St. Mary's Academy Early Learning Program

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 11 child files. 5 children missing documentation of a current health statement. Correction: Review all child files. Each child must submit a statement of health status signed by a healthcare provider within 30 days of admission and within 30 days following the expiration date of the previous statement. Submit a written statement of compliance by 3/26/2025. Correct by 03/26/2025

Corrected by Mar 26, 2025

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.

At the time of visit, the children were taken outside to the playground and sunscreen was not applied prior to going outside. Correction: Immediately, the center must apply sunscreen prior to the children going outside. Submit a written statement of compliance by 3/26/2025. Correct by 02/26/2025

Corrected by Feb 26, 2025

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

At the time of visit, in Pre-K A, batteries and bottles of soap labeled 'keep out of reach of children' were in an unlocked cabinet and accessible to children. Correction: Immediately, all items labeled 'keep out of reach of children' must be inaccessible to children at all times. Corrected at time of visit, the classroom teacher moved the items to a high shelf making them inaccessible to children. No response needed. Correct by 02/26/2025

Corrected by Feb 26, 2025

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

At the time of visit, in Pre-K B, three pairs of adult scissors were in different pencil containers on low shelving and accessible to children. Correction: Immediately, sharp tools must be inaccessible to children at all times. Corrected at time of visit, the classroom teacher moved the scissors to a high cabinet making them inaccessible to children. No response needed. Correct by 02/26/2025

Corrected by Feb 26, 2025

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of visit, in Pre-K B, an electrical cord was loose in the cozy cube and accessible to children. Electrical cords by the TV were loose and accessible to children. Correction: Immediately, indoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards at all times. Submit photo documentation and a written statement of compliance by 3/26/2025. Correct by 02/26/2025

Corrected by Feb 26, 2025

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.

At the time of visit, the mulch on the Pre-K playground measured 4 inches deep. Correction: Immediately, all climbing equipment 18 inches or higher must have a resilient surfacing of at least 6 inches in the use zone at all times. Submit photo documentation and a written statement of compliance by 5/5/2024. Correct by 04/05/2024

Corrected by Apr 5, 2024

2.230.C.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six (6) inches.

At the time of visit, observed the mulch on the playground was compacted and deteriorating and measured 4 inches deep. Correction: Immediately, loose fill resilient surface must be raked regularly to retain resiliency. Submit photo documentation and a written statement of compliance by 5/5/2024. Correct by 04/05/2024

Corrected by Apr 5, 2024

2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

At the time of visit, in the Pre-K classroom, there were paint chips on the wall with the dry erase board. Correction: Immediately, buildings must be kept in good repair and maintained in a safe condition at all times. Submit photo documentation and a written statement of compliance by 5/5/2024. Correct by 04/05/2024

Corrected by Apr 5, 2024

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 6 staff files. Identified Amber missing documentation of a current TRAILS background check clearance letter and working unsupervised with children. Correction: Immediately, all employees with unsupervised access to children must have documentation of a current TRAILS background check. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint on the CDEC website. Submit verification that staff member Amber has reviewed the video within 24 hours. Submit documentation of TRAILS Clearance Letters for staff member Amber and a

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

At the time of visit, in the Pre-K classroom, the storage cabinet was unlocked and three cans of shaving cream labeled 'keep out of reach of children' were accessible to children. Correction: Immediately, items labeled 'keep out of reach of children' must be inaccessible to children at all times. Corrected at time of visit, the director placed the shaving cream on a high shelf making them inaccessible to children. Submit a written statement of future compliance by 5/5/2024. Correct by 04/05/2024

Corrected by Apr 5, 2024

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 6 staff files. Dawn & Sarah missing documentation of a medical statement. Correction: Immediately review all staff files. All staff members must submit a medical statement, signed and dated by a physician or other health care provider within 30 calendar days after the first date of employment. Submit a written statement of compliance by 5/5/2024. Correct by 05/05/2024

Corrected by May 5, 2024

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 6 staff files. Sarah missing documentation of a current standard precautions training. Correction: Immediately review all staff files. All staff must complete a department-approved standard precautions training prior to working with children. Submit documentation and a written statement of compliance by 5/5/2024. Correct by 04/05/2024

