Colorado Mountain Ranch

2.418.A · Any un-expired routine medication, prescription and non-prescription (over-the-counter), must be administered only with: 1) a current (unexpired) written order of a health care provider with prescriptive authority; and 2) written parental consent.

Child in care who requires medication lacking written parental consent on medication authorization form. Correction: Immediately ensure any un-expired routine medication, prescription and non-prescription (over-the-counter), must be administered only with: 1) a current (unexpired) written order of a health care provider with prescriptive authority; and 2) written parental consent. Correct by 07/01/2025

Corrected by Jul 1, 2025

2.425.A · All structures and buildings used by campers must be kept in good repair and maintained in a safe condition.

Broken glass window in large room on east side of Blue Spruce cabin, broken mirror in Columbine cabin and several power cords hanging within reach of campers, posing potential safety hazards. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure all structures and buildings used by campers are kept in good repair and maintained in a safe condition. Correct by 07/01/2025

Corrected by Jul 1, 2025

2.426.M · Volatile substances such as gasoline, kerosene, fuel oil, and oil- based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for campers unless approved by the local fire department.

Propane blow torch on the ground near lodge and bathrooms on the west side. Correction: Immediately ensure volatile substances such as gasoline, kerosene, fuel oil, and oil- based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for campers unless approved by the local fire department. Correct by 07/01/2025

Corrected by Jul 1, 2025

2.425.F · If bunk beds are in use, no bunks may contain more than two (2) tiers of beds. There must be at least twenty-seven (27) inches of clear space separating the tiers of beds and thirty-six (36) inches of clear space between the top tier and the ceiling. Electric lights which are within reach of the top bunk must be protected.

Several bunks in each cabin with less than twenty-seven (27) inches of clear space separating the tiers of beds. Correction: Immediately ensure if bunk beds are in use, no bunks may contain more than two (2) tiers of beds. There must be at least twenty-seven (27) inches of clear space separating the tiers of beds and thirty-six (36) inches of clear space between the top tier and the ceiling. Electric lights which are within reach of the top bunk must be protected. Correct by 07/01/2025

Corrected by Jul 1, 2025

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 12 staff files and identified 11 lacking signed and updated abuse reporter form. Correction: Ensure prior to license approval all staff 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. Document correction in written response. Correct by 06/30/2024

Corrected by Jun 30, 2024

7.712.73.A.7 · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe and free of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ hazards.

Bunk beds accessible to children in staff bunk houses for overnight stay lacked guardrails and do not meet current federal safety standards, posing safety hazard resulting in injury. Observed on the date of inspection the following hazards accessible to children, posing potential safety concerns: unlocked trunk near basketball court containing adult tools, pick axe and metal shovel in ropes course on ground, metal shovel and rake in unlocked storage shed near basketball courts, and ripped/torn gymnastics mat used in the tumbling area. Correction: Immediately ensure indoor and outdoor equipment, materials, and furnishings must be sturdy, safe and free of hazards. Document correction in written response. Correct by 08/08/2023

Corrected by Aug 8, 2023

7.701.52.D.2 · . Changes to a License Requiring Written Notification to the Department Prior to Department Approval - Changes in the physical facility or use of rooms for child care at a facility.

Facility allowed access to staff bunk rooms and bunk beds for overnight stays that were not approved for use with enrolled children. Correction: Immediately ensure changes in the rooms or use of facility are submitted to the Department and approved prior to use. Document correction in written response. Correct by 08/08/2023 Stage II Licensing Concern : CH1 mentioned to supervising staff that they did not want to sleep in the top bunk but was told that it was safe and no one had ever fallen out before. - FOUNDED

Corrected by Aug 8, 2023

7.712.41.A · . All personnel and volunteers at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Identified during investigation that CH1 said they requested to not sleep in the top bunk on 6/29/23 but was not allowed to sleep on the floor or bottom bunk and CH1 was made to sleep in the top bunk, which resulted in CH1 falling from the top bunk to wooden floor. Correction: Immediately ensure all personnel and volunteers at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Document correction in written response. Correct by 08/08/2023 Stage II Licensing Concern : Staff delayed proper medical evaluation for CH1 after CH1 fell from top bunk in the middle of the night on 6/30/23. - FOUNDED

Corrected by Aug 8, 2023

7.712.41.B · . All personnel and volunteers must not engage in actions that would endanger the health, safety, or well-being of children.

