2.207.A · For security purposes, a sign-in/sign-out sheet or other mechanism for parents/guardians, or staff if children are being transported, must be maintained daily by the center. It must include, for each child in care, the date, the child's name, the time when the child arrived at and left the center, and the parent /guardian or staff member's signature or other unique identifier. For children who are transported, parent(s)/guardian(s) must verify the accuracy of the sign-in/sign-out sheet at least weekly.

There were eight (8) children in the Doves classroom and nine (9) were signed in. Correction: Sign in/out sheet or other mechanism must be maintained daily by the center. Correct immediately. Corrected at the time of inspection the assistant director signed out the extra child who had left early that day. Document a plan for continued compliance to the Department on the response form. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

Category: transportation. Marked corrected in the state record.

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

In the Eagle's bathroom there was diaper cream under the diaper changing table that was accessible to children. In the Dove's bathroom there was a diaper bag that was on the ground with diaper cream accessible to children. Correction: All items that have the label "keep out of reach of children" must be inaccessible to children. Correct immediately. Corrected at the time of the inspection the director turned the diaper changing table around in the Eagle's bathroom and made the diaper cream inaccessible. The director moved the diaper bag up and made it inaccessible to children. No response is needed for this violation. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

Marked corrected in the state record.

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

In the Blue Bird's classroom there was disinfectant spray on the counter of the children's sink that was accessible to children. Correction: Disinfecting solutions must be placed in an area that is inaccessible to children. Correct immediately. Corrected at the time of the inspection the director moved the bottle of disinfectant to the top of a cabinet and made it inaccessible to children. No response is needed for this violation. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

Marked corrected in the state record.

2.220.G · All medications, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center's policies. Access to these medications must be limited.

In the Eagle's classroom there was a bottle of ibuprofen sitting on the edge of a shelf. Correction: All medication must be locked and inaccessible to children, except those medications specified in the DocuSign Envelope ID: ADEF3C2D-B8D3-466F-B452-DD3E567B37B8

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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 wood chip resilient material measured five (5) inches in the use zone below the purple slide, three (3) inches on the other purple slide, four and half (4 1/2) inches on the green swirly pole, and three (3) inches under the swings on the preschool playground. Correction: All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surronding the equipment. Correct immediately and document compliance to the Department on the response form. Correct by 04/02/2024

Corrected Corrected by Apr 2, 2024

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

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

In the penguin classroom, there is a door to the left of the entrance that is being used as a storage room. At the time of the inspection the door was unlocked. Inside the storage room was interior and exterior wall paint that was labeled "keep out of reach of children." Correction: Keep all items that are labeled "keep out of reach of children" inaccessible to children. Areas should be inspected regularly to identify and remove hazards in areas accessible to children. Correct immediately. Corrected at the time of the inspection the director locked the door to the storage room. No response is needed for this violation. Correct by 10/30/2023

Corrected Corrected by Oct 30, 2023

Marked corrected in the state record.

7.701.32.K · . The results of the abuse and neglect inquiry must be maintained at the center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed seventeen (17) staff files and one (1) staff member, MC, did not have a TRAILS clearance letter available for review. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member MC has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff member MC with written response to Specialist. Correct immediately and notify licensing specialist of correction plan within 24 hours. Document compliance to the Department on the response form. Correct by 10/30/2023

Corrected Corrected by Oct 30, 2023

Category: background checks. 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 seventeen (17) staff files and one (1) staff member, LA, did not have a current health evaluation DocuSign Envelope ID: 04C4D1CC-19ED-4AB5-BD7B-D9D2571434C5 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ available for review. Correction: Obtain, maintain and update annually documentation of health evaluation. Document compliance to the Department on the response form. Correct by 11/29/2023

Corrected Corrected by Nov 29, 2023

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

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed seventeen (17) staff files and one (1) staff member, LA, did not have a current Standard Precautions Training available for review. Correction: Obtain, maintain and update annually documentation of Standard Precautions Training. Correct immediately. Document compliance to the Department on the response form. Correct by 10/30/2023

Corrected Corrected by Oct 30, 2023

Category: ratio. Marked corrected in the state record.

7.702.46.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.

Reviewed the Child Care Health Consultant file; there was a missing Immunization Training. Correction: Obtain, maintain and update annually documentation of Immunization training. Correct and document compliance to the Department on the response form. Correct by 11/29/2023

Corrected Corrected by Nov 29, 2023

Category: health medication. 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.

The wood chip resilient material measured zero inches to one inch (0"-1") in the use zone of the swing on the DocuSign Envelope ID: 04C4D1CC-19ED-4AB5-BD7B-D9D2571434C5 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ preschool playground. The resilient material on the preschool playground measured zero inches to five inches (0"-5") in the use zone of the purple slides. The wood chip resilient material measured four inches (4") in the use zone of the blue and white slide on the toddler playground. Correction: If resilient material does not equal at least six (6) inches in depth please keep students off of the equipment until the correct depth of resilient material has been achieved. Correct immediately and document compliance to the Department on the response form. Correct by 10/30/2023

Corrected Corrected by Oct 30, 2023

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

7.702.32.A · For security purposes, a sign-in/sign-out sheet or other mechanism for parents/guardians, or staff if children are being transported, must be maintained daily by the center. It must include, for each child in care, the date, the child's name, the time when the child arrived at and left the center, and the parent /guardian or staff member's signature or other unique identifier. For children who are transported, parent(s)/guardian(s) must verify the accuracy of the DocuSign Envelope ID: 04C4D1CC-19ED-4AB5-BD7B-D9D2571434C5 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ sign-in/sign-out sheet at least weekly.

In the Dove's classroom there was one (1) child who was not signed in. Correction: Maintain and update a record of children sign in and out sheet. Correct immediately. Corrected at the time of the inspection the director signed the child in. No response is needed for this violation. Correct by 10/30/2023

Corrected Corrected by Oct 30, 2023

Category: transportation. Marked corrected in the state record.