2.507.J · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures.

Reviewed 6 staff files and observed that 5 staff members were missing documentation of a signed medication administration statement. Correction: Within 30 days, staff members must sign a statement indicating they and read and have been trained on the center's administration of medications policies and procedures. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 02/20/2026

Corrected Corrected by Feb 20, 2026

Category: ratio. Marked corrected in the state record.

2.507.K · Within thirty (30) calendar days of caring for children a signed statement indicating that the individual has been trained, understands, and has had the opportunity to ask questions regarding the “Rules Regulating School-Age Child Care,” the “General Rules for Child Care Facilities,” and the “Rules Regulating Special Activities,” if applicable.

Reviewed 6 staff files and observed that 5 staff members were missing documentation of a signed licensing rules and regulations statement. Correction: Within 30 days, staff members must sign a statement indicating they have been trained, understand, and has had the opportunity to ask questions regarding child care rules and regulations. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 02/20/2026

Corrected Corrected by Feb 20, 2026

Marked corrected in the state record.

2.511.C.5.a · -g 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 and parent(s) or guardian(s), and must include, but not be limited to, the following: a. Medication and dosing schedule; b. Nutrition and feeding instructions; c. Medical equipment or adaptive devices, including instructions; d. Medical emergency instructions; e. Toileting and personal hygiene instructions; f. Behavioral interventions; and g. Medical procedure/ intervention.

Reviewed children's health care plans and observed that 1 health care plan was expired. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, health care plans must be updated at least every 12 months from the date of the initial plan and as changes occur. Submit a written statement of compliance to the Licensing Specialist. Correct by 01/21/2026

Corrected Corrected by Jan 21, 2026

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

2.513.C · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

Reviewed children's medications and observed that 1 medication was not kept in the original labeled container and did not contain the original pharmacy label. Correction: Immediately, medications must be kept in the original labeled bottle or container and must contain the original pharmacy label. Submit a written statement of compliance to the Licensing Specialist. Correct by 01/21/2026

Corrected Corrected by Jan 21, 2026

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

2.513.J · If a medication is expired or left over, the parent(s) or guardian(s) are responsible for picking up the medication. If the parent(s) or guardian(s) do not respond, the center must dispose of the medications in accordance with 6 CCR 1007-2, Part 1, Regulations Pertaining to Solid Waste Sites and Facilities (March 30, 2024) and 6 CCR 1007-3, Parts 99 (June 30, 2018), 100 (July 15, 2020) and 260-265 (July 15, 2023), 266 (June 30, 2014), 267 (March 30, 2024), and 268 (July 15, 2023), and as required by the Colorado Department of Public Health and Environment (CDPHE) https://cdphe.colorado.gov/colorado-medication-take-back-program (2023), herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from CDPHE at https://www.sos.state.co.us/CCR. The recommendations are available at no cost from CDPHE at FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ https://cdphe.colorado.gov/hm/prep-med-waste-disposal and https://cdphe.colorado.gov/colorado-medication-take-back-program. These regulations and recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

Reviewed children's medications and observed that 1 medication was expired. Correction: Immediately, expired or left over medications must be picked up by parents/guardians or must be disposed of in accordance with CDPHE guidelines. Submit a written statement of compliance to the Licensing Specialist. Correct by 01/21/2026

Corrected Corrected by Jan 21, 2026

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