Rose world home care

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 the Compliance Officer's and Compliance Officer Supervisor's observations, at the time of the inspection, Child #2 lacked documentation of an immunization record or an exemption affidavit (refer to 304.A.2).”

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.

“Findings: Based on the Provider's statements, the Compliance Officer's, and Compliance Officer Supervisor's observations, the health, safety, or welfare of an enrolled child was placed at risk of harm. The provider was utilizing a nap room that was not approved for enrolled children. The Provider stated that the enrolled infants crib was located in the nap room. Push pins and loose screws were observed on the wall above the enrolled infant's assigned crib. Previously cited on 08/13/2025.”

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 Officer’s and Compliance Officer Supervisor's observations, the following hazards were observed in the Nap room, there were push pins and loose screws on the wall above an enrolled infant's assigned crib. In the kitchen there were 4 black handled steak knives in the drawer next to the oven. Previously cited on 08/13/2025.”

AAC R9-3-506.1. A certificate holder shall ensure that: 1. All areas of the child care group home approved for providing child care services and the furnishings, equipment, supplies, materials, utensils, and toys in those areas are kept clean and free of insects and vermin;

“Findings: Based on the Compliance Officer's and the Compliance Officer Supervisor's observations, there were smears and dark colored streaks on the walls, tile floors, and equipment of the home. Previously cited on 12/30/2024 and 01/13/2026.”

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: Based on the Compliance Officer's and Compliance Officer Supervisor's observations, at the time of inspection, an enrolled infant was present and the last recorded diaper-change on the log was 03/17/2026 at 10:00 am.”

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 the Compliance Officer's and the Compliance Officer Supervisor's observations, the Provider lacked documentation of a current rabies vaccination. Repeat Deficiency: cited 01/13/2026.”

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.

“Findings: Based on Licensee's documentation and the Compliance Officer's and Compliance Officer Supervisor's observations, a crib that was assigned to an enrolled infant was located in a room that was not approved for use and lacked a crib sheet.”

AAC R9-3-301.G. G. A certificate holder shall ensure that a staff member posts in a place that can be conspicuously viewed by individuals entering or leaving the child care group home: 1. The child care group home certificate; 2. The name of the provider; 3. The name of the staff member designated to act on behalf of the certificate holder when the provider is not present at the child care group home; 4. The hours of operation for the child care group home; 5. The weekly activity schedule required in R9-3-401(B)(4)(b); 6. The amount of time in minutes enrolled children may watch television, videos, or DVDs at the child care group home; and 7. The weekly menu, required in R9-3-406(F), before the first meal or snack of the week.

“Findings: Based on the Compliance Officer's and the Compliance Officer Supervisor's observations, the Provider lacked a posted weekly menu.”

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 Officer's and Compliance Officer Supervisor's observations, the provider lacked outlet covers in the TV room, Front room, and Nap room. Repeat deficiency 01/13/2026.”

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 Compliance Officer Supervisor's observations, the Emergency, Information, and Immunization Record card for Child #1 lacked the name and phone number of a second individual authorized by the child’s parent to collect the child or to be contacted if the child’s parent cannot be contacted.”

AAC R9-3-505.D.1. D. A certificate holder shall ensure that: 1. A stairway that leads to a floor or room outside of the areas of the child care group home approved for providing child care services is separated from the areas of the child care group home approved for providing child care services by either a door or gate that is kept closed during hours of operation;

“Findings: Based on the Compliance Officer Supervisor's observations, upon arrival, the provider did not have the gate at the bottom of the stairway closed as required. Repeat Deficiency: cited 01/13/2026.”

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: Based on Licensee's documentation and the Compliance Officer's and Compliance Officer Supervisor's observations, it was determined that the following attendance records lacked the following information: Child #3: An arrival signature and time for 03/02/2026, 03/03/2026, 03/05/2026, 03/17/2026, and 03/19/2026. A release signature and time for 03/13/2026. Child #4: An arrival signature and time for 03/06/2026 and 03/07/2026.”

AAC R9-3-506.1. A certificate holder shall ensure that: 1. All areas of the child care group home approved for providing child care services and the furnishings, equipment, supplies, materials, utensils, and toys in those areas are kept clean and free of insects and vermin;

“Per allegation findings: Based on the Compliance Officer's and the Compliance Officer Supervisor's observations, there were smears and dark colored streaks on the walls of the tv room and front room. There were smudges and yellow colored streaks on the sliding glass door in the tv room.”

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 the Compliance Officer's and the Compliance Officer Supervisor's observations, the Provider lacked documentation of the current rabies vaccination for the dog.”

