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.

At the time of visit, and confirmed through staff statements, the facility is not conducting and documenting the required emergency drills. Correction: Immediately, the facility must hold emergency drills as required by rule. Submit a written statement of compliance by 12/7/2024. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Category: recordkeeping. Marked corrected in the state record.

2.509.B.1.a · Each program leader must be at least eighteen (18) years of age, demonstrate ability to work with children, and must have completed at least one (1) of the following qualifications: Must have at least three (3) months (455 hours) of verified experience in the care and supervision of four (4) or more children over the ages of four (4) who are not related to the individual; or.

Reviewed 2 staff files. Deb missing documentation of program leader qualifications. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, program leaders must have documentation of qualifications available for review at all times. Submit documentation and a written statement of compliance by 12/7/2024. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Category: supervision. Marked corrected in the state record.

2.508.B · Prior to working with children all staff members must complete a building and physical premises safety training. The training must include: Identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic; and Handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 2 staff files. Both staff missing documentation of a building and physical premise safety training. Correction: Immediately review all staff files. All staff must complete a building and physical premises safety training and have documentation available for review at all times. Submit documentation and a written statement of compliance by 12/7/2024. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Category: recordkeeping. Marked corrected in the state record.

2.508.F · For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member who holds current Department-approved First Aid and Safety certification including CPR for all ages of 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 certified staff member at each location.

Reviewed 2 staff files. Rashaad missing documentation of a current CPR and First Aid certification and confirmed through staff statements, works alone with children. Correction: Immediately review all staff files. There must be at least 1 staff member who holds a CPR and First Aid certification with the children at all times the center is in operation. Submit documentation and a written statement of compliance by 12/7/2024. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Category: ratio. Marked corrected in the state record.

2.508.G · Within ninety (90) calendar days of employment all staff must complete the Department-approved course in injury prevention for school-age children. This training is required once (1 time) and will count toward ongoing training requirements.

Reviewed 2 staff files. Deb missing documentation of the injury prevention training. Correction: Review all staff files. All staff must complete the injury prevention for school-age children training and documentation must be available for review at all times. Submit documentation and a written statement of compliance by 12/7/2024. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Category: recordkeeping. Marked corrected in the state record.

2.509.A.2 · The program director must be at least twenty-one (21) years of age, and must have completed at least one (1) of the following qualifications:

Reviewed 2 staff files. Rashaad missing documentation of program director qualifications. Correction: Immediately, the program director must have documentation of qualifications available for review at all times. Submit documentation and a written statement of compliance by 12/7/2024. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Marked corrected in the state record.

2.127.D · All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

At the time of visit, the facility was missing a posting that included the licensed capacity of the room, the staff-to-child ratio, and ages of children being cared for in the room. Correction: Immediately, all facilities must post in every room the licensed capacity of the room, staff-to-child ratio and ages of children cared for in the room at all times. Submit photo documentation and a written statement of compliance by 12/7/2024. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Category: ratio. Marked corrected in the state record.

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

Reviewed 2 staff files. Rashaad missing documentation of a current medication administration training and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ delegation and has worked alone with children. Correction: Immediately review all staff files. The program must have at least 1 staff member with a current medication administration training on duty at all times. Submit documentation and a written statement of compliance by 12/7/2024. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Category: ratio. Marked corrected in the state record.

2.511.A · The center can only accept and care for children of the ages and capacity for which it has been licensed. At no time shall the number of children in attendance exceed the number for which the center has been licensed.

At the time of visit, the program was using a classroom that has not been licensed for child care. Correction: Immediately, the center can only care for children in rooms for which it has been licensed. Submit a written statement of compliance by 12/7/2024. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Marked corrected in the state record.

2.512.B.1 · At the time of enrollment, the parent(s) or guardian(s) must provide for each child entering the center: A self-reported health history, including any health care plans, which indicate any communicable diseases; chronic illnesses or injuries the individual has had; any known drug reactions and allergies; medications currently being taken; any necessary health procedures or special diets; and the name address and phone number for the child’s health care provider and dentist.

Reviewed 6 child files. 1 child missing documentation of a current, self-reported health history. Correction: Review all child files. All children must have a current, self-reported health history on file and available for review at all times. Submit a written statement of compliance by 12/7/2024. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

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

2.514.B · The center must apply sunscreen, have the parent(s) or guardian(s) apply sunscreen, or use another FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ form of parent(s) or guardian(s) approved sun protection for children prior to children going outside. Sunscreen must be reapplied as directed by the product label.

At the time of visit, and confirmed through staff statements, sunscreen is not being applied to the children prior to them going outside. Correction: Immediately, the center must apply sunscreen prior to the children going outside. Submit a written statement of compliance by 12/7/2024. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Marked corrected in the state record.

2.530.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: An annual written authorization for emergency medical care signed and dated submitted by the parent(s) or guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 6 child files. 3 children missing current, written authorization for emergency medical care. Correction: Immediately, all children must have a written authorization for emergency medical care that must be updated annually. Submit a written statement of compliance by 12/7/2024. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Category: health medication. 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.

At the time of visit, the facility was missing documentation of a current, passing health department inspection. Correction: Immediately, the facility must have an approving inspection report from the local department of health on file and available for review at all times. Submit documentation and a written statement of compliance by 12/7/2024. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

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.

At the time of visit, the facility was missing documentation of required tornado drills. Correction: Immediately, tornado drills must be held monthly from March to October. Submit a written statement of compliance by 1/7/2024. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

Category: recordkeeping. Marked corrected in the state record.

7.712.41.J · All staff members must complete a Department-approved standard precautions training prior to FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ working with children. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 1 staff file. Tim missing documentation of a current standard precautions training. Correction: Immediately, review all staff files. All staff members must complete a standard precautions training that must be renewed annually. Submit documentation and a written statement of compliance by 1/7/2024. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

Category: recordkeeping. Marked corrected in the state record.

7.712.41.L · . All staff member responsible for the collection, review and maintenance of the child immunizations records must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course within (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 1 staff file. Tim missing documentation of a current immunizations training. Correction: Review all staff files. All staff members responsible for collecting, reviewing, and maintaining child immunization records must complete the immunization course, which must be renewed annually. Submit documentation and a written statement of compliance by 1/7/2024. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

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

7.712.41.M · . All staff members and regular volunteers must complete a Department-approved training about child abuse prevention, including common symptoms and signs of child abuse within (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 1 staff file. Tim missing documentation of a current child abuse prevention training. Correction: Review all staff files. All staff must complete a Department-approved training about child abuse prevention which must be renewed annually. Submit documentation and a written statement of compliance by 1/7/2024. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

Category: recordkeeping. Marked corrected in the state record.

7.712.52.D.1 · The center must obtain the parent/guardian’s written authorization and instructions for applying sunscreen or use of another form of parent/guardian approved sun protection. A health care provider’s permission is not needed to use sunscreen at the center. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 6 child files. All files missing a written authorization for applying sunscreen. Correction: Immediately, review all child files. All children must have a parent/guardian's written authorization and instructions for applying sunscreen. Submit a written statement of compliance by 1/7/2024. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

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