Little Monkey Exploring Day Care

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 and the review of facility documentation, it was determined that Staff #1 lacked lacked evidence of a Mantoux skin test or tuberculosis screening test prior to the date of hire.”

AAC R9-3-504.F.1. F. A certificate holder shall ensure that: 1. An unannounced fire and emergency evacuation drill are: a. At least once each month; and b. Each fire drill and emergency evacuation drill at a different time of day than the fire and emergency evacuation drill conducted in the previous month;

“Findings: Based on the Compliance Officer's observation and the review of documentation, unannounced fire and emergency evacuation drills were not documented for the months of 01/2026 and 06/2026.”

AAC R9-3-407.A.7. A certificate holder shall ensure that: 7. Each enrolled child's bottle or sippy cup is marked with an identifier that is specific to the enrolled child;

“Findings: The Secondary Compliance Officer observed two bottles and one sippy cup that were in use by enrolled children at the group home on the day of the inspection. They were not labeled nor did they have identifiers on them.”

AAC R9-3-504.F.1. F. A certificate holder shall ensure that: 1. An unannounced fire and emergency evacuation drill are: a. At least once each month; and b. Each fire drill and emergency evacuation drill at a different time of day than the fire and emergency evacuation drill conducted in the previous month;

“Findings: The Primary Compliance Officer requested the group home's fire drill documentation for review, however, the Provider reported that they were unable to locate the documentation.”

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: Both Compliance Officers reviewed the rabies vaccination documentation of the pets in the group home. They noted that one dog's documentation (Dior), indicated that she was due for a vaccination by 6/11/25, but as of the day of the inspection on 7/24/25, had not yet received a current vaccination.”

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: The Secondary Compliance Officer reviewed the files of the group home's three staff members and noted that they were missing the following items: Staff 1, Staff 2, and Staff 3 are missing documentation that verifies that they have completed the training required within ten days of hire; Staff 1's documented start date is 8/26/25, Staff 2's documented start date is 9/16/25 and Staff 3's file did not document their start date; Staff 3's file did not document their immunity against measles, rubella, diphtheria, mumps, and pertussis; Staff 3's file does not have documentation of the group home's efforts to contact their previous employers.”

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: The Secondary Compliance Officer reviewed the Emergency, Information and Immunization Records of the enrolled children at the group home and noted the following: Child 1, Child 2, Child 3, Child 4, Child 5 and Child 6, had the emergency forms that are issued by the Arizona Department of Economic Security and not the emergency form as required by the Arizona Department of Health Services; Child 7's card did not list the name and contact number of their health care provider.”

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: The Secondary Compliance Officer reviewed three staff files and noted that none of the three files had documentation to verify that they had submitted a request for a central background check as required. Staff 1's start date is documented as 8/26/25, Staff 2's start date is documented as 9/16/25 and Staff 3's start date was not documented in her file.”

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.

“Compliance Officer observed an infant sleeping in a swing instead of their crib.”

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;

“Compliance Officer observed a baby bottle that was not labeled.”

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

“Compliance Officer observed a car parked in the same area as the licensed outdoor activity area. Previously cited at the initial inspection on 8/5/24.”