2.424.J.1 · Furnaces, fireplaces, heaters, or wood-burning stoves must meet the following regulations: All heating units must be and maintained with safety devices to prevent fire, explosions, and other hazards. No open-flame gas or oil stoves, unscreened fireplaces, hot plates, or unvented heaters can be used for heating purposes. All heating elements, including hot water pipes, must be insulated or installed in such a way that children cannot come in contact with them.

Observed an unvented space heater on the floor accessible to children in the Cougar cabin. Correction: Furnaces, heaters, or wood burning stoves must be maintained with safety devices. No unvented heaters can be used for heating purposes.***Corrected at the time of inspection. Space heater was removed. No response required. Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

Category: physical safety. Marked corrected in the state record.

2.411.D · All staff members must complete a Department-approved Standard Precautions training prior to working with children. This training must be renewed annually and may count towards ongoing training requirements. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 4 staff files and observed all to be lacking documentation of department approved Standard Precautions training. Correction: All staff members must complete a department approved Standard Precautions training prior to working with children. Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

Category: recordkeeping. Marked corrected in the state record.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed site Director's file and observed Denise S. to be lacking documentation of Emergency and Disaster Preparedness training. Correction: Prior to caring for children, at least one on site director must be training in the department approved training for resident camps. Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

Category: recordkeeping. Marked corrected in the state record.

2.137.A · All child care providers must have a written plan for continuity of operations in the aftermath of an emergency or disaster. Components of the plan must include:

Identified through review of emergency plan that facility is lacking a written plan for continuity of operations in the aftermath of an emergency. Correction: All child care providers must have a written plan for continuity of operations in the aftermath of an emergency or disaster. Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

Category: ratio. Marked corrected in the state record.

7.701.56.D · . All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

Observed the facility to be lacking a posted capacity in the Gathering Space and lacking a posting of staff-to-child ratios in the Activity Center and Gathering Space. Correction: All facilities must post in every room of the child care facility, the license capacity of the room and the staff-to-child ratio required by regulation. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: ratio. Marked corrected in the state record.

7.701.32.D.1.a · . For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 7 staff files and observed 4 to be lacking TRAILS clearance letter. 11 Respite Care staff also did not have TRAILS clearance letters on file for review. Correction: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for or allowing unsupervised access to children. ***All individuals requiring a background check must review Navigating the Background Check Unit's Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance letters for staff members with written response to specialist. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: supervision. Marked corrected in the state record.

7.711.12.A · . If the governing body lets, leases, or rents the licensed facility to any group or organization whose program falls under the definition as found at Section 7.711.1 and verifies in writing to the State Department that the lessee meets the licensing standards, an application is not required of the lessee. If the governing body does not verify that the lessee meets the licensing standards, an application is required of the lessee and the license must be issued to the lessee before the camp opens.

Observed Respite Care, Inc. to be leasing the facility/property at the time of inspection and governing body did not verify in writing that the lessee meets licensing standards. Lessee does not have a resident camp license or an application to obtain such license. Correction: If the governing body does not verify that the lessee meets the licensing standards, an application is required of the lessee and the license must be issued to the lessee before the camp opens. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Marked corrected in the state record.

7.711.12.B · . When the facility is let, leased, or rented, the governing body shall report the following in writing at the request of the State Department: name of the group, number and ages of children, length of time for use of the facility, and the purpose of the camp.

Observed the facility to be leasing the property and facility did not report such information in writing to the State Department. Correction: When the facility is let, leased, or rented, the governing body shall report in writing to the State Department. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Marked corrected in the state record.

7.711.41.A.2 · . Prior to the child’s attendance at camp, the following information must be obtained and maintained at the campsite for each camper: Parent’s or guardian's names, home and employment addresses, telephone numbers, and email addresses

Reviewed 6 child files and observed them all to be lacking parent employer address. Correction: Prior to the child's attendance at camp, parent's employment addresses, phone numbers and email addresses must be on file. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Marked corrected in the state record.

