2.508.D.1 · As required by these rules, staff must consult with a current Department-approved Colorado Child Care Health Consultant. To be approved, the Child Care Health Consultant must be one of the following: a licensed registered nurse with knowledge and experience in maternal and child health; a pediatric nurse practitioner; a family nurse practitioner; or a pediatrician. The consultation must be specific to the needs of the center and include some of the following topics: training; delegation and supervision of medication administration and special health procedures; health FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ care; hygiene; disease prevention; equipment safety; interaction between children and adult caregivers; and normal growth and development. Consultation must occur as often as the child care health consultant who is delegating medications and/or medical procedures requires.

Reviewed the Child Care Health Consultant's file and observed the Child Care Health Consultant terminated the contract with the facility on 3/10/2024. Additionally, identified throught the facility's Director's statement that as of today, the program do not have a Child Care Health Consultant . Correction: Obtain a Child Care Health Consultant for the program. Correct immediately. Send verification with written response. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: supervision. Marked corrected in the state record.

2.512.C.6 · Staff designated by the program director to give medications must complete the Department-approved medication administration training and have current annual delegation or more often as determined by the Child Care Health Consultant. Delegation must be from the center’s Current Child Care Health Consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current Department-approved Cardiopulmonary Resuscitation (CPR), first aid training prior to administering medication with the following exceptions:

Identified through the facility's Director statement that none of the staff members are delegated to administer medication . Correction: Ensure that staff designated by the program Director to give medication must complete the Department-approved medication administration training and have a current annual delegation or more often as determined by the child care health consultant. Correct immediately. Send verification with written response to Specialist. Correct by 04/15/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Apr 15, 2024

Category: ratio. Marked corrected in the state record.

2.522.D.5 · The building based school-age child care center must provide access to an outdoor play area. The outdoor play area may be a city park or public school ground. The play area must meet the following requirements: All outdoor climbing equipment over eighteen (18) inches provided by the center must have least six (6) inches resilient surface throughout the use zone.

The after school playground climbing equipment over eighteen (18) inches had 1/2 inch of resilient surface throughout the use zone. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure the after school playground climbing equipment over eighteen (18) inches have at least six (6) inches of resilient surface throughout the use zone. Correct immediately. Send verification with written response to Specialist. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: physical safety. 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 two (2) staff files and observed Lorraine K. and Kathy M. files to be missing out of state background checks clearance letters. Lorraine K. hire date was 04/2014 and Kathy M hire date was 8/15/2023. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Lorraine K. and Kathy M. have reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check/ Out of State Clearance Letters) for staff members Lorraine K. and Kathy M. with written response to Specialist Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: supervision. Marked corrected in the state record.