2.219.B.2 · 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.

Reviewed 5 child files and observed 1 child to have an expired health statement. Correction: Obtain and maintain current documentation of health statement. Correct by 12/20/2024

Corrected Corrected by Dec 20, 2024

Category: ratio. Marked corrected in the state record.

2.225.I · Physical redirection may be used to keep a child from immediate imminent danger. The child must be immediately released once removed from imminent danger. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Staff member in Preschool 2 grab a child by the underarms to get them to sit back down on the carpet because the child's name had not been called to sit down at the tables. Staff member used physical redirection before using verbal redirection. Correction: Physical redirection may only be used to keep a child from immediate, imminent danger. Submit plan of action with written response to specialist. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Marked corrected in the state record.

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

Several plastic cones and a plastic toy truck that were cracked and broken exposing sharp edges on the preschool playground and posing a potential hazard. Observed a protruding sprinkler head on the preschool playground accessible to children and posing a potential hazard. Correction: Immediately make all hazardous items inaccessible to children. CORRECTED AT TIME OF INSPECTION - all broken plastic cones and toy truck were removed from the playground and a cone was placed on top of the protruding sprinkler head. Submit written response with permanent correction for protruding sprinkler head to specialist. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

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

2.225.I · Physical redirection may be used to keep a child from immediate imminent danger. The child must be immediately released once removed from imminent danger.

Identified through staff member Tracy's statement that she stopped Ch1 from running at her by holding her hand in front of Ch1's body and using her other hand to sit Ch1 down on the ground. Correction: Physical redirection may be used to keep a child from immediate imminent danger. Submit plan of action with written response to specialist. Correct by 07/08/2024

Corrected Corrected by Jul 8, 2024

Marked corrected in the state record.

2.124.A.1.b · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: An injury to a child that requires medical attention by a health care professional or admission to a hospital, whether or not treatment was given. This report must be completed in the online injury system within 24 hours of an incident. If a provider is unable to access the online system, you must use the paper form, and submit the form to the Department within 24 hours of the incident.

Identified through director Phyllis's statement that Ch1 received medical attention for an injury that was observed while Ch1 was in care and no injury report was submitted to the Department. Correction: Within 24 hours of the occurrence of a critical incident involving an injury to a child resulting in medical attention the facility must submit an injury report to the Department. Submit plan of action with Correct by 07/08/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Jul 8, 2024

Category: ratio. Marked corrected in the state record.