7.711.42 · Staff Records - There must be maintained at the campsite a record for each staff member, paid or volunteer, which must include the following:

Observed a camp, Respite Care, Inc., to be leasing the property under the umbrella of the Presbyterian Highlands camp and lacking staff files on site for all staff. Correction: There must be maintained at the campsite, a staff file for each staff member available for review by licensing. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: recordkeeping. Marked corrected in the state record.

7.711.41.A.4 · . Prior to the child’s attendance at camp, the following information must be obtained and maintained at the campsite for each camper: Name, address, and telephone number of individuals authorized to take the child from camp if different from the parent or guardian

Reviewed 6 child files and observed 3 to be lacking information regarding those individuals authorized to take the child from camp. Correction: Prior to the child's attendance at camp, the name, address, and phone number of individuals authorized to take the child from camp if different from the parents must be maintained on file for review. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Marked corrected in the state record.

7.711.31.O.1 · To ensure the protection of campers from sun exposure the camp must: Obtain the parent or guardian's written authorization and instructions for applying sunscreen or use of another form of parent or guardian FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ approved sun protection to their children's exposed skin prior to going outside. A doctor's permission is not needed to use sunscreen at the camp;

Reviewed 6 child files and observed 3 to be lacking authorization from the parent's for applying sunscreen. Correction: The facility must obtain the parent's signature and instructions for applying sunscreen or use of another form of parent approved sun protection. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Marked corrected in the state record.

7.711.31.E · . The camper must submit documentation of immunization status or exemption as required by Colorado Department of Public Health and Environment (CDPHE). Colorado law requires proof of immunization or exemption be provided prior to or on the first day of admission.

Reviewed 6 child files and observed 2 to have an immunization record on an unapproved form. Correction: Each camper must submit documentation of immunization status as required by the CDPHE. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: health medication. Marked corrected in the state record.

7.711.31.B · . At least ten (10) calendar days prior to admission, each camper must furnish a health history which indicates communicable diseases and chronic illnesses or injuries the individual has had, any known drug reactions and allergies, medications being taken, and any necessary health procedures or special diets.

Identified through staff statement that 11 campers submitted health histories more than 10 days prior to admission. Correction: At least 10 days prior to admission, each camper must furnish a health history including any necessary health procedures or special diets. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: health medication. Marked corrected in the state record.

7.711.54.N · . Substances which may be toxic to a child if ingested, inhaled, or handled, including, but not limited to, poisons, drugs, medicines, insecticides, herbicides, rodenticides, bleaches, chemicals, and corrosive agents FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be stored in a cabinet or enclosure located in an area not used by children, stored in the original container, and properly labeled.

Observed a large jug of sunscreen, dish soap, febreeze, and disinfecting wipes labeled "keep out of reach of children" on the counter in the Antelope cabin accessible to children. Observed 20+ medications on the floor in an unlocked closet accessible to children in the Antelope cabin. Correction: Substances which may be toxic to a child if ingested or handled, must be stored in a cabinet or enclosure in an area not used by children. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: health medication. Marked corrected in the state record.

7.701.32.E · . The request must be made within ten (10) calendar days of the first day of employment for each employee or facility on the State prescribed form, accompanied by the required fee paid by check or money order (for fee assessment see Section 7.000.73).

Reviewed 7 staff files and observed Denise S. to be lacking a TRAILS clearance letter and to have not submitted the request at least 10 days prior to the first day of employment. Correction: Requests must be made within 10 days of the first day of employment for each employee on the state prescribed form. ***All individuals requiring a background check must review Navigating the BIU's Webpage powerpoint. Submit verification that staff member has reviewed the powerpoint within 24 hours. Submit documentation of clearance letter with written response to specialist. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: background checks. Marked corrected in the state record.

7.701.33.B · . Only in the case of a children's resident camp or school-age child care center, out-of-state persons employed in a temporary capacity for less than ninety (90) days are not required to be fingerprinted to obtain a criminal record check. Each person exempted from fingerprinting and being checked with the State Department's automated system must sign a statement which affirmatively states that she/he has not been convicted of any charge of child abuse or neglect, unlawful sexual offense, or any felony. Out-of-state employees operating under this exemption must be supervised at all times by a staff member who has successfully completed all background checks. Prospective employers of such exempted persons must conduct reference checks of the prospective employees in order to verify FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ previous work history and must conduct personal interviews with each such prospective employee.

