2.219.B.1 · 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, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 1 child file and identified it lacking immunization record on CDPHE approved form. Correction: Immediately ensure child files have documentation of school required immunizations on the Colorado Department of Public Health and Environment Certificate of Immunization or an approved alternate Certificate of Immunization. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

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 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 1 child file and identified child with expired health statement. Correction: Ensure 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 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. Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

Category: ratio. Marked corrected in the state record.

2.217.A.2 · For full day programs, during times of low attendance and/or during the first and last hour of the day, when only eight (8) or fewer children are present in the facility, there must be at least one (1) early childhood teacher or assistant early childhood teacher working with the children and a second staff member must be on site and immediately available. There must be no more than two (2) children less than the age of two (2) present. When nine (9) or more children are in attendance, at least two (2) staff members must be on duty.

Melissa alone with 5 children at the time of arrival (approximately 10:50am) and second staff person did not arrive onsite until approximately 15 minutes after Licensing Specialist. Correction: Immediately ensure during times of low attendance and/or during the first and last hour of the day, when only eight (8) or fewer children are present in the facility, there must be at least one (1) early childhood teacher or assistant

Open Not marked corrected in the state record

Open / not marked corrected.

2.230.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.

Approximately 1-3" resilient surface in some areas of use zone under swing bay and permanent climbing structure with slide on playground. Correction: Immediately ensure that all climbing equipment over 18 inches has a department approved resilient surfacing of at least 6 inches. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: physical safety. 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.

Reviewed daily transition log and identified it was not completed when group of 5 children and Director went to the playground at the time of visit. Correction: Immediately ensure that the program maintains documentation of written attendance verifications including during transitions. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. Marked corrected in the state record.

2.229.M · Toys, toy parts, furnishings, equipment, and materials made of brittle, easily breakable plastic or glass are not permitted for children less than five (5) years of age.

1 picture frame in the preschool cubby area and 1 picture frame in preschool classroom, and several glass vases and ceramic items in main hallway leading from classroom to playground. All items made of easily breakable materials and accessible to children less than 5 years of age. Correction: Immediately ensure that all toys, toy parts, furnishings, equipment, and materials made of brittle, easily

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

Magnetic number on cabinet and several dot markers with small caps on table in Art/Snack preschool classroom and several glass beads on table in main hallway accessible to child less than 3 years of age and small enough to fit in choke tube, posing potential choking hazards. Correction: Immediately ensure that all toys, toy parts, furnishings and equipment that is accessible to children less than 3 years of age is large enough to not be a choke hazard or able to be swallowed. Violation partly corrected at the time of visit. Magnetic number and dot markers were removed from areas accessible to child less than 3 years of age. Document complete corrections in written response. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: physical safety. 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 toy wooden trains and ripped/torn areas of tape around train table in preschool classroom. Observed areas of exposed weed matting and broken table with sharp metal piece on preschool playground. All areas accessible to children and posing potential safety hazards. 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. Broken table on preschool playground was removed from area accessible to children. Document complete corrections in written response. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 2 staff files and identified both with expired self-reported annual health history. Correction: Ensure 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. Corrected at the time of visit. Both staff completed annual self-reported health history. NO RESPONSE REQUIRED. Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

Category: health medication. 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 3 staff files and identified 2 staff (Melissa and Nick) both lacking TRAILS background check clearance letter completed in 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 staff members Melissa and Nick have reviewed the powerpoint within 24 hours. Submit documentation of updated TRAILS clearance letter for staff members Melissa and Nick with written response to Specialist. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

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

2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times.

Reviewed 3 staff files and identified that there is no one who holds current medication delegation. Correction: Immediately ensure at least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times. Submit verification of medication delegation from current CCHC and document correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Category: ratio. 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.

Reviewed 3 staff files and identified 2 staff (Melissa and Nick) both lacking FBI background check clearance FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ letter completed in 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 staff members Melissa and Nick have reviewed the powerpoint within 24 hours. Submit documentation of updated FBI clearance letter for staff members Melissa and Nick with written response to Specialist. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

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

2.121.D · Each owner and employee sixteen (16) years of age or older of a facility or agency shall complete the fingerprint process at an approved vendor. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed 3 staff files and identified copy of CBI clearance letter for Nick was not maintained in staff file or available for review at the time of inspection. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Nick has reviewed the powerpoint within 24 hours. Submit documentation of CBI clearance letter for Nick with written response to Specialist. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Category: background checks. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Director (Melissa) was alone with group of 8 children upon arrival. Reviewed staff file and identified Melissa lacking documentation of current Department-approved First Aid and CPR Certification for all children. Correction: Immediately ensure 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. Violation corrected at the time of visit. Nick and Julie both arrived who hold current First Aid and CPR certifications. Submit copy of First and and CPR certification for Melissa and document correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Category: ratio. Marked corrected in the state record.

