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 3 staff files and observed Savanna, Kie and Floren to be missing a child abuse and neglect check (TRAILS). No staff have a TRAILS check completed. 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 (TRAILS) for staff members with written response to Specialist. Correct by 07/25/2023

Corrected Corrected by Jul 25, 2023

Category: supervision. Marked corrected in the state record.

7.702.42.E · For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member on duty who holds a current Department-approved First Aid and Safety Certificate (including CPR for all ages of children) and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Only one staff member to have current CPR/First Aid training. Correction: At least one staff member must be on duty at all times with current CPR/First Aid training, correct immediately 7/24/23. Document compliance to specialist by 8/24/23. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Category: ratio. 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 3 staff files and observed Kie to be missing a CBI and 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 07/25/2023

Corrected Corrected by Jul 25, 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 3 staff files and observed Savanna and Kie to be missing out of state checklist/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 (Out of State background check, Out of State Clearance Letters) for staff members with written response to Specialist. Correct by 07/25/2023

Corrected Corrected by Jul 25, 2023

Category: supervision. Marked corrected in the state record.

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 3 staff files and observed Floren (DOH 5/23) to be missing a health statement. Correction: Obtain health statement for staff, correct by 8/24/23. Document compliance to specialist by 8/24/23. Correct by 08/24/2023

Corrected Corrected by Aug 24, 2023

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

7.702.41.K · Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing childcare centers. Staff members must sign a statement indicating that they have read and understand the licensing rules.

Reviewed 3 staff files and observed Savanna and Floren to be missing documentation they have read and been instructed on licensing rules. Correction: Obtain documentation that staff have read and been instructed about licensing rules, correct by 8/24/23. Document compliance to specialist by 8/24/23. Correct by 08/24/2023

Corrected Corrected by Aug 24, 2023

Marked corrected in the state record.

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 3 staff files and observed Savanna to be missing and Floren to have an expired (5/24/22) department approved standard precautions training. Correction: Obtain current department approved standard precautions training for staff, correct immediately 7/24/23. Document compliance to specialist by 8/24/23. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Category: ratio. Marked corrected in the state record.

7.701.100.F.2 · . 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 drill log was available to review. Correction: Emergency drills must be completed according to rule, correct immediately 7/24/23. Document compliance to specialist by 8/24/23. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes 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.

Reviewed 3 staff files and observed Savanna to be missing and Floren to have an expired (5/26/22) department approved training about child abuse prevention. Correction: Obtain a department approved child abuse prevention for staff, correct by 8/24/23. Document compliance to specialist by 8/24/23. Correct by 08/24/2023

Corrected Corrected by Aug 24, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.J · Within ninety (90) calendar days of employment, all Directors and Assistant Directors must complete the Department-approved training: Working with an Early Childhood Mental Health Consultant. This course is required once and will be counted towards ongoing professional development. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Savanna (DOH 7/2022), Director to be missing the department approved Working with an Early Childhood Mental Health Consultant training. Correction: Obtain the department approved Working with an Early Childhood Mental Health Consultant training, correct by 8/24/23. Document compliance to specialist by 8/24/23. Correct by 08/24/2023

Corrected Corrected by Aug 24, 2023

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

7.702.42.K · Within ninety (90) calendar days of employment, all Directors and Assistant Directors must complete the department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development.

Savanna (DOH 7/2022), Director to be missing the department approved Introduction to Child Care Health Consultation training. Correction: Obtain the department approved Introduction to Child Care Health Consultation training for staff, correct by 8/24/23. Document compliance to specialist by 8/24/23. Correct by 08/24/2023

Corrected Corrected by Aug 24, 2023

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

7.702.45.A.1 · An Early Childhood Teacher, assigned responsibility for a single group of children and working under the supervision of a Director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:

Floren to be working as an ECT and to be missing ECT qualifications. Correction: Obtain ECT qualifications for staff, correct immediately 7/24/23 or prior to using staff as an ECT. Document compliance to specialist by 8/24/23. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Category: supervision. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 2 child files and observed one child to be missing immunizations. Correction: Obtain immunizations for child, correct immediately 7/24/23. Document compliance to specialist by 8/24/23. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

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

7.702.91.B · Buildings must be kept in good repair and maintained in a safe condition.

A phone outlet and TV outlet to be broken, posing a potential safety hazard. Correction: Buildings must be maintained in a safe condition, correct immediately 7/24/23. Document compliance to specialist by 8/24/23. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

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