2.522.B · Items labeled “keep out of reach of children” must be inaccessible to children.

There was hand sanitizer bottles accessible to children on the counter and there was a bottle of children's ibuprofen accessible to children in an unlocked cupboard in room 143 Correction: Immediately, make all hazardous items inaccessible to children. Submit a written statement of compliance by 4/15/25. Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

Marked corrected in the state record.

2.509.B.1 · Each program leader must be at least eighteen (18) years of age, demonstrate ability to work with children, and must have completed at least one (1) of the following qualifications:

Reviewed 4 staff files. Aubree K was working as a program leader and did not have documentation of program leader qualifications. Correction: Immediately, obtain documentation of program leader qualifications. Submit a written statement of compliance by 4/15/25. Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

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 5 child files. 1 child file did not have immunization records documented on the CDPHE approved certificate of immunization. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Review child files and ensure that all child files have immunization status updated and recorded on the CDPHE certificate of immunization. Submit a written statement by 4/15/25. Correct by 04/15/2025

Corrected Corrected by Apr 15, 2025

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

2.507.J · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures.

Reviewed 4 staff files. Olivia R, Katrina R and Wendy B did not have documentation of a administration of medication policies and procedures statement. Correction: Immediately, obtain a signed statement indicating staff have read and been trained on the programs administration of medication policies and procedures. Submit documentation and a written statement of compliance by 4/15/25. Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

Category: ratio. Marked corrected in the state record.

2.121.D.4.a · Criminal background check requests must be 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-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 2 staff files. Olivia R did not have documentation of a CBI clearance letter. Correction: Immediately, ensure that the criminal record check is successfully completed prior to an individual caring for children or allowing unsupervised access to children. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Olivia R has reviewed the powerpoint within 24 hours. Submit documentation of CBI clearance letter for Olivia R with a written statement of compliance by 4/25/24. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

Category: supervision. Marked corrected in the state record.

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, 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-age child care facilities, family child care homes, and qualified exempt provider homes:

Reviewed 2 staff files. Olivia R did not have documentation of the State-based clearance letter. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, ensure that the state-based background check is successfully completed prior to an individual caring for children or allowing unsupervised access to children. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Olivia R has reviewed the powerpoint within 24 hours. Submit documentation of State-based clearance letter for Olivia R with a written statement of compliance by 4/25/24. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

Category: supervision. 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 facility did not have documentation of a health inspection completed within the last 2 years. Correction: Immediately, an approving health and fire inspection report must be obtained at least every 2 years. Submit documentation of a current health inspection with a written statement of compliance by 4/25/24. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

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

2.508.F · At least one staff member with current Department-approved medication administration training and delegation must be on duty at all times. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 2 staff files. The program did not have a staff member on duty with a current medication delegation. Correction: Immediately, ensure that there is a staff member on duty at all times with a current medication administration training and delegation. Submit documentation and a written statement of compliance by 4/25/24. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

Category: ratio. Marked corrected in the state record.

2.512.B.4 · Portable first aid kits must be available to staff at all times, including field trips, and must be located out of reach of children and maintained in a sanitary condition. First aid kits must be checked and restocked on at least a monthly basis.

The first aid bag with first aid supplies was hanging on a hook by the back door and was accessible to children. Correction: Corrected at the time of inspection. The site director moved the First Aid bag and placed it on a shelf that is out of reach of children. A written response is not required. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

Marked corrected in the state record.

2.524.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

There was lotion labeled "keep out of reach of children" on a table in the classroom and there was Lysol spray and hand sanitizer accessible to children in an unlocked desk drawer. Correction: Corrected at the time of inspection. The site director placed all hazardous items in a locked cupboard and inaccessible to children. A written response is not required. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

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

2.525.A.8 · The center must maintain and update annually a record on each child that includes:A dated written authorization for emergency medical care signed and submitted annually by the parent or guardian. The authorization must be notarized if required by the local health care facility;

Reviewed 4 child files. 4 children did not have documentation of a current written authorization for emergency medical care signed by the parent annually. Correction: Immediately, parens/guardians must sign and date the written authorization for emergency medical care annually. Submit a written plan and statement of compliance by 4/25/24. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

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

2.512.A.1.a · At the time of enrollment, the parent(s)/guardian(s) must provide for each child entering the center: A complete health history for each child, including any communicable diseases; chronic illnesses or injuries; known drug reactions and allergies; current medications; any special diets needed; and the name address and phone number for the child’s health care provider and dentist.

Reviewed 4 child files. 1 child file did not have documentation of a health history. Correction: Immediately, review child files and ensure that a complete health history is obtained for each child at the time of enrollment. Submit a written statement of compliance by 4/25/24. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

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

2.512.A.1.b · At the time of enrollment, 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 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 4 child files. 1 child file did not have documentation of immunization status. Correction: Immediately, review child files and ensure that all children have documentation of immunization status or or certificate of medical or non-medical exemption. Submit a written statement of compliance by 4/25/24. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

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

2.512.D.1 · The center must obtain the parent/guardian’s written authorization and instructions for applying sunscreen or use of another form of parent/guardian approved sun protection. A health care provider’s permission is not needed to use sunscreen at the center.

Reviewed 4 child files. 1 child file did not have documenation of written authorization for sunscreen. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, review child files and ensure that the center obtains written authorization for sunscreen at the time of enrollment. Submit a written statement of compliance by 4/25/24. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

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