The Little Paradise 1

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.

“FINDINGS: The Compliance Officer reviewed the file for Staff 1 (start date 4/8/24) and observed that it lacked the results of their Central Registry Background Check.”

AAC R9-3-205.B. B. At least 30 calendar days before the date of an intended change in a child care group home’s space utilization or capacity, a certificate holder shall submit to the Department a written request for approval of the intended change that includes: 1. The certificate holder’s name; 2. The child care group home’s name, if applicable; 3. The name, telephone number, e-mail address, and fax number of a point of contact for the request; 4. The child care group home’s certificate number; 5. The type of change intended: a. Space utilization, or b. Capacity; 6. A narrative description of the intended change; and 7. The following additional information, as applicable: a. If requesting a change in capacity, the square footage of the outdoor activity area and the square footage of the indoor areas where child care services will be provided; b. If requesting a change that involves a modification of the residence that requires a building permit, a copy of the building permit; c. If requesting a change in space utilization that affects individual rooms: i. A floor plan of the residence that complies with R9-3-201(2)(g) and shows the intended changes, and ii. The square footage of each affected room; and d. If requesting a change in space utilization that affects the outdoor activity area: i. A site plan of the premises that complies with R9-3-201(2)(h) and shows the intended changes, and ii. The square footage of the intended outdoor activity area.

“FINDINGS: The Compliance Officer inspected the outdoor area and observed that a newly installed fence made the space smaller by blocking off a section not used for child care. However, the Provider did not notify the Department before making this change.”

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 Officer inspected the diapering area and observed that two rags were stored on the diapering sink.”

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 inspected the kitchen and observed that the fire extinguisher was stored in a closet rather than mounted on the wall.”

AAC R9-3-301.N. When the premises of a child care group home are left unoccupied during hours of operation or the child care group home is temporarily closed due to an unexpected event, a certificate holder shall ensure that a staff member notifies the Department before leaving the child care group home unoccupied or closing the child care group home, stating the period of time during which the child care group home will be unoccupied or closed.

“FINDINGS: The Compliance Officer arrived at the group home and called the Provider when the door was not answered. The Provider stated that she did not have children and left the home, therefore, the group home was closed and the Provider failed to notify the Department.”

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: The Compliance Officer inspected the kitchen and observed that the food restriction for Child 3 was not posted in 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.

“FINDINGS: The Compliance Officer reviewed the children's emergency cards and observed the following: The card for Child 1 lacked doctor’s telephone number. The card for Child 2 lacked doctor’s name and telephone number.”

A.R.S. § 36-897.03.C. C. The provider shall make documented, good faith efforts to contact previous employers of child care personnel to obtain information or recommendations that may be relevant to an individual's fitness to work in a certified child care group home.

“FINDINGS: The Compliance Officer reviewed the file for Staff 1 (start date 4/8/24) and observed that the references checks lacked documented dates of contact.”