2.206.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed 10 child files. One file missing written policy authorization. Correction: Review all child files. All child files must have a policies and procedures document signed by the parent/guardian. Submit a written statement of compliance by 2/9/2024. Correct by 01/09/2024

Corrected Corrected by Jan 9, 2024

Marked corrected in the state record.

2.209.A.1 · An admission record must be completed for each child prior to or at the time of the child's FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ admission. This record must be updated annually and when changes occur. The admission record must include:The child's full name, birth date, current address, and date of enrollment;

Reviewed 10 child files. 8 files missing documentation of the child's date of enrollment. Correction: Review all child files. All child files must have an admission record that includes the date of enrollment. Submit a written statement of compliance by 2/9/2024. Correct by 01/09/2024

Corrected Corrected by Jan 9, 2024

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 10 child files. One file missing a written authorization for emergency medical care. Correction: Review all child files. All files must have an admission record that includes a dated, written authorization for emergency medical care that is updated annually. Submit a written statement of compliance by 2/9/2024. Correct by 01/09/2024

Corrected Corrected by Jan 9, 2024

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

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Reviewed 10 child files. 3 files missing a copy of the child health statement completed by a health care provider. Correction: Review all child files. All files must have a copy of the child's health statement completed by a health care provider that is updated annually and upon changes. Submit a written statement of compliance by 2/9/2024. Correct by 01/09/2024

Corrected Corrected by Jan 9, 2024

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 other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 7 staff files. Kathryn U. missing a medical statement signed and dated by a physician. Correction: Review all staff files. All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider within 30 calendar days after the first date of employment. Submit a written statement of compliance by 2/9/2024. Correct by 01/09/2024

Corrected Corrected by Jan 9, 2024

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.

At the time of visit, in Mobile Classroom 71, a container of antibacterial hand wipes labeled 'keep out of reach of children' was on the teacher's desk and accessible to children. Correction: Immediately, all items labeled 'keep out of reach of children' must be inaccessible to children at all times. Corrected at the time of visit, the teacher moved the wipes to a locked closet making them inaccessible to children. Submit a written statement of future compliance by 2/9/2024. Correct by 01/09/2024

Corrected Corrected by Jan 9, 2024

Marked corrected in the state record.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

At the time of visit, in the Mobile Classroom 71, a pair of adult scissors and a staple remover were on the teacher's desk and accessible to children. Correction: Immediately, all sharp tools and instruments must be inaccessible to children at all times. Corrected at the time of visit, the teacher moved the items into a locked desk drawer making them inaccessible to children. Submit a written statement of future compliance by 2/9/2024. Correct by 01/09/2024

Corrected Corrected by Jan 9, 2024

Marked corrected in the state record.