2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Reviewed 15 staff files and found Tamera G. with an expired TRAILS background check (Exp: 8/15/22) Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Tamera G. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS background check clearance Letter for staff member Tamera G. with written response to the Specialist. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

Category: background checks. Marked corrected in the state record.

2.216.B.1.e · There must be at least one (1) staff member on duty in each infant room at all times who holds a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children.

The infant room did not have a staff member present that held a first aid/CPR safety certificate. Correction: Ensure that in the infant room there is a staff member present with a current first aid/CPR safety certification at

Open Not marked corrected in the state record

Open / not marked corrected.

2.217.C.9 · All Department-approved child care health consultants must complete the Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse or neglect. This training must be completed within thirty (30) days of hire and renewed every three (3) years.

Reviewed the nurse consultant file and found Kimberly S. (RN) to have an expired Child abuse training course.( Exp: 12/29/24) Correction: Obtain and maintain required training for the nurse consultant at the center. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

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

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

In the toddler, 2's (Jr's) and the pre-k room, there were diapering supplies accessible to children in the bathrooms. Correction: Ensure that all diapering supplies are inaccessible to children at all times. Correct immediately. ** Corrected at time of visit by putting the supplies on a shelf in the bathrooms. No response required. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

Marked corrected in the state record.

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

In the Pre-K room there was hand soap on the counter and in the toddler room there was floor cleaner in a unlocked cabinet under the sink, both labeled "keep out of reach" and accessible to children. Correction: Ensure that all items labeled "keep out of reach" are inaccessible to children at all times. Correct immediately. ** corrected at time of visit by moving the hand soap off of the counter, and locking the under sink cabinet. No response required. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

Marked corrected in the state record.

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

In the 2's (Jr's) room there was a sharp packing tape dispenser and a sharp staple remover in an unlocked drawer and accessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure that all sharp tools are inaccessible to children at all times. Correct immediately. ** Corrected at time of visit by locking the drawer and making inaccessible. No response required. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

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.

In the main hallway there was a bucket of sidewalk chalk with small pieces that could fit into a choke tube and were accessible to children under the age of 3 years old. Correction: Ensure that all items that fit into a choke tube are inaccessible to children under the age of 3 years. Correct immediately. ** Corrected at time of visit by removing the chalk from the hallway and making inaccessible. No response required. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

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

2.220.A · Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.

Identified through a discussion with the Director that the facility is requesting that parent's provide over the counter medication that is administered to children, with only a doctor's note and not a current written order of a health care provider with prescriptive authority. Correction: Routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Correct immediately by 10/4/24 and submit written statement of compliance with overall response by 10/11/24. Correct by 10/04/2024

Corrected Corrected by Oct 4, 2024

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

2.212.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Identified that Tylenol was administered to a child related to incidents of biting. Correction: All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Correct immediately by 10/9/2024 and submit written statement of compliance with overall response by 10/16/2024 Correct by 10/09/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Oct 9, 2024

Marked corrected in the state record.

2.209.A.4 · 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:Names, addresses, and telephone numbers of persons who can assume responsibility for the child in the event of an emergency if the parent(s)/guardian(s) cannot be reached immediately.

Reviewed the children's enrollment forms and observed them to be missing addresses for the person that can assume the responsibility for the child in the event of an emergency. Correction: Add address lines for the person that can assume the responsibility for the child in the event of an emergency on the children's enrollment forms. Correct immediately by 6/10/24 and submit written statement of compliance with overall response by 6/17/24. Correct by 06/10/2024

Corrected Corrected by Jun 10, 2024

Category: recordkeeping. 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 a random sampling of 7 children's files and observed 2 children's emergency medical authorizations to be expired. Correction: Obtain current medical authorization for all children in care. Correct immediately by 7/21/23 or on next day child is in care. Submit written statement of compliance with overall response by 7/28/23. Correct by 07/21/2023

Corrected Corrected by Jul 21, 2023

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