Lil' Paws Learning Center

AAC R9-5-502.C.2.b. C. A licensee shall ensure that: 2. A staff member providing child care services in an infant room does not: b. Place an infant to sleep using a positioning device that restricts movement, unless the infant’s health care provider has instructed otherwise in writing;

“Findings: Based on the Compliance Officer's observations, there was an infant swaddled in a sleeping sack. The facility lacked a doctor's note to allow the infant to be swaddled during nap time.”

AAC R9-5-503.A.1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 1. A nonabsorbent, sanitizable diaper changing surface that is: a. Seamless and smooth, and b. Kept clear of items not required for diaper changing;

“Findings: Based on the Compliance Officer's observations and staff statement, in the Preschool Room, children in pull-ups are changed in the restroom, and soiled diapers are disposed of in the diaper container located in the diaper-changing area. The Preschool Room diapering surface was not kept clear of items not required for diapering. There was a plastic bag and a stuffed animal on the surface.”

AAC R9-5-603.B. B. 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

“Findings: Based on the Compliance Officer's observations, in the Pre-k outdoor activity area, a water table with exposed splintering wood was accessible to children.”

AAC R9-5-605.B.1. B. A licensee shall ensure that: 1. All designated exits, corridors, and passageways that provide escape from the building are unobstructed and unlocked during hours of operation;

“Findings: Based on the Compliance Officer's observations, the following designated exits were blocked: *Infant 1: Two tables were blocking the emergency designated exit. *Infant 2: A crib was blocking the emergency designated exit.”

AAC R9-5-501.A.17. A. A licensee shall ensure that: 17. Each enrolled child’s pacifier is labeled with an identifier that is specific to the enrolled child and maintained in a clean condition;

“Findings: Based on the Compliance Officer's observations, the pacifiers in the Infant 2 Room were not labeled with an identifier.”

AAC R9-5-501.A.12. A. A licensee shall ensure that: 12. The facility premises, including the buildings, are maintained free from hazards;

“Findings: Based on the Compliance Officer's observations, the following hazards were accessible to children in: *Infant Room: The child-proofing rubber covering the metal frame of the glass wall was cracking with particles coming apart when touched, and the corners of the blue floor pad were cracked, exposing the inner foam. *Twos Room: The corners of the elephant pad were cracked, exposing the inner foam.”

AAC R9-5-502.A.11. A. A licensee providing child care services for infants shall: 11. Label each food container received from the parent with the infant's name.

“Findings: Based on the Compliance Officer's observations, the breast milk in the Infant 1 Room was not labeled with the child's first and last name.”

AAC R9-5-502.C.1.lk. C. A licensee shall ensure that: 1. A staff member providing child care services in an infant room: k. Obtains written, current, and dated dietary instructions from a parent or health care provider regarding the method of feeding and types of foods to be prepared or fed to an infant at the facility;

“Findings: Based on the Compliance Officer's observations and the review of facility documentation, the Infant feeding instructions in the Infant 1 and 2 Rooms lacked the following required information: *Child #1: Lacked specific feeding written instructions for the formula. *Child #2 and Child #4: Lacked written instructions form. *Child #3: Lacked specific feeding instructions and a parent signature.”

AAC R9-5-503.A.1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 1. A nonabsorbent, sanitizable diaper changing surface that is: a. Seamless and smooth, and b. Kept clear of items not required for diaper changing;

“Findings: Based on the Compliance Officer's observations, the caulking in the diaper changing surface in the Tod. Two’s Room was separating, making the area no longer sanitizable.”

AAC R9-5-509.C.21. C. A licensee shall ensure that: 21. A refrigerator at the child care facility maintains a temperature of 41° F or below and a freezer maintains a temperature of 0° F or below, as shown by a thermometer kept in the refrigerator and in the freezer at all times;

“Findings: Based on the Compliance Officer's observations, the freezer in the Infant 1 Room lacked a thermometer.”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings: 1. In a clean condition, and 2. Free from odor.

“Findings: Based on the Compliance Officer's observations, the toy shelves and chairs in Pre-k, Preschool, and Twos rooms had a brown grime build-up.”

AAC R9-5-512.D. D. A licensee shall ensure that toilet bowls, lavatory fixtures, and floors in toilet rooms and kitchens are cleaned and sanitized as often as necessary to maintain them in a clean and sanitized condition or at least once every 24 hours.

“Findings: Based on the Compliance Officer's observations, the following Restrooms were not maintained in a clean and sanitized condition: *Twos: There was a chair in the restroom, and the caulking at the base of the toilet had yellow and brown stains. *Preschool: The caulking at the base of the toilet on the left side of the restroom had a brown build-up. *Pre-K: Both restrooms had yellow stains at the base of the toilets.”

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

“Findings: Based on the Compliance Officers' observations, it was determined that there was rust accumulation in several areas at the base of the playground fencing.”

AAC R9-5-503.A.2.a. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 2. A hand-washing sink next to the diaper changing surface for staff use when changing diapers and for washing an enrolled child during or after diapering that provides: a. Running water between 86° F and 110° F, b. Soap from a dispenser, and c. Single-use paper hand towels from a dispenser;

“Findings: Based on the Compliance Officers' observations, it was determined that the water temperature in the diapering handwashing sink in the Infant and the 3's classroom was 119° F.”

AAC R9-5-501.A.12. A. A licensee shall ensure that: 12. The facility premises, including the buildings, are maintained free from hazards;

“Findings: Based on the Compliance Officers' observations, it was determined that there was a green trampoline accessible to the enrolled children in the corridor area.”

AAC R9-5-503.A.1. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains: 1. A nonabsorbent, sanitizable diaper changing surface that is: a. Seamless and smooth, and b. Kept clear of items not required for diaper changing;

“Findings: Based on the Compliance Officers' observations, it was determined that there were 2 sharpie pens next to the diapering handwashing sink in the 2's classroom.”