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 were not labeled with both the child's first and last name. Correction: Immediately ensure when supplied for an individual child, the sunscreen is labeled with the child's first and last name. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

Marked corrected in the state record.

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

Identified through staff statement that written attendance verification of transitions is not being documented. Correction: Immediately ensure staff complete written attendance verification during transitions and record of documented transitions is maintained with children's daily attendance records. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. Marked corrected in the state record.

2.208.A.2 · The following records must be on file at the center: A list of current staff members, substitutes, and staffing patterns;

Identified through staff statement that teachers are not signing in and out of the classroom when they arrive and leave the group and lacking record of accurate staffing pattern. Correction: Immediately ensure record is maintained at the facility that includes accurate staffing patterns. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. Marked corrected in the state record.

2.218.C.5 · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider, parent(s)/guardian(s) and must include, but not be limited to, the following:

Reviewed individual health care plan for child in care and identified it had not been updated by health care provider within the past 12 months. Correction: Immediately ensure individual health care plans for children in care are updated at least every twelve (12) months from the date of the initial plan and as changes occur. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

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

2.213.E · For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member on duty who holds a current Department-approved first aid and safety certificate, including cardiopulmonary resuscitation (CPR) for all ages of children, and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location.

Group of children and 2 staff (Sydney W. & Emily O.) were on walking field trip at the time of inspection. Reviewed 4 staff files and identified only Emily L. holds current department-approved First Aid and CPR certification and was not with group of children. Correction: Immediately ensure there must be at least one (1) staff member on duty who holds a current Department-approved first aid and safety certificate, including cardiopulmonary resuscitation (CPR) for all ages of children, and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

Category: ratio. Marked corrected in the state record.

2.209.A.5 · 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: Name, address, and telephone numbers of the child's health care provider, dentist, and if applicable, their hospital of choice.

Reviewed 2 child files and identified enrollment record lacking space provided to include dentist of choice (name, address and phone number) and lacking space provided to include address of hospital and health care provider. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure admission records include space provided for parent/guardian to include: Name, address, and telephone numbers of the child's health care provider, dentist, and hospital of choice. This record must be updated annually and when changes occur. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

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

2.221.B.1 · 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. 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 (1) hour, sunscreen must be reapplied every two (2) hours.

Identified through staff statement that parents will apply sunscreen to children when dropping off, however facility does not have a mechanism for documenting application times. Correction: Immediately ensure when 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. 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 (1) hour, sunscreen must be reapplied every two (2) hours. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

Marked corrected in the state record.

2.206.B.7 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: 7. The procedure for identifying where children are at all times including times of transition;

Reviewed 2024 parent handbook and identified it lacking procedure for identifying where children are at all times, including times of transition. Correction: Immediately ensure the handbook is updated to include the procedure for identifying where children are at all times including times of transition. Submit copy of updated parent handbook and document correction in written response. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

Marked corrected in the state record.

2.212.K · Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules.

Reviewed 4 staff files and idenfieid all lacking signed statement that they have read and been instructed about current licensing rules governing child care centers within 30 days of employment and/or rule changes. Correction: Ensure within 30 days of hire and/or rule changes all staff must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules. Violation corrected. All staff signed a statement indicating they have read and understand the licensing rules, verified by licensing specialist on 9/5/24. NO RESPONSE REQUIRED. Correct by 10/04/2024

Corrected Corrected by Oct 4, 2024

Marked corrected in the state record.

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

Several containers of sunscreen labeled "keep out of reach of children" and placed on mid-level visitor sign-in table and on mid-level counter in preschool classroom at the time of inspection and accessible to children. Correction: Immediately ensure items labeled "keep out of reach of children" are inaccessible to children. Corrected at the time of visit. Staff moved sunscreen containers to higher area out of children's reach. NO RESPONSE REQUIRED. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

Marked corrected in the state record.

2.212.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 4 staff files and identified 3 staff (Emily L., Lindsay G. & Sydney W.) lacking annual self-reported health history. Correction: Ensure all staff submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually. Corrected at the time of visit. All staff missing subsequent self-reported health history completed update on 9/4/24. NO RESPONSE REQUIRED. Correct by 10/04/2024

Corrected Corrected by Oct 4, 2024

Category: health medication. 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.

Uncovered outlets on power strip accessible to children in the preschool classroom. Correction: Immediately ensure all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed. Corrected at the time of visit. Protective covers were placed on uncovered outlets. NO RESPONSE REQUIRED. Correct by 09/04/2024

Corrected Corrected by Sep 4, 2024

Marked corrected in the state record.

7.702.41.L · If volunteers are used by the center, there must be a clearly established policy regarding their function, orientation, and supervision. See also Section 7.702.44 A-E.

Volunteer being used by the program to help cook lunch and identified through review of parent handbook and staff statement that there is not a volunteer policy established related to orientation, function and supervision. Correction: Immediately ensure if volunteers are used by the center there must be a clearly established policy related to their orientation, function and supervision. Document correction in written response. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

Category: supervision. Marked corrected in the state record.

