2.120.D · The Trails child abuse and neglect records request must be made within ten (10) calendar days of the first day of employment for each employee or facility on the state-prescribed form, accompanied by the required fee.

Identified through director statement that the Trails record was not requested within 10 calendar days of first day of employment for Madison W. Correction: The Trails record must be submitted withing 10 calendar days of first day of employment. Submit documentation with written statement of compliance to specialist. Correct by 02/17/2025

Corrected Corrected by Feb 17, 2025

Category: recordkeeping. 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 8 child files and identified one child with expired parental authorization for emergency medical care. FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: L_IT_TL_E_ L_IG_H_TS_ C_H_R_IS_TI_AN_ E_A_R_LY_ L_E_AR_N_IN_G_ C_E_NLiTc_eE_nRs_e _Nu_m_b_er _: 1_5_35_69_9______ ________________________________________________ Correction: The emergency medical care authorization must be updated annually. Submit a written statement of compliance to specialist. Correct by 02/17/2025

Corrected Corrected by Feb 17, 2025

Category: health medication. 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 8 staff files and identified Madison W. (DOH 10/1/24) to be missing the CBI and FBI Clearance letters. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Madison W. has reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI Clearance Letter for Madison W. with written response to the Specialist. Correct by 02/17/2025

Corrected Corrected by Feb 17, 2025

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

2.121.D.4 · Requests for a criminal record check, other than those required per this rule section 2.121(D)(4) must be completed at an approved vendor within five (5) working days of the day that the individual begins to work at the facility or agency.

Identified through director statement that the CBI and FBI record was not requested within 5 working days of hire for Madison W. Correction: CBI and FBI record must be requested withing 5 working days of hire. Submit documentation with written

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.131.A.1 · Every application used in the State of Colorado for employment with a child care provider or facility, or for the certification of a foster home, must include the following notice to the applicant: “Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.”

Reviewed 8 staff files and identified all staff to be missing the signed perjury statement. Correction: All staff must sign the perjury statement. Submit a written statement of compliance to specialist. Correct by 02/17/2025

Corrected Corrected by Feb 17, 2025

Marked corrected in the state record.

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

Reviewed 8 staff files and identified all staff to be missing the signature that they have been trained in the fire extinguisher and fire alarm safety. Correction: All staff must sign that they have been trained. Submit a written statement of compliance to specialist. Correct by 02/17/2025

Corrected Corrected by Feb 17, 2025

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

2.120.C.1 · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following:

Reviewed 8 staff files and identified Madison W. (DOH 10/1/24) to be missing the Trails Clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Madison W. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for Madison W. with written response to the Specialist. Correct by 02/17/2025

Corrected Corrected by Feb 17, 2025

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

2.212.N · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures

Reviewed 8 staff files and identified all staff to be missing the signature that they have been trained in the medication administration policies. Correction: All staff must sign that they have been trained. Submit a written statement of compliance to specialist. Correct by 02/17/2025

Corrected Corrected by Feb 17, 2025

Category: ratio. Marked corrected in the state record.

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 8 staff files and identified all staff to be missing the required signature on the Standard Precautions certificate. Correction: The training certificate must be signed by the facilitator. Submit a written statement of complaince to specialist. Correct by 02/17/2025

Corrected Corrected by Feb 17, 2025

Category: recordkeeping. 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 8 staff files and identified Michelle K. and Lauren M. with expired child abuse prevention training. Correction: The training must be updated annually. Submit a written statement of compliance to specialist. Correct by 02/17/2025

Corrected Corrected by Feb 17, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 8 staff files and identified and identified Lauren M. with expired Shaken baby training. Lauren M. works with children under 3 years of age. FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: L_IT_TL_E_ L_IG_H_TS_ C_H_R_IS_TI_AN_ E_A_R_LY_ L_E_AR_N_IN_G_ C_E_NLiTc_eE_nRs_e _Nu_m_b_er _: 1_5_35_69_9______ ________________________________________________ Correction: The training must be updated every 2 years. Submit a written statement of compliance to specialist. Correct by 02/17/2025

Corrected Corrected by Feb 17, 2025

Category: recordkeeping. 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.

Program missing documentation of a biography for the CCHC. Correction: Program must have documentation of a biography. Submit a written statement of compliance to specialist. Correct by 03/17/2025

Corrected Corrected by Mar 17, 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 8 child files and identified all children to be missing a subsequent date on the health statement. Correction: The health statement must indicate when the next visit is required by the doctor. Submit a written statement of compliance to specialist. Correct by 03/17/2025

Corrected Corrected by Mar 17, 2025

Category: ratio. Marked corrected in the state record.