Lutheran Valley Retreat Inc

2.425.A · All structures and buildings used by campers must be kept in good repair and maintained in a safe condition.

On the Blue Jays cabin deck, observed a broken wood slat with an exposed nail sticking up. On the steps to the Wolves cabin, one of the steps was broken. In front of the door to the Hummingbirds cabin, observed a broken wood slat and the back entrance the hand rail was bowing exposing a nail. The left hand rail on the Sherpa cabin was loose and pulling away from the steps. Correction: Immediately all areas used by campers must be kept in good repair. Submit a statement of compliance by 7/7/2026. Correct by 06/30/2026

Corrected by Jun 30, 2026

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2.426.C · In permanent structures, exit signs must be posted at every required exit doorway and wherever otherwise required to clearly indicate the directions of egress.

In the Hummingbird cabin, observed the exit sign was dismantled above the door. Correction: Immediately exit signs must be posted at every required exit doorway. Submit a statement of compliance by

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2.425.E · The aisles between rows of cots, beds, or bunks must be kept clear for exiting purposes. There must be at least two (2) feet of clear space separating sides of cots, beds or bunks.

In the Beavers cabin, Wolves cabin, Hawks cabin, and Med Apartment the floor was not clear for exiting purposes. Correction: Immediately all aisles around cots/ bunks need to be kept clear for exiting purposes. Submit a statement of compliance by 7/7/2026 Correct by 06/30/2026

Corrected by Jun 30, 2026

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2.613.B.2 · For every eight (8) throwers there must be at least one ax-throwing instructor or one ax-throwing activity leader present.

While on the tomahawk range, observed the archery instructor was also supervising the tomahawk range. There was a rotation of two throwers and there was not a tomahawk instructor or activity leader supervising tomahawk. Correction: Immediately there must be an ax-throwing activity leader or instructor supervising the throwers. Submit a statement of compliance by 7/7/2026. Correct by 06/30/2026

Corrected by Jun 30, 2026

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2.615.I · All children and staff must wear properly fitted helmets designed for equestrian use according to ASTM F1163-15 standards while riding as defined and explained by ASTM international at https://www.play.org/f1163-15.html (February 2023), herein incorporated by reference. No later editions or amendments are incorporated. These resources are available at no cost from ASTM International at ASTM.org. These resources are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours.

Inspected 4 helmets and observed one helmet was a Barbie-helmet that stated it was only used for roller skating and skateboarding. Correction: Immediately all riding helmets need to checked to ensure the helmets are designed for equestrian. Submit a

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2.615.I.1 · Helmets must be replaced according to the manufacturer's recommendations or at least every five (5) years.

Inspected 4 helmets and found that the helmets were manufactured in 2008, 2010, and 2011. Correction: Immediately inspect all helmets and replace helmets every 5 years or following manufacturer's recommendations. Submit a statement of compliance by 7/7/2026. Correct by 06/30/2026

Corrected by Jun 30, 2026

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2.615.L · The horse barn or stable, ring, and commonly used trail(s) shall be in good repair and free of dangerous obstructions.

The top fence rail, where the horses were penned, was not in good repair and was not attached to the post. The other rails were tied to the left post. Correction: Immediately the stable area must be in good repair and free of hazards. Submit a statement of compliance by 7/7/20206. Correct by 06/30/2026

Corrected by Jun 30, 2026

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2.411.B · Prior to working with campers all staff members and regular volunteers must complete a Department-approved training about child abuse prevention, including 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.

All staff have not completed child abuse prevention training. (Previously cited on 7/29/2025.) Correction: Immediately staff must complete the department approved training about child abuse prevention. Submit copies of the training certificates and a statement of compliance by 7/7/2026. Correct by 06/30/2026

Corrected by Jun 30, 2026

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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.

