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.

Reveiwed 19 staff files and observed 4 staff (Huda S., Keisha S., Millicent M., and Heather C.) lacking documentation of a TRAILS background check completed in 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 the above listed staff have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance letter for staff members listed above with written response to Specialist. Correct by 09/23/2024

Corrected Corrected by Sep 23, 2024

Category: background checks. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 19 staff files and observed 1 staff (Sandra M.) lacking documentation of a current FBI background check completed in 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 Clearance Letters for staff members listed above with written response to Specialist. Correct by 09/23/2024

Corrected Corrected by Sep 23, 2024

Category: background checks. 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 statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 11 children's files and observed 1 child lacking documentation of a current health statement signed by a medical 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 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: ratio. 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 19 staff files and observed 1 staff (Sandra M.) lacking documentation of a current department approved standard precautions training. Correction: Immediately (9/23/24) 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 09/23/2024

Corrected Corrected by Sep 23, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 19 staff files and observed 3 staff (Sandra M., Stephanie N. and Heather C.) lacking documentation of a current department-approved safe sleep training. Correction: Immediately (9/23/24) ensure that the program obtains and maintains current documentation of the Safe Sleep training certificates for all staff who work with children less than 12 months of age to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 09/23/2024

Corrected Corrected by Sep 23, 2024

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

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Reviewed 19 staff files and observed 1 staff (Sandra M.) lacking documentation of a current department-approved training about child abuse prevention. Correction: Immediately (9/23/24) ensure that the program obtains and maintains current documentation of the Mandated reporter (Child Abuse Preventions and reporting) training to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 09/23/2024

Corrected Corrected by Sep 23, 2024

Category: recordkeeping. Marked corrected in the state record.

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

A hose laying across the sidewalk of the preschool playground posing a possible tripping hazard. Correction: Immediately (9/23/24) ensure all indoor and outdoor equipment, materials, and furnishings are sturdy, safe, and free of hazards. Program wrapped up the hose at the time of the inspection and moved if off of the sidewalk. NO RESPONSE REQUIRED. Correct by 09/23/2024

Corrected Corrected by Sep 23, 2024

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

2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

Chipping and peeling paint on on the wall near the closet of the Mayflies classroom and on the back wall of the Ants classrooms accessible to children and posing a possible hazard. Correction: Immediately (9/23/24) ensure that all areas used for child care are kept in good repair and maintained in a safe condition. Correct by 09/23/2024

Corrected Corrected by Sep 23, 2024

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

2.210.A.2 · A record must be maintained, either written or electronic, for each staff member that includes the following: Verification of qualifications and training.

Reviewed 19 staff files and observed Program lacking documentation of complete early childhood teacher qualifications for Pamela V. who is caring for children within the Wiggling Worms classroom. Correction: Immediately (9/23/24) ensure that the program obtains documentation of qualifications and trainings for all staff to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 09/23/2024

Corrected Corrected by Sep 23, 2024

Category: recordkeeping. Marked corrected in the state record.

2.212.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Identified through staff statements that SM1 has consistently addressed other staff members using a harsh tone in front of children, demonstrating a lack knowledgeable decision-making and judgment. Correction: Immediately (8/26/2024) ensure that all staff demonstrate knowledgeable decision making , judgment, and concern for the proper care and well being of children. Provide a plan of action along with a written statement of

Open Not marked corrected in the state record

Open / not marked corrected.

7.701.100.F.2 · . 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 a tornado drill for February, April and June 2023. Correction: Immediately (10/23/23) 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 10/23/2023

Corrected Corrected by Oct 23, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.34.B.4 · The center must maintain and update annually and upon changes, a record on each child that FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ includes: A copy of the child’s health statement completed by a health care provider.

Reviewed 11 children's files and identified 1 child lacking documentation of a current health statement signed by a health care provider. Correction: Provide a written statement of compliance within the overall response ensuring all children have a health statement completed by a healthcare provider. Correct by 11/23/2023

Corrected Corrected by Nov 23, 2023

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

7.702.51.B.4 · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

A bottle of Benadryl in the Amazing Ant classroom not labeled with the child's first and last name. Correction: Immediately (10/23/23) ensure that all over-the-counter medications are labeled with each child's first and last name. Staff wrote the child's name on the bottle at the time of the inspection. NO RESPONsE REQUIRED Correct by 10/23/2023

Corrected Corrected by Oct 23, 2023

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

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

A small blue foam chair in the with a tear on the seam in the Roly Polies classroom and a broken baby doll stroller on the toddler tunnel playground accessible to children posing a possible hazard. Correction: Immediately (10/23/23) ensure all indoor and outdoor equipment, materials, and furnishings are sturdy, safe, and free of hazards. The broken stroller was removed from the toddler playground at the time of the inspection. Provide a written statement of compliance within the overall response. Correct by 10/23/2023

Corrected Corrected by Oct 23, 2023

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

7.702.91.B · Buildings must be kept in good repair and maintained in a safe condition.

Chipping paint on the wall in the Roly Polies classroom accessible to children posing a possible hazard. Correction: Immediately (10/23/23) ensure that all areas used for child care are kept in good repair and maintained in a safe condition." Correct by 10/23/2023

Corrected Corrected by Oct 23, 2023

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

7.702.46.A.14 · Staff to Child Ratios by AGES OF CHILDREN and NUMBER OF STAFF 6 weeks to 18 months (infants): 1 staff member to 5 infants 12 months to 36 months: 1 staff member to 5 toddlers FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 24 months to 36 months: 1 staff member to 7 toddlers 2-1/2 years to 3 years: 1 staff member to 8 children 3 years to 4 years: 1 staff member to 10 children 4 years to 5 years: 1 staff member to 12 children 5 years and older: 1 staff member to 15 children Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children

Identfied through staff statements and reveiw of attendance verifcation documents that the Amazing Ants Classroom was out of ratio from 8am - 830am on 10/16 & 10/17. Correction: Immediately (10/23/23) ensure staff-child ratio is in compliance with the appropriate child to staff ratios. Provide a written plan of action, along with a written statement of compliance within the overall response. Correct by 10/23/2023

Corrected Corrected by Oct 23, 2023

Category: ratio. Marked corrected in the state record.

7.702.62.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.

Program lacking accurate documentation of attendance verifications forms for the Amazing Ant and Wiggling Worm classrooms. Correction: Immediately (10/23/23) 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 10/23/2023 ________________________________________________

Corrected Corrected by Oct 23, 2023

Category: recordkeeping. Marked corrected in the state record.