2.508.A · Prior to working with children all staff members must complete a Department-approved standard precautions training. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 2 staff files and identified both lacking current Department-approved standard precautions training (SM1 expired 9/9/25 and SM2 lacking training prior to working with children). Correction: Immediately ensure all staff hold current Standard Precautions training prior to working with children and renew annually. Correct by 09/23/2025

Corrected Corrected by Sep 23, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.E · Within ninety (90) calendar days of employment all staff must have at least one (1) hour of child development training . This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once (1 time) and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 2 staff files and identified SM2 lacking verification of Child Development Training within 90 days of hire. Correction: Ensure within ninety (90) calendar days of employment all staff must have at least one (1) hour of child development training. Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

Category: recordkeeping. 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 2 staff files and identified SM2 lacking verification of Department-approved Emergency FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Preparedness training prior to working with children. Correction: Immediately ensure all staff complete Department-approved Emergency Preparedness training prior to working with children. Correct by 09/23/2025

Corrected Corrected by Sep 23, 2025

Category: recordkeeping. Marked corrected in the state record.

2.530.A · 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:

Reviewed 2 child files and identified both lacking current enrollment agreement prior to the first day of care. Correction: Immediately ensure all children have a completed admission record prior to or at the time of admission to the program and updated annually and when changes occur. Correct by 09/23/2025

Corrected Corrected by Sep 23, 2025

Category: recordkeeping. 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.

1 over-the-counter medication lacking original labeled container and 1 prescription medication lacking original pharmacy label. Correction: Immediately ensure medications are kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label. Correct by 09/23/2025

Corrected Corrected by Sep 23, 2025

Category: health medication. 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.

1 over-the-counter medication for child in care not labeled with child's first and last name. Correction: Immediately ensure over-the-counter medication is kept in the originally labeled container and labeled with the

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.513.J · If a medication is expired or left over, the parent(s) or guardian(s) are responsible for picking up the medication. If the parent(s) or guardian(s) do not respond, the center must dispose of the medications in accordance with 6 CCR 1007-2, Part 1, Regulations Pertaining to Solid Waste Sites and Facilities (March 30, 2024) and 6 CCR 1007-3, Parts 99 (June 30, 2018), 100 (July 15, 2020) and 260-265 (July 15, 2023), 266 (June 30, 2014), 267 (March 30, 2024), and 268 (July 15, 2023), and as required by the Colorado Department of Public Health and Environment (CDPHE) https://cdphe.colorado.gov/colorado-medication-take-back-program (2023), herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from CDPHE at https://www.sos.state.co.us/CCR. The recommendations are available at no cost from CDPHE at https://cdphe.colorado.gov/hm/prep-med-waste-disposal and https://cdphe.colorado.gov/colorado-medication-take-back-program. These regulations and recommendations 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..

1 emergency medication for child in care was expired. Correction: Immediately ensure if a medication is expired the parent(s) or guardian(s) are responsible for picking up the medication. If the parent(s) or guardian(s) do not respond, the center must dispose of the medications in accordance with state regulations. Correct by 09/23/2025

Corrected Corrected by Sep 23, 2025

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

2.513.B.1 · -10 The written order by the health care provider with prescriptive authority must include: FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 1.Child’s name and birthdate; 2.Licensed prescribing practitioner name, telephone number, and signature; 3.Date authorized; 4.Name of medication and dosage; 5.Time of day medication is to be given; 6.Route of medication; 7.Length of time the medication is to be given; 8.Reason for medication (unless this information needs to remain confidential); 9.Side effects or reactions to watch for; and 10.Special instructions.

Reviewed health care plans and medications provided for children in care and identified 1 child with a health care plan indicating an emergency medication name and emergency medication provided for child located at the facility was not the named medication on the health care plan. Observed 1 child lacking spacer identified on health care plan to be used with emergency medication. Correction: Immediately ensure all children's written orders for medication contains: child's name, licensed prescribing practitioner name, telephone number, and signature, date authorized, name of medication and dosage, time of day medication is to be given, route of medication, length of time the medication is to be given, reason for medication (unless this information needs to remain confidential), side effects or reactions to watch for and any special instructions. Immediately ensure program has all items indicated on individual health care plans for children in care. Correct by 09/23/2025

Corrected Corrected by Sep 23, 2025

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