Maria Garcia

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.

“There were seven Emergency, Information and Immunization Records reviewed and the following was noted when Child 1's card was reviewed: the record listed one of two required emergency contacts; the record did not list the name or contact number of their health care provider nor did it list the name of the person to be contacted in case of injury or sudden illness of the child; none of the medical questions on the back of the card had responses.”

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

“The group home's sign in/ out records were reviewed and the following was noted: Child 2 was signed out with only the time, but no signature on 5/2/25, 5/16/25 and on 5/29/25; Child 2 was signed out on 5/14/25 but was signed in with only a time and no signature on that day; Child 3 was signed in on 5/2/25 but was not signed out on that day; Child 4 and Child 5 were signed in and out throughout the month of May, 2025 with a first name and last initial; Child 6 was signed in on 5/7/25, 5/9/25 and out on 5/6/25, 5/7/25, 5/8/25 and on 5/9/25 with only a first name; Child 7 was signed in on 5/7/25 and out on 5/6/25 and on 5/7/25 with a only a first name; Child 8 was signed out with only initials on 5/1/25, 5/2/25, 5/5/25, 5/12/25-5/15/25 and 5/19/25-5/22/25.”

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.

“Three staff members files were reviewed and it was noted that none of the staff members had documentation of having completed the training that is required within ten days of hire. The start dates of Staff 1 and Staff 2 are documented as 6/17/24; Staff 3's start date is documented as 5/15/25.”

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

“Staff 3's file was reviewed and it was noted that they did not have documentation of a negative TB test in their file. The documentation in their file verified that the staff member had a TB test administered on 5/28/25. Their start date at the group home is documented as 5/15/25 and they reported that they were going to obtain their test results later on the day of the inspection, 5/30/25.”

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.

“Three staff and/or resident files were reviewed and it was noted that none of the three files had documentation that verified that a request for a Central Background check had been submitted on their behalf.”