Secure Childcare

AAC R9-3-507.B.1. B. A certificate holder shall ensure that: 1. A staff member: a. Cleans, sanitizes, and dries a diaper-changing surface using a single-use paper towel before and after each diaper change; b. Washes the staff member’s hands with soap and running water before and after each diaper change; c. Wears single-use non-porous gloves during each diaper change; d. Washes an enrolled child’s hands with soap and running water or with a washcloth or disposable wipe after the enrolled child’s diaper is changed and uses each washcloth or disposable wipe on only one child and only one time before it is laundered or discarded; and e. Documents the daily diaper changes for each enrolled child in a dated diaper-changing log after changing the enrolled child’s diaper;

“Findings: Based on the Compliance Officer's observation, there was a buildup of dirt in the corners of the diaper changing table. There were 3 dirty diapers on the washing machine next to the diaper changing table. The licensee lacked cleaning and sanitizing chemicals for the diaper changing table. The licensee lacked a daily diaper changing log for the enrolled children.”

AAC R9-3-504.D.2. D. If there are gas pipes that run from a gas meter to an appliance or location on the premises: 2. A certificate holder shall ensure that: a. Each unused natural gas outlet at the child care group home has its valves removed by and is capped at the wall or floor by a licensed plumber or individual authorized by the local jurisdiction; b. A licensed plumber or individual authorized by the local jurisdiction conducts a gas inspection that verifies there are no gas leaks in the gas pipes that run from the gas meter to any appliance or location on the premises at least once every 12 months after the date of the certificate; and c. A copy of a current gas inspection report, including documentation of any repairs or corrections required by the gas inspection report, is maintained on the premises.

“Findings: Based on facility documentation and the Compliance Officer’s observation, it was determined that the Licensee lacked documentation of a current violation-free gas inspection report as required.”

AAC R9-3-502.A. A. Except as provided in subsection (B), a certificate holder shall ensure that the child care group home has an outdoor activity area that: 1. Is on the premises; 2. Is at least 500 square feet in size; 3. Is adjacent to the residence; 4. Includes shaded areas large enough to accommodate all enrolled children occupying the outdoor activity area at any time; and 5. Except as provided in subsection (D), is enclosed by a fence that: a. Is at least 4 feet high; b. Is secured to the ground; c. Does not have any vertical or horizontal open space that exceeds 4 inches at any point, including any space on a gate; and d. Has a gate from which an individual may exit the outdoor activity area.

“Findings: Based on the Compliance Officer’s observation, in the outdoor activity area, the swing set and shade structure were not secured to the ground.”

AAC R9-3-406.F. F. A certificate holder shall ensure that a staff member: 1. Prepares a weekly menu specifying the foods to be served at each meal and snack on each day, 2. Dates each menu, and 3. Writes food substitutions on a posted menu no later than the morning of the day of the meal or snack to which the substitution applies.

“Findings: Based on facility documentation and the Compliance Officer's observation, the posted menu lacked the lunch served to enrolled children.”

AAC R9-3-405.B.1. A certificate holder shall ensure that a staff member does not use or allow: 1. A method of discipline that could cause harm to the health, safety, or welfare of an enrolled child;

“Findings: Based on the Compliance Officer's observation, 2 children laying on their naptime mats. One child got up from their mat, went over to the other child's mat, and started wrestling with them. The licensee walked over to the child, grabbed them by the forearm, and lifted them off the other child. The Licensee picked up the mat and walked quickly with the child's arm up in the air, pulling them to the other room.”

AAC R9-3-405.A.3. A. A certificate holder shall ensure that a staff member: 3. When disciplining an enrolled child: a. Explains to the enrolled child why the particular behavior is not allowed, b. Suggests an alternate behavior to the enrolled child, and c. Assists the enrolled child to become engaged in an alternate activity; and

“Findings: Based on the Compliance Officer’s observation, there were 2 children playing around with each other and the licensee wanted them to stop. The licensee repeatedly told the children that they were going to go to timeout without redirecting them.”

