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 the Toddler 2 classroom, observed the top outlet next to the entrance to be uncovered and accessible to children. Correction: In rooms used by children, all electrical outlets that are accessible to children must have protective covers or

Open Not marked corrected in the state record

Open / not marked corrected.

2.216.B.2.b · The infant program supervisor or an infant early childhood teacher must be assigned to each group of ten (10) or fewer infants in attendance. An infant program staff aide may be assigned to assist the infant program supervisor or the infant early childhood teacher when six (6) through ten (10) infants are in care in the group to maintain the staff ratio of one (1) adult for each five (5) infants.

During walk-through of Infant 2 classroom, observed Alora and Kalli to be working alone with 5 children. Reviewed 14 staff files and observed neither Alora nor Kalli to be ECT qualified. Correction: A qualified ECT or Infant program supervisor must be assigned to each group of ten or fewer infants in

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.127.D · All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

Missing capacity posting in the gym and toddlers 1 classroom. Correction: Post ratio and capacity in all classrooms used for the care of children. Corrected at the time of visit: Staff posted capacity and staff-to-child ratio in gym and Toddler 1 on 1/19/24. No response required. Correct by 01/19/2024

Corrected Corrected by Jan 19, 2024

Category: ratio. 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.

Observed drill log and identified that fire drills were completed on 3/31/23, 4/21/23, and 5/1/23, and Tornado drills were completed on 5/10/23 and 8/31/23. No other drills were completed in 2023. Correction: Fire drills must be completed monthly. Tornado drills must be completed monthly from March to October. Other drills must be completed quarterly so that all drill types are practiced annually. Correct immediately and respond with a plan for ongoing compliance by 2/19/24. Correct by 01/19/2024

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. 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

Reviewed 5 child files, observed ch4's file to be missing current health statement completed by a health care provider. Correction: All child files must have a copy of the child's health statement completed by a health care provider in accordance with the American Academy of Pediatrics guidelines. Correct and respond with a statement of compliance by 2/19/24. Correct by 02/19/2024

Corrected Corrected by Feb 19, 2024

Category: health medication. 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 14 staff files and observed ECT Alora file to be missing documentation of 15 hours of ongoing professional development training annually. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All staff who work with children must complete a minimum of 15 clock hours of ongoing professional development training each year, including 3 hours focusing on social-emotional development. Correct and respond with plan for ongoing compliance by 2/19/24. Correct by 01/19/2024

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. Marked corrected in the state record.

2.127.C · At all times during the operating hours of a family child care home, child care center, preschool, school-age child care center, children’s resident camp and Neighborhood Youth Organization, the facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Early Childhood, including the telephone number and mailing address.

Missing posting of complaint procedure in prominent and conspicuous location. Correction: Post complaint procedure in prominent and conspicuous location. Corrected at time of visit: Staff posted compliant procedure in a prominent and conspicuous location on 1/19/24. No response required. Correct by 01/19/2024

Corrected Corrected by Jan 19, 2024

Marked corrected in the state record.

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

Inside bathroom of Toddler 2 classroom, observed the following items to be accessible to children and labeled "keep out of reach of children", posing a potential safety hazard: approximately 10 containers of diaper rash cream including "Boudreaux's Butt Paste" and approximately 5 packages of varying brands of baby wipes. Correction: Keep all hazardous items and items labeled 'Keep out of reach of children' inaccessible to children at all times. Corrected at time of visit: Staff stored items inaccessible to children on 1/19/24. No response required. Correct by 01/19/2024

Corrected Corrected by Jan 19, 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.

On the "big" playground, observed a structure with 3 slides. The tallest slide had a gap of approximately 1 inch between the standing platform and slide, posing a potential safety hazard. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All outdoor equipment must be sturdy, safe and free from hazards at all times. Correct immediately and respond with a plan for ongoing compliance by 2/19/24. Correct by 01/19/2024

Corrected Corrected by Jan 19, 2024

Category: physical safety. 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.

Observed loose cords longer than 18" to be accesible to children, posing a potentail safety hazard in the following locations: - Preschool room: blue stereo on staff desk - Jr. Pre school classroom: long white electrical cord next the coat shelves and changing table; refridgerator cord in the front of classroom; and 2 loose electrical cords at the back of the classroom under the black table. Correction: Keep all hazardous items inaccessible to children at all times. Corrected at time of visit- Hazardous items were stored inaccessible to children on 1/19/24. No response required. Correct by 01/19/2024

Corrected Corrected by Jan 19, 2024

Category: physical safety. 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.

Identified through Director Sonya's statement that she (Sonya), Nabila, and Samantha are responsible for the collection, review, and maintenance of child immunization records. Reviewed 14 staff files and observed Sonya and Samantha's files to be missing current documentation of completion of CDPHE immunizations training. Correction: Obtain current documentation of completion of CDPHE immunizations training for all staff responsible for the collection, review, and maintenance of child immunization records. Correct immediately and respond with verification of compliance by 2/19/24. Correct by 01/19/2024

Corrected Corrected by Jan 19, 2024

Category: health medication. 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 14 staff files and observed Alora's file (DOH: 2/7/23) to be missing current health statement. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain current health statement for all staff within 30 days from date of hire or the annual health self-reporting form, as applicable. Correct and respond with statement of compliance by 2/19/24. Correct by 02/19/2024

Corrected Corrected by Feb 19, 2024

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