2.138.A · Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Reviewed drill logs and observed that there was no documentation of drills completed for January or February 2024. Correction: Immediately, a record of all emergency drills held over thr last 12 months must be maintained by the facility or center. Corrected at the time of the visit. The provider documented drills completed in 2024. Submit a written statement of future compliance by 4/8/2024. Correct by 03/08/2024

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. Marked corrected in the state record.

7.707.71.A.2 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the parent or guardian 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 practitioner. The statement of the child's current health statusmust 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 under two and one-half (2-1/2 ) years of age. The statement must include when the next visit is required by the health care provider. All health statementsmust be kept at the licensed child care home.

Reviewed 9 children's files and observed that 3 children were missing documentation of a current health statement. Correction: Within 30 days, review all children's files and the parent/guardian 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 practitioner. Submit a written statement of compliance by 4/8/2024. Correct by 04/08/2024

Corrected Corrected by Apr 8, 2024

Category: ratio. Marked corrected in the state record.

7.707.32.A.11 · . Effective December 31, 2016 each provider, staff member or regular volunteer must complete a department-approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed the provider file and observed that they were missing documentation of an abuse prevention training. The abuse prevention training that was kept on file from the supervisory inspection on 5/2/2023 expired on 5/31/2023. Correction: Immediately, the provider must complete a department-approved training about child abuse prevention and it must be renewed annually. Submit documentation and a written statement of compliance by 4/8/2024. Correct by 03/08/2024

Corrected Corrected by Mar 8, 2024

Category: supervision. Marked corrected in the state record.

7.707.32.A.4 · Prior to issuance of the license, the licensee and primary provider must complete:A State Department approved training in Standard Precautions that meets current Occupational Safety and Health Administration FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ (OSHA) requirements prior to working with children. This training must be renewed annually and may be counted towards ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in which case the total number of hours for Pre-licensing training required in 7.707.A1 is increased to sixteen (16) clock hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and,

Reviewed the provider file and observed that they were missing documentation of an Standard Precautions training. The Standard Precautions training that was kept on file from the supervisory inspection on 5/2/2023 expired on 10/5/2023. Correction: Immediately, the provider must complete a department-approved training in Standard Precautions and it must be renewed annually. Submit documentation and a written statement of compliance by 4/8/2024. Correct by 03/08/2024

Corrected Corrected by Mar 8, 2024

Category: supervision. Marked corrected in the state record.

7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member responsible for the collection, review, and maintenance of the child immunization records must complete the Colorado Department of Public Health and Environment (CDPHE) immunization course within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed the provider file and observed that they were missing documentation of an Immunization training. The Immunization training that was kept on file from the supervisory inspection on 5/2/2023 expired on 10/3/2023. Correction: Immediately, the provider must complete the CDPHE immunization course and it must be renewed annually. Submit documentation and a written statement of compliance by 4/8/2024. Correct by 03/08/2024

Corrected Corrected by Mar 8, 2024

Category: supervision. Marked corrected in the state record.