Wheeler's Drop-A-Tot

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 facility's documentation and the Compliance Officers observations, it was determined that the following child Emergency, Information, and Immunization Record cards lacked the following information: Child #1- Date of enrollment and the health care provider's phone number. Child #2- Home address, city, state and zip code for both parents.”

AAC R9-3-304.A.2. 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: 2. An exemption affidavit for the enrolled child provided by the enrolled child’s parent that contains: a. A statement, signed by the enrolled child’s physician, physician assistant, or registered nurse practitioner, that the immunizations required by 9 A.A.C. 6, Article 7 would endanger the enrolled child’s health or medical condition; or b. A statement, signed by the enrolled child’s parent, that the enrolled child is being raised in a religion whose teachings are in opposition to immunization.

“Findings: Based on the facility's documentation and the Compliance Officer's observations, it was determined that Child #1 lacked a completed religious belief's exemption immunization form.”

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 Compliance Officer's observation and on a discussion with the Provider, a Little Tykes trampoline was observed in the outdoor activity area. The Provider stated a parent had recently donated it for the children to use.”

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 the Compliance Officer's observations and on a discussion with the Provider, the diapering mat that was on the diaper changing table had threaded stitching on the 4 side seams and the mat was not waterproof.”

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: Based on the Compliance Officer's review of Resident #2's file and on a discussion with the Provider, Resident #2 turned 12 years old in January 2025 but did not obtain documentation of a negative TB until 6/6/25.”

AAC R9-3-407.A.16. A. A certificate holder shall ensure that: 16. A refrigerator at the child care group home maintains a temperature of 41° F or below, as shown by a thermometer kept in the refrigerator at all times;

“Findings: Based on the Compliance Officer's observation and a discussion with the Provider, the refrigerator that is used to store the enrolled children's food lacked a thermometer. The Provider acknowledged that the refrigerator did not have a thermometer.”

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 the Compliance Officer's observations and on a discussion with the Provider, the sales receipt for the 2 rechargeable fire extinguishers indicated that they were purchased on 12/4/23. The provider acknowledged that fire extinguishers were not inspected or replaced on or before 12/4/24.”

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 review of documentation and a discussion with the Provider, the Provider acknowledged that there was not a record of staff attendance for the Provider and Staff #2 for the Month of July 2025.”

AAC R9-3-302.E. E. A certificate holder shall ensure that a staff member required by R9-3-301(I) meets all of the following: 1. The staff member obtains first aid training specific to infants and children; 2. The staff member obtains CPR training specific to infants and children, which includes a demonstration of the staff member’s ability to perform CPR; 3. The staff member maintains current training in first aid and CPR; and 4. The staff member provides the certificate holder with a copy of the front and back of the current card issued to the staff member upon completing first aid and CPR training as proof of completion of the requirements in this subsection.

“Findings: Based on a review of the 2 staff files for the staff present at the time of the inspection (The Provider and the assistant staff, (staff #2), neither staff had current first aid and CPR. The Provider's first aid and CPR certification had expired on 1/5/25.”

AAC R9-3-504.D.2. D. If there are gas pipes that run from a gas meter to an appliance or location on the premises: 2. A certificate holder shall ensure that: a. Each unused natural gas outlet at the child care group home has its valves removed by and is capped at the wall or floor by a licensed plumber or individual authorized by the local jurisdiction; b. A licensed plumber or individual authorized by the local jurisdiction conducts a gas inspection that verifies there are no gas leaks in the gas pipes that run from the gas meter to any appliance or location on the premises at least once every 12 months after the date of the certificate; and c. A copy of a current gas inspection report, including documentation of any repairs or corrections required by the gas inspection report, is maintained on the premises.

“Findings: Based on the Compliance Officer’s review of the annual gas inspection, the gas inspection expired in January 2024 and was not current.”

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 review of 7 Emergency Information cards, 2 of the cards lacked the following information: *Child 1- The name and phone number of a second emergency contact; and *Child 2- The name of the individual to be contacted first in case of injury or sudden illness of the child.”

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: Based on the Compliance Officer’s observation, 2 one-gallon cans of paint (labeled toxic and keep out of reach of children) were stored on a 3-foot high shelf in the corner of the outside activity area and were accessible to enrolled children.”

AAC R9-3-502.C.3. C. A certificate holder shall ensure that: 3. If a child can fall between 24 and 48 inches from a climbing structure, swing, or slide in an outdoor activity area to the ground below, the climbing structure, swing, or slide has covering the fall zone of the climbing structure, swing, or slide non-dormant, growing grass or the resilient material required in subsection (C)(2)(a)(i) or (ii).

“Findings: Based on the Compliance Officer’s observations, the grass at the base of the swing and climber with the slide in the outdoor activity area was not covering the fall zone area; there were areas of hard packed dirt where the grass was not growing.”

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 staff statement, enrolled children were signed in by a person other than the child's parent. The certificate holder lacked written authorization to sign children in and/or out of the home. The provider signed 2 children in to the home on 2.12.2024. The provider stated that the parents did not sign the children in.”

AAC R9-3-301.D.2. D. A certificate holder shall ensure that: 2. At least one adult staff member, in addition to the provider or the staff member specified in subsection (D)(1), is on the premises when six or more enrolled children are at the child care group home.

“Findings: Based on the Compliance Officer’s observation and staff statement, the Provider was alone with 7 children present at the home, rather than the required ratio of 2:7. A second staff arrived a few minutes later. The provider stated that the other staff's children missed the bus and the staff had to leave to pick them up.”