2.213.N · 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.

Reviewed 8 staff files and identified that Suzie H. to be missing the CDPHE approved immunization course training course. Correction: Prior to working with children, the staff responsible for the collection, review, and maintenance of the child immunization records must complete the CDPHE approved immunization course training. Send a copy of the training certificate to the licensing specialist with the written response. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

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

2.230.C.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six (6) inches. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

In the preschool playground, the resilient surface in the front part of the use zone of the swings to have approximately 3 inches. Correction: Ensure the resilient surface in the use zone of the swings to be at least 6 inches. Correct immediately or make inaccessible to children. Document compliance to the Licensing Specialist with the written response. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

Category: physical safety. 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.

Reviewed 8 staff files and identified that the following staff: Olga R., Maria C., Ericka R. to be missing current documentation of Department-approved training about Child Abuse Prevention. Correction: All staff must complete the Department approved training about child abuse prevention and renew annually. Correct immediately. Obtain missing training and add to the staff file. Send a copy of the training certificates for staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. 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 9 staff files and identified Maria C. to be missing the Department-approved standard precautions training. Correction: All staff must complete the Department approved training about standard precautions and renew annually. Correct immediately. Obtain missing training and add to the staff file. Send a copy of the training certificates for staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

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

Reviewed 8 staff files and identified that the following staff: Maria C. and Heidy G. to be missing the Department-approved prevention of shaken baby/abusive head trauma training. Correction: All staff must complete the Department approved training about Shaken baby/abusive head trauma and renew every two years. Correct immediately. Obtain missing training and add to the staff file. Send a copy of the training certificates for staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. 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.

Reviewed 7 staff files and observed Director Suzie's file to be missing current documentation of department-approved Standard Precautions training. Correction: Obtain current documentation of department-approved Standard Precautions training for Suzie. **Corrected at time of visit. Director completed this training during the inspection on 10/25/23** No response required. Correct by 10/25/2023

Corrected Corrected by Oct 25, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.F · 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 the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed 7 staff files and observed ECT Delia's file (DOH 9/27/21) to be missing documentation of Department-approved First Aid and CPR certification or module. Correction: All staff not required by ratio to be certified in First Aid and CPR must complete the Department-approved basic

Open Not marked corrected in the state record

Open / not marked corrected.

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 7 staff files and observed ECT Lily and ECT Delia's files to be missing current documentation of the Department-approved training regarding child abuse prevention. Correction: Obtain documentation of the Department-approved training regarding child abuse prevention for Lily and Delia. Correct immediately and respond with verification of compliance by 11/1/23. **Corrected at time of visit. Delia and Lily completed this training during the inspection on 10/25/23** No response required. Correct by 10/25/2023

Corrected Corrected by Oct 25, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.33.D.5 · Every five (5) years requests for FBI criminal record checks must be renewed by resubmitting a complete set of fingerprints and the required fee to CBI for processing. 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.

Reviewed 7 staff files and observed Director Suzie and ECT Elizabeth's file to be missing current documentation of FBI clearance letter. Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Correct immediately and respond with verification of compliance with FBI and CBI clearance letters by 11/1/23 Correct by 10/25/2023

Corrected Corrected by Oct 25, 2023

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