2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

Loose plastic bags in an unlocked drawer in the Toddler 2 classroom accessible to children and posing a possible hazard. Correction: Immediately (5/6/24) remove plastic bags and make sure they are inaccessible to children. Staff moved the plastic bags to an upper shelf at the time of the inspection making them inaccessible. NO RESPONSE REQUIRED. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

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

2.220.A · Any unexpired routine medication, prescription or 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 parental consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.

Reviewed 9 children's medications and observed 1 child to have an expired bottle Zyrtec, 1 child with an Epi-Pen on site and lacking a current health care plan, 2 children's health care plans lacking a current parent/guardian signature. Correction: Immediately (5/6/24) ensure that all routine medications are not expired and are accompanied by a current health care plan signed and dated by a health care provider and the child's parent/guardian. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

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

2.220.E · In the case medication needs to be given on an ongoing, long-term basis, the authorization and consent forms must be reauthorized on an at least 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 9 health care plans and observed 1 child to have an expired health care plan. Correction: Immediately (5/6/24) ensure that all children who require ongoing medications have a current authorization and consent form signed by a healthcare provider. Ongoing medications are required to be reauthorized on an al least annual basis. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

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

2.221.C · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name.

4 sunscreens in the toddler 2 classroom not labeled with the children's first and last name. Correction: Immediately (5/6/24) ensure that all individual sunscreens are labeled with each child's first and last names. Provide a written statement of compliance within the overall response. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

Marked corrected in the state record.

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

A package of wipes "labeled keep out of reach children" accessible to children on a lower shelf of the changing table in the Toddler 1 classroom Correction: Immediately (5/6/24) ensure all items labled "Keep out of reach of children" are in accessible to children at all times. Staff moved the items listed above to a location inaccessible to children at the time of the inspection. NO RESPOSNE REQUIRED. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

Marked corrected in the state record.

2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 5 children's files and observed 1 child lacking documentation of a current emergency medical FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ authorization signed by a parent/guardian. Correction: Immediately (5/6/24) ensure that the program obtains and maintains documentation of current written authorization for emergency medical care for all children in care. Provide a written statement of compliance within the overall response. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

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

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 12 staff files and observed 1 staff (Amy S.) to be lacking documentation of a current certificate of training in Standard Precautions. Correction: Immediately (9/5/23) ensure that the program obtains and maintains documentation of a current standard precautions training for all staff to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 09/05/2023

Corrected Corrected by Sep 5, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.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 12 staff files and observed 1 staff (Molly M.) lacking documentation of the Department-approved training regarding child abuse prevention. Correction: Immediately (9/5/23) ensure that the program obtains and maintains current documentation of the Mandated reporter (Child Abuse Preventions and reporting) training for all staff to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 09/05/2023

Corrected Corrected by Sep 5, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.51.B.1 · Any unexpired routine medication, prescription or 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 parental consent. home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in childcare.

Observed 2 children with a health care plan lacking written parental consent. Correction: Immediately (9/5/23) ensure that all children requiring medication have a current health care plan written parental consent. Provide a written of compliance within the overall response. Correct by 09/05/2023

Corrected Corrected by Sep 5, 2023

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