR cards. Child 3 did not have documentation of a physician's name and phone number.”

AAC R9-5-203.F. F. A licensee shall ensure that each staff member submits to the licensee a copy of the staff member’s valid:1. Background check document issued under A.R.S. § 46-811(A) within 10 working days after starting date of employment or volunteer service; and 2. Background check document each time a background check is issued or renewed every five years.

“The CO reviewed 2 staff files. Staff 1, hired 12/18/2023 did not have documentation of a DCS background check.”

AAC R9-5-203.B. B. A licensee shall maintain documentation of a valid fingerprint clearance card issued under A.R.S. § 41-1758.03 and valid background check document issued under in A.R.S. § 46-811.

“The CO reviewed 2 staff files. Staff 1 did not have the back of their fingerprint clearance card documented in their file.”

AAC R9-5-306.A. A. A licensee shall maintain a dated attendance form containing an enrolled child’s name with the time of each admission and release of the enrolled child. 1. Except as provided in subsection (A)(2), a licensee shall ensure that the attendance form is signed with at least a first initial of an individual’s first name and the individual’s last name by each enrolled child’s parent or individual designated by the enrolled child’s parent, each time the enrolled child is admitted or released. 2. An electronic fingerprint verification or an electronic signature may be used in place of a signature of the enrolled child’s parent or designated individual to admit or release the enrolled child. 3. If an electronic signature is used to admit or release the enrolled child, the licensee shall adopt policies and procedures to ensure that the individual whose signature the electronic or digital method of identification represents is accountable for the use of the electronic or digital method; 4. A licensee shall develop, document, and implement policies and procedures to ensure that the identity of an individual is known to the staff member or is verified with picture identification before releasing an enrolled child to the individual. 5. A licensee shall not release the enrolled child to an individual other than the enrolled child’s parent or other individual designated in writing by the enrolled child’s parent except when the enrolled child’s parent is unable to collect the enrolled child and authorizes the licensee by telephone to release the enrolled child to an individual not so designated. a. The licensee shall verify the telephone authorization using a means of verification that has been agreed upon between the licensee and the enrolled child’s parent at the time of enrollment. b. The licensee shall document the means of verification in subsection (A)(5)(a) on the enrolled child’s Emergency, Information, and Immunization Record card. 6. A licensee shall not permit the self-admission or self-release of an enrolled child unless the enrolled child is of school age and the licensee has obtained and verified written permission from the enrolled child’s parent. 7. A licensee shall maintain the attendance form on facility premises for 12 months after the date of attendance.

“The CO observed 15 sign in and out records. Child 1 and Child 2 are signed in and out with the first name last initial of parent or guardian on 9/5, 9/6, 9/9, and 9/10/24.”

AAC R9-5-503.A.2. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“The CO tested the water in the diapering sink. The sink temperature was set to 125 degrees F in the infant room. Staff 3 adjusted the water temperature during the inspection. The water temperature came into compliance during the inspection. Previously cited 11/12/21”

AAC R9-5-502.C.1.l. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: l. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“The CO reviewed the feeding instructions for the 5 infants present during the inspection. Child 3 started in the infant room on 1/29/24, and the staff failed to obtain written feeding instructions. Staff 1 and 2 fed Child 3 food without obtaining written feeding instructions to ensure that what the child was fed was authorized. The CO observed that the feeding instructions for the 4 other infants in the room did not have an amount and frequency of formula to be fed documented on the form. Feeding instructions were extensively reviewed during the side by side training conducted on 11/28/23. Guidance provided on suggestions for posting and completion of instructions has not been implemented. Previously cited 4/11/23, 10/26/22, 11/12/21, and 11/5/20”

AAC R9-5-502.C.1.d. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: d. Keeps dated, daily, documentation of each infant including: i. A description of any activities the infant participated in, ii. The infant’s food consumption, iii. Diaper changes, and iv. Tummy time;

“The CO reviewed the documentation for the infant's activities for each day. The staff are not documenting tummy time on the daily reports. Previously cited 10/26/2022”

AAC R9-5-502.A.8.c. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: c. Is furnished with clean, sanitized, crib-size bedding, including a fitted sheet and top sheet or a blanket;

“The CO observed that the sheets are not fitted in 3 cribs. Child 2 was asleep in one of the cribs that the sheets were observed to be not fitted to the mattress. The CO lifted up the crib mattresses and found that a flat sheet with no elastic or straps was tucked around the mattresses in the 3 cribs. Staff 2 reported that there were issues with laundering sheets, however Staff 3 reported that the staff have elastic straps with clips to secure the sheets that were located on the shelf.”

