2.138.A · 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.

A tornado drill for the month of March was not conducted. A fire drill for the month of March was not conducted. Correction: Fire drills must be held monthly, tornado drills must be held monthly between March to October, and other emergency drills must be held quarterly so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Record of drills must include date, time, number of adults, number of children, and the amount of time taken to evacuate. Correct immediately. Ensure that emergency drills are conducted and documented in full. Document compliance to the Licensing Specialist with the written response. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

Category: recordkeeping. Marked corrected in the state record.

2.312.M · Within ninety (90) calendar days of caring for children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff must complete a Department-approved introduction to the early intervention and preschool special education programs. This course is required once and will be counted towards ongoing training requirements;

staff member Angela T. has no record of having completed the department approved Introduction to Early Intervention training. Correction: Each provider or staff member must complete a Department approved Introdcution to Early Intervention training course within 90 days of employment. Correct immediately. Obtain documentation of training and add to staff file. Document compliance with the written response. Correct by 05/02/2025

Corrected Corrected by May 2, 2025

Category: recordkeeping. Marked corrected in the state record.

2.121.D.4.a · Criminal background check requests must be successfully completed 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-age child care facilities, family child care homes, and qualified exempt provider homes.

resident of the home, Don G. does not have current FBI criminal background clearance letter. Correction: Those who have access to children must successfully complete all required background checks. Correct immediately. The named individual must review Navigating the Background Check Investigation Unit's (BIU) webpage PowerPoint on the CDEC website. Submit verification that the individuals named above have reviewed the PowerPoint within 24 hours. Document compliance to the Licensing Specialist with the written response. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

Category: supervision. Marked corrected in the state record.

2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.” FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

A small kitchen knife was in the unlocked top drawer of the countertop food preparation area located downstairs and was accessible to children. Correction: Ensure that knife is made inaccessible to children. **CORRECTED ON SITE* Provider moved the knife and made it inaccessible to the children. No response is required for this violation. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

Category: ratio. Marked corrected in the state record.

2.316.B · The written policies and procedures must be developed, implemented, and followed, by the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members including all amendments, and must include at a minimum the following information:

The following subsections of rule 2.316. are not included in the Parent Handbook or Policies and Procedures Document: B.29, B.31 Correction: Add the following policies to the parent handbook and make it available to parents. Provide the updated statements to the licensing specialist in the written response. Correct by 05/02/2025

Corrected Corrected by May 2, 2025

Marked corrected in the state record.

2.312.E · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete a Department approved course of training for medication administration. This course must be completed every three (3) years and can be applied towards ongoing annual training hours in the year that it is completed;

Reviewed provider's file and observed Lesley to be missing documentation of current medication administration training (part 2). Correction: Obtain documentation of current medication administration training including part 2 and add to file. Correct immediately. Send documentation of compliance to specialist with response form. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

Category: ratio. Marked corrected in the state record.

2.321.A.2.c · At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the family child care home: Documentation of school-required immunization status or 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 (CDPHE) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ certificate of immunization or on an "approved alternate" certificate of immunization as described in CDPHE regulations at 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours.. Colorado law requires that proof of immunization be provided prior to the first day of admission.

Reviewed 9 children's files and observed 1 file to have immunization records on an unapproved form. Correction: Transfer immunization records to a Colorado Department of Public Health and Environment approved form and add to file. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

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

2.336.B.1 · Toys, toy parts, furnishings, equipment, and any materials accessible to children under three (3) years of age must not be a choke hazard or able to be inhaled.

Several thumb tacks used to display items on a bulletin board above the children's locker's, accessible to children under 3 years of age posing a potential choke or inhalation hazard. Observed several small magnet used to display items on a bulletin board above the children's lockers, accessible to children under 3 years of age, posing a potential choke hazard. Correction: Toys. toy parts, furnishings, equipment and any materials accessible to children under 3 years of age must not be a choke or inhalation hazard. Correct immediately. Corrected at the time of inspection. Provider removed all thumb tacks and small magnets and placed them in the office- inaccessible to children 5/15/2024. No response required for this violation. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

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

2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.”

2 pouches of baby wipes labeled "keep out of reach of children" on a shelf in the bath tub in the bathroom used by children, accessible to children. Correction: Item's labeled "keep out of reach of children" must be inaccessible to children. Correct immediately. Corrected at the time of inspection. Provider placed baby wiped in a high cabinet inaccessible to children 5/15/2024. No response required for this violation. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

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