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;

One child's file reviewed had an authorization for emergency medical care that was expired. Correction: Immediately (03/07/2025) obtain current signed authorization for emergency medical and retain in child's file. Submit verification to Licensing with written response no later than 03/21/2025. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

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 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ submitted annually.

No current physical or current self-reported health history was present in the file for Margaret. Correction: Immediately (03/07/2025) obtain current physical or current signed health history and retain in employee file. Submit verification to Licensing with written response no later than 03/21/2025. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

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 was present in the file for Margaret, Madison or Dorothy. Correction: Immediately (03/07/2025) complete current standard precautions training and retain verification in employee files. Submit verification to Licensing with written response no later than 03/21/2025. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

Category: recordkeeping. 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.

No verification of the completed First Aid and CPR module was available for Dorothy at the time of the visit. Correction: Immediately (03/07/2025) have Dorothy complete the First Aid and CPR module training and retain verification in employee file. Submit verification to Licensing with written response no later than 03/21/2025. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

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 present in the files for Jennifer or Margaret. Correction: Immediately (03/07/2025) complete current child abuse training and retain verification in employee files. Submit verification to Licensing with written response no later than 03/21/2025. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

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.

No verification of completed Recognizing the Impact of Bias on Early Childhood Professionals training was available for Dorothy. Correction: Immediately (03/07/2025) complete required training and retain verification in employee file. Submit verification to Licensing with written response no later than 03/21/2025. Correct by 03/07/2025

Corrected Corrected by Mar 7, 2025

Category: recordkeeping. Marked corrected in the state record.

2.212.J · Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures.

No signed statement verifying that Madison is familiar with the center's policies and procedures was present in her file at the time of the visit. Correction: Immediately (04/04/2024) obtain signed statement confirming that Madison is familiar with the center's policies and procedures and retain in employee file. Corrected during visit by obtaining the signed statement. No written response is required. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

Marked corrected in the state record.

2.212.K · Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ have read and understand the licensing rules.

No signed statement verifying that Madison is familiar with the licensing rules was present in her file at the time of the visit. Correction: Immediately (04/04/2024) obtain signed statement verifying that Madison is familiar with the licensing rules. Corrected during visit by obtaining the signed statement. No written response is required. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

Marked corrected in the state record.

2.213.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 such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

No verification of completed pre-service building and physical premises training was present in the file for Madison at the time of the visit. Correction: Immediately (04/04/2024) obtain signed statement verifying that Madison is familiar with the building and physical premises training and procedures and retain in file. Corrected during the visit by Madison completing the verification. No written response is required. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

Category: recordkeeping. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

One child's file reviewed did not have verification of immunizations. Correction: Immediately (04/04/2024) obtain immunization information and retain in child's file. Submit verification of correction with written response no later than 04/18/2024. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

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