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 is expired. Correction: Immediately (04/23/2024) obtain a current signed authorization for emergency medical care and retain in child's file. Submit verification of correction to Licensing with written response no later than 04/30/2024. Correct by 04/23/2024

Corrected Corrected by Apr 23, 2024

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 FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: F_IR_S_T _UN_I_TE_D_ M_E_TH_O_D_IS_T _CH_U_R_C_H'_S _PR_E_S_CH_O_LOic_Le_ns_e _Nu_m_b_er _: 7_0_81_4_______ ________________________________________________ within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

The self-reported health history in the file for Stacy was expired. Correction: Immediately (04/23/2024) complete current self reported health history and retain in employee file. Corrected during visit by Stacy updating the form in the file. No written response is required. Correct by 04/23/2024

Corrected Corrected by Apr 23, 2024

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

7.701.33.D.5 · Every five (5) years requests for FBI criminal record checks must be renewed by resubmitting a complete set of fingerprints and the required fee to CBI for processing. 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 verification of the five year FBI renewal being completed was present in the file for Alicia. Correction: Immediately (09/08/2023) obtain current updated FBI record check and retain clearance letter on file. Submit verification of correction to Licensing with written response no later than 09/22/2023. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Category: background checks. 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 hospital, clinic, or emergency health care facility.

The authorization for emergency medical care in one child's file was expired. Correction: Immediately (09/08/2023) obtain current signed authorization for emergency medical care and retain in child's file. Corrected during visit by POC correcting the date on the form. No written response is required Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Category: health medication. 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 7.701.32.

The FBI clearance letters for Jamie and Stephania was not present in their file. Correction: Immediately (09/08/2023) obtain copies of current clearance letters and maintain in employee files. Submit copies to Licensing with written response no later than 09/22/2023 Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

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

7.702.42.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 current 1st aid and CPR certification or completion of the module was present in the file for Stephania. Correction: Immediately (09/08/2023) obtain verification of current 1st aid and CPR certification or completion of the module for Stephania. Submit copy of verification to Licensing with written response no later than 09/22/2023. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Marked corrected in the state record.

7.702.71.G · Loose plastic bags must be stored in areas inaccessible to children.

Loose plastic bags were present in two unlocked drawers in the 3 year old classroom. Correction: Immediately (09/08/2023) remove plastic bags and store so that they are inaccessible to children. Corrected during visit by Director removing the bags and storing them in an area inaccessible to children. No written response is required. Correct by 09/08/2023

Corrected Corrected by Sep 8, 2023

Marked corrected in the state record.