2.229.K · Evacuation equipment must not block exit routes. Nothing may be stored in or under any evacuation equipment.

During the safety walk-through, observed a car seat was sitting in front of the evacuation crib and there was a backpack underneath the evacuation crib. Correction: Immediately ensure that nothing is stored underneath the evaucation crib. Corrected at the time of the visit, the teacher removed the car seat from in front of the crib and the backpack from underneath the crib. Submit a written statement of future compliance by 4/24/2025. Correct by 04/10/2025

Corrected Corrected by Apr 10, 2025

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

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

During the safety walk-through, observed the diapers were on a low shelf in the bathroom making them accessible to children that would be using the bathroom. Correction: Immediately ensure that all diaper changing supplies are inaccessible to children. Corrected at the time of the visit, the Assistant Director moved the diapers to a high cabinet, making it inaccessible to children. No response is needed. Correct by 02/27/2025

Corrected Corrected by Feb 27, 2025

Marked corrected in the state record.

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

During the safety walk-through, observed the diaper changing table pad was cracking and peeling. Correction: Immediately ensure all furnishings are safe and free of hazards. Corrected at the time of the visit, the Assistant Director replaced the changing table pad. No response is needed. Correct by 02/27/2025

Corrected Corrected by Feb 27, 2025

Category: physical safety. 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;

Reviewed 7 children's files. 1 child did not have an updated authorization for emergency medical care. Correction: Immediately all children must have an updated authorization for emergency medical care. This authorization must be updated annually. Submit a written statement of compliance by 1/24/2024 Correct by 01/17/2024

Corrected Corrected by Jan 17, 2024

Category: health medication. 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.

Reviewed 13 staff files. 1 Staff member employed over 30 days had not completed the department approved training about child abuse prevention. Correction: Immediately all staff within 30 days of employment must complete the department approved training about child abuse prevention. This training must be renewed annually. Submit training certificate and a written statement of compliance by 1/24/2024 Correct by 01/17/2024

Corrected Corrected by Jan 17, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 13 staff files. 6 staff members employed over 90 days had not completed at least 1 hour of child development training. Correction: Immediately all staff within 90 days of employment must complete at least 1 hour of child development training. Submit training certificate and a written statement of compliance by 1/24/2024 Correct by 01/17/2024

Corrected Corrected by Jan 17, 2024

Category: recordkeeping. Marked corrected in the state record.

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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.

Reviewed 7 children's files. 1 child under the age of 2 did not have a current statement of health status on file for review. Correction: Immediately all children within 30 days of enrollment must have on file a statement of health status signed and dated by a health care provider. This statement must be updated in accordance with the American Academy of Pediatrics recommendations or as required in writing by the health care provider. Submit a written statement of compliance by 1/24/2024. Correct by 01/17/2024

Corrected Corrected by Jan 17, 2024

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