2.121.J.1 · The following background check requests must be submitted and successfully completed for each FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ state an individual has resided in, in the past five years, 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-age child care facilities, family child care homes, and qualified exempt provider homes:

Reviewed 22 staff files and 4 staff members (Anitia B., Desiree M., Salam A., and Gracie F) were all lacking out of state 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 have reviewed the powerpoint within 24 hours. Submit documentation of Anitia B., Desiree M., Salam A., and Gracie F Out of State Clearance Letters for staff members Anitia B., Desiree M., Salam A., and Gracie F with written response to Specialist by 10/31/2024 Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Category: supervision. 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 22 staff files and 2 staff member Tanisha and Rebecca M were lacking a current Department approved standard precautions training. Correction: Review all staff members files to ensure all staff members have completed a Department-approved standard precautions training prior to working with children and renew annually. Correct immediately and respond with verification of compliance by 10/31/2024. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

At the time of the visit there was no one that works on children's immunizations records had a current immunization course. Reviewed 22 staff files and Alicia J., Michael M, Shantelle Q were all lacking a current Immunization Course. Correction: Review all staff responsible for collection, review and maintenance of child immunization records must completed an immunization course and renew annually. Correct immediately and respond with verification of compliance

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed 22 staff files and 1 staff member Gracie F was lacking a Department-approved training in emergency and disaster preparedness prior to care for children. Correction: Review all staff members files to ensure all staff members have completed a Department-approved training in emergency and disaster preparedness prior to care for children. Correct immediately and respond with verification of compliance by 10/31/2024. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. 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 22 staff files and 2 staff members Gracie F and Atenas were lacking a health statement signed and dated by a health care professional and worked more than 30 days. Correction: All staff members must submit to the center a medical statement, signed and dated by a health care professional with 30 days after the first day of employment. Correct and respond with verification of compliance by 10/31/2024. Correct by 10/31/2024

Corrected Corrected by Oct 31, 2024

Category: health medication. 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 22 staff files and 2 staff members Aja B. and Kaydence was lacking a current Child Abuse and Prevention training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Review all staff members files to ensure all staff members have completed a Department-approved Child Abuse and Prevention training. Correct immediately and respond with verification of compliance by 10/31/2024. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed 22 staff files and 2 staff member Laura and Tanisha were lacking a First Aid and CPR module. Correction: All staff caring for children not required by rule to be certified in First Aid and CPR must complete a Department approved First Aid and CPR module and renew every 2 years. Correct and respond with verification of compliance by 10/31/2024. Correct by 10/31/2024

Corrected Corrected by Oct 31, 2024

Marked corrected in the state record.

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

In classroom 129 there were small areas of peeling paint on the lower part of the walls. In classroom 131 and 137 there was peeling paint along the green boarder of the classroom. Correction: The building must be kept in good repair and maintained in a safe condition. Correct immediately and respond with verification of compliance by 10/31/2024. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Marked corrected in the state record.

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), FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 22 staff files and 1 staff member Gracie F was lacking a 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 member Gracie F. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILSClearance Letter for staff member Gracie F. with written response to Specialist by 10/31/2024. Correct by 10/01/2024

Corrected Corrected by Oct 1, 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 the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Reviewed 22 staff files and 1 staff member Celena R did not have a current 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 member Celena R. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for staff member Celena R. with written response to Specialist by 10/31/2024. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

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

7.702.71.H · Sharp tools and instruments must be stored in areas inaccessible to children.

In the Pre-K 1classroom there was a pair of adult scissors sitting in a container on top of a teacher stand accessible to children. Correction: All sharp tools including adult scissors must be stored inaccessible to children. ***Corrected at the time of the visit the teacher placed the adult scissors on a high shelf inaccessible to children. No need for written response.*** Correct by 11/06/2023

Corrected Corrected by Nov 6, 2023

Marked corrected in the state record.

7.702.5.C.5 · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider, parent(s)/guardian(s) and must include, but not be limited to, the following:

Reviewed children's individual health care plans and there were 6 individual health care plans were expired. Correction: Review and ensure that all individual health care plans must be updated at least every 12 months. Correct and Immediately respond with verification of compliance by 12/6/2023. Correct by 11/06/2023

Corrected Corrected by Nov 6, 2023

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

7.702.51.B.10 · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

Reviewed children's medications and there were 3 expired medication for children in care. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Review and ensure that all expired medications must be picked by the parents. If the parent does not pick up the expired medication the facility must dispose of the medication. Correct and Immediately respond with verification of compliance by 12/6/2023. Correct by 11/06/2023

Corrected Corrected by Nov 6, 2023

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

7.701.32.D.1.a · . 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 21 staff files and 1 staff member Desiree M. was lacking a 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 Desiree M have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for staff member Desiree M with written response to Specialist by 12/6/2023. Correct by 11/06/2023

Corrected Corrected by Nov 6, 2023

Category: supervision. Marked corrected in the state record.

7.701.33.D.5 · Every five (5) years requests for FBI criminal record checks must be renewed by resubmitting a complete set of fingerprints and the required fee to CBI for processing. 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 21 staff files and 2 staff members Celina R. and Saadah P. had expired 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 Celina R. and Saadah P have reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letters for staff members Celina R. and Saadah P with written response to Specialist by 12/6/2023. Correct by 11/06/2023

Corrected Corrected by Nov 6, 2023

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

7.702.42.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed 21 staff files and 1 staff member Malina S. was lacking a First Aid and CPR Module. Correction: Review and ensure that all staff members not required by rule must complete a First Aid and CPR module with 30 days and renew every 2 years. Correct and respond with verification of compliance by 12/6/2023. Correct by 12/06/2023

Corrected Corrected by Dec 6, 2023

Marked corrected in the state record.

7.702.51.A.2.d · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Health statements for children over two (2) years of age to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics recommended schedule for routine well child exams.

Reviewed 14 children's files and 1 child over the age of 2 had an expired health statement. Correction: Review and ensure that all children over the age of 2 must have a current health statement that is in accordance with the AAP schedule for routine well child exams. Correct and respond with verification of compliance by 12/6/2023. Correct by 12/06/2023

Corrected Corrected by Dec 6, 2023

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