2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed a random sampling of 15 children's files and observed 3 children to have expired health statements. Correction: Obtain a current health statement for the children whose have expired. Correct and submit written statement of compliance with overall response by 1/5/2025. Correct by 01/05/2025

Corrected Corrected by Jan 5, 2025

Category: ratio. Marked corrected in the state record.

2.122.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 the facility to have a health inspection, dated 8/13/2024, but it is not passing. Correction: Obtain documentation of a current, passing health inspection. Correct immediately by 12/5/2024 and and submit written statement of compliance with overall response by 1/5/2025. Correct by 12/05/2024

Corrected Corrected by Dec 5, 2024

Category: health medication. 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.

Reviewed 14 staff files and observed one staff member Allie H (DOH 8/2024), to be missing documentation of a health statement within 30 days of hire. Correction: Obtain a current health statement for the staff member missing it. Correct and submit written statement of compliance with overall response by 1/5/2025. Correct by 01/05/2025

Corrected Corrected by Jan 5, 2025

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

2.218.B.3 · Admission procedures must be completed prior to the child's attendance at the center and must include: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s)/guardian(s) defining the interventions needed to care for a child who has an identified health or developmental condition or concern including, but not limited to seizures, asthma, diabetes, severe allergies, heart or respiratory FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ conditions, and physical disabilities. Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented.

Observed the facility to be missing a medication that is written on a child's emergency care plan/med orders. Correction: Obtain the medication written on a child's written order. Correct immediately by 12/5/2024 and submit written statement of compliance with overall response by 1/5/2025. Correct by 12/05/2024

Corrected Corrected by Dec 5, 2024

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 12 staff files and observed 3 staff members, Jen Noonan (expired 1/10/2024), Kelly Ross (expired 1/5/2024), Molly Wilson (expired 1/10/2024) to have expired Standard Precautions trainings, Correction: Obtain documentation of a Department approved Standard Precautions training for the staff members listed above. Correct immediately by 1/29/24 and submit written statement of compliance with overall response by 2/5/2024. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 12 staff files and observed 1 staff member, Tara Agular (DOH 7/17/2023) to be missing documentation of a Department approved training in Emergency and Disaster Prep. Correction: Obtain documentation of a Department approved Emergency and Disaster Prep. training for the staff member listed above. Correct immediately by 1/29/24 and submit written statement of compliance with overall response by 2/5/2024. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

Category: recordkeeping. Marked corrected in the state record.

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 12 staff files and observed 1 staff members, Jen Noonan, to have expired Shaken Baby/Abusve Head Trauma trainings (expired 10/8/2023) Correction: Obtain documentation of a Department approved Shaken Baby/Abusve Head Trauma training for the staff member listed above. Correct immediately by 1/29/24 and submit written statement of compliance with overall response by 2/5/2024. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.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.

Reviewed 12 staff files and observed 3 staff members, Jen Noonan (expired 1/10/2024), Kelly Ross (expired 1/4/2024), Molly Wilson (expired 1/10/2024) to have expired Mandated Reporter trainings. Correction: Obtain documentation of a Department approved Mandated Reporter training for the staff member listed above. Correct immediately by 1/29/24 and submit written statement of compliance with overall response by 2/5/2024. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 12 staff files and observed 2 staff members, Tara Agular (DOH 7/17/2023), and Laura Rascon (DOH 9/28/2020) to be missing documentation of a Department approved Introduction to Early Intervention and Preschool Special Education training. Correction: Obtain documentation of a Department approved Introduction to Early Intervention and Preschool Special Education training for the staff members listed above. Correct immediately by 1/29/24 and submit written statement of compliance with overall response by 2/5/2024. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed 12 staff files and observed 2 staff members, Tara Agular (DOH 7/17/2023), and Laura Rascon (DOH 9/28/2020) to be missing documentation of a Department approved Recognizing the Impact of Bias on Early Childhood Professionals training. Correction: Obtain documentation of a Department approved Recognizing the Impact of Bias on Early Childhood Professionals training for the staff members listed above. Correct immediately by 1/29/24 and submit written statement of compliance with overall response by 2/5/2024. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

Category: recordkeeping. Marked corrected in the state record.

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Observed lotions and hand sanitizers labeled "keep out of reach of children" on a shelf accessible to children in classroom 1. Correction: All items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately by 1/29/24. Corrected at the time of visit by the Director putting the supplies in a locked cabinet in the classroom. No written response is required. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

Marked corrected in the state record.

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

Observed diaper changing supplies accessible to children in the bathroom of classroom 6. Correction: Store all diaper changing supplies in an area inaccessible to children. Correct immediately by 1/29/2. Corrected at the time of visit by the Director putting the supplies in a locked closet in the classroom. No written response is required. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

Marked corrected in the state record.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

Observed 2 pairs of adult sharp scissors on a shelf accessible to children in classroom 1. Correction: Sharp tools and instruments must be stored in areas inaccessible to children. Correct immediately by 1/29/24. Corrected at the time of visit by the Director putting the supplies in a locked cabinet in the classroom. No written response is required. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

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 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 12 staff files and observed 1 staff members, Jonni Jarnagin to not have documentation of an updated FBI clearance letter. Letter is dated 4/6/2017. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member J Jarnagin has reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letters for staff member Jonni Jarnagin with written response to Specialist.

Open Not marked corrected in the state record

Category: background checks. 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.

Reviewed 12 staff files and observed 2 staff members, Becky Modlin and Anne Seig to not have documentation of a Trails clearance letter, but to be working in classrooms as subs with another staff member. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Becky M and Anne S have reviewed the powerpoint within 24 hours. Submit documentation of Trails clearance letters for staff member Becky M and Anne Seig with written response to Specialist. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

Category: supervision. Marked corrected in the state record.

2.121.A.1 · In order to obtain any Colorado Bureau of Investigation (CBI) and/or Federal Bureau of Investigation (FBI) fingerprint criminal history records, each applicant listed below must have their fingerprints taken and processed at a vendor approved by CBI. Approved vendors may be located using the CBI website at Colorado.gov/cbi. Payment of the fee for the criminal record check is the responsibility of the individual being checked, identified as follows:

Reviewed 12 staff files and observed 2 staff members, Becky Modlin and Anne Seig to not have documentation of a CBI and FBI clearance letter, but to be working in classrooms as subs with another staff member. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Becky M and Anne S have reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI clearance letters for staff member Becky M and Anne Seig with written response to Specialist. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

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