2.209.B.1 · The center must maintain and update annually and upon changes, a record on each child that includes: A written record of any serious accident, illness, or injury occurring during care must be retained in each child's record, with a copy provided to the parent(s)/guardian(s).

Reviewed injury and incident reports and identified that the facility failed to provide an incident report to the parent(s)/guardian(s). Correction: Immediately, the center must provide a copy of any injury report to the parent(s)/guardian(s). Submit a written statement of compliance by 7/23/2024. Correct by 07/16/2024 Stage II Licensing Concern : Staff did not follow the facility’s policies and procedures regarding positive guidance. - FOUNDED

Corrected Corrected by Jul 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.206.B · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information:

Identified through staff statements, staff members did not follow the facility's policies and procedures FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ regarding positive guidance. Correction: The policies and procedures msut be followed at all times. Submit a written statement of compliance by 7/23/2024. Correct by 07/16/2024 Stage II Licensing Concern : A child sustained an injury to the head. - FOUNDED

Corrected Corrected by Jul 16, 2024

Marked corrected in the state record.

2.223.A.3 · Staff must be awake, alert, and actively supervising all children.

Identified through staff statements, a child sustained an injury and the teachers did not witness it happen. Correction: Staff must be actively supervising children at all times. Submit a written statement of compliance by 7/23/2024. Correct by 07/16/2024 ________________________________________________ Stage II Licensing Concern : Staff have pushed a child into a chair and hit them on the head. - UNFOUNDED Stage II Licensing Concern : The chair was upside down which caused an injury to the child. - UNFOUNDED ________________________________________________

Corrected Corrected by Jul 16, 2024

Category: supervision. Marked corrected in the state record.

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

In the Blue classroom, the staff stated there were 15 children in attendance, however, there were 16. Correction: Immediately, the time a child arrives and leaves must be recorded. Submit a written statement of compliance by 7/23/2024. Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

Category: recordkeeping. Marked corrected in the state record.

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 Yellow classroom, an electrical outlet strip behind the teacher's table was missing outlet covers. Correction: Immediately, electrical outlets must have a protective cover. Submit a written statement of compliance by 7/23/2024. Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

Marked corrected in the state record.

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

In the Yellow room, cords were behind the teacher's table accessible to children, causing a potential hazard. Correction: Immediately, indoor materials must be free of hazards. Submit a written statement of compliance by 7/23/2024. Correct by 07/16/2024

Corrected Corrected by Jul 16, 2024

Category: physical safety. 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 20 staff files. Observed Abby S., working with children less than three (3) years of age, missing a Department-approved prevention of shaken baby/abusive head trauma training. Correction: Immediately, prior to working with children less than three (3) years of age, staff must complete a Department-approved prevention of shaken baby/abusive head trauma training. Submit documentation and a written statement of compliance by 4/13/2024. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

Category: recordkeeping. Marked corrected in the state record.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

In the Green classroom, a loose bag was on the circle time cart, accessible to children. Correction: Immediately, loose plastic bags must be stored in areas inaccessible to children. Corrected at the time of visit, the assistant director disposed of the plastic bag. Submit a written statement of future compliance by 4/13/2024. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

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 20 staff files. Observed Susan F., hired 7/20/2022, missing current child abuse prevention training. The most recent traning was completed on 5/10/2022. Correction: Within thirty (30) calendar days of employment, all employees must complete a Department-approved training about child abuse training. Submit documentation and a written statement of compliance by 4/13/2024. Correct by 04/13/2024

Corrected Corrected by Apr 13, 2024

Category: recordkeeping. Marked corrected in the state record.

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.

In the Orange room with children ages 3 years-4 years, the 21st child was signed in at 8:18 am. The 3rd teacher did not arrive until 8:34 am, leaving the classroom over ratio for 16 minutes. Correction: Immediately, staff to child ratios must be maintained at all times. Submit a statement of compliance by 4/13/2024. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

Category: ratio. Marked corrected in the state record.

