Uccellos Garden

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 the Compliance Officers' observations, it was determined that a white cord was running along the floor from the living room into the bedroom, creating a tripping hazard.”

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 Officers' observations, it was determined that four enrolled children were asleep on cots that did not have sheets.”

AAC R9-3-506.1. A certificate holder shall ensure that: 1. All areas of the child care group home approved for providing child care services and the furnishings, equipment, supplies, materials, utensils, and toys in those areas are kept clean and free of insects and vermin;

“Findings: Based on CO's observations, there was heavy dirt build-up on the side and top rim of the bathtub, and the diaper changing surface had dark build-up in the corners of the diaper changing surface.”

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: Based on CO's observations, 2 of 2 fire extinguishers lacked documentation of service in the last 12 months. The purchase receipt for both extinguishers was dated 03/05/2024.”

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 Compliance Officer's (CO) observations and a review of Provider documentation, 5 of 9 Emergency Information and Immunization Record cards lacked the following required information: **Child #1, Child #2 - Child's city, state, zip code; 2nd parent/guardian's name, street address, city, state, zip code; 2nd emergency contact **Child #3 - Parent/guardian's name, street address, city, state, zip code **Child #4 - Date of enrollment **Child #5 - Parent signature”

AAC R9-3-309.B.3. B. If prescription or nonprescription medications are administered at a child care group home, a certificate holder shall ensure that: 3. The designated staff member does not administer a medication to an enrolled child unless the child care group home receives written authorization on a completed Department-provided authorization form that includes: a. The child’s first and last name; b. The name of the medication; c. The prescription number, if any; d. Instructions for administration specifying: i. The dosage, ii. The route of administration, iii. The first and last dates that the medication is to be administered, and iv. The times and frequency of administration; e. The reason for the medication; f. The signature of the child’s parent; and g. The date of signature; and

“Findings: Based on CO's observations and a review of facility documentation, Child #6's medication authorization lacked the route, end date, and time/frequency was noted as "as needed".”

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 CO's observations and a review of facility documentation, 2 of 10 children's attendance records lacked the following required information: **Child #3 - Departure signatures on 02/27/2025 and 02/28/2025 **Child #5 - Departure signature on 02/25/2025; arrival and departure signatures signed with initials only on 02/27/2025 and 02/28/2025”

AAC R9-3-309.B.4. B. If prescription or nonprescription medications are administered at a child care group home, a certificate holder shall ensure that: 4. The designated staff member: a. Measures liquid medications for oral administration using a measuring cup, spoon, or dropper specifically made for measuring liquid medication; b. Administers prescription medications provided by an enrolled child’s parent to the enrolled child only from a container dispensed by a pharmacy and accompanied by a pharmacy generated prescription label that includes the child’s first and last name and administration instructions; c. Administers nonprescription medications provided by an enrolled child’s parent to the enrolled child only from an original manufacturer’s container labeled with the enrolled child’s first and last name; d. Does not administer a medication that has been transferred from one container to another; e. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the child care group home receives written administration instructions from the enrolled child’s physician, physician assistant, or registered nurse practitioner; f. Documents each administration of medication to an enrolled child on the Department provided form required in subsection (B)(3) including: i. The name of the enrolled child; ii. The name and amount of medication administered and the prescription number, if any; iii. The date and time the medication was administered; and iv. The signature of the staff member who administered the medication to the enrolled child; and g. Maintains the record on the premises for 12 months after the date the medication is administered.

“Findings: Based on CO's observations and a review of facility documentation, Child #6's medication lacked authorization from a health care provider to administer the medication inconsistent with the instructions on their non-prescription medication.”

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 Compliance Officer's (CO) observations and a review of facility documentation, 8 of 10 children's attendance records lacked the following required information: **Child #1 - Departure signature on 09/23/2024 **Child #2, Child #3, Child #4, Child #5, Child #6, Child #7, Child #8 - Departure time and signature on 09/27/2024”

AAC R9-3-309.B.3. B. If prescription or nonprescription medications are administered at a child care group home, a certificate holder shall ensure that: 3. The designated staff member does not administer a medication to an enrolled child unless the child care group home receives written authorization on a completed Department-provided authorization form that includes: a. The child’s first and last name; b. The name of the medication; c. The prescription number, if any; d. Instructions for administration specifying: i. The dosage, ii. The route of administration, iii. The first and last dates that the medication is to be administered, and iv. The times and frequency of administration; e. The reason for the medication; f. The signature of the child’s parent; and g. The date of signature; and