AAC R9-3-505.D.1. D. A certificate holder shall ensure that: 1. A stairway that leads to a floor or room outside of the areas of the child care group home approved for providing child care services is separated from the areas of the child care group home approved for providing child care services by either a door or gate that is kept closed during hours of operation;

“Findings: Based on the Compliance Officer's and the Compliance Officer Supervisor's observations, the provider did not have a gate at the bottom of the stairway leading to the second floor of the home.”

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 Officer's and Compliance Officer Supervisor's observations, the provider lacked outlet covers in the tv room, on the kitchen island, and in the front room.”

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;

“Per allegation findings: Based on the Provider's statements and the Compliance Officer's/Compliance Officer Supervisor's observations, the provider lacked written permission for the enrolled child to self-admit. The provider stated that the "school has the permission" from the parent, but the Provider does not have written parent permission for the child to walk from the bus stop to the small group home.”

AAC R9-3-405.A.2. A certificate holder shall ensure that a staff member: 2. Teaches, models, and encourages orderly conduct, selfcontrol, and age-appropriate behavior;

“Per allegation findings: Based on the Provider's statements and the Compliance Officer's/Compliance Officer Supervisor's observations, staff failed to teach, model, and encourage orderly conduct self-control, and age-appropriate behavior. The Provider stated "there were a couple of times a staff member would yell at their own children".”

AAC R9-3-301.A.4.c. A. A certificate holder shall: 4. Ensure that the provider: c. Maintains on the premises a file for each resident, for 12 months after the date the resident last resided at the child care group home, containing: i. The resident’s name and date of birth; ii. The resident’s relationship to the provider; iii. The date the resident began residing at the child care group home; iv. The date the resident last resided at the child care group home, if applicable; v. A written statement by the resident or, if the resident is a minor, the provider attesting to the resident’s current immunity against measles, rubella, diphtheria, mumps, and pertussis; vi. If the resident is an adult, the form required in A.R.S. § 36-897.03(B); vii. If the resident is an adult, the documents required by R9-3-202(C)(2) or R9-3-202(D); and viii.If the resident is 12 years of age or older, the documents required by subsection (A)(3);

“Findings: Based on the Compliance Officer's and Compliance Officer Supervisor's observation, the Provider lacked a file for the resident as required.”

AAC R9-3-309.H. A certificate holder shall ensure that a child care group home does not stock a supply of prescription or nonprescription medications for administration to enrolled children.

“Findings: Based on provider statements and the Compliance Officers' observations, the provider stated they applied Neosporin from the first aid kit to an enrolled 1-year-old child's burns and administered a nonprescription pain medication that was the households for the child's pain.”

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.

“Findings: Based on documentation reviewed, provider's statements, and the Compliance Officers' observations, the health, safety, or welfare of an enrolled 1-year-old child was placed at risk of harm when the first aid given by the provider was in conflict with the training they received for first aid/CPR from My CPR Now. According to the My CPR Now website the following First Aid Steps for burns is given: Cool the Burn: Run cool water over the area. Cover: Use a sterile, non-sticky bandage or clean cloth. Avoid Ointments: Don't apply butter, oils, or creams. Seeking Medical Help for large or severe burns: If the burn is larger than the person's palm or appears severe. The documentation reviewed and provider stated the following: 6:30-6:35 pm: child is injured with scalding water · child’s arm is put under cool water · child was rubbing their hand/arm on their shirt and skin started to peel away. 6:38 pm: provider’s mother arrived at the home 6:43 pm: provider called parent Time unknown provider called the pediatrician. 6:50 pm: provider on the phone with non-emergency using the landline 6:51 pm: text to parent 6:57 pm: parent called provider Time unknown Neosporin applied Time unknown bandage applied · child did not want anything touching the burns and removed the bandage. 7:00 pm: nonprescription pain reliever given 7:18 pm: child signed out. 8:37 pm: child checked into emergency department · Partial thickness burns of left upper extremity The My CPR Now website states to seek medical help if burns are larger than the persons' palms or appear severe and not to apply ointments or creams. The provider stated the child rubbed their arm on their shirt and "the first layer of skin was peeling" and they checked the child's chest for additional injuries but none were found. Documentation reviewed shows "patches of 2nd degree burn looking lesions on left forearm, wrist and hand", a burn on the child's stomach, and blisters on 3 of their toes. The provider applied Neosporin and stated they did not contact 911, but referred the parent to seek medical treatment at Phoenix Children's Hospital. Phoenix Children's Hospital's website: The American Academy of Pediatrics state if a child has major burns they need medical care right away and to call 911. The child received the burns at 6:35 pm, child's attendance record: signed-out at 7:18 pm, and checked into the emergency department at 8:37 pm, almost 2 hours after receiving the burns.”

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.

