Kara's Daycare

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: The Compliance Officers reviewed the fire drill log for 2026 and observed that the Provider did not list the time of the evacuation for the past eight months and the fire drills documented for 01/10 and 05/10 are weekend dates. The group home is not open on the weekends.”

AAC R9-3-507.B.1. B. A certificate holder shall ensure that: 1. A staff member: a. Cleans, sanitizes, and dries a diaper-changing surface using a single-use paper towel before and after each diaper change; b. Washes the staff member’s hands with soap and running water before and after each diaper change; c. Wears single-use non-porous gloves during each diaper change; d. Washes an enrolled child’s hands with soap and running water or with a washcloth or disposable wipe after the enrolled child’s diaper is changed and uses each washcloth or disposable wipe on only one child and only one time before it is laundered or discarded; and e. Documents the daily diaper changes for each enrolled child in a dated diaper-changing log after changing the enrolled child’s diaper;

“Findings: The Compliance Officers observed that the staff member was using food handlers gloves to change a child’s diaper.”

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 conversation with the Provider, Child 1 is transported to school and picked up after school to return to the group home. Based on a review of the sign-in and out log for March 2026, the Compliance Officer observed that Child 1 was not signed-out to go to school in the mornings or signed-in when returning from school on 3/02 - 03/06, 03/09, and 03/10. Child 1 was not signed-out to go to school on the day of the inspection 03/11. * Child 2 was not signed-in on 03/09 and 03/10. * Child 3 was present in the home but was already signed-out for 5:35pm.”

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: The Compliance Officer was unable to find a posted menu for the current week. The Provider acknowledged that it was not posted as she had not printed it out yet.”

AAC R9-3-507.B.1. B. A certificate holder shall ensure that: 1. A staff member: a. Cleans, sanitizes, and dries a diaper-changing surface using a single-use paper towel before and after each diaper change; b. Washes the staff member’s hands with soap and running water before and after each diaper change; c. Wears single-use non-porous gloves during each diaper change; d. Washes an enrolled child’s hands with soap and running water or with a washcloth or disposable wipe after the enrolled child’s diaper is changed and uses each washcloth or disposable wipe on only one child and only one time before it is laundered or discarded; and e. Documents the daily diaper changes for each enrolled child in a dated diaper-changing log after changing the enrolled child’s diaper;

“Findings: The Compliance Officer observed that the diaper log was not being maintained as there were four diapered children present at the home during the inspection and there was no diaper changes logged. The log showed that there was only two diaper changes done in the morning of 03/10/26. The Provider acknowledged that she was not keeping up with the diaper log.”

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.

“The Compliance Officer reviewed the personnel file for Staff 1 and observed that the new staff training form was not complete as it was in the file and blank (starting date of employment 03.13.24).”

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.

“The Compliance Officer reviewed 21 children's emergency cards and observed the following: * Child 3 was missing the date of enrollment and the name of the first person to be contacted in case of injury or sudden illness of the child. * Child 4 was missing the name and phone number for at least two emergency contacts. * Child 5 was missing the date of enrollment, and the parent did not date the form when signing the card. * Child 6 was missing the date of enrollment, the name of the first person to be contacted in case of injury or sudden illness of the child, and the parent did not sign or date the backside of the card.”

AAC R9-3-304.A.1. A. A certificate holder shall not permit an enrolled child to receive child care services at a child care group home until the child care group home receives: 1. An immunization record for the enrolled child with the information required in 9 A.A.C. 6, Article 7, stating that the enrolled child has received all current, age-appropriate immunizations required under 9 A.A.C. 6, Article 7, that is: a. Provided by a physician, physician assistant, registered nurse practitioner, or another individual authorized by state law to administer immunizations; or b. Generated from the Arizona State Immunization Information System, which is the Department’s child immunization reporting system established in A.R.S. § 36-135; or

“The Compliance Officer reviewed the binder that contained the files for 21 children's emergency cards and observed the following: * Child 1, Child 2, Child 5, and Child 6 were missing a copy of their immunization records. The Provider was unable to locate their immunization records during the inspection.”

AAC R9-3-305.A.1. A. A certificate holder shall ensure that: 1. An enrolled child is signed into and signed out from the child care group home by: a. The enrolled child’s parent; b. An individual authorized in writing or by telephone by the enrolled child’s parent; or c. The enrolled child, if the enrolled child is a school-age child and the enrolled child’s parent has given written permission for the enrolled child to self-admit or self-release;

“The Compliance Officer reviewed the children's sign-in and out logs for March 2025 and observed the following: * Child 7 was not signed-out on 3/11, and not signed-in but was present in the home at the time of the inspection on 03/12. * Child 5, Child 6, Child 8, and Child 9 were present at the home at the time of the inspection but were not signed-in for 3/12.”