Corrected by Apr 5, 2024

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 6 staff files. Sarah missing documentation of a current child abuse prevention training. Correction: Immediately review all staff files. All staff must complete a department-approved training about child abuse prevention with the first 30 calendar days of employment. Submit documentation and a written statement of compliance by 5/5/2024. Correct by 04/05/2024

Corrected by Apr 5, 2024

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 6 staff files. Sarah missing documentation of the Early Intervention training. Correction: Immediately review all staff files. All staff must complete a department-approved training Introduction to the Early Intervention and Preschool Special Education Programs within 90 days of the first day of employment. Submit documentation and a written statement of compliance by 5/5/2024. Correct by 05/05/2024

Corrected by May 5, 2024

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 6 staff files. Sarah missing documentation of the Recognizing the Impact of Bias training. Correction: Immediately review all staff files. All staff must complete a department-approved training Recognizing the

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

At the time of visit, in the Pre-K classroom, the center director stated there were 20 children in care, the assistant part-time teacher stated there were 19 children in care, and the lead teacher stated there were 18 children in care. The classroom is not using an attendance tracker and there were 18 children in care. Correction: Immediately, staff members must complete written attendance verification periodically throughout the day, including during transitions. Submit a written statement of compliance by 5/5/2024. Correct by 04/05/2024

Corrected by Apr 5, 2024

2.120.A · An operator of a licensed facility, guest child care facility as defined in section 26.5-5-303(10), C.R.S., or an exempt family child care home provider must submit a request to determine if an operator, applicant for employment or current employee has been found responsible for a confirmed report of child abuse or neglect in the Department's automated system (Trails).

Reviewed 6 staff files. Amber missing documentation of a current TRAILS background check. Correction: Immediately, all employees must have documentation of a current TRAILS background check. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint on the CDEC website. Submit verification that staff member Amber has reviewed the video within 24 hours. Submit documentation of TRAILS Clearance Letters for staff member Amber and a written statement of compliance by 5/5/2024. Correct by 04/05/2024

Corrected by Apr 5, 2024

2.229.G · Loose plastic bags must be stored in areas inaccessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of visit, in the Preschool classroom, the cabinet under the sink was unlocked and rolls of loose plastic bags were accessible to children. Correction: Immediately, loose plastic bags must be inaccessible to children at all times. Submit a written statement of compliance by 5/5/2024. Correct by 04/05/2024

Corrected by Apr 5, 2024

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

At the time of visit, in the Pre-K classroom, chairs were stacked on top of the tables while children were actively playing in the classroom and completing art projects on the tables, and charging cords near the dry erase board were on the floor creating a safety hazard for children. Correction: Immediately, chairs must be stacked low and off tables, cords must be inaccessible to children, and other indoor equipment and furnishings must be sturdy, safe and free of hazards at all times. Partially corrected at time of visit, the director placed the chairs on the floor removing the hazard. Submit a written statement of compliance by 5/5/2024. Correct by 04/05/2024

Corrected by Apr 5, 2024

2.232.A.5 · A minimum of one hundred fifty (150) square feet of shaded area in the fenced play area must be provided to guard children against the hazards of excessive sun and heat. Shaded areas must be provided year-round.

At the time of visit, on the Preschool playground, the playground is lacking 150 sq ft of shade in the fenced play area. Correction: Immediately, fenced play areas must have a minimum of 150 sq ft of shade at all times. Submit photo documentation and a written statement of compliance by 5/5/2024. Correct by 04/05/2024

Corrected by Apr 5, 2024

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.

At the time of visit, in the Pre-K classroom, the cabinet under the sink was unlocked and a bottle of bleach and a bottle of dish soap were accessible to children. In the Preschool classroom, the cabinet under the sink was unlocked and two bottles of dish soap were accessible to children. Correction: Immediately, cleaning compounds must be stored in areas that are inaccessible to children at all times. Submit a written statement of compliance by 5/5/2024. Correct by 04/05/2024

Corrected by Apr 5, 2024

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

At the time of visit, the door to the kitchen was unlocked and the kitchen was accessible to children. Correction: Immediately, the kitchen must be inaccessible to children at all times. Submit a written statement of compliance by 5/5/2024. Correct by 04/05/2024

Corrected by Apr 5, 2024