2.124.A.3.b · Changes to a License Requiring Written Notification to the Department Prior to Department Approval - Changes in the physical facility or use of rooms for child care at a facility.

At the time of the inspection, program was using the Latin Room which is not a licensed room for this program. *Previously cited 4/27/23. Correction: Changes to use of rooms require written notification to the department, correct immediately 4/22/24. Document compliance to specialist by 5/22/24. Correct by 04/22/2024

Corrected Corrected by Apr 22, 2024

Marked corrected in the state record.

2.524.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

A large bottle of hand sanitizer and cleaning wipes accessible to children and labeled "keep out of the reach of children". Correction: Hazardous materials must not be accessible to children, correct immediately 4/22/24. Document compliance to specialist by 5/22/24. Correct by 04/22/2024

Corrected Corrected by Apr 22, 2024

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

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 2 staff files and observed Cecilia N. to be missing a child abuse and neglect check (TRAILS). FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member has reviewed the powerpoint within 24 hours. Submit documentation of (TRAILS) for staff member with written response to Specialist Correct by 04/23/2024

Corrected Corrected by Apr 23, 2024

Category: supervision. Marked corrected in the state record.

2.507.I · All staff members must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 2 staff files and observed both staff to be missing the required 2nd signature on the standard precautions certificates. Correction: Obtain completed certificates for staff, correct immediately 4/22/24. Document compliance to specialist by 5/22/24. Correct by 04/22/2024

Corrected Corrected by Apr 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.507.M · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 2 staff files and observed Cecilia N (DOH 1/10/24) to be missing one hour of child development training. Correction: Obtain a child development training for staff, correct by 5/22/24. Document compliance to specialist by 5/22/24. Correct by 05/22/2024

Corrected Corrected by May 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.508.A.1 · The program director must have verifiable education or training in work with school-age children in such areas as recreation, education, scouting or 4-H; and the program director must have completed at least one (1) of the following qualifications:

Cecilia to report that she is a co-director and missing documentation of Site Director qualifications in staff file. Correction: The program director must have verfiable education, correct immediately 4/22/24. Document compliance to specialist by 5/22/24. Correct by 04/22/2024

Corrected Corrected by Apr 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.508.G.3 · All employees caring for children, not required by rule to be certified in First Aid and CPR, must complete a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years.

Reviewed 2 staff files and observed Cecilia N. to have an expired First Aid/CPR module. Correction: Obtain current CPR/First Aid module for staff, correct by 5/22/24. Document compliance to specialist by 5/22/24. Correct by 05/22/2024

Corrected Corrected by May 22, 2024

Marked corrected in the state record.

7.712.41.F · . Prior to working with children, the staff member must read and be instructed on the policies and procedures of the center, including those relating to hygiene, sanitation, food preparation practices, proper supervision of children, and reporting of child abuse. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures.

Reviewed 2 staff files and observed Will to be missing documentation of policies and procedures. Correction: Obtain documentation that staff have read and been instructed on policies and procedures, correct immediately 9/13/23. Document compliance to specialist by 9/20/23. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

Category: supervision. Marked corrected in the state record.

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. For seasonal children's resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the State Department-approved training

Reviewed 2 staff files and observed Will (DOH 8/16/23) to be missing a department approved training in emergency and disaster preparedness. Correction: Obtain a department approved training in emergency and disaster preparedness, correct immediately 9/13/23. Document compliance to specialist by 9/20/23. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.33.A.1 · Each applicant listed below must submit to the Colorado Bureau of Investigation (CBI) and the Federal Bureau of Investigation (FBI) a complete set of fingerprints taken by a qualified law enforcement agency or any third party vendor approved by CBI including county departments of human or social services that use fingerprint machines pursuant to Section 19-3-406(1)(C),(2), C.R.S., to obtain any fingerprint criminal history record held by the CBI and FBI. If a third party takes the individual’s fingerprints, the fingerprints may be electronically captured using CBI’s approved LiveScan equipment. Payment of the fee for the criminal record check is the responsibility of the individual being checked, identified as follows:

Reviewed 2 staff files and observed Breanna (DOH 8/6/23) Will (DOH 8/16/23) to be missing a CBI letter and Breanne to be missing an FBI letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of (CBI, FBI) for staff members with written response to Specialist. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.33.J.1.a.b.c · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check

Reviewed 2 staff files and observed Breanna (DOH 8/6/23) and Will (DOH 8/16/23) to be missing out of state background checks and to be working alone with children. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of (Out of State Clearance Letters) for staff members with written response to Specialist. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: supervision. Marked corrected in the state record.

7.701.8 · Perjury Statement- Application forms for Employment with a Child Care Provider. Every application used in the State of Colorado for employment with a child care provider or facility, or for the certification of a foster home, must include the following notice to the applicant: “Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in Section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.”

Reviewed 2 staff files and observed Will to be missing a perjury statement. Correction: Obtain perjury statement for staff, correct immediately 9/13/23. Document compliance to specialist by 9/20/23. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

Marked corrected in the state record.

7.701.32.D.1.a · . 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 2 staff files and observed Will (DOH 8/16/23) to be missing a child abuse and neglect check (TRAILS). Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members X, Y, and Z have reviewed the powerpoint within 24 hours. Submit documentation of (TRAILS) for staff members with written response to Specialist. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: supervision. Marked corrected in the state record.

7.712.41.J · All staff members must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 2 staff files and observed Will (DOH 8/16/23) to be missing a department approved standard precautions training. Correction: Obtain a department approved standard precautions training for staff, correct immediately 9/13/23. Document

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

7.712.73.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

A spray bottle of disinfectant spray and a large bottle of hand sanitizer on a low cabinet in the music room, accessible to children and labeled "keep out of the reach of children". Correction: Hazardous materials must be stored inaccessible to children, correct immediately 9/13/23. *Corrected at the time of inspection, Site Director moved the items making them inaccessible to children. No response is required. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

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

7.712.52.D.1 · The center must obtain the parent/guardian’s written authorization and instructions for applying sunscreen or use of another form of parent/guardian approved sun protection. A health care provider’s permission is not needed to use sunscreen at the center.

Reviewed 3 child files and observed no permission forms for sunscreen. Correction: Obtain permission forms for sunscreen for children, correct immediately 9/13/23. Document compliance to specialist `by 9/20/23. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

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

7.712.41.L · . All staff member responsible for the collection, review and maintenance of the child immunizations records must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course within (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed Samantha B CDPHE approved immunization course and it is expired (2/8/22). Correction: Obtain and updaten annually a CDPHE approved immunization course for staff, correct immediately 9/13/23. Document compliance to specialist by 9/20/23. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

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