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.

Reviewed 3 staff files and observed 1 staff (Amanda C.) lacking documentation of a current TRAILS background check. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member listed above have reviewed the powerpoint within 24 hours. Submit documentation TRAILS Clearance Letters for staff member listed above with written response to the Specialist. Correct by 01/15/2025

Corrected Corrected by Jan 15, 2025

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

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 3 staff files and observed 1 staff (Amanda C.) lacking documentation of a current FBI background check. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member listed above have reviewed the powerpoint within 24 hours. Submit documentation FBI Clearance Letters for staff member listed above with written response to the Specialist. Correct by 01/15/2025

Corrected Corrected by Jan 15, 2025

Category: background checks. 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 3 staff files and observed 1 staff (Kacey B.) lacking documentation of a current training in child abuse prevention training. Correction: Immediately (1/15/25) ensure that the program obtains and maintains current documentation of the Mandated reporter (Child Abuse Preventions and reporting) training to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 01/15/2025

Corrected Corrected by Jan 15, 2025

Category: recordkeeping. Marked corrected in the state record.

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 3 staff files and observed 2 staff (Analisa M. & Kacey B.) alone with children and lacking documentation of a completed TRAILS background check. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members listed above have reviewed the powerpoint within 24 hours. Submit TRAILS Clearance Letters for staff members listed above with written response to Specialist. Correct by 02/15/2024

Corrected Corrected by Feb 15, 2024

Category: supervision. Marked corrected in the state record.

2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 3 staff files and observed 1 staff (Analisa M.) lacking documentation of completed CBI and FBI background checks. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member listed above has reviewed the powerpoint within 24 hours. Submit CBI and FBI Clearance Letters for staff members listed above with written response to Specialist. Correct by 02/15/2024

Corrected Corrected by Feb 15, 2024

Category: supervision. 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 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 3 staff files and observed 1 staff (Amanda C.) lacking documentation of a current Department-approved training Prevention of Shaken Baby/ Abusive Head Trauma. Correction: Immediately (2/15/24) ensure that the program obtains and maintains current documentation of the Shaken Baby Abusive Head trauma training certificates for all staff who work with children less than 3 years of age to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 02/15/2024

Corrected Corrected by Feb 15, 2024

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

Reviewed 3 staff files and observed 2 staff (Amanda C. and Analisa M.) lacking the Department-approved training regarding child abuse prevention. Correction: Immediately (2/15/24) ensure that the program obtains and maintains current documentation of the Mandated reporter (Child Abuse Preventions and reporting) training to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 02/15/2024

Corrected Corrected by Feb 15, 2024

Category: recordkeeping. Marked corrected in the state record.

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 3 staff files and observed the program lacking documentation of the current completed Department approved CDPHE immunization course for all staff who are responsible for the collection, review, and maintenance of children's immunization records. Correction: Immediately (2/15/24) ensure that the program obtains and maintains a current training certificate of the CDPHE immunization training for all staff who collect, review and maintain children's immunization documents. Provide a written statement of complaince within the overall response. Correct by 02/15/2024

Corrected Corrected by Feb 15, 2024

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

2.216.A.1 · An early childhood teacher, assigned responsibility for a single group of children and working under the supervision of a director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:

Reviewed 3 staff files and observed Analisa M lacking documentation of qualifications for an early childhood teacher. Correction: Immediately (2/15/24) ensure that at all times there is an qualified early childhood teacher supervising children.Provide documentation of early childhood teacher qualifications for Analisa M with written response to specialist. Correct by 02/15/2024

Corrected Corrected by Feb 15, 2024

Category: supervision. Marked corrected in the state record.

2.217.C.8 · All Department-approved child care health consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion.

Program's CCHC lacking documentation of a current immunization training certificate for the appointed child care health consultant. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately (2/15/23) ensure that the program obtains and maintains a current training certificate in the immunization course for the current child care health consultant. Provide a written statement of compliance within the overall response. Correct by 02/15/2024

Corrected Corrected by Feb 15, 2024

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

2.218.B.3 · Admission procedures must be completed prior to the child's attendance at the center and must include: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s)/guardian(s) defining the interventions needed to care for a child who has an identified health or developmental condition or concern including, but not limited to seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented.

Reviewed 1 heath care plan and observed the program lacking the applicable medications as prescribed in the child's health care plan. Correction: Immediately (2/15/24) ensure that the program obtains all applicable medications as prescribed in the child's health care plan prior to the child's first day of care. Provide a statement of complaince within the overall response. Correct by 02/15/2024

Corrected Corrected by Feb 15, 2024

Category: supervision. Marked corrected in the state record.