2.217.A.15.d · The licensed room capacity must not be exceeded at any time.

There to be 11 children in care in the toddler classroom at the time Licensing Specialist arrived at the facility. Toddler classroom is licensed for 10 children ages 12 -24 months. Correction: Immediately ensure that the licensed room capacities are not exceeded at any time. Corrected at the time of inspection. 1 older toddler ready to transition to the older toddler classroom 4/10/2025. Submit a written plan for compliance to specialist with response form Correct by 04/10/2025

Corrected Corrected by Apr 10, 2025

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 15 staff files and observed Cinthya to be missing documentation of current TRAILS abuse and neglect clearance. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Cinthya has reviewed the powerpoint within 24 hours. Submit documentation of (TRAILS Clearance Letters) for staff member Cinthya with written response to the Specialist. Correct by 09/30/2024

Corrected Corrected by Sep 30, 2024

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

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ fingerprint process at an approved vendor. 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 15 staff files and observed Kathy to be missing documentation of current FBI clearance. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Kathy has reviewed the powerpoint within 24 hours. Submit documentation of ( FBI Clearance Letters) for staff members Kathy with written response to the Specialist. Correct by 09/30/2024

Corrected Corrected by Sep 30, 2024

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

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 15 staff files and observed Diana V to be missing documentation of emergency and disaster preparedness training Correction: Obtain documentation of Department approved emergency and disaster preparedness training and add to file. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 09/30/2024

Corrected Corrected by Sep 30, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 15 staff files and observed Brandi to be missing documentation of a medical statement signed and dated by a health care provider. Correction: Obtain documentation of a medical statement signed and dated by a health care provider and add to file. Submit a written statement of compliance to specialist with response form. Correct by 10/29/2024

Corrected Corrected by Oct 29, 2024

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

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

A bottle of "SImple Truth" hand soap on the counter at the preschool bathroom hand washing sink labeled "keep out of reach of children" accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Corrected at the time of inspection. Director moved hand soap to be inaccessible to children 9/30//2024. No response required for this violation. Correct by 09/30/2024

Corrected Corrected by Sep 30, 2024

Marked corrected in the state record.

2.229.E · Thumb tacks must not be used in areas accessible to children less than three (3) years of age.

Several thumb tacks used to display items on a bulletin board in the entry by the front desk, accessible to children less than 3 years of age. Correction: Thumb tacks must not be used in areas accessible to children less than 3 years of age. Correct immediately. Corrected at the time of inspection. Director removed all thumb tacks, making them inaccessible to children 9/30/2024. No response required for this violation. Correct by 09/30/2024

Corrected Corrected by Sep 30, 2024

Marked corrected in the state record.

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

A cup of small pom-poms on a shelf, small pieces of chalk in a basket on a shelf, and small pieces of broken crayons in a basket on a shelf in the Blue preschool room, posing a potential choke hazard. Observed 2 small magnets on white boards in the hallway outside of the toddler rooms posing a potential choke hazard. Correction: Toys, toy parts, furnishings, equipment and any materials accessible to children less than 3 years of age must not be a choke hazard. Corrected immediately.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 15 staff files and observed Diana M, Cinthya, Melisa to be missing documentation of current shaken baby/ abusive head trauma training. Correction: Obtain documentation of current Department approved shaken baby abusive head trauma training and add to files. Correct immediately. Submit a written statement of compliance to specialist with response from. Correct by 09/30/2024

Corrected Corrected by Sep 30, 2024

Category: recordkeeping. Marked corrected in the state record.

2.212.N · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures

Reviewed 15 staff files and observed 15 staff members missing documentation of a signed statement indicating that they have read and been trained on the center's medication administration policies and procedures. Correction: Obtain documentation of a signed statement that staff have read and been trained in the center's medication administration policies and procedures and add to files. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 09/30/2024

Corrected Corrected by Sep 30, 2024

Category: ratio. 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.

B.R.'s hire date was 12/18/19. Observed no evidence of B.R. completing Department approved Introduction to First Aid and CPR module. Correction: Obtain and maintain documentation of training completion in personnel file. Correct by 11/29/2023

Corrected Corrected by Nov 29, 2023

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.

Identified K.R. reviews children's immunization records. Observed K.R.'s immunization training expired on 1/6/23. Observed no evidence of K.R. renewing this training annually. Correction: Obtain and maintain documentation of training completion. Correct by 11/29/2023

Corrected Corrected by Nov 29, 2023

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

7.702.42.L · All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development.

Identified ongoing professional development hours are tracked per hire dates. Observed no evidence of staff completing required 15 clock hours of training in 5 out of 15 staff files reviewed. Correction: Ensure all staff who work with children must complete a minimum of 15 clock hours of training each year. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 11/29/2023

Corrected Corrected by Nov 29, 2023

Category: recordkeeping. 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.

P.T.'s child abuse training expired on 9/17/23, and C.P.'s training expired on 10/5/23. Observed no evidence of P.T. and C.P. renewing this training annually. Correction: Immediately obtain and maintain documentation of training completion in personnel files. Correct by 10/30/2023

Corrected Corrected by Oct 30, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.41.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.

A.R.'s hire date was 1/9/23, and A.V. was hired on 8/14/23. Observed no evidence of a medical statement signed and dated by a health care provider in A.R.'s and A.V.'s files. Correction: Obtain and maintain documentation in personnel files. Correct by 11/29/2023

Corrected Corrected by Nov 29, 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 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.

No evidence of immunization record in one of the four files children's files reviewed. Correction: Immediately obtain and maintain documentation in child's file. Correct by 10/30/2023

Corrected Corrected by Oct 30, 2023

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