2.508.D.3 · The center must maintain documentation including the child care health consultant’s Department of Regulatory Agencies (DORA) proof of active licensure in good standing, by the Colorado Medical Board or State Board of Nursing as a physician or registered nurse, a brief biography highlighting applicable knowledge, experience and approximate dates worked as a school nurse or Child Care health Consultant commenced.

At the time of visit the the child care health consultant did not have documentation of of active licensure in good standing, by the Colorado Medical Board or State Board of Nursing. Correction: Correct immediately, the facility must maintain documentation of the child care health consultant active licensure in good standing, by the Colorado Medical Board or State Board of Nursing. Submit a written statement of compliance and documentation by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

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

2.508.D.4 · Child care health consultants must complete the Department- approved child care health consultant training prior to consulting with the center. The center must obtain and maintain proof of course completion.

At the time of visit the the child care health consultant did not have documentation of of the Department- approved child care health consultant training prior to consulting with the center. Correction: Correct immediately, the facility must maintain documentation of the child care health consultants' Department-approved child care health consultant training prior to consulting with the center. Submit a written statement of compliance and documentation by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

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

2.508.D.5 · All Child Care Health Consultants must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course annually.

At the time of visit the the child care health consultant did not have documentation of of the Colorado Department of Public Health and Environment (CDPHE) immunization course annually. Correction: Correct immediately, all Child Care Health Consultants must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course annually. Submit a written statement of compliance and documentation by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

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

2.524.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

At the time of visit a mop bucket filled with unknown liquid accessible to children in the Cafeteria. Correction: Correct immediately, all hazardous items, must be stored away from the area used for child care and be inaccessible to children. Corrected at the time of visit, the bucket was removed and made inaccessible to children. Submit a written statement of future compliance by 8/9/2024 Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: physical safety. Marked corrected in the state record.

2.525.A.7 · The center must maintain and update annually a record on each child that includesA complete health history including communicable diseases, chronic illnesses or injuries, immunization history, known drug reactions or allergies, medication records, special diet needs, and health care plans as required in rule section 2.512;

Reviewed 3 children’s files, one file has their immunizations on the none approved form. Correction: Review all children's files, all children must have documentation of immunizations on a state-approved form. Submit a written statement of compliance. Correct by 08/09/2024

Corrected Corrected by Aug 9, 2024

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

2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

At the time of visit the facility is lacking the updated Fire and Health Inspection Report. Correction: Correct immediately, the facility must have and maintain current Fire and Health Inspection Reports. Submit a written statement of compliance and documentation by 8/9/24. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

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

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.

At the time of visit the facility had not conducted the following drills within the required timeframes: the last fire drill was Dec 2023, the last tornado drill was Oct. 2023, the last emergency drill was Aug. 2023. Correction: Correct immediately, a record of all emergency drills held over the past twelve (12) months must be conducted

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

7.701.100.F.2 · . 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.

At the time of the visit, identified that there were no drill logs to be reviewed. Correction: Immediately, emergency drills, lockdown, and active shooter on premises drills must be held at least quarterly. Fire drills must be held monthly. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past 12 months must be maintained by the facility or center, including the date and time of the drill, number of adults, and children participating, and the amount of time taken to evacuate. Submit a statement of compliance by 8/7/2023. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.34.A · . Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

At the time of the visit, reviewed health and fire inspections and observed that the documentation for the fire inspection was expired. Correction: Immediately, every 2 years, all child care facilities except family child care homes and neighborhood youth origanizations must be inspected and obtain an approving inspection report from the local health and fire departments. These reports must be maintained at the facility and be available for review upon request by a licensing specialist. Submit documentation and a written statement of compliance by 8/23/2023 Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

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

7.712.42.D.5 · . All Child Care Health Consultants (CCHC) must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course annually.

At the time of the visit, reviewd the CCHC file and observed that documentation of a current immunization course was missing. Correction: Immediately, all child care health consultants must show evidence that they have completed the Colorado Department of Public Health and Environment immunization course annually. Submit documentation and a written statement of compliance by 8/23/2023. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

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

7.712.73.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children.

At the time of the visit, observed sunscreen labeled "keep out of reach of children" on a low shelf accessible to children in the Cafeteria and Gym. Correction: Immediately, volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items must be stored away from the area used for child care and be inaccessible to children. Submit a written statement of compliance by 8/7/2023. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Category: physical safety. Marked corrected in the state record.

7.712.73.A.4 · Combustibles, such as cleaning rags, mops, and cleaning compounds, must be stored in well-ventilated areas separated from flammable materials and stored in areas inaccessible to children.

At the time of the visit, observed a spray bottle of bleach solution disinfectant on a low shelf accessible to children in the Cafeteria. Correction: Immediately, combustibles such as cleaning rags, mops, and cleaning compounds, must be stored in well-ventilated areas separated from flammable materials and stored in areas inaccessible to children. Submit a written statement of compliance by 8/7/2023. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Marked corrected in the state record.

7.712.52.C.7 · All medications, except those medications specified in the department’s approved medication administration training as emergency medications, must be kept in an area inaccessible to children, but available to staff trained in administering medication. If refrigeration is required, the medication must be stored in either a separate refrigerator or a leak proof container in a designated area of a food storage refrigerator, separate from food and inaccessible to children. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center's policies. Access to these medications must be limited (see section 12-22-318, C.R.S.).

At the time of the visit, observed a first aid bag with Children's Allergy Relief inside on a low shelf accessible to children. Correction: Immediately, all medications, except those medications specified in the department approved medication administration training, must be kept in an area inaccessible to children, but available to staff trained in administering mediccation. Submit a written statement of compliance by 8/7/2023. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Category: ratio. Marked corrected in the state record.