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 4 staff files and observed ECT Emily H (DOH: 2/1/16) to be missing a current TRAILS clearance letter. Correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification (via email) that Emily H. has reviewed the powerpoint within 24 hours. Correct immediately and submit documentation of TRAILS clearance letter for Emily with written response to Specialist by 3/4/25. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

Category: supervision. Marked corrected in the state record.

2.218.C.5 · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider, parent(s)/guardian(s) and must include, but not be limited to, the following:

Reviewed 1 Health Care Plan and observed it to have expired on 1/4/25. Correction: Obtain current Health Care Plan for all children prescribed medication, annually. Correct immediately and respond with statement of compliance by 3/4/25. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

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

2.230.C.2.b · The maximum height for preschool and school-age climbing equipment must not exceed six (6) feet in height with six (6) inches of Department-approved resilient surfacing.

Permanent equipment on school age playground measures 8 feet at highest platform. Correction: Permanent playground equipment cannot exceed six feet in height. Correct immediately and respond with verification of compliance by 3/4/25. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

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

2.230.C.1.b · Department-approved resilient surfacing includes loose fill materials such as wood chips, wood mulch, engineered wood fiber, pea gravel, synthetic pea gravel, shredded rubber tires, and sand. Solid unitary materials include poured in place surfacing, approved rubber mats, playground tiles, and Astroturf with built in resilient pad.

Resilient surfacing on school age playground was observed to be Pea Gravel under a layer of Astroturf without resilient pad. a Correction: Resilient surfacing must be in compliance with rule. Correct immediately and respond with verification of compliance by 3/4/25. Correct by 02/25/2025

Corrected Corrected by Feb 25, 2025

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

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request Name: DADDY MOM DAYCARE License Number: 1508623 must be obtained prior to five (5) years from the date reflected on the current clearance letter. Check', Investigation

Reviewed 4 staff files and observed ECT Randee B (DOH 10/2006) to be missing updated FBI clearance letter, expired of 6/25/24. as Correction: All individuals requiring a background check must review 'Navigating the Background the Unit's (BIU) Webpage powerpoint the CDEC website. Submit verification (via email) that Randee B. has reviewed the on powerpoint within 24 hours. Correct immediately and submit documentation of FBI clearance letter for Randee B. with written Specialist by 3/4/25. Correct by 02/25/2025 response to Licensed Classrooms Include: 1. Classroom: School-Age Room Classroom Type: School-age Capacity: 35 Youngest Age: 5 Years Oldest Age: 13 Years 2. Classroom: Tiger's Class Classroom Type: Preschool Capacity: 8 Youngest Age: 2.5 Years Oldest Age: 6 Years 3. Classroom: Rabbit's Class Classroom Type: Preschool Capacity: 10 Youngest Age: 2.5 Years Oldest Age: 6 Years 4. Classroom: Bear's Class Classroom Type: Preschool Capacity: 10 Youngest Age: 2.5 Years Oldest Age: 6 Years

Corrected Corrected by Feb 25, 2025

Category: background checks. 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 6 staff files and observed Gionni's file (DOH 1/24/23) to be missing current documentation of Department-approved standard precautions training. Correction: Obtain and maintain current documentation of Department-approved standard precautions training for Gionni and all staff prior to working with children and annually thereafter. Correct immediately and respond with verification of compliance by 3/27/24. Correct by 03/20/2024

Corrected Corrected by Mar 20, 2024

Category: recordkeeping. Marked corrected in the state record.

2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 4 staff files and observed 3 child files to be missing current written authorizations for emergency medical care signed and dated by parent/guardian. Correction: Obtain current written authorizations for emergency medical care signed and dated by parent/guardian for all

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.209.A · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include:

Reviewed 4 staff files and observed 3 child files to have not been updated annually, most recently updated on 8/1/22. Correction: Obtain a current admission record for all children enrolled that contains all required components. Correct immediately and respond with a statement of compliance by 3/27/24. Correct by 03/20/2024

Corrected Corrected by Mar 20, 2024

Category: recordkeeping. Marked corrected in the state record.

2.138.A · Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Reviewed program's files and observed program missing current documentation of monthly fire drills, monthly (March-October) tornado drills, and quarterly emergency drills within the last 12 months. Correction: Ensure that all drills are conducted and documented as required. Correct immediately and respond with a plan for ongoing compliance by 3/27/24. Correct by 03/20/2024

Corrected Corrected by Mar 20, 2024

Category: recordkeeping. Marked corrected in the state record.

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Reviewed 6 staff files and observed the following staff members to have expired TRAILS clearance letters: Vandrea (expired 11/21/19), Jeremy (expired 12/30/13) and Randee (expired 4/5/11). Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Vandrea, Jeremy, and Randee have reviewed the powerpoint within 24 hours. Correct immediately and submit documentation of TRAILS clearance letters for staff members listed above with written response to Specialist by 3/27/24. Correct by 03/20/2024

Corrected Corrected by Mar 20, 2024

Category: background checks. Marked corrected in the state record.