The Sandbox 2

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: During the inspection of the diaper changing area in the Music Room, the Compliance Officer measured the water temperature at 70 degrees.”

AAC R9-5-501.B.6. B. A licensee shall ensure that a staff member: 6. For enrolled children five-years or younger, and except as provided in subsection (C), prepares, posts, and implements a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Findings: During the inspection of the Art Room, the Compliance Officer observed that the posted lesson plan was not current as it was dated for the previous week.”

AAC R9-5-516.B.3. B. If prescription or nonprescription medications are administered, a licensee shall ensure that: 3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child’s parent or health care provider that includes the: a. Name of the enrolled child; b. Type of the medication; c. Prescription number, if any; d. Instructions for administration specifying the: i. Dosage and route of administration; ii. If indicated, starting and ending dates of the dosage period; and iii. Times and frequency of administration; e. Reason for the medication; and f. Date of authorization; and

“Findings: The Compliance Officer reviewed the medications and medication forms and observed the following: * The prescription number on the form for Child 1 was different from the prescription number on the medication container.”

AAC R9-5-603.D. D. 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.

“Findings: During the inspection of the outdoor activity area, the Compliance Officer observed the following: * On the “swings playground” the sand measured at two inches under the swings and four inches under the tire swing. * On the “slide playground” the sand measured at two inches under the green tube slide.”

AAC R9-5-516.G. G. A licensee shall return all unused prescription and nonprescription medications to a parent when the medication prescription date has expired or the medication is no longer being administered to the enrolled child or dispose of the medication if unable to locate the enrolled child's parent after the child's disenrollment.

“Findings: The Compliance Officer reviewed the medications and medication forms and observed the following: * The prescription medication for Child 2 had an expiration date of 01/31/26 and was not returned to the parent.”

AAC R9-5-516.B.3. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child’s parent or health care provider that includes the: a. Name of the enrolled child; b. Type of the medication; c. Prescription number, if any; d. Instructions for administration specifying the: i. Dosage and route of administration; ii. If indicated, starting and ending dates of the dosage period; and iii. Times and frequency of administration; e. Reason for the medication; and f. Date of authorization; and

“The Compliance Officer reviewed the medications for Child 4 and observed that there was not a medication authorization form for the allergy medication.”

AAC R9-5-516.B.4. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:4. A staff member : a. Administers a prescription medication provided by a parent only from a container dispensed by a pharmacy; b. Administers a nonprescription medication provided by a parent for an enrolled child only from a container prepackaged and labeled for use by the manufacturer and labeled with the enrolled child’s name; c. Does not administer any medication that has been transferred from one container to another; and d. Does not administer a nonprescription medication to an enrolled child inconsistent with the instructions on the nonprescription medication’s label, unless the facility receives written authorization from the enrolled child’s health care provider.

“The Compliance Officer reviewed the medication and medication form for Child 5 and observed that there was only one of two medications in the prescription box. The staff acknowledged that they did not have a note from the health care provider to allow the medications to be separated.”

AAC R9-5-501.C.5. C. A licensee shall ensure that a staff member:5. Except as provided in subsection (D), prepares and posts a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“During the inspection of the Wildcats Room, it was observed that the lesson plan was not for the current week as it was dated for the previous week.”

AAC R9-5-514. D. D. A licensee shall post, near an activity area or a room's designated exit, a building evacuation plan that details the designated exits from the activity area or room and the facility.

“The Compliance Officer observed that there was no evacuation plan posted at one of the designated exits in the Music 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;

“During the inspection of the infant room, the Compliance Officer reviewed the infant feeding instructions and observed the following: * The form for Child 1 was last updated on 09/20/24. The staff acknowledged that the child is eating more food than what was listed. * The form for Child 2 was last updated on 06/15/24. The staff acknowledged that the child is eating more food than what was listed. * The form for Child 3 was missing the front page of the form (only had backside).”

AAC R9-5-605.B.6. B. A licensee shall ensure that: 6. Except for a room used only for an enrolled school-age child, each unused electrical outlet is covered with a safety plug cover or insert;

“During the inspection of the Music Room, the Compliance Officer observed that there were two unused outlets with no safety covers in them (one located over the counter area, and one in the surge protector at end of counter).”

