BVSD SAC BCSIS/High Peaks

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.

Reviewed emergency drill log for the '25-'26 school year and identified lockdown/active shooter drill was not held at least quarterly with the last documented drill held on 11/14/25. Correction: Immediately ensure emergency drills, lockdown and active shooter on premises drills are 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. Document correction in written response. Correct by 02/26/2026

Corrected by Feb 26, 2026

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2.513.J · If a medication is expired or left over, the parent(s) or guardian(s) are responsible for picking up the medication. If the parent(s) or guardian(s) do not respond, the center must dispose of the medications in accordance with 6 CCR 1007-2, Part 1, Regulations Pertaining to Solid Waste Sites and Facilities (March 30, 2024) and 6 CCR 1007-3, Parts 99 (June 30, 2018), 100 (July 15, 2020) and 260-265 (July 15, 2023), 266 (June 30, 2014), 267 (March 30, 2024), and 268 (July 15, 2023), and as required by the Colorado Department of Public Health and Environment (CDPHE) https://cdphe.colorado.gov/colorado-medication-take-back-program (2023), herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from CDPHE at https://www.sos.state.co.us/CCR. The recommendations are available at no cost from CDPHE at https://cdphe.colorado.gov/hm/prep-med-waste-disposal and https://cdphe.colorado.gov/colorado-medication-take-back-program. These regulations and recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

Emergency medication for child in care expired on 2/12/26. Correction: Immediately ensure if a medication is expired or left over, the parent(s) or guardian(s) are responsible for picking up the medication. If the parent(s) or guardian(s) do not respond, the center must dispose of the medications in accordance with 6 CCR 1007-2, Part 1, Regulations Pertaining to Solid Waste Sites and Facilities. Correct by 02/26/2026

Corrected by Feb 26, 2026

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2.527.C · Volatile substances, such as gasoline, kerosene, fuel oil, 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.

Two rolls of garbage bags and small bottle of piston oil (labeled may be fatal if swallowed) accessible to children in a red plastic tub on mid-level table near the back corner of the the Cafeteria, posing potential hazards. Correction: Immediately ensure all hazardous items are inaccessible to children. Corrected at the time of visit. Red plastic tub containing garbage bags and small bottle of piston oil was moved to locked office and made inaccessible to children. NO RESPONSE REQUIRED. Correct by 02/26/2026

Corrected by Feb 26, 2026

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2.522.B · Items labeled “keep out of reach of children” must be inaccessible to children.

Several bags of snow and ice melt labeled "keep out of reach of children" and accessible to children in unlocked storage closet in Cafeteria. Correction: Immediately ensure all items labeled "keep out of reach of children" are inaccessible to children. Correct by 02/26/2026

Corrected by Feb 26, 2026

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

Two concrete footings on the large playground structure exposed at the base of the climbing wall, several areas of splintering wood on playground climbers, and several areas of exposed weed matting near large playground structure and under web swing, posing potential hazards. Identified through staff statement that the playground equipment was used by children on the date of visit. Correction: Immediately ensure indoor and outdoor equipment, materials and furnishings are sturdy, safe and free of hazards. Correct by 02/26/2026

Corrected by Feb 26, 2026

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2.524.A.4.a · All outdoor climbing equipment over eighteen (18) inches must have least six (6) inches resilient surface throughout the use zone.

Approximately 3" of wood mulch within use zone of large playground structure. Identified through staff statement that the playground equipment was used by children on the date of visit. Correction: Immediately ensure all outdoor climbing equipment over 18" has at least 6" resilient surface throughout use zone. Correct by 02/26/2026

Corrected by Feb 26, 2026

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2.522.B · Items labeled “keep out of reach of children” must be inaccessible to children.

Container of Oxivir wipes labeled "keep out of reach of children" and accessible to children in cafeteria. Correction: Immediately ensure items labeled "keep out of reach of children" are kept inaccessible to children. Corrected at the time of visit. Staff locked Oxivir wipes in storage room making them inaccessible to children . NO RESPONSE REQUIRED. Correct by 03/03/2025

Corrected by Mar 3, 2025

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2.615.K · Any hazardous items and materials including but not limited to tools and medications must be inaccessible to children.

Medications and adult scissors kept in unlocked storage closet at the time of visit. Correction: Immediately ensure any hazardous items are stored inaccessible to children. Immediately ensure items labeled "keep out of reach of children" are kept inaccessible to children. Corrected at the time of visit. Staff locked storage room making all items inaccessible to children . NO RESPONSE REQUIRED. Correct by 03/03/2025

Corrected by Mar 3, 2025

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2.513.D · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

Two containers of over-the-counter medication lacking children's first and last names. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure over-the-counter medication is labeled with children's first and last names. Corrected at the time of visit. Staff labeled over-the-counter medications with children's first and last names. NO RESPONSE REQUIRED. Correct by 03/03/2025

Corrected by Mar 3, 2025

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

Several areas of splintering wood on main playground, and area of exposed weed matting near gaga ball pit, posing potential hazards. Correction: Immediately ensure all indoor and outdoor equipment, materials and furnishings are sturdy, safe and free of hazards. Correct by 03/03/2025

Corrected by Mar 3, 2025

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2.512.C.4 · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child’s first and last name.

2 over-the-counter medications lacking children's last name. Correction: Immediately ensure all over-the-counter medications are labeled with child's first and last name. Corrected at the time of visit. Medication had last name added to container so all over-the-counter medications had child's first and last name. NO RESPONSE REQUIRED. Correct by 03/05/2024

Corrected by Mar 5, 2024

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