Kuddle Bugz

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 documentation and the Compliance Officer’s observation, the certificate holder lacked an Emergency, Information, and Immunization Record card for Child #1.”

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 the Compliance Officer’s observation, Staff #1's (DOE 12.10.2025) file lacked documentation of completed 10- day new staff training.”

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 observation, the file for Staff #1 (DOE 12.10.2025) lacked documentation of a negative Mantoux skin test.”

AAC R9-3-304.A.2. 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: 2. An exemption affidavit for the enrolled child provided by the enrolled child’s parent that contains: a. A statement, signed by the enrolled child’s physician, physician assistant, or registered nurse practitioner, that the immunizations required by 9 A.A.C. 6, Article 7 would endanger the enrolled child’s health or medical condition; or b. A statement, signed by the enrolled child’s parent, that the enrolled child is being raised in a religion whose teachings are in opposition to immunization.

“Findings: Based on documentation and the Compliance Officer’s observations, the certificate holder lacked complete immunization records for Child #2 & Child #3.”

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 documentation and the Compliance Officer's observation, Staff #1's (DOE 12.10.2025) file lacked documentation of the DCS submittal.”

AAC R9-3-202.C. C. Except as provided in A.R.S. § 41-1758.03, a certificate holder shall ensure that a staff member before starting date of employment or volunteer service and an adult resident before starting date of residency or the date of certification of the child care group homes, submits a copy of a valid fingerprint clearance card, front and back, issued under A.R.S. Title 41, Chapter 12, Article 3.1.

“Findings: Based on documentation and the Compliance Officer’s observation, Staff #1’s (DOE 12.10.2025) file lacked a copy of the front and back side of their fingerprint clearance card.”

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 the Compliance Officers' observations, the wall-mounted paper towel dispenser was empty, and there were a few paper towels stacked in a basket on top of the toilet tank lid.”

AAC R9-3-402.A. A. A certificate holder shall ensure that: 1. Each enrolled child who naps or sleeps at the child care group home is furnished with a bed, cot, mat, or crib that accommodates the enrolled child’s height and weight; 2. The bed, cot, mat, or crib is not used by another individual while in use by the enrolled child; 3. The cot, mat, or bed’s mattress is covered with a clean sheet that is laundered when soiled, at least once every seven calendar days, and before use by a different enrolled child; 4. The crib mattress is covered with a clean fitted-sheet designed for the crib mattress size that is laundered when soiled, at least once every 24 hours, and before use by a different enrolled child; and 5. A clean blanket or sheet is provided to each enrolled child.

“Findings: Based on the Compliance Officers' (COs) observations, an infant was sleeping on a couch when the COs arrived, rather than on a bed, cot, mat or crib as required.”

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;

“Findings: Based on the Compliance Officers' observations, in the outdoor area, there was a lighter on a counter, there were cigarette butts in a container, and there was a section of peeling paint on the South side of the home, accessible to enrolled children.”

AAC R9-3-401.A. In addition to complying with the requirements in this Chapter, a certificate holder shall ensure that the health, safety, or welfare of an enrolled child is not placed at risk of harm.

“Findings: Based on the Compliance Officers' (COs) observations, there was an infant asleep on their stomach, on a thick blanket, on the couch.”

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 the Compliance Officer's observation and staff statement, the certificate holder lacked an arrival time and signature on 1.15.2025 for Child #1. Staff stated the information had not been put into the attendance system that is used.”

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 the Compliance Officers' observations and a review of 3 staff files, Staff #1's (DOE 11/14/2024) and Staff #2's (DOE 10/31/2024 ) files lacked documentation of 1 of the required 2 good-faith effort references. *Previously cited 7/21/2025, 2/19/2025, 1/14/2025, and 7/22/2024.”

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 the Compliance Officers' observations and staff statement, 3 of 3 staff were not signing in and out on October 1, 2 & 3, 2025. Staff stated the tablet with staff attendance was locked in a room and was inaccessible.”

