Starland Daycare

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 Officer’s observations and review of documentation Staff 1 and Staff 2 did not record their end time on the dated attendance on April 23, May 3 and May 11 of 2026. Staff 3 did not record her end time on May 11, 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’s observations, and review of documentation the Emergency Information and Immunization Record Cards for Child 4 and Child 5 lacked the Health Care Provider’s information and the name of the individual to be contacted in case of injury or sudden illness of the child.”

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;

“FINDINGS: Based on the Compliance Officer’s observations, and review of documentation, it was determined that the following children were not signed out from the child care group home: Child 1: Not signed out on May 6, 7 and 8, 2026 Child 2: Not signed out on May 12, 2026 Child 3: Not signed out on May 12, 2026”

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.

“FINDINGS: Based on the Compliance Officer’s observations and review of documentation the staff files for Staff 1, Staff 2 and Staff 3 lacked 8 of the 12 required hours of training.”

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 the Compliance Officer’s observations a child was taking a nap on a couch in the sleeping room, rather than on a bed, cot, mat or crib as required.”

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 Officer’s observations, and review of documentation, the weekly menu was not posted.”

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: The Compliance Officers reviewed the pets’ vaccinations and observed that the rabies vaccine report was not on file for one out of the three dogs that were present at the time of the inspection.”

AAC R9-3-508.10. A certificate holder shall ensure that: 10. Pet feces in an outdoor activity area are cleaned up before enrolled children are permitted in the outdoor activity area; and

“FINDINGS: The Compliance Officers inspected the outdoor area and observed that dog feces was on the ground on the side of the home, accessible to the enrolled children who were playing outdoors at the time of observation.”

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: The Compliance Officers reviewed the postings and observed that the name of the Designee and the screen time policy were not posted.”

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: The Compliance Officers reviewed the diaper changing log and observed that the most recent entry was documented in September, however, a child wearing diapers was in care since then.”

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: The Compliance Officers inspected the diaper changing surface and observed the following: a backpack was stored on the diaper table surface the seams along the edges of the diaper table surface were not sealed.”

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.

“FINDINGS: The Compliance Officers reviewed the file for Staff 1 (start date 4/9/16) and observed that it contained documentation of 8 out of the required 12 hours of annual training from 4/9/24-4/9/25.”

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: The Compliance Officers reviewed the children’s emergency cards and observed the following: The card for Child 1 lacked their date of enrollment The card for Child 2 lacked the two required emergency contacts. The card for Child 3 lacked 1 out the two required emergency contacts.”

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: The Compliance Officers reviewed the children’s sign in and out logs and observed the following: Child 2 was not signed out on 11/12. Child 4 was not signed out on 11/5 - 11/7 and 11/10-11/12.”

AAC R9-3-401.C.4. A certificate holder shall ensure that a staff member: 4. Except as specified in subsection (C)(5), labels the personal items of an enrolled child with an identifier that is specific to the enrolled child and stores the personal items separately from the personal items of other enrolled children and residents;

“FINDINGS: The Compliance Officer inspected the diaper changing area and observed that a container of petroleum jelly and a container of baby powder were not labeled.”

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: The Compliance Officer reviewed the children's sign in and out logs for January and observed that multiple children were not signed in and/or out according to the requirements.”

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: The Compliance Officer reviewed the children's emergency cards and observed the following: The cards for Children 1, 2 and 3 lacked their parent's dated signatures. The card for Child 4 lacked telephone numbers for both emergency contacts. The card for Child 5 lacked a second emergency contact and the answers to the questions on the backside of the page.”

AAC R9-3-202.E.1. E. If a staff member or resident possesses a fingerprint clearance card that was issued before the staff member or resident became a staff member or resident at the child care group home, a certificate holder shall: 1. Contact the Department of Public Safety before the individual becomes a staff member or resident to determine whether the fingerprint clearance card is valid; and

“FINDINGS: The Compliance Officer reviewed the files for Staff 1 (start date 3/13/23), Staff 2 (start date 2/1992) and Staff 3 (start date 8/01/17) and observed that documentation that their fingerprint cards were verified were not on file.”

