2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.”

On the outdoor table, Clorox wipes were accessible to children. On the kitchen counter, loose plastic bags were accessible to children. Correction: Immediately, hazardous and "keep out of reach of children" items must be inaccessible to children. Corrected at the time of visit, the provider put the items in a cabinet inaccessible to children. Submit a written statement of future compliance by 9/5/2024. Correct by 08/22/2024

Corrected Corrected by Aug 22, 2024

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

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a Department-approved training in standard precautions that meets current occupational safety and health administration (OSHA) requirements prior to working with children. This training must be renewed annually. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed the provider's file and observed Shani F. lacking documentation of a standard precautions training. Correction: Immediately, a standard precautions training must be completed prior to working with children and renewed annually. Submit a written statement of compliance by 9/5/2024. Correct by 08/22/2024

Corrected Corrected by Aug 22, 2024

Category: ratio. Marked corrected in the state record.

7.707.71.A.7 · For children seven (7) years of age and older, health statements must be updated every three (3) years as long as the children are in care.

Reviewed 8 child files. Observed 2 files (Amir M., Emal F.) of children aged seven (7) years of age and older, missing documentation of a health statement. Correction: Health statements for children seven (7) years of age and older, must have documentation of a health statement and it must be updated every three (3) years. Submit a written statement of compliance by 10/21/2023. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

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

7.701.100.F.2 · . Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly, but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Reviewed drill logs and observed missing documentation of current drills including fire, lockdown and tornado. Correction: Immediately, emergency lockdown drills must be held at least quarterly. Fire drills must be held monthly and tornado drills must be held monthly between March and October. Submit documentation and a written statement of compliance by 10/6/2023. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.10 · . Effective December 31, 2016 each provider, staff member or regular volunteer working with FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 annually and may count towards ongoing training requirements.

Reviewed staff files. Observed missing documentation of a current Shaken Baby/Abusive Head Trauma training. Correction: Immediately, 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 and renewed annually. Submit documentation and a written statement of compliance by 10/6/2023. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.51.A.8 · The admission record must include:A dated, written authorization for emergency medical care signed and updated annually by the parent(s) or guardian(s)

Reviewed 8 child files. Observed 4 files (Coltrane B., Cosette B., Eli F., Everly F.) missing documentation of a current emergency medical care. Correction: Immediately, a written authorization for emergency medical care must be signed and updated annually by the parent or guardian. Submit a written statement of compliance by 10/6/2023. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.71.A.1.c · At the time of admission each child's file contains:Documentation of immunization status or exemption, including month and year each immunization was administered. Immunizations must be updated and recorded as specified on the certificate of immunization or alternate certificate of immunization as supplied and approved by the Colorado Department of Public Health and Environment. Colorado law requires that proof of immunization be provided prior to the first day of admission.

Reviewed 8 child files. Observed 5 files (Amir M., Emal F., Coltrane B., Cosette B., Eli F.) missing current documentation of an immunization record. Correction: Documentation of immunization status must be updated and recorded. Submit a written statement of compliance by 10/21/2023. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

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

7.707.71.A.6 · Health statements for children over two (2) years to seven (7) years of age must be updated annually.

Reviewed 8 child files. Observed 3 files of children (Coltrane B., Cosette B., Eli F.) aged two (2) years to FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ seven (7) missing documentation of a health statement. Correction: Health statements for children over two (2) to seven (7) must be updated annually. Submit a written statement of compliance by 10/21/2023. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

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

7.707.71.C.1.c · . Topical preparations used for prevention on unbroken skin including, but not limited to, petroleum jelly, diaper rash ointments, sunscreen, and insect repellant can be administered solely with written parent authorization. Topical preparations used as treatment on open wounds or broken skin must have a written order from a prescribing health care provider in addition to parent authorization.

Reviewed 8 child files. Observed 4 files (Coltrane B., Cosette B., Eli F., and Everly F.) missing current documentation of a sunscreen form. Correction: Topical preparations, including sunscreen must have a written parent authorization. Submit a written statement of compliance by 10/21/2023. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

Category: ratio. Marked corrected in the state record.

7.707.91.J · Any provider's, employee's, substitute's, volunteer's, and/or visitor's animal(s) and/or fish that are FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ dangerous, and/or pose a potential threat to a child's safety or health must be confined in a place away from the child care area and inaccessible to children. The provider's animals must be vaccinated as required by state law and local ordinance, and proof of vaccination must be available for review by the licensing specialist.

Reviewed vaccination records for 3 dogs. Observed an expired vaccination record for 1 dog. Correction: Immediately, the provider's animals must be vaccinated as required by state law and local ordinance and proof of vaccination must be available for review. Submit documentation and a written statement of compliance by 10/6/2023. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

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

7.707.923.A · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, medicines, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as "keep out of reach of children.

In the kitchen, a loose plastic bag was in an unlocked drawer accessible to children. Clorox wipes were on the kitchen table accessible to children. In the bathroom under the sink, cosmetics, hair products and supplies were labeled "keep out of reach" were accessible to children. Correction: Immediately, all hazardous items must be inaccessible to children, including cosmetics, hair products, plastic bags and cleaning materials. Corrected at the time of visit, the loose bag and Clorox wipes were put in a locked cabinet. Submit a written statement of compliance and a written statement of future compliance by 10/6/2023. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

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

7.707.931.G · All outdoor areas where children may pass or play shall be kept free of animal contamination. All animal wastes must be promptly removed and placed in a lidded container or otherwise inaccessible to children.

Animal waste was not promptly removed in the outside play area causing several children to get animal contamination on their person. Correction: Immediately, all outdoor areas where children play shall be kept free of animal contamination. Submit a statement of compliance by 10/6/2023. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

Marked corrected in the state record.