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

Spray bottle of sanitizer labeled "keep out of reach of children" and accessible to children on mid-level counter in classroom 202. Correction: Immediately ensure all items labeled "keep out of reach of children" are inaccessible to children. Corrected at the time of visit. Staff moved spray bottle to higher shelf out of children's reach. NO RESPONSE REQUIRED. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

Marked corrected in the state record.

2.513.C · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

Prescription medication lacking original pharmacy label. Correction: Immediately ensure prescription medications contain the original pharmacy label. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

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

2.522.A · Buildings must be kept in good repair and maintained in a safe condition.

Areas of peeling paint and several holes in the drywall in upstairs classrooms (200 & 202). Correction: Immediately ensure buildings are maintained in good repair and safe condition. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

Marked corrected in the state record.

2.507.K · Within thirty (30) calendar days of caring for children a signed statement indicating that the individual has been trained, understands, and has had the opportunity to ask questions regarding the “Rules Regulating School-Age Child Care,” the “General Rules for Child Care Facilities,” and the “Rules Regulating Special Activities,” if applicable.

Reviewed 22 staff files and identified 20 staff files lacking verification they have been trained, understand and have had the opportunity to ask questions regarding child care licensing rules within 30 days of caring for children. Correction: Ensure within thirty (30) calendar days of caring for children a signed statement indicating that the individual

Open Not marked corrected in the state record

Open / not marked corrected.

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 lacking label with child's first and last name. Correction: Immediately ensure over-the-counter medication is labeled with child's first and last name. Corrected at the time of visit. Over-the-counter medication was labeled with child's first and last name. NO RESPONSE REQUIRED. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

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

2.512.C.3 · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

1 prescription medication lacking pharmacy label. Correction: Immediately ensure medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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

2.512.C.5 · In the case medication needs to be given on an ongoing, long-term basis, the authorization and consent forms must be reauthorized on an annual basis. Any changes in the original medication authorization require a new written order by the prescribing practitioner and a change in the prescription label.

Reviewed health care plans and medications for children in care and identified 2 expired health care plans. Correction: Immediately ensure in the case medication needs to be given on an ongoing, long-term basis, the authorization and consent forms must be reauthorized on an annual basis. Any changes in the original medication authorization require a new written order by the prescribing practitioner and a change in the prescription label. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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

2.512.C.1 · Any un-expired routine medication, prescription and non-prescription (over-the-counter) medications must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, including homeopathic medications, must never be given to a child.

Reviewed health care plans and medications for children in care and identified 1 over-the-counter medication FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ was expired. Correction: Immediately ensure un-expired routine medication, prescription and non-prescription (over-the-counter) medications must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, including homeopathic medications, must never be given to a child. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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

2.512.C.13 · All staff members and Child Care Health Consultants must be aware of which children have asthma and severe allergies, and which of those may administer their own inhaler or auto injectors.

Staff were not able to verify which children in care have asthma and allergies without referencing master list of campers. Correction: Immediately ensure all staff members and Child Care Health Consultant is aware of which children have asthma and severe allergies, and which of those may administer their own inhaler or auto injectors. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed 23 staff files and identified Nicole S. lacking verification of emergency and disaster preparedness training prior to working with children. Correction: Immediately ensure prior to caring for children, all staff complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.507.C · Each staff member and regular volunteer as defined in rule section 2.510 must complete an annual health history. The health history must be maintained by the center in a secure location.

Reviewed 23 staff files and identified Nicole S. lacking verification of annual health history. Correction: Immediately ensure all staff complete an annual health history. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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

2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

Reviewed child abuse reporting form for all staff and identified the county number listed (303-441-1240) is not accurate and Nicole S. missing a signed mandated reporter form. Correction: Immediately ensure each staff member signs abuse reporter form with mandated reporting hotline number included (1-844-264-5437 or 1-844-CO-4-KIDS). Violation partly corrected at the time of visit. Nicole S. signed updated mandated reporter form. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Marked corrected in the state record.

2.507.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 and have been trained on the center's administration of medications policies and procedures.

Reviewed 23 staff files and identified Nicole S. lacking verification of policy review prior to caring for children. Correction: Immediately ensure each staff member must read and be trained on the center’s policies and procedures for the administration of medications prior to working with children. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Category: ratio. Marked corrected in the state record.

2.526.A.3 · The center office must maintain a record for each staff member that includes the: Name, address, and phone number of the person(s) to be notified in the event of an emergency;

Reviewed 23 staff files and identified Nicole S. lacking verification of emergency contact address maintained FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ in staff file. Correction: Immediately ensure staff are provided with space to include emergency contact name, address, and phone number of the person(s) to be notified in the event of an emergency. Corrected at the time of visit. Nicole completed emergency contact card that includes address. NO RESPONSE REQUIRED. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.524.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and 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.

Empty plastic grocery bags in wagon within reach of children in Room F168 and bottle of bug spray labeled "keep out of reach of children" in the pocket of a wagon with group outside. All items accessible to children and posing potential hazards Correction: Immediately ensure hazardous items are stored away from the area used for child care and be inaccessible to children. Corrected at the time of visit. Bug spray was removed from wagon and plastic bags placed on top shelf making both items inaccessible to children. NO RESPONSE REQUIRED. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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

2.507.J · All staff members must complete a building and physical premises safety training prior to working with children. The training must include:

Reviewed 23 staff files and identified Nicole lacking verification of pre-service building and physical premises training prior to working with children. Correction: Immediately ensure all staff complete a building and physical premises safety training prior to working with children and verification is maintained in staff files. Corrected at the time of visit. Written verification was added to Nicole's file to confirm she had completed pre-service training prior to working with children. NO RESPONSE REQUIRED. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Over-the-counter medication lacking label with child's first and last name. Correction: Immediately ensure all over-the-counter medications are labeled with children's first and last names. Corrected at the time of visit. OTC was labeled with child's first and last name. NO RESPONSE REQUIRED. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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