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 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;

The admission record does not have section where the parents' employer address and employer phone number can be listed. Correction: Add the missing section to the admission record and send a copy of the updated (blank) admission form to the

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Upon review of 8 children files,1 file was missing documentation of a health statement. and 1 file had an expired health statement. Correction: Verify that all enrolled children have current health statements on file. Document compliance in the written response. Correct by 02/16/2025

Corrected Corrected by Feb 16, 2025

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

2.212.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.

Leticia R. and Yehimy R. had expired self-reported health histories. Correction: Ensure all staff complete and submit annual self-reported health histories. Document compliance in the written response. Correct by 02/16/2025

Corrected Corrected by Feb 16, 2025

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

2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times.

Leticia R. and Yehimy R. were found caring for children with expired medication administrating delegation. Correction: Provide the Licensing Specialist with a copy of the medication administration delegation for the listed staff members. Ensure at least one staff member with the necessary training and delegation is on duty at all times. Document compliance in the written response. Correct by 01/16/2025

Corrected Corrected by Jan 16, 2025

Category: ratio. Marked corrected in the state record.

2.219.B.1 · 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, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section 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., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Upon review of 8 children files,1 file was missing an immunization record. Correction: Obtain immunization record and add to child's file. Document compliance with the written response. Correct by 01/16/2025

Corrected Corrected by Jan 16, 2025

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.

The Child Care Health Consultant had an expired immunization course. Correction: Obtain and submit a copy of the Health Consultant's current immunization course certification to the Licensing Specialist. Document compliance in the written response. Correct by 02/16/2025

Corrected Corrected by Feb 16, 2025

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