Everbrook Academy

2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. 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 six children's files and observed three to have expired written authorization for emergency medical care Correction: Obtain updated written authorization for emergency medical care. Correct immediately Correct by 02/10/2026

Corrected by Feb 10, 2026

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2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed twelve staff files and observed one staff member to have expired safe sleep training Correction: Obtain updated safe sleep training for staff working with infants less that 12 months of age. Correct immediately Correct by 02/10/2026

Corrected by Feb 10, 2026

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2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Reviewed 12 staff files and observed one staff member to missing training about child abuse prevention Correction: Obtain updated training about child abuse prevention. Correct immediately Correct by 02/10/2026

Corrected by Feb 10, 2026

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2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. 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 seven children's fies and observed four to have expired authorizations for emergency medical care. Correction: Obtain updated emergency medical authorizations for all children. Correct immediately Correct by 03/10/2025

Corrected by Mar 10, 2025

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2.229.D · Staples must be inaccessible to children less than three (3) years of age.

Observed in the infant and toddler classrooms staples in the bulletin boards Correction: Staples must be inaccessible to children less than three years of age. Correct immediately. Corrected at the time of the visit. The teachers in all four rooms removed the staples. No response is necessary Correct by 03/10/2025

Corrected by Mar 10, 2025

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2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: 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 10 staff files and observed one to have missing proof of submitted TRAILS or TRAILS results Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member 1 has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS, for staff member 1 with written response to Specialist. Correct by 03/10/2025

Corrected by Mar 10, 2025

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7.702.46.A.14 · Staff to Child Ratios by AGES OF CHILDREN and NUMBER OF STAFF 6 weeks to 18 months (infants): 1 staff member to 5 infants 12 months to 36 months: 1 staff member to 5 toddlers 24 months to 36 months: 1 staff member to 7 toddlers 2-1/2 years to 3 years: 1 staff member to 8 children FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 3 years to 4 years: 1 staff member to 10 children 4 years to 5 years: 1 staff member to 12 children 5 years and older: 1 staff member to 15 children Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children

Identified through attendance records that on 10/19/2023 that there were 13 children with one staff member. Identified through staff statement that classrooms are sometimes out of ratio in the mornings due to staff being late or absent. Correction: Children and staff ratios must be maintained at all times. Correct immediately. Correct by 10/25/2023

Corrected by Oct 25, 2023

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7.702.81.C.2 · If the toddler program is combined with a large childcare center or an infant program, toddler facilities, both indoor and outdoor, must be completely separate from facilities for other age groups, except as allowed by Section 7.702.74, A, 6 and 8. If the facility wishes to provide opportunities for a toddler to have occasional contact with siblings, plans must be approved by the Department licensing representative.

Observed and identified through staff and parent statement that all ages including infants and toddlers are all in the same classroom in the mornings at opening Correction: Toddler programs must be completely separated from other age groups. Correct immediately. Correct by 10/25/2023

Corrected by Oct 25, 2023

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7.702.81.B.1 · If the infant program is in the same building as a facility caring for children of other ages, the infant program must be physically separated in different rooms by walls no less than eight (8) feet and full doors.

Observed and identified through staff and parent statement that all ages including infants and toddlers are all in the same classroom in the mornings at opening Correction: Infant programs must be physically separated from all other age groups. Correct immediately. Correct by 10/25/2023 ________________________________________________

Corrected by Oct 25, 2023

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