2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed thirty eight (38) staff files and observed Nancy K.'s file to be missing an FBI clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.220.G · All medications, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center's policies. Access to these medications must be limited.

In the Sonshine Express classroom an Individual Health Care plan that stated the child needs Citrizne. The medication was not available to staff trained in administering medication. Correction: All medications must be available to trained staff in administering medication. Send verification with written response to Specialist. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ submitted annually.

Reviewed thirty eight (38) staff files and observed Sarah L., Jenesis F. and Malita D. to be missing a medical statement, signed and dated by a physician or other health care provider. Correction: Obtain a medical statement, signed and dated by a physician or other health care provider for Sarah L., Jenesis F. and Malita D. Send verification with written response to Specialist. Correct by 04/05/2025

Corrected Corrected by Apr 5, 2025

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

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

In the Lions and Lambs classroom a packing tape dispenser with sharp edge inside an unlocked lower drawer accessible to children. Correction: Indoor and outdoor equipment, materials and furnishings must be sturdy, safe, and free of hazards. Send verification with written response to Specialist. The facility Director corrected the violation at the time of the inspection by locking the drawer. No response is necessary. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

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

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

In the Lions and Lambs classroom a box of paper clips and triple A batteries inside an unlocked lower drawer accessible to children, posing a potential choking hazard. Correction: Toys, toys parts, furnishings, and any materials accessible to children under then three (3) years of age must not be a choke hazard. Send verification with written response to Specialist. Correct immediately. Send verification with written response to Specialist. The facility Director corrected the violation at the time of the inspection by locking the drawer. No response is necessary. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

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

2.220.G.1 · Emergency medications are not required to be locked but must be stored in an area inaccessible to children, and easily accessible and identifiable to staff. Emergency medications must be stored in accordance with the Department-approved child care health consultant’s recommendation.

An Epi-pen inside a clear box on the ground of the playground accessible to children, posing a potential FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ safety hazard. Correction: Emergency medications must be stored in an area inaccessible to children. Correct immediately. The facility Director corrected the violation at the time of the inspection by placing the Epi-pen in a place where the children cannot access. No response is necessary. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

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

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed twenty five (25) children files and observed one (1) file to have an expired health statement. The health statement on file was dated: 01/17/2024. Correction: Obtain one (1) health statement signed and dated by the child's health care provider. Send verification with written response to Specialist. Correct by 04/05/2025

Corrected Corrected by Apr 5, 2025

Category: ratio. 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 thirty eight (38) staff files and observed Emily B. file to be missing a Department-approved standard precautions training. Correction: Obtain a Department-approved standard standard precautions training for Emily B. Send verification with written response to Specialist. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. 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 renewed annually.

Reviewed thirty eight (38) staff files and observed Emily B. file to be missing a Department-approved training about child abuse prevention. Emily B. date of hire: 06/24/2021. Correction: Obtain a Department-approved training about child abuse prevention for Emily B. Send verification with written response to Specialist. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ once and will be counted towards ongoing professional development.

Reviewed thirty eight (38) staff files and observed Emily B. file to be missing a Department-approved course: Introducton to Early Intervention and Preschool Special Education Programs. Emily B. date of hire: 06/24/2021. Correction: Obtain a Department-approved course: Introducton to Early Intervention and Preschool Special Education Programs for Emily B. Send verification with written response to Specialist. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. Marked corrected in the state record.

2.214.A · Large center directors must have a current director qualifications letter issued by the Department or a current early childhood professional credential level III or higher in version 3.0 as determined by the Department prior to working as the director of a large center.

Reviewed thirty eight (38) staff files and observed no staff member with a large center director qualfication letter issued by the Department. Correction: Obtain a large center director qualification letter issued by the Department and designate a qualified Director. Send verification with written response to Specialist. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Marked corrected in the state record.

2.220.J · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

Expired medication in Sunshine Kids (exp 1/2024) & an expired emergency medication (8/2023) in the Rainbow clasroom, Correction: If medicatiom is out of date of or left over, the parent's/guardians is responsioble for pickig up the medication. If parenst so not respons, the center must dispose of the medication as required by CDPHE. Correct immediately, 4/3/24. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

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

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be obtained prior to five (5) years from the date reflected on the current clearance letter.