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;

“Upon entrance to the music room, Compliance Officer 2 observed that Child 1 was napping with a blanket covering their face.”

AAC R9-5-605.B.13. B. A licensee shall ensure that: 13. A smoke detector is installed in each indoor activity area and kitchen;

“Compliance Officer 2 noted that there was no smoke detector installed in the Studio classroom.”

AAC R9-5-501.C.5. C. A licensee shall ensure that a staff member:5. Except as provided in subsection (D), prepares and posts a dated lesson plan in each indoor activity area for each calendar week, which is maintained on facility premises for 12 months after the lesson plan date and provides opportunities for each child to: a. Gain a positive self-concept; b. Develop and practice social skills; c. Think, reason, question, and experiment; d. Acquire language skills; e. Develop physical coordination skills; f. Participate in structured large muscle physical activity; g. Develop habits that meet health, safety, and nutritional needs; h. Express creativity; i. Learn to respect cultural diversity of children and staff; j. Learn self-help skills; and k. Develop a sense of responsibility and independence;

“Compliance Officer 2 observed that the posted lesson plans in the Ranch Room were dated for the previous week of 2/26/24 - 3/1/24.”

AAC R9-5-514. D. D. A licensee shall post, near an activity area or a room's designated exit, a building evacuation plan that details the designated exits from the activity area or room and the facility.

“Compliance Officers 1 and 2 noted that there was no evacuation plan posted in the Studio classroom.”

AAC R9-5-512.B. B. A licensee shall maintain facility premises and furnishings:1. In a clean condition, and 2. Free from odor.

“Compliance Officers 1 and 2 observed items stored in the bathroom in the MPR activity area that are not required for toileting; such as sheets and jackets. The items were not stored in a cabinet nor on high shelf in covered bins.”

AAC R9-5-404.C.3. C. A licensee shall ensure that:3. When six or more enrolled children are present in a facility, an infant is not placed for supervision with a child who is not an infant.

“Upon inspection of the Infant room by Compliance Officers 1 and 2, facility staff reported that Child 1 and Child 2 were placed for care with the One Year Old group for the purpose of transitioning into the One Year old classroom.”

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;

“Compliance Officer 1 measured the water temperature of the diaper changing sink to be 80°. CO 1 also noted that the diaper changing surface in the Wildcats room was 5 steps from the diaper changing sink, as staff had to walk around the table to use the sink.”

AAC R9-5-509.C.18. C. A licensee shall ensure that:18. 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;

“Compliance Officer 2 observed that the posted menu was dated for the month of February 2024.”

AAC R9-5-303.B. B. A licensee shall ensure that the licensed capacity of each indoor activity area or room is posted in that activity area or room.

“Compliance Officers 1 and 2 noted that the posted capacity in the Art Room was 32, however, per the square footage of the room the licensed capacity should be 22. The Studio classroom did not have a posted capacity; the room has a licensed capacity of 10.”

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.

“Compliance Officer 1 measured the depth of the sand in the fall zone of the playground equipment on the front playground as follows: 4” in the fall zone of the swings; 3” in the fall zone of the tire swing. Compliance Officer 2 measured the depth of the sand in the falls zones of the playground equipment on the slides playground as follows: 1" in the fall zone of the small red slide; 2" in the fall zones of the green slide and small yellow slide; 3" in the fall zone of the blue slide.”

AAC R9-5-516.B.3. B. If prescription or nonprescription medications are administered, a licensee shall ensure that:3. A facility director, or a staff member designated in writing by the facility director, does not administer a medication to an enrolled child unless the facility receives written authorization signed by the enrolled child’s parent or health care provider that includes the: a. Name of the enrolled child; b. Type of the medication; c. Prescription number, if any; d. Instructions for administration specifying the: i. Dosage and route of administration; ii. If indicated, starting and ending dates of the dosage period; and iii. Times and frequency of administration; e. Reason for the medication; and f. Date of authorization; and

“Compliance Officer 1 reviewed the medications belonging to enrolled children at the center, and noted that the authorization form for one of Child 3's medications did not have the prescription number listed on the form, as required.”