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 3 children's file and observed one file to be missing documentation of current authorization for emergency medical care. Correction: Obtain documentation of current date and signed written authorization to obtain emergency medical care and add to file. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 03/03/2025

Corrected Corrected by Mar 3, 2025

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 package of baby wipes labeled "keep out of reach of children" on a a counter in the art area, accessible to children. Correction: Item labeled "keep out of reach of children" must be inaccessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

2.237.E · Combustibles such as cleaning rags, mops, and cleaning compounds must be stored in well-ventilated areas, separated from flammable materials, and stored in areas inaccessible to children.

A half full spray bottle labeled "sanitizer" under the hand washing sink close to the entry in an unlocked cabinet, accessible to children. Correction: Cleaning compounds must be stored in areas inaccessible to children. Corrected at the time of inspection. Staff moved the spray bottle of sanitizer to an area inaccessible to children 3/3/2025. No response required for this violation. Correct by 03/03/2025

Corrected Corrected by Mar 3, 2025

Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

An electric power strip on a shelf on the bottom of a table at the entry of the classroom to be missing a protective cover in one of the outlets. Power strip accessible to children. Correction: All electrical outlets that are accessible to children must have protective covers. Corrected at the time of inspection. Staff placed a protective cover in the outlet in the power strip 3/3/2025. No response required for this violation. Correct by 03/03/2025

Corrected Corrected by Mar 3, 2025

Marked corrected in the state record.

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children.

Reviewed 3 staff files and observed Erin to be missing a current TRAILS abuse and neglect clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Web-page power point. Submit verification that staff member Erin has reviewed the power point within 24 hours. Submit documentation of ( current TRAILS Clearance Letters) for staff member Erin with written response to the Specialist. Correct by 03/03/2025

Corrected Corrected by Mar 3, 2025

Category: supervision. Marked corrected in the state record.

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed three staff files. Observed M.W.'s Standard Precautions training expired on 11/20/23. Observed no evidence of M.W. renewing this training annually. Correction: Immediately obtain and maintain documentation of training completion in personnel file. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.