Marmion Child Care

AAC R9-3-504.C.2. C. A certificate holder shall: 2. Ensure that each rechargeable fire extinguisher in the child care group home’s residence: a. Is serviced at least once every 12 months, and b. Has a tag attached to the fire extinguisher that specifies the date of the last servicing and the identification of the person who serviced the fire extinguisher.

“Findings: The Compliance Officer noted that the fire extinguisher located in the kitchen did not have an inspection tag or receipt to document when it was last serviced.”

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 review of required licensing documents the Compliance Officer observed that two of the three dogs had rabies vaccinations that had expired March 2026.”

AAC R9-3-502.C.2.a. C. A certificate holder shall ensure that: 2. If a child can fall more than 48 inches from a climbing structure, swing, or slide in an outdoor activity area to the ground below, the climbing structure, swing, or slide: a. Has one of the following covering the fall zone of the climbing structure, swing, or slide: i. At least 6 inches of fine loose sand, pea gravel, wood fiber product, or other resilient material; or ii. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; and

“Findings: During inspection of the outdoor activity area, the Compliance Officer measured the following sand depths in the fall zones of the outdoor equipment: -4 inches in front of the large blue slide -4 inches within the fall zones of the swings”

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 review of required documents, as well as Provider statement, the Compliance Officer noted that a posted menu was not available to review.”

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 review of 12 Emergency, Information and Immunization Record (EIIR) cards the Compliance Officer noted that Child 2 did not have an immunization record or an exemption affidavit available to review.”

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: The Compliance Officer noted that the diaper log for Child 1 did not indicate the actual date, it only said "July".”

AAC R9-3-502.C.2.a. C. A certificate holder shall ensure that: 2. If a child can fall more than 48 inches from a climbing structure, swing, or slide in an outdoor activity area to the ground below, the climbing structure, swing, or slide: a. Has one of the following covering the fall zone of the climbing structure, swing, or slide: i. At least 6 inches of fine loose sand, pea gravel, wood fiber product, or other resilient material; or ii. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; and

“Findings: While inspecting the outdoor activity area the Compliance Officer measured 4 inches of resilient sand in the fall zones of the swings.”

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: While inspecting the outdoor activity area the Compliance Officer noted that the wooden playhouse had several pieces of wood that were broken or missing, exposing the splintered framework and creating sharp edges that are accessible to children.”

AAC R9-3-504.E.3. E. A certificate holder shall: 3. Post a copy of the floor plan showing the evacuation paths from the residence in each indoor area of the child care group home approved for providing child care services.

“Findings: The Compliance Officer noted that an evacuation map was not posted near the exit that leads from the play room to the backyard.”

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: The Compliance Officers noted that Child 1, Child 2, and Child 3 were present during the inspection, but had not been signed in upon arrival at the home.”

AAC R9-3-502.C.2.a. C. A certificate holder shall ensure that: 2. If a child can fall more than 48 inches from a climbing structure, swing, or slide in an outdoor activity area to the ground below, the climbing structure, swing, or slide: a. Has one of the following covering the fall zone of the climbing structure, swing, or slide: i. At least 6 inches of fine loose sand, pea gravel, wood fiber product, or other resilient material; or ii. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; and

“Compliance Officer 1 noted that the sand within the fall zones of the swings measured 3 inches deep.”

AAC R9-3-504.C.2. C. A certificate holder shall: 2. Ensure that each rechargeable fire extinguisher in the child care group home’s residence: a. Is serviced at least once every 12 months, and b. Has a tag attached to the fire extinguisher that specifies the date of the last servicing and the identification of the person who serviced the fire extinguisher.

“Compliance Officer 1 noted that the two fire extinguishers had not been serviced as required. The tags indicated that the extinguishers expired in March 2024.”

AAC R9-3-504.F.3. F. A certificate holder shall ensure that: 3. A record is made of each fire and emergency evacuation drill, including: a. The date of the fire and emergency evacuation drill, and b. The time of the fire and emergency evacuation drill; and

“Based on review of documents provided during the inspection the Compliance Officers noted that a fire drill was conducted during the month of December 2023.”

