The Learning Tree Academy

AAC R9-3-309.B.4. B. If prescription or nonprescription medications are administered at a child care group home, a certificate holder shall ensure that: 4. The designated staff member: a. Measures liquid medications for oral administration using a measuring cup, spoon, or dropper specifically made for measuring liquid medication; b. Administers prescription medications provided by an enrolled child’s parent to the enrolled child only from a container dispensed by a pharmacy and accompanied by a pharmacy generated prescription label that includes the child’s first and last name and administration instructions; c. Administers nonprescription medications provided by an enrolled child’s parent to the enrolled child only from an original manufacturer’s container labeled with the enrolled child’s first and last name; d. Does not administer a medication that has been transferred from one container to another; e. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the child care group home receives written administration instructions from the enrolled child’s physician, physician assistant, or registered nurse practitioner; f. Documents each administration of medication to an enrolled child on the Department provided form required in subsection (B)(3) including: i. The name of the enrolled child; ii. The name and amount of medication administered and the prescription number, if any; iii. The date and time the medication was administered; and iv. The signature of the staff member who administered the medication to the enrolled child; and g. Maintains the record on the premises for 12 months after the date the medication is administered.

“Findings: Based on documentation and the Compliance Officer’s observation, it was determined that medication #1 and medication #2 for Child #1 were not in containers as dispensed by the pharmacy and both medications lacked the pharmacy labels.”

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 documentation and the Compliance Officer's observation, it was determined that medication #1 and medication #2 for Child #1 were both listed on one medication authorization form rather than each medication on its own form.”

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: Based on facility documentation and the Compliance Officer's observation, it was determined that the file for Staff #1 (start date 08/16/2016) lacked 12 of 12 hours of annual training for the time period between 08/16/2022-08/16/2023.”