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

Wipes were accessible in the children's bathroom. Correction: Immediately ensure items labeled "keep out of reach of children" are inaccessible to children at all times. Corrected at the time of visit by Cierra S. moving the items to a high cabinet making them inaccessible. Nothing additional needed. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

Marked corrected in the state record.

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

A pair of adult scissors were observed to be accessible to children on the teacher desk in the classroom. Correction: Immediately ensure sharp tools are inaccessible to children. Corrected at the time of visit by Cierra S. moving the scissors to an inaccessible location. Nothing additional needed. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

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.

Three (3) outlets in the classroom at child level were observed to not have outlet covers. Correction: Immediately ensure all electrical outlets accessible to children have protective covers. Corrected at the time of visit by Cierra S. putting covers into all three (3) outlets. Nothing additional needed. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

Marked corrected in the state record.

2.220.D · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

Benadryl was observed in the medication bag without the labeled container or the child's first and last name. Correction: Immediately ensure over the counter medications are kept in the original container and labeled with the child's first and last name. Provide statement of compliance by 2/28/2024. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

Category: health medication. 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.

The fire inspection was expired. Correction: Immediately ensure the facility obtains an approving fire inspection from the local fire department every two (2) years. Provide documentation and statement of compliance by 2/28/2024. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

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

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.

One (1) out of ten (10) child files were missing a signed policies and procedures document. Correction: Immediately ensure upon enrollment parents sign a document indicating they have received the policies and procedures. Provide statement of compliance by 2/28/2024. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

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 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.

Three (3) out of ten (10) child files had expired health statements. An additional one (1) child file was missing a health statement. Correction: Ensure within thirty (30) days of enrollment and within thirty (30) days of expiration parents submit a health statement signed and dated by a health care professional for their enrolled child. Provide statement of compliance by 2/28/2024. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: ratio. 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.

Three (3) out of ten (10) child files had immunization records but were not recorded on an approved CDPHE form. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure that immunization records are recorded as required by CDPHE. Provide statement of compliance by 2/28/2024. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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

2.220.C · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

An emergency medication was observed to not be in the original packaging and did not have a pharmacy label attached. Correction: Immediately ensure that prescription medications are in their original labeled container with the original pharmacy label. Provide statement of compliance by 2/28/2024. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

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