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 for routine well child exams.

Reviewed 7 children's files and observed 1 file lacking a return date of care on health statement. Correction: Provide a written statement of compliance ensuring that the program obtains documentation for a completed health statement from a healthcare provider for all children in care that includes a date of return for care. Correct by 05/08/2024

Corrected Corrected by May 8, 2024

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

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 7 children's files and observed 1 file with an expired health statement. Correction: Provide a written statement of compliance ensuring all student files have a current health statement signed and dated by a health care provider per the above guidelines. Correct by 05/08/2024

Corrected Corrected by May 8, 2024

Category: ratio. Marked corrected in the state record.

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Reviewed 15 staff files and observed Maeve F., Mirilde V., Angie B., Jamie G., Mercedes D. and Patricia W. lacking an updated TRAILS clearance letter obtained prior to 5 years from the date reflected on the current clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that the above listed staff members have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance letters for all staff listed above with written response to Specialist. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: background checks. Marked corrected in the state record.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 15 staff files and observed Mirilde V., Angie B., Jamie G., Mercedes D. and Patricia W. lacking an updated FBI clearance letter obtained prior to 5 years from the date reflected on the current clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that the above listed staff have reviewed the powerpoint within 24 hours. Submit documentation of FBI clearance letters for all staff listed above with written response to Specialist. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: background checks. Marked corrected in the state record.

2.121.J.1 · 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-age child care facilities, family child care homes, and qualified exempt provider homes:

Reviewed 15 staff files and observed Sara S. and Alison B. lacking documentation of the completed State Based Background Check checklist indicating if an employee has resided outside of Colorado within the past 5 years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that the above listed staff have reviewed the powerpoint within 24 hours. Ensure the program obtains documentation of the completed State Based Background Check checklist for Sara S. and Alison B., to include any follow up background check requests. Provide a written statement of compliance within the overall response. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: supervision. Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

An electrical outlet accessible to children within the Aspen preschool classroom lacking protective covers. Correction: Director immediately (4/10/2024) placed protective covers on the electrical outlet. NO RESPONSE NEEDED. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Marked corrected in the state record.