Identified during investigation that 2 staff members supervising CH1 during the overnight stay from 6/29/23-6/30-23 were aware CH1 had fallen from the top bunk at approximately 3:50am and landed on wooden floor. Staff asked CH1 if anything hurt and when CH1 did not express to staff anything was hurting, the staff members decided not to take CH1 to the office for medical evaluation and allowed CH1 to cry for approximately 1 hour prior to contacting parent/guardian to notify them child was crying and asking for them at approximarely 5am. Staff allowed CH1 to go back to sleep from approximately 5:15am-6:30am, posing potential risk to the health, safety, and well-being of CH1. Identified parent/guardian was not notified CH1 had fallen until pick-up at approximately 7am. Correction: Immediately ensure all personnel and volunteers must not engage in actions that would endanger the health, safety, or well-being of children. Document correction in written response. Correct by 08/08/2023 Stage II Licensing Concern : Outdoor day camp uses permanent buildings for the care of children on a regular basis. - FOUNDED

Corrected by Aug 8, 2023

7.712.2.C.3 · . The types of day camps are as follows:An “outdoor-based day camp” is a child care program that provides care for five (5) or more children who are at least seven (7) years of age or have completed the first grade. The day camp does not use a permanent building on a regular basis and provides programming in a permanent outdoor or park setting.

Identified through staff statement that the bunk houses were being used by campers during overnight stays this summer due to rainfall. Correction: Immediately ensure facility does not use a permanent building on a regular basis and provides programming in a permanent outdoor or park setting. Document correction in written response. Correct by 08/08/2023 Stage II Licensing Concern : Staff delayed notification of parent/guardian after CH1 fell from top bunk in the middle of the night on 6/30/23. - FOUNDED

Corrected by Aug 8, 2023

7.712.41.G · Day camp staff must receive a minimum of fifteen (15) hours of pre-camp training, in addition to Department-approved First Aid and CPR. Pre-camp training must include all training activities that staff members participate in as a whole. Training should include, but not be limited to, familiarizing staff with the camp mission, site emergency policy and procedures, how to supervise and facilitate activities with campers, and health care policies and procedures. Policies and procedures must be in writing. Staff will be supervised and additional training may be provided if needed. Day camps must have a system in place to provide staff the essential training information for late hires.

Identified during investigation that CH1 fell from top bunk at approximately 3:50am, staff called parent/guardian at approximately 5:00am but did not mention CH1 had fallen, but that CH1 was crying inconsolably, asking for them, and not responsive to words or questions. Identified staff member called back about 15 minutes later to say that CH1 had fallen asleep. Parent/guardian was not notified that CH1 fell from top bunk until pickup at approximately 7am. Reviewed staff handbook and identified staff did not follow camp policies outlined pre-camp training. Staff handbook states: Incident Reports... Go to the Office to complete an incident report form for any accident involving campers, staff, or camp equipment….If a child is injured and the parents cannot be reached, the directors will make the decision about the need for medical aid.” Identified through staff statement that an internal injury/incident report was not completed for incident involving CH1. Correction: Immediately ensure day camp staff follow day camp program's policies and procedures. Document correction in written response. Correct by 08/08/2023 Stage II Licensing Concern : Staff were not providing direct supervision to children in care during an on overnight stay on 6/30/23. - FOUNDED

Corrected by Aug 8, 2023

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

Identified through staff statements that during overnight stays, staff responsible for the supervising children fall asleep. Correction: Immediately ensure, at all times, school-age child care personnel must be directly supervising the children. Document plan of compliance in written response. Correct by 08/08/2023 Stage II Licensing Concern :

Corrected by Aug 8, 2023

7.701.53.B · . Pursuant to Section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the state hotline, county department of human or social services or local law enforcement agency.

