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

In the kitchen area a small kitchen knife and pair of shears were accessible to children in an unlocked drawer below the sink. On a low shelf next to the cubbies in the entry area to the classroom a paper cutter was accessible to children. Correction: Immediately (6/11/25) ensure equipment, materials, and furnishings are sturdy safe and free of hazards. Teacher corrected at time of visit by placing knife and scissors in a high cabinet out of reach of children and placing the paper cutter in the office area in a location inaccessible to children. No further response is required. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

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

2.512.B.1 · At the time of enrollment, the parent(s) or guardian(s) must provide for each child entering the center: A self-reported health history, including any health care plans, which indicate any communicable diseases; chronic illnesses or injuries the individual has had; any known drug reactions and allergies; medications currently being taken; any necessary health procedures or special diets; and the name address and phone number for the child’s health care provider and dentist.

In a review of three child files, three children were found to be missing updated annual health histories. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately (6/11/25) ensure all student files have a current health history . Provide a written statement of compliance within the overall response. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

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

2.530.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: An annual written authorization for emergency medical care signed and dated submitted by the parent(s) or guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

In a review of three child files, two children were found to be missing current annual written authorization for emergency medical care. Correction: Immediately (6/11/25) ensure all children's record contain authorization for emergency medical care signed by a parent or guardian. Provide a written statement of compliance within the overall response Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

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

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed three staff files and observed one staff Isrrael lacking documentation of the required FEMA training certificate. Correction: Immediately (6/11/25) ensure that the program obtains and maintains documentation of a FEMA training certificate for all staff to include the above listed staff. Provide a written statement of compliance within the overall

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.508.A · Prior to working with children all staff members must complete a Department-approved standard precautions training. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed three staff files and observed Isrrael to be lacking documentation of completion of a current Standard Precautions training. Correction: Immediately (6/11/25) ensure that the program obtains documentation of a current Standard Precautions training certificate for the above listed staff that includes the review of the exposure control plan. Provide a written statement of compliance within the overall response. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.D · Within (30) calendar days of employment all staff members and regular volunteers must complete 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 know child abuse or neglect. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed three staff files and observed James to be lacking documentation of a completed Department-approved training about child abuse prevention. Correction: Correct immediately. Provide a written statement of compliance within the overall response ensuring all staff have completed the annual Department-approved training on Child Abuse Prevention annually. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

Category: recordkeeping. Marked corrected in the state record.

2.530.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:

The program was observed to have a child present at the program whose age was within the program's licensed age range and lacking admission records for the child. Correction: Immediately (6/11/25) ensure that an admission record is completed for the child that includes all requirements listed in section 2.530.A.1-12. Provide written statement of compliance to licensing specialist within the overall response.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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 the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

In a review of three staff files, it was observed that one staff member (Alex) was missing an updated TRAILS background check within the last five years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Alex has reviewed the powerpoint within 24 hours. Submit documentation of (TRAILS) for Alex with written response to Specialist. https://docs.google.com/presentation/d/1Dve1uqcQzgGrgXcupoW8iFTY40EXqRXVguaJ-UI4iko/edit#slide=id.g13ed17175

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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.

In a review of three staff files, it was observed that Katie was missing an updated Standard Precautions training. Correction: All staff members must complete a department-approved standard precautions training that must be renewed annually. Correct immediately. Submit written response to licensing specialist that Katie has completed the training and place certificate in staff file. Correct by 06/11/2024

Corrected Corrected by Jun 11, 2024

Category: recordkeeping. Marked corrected in the state record.

2.507.L · All staff members and regular volunteers must complete a Department-approved training about child abuse prevention, including common symptoms and signs of child abuse within (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

In a review of three staff files it was observed that Katie was missing an updated certificate for the annual child abuse prevention training. Correction: All staff members must complete a department-approved training about child abuse prevention that must be renewed annually. Correct immediately. Submit written response to licensing specialist that Katie has completed the training and place certificate in staff file. Correct by 06/11/2024

Corrected Corrected by Jun 11, 2024

Category: recordkeeping. Marked corrected in the state record.

2.512.C.5 · In the case medication needs to be given on an ongoing, long-term basis, the authorization and consent forms must be reauthorized on an annual basis. Any changes in the original medication authorization require a new written order by the prescribing practitioner and a change in the prescription label.

It was observed that the medical authorization form was not updated for the current year and did not list the correct current medication authorization. Correction: In the case medication needs to be given on an ongoing, long-term basis, the authorization and consent forms

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 must be obtained prior to five (5) years from the date reflected on the current clearance letter.

In a review of three staff files, it was observed that one staff member (Alex) was missing an updated FBI background check within the last five years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Alex has reviewed the powerpoint within 24 hours. Submit documentation of (FBI) for Alex with written response to Specialist. https://docs.google.com/presentation/d/1Dve1uqcQzgGrgXcupoW8iFTY40EXqRXVguaJ-UI4iko/edit#slide=id.g13ed17175 94_3_0 Correct by 06/11/2024

Corrected Corrected by Jun 11, 2024

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