2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 10 staff files and observed Paula R. to have an expired FBI background check. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Paula R. has reviewed the powerpoint within 24 hours. Submit documentation of FBI for staff member Paula R. with written response to the Specialist. Correct by 3/4/25. Document compliance to Specialist by 4/4/25. Correct by 03/04/2025

Corrected Corrected by Mar 4, 2025

Category: background checks. Marked corrected in the state record.

2.122.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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Center to have an expired fire inspection and a non-compliant health inspection. Correction: Obtain a current and compliant fire and health inspection. Correct by 3/4/25. Document compliance to Specialist by 4/4/25. Correct by 03/04/2025

Corrected Corrected by Mar 4, 2025

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

2.127.D · All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

No posting of the licensed capacities and staff to child ratios posted in classrooms 106, 105 and 108. Correction: Post licensed capacities and staff to child ratios in classrooms 106, 105 and 108. Correct by 3/4/25. Document compliance to Specialist by 4/4/25. Correct by 03/04/2025

Corrected Corrected by Mar 4, 2025

Category: ratio. Marked corrected in the state record.

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.

No documentation of emergency drills. Correction: 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. Correct by 3/4/25. Document compliance to Specialist by 4/4/25. Correct by 03/04/2025

Corrected Corrected by Mar 4, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Reviewed 10 child files and observed 7 children to be missing a health statement completed by a health care provider. Correction: Obtain a copy of a health statement for each child completed by a health care provider. Correct by 4/4/25. Document compliance to Specialist by 4/4/25. Correct by 04/04/2025

Corrected Corrected by Apr 4, 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.

Reviewed 10 staff files and observed Amy D. and Naomi P. to be missing a medical statement signed and dated by a health care professional. Correction: Obtain a medical statement signed and dated by a physician or other health care provider. Correct by 4/4/25. Document compliance to Specialist by 4/4/25. Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

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

2.213.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 10 staff files and observed Tracy M. to be missing the department approved Introduction to First Aid and CPR module. Correction: 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. Correct by 4/4/25. Document compliance to Specialist by 4/4/25. Correct

Open Not marked corrected in the state record

Open / not marked corrected.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

Two pairs of adult scissors out on a teacher desk, accessible to children in classroom 105. Correction: Sharp tools and instruments must be stored in areas inaccessible to children. Correct by 4/16/24. Staff moved the scissors to the top of a tall cupboard making them inaccessible to children. Corrected at the time of inspection. No response necessary. Correct by 04/16/2024

Corrected Corrected by Apr 16, 2024

Marked corrected in the state record.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

An open box of empty gallon sized ziplock bags unlocked under the sink in classroom's 105 and 110. Correction: Loose plastic bags must be stored in areas inaccessible to children. Correct by 4/16/24. Staff placed them in locked cupboard making them inaccessible. Corrected at the time of inspection. No response necessary. Correct by

Open Not marked corrected in the state record

Open / not marked corrected.

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 Tracy M. to have an expired child abuse prevention training. Correction: Obtain a current, Department-approved training about child abuse prevention. Correct by 8/28/23. Document compliance to Specialist by 9/28/23. Correct by 08/28/2023

Corrected Corrected by Aug 28, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 7 staff files and observed Tracy M. to be missing the Introduction to the Early Intervention and Preschool Special Education Programs training. Correction: All staff must complete the Introduction to the Early Intervention and Preschool Special Education Programs

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed 7 staff files and observed Tracy M. to be missing the Recognizing the Impact of Bias on Early Childhood Professionals training. Correction: All staff must complete the Recognizing the Impact of Bias on Early Childhood Professionals training. Correct by 9/28/23. Document compliance to Specialist by 9/28/23. Correct by 09/28/2023

Corrected Corrected by Sep 28, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. For seasonal children's resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the State Department-approved training

Reviewed 7 staff files and observed Jill S. to be missing the emergency disaster preparedness training. Correction: Obtain current disaster preparedness training. Correct by 8/28/23. Document compliance to Specialist by 9/28/23. Correct by 08/28/2023

Corrected Corrected by Aug 28, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.34.A.7 · The admission record must include: A dated, written authorization for emergency medical care 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 10 child files and observed 1 child to have expired written authorization for emergency medical care. Correction: The admission record must include written authorization for emergency medical care signed and dated

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 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.

Reviewed 10 child files and observed 3 children to be missing documentation of immunization status. Correction: At the time of admission the parent(s)/guardian(s) must provide for each child entering the center: documentation of immunization status. Correct by 8/28/23. Document compliance to Specialist by 9/28/23. Correct by 08/28/2023

Corrected Corrected by Aug 28, 2023

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