“Findings: Based on provider's statements and the Compliance Officers' observations, the health, safety, or welfare of an enrolled child was placed at risk of harm when a nonprescription pain medication was administered to an enrolled 1-year-old child without written authorization from the parent. The provider sated the medication was the households and was not provided by the parent. At the time of the inspection, the provider was unable to produce the medication so the Compliance Officers could verify the medication and dosage that was given.”

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;

“Findings: Based on documentation reviewed, provider's statements, and the Compliance Officers' observations, the provider failed to supervise an enrolled 1-year-old child at all times. A plastic bowl of noodles and scalding water was placed in the microwave (off) to steep for 1 to 2 minutes. The bowl was taken out of the microwave and placed on the edge of the counter next to the sink in order to drain the water. The provider turned toward the stove to reach the towel next to the oven behind them. The provider stated at some point while their back was turned away from the pantry door and the tv area, the child came into the kitchen. The child reached up and pulled the bowl of scalding water and noodles towards them, spilling along their left forearm, wrist, and hand. The provider stated they did not realize the child was there or what happened until some water splashed onto their legs. The child started to cry shortly after.”

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;

“Findings: Based on the Compliance Officers' observations, the provider and staff member failed to supervise enrolled children at all times. At the time of the inspection, the Compliance Officers observed 2 children running into the kitchen/dining room area. The children hopped onto the bar stools and were sitting at the island, they began tearing through a backpack and removing items. One child got up from sitting on their knees and began sitting on top of the backrest of the bar stool. The provider or staff member were not present in the area to intervene and stop the children's behavior.”

AAC R9-3-309.B.3. B. If prescription or nonprescription medications are administered at a child care group home, a certificate holder shall ensure that: 3. The designated staff member does not administer a medication to an enrolled child unless the child care group home receives written authorization on a completed Department-provided authorization form that includes: a. The child’s first and last name; b. The name of the medication; c. The prescription number, if any; d. Instructions for administration specifying: i. The dosage, ii. The route of administration, iii. The first and last dates that the medication is to be administered, and iv. The times and frequency of administration; e. The reason for the medication; f. The signature of the child’s parent; and g. The date of signature; and

“Findings: Based on provider statements and the Compliance Officers' observations, a nonprescription pain medication was administered to an enrolled 1-year-old child without written authorization from the child's parent. The provider stated that while on the phone with the parent, they received verbal authorization to provide the pain medication.”

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.

“Per allegation findings: Based on documentation reviewed, provider's statements, and the Compliance Officers' observations, the health, safety, or welfare of an enrolled 1-year-old child was placed at risk of harm when the child suffered "patches of 2nd degree burn looking lesions on left forearm, wrist and hand", a burn on the stomach, and blisters on 3 toes. The provider stated that water was placed in a glass bowl and was in the microwave for 4 minutes, the water was poured into a plastic bowl with dry noodles and placed back into microwave (off) to steep for 1 to 2 minutes. The plastic bowl of noodles and scalding water was taken out of microwave and placed on the edge of the counter next to the sink in order to drain the water. The provider turned toward the stove to reach the towel next to the oven behind them, the child came into the kitchen, reached up and pulled the bowl of scalding water and noodles towards them. The water spilled along their left forearm, wrist, hand, stomach, and toes.”

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, it was determined that the posted July menu lacked dates.”

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, in the outdoor activity area, there was broken plastic with sharp edges on the toy truck and pink animal carrier. There was a cloth tunnel with torn mesh netting.”

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, in the outdoor activity area, the following hazards were accessible to enrolled children: There were 2 white plastic garbage bags by the east wall and 2 garbage bags by the sliding glass doors on the patio. There were 4 pieces of plastic with sharp edges by the climbing structure. There was crumbling stucco with exposed metal at the base of the door frames.”

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 facility documentation and the Compliance Officer’s observation, it was determined that 13 out of 13 enrolled children's Emergency, Information and Immunization Record Cards reviewed lacked the following required information: Child #1: The child's phone number. The name and phone number of a second individual to contact in case of an emergency. Child #2: The phone number of the first parent. The address of the second parent. Child #3 and Child #4: The name and phone number of a second individual to contact in case of an emergency. Child #5 and Child #6: The name, address, and phone number of the second parent. Child #7: The name, address, and phone number of the second parent. The phone number of the child’s health care provider. The name of the individual to be contacted first in case of injury or sudden illness. Child #8, Child #9, Child #10: The name of the individual to be contacted first in case of injury or sudden illness. Child #11, Child #12, and Child #13: The address of the first parent. The name, address, and phone number of the second parent.”

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: Based on the Compliance Officers' observations, the outdoor activity area lacked 6 of the required 6 inches of rubberized chips under the swings and green slide.”