AAC R9-5-502.A.8.b. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: b. Has a commercially waterproofed mattress; and

“The CO observed Child 1 asleep on the floor in the infant room. Staff 2 reported that Child 1 had been asleep for approximately 15 minutes. Child 1 was asleep on blankets on the floor. Staff 2 reported that Child 1 has difficulty sleeping other than when held. The CO asked that the Staff place Child 1 in the crib to sleep. The CO observed Child 1 asleep on the floor, in the staff members arms, and in the crib. Previously cited 4/11/23 and 11/5/20”

AAC R9-5-502.A.3. A. A licensee providing child care services for infants shall: 3. Provide age-appropriate indoor and outdoor activities for each infant;

“The CO interviewed Staff 3, the Acting Director. Staff 3 reported that the Infants are not taken outside.”

AAC R9-5-501.A.12. A. A licensee shall ensure that: 12. The facility premises, including the buildings, are maintained free from hazards;

“The CO observed the infant room and observed water damage on the ceiling tiles. The paint was peeling off and hanging from the ceiling in sections that Water leak in ceiling, paint was observed to be peeling off and hanging down in 2-3 inch sections.”

AAC R9-5-403.A. A. Within 10 calendar days of the starting date of employment or volunteer service, a licensee shall provide, and each staff member who provides child care services shall complete, training for new staff members that includes all of the following:1. Facility philosophy and goals; 2. Names and ages of and developmental expectations for enrolled children for whom the staff member will provide child care services; 3. Health needs, nutritional requirements, any known allergies, and information about adaptive devices of enrolled children for whom the staff member will provide child care services; 4. Lesson plans; 5. Child guidance and methods of discipline; 6. Hand washing techniques; 7. Diapering techniques and toileting, if assigned to diaper changing duties; 8. Food preparation, service, sanitation, and storage, if assigned to food preparation; 9. If a staff member is assigned to feeding infants, the preparation, handling, and storage of infant formula and breast milk; 10. Recognition of signs of illness and infestation; 11. Child abuse or neglect detection, prevention, and reporting; 12. Accident and emergency procedures; 13. Staff responsibilities as required by A.R.S. Title 36, Chapter 7.1, Article 1 and this Chapter; 14. Sun safety policies and procedures; 15. Safety in outdoor activity areas; 16. Transportation procedures, if applicable; and 17. Field trip procedures, if applicable.

“The CO reviewed Staff 1's file and found that the training required within 10 days of hire was not documented in the staff file. Previously cited 10/13/23”

AAC R9-5-402.A. A. A licensee shall maintain a file for each staff member containing:1. The staff member’s name, date of birth, home address, and telephone number; 2. The staff member’s starting date of employment or volunteer service; 3. The staff member’s ending date of employment or volunteer service, if applicable; 4. The name and telephone number of an individual to be notified in case of an emergency; 5. The staff member’s written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis; 6. The form required in A.R.S. § 36-883.02(C); 7. Documents required by R9-5-203; 8. Documents required by R9-5-301; 9. Documents required by R9-5-401, if applicable; 10. If applicable: a. The form required in A.R.S. § 8-804(I), b. Documentation of the submission required in A.R.S. § 8-804 and the information received as a result of the submission, and c. Documentation of training provided by a licensee as required by R9-5-403, if applicable; 11. A copy of any current license or certification required by A.R.S. Title 36, Chapter 7.1, Article 1. or this Chapter; and 12. Documentation of the requirements in A.R.S. § 36-883.02(D).

“The Compliance Officer (CO) reviewed the staff file for Staff 1 who was observed in the infant room. Staff 1 did not have date of employment, emergency contact, immunization attestation documented in their file.”

ARS § 36-883.02.D. D. Employers of child care personnel 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 for employment in a child care facility.

“The CO reviewed the staff file for Staff 1. Staff 1's file did not contain documentation that the references had been verified.”

AAC R9-5-304.B. B. Except as required in A.R.S. § 36-3009, before an enrolled child receives child care services, a licensee shall require the enrolled child’s parent to complete a Department-provided Emergency, Information, and Immunization Record card that is signed by the enrolled child’s parent containing: 1. The child’s name, home address, city, state, zip code, home telephone number, 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 facility in case of emergency, or if the child’s parent cannot be contacted; 5. The name and contact telephone number of the child’s health care provider; 6. The written authorization for emergency medical care of the enrolled child when the parent cannot be contacted at the time of the emergency; 7. The name of the individual to be contacted in case of injury or sudden illness of the child; 8. The written instructions of a child’s parent or health care provider for nutritional and dietary needs of the child including, if applicable, the request in R9-5-509(C)(9); and 9. A written record completed by the child’s parent or health care provider noting the child’s susceptibility to illness, physical conditions of which a staff member should be aware, and any individual requirements for health maintenance.

“The Compliance Officer (CO) reviewed 10 EIIR cards. The following cards were incomplete: Child 4- one emergency contact and physician's phone number was not documented. Child 2- one emergency contact and physician's phone number was not documented. Child 3- who to call first in the event of an emergency was not documented.”

AAC R9-5-503.A.1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 1. A nonabsorbent, sanitizable diaper changing surface that is: a. Seamless and smooth, and b. Kept clear of items not required for diaper changing;

“The CO observed a cloth basket with toys on the diapering counter in the 1 and 2 year old room.”

