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.

In a review of annual drill logs, it was observed that tornado drills are not being held in the months of March and October. Correction: Emergency drills for tornados must be held monthly from March to October. Correct immediately. Submit written response to licensing specialist of plan to ensure tornado drills are completed during all months required. Correct by 06/10/2024

Corrected Corrected by Jun 10, 2024

Category: recordkeeping. Marked corrected in the state record.

7.702.41.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 8 staff files, idenfitied 1 staff member (Liz) lacking an initial health statement on file and past 30 days of hire. Correction: Ensure staff members have an inital health statement on file within 30 days of hire, dated no more than 6 months prior to employment. Correct and submit a written statement of compliance once obtained. Correct by 08/14/2023

Corrected Corrected by Aug 14, 2023

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

7.702.34.A.7 · The admission record must include: A dated, written authorization for emergency medical care FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 3 children's files, identified 1 child with an expired date on their emergency medical authorization form. Correction: Ensure parents sign emergency medical authorization forms annually. Immediately correct and submit a written statement of compliance once obtained. Correct by 07/14/2023

Corrected Corrected by Jul 14, 2023

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

7.701.53.A · . A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member's personal responsibility to report all incidents of child abuse or neglect according to state law.

Reviewed 8 staff files, identified 1 staff member (Liz) lacking a child abuse reporting statement in their file. Correction: Ensure all staff members read and sign a statement defining child abuse and their responsbilites to report. ***CORRECTED AT TIME OF INSPECTION, staff member read and signed statement.*** No response required. Correct by 07/14/2023

Corrected Corrected by Jul 14, 2023

Marked corrected in the state record.