Rosy's Child Care

AAC R9-3-407.A.11. A. A certificate holder shall ensure that: 11. Each staff member is informed of a modified diet prescribed for an enrolled child by the child’s parent, physician, physician assistant, or registered nurse practitioner, as specified in R9-3-303(B)(8), and is written and posted in the kitchen;

“FINDINGS: Based on the Compliance Officer’s observations, and review of documentation, the modified diet prescribed for Child 2 was not posted in the kitchen.”

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 observed the EIIR card for Child 1. Who to call first in the event of an emergency was not documented on the EIIR card.”

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 Compliance Officer observed Child 1 swaddled in a thick fleece blanket, with a second thick fleece blanket rolled around the child's head to prop a bottle while in a moving swing.”

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 Compliance Officer observed an infant child receiving child care, and no crib set up for the child to sleep in.”

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

“The Compliance Officer requested the feeding instructions for Child 1 from the Provider. The Provider reported that they did not have written feeding instructions for Child 1.”

AAC R9-3-403.A.3.c. A. A certificate holder shall ensure that: 3. When feeding an enrolled infant, a staff member: c. If the enrolled infant is younger than six months of age or cannot hold a bottle for feeding, holds the enrolled infant for feeding; and

“The Compliance Officer observed that Child 1 could not hold their own bottle and was not held to be fed. The bottle was observed propped with blankets.”

AAC R9-3-507.B.4. B. A certificate holder shall ensure that: 4. Soiled disposable diapers and disposable training pants are: a. Stored in a waterproof container that is tightly covered and lined with a plastic bag; and b. Removed from the diaper-changing area and discarded in an outside waste receptacle once daily or, if necessary, more often.

“The Compliance Officer observed a soiled diaper on the changing table.”

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 Compliance Officer observed a bottle propped with a cream colored substance while the child was placed in a moving swing to sleep. The Provider did not have written permission.”

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 6 children napping, two children had their heads completely covered with a blanket.”

AAC R9-3-202.C. C. Except as provided in A.R.S. § 41-1758.03, a certificate holder shall ensure that a staff member before starting date of employment or volunteer service and an adult resident before starting date of residency or the date of certification of the child care group homes, submits a copy of a valid fingerprint clearance card, front and back, issued under A.R.S. Title 41, Chapter 12, Article 3.1.

“The Compliance Officer requested Resident 1's fingerprint clearance card. Resident 1 had not been fingerprinted since becoming an adult resident in June 2025.”

AAC R9-3-202.G G. If required by A.R.S. § 8-804, before an individual’s starting date of employment or volunteer service, a certificate holder shall comply with the submission requirements in A.R.S. § 8-804(C) for the individual.

“The Compliance Officer reviewed 4 staff files and found Staff 1 was hired 12/1/2018, and had no documentation of having completed the DCS background check or affidavit. *Previously cited 11/7/24”

AAC R9-3-301.D.1. D. A certificate holder shall ensure that: 1. While acting on behalf of the certificate holder when the provider is not present at the child care group home, an adult staff member with a high school diploma or high school equivalency certificate and one of the following is on the premises: a. At least six months of child care experience; b. Two or more credit hours in child growth and development, nutrition, psychology, or early childhood education; or c. At least 30 hours of training in child growth and development, nutrition, psychology, or early childhood education; and

“The Compliance Officer observed Staff 1 alone with 6 children. Staff 1 was not qualified to act in the provider's absence. Staff 1 did not have any educational or training documentation maintained in their file.”

AAC R9-3-301.D.2. D. A certificate holder shall ensure that: 2. At least one adult staff member, in addition to the provider or the staff member specified in subsection (D)(1), is on the premises when six or more enrolled children are at the child care group home.

“The Compliance Officers observed Staff 1 alone in the home with 6 enrolled children.”

AAC R9-3-302.C. C. A certificate holder shall ensure that each staff member completes a total of 12 or more actual hours of training every 12 months after becoming a staff member in two or more of the following: 1. Child growth and development, which may include sudden infant death prevention; 2. Developmentally appropriate activities; 3. Nutrition and developmentally appropriate eating habits; 4. Responding to accidents and emergencies, including CPR and first aid for infants and children; 5. Recognizing signs of illness and infestation; 6. Detecting, preventing, and reporting child abuse or neglect; 7. Guiding and disciplining children; and 8. Availability of community services and resources, including those available to children with special needs.

“The Compliance Officer observed that Staff 1 did not have any training hours documented in their file for the 2023-2024 year.”

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;

“The Compliance Officer observed a 5 gallon container of paint in the outdoor activity area accessible to the enrolled children. The Compliance Officer observed that the shed contained paint and was not locked. The paint is flammable.”

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.

“The Compliance Officer observed that the posted lesson plan was dated for the previous calendar week of 5/5-5/9/2025.”

AAC R9-3-202.D. D. A certificate holder shall ensure that each individual who is a staff member or an adult resident submits to the certificate holder a copy of the individual’s a valid fingerprint clearance card each time the fingerprint clearance card is issued or renewed every six years.

“The Compliance Officer reviewed 4 staff files and observed that Staff 1 was working with an expired card. Staff 1's card expired 10/25/24. *Staff 1 was cited 11/7/24 for having an expired card and an enforcement agreement was signed.”

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 Compliance Officer observed Staff 1 working in the home. Staff 1 has an expired fingerprint clearance card as of 10/25/24. The Certificate holder placed the safety, health, and welfare of the enrolled children at risk of harm when allowing an individual to work with the children who did not have a valid fingerprint clearance card.”

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;

“The CO reviewed the sign in and out records for the staff. Staff 1, 2, and 3 did not have a dated attendance record for 11/7/2024.”

AAC R9-3-301.D.1. D. A certificate holder shall ensure that: 1. While acting on behalf of the certificate holder when the provider is not present at the child care group home, an adult staff member with a high school diploma or high school equivalency certificate and one of the following is on the premises: a. At least six months of child care experience; b. Two or more credit hours in child growth and development, nutrition, psychology, or early childhood education; or c. At least 30 hours of training in child growth and development, nutrition, psychology, or early childhood education; and

“The CO reviewed the staff file for Staff 1 who was acting on behalf of the certificate holder because the provider was not present. Staff 1 did not have any documentation of a high school diploma or GED documented in their file.”

AAC R9-3-202.D. D. A certificate holder shall ensure that each individual who is a staff member or an adult resident submits to the certificate holder a copy of the individual’s a valid fingerprint clearance card each time the fingerprint clearance card is issued or renewed every six years.

“The Compliance Officer (CO) reviewed the staff file for Staff 1. Staff 1 was hired 12/1/2018. Staff 1 had a fingerprint clearance card that had expired 10/25/2024.”

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;

“The CO observed that the play equipment in the backyard is arranged in a manner that conflicts with other equipment. The slides are within close proximity of play equipment and cement walkways.”

AAC R9-3-202.G G. If required by A.R.S. § 8-804, before an individual’s starting date of employment or volunteer service, a certificate holder shall comply with the submission requirements in A.R.S. § 8-804(C) for the individual.

“The CO reviewed the file for Staff 1 hired 12/1/2018, and observed that the file did not contain documentation of a Central Registry Background check.”