Open Arms In-Home Daycare

AAC R9-3-502.A. A. Except as provided in subsection (B), a certificate holder shall ensure that the child care group home has an outdoor activity area that: 1. Is on the premises; 2. Is at least 500 square feet in size; 3. Is adjacent to the residence; 4. Includes shaded areas large enough to accommodate all enrolled children occupying the outdoor activity area at any time; and 5. Except as provided in subsection (D), is enclosed by a fence that: a. Is at least 4 feet high; b. Is secured to the ground; c. Does not have any vertical or horizontal open space that exceeds 4 inches at any point, including any space on a gate; and d. Has a gate from which an individual may exit the outdoor activity area.

“Findings: Based on the Compliance Officer's observations, the outdoor activity area lacked shade.”

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 Compliance Officer #2's observation, food substitutions were not written on the posted menu at the time of the meal. The posted menu stated Mac & Cheese, broccoli, and milk. The children were observed eating Peanut Butter and Jelly sandwiches, bananas, and milk.”

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 of facility documentation and Compliance Officer #1's observation, it was determined that 2 out of 10 enrolled children's Emergency, Information and Immunization Record cards reviewed lacked the following required information: Child #1: The child's home phone number. Child #2: The contact phone number for Father/Guardian.”

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 observation, the following hazards were accessible to enrolled children. *In the activity area there was an air purifier on a low shelf that was easily tipped over. *In the outdoor activity area, there was rough, splintered wood on the play structure and 6 supporting poles.”