7.701.32.D.1.a.1 · . Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

Veronica D. the only staff member on site did not have proof of a completed TRAILS clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage video on the OEC website. Submit verification that Veronica D. reviewed the video within 24 hours. Submit documentation of TRAILS for Veronica D. with written response to Specialist. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Category: supervision. Marked corrected in the state record.

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

Veronica D. the only staff member on site did not have proof of a completed department approved medication administration training and delegation. Correction: Immediately ensure that at least one staff member with medication administration training and delegation is on duty at all times. Provide documentation and statement of compliance within 24 hours. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Category: ratio. 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.

Veronica D. the only staff member on site did not have proof of a CBI or FBI clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage video on the OEC website. Submit verification that Veronica D. reviewed the video within 24 hours. Submit documentation of CBI and FBI clearance letters for Veronica D. with written response to Specialist. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Category: supervision. 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 fire inspection on site was expired. Correction: Ensure fire inspections are being completed every two (2) years and documentation of an approving fire inspection is maintained at the facility. Provide documentation and statement of compliance by 9/14/2023. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

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

7.701.56.D · . All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ be maintained for the age of children cared for in the room.

The staff to child ratio's were not posted in the facility. Correction: Immediately ensure that the licensed capacity and staff to child ratio are posted in the program. Provide statement of compliance by 9/14/2023. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Category: ratio. Marked corrected in the state record.

7.712.41.D · . Each staff member and regular volunteer as defined in section 7.712.44.C must complete an annual health history. The health history must be maintained in a secure location.

Veronica D. did not have an annual health history in her file. Correction: Ensure each staff member completes an annual health history. Provide documentation and statement of compliance by 9/14/2023. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

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

7.712.42.B.3 · . Each program leader must be at least 18 years of age, demonstrate ability to work with children, and must meet the following qualifications: Must have at least three (3) months (460 hours) of full-time or equivalent part-time satisfactory and verifiable experience with school-age children.

Veronica D. the only staff member on site did not have proof of 460 hours of verifiable experience working with school-age children. Correction: Immediately ensure that each program leader had at least three (3) months of verifiable experience working with school-age children. Provide documentation and statement of compliance within 24 hours. Correct by 08/15/2023

Corrected Corrected by Aug 15, 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 date and content of the CCHC consultations was not available to review. Correction: Ensure the date and content of consultations with the child care health consultant are recorded and maintained at the center. Provide documentation and statement of compliance by 9/14/2023. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

The CCHC immunization course was expired. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure the CCHC annually completes a CDPHE immunization course. Provide documentation and statement of compliance by 9/14/2023. Correct by 09/14/2023

Corrected Corrected by Sep 14, 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 drill log indicated the only drill completed in the last twelve (12) months was a fire drill 11/2022. Correction: Immediately ensure drills are completed as required by rule and documented and maintained at the center. Provide statement of compliance by 9/14/2023. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Category: recordkeeping. Marked corrected in the state record.

7.712.43.A · . A program director must be present at the center at least 60 percent of any day the center is in operation. An individual who meets one of the following requirements must be present for the remaining 40 percent of the day:

The program does not yet have a site director and is currently only operating with one lead qualified staff member. Correction: Immediately ensure that a program director is present at least 60 percent of every day. Provide documentation and statement of compliance within 24 hours. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Category: ratio. Marked corrected in the state record.

7.712.43.F · . There must be one (1) staff member for each fifteen (15) children in attendance. When four (4) year olds are in attendance, there must be at least one staff member for each twelve (12) or fewer children cared for by the center.__Mixed age group with 4 year olds-1 staff member to 12 children and 24 children for maximum group size. Age Group of 5 years and older -1 staff member to 15 children and 30 children for maximum group size.

At the time of inspection their was only one staff member, Veronica D. with nineteen (19) children. Veronica D. is the only staff member currently assigned to this location. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure that there is one (1) staff member to every fifteen (15) children in attendance. Provide statement of compliance within 24 hours. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Category: ratio. Marked corrected in the state record.

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

At 4:26PM during the inspection a child left the licensed area to go the the bathroom without notifying the program leader. The program leader was near the front door greeting parents and did not see the child leave the cafeteria. Correction: Immediately ensure that school-age children are directly supervised at all times. Provide statement of compliance within 24 hours. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Category: supervision. Marked corrected in the state record.

7.712.51.A · . The center can accept children only of the ages and capacity for which it has been licensed.

The program is currently licensed for fifteen (15) children ages 5-18. Upon arrival there were nineteen (19) children in care. Veronica D. indicated they have 19 children enrolled. Correction: Immediately ensure the center maintains the licensed capacity for which it has been licensed for. Provide statement of compliance within 24 hours. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Marked corrected in the state record.

7.712.52.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 and any special diets needed, the name address and phone number for the child’s health care provider and dentist.

Four (4) out of ten (10) child files did not have a documented health history in their file. Correction: Immediately ensure at the time of enrollment parents provide a health history for their child to the center.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.

Eight (8) out of ten (10) child files were missing or had immunizations not on an approving immunization record. Correction: Immediately ensure that immunizations are obtained prior to the first day and are recorded as required by CDPHE. Provide documentation and statement of compliance by 9/14/2023. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

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

7.712.52.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 portable first aid kit was stored in a red bag on a low shelf in the cafeteria accessible to children. Correction: Immediately ensure that portable first aid kids are located out of reach of children. Provide statement of compliance by 9/14/2023. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Marked corrected in the state record.

7.712.73.A.4 · Combustibles, such as cleaning rags, mops, and cleaning compounds, must be stored in well-ventilated areas separated from flammable materials and stored in areas inaccessible to children.

The janitoral closet in the cafeteria was open and accessible to children. Items that were stored in there included cleaning products/compounds, spray paint, wax, and bleach sprays. Correction: Immediately ensure that cleaning compounds are stored inaccessible to children. Provide statement of compliance by 9/14/2023. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Marked corrected in the state record.

7.712.81.A.1 · The center must maintain and update annually a record on each child that includes: Name, DOB, address, enrollment date;

Licensing specialist could not locate the DOB, and enrollment date for four (4) out of ten (10) child files. Correction: Ensure a record of each child's name, address and enrollment date are maintained at the center. Provide documentation and statement of compliance by 9/14/2023. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. Marked corrected in the state record.