2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

Previously cited on 10-31-2023. Observed less than 1 inch of resilient surfacing under large climber in the use zone of the green and blue slides on climbing structure measuring 29 inches in height at the time of inspection. Correction: Licensed facility must maintain at least six (6) inches of department-approved resilient surface depth in all use/fall zones under climbing/play equipment which exceeds eighteen (18) inches in height - Correct Immediately - Respond to licensing specialist with written confirmation of correction. Correct by 10/03/2024

Corrected Corrected by Oct 3, 2024

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

2.209.A · 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:

Observed through child file review no evidence of enrollment file for child in attendance at the time of inspection. Correction: 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 all requirements as stated in rule set 2.209. - Correct Immediately - Corrected at time of inspection Director LS contacted POC who came to site to complete enrollment package. Correct by 10/03/2024

Corrected Corrected by Oct 3, 2024

Category: recordkeeping. Marked corrected in the state record.

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;

2 out of 6 child files reviewed had expired emergency authorization at the time of inspection. Correction: 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). Correct Immediately - Respond to licensing specialist with written verification of correction and plan for future compliance. Correct by 10/03/2024

Corrected Corrected by Oct 3, 2024

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

2.127.B · At all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

No evidence of most recent Report of Inspection posting or notice as to where it can be seen posted at the time of inspection. Correction: At all times during the operating hours of a child care center, the facility must post its most recent licensing

Open Not marked corrected in the state record

Open / not marked corrected.

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), 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.

No evidence of TRAILS child abuse and neglect background check for staff member SY at time of inspection. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member SY has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for staff member SY with written response to the Specialist. - Correct Immediately Correct by 10/03/2024

Corrected Corrected by Oct 3, 2024

Category: supervision. Marked corrected in the state record.

2.121.D.3 · Criminal background check requests for volunteers, whose activities involve the care and supervision of children; or who have unsupervised access to children, must be submitted and successfully completed prior to 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.

No evidence of CBI or FBI Clearance letters for staff member SY at time of inspection. No Evidence of CBI Clearance letter for director LS at time of inspection. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member SY and Director LS have reviewed the powerpoint within

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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.

No evidence of medical statement signed and dated by a health care provider on file for staff member SY or Director LS at the time of inspection. No evidence of subsequent self-reported health history for Director LS at time of inspection. Correction: 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. Respond to licensing specialist with written verification of correction and plan for future compliance. Correct by 11/03/2024

Corrected Corrected by Nov 3, 2024

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

2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times.

At time of inspection there was no evidence of current delegation for any staff member on duty. Upon staff file review no evidence of current Delegation for staff member SY or Director LS at time of inspection. No evidence of current Department-approved medication administration training for staff member SY. Correction: At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times. Correct Immediately - Respond to licensing specialist with written verification of

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.213.E · For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member on duty who holds a current Department-approved first aid and safety certificate, including cardiopulmonary resuscitation (CPR) for all ages of children, and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location.

No evidence any staff member held a current Department-approved First Aid and CPR qualification at the time of inspection. No evidence of current Department-approved First Aid and CPR qualification for staff member SY or Director LS. Correction: For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member on duty who holds a current Department-approved first aid and safety certificate, including cardiopulmonary resuscitation (CPR) for all ages of children, and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location. Correct Immediately - Respond to licensing specialist with written verification of correction and plan for future compliance. Correct by 10/03/2024

Corrected Corrected by Oct 3, 2024

Category: ratio. Marked corrected in the state record.

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

No evidence of up-to-date Standard Precautions Training for staff member JB caring for Toddlers at time of inspection. Correction: Licensed facility must maintain evidence all staff members have completed up-to-date Standard Precautions Training on file and available for review - Correct Immediately - Respond to licensing specialist with written confirmation of correction. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: ratio. Marked corrected in the state record.

7.702.72.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

Observed one (1) inch insufficient resilient surface depth under all climbing structures on Toddler Playground: Blue/Brown Climbing Structure measuring at 29 inches in height; Blue Slide measuring at 23 inches in height; Tan/Green Slide measuring at 40 inches in height. Correction: Licensed facility must maintain at least six (6) inches of department-approved resilient surface depth in all use/fall zones under climbing/play equipment which exceeds eighteen (18) inches in height - Correct Immediately - Respond to licensing specialist with written confirmation of correction. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

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

7.702.72.C.2.a · The maximum height for toddler climbing equipment cannot exceed thirty-two (32) inches.

Observed Tan/Green Slide on Toddler Playground measuring at 40 inches in height. Correction: Licensed facility must ensure all climbing equipment on Toddler Playground does not exceed 32 inches - Correct Immediately - Corrected at time of inspection; Staff Member JB moved Tan/Green Slide to area outside Toddler Playground and inaccessible to attending children. Submit written plan for future compliance. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

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

7.702.42.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.

No evidence of up-to-date Child Abuse/Neglect Prevention and Reporter Training for staff member LS, employed for over thirty (30) days, and caring for Toddlers at time of inspection. Correction: Licensed facility must maintain evidence all staff members have completed up-to-date Child Abuse/Neglect Prevention and Reporter Training on file and available for review - Correct Immediately - Respond to licensing specialist with written confirmation of correction. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. 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 State Department-approved training

No evidence of Introduction to the Emergency and Disaster Preparedness Training for staff member JB caring for Toddlers at time of inspection. Correction: Licensed facility must maintain evidence all staff members have completed Emergency and Disaster

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

7.702.42.J · Within ninety (90) calendar days of employment, all Directors and Assistant Directors must complete the Department-approved training: Working with an Early Childhood Mental Health Consultant. This course is required once and will be counted towards ongoing professional development.

No evidence of Working with an Early Childhood Mental Health Consultant Training for staff member LS, serving as Director, employed for over ninety (90) days, and caring for Toddlers at time of inspection. Correction: Licensed facility must maintain evidence Director/Assistant Director have completed Working With an Early Childhood Mental Health Consultant within ninety (90) days of employment on file and available for review - Correct and respond to licensing specialist with written confirmation of correction. Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

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

7.702.42.M · 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.

No evidence of up-to-date CDPHE Immunization Training for staff members LS, JB, employed for over thirty (30) days, and caring for Toddlers at time of inspection. Correction: Licensed facility must maintain evidence key staff charged with collection, review, and maintenance of children's immunization records have up-to-date CDPHE Immunization Training on file and available for review - Correct and respond to licensing specialist with written confirmation of correction. Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

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

7.702.46.C.1.a · Center staff must have a monthly consultation with a current Department-approved Child Care Health Consultant who must meet one (1) of the following qualifications: A Licensed Registered Nurse with knowledge and experience in maternal and child health. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

No evidence of monthly consultation with Child Care Health Consultant, BW. Correction: Licensed facility must maintain evidence of monthly consultation with Child Care Health Consultant on file and available for review - Correct and respond to licensing specialist with confirmation of correction. Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

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

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.

No evidence emergency and disaster drills have been practiced with frequency required as per 7.701.100.F.2. Correction: Licensed facility must maintain evidence emergency and disaster drills have been practiced with frequency required as per 7.701.100.F.2 - Correct Immediately - Respond to licensing specialist with written confirmation of correction. Correct by 10/31/2023

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.