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 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.

Reviewed 7 child files. 1 child file did not have immunization status documented on a CDPHE approved certificate of immunization. Correction: Immediately, review child files and ensure that the immunization status for all children is documented on a CDPHE approved certificate of immunization. Submit a written statement of compliance by 7/17/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

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

2.217.C.9 · All Department-approved child care health consultants must complete the Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse or neglect. This training must be completed within thirty (30) days of hire and renewed every three (3) years.

The CCHC, Mary Beth T. did not have documentation of a child abuse prevention training. Correction: Immediately, the CCHC must complete a Department approved child abuse prevention training and renew every 3 years. Submit documentation and a written statement of compliance by 7/17/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

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

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

There were pom poms and an ink stamper cap that pose a choking hazard accessible to children in the squabbits classroom. Correction: Corrected at the time of inspection. Staff member Elizabeth removed the pom poms and ink stamper, making them inaccessible to children. A written response is not required. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

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

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

There was a package of diaper wipes labeled "keep out of reach of children" accessible to children in the Squabbits bathroom. Correction: Corrected at the time of inspection. Staff member Elizabeth removed the wipes and placed them on a shelf that is inaccessible to children. A written response is not required. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

Marked corrected in the state record.

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ (6) inches in the use zone surrounding the equipment.

The toddler climber and slide on the toddler playground is between 18 inches and 32 inches high and is surrounded by 1 inch to 2 inches of resilient surfacing. Correction: Immediately, ensure all climbing equipment 18 inches or higher must has at least 6 inches of resilient surfacing in the use zone surrounding equipment. Submit documentation and a written statement of compliance by 7/17/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Facility to be lacking an approving health inspection. Correction: Obtain an approving health inspection and maintain every 2 years. Submit a copy of current health inspection with written response to specialist. Correct by 08/27/2023

Corrected Corrected by Aug 27, 2023

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