Academy 360

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 nine staff files and observed SM4 has not successfully cleared their FBI background check. Correction: All individuals requiring a background check must review the Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint. Submit verification that SM4 has reviewed the PowerPoint within 24 hours. Submit documentation for SM4 with a written response to the Licensing Specialist. Correct by 01/20/2026

Corrected by Jan 20, 2026

2.213.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 Docusign Envelope ID: 1981D374-8051-49A6-97AB-EC06BCCAE3E3 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ disposal of biological contaminants.

Reviewed nine staff files and observed SM4 and SM7's file to be missing documentation of a pre-service building and physical premises training. Correction: Ensure that all staff complete building and physical premises training prior to working with children. Correct immediately. Complete training for staff who are missing it and send documentation to the Licensing Specialist. Document compliance with the written response. Correct by 01/20/2026

Corrected by Jan 20, 2026

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 nine staff files and observed SM4 and SM7's file to be missing documentation of completion of Department-approved standard precautions training. Correction: Obtain documentation of the Department-approved standard precautions training. Correct immediately and respond with a copy of the training certificate to the Licensing Specialist. Correct by 01/20/2026

Corrected by Jan 20, 2026

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 nine staff files and observed SM4's file to be missing documentation of completion of Department-approved training course about child abuse prevention. Correction: Obtain documentation of completion of Department-approved training course about child abuse prevention. Correct immediately and respond with a copy of training certificate to Licensing Specialist. Correct by 01/20/2026

Corrected by Jan 20, 2026

2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times. Docusign Envelope ID: 1981D374-8051-49A6-97AB-EC06BCCAE3E3 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed nine staff files and observed SM8's file to have an expired Department-approved medication administration training and delegation. Correction: Obtain documentation of completion of Department-approved medication administration training and delegation. Correct immediately and respond with a copy of the training certificate and delegation to the Licensing Specialist. Correct by 01/20/2026

Corrected by Jan 20, 2026

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 nine staff files and observed SM7's file to be missing documentation of Trails. Correction: All individuals requiring a background check must review the "Navigating the Background Check Investigation Unit's (BIU) Webpage" PowerPoint. Submit verification that SM4 has reviewed the PowerPoint within 24 hours. Submit documentation of TRAILS with a written response to the Licensing Specialist. Correct by 01/20/2026

Corrected by Jan 20, 2026

2.120.C.2 · 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: All other requests except those specified in rule section 2.120(C)(1) must be submitted within ten (10) calendar days of the first day of employment for each employee or facility.

Reviewed 10 staff files and 1 staff member Davinyce C. was lacking proof of submission with 10 days of employment (DOH 8/2024) and a trails clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check

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 10 staff files and 1 staff member Davinyce C. (DOH 8/2024) was lacking proof of submission and CBI and FBI clearance letters. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Davinyce C. has reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI Clearance Letter for staff member Davinyce C. with written response to Specialist by 2/18/2025 Correct by 02/11/2025

Corrected by Feb 11, 2025

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 10 staff files and 1 staff member Courtney C. had an expired (10/6/2024) child abuse prevention training. Correction: Review and ensure that all staff members must complete a child abuse prevention training within the first 30 days of employment and renew annually. Correct immediately and respond with verification of compliance by 2/18/2025. Correct by 02/11/2025

Corrected by Feb 11, 2025

2.120.J · The results of the abuse and neglect inquiry must be maintained at the center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed 11 staff files and 1 staff member Kelsea Albert did not have a trails clearance letter on file. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Kelsea Albert have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for staff member Kelsea Albert with written response to Specialist by 4/18/2024 Correct by 03/19/2024

Corrected by Mar 19, 2024

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 11 staff files and 2 staff members Edith Cabral and Courtney Cline were lacking FBI clearance letters. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Edith Cabral and Courtney Cline have reviewed the powerpoint within 24 hours. Submit documentation of FBI, Clearance Letters for staff members Edith Cabral and Courtney Clinewith written response to Specialist by 4/18/2024 Correct by 03/19/2024

Corrected by Mar 19, 2024

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. 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 Department approved training.

Reviewed 11 staff files and 1 staff member Edith Cabral was lacking a training in emergency and disaster preparedness. Correction: Review and ensure that all staff members must complete a training in emergency and disaster preparedness. Correct immediately and respond with verification of compliance by 4/18/2024. Correct by 03/19/2024

Corrected by Mar 19, 2024

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 11 staff files and 1 staff member Kelsea Albert and Irene Hernandez was lacking a current Standard Precautions training. Correction: Review and ensure that all staff member must complete and renew annually a Standard Precautions training.

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 11 staff files and 1 staff member Kelsea Albert was lacking a CPR and First Aid module and has been working for longer than 30 days. Correction: Review and ensure that all staff members who are not required by rule must complete a CPR and First Aid module within 30 day and renew every 2 years. Correct and respond with verification of compliance by 4/18/2024. Correct by 04/18/2024

Corrected by Apr 18, 2024

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 11 staff files and 1 staff member Kelsea Albert was lacking a child abuse prevetion training, and has been working for longer than 30 days. Correction: Review and ensure that all staff members must complete a child abuse prevetion training and renew annually. Correct and respond with verification of compliance by 4/18/2024. Correct by 04/18/2024

Corrected by Apr 18, 2024

2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 2-1/2 to 6 years of age: 20 children.

Outside on the playground classroom 107 and 160 were all playing on the preschool playground and were over the max group size of by 10 children ages 3 to 5 years old. Correction: Ensure that all classes must not go over the max group size. ***Corrected at the time of the visit one of the classrooms went inside.*** Respond with a plan of on going compliance by 4/18/2024. Correct by 03/19/2024

Corrected by Mar 19, 2024

2.217.A.15.d · The licensed room capacity must not be exceeded at any time.

In classroom 109 there were 21 children and the classroom is licensed for 20 children aged 2.5 to 7. Correction: Ensure that the facility does not exceed the licensed room capacity including classroom 109. ***Corrected at the time of the visit the staff moved one child to another classroom.***Respond immediately with verification of compliance by 4/18/2024. Correct by 03/19/2024

Corrected by Mar 19, 2024

2.229.B · Window blind cords must be secured out of children's reach to prevent strangulation.

In classroom 109 there were two low hanging window blind cords accessible to children posing a stangulation hazard. Correction: Review and ensure that the window blind cords must be secured and out of reach of children. ***Corrected at the time of the visit the staff secured the cords making them out of reach of children. No need for written statement of compliance**** Correct by 03/19/2024

Corrected by Mar 19, 2024

2.230.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

Outside on the preschool playground there was a large metal peg sticking up out of a large black plastic barrier as you walk into the gate. The large metal peg was posing a tripping hazard. Correction: Review and ensure that the oustide area are kept safe and free of hazard. Correct immediately and respond with verification of compliance by 4/18/2024. Correct by 03/19/2024

Corrected by Mar 19, 2024