Reviewed correspondence with facility and identified facility failed to report an incident as required by statute and licensing regulations. Correction: Immediately ensure pursuant to Section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the state hotline, county department of human or social services or local law enforcement agency. Document correction in written response. Correct by 08/08/2023

Corrected by Aug 8, 2023

7.701.52.B.1.b · . Within twenty four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty four (24) hours of a child's return to the facility the licensee must report in writing to The Office of Early Childhood, Division of Early Care And Learning the following critical incidents involving a child in the care of the facility or a staff member on duty: An injury to a child or staff member that requires emergency medical attention by a health care professional or admission to a hospital, whether or not treatment was given. This report must be completed in the online injury system within 24 hours of an incident. If a provider is unable to access the online system, you must use the paper form, and submit the form to the State Department within 24 hours of the incident. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed injury report submitted by facility to the Department on 7/1/23 and identified it was not made within 24-hours after accident resulting in medical evaluation/treatment occurred. Correction: Immediately ensure an injury to a child or staff member that requires emergency medical attention by a health care professional or admission to a hospital, whether or not treatment was given is completed in the online injury system within 24 hours of an incident. If a provider is unable to access the online system, you must use the paper form, and submit the form to the State Department within 24 hours of the incident. Document correction in written response. Correct by 08/08/2023 Stage II Licensing Concern : Staff members 1, 2, and 3 each have an ineligible background check result and are working with children. - FOUNDED

Corrected by Aug 8, 2023

7.701.33.F · . The Department may deny, revoke, suspend, change to probationary or fine a child care facility or child placement agency if the applicant(s), an affiliate of the applicant, or any person living with or employed by the applicant has been found to violate any of the provisions set forth in section 26-6-108(2), C.R.S.:

3 staff members with ineligible background checks working with campers on the date of inspection. 26.5-5-317(2)(n) C.R.S. Admits to an act of child abuse or if substantial evidence is found that the licensee, person employed by the licensee, or person who resides with the licensee in the licensed facility has committed an act of child abuse. As used in this subsection (2)(n), "child abuse" has the same meaning as that ascribed to the term "abuse" or "child abuse or neglect" in section 19-1-103(1). Correction: The Department may deny, revoke, suspend, change to probationary or fine a child care facility or child placement agency if the applicant(s), an affiliate of the applicant, or any person living with or employed by the applicant has been found to violate any of the provisions set forth in section 26.5-5-317(2) C.R.S. Document correction in written response. Correct by 08/08/2023 ________________________________________________ Stage II Licensing Concern : Bus drivers do not meet minimum age and training requirements. - UNFOUNDED ________________________________________________

Corrected by Aug 8, 2023

7.712.43.I · . In a mobile day camp program, an outdoor-based day camp program, or anytime a building based program is away from the facility, the staff ratio given at Section 7.712.43 must be maintained, but there must be at least two (2) program leaders at all times with the children.

Reviewed staffing pattern and staff qualifications and identified that during parts of the day facility lacking at least 2 program leaders with each group of children. Observed several groups of children moving from one activity site to another with only 1 supervising Program Leader. Correction: Immediately ensure there are at least 2 program leaders at all times with the children. Document correction in written response. Correct by 08/08/2023

Corrected by Aug 8, 2023

7.719.5.D · Trampolines shall be secured from unauthorized use by any person.

Trampolines lacking the ability to be secured from unauthorized use by any person. Correction: Immediately ensure trampolines are secured from unauthorized use by any person. Document correction in written response. Correct by 08/08/2023

Corrected by Aug 8, 2023

7.719.61.C.3 · Ropes courses must have written evidence of annual inspection by qualified Association of Challenge Course Technology (ACCT) personnel of course elements for integrity of all hardware, materials, and equipment.

Reviewed 2023 ropes inspection report and identified several elements failed inspection and facility did not produce four program documents during ropes inspection that must be maintained and accessible to meet ACCT standard (Local operating procedures, daily inspection log, periodic inspection log, program review within 5 years). Correction: Immediately ensure ropes courses has written evidence of approving annual inspection by qualified Association of Challenge Course Technology (ACCT) personnel of course elements for integrity of all hardware, materials, and equipment. Document correction in written response. Correct by 08/08/2023

Corrected by Aug 8, 2023

7.712.73.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.

