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

There was hand soap and an air labeled "keep out of reach of children" accessible to children in the bathroom being used by the Pre-K classroom and dawn dish soap and a cleaning spray accessible to children in the unlocked staff lounge. This is a violation of stipulation M-Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. Correction: Corrected at the time of inspection. The director removed the items labeled "keep out of reach of children" and made them inaccessible. A written response is not required. Correct by 07/24/2025

Corrected Corrected by Jul 24, 2025

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

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.

There was a portable, toddler slide in the grass on the toddler playground measuring 22 inches. Correction: Corrected at the time of inspection. The Director removed the slide from the playground. A written response is not required. Correct by 05/02/2025

Corrected Corrected by May 2, 2025

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

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

There was a large bottle of sunscreen accessible to children on the counter in the PreK 2 classroom and a staff purse accessible to children on a shelf in the toddler 1 classroom. Correction: Corrected at the time of inspection. The sunscreen was placed in a locked cabinet and the staff purse was moved and made inaccessible to children. A written response is not required. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

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;

Reviewed 4 child files. 1 child file did not have documentation of a written authorization for emergency medical care. Correction: Immediately, obtain written authorization for emergency medical care for all children prior to admission. Submit a written statement of compliance by 2/22/25. Correct by 01/23/2025

Corrected Corrected by Jan 23, 2025

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

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 4 child files. 1 child file did not have documentation of a current health statement signed by a health care provider. Correction: Obtain a current health statement that is signed by a health care provider within 30 days of admission and within 30 days of expiration for all children. Submit a written plan and statement of compliance by 2/22/25. Correct by 02/22/2025

Corrected Corrected by Feb 22, 2025

Category: ratio. Marked corrected in the state record.

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours.

Reviewed 4 child files. 1 child file did not have documentation of a current health statement updated per AAP guidelines. Correction: Obtain an updated health statement per AAP guidelines for all children less than 2 years of age. Submit a written plan and statement of compliance by 2/22/25. Correct by 02/22/2025

Corrected Corrected by Feb 22, 2025

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

2.223.C.17 · If music is played in the infant sleep area, the music must not be played at a loud volume that would prevent infants from being heard by staff. Music equipment must not be placed under a crib or within three (3) feet of the sleeping infant. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

There was a white noise sound machine playing underneath a crib where an infant was sleeping in the infant 2 classroom. Correction: Corrected at the time of inspection. The Director moved the sound machine and placed it on a hook located at least 3 feet from the cribs.A written response is not required. Correct by 01/23/2025

Corrected Corrected by Jan 23, 2025

Category: physical safety. 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.

There were small beads, plastic animals and plastic shapes and ink stamper caps that pose a choking hazard accessible to children ages 2.5 years to 3 years old in the Preschool 2 classroom. Correction: Corrected at the time of inspection. The director removed the small items that pose a choking hazard and placed them on top of the cubbies, inaccessible to children. A written response is not required. Correct by 01/23/2025

Corrected Corrected by Jan 23, 2025

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

2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

Review of face-to-name transition sheets showed that the maximum group size for toddlers, two's and three's was exceeded when the classrooms combine in the Brook multipurpose room between 4pm and 6pm.. There were 15 to 22 children ages 1 year old to 4 years old on 1/8/25. There were 18 children ages 1 year old to 4 years old on 1/20/25. There were 15 children ages 1 year old to 4 years old on 1/21/25 and 15 to 17 children ages 1 year to 4 years old on 1/22/25. Correction: Immediately, maximum group sizes for each age group must be maintained at all times. Submit a written plan and statement of compliance by 1/24/25. Correct by 01/23/2025

Corrected Corrected by Jan 23, 2025

Category: ratio. Marked corrected in the state record.

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.

Review of face-to-name transition sheets showed that the Prek 1 classroom was over ratio on 1/20/25 with 14 children ages 3 years old to 4 years old and 1 teacher from 8:52am-9am and 16 children ages 3 years old to 4 years FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ old and 1 teacher from 9:06am to 9:30am. The infant 2 classroom was over ratio on 1/2/125 from 8:17am to 8:30am with 6 infants and 1 teacher. Correction: Immediately, staff-to-child ratio's must be maintained at all times. Submit a written plan and statement of compliance by 1/24/25. Correct by 01/23/2025

Corrected Corrected by Jan 23, 2025

Category: ratio. Marked corrected in the state record.

