C.P.L.C./E.H.S. Bienstar First Step

AAC R9-5-502.C.1.k. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: k. Places an infant to sleep on the infant’s back, unless the infant’s parent submits written instructions from the infant’s health care provider that states otherwise;

“Compliance Officer 1 observed staff place an infant on their stomach and not their back to sleep. Staff stated the infant was not yet rolling.”

AAC R9-5-603.C. C. Except as provided in subsection (D), a licensee shall ensure that an outdoor activity area:1. Is enclosed by a fence: a. A minimum of 4 feet high; b. Secured to the ground; and c. With either vertical or horizontal open spaces on the fence or gate that do not exceed 4.0 inches; 2. Is maintained free from hazards, such as exposed concrete footings and broken toys; and 3. Has gates that are kept closed while an enrolled child is in the outdoor activity area

“Compliance Officer 1 observed that the fence on the playground measured 3 feet 7 inches on the left side towards the back.”

AAC R9-5-516.B.4. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:4. A staff member : a. Administers a prescription medication provided by a parent only from a container dispensed by a pharmacy; b. Administers a nonprescription medication provided by a parent for an enrolled child only from a container prepackaged and labeled for use by the manufacturer and labeled with the enrolled child’s name; c. Does not administer any medication that has been transferred from one container to another; and d. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the facility receives written authorization from the enrolled child’s health care provider.

“Compliance Officer 1 observed that the medication for Child 1 was prescribed in a quantity of 2 and there was only one medication in the box.”