2.510.H · At all times, school-age child care personnel must be directly supervising the children.

Several instances of campers lacking direct supervision from staff (within both sight and sound) for approximately 30 seconds - 2 minutes of staff when they entered the building from outside to get water or use restroom. Correction: Immediately ensure school-age personnel are directly supervising the children at all times. Corrected at the

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.506.A.1 · Staff must verify attendance before and after every group transition from one physical space to another. Written or electronic documentation of attendance verification must be maintained for at least twelve (12) months.

Staff were not documenting attendance verification for every group transitions from one space to another. Correction: Immediately ensure staff must verify attendance before and after every group transition from one physical space to another. Written or electronic documentation of attendance verification must be maintained for at least twelve (12) months. Correct by 06/10/2026

Corrected Corrected by Jun 10, 2026

Marked corrected in the state record.

2.522.B · Items labeled “keep out of reach of children” must be inaccessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Several containers of cleaning supplies (Oxivir, Sanidate), hand sanitizer, and container of dish soap labeled "keep out of reach of children" and accessible to children in multiple classrooms throughout the facility and kitchen adjacent to main hallway. Correction: Immediately ensure all items labeled "keep out of reach of children" are inaccessible to children throughout facility. Correct by 06/10/2026

Corrected Corrected by Jun 10, 2026

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 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.

Identified the past 12 months of drills was not available for review. Correction: Immediately ensure 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. Correct by 06/10/2026

Corrected Corrected by Jun 10, 2026

Category: recordkeeping. Marked corrected in the state record.

2.513.A · Any un-expired routine medication, prescription and 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 parent(s) or guardian(s) consent. Home remedies, including homeopathic medications, vitamins, and supplements must not be administered to children in childcare .

Medication authorization for camper in care lacking signature by parent/guardian. Correction: Immediately ensure medication is only administered with a current written order of a health care provider with prescriptive authority and with written parent/guardian consent. Correct by 06/10/2026

Corrected Corrected by Jun 10, 2026

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

2.509.G.2.a · All Department-approved Child Care Health Consultants must meet one of the following qualifications and have documentation available for review: New consultants Or Child care health consultants who do not have documentation of CCHC 101 completion must complete a Provisional CCHC Qualification in the Professional Development Information System (PDIS) before consulting. The Provisional CCHC Qualification is valid for six (6) months.

Reviewed CCHC file and identifed it lacking verificaiton of qualification to serve as Child Care Health Consultant. Correction: Ensure verification of CCHC qualifications is obtained and maintained by facility for current CCHC. Correct by 07/10/2026

Corrected Corrected by Jul 10, 2026

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

2.513.F · Staff designated by the program director to give medications must complete the Department-approved medication administration training and have current annual delegation or more often as determined by the Department-approved Child Care Health Consultant. Delegation must be from the center’s current Department-approved Child Care Health Consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current Department-approved Cardiopulmonary Resuscitation (CPR), first aid certification prior to administering medication with the following exceptions:

Reviewed 3 staff files for staff designated to give medications and identified all (SM1, SM5 and SM6) lacking verification of Department-approved First Aid and CPR certification. Correction: Immediately ensure staff designated by the program to give medications must have current Department-approved Cardiopulmonary Resuscitation (CPR), first aid certification prior to administering medication. Correct by 06/10/2026

Corrected Corrected by Jun 10, 2026

Category: ratio. Marked corrected in the state record.

2.508.F · For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member who holds current Department-approved First Aid and Safety certification including CPR for all ages of children. Such FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR certified staff member at each location.

Reviewed 15 staff files and identified only 2 staff with current Department-approved CPR and First Aid training and 108 campers in care on the date of visit. Correction: Immediately ensure for every thirty (30) or fewer children in attendance, there must be at least one (1) staff member who holds current Department-approved First Aid and Safety certification including CPR for all ages of children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR certified staff member at each location. Correct by 06/10/2026

Corrected Corrected by Jun 10, 2026

Category: ratio. Marked corrected in the state record.

2.508.D · Within (30) calendar days of employment all staff members and regular volunteers must complete 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 know child abuse or neglect. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 15 staff files and identified 3 staff (SM3, SM4 and SM15) lacking current Department-approved training on prevention and reporting of abuse and neglect renewed annually. Correction: Immediately ensure all staff complete Department-approved training on prevention and reporting of abuse and neglect and renew training annually. Correct by 06/10/2026

Corrected Corrected by Jun 10, 2026

Category: recordkeeping. Marked corrected in the state record.

