2.511.B.3.a · Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first (1st) day of care.

Reviewed medications and observed 2 children present in the program missing inhalers who have medication paperwork with inhalers prescribed. Correction: Medications must be available to staff prior to the child's first day. Correct immediately. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

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

2.611.L · If the program has field archery, written procedures must be posted to provide safety to the archers and include a procedure for check-in and out of archers and all equipment. .

No written rules posted at archery. Correction: Written procedures must be posted at the archery field. Correct immediately. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

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

2.512.B.2 · Schools are required to comply with the immunization requirements as stated in 6 CCR 1009-2. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Colorado Department of Public Health and Environment (CDPHE) Certificate of Immunization or on an “approved alternate” Certificate of Immunization. Colorado law requires proof of immunization status or exemption be provided prior to or on the first (1st) day of admission. Colorado Department of Public Health and Environment regulation at 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at https://www.coloradosos.gov/CCR/Welcome.do. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

Reviewed 37 child files and found for 10 on non approved forms and one missing (for H). Correction: Obtain and maintain documentation of immunizations on CDPHE approved forms for all children in care. Correct immediately. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

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

2.513.J · If a medication is expired or left over, the parent(s) or guardian(s) are responsible for picking up the medication. If the parent(s) or guardian(s) do not respond, the center must dispose of the medications in accordance with 6 CCR 1007-2, Part 1, Regulations Pertaining to Solid Waste Sites and Facilities (March 30, 2024) and 6 CCR 1007-3, Parts 99 (June 30, 2018), 100 (July 15, 2020) and 260-265 (July 15, 2023), 266 (June 30, 2014), 267 (March 30, 2024), and 268 (July 15, 2023), and as required by the Colorado Department of Public Health and Environment (CDPHE) https://cdphe.colorado.gov/colorado-medication-take-back-program (2023), herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from CDPHE at https://www.sos.state.co.us/CCR. The recommendations are available at no cost from CDPHE at https://cdphe.colorado.gov/hm/prep-med-waste-disposal and https://cdphe.colorado.gov/colorado-medication-take-back-program. These regulations and recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

Found one medication, Certizene, to be expired. Correction: Obtain and maintain current mediations for all children. Correct immediately. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

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

2.522.B · Items labeled “keep out of reach of children” must be inaccessible to children.

In room 5 a bottle of Oxivir, in the art room Oxivir, cleaning tablets, earth power, and heavy duty degreaser, accessible to children that were all labeled "keep out of reach of children". Correction: All items labeled "keep out of reach of children" must be inaccessible at all times. Correct immediately. Corrected at the time of inspection, Directors removed the items. No response required. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

Marked corrected in the state record.

2.605.I · First Aid supplies shall be available at each special activity. The contents of each kit shall be adequate for the number of children and appropriate for the type of activity.

No First Aid Kit at the archery or paddle boarding area. Correction: First aid supplies must be available for the activity and number of children. Correct immediately. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

Marked corrected in the state record.

2.127.D · All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

No posted signs of capacities or ratios in the classrooms. Correction: Post capacities and ratios in every classroom. Correct immediately. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

Category: ratio. Marked corrected in the state record.

2.507.J · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures.

Reviewed 35 staff files and found 12 (h) and 2 (c) missing policies and procedures for medication administration. Correction: Obtain and maintain documentation that all staff have completed training on the policies and procedures for medication administration. Correct within 30 days. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

Category: ratio. Marked corrected in the state record.

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

Reviewed 35 staff files and found all staff to be missing documentation that they have been trained on the fire extinguishers and fire alarms. Correction: Obtain and maintain documentation that all staff have been trained on the fire extinguishers and fire alarms. Correct immediately. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

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

2.507.K · Within thirty (30) calendar days of caring for children a signed statement indicating that the individual has been trained, understands, and has had the opportunity to ask questions regarding the “Rules Regulating School-Age Child Care,” the “General Rules for Child Care Facilities,” and the “Rules Regulating Special Activities,” if applicable.

Reviewed 35 staff files and found all staff to be missing documentation that they have read, understand, and had chance to ask questions about all Rules and Regulation that apply to them. Correction: Obtain and maintain documentation that all staff have read, understand, and had chance to ask questions about all Rules and Regulation that apply to them. Correct within 30 days. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

Marked corrected in the state record.

2.508.E · Within ninety (90) calendar days of employment all staff must have at least one (1) hour of child development training . This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once (1 time) and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 35 staff files and found 21(c) and 7 (H) staff to be missing a Department approved Child Development training. Correction: Obtain and maintain documentation that they have taken the Department approved Child Development training. Correct within 30 days. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.F.1 · 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 a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years.

Reviewed 35 staff files and found one (H) to be missing First Aid training. Correction: Obtain and maintain documentation that the staff member has taken the module or full first aid training. Correct within 30 days. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

Category: recordkeeping. Marked corrected in the state record.

2.524.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

In the dining hall, observed 2 bottles of Rapid Multi- Surface Disinfectant on window shelves, one by the window to the right, on by the window to the left as you walk into the dining hall. In the hallway going into the dining hall, observed a free standing hand sanitizer. While walking outside by the water slide, observed a group of children with sunscreen on the ground or in their backpacks. All items were accessible to children. Correction: All hazardous items must be stored away and inaccessible to children. Submit a written response to the Specialist Correct by 06/11/2024

Corrected Corrected by Jun 11, 2024

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

2.505.A.13 · Policies must address or include the each of the following: The written policy and procedure FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ governing field trips, television and video viewing, and special activities, including the staff’s role for the supervision of children.

In the music room, observed a group of children watching Lion King. Childrens files do not have a permission slip allowing media viewing. Correction: Permission slips must be completed, signed and dated by the parent of child. Submit a written statement of compliance to the Specialist. Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

Category: supervision. Marked corrected in the state record.

2.517.B · Parents or guardians must be given the opportunity to indicate to the staff of the center if they do not want their child to participate in an activity.

Reviewed 28 children files, identified activity authorization to be missing. Correction: Obtain the permission slip /form acknowledging activities are permitted. Submit a written statement of compliance to the Specialist. Correct by 06/11/2024

Corrected Corrected by Jun 11, 2024

Marked corrected in the state record.

2.507.I · All staff members must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 25 staff files, identified Jenny W., Kartney M. to be missing the required signature on the standard precaution training. Correction: Obtain the correct signature for the Department approved standard precaution training. Submit a written statement of compliance to the Specialist. Correct by 06/11/2024

Corrected Corrected by Jun 11, 2024

Category: recordkeeping. Marked corrected in the state record.

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 25 staff files, identified Wilson M. to be missing FBI and CBI 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 have reviewed the powerpoint within 24 hours. Submit documentation of CBI, FBI, Clearance Letters for staff members with written response to Specialist. Correct by 06/11/2024

Corrected Corrected by Jun 11, 2024

Category: supervision. Marked corrected in the state record.

2.512.C.6 · Staff designated by the program director to give medications must complete the Department-approved medication administration training and have current annual delegation or more often as determined by the Child Care Health Consultant. Delegation must be from the center’s Current Child Care Health Consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current Department-approved Cardiopulmonary Resuscitation (CPR), first aid training prior to administering medication with the following exceptions:

Reviewed 25 staff files, identified Jenny W., to be missing the updated delegation for 2024 summer. Correction: Obtain delegation from the health consultant for your facility. Submit a written statement of compliance to the Specialist. Correct by 06/11/2024

Corrected Corrected by Jun 11, 2024

Category: ratio. Marked corrected in the state record.