M.U.S.D.#6 - Estes L.E.A.P. & Preschool

AAC R9-5-301.F. F. A licensee shall ensure that a staff member submits, on or before the starting date of employment or volunteer services, one of the following as evidence of freedom from infectious active tuberculosis: 1. 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 employment or volunteer service, that includes the date and the type of tuberculosis screening test; or 2. If the staff member has had a positive Mantoux skin test or other tuberculosis screening test, a written statement that the staff member is free from infectious active tuberculosis that is signed and dated by a health care provider within six months before the starting date of employment or volunteer service.

“The Compliance Officer reviewed 2 staff files and found that neither Staff 1, nor Staff 2 had completed the TB tests within the required time frame. Staff 1 was hired 10/28/24 and the TB risk assessment was documented, but not an actual test. Staff 2 was hired 9/13/24 and the test was not read negative until 11/19/2024.”

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

“The Compliance Officer observed storage of art items on the counter in the bathroom. Cots were also observed stored in the bathroom. All bathroom storage must be in a locked cabinet inaccessible to enrolled children. Photographs taken.”

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

“The Compliance Officer observed bird feces on the drinking fountain. The Compliance Officer observed storage of clothes, classroom supplies, and other items in the bathroom. The items were stored in open shelving.”

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

“The Compliance Officer observed that the medication form for Child. 1 did not have start and end dates and reason for the medication. The staff failed to obtain instructions for administration consistent with what was documented on the prescription.”

AAC R9-5-501.A.21. A. A licensee shall ensure that:21. Except when used as part of an activity, the following are stored in an area inaccessible to an enrolled child: a. Garden tools, such as a rake, trowel, and shovel; and b. Cleaning equipment and supplies, such as a mop and mop bucket.

“The Compliance Officer observed that the brooms were accessible to the children in the outdoor activity area.”