ABC West 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 8 children files and observed 1 child to have an expired health statement Correction: Obtain and maintain current and up to date health statements for all children enrolled. Correct and submit written compliance by 5/2/2026. Correct by 05/02/2026

Corrected by May 2, 2026

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

During safety walk-through observed a bottle of bubbles in the Preschool B classroom in an unlocked cabinet, diaper wipes in Toddler B classroom restroom accessible to children. Correction: Ensure all items labeled "keep out of reach of children" are inaccessible to children at all times. Correct immediately 4/2/2026. ***Corrected at time of visit by removing items. No response required. Correct by 04/02/2026

Corrected by Apr 2, 2026

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2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

During safety walk-through observed on the playground turf around tree to be pulling up and pour and place around fall zones to be cracking and coming apart. Correction: Ensure all outdoor equipment is sturdy, safe, and free of hazards. Correct immediately 4/2/2026 and submit written response by 5/2/2026. Correct by 04/02/2026

Corrected by Apr 2, 2026

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

During safety walk through observed in PreK B had an unlocked cabinet accessible to children with Borax detergent. In Toddler C classroom, a container of bubbles on the diaper changing table that was accessible to children. Correction: Ensure all items labeled "keep out of reach of children" are inaccessible to children at all times. Correct immediately 4/25/2025. ***Corrected at time of visit by locking cabinet, and removing bubbles from the table. No response required. Correct by 04/24/2025

Corrected by Apr 25, 2025

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2.230.C.6 · All pieces of playground equipment must be designed to guard against entrapment and strangulation. Any openings in gross motor equipment above ground must be smaller than three and one half (3 ½) inches or greater than nine (9) inches to prevent entrapment.

During safety walk through observed a gate to the parking lot on the playground has an opening of 4-4.5 inches, posing a potential entrapment hazard. Correction: Ensure all playground equipment and gates have openings less than 3.5 inches, or greater than 9 inches to

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2.218.C.3 · For a child with special health care needs requiring intervention and/or medication, the center must obtain written instructions for providing services from the child's parent(s)/guardian(s), and the health care provider. If an existing individualized health care plan is provided for the child, it must be reviewed and followed by the center staff when caring for the child. If the child does not have an existing individualized health care plan, the individualized health care plan must be obtained by the child’s first day of care.

Prescribed emergency medication for a child was observed to not have documentation and authorization from the parent or health care provider. Correction: Ensure all children with medication has a written instructions and permission from a health care provider, as well as a permission to administer medication from the parent of the child. Correct immediately 4/24/2025 and submit written compliance by 5/24/2025. Correct by 04/24/2025

Corrected by Apr 24, 2025

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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 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 20 staff files and observed 1 staff member, Samantha N. to be missing the Recognizing the Impact of Bias on Early Childhood Professional training. Correction: Obtain and maintain Recognizing the Impact of Bias on Early Childhood Professional training for all staff members. Correct immediately 4/24/2025. ***Corrected at time of visit. No response required. Correct by 04/24/2025

Corrected by Apr 24, 2025

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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 18 children files and observed 3 children with expired health statements and 3 missing health statements. Correction: Obtain and maintain current and up to date health statements for all children enrolled. Correct and submit written compliance by 5/24/2025. Correct by 05/24/2025

Corrected by May 24, 2025

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2.220.K · Topical preparations such as petroleum jelly, diaper rash ointments, sunscreen, insect repellent, and other ointments may be administered to children with written authorization from the parent(s)/guardian(s). These preparations may not be applied to open wounds or broken skin unless there is a written order by the prescribing health care provider.

Reviewed 17 children files and observed 3 children missing authorization for topical lotions and sunscreen. Correction: Obtain and maintain written authorization for topical lotions for all children enrolled. Correct immediately 4/24/2025 and submit written compliance by 5/24/2025. Correct by 04/24/2025

Corrected by Apr 24, 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 17 children files and observed 2 children to be missing emergency medical authorization. Correction: Obtain and maintain emergency medical authorization for all staff children enrolled. Correct immediately 4/24/2025 and submit written compliance by 5/24/2025. Correct by 04/24/2025

Corrected by Apr 24, 2025

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2.206.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed 17 children files and observed 2 children missing documentation of families receiving documentation of the center's policies. Correction: Obtain and maintain documentation families have received center's policy for all staff children enrolled. Correct immediately 4/24/2025 and submit written compliance by 5/24/2025. Correct by 04/24/2025

Corrected by Apr 24, 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” 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 15 children's files and observed 7 files with immuniztaions that are not on a state approved form. Correction: Obtain documentation of immunizations on a state approved form. Correct immediately 5/20/2024 and

Corrected by May 20, 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;

Reviewed 15 children's files and observed 4 files with an expired written authorization to arrange for emergency medical care. Correction: Obtain documentation of written authorization to arrange for emergency medical care. Correct immediately 5/20/2024 and respond by 6/19/2024. Correct by 05/20/2024

Corrected by May 20, 2024

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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 15 children's files and observed 1 file with an expired health statement. Correction: Obtain documentation of current health statement. Maintain in file. Correct by 06/19/2024

Corrected by Jun 19, 2024

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

Observed a bottle of lotion that stated "keep out of reach of children" on an open shelf in Preschool B and observed cleaning supplies in an unlocked low cupboard in the 2 1/2 year old room labeled "keep out of reach of children". Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Correct immeidately 5/20/2024 and respond by 6/19/2024. ***Corrected at time of visit by moving items out of reach. A written response is not required for this violation. Correct by 05/20/2024

Corrected by May 20, 2024

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