New Birth Child Care and Preschool

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 the review of facility documentation and the Compliance Officer's observations, three of four Emergency Contact cards reviewed lacked the following required information: *Child #2: The name of the individual to be contacted in case of injury or sudden illness of the child. *Child #3: The name and contact telephone number of a second individual authorized to collect the child if the child’s parent cannot be contacted. *Child #4: The name, home address, and contact telephone number of the second parent.”

AAC R9-3-502.C.1.b. C. A certificate holder shall ensure that: 1. A staff member: b. Arranges play equipment in an outdoor activity area to eliminate hazards and to minimize conflict between children using the play equipment;

“Findings: Based on the Compliance Officer's observations, the outdoor activity area was not maintained free from hazards, there was a swamp cooler accessible to children near the sliding door.”

AAC R9-3-304.B. A certificate holder shall ensure that a staff member attaches an enrolled child's written immunization record or exemption affidavit, required in subsection (A), to the enrolled child's Emergency, Information, and Immunization Record card, required in R9-3-303(B).

“Findings: Based on the review of the facility documentation and the Compliance Officer's observations, four of four emergency contact cards lacked a copy of the children's immunization record cards.”

AAC R9-3-505.D.2. D. A certificate holder shall ensure that: 2. A glass window, mirror, or other glass surface that is located lower than 36 inches above the floor, a sliding glass door, or another type of glass partition that is located lower than 36 inches above the floor: a. Is made of safety glass that has been manufactured, fabricated, or treated to prevent the glass from shattering or flying when struck or broken; b. Is shielded by a barrier to prevent impact by or physical injury to an enrolled child; or c. Has conspicuous markings located at a child’s eye level;

“Findings: Based on the Compliance Officers' observations, it was determined that the glass sliding door opening to the backyard lacked markings at the children's eye level.”

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 the Compliance Officers' observations, it was determined that in the backyard, there was peeling paint and accumulation of rust at the base of the metal play house that was accessible to the enrolled children.”

AAC R9-3-504.A.5. A. A certificate holder shall ensure that: 5. Each electrical outlet in an area of the child care group home approved for providing child care services is covered with a safety plug cover or insert when not in use;

“Findings: Based on the Compliance Officers' observations, two outlets on the outside of the home to the left of the door of the outdoor activity area lacked a cover.”

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 the Compliance Officers' observations, the posted menu lacked a date.”

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 the Compliance Officers' observations, the following hazards were accessible to enrolled children: Outdoor Activity Area: *In the far right corner near the shed, there was an orange bucket of cement; and *Two brooms were leaning up against the wall of the home.”

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;

“Findings: Based on the Compliance Officers' observations, the provider failed to record their daily start and end times.”

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 the Compliance Officers' observations, a portable air conditioner was on the outdoor patio accessible to enrolled children.”

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: Based on the Compliance Officers' observations, the following equipment was not maintained free from hazards and accessible to enrolled children: *The middle base of the red cycle merry-go-round had a build-up of rust, causing the paint to peel and flake, and two bikes were missing one of two rubber pedals.”

AAC R9-3-304.B. A certificate holder shall ensure that a staff member attaches an enrolled child's written immunization record or exemption affidavit, required in subsection (A), to the enrolled child's Emergency, Information, and Immunization Record card, required in R9-3-303(B).

“Findings: Based on Compliance Officer #2's observation and review of facility documentation, it was determined that Child #1 and Child #2 lacked an immunization record (10 children files were reviewed).”

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 #1's observation, it was determined that there was a nail protruding on the wooden gate along the southeast corner of the backyard that was accessible to the enrolled children.”

AAC R9-3-505.D.2. D. A certificate holder shall ensure that: 2. A glass window, mirror, or other glass surface that is located lower than 36 inches above the floor, a sliding glass door, or another type of glass partition that is located lower than 36 inches above the floor: a. Is made of safety glass that has been manufactured, fabricated, or treated to prevent the glass from shattering or flying when struck or broken; b. Is shielded by a barrier to prevent impact by or physical injury to an enrolled child; or c. Has conspicuous markings located at a child’s eye level;

“Findings: Based on Compliance Officer #1's observation, it was determined that there were no conspicuous markings on the glass door that opens to the backyard.”

AAC R9-3-504.A.5. A. A certificate holder shall ensure that: 5. Each electrical outlet in an area of the child care group home approved for providing child care services is covered with a safety plug cover or insert when not in use;

“Findings: Based on Compliance Officer #1's observation, it was determined that there was one uncovered outlet in the restroom that was accessible to the enrolled children.”

AAC R9-3-502.C.3. C. A certificate holder shall ensure that: 3. If a child can fall between 24 and 48 inches from a climbing structure, swing, or slide in an outdoor activity area to the ground below, the climbing structure, swing, or slide has covering the fall zone of the climbing structure, swing, or slide non-dormant, growing grass or the resilient material required in subsection (C)(2)(a)(i) or (ii).

“Findings: Based on the Compliance Officers' observations, it was determined that there was no growing grass or resilient material in the fall zones around the slides in the outdoor activity area.”

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 #1's observation, it was determined that there were 2 screws on the diaper changing making the surface not sanitizable.”

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 the Compliance Officers' observations, it was determined that there was an evaporative cooler in the patio that was accessible to the enrolled children.”