Tree House 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 review of required licensing documents the Compliance Officer noted that the Provider and staff have not been recording their start and end times consistently.”

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 review of required documents the Compliance Officer noted that the posted menu was not current, it was dated for October 12 through October 18, 2025.”

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

“Findings: Based on review of required documents Compliance Officer 2 noted that Infant Feeding Instructions were not available for Child 1. Child 1 was present during the inspection.”

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 review of required documents Compliance Officer 1 noted that Staff 2 and Staff 3 have not been signing in and out consistently.”

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: Based on review of staff files Compliance Officer 2 noted that Staff 1's file did not contain documentation that two references had been contacted. Staff 1's start date is documented as 01/13/23.”

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 review of sign in and out documents Compliance Officer 1 noted the following: -Child 2 was signed out without a signature on December 02 and 03, 2024, only the time was documented. -Child 3 was signed out on December 04 with only a first name and last initial. Additionally, Child 3 was signed in and out for December 09, 10, and 11, 2024, even though those dates are in the future.”

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 review of staff files Compliance Officer 2 noted that Staff 1's file did not contain the new staff training document that must be completed within 10 days of starting employment. Staff 1's start date is documented as 01/13/23.”

AAC R9-3-301.L. L. Except as provided in subsections (M) and (N), a certificate holder shall notify the Department in writing of a planned change in a child care group home’s hours of operation at least three calendar days before the date of the planned change, including: 1. The certificate holder's name; 2. The child care group home's certificate number; and 3. The current and intended hours of operation.

“The Compliance Officer attempted to conduct an inspection on 8/19/24 at 12:05p.m. The Provider failed to notify the Department of the business closure on 8/19/24. A sign was posted on the door for the closure.”

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.

“FINDINGS: The Compliance Officer inspected the outdoor area and observed that it was equipped with a small trampoline.”

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 reviewed the diaper log and observed that it had not been not maintained up-to-date since September 2023.”

AAC R9-3-504.A.2. A. A certificate holder shall ensure that: 2. A smoke detector is installed in each indoor area of the child care group home approved for providing child care services and in each hallway of the child care group home’s residence;

“FINDINGS: The Compliance Officer inspected the diapering room and observed that it was not equipped with a smoke detector.”

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 group home and observed that 1 outlet near the Christmas tree and 1 outlet near the play kitchen were not covered.”

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 diaper changing table and observed a pair of socks on the table surface.”

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 reviewed the staff sign in and out logs and observed that Staff 1 and 2 have not signed in or out since November 30, 2023.”

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 and observed that Child 1 was not signed out on 12/1 and 12/7-12/8.”