ABC Central Child Development Center

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 a random sampling of 8 children's files and observed 2 children to be missing health statements with a doctor's signature and an indication of when the next visit is required for the health care provider. Correction: Obtain a current health statement, with all requirements on them, for all children in care. Correct and submit written statement of compliance with overall response by 7/9/26. Correct by 07/09/2026

Corrected by Jul 9, 2026

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2.218.C.5.a · The individual health care plan must be updated at least every twelve (12) months from the date FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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: Medication and dosing schedule;

Observed 1 child with a health care plan to not have all of the medication as required by the health care plan. Correction: Obtain and maintain all components of a child's health care plan. Correct immediately 6/9/26 and submit compliance by 7/9/26. Correct by 06/09/2026

Corrected by Jun 9, 2026

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

Observed a large bottle of Dawn dishwashing liquid, labeled "keep out of reach of children" in a cabinet with a broken lock in the UPK 2 classroom. Correction: Items labeled keep out of reach of children must be inaccessible to children at all times. Correct immediately

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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 ________________________________________________

Observed the facility to have a health inspection dated 12/2/24, however it was not a passing inspection. Correction: Obtain and provide documentation of a current, passing health inspection. Correct and submit written statement of compliance with overall response by 8/15/25. Correct by 08/15/2025

Corrected by Aug 15, 2025

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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;

Reviewed a random sampling of 9 children's files and observed, 2 children to have expired emergency medical authorization. Correction: Obtain current emergency medical authorization for all children in care. Correct immediately by 7/15/25, or on next day child is in care. Submit written statement of compliance with overall response by 8/15/25. Correct by 07/15/2025

Corrected by Jul 15, 2025

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2.217.C.6 · For the Department-approved child care health consultant, the center must maintain documentation of a brief biography highlighting applicable knowledge, experience, and approximate dates worked as a school nurse or child care health consultant.

The facility was missing documentation of a bio for their Child Care Health Consultant. Correction: Obtain documentation of a bio for your Child Care Health Consultant. Correct and submit written statement of compliance with overall response by 8/15/25. Correct by 08/15/2025

Corrected by Aug 15, 2025

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2.219.B.1 · 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” FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed a random sampling of 9 children's files and observed, 1 child to be missing documentation of immunization status. Correction: Obtain immunization status for all children in care missing it. Correct immediately by 7/15/25, and submit written statement of compliance with overall response by 8/15/25. Correct by 07/15/2025

Corrected by Jul 15, 2025

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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 a random sampling of 9 children's files and observed, 4 children to be missing documentation of a health statement within 30 days of enrollment. Correction: Obtain health statements for all children in care missing it. Correct and submit written statement of compliance with overall response by 8/15/25. Correct by 08/15/2025

Corrected by Aug 15, 2025

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2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours.

Reviewed a random sampling of 9 children's files and observed, 1 child under the age of 2, to be missing documentation of a health statement updated as required in writing by the health care provider. Correction: Obtain health statements for all children in care, as required in writing by the health care provider. Correct and submit written statement of compliance with overall response by 8/15/25. Correct by 08/15/2025

Corrected by Aug 15, 2025

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

Observed Sunsreen and Dawn dishwashing liquid labeled "keep out of reach of children" accessible to children, in a cabinet with a broken lock in classroom UPK 2, and Dial soap labeled "keep out of reach of children" accessible to children, in a cabinet with a broken door/lock in classroom 3B. Correction: All items labeled "keep out of reach of children" must be inaccessible to children at all times. Correct immediately by 7/15/25. **Corrected at the time of visit by the Director putting the items in an area inaccessible to children. No written response is required. Correct by 07/15/2025

Corrected by Jul 15, 2025

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2.220.A · Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.

Observed a child to have an expired (3/23/25) written health care plan for a medication. Correction: Obtain a current, written health care plan for the child whose has expired. Correct immediatly by 7/15/25 and submit written statement of compliance with overall response by 8/15/25. Correct by 07/15/2025

Corrected by Jul 15, 2025

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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.

Observed the facility to be missing documentation of a current passing fire inspection. Correction: Obtain and provide documentation of an approving fire inspection. Correct immediately by 8/29/24 and submit written statement of compliance with overall response by 9/29/24. Correct by 08/29/2024

Corrected by Aug 29, 2024

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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; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 10 children's files and observed one child to have an expired emergency medical authorization. Correction: Obtain current emergency medical authorization for all children in care. Correct immediately by 8/29/24 and submit written statement of compliance with overall response by 9/29/24. Correct by 08/29/2024

Corrected by Aug 29, 2024

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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.

Observed the resilient material (pea gravel) on the preschool playground under the small spiral slide to be at an inch in depth. Correction: All climbing equipment over 18 inches must have at least 6 inches of resilient material surrounding it. Correct immediately by 8/29/24. Corrected at the time of visit by the Director raking the area to meet the requirements. No written response is required. Correct by 08/29/2024

Corrected by Aug 29, 2024

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2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours.

Reviewed 10 children's files and observed two children under the age of 2 to not have health statements updated in accordance with AAP Guidelines. Correction: Obtain a current health statement for the children whose have expired or are missing. Correct and submit written statement of compliance with overall response by 9/29/24. Correct by 09/29/2024

Corrected by Sep 29, 2024

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2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 10 children's files and observed one child to not have a health statement. Correction: Obtain a current health statement for the children whose have expired or are missing. Correct and submit written statement of compliance with overall response by 9/29/24. Correct by 08/29/2024

Corrected by Aug 29, 2024

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2.225.B · Children must not be subjected to physical or emotional harm, humiliation, or threats.

Identified through discussion with staff member 1 that staff member 2 hit Child 1 on the bottom. Correction: Children must not be subjected to physical or emotional harm, humiliation or threats. Correct immediately 3/29/24 and respond by 4/5/24. Correct by 03/29/2024

Corrected by Mar 29, 2024

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2.212.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Identified through discussion with staff member 1 that staff member 2 hit Child 1 on the bottom. Correction: All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Correct by 03/29/2024

Corrected by Mar 29, 2024

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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 13 children's files and observed 1 file missing documentation of current written authorization for emergency medical care. Correction: Obtain documentation of a dated, written authorization for emergency medical care. Correct immediately 9/13/2023 and respond by 10/12/2023. Correct by 09/13/2023

Corrected by Sep 13, 2023

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7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 13 children's files and observed 4 files missing documentation of current health statement. Correction: Obtain documentation of current health statement. Correct by 10/12/2023

Corrected by Oct 12, 2023

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