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 Director Elka's file to be missing current documentation of Department approved CDPHE immunization course for all staff who are responsible for the collection, review, and maintenance of children's immunization records. Correction: Obtain documentation of Department approved CDPHE immunization course for all staff who are responsible for the collection, review, and maintenance of children's immunization records. Correct and respond with verification of compliance by 6/16/24 Correct by 06/16/2024

Corrected Corrected by Jun 16, 2024

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

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 2 child files and observed CH1 to be missing current health statement signed and dated by health care provider. Correction: Obtain current health statement signed and dated by health care provider for all children enrolled. Correct and respond with statement of compliance by 6/16/24. Correct by 06/16/2024

Corrected Corrected by Jun 16, 2024

Category: ratio. Marked corrected in the state record.

2.138.A · 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) 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 the required fire, tornado and lockdown drills that have been completed within the last 12 months that includes that date, time and duration of the drills along with the number of children and staff present. Correction: Ensure documentation of the required fire, tornado and lockdown drills that have been completed within the last 12 months that includes that date, time and duration of the drills along with the number of children and staff present. Correct immediately and respond with a plan for ongoing compliance by 6/16/24. Correct by 05/16/2024

Corrected Corrected by May 16, 2024

Category: ratio. Marked corrected in the state record.

2.127.A · At all times during the operating hours of the facility, except for foster care homes, the facility/agency must post the current child care license in a prominent and conspicuous location easily observable by those entering the child care facility.

During walk through observed the posted child care license to be expired. Correction: Obtain and post current child care license. Correct immediately and respond with verification by 6/16/24

Open Not marked corrected in the state record

Open / not marked corrected.