2.213.L · 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 7 staff files and found Ekaterina S. was missing child development training. Correction: Immediately review all staff files and ensure all files have at least 1 hour of child development training. Submit a copy of the certificate and a written statement of compliance by 5/17/2024 Correct by 05/03/2024

Corrected Corrected by May 3, 2024

Category: recordkeeping. Marked corrected in the state record.

2.122.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.

At the time of the visit, found an expired fire inspection. The inspection expired on 10/25/2023. Correction: Immediately ensure an inspection is completed by a local fire department every 2 years. Submit a copy of the fire department inspection report and a written statement of compliance by 5/17/2024. Correct by 05/03/2024

Corrected Corrected by May 3, 2024

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

2.219.B.4 · Health statements for children over two (2) years of age to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule for routine well child exams.

At the time of the visit, reviewed 6 child files and found 2 files with expired health statements. Correction: Immediately review all children's files and ensure all files have an up-to-date health statement in accordance with the American Academy of Pediatrics. Submit a statement of compliance by 5/17/2025. Correct by 05/03/2024

Corrected Corrected by May 3, 2024

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

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

At the time of the visit, reviewed 6 child files and found 2 files with immunizations were not listed on the approved CDPHE certificate. Correction: Immediately review all child files and ensure all files have immunizations on the Colorado Department of Public Health and Environment certificate or an "approved alternate" certificate of immunizations. Submit a written statement of compliance by 5/17/2024. Correct by 05/03/2024

Corrected Corrected by May 3, 2024

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

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

During the health and safety walk-through, observed chairs stacked 4 high in classroom 10. Correction: Immediately ensure all classrooms are safe and free of hazards. Submit a statement of compliance by 5/17/2024. Correct by 05/03/2024

Corrected Corrected by May 3, 2024

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

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.

Jackie W. has been employed since 8/15/2022 but did not have proof of a completed CBI 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 Jackie W. reviewed the video within 24 hours. Submit documentation of CBI Clearance Letter for Jackie W. with written response to Specialist. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: supervision. Marked corrected in the state record.

7.702.42.D · Staff working with children less than three (3) years of age must complete a Department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Sue C. did not have proof of a completed Shaken Baby Training. Correction: Immediately ensure that staff who work with children under the age of three complete a Department-approved Prevention of Shaken Baby training prior to working with children. Provide documentation and statement of compliance by 9/28/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: recordkeeping. 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 center's health inspection was expired. Correction: Ensure the center is obtaining an approving health inspection every two (2) years. Provide documentation and statement of compliance by 9/28/2023. Correct by 09/28/2023

Corrected Corrected by Sep 28, 2023

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

7.701.53.A · . A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member's personal responsibility to report all incidents of child abuse or neglect according to state law.

Sue C., Eka S., Tammy W., and Jackie W. did not have a signed child abuse statement. Correction: Ensure that each staff member reads and signs a statement defining child abuse. Provide documentation and statement of compliance by 9/28/2023. Correct by 09/28/2023

Corrected Corrected by Sep 28, 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 ________________________________________________

Four (4) out of nine (9) child files had expired authorizations for emergency medical care. Correction: Immediately ensure that written authorization for emergency medical care is updated annually. Provide documentation and statement of compliance by 9/28/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

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

7.702.35.A.2 · A record must be maintained, either written or electronic, for each staff member that includes the following: Verification of qualifications and training.

The program did not have verification of Sue C. degree in her file. Correction: Ensure a record of qualifications is being maintained in staff files. Provide documentation and statement of compliance by 9/28/2023. Correct by 09/28/2023

Corrected Corrected by Sep 28, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.35.A.5 · A record must be maintained, either written or electronic, for each staff member that includes the following: Names, addresses, and telephone numbers of persons to be notified in the event of an emergency.

Elizabeth G., Gail S., and Tammy W., did not have written emergency contacts in their file. Correction: Ensure emergency contacts for each employee are being maintained in their files. Provide statement of compliance by 9/28/2023. Correct by 09/28/2023

Corrected Corrected by Sep 28, 2023

Category: recordkeeping. 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.

Elizabeth G., Gail S., Cassie M., and Jackie W., all had expired health statements in their files. Correction: Ensure that subsequent self-report health histories are being submitted annually. Provide documentation and statement of compliance by 9/28/2023. Correct by 09/28/2023

Corrected Corrected by Sep 28, 2023

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

7.702.42.A · All staff must complete a pre-service Building and Physical Premises Safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Tammy W., and Jackie W., did not have proof of a completed building and physical premises training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure that all staff complete a Building and Physical Premises Safety training prior to working with children. Provide documentation and statement of compliance by 9/28/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 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

Sue C. didn't have proof of a completed emergency and disaster preparedness training. Correction: Immediately ensure that prior to working with children all staff complete a department approved training in emergency and disaster preparedness. Provide documentation and statement of compliance by 9/28/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: recordkeeping. 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.

Gail S., Cassie M., and Eka S., all had expired child abuse prevention training. Correction: Ensure that all staff annually complete a Department-approved training about child abuse prevention. Provide documentation and statement of compliance by 9/28/2023. Correct by 09/28/2023

Corrected Corrected by Sep 28, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.L · All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development.

Elizabeth G., Sue C., Gail S., Cassie M., Eka S., and Jackie W., did not have proof of a minimum of fifteen (15) hours of annual training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure all staff complete a minimum of fifteen (15) hours of ongoing professional development. Provide statement of compliance by 9/28/2023. Correct by 09/28/2023

Corrected Corrected by Sep 28, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

One (1) out of nine (9) child files had an expired physical. Correction: Ensure that within thirty (30) days of expiration parents provide the center with an updated physical for their child. Provide documentation and statement of compliance by 9/28/2023. Correct by 09/28/2023

Corrected Corrected by Sep 28, 2023

Category: ratio. Marked corrected in the state record.

7.702.51.B.7.b · When away from the classroom, staff assigned to supervise the child must carry the emergency medication.

A child with an emergency medication was observed to leave the classroom with their class to go to chapel, but the teacher did not bring their medication with them. Correction: Immediately ensure that when a child had an emergency medication it is carried by the teacher responsible for them where ever they go. Provide statement of compliance by 9/28/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: supervision. Marked corrected in the state record.

7.702.62.A.1 · All children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise

Upon arrival a teacher in room 6 left their class unattended to answer the door for licensing specialist. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure that children are under the direct supervision of a qualified adult at all times. Provide statement of compliance by 9/28/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: supervision. Marked corrected in the state record.

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

Observed tacks, batteries, saran wrap, wipes, and staples in unlocked cabinets in room 3. Correction: Immediately ensure that keep out of reach of children items are inaccessible to children. Corrected at the time of visit by the director moving the items to a high shelf making them inaccessible. Nothing additional needed. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

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.

Observed a white electrical cord running across the floor by the circle time rug in room 10. Correction: Immediately ensure that indoor equipment is safe at all times. Provide statement of compliance by 9/28/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

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

7.702.91.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

Observed several electrical outlets without covers in room 10. Correction: Immediately ensure that all electrical outlets in rooms used by children have protective covers. Provide statement of compliance by 9/28/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Marked corrected in the state record.