The Learning Connection Child Care

AAC R9-3-309.F.1. F. Except as provided in subsection (G), a certificate holder shall ensure that: 1. Medication belonging to an enrolled child is: a. Stored in a locked, leak-proof storage cabinet or container that is used only for storing enrolled children’s medication. b. Stored in a secured refrigeration unit that is used only for storing enrolled children’s medications that requires refrigeration.

“Findings: Based on Compliance Officers' observations, the medication in the home was not locked in a leak-proof storage cabinet or container.”

AAC R9-3-309.B.3. B. If prescription or nonprescription medications are administered at a child care group home, a certificate holder shall ensure that: 3. The designated staff member does not administer a medication to an enrolled child unless the child care group home receives written authorization on a completed Department-provided authorization form that includes: a. The child’s first and last name; b. The name of the medication; c. The prescription number, if any; d. Instructions for administration specifying: i. The dosage, ii. The route of administration, iii. The first and last dates that the medication is to be administered, and iv. The times and frequency of administration; e. The reason for the medication; f. The signature of the child’s parent; and g. The date of signature; and

“Findings: Based on Compliance Officers' observations and review of facility documentation, the medication form for Child #1 lacked the last date that the medication was to be administered.”

AAC R9-3-505.D.9. D. A certificate holder shall ensure that: 9. An enrolled child does not have access to the following on the premises: a. Lawn mowers, ladders, toilet brushes, plungers, and other equipment that may be a hazard to a child; b. An air conditioner, evaporative cooler, heat pump, or furnace; c. A hot tub or spa; d. A pond or fountain; e. An irrigation ditch, abandoned mine, or well; or f. A trampoline.

“Findings: Based on Compliance Officers' observations, there was a large evaporative cooler on the back patio that was accessible to enrolled children.”

AAC R9-3-502.C.3. C. A certificate holder shall ensure that: 3. If a child can fall between 24 and 48 inches from a climbing structure, swing, or slide in an outdoor activity area to the ground below, the climbing structure, swing, or slide has covering the fall zone of the climbing structure, swing, or slide non-dormant, growing grass or the resilient material required in subsection (C)(2)(a)(i) or (ii).

“Findings include: Based on Compliance Officer #1's observation, in the outdoor activity area, there was hard-packed dirt beneath the green slide.”

AAC R9-3-302.C. C. A certificate holder shall ensure that each staff member completes a total of 12 or more actual hours of training every 12 months after becoming a staff member in two or more of the following: 1. Child growth and development, which may include sudden infant death prevention; 2. Developmentally appropriate activities; 3. Nutrition and developmentally appropriate eating habits; 4. Responding to accidents and emergencies, including CPR and first aid for infants and children; 5. Recognizing signs of illness and infestation; 6. Detecting, preventing, and reporting child abuse or neglect; 7. Guiding and disciplining children; and 8. Availability of community services and resources, including those available to children with special needs.

“Findings Include: Based on the Compliance Officer #2's observations, the files reviewed for 2 staff members lacked the following annual hours of training: *Staff #1 (start date 9/6/2011) lacked 7 of the 12 hours of annual training. *Staff #2 (start date 9/6/2011) lacked 7 of the 12 hours of annual training.”

AAC R9-3-504.C.2. C. A certificate holder shall: 2. Ensure that each rechargeable fire extinguisher in the child care group home’s residence: a. Is serviced at least once every 12 months, and b. Has a tag attached to the fire extinguisher that specifies the date of the last servicing and the identification of the person who serviced the fire extinguisher.

“Findings include: Based on the Compliance Officers' observation, the second rechargeable fire extinguisher lacked documentation showing that it had been serviced within the year.”