2.230.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

Outside on the playground there was a white broken shovel that had a sharp edge posing a stafey hazard. Correction: All outdoor play areas for children's activites must be checked dailt and kept safe and free pf hazards. ***Corrected at the time of the visit the director disposed of the broken while shovel on 12/16/2024. No response needed.*** Correct by 12/16/2024

Corrected Corrected by Dec 16, 2024

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

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

In the little cubs there were 3 broken crayons and 4 glue sticks with small lids located in bins on the art shelf accessible to children under 3 years old posing a choking hazard. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Toys and materials including 3 broken crayons and 4 glue sticks with small lids must be inaccessible to children under 3 years old. ***Corrected at the time of the visit the teacher removed all items placing them up high and inaccessible to children under the age of 3 on 12/16/2024 no need for a response.*** Correct by 12/16/2024

Corrected Corrected by Dec 16, 2024

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

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 7 staff files and 3 staff members Shelli Johnson, Glenda Fadeyi, and Janessha Woodberry had expired trails clearance letters. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Shelli Johnson, Glenda Fadeyi, and Janessha Woodberry have reviewed the powerpoint within 24 hours. Submit documentation of Trails Clearance Letters for staff members Shelli Johnson, Glenda Fadeyi, and Janessha Woodberry with written response to Specialist by 2/23/2024. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

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

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 7 staff files and 1 staff member Glenda Fadeyi had an expired Standard Precautions training. Correction: Review and ensure that all staff members must complete and renew annually a Standard Precautions training. Correct Immediately and respond with verification of compliance by 2/23/2024. Correct by 01/24/2024

Corrected Corrected by Jan 24, 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 7 staff files and 1 staff member Glenda Fadeyi had an expired Immunization training. Correction: Review and ensure that Glenda Fadeyi must complete and renew annually an Immunization training. Correct and respond with verification of compliance by 2/23/2024. Correct by 02/23/2024

Corrected Corrected by Feb 23, 2024

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

2.218.C.5 · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider, parent(s)/guardian(s) and must include, but not be limited to, the following:

Reviewed 1 child's health care plan and it was not signed by the parent. Correction: Review and ensure that all children with a health care plan the plan must be signed by the parent. Correct Immediately and respond with verification of compliance by 2/23/2024. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

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

2.220.G · All medications, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. Controlled medications must be counted and safely secured, and specific policies FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ regarding their handling require special attention in the center's policies. Access to these medications must be limited.

There was three bottles of a teacher's medication in a lower unlocked locker in the hall that was accessible to children. Correction: Review and ensure that all medications must be stored inaccessible to children. ***Corrected at the time of the visit the director removed the 3 bottles of medication and placed them inaccessible to children. No need for a written statement of compliacne. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

Category: ratio. Marked corrected in the state record.

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

In classroom 3 there was cotton ball art on the wall that was accessible to children posing a choking hazard for the children under 3. Correction: Ensure that all small items that pose a choking hazard must be stored inaccessible to children. ***Corrected at the time of the visit the teacher removed the cotten art off the wall making it inaccessible to children. No need for written statement of compliance.*** Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

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

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

In the classroom 1 there was a red children's couch that had a rip in it and the foam inside was exposed. Correction: Ensure that all indoor and out door equipment like the red children's couch must be safe and free of hazard. Correct Immediately and respond with verification of compliance by 2/23/2024. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

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

2.236.A.1 · If the office space is accessible to children, it must be free of hazards.

Classroom 2 is an office/storage and it is accessible to children by an unlocked door from classroom 1 and 3. Classroom 2 had choking hazard as well as glass, and an excercise bike for staff. Correction: Ensure that classroom 2 and the contents in it must be made inaccessible to children. Correct Immediately and respond with verification of compliance by 2/23/2024. Correct by 01/24/2024

Corrected Corrected by Jan 24, 2024

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