2.209.A.2 · 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:Parent(s)/guardian(s) names; home and e-mail addresses; telephone numbers, including home, work, and cell FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ numbers; employer name and work address; and, any special instructions as to how the parent(s)/guardian(s) may be reached during the hours that the child is in care at the center;

While reviewing the children's files, found the email addresses for the parents is missing on the enrollment form. Correction: Review the enrollment forms and add parent's email addresses to the enrollment forms. Submit a copy of the enrollment form and a written statement of compliance by 5/23/2024. Correct by 05/09/2024

Corrected Corrected by May 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.209.A.3 · 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: Names, addresses, and telephone numbers of persons authorized to pick up the child from the center.

While reviewing the children's files, found that addresses and phone numbers for the authorized people to pick is missing. Correction: Review the enrollment forms and add the address and phone numbers for authorized people to pick up the children. Submit a copy of the enrollment form and a written statement of compliance by 5/23/2024. Correct by 05/09/2024

Corrected Corrected by May 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.209.A.5 · 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: Name, address, and telephone numbers of the child's health care provider, dentist, and if applicable, their hospital of choice.

While reviewing the children's files, observed the name, address, and phone number of the dentist were not listed. Under the hospital section, the hospital address was missing. Under the health care provider, the address for their child's doctor is missing. Correction: Review the enrollment forms and ensure the name, address, and phone number of the dentist, the hospital address, and the child's doctor's address are listed. Submit a copy of the enrollment form and a written statement of compliance by 5/23/2024. Correct by 05/09/2024

Corrected Corrected by May 9, 2024

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

2.217.C.7 · All Department-approved child care health consultants must complete the Department-approved child care health consultant introductory training course within six (6) months of hire. Child care health consultants must complete Department-approved ongoing professional development training every three (3) years. The center must obtain and maintain proof of training completion.

While reviewing the child care health consultant's file, observed the Department-approved child care health consultants introductory training course is missing. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately obtain a current copy of the child care health consultant's introductory training certificate. Submit a copy of the child care health consultant's introductory training course and a written statement of compliance by 5/23/2024. Correct by 05/09/2024

Corrected Corrected by May 9, 2024

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

2.217.C.8 · All Department-approved child care health consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion.

While reviewing the child care health consultant's file, found an expired immunization training certificate. The certificate expired on 2/6/2024. Correction: Immediately obtain a current copy of the CDPHE immunization course training certificate. Submit a copy of the training certificate and a written statement of compliance by 5/23/2024. Correct by 05/09/2024

Corrected Corrected by May 9, 2024

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

2.217.C.9 · All Department-approved child care health consultants must complete the Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse or neglect. This training must be completed within thirty (30) days of hire and renewed every three (3) years.

While reviewing the child care health consultant's file, found that the child abuse and prevention training certificate is missing from the file. Correction: Immediately obtain a current copy of the child abuse prevention training certificate. Submit a copy of the training certificate and a written statement of compliance by 5/23/2024. Correct by 05/09/2024

Corrected Corrected by May 9, 2024

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

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

While completing the safety walk-through of the playground area, observed the wooden handrail was loose FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ when walking down the stairs, the paint was chipping on the picnic table that is under the covered area, and the paint was chipping on the climbing equipment. Correction: Immediately ensure that the outdoor play equipment is safe, sturdy, and free from hazards. Submit pictures and a written statement of compliance by 5/23/2024. Correct by 05/09/2024

Corrected Corrected by May 9, 2024

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

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.

While completing the walk-through of the playground area, observed the resilient surfacing around the climbing equipment measured over 18 inches and did not have at least 6 inches of resilient surfacing. There was approximately 1 inch of surfacing. Correction: Immediately ensure that there is at least 6 inches of resilient surfacing surrounding the climbing equipment. Submit pictures of the depth of the resilient surfacing and a written statement of compliance by 5/223/2024. Correct by 05/09/2024

Corrected Corrected by May 9, 2024

Category: physical safety. 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.

Tulu S. had an expired mandatory reporter training. Correction: Ensure that providers are annually completed a department-approved training about child abuse prevention. Provide documentation and statement of compliance by 8/18/2023. Correct by 08/18/2023

Corrected Corrected by Aug 18, 2023

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

One (1) out of five (5) child files had an immunization record but it was not recorded on an approved CDPHE immunization record. Correction: Ensure that documentation of immunization is recorded on an approved CDPHE immunization form. Provide documentation and statement of compliance by 8/18/2023. Correct by 08/18/2023

Corrected Corrected by Aug 18, 2023

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

7.702.72.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.

The climbing structure on the playground measured two feet (2') in height, the resilient surfacing surrounding the play structure measured at 1/2 inch in depth. Correction: Immediately ensure that climbing equipment over eighteen (18) inches has at least six (6) inches of resilient surfacing in the use zone. Provide statement of compliance by 8/18/2023. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

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

7.702.72.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

The wooden frame surrounding the mulch had a broken piece of wood that was sharp and hazardous. A broken metal hoop was observed on the playground. A blue wooden board surrounding the fence was not attached and had exposed nails sticking out of it. Correction: Immediately ensure that the outdoor play area is kept safe by removal of broken structures, and removal of debris. Provide statement of compliance by 8/18/2023. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

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