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 did not have current authorizations for emergency medical care. Correction: Immediately (09/05/2024) obtain current signed authorizations for emergency medical care. Submit written verification of correction to Licensing no later than 09/12/2024. Correct by 09/05/2024

Corrected Corrected by Sep 5, 2024

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

7.701.34.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 health inspection available at the facility is expired. Correction: Immediately (10/02/2023) obtain current health inspection. Submit copy to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

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

7.702.41.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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

No current physical was present in the file for Paola. Correction: Immediately (10/02/2023) obtain current physical and retain in employee files. Submit copy to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

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

7.701.53.A · . A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member's personal responsibility to report all incidents of child abuse or neglect according to state law.

No signed child abuse statement was present in the file for Carolina. Correction: Immediately (10/02/2023) obtain signed abuse reporting statement and retain in employee file.. Submit copy to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Marked corrected in the state record.

7.701.8 · Perjury Statement- Application forms for Employment with a Child Care Provider. Every application used in the State of Colorado for employment with a child care provider or facility, or for the certification of a foster home, must include the following notice to the applicant: “Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in Section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.”

No signed perjury statement was present in the file for Paola. Correction: Immediately (10/02/2023) obtain signed perjury statements and retain in employee files. Submit copies to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Marked corrected in the state record.

7.702.34.A.7 · 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ hospital, clinic, or emergency health care facility.

No authorization for emergency medical care was present in any of the children's files reviewed. Correction: Immediately (10/02/2023) obtain signed authorizations for emergency medical care and retain in children's files. Submit verification to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

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

7.702.35.A.1 · A record must be maintained, either written or electronic, for each staff member that includes the following: Name, address, telephone number, and birth date of the individual.

No address, phone number or birth date was present in the file for Paola. Correction: Immediately (10/02/2023) obtain missing information and retain in employee file. Submit verification to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.35.A.2 · A record must be maintained, either written or electronic, for each staff member that includes the following: Verification of qualifications and training.

No verification of qualifications and training was present in the file for Paola. Correction: Immediately (10/02/2023) obtain verification of qualifications and retain in employee file. Submit verification to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.35.A.5 · A record must be maintained, either written or electronic, for each staff member that includes the following: Names, addresses, and telephone numbers of persons to be notified in the event of an emergency.

No emergency contact information was present in the file for Paola. Correction: Immediately (10/02/2023) obtain emergency contact information and retain in employee file. Submit verification to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.35.A.6 · A record must be maintained, either written or electronic, for each staff member that includes the following: All information from background checks as required in the General Rules for Child Care Facilities at Section FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 7.701.32.

The CBI and FBI clearance letters were not in the file for Paola. Correction: Immediately (10/02/2023) obtain the FBI and CBI clearance letters and retain in employee files. Submit copies to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

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

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. For seasonal children's resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the State Department-approved training

No completed FEMA training was present in the file for Paola. Correction: Immediately (10/02/2023) completed required training and retain verification in employee file. Submit copy to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.41.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 of understanding of the facility policies was present in the file for Paola. Correction: Immediately (10/02/2023) obtain signed statement of understanding of policies and retain in employee file. Submit verification of correction to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Marked corrected in the state record.

7.702.41.K · Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing childcare centers. Staff members must sign a statement indicating that they have read and understand the licensing rules.

No signed statement of understanding of the licensing rules was present in the file for Paola. Correction: Immediately (10/02/2023) obtain signed statement of understanding of Licensing rules and retain in employee file. Submit verification of correction to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Marked corrected in the state record.

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 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 Building and Physical Premises Safety training was present in the file for Paola. Correction: Immediately (10/02/2023) complete Building and Physical Premises Safety training and retain verification in employee file. Submit verification of correction to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.C · Staff working with infants less than twelve (12) months old must complete a Department-approved Safe Sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

No Safe Sleep training was present in the file for Paola. Correction: Immediately (10/02/2023) complete Safe Sleep training and retain verification in employee file. Submit copy of training certificate to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

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

7.702.42.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 Shaken Baby training was present in the file for Paola. Correction: Immediately (10/02/2023) complete Shaken Baby training and retain verification in employee file. Submit copy of training certificate to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.E · For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member on duty who holds a current Department-approved First Aid and Safety Certificate (including CPR for all ages of children) and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location.

No current first aid and CPR training was present in the file for Nancy. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately (10/02/2023) complete current first aid and CPR training and retain verification in employee file. Submit copy of training certificate to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.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 file for Nancy, Jeonghua or Paola. Correction: Immediately (10/02/2023) complete current child abuse training and retain verification in employee files. Submit copies of training certificates to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

No completed Introduction to the Early Intervention and Preschool Special Education Programs training was available for Jeonghua. Correction: Immediately (10/02/2023) complete required training and maintain verification in employee file. Submit copy of certificate to Licensing with written response no later than 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Category: recordkeeping. Marked corrected in the state record.