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;

Reviewed 5 children's files and observed 2 children lacking documentation of a current emergency medical authorization signed by a parent/guardian. Correction: Immediately (1/25/24) 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 01/25/2024

Corrected Corrected by Jan 25, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 4 staff files and observed 1 staff (Emily L.) lacking documentation of a health statement signed by a medical provider. Correction: Provide a written statement of compliance within the overall response ensuring that all the above listed staff have obtained a medical statement signed by a health care provider followed by the completion of the annual self-reported health history. Correct by 02/25/2024

Corrected Corrected by Feb 25, 2024

Category: health medication. 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 immunization training certificate for the appointed child care health consultant. Correction: Immediately (1/25/24) 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 01/25/2024

Corrected Corrected by Jan 25, 2024

Category: health medication. 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 4 staff files and observed 1 staff (Chelsea B) lacking documentation of a current 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 the above listed staff have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff members listed above with written response to Specialist. Correct by

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.