7.702.34.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider.

Reviewed ten (10) children files and observed one (1) expired and one (1) missing health statement completed by a Health Care Provider. Correction: Obtain health statements completed by a Health Care Provider. Send verification with written response. Correct by 09/03/2023

Corrected Corrected by Sep 3, 2023

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

7.702.51.B.11 · Topical preparations such as petroleum jelly, diaper rash ointments, sunscreen, insect repellent, and other ointments may be administered to children with written authorization from the parent(s)/guardian(s). These preparations may not be applied to open wounds or broken skin unless there is a written order by the prescribing health care provider.

Reviewed ten (10) children files and observed three (3) files to be missing written authorization to administer sunscreen. Correction: Obtain written authorization to administer sunscreen for three (3) children. Correct immediately. Send verification with written response. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

Category: ratio. Marked corrected in the state record.

7.702.41.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed fourteen (14) files and observed Brittany G.'s file to be missing a medical statement, signed and dated by a physician or other health care provider. Brittany G. hire date was 1/9/2023. FAX 303-866-4453 Phone 303-866-5948 _Na_m_e _: 7_ S_te_ps_ L_ea_rn_in_g _Ac_a_de_m_y_____________Lic_e_ns_e _Nu_m_b_er_ : 1_7_54_55_0______ ________________________________________________ Correction: Obtain a medical statement, signed and dated by a physician or other health care provider. Send verification with written response. Correct by 09/03/2023

Corrected Corrected by Sep 3, 2023

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

7.702.34.A.7 · The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility.

Reviewed ten (10) children files and observed two (2) expired and one (1) missing dated written authorization for emergency medical care signed by the parent(s)/ guardian(s). Correction: Obtain dated written authorizations for emergency medical care signed by the children's parent(s)/ guardian(s). Correct immediately. Send verification with written response. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

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

7.702.72.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

The preschool playground double slide had an opening on top of the equipment. Observed three hay bales covered by black plastic that was ripped. Observed a cord in Step 6 to be plugged into an outlet and not plugged into any FAX 303-866-4453 Phone 303-866-5948 _Na_m_e _: 7_ S_te_ps_ L_ea_rn_in_g _Ac_a_de_m_y_____________Lic_e_ns_e _Nu_m_b_er_ : 1_7_54_55_0______ ________________________________________________ other device. All items posing a safety hazard. Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Correct immediately, Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

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

7.702.51.B.7.b · When away from the classroom, staff assigned to supervise the child must carry the emergency medication.

Step two (2) and Step five (5) classrooms outside in the playground area and staff assigned to supervised the children were not caring the emergency medication. Additionally, the emergency medication was accessible to the children, posing a potential safety hazard. Correction: When away from the classroom, staff assigned to supervised the child must carry the emergency medication. Correct immediately. The facility's classroom teachers corrected the violation at the time of the inspection, by placing their classroom backpack on their backs. No response is necessary. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

Category: supervision. Marked corrected in the state record.

7.702.71.Q · At least three (3) examples of materials must be available to the children that are developmentally appropriate, culturally sensitive, and represent diversity in ethnicity, race, gender, age, and abilities. Variety must exist in toys, books, and pictures.

Step 2, Step 3A, and 3B classroom did not have at least three (3) examples of materials that are developmentally appropriate, culturally sensitive, and represent diversity in ethnicity, race, gender, age, and abilities. Correction: At least three (3) examples of materials must be available to the children that are developmentally appropriate, culturally sensitive, and represent diversity in ethnicity, race, gender, age, and abilities. Correct immediately. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

Marked corrected in the state record.

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed fourteen (14) files and observed Jordan M. and Brittany G.'s file to be missing the required second FAX 303-866-4453 Phone 303-866-5948 _Na_m_e _: 7_ S_te_ps_ L_ea_rn_in_g _Ac_a_de_m_y_____________Lic_e_ns_e _Nu_m_b_er_ : 1_7_54_55_0______ ________________________________________________ signature the Department-approved Standard Precautions training certificate. Correction: Obtain a second signature on the Department-approved Standard Precautions training certificate of Jordan M., and Brittany G. Correct immediately. Send verification with written response. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

Category: ratio. 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.

Reviewed the facility's records and observed no current fire inspection was available to be reviewed. Correction: Obtain a Fire Department inspection. Send verification with written response. Correct by 09/03/2023

Corrected Corrected by Sep 3, 2023

Category: health medication. 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.

Reviewed fourteen (14) staff files and observed Korina H.file to be missing a TRAILS clearance letter. Korina H. hire date was 10/10/2022. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff Korina H. have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance letter for Korina H. with written response to Specialist Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

Category: supervision. Marked corrected in the state record.

7.701.100.F.2 · . Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly, but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Reviewed the facility's safety drill log and observed missing fire drills for the months of June and July 2023. FAX 303-866-4453 Phone 303-866-5948 _Na_m_e _: 7_ S_te_ps_ L_ea_rn_in_g _Ac_a_de_m_y_____________Lic_e_ns_e _Nu_m_b_er_ : 1_7_54_55_0______ ________________________________________________ Correction: Ensure to held fire drills monthly and be consistent with local fire department procedures. Correct immediately. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.52.B.1.d · . Within twenty four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty four (24) hours of a child's return to the facility the licensee must report in writing to The Office of Early Childhood, Division of Early Care And Learning the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement, or a county department of human or social services agency, or the child abuse reporting hotline as described in Section 19-3-304, C.R.S.

During the Supervisory inspection review of staff files, Licensing Specialists observed that two (2) staff files had a warning letter stating that both staff members had left a child unsupervised outside. Specialist overheard Janma C. tell the front office staff "I thought I told you to pull these from the files" after Janma C. was shown the write up letters. The facility did not report the incident to The Office of early Childhood, Division of Early Care and Learning. Correction: Within twenty-four (24) houes, excluding weekends and holidays, of a occurrence of a critical incident that result in a mandatory report the facility must report the incident to The Office of early Childhood, Division of Early Care and Learning. Correct immediately. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

Category: supervision. Marked corrected in the state record.

7.701.53.B · . Pursuant to Section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the state hotline, county department of human or social services or local law enforcement agency.

During the Supervisory inspection review of staff files, Licensing Specialists observed that two (2) staff files FAX 303-866-4453 Phone 303-866-5948 _Na_m_e _: 7_ S_te_ps_ L_ea_rn_in_g _Ac_a_de_m_y_____________Lic_e_ns_e _Nu_m_b_er_ : 1_7_54_55_0______ ________________________________________________ had a warning letter stating that both staff members had left a child unsupervised outside. Specialist overheard Janma C. tell the front office staff "I thought I told you to pull these from the files" after Janma C. was shown the write up letters. The facility did not report the incident to a County Department of Human or Social Services agency., or the child abuse hotline as described in Section 19-3-304, C.R.S. Correction: Within twenty-four (24) hours, excluding weekends and holidays, of an occurrence of a critical incident that result in a mandatory report the facility must report the incident to a County Department of Human or Social Services agency, or the Child Abuse Hotline. Correct immediately. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

Category: supervision. Marked corrected in the state record.