Golf cart parked near gymnastics area with container of sunscreen and hand sanitizer in open glovebox and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ bed of cart, an unlocked cabinet containing sunscreen in corral, and a container of hand sanitizer near office entrance. Items labeled "keep out of reach of children" and accessible to children at the time of inspection. Correction: Immediately ensure 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. Document correction in written response. Correct by 08/08/2023

Corrected by Aug 8, 2023

7.712.73.A.4 · Combustibles, such as cleaning rags, mops, and cleaning compounds, must be stored in well-ventilated areas separated from flammable materials and stored in areas inaccessible to children.

The following items accessible to children and posing potential safety hazards: unlocked trunk near basketball court with gasoline, motor oil, antifreeze, and other chemicals; blue plastic box with several containers of chemicals in Mike's work area. Correction: Immediately ensure combustibles, such as cleaning rags, mops, and cleaning compounds, must be stored in well-ventilated areas separated from flammable materials and stored in areas inaccessible to children. Document correction in written respnse. Correct by 08/08/2023

Corrected by Aug 8, 2023

7.712.71.D.4 · . Outdoor play areas provided by the center must not have equipment that exceeds six (6) feet in height for any surface area intended for children’s play unless equipped with a protective barrier to prevent children from falling.

Children climbing in tree above 6’ in height (approximately 20' fall height), lacking protective barrier to prevent children from falling. Correction: Immediately ensure children do not climb equipment exceeding 6' in height for any surface intended for children's play unless equipped with a protective barrier to prevent children from falling. Correct by 08/08/2023

Corrected by Aug 8, 2023

7.712.71.D.5 · . All outdoor climbing equipment over eighteen (18) inches provided by the center must have least six (6) inches resilient surface throughout the use zone.

Children climbing in tree above 6’ in height (approximately 20' fall height), and children climbing on overhead bars over 18" in height, both areas lacking at least 6" resilient surface throughout use zones. Correction: Immediately ensure climbing equipment over 18" has at least 6" resilient surface throughout the use zone. Document correction in written response. Correct by 08/08/2023

Corrected by Aug 8, 2023

7.712.71.D.3 · The play area must meet the following requirements: The outdoor play area must be maintained in a safe condition by removing debris, dilapidated structures, and worn and broken play equipment. The center must identify hazardous, high-risk areas. These areas must be monitored to reduce the possibility of injury and accidents.

Hoses in the outdoor dodgeball court and hose partly buried near the trampolines accessible to children and posing potential tripping hazards. Correction: Immediately ensure the outdoor play area must be maintained in a safe condition by removing debris, dilapidated structures, and worn and broken play equipment. The center must identify hazardous, high-risk areas. These areas must be monitored to reduce the possibility of injury and accidents. Document correction in written response. Correct by 08/08/2023

Corrected by Aug 8, 2023

7.712.52.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.

3 containers of 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. Children's first and last names were added to the containers of over-the-counter medication. Document plan of compliance in written response. Correct by 07/18/2023

Corrected by Jul 18, 2023

7.701.33.J.1.a.b.c · 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-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check

Reviewed 31 staff files and identified 13 staff members assigned as group leaders on the date of inspection, with unsupervised access to children, and 9 of the group leaders (Will R., Libby W., Therese S., Kayla J., Ava S., Seth L., Jen M., Jules G., and Britt S.) lacking completed out-of-state clearance letter from the BIU verifying completion of required out-of-state clearance letters prior to unsupervised access to children. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's

7.701.33.D.4 · . Requests for a criminal record check, other than those required per Section 7.701.33.D.4.a,b must be submitted to the CBI within five (5) working days of the day that the individual begins to work at the facility or agency.

Reviewed 31 staff files and identified Johanna M. lacking verification of FBI clearance letter maintained in staff file. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member has reviewed the powerpoint within 24 hours. Submit documentation of FBI clearance letter for Johanna M. with written response. Correct by 07/18/2023

Corrected by Jul 18, 2023

7.719.61.C.3 · Ropes courses must have written evidence of annual inspection by qualified Association of Challenge Course Technology (ACCT) personnel of course elements for integrity of all hardware, materials, and equipment.

