Lidia Sanchez

AAC R9-3-401.C.4. A certificate holder shall ensure that a staff member: 4. Except as specified in subsection (C)(5), labels the personal items of an enrolled child with an identifier that is specific to the enrolled child and stores the personal items separately from the personal items of other enrolled children and residents;

“Findings: Based on the Compliance Officer's observation, there was an unlabeled package of wipes on the counter in the restroom used by enrolled children.”

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

“Findings: Based on facility documentation and the Compliance Officer’s observation, it was determined that the written authorization form for Child #2 lacked the correct prescription number of the medication.”

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 6 enrolled children's attendance records reviewed lacked the following required documentation: Child #1, Child #2, & Child #3: An arrival time and signature on 7.23.2025.”

AAC R9-3-301.D.2. D. A certificate holder shall ensure that: 2. At least one adult staff member, in addition to the provider or the staff member specified in subsection (D)(1), is on the premises when six or more enrolled children are at the child care group home.

“Findings: Based on the Compliance Officer's observations, there was one staff present with six children, and a required ratio of 2:6.”

AAC R9-3-401.C.5. C. A certificate holder shall ensure that a staff member: 5. Stores diapering products in a location that is inaccessible to enrolled children but accessible for diaper changing;

“Findings: Based on the Compliance Officer's observation, in the restroom, there was a container of wipes on the counter, accessible to enrolled children.”

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 Officer's observation, the bathroom used by enrolled children lacked paper towels.”

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 observations, it was determined that 3 out of 7 enrolled children's attendance records reviewed lacked the following required documentation: Child #1 & Child #2: Release times and signatures on 1/17 & 1/20/2025. Child #3: Release signatures on 1/2 & 1/3/2025.”

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 observation, the certificate holder lacked an immunization record for Child #4.”

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 2 out of 7 enrolled children's Emergency, Information, and Immunization Record cards lacked the following required information: Child #4: A Record card. Child #5: The health care provider’s name and phone number.”

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 and the Compliance Officer’s observations, Staff#1’s (DOE 12/19/2023) file lacked 12 of the required 12 hours of annual training from 12/2023 - 12/2024.”

AAC R9-3-309.E. A certificate holder shall return unused prescription or nonprescription medication to a parent when the medication is no longer being administered to the enrolled child or has expired, whichever comes first, or dispose of the medication according to state and federal laws, if the child is no longer enrolled at the child care group home and the certificate holder is unable to locate the child's parent.

“Findings: Based on documentation and the Compliance Officer’s observation of 1 medication, Child #6’s medication expired 4/2024.”

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;

“Findings: Based on documentation, the certificate holder lacked current vaccination against rabies for 2 of 4 cats.”

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

“Findings: Based on facility documentation and the Compliance Officer’s observation of 1 medication form, it was determined that the written authorization form for Child #6 lacked the first and last dates that the medication is to be administered, and the specific reason for the administration of the medication.”

AAC R9-3-401.B.1. B. A certificate holder shall ensure that: 1. A staff member: a. Supervises each enrolled child at all times, b. Plays and communicates with an enrolled child throughout the day, and c. Responds immediately to signs of distress from an enrolled child;

“Findings: Based on the Compliance Officer's (CO) observations and child statements, the certificate holder failed to supervise enrolled children at all times. When the CO arrived, the following was observed: *A bedroom door in the hallway across from the restroom was closed with a child sleeping on a bed. *A 17 month old child was observed jumping off a window sill from a sitting position and onto a couch. Children stated the provider was in the restroom.”

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 observations, the following hazards were accessible to enrolled children in the Outdoor activity area: *There was broken plastic with sharp edges on a grey tub. *There was a loose screw on the ground near the South side gate.”

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 1 out of 5 enrolled children's attendance records reviewed lacked the following required documentation: Child #1: Not present and lacked a release time and signature on 7/23/2024.”

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 Officer’s observations, there were black straps on the diaper table attached to a wall in the restroom, and there were 2 tissues on the diaper surface.”

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 Staff #1's arrival and departure times since 6/12/2024.”

AAC R9-3-508.9. A certificate holder shall ensure that: 9. Receptacles for pet feces and urine, such as litter boxes, are inaccessible to enrolled children;

“Findings: Based on the Compliance Officer's observation, there was a litter box with pellets inside on the floor to the right of the toilet in the restroom used by enrolled children.”

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: Based on the Compliance Officer’s observation, a staff member failed to document daily diaper changes for each enrolled child in a dated diaper-changing log after changing the enrolled child’s diaper. The diaper log lacked documentation of diaper changes from 2/10/24 - 3/13/2024.”

AAC R9-3-508.10. A certificate holder shall ensure that: 10. Pet feces in an outdoor activity area are cleaned up before enrolled children are permitted in the outdoor activity area; and

“Findings: Based on the Compliance Officer's observations, in the outdoor activity area there were multiple piles of dog feces on the ground, and there was a pooper scooper along the southeast corner of the home.”