AAC R9-3-507.B.1. B. A certificate holder shall ensure that: 1. A staff member: a. Cleans, sanitizes, and dries a diaper-changing surface using a single-use paper towel before and after each diaper change; b. Washes the staff member’s hands with soap and running water before and after each diaper change; c. Wears single-use non-porous gloves during each diaper change; d. Washes an enrolled child’s hands with soap and running water or with a washcloth or disposable wipe after the enrolled child’s diaper is changed and uses each washcloth or disposable wipe on only one child and only one time before it is laundered or discarded; and e. Documents the daily diaper changes for each enrolled child in a dated diaper-changing log after changing the enrolled child’s diaper;

“The Provider acknowledged that she has not been maintaining a diaper changing log. The Compliance Officer observed that there were diapered children in the home at the time of the inspection.”

AAC R9-3-506.2. A certificate holder shall ensure that: 2. All equipment, materials, and toys used by or accessible to enrolled children are cleaned and disinfected as often as necessary to maintain them in a clean and disinfected condition and, for items used by infants or one- or two-year-old children, at least once every 24 hours;

“The Compliance Officer inspected the napping mats and observed that five mats had exposed foam and were no longer able to be maintained in a clean condition and no longer sanitizable.”

AAC R9-3-401.B.2. B. A certificate holder shall ensure that: 2. The areas of the child care group home approved for providing child care services are maintained free from hazards;

“Compliance Officer 1 observed a razor stored in the cabinet under the bathroom sink that did not have a lock on the cabinet door. The bathroom is used by enrolled children.”

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;

“Compliance Officer 1 reviewed the posted menu and noted that it was dated for the week of 1/29/24 - 2/2/24. Staff 1 posted the current menu during the inspection.”

AAC R9-3-408.F.1.a. F. A certificate holder shall ensure that a staff member taking enrolled children off the premises: 1. Carries the following: a. A copy of the Emergency, Information, and Immunization Record card, including the attached immunization record, for each enrolled child accompanying the staff member; and

“Staff 2 reported that when transporting children, they do not carry their emergency cards in the vehicle as required.”

AAC R9-3-408.A.1. A. A certificate holder shall only allow a staff member to take an enrolled child away from an area of the child care group home approved for providing child care services during hours of operation with written permission from the enrolled child’s parent as follows: 1. For a trip to drop off the enrolled child at or pick up the enrolled child from the enrolled child’s school, bus stop, or another location, the written permission shall include: a. The enrolled child’s name; b. The location where the enrolled child will be dropped off or picked up; c. The time at which the enrolled child will be dropped off or picked up; d. The time period, not to exceed 12 months, during which the permission is given; and e. The dated signature of the enrolled child’s parent; and

“Staff 2 reported that they have transported children without completed transportation authorization forms required for transporting children. Staff 1 attempted to locate the forms in the group home's files but was unable to do so.”

AAC R9-3-502.A. A. Except as provided in subsection (B), a certificate holder shall ensure that the child care group home has an outdoor activity area that: 1. Is on the premises; 2. Is at least 500 square feet in size; 3. Is adjacent to the residence; 4. Includes shaded areas large enough to accommodate all enrolled children occupying the outdoor activity area at any time; and 5. Except as provided in subsection (D), is enclosed by a fence that: a. Is at least 4 feet high; b. Is secured to the ground; c. Does not have any vertical or horizontal open space that exceeds 4 inches at any point, including any space on a gate; and d. Has a gate from which an individual may exit the outdoor activity area.

“Compliance Officer 1 measured a gap at the bottom right corner of the gate that exits the south side of the group home's outdoor activity area to be greater than 4”.”

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;

“Compliance Officer 1 observed a bottle of Equate mouthwash that is labeled to keep out of the reach of children, and two tubes of Colgate toothpaste that were labeled not for children under 6 years old, that were stored in an unlocked cabinet under the bathroom sink. The bathroom is used by enrolled children.”

AAC R9-3-508.1. A certificate holder shall ensure that: 1. Each dog, cat, or ferret at the child care group home has a current vaccination against rabies;

“Compliance Officer 2 reviewed the vaccination documentation of the group home's pet dogs and cats. CO 2 noted that four dogs, Oreo, Pilot, Precious, and Sassy did not have documentation of current rabies vaccinations. Staff 1 reported that an appointment has been scheduled for the four dogs to receive the vaccination on March 29, 2024.”

AAC R9-3-507.B.1. B. A certificate holder shall ensure that: 1. A staff member: a. Cleans, sanitizes, and dries a diaper-changing surface using a single-use paper towel before and after each diaper change; b. Washes the staff member’s hands with soap and running water before and after each diaper change; c. Wears single-use non-porous gloves during each diaper change; d. Washes an enrolled child’s hands with soap and running water or with a washcloth or disposable wipe after the enrolled child’s diaper is changed and uses each washcloth or disposable wipe on only one child and only one time before it is laundered or discarded; and e. Documents the daily diaper changes for each enrolled child in a dated diaper-changing log after changing the enrolled child’s diaper;

“Compliance Officer 1 observed that the diaper changing mat that is used to change enrolled children’s diapers had a tear along one side of the vinyl that covered the mat, exposing the foam inside. The mat is no longer sanitizable due to the tear. During the inspection, Staff 1 replaced the mat with one that is not torn.”