Identified low ropes course in use and facility lacking annual inspection by qualified ACCT personnel. Correction: Immediately cease use of ropes course until verification of approving annual inspection report is obtained from a qualified ACCT personnel documenting integrity of course elements, including hardware, materials and equipment. Submit documentation of annual ropes course inspection and document correction in written response. Correct by 07/18/2023

Corrected by Jul 18, 2023

7.712.52.C.7 · All medications, except those medications specified in the department’s approved medication administration training as emergency medications, must be kept in an area inaccessible to children, but available to staff trained in administering medication. If refrigeration is required, the medication must be stored in either a separate refrigerator or a leak proof container in a designated area of a food storage refrigerator, separate from food and inaccessible to children. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center's policies. Access to these medications must be limited (see section 12-22-318, C.R.S.).

Bottle of over-the-counter allergy medication on mid-level table in the Corral, accessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure all medications, except approved emergency medications, must be kept in an area inaccessible to children. Corrected at the time of visit. Staff moved bottle of medication and made item inaccessible to children. Document plan of compliance in written response. Correct by 07/18/2023

Corrected by Jul 18, 2023

7.712.73.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.

In the Corral: containers of sunscreen and bug spray labeled "keep out of reach of children." Observed on path from basketball court to the Corral: truck with an open trunk containing roll of barbed wire and Mike's work area (near gymnastics area and Corral) lacking physical barrier to prevent access to heavy equipment, adult tools and other hazardous areas. Observed in the back of one golf cart used by program staff: screw driver, can of fuel, and containers of cleaning supplies labeled "keep out of reach of children." Observed near the mountain boarding activity area several adult metal shovel and rakes propped next to van. All areas/items accessible to children and posing potential safety hazards. Correction: Immediately ensure hazardous items are stored away from the area used for care and made inaccessible to children. Document correction in written response. Correct by 07/18/2023

Corrected by Jul 18, 2023

7.712.52.C.3 · Medications must be kept in the original labeled bottle or container. Prescription medications FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must contain the original pharmacy label.

2 prescription medications lacking original pharmacy label. Correction: Immediately ensure prescription medications contain the original pharmacy label. Document correction in written response. Correct by 07/18/2023

Corrected by Jul 18, 2023

7.712.52.C.6.a · . All staff administering medication must have current department-approved CPR, first aid training prior to administering medication with the following exceptions: Staff determined by the program director, in consultation with the Child Care Health Consultant, to be responsible for providing routine emergency medications covered in the approved medication administration training for the treatment of severe allergies or inhaled medications for the treatment of asthma must receive training and delegation from their Child Care Health Consultant for those medications only. Staff must then provide those medications to children based on the instructions from the child’s individualized health care plan.

Identified through review of individual health care plans, staffing pattern and staff statement, that a child in care with an inhaler was assigned to a group without staff member that holds current medication administration training and current delegation for inhaled medications. Correction: Immediately ensure staff determined by the program director, in consultation with the Child Care Health Consultant, to be responsible for providing routine emergency medications covered in the approved medication administration training for the treatment of severe allergies or inhaled medications for the treatment of asthma must receive

7.701.100.F.2 · . 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 documented emergency drills and identified facility lacking documentation of active shooter/lockdown drills and tornado drills. 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. Document correction in written response. Correct by 07/18/2023

Corrected by Jul 18, 2023

7.712.2.C.3 · . The types of day camps are as follows:An “outdoor-based day camp” is a child care program that provides care for five (5) or more children who are at least seven (7) years of age or have completed the first grade. The day camp does not use a permanent building on a regular basis and provides programming in a permanent outdoor or park setting. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Children being cared for in a permanent structure (Arts & Crafts building) at the time of inspection and licensed as an outdoor day camp. Correction: Immediately ensure that facility does not use permanent buildings on a regular basis and provides programming in a permanent outdoor or park setting. Correct by 07/18/2023

Corrected by Jul 18, 2023

7.701.52.D.2 · . Changes to a License Requiring Written Notification to the Department Prior to Department Approval - Changes in the physical facility or use of rooms for child care at a facility.

Group of children in the Arts & Crafts builidng at the time of inspection that is not licensed for care. Correction: Immediately ensure written notification/new original application is submitted to the Department prior to Deaprtment approval for the change of rooms used for care or changes in the physical faciilty. Document correction in written response. Correct by 07/18/2023

Corrected by Jul 18, 2023