2.217.A.2 · For full day programs, during times of low attendance and/or during the first and last hour of the day, when only eight (8) or fewer children are present in the facility, there must be at least one (1) early childhood teacher or assistant early childhood teacher working with the children and a second staff member must be on site and immediately available. There must be no more than two (2) children less than the age of two (2) present. When nine (9) or more children are in attendance, at least two (2) staff members must be on duty.

Director (Melissa) was alone with group of 8 children upon arrival and a second staff member was not immediately available. Correction: Immediately ensure for full day programs, during times of low attendance and/or during the first and last hour of the day, when only eight (8) or fewer children are present in the facility, there must be at least one (1) early childhood teacher or assistant early childhood teacher working with the children and a second staff member must be on site and immediately available. Corrected at the time of visit. Melissa called both Nick and Julie who both arrived in approximately 5 minutes. Document plan of compliance in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Marked corrected in the state record.

2.205.D · Any center having a director assigned to a classroom must have qualified and adequate staff, allowing the director or qualified staff the ability to attend to the duties of a director as they arise.

Director (Melissa) was alone with group of 8 children upon arrival and no additional staff present to assist with duties as they arise. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure any center having a director assigned to a classroom must have qualified and adequate staff, allowing the director or qualified staff the ability to attend to the duties of a director as they arise. Document correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Marked corrected in the state record.

2.207.E · A written policy regarding visitors to the center must be posted and a record maintained daily by the center that includes at a minimum the date, time, visitor's name, and the purpose of the visit. At least one (1) piece of identification must be inspected for individuals who are unknown to personnel at the center.

Visitor log was full at the time of visit and facililty lacking space provided for individuals to list their name, date, time and purpose of visit. Correction: Immediately ensure a visitor log is available for individuals visiting the facility to provide all required information upon arrival. Document correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.230.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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Approximately 4" resilient material under swing bay and 0-1" resilient material at the base of preschool slide of climbing structure over 18" in height. Correction: Immediately make equipment inaccessible to children until at least 6" resilient material is maintained throughout use zone. Document correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

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

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

Areas of exposed weed matting on the prescool playground posing potential tripping hazards. Observed metal footing of preschool playground structure protruding up through resilient material (near the stairs) within the 6' use zone and posing potential safety hazard.Observed several wooden shelves to have ares of chipping paint/splintering wood in the preschool classroom, posing potential safety hazards. Correction: Immediately ensure indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Document corrections in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

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

2.208.A.1 · The following records must be on file at the center: Records of enrollment, daily attendance for each child, and daily record of the time the child arrives at and departs from the center;

Identified and observed that written verification of attendance during transitions are not being documented throughout the day or maintained as part of the children's records on file at the center. Correction: Immediately ensure attendance records for each child are on file at the center. Document correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.216.E · An assistant early childhood teacher, assigned responsibility for a single group of children during times specified in rule section 2.217, must meet one (1) of the following qualifications:

Julie was identifiedas an Assistant Early Childhood Teacher at the time of visit. Reviewed staff file and identified it lacking verification of qualifications. Correction: Immediately ensure all staff have verification of qualifications for assigned positions. Submit qualifications for Julie and document correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be 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 3 staff files and identified 2 staff (Melissa and Nick) lacking verification of current abuse reporter training that has been renewed annually. Correction: Immediately ensure all employees and regular volunteers must be 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. Violation partly corrected on 3/25/24. Licensing Specialist verified completed abuse reporter training for Nick with date completed 3/25/24. Document complete correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.M · All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development.

Reviewed 3 staff files and identified all lacking verification of at least 15-hours annual training with 3 clock hours in social-emotional development. Correction: Ensure all staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development. Document correction in written response. Correct by 04/21/2024

Corrected Corrected by Apr 21, 2024

Category: recordkeeping. Marked corrected in the state record.