AAC R9-3-301.A.3.a. A. A certificate holder shall: 3. Ensure that each resident 12 years of age or older and each staff member submits, on or before the starting date of residency, employment, or volunteer services, one of the following as evidence of freedom from infectious active tuberculosis: a. Documentation of a negative Mantoux skin test or other tuberculosis screening test recommended by the U.S. Centers for Disease Control and Prevention, administered within 12 months before the starting date of residency, employment, or volunteer service, that includes the date and the type of tuberculosis screening test; or b. If the resident or staff member has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the resident or staff member is free from infectious active tuberculosis that is signed and dated by a physician, physician assistant, or registered nurse practitioner within six months before the starting date of residency, employment, or volunteer service; and

“FINDINGS: The Compliance Officer reviewed the file for Staff 1 (start date 3/13/23) and observed that the TB test was read after their start date on 3/23/23 and , therefore, did not meet the required timeframes.”

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: The Compliance Officer reviewed the pet vaccines and observed that the rabies vaccine of 1 dog was expired.”

AAC R9-3-504.A.4. A. A certificate holder shall ensure that: 4. The child care group home’s residence has at least two portable fire extinguishers: a. One of which is labeled as rated at least 1A-10-BC by the Underwriters Laboratories is mounted on the kitchen wall and is easily accessible, and b. One of which is labeled as rated at least 2A-10-BC by the Underwriters Laboratories and is maintained in a location accessible to staff members in an area of the child care group home approved for providing child care services;

“FINDINGS: The Compliance Officer was informed that both extinguishers were dropped off for inspection in the morning before the Compliance Officer arrived and the home was not equipped with back-up extinguishers. Therefore, zero extinguishers were on site at the time of the inspection.”

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: The Compliance Officer reviewed the postings and observed the screen time policy and the name of the Designee were not posted.”

AAC R9-3-504.A.3. A. A certificate holder shall ensure that: 3. Each smoke detector required under subsection (A)(2): a. Is maintained in an operable condition; and b. Is either battery operated or, if hard-wired into the electrical system of the child care group home’s residence, has a back-up battery;

“FINDINGS: The Compliance Officer inspected the nap room and the diapering area and observed that the battery areas on the smoke detectors in those areas were open and did not contain batteries.”

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: The Compliance Officer inspected the fall zones of the climbing equipment and observed that the resilient material measured 0-3 inches in depth.”

AAC R9-3-302.B. A certificate holder shall ensure that a staff member's completion of the training required by subsection (A) is documented and signed by the provider, including the date of completion of the training.

“FINDINGS: The Compliance reviewed the file for Staff 1 (start date 3/13/23) and observed that their New Employee 10 day Training Checklist was not signed by the Provider.”

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.

“FINDINGS: The Compliance Officer reviewed the file for Staff 3 (start date 8/1/17) and observed that it contained zero out of the required 12 hours of annual training between 8/1/23 - 8/1/24.”

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: The Compliance Officer inspected the playground and observed one unused outlet was not covered with a plug.”

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: The Compliance Officer inspected the restroom that the children use and observed a container of Lysol spray was stored on the on toilet tank and was, therefore, accessible to the enrolled children. The can of Lysol is manufactured with a child warning label.”

AAC R9-3-508.8. A certificate holder shall ensure that: 8. Each pet dish is inaccessible to enrolled children during hours of operation;

“FINDINGS: The Compliance Officer inspected the playground and observed that the dog's water dish was stored outside and accessible to the enrolled children who were playing on the playground at the time of the inspection.”

AAC R9-3-301.F.1. F. A certificate holder shall: 1. Prepare a document that includes the following information: a. The name and contact telephone number of the provider; b. The hours of operation of the child care group home; c. Charges, fees, and payment requirements for child care services; d. Whether medications are administered at the child care group home and, if so, a description of what the parent is required to give to the child care group home; e. Whether enrolled children go on field trips under the supervision of a staff member; f. Whether the child care group home provides transportation for enrolled children to or from school, a school bus stop, or other locations; g. The mechanism by which a staff member will verify that an individual contacting the child care group home by telephone claiming to be the parent of an enrolled child is the enrolled child’s parent; h. A statement that a parent has access to the areas on the premises where the parent’s enrolled child is receiving child care services; i. A statement that inspection reports for the child care group home are available for review at the child care group home; and j. The local address and contact telephone number for the Department; and

