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 thirteen (13) children files and observed one (1) file to be missing a health status signed and dated by a health care provider and one (1) child to have an expired health status. Correction: Obtain a health status signed and dated by a health care provider for two (2) children. Send verification with written response to Specialist. Correct by 10/26/2024

Corrected Corrected by Oct 26, 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.

Reviewed thirteen (13) children files and observed one (1) file to be missing documentation of school-required immunization status or certificate of medical or non-medical exemption. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain documentation of school-required immunization status or certificate of medical or non-medical exemption for one (1) child. Send verification with written response to Specialist. Correct by 09/26/2024

Corrected Corrected by Sep 26, 2024

Category: health medication. 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 eleven (11) staff files and observed Hannah S.'s file to have an expired department-approved training about child abuse prevention. The certificate on file was dated 8/22/2023. Correction: Obtain a department-approved training about child abuse prevention for Hannah S. Correct immediately. Send verification with written response to Specialist. Correct by 09/26/2024

Corrected Corrected by Sep 26, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed eleven (11) staff files and observed Hannah S.'s file to have an expired department-approved standard precautions training. The certificate on file was dated 8/22/2023. Correction: Obtain a department-approved standard precautions training for Hannah S. Correct immediately. Send verification with written response to Specialist. Correct by 09/26/2024

Corrected Corrected by Sep 26, 2024

Category: recordkeeping. Marked corrected in the state record.

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:

Reviewed eleven (11) staff files and observed Colleen B.'s file to be missing an out of state background check clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint. Submit verification that staff member Colleen B. have reviewed the PowerPoint within 24 hours. Submit documentation of out of state background check clearance letter for staff member Colleen B. with written response to the Specialist. Correct by 09/26/2024

Corrected Corrected by Sep 26, 2024

Category: supervision. 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

Reviewed eleven (11) staff files and observed Colleen B., Terri B., Jenelle B., Mikia C., Charleen D., Lochelle G., Sarah H., Marina N., Diana M., Ann P., and Hannah S. files to be missing a fire safety and the use of available fire extinguisher and fire alarms. Correction: Obtain a fire safety and the use of available fire extinguisher and fire alarms training for staff members Colleen B., Terri B., Jenelle B., Mikia C., Charleen D., Lochelle G., Sarah H., Marina N., Diana M., Ann P., and Hannah S. Send verification with written response to Specialist. Correct by 09/26/2024

Corrected Corrected by Sep 26, 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

Reviewed eleven (11) staff files and observed Colleen B., Terri B., Jenelle B., Mikia C., Charleen D., Lochelle FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ G., Sarah H., Marina N., Diana M., Ann P., and Hannah S. files to be missing a signed statement indicating that they have read and have been trained on the center's administration of medication policies and procedures. Correction: Obtain a signed statement indicating that staff members Colleen B., Terri B., Jenelle B., Mikia C., Charleen D., Lochelle G., Sarah H., Marina N., Diana M., Ann P., and Hannah S. have read and have been trained on the center's administration of medication policies and procedures. Send verification with written response to Specialist. Correct by 09/26/2024

Corrected Corrected by Sep 26, 2024

Category: ratio. Marked corrected in the state record.