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 8 children files and found 2 children files have an expired emergency medical authorization. Correction: Immediately review all children files to ensure that all files have a current medical emergency authorization present. Submit a written statement of compliance by 1/16/2025. Correct by 01/09/2025

Corrected Corrected by Jan 9, 2025

Category: health medication. 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.

Reviewed 19 staff files and found that 1 staff file (Willow G.) has an expired Department-approved standard precautions training certificate. Correction: Immediately review all staff files to ensure that the required Department-approved standard precautions training certificate is current. Submit a copy of the current standard precautions training certificate for staff Willow G and a written statement of compliance by 1/16/2025. Correct by 01/09/2025

Corrected Corrected by Jan 9, 2025

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.

Reviewed 19 staff files and found that 1 staff file (Willow G.) has an expired Department-approved standard child abuse training certificate. Correction: Immediately review all staff files to ensure that the required Department-approved child abuse training certificate is current. Submit a copy of the current child abuse training certificate for staff Willow G and a written statement of compliance by 1/16/2025. Correct by 01/09/2025

Corrected Corrected by Jan 9, 2025

Category: recordkeeping. Marked corrected in the state record.

2.121.D.4.a · Criminal background check requests must be 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-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 19 staff files and found 2 staff files (Amy B and Kristen C) both had expired CBI and FBI background checks. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 19 staff files and found 2 staff files (Amy B and Kristen C) both had expired Trails background checks. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint. Submit verification that staff members Amy B and Kristen C have reviewed the PowerPoint within 24 hours. Submit documentation of (CBI, FBI, TRAILS, Or Out of State background check, Out of State Clearance Letters) for staff members Amy B, and Kristen C with written response to Specialist by 1/16/2025. Correct by 01/09/2025

Corrected Corrected by Jan 9, 2025

Category: supervision. 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;

At the time of inspection there were unlocked cabinets in the diaper changing cabinets in the toddler room and the transitional classroom containing diaper supplies accessible to children. Correction: Immediately all diaper change supplies must be stored in a place inaccessible to children. Submit a written statement of compliance by 2/12/2024 Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

Marked corrected in the state record.

2.223.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

At the time of inspection there were cots places with less than 2 feet on all sides during rest time. Correction: Immediately all cots must be spaced with a minimum of 2 feet on all sides. Violation was corrected at the time

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 9 children's files. 1 child did not have a current updated authorization for emergency medical care signed and dated by a parent or guardian. Correction: Immediately all children must obtain a current updated authorization for emergency medical care signed and dated by a parent or guardian. This authorization must be updated annually. Submit a written statement of compliance by 2/19/2024 Correct by 02/12/2024

Corrected Corrected by Feb 12, 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.

Reviewed 13 staff files. 1 Employee did not have a current child abuse and neglect background check obtained in the last 5 years. Correction: Immediately all staff must obtain a current child abuse and neglect background check every 5 years. Submit verification of submission by 2/19/2024 Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

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

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 13 staff files. 1 Employee did not have a current CBI/FBI criminal background check obtained in the last 5 years. Correction: Immediately all staff must obtain a current CBI/FBI criminal background check every 5 years. Submit verification of submission by 2/19/2024 Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

Category: background checks. 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.

Reviewed 13 staff files. 2 staff members did not have updated Department approved standard precautions training. Correction: Immediately all staff must complete the Department approved standard precautions training prior to working with children. This training must be updated annually. submit training certificate and a written statement of complinace by 2/19/2024 Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed 13 staff files. 1 staff member not required to be certified in first aid and cpr had not completed the Department approved intro to first aid and CPR module. Correction: Immediately all staff not required to be certified in first aid and cpr must complete the Department approved intro to first aid and CPR module within 30 days of employment. This training must be renewed every 2 years. submit training certificate and a written statement of complinace by 2/19/2024 Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 did not have a current department approved training about child abuse prevention. Correction: Immediately all staff must complete a current department approved training about child abuse prevention within 30 days of enrollment. This training must be updated annually. submit training certificate and a written statement of complinace by 2/19/2024 Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

Category: recordkeeping. Marked corrected in the state record.