In reviewing forty-six (46) staff files: the following staff missing the FBI background check renewal background checks done every 5 years: Theresa M. Matlaida D; Patty M; Stacy S; Leslie H; Penny R; Andrea G; Julia B; Heather G; Jessica B; Rhonda O; Etlva P; Emily G; Shondra R. Correction: Every five 5 years, request for FBI criminal records checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five years from the date reflected on the current clearance letter. Correct immediately, 4/3/24. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

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

2.220.E · In the case medication needs to be given on an ongoing, long-term basis, the authorization and consent forms must be reauthorized on an at least annual basis. Any changes in the original medication authorization require a new written order by the prescribing practitioner and a change in the prescription label.

A child's health authorization for medication (expired 2/23) Correction: On going medication, must have annual authorization and consent and any changes require a new written order by perscribing practiioner. Correct immediately, 4/3/24. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

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

2.221.C · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name.

In classroom Sunshine Express sunscreen and ointments for individual children not labeled with children's first and last names. Correction: When supplied for an individual child, the sunscreen must be labeled with the child's first and last names. Correct immediately, 4/3/24. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

Marked corrected in the state record.

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ three (3) years of age must be free of any choke or inhalation hazards.

A container with small broken pieces of crayons in the Rainbow classroom with children under the age of 3 years posing a potential choking hazard. Correction: Toy, toy parts. furnishings, equipment and any materials accessible to children under than 3 years must not be a choke hazard or able to be inhaled. Correct immediately, 4/3/24. ***Corrected at time of visit by making inaccessible. No response required. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

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

2.212.N · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures

In reviewing forty-six (46) staff files, Observed all staff missing a signed statement indicating that they have read and have been trained on the centers administration of medication policies and procedures. Correction: Prior to working with children, each staff member must read and be trained of the center's policies and procedures for the administration of medication. Staff must sign a statement indicating that they have read and have been training on the center's administration of medication and policies and procedures. Correct immediately, 4/3/24. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

Category: ratio. Marked corrected in the state record.

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

In reviewing forty-six (46) staff files: Observed all staff missing a signed acknowledgment that they have been trained in fire safety and the use of available fire extinguishers. Correction: Each staff member of the facility must be trained in fire safety and the use of available fire extiguisher and fire alarms A signed staff for verification. Correct immediately, 4/3/24. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 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 renewed annually.

In reviewing forty-six (46) staff files; the following staff: Veronica B. & Hailey M; Marie B; Malita D; Lelani S; Fatima M; Nancy K; Paulina D; Terry A; missing child abuse training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Within 30 days, of employment all employees and regular volunteers must be be training 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. Correct immediately, 4/3/24. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

In reviewing forty-six (46) staff files: The following staff missing Early Intervention and preschool special education programs: Stacy S; ;hire date was 1.28.2018, Malita D; ;hire date was 3.20.2022, Lelani S; 2.26.2024, Rachel R; ;hire date was 9.13.202q Paulina D; ;hire date was 12.5.2023, Shaelyn F; ;hire date was 5. Michelle V; ;hire date was 1.22.2024, Terry A; ;hire date was 3.13.2017 Audry O; ;hire date was 3.23.2020. Correction: Within 90 days of employment, all staff required to register with PDIS (section 2.208 (D)) must complete the Department approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing trainings. Document compliance to Specialist by 5//24. Correct by 05/03/2024

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

In reviewing 26 children's files: 1 missing health statement enrolled 2/23) and 1 expired health statement (5/22) Correction: Within 30 days of admission and within 30 days of expiration of previous health statment, parents/guardians must submit a statement of the child's health signed and dated by a physcian. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

Category: ratio. Marked corrected in the state record.

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

In reviewing 26 children's files: 1 missing immunization (enrolled 6/21) and 1 immuization not on approved form. Correction: At the time of admission, Parents/guardians must provide immunization information on Colorado Department of Health & Environment approved form or certificate. Correct immediately, 4/3/24. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

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

2.209.A.8 · 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:Written authorization, obtained in advance of the event from a parent/guardian, for a child to participate in field trips or special activities, whether scheduled or unscheduled, whether walking or riding in an approved vehicle;

In reviewing in 26 children's files: Observed 1 child missing authorization for field trips, transportation, topical authorization, policy authorization (enrolled 11/21) Correction: An admission record must be completed for each child prior to or at the time of admission. This record must be updated annually when changes occur. The admission record must include: written authorization obtained in advance of the event from a parent/guardian, for a child to participate in field trips, special activities, whether scheduled or unscheduled, whether walking or riding. Correct immediately. 4/3/24. Document compliance to Specialist by 5/2/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

Category: transportation. 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.

