S.U.S.D.#1 - Mount Graham Child Care & Guidance Center

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“Findings: Compliance Officer 2 observed that the last fire inspection was no longer current as it was dated 02/27/23 and over 12 months old.”

AAC R9-5-502.C.3.b. C. A licensee shall ensure that:3. When preparing, using, or caring for an infant’s feeding bottles, a staff member: b. Ensures that a bottle is not: i. Heated in a microwave oven; ii. Propped for an infant feeding; or iii. Permitted in an infant’s crib unless the written instructions required by subsection (C)(1)(l) state otherwise;

“During the inspection of the infant room, Compliance Officer 1 observed that there was a milk bottle in the crib with Child 4. The staff acknowledged that they did not have written permission to do so.”

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;

“* During the inspection of the diaper changing area in the toddler room, Compliance Officer 1 observed that there was a rag and a timer behind the diapering sink that are not items used for the diapering process. * During the inspection of the diaper changing area in the infant room, Compliance Officer 1 observed that there were a pair of shoes next to the diapering sink and one single shoe on the diaper changing surface that are not items used for the diapering process.”

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;

“During the inspeciton of the infant room, Compliance Officer reviewed the infant feeding instructions for all the enrolled children in the infant room and observed the following: * The staff acknowledged that they did not have a current infant feeding instruction form for Child 1 and Child 2. * The infant feeding instruction form for Child 3 was not complete as it was not filled out with any information about feeding. It was missing the child’s date of birth and the type of milk/formula the child is to be served.”

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;

“During the inspection of the toddler room, Compliance Officer 1 observed that there was a child sleeping with their face covered by a blanket. The staff in the room acknowledged that some children in the room do that.”

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;

“During the inspection of the infant room, Compliance Officer 1 reviewed the daily log sheets for 09/11/24 and observed that all of the forms did not have any activities listed for the day and that Child 1 and Child 2 did not have a daily log sheet even though they were present.”

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;

“During the inspection of the diaper changing area in the infant room, Compliance Officer 1 observed that there were no paper towels in the dispenser.”

AAC R9-5-503.A.4. A. A licensee shall ensure that each diaper changing area required in R9-5-601(4) contains:4. At least one waterproof, sanitizable container with a waterproof liner and a tight fitting lid for soiled clothing.

“During the inspection of the diaper changing area in the infant room, Compliance Officer 1 observed that there was no liner in the soiled clothes container.”

AAC R9-5-508.C. C. If a licensee provides food, a licensee shall prepare and serve food according to the meal pattern requirements found in Table 5.1, "Meal Pattern Requirements for Children."

“Compliance Officer 2 reviewed the posted menu and observed that snack offered on two different times did not have the two components as required. One snack offered an applesauce muffin and water and the other snack was a Nutrigrain bar and water.”

AAC R9-5-509.C.22. C. A licensee shall ensure that:22. A refrigerator at the child care facility maintains a temperature of 41° F or below, as shown by a thermometer kept in the refrigerator at all times;

“During the inspection of the infant room, Compliance Officer 1 observed that there was no thermometer inside the refrigerator.”

AAC R9-5-509.C.23. C. A licensee shall ensure that:23. A freezer at the child care facility maintains a temperature of 0° F or below, as shown by a thermometer kept in the freezer at all times; and

“During the inspection of the infant room, Compliance Officer 1 observed that there was no thermometer inside the freezer.”