Greenlee Extended Day

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

Reviewed two staff files and observed the program to be lacking documentation of fire extinguisher training for two staff members. Correction: Each staff member of the facility must be trained in the use of fire extinguishers. Correct immediately. Submit written compliance to specialist. Correct by 01/20/2026

Corrected by Jan 20, 2026

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2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times.

Identified through staff file review program to not have a staff member with current medication delegation on duty at the time of visit. Correction: At least one staff member with a current medication delegation must be on duty at all times. Correct immediately. Submit written verification to specialist. Correct by 01/20/2026

Corrected by Jan 20, 2026

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2.212.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed two staff files and observed the program to be lacking documentation of an annual self-reported health history for one staff member. Correction: All staff members must submit self-reported health histories annually. Submit written verification to specialist. Correct by 02/19/2026

Corrected by Feb 19, 2026

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2.213.K · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed two staff files and observed the program to be lacking documentation of a completed Introduction to Child Care Health Consultation training for one staff member. Correction: All directors and assistant directors must complete the Introduction to Child Care Health Consultation Department-approved training within 90 calendar days of employment. Submit written verification to specialist. Correct by 02/19/2026

Corrected by Feb 19, 2026

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2.212.N · 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 two staff files and observed the program to be lacking documentation of the administration of medications policies and procedures acknowledgement for two staff members. Correction: All staff members must read and be trained on the center's policies and procedures for the administration of medication. Correct immediately. Submit written verification to specialist. Correct by 01/20/2026

Corrected by Jan 20, 2026

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2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed two staff files and observed the program to be lacking documentation of an updated standard precautions training for one staff member. Correction: All staff members must complete a Department-approved standard precautions training prior to working with children and annually thereafter. Correct immediately. Submit written verification to specialist. Correct by 01/20/2026

Corrected by Jan 20, 2026

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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 two staff files and observed the program to be lacking documentation of an updated child abuse prevention training for two staff members. Correction: All staff members must complete a Department-approved child abuse prevention training annually. Correct immediately. Submit written verification to specialist. Correct by 01/20/2026

Corrected by Jan 20, 2026

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2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed one child file and observed the program to be lacking immunization documentation for one child. Correction: The program must obtain documentation of school-required immunization status for each child. Correct immediately. Submit written verification to specialist. Correct by 01/20/2026

Corrected by Jan 20, 2026

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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 to be missing documentation of the following emergency drills: Fire Drills (January 2025 - December 2025), Tornado Drills (March 2025 - October 2025), and Lockdown Drills (Quarterly 2025). Correction: Fire drills must be held monthly, tornado drills must be held monthly from March to October, and lock down drills must be held quarterly. Correct immediately. Submit written verification to specialist. Correct by 01/20/2026

Corrected by Jan 20, 2026

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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 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the center.

Reviewed one child file and observed the program to be lacking documentation of health statement authorized by a health care provider. Correction: Program must obtain documentation of a current health statement authorized by a health care provider for each child. Submit written verification to specialist. Correct by 02/19/2026

Corrected by Feb 19, 2026

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2.217.A.3 · The director of the center must be present at the center at least sixty percent (60%) of any day that the center is open.

Identified through staff statement that program director is out of town until next week. Identified through staff statement and file review no other staff members qualify as director substitute. Correction: The director of the center must be present at the center at least sixty percent of any day that the center is open. Correct immediately. Submit written verification to specialist. Correct by 01/20/2026

Corrected by Jan 20, 2026

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2.120.J · The results of the abuse and neglect inquiry must be maintained at the center, facility, or agency and must be available for review upon request by a Licensing Specialist.

In a review of three staff files, the TRAILS clearance letter was not available for review for Myrna, Itzmina and Lee Ann. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Myrna, Itzmina and Lee Ann have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff members Myrna, Itzmina and Lee Ann with written response to Specialist. https://docs.google.com/presentation/d/1Dve1uqcQzgGrgXcupoW8iFTY40EXqRXVguaJ-UI4iko/edit#slide=id.g13ed17175 94_3_0 Correct by 02/25/2025

Corrected by Feb 25, 2025

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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.

In a review of three staff files, one staff member Lee Ann was found to be missing documentation of current FBI and CBI clearance checks and was observed caring for a group of children alone FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Lee Ann has reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI for Lee Ann with written response to Specialist. https://docs.google.com/presentation/d/1Dve1uqcQzgGrgXcupoW8iFTY40EXqRXVguaJ-UI4iko/edit#slide=id.g13ed17175 94_3_0 Correct by 02/25/2025

Corrected by Feb 25, 2025

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