2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

A red portable slide on the playground to be over 18 inches and have less than 2 inches of resilient material in the use zone. Correction: All climbing equipment over 18 inches must have at least 6 inches of resilient material, correct immediately 10/15/24. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

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

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

A cord plugged into an outlet and not plugged into a device in the Dophin room, some metal connectors on the heat registers to have sharp edges, several areas of exposed weed matting on the playground. Correction: All items must be safe and free of hazards, correct immediately 10/15/24. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

Category: physical safety. 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 8 staff files and observed 6 staff to be missing documentation for fire safety training. Correction: Obtain documentation staff have been trained in fire safety, correct immediately 10/15/24. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

Category: recordkeeping. Marked corrected in the state record.

2.216.C.2 · Staff aides must be at least sixteen (16) years of age, must work directly under the supervision of the director or a toddler early childhood teacher, and must have completed eight (8) hours of orientation at the toddler program.

Reviewed 8 staff files and observed 2 staff to be missing an 8 hour toddler orientation. Correction: Obtain toddler orientation for staff, correct immediately 10/15/24. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

Category: supervision. Marked corrected in the state record.

2.221.C · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Sunscreen bottles to be missing last name for children. Correction: Sunscreen must be labeled with child's first and last name, correct immediately 10/15/24. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

Marked corrected in the state record.

2.229.M · Toys, toy parts, furnishings, equipment, and materials made of brittle, easily breakable plastic or glass are not permitted for children less than five (5) years of age.

A ceramic pot on a window sill in the Dolphins room. Correction: Materials must not be easily breakable, correct immediately 10/15/24. * Corrected at time of inspection, Director removed the pot from the classroom. No response is required. Correct by 10/15/2024

Corrected Corrected by Oct 15, 2024

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

7.702.92.E · Centers must comply with the locally adopted fire code, including but not limited to the following: One (1) exit from each room must be directly to the exterior of the building or to a common hallway leading to the exterior. The exit path must not go through an intervening room such as a bathroom, another classroom, storage room, or kitchen.

the turtle classroom to not have an exit directly to the outside of the building or through a hallway that does not go through the kitchen. Correction: Ensure each classroom has an exit directly to the exterior of the building or to a common hallway that does not go through the kitchen. Correct immediately 10/18/23 and submit compliance by 11/18/23. Correct by 10/18/2023

Corrected Corrected by Oct 18, 2023

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

7.702.91.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

Children in the facility enter their classroom through the kitchen. Correction: Kitchen's must be inaccessible to children at all times. Correct immediately 10/18/23 and submit compliance by 11/18/23. Correct by 10/18/2023

Corrected Corrected by Oct 18, 2023

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

7.702.34.A.7 · The admission record must include: A dated, written authorization for emergency medical care FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility.

Reviewed 6 children's files and 1 child with an expired Emergency Medical Authorization. Correction: Obtain and maintain current Emergency Medical Authorization for all children. Correct immediately 10/18/23 or prior to next day in care, and submit compliance by 11/18/23. Correct by 11/18/2023

Corrected Corrected by Nov 18, 2023

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

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 6 children's files and observed 1 child to not have a current health statement within 30 days of enrollment and 1 child to have an expired health statement. Correction: Obtain and maintain current Health Statements for all children with missing or expired Health Statements. Correct by 11/18/2023

Corrected Corrected by Nov 18, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.D · Staff working with children less than three (3) years of age must complete a Department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 7 staff files and observed 1 staff member, Alainah to not have documentation of Shaken Baby. Correction: Obtain and maintain documentation of current trainings in staff files. Correct immediately 10/18/23 and submit compliance by 11/18/23. Correct by 10/18/2023

Corrected Corrected by Oct 18, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.F · 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 the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed 7 staff files and observed 1 staff member, Alainah (hd 5/16/23) to not have documentation of First FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Aid CPR or module, within 30 days of hire. Correction: Obtain and maintain documentation of current trainings in staff files. Correct immediately 10/18/23 and submit compliance by 11/18/23. Correct by 10/18/2023

Corrected Corrected by Oct 18, 2023

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 7 staff files and observed 1 staff member, Hannah (hd 9/11/23) to not have documentation Child Abuse and Neglect training. Correction: Obtain and maintain documentation of current trainings in staff files. Correct immediately 10/18/23 and submit compliance by 11/18/23. Correct by 10/18/2023

Corrected Corrected by Oct 18, 2023

Category: recordkeeping. 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:

Observed Lelia to be in the Dolphin classroom with 4 children and to not have documentation of ECT qualifications. Correction: Ensure each group of children is assigned an ECT qualified teacher. Correct immediately 10/18/23 submit compliance by 11/18/23. Correct by 10/18/2023

Corrected Corrected by Oct 18, 2023

Category: supervision. Marked corrected in the state record.

7.702.71.C · Items labeled “keep out of reach of children” must be inaccessible to children.

Observed in the Dolphin classroom the cabinet under the changing table containing diaper cream to not be FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ locked. Correction: Ensure cabinets containing "keep out of reach of children" are locked and inaccessible to children. Correct immediately 10/18/23 and submit compliance by 11/18/23. Correct by 10/18/2023

Corrected Corrected by Oct 18, 2023

Marked corrected in the state record.

7.702.91.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

Observed in the Dolphin classroom to have one outlet without a cover. Correction: Ensure all outlets accessible to children have protective covers on them. Correct immediately 10/18/23. Corrected at time of visit. No response required. Correct by 10/18/2023

Corrected Corrected by Oct 18, 2023

Marked corrected in the state record.