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

During interviews with Raina and Destiny, it was determined that the incident was not reported to the parent on the day the incident occurred and the parents were not given an incident report until the next day. Correction: Immediately ensure that all staff demonstrate knowledgeable decision making when it comes to reporting incidents to families. Submit a written statement of compliance by 2/29/2024. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Marked corrected in the state record.

2.507.M · 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.

At the time of the visit, reviewed 3 staff files and found that all files were missing the required child development training certificate. Correction: Immediately complete one hour of child development training. Submit a copy of the training certificate and a written statement of complaince by 2/29/2024. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.508.G.3 · All employees caring for children, not required by rule to be certified in First Aid and CPR, must complete a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years.

At the time of the incident, Amanda did not have the required training for First Aid and CPR. This training is required within 30 days of hire. Correction: Immediately ensure that all staff have either completed the First Aid and CPR module or the full First Aid and CPR class. Submit a written statement of future compliance by 2/29/2024. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.507.L · All staff members and regular volunteers must complete a Department-approved training about child abuse prevention, including common symptoms and signs of child abuse within (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

At the time of the incident, Amanda did not have the required training for child abuse prevention. This training is required within 30 days of hire Correction: Immediately ensure that all staff have either completed the child abuse prevention training. Submit a written statement of future compliance by 2/29/2024. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.512.C.6 · Staff designated by the program director to give medications must complete the Department-approved medication administration training and have current annual delegation or more often as determined by the Child Care Health Consultant. Delegation must be from the center’s Current Child Care Health Consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current Department-approved Cardiopulmonary Resuscitation (CPR), first aid training prior to administering medication with the following exceptions:

At the time of the visit, observed Raina and Destiny have the medication training but no one has been delegated to give medication by the nurse consultant. Correction: Immediately ensure that staff that is designated to give medications have been delegated by the nurse consultant. Submit documentation and a written statement of compliance by 2/29/2024. Correct by 02/22/2024 ________________________________________________

Corrected Corrected by Feb 22, 2024

Category: ratio. 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.

Glass cleaner was observed to be on a teachers desk accessible to children. Correction: Immediately ensure that cleaning compounds are stored inaccessible to children. Provide statement of compliance by 9/22/2023. Correct by 08/23/2023

Corrected Corrected by Aug 23, 2023

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 program did not have record of drills being completed over the last twelve (12) months. Correction: Immediately ensure drills are being conducted for fire, tornado and emergencies and are recorded and maintained over the last twelve (12) months. Provide statement of compliance by 9/22/2023. Correct by 08/23/2023

Corrected Corrected by Aug 23, 2023

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 9/22/2023. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

Category: recordkeeping. 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.

Upon arrival Brandi W. was alone with sixteen (16) children while Sara M. had stepped out into the hallway. Brandi W. had a completed CBI but not 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 Brandi W. reviewed the video within 24 hours. Submit documentation of FBI Clearance Letter for Brandi W. with written response to Specialist. Correct by 08/23/2023

Corrected Corrected by Aug 23, 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 onsite 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 9/22/2023. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

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

7.712.41.J · All staff members must complete a Department-approved standard precautions training prior to FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ working with children. This training must be renewed annually and may count towards ongoing training requirements.

Brandi W. did not have proof of a completed Standard Precautions training prior to working with children. Correction: Immediately ensure that all staff complete a Department-approved Standard Precautions training prior to working with children. Provide documentation and statement of compliance by 9/22/2023. Correct by 08/23/2023

Corrected Corrected by Aug 23, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. For seasonal children's resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the State Department-approved training

Brandi W. did not have proof of a completed FEMA training prior to working with children. Correction: Immediately ensure that all staff complete a Department-approved emergency and disaster training prior to working with children. Provide documentation and statement of compliance by 9/22/2023. Correct by 08/23/2023

Corrected Corrected by Aug 23, 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. Correction: Ensure the CCHC annually completes a CDPHE immunization course. Provide documentation and statement of compliance by 9/22/2023. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

Category: health medication. 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.

Upon arrival Brandi W. was alone with sixteen (16) children while Sara M. the other staff member stepped out into the hallway. Correction: Immediately ensure there is one (1) staff member to every fifteen (15) kids in attendance. Provide statement of compliance within 24 hours. Correct by 08/23/2023

Corrected Corrected by Aug 23, 2023

Category: ratio. Marked corrected in the state record.

7.712.71.D.3 · The play area must meet the following requirements: The outdoor play area must be maintained in a safe condition by removing debris, dilapidated structures, and worn and broken play equipment. The center must identify hazardous, high-risk areas. These areas must be monitored to reduce the possibility of injury and accidents.

The rubber matting covering the metal on the outdoor play structure was peeling in several spots exposing rusted metal. Correction: Immediately ensure that the outdoor play area is maintained in a safe condition. Provide statement of compliance by 9/22/2023. Correct by 08/23/2023

Corrected Corrected by Aug 23, 2023

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

7.712.71.D.5 · . All outdoor climbing equipment over eighteen (18) inches provided by the center must have least six (6) inches resilient surface throughout the use zone.

The black wheel spinner on the play structure that stands about 6 ft. above the ground only had 2.5 inches of wood chips below it. Additionally, there was a dome climber about 5 ft. tall set on rocks that appeared to be pea gravel but was only measured at 2 inches deep. Correction: Immediately ensure that climbing equipment over eighteen (18) inches has at least six (6) inches of resilient surfacing. Provide statement of compliance by 9/22/2023. Correct by 08/23/2023

Corrected Corrected by Aug 23, 2023

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