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:

Identified through director's statement, Hannah M has lived outside of Colorado in the last 5 years. Reviewed staff file and observed Hannah to be missing out of state clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Hannah M has reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letter for staff member Hannah M with written response to the Specialist. Correct by 11/21/2024

Corrected Corrected by Nov 21, 2024

Category: supervision. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Drill log to be missing the following information: Date and time of drill, number of adults and children participating, and amount of time taken to evacuate. Correction: Ensure all emergency drill include the above information on the drill logs that will be maintained by the facility. Correct by 11/21/2024

Corrected Corrected by Nov 21, 2024

Category: recordkeeping. Marked corrected in the state record.

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours.

Reviewed 3 children's files and observed 1 file having a health statement that is missing the date of the physician's signature for a child less than 2 years of age. Correction: Obtain documentation of a dated health statement and add to file. Correct by 12/21/2024

Corrected Corrected by Dec 21, 2024

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

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 9 staff files and observed the following staff having an expired standard precautions training: Andria H, Kacie W, Hannah M, Taylor R, and Genesis F. Correction: Obtain documentation of current standard precautions training and add to file. Correct by 11/21/2024

Corrected Corrected by Nov 21, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 9 staff files and observed the following stsff having an expired safe sleep training: Kacie W and Andria H. Observed the following staff to be missing safe sleep training: Genesis F. Correction: Obtain documentation of current safe sleep training and add to file. Correct by 11/21/2024

Corrected Corrected by Nov 21, 2024

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

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 9 staff files and observed Kacie W having an expired shaken baby/abusive head trauma training. Observed Genesis F to be missing shaken baby/ abusive head trauma training. Correction: Obtain documentation of current shaken baby/ abusive head trauma training and add to file. Correct by 11/21/2024

Corrected Corrected by Nov 21, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Reviewed 9 staff files and observed Genesis F to be missing First Aid and CPR module. Correction: Obtain documentation of current First Aid and CPR module and add to file. Correct by 12/21/2024

Corrected Corrected by Dec 21, 2024

Marked corrected in the state record.

2.213.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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 9 staff files and observed Kacie W and Genesis F to be missing child abuse prevention training. Observed Hannah M, Taylor R, and Andria H having an expired child abuse prevention training. Correction: Obtain documentation of current child abuse prevention training and add to file. Correct by 11/21/2024

Corrected Corrected by Nov 21, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Identified Kacie W to be the director for the facility and responsible for the collection, review, and maintenance of child immunizations. Reviewed staff file and observed Kacie having an expired immunization training. Correction: Obtain documentation of current immunization training and add to file. Correct by 12/21/2024

Corrected Corrected by Dec 21, 2024

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