2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

Reviewed program attendance tracking and observed program to be lacking documentation of attendance FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ tracking records. Correction: Immediately (9/05/2024) ensure that the program maintains documentation of written attendance verification periodically throughout the day, to include during transitions . Provide a written plan of action along with a written statement of compliance within the overall response. Correct by 09/05/2024

Corrected Corrected by Sep 5, 2024

Category: recordkeeping. Marked corrected in the state record.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 6 staff files and observed Punan B and Zenebeck G to be lacking a current FBI clearance letter within the last 5 years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letters for above listed staff members with written response to Specialist. Correct by 01/11/2024

Corrected Corrected by Jan 11, 2024

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

2.121.A.1.a · In order to obtain any Colorado Bureau of Investigation (CBI) and/or Federal Bureau of Investigation (FBI) fingerprint criminal history records, each applicant listed below must have their fingerprints taken and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ processed at a vendor approved by CBI. Approved vendors may be located using the CBI website at Colorado.gov/cbi. Payment of the fee for the criminal record check is the responsibility of the individual being checked, identified as follows: Each applicant for an original license for a center, facility, or agency and any adult eighteen (18) years of age or older who resides in the licensed center, facility or agency.

Reviewed 6 staff files and observed Hannah H to be lacking an FBI clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letters for above listed staff members with written response to Specialist. Correct by 01/11/2024

Corrected Corrected by Jan 11, 2024

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

2.120.C.1.a.1 · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

Reviewed 6 staff files and observed Hannah H to be lacking an TRAILS clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for above listed staff members with written response to Specialist. Correct by 01/11/2024

Corrected Corrected by Jan 11, 2024

Category: supervision. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Reviewed 6 staff files and observed Punan B and Zenebeck G to be lacking a current TRAILS clearance letter within the last 5 years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for above listed staff members with written response to Specialist. Correct by 01/11/2024

Corrected Corrected by Jan 11, 2024

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

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.

Reviewed 6 staff files and observed program to be lacking 1 staff member with current delegation. Correction: Immediately (1/11/2024) ensure that there is a least one person on duty at all times with a current Medication Administration certification and current delegation from the program's Child Care Health Consultant. Provide a written statement of compliance within the overall response. Correct by 01/11/2024

Corrected Corrected by Jan 11, 2024

Category: ratio. Marked corrected in the state record.

702.61.A.4 · One (1) designated diaper change area is required for every twenty-four (24) preschool age children.

Identified at time of inspection and through staff statement that the Primary classroom does not have the required diaper changing area. Correction: The director immediately (10/04/2023) corrected the violation and added a diaper changing area to the Primary dassroom. No response is required. Correct by 10/04/2023

Corrected Corrected by Oct 4, 2023

Marked corrected in the state record.

7.701 · .33.D.3. Criminal background check requests for volunteers, whose activities involve the care and supervision of children: or who have unsupervised access to children must be submitted and successfully completed prior to caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-aged child care facilities, family child care homes, and qualified exempt provider homes.

Identified through staff statement and at lime of inspection, parent volunteers are left alone to supervise the children within the Primary Classroom during the monthly staff meetings at lunch time. Correction: The director immediately (10/04/2023) moved qualified ECT staff to the Primary Classroom to supervise the children. No response is required. Correct by 10/04/2023

Corrected Corrected by Oct 4, 2023

Category: supervision. Marked corrected in the state record.

7.702.45.H.1 · Volunteers who are used to meet staff to child ratio must be equally qualified as an Early Childhood Teacher, Assistant Early Childhood Teacher, or Staff Aide. Equally qualified volunteers must have complete staff records as required in Section 7. 702.35 and complete training requirements as required in Section 7.702.42.

Identified through staff statements and at time of inspection parent volunteers are supervising children alone within the Primary classroom during the staff meeting. Correction: The director immediately (10/04/2023) moved qualified ECT staff to the Primary classroom to supervise the children. Provide a written plan of action within the overall response. Correct by 10/04/2023 Complaint Allegatlon : RP states that parents/guardians do not have access to the licensed space during child care hours. -UNFOUNDED Complaint Allegatlon : RP states the program did not meet/follow admission procedure for enrolling a child with special needs. -UNFOUNDED Complaint Allegatlon : RP states the facility did not change ch1's diaper on several dates between 8/16/2023-9/17/2023. -UNFOUNDED

Corrected Corrected by Oct 4, 2023

Category: supervision. Marked corrected in the state record.