7.702.42.A · All staff must complete a pre-service Building and Physical Premises Safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Nereida C. did not have documentation of a pre-service building and physical premises safety training. Correction: Immediately ensure that prior to working with children all staff complete a pre-service building and physical premises safety training. Provide documentation and statement of compliance by 10/18/2023. Correct by 09/18/2023

Corrected Corrected by Sep 18, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.51.A.2.a · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or Certificate of Medical or Nonmedical Exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment Certificate of Immunization or on an "approved alternate" Certificate of Immunization. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

One (1) out of ten (10) child files had an immunization record but was not up-to-date as required by CDPHE, the child also did not have an exemption on file for the immunizations they have not yet obtained. Correction: Immediately ensure that all children have documentation of all required immunizations are required by CDPHE. Provide statement of compliance by 10/18/2023. Correct by 09/18/2023

Corrected Corrected by Sep 18, 2023

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

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

One (1) out of ten (10) child files had not yet obtained a health statement and their enrollment date is listed as 8/8/2023. Correction: Ensure that within thirty (30) days of enrollment parents provide the center with a signed and dated health statement from a health care professional for their child. Provide statement of compliance by 10/18/2023. Correct by 10/18/2023

Corrected Corrected by Oct 18, 2023

Category: ratio. Marked corrected in the state record.

7.702.62.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

Upon entering the Bricker Two classroom licensing specialist observed two (2) cots spaced about 1.5 feet apart. Correction: Immediately ensure that cots are spaced at least two (2) feet apart on all sides. Corrected at the time of visit by Pam D. rearranging the cots to space them two (2) feet apart. Nothing additional needed. Correct by 09/18/2023

Corrected Corrected by Sep 18, 2023

Category: supervision. Marked corrected in the state record.

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

In the Bricker One classroom wipes, hand sanitizer, and a bag for a weighted blanket that indicated keep out of reach of children on the label all accessible to the children in the classroom. Observed in the Bricker Two classroom batteries in an unlocked teacher drawer. Correction: Immediately ensure that items labeled keep out of reach of children are inaccessible to children. Corrected at the time of visit in Bricker 1, Mei T. removing the items and putting them in a locked cabinet. In Bricker 2, Lorri B. removing the batteries and placing them up high. Nothing additional needed. Correct by 09/18/2023

Corrected Corrected by Sep 18, 2023

Marked corrected in the state record.

7.702.91.C · Major cleaning prohibited in rooms occupied by children.

In Bricker Two the staff had two (2) child tables with random toys/manipulatives on them that had just been sanitized and sprayed with cleaning solution accessible to children. Correction: Immediately ensure that major cleaning is not being done in rooms occupied by children. Provide statement of compliance by 10/18/2023. Correct by 09/18/2023

Corrected Corrected by Sep 18, 2023

Marked corrected in the state record.

7.702.91.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

An electrical power strip by the teacher desk in Bricker One had several uncovered outlets on it. Correction: Immediately ensure that outlets accessible to children have protective covers. Corrected at the time of visit by Mei T. putting covers in each of the outlets. Nothing addtional needed. Correct by 09/18/2023

Corrected Corrected by Sep 18, 2023

Marked corrected in the state record.