7.702.42.A · All staff must complete a pre-service Building and Physical Premises Safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 4 staff files and identified 2 staff lacking verification of building and physical premises safety training prior to working with children. Correction: Immediately ensure all staff complete building and physical premises safety training prior to working with children and verification is maintained in staff files. Document correction in written response. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.71.C · Items labeled “keep out of reach of children” must be inaccessible to children.

Several packages flushable wipes on the back of toilet in classroom; several packages of flushable wipes, hair spray, and lotion in unlocked bathroom on lower shelf; and several containers of sunscreen on sign-in table in main hallway. All items labeled "keep out of reach of children" and accessible to children. Correction: Immediately ensure all items labeled "keep out of reach of children" are inaccessible to children. Corrected at the time of visit. All items labeled keep out of reach of children were moved areas inaccessible to children (main office, top of cubbies). Document plan of compliance in written response. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

Marked corrected in the state record.

7.702.72.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

Green and blue portable climber with fall height of approximately 3', placed on astroturf and facility lacking verification surfacing meets federal safety standards for resilient surfacing. Correction: Immediately ensure all climbing equipment over 18" must have resilient surfacing of at least 6" in the use zone surrounding the equipment. Document correction in written response. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

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

7.702.84.A.1 · If the office space is accessible to children, it must be free of hazards.

Main office was open and unlocked at the time of arrival containing adult scissors and staff bags, posing potential safety hazards. Correction: Immediately ensure if the office space is accessible to children it must be free of hazards. Corrected at the time of visit. Office was closed and occupied. Document plan of compliance in written response. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

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

7.702.72.C.3.c · Preschool and school-age climbing equipment must have a six (6) foot use zone surrounding the equipment. For slides exceeding six (6) feet in height, the use zone from the base of the slide must be as long as the slide height.

Green and blue portable climber with fall height of approximately 3' lacking 6' use zone on the preschool playground. Correction: Immediately ensure all preschool climbing equipment has at least a 6' use zone surrounding the equipment. Document correction in written response. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

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

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.

Emergeny drill log was not made available for review at the time of inspection. Correction: Immediately ensure a record of drills over the past 12 months is maintained by the center and available for review upon request. Violation corrected on 9/7/23. Emergency drill logs for the past 12 months were verified by Licensing Specialist on 9/7/23. Document plan of compliance in written response. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.M · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Reviewed 4 staff files and identified all lacking verification of immunization training maintained in staff files. Correction: Ensure all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course within 30 days of hire and renew annually. Document correction in written response. Correct by 10/06/2023

Corrected Corrected by Oct 6, 2023

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

7.702.51.A.2.a · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or Certificate of Medical or Nonmedical Exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the Colorado Department of Public Health and Environment Certificate of Immunization or on an "approved alternate" Certificate of Immunization. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 3 child files and identified 1 lacking certificate of immunization status or exemption and 1 with certificate of immunization on non-approved form. Correction: Immediately ensure at the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or Certificate of Medical or Nonmedical Exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment Certificate of Immunization or on an "approved alternate" Certificate of Immunization. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission. Document correction in written response. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

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

7.702.91.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

Kitchen was left open and unlocked at the time of visit, posing potential safety hazard. Correction: Immediately ensure kitchens, including all hazardous items, are stored inaccessible to children. Kitchen was closed and locked at the time of visit. Document plan of compliance in written response. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

Category: physical safety. 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 4 staff files and identified 2 staff with expired standard precautions training. Correction: Immediately ensure all staff complete Department-approved standard precautions training prior to working with children and renewal annually, including annual review of exposure control plan. Document correction in written response. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Reviewed 4 staff files and identified 2 with expired abuse reporter training. Correction: Immediately ensure all staff complete abuse reporter training within 30 days and renew annually. Document correction in written response. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 4 staff files and identified 1 staff lacking verification of Intro to Early Intervention and Preschool Special Education training within 90 days of hire. Correction: Ensure all staff complete Intro to Early Intervention and Preschool Special Education training within 90 days of hire. Document correction in written response. Correct by 10/06/2023

Corrected Corrected by Oct 6, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed 4 staff files and identified 1 staff lacking verification of Recognizing the Impact of Bias training within 90 days of hire. Correction: Ensure all staff complete Recognizing the Impact of Bias training within 90 days of hire. Document correction in written response. Correct by 10/06/2023

Corrected Corrected by Oct 6, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.34.A · . Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

Reviewed health inspection report and identified it was expired. Correction: Ensure approving health inspection report is obtained and maintained by facility. Submit copy of approving health inspection and document correction in written response. Correct by 10/06/2023

Corrected Corrected by Oct 6, 2023

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

7.701.33.D.1.b · . When an individual leaves employment, the facility must submit to CBI a completed Notification of Name Removal form to request the removal of the individual's name from their facility license number in the CBI database.

Reviewed current list of workers on license and identified through staff statement that an employee's last day was Friday, 9/1/23, and a flag removal form has not yet been submitted. Correction: Immediately ensure when an individual leaves employment, the facility must submit to the Department a completed Notification of Name Removal form to request the removal of the individual's name from their facility license number in the CBI database. Document correction in written response. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

Marked corrected in the state record.