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 7 child files and observed one child to be missing a health statement and one child to have an expired health statement. Correction: 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. Correct by 8/31/24. Document compliance to Specialist by 8/31/24. Correct by 08/31/2024

Corrected Corrected by Aug 31, 2024

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

2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 9 staff files and observed Anjali F., Kylie F., Leo B., and Miranda B. to be missing the Recognizing the Impact of Bias on Early Childhood Professionals training. Correction: Complete the Recognizing the Impact of Bias on Early Childhood Professionals training. Correct by 8/31/24. Document compliance to Specialist by 8/31/24. Correct by 08/31/2024

Corrected Corrected by Aug 31, 2024

Category: recordkeeping. 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 9 staff files and observed Anjali F., Kayla C., Kylie F., Sophia H., Leo B., Miranda B., and Ayriel D. to be missing a medical statement signed and dated by a health care provider. Correction: All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider. Subsequent self-reported health histories must be submitted annually. Correct by 8/31/24. Document compliance to Specialist by 8/31/24. Correct by 08/31/2024

Corrected Corrected by Aug 31, 2024

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 9 staff files and observed Anjali F., Kayla C., Kylie F., Sophia H., and Ayriel D. to be missing or have an expired CPR and First Aid 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 8/31/24. Document compliance to Specialist by 8/31/24. Correct by 08/31/2024

Corrected Corrected by Aug 31, 2024

Marked corrected in the state record.

2.213.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 9 staff files and observed Anjali F. to have an expired child abuse prevention training. Observed Kayla C., and Miranda B. to be missing child abuse prevention training. Correction: Complete a department approved child abuse prevention training. Correct by 7/31/24. Document compliance to Specialist by 8/31/24. Correct by 07/31/2024

Corrected Corrected by Jul 31, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(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 9 staff files and observed Anjali F., Kylie F., Leo B., and Miranda B. to be missing the Introduction to the Early Intervention and Preschool Special Education Program course. Correction: Complete the Introduction to the Early Intervention and Preschool Special Education Program course. Correct by 8/31/24. Document compliance to Specialist by 8/31/24. Correct by 08/31/2024

Corrected Corrected by Aug 31, 2024

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.

Reviewed 9 staff files and observed Kayla C. to be missing a CBI 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 member Kayla C. has reviewed the powerpoint within 24 hours.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Sophia H. to be missing 1 hour of child development training. Correction: Complete one hour of child development training. Correct by 8/31/24. Document compliance to Specialist by 8/31/24. Correct by 08/31/2024

Corrected Corrected by Aug 31, 2024

Category: recordkeeping. 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.

Nurse consultant Michelle Reddick to have an expired immunization course. Correction: Complete a department CDPHE immunization course. Correct by 8/31/24. Document compliance to Specialist by 8/31/24. Correct by 08/31/2024

Corrected Corrected by Aug 31, 2024

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

2.218.C.5 · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider, parent(s)/guardian(s) and must include, but not be limited to, the following:

One child in the Blue Room to have expired written orders to administer and epi-pen. Correction: The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan. Correct by 7/31/24. Document compliance to Specialist by 8/31/24. Correct by 07/31/2024

Corrected Corrected by Jul 31, 2024

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

2.220.J · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

One child in the Red Room to have an expired Auvi-Q and one child to have expired Benadryl. Correction: If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment. Correct by 7/31/24. Document compliance to Specialist by 8/31/24. Correct by 07/31/2024

Corrected Corrected by Jul 31, 2024

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

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

One open container of gallon sized Ziplock bags in the Green Room in an unlocked lower drawer, accessible to children. Correction: Loose plastic bags must be stored in areas inaccessible to children. Correct by 7/31/24. Staff moved the gallon sized Ziplock bags to an upper locked cupboard inaccessible to children. Corrected at the time of inspection. No response necessary. Correct by 07/31/2024

Corrected Corrected by Jul 31, 2024

Marked corrected in the state record.

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 8 staff files and observed Amy D. to have an expired child abuse prevention training. Correction: Obtain a current child abuse prevention training. Correct by 9/5/23. Document compliance to Specialist by 9/12/23. Correct by 09/05/2023

Corrected Corrected by Sep 5, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.51.B.4 · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

Medication lacking its originally labeled container for one child in the Red Room. Correction: Over the counter medication must be kept in the originally labeled container and be labeled with the child's first and last name. Correct by 9/5/23. Document compliance to Specialist by 9/12/23. Correct by 09/05/2023

Corrected Corrected by Sep 5, 2023

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