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.

In a review of 12 staff files, three staff members (Alicia, Rosa & Ana) were found to be missing current certification of completion of a department-approved training about child abuse prevention. Correction: Within thirty calendar days of employement, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention. This training must be renewed annually. Correct immediately. Submit written verification to licensing specialist when training has been completed by Alicia, Rosa & Ana and documentation has been placed in employee files. Correct by 12/02/2024

Corrected Corrected by Dec 2, 2024

Category: recordkeeping. Marked corrected in the state record.

2.229.D · Staples must be inaccessible to children less than three (3) years of age.

Staples were used to adhere pumpkin art to the wall in the hallway outside the Early Headstart 2 classroom in an area accessible to children less than three years of age. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Staples must be inaccessible to children less than three years of age. Correct immediately. Director corrected at time of visit. No further response required. Correct by 12/02/2024

Corrected Corrected by Dec 2, 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.

The spinning chair on the Head Start playground to have a large crack in the seat exposing sharp edges and interior metal posing a hazard to children. Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Correct Immediately. Fix the cracked seat section or remove the item from the playground and provide written documentation to licensing specialist. Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

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.

Upon review of staff files, four staff members were observed to have expired or missing Department-approved Standard Precautions training Correction: All staff must complete a Department-approved standard precautions training prior to working with children. Correct Immediately. Update staff files with required documentation and provide written response to licensing specialist. Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Upon review of staff files, two staff members were observed to have expired or missing Department-approved safe sleep training. Correction: All staff must complete a Department-approved safe sleep training prior to working with children. Correct Immediately. Update staff files with required documentation and provide written response to licensing specialist. Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

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

2.213.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. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Upon review of staff files, two staff members were observed to have expired or missing Department-approved shaken baby/abusive head trauma training. Correction: All staff must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children. Correct Immediately. Update staff files with required documentation and provide written response to licensing specialist. Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Upon review of staff files, two staff members were observed to have expired or missing Department-approved training about child abuse prevention. Correction: All staff must complete a Department-approved training about child abuse prevention annually. Correct Immediately. Update staff files with required documentation and provide written response to licensing specialist. Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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.

Upon review of child files, one child to be missing a current stament of health status in accordance with the American Academy of Pediatrics Recommendations for Preventiive Pediatric Health Care schedule. Correction: Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider in accordance with the American Academy of Pediatrics Recommendations schedule. Update file with required documentation and submit written response to Licesing Specialist. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

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

7.702.64.B · Children must not be subjected to physical or emotional harm, humiliation, or threats.

Through documentation and staff member's statements, CH1 was physically moved by SM1 on the day of the incident. CH1 sustained an injury after being moved. Correction: Children must not be subjected to physical harm. Immediately correct and submit a written statement of compliance. Correct by 07/13/2023 Stage II Licensing Concern : SM1 used inappropriate redirection the day of the incident. - FOUNDED

Corrected Corrected by Jul 13, 2023

Marked corrected in the state record.

7.702.64.A · Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others.

Through documentation and staff member's statements, SM1 physically moved CH1 out of the way CH2 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ when wanting to play with the same piece of playground equipment on the day of the incident, causing CH1 to accidentally fall and sustain an injury. Correction: Ensure guidance is appropriate to the development of children, including the opportunity to teach self-regulation, problem-solving, and empathy for others. Immediately correct and submit a written statement of compliance. Correct by 07/13/2023 ________________________________________________ Stage II Licensing Concern : Food is served to children outside of the center's provided menu. - UNFOUNDED Stage II Licensing Concern : Staff members are not trained regarding child abuse and neglect reporting. - UNFOUNDED Stage II Licensing Concern : Staff members have failed to report child abuse and neglect. - UNFOUNDED Stage II Licensing Concern : Facility is not following their policies and procedures on reporting injuries/incidents to parents/guardians. - UNFOUNDED Stage II Licensing Concern : Items labeled "keep out of reach of children" are accessible to children, including kitchen equipment brought from home and staff's personal belongings. - UNFOUNDED Stage II Licensing Concern : SM1 has force-fed children on several occasions. - UNFOUNDED ________________________________________________

Corrected Corrected by Jul 13, 2023

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

7.702.62.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

In the Headstart 2 classroom, two blue cots less than 2 feet apart from one another, with the corners less than one inch apart and children resting on them. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure cots are at leadt 2 feet apart on all sides during rest time. ***CORRECTED AT TIME OF INSPECTION, Director spaced out cots.*** No response required. Correct by 07/13/2023

Corrected Corrected by Jul 13, 2023

Category: supervision. Marked corrected in the state record.

7.702.71.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

Several lady bug and dinosaur art work pieces on the wall with google eyes, a potential choking hazard and accessible to children under the age of 3. Art work was hung in the main hallway. Correction: Ensure materials that are a potential choke hazard art not accessible to children under the age of 3. ***CORRECTED AT TIME OF INSPECTION, art work was removed by Director.*** No response required. Correct by 07/13/2023

Corrected Corrected by Jul 13, 2023

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

7.702.91.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

Kitchen door propped open and accessible. Previously cited 6/1/23 and 2/23/23. Correction: Kitchen must be inaccessible to children at all times. ***CORRECTED AT TIME OF INSPECTION, kitchen was locked by Director.*** Submit a written statement of compliance. Correct by 07/13/2023

Corrected Corrected by Jul 13, 2023

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