AAC R9-3-301.C. C. A certificate holder shall: 1. Secure and maintain general liability insurance of at least $100,000 for the child care group home; and 2. Maintain on the premises documentation of the insurance coverage required in subsection (C)(1).

“Findings: Based on the Compliance Officers' observations and facility documentation, the child care group home's Liability Insurance expired 9/30/2025.”

AAC R9-3-301.F.1. F. A certificate holder shall: 1. Prepare a document that includes the following information: a. The name and contact telephone number of the provider; b. The hours of operation of the child care group home; c. Charges, fees, and payment requirements for child care services; d. Whether medications are administered at the child care group home and, if so, a description of what the parent is required to give to the child care group home; e. Whether enrolled children go on field trips under the supervision of a staff member; f. Whether the child care group home provides transportation for enrolled children to or from school, a school bus stop, or other locations; g. The mechanism by which a staff member will verify that an individual contacting the child care group home by telephone claiming to be the parent of an enrolled child is the enrolled child’s parent; h. A statement that a parent has access to the areas on the premises where the parent’s enrolled child is receiving child care services; i. A statement that inspection reports for the child care group home are available for review at the child care group home; and j. The local address and contact telephone number for the Department; and

“Findings: Based on the Compliance Officers' observations, it was determined the facility lacked a statement of services to review at the time of the inspection. *Previously cited 7/21/2025, 1/14/2025, and 7/22/2024.”

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.

“Findings: Based on the Compliance Officers' observations and facility documentation, 3 of 6 enrolled children's Emergency, Information, and Immunization Record cards lacked documentation of the following: Child #1 and Child #2: The name, home address, city, state, zip code, and contact telephone number of the child's second parent/guardian. Child #3: The name and contact telephone number of the child's second emergency contact authorized to collect the child from the child care group home. *Previously cited 7/21/2025, 1/14/2025, 7/22/2024, 1/24/2024, and 7/27/2023.”

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 the Compliance Officers' observations, the provider lacked documentation of Child #3, Child #4, Child #5, Child #6, Child #7, and Child #8's arrival and departure times and parent signatures for October 3, 2025. *Previously cited 1/25/2023.”

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;

“Findings: Based on the Compliance Officers' observations, the following hazards were accessible to enrolled children: Diaper Changing Area: *There was a loose cigarette and a box of opened cigarettes on the bed. Outdoor Activity Area: *There was a black landscape material protruding from under the sand. *There was a dangling cord on the West side of the home’s exterior. *There was a cigarette butt on top of a metal trash can. *Previously cited 7/21/2025, 1/14/2025, 7/22/2024, and 7/27/2023.”

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: Based on the Compliance Officers' observations and facility documentation, the posted monthly menu lacked documentation of the date, am and pm snacks, and breakfast being served, and the specific ingredients in the tropical fruit. *Previously cited 7/21/2025 and 7/22/2024.”

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 the Compliance Officers' observations, in the diaper-changing area bedroom, there was a can of dry spray on the floor and other materials and chemicals that had a child warning label on a white shelf, accessible to enrolled children. *Previously cited 7/21/2025.”

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 Officer's observations, the following items were accessible to enrolled children: *There was a rake lying in the sand in the outdoor activity area. *There was a vacuum in the hallway near the main room. *Previously cited 7/21/2025.”

AAC R9-3-507.B.2. B. A certificate holder shall ensure that: 2. The diaper-changing log is maintained on the premises for 12 months after the date of the last diaper change recorded in the diaper-changing log;

“Findings: Based on the Compliance Officers' observations and staff statement, the provider was not maintaining a diaper-changing log for enrolled children. Staff stated they document the last time a diaper was changed with a dry-erase marker on the plexiglass on the end of the crib.”

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 the Compliance Officer's observations and a review of 3 staff files, Staff #1 (DOE 11/14/2024), Staff #2 (DOE 10/3/2024), & Staff #3's (DOE 8/1/2015) files lacked DCS background check submissions.”

