2.510.E · There must be one (1) staff member for each fifteen (15) children in attendance.

At the time of the inspection specailist observed 1 staff member (Peter S.) alone in the cafeteria with 19 children. Correction: Immediately (10/3/24) ensure program has (1) staff member for every 15 children and (1) staff member for every 12 children when 4 year olds are present. A second staff member arrived to the cafeteria after approximately 5-10 minutes. Provide a written plan of action along with a written statement of compliance within the overall response Correct by 10/03/2024

Corrected Corrected by Oct 3, 2024

Marked corrected in the state record.

2.513.A · Any un-expired routine medication, prescription and non-prescription (over-the-counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parent(s) or guardian(s) consent. Home remedies, including homeopathic medications, vitamins, and supplements must not be administered to children in childcare .

Reviewed medications for 2 children and observed 1 child to have expired medication (Benadryl). FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately (10/3/24) ensure that all medication that needs to be given on an on-going, long-term basis is reauthorized annually. Provide a written statement of compliance with in the overall response Correct by 10/03/2024

Corrected Corrected by Oct 3, 2024

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

2.513.E · In the case medication needs to be given on an ongoing, long-term basis, the authorization and consent forms must be reauthorized on at least 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.

Reviewed health care plans for 2 children and observed 1 child to have medications onsite but lacking a health care plan with the medications. Program was able to locate a copy of a health care plan for the child but it was expired. Correction: Immediately (10/3/24) ensure that all medication that needs to be given on an on-going, long-term basis is reauthorized annually. Provide a written statement of compliance with in the overall response Correct by 10/03/2024

Corrected Corrected by Oct 3, 2024

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

7.712.43.E · . Group size for children in care may be exceeded for attendance time, meal and snack time, special occasions and activities. The room capacity must not be exceeded.

Classroom 113 to have 26 children present at the time of the inspection, room capacity is 24 children ages 5-13years. Correction: Immediately (11/8/2023) ensure that room capacities are not exceeded at any time.Provide a written plan of action, along with a written statement of compliance within the overall response. Correct by 11/08/2023

Corrected Corrected by Nov 8, 2023

Category: ratio. Marked corrected in the state record.

7.701.100.F.2 · . 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) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Program lacking documentation of fire and tornado drills for the month of October 2023. Correction: Immediately (11/8/23) ensure that all drills to include lockdown are conducted and documented with the above listed information. Provide a written statement of compliance within the overall response. Correct by 11/08/2023

Corrected Corrected by Nov 8, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.34.A · . Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

Program lacking documentation of a current health and fire inspections. Correction: Provide documentation through an approving health inspection from the local health department and approving fire inspection from the local fire department along with a written statement of compliance within the overall response ensuring that a current health and fire inspections have been obtained and will be maintained. Correct by 12/08/2023

Corrected Corrected by Dec 8, 2023

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

7.712.73.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.

A spray bottle of sanitizer accessible to children on top of the craft tower in room 113 posing a possible hazard. Correction: Immediately (11/8/23) ensure that all volatile substances are made inaccessible to children at all times. Staff moved the spray bottle of sanitizer to higher shelf at the time of the inspection making it in accessible to children. NO RESPONSE REQUIRED. Correct by 11/08/2023

Corrected Corrected by Nov 8, 2023

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

7.712.43.F · . There must be one (1) staff member for each fifteen (15) children in attendance. When four (4) year olds are in attendance, there must be at least one staff member for each twelve (12) or fewer children cared for by the center.__Mixed age group with 4 year olds-1 staff member to 12 children and 24 children for maximum group size. Age Group of 5 years and older -1 staff member to 15 children and 30 children for maximum group size.

Observed 1 staff member to be left alone in classroom 113 with approximately 24 children while the other staff member left the classroom to answer the door to let parents in the building. Correction: Immediately (11/8/23) ensure program has (1) staff member for every 15 children and (1) staff member for every 12 children when 4 year olds are present. Provide a written statement of compliance within the overall response Correct by 11/08/2023

Corrected Corrected by Nov 8, 2023

Category: ratio. Marked corrected in the state record.

7.712.43.H · . At all times, school-age child care personnel must be directly supervising the children.

Children using a restroom down the hall from classroom 113 and not being directly supervised by program staff. Correction: Immediately (11/8/23) ensure that all children are being directly supervised by school-age child care personnel at all times. Provide a written plan of action, along with a written statement of compliance within the overall response. Correct by 11/08/2023

Corrected Corrected by Nov 8, 2023

Category: supervision. Marked corrected in the state record.