7.702.41.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 13 staff files and observed Marialla (DOH 06/06/23), Yusnaby (DOH 07/12/23) and Bianca (02/01/23) to be missing medical statement. Correction: Obtain documentation of current medical statement for all staff members. Correct by 09/30/2023

Corrected Corrected by Sep 30, 2023

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

7.702.43.F.1.b.1 · An Assistant Director working under the supervision of a Director must be at least eighteen (18) years of age, have at least nine (9) months (1,365 hours) of experience as an Early Childhood Teacher, and must meet one (1) of the following qualifications: Completion of at least half of the required coursework for director qualifications in section 7.702.43, B, 3, including the following two (2) administration courses: Administration of Early Childhood Care FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and Education Programs.

Reviewed 13 staff files and observed Maria missing documentation of Assistant Director qualifications. Identified Maria acting as the Assistant Director. Correction: Obtain documentation of a qualified Assistant Director. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

Category: supervision. Marked corrected in the state record.

7.702.34.A.7 · 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 8 children's records and observed CH2 and CH3 missing documentation of emergency medical care. Correction: Obtain documentation of current emergency medical authorization for all children in care. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.702.51.A.2.a · 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 8 children's files and observed CH6 to be missing documentation of immunizations. Correction: Obtain documentation of immunizations for all children. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 children's files and observed CH 2, 4, 6, and 7 to be missing current medical statement. Correction: Obtain documentation of current medical statement for all children in care. Correct by 09/30/2023

Corrected Corrected by Sep 30, 2023

Category: ratio. Marked corrected in the state record.