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

a roll of black, plastic trash bags in an unlocked cabinet in room 115 accessible to children. Correction: Loose plastic bags must be stored in an area inaccessible to children. Correct immediately by 2/18/25. Correct at the time of visit by the teacher locking the cabinet. No written response is required. Correct by 02/18/2025

Corrected Corrected by Feb 18, 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 2 children's files and observed one child to have an expired emergency medical authorization (dated 5/12/2000). Correction: Obtain current dated emergency medical authorization. Correct immediately by 2/18/25 or on next day child is in care and submit written statement of compliance with overall response by 2/25/25. Correct by 02/18/2025

Corrected Corrected by Feb 18, 2025

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

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed a random sampling of 4 children's files and observed one child to be missing documentation of immunization status. Correction: Obtain immunization status for any children missing it. Correct immediately by 3/19/24 and submit written statement of compliance with overall response by 4/19/24. Correct by 03/19/2024

Corrected Corrected by Mar 19, 2024

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 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 4 children's files and observed one child to be missing documentation of a health statement. Correction: Obtain documentation of a current health statement for all children in care. Correct and submit written statement of complaince with overall response by 4/19/24. Correct by 04/19/2024

Corrected Corrected by Apr 19, 2024

Category: ratio. 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.

Reviewed the emergency drill log and observed the facility to have not conducted emergency drills (active shooter, lockdown) quarterly.. The last 2 drills documented were 10/16/22 and 2/15/24. Correction: All drills must be held in accordance with rule. Correct immediately by 3/19/24 and submit written statement of compliance with overall response by 4/19/24. Correct by 03/19/2024

Corrected Corrected by Mar 19, 2024

Category: recordkeeping. Marked corrected in the state record.