Leticia Child Care

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 the review of documentation, the Emergency, Information, and Immunization Record card for Child #1 lacked the following: -The date of the child’s enrollment. -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. -The name and contact telephone number of the child’s physician, physician assistant, or registered nurse practitioner. -Written authorization for emergency medical care of the child. -The name of the individual to be contacted in case of injury or sudden illness of the child. -A written description provided by a child’s parent of the nutritional and dietary needs of the child. -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.”

AAC R9-3-403.A.3.a. A. A certificate holder shall ensure that: 3. When feeding an enrolled infant, a staff member: a. Prepares and stores the enrolled infant’s formula, breast milk, or other food according to written instructions from the enrolled infant’s parent;

“Findings: Based on the Compliance Officer's observations and the review of documentation, it was determined that the provider lacked documentation of written feeding instructions for Child #1.”

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.

“Per allegation and based on staff interviews, an enrolled child fell asleep on a chair and was not moved to mat.”

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 observed that a diapering changing log has not been maintained since May 2024. The group home has several enrolled children who are in diapers.”

AAC R9-3-309.B.3. B. If prescription or nonprescription medications are administered at a child care group home, a certificate holder shall ensure that: 3. The designated staff member does not administer a medication to an enrolled child unless the child care group home receives written authorization on a completed Department-provided authorization form that includes: a. The child’s first and last name; b. The name of the medication; c. The prescription number, if any; d. Instructions for administration specifying: i. The dosage, ii. The route of administration, iii. The first and last dates that the medication is to be administered, and iv. The times and frequency of administration; e. The reason for the medication; f. The signature of the child’s parent; and g. The date of signature; and

“Compliance Officer observed two tubes of medicated diaper cream for Child 2. The Provider did not have written permission to administer the medication.”

AAC R9-3-309.F.1. F. Except as provided in subsection (G), a certificate holder shall ensure that: 1. Medication belonging to an enrolled child is: a. Stored in a locked, leak-proof storage cabinet or container that is used only for storing enrolled children’s medication. b. Stored in a secured refrigeration unit that is used only for storing enrolled children’s medications that requires refrigeration.

“Compliance Officer observed two tubes of medicated diaper cream that was not locked. The medication was being stored in the child's cubby above the diapering area.”

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

“Compliance Officer reviewed the children's attendance records and observed that Child 1 was not signed into the group home on the day of the inspection.”

AAC R9-3-504.A.3. A. A certificate holder shall ensure that: 3. Each smoke detector required under subsection (A)(2): a. Is maintained in an operable condition; and b. Is either battery operated or, if hard-wired into the electrical system of the child care group home’s residence, has a back-up battery;

“Compliance Officer heard a smoke detector chirping near the diapering area.”

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;

“Compliance Officer observed that instead of the staff signing into and out of the group home on a daily basis, they have prepared in advance attendance records through July with the date, name of the staff member, and their time in and out.”

AAC R9-3-403.A.1.c. A. A certificate holder shall ensure that: 1. A staff member: c. If providing a bottle or sippy cup to an enrolled infant or one- or two-year-old child before the enrolled infant or one- or two-year-old child naps or sleeps: i. Ensures that only water is in the bottle or sippy cup unless the written instructions required by subsection (A)(3)(b) state otherwise; ii. Removes the used bottle or sippy cup from the enrolled infant or one- or two-year-old child’s crib, bed, cot, or mat as soon as the enrolled infant or one- or two-year-old child finishes drinking or falls asleep; and iii. Cleans the used bottle or sippy cup before the bottle or sippy cup is reused;

“Compliance Officer 1 observed that there was a child sleeping in crib with a bottle of milk.”