In reviewing forty-six (46) staff files, the following staff missing or expired Standard Precautions: Lelani S; Fatima M; Paulina D; Michelle V; Malita D. Correction: 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. Correct immediately, 4/3/24. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

In reviewing forty-six (46) staff files: the following staff missing the abuse & neglect inquiry background checks done every 5 year: Patty M; Linda SH; Stacy S; Leslie H; Teresa M; Nancy K; Carol P; Arabia T; Penny R; Lorrian B; Julie B; Andrea G; Katelyn B; Heather B; Jessica B; Jodi C; Heather B; Rhonda O; Etleva P; Terry A; Deborah B; Emily G; Carmen B; Shaondra R; Correction: Every Five years, all child abuse and neglect inquiry background checks must be renewed by re-submitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before the 5 yeas from the date reflected on the current clearance letter. Correct immediately, 4/3/24. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

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

2.220.A · Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.

Expired medication and child health care plan not signed by parents or guardians in Classroom 136. Correction: Any unexpired routine medication, must be adminstreted only with a current written order of a health care provider and with written parental consent. Correct immediately, 4/3/24. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

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

2.120.D · The Trails child abuse and neglect records 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.

In reviewing forty-six (46) staff files: the following staff missing Trails abuse & neglect clearance letters. Melissa B; Michelle V; Julie W; Audry O. Melissa B; hire date was 6.01.2022, Michelle V;hire date was 01.22.2024, Julie W; hire date was Audry O. hire date was 03.23.2020. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff members with written response to Specialist once completed. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

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

2.216.B.1.c · Prior to being assigned a group of children, the infant program early childhood teacher must complete eight (8) hours of orientation in the infant program under the supervision of the infant program supervisor. The orientation may include, but not limited to, the following topics:

The following staff working in the infant room without documentation of orientation: Stacy S; Rachel R. Penny R, Pauline D. Lelani S, Fatima M; Erica D., Tonya J, Michelle B; Julie W. Correction: Prior to working with infants and todders, each teacher must children, the complete eight 8 hours of orientation

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes:

In reviewing forty-six (46) staff files: the following staff missing out of state background checks: Loreaine B; Tonya J; Kayla S; Terry A; Audry O; Veronica B. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Loreaine B; Tonya J; Kayla S; Terry A; Audry O; Veronica B. have reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check/ Out of State Clearance Letters) for staff members Loreaine B; Tonya J; Kayla S; Terry A; Audry O; Veronica B. with written response to Specialist upon completion. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

Category: supervision. 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.

The following staff; Marie M; working with infants and no current Safe Sleep Training: Correction: Staff working with infants must complete a Department approved Safe sleep training prior to working with infants less than 12 months. This training must be renewed annually. Correct immediately, 4/3/24. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

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

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

The following staff: Malita D; Lelani S; Fatima M; Paulina D; working with children under the age of 3 years missing Prevention of Shaken baby/abusive head trauma training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Staff working with children less than 3 years of age must complete a Department approved prevention of shaken baby/abusive head trauma training prior to working with children less than 3 years of age. This training must be renewed every two years. Document compliance to Specialist by 5/3/24. Correct by 05/03/2024

Corrected Corrected by May 3, 2024

Category: recordkeeping. 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 approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

The following forty-six (46) staff missing the 1 hour of Child Development Training: Christine C; ;hire date was 5.15.2022, Lelani S; ;hire date was 2.26.2024, Rachel R; ;hire date was 9.13.2021, Paulina D; ;hire date was 12.5.2023, Shannon G; ;hire date was 7.15.2019, Shaelyn F; ;hire date was 5.21.2016, Ericia D; ;hire date was 9.1.2023, Melissa B; ;hire date was 6.1.2022, Tonya J; ;hire date was 11.2.2022, Michelle V; ;hire date was 1.22.2023, Julia W; ;hire date was 6.17.2021, Linda V; ;hire date was 4.18.2023, Audry O; ;hire date was 3.23.2020 Correction: All staff must have at least 1 hour of child development training within 90 days of employment. This training must include the major domains (cognitive, social, emotional, physcial developmeny approaches to learning.) This training as required opnce and will count towards ongoing training requirements if taken after the date of hire. Document compliance to Specialist by 5/3/24. Correct by 05/03/2024

Corrected Corrected by May 3, 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.

