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.

No current updated TRAILS background check results were present in the files for Eileen, Destiny and Trysten. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Eileen, Destiny and Trysten have reviewed the powerpoint within 24 hours. Submit documentation of the TRAILS clearance letters with written response to Specialist. Correct by 11/06/2024. Correct by 10/23/2024

Corrected Corrected by Nov 6, 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.

No current updated FBI background check results were present in the files for Deanna, Eileen, Destiny and Trysten. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Deanna, Eileen, Destiny and Trysten have reviewed the powerpoint within 24 hours. Submit documentation of the FBI clearance letters with written response to Specialist. Correct by 11/06/2024. Correct by 10/23/2024

Corrected Corrected by Nov 6, 2024

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

2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

No current approving fire inspection was available at the time of the visit. Correction: Immediately (10/23/2024) obtain current approving fire inspection. Submit copy to Licensing with written response no later than 11/06/2024. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: health medication. 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;

Two children's files reviewed had authorizations for emergency medical care that were expired. Correction: Immediately (10/23/2024) obtain current authorizations for emergency medical and retain in children's files. Submit verification to Licensing with written response no later than 11/06/2024. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

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

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

No current standard precautions training was available in the files for Deanna and Trysten. Correction: Immediately (10/23/2024) complete current standard precautions training and retain in employee files. Submit verification to Licensing with written response no later than 11/06/2024. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: recordkeeping. 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.

No current shaken baby training was available in the file for Trysten. Correction: Immediately (10/23/2024) complete current shaken baby training and retain in employee file. Submit verification to Licensing with written response no later than 11/06/2024. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: recordkeeping. 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.

No current child abuse training was available in the file for Deanna. Correction: Immediately (10/23/2024) complete current child abuse training and retain in employee file. Submit verification to Licensing with written response no later than 11/06/2024. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: recordkeeping. Marked corrected in the state record.

2.219.B.2 · 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Two children's files reviewed did not have current physicals. One physical was expired and the other was missing from the file. Correction: Immediately (10/23/2024) obtain current physicals and retain in children's files. Submit verification to Licensing with written response no later than 11/06/2024. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: ratio. 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.

The cushioning material around the climber/slide on the outdoor playground is compacted to a resilient depth of approximately 3 inches and needs to be loosened or have material added. Correction: Immediately (10/23/2024) loosen cushioning material or add material to ensure a depth of at least 6 inches around the equipment. Submit verification of correction to Licensing with written response no later than 11/06/2024. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

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

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

A pair of sharp scissors were accessible near the preschool desk. Correction: Immediately (12/20/2023) remove sharp scissors and store so that they are inaccessible to children. Corrected during visit by removing the scissors and storing so that they are inaccessible. No written response is required. Correct by 12/20/2023

Corrected Corrected by Dec 20, 2023

Marked corrected in the state record.

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

A container of disinfectant wipes and a can of Lysol spray were present on an open shelf just above the desk and chair in the preschool classroom. Correction: Immediately (12/20/2023) remove disinfectant wipes and can of Lysol spray and store so that they are inaccessible to children. Corrected during visit by removing the items and storing so that they are inaccessible. No written response is required. Correct by 12/20/2023

Corrected Corrected by Dec 20, 2023

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.

The physical in the file for Destiny is expired. Correction: Immediately (12/20/2023) obtain a current physical and retain in employee file. Submit copy to Licensing with written response no later than 01/03/2024. Correct by 12/20/2023

Corrected Corrected by Dec 20, 2023

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

2.218.A · The center must accept and care only for children of the ages for which it has been licensed. At no time shall the number of children in attendance exceed the number for which the center has been licensed. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

An 11 month old child was present at the facility. Director stated that an emergency had occurred which required her to provide care for the child today. Correction: Immediately (12/20/2023) do not accept children outside of the licensed age range for care at the facility. Corrected during the visit by another family member of child coming to pick them up from the facility. No written response is required. Correct by 12/20/2023

Corrected Corrected by Dec 20, 2023

Marked corrected in the state record.

2.219.B.1 · 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, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

One child's file reviewed did not have verification of immunizations. Correction: Immediartely (12/20/2023) obtain verification of immunizations and reain in child's file. Submit verification of correction to Licensing with written response no later than 01/03/2024. Correct by 12/20/2023

Corrected Corrected by Dec 20, 2023

Category: health medication. 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 preparations may not be applied to open wounds or broken skin unless there is a written order by the prescribing health care provider.

One child's file reviewed did not have a signed authorization for sunscreen. Correction: Immediately (12/20/2023) obtain signed authorizations for sunscreen and retain in child's files. Submit verification to Licensing with written response no later than 01/03/2024. Correct by 12/20/2023

Corrected Corrected by Dec 20, 2023

Category: ratio. Marked corrected in the state record.