2.122.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 (8/4/23). Correction: Obtain current fire inspection, correct by 11/14/24. Correct by 11/14/2024

Corrected Corrected by Nov 14, 2024

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

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 3 staff files and no documentation staff have been trained in fire safety and fire extinguishers and alarms. Correction: Obtain documentation staff have been trained in fire safety and fire extinguishers and alarms, correct immediately 10/14/24. Correct by 10/14/2024

Corrected Corrected by Oct 14, 2024

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

2.210.A.3 · A record must be maintained, either written or electronic, for each staff member that includes the following: Immunization record or statement, and health history.

Reviewed 3 staff files and observed all staff missing immunization statement or record. Correction: Obtain immunization statements/records for staff, correct immediately 10/14/24. Correct by 10/14/2024

Corrected Corrected by Oct 14, 2024

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

2.212.N · 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 3 staff files and observed no staff to be trained on programs medication policy and procedure. Correction: Obtain documentation staff have been trained in medication policy and procedure, correct immediately 10/14/24. Correct by 10/14/2024

Corrected Corrected by Oct 14, 2024

Category: ratio. Marked corrected in the state record.

2.213.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.

Kaylene F (DOH 7/1/23) 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 for Director, correct by 11/14/24. Correct by 11/14/2024

Corrected Corrected by Nov 14, 2024

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

2.213.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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Kaylene F (DOH 7/1/23) 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 Director, correct by 11/14/24. Correct by 11/14/2024

Corrected Corrected by Nov 14, 2024

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

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

Upon arrival to the classroom, specialist asked teachers how many children were in care, teacher reported 12, there were 11 children in care. Correction: Attendance must be verified throughout the day, correct immediately 10/14/24. Correct by 10/14/2024

Corrected Corrected by Oct 14, 2024

Category: recordkeeping. Marked corrected in the state record.

2.223.A.1 · All children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise

Upon entering the program, a child was in the hallway alone, coming from the bathroom (which is down the hall from the classroom) unsupervised. Correction: All children must be under direct supervision at all times, correct immediately 10/14/24. Correct by 10/14/2024

Corrected Corrected by Oct 14, 2024

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.

Reviewed 2 child files and observed 2 children to have immunizations not on a CDPHE approved form. Correction: Obtain immunizations on a CDPHE approved form, correct immediately 10/16/23. Document compliance to specialist by 11/16/23. Correct by 11/16/2023

Corrected Corrected by Nov 16, 2023

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 3 staff files and observed Ashley K (DOH 7.23) 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 10/16/23. Document compliance to specialist by 11/16/23. Correct by 10/16/2023

Corrected Corrected by Oct 16, 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 3 staff files and observed Ashley K (DOH 7.23) 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 member has reviewed the powerpoint within 24 hours. Submit documentation of (FBI) for staff member with written response to Specialist. Correct by 10/17/2023

Corrected Corrected by Oct 17, 2023

Category: recordkeeping. Marked corrected in the state record.

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.

Health inspection to be expired 11/2020. Correction: Obtain current health inspection, correct by 11/16/23. Document compliance to specialist by 11/16/23. Correct by 11/16/2023

Corrected Corrected by Nov 16, 2023

Category: health medication. 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 Kaylene (DOH 7.23) and Ashley (DOH 7.23) to be missing current health FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ statements. Correction: Obtain current health statements for staff, correct by 11/16/23. Document compliance to specialist by 11/16/23. Correct by 11/16/2023

Corrected Corrected by Nov 16, 2023

Category: health medication. 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 Kaylene to be missing the 2nd required signature, Ashley to be missing and Cheryl to have an expired department approved Standard Precautions training. Correction: Obtain and update annually a department approved Standard Precautions training for staff, correct immediately 10/16/23. Document compliance to specialist by 11/16/23. Correct by 10/16/2023

Corrected Corrected by Oct 16, 2023

Category: ratio. 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 Ashley K (DOH 7.23) to be missing and Cheryl Q (DOH 6.22) to have an expired department approved training about child abuse prevention. Correction: Obtain and update annually a department approved training about child abuse prevention for staff, correct by 11/16/23. Document compliance to specialist by 11/16/23. Correct by 11/16/2023

Corrected Corrected by Nov 16, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.A · All staff must complete a pre-service Building and Physical Premises Safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 3 staff files and observed all staff to be missing a preservice Building and Physical Premises Safety training. Correction: Obtain preservice Building and Physical Premises Safety training, correct immediately 10/16/23. Document compliance to specialist by 11/16/23. Correct by 10/16/2023

Corrected Corrected by Oct 16, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.53.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 3 staff files and observed Ashley K to be missing a statement clearly defining child abuse and neglect. Correction: Obtain documentation that staff have read a statement clearly defining child abuse and neglect, correct immediately 10/16/23. Document compliance to specialist by 11/16/23. Correct by 10/16/2023

Corrected Corrected by Oct 16, 2023

Marked corrected in the state record.