Madison F. a returning healthcare worker had an expired TRAILS clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Madison F. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for Madison F. with written response to Specialist. Correct by 07/18/2024

Corrected by Jul 18, 2024

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2.413.J.1 · Medication prescribed for campers must be from a licensed pharmacy; labeled with the name, address, and phone number of the pharmacy; name of the camper; name and strength of the medicine; directions for use; date filled; prescription number; and the name of the practitioner prescribing the medicine. When no longer needed or expired, the medication must be returned to the parent or disposed of properly. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Two (2) prescription medications did not have pharmacy labels. Correction: Prescribed medications for campers must be from a licensed pharmacy and be labeled with all required items. Correct by 07/18/2024

Corrected by Jul 18, 2024

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2.424.C · In permanent structures, exit signs must be posted at every required exit doorway and wherever otherwise required to clearly indicate the directions of egress.

The exit sign was missing in the Beavers cabin. Correction: Exit signs must be posted at every exit doorway. Correct by 07/18/2024

Corrected by Jul 18, 2024

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2.424.N · Substances which may be toxic to a child if ingested, inhaled, or handled, including, but not limited to, poisons, drugs, medicines, insecticides, herbicides, rodenticides, bleaches, chemicals, and corrosive agents must be stored in a cabinet or enclosure located in an area not used by children, stored in the original container, and properly labeled.

A gallon jug of bleach was on a counter top in the Moose Manor. Correction: Substances that may be toxic to children must be located inaccessible to children. CORRECTED AT THE TIME OF VISIT by Todd removing the bleach and placing it in a locked storage closet. Nothing additional needed. Correct by 07/18/2024

Corrected by Jul 18, 2024

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2.613.A.2 · A climbing instructor shall have verified knowledge of technical climbing by completion of a course or climbing school, or a minimum of ten (10) hours of instruction.

Steve H. indicated verbally staff who instructor for the high ropes course & climbing have completed ten (10) hours of instruction but they did not have any written verification of their training or verified knowledge. Correction: Climbing instructors must complete at least ten (10) hours of instruction in order to run the high ropes course and single pitch climbing. Correct by 07/18/2024

Corrected by Jul 18, 2024

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2.411.B.3 · In order to administer medications, all health care workers, except physicians and registered nurses, must complete the Department-approved Medication Administration Training, receive delegation and hold current Department-approved First Aid and Cardiopulmonary Resuscitation (CPR) Certification.

Mercedes P. is the CNA on site working along side the RN Madison F., but did not have medication FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ administration and delegation. Correction: In order for a CNA to administer medications they must complete a Department-approved Medication Administration and delegation. Correct by 07/18/2024

Corrected by Jul 18, 2024

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7.711.55.D · . Each separate building used for sleeping campers and each multistory building must be protected by a smoke detector on each floor of the building.

Chipmunks and Wolves cabins to be missing smoke detectors. Correction: All buildings used for sleeping must have smoke detector. Correct immediately. Correct by 07/20/2023

Corrected by Jul 20, 2023

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7.711.31.O.3 · . To ensure the protection of campers from sun exposure the camp must: When supplied for an individual camper, the sunscreen must be labeled with the camper's first and last name; and

Bears cabin to have three bottles of sunscreen without the campers first and last name. Correction: All sunscreen must be labeled with first and last name. Correct immediately. Correct by 07/20/2023

Corrected by Jul 20, 2023

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7.711.31.J.3 · All medication at the permanent camp site must be kept in a clean, locked container, except emergency medication such as epinephrine auto injectors or asthma inhalers. On excursions away from the camp, medication must be under the control of an adult and must be stored inaccessible to children.

Squirrels cabin to have an OTC medication laying on bunk bed accessible to children. Correction: All prescribed and OTC medications must be locked and inacessible to children. Correct immediately. Correct

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7.711.54.M · . Volatile substances such as gasoline, kerosene, fuel oil, and oil- based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for children unless approved by the local fire department.

Womens bathroom closet on lower floor of Moose Manor to be unlocked and to have several cans of wall paint, stain and painting supplies accessible to children. Correction: All oil based paints must not be stored in any area of a building used for children. Correct immediately. Correct by 07/20/2023

Corrected by Jul 20, 2023

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