Little Star childcare group home

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

“The Compliance Officer reviewed the diaper changing log and noted that there had not been any diaper changes logged since 2/14/25. The Provider acknowledged that diaper changes had occurred since that date, but had not been logged.”

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;

“Upon arrival, the Compliance Officers observed Child 1 in a crib and drinking milk from a bottle.”

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;

“Upon review of the group home's sign in/out documentation, the following was noted: Child 1 was not signed out on 1/29/25; Child 4 and Child 5 were not signed out on 1/16/25 nor on 1/29/25.”

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.

“Upon review of enrolled children's Emergency, Information, and Immunization cards, the following was noted: Child 1's card listed one of two required emergency contacts and did not list the contact number for their health care provider; the cards of Child 2 and Child 3 did not have the dated signature of the individual that completed their emergency cards.”

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.

“Upon review of two staff files, it was noted that neither Staff 1, start date 2/26/24 nor Staff 2, start date 2/26/24, had documentation in their files to verify that they had completed the training required within ten days of their start dates.”

AAC R9-3-205.B. B. At least 30 calendar days before the date of an intended change in a child care group home’s space utilization or capacity, a certificate holder shall submit to the Department a written request for approval of the intended change that includes: 1. The certificate holder’s name; 2. The child care group home’s name, if applicable; 3. The name, telephone number, e-mail address, and fax number of a point of contact for the request; 4. The child care group home’s certificate number; 5. The type of change intended: a. Space utilization, or b. Capacity; 6. A narrative description of the intended change; and 7. The following additional information, as applicable: a. If requesting a change in capacity, the square footage of the outdoor activity area and the square footage of the indoor areas where child care services will be provided; b. If requesting a change that involves a modification of the residence that requires a building permit, a copy of the building permit; c. If requesting a change in space utilization that affects individual rooms: i. A floor plan of the residence that complies with R9-3-201(2)(g) and shows the intended changes, and ii. The square footage of each affected room; and d. If requesting a change in space utilization that affects the outdoor activity area: i. A site plan of the premises that complies with R9-3-201(2)(h) and shows the intended changes, and ii. The square footage of the intended outdoor activity area.

“The Provider reported that an additional bedroom that had not previously been used for child care, is now in use. The Provider did not notify the Department nor was a Change of Space Utilization application submitted.”

AAC R9-3-504.A.2. A. A certificate holder shall ensure that: 2. A smoke detector is installed in each indoor area of the child care group home approved for providing child care services and in each hallway of the child care group home’s residence;

“The Compliance Officers observed that there was no smoke detector in the group home room that is used for children to nap.”

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 reviewed the diaper changing log, and observed that the last documented diaper change was on 3/15/24; diapered children have been in attendance since that time.”

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;

“According to the Provider, none of the staff are maintaining an attendance record.”

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;

“Compliance Officer reviewed the fire drill log and observed that a fire drill was not documented as being conducted in March 2024.”

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;

“Compliance Officer observed that the laminate flooring in the kitchen and bathroom were not clean; feeling sticky as the Compliance Officer walked through the areas.”