Castle Rock Adventure Club

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 11 staff member files, 2 files lacking documentation of FBI clearance letter within the last 5 years. Correction: Immediately review all staff member files and ensure that all have an FBI clearance letter within the last 5 years. Submit statement of compliance and copy of clearance letters for staff members needing them. Correct by 02/11/2026

Corrected by Feb 11, 2026

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2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

Facility lacking documentation of current, approved fire inspection. Correction: Immediately obtain documentation of current, approved fire inspection. Submit statement of compliance and

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2.213.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed 11 staff member files, 1 staff member not having First Aid/CPR certification is lacking documentation of Introduction to First Aid and CPR module. Correction: Immediately review all staff member files and ensure that staff not having First Aid/CPR certification have documentation of Introduction to First Aid and CPR module. Submit statement of compliance. Correct by 02/11/2026

Corrected by Feb 11, 2026

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

Bleach water in an unlatched drawer in Preschool 4 classroom accessible to children. Correction: Immediately ensure that items labeled "keep out of reach of children" are inaccessible to children at all times. **Corrected at the time of visit. No response required. Correct by 02/11/2026

Corrected by Feb 11, 2026

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2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

In areas of the use zone around climbing equipment the resilient surfacing is compacted and not six inches deep. Correction: Immediately ensure that there is sufficient resilient surfacing in the use zone of the climbing structure prior to use. Submit statement of compliance. Correct by 02/11/2026

Corrected by Feb 11, 2026

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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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 5 child files, 3 files lacking documentation of current health statements. Correction: Review all child files and ensure that all have documentation of current health statements. Submit statement of compliance. Correct by 03/11/2026

Corrected by Mar 11, 2026

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2.218.C.5 · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider, parent(s)/guardian(s) and must include, but not be limited to, the following:

One medication authorization lacking a signature from the health care provider. Correction: Immediately ensure that all medication authorizations have a signature from the health care provider. Submit statement of compliance. Correct by 02/11/2026

Corrected by Feb 11, 2026

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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 4 child files and found 4 children to have expired health statements. Correction: All children must have current health statements within 30 days of enrollment and 30 days of expiration. Correct and respond with statement of compliance. Correct by 04/10/2025

Corrected by Apr 10, 2025

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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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ letter.

Reviewed 7 staff files and found Megan M to have an expired TRAILS clearance letter. Correction: TRAILS clearance letters must be renewed every 5 years. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Megan M has reviewed the powerpoint within 24 hours. Submit documentation of updated TRAILS Clearance Letter for Megan M with written response to the Specialist. Correct by 03/10/2025

Corrected by Mar 10, 2025

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2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 7 staff files and found Megan M to have an expired FBI clearance letter. Correction: FBI clearance letters must be updated every 5 years. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Megan M has reviewed the powerpoint within 24 hours. Submit documentation of updated FBI Clearance Letter for Megan M with written response to the Specialist. Correct by 03/10/2025

Corrected by Mar 10, 2025

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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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 7 staff files and found Nicole M to be missing documentation of their CBI clearance letter. Correction: CBI letters must be available for review. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Nicole M have reviewed the powerpoint within 24 hours. Submit documentation of CBI Clearance Letter for Nicole M with written response to the Specialist. Correct by 03/10/2025

Corrected by Mar 10, 2025

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