2.212.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

No incident report regarding the incident that occurred on 07/22/2024 was provided to the parent/guardian of the child. The incident report that was provided at the time of the visit was not completed in a timely manner. Correction: Immediately (08/15/2024) ensure that all incident reports are completed in a timely manner and are provided to the parent/guardian. Submit verification of correction to Licensing with written response no later than 08/29/2024. Correct by 08/15/2024

Corrected Corrected by Aug 15, 2024

Marked corrected in the state record.

2.224.A.8 · Children must not be given foods that are contrary to the religious beliefs of their families or that are known to cause an allergic reaction or a health hazard.

CH1 was served a food that contained a known allergen. Staff had prepared a separate non-allergenic serving for CH1 but it was accidentally given to another child so CH1 ended up receiving a serving that contained the allergen. Correction: Immediately (08/15/2024) ensure that children are not served foods to which the child is allergic. Ensure that staff members follow the proper protocol to ensure that children receive foods that they are able to eat. Submit verification of correction to Licensing with written response no later than 08/29/2024 Correct by 08/15/2024 ________________________________________________

Corrected Corrected by Aug 15, 2024

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

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

The TRAILS background checks available in the file for Amanda and Wanda are expired. Correction: Immediately (07/22/2024) submit new TRAILS inquiries and submit verifcation of completion to Licensing with written response no later than 07/29/2024. Submit copies of new clearance letters to Licensing upon receipt. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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

2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

One of the handwashing sinks in the preschool classroom is not operating properly and is covered with plastic. The temperature of the water coming out of the faucet is too hot and cannot be regulated. A work order has been submitted but the issue has not yet been corrected. Correction: Immediately (07/01/2024) repair handwashing sink so that the water temperature can be properly regulated. Submit written verification to Licensing no later than 07/08/2024. Correct by 07/01/2024

Corrected Corrected by Jul 1, 2024

Marked corrected in the state record.

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 (06/05/2024) obtain current signed authorization for emergency medical care and retain in child's file. Submit verification to Licensing with written response by 06/06/2024. Correct by 06/05/2024

Corrected Corrected by Jun 5, 2024

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

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

A roll of plastic bags was placed on top of the paper towel dispenser in the preschool classroom. The roll was accessible to children. Correction: Immediately (05/01/2024) remove plastic bags and store so that they are inaccessible to children. Corrected during visit by Director removing plastic bags and storing them so that they are inaccessible to children. No written response is required. Correct by 05/01/2024

Corrected Corrected by May 1, 2024

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 within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

No current physical or health statement from a physician was present in the file for Cheyenne. Correction: Immediately (04/03/2024) obtain current physical and retain in employee file. Submit verification of correction to Licensing with written response no later than 04/17/2024. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

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

2.219.B.1 · At the time of admission, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 rules located in 6 CCR 1009-2 rule section 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 www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, 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.

No immunization information was present in one child's file reviewed. Correction: Immediately (04/03/2024) obtain current immunization information and retain in child's file. Submit verification of correction to Licensing with written response no later than 04/17/2024. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

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

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

One child's file did not have a current health statement / physical. Correction: Immediately (04/03/2024) obtain current health statement and retain in child's file. Submit verification of correction to Licensing with written response no later than 04/17/2024. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

Category: ratio. Marked corrected in the state record.

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.

There were two staff members with 11 children in the designated two year old classroom but one of the children present was only 22 months old. This requires a staff to child ratio of 1:5 Correction: Immediately (03/06/2024) ensure that staff to child ratios are met and maintained based on the actual age of the children in the classroom. Submit verification of correction to Licensing with written response no later than 03/13/2024. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: ratio. Marked corrected in the state record.

2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

The maximum group size for children between 12 months to 36 months is 10 toddlers. There were 11 Toddlers present in the Toddler II classroom with one of the toddlers being 22 months old and not old enough to be in the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Toddler II room. Correction: Immediately (03/06/2024) do not exceed the maximum group size in any classroom. Ensure that all children in the Toddler II classroom are at least 24 months old. Submit verification of correction to Licensing with written response no later than 03/13/2024. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: ratio. Marked corrected in the state record.

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

The standard precautions training available in the file for Ellesia is expired. Correction: Immediately (02/07/2024) complete standard precautions training and retain verification in employee file. Submit copy of certificate to Licensing with written response. Correct by 02/14/2024. Correct by 02/07/2024

Corrected Corrected by Feb 14, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.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.

The child abuse training available in the file for Ellesia is expired. Correction: Immediately (02/07/2024) complete current child abuse training and retain verification in employee file. Submit copy of certificate to Licensing with written response. Correct by 02/14/2024. Correct by 02/07/2024

Corrected Corrected by Feb 14, 2024

Category: recordkeeping. Marked corrected in the state record.