2.506.A.1 · Staff must verify attendance before and after every group transition from one physical space to another. Written or electronic documentation of attendance verification must be maintained for at least twelve (12) months.

On playground, observed Director Dionte B. to be supervising 10 children. Identified through Dionte's statement that he did not have an attendance verification mechanism with him at that time and that it had been left inside in the Cafeteria; therefore, the transition onto and from the playground was not documented. Correction: Staff must verify attendance before and after every group transition. **Corrected at time of visit - Dionte brought children inside Cafeteria and conducted attendance on 2/5/25.** Respond with plan for ongoing compliance by 2/12/25. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

Category: supervision. Marked corrected in the state record.

2.512.B.2 · Schools are required to comply with the immunization requirements as stated in 6 CCR 1009-2. 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 (CDPHE) Certificate of Immunization or on an “approved alternate” Certificate of Immunization. Colorado law requires proof of immunization status or exemption be provided prior to or on the first (1st) day of admission. Colorado Department of Public Health and Environment regulation at 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Colorado Department of Public Health and Environment at no cost at https://www.coloradosos.gov/CCR/Welcome.do. These regulations 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 3 child files and observed CH2's file to contain record of immunization status on unapproved form. Correction: Obtain documentation of immunization or exemption status for all children enrolled at the time of admission. Correct immediately and respond with verification of compliance by 2/12/25. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

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

2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

Identified through Staff statement (Skylar T.) that a current fire inspection report was not available for review by Specialists. Correction: Obtain current fire inspection report. Correct immediately and respond with verification of compliance by 2/12/25. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

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

2.513.A · Any un-expired routine medication, prescription and 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 parent(s) or guardian(s) consent. Home remedies, including homeopathic medications, vitamins, and supplements must not be administered to children in childcare .

Reviewed Health Care Plan for CH1 and observed it to be missing parent/guardian signature. Correction: Medication must only be administered with a current written order by a health care provider and with written consent by parent/guardian. Correct immediately and respond with verification of compliance by 2/12/25. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

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

2.124.A.2.b · Reports Made to the Department Within Ten (10) Working Days - Change of director of facility or agency; and

Identified through Staff statements (Skylar T. and Dionte B.) that Dionte B. is the Director of the program and was hired in the Fall of 2024. Observed in Salesforce database that the Director of Record is not Dionte B. Correction: Facility must report a change in Director within 10 working days. Correct immediately and respond with statement of compliance by 2/12/25. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

Category: recordkeeping. Marked corrected in the state record.