Open Arms Preschool & Kindergarten

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;

“PER ALLEGATION FINDINGS: Based on the Compliance Officers’ observations, staff interview, review of facility documentation, and video, a child was injured from food served to the child by the facility staff members.”

AAC R9-5-509.C.17. C. A licensee shall ensure that: 17. A staff member: a. Prepares a weekly menu at least one week in advance, b. Includes on the menu the specific foods to be served on each day, c. Dates each menu, d. Posts each menu at least one day before the first meal on the menu will be served, and e. Writes food substitutions on a posted menu no later than the morning of the day of meal service;

“FINDINGS: Based on the Compliance Officer’s observations, and review of documentation on the day of the inspection, substitutions were made to the lunch menu and were not documented before the meal was served.”

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 observations the following activity areas licensed for diapering lacked: Young Ones: A working soap dispenser Young Twos: Running water between 86° F and 110° F. The Compliance Officer measured the water temperature, results showed 112F.”

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 during the inspection in the Fours and Fives (Geckos) activity area, green beans were spilled on the floor by a table where the children had eaten lunch. While the Child Educator was preparing cots for nap time, the children walked past the spilled beans on their way to their cots.”

AAC R9-5-501.B.9. B. 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 diaper rash creams not labeled with children’s full name or first initial and last name in the following activity areas: Infants, Young Ones, Older Ones, Young Twos and Older Twos.”

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;

“The Compliance Officer observed the licensed rooms and found that the diapering counter in the 2 year old room contained the following items: puzzle cell phone tablet shoes purse soiled clothes in a bag *Photograph taken”

AAC R9-5-503.B. B. A licensee shall ensure that a staff member does not:1. Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area; 2. Draw water for human consumption from a diaper changing area sink; or 3. Except as provided in subsection (C), if responsible for food preparation, change diapers until food preparation duties have been completed for the day.

“The Compliance Officer observed that the diapering counter contained cups and staff water bottles in 2 of the licensed rooms. The 2 year old room contained 2 staff cups on the diapering counter. The older 1's room contained a dish bin with sippy cups and lids on the diapering counter adjacent to the sink. Photographs taken.”

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;

“The Compliance Officer (CO) observed a napping child with their head completely covered in the older 2's room.”

AAC R9-5-603.E. E. A licensee shall ensure that the following is provided and maintained within the fall zones of swings and climbing equipment in an outdoor activity area:1. A shock-absorbing unitary surfacing material manufactured for such use in outdoor activity areas; or 2. A minimum depth of 6 inches of a non-hazardous, resilient material such as fine loose sand or wood chips.

“The CO observed that the infant outdoor play area had climbers installed over grass. The older children's outdoor play area had sand under the climbers measuring 3" around the pink slide, and 2" around the blue slide. The climbers did not have any resilient material under the slide installed over the grass. Photograph taken.”

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

“The CO observed that the picket fence separating the infant play area from the storage area did not meet the fencing requirements and had hazardous items stored in the storage area space. The CO observed ladders, mop buckets, mops, broken slats in the fencing, and the spacing approximately 8 inches near the corner of the fence. Photographs were taken.”

AAC R9-5-511.A. A. A licensee shall provide each enrolled child who naps or sleeps at the facility with a separate cot or mat or a crib that meets the requirements of R9-5-502(A)(8) and ensure that:1. A cot, mat, or crib used by the enrolled child accommodates the enrolled child’s height and weight; 2. A staff member covers each cot, crib mattress, or mat with a clean sheet that is laundered when soiled, or at least once every seven days and before use by a different enrolled child; 3. A clean blanket or sheet is available for each enrolled child; 4. A rug, carpet, blanket, or towel is not used as a mat; and 5. Each cot, mat, or crib is maintained in a clean and repaired condition.

“The CO observed that the cots were too short for children in the 2 and 3 year old rooms. The children's head and feet were overlapping the hard plastic bars on the ends of the cots.”

AAC R9-5-502.C.1.d. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: d. Keeps dated, daily, documentation of each infant including: i. A description of any activities the infant participated in, ii. The infant’s food consumption, iii. Diaper changes, and iv. Tummy time;

“The CO reviewed the daily reports for Child 1 on 8/27/24, 8/28/24, and 8/29/24. Tummy time was not documented on any of the three reports for Child 1.”

