M.E.S.D.#38 - Simis E C P / M A C

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 facility documentation and the Compliance Officer’s observation, the medication authorization form for Child #1 lacked the correct prescription number.”

AAC R9-5-403.B. B. A licensee shall ensure that: 1. Each staff member who provides child care services completes 24 or more clock hours of training every 12 months after the effective date of this Chapter or the staff member’s starting date of employment or volunteer service in at least two topics listed below: a. Child growth and development, including: i. Infant growth and development, including sudden infant death syndrome prevention and safe sleeping practices; ii. Brain development; iii. Basic child development, including cognitive, social, emotional, and physical, as well as approaches to learning; iv. Language development; v. Observation and child assessment; vi. Developmentally-appropriate activities; vii. Child guidance and methods of positive discipline which may include techniques to promote healthy social-emotional development and reduce challenging behaviors; or viii. Developmentally-appropriate activity areas. b. Health and safety issues, including: i. Accident and emergency procedures, including CPR and first aid for infants and children; ii. Recognition of signs of illness and infestation; iii. Nutrition and developmentally-appropriate eating habits; iv. Child abuse detection, reporting, and prevention; v. Safety of indoor and outdoor activity areas; and vi. Sun safety policies and procedures; vii. Water safety; viii. Prevention and control of infections diseases, including immunizations; ix: Prevention and response to emergencies due to food and allergic reactions, including anaphylactic shock; x. Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; xi. Emergency preparedness, response, and recovery planning for emergencies resulting from a natural disaster or a human-caused event; xii. Administration of medication, consistent with standards for parental or guardian consent; xiii. Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; xiii. Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; xiiii. Prevention of shaken baby syndrome, pediatric abusive head trauma, and child maltreatment; or xv. Physical restraint techniques. c. Program administration, planning, development, or management; and d. Availability of community services and resources, including those available to children with a special health care need or a disability; and 2. As part of the required 24 hours of training in subsection (B)(1): a. A staff member who has less than 12 months of child care experience before the staff member’s starting date, completes at least 12 hours in one or more of the topics in subsection (B)(1)(a) in the staff member’s first 12 months at the facility; b. A staff member who has 12 months or more of child care experience, completes at least 6 hours in one or more of the topics in subsection (B)(1)(a) every 12 months after the staff member’s starting date; c. A staff member who provides child care services to an infant completes at least 6 hours in subsection (B)(1)(a)(i) every 12 months after the staff member’s starting date; and d. A facility director completes at least six hours in subsection (B)(1)(c) every 12 months after the facility director’s starting date. e. A child educator for school-aged children shall complete six of the 24 hours of training within the first three months of hire.

“Findings: Based on facility documentation and the Compliance Officer’s observation, it was determined that 3 out of 5 staff files reviewed lacked the required training documentation: Staff #1: 9.54 hours of annual training for the time period of 10/2/2023-10/2/2024. Staff #2: 14.11 hours of annual training for the time period of 9/1/2023-9/1/2024. Staff#3: 16.9 hours of annual training for the time period of 8/11/2024-8/11/2025.”