2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

In the Orange classroom, 24 children ages 3 years to 4 years were in attendance, exceeding the max group size. Correction: Immediately, the Maximum Group Size for ages 3 years to 4 years must not exceed 20 children. Submit a statement of compliance by 4/13/2024. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

Category: ratio. Marked corrected in the state record.

2.221.C · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name.

In the Blue classroom, sunscreen tube is lacking the child's last name. Correction: Sunscreen must be labeled with the child's first and last name. Corrected at the time of visit, the teacher wrote the children's first and last name on each sunscreen. Submit a statement of future compliance by 4/13/2024. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

Marked corrected in the state record.

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

In the Green classroom, the emergency bag containing an ice pack labeled "keep out of reach of children" was accessible to children. In the Blue classroom, wipes labeled "keep out of reach of children" was observed on a low shelf and on the toilet in the bathroom, accessible to children. The mechanical room was left unlocked and cleaning sanitizer was accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Corrected at the time of visit, the assistant director placed the wipes in a cabinet, inaccessible to children. The assistant director removed the emergency bag from the classroom. Submit a written statement of future compliance by 4/13/2024. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

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 20 staff files. Observed Nuria R-B., hired 8/8/2023, and Dillon M., hired 6/13/2022, missing current medical statement, signed and dated by a physician or other heath care provider. Correction: All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider. Submit a written statement of compliance by 4/13/2024. Correct by 04/13/2024

Corrected Corrected by Apr 13, 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.

In the Yellow classroom, licensed for children 2.5 years to 18 years, thumbtacks, miniature clothespins and paperclips were on the shelf, accessible to children. Correction: Immediately, any material accessible to children under three (3) years of age must not be a choke hazard. Corrected at the time of visit, the teacher took the choke hazards and placed them in an area inaccessible to children. Submit a written statement of future compliance by 4/13/2024. Correct by 03/13/2024

Corrected Corrected by Mar 13, 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 Pre-K playground, a plant watering can had a broken piece at the top causing a potential hazard. On the wooden edges leading to the equipment, a wooden plank was split and loose, causing a potential hazard. On the wooden plank, there was a nail sticking up, causing a potential hazard. Correction: Immediately, outdoor equipment must be safe and free of hazards. Submit a written statement of compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

In the Blue classroom, paint was peeling on the orange wall on the upper level of the room. Correction: Immediately, buildings must be kept in good repair. Submit a statement of compliance by 4/13/2024. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

Marked corrected in the state record.

2.220.G · All medications, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center's policies. Access to these medications must be limited.

In the office, over-the-counter medication was in an unlocked cabinet, accessible to children. Correction: Immediately, medications must be locked and inaccessible to children. Submit a written statement of compliance by 4/13/2024. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

Category: ratio. Marked corrected in the state record.

2.238.C · Centers must comply with the locally adopted fire code, including but not limited to the following: In every building or structure, exits must be arranged and maintained so as to provide free and unobstructed egress from all parts of the building or structure at all times when it is occupied. No lock or fastening to prevent free escape from the inside of any building can be installed. Only panic hardware or single-action hardware is permitted on a door or on a pair of doors. All door hardware must be within the reach of children.

On the playground, all the exit doors were locked with a padlock. Correction: Immediately, exits must not have any lock preventing free escape. Corrected at the time of visit, the assistant director removed one of the locks, making the exit free. Submit a written statement of future compliance by 4/13/2024. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

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

2.220.G.2 · When away from the classroom, staff assigned to supervise the child must carry the emergency medication.

Emergency medication has been kept in the office and not with the child in the classroom. Correction: Immediately, emergency medication must be with the child at all times. Corrected at the time of visit, the assistant director took the medication to the child's classroom. Submit a written statement of future compliance by 4/13/2024. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

Category: supervision. Marked corrected in the state record.