2.212.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 and observed Vicky B to be missing an annual self reported history. Correction: Obtain a self reported history for staff, correct by 3/10/25. Correct by 03/10/2025

Corrected Corrected by Mar 10, 2025

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

2.219.B.4 · 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 Recommendations for Preventive Pediatric Health Care schedule for routine well child exams.

Reviewed 4 child files and observed 2 children to have expired health statements. Correction: Obtain current health statements for children, correct by 3/10/25. Correct by 03/10/2025

Corrected Corrected by Mar 10, 2025

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

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 6 staff files and observed Chandra B to be missing a child abuse and neglect check (TRAILS). FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member has reviewed the powerpoint within 24 hours. Submit documentation of (TRAILS) for staff member with written response to the Specialist. Correct by 02/10/2025

Corrected Corrected by Feb 10, 2025

Category: supervision. Marked corrected in the state record.

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

Several cracks in the poured in place resilient material to be posing a potential tripping hazard. Correction: Outdoor materials must be safe and free of hazards, correct immediately 2/10/25. Correct by 02/10/2025

Corrected Corrected by Feb 10, 2025

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

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

Reviewed 6 staff files and observed Ashley, Bailey and Vicky to be missing documentation of training in fire safety, extinguishers and alarms. Correction: Obtain documentation staff have been trained in fire safety, extinguishers and alarms, correct immediately 2/10/25. Correct by 02/10/2025

Corrected Corrected by Feb 10, 2025

Category: recordkeeping. Marked corrected in the state record.

2.212.N · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and have been trained on the center's administration of medications policies and procedures

Reviewed 6 staff files and observed Ashley, Bailey and Chandra to be missing a signed statement they have been trained on programs medication policies and procedures. Correction: Obtain a signed statement staff have been trained on programs medication policies and procedures, correct immediately 2/10/25. Correct by 02/10/2025

Corrected Corrected by Feb 10, 2025

Category: ratio. Marked corrected in the state record.

2.217.C.8 · All Department-approved child care health consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion.

Child Care Health Consultant to have an expired department approved immunization course. Correction: Obtain a department approved immunization course for CCHC, correct by 3/10/25. Correct by 03/10/2025

Corrected Corrected by Mar 10, 2025

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

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Reviewed 5 staff files and observed Bailey B and Laura S to be missing a 5 year child abuse and neglect check (TRAILS). Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of (TRAILS) for staff members with written response to Specialist. Correct by 02/13/2024

Corrected Corrected by Feb 13, 2024

Category: background checks. Marked corrected in the state record.

2.212.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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 5 staff file and observed Bailey B and Laura S to be missing an annual self reported health history. Correction: Obtain and update annually a self reported health history for staff, correct by 3/12/24. Document compliance to specialist by 3/12/24. Correct by 03/12/2024

Corrected Corrected by Mar 12, 2024

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

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 5 staff files and observed Jenna S to be missing a child development training. Correction: Obtain 1 hour of child development training for staff, correct by 3/12/24. Document compliance to specialist by 3/12/24. Correct by 03/12/2024

Corrected Corrected by Mar 12, 2024

Category: recordkeeping. Marked corrected in the state record.

2.217.C.8 · All Department-approved child care health consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion.

The child care health consultant to have an expired CDPHE approved immunization course. Correction: Obtain a CDPHE approved immunization course for CCHC, correct by 3/12/24. Document compliance to specialist by 3/12/24. Correct by 03/12/2024

Corrected Corrected by Mar 12, 2024

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

2.219.B.4 · 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 Recommendations for Preventive Pediatric Health Care schedule for routine well child exams.

Reviewed 5 child files and observed one child to have an expired health statement. Correction: Obtain health statement for child, correct by 3/12/24. Document compliance to specialist by 3/12/24. Correct

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.