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

In the Toddler 2 classroom under the changing table, observed an open cabinet containing 6 containers of "Destin" rash cream. These items were accessible to children. Correction: All items labeled "Keep out of reach" must be inaccessible to children. Corrected at time of visit- Staff locked cabinet, making items inaccessible to children 12/13/2024. No response required. Correct by 12/13/2024

Corrected Corrected by Dec 13, 2024

Marked corrected in the state record.

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.

In classroom Preschool 3, observed 1 ECT to be working with 11 children ages 3-4. The Staff to child ratio for this age range is 1:10. Correction: Required staff to child ratios must be adhered to at all times. Corrected at time of visit-staff moved 4 year old child over to the Pre-k room making all classrooms within proper ratio. Respond with a plan for ongoing compliance to specialist by 6/13/24. Correct by 06/06/2024

Corrected Corrected by Jun 6, 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 6 staff files and observed ECTs Quiana (DOH: 8/20/18) and Christine's (2/18/99) files to be missing a current TRAILS clearance letter. Correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification (via email) that ECTs Quiana and Christine has reviewed the powerpoint within 24 hours. Correct immediately and submit documentation of TRAILS clearance letter for Quiana and Christine with written response to Specialist by 2/24/24. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

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

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 4 child files and observed CH1's file to be missing current health statement. Correction: Obtain current health statement for all children enrolled in accordance with the American Academy of Pediatrics guidelines within 30 days of admission. Correct and respond with statement of compliance by 2/24/24. Correct by 02/24/2024

Corrected Corrected by Feb 24, 2024

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

2.237.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

In Preschool 4 classroom, observed the following to be accessible to children, posing a potential safety/strangulation hazard: - A cord from the wall to the plant light to be loose and longer than 18 inches; and, - Fairy lights (approximately 6 feet) to be hanging loosely across the hooks underneath the classroom cubbies. In unsecured storage cabinet in School-Age hallway used to access the other classrooms, observed an orange extension cord (approximately 20 feet long). Correction: Keep all hazardous items inaccessible to children at all times. **Corrected at time of visit- Director stored items inaccessible to children on 1/24/24.** No response required. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

Category: physical safety. 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.

In Preschool 4 classroom, observed a doorbell alert plug-in to have a non-safety and uncovered outlet; this item was accessible to children, posing a potential safety hazard. Correction: Keep all non-safety outlets covered and/or inaccessible to children at all times. **Corrected at time of visit- staff removed item and stored it inaccessible to children on 1/24/24.** No response required. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

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