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;

“Per the allegations and based on the CO's interviews and investigation Child 1 was placed at risk of harm when they were placed on their stomach in the crib. Child 1 does not roll or crawl. Child 1 is not capable of turning themself over. Child 1 was reported by both Staff 1 and Staff 2 to cry and wake every few minutes throughout the day. Staff 1 reported when they put the child on their stomach in the crib that they stopped crying. Staff 1 reported that they could see the child but could not attend to the child as they were feeding and attending to other children. Staff 1 reported that Staff 2 was busy changing diapers.”

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;

“The CO observed Staff 2 sit abruptly in the rocking chair causing the child's head to jolt quickly back and forth on two different occasions throughout the video documentation.”

AAC R9-5-503.B. B. A licensee shall ensure that a staff member does not:1. Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area; 2. Draw water for human consumption from a diaper changing area sink; or 3. Except as provided in subsection (C), if responsible for food preparation, change diapers until food preparation duties have been completed for the day.

“The Compliance Officer(CO) observed the diapering counter in the two year old room to have a gallon water bottle, a pink tumbler with a straw, a bottle of vitamin water, and a clothing item on the diapering surface. The CO observed a pink sippy cup in the diapering sink of the infant room. The CO observed 3 sippy cups in the diapering sink of the 1 year old room.”

AAC R9-5-502.C.1.l. C. A licensee shall ensure that:1. A staff member providing child care services in an infant room: l. 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;

“The CO observed the infant feeding instructions for Child 1. The instructions had the child's name, date of birth, parent signature, and date; no other information was documented on the form. On an "Infant Feeding Preference Form" the type of formula was documented, but no other information on quantity or frequency was documented.”

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;

“Per the allegations and based on the CO's investigation the following allegation was substantiated: The CO interviewed Staff 1 and Staff 2, and observed video documentation that Child 1 was placed on their stomach to sleep. Staff 1 was observed in the video to place Child 1 on their stomach in their crib for at least 25 minutes. Staff 1 reported placing Child 1 on their stomach to sleep. Staff 2 reported laying children on their stomach to sleep depending on the infant's sleep preference. Staff 2 reported observing Staff 1 lay Child 1 on their stomach to sleep. Child 1 did not have written instructions form a health care provider instructing that the child be placed on their stomach to sleep.”

AAC R9-5-512.C. C. A licensee shall ensure that floor coverings are:1. Clean; and 2. Free from: a. Dampness, b. Odors, and c. Hazards.

“The CO observed that the flooring throughout the classrooms has a buildup of dirt and debris along the baseboards. Trash was observed on the floor in the 1 year old and older 2's room. The flooring was observed to be cracked in areas of the school age room creating a hazard.”

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.

“The CO observed that the caulk around the base of the toilets was cracked and broken away in some areas. The plumbing fixtures are not maintained in clean condition. Urine buildup on the base of the toilet was observed.”

AAC R9-5-502.A.3. A. A licensee providing child care services for infants shall: 3. Provide age-appropriate indoor and outdoor activities for each infant;

“The Compliance Officer (CO) inquired about an outdoor activity area and it was discovered that the infant children are not taken outside at this time.”

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

“The CO observed that the plastic climber in the toddler outdoor activity area was cracked at multiple points along the play surface. Sharp metal hinges were accessible on the wood house at the door frame.”

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;

“The CO observed nap cots blocking passageway and exits in the Pre K and 3 year old rooms.”

AAC R9-5-503.B. B. A licensee shall ensure that a staff member does not:1. Permit a bottle, formula, food, eating utensil, or food preparation in a diaper changing area; 2. Draw water for human consumption from a diaper changing area sink; or 3. Except as provided in subsection (C), if responsible for food preparation, change diapers until food preparation duties have been completed for the day.

“The CO observed a water filter connected to the spout of the diapering sink faucet in older 2’s room. The filter was installed to fill the drinking water containers. Drinking water may not be drawn from diapering sinks.”