7.712.42.D.5 · . All Child Care Health Consultants (CCHC) must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course annually.

Proof of the CCHC immunization training was not on site and available to review. Correction: Ensure the CCHC completed a CDPHE immunization course and the center maintains proof of completion. Provide documentation and statement of compliance by 9/13/2023. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

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

7.701.100.F.2 · . Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly, but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

The program did not have a record at the center documenting the last twelve (12) months of drills completed. Correction: Ensure a record of all emergency drills over the past twelve (12) months is maintained at the center. Provide documentation and statement of compliance by 9/13/2023. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

Category: recordkeeping. 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.

Both the fire and health inspections on record were expired. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure every two (2) years the program obtains an approving fire and health inspection. Provide documentation and statement of compliance by 9/13/2023. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

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

7.701.52.C.2 · . Reports Made to the Department Within Ten (10) Working Days - Change of director of facility or agency;

The facility had a director change for this school year and did not notify licensing of the new site director. Correction: Ensure that a report of a director change is made to the department within ten (10) days of the change. Provide documentation and statement of compliance by 9/13/2023. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

Marked corrected in the state record.

7.712.42.D.2 · . The date and content of each consultation must be recorded and maintained in the center's files.

The center did not have a record of the CCHC consultations available to review. Correction: Ensure the date and content of each consultation is recorded and maintained. Provide documentation and statement of compliance by 9/13/2023. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

Category: recordkeeping. Marked corrected in the state record.

7.712.42.D.3 · . The center must maintain documentation including the child care health consultant’s (CCHC) Department of Regulatory Agencies (DORA) proof of RN or MD current licensure in good standing, a brief biography highlighting applicable knowledge, experience and approximate dates worked as a school nurse or Child Care health Consultant commenced. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

The CCHC proof of licensure was expired and a brief biography was not in their file. Correction: Ensure the CCHC documentation includes the CCHC current licensure in good standing a brief biography. Provide documentation and statement of compliance by 9/13/2023. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

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

7.712.42.D.4 · . Child care health consultants (CCHC) must complete the Department-approved child care health consultant (CCHC) training prior to consulting with the center. The center must obtain and maintain proof of course completion.

Proof of the CCHC department-approved CCHC training was not on site and available to review. Correction: Ensure the CCHC completes a Department-approved CCHC training and the center maintains proof of completion. Provide documentation and statement of compliance by 9/13/2023. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

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

7.712.43.H · . At all times, school-age child care personnel must be directly supervising the children.

During the inspection several children entered the cafeteria unsupervised anywhere from 20-45 seconds at a time while grabbing their backpacks and/or water bottles. Correction: Immediately ensure that school-age children are directly supervised at all times. Provide statement of compliance within 24 hours. Correct by 08/14/2023

Corrected Corrected by Aug 14, 2023

Category: supervision. Marked corrected in the state record.

7.712.52.A.1.b · . At the time of enrollment, the parent(s) /guardian(s) must provide for each child entering the center: Documentation of immunization status or exemption as FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ required by Colorado Department of Public Health and Environment (CDPHE). Colorado law requires proof of immunization be provided prior to or on the first day of admission.

Five (5) out of thirteen (13) child files were missing immunization records prior to the first day of school. Correction: Immediately ensure that immunization records are provided to the center prior to or on the first day of admission. Provide documentation and statement of compliance by 9/13/2023. Correct by 08/14/2023

Corrected Corrected by Aug 14, 2023

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