AlphaBest @ Shepardson Elem.

2.511.B.3.a · Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first (1st) day of care.

Child to be missing a required medication that is on the child's health care plan. Correction: All medications must be available to staff prior to child's 1st day in care, correct immediately 11/17/25. Correct by 11/17/2025

Corrected by Nov 17, 2025

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2.530.A · 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:

Reviewed 3 child files and observed one child to be missing an enrollment form. Correction: Obtain enrollment form for child, correct immediately 11/17/25. Correct by 11/17/2025

Corrected by Nov 17, 2025

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2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. 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 Department approved training.

Reviewed 4 staff files and observed one staff to be missing a department approved emergency and disaster preparedness training. Correction: Obtain a department approved emergency and disaster preparedness training for staff, correct immediately 11/17/25. Correct by 11/17/2025

Corrected by Nov 17, 2025

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2.508.F.1 · Within thirty (30) calendar days of employment 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 4 staff files and observed one staff to be missing a cpr/first aid module or training. Correction: Obtain a cpr/first aid module or training for staff, correct by 12/17/25. Correct by 12/17/2025

Corrected by Dec 17, 2025

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2.530.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: An annual written authorization for emergency medical care signed and dated submitted by the parent(s) or guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 3 child files and observed one child to be missing a signed/dated emergency medical authorization. Correction: Obtain a signed/dated emergency medical authorization for child, correct immediately 11/17/25. Correct by 11/17/2025

Corrected by Nov 17, 2025

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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.

No emergency drill log was available to review. Correction: Emergency drills must be completed according to rule, correct immediately 12/2/24. Correct by 12/02/2024

Corrected by Dec 2, 2024

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2.121.J.1.a · 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-age child care facilities, family child care homes, and qualified exempt provider homes: State criminal history check FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 5 staff files and observed Jaxon M and Kara R to be missing out of state clearance letters. 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 the Specialist. Correct by 12/03/2024

Corrected by Dec 3, 2024

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2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

Reviewed 5 staff files and observed Jaxon M to be missing a statement clearly defining child abuse and neglect. Correction: Obtain statement clearly defining child abuse and neglect for staff, correct immediately 12/2/24. Correct by 12/02/2024

Corrected by Dec 2, 2024

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2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

Reviewed 5 staff files and observed Stacy H, David G and Jaxon M to be missing documentation they have been trained in fire safety and extinguishers. Correction: Obtain documentation they have been trained in fire safety and extinguishers, correct immediately 12/2/24. Correct by 12/02/2024

Corrected by Dec 2, 2024

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2.507.G · Each staff member and regular volunteer as defined in rule section 2.509 must complete an annual self-reported health history. The health history must be maintained by the center in a secure location.

Reviewed 5 staff files and observed Stacy H, David G, Jaxon M and Kara R to be missing annual self reported health histories. Correction: Obtain annual self reported health histories for staff, correct immediately 12/2/24. Correct by 12/02/2024

Corrected by Dec 2, 2024

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2.507.I · Prior to working with children, the staff member must read and be instructed on all of the policies and procedures of the center outlined in rule section 2.505. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures.

Reviewed 5 staff files and observed Jaxon M to be missing documentation of reading the policies and procedures for the program. Correction: Obtain documentation of reading the policies and procedures for the program for staff, correct immediately 12/2/24. Correct by 12/02/2024

Corrected by Dec 2, 2024

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2.507.J · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures.

Reviewed 5 staff files and observed Stacy H, David G and Jaxon M to be missing documentation they have read and have been trained on medication policies for the program. Correction: Obtain documentation they have read and have been trained on medication policies for the program for staff, correct immediatly 12/2/24. Correct by 12/02/2024

Corrected by Dec 2, 2024

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2.507.K · Within thirty (30) calendar days of caring for children a signed statement indicating that the individual has been trained, understands, and has had the opportunity to ask questions regarding the “Rules Regulating School-Age Child Care,” the “General Rules for Child Care Facilities,” and the “Rules Regulating Special Activities,” if applicable.

Reviewed 5 staff files and observed Jaxon M to be missing documentation they have read and understand the rules and regulations. Correction: Obtain documentation they have read and understand the rules and regulations, correct by 1/2/25. Correct by 01/02/2025

Corrected by Jan 2, 2025

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2.508.B · Prior to working with children all staff members must complete a building and physical premises safety training. The training must include: Identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic; and Handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 5 staff files and observed Jaxon M, Kara R and Rachel R to be missing a building and premises training. Correction: Obtain a building and premises training for staff, correct immediately 12/2/24. Correct by 12/02/2024

Corrected by Dec 2, 2024

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7.701.34.A · . Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

Fire inspection to be expired (11/10/21). Correction: Obtain current fire inspection, correct by 1/11/24. Document compliance to specialist by 1/11/24. Correct by 01/11/2024

Corrected by Jan 11, 2024

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7.712.84.C · . Personnel and children's records must be available, upon request, to authorized personnel of the Department.

Child files were not accessible by the program. Correction: Child files must be available upon request, correct immediately 12/11/23. Document compliance to specialist by 1/11/24. Correct by 12/11/2023

Corrected by Dec 11, 2023

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