2.508.F.1 · 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 a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years.

Reviewed 15 staff files and identified 3 staff (SM3, SM4 and SM8) not required to be certified in First Aid and CPR lacking current basic First Aid and CPR module renewed every 2 years (Exp. 6/1/26, 5/28/26, 5/25/26). Correction: Ensure 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 a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years. Correct by 07/10/2026

Corrected Corrected by Jul 10, 2026

Marked corrected in the state record.

2.530.A.2 · 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: Parent(s) or guardian(s) names; home and e-mail addresses; telephone numbers, including home, work, and cell numbers; employer name and work address; and any special instructions as to how the parent(s) or guardian(s) can be reached during the hours the child is at the center;

Reviewed 11 child files and identified space was not provided on admission record to list any special instructions as to how the parent(s) or guardian(s) can be reached during the hours the child is at the center. Correction: Immediately ensure admission record is updated to include space provided for special instructions as to how the parent(s) or guardian(s) can be reached during the hours the child is at the center; Correct by 06/10/2026

Corrected Corrected by Jun 10, 2026

Category: recordkeeping. Marked corrected in the state record.

2.514.A · The center must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen or the use of another form of parent(s) or guardian(s) approved sun protection with a full-spectrum UVA/UVB rating of SPF thirty (30) or greater to their children's exposed skin prior to outside play year-round. A health care provider’s permission is not needed to use sunscreen at the center.

Reviewed 11 child files and identified all lacking written authorization from parent/guardian for the application of sunscreen. Identified through staff statement that campers arrive with sunscreen applied but it is not reapplied prior to outside play. Correction: Immediately ensure written sunscreen authorizations are obtained and maintained for all children in care and ensure sunscreen or another form of parent/guardian sun protection with full-spectrum UVA/UVB rating of SPF 30 or greater is applied to children's skin prior to outside play year-round. Correct by 06/10/2026

Corrected Corrected by Jun 10, 2026

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

2.512.B.2 · Schools are required to comply with the immunization requirements as stated in 6 CCR 1009-2. Documentation of school-required immunization status or Certificate of Medical or Nonmedical Exemption, is required by FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment (CDPHE) Certificate of Immunization or on an “approved alternate” Certificate of Immunization. Colorado law requires proof of immunization status or exemption be provided prior to or on the first (1st) day of admission. Colorado Department of Public Health and Environment regulation at 6 CCR 1009-2: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 https://www.coloradosos.gov/CCR/Welcome.do. These regulations 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..

Reviewed 11 child files and identified facility was not maintaining copies of certificates of immunization or exemption as required Correction: Immediately ensure facility complies with immunization requirements as stated in 6 CCR 1009-2. Documentation of immunization status or exemption is required to be obtained and maintained by facility prior to or at the time of admission on CDPHE approved form. Correct by 06/10/2026

Corrected Corrected by Jun 10, 2026

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

2.530.A.5 · 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: Name, address, and telephone number of the child's physician, dentist, and hospital of choice if applicable;

Reviewed 11 child files and identified all lacking space provided for dentist name, address and phone number. Correction: Immediately ensure an admission record is completed for each child prior to or at the time of admission that includes name, address and phone number of child's physician, dentist and hospital of choice. Correct by 06/10/2026

Corrected Corrected by Jun 10, 2026

Category: recordkeeping. Marked corrected in the state record.

2.505.C · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed parent handbook and identified several policies missing or require additional clarification: 8. The procedure for identifying where children are at all times, how children are accounted for throughout the day, and that children are supervised at all times by their assigned staff member. Correction: Immediately ensure parent handbook is updated and new copy provided and approved by parent/guardian that includes all required policies and procedures listed in section 2.505.C.1-C.27. Submit copy of updated parent handbook and document correction in written response. Correct by 06/10/2026

Corrected Corrected by Jun 10, 2026

Category: supervision. Marked corrected in the state record.

2.505.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s) or guardian(s)) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s) or guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s) or guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed 11 child files and identified all lacking signed and dated handbook authorization. Correction: Immediately ensure at the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s) or guardian(s)) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s) or guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s) or guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures. Correct by 06/10/2026

Corrected Corrected by Jun 10, 2026

Marked corrected in the state record.

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.

Over-the-counter medication for child in care lacking label with both first and last name. Correction: Immediately ensure over-the-counter medication is labeled with child's first and last names. Corrected at the time of visit. Staff labeled OTC medication with both child's first and last name. No response required. Correct by 06/10/2026

Corrected Corrected by Jun 10, 2026

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