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:

Reviewed eleven staff files and identified Calla's file (DOH: 8/8/24) missing an out-of-state clearance letter. Calla has lived out of state in the last five years. Correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

Observed several children playing on the swings and identified the resilient surfacing in the use zone was frozen. The surfacing directly under the swings measured six inches. Correction: Ensure all climbing equipment has resilient surfacing of at least six inches in the use zone surrounding the equipment. **Corrected at the time of visit; the children stopped playing on the swings.** No response required. Correct by 01/14/2025

Corrected Corrected by Jan 14, 2025

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

2.223.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.

Reviewed attendance records for three classrooms and identified records for two classrooms did not have written attendance verification of transitions. Correction: Ensure staff members complete written attendance verification periodically throughout the day, including during transitions. Correct immediately and respond with a plan for ongoing compliance by 1/21/25. Correct by 01/14/2025

Corrected Corrected by Jan 14, 2025

Category: recordkeeping. Marked corrected in the state record.

2.220.A · Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.

Reviewed 3 health care plans and identified one health care plan indicating an over-the-counter medication and the over-the-counter medication available was expired. Correction: Obtain unexpired medication indicated on the health care plan. Correct immediately and respond with a statement of compliance by 1/31/24. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

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

2.121.J.1 · The following background check requests must be submitted and successfully completed for each FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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:

Reviewed 13 staff files and identified Arienne's file lacking documentation of an out-of-state clearance letter and documentation that the out-of-state requests have been submitted. Arienne has lived in CA and OH in the last 5 years. Correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification (via email) that Director Kath and admin Cari Chapman have reviewed the powerpoint within 24 hours. Correct immediately and submit documentation of out-of-state clearance letter for Arienne with written response to Specialist by 1/31/24. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

Category: supervision. Marked corrected in the state record.

2.220.G.2 · When away from the classroom, staff assigned to supervise the child must carry the emergency medication.

Identified through Director Kath's statement that the Pre-K 112 class was on a field trip. Reviewed 3 health care plans and identified a child in the Pre-K 112 class requires emergency medication and observed the medication in the classroom. Identified through Director Kath's statement that staff did not carry the emergency medication with them on the field trip. Correction: Ensure that when away from the classroom, staff assigned to supervise the child carries the emergency medication. Correct immediately and respond with a plan for ongoing compliance by 1/31/24. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

Category: supervision. Marked corrected in the state record.

2.227.C.2 · All drivers of vehicles owned or leased by the center in which children are transported must have a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children.

Reviewed bus driver Paul's file and identified documentation of a Department-approved First Aid and CPR training to be missing. Multiple teachers were on the bus who had current CPR and First Aid certificates. Correction: Obtain current CPR and First Aid documentation for Paul and ensure all drivers of vehicles owned or leased by the center have a current Department-approved First Aid and CPR training. Correct immediately and respond with verification of compliance by 1/31/24. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

Category: transportation. Marked corrected in the state record.

2.221.D · If sunscreen is provided by the center, parent(s)/guardian(s) must be notified in advance, in writing, of the type of sunscreen the center will use.

Reviewed enrollment and permission forms and identified through documentation and Director Kath's statement that the center provides sunscreen for children and only specifies that sunscreen will be SPF 30 and does not specify the specific type of sunscreen provided. Correction: Ensure parents/guardians are notfified in advance, in writing, of the type of sunscreen the center will use. Correct immediately and respond with a plan for ongoing compliance by 1/31/24. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

Marked corrected in the state record.