Cactus Bloom Community School

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.

The facility did not have a record for tornado or lock down drills. Correction: Obtain, maintain and update documentation of tornado or lock down drills. Correct immediately. Document compliance to the Department on the response form. Correct by 04/09/2026

Corrected by Apr 9, 2026

2.209.A.7 · 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: 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;

One (1) child did not have a current Emergency Medical Authorization. Docusign Envelope ID: 7F3032B2-8944-4900-BFBB-EF68AE805692 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain, maintain and update annually documentation of Emergency Medical Authorization. Correct immediately. Document compliance to the Department on the response form. Correct by 04/09/2026

Corrected by Apr 9, 2026

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Two (2) staff members did not have a Shaken Baby Training on file available for review. Correction: Obtain, maintain and update annually documentation of Shaken Baby Training. Correct immediately. Document compliance to the Department on the response form. Correct by 04/09/2026

Corrected by Apr 9, 2026

2.230.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.

The mulch resilient material measured five (5) inches in the use zone below the green dome on the outdoor playground. Correction: Any climbing equipment that is eighteen (18) inches or taller must be surrounded by a use zone containing at least six (6) inches of resilient surfacing. Correct immediately and document compliance to the Department on the response form. Correct by 04/09/2026

Corrected by Apr 9, 2026

2.210.A · A record must be maintained, either written or electronic, for each staff member that includes the following:

One staff member only had documentation for three (3) required background check clearance letters and no other required documentation on file. Correction: Obtain, maintain and update documentation of a full staff file for staff member DV. Correct and document compliance to the Department on the response form. Correct by 05/15/2025

Corrected by May 15, 2025

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 Docusign Envelope ID: D1D4CFFD-3E84-4FAB-A1E2-0CA00BE88C72 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Staff member JS did not have a Child Abuse Prevention Training on file and available for review. Correction: Obtain, maintain and update annually documentation of Child Abuse Prevention Training. Correct immediately. Document compliance to the Department on the response form. Correct by 04/15/2025

Corrected by Apr 15, 2025

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.

One (1) staff member was left alone with eighteen (18) mixed age group of 2 1/2-6 year olds for less than two (2) minutes as an aide stepped out of the classroom to open the door to the facility. Correction: Maintain proper staff to child ratios by ages of children and number of staff members. Correct immediately and document compliance to the Department on the response form. Correct by 04/15/2025

Corrected by Apr 15, 2025