2.120.C.1.a · 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: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 3 staff files and observed 1 staff (Atsuko O.) lacking documentation of a completed TRAILS background check. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Atsuko O has reviewed the powerpoint within 24 hours. Submit documentation TRAILS Clearance Letter for Atsuko O. with written response to Specialist. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: supervision. Marked corrected in the state record.

2.121.A.1 · 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 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:

Reviewed 3 staff files and observed 1 staff (Atsuko O.) lacking documentation of a CBI clearance letter. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Atsuko O has reviewed the powerpoint within 24 hours. Submit documentation CBI Clearance Letter for Atsuko O. with written response to Specialist. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

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

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.

Program lacking documentation of fire drills for October 2023 and December 2023-March 2024, Tornado drills for October 2023-March 2024 and Lockdown drills for the 2023-2024 school year. Correction: Immediately (4/10/2024) ensure that all drills to include lockdown are conducted and documented with the above listed information. Provide a written statement of compliance within the overall response. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include: A dated, written authorization for emergency medical care 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; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 2 children's files and observed 1 child lacking documentation of a current emergency medical authorization signed by a parent/guardian. Correction: Immediately (4/10/24) ensure that the program obtains and maintains documentation of current written authorization for emergency medical care for all children in care. Provide a written statement of compliance within the overall response. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

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

2.212.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 3 staff files and observed 1 staff (Atsuko O.) lacking documentation of an original health statement signed by a health care provider. Correction: Provide a written statement of compliance ensuring that all staff members submit to the center a medical statement, signed and dated by a health care provider that is dated no more than six months prior to employment or within thirty calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually. Correct by 05/10/2024

Corrected Corrected by May 10, 2024

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

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 3 staff files and observed 1 staff (Atsuko O.) lacking documentation of a complete pre-service building and physical premises safety training. Correction: Immediately (4/10/24) ensure that the program obtains a building and physical premises safety plan and maintains documentation through certificates for all staff being trained on the plan. Provide a written statement of compliance within the overall response. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: recordkeeping. 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 3 staff files and observed 1 staff (Atsuko O.) lacking documentation of a current standard precautions training. Correction: Immediately (4/10/24) ensure that the program obtains and maintains documentation of a current standard precautions training for all staff to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.217.C.8 · All Department-approved child care health consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion.

Program lacking documentation of a current department approved immunization training for the child care health consultant. Correction: Immediately (4/10/24) ensure that the program obtains and maintains a current training certificate in the immunization course for the current child care health consultant. Provide a written statement of compliance within the overall response. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

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

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 2 children's files and observed 1 child lacking documentation of a current health statement signed by a health care provider. Correction: Provide a written statement of compliance ensuring all student files have a current health statement signed and dated by a health care provider per the above guidelines. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: ratio. Marked corrected in the state record.