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.

Observed no current fire inspection maintained at the facility. Correction: Prior to the original license being issued and at least every two (2) years thereafter, all child care facilities must be inspected and obtain an approving inspection report from the local fire department. Submit a written statement of compliance by 10/16/2023 Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

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

7.702.34.A.7 · 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 6 child files. Observed 6 child files (Mauricio M., Amira A., Madi A., Bella R., Pedro M., and Ezra H.) missing current documentation of emergency medical care signed by the parent/guardian. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, written authorization for emergency medical care must be signed and updated annually by the parent/guardian. Submit a written statement of compliance by 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

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

7.702.34.A.8 · The admission record must include: Written authorization, obtained in advance of the event from a parent/guardian, for a child to participate in field trips or special activities, whether scheduled or unscheduled, whether walking or riding in an approved vehicle.

Reviewed 6 child files. Observed 6 child files (Mauricio M., Amira A., Madi A., Bella R., Pedro M., and Ezra H.) missing current documentation of authorization for a child to participate in field trips or special activities. Correction: Immediately, written authorization for a child to participate in field trips or special activities must be obtained in advance. Submit a written statement of compliance by 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Category: transportation. 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 includes: A copy of the child’s health statement completed by a health care provider.

Reviewed 6 child files. Observed Bella R. and Pedro M. missing current documentation of a health statement. Correction: Immediately, the center must maintain and update annually a copy of the child's health statement completed by a health care provider. Submit a written statement of compliance by 11/1/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

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

7.702.51.A.2.a · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or Certificate of Medical or Nonmedical Exemption, is FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment Certificate of Immunization or on an "approved alternate" Certificate of Immunization. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 6 child files. Observed 3 child files (Mauricio M., Amira A., and Madi A.) missing current immunization status. Correction: Immediately, the parent/guardian must provide documentation of immunization status or Certificate of Medical or Nonmedical Exemption. Submit a written statement of compliance by 11/1/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Category: health medication. 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.

In Ms. Layla's room, 10 children were in attendance, however, 11 children were signed in. Correction: Immediately, the time a child arrives and leaves the center each day must be recorded. Corrected at the time of the visit, Ms. Layla signed the child out, verifying the correct amount of children. Submit a written statement of future compliance by 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.51.B.11 · Topical preparations such as petroleum jelly, diaper rash ointments, sunscreen, insect repellent, and other ointments may be administered to children with written authorization from the parent(s)/guardian(s). These preparations may not be applied to open wounds or broken skin unless there is a written order by the prescribing health care provider.

Reviewed 6 child files. Observed 6 child files (Mauricio M., Amira A., Madi A., Bella R., Pedro M., and Ezra H.) missing documentation of topical preparations. Correction: Immediately, written authorization from parent/guardian must be obtained to administer topical preparations. Submit a written statement of compliance by 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Category: ratio. Marked corrected in the state record.

7.702.72.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ hazards.

On the older preschool playground, under the tree was a 2 inch dip, causing a potential tripping hazard. Correction: Immediately, all outdoor equipment must be safe and free of hazards. Submit a written statement of compliance by 11/1/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

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

7.702.72.F · Trampolines and inflatable bouncers are prohibited.

In the movement room, there was a trampoline accessible to children. Correction: Immediately, trampolines are prohibited. Corrected at the time of visit, the director removed the trampoline. Submit a written statement of future compliance by 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

Marked corrected in the state record.

7.702.46.C.9 · All Department-approved Child Care Health Consultants must complete the Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse or neglect. This training must be completed within thirty (30) days of hire and renewed every three (3) years.

Reviewed the Child Care Health Consultant's file. Observed missing documentation of a Department-approved training about child abuse prevention. Correction: Immediately, all Department-approved Child Care Health Consultants must complete the Department-approved training about child abuse prevention. This training must be completed with thirty (30) days of hire and renewed every three (3) years. Submit documentation and a written statement of compliance by 10/16/2023. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

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