7.701.34.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.

Missing current and approving fire inspection report. Correction: Obtain current and approving fire inspection report. Correct immediately and respond with verification of compliance by 11/10/23. Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

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

7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Identified through director Linda's statement that Program Leader Christa (DOH 8/1/08) works alone with children. Reviewed 6 staff files and observed Christa's file to be missing current documentation of completion of Department-approved training on implicit bias. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain current documentation of completion of Department-approved training on implicit bias for all staff within 90 days of employment. Correct immediately and respond with verification of compliance by 11/10/23. Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Identified through director Linda's statement that Program Leader Christa (DOH 8/1/08) works alone with children. Reviewed 6 staff files and observed Christa's file to be missing current documentation of completion of Department-approved training on Introduction to the Early Intervention and Preschool Special Education Programs. Correction: Obtain documentation of completion of Department-approved training on Introduction to the Early Intervention and Preschool Special Education Programs for all staff within 90 days of employment. Correct immediately and respond with verification of compliance by 11/10/23. Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 6 staff files and observed Christa's file (DOH 8/1/08) was missing documentation of a current medical exam followed by a subsequent self reported health history. Correction: Obtain a current medical exam followed by a self reported health history for Christa annually thereafter. Correct and respond with statement of compliance by 11/10/23. Correct by 11/10/2023

Corrected Corrected by Nov 10, 2023

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

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 6 staff files and observed Christa's file to be missing documentation of completion of Department-approved Standard Precautions training. Correction: Obtain documentation of completion of Department-approved Standard Precautions training for all staff, prior to working with children, and annually thereafter. Correct immediately and respond with verification of compliance by 11/10/23 Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

Category: ratio. Marked corrected in the state record.

7.701.33.D.4.a · . Criminal background check requests must be submitted and 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-aged child care facilities, family child care homes, and qualified exempt provider homes.

Identified through director Linda's statement that ECT Michelle (DOH 8/1/22) and ECT Christa (DOH 8/1/08) both work alone with children. Reviewed 6 staff files and observed Michelle's file to be missing FBI clearance letter and Christa's file to have an expired FBI clearance letter (dated 9/10/13). Correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification (via email) that Christa and Michelle have reviewed the powerpoint within 24 hours. Correct immediately and submit documentation of FBI clearance letters for Christa and Michelle with written response to Specialist by 11/10/23 Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

Category: supervision. Marked corrected in the state record.

7.702.91.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

During walk through observed kitchen to be accessible to children. Correction: Ensure kitchens, including all hazardous items, are inaccessible to children at all times. **Corrected at time of visit. During inspection on 10/10/23, director Linda made the kitchen inaccessible to children.* Respond with plan for ongoing compliance by 11/10/23 Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

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