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;

“Findings: Based on the Compliance Officers' observations, the following hazards were accessible to enrolled children: *The white shed doors were not on the tracks and were leaning backwards into the shed. *There was black plastic material protruding through the sand. *There was splintered wood on a broken shelf. *There was a 3.5" x 20" gap with crumbling wood on the ground in front of the shed. Previously cited- 01/25/2023, 07/27/2023, and 07/22/2024.”

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 the Compliance Officers' observations, the main posting board lacked the weekly menu. Previously cited- 07/27/2023 and 07/22/2024.”

AAC R9-3-301.H. A certificate holder shall ensure that a staff member supervises any individual who is not a staff member and is on the premises where enrolled children are present.

“Findings: Based on staff statement and the Compliance Officers' observations, a staff member failed to supervise an individual (non-staff member) on the premises where enrolled children were present. The individual was seen interacting with the enrolled children. Staff stated that the individual was a family member who gets dropped off every day to wait for a bus to pick them up.”

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 a review of documentation and the Compliance Officer's observations, 6 of 7 reviewed Emergency, Information, and Immunization Record cards lacked the following required information: *Child #1 and Child #2- The name, home address, city, state, zip code, and contact telephone number of the child's second parent/guardian and the name of the individual to be contacted in case of injury or sudden illness of the child. *Child #3- The name, home address, city, state, zip code, and contact telephone number of the child's second parent/guardian. *Child #4 and Child #6- The child’s home contact telephone number. *Child #5- The name and contact telephone number of the child's second emergency contact. Previously cited- 07/27/2023, 01/24/2024, and 07/22/2024.”

AAC R9-5-203.G. G. If required by A.R.S. § 8-804, before an individual’s starting date of employment or volunteer service, a licensee shall comply with the submission requirements in A.R.S. § 8-804(C) for the individual.

“Findings: Based on a review of documentation and the Compliance Officers' observations, Staff #1's (DOH 11/14/2024), Staff #2's (DOH 10/31/2024), and Staff #3's (DOH 08/01/2015) files lacked documentation of the DCS Central Registry background submittal.”

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, there was a black comb on the diaper changing surface and a black rag hanging from the side of the diapering table.”

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 the Compliance Officers' observations, in the bathroom, the paper towels were kept in a basket, and were not singly dispensed as required.”

AAC R9-3-506.1. A certificate holder shall ensure that: 1. All areas of the child care group home approved for providing child care services and the furnishings, equipment, supplies, materials, utensils, and toys in those areas are kept clean and free of insects and vermin;

“Findings: Based on the Compliance Officers' observations, the following furnishings were not maintained in a clean condition: *In the main room, there was a blue carpet with brown stains and food crumbs. *In the outdoor activity area, there was a brown bench with brown stains on the green cushion.”

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 a review of documentation and the Compliance Officer's observations, Staff #1's (DOH 11/14/2024) and Staff #2's (DOH 10/31/2024) files lacked documentation of 1 of the required 2 good-faith effort references. Previously cited- 07/22/2024 and 07/27/2022.”

AAC R9-3-301.F.1. F. A certificate holder shall: 1. Prepare a document that includes the following information: a. The name and contact telephone number of the provider; b. The hours of operation of the child care group home; c. Charges, fees, and payment requirements for child care services; d. Whether medications are administered at the child care group home and, if so, a description of what the parent is required to give to the child care group home; e. Whether enrolled children go on field trips under the supervision of a staff member; f. Whether the child care group home provides transportation for enrolled children to or from school, a school bus stop, or other locations; g. The mechanism by which a staff member will verify that an individual contacting the child care group home by telephone claiming to be the parent of an enrolled child is the enrolled child’s parent; h. A statement that a parent has access to the areas on the premises where the parent’s enrolled child is receiving child care services; i. A statement that inspection reports for the child care group home are available for review at the child care group home; and j. The local address and contact telephone number for the Department; and

“Findings: Based on staff statement and the Compliance Officers’ observations, the statement of child care services was not available for review. Staff stated that they were unable to find the statement of services. Previously cited- 07/22/2024.”

