2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. 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 6 child files and observed one child to have an expired emergency medical authorization form. Correction: Obtain and update annually the emergency medical authorization form for child, correct immediately 2/28/24 or prior to child's next day in attendance. Document compliance to specialist by 3/28/24. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: health medication. 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 abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 8 staff files and observed Holly H (DOH 9/04) and Nicki B (DOH 3/23) to be missing current department approved child abuse prevention training. Correction: Obtain and update annually a department approved child abuse prevention training, correct by 3/28/24. Document compliance to specialist by 3/28/24. Correct by 03/28/2024

Corrected Corrected by Mar 28, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 8 staff files and observed Cassie B (DOH 6/23) tobe missing a department approved Introduction to the Early Intervention and Preschool Special Education Program training. Correction: Obtain a department approved Introduction to the Early Intervention and Preschool Special Education Program training, correct by 3/28/24. Document compliance to specialist by 3/28/24. Correct by 03/28/2024

Corrected Corrected by Mar 28, 2024

Category: recordkeeping. 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 8 staff files and observed Nicki B (DOH 3/23) to be missing a department approved child development training. Correction: Obtain a department approved child development training for staff, correct by 3/28/24. Document compliance to specialist by 3/28/24. Correct by 03/28/2024

Corrected Corrected by Mar 28, 2024

Category: recordkeeping. Marked corrected in the state record.

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 6 child files and observed one child to have immunizations not on a CDPHE approved form. Correction: Obtain immunizations on CDPHE approved form, correct immediately 2/28/24. Document compliance to specialist by 3/28/24. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) 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 provider. The statement of the child’s current health status must 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 less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 6 child files and observed 5 children to have expired health statements. Correction: Obtain current health statements for children, correct by 3/28/24. Document compliance to specialist by 3/28/24. Correct by 03/28/2024

Corrected Corrected by Mar 28, 2024

Category: ratio. Marked corrected in the state record.