“Findings: Based on CO's observations and a review of group home documentation, enrolled children's medication authorizations lacked the following required information: **Child #5, Child #9 - End date **Child #8 - End date, route, times and frequency noted as "as needed" for medication #1; end date and times and frequency noted as "as needed" for medication #2 Medication authorizations”

AAC R9-3-309.B.4. B. If prescription or nonprescription medications are administered at a child care group home, a certificate holder shall ensure that: 4. The designated staff member: a. Measures liquid medications for oral administration using a measuring cup, spoon, or dropper specifically made for measuring liquid medication; b. Administers prescription medications provided by an enrolled child’s parent to the enrolled child only from a container dispensed by a pharmacy and accompanied by a pharmacy generated prescription label that includes the child’s first and last name and administration instructions; c. Administers nonprescription medications provided by an enrolled child’s parent to the enrolled child only from an original manufacturer’s container labeled with the enrolled child’s first and last name; d. Does not administer a medication that has been transferred from one container to another; e. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the child care group home receives written administration instructions from the enrolled child’s physician, physician assistant, or registered nurse practitioner; f. Documents each administration of medication to an enrolled child on the Department provided form required in subsection (B)(3) including: i. The name of the enrolled child; ii. The name and amount of medication administered and the prescription number, if any; iii. The date and time the medication was administered; and iv. The signature of the staff member who administered the medication to the enrolled child; and g. Maintains the record on the premises for 12 months after the date the medication is administered.

“Findings: Based on CO's observations and a review of group home documentation, the Provider stated that medication had been administered for Child #9. The Provider lacked documentation of the administration of that medication.”

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 COs' observations and facility documentation, Resident #1 lacked the following required information: **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; **Statement of Immunity against measles, rubella, diphtheria, mumps, and pertussis; **Documentation of freedom from Tuberculosis”

AAC R9-3-506.1. A certificate holder shall ensure that: 1. All areas of the child care group home approved for providing child care services and the furnishings, equipment, supplies, materials, utensils, and toys in those areas are kept clean and free of insects and vermin;

“Findings: Based on the COs' observations, the following areas accessible to enrolled children were not maintained in a clean condition: ** 3 high chairs had yellow and brown crumbs in between the crevices. ** There were yellow and brown crumbs and dirt debris throughout the crevices of the floor baseboards and in between the caulking of the floor. ** The diaper changing table had debris and was missing the caulking on the outer part of the table.”

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: Based on the COs' observations, there was an air conditioner installed in a window near the back outdoor gate that was accessible to enrolled children.”

AAC R9-3-407.A.17. A. A certificate holder shall ensure that: 17. A freezer at the child care group home maintains a temperature of 0° F or below, as shown by a thermometer kept in the freezer at all times;

“Findings: Based on the COs' observations, the temperature in the freezer was not maintained at 0° F or below as the thermometer showed it was at 10° F.”

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 the COs' observations, the following hazards were accessible to enrolled children: **There were splinters throughout the wood on the plant beds in the backyard. **There was a green extension cord in front of the shed in the backyard. **The toilet seat was loose in the restroom. **There was 1 plug-in air freshener in the restroom next to the handwashing sink, and 1 plug-in air freshener next to the dining table.”

AAC R9-3-202.I I. Within 30 calendar days after the day of a staff member’s or adult resident’s 18th birthday, the staff member or adult resident shall provide to the certificate holder copies of a valid fingerprint clearance card and a valid background check document specified in subsection (C).

“Findings: Based on the Compliance Officers' (CO) observations and a review of Staff and Resident files, Staff #1's Fingerprint Clearance Card was issued more than 30 days after the Staff's 18th birthday.”

AAC R9-3-305.A.3. A. A certificate holder shall ensure that: 3. The attendance record is maintained on the premises for 12 months from the date of the attendance record.

“Findings: Based on the COs' observations and facility documentation, the enrolled children's attendance records were not available for review.”

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: Based on CO's observations and a review of facility documentation, diaper changes of enrolled children had not been documented for the day at the time of inspection.”

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 Compliance Officer's (CO) observations, the diaper changing surface had exposed raw wood along the edges of the surface and the caulking around the perimeter of the surface was not sanitizable due to it being rough and pieces peeling away from the seal.”