2.223.D.4.c · A fitted sheet and a blanket, or suitable covering, must be provided for each child to be used only by that child.

Preschool classroom to all be sleeping on cots with no sheet or other covering on their cot. Correction: A fitted shee or other suitable covering must be provided for each child. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

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

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

Toothpaste, Desitin, disinfecting wipes on low shelves in the unlocked bathroom cabinets all labeled 'keep out of reach of children' and accessible to children. Correction: Immediately make all hazardous items inaccessible to children. CORRECTED AT TIME OF INSPECTION - director locked the cabinets making hazardous items inaccessible to children. No response required. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

Marked corrected in the state record.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Opened box of gallon sized ziploc bags in an unlocked drawer in the preschool classroom accessible to children and posing a potential hazard. Correction: Immediately make all hazardous items inaccessible to children. CORRECTED AT TIME OF INSPECTION - director locked drawer making ziploc bags inaccessible to children. No response required. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

Category: physical safety. 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 4 staff files and observed no documentation of current Standard Precautions training for staff member Elva. Correction: Obtain and maintain current documentation of Standard Precautions training. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

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.

No current documentation of health inspection. Correction: Obtain and maintain current documentation of health inspection. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

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

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

A roll of small plastic garbage bags on a low shelf in the preschool bathroom accessible to children and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ posing a potential hazard. Correction: Immediately make all hazardous items inaccessible to children. CORRECTED AT TIME OF INSPECTION - Director moved roll of plastic bags to a locked cabinet making them inaccessible to children. No response required. Correct by 09/12/2024

Corrected Corrected by Sep 12, 2024

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

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

Specialist asked staff member Elva how many children were present and Elva responded that she did not know. Director Toni checked attendance log and told specialist that 13 children were present. Correction: Staff members must complete a written attendance verification periodically throughout the day, including transitions. Correct by 09/12/2024

Corrected Corrected by Sep 12, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Swiffer cleaning solution in the bathroom in the Preschool classroom accessible to children and posing a potential hazard. Correction: Immediately make all hazardous items inaccessible to children. CORRECTED AT TIME OF INSPECTION - director removed cleaning solution from the classroom making it inaccessible to children. No response required. Correct by 09/12/2024

Corrected Corrected by Sep 12, 2024

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

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 2 staff files and observed 1 child to have no documentation of health statement. Correction: Obtain and maintain current documentation of health statement for all enrolled children within 30 days of enrollment. Correct by 10/12/2024

Corrected Corrected by Oct 12, 2024

Category: ratio. Marked corrected in the state record.

2.213.E · For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member on duty who holds a current Department-approved first aid and safety certificate, including cardiopulmonary resuscitation (CPR) for all ages of children, and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location.

Reviewed 4 staff files and observed no documentation of CPR/First Aid certification for any staff on site day of the inspection. Correction: For every 30 children in attendance there must be at least 1 staff member with CPR/First Aid certification.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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.

Reviewed 2 child files and observed 1 child to have no documentation of a health statement. Correction: Obtain and maintain current documentation of health statement. Correct by 11/11/2023

Corrected Corrected by Nov 11, 2023

Category: ratio. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 2 staff files and observed no current documentation of Standard Precautions training for staff members Toni, Elva. Correction: Obtain and maintain current documentation of Standard Precautions training for all staff. Correct by 10/11/2023

Corrected Corrected by Oct 11, 2023

Category: ratio. 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 2 staff files and observed no current documentation of Abuse Prevention training for staff members Toni, Elva. Correction: Obtain and maintain current documentation of Abuse Prevention training for all staff. Correct by 10/11/2023

Corrected Corrected by Oct 11, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.M · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Identified through staff member Toni's statement that she is responsible for maintaining child files and immunization records. Reviewed 2 staff files and observed no current documentation of Immunization training for staff member Toni. Correction: Obtain and maintain current documentation of Immunization training. Correct by 11/11/2023

Corrected Corrected by Nov 11, 2023

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

7.702.46.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.

Reviewed 2 staff files and observed no current documentation of delegation for staff members Toni, Elva. Correction: There must be one staff member with current delegation at all times. Obtain and maintain current documentation of delegation. Correct by 10/11/2023

Corrected Corrected by Oct 11, 2023

Category: ratio. Marked corrected in the state record.

7.702.46.C.5 · For the Department-approved Child Care Health Consultant, the center must maintain documentation from the Colorado Department of Regulatory Agencies that the Registered Nurse or the Medical Doctor’s licensure is in good standing.

Reviewed facility's Child Care Health Consultant Dee M's file and observed no current documentation of RN license. Correction: Obtain and maintain current documentation of CCHC's RN license. Correct by 10/11/2023

Corrected Corrected by Oct 11, 2023

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

7.702.46.C.8 · All Department-approved Child Care Health Consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion.

Reviewed facility's Child Care Health Consultant Dee M's file and observed no current documentation of Immunization training. Correction: Obtain and maintain current documentation of CCHC's Immunization training. Correct by 11/11/2023

Corrected Corrected by Nov 11, 2023

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