AAC R9-3-402.A. A. A certificate holder shall ensure that: 1. Each enrolled child who naps or sleeps at the child care group home is furnished with a bed, cot, mat, or crib that accommodates the enrolled child’s height and weight; 2. The bed, cot, mat, or crib is not used by another individual while in use by the enrolled child; 3. The cot, mat, or bed’s mattress is covered with a clean sheet that is laundered when soiled, at least once every seven calendar days, and before use by a different enrolled child; 4. The crib mattress is covered with a clean fitted-sheet designed for the crib mattress size that is laundered when soiled, at least once every 24 hours, and before use by a different enrolled child; and 5. A clean blanket or sheet is provided to each enrolled child.

“Findings: Based on the Compliance Officers' observations, 2 out of 4 enrolled children lacked a clean sheet for nap time.”

AAC R9-3-401.C.5. C. A certificate holder shall ensure that a staff member: 5. Stores diapering products in a location that is inaccessible to enrolled children but accessible for diaper changing;

“Findings: Based on the Compliance Officer’s observation, there was a child on the floor next to the diaper changing table playing with a bag of wipes.”

AAC R9-3-401.B.1. B. A certificate holder shall ensure that: 1. A staff member: a. Supervises each enrolled child at all times, b. Plays and communicates with an enrolled child throughout the day, and c. Responds immediately to signs of distress from an enrolled child;

“Findings: Based on the Compliance Officers' observations, upon arrival to the facility, there was a child in a crib crying. The licensee shushed the child multiple times instead of responding to their cry. The child continued to cry until the licensee got the child out of the crib.”

AAC R9-3-202.D. D. A certificate holder shall ensure that each individual who is a staff member or an adult resident submits to the certificate holder a copy of the individual’s a valid fingerprint clearance card each time the fingerprint clearance card is issued or renewed every six years.

“Findings: Based on documentation and the Compliance Officer's observation, the file for Resident #1 lacked documentation of a valid fingerprint clearance card. (Card expired on 11/29/2025, Card Issued on 3/10/2026)”

AAC R9-3-402.C.4. C. A certificate holder shall ensure that a crib used by an enrolled child: 4. Does not contain bumper pads, pillows, comforters, sheepskins, stuffed toys, or other soft products when an enrolled child is in the crib.

“Findings: Based on the Compliance Officers' observations, there was a pillow in the crib with an enrolled child.”

AAC R9-3-301.I. A certificate holder shall ensure that a staff member who has current training in first aid and CPR is present during hours of operation when an enrolled child is on the premises or on a trip away from the premises under the supervision of a staff member

“Findings: Based on facility documentation and the Compliance Officers’ observations, the file for Staff #1 lacked a current CPR/First Aid certification on site. Expired 9/2025”

AAC R9-3-310.A. A. A certificate holder shall ensure that a child care group home has a first-aid kit on the premises that contains at least the following items, in a quantity sufficient to meet the needs of the enrolled children at the child care group home: 1. Sterile bandages including: a. Adhesive bandages of assorted sizes, b. Sterile gauze pads, and c. Sterile gauze rolls, 2. Antiseptic solution or sealed antiseptic wipes, 3. Single-use non-porous gloves, 4. Reclosable plastic bags of at least one-gallon size, 5. Scissors, and 6. Adhesive or self-adhering tape.

“Findings: Based on the Compliance Officer's observation, the first aid kit lacked gauze rolls.”

AAC R9-3-508.10. A certificate holder shall ensure that: 10. Pet feces in an outdoor activity area are cleaned up before enrolled children are permitted in the outdoor activity area; and

“Findings: Based on the Compliance Officer's observations, there were 2 piles raked up, with 4 pieces of dog feces observed near the play structure in the outdoor activity area.”

