Mundo Divertido

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;

“The Compliance Officer observed that the child care room in which children were napping during the inspection, was very dark. The windows were covered with sun shades and curtains. The CO was unable to see the children's faces. The CO also noted that two of the 7 children were napping with their heads and faces covered with their blankets. Group Home staff removed the blankets from the children's faces and heads and both children were observed to be asleep.”

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.

“The CO observed 2 pacifier keeper cords in an occupied crib. The CO observed plastic grocery bags accessible to the enrolled children in the cubbies.”

AAC R9-3-403.A.3.a. A. A certificate holder shall ensure that: 3. When feeding an enrolled infant, a staff member: a. Prepares and stores the enrolled infant’s formula, breast milk, or other food according to written instructions from the enrolled infant’s parent;

“The CO requested the written feeding instructions for Child 2 and Child 3. Staff 1 reported that she does not have written feeding instructions for the children.”

AAC R9-3-402.C.4. C. A certificate holder shall ensure that a crib used by an enrolled child: 4. Does not contain bumper pads, pillows, comforters, sheepskins, stuffed toys, or other soft products when an enrolled child is in the crib.

“The CO observed thick blankets and comforters in cribs with enrolled children. The CO also observed thick blankets bunched up around Child 3 who was asleep in a bouncy seat on the floor.”

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;

“The CO observed 2 occupied cribs with bottles containing a white liquid. Staff 1 reported that they do not have written permission to have the bottles in the cribs.”

A.R.S. § 36-897.02.B. B. At least two adults shall be present in the child care group home when six to ten children are cared for in the home.

“The Compliance Officer (CO) observed 6 enrolled children with Staff 1 during the inspection.”

AAC R9-3-402.C.1. A certificate holder shall ensure that a crib used by an enrolled child: 1. Has bars or openings spaced no more than 2 3/8 inches apart;

“The CO observed Child 1 napping in mesh portable crib. Child 2 was observed napping in a bouncy seat.”

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.

“The CO observed Staff 1 put Child 2 and Child 3 in cribs that had previously been observed with different children in the cribs during the inspection without changing the sheets, and cleaning the mattress.”

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.

“The Compliance Officer (CO) reviewed 8 EIIR cards and observed that Child 1 did not have who to call first in the event of an emergency, and a physician's name and phone number documented on their card.”

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

“The CO reviewed 8 EIIR cards and immunization records. Child 2 did not have documentation of an immunization record or exemption on file.”