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.

At the time of visit, the available health inspection was expired. Correction: Immediatly, prior to the original license being issued and at least every two (2) years thereafter, all child care facilities must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Health and Environment. Submit documentation and a written statement of compliance by 9/21/2023. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

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

7.712.61.B · . Parents or guardians must be given the opportunity to indicate to the staff of the center if they do not want their child to participate in an activity.

Reviewed 2 child files. Both files were missing documentation to indicate to the staff if the parent or FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: Y_M_C_A _O_F M_E_T_R_OP_O_L_IT_AN_ D_E_N_VE_R_@_ G_L_EN_D_A_LE_L iSc_Pe_nOs_ReT _NSu_m_b_er _: 1_5_11_19_0______ ________________________________________________ guardians do not want their child to participate in an activity. Correction: Immediately, parents or guardians must be given the opportunity to indicate to the staff of the center if they do not want their child to participate in an activity. Submit a written statement of compliance by 9/21/2023. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

Marked corrected in the state record.

7.712.42.D.5 · . All Child Care Health Consultants (CCHC) must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course annually.

At the time of visit, the Child Care Health Consultants immunization course was expired. Correction: Immediately, all Child Care Health Consultants must show evidence they have completed the Colorado Department of Public Health and Environment immunization course annually. Submit documentation and a written statement of compliance by 9/21/2023. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

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

7.712.52.A.1.a · At the time of enrollment, the parent(s) /guardian(s) must provide for each child entering the center: A complete health history for each child, including any communicable diseases, chronic illnesses or injuries, known drug reactions and allergies, current medications and any special diets needed, the name address and phone number for the child’s health care provider and dentist.

Reviewed 2 child files. Both files were missing documentation of a complete health history. Correction: Immediately, at the time of enrollment, a complete health history for each child must be provided. Submit a written statement of compliance by 9/21/2023 Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

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

7.712.52.A.1.b · . At the time of enrollment, the parent(s) /guardian(s) must provide for each child entering the center: Documentation of immunization status or exemption as FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: Y_M_C_A _O_F M_E_T_R_OP_O_L_IT_AN_ D_E_N_VE_R_@_ G_L_EN_D_A_LE_L iSc_Pe_nOs_ReT _NSu_m_b_er _: 1_5_11_19_0______ ________________________________________________ required by Colorado Department of Public Health and Environment (CDPHE). Colorado law requires proof of immunization be provided prior to or on the first day of admission.

Reviewed 2 child files. Both files were missing documentation of immunization status or exemption. Correction: Immediately, at the time of enrollment, documentation of immunization status or exemption as required by Colorado Department of Public Health and Environment must be provided. Submit a written statement of compliance by 9/21/2023 Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

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

7.712.52.D.1 · The center must obtain the parent/guardian’s written authorization and instructions for applying sunscreen or use of another form of parent/guardian approved sun protection. A health care provider’s permission is not needed to use sunscreen at the center.

Reviewed 2 child files. Both files were missing documentation of written authorization and instructions for applying sunscreen or another form of sun protection. Correction: Immediately, written authorization for applying sunscreen or use of another form of parent/guardian approved sun protection must be obtained. Submit a written statement of compliance by 9/21/2023. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

Category: health medication. 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.

There was no documentation of emergency drills for 2023. Correction: Immediately, emergency drills, lockdown and active shooter on premises drills must be held at least quarterly. Fire drills must be held monthly and tornado drills must be held monthly from March to October. Submit a written statement of compliance by 9/21/2023. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

Category: recordkeeping. Marked corrected in the state record.

7.712.61.D · . Television viewing, including videos, should not be permitted without the approval of a child's parents/guardians, who must be advised of the center's policy regarding television and video viewing.

Reviewed 2 child files. Both files were missing approval of a child's parent/guardians of television viewing, including videos. Correction: Immediately, television viewing, including videos, should not be permitted without the approval of a child's parents/guardians who must be advised of the center's policy regarding television and video viewing. Submit a written statement of compliance by 9/21/2023. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

Marked corrected in the state record.

7.712.73.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

Under the counter, in an unlocked cabinet, Borax was accessible to children. Correction: Immediately, volatile substances must be inaccessible to children. Corrected at time of visit, Lukas moved the Borax to a higher shelf making it inaccessible to children. Submit a written statement of future compliance by 9/21/2023. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

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

7.712.73.A.4 · Combustibles, such as cleaning rags, mops, and cleaning compounds, must be stored in well-ventilated areas separated from flammable materials and stored in areas inaccessible to children.

On the counter, Lysol wipes were accessible to children. In an unlocked cabinet behind the desk, Bleach solution, rubbing alcohol, and Lysol sanitizing spray were accessible to children. Correction: Immediately, combustibles, such as cleaning compounds, must be stored in areas inaccessible to children. Corrected at time of visit, Lukas put the Lysol wipes in a cabinet inaccessible to children. He closed the door behind the desk making the cabinet with cleaning products inaccessible. Submit a written statement of future compliance by 9/21/2023. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

Marked corrected in the state record.

7.712.81.A.8 · The center must maintain and update annually a record on each child that includes: A dated written authorization for emergency medical care signed and submitted annually by the parent or guardian. The authorization must be notarized if required by the local health care facility;

Reviewed 2 child files. Both files were missing written authorization for emergencey mediccal care. Correction: Immediately, a written authorization for emergency medical care must be signed and submitted annually by the parent or guardian. Submit a written statement of compliance by 9/21/2023. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

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

7.712.81.A.9 · The center must maintain and update annually a record on each child that includes: Written authorization from a parent or guardian for the child to participate in field trips and to participate in program activities, listing all exclusions from authorization;

Reviewed 2 child files. Both files were missing written authorization to participate in field trips and program activities. Correction: Immediately, the center must maintain and update annually written authorization from a parent or guardian for the child to participate in field trips and program activities. Submit a written statement of compliance by 9/21/2023. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

Category: recordkeeping. Marked corrected in the state record.

7.712.81.A.10 · The center must maintain and update annually a record on each child that includes: Written authorization from a parent/guardian for the center to transport the child to and from school, whether by walking or driving;

Reviewed 2 child files. Both files were missing documentation of written authorization to transport the child to and from school. Correction: Immediately, written authorization from a parent/guardian to transport the child to and from school must be maintained. Submit a written statement of compliance by 9/21/2023. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

Category: transportation. Marked corrected in the state record.