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

“Findings: Based on a review of documentation and the Compliance Officer's observations, Child #3's lacked an immunization record or a religious belief exemption form. Previously cited- 07/22/2024.”

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, in the outdoor activity area, the following was accessible to the enrolled children: *A vacuum. *A tan broom. *A yellow power strip. *An orange electrical cord.”

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: Based on a review of documentation and the Compliance Officers' observations, the menu lacked a date and documented mixed vegetables and cheese, but lacked the specific type of mixed vegetables and cheese to be served to the enrolled children. Previously cited- 07/22/2024.”

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 the Compliance Officers' observations, in the outdoor activity area, there was a jug of red liquid cleaner and a bottle of Clean Disinfectant Virucidal Cleaner on a long rectangular cabinet.”

AAC R9-3-401.B.3.d. B. A certificate holder shall ensure that: 3. The toys, materials, and equipment for use by enrolled children: d. Are maintained free from hazards and in a condition that allows the toys, materials, and equipment to be used for their original purpose;

“Findings: Based on the Compliance Officers' observations, in the outdoor activity area, the following hazards were accessible to the enrolled children: *There were rough edges on the seat of a yellow tricycle and a blue riding car. *There were sharp broken edges on the hood of a black riding car. Previously cited- 01/24/2024.”

A.R.S. § 36-897.03.A. A. Child care personnel, including volunteers, shall submit the form prescribed in subsection B of this section to the employer and shall have valid fingerprint clearance cards issued pursuant to section 41-1758.07 before starting employment or volunteer work.

“Findings: Based on documentation, the Compliance Officers' observations and staff statement, it was determined that Staff #2 (DOE 7/14/2023) lacked a valid fingerprint clearance card prior to the starting date of employment. The fingerprint card was issued on 11/14/2023. Staff stated they worked off and on since July, 2023.”

AAC R9-3-202.I I. Within 30 calendar days after the day of a staff member’s or adult resident’s 18th birthday, the staff member or adult resident shall provide to the certificate holder copies of a valid fingerprint clearance card and a valid background check document specified in subsection (C).

“Findings: Based on the Compliance Officers' observations, Staff #1 lacked a valid fingerprint clearance card for 36 calendar days after turning 18 years old.”

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 documentation and the Compliance Officer’s observations of 2 staff files and 3 resident files, the file for Staff #1 & Staff #2 lacked documentation of a negative Mantoux skin 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 the Compliance Officer’s observations of 2 staff files, 2 files lacked the following required documentation: Staff #1 (DOE 10/31/2024): Documentation of education, 1 of the 2 required good faith effort references, a statement of immunity, and the DCS submittal. Staff #2 (DOE 7/14/2023): Documentation of education, a statement of immunity, 1 of the 2 required good faith effort references, and the DCS submittal.”

AAC R9-3-301.D.1. D. A certificate holder shall ensure that: 1. While acting on behalf of the certificate holder when the provider is not present at the child care group home, an adult staff member with a high school diploma or high school equivalency certificate and one of the following is on the premises: a. At least six months of child care experience; b. Two or more credit hours in child growth and development, nutrition, psychology, or early childhood education; or c. At least 30 hours of training in child growth and development, nutrition, psychology, or early childhood education; and

“Findings: Based on documentation, the Compliance Officer’s observations of 2 staff files and staff statement, the file for Staff #2 lacked documentation of a high school diploma or high school equivalency, and two or more credit hours in child growth and development, nutrition, psychology, or early childhood education, or 30 of the required 30 hours of training in child growth and development, nutrition, psychology, or early childhood education. Staff #2 stated they were in charge because the Provider was not home.”