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;

“Per allegation findings: Based the Compliance Officer's observations, in the kitchen, there were 2 bar stools that were not steady when moved and wobbled back and forth. The back rest of one stool had loose connections and was pulling away from the seat. In the kitchen, there was a hole where the screen was separating away from the metal frame by the handle of the screen door.”

AAC R9-3-401.C.5. C. A certificate holder shall ensure that a staff member: 5. Stores diapering products in a location that is inaccessible to enrolled children but accessible for diaper changing;

“Findings: Based on the Compliance Officer's observation, in the diaper changing area, there was a package of wipes on the counter next to the diaper changing table and a package of wipes on the shelf underneath the diaper changing table that were accessible to enrolled children.”

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: Based on the Compliance Officer's observation, in the diaper changing area, there was a can of Clorox spray on the counter next to the diaper changing table and accessible to enrolled children.”

AAC R9-3-506.1. A certificate holder shall ensure that: 1. All areas of the child care group home approved for providing child care services and the furnishings, equipment, supplies, materials, utensils, and toys in those areas are kept clean and free of insects and vermin;

“Findings: Based on the Compliance Officer's observation, in the living room, there were dark brown smudges and crayon marks on the wall by the staircase and the wall by the kitchen.”

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;

“Findings: Based on the Compliance Officer's observation, the bathroom lacked soap.”

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 the Compliance Officer's observation, the diaper changing surface had chipped paint with exposed particle board that was rough when touched.”

A.R.S. § 36-897.02.D. D. The total number of children present in a child care group home at any given time for whom compensation is received shall not exceed ten.

“Per allegation findings: Based on facility documentation and the Compliance Officer's observation, it was determined that on 12/23/2024 between 12:16 pm and 4:00 pm, there were 11 enrolled children present and the provider was receiving compensation. Previously cited on 09/23/2024.”

A.R.S. § 36-897.02.D. D. The total number of children present in a child care group home at any given time for whom compensation is received shall not exceed ten.

“Per allegation findings: Based on facility documentation, Provider statements, and the Compliance Officer's observation, it was determined that on 08/05/2024 between 3:46 pm and 4:29 pm, there were 12 enrolled children present and the provider was receiving compensation. The Provider stated a family of 4 dropped-in and that placed them over.”

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.

“Findings: Based on the Licensee's documentation and the Compliance Officer's observation, it was determined that the file for Staff #1 (start date 03/11/2024) lacks documentation of the 10-day new staff training.”

AAC R9-3-401.C.5. C. A certificate holder shall ensure that a staff member: 5. Stores diapering products in a location that is inaccessible to enrolled children but accessible for diaper changing;

“Findings: Based on the Compliance Officer's observation, there were 2 packages of wipes on the shelf below the diaper changing surface accessible to enrolled children.”

AAC R9-3-301.A.4.b. A. A certificate holder shall: 4. Ensure that the provider: b. Maintains on the premises a file for each staff member, for 12 months after the date the staff member last worked at the child care group home, containing: i. The staff member’s name, date of birth, home address, and telephone number; ii. The staff member’s starting date of employment or volunteer service; iii. The staff member’s ending date of employment or volunteer service, if applicable; iv. The staff member’s written statement attesting to current immunity against measles, rubella, diphtheria, mumps, and pertussis; v. The form required in A.R.S. § 36-897.03(B); vi. For an adult staff member, a copy of the staff member’s valid fingerprint clearance card issued under A.R.S. Title 41, Chapter 12, Article 3.1; vii. Documents required by subsection (A)(3); viii.Documentation of the requirements in A.R.S. § 36-897.03(C); ix. If applicable: 1. The form required in A.R.S. § 8-804(I); 2. Documentation of the submission required in A.R.S. § 8-804(C) and the information received as a result of the submission; and 3. Documentation of the completion of the Department-provided orientation training specified in subsection (A)(1)(e), if applicable; x. Documentation of the training required in R9-3-302; and xi. Documentation of a high school diploma, high school equivalency diploma, associate degree, or bachelor degree, if applicable;

“Findings: Based on the Licensee's documentation and the Compliance Officer's observation, it was determined that the file for Staff #1 (start date 03/11/2024) lacks documentation of continuing education and that the Central Registry Clearance Form was submitted to the Department of Child Safety for verification.”

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 Licensee's documentation and the Compliance Officer's observation, it was determined that 3 out of 6 enrolled children's Emergency, Information and Immunization Record cards reviewed lacked the following required information: Child #1: The name, address, and phone number of the second parent. The name and phone number of the health care provider. Child #2: The name, address, and phone number of the second parent. Child #3: The name and phone number of the health care provider.”

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 Officer's observation, in the Flex room, there was an open purse containing a bottle of medication on the floor under the desk accessible to enrolled children.”