“FINDINGS: The Compliance Officer reviewed the Statement of Services and it was incomplete. The following items were not included: a. The name and contact telephone number of the provider; b. The hours of operation of the child care group home; c. Charges for child care services; e. Whether enrolled children go on field trips under the supervision of a staff member; f. Whether the child care group home provides transportation for enrolled children to or from school, a school bus stop, or other locations; g. The mechanism by which a staff member will verify that an individual contacting the child care group home by telephone claiming to be the parent of an enrolled child is the enrolled child’s parent; h. A statement that a parent has access to the areas on the premises where the parent’s enrolled child is receiving child care services; i. A statement that inspection reports for the child care group home are available for review at the child care group home; and j. The local address and contact telephone number for the Department; and”

AAC R9-3-403.A.4.b. A. A certificate holder shall ensure that: 4. When feeding an enrolled infant who is no longer being held for feeding or an enrolled one- or two-year-old child, a staff member: b. If the feeding chair is manufactured with a safety strap, fastens the safety strap around the enrolled infant or one- or two-year-old child while the enrolled infant or one- or two year-old child is seated in the feeding chair

“FINDINGS: The Compliance Officer inspected a high chair that was located in the play room and observed that the chair contained a slot for a belt, however it was not equipped with a belt. Per Provider, a belt is not used when a child is seated to. It was purchased second hand and was not sold with a belt.”

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: The Compliance Officer reviewed the file for Staff 3 (start date 8/01/17) and observed that their references were not dated.”

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

“Compliance Officer 1 reviewed the immunization records of ten enrolled children and noted that Child 3's record was incomplete and Child 4 did not have their immunization record on site.”

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.

“Compliance Officer 1 reviewed ten Emergency, Information, and Immunization records and noted the following: Child 1's record did not list a 2nd emergency contact, the name and contact number of their health care provider, the name of the individual to be contacted in case of injury or sudden illness of the child and none of the questions on the back of the card were answered; Child 2's record did not list the name and contact number of their health care provider, nor the name of the individual to be contacted in case of injury or sudden illness of the child; the records of Child 3 and Child 4 did not have their parent's signature nor were they dated.”

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.

“Compliance Officer 2 observed that Staff 2 did not have any documented training hours for their past year. The Provider confirmed that they had not completed their required training hours.”

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.

“Compliance Officer 1 reviewed the group home's posted items and noted that the following items were not posted as required: amount of screen time permitted; name of designated staff to act on behalf of certificate holder when the provider is not present at the group home.”

AAC R9-3-302.B. A certificate holder shall ensure that a staff member's completion of the training required by subsection (A) is documented and signed by the provider, including the date of completion of the training.

“Compliance Officer 2 reviewed three staff files and noted that the documentation to verify that Staff 1 has completed the training required within ten days of hire was not signed by the Provider as required.”

AAC R9-3-504.F.1. F. A certificate holder shall ensure that: 1. An unannounced fire and emergency evacuation drill are: a. At least once each month; and b. Each fire drill and emergency evacuation drill at a different time of day than the fire and emergency evacuation drill conducted in the previous month;

“Compliance Officer 1 reviewed the group home's fire drill log and noted that there were no documented fire drills in November and December of 2023.”

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

“Compliance Officer 1 measured the depth of the rubber chips in the fall zones of the playground equipment in the outdoor activity area as follows: 5" in the fall zone of the ladder; 4" in the fall zone of the rock climbing wall; 3" in the fall zone of the slide; 2.5" in the fall zone of the swing.”

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

“Compliance Officer 1 reviewed the group home's sign in/out documentation and noted the following: Child 1 was signed in on 2/12/24 but was not signed out on that day; Child 4 was signed in on 2/10/24 but was not signed out on that day; Child 6 was signed in on 1/30/24 and 2/12/24 but was not signed out on those days; Child 7 was signed in on 2/9/24 but was not signed out on that day..”

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;

“Compliance Officer 2 observed a staff member change a child's diaper without washing their hands prior to changing the child's diaper. CO 2 further observed that the staff member removed the child from the diapering surface and allowed the child to leave the diaper changing area without washing the child's hands.”

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;

“Compliance Officer 1 observed a blanket on the diaper changing surface.”