7.712.52.A.2 · The center must inform its child care health consultant (CCHC) prior to the first day of care of the enrollment of a child with special health care needs, if known, so staff receives training, delegation and supervision as indicated by the child’s individualized health care plan.

Observed two children in care with special health care needs. Reviewed nurse consultation notes and identified documentation of last notes were from 5/13/22. Correction: Ensure the center informs the CCHC prior to the first day of care of the enrollment of a child with special health care needs so staff receives, training, delegation, and supervision as indicated by the health care plan. Correct immediately and respond with verification of compliance by 9/21/23. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: supervision. Marked corrected in the state record.

7.712.73.A.7 · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe and free of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ hazards.

On the climbing structure that has 2 blue slides, observed 3 cracked, blue, plastic steps. On the fence surrounding the soccer field, approximately 8 bolts with more than 2 threads exposed. On the soccer field, an overflowing drain cover about 2 square feet holding standing water. All areas were accessible to children and posing a potential safety hazard. Correction: Ensure all indoor and outdoor equipment, materials, and furnishings are sturdy, safe and free of hazards. Correct immediately and respond with statement of compliance by 9/21/23. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

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

7.712.52.C.1 · Any un-expired routine medication, prescription and non-prescription (over-the-counter) medications must be administered only with a current written order of a Health Care Provider with prescriptive authority and with written parental consent. Home remedies, including homeopathic medications, must never be given to a child.

Reviewed 2 health care plans and identified one health care plan not signed by the parent. Correction: Ensure any medications are only administered with written parental consent. Correct immediately and respond with statement of compliance by 9/21/23. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

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

7.712.52.D.1 · The center must obtain the parent/guardian’s written authorization and instructions for applying sunscreen or use of another form of parent/guardian approved sun protection. A health care provider’s permission is not needed to use sunscreen at the center.

Reviewed enrollment paperwork and identified sunscreen authorizations to be unclear/incomplete. Most authorizations are marked "NA." Identified through staff statement that staff applies suncreen to children prior to going outside. Correction: Obtain parents/guardians written authorization and instructions for applying sunscreen. Correct immediately and respond with statement of compliance by 9/21/23. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

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

7.712.81.A.9 · The center must maintain and update annually a record on each child that includes: Written authorization from a parent or guardian for the child to participate in field trips and to participate in program activities, listing all exclusions from authorization; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed enrollment paperwork and identified field trip and activity authorizations to be unclear/incomplete. The authorizations have a box for "yes" and "N/A" and it is unclear which is marked. Correction: Ensure written authorization for child to participate in field trips and program activities is obtained by the parents/guardians. Correct immediately and respond with statement of compliance by 9/21/23. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. Marked corrected in the state record.