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 the Compliance Officers' observations, the main posting area 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 R9-3-301.F.1. F. A certificate holder shall: 1. Prepare a document that includes the following information: a. The name and contact telephone number of the provider; b. The hours of operation of the child care group home; c. Charges, fees, and payment requirements for child care services; d. Whether medications are administered at the child care group home and, if so, a description of what the parent is required to give to the child care group home; e. Whether enrolled children go on field trips under the supervision of a staff member; f. Whether the child care group home provides transportation for enrolled children to or from school, a school bus stop, or other locations; g. The mechanism by which a staff member will verify that an individual contacting the child care group home by telephone claiming to be the parent of an enrolled child is the enrolled child’s parent; h. A statement that a parent has access to the areas on the premises where the parent’s enrolled child is receiving child care services; i. A statement that inspection reports for the child care group home are available for review at the child care group home; and j. The local address and contact telephone number for the Department; and

“Findings: Based on documentation and the Compliance Officer’s observations, the parent handbook lacked the Department's contact telephone number and a statement that inspection reports for the child care group home are available for review at the child care group home. ***Previously cited 7/22/2024”

A.R.S. § 36-897.03.B. B. Applicants, certificate holders and child care personnel shall attest on forms that are provided by the department that: 1. They are not awaiting trial on or have never been convicted of or admitted in open court or pursuant to a plea agreement committing any of the offenses listed in section 41-1758.07, subsection B or C in this state or similar offenses in another state or jurisdiction. 2. They are not parents or guardians of a child adjudicated to be a dependent child as defined in section 8-201. 3. They have not been denied a certificate to operate a child care group home or a license to operate a child care facility for the care of children in this state or another state or had a license to operate a child care facility or a certificate to operate a child care group home revoked for reasons that relate to the endangerment of the health and safety of children.

“Findings: Based on documentation and the Compliance Officer’s observation, it was determined that Staff #1’s (DOE unknown) file lacked a completed Criminal History Affidavit. ***Previously cited 7/22/2024”

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 of 2 staff files and 1 resident file, the file for Staff #1 (DOE unknown) lacked documentation of a negative Mantoux skin test. ***Previously cited 7/22/2024”

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.

“Findings: Based on documentation and the Compliance Officer’s observation, it was determined that 3 out of 6 enrolled children's Emergency, Information, and Immunization Record cards lacked the following required information: Child #1: The first listed parent's phone number, a second parent's name, address and phone number, a second emergency contact name and phone number, and the name of the person to contact in case of sudden injury/illness. Child #2: The second parent's name, address and phone number, a second emergency contact name and phone number, and the name of the person to contact in case of sudden injury/illness. Child #5: An Emergency, Information and Immunization Record card. ***Previously cited 7/22/2024”

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 documentation and the Compliance Officer’s observation, Staff #1's (DOE unknown) file lacked 10 day new staff training. ***Previously cited 7/22/2024”

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;

“Findings: Based on the Compliance Officer’s observation, in the outdoor activity area, the right side shed door was off of the top hinges causing the door to lean in, and there was a 12" by 12" soft brown/white mushy unidentifiable substance in the turf near the southwest section of the turf. ***Previously cited 7/22/2024”

AAC R9-3-301.A.4.c. A. A certificate holder shall: 4. Ensure that the provider: c. Maintains on the premises a file for each resident, for 12 months after the date the resident last resided at the child care group home, containing: i. The resident’s name and date of birth; ii. The resident’s relationship to the provider; iii. The date the resident began residing at the child care group home; iv. The date the resident last resided at the child care group home, if applicable; v. A written statement by the resident or, if the resident is a minor, the provider attesting to the resident’s current immunity against measles, rubella, diphtheria, mumps, and pertussis; vi. If the resident is an adult, the form required in A.R.S. § 36-897.03(B); vii. If the resident is an adult, the documents required by R9-3-202(C)(2) or R9-3-202(D); and viii.If the resident is 12 years of age or older, the documents required by subsection (A)(3);

“Findings: Based on the Compliance Officer’s observations of 2 staff files and 1 resident file, the file for Resident #1 lacked documentation of immunity. ***Previously cited 7/22/2024”

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 the Compliance Officer’s observations of 2 staff files, the file for Staff #1 (DOE unknown) lacked documentation of a starting date of employment, a statement of immunity, 2 of 2 good faith effort references, documentation of education and the DCS submittal. ***Previously cited 7/22/2024”

AAC R9-3-202.B. B. A certificate holder shall maintain documentation of a valid fingerprint clearance card issued under A.R.S. § 41-1758.03 and documentation of a valid background check document issued under A.R.S. § 46-811.