2.233.C.2 · If the toddler program is combined with a large child care center or an infant program, toddler facilities, both indoor and outdoor, must be completely separate from facilities for other age groups, except as allowed by rule sections 2.232(A)(6) and (8). If the facility wishes to provide opportunities for a toddler to have occasional contact with siblings, plans must be approved by the Department licensing representative.

It was determined through Director statement and face-to-name transition sheet review that the toddler classrooms are combining with the preschool classrooms in the Brook multipurpose room at the end of each day. Correction: Immediately, toddlers and preschoolers cannot be combined in the same classroom at the same time. Submit a written plan and statement of compliance by 1/24/25. Correct by 01/23/2025

Corrected Corrected by Jan 23, 2025

Marked corrected in the state record.

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

There were two staff purses accessible to children in the PreK 2 classroom. There were diaper wipes labeled "keep out of reach" accessible to children in the bathrooms of the Brook multipurpose room and the PreK1 classroom. Correction: Corrected at the time of inspection. Staff placed the staff purses in a locked cupboard and on a shelf inaccessible to children. Correct by 12/30/2024

Corrected Corrected by Dec 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.

The PreK classroom had a two and a half (2.5) year old child in the room and there were legos and other small manipulative's that pose a choking hazard accessible to children. Correction: Corrected at the time of inspection. The legos and manipulative's that pose a choking hazard were placed in an area of the classroom that is inaccessible to children. A written response is not required. A written response is not required. Correct by 12/30/2024

Corrected Corrected by Dec 30, 2024

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

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

There were sharp teacher scissors on the counter accessible to children in the PreK1 classroom. Correction: Corrected at the time of inspection. Staff placed the teacher scissors in a locked drawer. A written response is not required. Correct by 12/30/2024

Corrected Corrected by Dec 30, 2024

Marked corrected in the state record.

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

There was Dawn dishsoap accessible to children on the counter in the PreK 1 classroom. Previously cited on 5/11/22, 3/10/23, 3/4/24, 7/11/24. Correction: Corrected at the time of inspection. The Director placed the Dawn dishsoap in a locked cupboard. A written response is not required. Correct by 12/05/2024

Corrected Corrected by Dec 5, 2024

Marked corrected in the state record.

2.212.J · Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures.

Reviewed 3 staff files. SM1 did not have documentation of a policy and procedures acknowledgment. Correction: Immediately, staff must sign a statement acknowledging receipt and review of the programs policies and procedures. Submit a written statement of compliance by 11/27/24. Correct by 11/13/2024

Corrected Corrected by Nov 13, 2024

Marked corrected in the state record.

2.225.B · Children must not be subjected to physical or emotional harm, humiliation, or threats.

It was determined through documentation reviewed during the investigation that SM1 forcefully pulled CH1 by the wrist and arm, pushed CH1 down on their cot multiple times leaving a red mark and bruising. Correction: Immediately, ensure that children are not subjected physical or emotional harm, humiliation or threats. Submit a written plan and statement of compliance by 11/27/24. Correct by 11/13/2024 Stage II Licensing Concern : SM1 used their arm and body weight to hold CH1 down and restrained CH1 to their cot. - FOUNDED

Corrected Corrected by Nov 13, 2024

Marked corrected in the state record.

2.225.H · Any form of restraint is not permitted.

It was determined through documentation reviewed during the investigation that SM1 used their arm and body weight to hold CH1 down and restrain CH1 to their cot. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, ensure that that any form of restraint is never permitted. Submit a written plan and statement of compliance by 11/27/24. Correct by 11/13/2024 Stage II Licensing Concern : SM2 and SM3 did not report a reportable incident. - FOUNDED

Corrected Corrected by Nov 13, 2024

Marked corrected in the state record.

2.126.B · Pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the county department of human or social services, the local law enforcement agency, or through the child abuse hotline reporting system as set forth in section 26-5-111, C.R.S.

It was determined through the investigation that staff failed to report an incident as required by statute and licensing regulations. Correction: Immediately, concerns or reasonable cause for concerns of abuse and neglect must be reported as required by statute and licensing regulations. Submit a written plan and statement of compliance by 11/27/24. Correct by 11/13/2024 Stage II Licensing Concern : Staff did not apply sunscreen to CH1 and CH1 came home with a sunburn - FOUNDED

Corrected Corrected by Nov 13, 2024

Marked corrected in the state record.

2.221.B · The center must apply sunscreen, have the parent(s)/guardian(s) apply sunscreen, or use another form of parent/guardian approved sun protection for children prior to children going outside. Sunscreen must be reapplied as directed by the product label.

