2.218.D · If the parent(s)/guardian(s) agree(s) that the center should care for a child in the infant program who FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ is eighteen (18) months or older, the center must have on file a written statement from a health care provider confirming that care for the child is appropriate in the infant program.

Identified through discussion with infant staff, one child currently enrolled in the infant classroom is 18 months old. Observed no evidence of a statement from a health care provider confirming that care for this child is appropriate in the infant program. Correction: Immediately ensure if the parent/guardian agrees the center should care for a child in the infant program who is eighteen months or older, the center has on file a written statement from a health care provider confirming that care for the child is appropriate in the infant program. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 04/29/2024

Corrected Corrected by Apr 29, 2024

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

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

Several colorful magnets, which fit inside a choke tube, on a dry erase board on the wall outside of the Toddler classroom main entryway. Correction: Immediately ensure any materials accessible to children under three years of age are not choke hazards. Corrected at the time of inspection when the Staff Development Coordinator placed these choke hazards in an area inaccessible to children. Correct by 04/29/2024

Corrected Corrected by Apr 29, 2024

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

7.702.71.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

Ten toddlers on the "Sandbox" playground. Observed a small rock and a small piece of chalk on this playground. Observed three small shells in a basket on a low wooden shelf in the Brave Badgers Preschool classroom. Identified there were three children under the age of 3 years old in the Brave Badgers classroom today. These choke hazards fit inside a choke tube and were accessible to children. Correction: Corrected at the time of the inspection when S.G. moved these hazards to an area inaccessible to children. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.702.5.E · If the parent(s)/guardian(s) agree(s) that the center should care for a child in the toddler program who is twelve (12) months old but not walking independently, or is over thirty-six (36) months old, the center must have on file a written statement from a health care provider confirming that care for the child is appropriate in the toddler program.

One child in the Waddler (Toddler) classroom not walking independently. Identified through discussion with S.G. and M.O. the program does not have on file a written statement from a health care provider confirming that care for the child is appropriate in the toddler program. Correction: Immediately obtain and maintain documentation in child's file. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.702.42.M · 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 N.P. collects, reviews and maintains children's immunization records. Observed N.P.'s immunization course expired on 2/4/23. Observed no evidence of N.P. renewing this training annually. Correction: Immediately obtain and maintain documentation of training completion in personnel file. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.702.41.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.

Y.M.'s hire date was 6/12/23, and D.D.'s hire date was 6/5/23. Observed no evidence of a medical statement signed and dated by a health care provider in Y.M.'s and D.D.'s files. Correction: Obtain and maintain documentation in personnel files. Correct by 09/30/2023

Corrected Corrected by Sep 30, 2023

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

7.702.72.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

A hole in the artificial turf on the "Sandbox" playground, where a tree used to be. This hole measured approximately 3 feet wide, and the tree stump is in the middle of the hole with a small branch sticking out from it. Observed several deteriorated sections of the poured in place rubber within the use zone of permanently installed structure on the "Big Playground". These could be potential hazards. Correction: Immediately ensure hazardous, high-risk areas are inaccessible to children at all times. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.702.72.C.2.a · The maximum height for toddler climbing equipment cannot exceed thirty-two (32) inches.

A few toddler aged children utilizing the permanently installed playground structure and climbing the blue spider net climber on the "Sandbox" Playground. Licensing Specialist measured two sections of the structure children accessed. The platform of one section measured 38 inches in height, whereas the other platform measured 51 inches in height. The highest point to climb on the spider net measured 43 inches in height. Correction: Immediately ensure the maximum height for toddler climbing equipment cannot exceed 32 inches. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.702.72.A · A variety of play equipment and materials appropriate for children's age, size, developmental needs, and activities must be provided for both indoor and outdoor structured and free play.

Toddlers accessing the blue spider net climber and the large permanently installed play structure on the "Sandbox" Playground. Observed no evidence this equipment is manufactured for toddlers. Correction: Immediately ensure equipment is appropriate for children's age, size, developmental needs and activities provided for both indoor and outdoor structured and free play. Notify Licensing Specialist in writing on how future compliance is maintained. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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