“Findings: Based on documentation and the Compliance Officer’s observations, staff and resident files lacked the following required documentation: Staff #1’s file lacked a copy of the front and back sides of their fingerprint clearance card. Staff #3’s & Staff #4's files lacked a copy of the back side of their fingerprint clearance cards.”

AAC R9-3-301.F.1. F. A certificate holder shall: 1. Prepare a document that includes the following information: a. The name and contact telephone number of the provider; b. The hours of operation of the child care group home; c. Charges, fees, and payment requirements for child care services; d. Whether medications are administered at the child care group home and, if so, a description of what the parent is required to give to the child care group home; e. Whether enrolled children go on field trips under the supervision of a staff member; f. Whether the child care group home provides transportation for enrolled children to or from school, a school bus stop, or other locations; g. The mechanism by which a staff member will verify that an individual contacting the child care group home by telephone claiming to be the parent of an enrolled child is the enrolled child’s parent; h. A statement that a parent has access to the areas on the premises where the parent’s enrolled child is receiving child care services; i. A statement that inspection reports for the child care group home are available for review at the child care group home; and j. The local address and contact telephone number for the Department; and

“Findings: Based on documentation and the Compliance Officer’s observations, the parent handbook lacked the following required information: 1.The contact telephone number of the provider. 2. Charges and fees for child care services. 3.The mechanism by which a staff member will verify that an individual contacting the child care group home by telephone claiming to be the parent of an enrolled child is the enrolled child's parent. 4. Field trip information. 5.Correct transportation information. 6.A statement that a parent has access to the areas on the premises where the parent's enrolled child is receiving child care services. 7.The Department’s phone number. 8.A statement that inspection reports are available for review at the child care group home.”

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 the Compliance Officer’s observations, the main posting area lacked the following required information: 1.The name of the Provider. 2.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. 3.A weekly menu dated for the current week.”

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 documentation, the Compliance Officer’s observations and staff statement, Staff #2's (start date unknown) & Staff #3's (start date 9/3/2021) files lacked 12 of the required 12 hours of annual training. Staff #2 stated they have worked there for a few years. Staff #1's file lacked 8.5 of the required 12 hours of annual training.”

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 the Compliance Officer’s observation, the first aid kit lacked sterile gauze rolls.”

A.R.S. § 36-897.03.B. B. Applicants, certificate holders and child care personnel shall attest on forms that are provided by the department that: 1. They are not awaiting trial on or have never been convicted of or admitted in open court or pursuant to a plea agreement committing any of the offenses listed in section 41-1758.07, subsection B or C in this state or similar offenses in another state or jurisdiction. 2. They are not parents or guardians of a child adjudicated to be a dependent child as defined in section 8-201. 3. They have not been denied a certificate to operate a child care group home or a license to operate a child care facility for the care of children in this state or another state or had a license to operate a child care facility or a certificate to operate a child care group home revoked for reasons that relate to the endangerment of the health and safety of children.

“Findings: Based on documentation and the Compliance Officer’s observation, it was determined that Staff #2’s (start date unknown) file lacked a completed Criminal History Affidavit.”

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 documentation and the Compliance Officer’s observation, it was determined that 3 out of 7 enrolled children's attendance records reviewed lacked the following required documentation: Child #1 & Child #10: Complete arrival and departure signatures on 7/1, 7/2, 7/3 & 7/4/2024. Child #8: Departure time and signature on 7/18/2024.”