It was determined through staff statement and documentation reviewed during the investigation that staff did not apply sunscreen to CH1 prior to going outside. Correction: Immediately, ensure that sunscreen is applied or another form of parent approved sun protection is used for

Open Not marked corrected in the state record

Open / not marked corrected.

2.223.D.4 · In the toddler room, a crib, sleeping cot, or two (2) inch mat must be provided for each child, and there must be a minimum of two (2) feet between each crib or cot. Aisles between cots or cribs must be kept free of all obstructions while cribs are occupied. No child less than the age of two (2) years should use a cot for sleeping without written permission of the parent or guardian.

Three (3) cots in the Toddler 2 classroom were spaced less than two (2) feet apart during nap time. Correction: Immediately, cots must be spaced at least 2 feet apart. Submit a written statement of compliance by 11/27/24. Correct by 11/13/2024

Corrected Corrected by Nov 13, 2024

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

2.223.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

Multiple cots in the PreK 2 classroom were spaced less than two (2) feet apart during nap time. Correction: Immediately, cots must be spaced at least 2 feet apart. Submit a written statement of compliance by 11/27/24. Correct by 11/13/2024

Corrected Corrected by Nov 13, 2024

Category: supervision. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

There were small marker and ink stamper lids that pose a choking hazard accessible to children in the Toddler 2 classroom. This was previously cited on 10/22/24. Correction: Immediately, make all areas accessible to children under three years of age free of any choke or inhalation hazards. Submit a written statement of compliance by 11/27/24. Correct by 11/13/2024

Corrected Corrected by Nov 13, 2024

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

2.212.K · Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules.

Reviewed 3 staff files. SM1 did not have documentation of a statement that they have reviewed the licensing rules and regulations for child care centers. Correction: Ensure staff sign a statement acknowledging that they have received and reviewed all licensing rules governing child care centers. Submit a written statement of compliance by 11/27/24. Correct by 11/27/2024

Corrected Corrected by Nov 27, 2024

Marked corrected in the state record.

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 3 staff files. SM1 did not have documentation of a physical permises safety training. Correction: Immediately, staff must complete a per-service building and physical premises training prior to working with children. Submit a written statement of compliance by 11/27/24. Correct by 11/13/2024

Corrected Corrected by Nov 13, 2024

Category: recordkeeping. 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.

SM2 did not have documentation of a current standard precautions training. Correction: Immediately, obtain a current standard precautions training for SM2. Submit documentation and a written statement of compliance by 11/27/24. Correct by 11/13/2024

Corrected Corrected by Nov 13, 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 3 staff files. SM2 did not have documentation of a current child abuse training. Correction: Obtain a current child abuse prevention training for SM2. Submit documentation and a written statement of compliance by 11/27/24. Correct by 11/27/2024

Corrected Corrected by Nov 27, 2024

Category: recordkeeping. Marked corrected in the state record.

2.210.A · A record must be maintained, either written or electronic, for each staff member that includes the following:

Reviewed 3 staff files. SM1 did not have a complete staff file. Correction: Immediately, a complete staff record must be maintained for each staff. Submit a written statement of compliance by 11/27/24. Correct by 11/13/2024

Corrected Corrected by Nov 13, 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.

There were diaper wipes labeled "keep out of reach of children" accessible to children in the Preschool 1, Two's 2, Two's 1, and Preschool 2 classrooms. There were diaper creams accessible to children in the Two's 2, PreK 1 and Preschool 2 classrooms. There was hand sanitizer accessible to children in the Two's 1 and PreK 1 classrooms. There was sanitizing spray accessible to children on the children's handwashing sink in the Two's 1 classroom. Correction: Corrected at the time of inspection. The Director removed the diaper wipes, diaper creams, hand sanitizer and sanitizing spray and placed them on a shelf that is inaccessible to children. A written response is not required. Correct by 03/04/2024

Corrected Corrected by Mar 4, 2024

Marked corrected in the state record.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

There were loose plastic trash bags accessible to children in an unlocked drawer and a low shelf in the Two's 1 classroom. Correction: Corrected at the time of inspection. The Director removed the plastic trash bags and placed them in a locked drawer. A written response is not required. Correct by 03/04/2024

Corrected Corrected by Mar 4, 2024

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 18 staff files. Lupe S, Rhianna B, Karah G, Maison P, Male S, Sudah S, KaleighD, Nilu C Alexia C and Elizabeth L did not have documentation of a medical statement. Correction: Review staff files and ensure that all staff submit a medical statement within 30 days of hire. Subsequent self-reported health statements must be submitted annually. Submit a written statement of compliance by 4/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

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

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

There were sharp, teacher scissors accessible to children in an unlocked drawer in the Two's 1 classroom and on a shelf accessible to children in the PreK 1 classroom Correction: Corrected at the time of inspection. The Director placed the sharp, teacher scissors in a locked drawer and inaccessible to children. A written response is not required. Correct by 03/04/2024

Corrected Corrected by Mar 4, 2024

Marked corrected in the state record.