Reviewed 7 staff files and observed Herman J., Patrick Y., and Beth J. to be out of state employees lacking criminal record checks and supervising children at the time of inspection without the supervision of a staff member who has successfully completed all background checks. Correction: Out of state persons employed in a temporary capacity are not required to be fingerprinted to obtain a criminal background check but must be supervised at all times by a staff member who has successfully completed all background checks. ***All individuals requiring a background check must review Navigating the BIU's Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of clearance letter with written response to specialist. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: supervision. Marked corrected in the state record.

7.711.22.D · . All staff members must complete a Department-approved Standard Precautions training prior to working with children. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 7 staff files and observed Beth P., Abby M., Herman J., Patrick Y., and Beth J., to be lacking standard precautions training. Correction: All staff members must complete standard precautions training prior to working with children. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: recordkeeping. Marked corrected in the state record.

7.711.22.E · . For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member with each group of children who holds current Department-approved First Aid and CPR for all ages of children. At any camp more than thirty (30) minutes away from emergency medical services, there must be at least one (1) staff member with each group of children qualified with a minimum of Wilderness First Aid Training, Department-approved CPR and Medication Administration Training. Staff members with Medication Administration Training must have annual delegation as required at section 7.711.22.b.3.

Reviewed 7 staff files and observed Beth P., Abby M., Herman J., Patrick Y., and Beth J., to be lacking CPR/First Aid training. Correction: For every 30 or fewer children, there must be at least 1 staff member with each group of children who holds First Aid/CPR for all ages. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: ratio. Marked corrected in the state record.

7.701.8 · Perjury Statement- Application forms for Employment with a Child Care Provider. Every application used in the State of Colorado for employment with a child care provider or facility, or for the certification of a foster home, must include the following notice to the applicant: “Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in Section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.”

Reviewed 7 staff files and observed all to be lacking a signed perjury statement Correction: Every staff file must include a perjury statement signed by the employee and available for review upon request. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Marked corrected in the state record.

7.701.53.A · . A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member's personal responsibility to report all incidents of child abuse or neglect according to state law.

Reviewed 7 staff files and observed all to be lacking a signed child abuse and neglect statement. Correction: All staff must read and sign a statement clearly defining child abuse and neglect pursuant to the state law and outlining the staff members responsibility to report all incidents of child abuse or neglect. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Marked corrected in the state record.

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. For seasonal children's resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the State Department-approved training

Reviewed 7 staff files and observed Denise S. to be lacking the department approved training in emergency and disaster preparedness (FEMA). Correction: Prior to caring for children, at least one on site director must be training in emergency and disaster preparedness (FEMA). Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: recordkeeping. Marked corrected in the state record.

7.711.31.D · . The camper must present a statement confirming a physical examination, which has been performed within the preceding twenty-four (24) months from the first day of attendance at camp by a health care provider, which includes any physical problems which would limit the camper's activity, and any special care which the child will need.

Reviewed 6 child files and observed all to have health care plans lacking parent authorization. Correction: Campers must present a statement confirming a physical examination which includes any physical problems which would limit the camper's activity and any special care which the child will need. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: health medication. Marked corrected in the state record.

7.711.31.O.4 · . To ensure the protection of campers from sun exposure the camp must: If sunscreen is provided by the camp, parents must be notified in advance, in writing, of the type of sunscreen the camp will use.

Reviewed 6 child files and observed 3 to have a sunscreen authorization form lacking the type of sunscreen being used at the camp. Correction: If sunscreen is provided by the camp, parents must be notified in advance, in writing, the type of sunscreen the camp will use. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Marked corrected in the state record.

7.701.34.A · . Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

Observed the facility to be lacking an approving health inspection. *Previously cited on 6/27/23. Correction: Prior to the original license and at least every 2 years thereafter, all child care facilities must be inspected and obtain an approving inspection report from the local health department. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: health medication. Marked corrected in the state record.