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.

At the time of the visit, reviewed 12 staff files and observed Kristene W. to have an expired First Aid and CPR on 9/16/2024 and to be lacking documentation of the Department-approved Introduction to First Aid and CPR Module. Correction: Review all staff files. All staff not required by rule to be certified in First Aid and CPR must complete the Department-approved Introduction to First Aid and CPR Module. Submit documentation and a written statement of compliance by 3/24/2025. Correct by 03/24/2025

Corrected Corrected by Mar 24, 2025

Marked corrected in the state record.

2.225.B · Children must not be subjected to physical or emotional harm, humiliation, or threats.

Confirmed through several staff member statements that SM1 hit CH1 on their leg, grabbed the child roughly FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and forcefully put the child into their seat. Correction: Immediately ( 10/23/2024 ), Children must not be subjected to physical or emotional harm, humiliation or threats. Submit a written statement of compliance by 10/30/2024. Correct by 10/23/2024 Stage II Licensing Concern : SM1 took CH1’s toy and hit CH1 on the leg as a form of discipline. - FOUNDED

Corrected Corrected by Oct 23, 2024

Marked corrected in the state record.

2.225.A · Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others.

Confirmed through staff member statements that SM1 took CH1's toy and hit CH1 on the leg as a form of discipline because CH1 was upset and crying. Correction: Immediately ( 10/23/2024) Guidance used at the center must be appropriate to the development of the child. Submit a written statement of compliance by 10/30/2024. Correct by 10/23/2024 Stage II Licensing Concern : There is a pattern of inappropriate behavior with students by SM1. - FOUNDED

Corrected Corrected by Oct 23, 2024

Category: supervision. Marked corrected in the state record.

2.212.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Confirmed through staff member statements that SM1 has a pattern of inappropriate behavior with students. Correction: Immediately ( 10/23/2024) All staff must demonstrate knowledgeable decision-making judgment, and concern for the proper care and well-being of children. Submit a written statement of compliance by 10/30/2024. Correct by 10/23/2024 Stage II Licensing Concern :

Corrected Corrected by Oct 23, 2024

Marked corrected in the state record.

2.225.G · Verbal abuse and derogatory remarks about the child are not permitted.

Confirmed through staff member statements that SM1 called CH1 ugly and SM1 told CH1 to hush when CH1 was crying. Also, SM1 told the children on the bus to shut up and SM1 has made inappropriate and racist comments about children. Correction: Immediately ( 10/23/2024) Verbal abuse and derogatory remarks about the children are not permitted. Submit a written statement of compliance by 10/30/2024. Correct by 10/23/2024 Stage II Licensing Concern : The facility failed to follow Aurora Public Schools policies and procedures regarding positive guidance. - FOUNDED

Corrected Corrected by Oct 23, 2024

Category: supervision. Marked corrected in the state record.

2.206.B.8.d · The center’s procedure on positive guidance, behavior expectations, positive instruction, supporting positive behaviors, as well as strategies and techniques for supporting children with challenging behaviors, including how the center will: Provide individualized social and emotional intervention supports for children who need them, including methods for understanding child behavior; and developing, adopting, and implementing a team-based positive behavior support plan with the intent to reduce challenging behavior and prevent suspensions and expulsions.

Confirmed through staff members statements that SM1 did not follow Aurora Public Schools policy regarding positive guidance. Correction: Immediately ( 10/23/2024) The center's policy on positive guidance must be followed by all staff members. Submit a written statement of compliance by 10/30/2024. Correct by 10/23/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Oct 23, 2024

Marked corrected in the state record.

7.702.61.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products.

In the C6 classroom bathroom, observed diapers and wipes on a low shelf accessible to children. In the C5 clssroom bathroom, observed diapers and wipes in an unlocked drawer accessible to children. Correction: Immediately, all diaper change areas must have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products. Corrected at the time of the visit. The director moved the diapers and wipes to a locked cabinet making them inaccessible to children. Submit a statement of future compliance by 10/3/2023. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Marked corrected in the state record.

7.702.62.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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

In the C4 classroom, identified that 1 child was not signed in. Correction: Immediately, the time a child arrives and leave the center each day must be recorded. Staff member must complete written attendance verification periodically thorughout the day, including during transitions. Corrected at the time of the visit. The teacher conducted a name to face and signed the 1 child in. Submit a statement of future compliance by 10/3/2023. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: recordkeeping. Marked corrected in the state record.

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 14 children's files and observed that 2 children were missing documentation of a current emergency medical authorization. Correction: Immediately, review all children's files a dated written authorization for emergency medical care must be signed and updated annually by the parents/guardians. The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility. Submit a written statement of compliance by 10/3/2023. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

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

7.702.51.A.2.d · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Health statements for children over two (2) years of age to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics recommended schedule for routine well child exams.

Reviewed 14 children's files and observed that 5 children were missing documentation of a current health statement. Correction: Within 30 days, review all children's files and the parents and guardians must provide for each child entering the center health statements for children over 2 years of age to 7 years of age must be updated in accordance with AAP recommended schedule for routine well child exams. Submit a statement of compliance by 10/19/2023. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

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

7.701.33.D.4.a · . Criminal background check requests must be submitted and 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-aged child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 11 staff files and observed that Antonia S. was missing documentation of a successfully completed FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ CBI and FBI request. Correction: Immediately, review all staff files and all individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Antonia S. have reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI for staff members Antonia S. with written response to Specialist by 10/3/2023. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: supervision. Marked corrected in the state record.

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 11 staff files and observed that Antonia S. was missing documentation of a current Standard Precautions training. Correction: Immediately, review all staff files and all staff must complete a department-approved Standard Precautions training that meets OSHA requirements prior to workking with children. This training must be renewed annually. Submit documentation and a written statement of compliance by 10/3/2023. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: ratio. Marked corrected in the state record.