Lincoln Family Y.M.C.A.

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 observation, there were items not related to diaper-changing (including two toy trucks and a pen) next to the sink of the diaper-changing counter in the Toddler Room.”

AAC R9-5-516.B.3. B. If prescription or nonprescription medications are administered, a licensee shall ensure that: 3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child’s parent or health care provider that includes the: a. Name of the enrolled child; b. Type of the medication; c. Prescription number, if any; d. Instructions for administration specifying the: i. Dosage and route of administration; ii. If indicated, starting and ending dates of the dosage period; and iii. Times and frequency of administration; e. Reason for the medication; and f. Date of authorization; and

“Findings: Based on a review of three medication permission forms and the Compliance Officer's observation, the form for Medication #1 lacked the end date and the form for Medication #2 lacked the prescription number, end date, and dosage.”

AAC R9-5-512.F.7. F. A licensee shall ensure that: 7. Toys, materials, and equipment are maintained in a clean condition;

“Findings: Based on the Compliance Officer's observation, there was a build-up of dirty black smudges on the two archways and edges of two slides on the climber in the Playground.”

AAC R9-5-503.A.2. 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 Officer's observation, the running water measured 74° F (not the required temperature between 86° F and 110° F) in the diaper-changing sink of the Toddler Room.”

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 observation, there was a large area of peeling paint exposing raw plaster accessible to children on the east wall of the Preschool Room.”

AAC R9-5-309.C. C. A licensee shall maintain on facility premises: 1. A current fire inspection report including documentation of any repairs or corrections required by the fire inspection report; and 2. If there are gas pipes that run from a gas meter to an appliance or location on the facility premises, a current gas inspection report including documentation of any repairs or corrections required by the gas inspection report.

“Findings: Based on a review of facility documentation and the Compliance Officer's observation, the gas inspection available for review was not current (expired 8/7/25).”

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 observation, there were two exposed electrical wires accessible to children on the west wall under the junction boxes on the Playground.”

AAC R9-5-510.B.1. B. A licensee shall ensure that a staff member does not use or permit: 1. The use of physical punishment including: a. Hitting, spanking, shaking, slapping, twisting, pulling, squeezing, or biting; b. Demanding excessive physical excercise or excessive rest; and c. Forcing a child to eat or consume soap, food, or foreign substances;

“Findings: Based on a review of facility documentation and staff interviews, it was determined that on 8/25/25 Staff #1 grabbed the arm of an enrolled toddler and pulled the child causing their arm to stretch and their heels to drag on the ground as they came back to the group.”

AAC R9-5-501.A.1. A. A licensee shall ensure that:1. In addition to complying with the requirements in this Chapter, the health, safety, or welfare of an enrolled child is not placed at risk of harm;

“Findings: Based on facility documentation and children's statements, it was determined that Staff #1 caused harm to two school-age children when grabbing their arms. The staff member and children were preparing to get on the facility van during pickup at the ASU Preparatory Academy on 12/20/24. Children did not respond to the staff member's directions and the staff member grabbed Child #1's arm. Child #2 was kicking the children's backpacks and the staff member also grabbed that child's arm. The children's arms were hurt. Child #1 stated the teacher was holding my arm and reached for Child #2, and I was twisting my arm to pull away. Other children witnessing the incident stated that the teacher grabbed Child #2's arm which got pulled hard when Child #2 tried to twist away from the teacher.”

AAC R9-5-510.B.1. B. A licensee shall ensure that a staff member does not use or permit: 1. A method of discipline that could cause harm to the health, safety, or welfare of an enrolled child;

“Findings: Per allegation and based on facility documentation and children's statements, it was determined that Staff #1 did not use a method of discipline appropriate to deescalate the situation and caused harm to two school-age children when grabbing their arms. The staff member and children were preparing to get on the facility van during pickup at the ASU Preparatory Academy on 12/20/24. Children did not respond to the staff member's directions and the staff member grabbed Child #1's arm. Child #2 was kicking the children's backpacks and the staff member also grabbed that child's arm. The children's arms were hurt. Child #1 stated that the teacher was holding my arm and reached for Child #2. I was twisting my arm to pull away. Other children witnessing the incident stated that Child #2's arm got pulled hard when they tried to twist away from the teacher after the teacher grabbed the child to stop what they were doing.”

AAC R9-5-503.A.2. 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 Officer's and the Executive Director's observations, the water of the diaper-changing sink in the Twos Room measured 76° F and did not meet the required temperature between 86° F and 110° F.”