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;

“Compliance Officer 1 noted that the paper towels in the child restroom were not singly dispensed, they were stacked up on the lid of the toilet tank.”

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.

“Compliance Officer 2 reviewed 21 children’s emergency cards and observed the following: -Child 1's card did not document the name and contact number for the child's physician. -Child 3 and Child 4's cards did not document the contact number for the child's physician. -Child 5's card did not document the name and contact number for the child's physician, their date of enrollment, or the person to call first in case of emergency. -Child 6's card did not document their date of enrollment, or the person to call first in case of emergency.”

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

“Compliance Officer 2 reviewed 21 children’s emergency cards and observed that Child 2's file did not have an Immunization Record or Affidavit attached as required.”

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 1 noted that a board was missing from the roof of a wooden playhouse in the outdoor activity area, exposing the rusty screws that were holding the wood on originally.”

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.

“Compliance Officer 1 noted that the posted menu was not for the current week, it was dated April 22 - April 26, 2024.”

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

“Compliance Officer 2 noted that Child 7 was signed in and out on the day of the inspection (1:18 PM - 7:07 PM), but was not present in the home while the Compliance Officers were onsite.”

AAC R9-3-505.D.5. D. A certificate holder shall ensure that: 5. Except as provided in R9-3-503(C)(4) and subsection (D)(6)(d), the following are stored in a labeled container separate from food storage areas and are inaccessible to an enrolled child: a. Materials and chemicals labeled as a toxic substance, and b. Substances that have a child warning label and may be a hazard to a child;

“FINDINGS: The Compliance Officer Supervisor observed that a container of Lysol spray (labeled with a child warning label) was stored accessible to the children in the living room.”

AAC R9-3-504.A.12. A. A certificate holder shall ensure that: 12. A candle or incense is not burned in the child care group home’s residence during hours of operation; and

“FINDINGS: The Compliance Officer Supervisor and the Compliance Officer observed candles in the living room and kitchen were burning during hours of operation.”

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;

“FINDINGS: The Compliance Officer reviewed the children's sign in and out logs for 10/25/23 and observed that Children #1-5 were not signed out for the day. According to the Provider, the children were present earlier in the day but had all left prior to the inspection.”

AAC R9-3-301.N. When the premises of a child care group home are left unoccupied during hours of operation or the child care group home is temporarily closed due to an unexpected event, a certificate holder shall ensure that a staff member notifies the Department before leaving the child care group home unoccupied or closing the child care group home, stating the period of time during which the child care group home will be unoccupied or closed.

“FINDINGS: The Compliance Officer Supervisor and the Compliance Officer arrived at the group home and observed that they failed to report their temporary closure (10/25/23). The Provider stated that she closed the home around 9:30 in the morning and acknowledged that she did not let the department know.”

AAC R9-3-301.A.1. A. A certificate holder shall: 1. Designate a provider who: a. Lives in the residence; b. Is 21 years of age or older; c. Has a high school diploma, high school equivalency diploma, associate degree, or bachelor degree; d. Meets one of the following: i. Has completed at least three credit hours in child growth and development, nutrition, psychology, or early childhood education; ii. Has completed at least 60 hours of training in child growth and development, nutrition, psychology, early childhood education, or management of a child care business; or iii. Has at least 12 months of child care experience; and e. Has completed Department-provided orientation training that includes the Department's role in certifying and regulating child care group homes under A.R.S. Title 36, Chapter 7.1, Article 4 and this Chapter;

“FINDINGS: The Compliance Officer Supervisor and the Compliance Officer inspected the group home and asked the Provider if she lived in the home. The Provider stated that she did live in the home and that she does spend time at another home. The Compliance Officer Supervisor requested to see the Provider's bedroom and observed that the closet did not contain clothing and the bed was an inflatable bed. The Compliance Officer Supervisor also informed the Provider that upon review of a DES electronic document, the Provider and her foster child were documented to live at the other house. The Compliance Officer Supervisor then informed the Provider that it did not appear that she lived in the home. Based on observation and interview with the Provider it was determined that the licensed group home is not the primary residence for the Provider.”