AAC R9-3-305.A.1. A. A certificate holder shall ensure that: 1. An enrolled child is signed into and signed out from the child care group home by: a. The enrolled child’s parent; b. An individual authorized in writing or by telephone by the enrolled child’s parent; or c. The enrolled child, if the enrolled child is a school-age child and the enrolled child’s parent has given written permission for the enrolled child to self-admit or self-release;

“Findings: Based on the Compliance Officer's observations and on a review of the Child attendance log, Children #4 and #5 were present but not signed in. In addition, the children's last names were not listed on any of the attendance sheets for the 5 children who are enrolled.”

AAC R9-3-508.10. A certificate holder shall ensure that: 10. Pet feces in an outdoor activity area are cleaned up before enrolled children are permitted in the outdoor activity area; and

“Findings: Based on the Compliance Officer's observations, 4 pieces of dog feces were observed near the slide area in the outdoor activity area.”

AAC R9-3-401.B.2. B. A certificate holder shall ensure that: 2. The areas of the child care group home approved for providing child care services are maintained free from hazards;

“Findings: Based on the Compliance Officer's observations during the inspection of the outdoor activity area, the bottom 3 inches of the wood gate that is located near the alley, had bare wood that was rough and splintering.”

AAC R9-3-310.A. A. A certificate holder shall ensure that a child care group home has a first-aid kit on the premises that contains at least the following items, in a quantity sufficient to meet the needs of the enrolled children at the child care group home: 1. Sterile bandages including: a. Adhesive bandages of assorted sizes, b. Sterile gauze pads, and c. Sterile gauze rolls, 2. Antiseptic solution or sealed antiseptic wipes, 3. Single-use non-porous gloves, 4. Reclosable plastic bags of at least one-gallon size, 5. Scissors, and 6. Adhesive or self-adhering tape.

“Findings: Based on the Compliance Officer’s observation, the first aid kit lacked gauze rolls.”

AAC R9-3-506.5. A certificate holder shall ensure that: 5. Each bathroom used by an enrolled child at the child care group home has the following within the reach of enrolled children: a. Mounted toilet tissue, b. Soap contained in a dispenser, and c. Singly dispensed paper towels;

“Findings: Based on the Compliance Officer’s observation, the bathroom lacked mounted toilet paper.”

AAC R9-3-401.B.2. B. A certificate holder shall ensure that: 2. The areas of the child care group home approved for providing child care services are maintained free from hazards;

“Findings: Based on the Compliance Officer’s observations, the following hazard was accessible to enrolled children: *There was a water hose on the ground in the playground area.”

AAC R9-3-504.A.5. A. A certificate holder shall ensure that: 5. Each electrical outlet in an area of the child care group home approved for providing child care services is covered with a safety plug cover or insert when not in use;

“Findings: Based on the Compliance Officer's observation, the following areas lacked a safety plug in an unused electrical outlet: *The North wall lacked 3 safety plugs. *The East wall lacked 1 safety plug. *The South wall lacked 1 safety plug.”

AAC R9-3-507.B.1. B. A certificate holder shall ensure that: 1. A staff member: a. Cleans, sanitizes, and dries a diaper-changing surface using a single-use paper towel before and after each diaper change; b. Washes the staff member’s hands with soap and running water before and after each diaper change; c. Wears single-use non-porous gloves during each diaper change; d. Washes an enrolled child’s hands with soap and running water or with a washcloth or disposable wipe after the enrolled child’s diaper is changed and uses each washcloth or disposable wipe on only one child and only one time before it is laundered or discarded; and e. Documents the daily diaper changes for each enrolled child in a dated diaper-changing log after changing the enrolled child’s diaper;

“Findings: Based on the Compliance Officer's observation, the diaper changing area lacked bottles to clean and sanitize the diaper changing area after each use.”

AAC R9-3-506.1. A certificate holder shall ensure that: 1. All areas of the child care group home approved for providing child care services and the furnishings, equipment, supplies, materials, utensils, and toys in those areas are kept clean and free of insects and vermin;

“Findings: Based on the Compliance Officer's observation, the diaper changing surface had a build-up of dirt around the edges.”