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

“Findings: Based on the Compliance Officer’s observations, the certificate holder lacked an immunization record for Child #1, Child #7 and Child #8.”

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 documentation and the Compliance Officer’s observations, it was determined that 9 out of 10 enrolled children's Emergency, Information, and Immunization Record cards lacked the following required information: Child #1: First listed parent's phone number, a second parent name, address and phone number number, the emergency contact number, a second emergency contact name and phone number, and the person to contact in case of sudden injury/illness. Child #2: Date of enrollment, a second parent name, address and phone number, and a second emergency contact name and phone number. Child #3 & Child #4: The first listed parent's address and phone number, and the second parent’s address. Child #5: A second parent's name, address and phone number, the health care provider's contact number, and the person to contact in case of sudden injury/illness. Child #6: The health care provider’s contact number and the person to contact in case of sudden injury/illness. Child #7 & Child #8: A Record card. Child #9: Date of enrollment, a second emergency contact name and phone number, and the name of the person to contact in case of sudden injury/illness.”

AAC R9-3-408.C.1. C. A certificate holder shall ensure that: 1. Each motor vehicle used by an individual to transport an enrolled child: a. Is maintained in a mechanically safe condition; b. Is free from hazards; c. Is registered by the Arizona Department of Transportation as required by A.R.S. Title 28, Chapter 7; d. Has documentation of current motor vehicle insurance coverage maintained inside the motor vehicle that includes the legal name of the child care group home or certificate holder and, if transporting enrolled children and infants, liability information; e. Has an operational heating system; f. Has an operational air-conditioning system; and g. Is equipped with: i. A first-aid kit that meets the requirements in R9-3-310; and ii. Two large, clean towels or blankets;

“Findings: Based on the Compliance Officer's observation of the motor vehicle used to transport enrolled children, the vehicle lacked a complete first aid kit. The first aid kit lacked band-aids, scissors, antiseptic, adhesive tape, sterile gauze rolls, gloves and bags.”

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;

“Findings: Based on the Compliance Officer’s observation, in the Outdoor activity area, there was sharp and broken plastic on a Little Tikes car.”

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: Based on documentation and the Compliance Officer’s observation, the menu lacked the specific flavor of yogurt and cheese to be served to enrolled children.”

AAC R9-3-408.A.2. 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: 2. For a field trip, the written permission shall include: a. The enrolled child’s name; b. A description of the field trip; c. The name of the field trip destination, if applicable; d. The street address and, if available, the telephone number of the field trip destination, if applicable; e. Either: i. The date or dates of the field trip; or ii. The time period, not to exceed 12 months, during which the permission is given; f. The projected time of departure from the child care group home; g. The projected time of arrival back at the child care group home; and h. The dated signature of the enrolled child’s parent.

“Findings: Based on documentation, the Compliance Officer’s observations and staff statement, the field trip form dated 7/19/2024 to Uptown Jungle Fun Park lacked a description of the field trip, the telephone number, the projected time of departure and the projected arrival back to the child care group home, and the last names of the children on the field trip. Four children were listed on the same form with one parent signature. The provider stated that they also went to a restaurant to have lunch after and this destination was not listed on the form.”

AAC R9-3-504.E.3. E. A certificate holder shall: 3. Post a copy of the floor plan showing the evacuation paths from the residence in each indoor area of the child care group home approved for providing child care services.

“Findings: Based on the Compliance Officer’s observations, the play room and the kitchen lacked a floor plan showing the evacuation path from the residence.”

AAC R9-3-504.A.4. A. A certificate holder shall ensure that: 4. The child care group home’s residence has at least two portable fire extinguishers: a. One of which is labeled as rated at least 1A-10-BC by the Underwriters Laboratories is mounted on the kitchen wall and is easily accessible, and b. One of which is labeled as rated at least 2A-10-BC by the Underwriters Laboratories and is maintained in a location accessible to staff members in an area of the child care group home approved for providing child care services;

“Findings: Based on the Compliance Officer's observation, the fire extinguisher located in the kitchen was not mounted.”

