2.138.A · 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.

Reviewed program drill logs, no documentation of fire, emergency or tornado drills was available. Correction: Immediately conduct required fire, emergency and tornado drills. Provide documentation and a written plan for future compliance by 10/22/2024. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

Category: recordkeeping. Marked corrected in the state record.

2.127.B · At all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

Observed information board, most recent licensing inspection was not posted and no notice as to where the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ report may be viewed was available. Correction: Immediately post most most recent licensing inspection or a notice as to where the report may be viewed. Provide documentation of compliance by 10/22/2024. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

Marked corrected in the state record.

2.505.C.23 · . The procedure for filing a complaint about child care including the name, address, and telephone number of the Colorado Department of Early Childhood (see rule section 2.125 of the General Rules for Child Care Facilities).

Observed information board, procedure for filing a complaint about child care was not posted. Correction: Immediately post the procedure for filing a complaint about child care, including name, address and telephone number of the Colorado Department of Early Childhood. Provide documentation and written verification of compliance by 10/22/2024. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

Marked corrected in the state record.

2.506.C · Emergency telephone numbers must be posted at each permanent site and taken on all field trips and during mobile school-age child care centers. The emergency numbers must include, at a minimum, 911, or a rescue unit if 911 isn't available; a hospital or emergency medical clinic nearest to the activity location; fire, police, and health departments; and Rocky Mountain Poison Control.

Observed information board, emergency telephone numbers were not posted. Correction: Immediately post emergency telephone numbers, including 911, a hospital or emergency medical clinic nearest to the activity location, fire, police and health departments and Rocky Mountain Poison Control. Provide documentation and written verification of compliance by 10/22/2024. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

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

2.506.F · A written policy regarding visitors to the center must be posted and a record maintained daily by the center that includes, at a minimum, the date, time, the visitor's name and the purpose of the visit. At least one piece of photo identification must be inspected for individuals who are unknown to personnel at the center.

Observed information board, no written visitor policy was posted and no visitor log was maintained. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately post a written visitor policy and maintain a visitor log that includes, at a minimum, the date time, the visitor's name and the purpose of the visit. Provide documentation and written verification of compliance by 10/22/2024. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

Category: recordkeeping. Marked corrected in the state record.

2.512.B.2 · Schools are required to comply with the immunization requirements as stated in 6 CCR 1009-2. 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 (CDPHE) Certificate of Immunization or on an “approved alternate” Certificate of Immunization. Colorado law requires proof of immunization status or exemption be provided prior to or on the first (1st) day of admission. Colorado Department of Public Health and Environment regulation at 6 CCR 1009-2: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 https://www.coloradosos.gov/CCR/Welcome.do. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

Reviewed four child files, one file had immunizations that were not documented on a CDPHE Certificate of Immunization or an approved alternate. Correction: Review child files, ensure that immunizations are documented on a CDPHE Certificate of Immunization or an approved alternate. Submit written verification of compliance by 11/15/2024. Correct by 11/15/2024

Corrected Corrected by Nov 15, 2024

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 facility did not have documentation of current fire, tornado and emergency drills. Correction: Immediately on 11/30/23, ensure that fire drills are completed monthly, tornado drills monthly from March to October and emergency drills are completed quarterly. Submit documentation and a written statement of compliance by 12/14/23. Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

Category: recordkeeping. 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 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.

Reviewed five (5) child files. Two (2) child files did not have documentation of immunization status at the facility and two (2) child files did not have immunization status recorded on the CDPHE approved certificate of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ immunization. Correction: Immediately on 11/30/23, ensure that each child has documentation of immunization status prior to or on the first day of admission, and immunizations are updated and recorded on the CDPHE approved certificate of immunization. Submit a written statement of compliance by 12/14/23. Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

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

7.712.81.A · . The center must maintain and update annually a record on each child that includes:

Reviewed five (5) child files. The facility did not have documentation of a record for two (2) children and one (1) child did not have documentation of a current child record that had been updated annually. Correction: Immediately on 11/30/23, ensure that the center maintains a complete child record for each child and records are updated annually. Submit a written statement of compliance by 12/14/23. Correct by 11/30/2023

Corrected Corrected by Nov 30, 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.

The facility did not have documentation of fire inspections for the facility. Correction: Immediately on 11/30/23, ensure that the facility is inspected and obtains and approving Fire and Health inspection at least every two (2) years. Submit documentation and a written statement of compliance by 12/14/23. Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

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

7.701.33.D.4.a · . Criminal background check requests must be submitted and successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-aged child care facilities, family child care homes, and qualified exempt provider homes.

Rebekah Y did not have documentation of the CBI clearance letter. Correction: Immediately on 11/30/23, ensure that the criminal background checks are submitted and successfully completed prior to an individual caring for children. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Rebekah Y has reviewed the powerpoint within 24 hours. Submit documentation of CBI clearance letter for staff member Rebekah Y with a written statement of compliance by 12/14/23. Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

Category: supervision. Marked corrected in the state record.

7.712.42.A · . Program Director -Each center must have an on-site program director who must be at least twenty-one (21) years of age. The program director must have demonstrated to the hiring authority maturity of judgment, administrative ability and the skill to appropriately supervise and direct school-age children in an unstructured setting.

Jasper O did not have documentation of Program Director qualifications. Correction: Immediately on 11/30/23, ensure that each center has documentation of an on-site program director. Submit documentation and a written statement of compliance by 12/14/23. Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

Category: supervision. Marked corrected in the state record.