AAC R9-5-512.F. F. A licensee shall ensure that:1. Each toilet room in a facility contains, within easy reach of enrolled children: a. Mounted toilet tissue; and b. Except as provided in subsection (G): i. A sink with running water; ii. Soap contained in a dispenser; and iii. Disposable, single-use paper towels in a mounted dispenser, or a mechanical air hand dryer; 2. Staff members wash their hands with soap and running water after toileting; 3. An enrolled child’s hands are washed with soap and running water after toileting; 4. Except for a cup or receptacle used only for water, food waste is stored in a covered container and the container is clean and lined with a plastic bag; 5. Food waste and other refuse is removed from the facility building at least once every 24 hours or more often as necessary to maintain a clean condition and avoid odors; 6. A staff member or an enrolled child does not draw water for human consumption from a toilet room handwashing sink; 7. Toys, materials, and equipment are maintained in a clean condition; 8. Plumbing fixtures are maintained in a clean and working condition; and 9. Chipped or cracked sinks and toilets are replaced or repaired.

“Findings: Based on the Compliance Officer's observation, there was a build-up of dirty smudges on the handles and plastic areas of the playground climber and on the handles of the kitchen play set in the PreK Room.”

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 observation, these hazards were accessible to children: Ones Room: There were two areas 4" wide with peeling paint on the wall in the reading area. PreK Room: There was a 1" wide hole with chipped paint and exposed drywall in the wall near the entrance gate. Gymnasium: There were two areas of torn vinyl exposing raw foam on one wall safety mat under one basketball hoop. Boys Restroom (basement): There was a 4" area of missing paint exposing raw fiberboard on the wall along the top edge of one urinal.”

AAC R9-5-306.B. B. A licensee shall: 1. Develop, document, and implement policies and procedures to ensure that a staff member maintains daily documentation of the presence of an enrolled child in an activity area that includes a method to account for any temporary absences of the enrolled child from the activity area, and 2. Maintain the documentation of the presence of enrolled children in an activity area required in subsection (B)(1) on facility premises for 12 months after the date of the documentation.

“Findings: Based on facility documentation and the Compliance Officers' observations, it was determined that the roster in the Toddler Room indicated 7 children were present, but there were 8 children in the room.”

AAC R9-5-404.C.1. C. A licensee shall ensure that:1. When there are six or more enrolled children present in a facility, the following individuals are present in the facility: a. A facility director or a director’s designee who meets the requirements in R9-5-401 for a director’s designee; and b. One additional staff member;

“Findings: Based on the Compliance Officers' observations, on 9/6/24 neither the director nor a director designee was present in the facility when more than 6 children were present.”

AAC R9-5-306.B. B. A licensee shall: 1. Develop, document, and implement policies and procedures to ensure that a staff member maintains daily documentation of the presence of an enrolled child in an activity area that includes a method to account for any temporary absences of the enrolled child from the activity area, and 2. Maintain the documentation of the presence of enrolled children in an activity area required in subsection (B)(1) on facility premises for 12 months after the date of the documentation.

“Findings: Based on a review of facility documentation, interviews with staff and the Compliance Officer's observation, there were 25 children present in the School-Age/summer camp Room and the roster listed 11 children. Staff stated that the other roster was left in another room when the children combined into one group. There were three children at the Boys Restroom with one staff member lacking a roster, and five children left the Summer Camp Room with one staff member to go to the Girls Restroom without a roster.”

AAC R9-5-501.C.9. C. A licensee shall ensure that a staff member: 9. Does the following when a parent permits or asks a staff member to apply personal products on an enrolled child, such as petroleum jelly, diaper rash ointments, sun screen or sun block preparations, toothpaste, and baby diapering preparations: a. Obtains the enrolled child’s personal products from the enrolled child’s parent or, if the licensee provides the personal products for use by the enrolled child, obtains written approval for use of the products from the enrolled child’s parent; b. Labels the personal products with the enrolled child’s name; and c. Keeps the personal products inaccessible to enrolled children;

“Findings: Based on the Compliance Officer's observations, there were six (of eight) baby wipe containers lacking first and last names in the Toddler Room.”

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 enrolled children: Preschool Restroom: There was peeling paint on the wall along the corner edge of the sink. Toddler Restroom: There was one loose toilet seat (of three toilets). School-age Women's Restroom: There were areas of peeling paint on the walls around the two toilets exposing the fiberboard. There was a gap in the caulking between the wall and top edge of the sink counter.”