In reviewing forty-six (46) staff files: the following staff missing FEMA training: Lelani S;;hire date was 2.24.24, Paulina D; ;hire date was 12.5.23 Shaelyn F; ;hire date was 5.12.2016, Ericia D; ;hire date was 9.1.2023, Tonya J; ;hire date was 11.2.2022, Michelle V; ;hire date was 6.1.2022, Kayla S; ;hire date was 3.23.2020, Linda V; ;hire date was 4.18.2023, Melita D. 3.30.2022. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: 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. Correct immediately. 4/3/24. Document compliance to Specialist by 5/4/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

In reviewing forty-six (46) staff files observed staff member: Haliey M. missing CPR & First Aid module. Correction: Within 30 days of employment, all employees caring for children, not required in rule to be vertified in First Aid and CPR must complete the Departmeny approved inroudction to First Aid & CPR. This module must be renewed every two years. Correct immediately, 4/3/24. Document compliance to Specialist by 5/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

Marked corrected in the state record.

2.121.D.4 · Requests for a criminal record check, other than those required per this rule section 2.121(D)(4) must be completed at an approved vendor within five (5) working days of the day that the individual begins to work at the facility or agency.

In reviewing forty-six (46) staff files the following staff missing CBI background checks: Michelle B; Kayla S; Audry O; Matalida O; Michelle B; Michelle B. hire date was 01.22.2024 Kayla S; hire date was 3.23.2020, Audry O; ;hire date was 3.23.2020 Matalida O; ;hire date was 3.30.2022. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Michelle B; Kayla S; Audry O; Matalida O have reviewed the powerpoint within 24 hours. Submit documentation of CBI background check for staff members Michelle B;

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(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.

In reviewing forty-six (46) staff files, the following staff: Stacy S. ;hire date was 1.28.2018, Theresa M; ;hire date was 9.4.2018, Melita D; ;hire date was 3.20.2022, Lelani S; ;hire date was 2.26.2024, Paulina D; ;hire date was 12.5.2023, Shaelyn F; ;hire date was 5.21.2016, Michelle V. ;hire date was 1.22.2024, Terry A; ;hire date was 3.13.2017, Audry O; ;hire date was 3.23.2020, missing Recognizing the impact of Bias. Correction: Within 90 days, all staff required to register with PDIS and must complete the Recognizing the Impact of Bias on Early Childhood Professionals. Document compliance to Specialist by 5/3/24. Correct by 05/03/2024

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

2.210.A · A record must be maintained, either written or electronic, for each staff member that includes the following: FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

In reviewing forty-six (46) staff files: the following staff members Tonya J, hire date 11.2.2022, and Michelle V. hire date 1.22./2024 missing all the required documentations. Correction: A record must be maintained, either eletronic, for each staff member. Send verification with written response to Specialist. Correct by 04/03/2024

Corrected Corrected by Apr 3, 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.

The following staff missing a medical: Patti M; (DOH 7/24/96); Lelani S. (DOH 2/26/24); Fatima M.( DOH 2/26/24); Paulina D.(DOH 12/25/23); Kayla D. (DOH 3/20/23) Tonya J (DOH 11/2/22; Michelle V (DOH 1/23/24); Linda V. (DOH 4/18/23); Audry O. (DOH 3/23/20) Malitita D. (DOH 3/20/22) Correction: Obtain a madical statement dated and signed by a helath care provider for staff members Patti M; Lelani S. Fatima M.; Paulina Kayla D. Tonya J Michelle V LindaV. Audry O. Malitita D. Send verification with written response to Specialist. Correct by 05/03/2024

Corrected Corrected by May 3, 2024

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