2.138.A · 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.

The facility did not have documentation of monthly Fire Drills, monthly tornado drills from March to October and emergency drills being completed over the past 12 months. Correction: Immediately, complete Fire drills monthly, tornado drills monthly from March to October and emergency drills quarterly. Submit a written plan of compliance and documentation of March drills by 4/3/24. Correct by 03/04/2024

Corrected Corrected by Mar 4, 2024

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

The facility did not have documentation of an approving Fire inspection. Correction: Immediately, obtain an approving Fire inspection from the Fire Department at least every two years. Submit documentation and a written statement of compliance by 4/3/24. Correct by 03/04/2024

Corrected Corrected by Mar 4, 2024

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

2.217.A.7 · There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children.

The Two's 1, Two's 2, Toddler 2 and Preschool 2 classrooms did not have a qualified Early Childhood Teacher supervising at the time of inspection. Correction: Immediately, ensure there is at least 1 qualified Early Childhood Teacher assigned to each group of children unless otherwise specified by the rules. The Director combined classrooms and placed an ECT qualified staff member in each classroom at the time of inspection. Submit a written plan and statement of compliance by 4/3/24. Correct by 03/04/2024

Corrected Corrected by Mar 4, 2024

Category: supervision. Marked corrected in the state record.

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual 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:

Reviewed 18 staff files. Kayla E, Lupe S, Sudah S and Dana B did not have documentation of the State-based clearance letter. Correction: Immediately, ensure the State-based background request is submitted and successfully completed prior to allowing staff unsupervised access to children. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Kayla E, Lupe S, Sudah S and Dana B have reviewed the powerpoint within 24 hours. Submit documentation of

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 18 staff files. 14 staff members did not have documentation of a pre-service building and physical premises safety training. Correction: Immediately, review staff files and ensure that all staff complete a pre-service building and physical premises safety training prior to working with children. Submit documentation and a written statement of compliance by 4/3/24. Correct by 03/04/2024

Corrected Corrected by Mar 4, 2024

Category: recordkeeping. Marked corrected in the state record.

2.216.C.2 · Staff aides must be at least sixteen (16) years of age, must work directly under the supervision of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the director or a toddler early childhood teacher, and must have completed eight (8) hours of orientation at the toddler program.

Emily N, Male s and Sudah S were working as staff aides in the toddler classrooms and did not have documentation of an 8 hour toddler orientation. Correction: Immediately, review staff files and ensure that staff aides complete an 8 hour orientation in the toddler program. Submit documentation and a written statement of compliance by 4/3/24. Correct by 03/04/2024

Corrected Corrected by Mar 4, 2024

Category: supervision. Marked corrected in the state record.

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 8 child files. 1 child file did not have documentation of a health statement and 1 child had an expired health statement. Correction: Review child files and ensure that a current health statement, signed and dated by a healthcare provider is provided for each child within 30 days of admission and within 30 days of expiration. Submit a written plan and statement of compliance by 4/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

Category: ratio. 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.

Nilu C did not have documentation of an emergency and disaster preparedness training. Correction: Immediately, ensure all staff complete a Department-approved training in emergency and disaster preparedness training prior to working with children. Submit documentation and a written statement of compliance by

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

Elizabeth L did not have documentation of a current Standard Precautions training. Correction: Immediately, ensure staff complete a Department approved standard precautions training prior to working with children and the training is updated annually. Submit documentation and a written statement of compliance by 4/3/24. Correct by 03/04/2024

Corrected Corrected by Mar 4, 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.

Elizabeth L did not have documentation of a current child abuse prevention training. Correction: Review staff files and ensure that all staff complete a Department approved training about child abuse prevention within 30 days of hire. Submit documentation and a written statement of compliance by 4/3/24. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

Category: recordkeeping. Marked corrected in the state record.