2.209.A.8 · 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:Written authorization, obtained in advance of the event from a parent/guardian, for a child to participate in field trips or special activities, whether scheduled or unscheduled, whether walking or riding in an approved vehicle;

Reviewed 4 child files and identified 1 child lacking field trip authorization. Correction: Immediately ensure all children have current admission records, including field trip authorization. Document correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Category: transportation. Marked corrected in the state record.

2.122.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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 and identified most recent report noted "approval pending." Correction: Immediately ensure facility obtains approving health inspection. Submit copy of health inspection and document correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

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 past 12 months of emergency drills and identified facility lacking documentation of fire drill held in February 2024. 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 03/22/2024

Corrected Corrected by Mar 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.137.A · All child care providers must have a written plan for continuity of operations in the aftermath of an emergency or disaster. Components of the plan must include:

Reviewed parent handbook and identfied it lacking a plan for continuity of operations after an emergency or disaster. Correction: Immediately ensure a written plan is developed for continuity of operations in the aftermath of an emergency or

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 and observed that written verification of transitions are not being documented throughout the day. Correction: Immediately ensure 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. Document correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 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 staff are not signing in and out of the classroom when they enter and leave, resulting in facility lacking accurate staffing patterns. Correction: Immediately ensure facility maintains accurate staffing pattern. Document correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ outdoors. If the child will be outside for more than one (1) hour, sunscreen must be reapplied every two (2) hours.

Identified through Director statement that parent/guardian will apply sunscreen to child(ren) before they arrive and observed program lacking mechanism for documenting application times. 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. 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. Document correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

Marked corrected in the state record.

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 4 child files and identified 1 child lacking authorization for emergency medical care signed and dated by the parent/guardian. Correction: Immediately ensure all children have current admission record that includes 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. Document correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

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

2.206.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Facility did not follow several policies outlined in the parent handbook. Upon arrival Melissa was alone at the facility with group of 8 children and lacking verification of current first aid and CPR certification. Observed facility did not document transitions in writing at the time of inspection. Reviewed parent handbook and identified it stated: "We also do a roll-call with name-to-face recognition check list to be sure the child is there. The name-to-face recognition checklist is also used during times of transition throughout the day"; and, "All staff members at Sunrise are trained in First Aid and CPR." Reviewed 4 child files and identified 1 child lacking annual policy authorization signed by parent/guardian. Correction: Immediately ensure policies outlined in the parent handbook are followed by facility and at the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures. Document correction in written response. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

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 4 child files and identified 1 child lacking current medical statement and 1 child with an expired medical statement. Correction: Ensure 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 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. Document correction in written response. Correct by 04/21/2024

Corrected Corrected by Apr 21, 2024

Category: ratio. Marked corrected in the state record.

2.217.C.5 · For the Department-approved Child Care Health Consultant, the center must maintain documentation from the Colorado Department of Regulatory Agencies that the Registered Nurse or the Medical Doctor’s licensure is in good standing.

Identified through staff statement that the CCHC recently changed and reviewed Child Care Health Consultant (CCHC) documentation available at the time of visit and identified facility lacking verification of current licensure in good standing. Correction: Ensure documentation from the Colorado Medical Board or Colorado State Board of Nursing that the physician’s or registered nurse’s licensure is active and in good standing is maintained at facility. Document correction in written response. Correct by 04/21/2024

Corrected Corrected by Apr 21, 2024

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

2.217.C.6 · For the Department-approved child care health consultant, the center must maintain documentation of a brief biography highlighting applicable knowledge, experience, and approximate dates worked as a school nurse or child care health consultant.

Identified through staff statement that the CCHC recently changed and reviewed Child Care Health Consultant (CCHC) documentation available at the time of visit and identified facility lacking documentation of CCHC FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ biography. Correction: Ensure documentation for the Department-approved child care health consultant, the center must maintain documentation of a brief biography highlighting applicable knowledge, experience, and approximate dates worked as a school nurse or child care health consultant. Document correction in written response. Correct by 04/21/2024

Corrected Corrected by Apr 21, 2024

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

2.213.N · 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 3 staff files and identified all lacking verification of immunization training. Correction: Immediately ensure 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. Corrected on 3/25/24. Licensing Specialist verified completed immunization training on Melissa's PDIS transcript with date completed 3/25/24. NO RESPONSE REQUIRED. Correct by 03/22/2024

Corrected Corrected by Mar 22, 2024

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