2.209.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 thirteen (13) children files and observed six (6) files to have expired copy of the child's health statement completed by a Health Care Provider. Additionally, observed one (1) file to be missing a health statement completed by a Health Care Provider. Correction: Obtain seven (7) children health statement completed by a Health Care Provider. Send verification with written response to Specialist. Correct by 08/25/2024

Corrected Corrected by Aug 25, 2024

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

2.213.M · All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development.

Reviewed eleven (11) staff files and observed Gloria C. and Eva H. files to be missing a minimum of fifteen (15) hours of ongoing professional development, at least three (3) hours must be in the focus of social-emotional FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ development. Correction: Obtain a minimum of fifteen (15) hours of ongoing professional development, at least three (3) hours must be in the focus of social-emotional development for Gloria C. and Eva H. Send verification with written response to Specialist. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

Marked corrected in the state record.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed eleven (11) staff files and observed Patricia V., Yecica C., Gloria C., Eva H., Silvia H., Kassandra M., and Maria M. files to be missing at least one (1) hour of child development training. Patricia V. hire date: 7/8/2023, Yecica C. hire date: 10/22/2021, Gloria C. hire date: 7/13/2023, Eva H hire date: 5/4/2023, Silvia H. hire date: 8/9/2023, Kassandra M hire date: 1/27/2024, Maria M. hire date: 4/3/2022. Correction: Obtain at least one (1) hour of child development training for Patricia V., Yecica C., Gloria C., Eva H., Silvia H., Kassandra M., and Maria M. Send verification with written response to Specialist. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed eleven (11) staff files and observed Gloria C. and Eva H. files to have expired Department-approved standard precautions training. Correction: Obtain a Department-approved standard precautions training for Gloria C. and Eva H. Send verification with written response to Specialist. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

Category: recordkeeping. Marked corrected in the state record.

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 eleven (11) staff files and observed Gloria C. and Eva H. files to have expired Department-approved safe sleep training. Correction: Obtain a Department-approved safe sleep training for Gloria C. and Eva H. Send verification with written response to Specialist. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

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

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ renewed annually.

Reviewed eleven (11) staff files and observed Gloria C. and Eva H. files to have expired Department-approved training about child abuse prevention. Correction: Obtain a Department-approved training about child abuse prevention for Gloria C. and Eva H. Send verification with written response to Specialist. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

Category: recordkeeping. Marked corrected in the state record.

2.212.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 eleven (11) staff files and observed Patricia V. Kassandra M., Karla E. and Eva H. files to be missing a medical statement dated and signed by a Physician or other Health Care Provider. Patricia V. hire date: 7/8/23, Kassandra M. hire date:1/27/2024., Karla E.hire date: 3/22/23, Eva H. hire date: 5/4/23 Correction: Obtain a medical statement dated and signed by a Physician or other Health Care Provider for Patricia V. Kassandra M., Karla E. and Eva H. Send verification with written response to Specialist. Correct by 08/25/2024

Corrected Corrected by Aug 25, 2024

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

2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Reviewed eleven (11) staff files and observed Mariana N. file to be missing the Colorado Department of Public Health and Environment immunization course. Correction: Obtain Colorado Department of Public Health and Environment immunization course for Mariana N. Send verification with written response to Specialist. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

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

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 thirteen (13) children files and observed eight (8) files to have expired written authorization for emergency medical care. Correction: Obtain eight (8) written authorization for emergency medical care signed and dated by the child's parent(s)/guardian(s) .Send verification with written response to Specialist. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

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

2.220.K · 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 thirteen (13) children files and observed eight (8) files to have expired written authorization for topical preparation. Correction: Obtain eight (8) written authorization for topical preparation signed and dated by the child's parent(s)/guardian(s) .Send verification with written response to Specialist. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

Category: ratio. Marked corrected in the state record.

7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed eight (8) staff files and observed Karla E.'s file to be missing the Department-approved Recognizing the impact of Bias on Early Childhood Professionals training. Karla E. hire date was 3/22/2023. Correction: Obtain the Department-approved Recognizing the impact of Bias on Early Childhood Professionals training for Karla E. Correct immediately. Send verification with written response. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed eight (8) files and observed Eva H.'s file to be missing a State Department-approved training in emergency and disaster preparedness. Eva H. hire date was 5/4/2023. Correction: Obtain a State Department-approved training in emergency and disaster preparedness for Eva H. Correct immediately. Send verification with written response. Correct by 08/14/2023

Corrected Corrected by Aug 14, 2023

Category: recordkeeping. 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 eight (8) staff files and observed Yessica c., Patricia V., Gloria G., Mayra U., Karla E., and Eva H. files to be missing a medical statement signed and dated by a physician or other Health Care Provider. Yessica C. hire date was 10/22/2021, Patricia V. hire date was 7/17/2023, Gloria G. hire date was 7/13/2023, Mayra U hire date was 9/15/2022, Karla E. hire date was 3/22/2023, and Eva H. hire date was 5/4/2023. Correction: Obtain a medical statement signed and dated by a physician or other Health Care Provider for Yessica c., Patricia V., Gloria G., Mayra U., Karla E., and Eva H. Send verification with written response Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

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

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 eight (8) children files and observed one (1) file to have an expired copy of the child's health statement. The health statement on file was dated 7/26/2022. Correction: Obtain a copy of the child's health statement completed by a health care provider. Send verification with written response. Correct by 09/14/2023

Corrected Corrected by Sep 14, 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 eight (8) children files and observed two (2) files to have an expired written authorization for emergency medical care. The authorizations on file were dated 7/4/2022. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain two (2) written authorization for emergency medical care. Correct immediately. Send verification with written response. Correct by 08/14/2023

Corrected Corrected by Aug 14, 2023

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

7.701.33.D · . Each owner or employee, who is eighteen (18) years of age or older, of a facility or agency must submit to CBI a complete set of fingerprints to obtain any criminal record held by the CBI and FBI. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and FBI clear letter, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed eight (8) staff files and observed Yessica C.'s file to be missing an FBI clearance letter. Yessica C. hire date was 10/22/2021. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Yessica C. have reviewed the powerpoint within 24 hours. Submit documentation of FBI clearance Letter for staff member Yessica C. with written response to Specialist. Correct immediately. Send verification with written response. Correct by 08/14/2023

Corrected Corrected by Aug 14, 2023

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