2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 2 children's files and observed one child to have an expired health statement. Correction: Obtain a current health statement. Correct by 5/14/25. Document compliance to Specialist by 5/14/25. Correct by 05/14/2025

Corrected Corrected by May 14, 2025

Category: ratio. Marked corrected in the state record.

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

Four pairs of adult scissors on a work bench, accessible to children in the common room. Correction: Sharp tools and instruments must be stored in areas inaccessible to children. Correct by 4/14/25. Staff locked the four pairs of adult scissors in the work bench while the Licensing Specialist was present. Corrected at the time of

Open Not marked corrected in the state record

Open / not marked corrected.

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

In the common room, a workbench, accessible to children, with an unlocked drawer that contained a saw and a hammer, posing a potential safety hazard. Previously cited on 11/28/22, 10/18/23 and 11/11/24. Correction: All hazardous items must not be stored in any area of the building used for child care. Correct by 4/14/25. Staff locked the workbench making the tools inaccessible to children, while the Licensing Specialist was present. Corrected at the time of inspection. No response necessary. Correct by 04/14/2025

Corrected Corrected by Apr 14, 2025

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

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

One container of liquid whiteout in a lower unlocked cupboard, accessible to children, labeled keep out of reach of children. Correction: All items labeled keep out of reach of children must be inaccessible. Correct by 9/9/24. Document compliance to Specialist by 10/9/24. Correct by 09/09/2024

Corrected Corrected by Sep 9, 2024

Marked corrected in the state record.

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

In the common room, a workbench, accessible to children, with unlocked drawers that contain tools such as a saw, staple gun and wire cutters posing a potential safety hazard. Previously cited on 11/28/22 and 10/18/23. Correction: All hazardous items must not be stored in any area of the building used for child care. Correct by 9/9/24.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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.

Child Care Health Consultant, Erica MacDonald to have an expired immuniztion training course. Correction: 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. Correct by 10/9/24. Document compliance to Specialist by 10/9/24. Correct by 10/09/2024

Corrected Corrected by Oct 9, 2024

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

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

Three pairs of adult scissors in in a lower unlocked cupboard, accessible to children, labeled keep out of reach of children. Correction: Sharp tools must be stored in areas inaccessible to children. Correct by 9/9/24. Document compliance to Specialsit by 10/9/24. Correct by 09/09/2024

Corrected Corrected by Sep 9, 2024

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.

Six swings on the school age playground to be lacking 6 inches of resilient surfacing. Maximum depth of wood chips under each swing was less than 2 inches. Previously cited on 11/28/22. Correction: All climbing equipment over 18 inches must have resilient surfacing of at least 6 inches in the use zone surrounding the equipment. Correct by 10/18/23. Document compliance to Specialist by 11/18/23. Correct by 10/18/2023

Corrected Corrected by Oct 18, 2023

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

7.702.91.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

In the common room, a workbench, accessible to children, with unlocked drawers that contain tools such as pliers and hammers posing a potential safety hazard. Previously cited on 11/28/22. Correction: All hazardous items must not be stored in any area of the building used for child care. Correct by 10/18/23. Document compliance to Specialist by 11/18/23. Correct by 10/18/2023

Corrected Corrected by Oct 18, 2023

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

7.702.51.B.3 · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

One prescription inhaler to be missing the original pharmacy label. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Prescription medications must contain the original pharmacy label. Correct by 10/18/23. Document compliance to Specialist by 11/18/23. Correct by 10/18/2023

Corrected Corrected by Oct 18, 2023

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

7.702.41.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 2 staff files and observed Abcde A. to be missing a medical statement. Correction: All staff members must submit to the center a medical statement signed and dated by a physician or other health care provider. Correct by 11/18/23. Document compliance to Specialist by 11/18/23. Correct by 11/18/2023

Corrected Corrected by Nov 18, 2023

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