Loving Hearts Child Center

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 Compliance Officer #2's observation, the licensee placed a child to sleep in a bedroom with the bedroom door closed. There were no monitors installed for visual or sound supervision.”

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 Compliance Officer #2's observation, a gray mat was on the diaper changing table that was ripped and unsanitizable.”

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 Compliance Officer #1's observations, there was a broom, dustpan, and a bag of trash accessible to children located in the outside play area.”

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 Compliance Officer #1's observation, the licensee did not clean, sanitize, and dry the diaper changing surface between Child #1 and Child #2. The licensee did not wash their hands before changing Child #2. At no time did the licensee place or remove gloves for diaper changing. There was no documentation on the diaper log.”

AAC R9-3-501.B. A certificate holder shall ensure that each indoor area of the child care group home approved for providing child care services is maintained at a temperature between 68° F and 82° F during hours of operation.

“Findings: Based on Compliance Officer #2's observation, the temperature measured 84.5° F in the front room and 82.9° F in the large living space and was not maintained between 68° F and 82° F during hours of operation.”

AAC R9-3-403.A.4.b. A. A certificate holder shall ensure that: 4. When feeding an enrolled infant who is no longer being held for feeding or an enrolled one- or two-year-old child, a staff member: b. If the feeding chair is manufactured with a safety strap, fastens the safety strap around the enrolled infant or one- or two-year-old child while the enrolled infant or one- or two year-old child is seated in the feeding chair

“Findings: Based on Compliance Officer #2's observation, the feeding chair lacked a manufactures seat belt.”

AAC R9-3-403.A.3.c. A. A certificate holder shall ensure that: 3. When feeding an enrolled infant, a staff member: c. If the enrolled infant is younger than six months of age or cannot hold a bottle for feeding, holds the enrolled infant for feeding; and

“Findings: Based on Compliance Officer #1's observation, the Licensee placed an infant in a bouncy seat while drinking a bottle.”

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 facility documentation and Compliance Officer #1’s observation, it was determined that 1 out of 4 enrolled children lacked an Immunization Record card.”

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 documentation and Compliance Officer #1's observation, the weekly menu for July 8, 2024, was not posted.”

AAC R9-3-401.B.6. A certificate holder shall ensure that: 6. Drinking water is available to enrolled infants and one- or two-year-old children and is accessible to older enrolled children at all times

“Findings: Based on Compliance Officer #2's observations, there was no accessible water available for the enrolled children.”

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 facility documentation and Compliance Officer #1’s observation, it was determined that 1 out of 4 enrolled children's Emergency, Information, and Immunization Record cards lacked the following required information: Child #1: The contact telephone number of the child's health care provider.”

AAC R9-3-401.B.4.b. B. A certificate holder shall ensure that: 4. The activities at the child care group home are: b. Based upon a written weekly schedule that includes: i. Routines, such as meals, snacks, and rest periods, that follow a familiar and consistent pattern; ii. If weather and air quality permit, outdoor activities to enhance large muscle development; iii. Stories, music, dancing, singing, and reading; iv. Listening and talking opportunities; and v. Creative activities such as water play, cutting and pasting, painting, coloring, dramatic play, and playing with blocks;

“Findings: Based on documentation and Compliance Officer #2's observation, the Licensee lacked a weekly lesson plan. The lesson plan posted was dated January 2024.”

AAC R9-3-401.B.3.a. B. A certificate holder shall ensure that: 3. The toys, materials, and equipment for use by enrolled children: a. Include, as appropriate to the ages of the enrolled children at the child care group home: i. Arts supplies, ii. Manipulatives to enhance small motor development, iii. Indoor and outdoor equipment to enhance large motor development, iv. Creative play materials, v. Books, and vi. Musical instruments;

“Findings: Based on Compliance Officer #1's observation, the Licensee lacked enough materials (toys, books, art supplies, writing materials) for school-age children.”

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 Compliance Officer #2’s observations, the following hazards were accessible to enrolled children: Large Living Space: *A 65" television was on a low shelf measuring 18" inches off the ground.”

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 Compliance Officer #1's observation, there was a boppy pillow accessible to enrolled children. The pillow was located in the front play area on the floor. (There were two Infants present at the time of the inspection).”