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 6 child files, observed ch2 and ch6's files to be missing a current authorization for emergency medical care. Correction: All child files must include a dated, written authorization for emergency medical care signed and updated annually by the parents/gaurdians. Correct immediately and respond with verification of compliance by 2/9/2025. Correct by 01/09/2025

Corrected Corrected by Jan 9, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 10 staff files, observed ECT Elicia's (DOH 10/24/24) file to be missing a current health statement dated no more than 6 months prior to employment. Correction: All staff must submit 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. Correct within 30 days and respond with verification of compliance by 2/9/2025. Correct by 02/09/2025

Corrected Corrected by Feb 9, 2025

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

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

In the lambs classroom, observed 1 bottle of "equate" hand soap and 1 package of "Parent's choice" wipes to be accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children at all times. Corrected at time of visit-staff stored items inaccessible to children 2/8/24. No response required. Correct by 02/08/2024

Corrected Corrected by Feb 8, 2024

Marked corrected in the state record.

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 and ratio posting in th gym, cafeteria, and library Correction: Ratio and capacity must be posted in every room of the child care facility. Corrected at time of visit-staff posted the ratio and capacity in licensed classrooms 2/8/24. No response required. Correct by 02/08/2024

Corrected Corrected by Feb 8, 2024

Category: ratio. Marked corrected in the state record.