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 12 child files. 3 children missing documentation of a current health statement. Correction: Review all child files. All children must have documentation of a current health statement completed by a health care provider on file and available for review at all times. Submit a written statement of compliance by 4/12/2025. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

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

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 letter.

Reviewed 13 staff files. Cynthia B. missing documentation of a current TRAILS background check letter. Correction: Immediately review all staff files. All staff must have a current TRAILS background check clearance letter on file at all times. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint on the CDEC website. Submit verification that staff member Cynthia B has reviewed the video within 24 hours. Submit documentation of TRAILS Clearance Letters for staff member Cynthia B with a written statement of compliance by 5/15/2024. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: background checks. Marked corrected in the state record.

2.220.K · Topical preparations such as petroleum jelly, diaper rash ointments, sunscreen, insect repellent, and other ointments may be administered to children with written authorization from the parent(s)/guardian(s). These FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ preparations may not be applied to open wounds or broken skin unless there is a written order by the prescribing health care provider.

Reviewed 15 child files. All files missing a written authorization to apply sunscreen and other topical preparations. Correction: Immediately review all child files. All files must have a written authorization to apply sunscreen or other topical preparations at all times. Submit a written statement of compliance by 5/15/2024. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: ratio. Marked corrected in the state record.

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.

Reviewed 13 staff files. Alice missing documentation of a completed CBI background check clearance letter. Correction: Immediately, review all staff files. All staff must have a completed CBI clearance letter on file and available for review at all times. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint on the CDEC website. Submit verification that staff member Alice has reviewed the video within 24 hours. Submit documentation of the CBI Clearance Letter for staff member Alice with a written statement of compliance by 5/15/2024. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: background checks. Marked corrected in the state record.

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 13 staff files. Cynthia B missing documentation of a current FBI background check clearance letter. Correction: Immediately, review all staff files. All staff must have a current FBI clearance letter on file and available for review at all times. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint on the CDEC website. Submit verification that staff member Cynthia B has

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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 15 child files. All files missing a signed statement stating that the parent(s)/guardian(s) have received the policies and procedures. Correction: Immediately review all child files. All children must have a signed statement stating that the parent(s)/guardian(s) have received and agree to follow the policies and procedures of the facility. Submit a written statement of compliance by 5/15/2024. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

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 15 child files. All files missing a written authorization for emergency medical care. Correction: Immediately review all child files. All children must have a dated, written authorization for emergency medical care on file at all times. Submit a written statement of compliance by 5/15/2024. Correct by 04/15/2024

Corrected Corrected by Apr 15, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ includes: A copy of the child’s health statement completed by a health care provider

Reviewed 15 child files. 5 files missing a health statement completed by a health care provider. Correction: Immediately review all child files. All children must have a copy of a current health statement on file at all times. Submit a written statement of compliance by 5/15/2024. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

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

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 13 staff files. QiAnte missing documentation of a department-approved First Aid and CPR module. Correction: Immediately review all staff files. All staff not required by rule to be certified in First Aid and CPR must complete the module within 30 calendar days of employment. Submit documentation and a written statement of compliance by 5/15/2024. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Marked corrected in the state record.

2.120.C.1 · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following:

Reviewed 13 staff files. Krupa, Alice, and Durga missing documentation of a TRAILS background check clearance letter. The staff have not been alone with children. Correction: Immediately review all staff files. All staff must have a completed TRAILS background check clearance letter on file at all times. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint on the CDEC website. Submit verification that staff members Krupa, Alice, and Durga have reviewed the video within 24 hours. Submit documentation of TRAILS Clearance Letters for staff members Krupa, Alice, and Durga with a written statement of compliance by 5/15/2024. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: background checks. 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 13 staff files. Cynthia A missing documentation of a current child abuse prevention training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately review all staff files. All staff must renew annually a training on child abuse prevention. Submit documentation and a written statement of compliance by 5/15/2024. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 13 staff files. Vanessa and QiAnte missing documentation of the training Introduction to the Early Intervention and Preschool Special Education Programs. Correction: Review all staff files. All staff must complete the department-approved training course Introduction to the Early Intervention and Preschool Special Education Programs within 90 calendar days of employment. Submit documentation and a written statement of compliance by 5/15/2024. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed 13 staff files. QiAnte missing documentation of, and Krupa is missing the correct version of, the training Recognizing the Impact of Bias on Early Childhood Professionals. Correction: Review all staff files. All staff must complete the department-approved training Recognizing the Impact of Bias on Early Childhood Professionals within 90 calendar days of employment. Submit documentation and a written statement

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

At the time of visit, in P110 and P104, diapers, wipes, and gloves were on a low shelf in the bathroom and accessible to children. Correction: Immediately, all diaper change supplies must be inaccessible to children at all times. Submit a written statement of compliance by 5/15/2024. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

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 P110, 11 sharpie markers were identified in various locations around the classroom that are labeled 'keep out of reach of children' and were accessible to children. Correction: Immediately, all items labeled 'keep out of reach of chidlren', including sharpie markers, must be inaccessible to children at all times. Corrected at time of visit, the co-director gathered all sharpies from the classroom and placed them in a high, supply drawer making them inaccessible to children. Submit a written statement of future compliance by 5/15/2024. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Marked corrected in the state record.

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.

At the time of visit, on the preschool playground, the depth of the gravel around the climbing structures that are 18 inches or higher measured for 1 inch deep in the use zone. Correction: Immediately, all climbing equipment 18 inches or higher must have resilient surfacing of at least 6 inches in the use zone surrouding the equipment at all times. Submit photo documentation and a written statement of compliance by 5/15/2024. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

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

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

At the time of visit, in P111, the moulding on the wall by the playground door was missing. Correction: Immediately, the building must be kept in good repair at all times. Submit photo documentation and a written statement of compliance by 5/15/2024. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: physical safety. 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.

At the time of visit, in P110, an electrical outlet cover under the children's cubbies was missing. Correction: Immediately, all electrical outlets accessible to children must have protective covers at all times. Corrected at time of visit, an outlet cover was placed in the outlet bringing the facility into compliance. Submit a written statement of future compliance by 5/15/2024. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Marked corrected in the state record.