AAC R9-3-508.8. A certificate holder shall ensure that: 8. Each pet dish is inaccessible to enrolled children during hours of operation;

“Findings: Based on the Compliance Officer’s observation, there was a large water dish on the floor in the kitchen area. (A cat was observed drinking water from the dish.)”

AAC R9-3-505.D.6. D. A certificate holder shall ensure that: 6. Flammable liquids are stored: a. In an original container; b. Separate from food storage areas; c. Away from any heat-producing appliance or equipment, such as a water heater or furnace; and d. Except for hand sanitizers being provided for use, in a location inaccessible to enrolled children;

“Findings: Based on the Compliance Officer’s observations, the following was observed: Restroom used by enrolled children: There was shampoo, conditioner, Dove body wash, and Nivea for Men on the edge of the bathtub. In the outdoor activity area: *There were 2 large cans of paint, and 3 small cans of paint near a yellow bucket. *There were 3 large cans of paint, a substance in a white bucket with a red lid, and a metal can with a substance inside. *There was a red gasoline can on a wooden cabinet. *In the wheelbarrow, there was a Blue liquid container and a yellow liquid container.”

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 Officer’s observation, the certificate holder failed to ensure the health, safety and welfare of enrolled children was not placed at risk of harm. In the Outdoor activity area, there was a yellow bucket with 4” of water mixed with dish soap inside, accessible to enrolled children.”

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 observations, it was determined that 6 out of 8 enrolled children's attendance records reviewed lacked the following required documentation: Child #1: No dates on the sign in and out sheet since 3/1/2024, and there were times and signatures listed. Child #2: Arrival times and signatures and release signatures from 2/1/24 - 2/16/2024. Child #3: Release signatures from 2/1/24 - 2/16/2024. Child #4: An arrival signature on 2/15/2024, arrival times and signatures on 2/20/2024, and arrival and departure times and signatures from 2/21/24 to 3/13/2024. Child #5 & Child #6: Arrival and departure times and signatures from 2/20/24 - 3/13/2024.”

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 Officer’s observations, the diaper surface was not clear of items not required for diaper changing. There was a purple robe, 2 socks, and a pen on the diaper surface.”

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 Officer's observation, in the toilet room used by enrolled children, the toilet paper dispenser was empty, and the roll of toilet paper was on the counter near the sink.”

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 Officer’s observations, in the outdoor activity area, there was a large spider web with sticks along the south fence near the southwest side near a gate.”

AAC R9-3-504.A.5. A. A certificate holder shall ensure that: 5. Each electrical outlet in an area of the child care group home approved for providing child care services is covered with a safety plug cover or insert when not in use;

“Findings: Based on the Compliance Officer’s observation, there was an uncovered outlet in the restroom used by enrolled children.”

AAC R9-3-507.A.2. A. A certificate holder shall ensure that a staff member changes diapers only on a nonabsorbent, sanitizable diaper changing surface that: 2. Is in an area of the child care group home approved for providing child care services, but not in a kitchen or eating area; and

“Findings: Based on the Compliance Officer’s observations, the diaper table was located in an unapproved bedroom across from the restroom.”

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 breakfast items on 3/11, 3/12, & 3/15/2024.”

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 observations, the following hazards were accessible to enrolled children: When the CO arrived, there was a vacuum with a long black cord in the middle of the living room. In the outdoor activity area, the following was observed: *There were 2 large wooden gates unsecured and leaning against the house and fence along the southeast corner. *One wooden gate had an exposed screw. *There were long weeds in the approved space, and the gates were open/ not secured and there were long weeds along the northeast and southeast sides of the home. *There were 2 brooms (one black and one green) leaning against the home. *There was a red mop leaning against the home. *There was a red unraveled hose on the ground. *There was a wooden cabinet with exposed and warped wood with peeling laminate. *There were screws on the cabinet. *There was long piece of metal with a square opening on the end. *There was a cactus with thorns.”

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 observation, in the outdoor activity area there was a red tricycle with broken, cracked plastic with sharp edges, and 2 missing handlebars.”

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 was observed in the Outdoor activity area, accessible to children: *There was a rotating sander with a long black cord on the windowsill. *There was a red and blue ladder leaning against the home. *There was a red pair of cutters, and a long cutter with black handles on a wooden cabinet. *There was a wheelbarrow with various items inside. *There was black trim border with sharp edges. *There were long metal posts leaning against the home and on the ground. *There was a shovel, a pick, and various other tools with long handles leaning against the home. *There were wooden fence slats with splintered wood. *There was a metal post with a concrete footing attached laying on the ground.”

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, the Provider (Staff #1) lacked times of arrival and times of departure from 2/17/24 to the date of the inspection (3/13/2024).”

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 the Compliance Officer’s observation, the main posting area lacked the current weekly menu.”