2.230.C.6 · All pieces of playground equipment must be designed to guard against entrapment and strangulation. Any openings in gross motor equipment above ground must be smaller than three and one half (3 ½) inches or greater than nine (9) inches to prevent entrapment.

On the playground, observed the slides containing a gap large enough (approximately 5/8 of an inch) to cause a potential strangulation hazard between the platform and slide. Correction: Keep all playground equipment free from entrapment and strangulation hazards at all times. Correct immediately and respond by 12/17/2025. Correct by 12/10/2025

Corrected Corrected by Dec 10, 2025

Category: physical safety. 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.

Identified through Director Jessica's statement that Family Service Advocate Maria (DOH: 2/14/22) is responsible for the collection, review and maintenance of immunization records. Reviewed Maria's file and observed it to be missing current documentation of completion of CDPHE immunization training. Reviewed PDIS electronic training records and observed it to be missing documentation of completion of CDPHE immunization training within the last 365 days. Correction: Obtain current documentation of completion of CDPHE immunization training for all staff responsible for the collection, review and maintenance of immunization records. Correct and respond with verification of compliance by 2/22/25. Correct by 02/22/2025