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.

Reviewed 6 child files and found 3 to be missing documentation that the families have received the policies. Correction: Obtain documentation that families have received, read, and understand the program policies. Correct immediately 1/29/2025. Correct by 01/29/2025

Corrected Corrected by Jan 29, 2025

Marked corrected in the state record.

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children. FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: B_R_IG_H_TO_N_ H_E_AD_ _ST_A_RT_ -_ A_D_AM_S_ C_O_U_NT_Y_ H_E_AD_L iSc_eT_nAsR_eT _Nu_m_b_er _: 1_5_27_67_8______ ________________________________________________

Observed in classroom C an unlocked diaper changer with cleaning supplies labeled "keep out of reach of children". Correction: All items labeled "keep out of reach of children" must be inaccessible to children at all times. Correct immediately 1/29/2025. Corrected at the time of inspection, the cabinet was locked. No response required. Correct by 01/29/2025

Corrected Corrected by Jan 29, 2025

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 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.

No documentation of a current fire inspection was available for review. Previous inspection expired 4/29/23. Correction: Obtain documentation of a current fire inspection and send a copy to specialist with written response. Correct immediately. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

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

2.220.G.1 · Emergency medications are not required to be locked but must be stored in an area inaccessible to children, and easily accessible and identifiable to staff. Emergency medications must be stored in accordance with the FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: B_R_IG_H_TO_N_ H_E_AD_ _ST_A_RT_ -_ A_D_AM_S_ C_O_U_NT_Y_ H_E_AD_L iSc_eT_nAsR_eT _Nu_m_b_er _: 1_5_27_67_8______ ________________________________________________ Department-approved child care health consultant’s recommendation.

Two Abuterol medications for children were in a locked cabinet. Staff did not know the location of the key and took approximately a minute to find it and unlock the cabinet. CCHC stated that the center's policy is that emergency medications are locked up at night and taken out in the morning. Correction: Ensure all emergency medications are easily accessible at all times. Correct immediately and send verification of compliance to specialist with written response. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

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