2.209.A.7 · 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: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 1 child file and identified it lacking current emergency medical authorization. Correction: Immediately ensure 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: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility. Correct by 07/22/2025

Corrected Corrected by Jul 22, 2025

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

2.219.B.4 · Health statements for children over two (2) years of age to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ for routine well child exams.

Reviewed 1 child file and identified child over the age of two had an expired health statement. Correction: Ensure health statements for children over two (2) years of age to seven (7) years of age are updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule for routine well child exams. Correct by 08/21/2025

Corrected Corrected by Aug 21, 2025

Category: health medication. 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.

Reviewed emergency drill log and identified program missing all required monthly fire drills for the year as well as documented tornado drills each month from March to October. 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 07/22/2025

Corrected Corrected by Jul 22, 2025

Category: recordkeeping. Marked corrected in the state record.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

Two pairs of adult scissors and claw hammer in unlocked storage shed on the preschool playground. Correction: Immediately ensure sharp tools and instruments are stored in areas inaccessible to children. Corrected at the time of visit. Staff locked storage shed making sharp tools inaccessible to children. NO RESPONSE REQUIRED. Correct by 07/22/2025

Corrected Corrected by Jul 22, 2025

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

2.221.C · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name.

Several containers of sunscreen lacking child's last name and 1 container of sunscreen lacking child's first FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and last name. Correction: Immediately ensure when supplied for an individual child, the sunscreen is labeled with the child's first and last name. Corrected at the time of visit. All containers of children's sunscreen were labeled with both first and last names. NO RESPONSE REQUIRED. Correct by 08/26/2024

Corrected Corrected by Aug 26, 2024

Marked corrected in the state record.

2.207.A · For security purposes, a sign-in/sign-out sheet or other mechanism for parents/guardians, or staff if children are being transported, must be maintained daily by the center. It must include, for each child in care, the date, the child's name, the time when the child arrived at and left the center, and the parent /guardian or staff member's signature or other unique identifier. For children who are transported, parent(s)/guardian(s) must verify the accuracy of the sign-in/sign-out sheet at least weekly.

Reviewed daily sign-in/out record and identified 2 children were in care but had not been signed in by parent/guardian. Correction: Immediately ensure for security purposes, a sign-in/sign-out sheet or other mechanism for parents/guardians, or staff if children are being transported, must be maintained daily by the center. It must include, for each child in care, the date, the child's name, the time when the child arrived at and left the center, and the parent /guardian or staff member's signature or other unique identifier. Document correction in written response. Correct by 08/26/2024

Corrected Corrected by Aug 26, 2024

Category: transportation. Marked corrected in the state record.

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

Chipping paint on wooden figure in East classroom, splintering wood and chipping paint on wooden cube on playground, and 2 staff bags within reach of children in West classroom. All areas accessible to children and posing potential hazards. Correction: Immediately ensure indoor and outdoor equipment, materials and furnishings are sturdy, safe and free of hazards. Corrected at the time of visit. Staff moved teacher bags to office, removed wooden figure and wooden cube and moved them to areas inaccessible to children. NO RESPONSE REQUIRED. Correct by 08/26/2024

Corrected Corrected by Aug 26, 2024

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

2.127.D · All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

Staff-to-child ratio and room capacity were not posted in the East preschool classroom. Correction: Immediately ensure the license capacity and staff-to-child ratio is posted in the East classroom. Corrected at the time of visit. Room capacity and staff-to-child ratio were posted in East classroom. NO RESPONSE REQUIRED. Correct by 08/26/2024

Corrected Corrected by Aug 26, 2024

Category: ratio. Marked corrected in the state record.

2.220.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 child's last name. Correction: Immediately ensure over-the-counter medication is in the original container and labeled with child's first and last name. Corrected at the time of visit. Over-the-counter medication was labeled with both first and last name. NO RESPONSE REQUIRED. Correct by 08/26/2024

Corrected Corrected by Aug 26, 2024

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

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

In the East classroom: plexiglass on loft cracked with small piece missing, posing potential safety hazards. Observed in the West classroom: cabinet covered with green piece of loose fabric with lazy susan, large metal water bottle and small metal rack on top of fabric at mid-level, posing potential fall hazards. Observed 1 bolt on base of fence in corner of playground with more than 2 threads exposed, posing potential hazard. All areas were accessible to children. Correction: Immediately ensure all indoor and outdoor equipment, materials and furnishings are sturdy, safe and free of hazards. Violation partly corrected at the time of visit. All items were removed from top of fabric on cabinet and moved to another area of classroom. Document complete correction in written response. Correct by 08/25/2023

Corrected Corrected by Aug 25, 2023

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

7.702.51.C.2.a · When the parent(s)/guardian(s) applies sunscreen, the center must have a mechanism for FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ documenting application times to ensure sunscreen is reapplied as directed by the product label. If documentation of application time is not available, the center must ensure that sunscreen is applied thirty (30) minutes before going outdoors. If the child will be outside for more than one hour, sunscreen must be reapplied every two hours.

Identified sunscreen is typically applied to children at or before arrival by parent/guardian. Reviewed daily sign-in/out log and identified facility lacking space provided for parent/guardian to indicate the time the sunscreen was applied. Correction: Immediately ensure when the parent(s)/guardian(s) applies sunscreen, the center must have a mechanism for documenting application times to ensure sunscreen is reapplied as directed by the product label. Document correction in written response. Correct by 08/25/2023

Corrected Corrected by Aug 25, 2023

Marked corrected in the state record.

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 5 staff files and identified all lacking signed Standard Precautions certificates maintained in staff files verifying annual review of exposure control plan. Correction: Immediately ensure all staff complete annual exposure control plan review as part of standard precautions training and maintain documentation in staff files. Document correction in written response. Correct by 08/25/2023

Corrected Corrected by Aug 25, 2023

Category: ratio. Marked corrected in the state record.