Altitude Elementary Preschool

2.206.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed 8 child files. One child missing the signed policies and procedures document. Correction: Immediately review all child files. All children must have a signed policies and procedures document on file at all times. Submit a written statement of compliance by 11/30/2024. Correct by 10/30/2024

Corrected by Oct 30, 2024

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2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

At the time of visit, the program is not using a written attendance verification tool to track attendance and transitions throughout the day. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, staff members must complete written attendance verification periodically throughout the day, including during transitions. Submit a written statement of compliance by 11/30/2024. Correct by 10/30/2024

Corrected by Oct 30, 2024

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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 8 child files. One child missing the dated, written authorization for emergency medical care. Correction: Immediately review all child files. All children must have a dated, written authorization for emergency care that is updated annually by the parent(s)/guardian(s). Submit a written statement of compliance by 11/30/2024. Correct by 10/30/2024

Corrected by Oct 30, 2024

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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 8 child files. One child missing an updated health statement, and two children missing documentation of a health statement. Correction: Immediately review all child files. All children must have a current copy of the child's health statement completed by a health care provider on file and available for review at all times. Submit a written statement of compliance by 11/30/2024. Correct by 10/30/2024

Corrected by Oct 30, 2024

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2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ supplies and disinfecting solutions and products;

At the time of visit, in Classroom 4B, the cabinet in the bathroom was unlocked and diaper change supplies were accessible to children. Correction: Immediately, all diaper change supplies must be inaccessible to children at all times. Corrected at time of visit, the classroom teacher moved the diaper changing supplies to a locked cabinet making them inaccessible to children. Submit a written statement of future compliance by 11/30/2024. Correct by 10/30/2024

Corrected by Oct 30, 2024

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2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

Confirmed through staff statements, the classrooms combine on the playground in the mornings, approximately 34 children, exceeding the maximum group size for children ages 4 -5 years old. Correction: Immediately, maximum group size must not be exceeded at any time for any reason. Submit a written statement of compliance by 11/30/2024. Correct by 10/30/2024

Corrected by Oct 30, 2024

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2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

At the time of visit, in Classroom 4B, the cabinet in the bathroom was unlocked and loose plastic bags were accessible to children. Correction: Immediately, all loose plastic bags must be inaccessible at all times. Corrected at time of visit, the classroom teacher moved the plastic bags to a locked cabinet making the items inaccessible. Submit a written statement of future compliance by 11/30/2024. Correct by 10/30/2024

Corrected by Oct 30, 2024

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2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

At the time of visit, in Classroom 4A, a pair of adult scissors were on the teachers desk and accessible to children. Correction: Immediately, sharp tools must be inaccessible at all times. Corrected at time of visit, the scissors were moved

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

At the time of visit, in Classroom 4A, a loose phone cord was on along the north wall and accessible to children, creating a strangulation and tripping hazard. Correction: Immediately, all indoor equipment and materials must be safe and free of hazards at all times. Corrected at time of visit, the classroom teacher secured the phone cord to the wall bringing the facility into compliance. Submit a written statement of future compliance by 11/30/2024. Correct by 10/30/2024

Corrected by Oct 30, 2024

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2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

At the time of visit, in Classroom 4A, the overhead light near the bathroom is flickering, showing the lighting is not in good repair and is a potentially unsafe condition. Correction: Immediately, buildings must be kept in good repair and maintained in a safe condition at all times. Submit a written statement of compliance by 11/30/2024. Correct by 10/30/2024

Corrected by Oct 30, 2024

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2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

At the time of visit, in Classroom 4B, an electrical outlet was uncovered and accessible to children, creating a safety hazard. Correction: Immediately, all electrical outlets accessible to children must have protective covers at all times. Corrected at time of visit, the classroom teacher put a cover on the outlet bringing the facility into compliance. No response needed. Correct by 10/30/2024

Corrected by Oct 30, 2024

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7.701.33.D.4 · . Requests for a criminal record check, other than those required per Section 7.701.33.D.4.a,b must be submitted to the CBI within five (5) working days of the day that the individual begins to work at the facility or agency.