AAC R9-5-502.A.8.c. A. A licensee providing child care services for infants shall: 8. Provide a crib for each infant that: c. Is furnished with clean, sanitized, crib-size bedding, including a fitted sheet and top sheet or a blanket;

“The CO observed Child 1 napping directly on the floor in the infant room. Previously cited 4/11/2023”

AAC R9-5-502.A.5.b. A. A licensee providing child care services for infants shall: 5. Develop, document, and implement tummy time policies and procedures that: b. Ensure a staff member who is supervising a non-crawling infant while the infant is flat on their stomach and on the floor: i. Is within reach of the infant; ii. Does not perform any other duties while supervising the infant; iii. Does not allow the use of pillows, comforters, sheepskins, stuffed toys, or other soft products in the same floor space as the infant; and iv. Does not allow any product specified in subsection (A)(5)(b)(iii) to be within reach of the infant;

“The CO observed Child 1 on their stomach on the carpet area without a staff member within reach of the infant. Staff 2 was seated across the room, on the floor, by the door feeding another child. Staff 2 reported that Child 1 can roll from back to front, but can not roll front to back. Cited previously 4/11/2023”

AAC R9-5-501.A.1. A. A licensee shall ensure that: 1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“The CO observed the infant room and observed Child 1 on their stomach in the carpet area without a staff member. Child 1 was placed at risk of harm when Staff 2 failed to follow tummy time protocols for infant safety. Cited previously 4/11/2023”

AAC R9-5-309.B. B. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a licensee shall ensure that 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 facility premises at least once every 12 months after the issue date of the license.

“The CO observed that the last gas inspection was conducted on 11/30/2021.”

AAC R9-5-403.C. C. A licensee shall ensure that documentation of a staff member's completion of training required by subsection (A) is signed by the facility director and dated.

“The CO reviewed 2 staff files and observed that Staff 2 lacked a director's signature on the training required within 10 days of hire.”

AAC R9-5-403.B. B. A licensee shall ensure that: 1. Each staff member who provides child care services completes 18 or more actual hours of training every 12 months after the effective date of this Chapter or the staff member’s starting date of employment or volunteer service in at least two topics listed in this subsection: a. Child growth and development, including: i. Infant growth and development, which may include sudden infant death syndrome prevention; ii. Developmental psychology; iii. Language development; iv. Observation and child assessment; v. Developmentally-appropriate activities; vi. Child guidance and methods of discipline which may include training on the appropriate techniques to prevent a child from harm or to prevent the child from harming others; and vii. Developmentally-appropriate activity areas; b. Health and safety issues, including: i. Accident and emergency procedures, including CPR and first aid for infants and children; ii. Recognition of signs of illness and infestation; iii. Nutrition and developmentally-appropriate eating habits; iv. Child abuse detection, reporting, and prevention; v. Safety of indoor and outdoor activity areas; and vi. Sun safety policies and procedures; c. Program administration, planning, development, or management; and d. Availability of community services and resources, including those available to children with special needs; and 2. As part of the required 18 hours of training in subsection (B)(1): a. A staff member who has less than 12 months of child care experience before the staff member’s starting date, completes at least 12 hours in one or more of the topics in subsection (B)(1)(a) in the staff member’s first 12 months at the facility; b. A staff member who has 12 months or more of child care experience, completes at least 6 hours in one or more of the topics in subsection (B)(1)(a) every 12 months after the staff member’s starting date; c. A staff member who provides child care services to an infant completes at least 6 hours in subsection (B)(1)(a)(i) every 12 months after the staff member’s starting date; and d. A facility director completes at least 6 hours in subsection (B)(1)(c) every 12 months after the facility director’s starting date.

“The CO reviewed 2 staff files and observed that Staff 1, hired 4/25/2013, did not have documentation of any annual training for 2021, 2022, and 2023.”

AAC R9-5-309.C. C. A licensee shall maintain on facility premises: 1. A current fire inspection report including documentation of any repairs or corrections required by the fire inspection report; and 2. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a current gas inspection report including documentation of any repairs or corrections required by the gas inspection report.

“The CO observed that the Licensee does not have a current fire inspection. The most recent fire inspection is dated 2/26/2021.”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings: 1. In a clean condition, and 2. Free from odor.

“The CO observed dirt and debris build up on the floor in the infant room accessible to the infant children. Previously cited 4/11/2023.”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings: 1. In a clean condition, and 2. Free from odor.

“The CO observed blue towels soiled with urine stored in the toddler bathroom/ diapering area on the floor accessible to the enrolled children in the 1 and 2 year old room. Previously cited 4/11/2023”

AAC R9-5-503.D. D. A licensee shall ensure that a written diaper changing procedure is posted and implemented in each diaper changing area.

“The CO observed the diapering surface in the infant room to have a build up of dirt and debris. Staff are not implementing the cleaning procedures for the diaper changing area.”