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 documentation, the Compliance Officer’s observations and staff statement, Staff #1's (start date unknown)& Staff #2's (start date unknown) files lacked 10 day new staff training. Staff stated they have worked there for a few years.”

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 documentation and the Compliance Officer’s observations, Resident #1’s fingerprint clearance card expired 6/12/2024. Per the Department of Public Safety website, Resident #1's application was received 6/24/2024 and the fingerprint card was valid on 7/18/2024.”

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 of 4 staff files and 4 resident files, the file for Staff #2 (start date unknown) lacked documentation of a negative Mantoux skin 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 the Compliance Officer’s observations of 4 staff files, 2 files lacked the following required documentation: Staff #1: Starting date of employment, and documentation of education. Staff #2: Starting date of employment, a statement of immunity, 2 of the 2 required good faith effort references, documentation of education, and the DCS submittal.”

AAC R9-3-301.A.4.c. A. A certificate holder shall: 4. Ensure that the provider: c. Maintains on the premises a file for each resident, for 12 months after the date the resident last resided at the child care group home, containing: i. The resident’s name and date of birth; ii. The resident’s relationship to the provider; iii. The date the resident began residing at the child care group home; iv. The date the resident last resided at the child care group home, if applicable; v. A written statement by the resident or, if the resident is a minor, the provider attesting to the resident’s current immunity against measles, rubella, diphtheria, mumps, and pertussis; vi. If the resident is an adult, the form required in A.R.S. § 36-897.03(B); vii. If the resident is an adult, the documents required by R9-3-202(C)(2) or R9-3-202(D); and viii.If the resident is 12 years of age or older, the documents required by subsection (A)(3);

“Findings: Based on the Compliance Officer’s observations of 4 resident files, the files for Resident #1 & Resident #2 lacked documentation of immunity.”

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 the Compliance Officer’s observations, the provider lacked the following completed attendance records: Staff #1: Time of departure on 7/9/2024, and there was no record of times of arrival and times of departure from 7/9/2024 to 7/22/2024. Staff #2: Arrived during the inspection and did not record their time of arrival on 7/22/2024.”

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.

“Findings: Based on the Compliance Officer's observation and on a discussion with the Provider, the following information was lacking from Child 1's Emergency and Information card: The parent's name, address and telephone number and the child's health care provider's name. The Provider acknowledged she could not locate the Emergency card for Child #2.”

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 the Compliance Officer's observation and on a discussion with the Provider and the staff, the Provider and the staff acknowledged that neither one had signed in for the day and further acknowledged that they had not been recording their day attendance for the entire month of January 2024.”

AAC R9-3-504.A.4. A. A certificate holder shall ensure that: 4. The child care group home’s residence has at least two portable fire extinguishers: a. One of which is labeled as rated at least 1A-10-BC by the Underwriters Laboratories is mounted on the kitchen wall and is easily accessible, and b. One of which is labeled as rated at least 2A-10-BC by the Underwriters Laboratories and is maintained in a location accessible to staff members in an area of the child care group home approved for providing child care services;

“Findings: Based on the Compliance Officer's and the Provider's observations, the fire extinguisher in the kitchen was not mounted. *Repeat deficiency that was cited at the time of the July 2023 inspection.”

AAC R9-3-401.B.3.d. B. A certificate holder shall ensure that: 3. The toys, materials, and equipment for use by enrolled children: d. Are maintained free from hazards and in a condition that allows the toys, materials, and equipment to be used for their original purpose;

“Findings: Based on the Compliance Officer's and the Provider's observations, there were 2 cans of disinfectant spray on the kitchen counter and the pony wall near the kitchen and were accessible to children.”

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;

“Findings: Based on the Compliance Officer's observation and on a discussion with the Provider, Child #2 had not been signed in for the day”