Reviewed 6 staff files. Sahina and Sofia missing documentation of a completed CBI background check. Sofia missing documentation of a completed FBI background check. Sahina and Sofia are not working alone with children. Correction: Immediately, review all staff files. All staff must have completed CBI and FBI background checks available for review at all times. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint on the CDEC website. Submit verification that staff members Sahina and Sofia have reviewed the video within 24 hours. Submit documentation of CBI and/or FBI Clearance Letters for staff members Sahina and Sofia with a written statement of compliance by 12/18/2023. Correct by 12/04/2023

Corrected by Dec 4, 2023

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7.702.71.C · Items labeled “keep out of reach of children” must be inaccessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of visit, the following items labeled 'keep out of reach of children' were observed: In Mobile A a bottle of Advil was in an unlocked desk drawer, and a bottle of hand sanitizer and a can of Lysol disinfectant spray were in an unlocked closet. In Mobile B, a bottle of sunscreen was in an unlocked closet. Correction: Immediately, all items labeled 'keep out of reach of children' must be inaccessible to children at all times. Corrected at time of visit, the classroom teachers locked the closets and the desk drawer making the items inaccessible to children. Submit a written statement of future compliance by 12/18/2023. Correct by 12/04/2023

Corrected by Dec 4, 2023

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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 6 staff files. Delaney, Mai, and Sofia missing documentation of a medical statement signed and dated by a physician or other health care provider. Correction: Review all staff files. All staff must submit to the center a signed medical statement before submitting self-reported health histories annually. Submit a written statement of compliance by 1/4/2024. Correct by 01/04/2024

Corrected by Jan 4, 2024

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7.702.42.A · All staff must complete a pre-service Building and Physical Premises Safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 6 staff files. Mai, Sofia, Delaney, and Sahina missing documentation of the Building and Physical Premises safety training. Correction: Immediately, review all staff files. All staff must complete a pre-service Building and Physical Premises Safety training prior to working with children and documentation must be available for review at all times. Submit documentation and a written statement of compliance by 12/18/2023. Correct by 12/04/2023

Corrected by Dec 4, 2023

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7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 6 staff files. Delaney missing documentation of a completed Standard Precautions training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, review all staff files. All staff must complete a Department-approved Standard Precautions training prior to working with children which must be renewed annually. Submit documentation and a written statement of compliance by 12/18/2023. Correct by 12/04/2023

Corrected by Dec 4, 2023

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7.702.42.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 6 staff files. Delaney and Susmita missing documentation of a child abuse prevention training. Correction: Review all staff files. All staff must complete a department-approved training about child abuse prevention which must be updated annually. Submit documentation and a written statement of compliance by 1/4/2024. Correct by 12/04/2023

Corrected by Dec 4, 2023

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7.701.32.A · . An operator of a licensed facility, guest child care facility as defined in Section 26-6-102 (16), C.R.S., or an exempt family child care home provider must submit a request to determine if an operator, applicant for employment or current employee has been found responsible for a confirmed report of child abuse or neglect in the State Department's automated system (Trails).

Reviewed 6 staff files. Sahina and Sofia missing documentation of a completed TRAILS background check. Sahina and Sofia are not working alone with children. Correction: Immediately, review all staff files. All staff must have a completed TRAILS background check available for review at all times. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint on the CDEC website. Submit verification that staff members Sahina and

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7.702.91.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

At the time of visit, in Mobile A, a personal bag was on a low shelf in an unlocked closet which was accessible to children. In Mobile B, a personal bag was on top of the teacher's desk which was accessible to children. Correction: Immedately, all staff personal bags and other hazardous items must be inaccessible to children at all times. Corrected at time of visit, the personal bags were stored in closets that were then locked making them inaccessible to children. Submit a written statement of future compliance by 12/18/2023. Correct by 12/04/2023

Corrected by Dec 4, 2023

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7.702.91.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

At the time of visit, in Mobile A, three outlets did not have protective covers and were accessible to children. Correction: Immediately, all electrical outlets accessible to children must have protective covers at all times. Corrected at time of visit, the classroom teacher covered the outlets. Submit a written statement of future compliance by 12/18/2023. Correct by 12/04/2023

Corrected by Dec 4, 2023

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7.702.31.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ described in the policies and procedures.

Reviewed 10 child files. 7 files missing documentation of a current written authorization for emergency medical care. Correction: Immediately, review all child files. All children must have documentation of a signed statement that the parents have reviewed and accept the policies and procedures of the facility. Submit a written statement of compliance by 12/18/2023. Correct by 12/04/2023

Corrected by Dec 4, 2023

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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 10 child files. 7 missing a current, written authorization for emergency medical care. Correction: Immediately, review all child files. All files must have a dated, written authorization for emergency medical care that is updated annually. Submit a written statement of compliance by 12/18/2023. Correct by 12/04/2023

Corrected by Dec 4, 2023

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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 10 child files. One child missing current health statement. Correction: Immediately review all child files. All files must have a copy of the child's health statement completed by a health care provider that is updated annually and upon changes. Submit a written statement of compliance by 12/18/2023. Correct by 12/04/2023

Corrected by Dec 4, 2023

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7.702.51.B.11 · 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 10 child files. 3 files missing a sunscreen authorization form. Correction: Immediately review all child files. All files must have a written authorization from the parent(s)/guardian(s) to

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