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

At the time of inspection observed toddler wipes labeled keep out of reach of children on the sink accessible to children in the pre K classroom. Correction: Immediately all items labeled keep out of reach of children must be stored inaccessible to children. Violation was corrected at the time of inspection. Wipes were moved to a locked cabinet. Correct by 08/21/2023

Corrected Corrected by Aug 21, 2023

Marked corrected in the state record.

7.702.34.A.7 · 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 10 children's files. 1 child did not have a current dated signed authorization for emergency medical care. Correction: Immediately review all files. All children must have a signed dated authorization for emergency medical care on file for review. This authorization must be updated annually. Submit a written statement of compliance by 8/28/2023 Correct by 08/21/2023

Corrected Corrected by Aug 21, 2023

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

7.702.41.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 11 staff files. 1 staff member Lily R that has been employed over 30 days did not have a medical statement signed and dated by a health care provider on file for review. Correction: Immediately all staff within 30 calendar days from first day of employment must submit a medical statement signed and dated by a health care provider. Subsequent self reported health histories must be submitted annually. Submit a written statement of compliance by 8/28/2023 Correct by 08/21/2023

Corrected Corrected by Aug 21, 2023

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

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 11 staff files. 2 staff members Melisa R. and Hailey M had not completed current Department approved Standard Precautions training that meets OSHA requirements. Correction: Immediately ensure all staff complete Department approved Standard Precautions training that meets OSHA requirements prior to working with children. This training must be updated annually. Submit training certificate and a written statement of compliance by 8/28/2023. Correct by 08/21/2023

Corrected Corrected by Aug 21, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.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 11 staff files. 1 staff member not required by rule to be certified in first aid and CPR (Melissa R) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ had not completed the department approved introduction 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 introduction to first aid and CPR module within 30 days of employment. This training must be updated every 2 years. Submit training certificate and a written statement of compliance by 8/28/2023. Correct by 08/21/2023

Corrected Corrected by Aug 21, 2023

Marked corrected in the state record.

7.702.42.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 11 staff files. 2 staff members Melisa R. and Hailey M had not completed current Department approved training about child abuse prevention. Correction: Immediately ensure all staff complete the Department approved training about child abuse prevention. This training must be updated annually. Submit training certificate and a written statement of compliance by 8/28/2023. Correct by 08/21/2023

Corrected Corrected by Aug 21, 2023

Category: recordkeeping. Marked corrected in the state record.

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

At the time of inspection observed a climber in the toddler 1 classroom that was worn on the edges. Correction: Immediately all indoor and outdoor materials must be sturdy safe and free of hazards. Submit written statement of compliance by 8/28/2023 Correct by 08/21/2023

Corrected Corrected by Aug 21, 2023

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

7.702.91.B · Buildings must be kept in good repair and maintained in a safe condition.

At the time of inspection observed loose baseboard in the Young Pre-school classroom. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure the building is kept in good repair and maintained in a safe safe condition. Submit a written statement of compliance by 8/28/2023 Correct by 08/21/2023

Corrected Corrected by Aug 21, 2023

Marked corrected in the state record.