Tita’s Childcare

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 observations and review of documentation, there was one dog in the home, the rabies vaccine for the dog expired on May 5, 2026.”

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 observations and review of documentation Resident 1 did not have a file and lacked the following documents: The resident’s name and date of birth; The resident’s relationship to the provider; The date the resident began residing at the child care group home; A written statement of current immunity against measles, rubella, diphtheria, mumps, and pertussis; The Criminal History Affidavit; A copy of the front and back of their fingerprint clearance card. The documentation of a negative tuberculosis screening test;”

AAC R9-3-202.A.2. A. A certificate holder shall ensure that: 2. An adult resident completes, signs, dates, and submits to the certificate holder before the resident’s starting date of residency or the date of certification of the child care group home the form required in A.R.S. § 36-897.03(B).

“FINDINGS: Based on the Compliance Officer’s observations and review of documentation, there is no file for Resident 1; the certificate holder did not have documentation of the Central Registry Background check for them.”

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 observations and review of documentation, the required posted information lacked the following information: The amount of screen time in minutes allowed for enrolled children.”

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 observations and review of documentation, there were three dogs in the home. Only Dog 1 had documentation of current vaccination against rabies. The Licensee lacked proof of vaccination against rabies for dogs 2 and 3 on the premises.”

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 Officer noticed that documentation for diaper changes has not been registered daily in a diaper-changing log.”

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 observations, the Compliance Officer noticed that the diapering table had dirt and debris, and it did not have seamless edges to be sanitizable.”

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 observations, the Compliance Officer noticed that the paper towels in the bathroom were not singly dispensed.”

AAC R9-3-504.C.2. C. A certificate holder shall: 2. Ensure that each rechargeable fire extinguisher in the child care group home’s residence: a. Is serviced at least once every 12 months, and b. Has a tag attached to the fire extinguisher that specifies the date of the last servicing and the identification of the person who serviced the fire extinguisher.

“FINDINGS: The Compliance Officer noticed that the mounted fire extinguisher in the kitchen had not been serviced within the past 12 months. The attached tag indicated that the extinguisher was last serviced March 2023.”

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 noticed that one more fire extinguisher was needed in a location accessible to staff members in the activity areas.”

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 review of facility documentation and postings, the Compliance Officer noticed the posted menu displayed was not current, it had information for the previous month.”

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

“FINDINGS: Based on the review of facility documentation, the Compliance Officer noticed missing written feeding instructions for Child 9, who is an infant.”

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 observations, the Compliance Officer observed that in the bathroom that children use, the toilet’s seat lid was damaged and the broken pieces were left in the bathroom where children could reach them.”

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 review of Emergency, Information and Immunization Record (EIIR) cards the Compliance Officer noted that an immunization record was not available for Children 5, 6, 7 and 8.”

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 review of facility documentation, the Compliance Officer reviewed ten children’s emergency cards and noticed that the following information was missing: Child 1, 2 and 3 - date of enrollment Child 4- date of enrollment, answers on back, date, and parent’s name or signature. Child 5, 6, 7 and 8 - second emergency contact and who to call first in case of injury or sudden illness. Child 9- date of birth”

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 noticed that Staff 2 had zero of the twelve required yearly 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.

“FINDINGS: The Compliance Officer reviewed the postings and observed that the following were not posted: Updated child care group home certificate Chain of command indicating the provider name and the designated staff member. Hours of operation Screen time policy Weekly menu”

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: The Compliance Officer observed that Staff 1 and Staff 2 did not have documentation of attendance records.”

AAC R9-3-506.3. A certificate holder shall ensure that: 3. All plumbing fixtures at the child care group home are maintained in operating condition;

“FINDINGS: Based on observations, the Compliance Officer found the toilet’s seat lid was broken in the bathroom that the children use.”

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 inquired about the portable mesh crib and the amount of infant children enrolled. The Provider reported Child 1 and Child 2 attend the childcare together, however the Provider only has one crib. The Provider is required to have a crib for each infant in attendance at any given time that meets the crib specifications.”

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 and Child 2. The Provider reported that she has not obtained written feeding instructions from the parent or guardian.”

AAC R9-3-401.B.2. B. A certificate holder shall ensure that: 2. The areas of the child care group home approved for providing child care services are maintained free from hazards;

“The CO observed the outdoor activity area to have a Little Tikes digger retention basin with 6” of water in it.”

AAC R9-3-507.A.2. A. A certificate holder shall ensure that a staff member changes diapers only on a nonabsorbent, sanitizable diaper changing surface that: 2. Is in an area of the child care group home approved for providing child care services, but not in a kitchen or eating area; and

“The CO observed the diapering surface to contain foam tape along the 4 seams of the plexiglass. The tape is not sanitizable.”

A.R.S. § 36-897.02.B. B. At least two adults shall be present in the child care group home when six to ten children are cared for in the home.

“The CO observed 6 enrolled children with 1 staff member. A second staff member was not present.”

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

“The Compliance Officer (CO) observed the pet dishes accessible to enrolled children in the kitchen area.”

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

“The CO observed a square of artificial grass used for toileting the puppy accessible to the enrolled children in the children's indoor activity area.”

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 CO observed that the menu was not posted for the week of 2/12/24.”

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;

“The CO observed that the Provider failed to conduct monthly fire drills. The last fire drill documented on the log was dated 11/2023.”

AAC R9-3-505.D.9. D. A certificate holder shall ensure that: 9. An enrolled child does not have access to the following on the premises: a. Lawn mowers, ladders, toilet brushes, plungers, and other equipment that may be a hazard to a child; b. An air conditioner, evaporative cooler, heat pump, or furnace; c. A hot tub or spa; d. A pond or fountain; e. An irrigation ditch, abandoned mine, or well; or f. A trampoline.

“The CO observed the bathroom used for enrolled children. A plunger and toilet brush were observed to be accessible to the enrolled children.”

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 CO reviewed the Emergency Information and Immunization Record cards. Four of 8 cards were observed to be incomplete. Child 1 and 2- no documentation of a date of enrollment, and who to call first in the event of an emergency. Child 3 and 4- no documentation of 2 emergency contacts. Child 4- no documentation of who to call first in the event of an emergency.”

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.

“The Compliance Officer (CO) reviewed two staff files. The Provider does not have documentation of having completed the training required within 10 days of hire.”

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;

“The CO reviewed the sign in and out records on the Provider's phone. The CO observed 3 of 3 enrolled children were not signed in today by the parent at 6:30 a.m. when they were dropped off. The provider signed the children in at 8:42a.m. Child 3, 4, and 5 were not signed in upon arrival.”

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 CO observed a child napping who had a sippy cup with milk in it. The cup was not removed when the child fell asleep.”