Kid's Morning Out Christian Preschool

2.217.C.2.a · New consultants or child care health consultants who do not have documentation of CCHC 101 completion must complete a provisional CCHC qualification in the PDIS before consulting. The provisional CCHC qualification is valid for six (6) months.

Reviewed Nurse Consultant file and observed no documentation of CCHC 101 training. Correction: Obtain CCHC 101 training for Nurse Consultation prior to nurse consulting. Correct immediately 3/25/2026 and submit written compliance by 4/25/2026. Correct by 03/25/2026

Corrected by Mar 25, 2026

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2.217.C.4 · The monthly consultation must be conducted on-site at least quarterly or more frequently as required by the Child Care Health Consultant. Teleconsultations are allowed for the remaining months.

Reviewed Nurse Consultant file and observed no documentation of monthly or quarterly consultation with the facility. Correction: Ensure nurse consultations are documented at least quarterly for on-site visits, and monthly for remaining months. Correct immediately 3/25/2026 and submit written compliance by 4/25/2026. Correct by 03/25/2026

Corrected by Mar 25, 2026

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2.217.C.7 · 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.

Reviewed Nurse Consultant file and observed biography for nurse to be missing. Correction: Obtain and maintain nurse biography highlighting applicable knowledge and experience. Correct immediately 3/25/2026 and submit written compliance by 4/25/2026. Correct by 03/25/2026

Corrected by Mar 25, 2026

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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 4 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 4/25/2026. Correct by 04/25/2026

Corrected by Apr 25, 2026

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2.220.F · Staff designated by the director to give medications must complete the Department-approved medication administration training and have current annual delegation or more often as determined by the Department-approved child care health consultant. Delegation must be from the center’s current Department-approved child care health consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current cardiopulmonary resuscitation (CPR) and first aid FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training prior to administering medication with the following exceptions:

Reviewed 4 children files and observed 2 staff member's medication administration delegation to be expired. Correction: Obtain and maintain current and up to date medication administration delegation for staff designated to give medication. Correct immediately 3/25/2026 and submit written compliance by 4/25/2026. Correct by 03/25/2026

Corrected by Mar 25, 2026

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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.

During safety walk-through, observed resilient material in fall zone to be less than 4 inches. Correction: Ensure all climbing equipment 18 inches or higher has at least 6 inches of resilient material. Correct immediately 3/25/2026 and submit written compliance by 4/25/2026. Correct by 03/25/2026

Corrected by Mar 25, 2026

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2.232.A.5 · A minimum of one hundred fifty (150) square feet of shaded area in the fenced play area must be provided to guard children against the hazards of excessive sun and heat. Shaded areas must be provided year-round.

During safety walk-through, observed no shade area is provided in playground area to prevent excessive sun and heat exposure to the children. Correction: Ensure there is at least 150 square feet of shading in the playground area to prevent excessive sun and heat exposure to children. Correct immediately 3/25/2026 and submit written compliance by 4/25/2026. Correct by 03/25/2026

Corrected by Mar 25, 2026

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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.

Reviewed emergency drills and observed no fire drills were done in January or February 2025. Correction: Ensure fire drills are done monthly, tornado drills are done March-October, and lock down drills are done quarterly. Correct immediately 3/26/2025 and submit documentation by 4/26/2025. Correct by 03/26/2025

Corrected by Mar 26, 2025

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2.217.C.1.a · Center staff must have a monthly consultation with a current Department-approved Child Care FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Health Consultant who must meet one (1) of the following qualifications: A Licensed Registered Nurse with knowledge and experience in maternal and child health.

Identified through interview with Director that the facility's does not have the Nurse Consultant's documentation. Correction: Obtain and maintain current and up to date documentation of a Nurse Consultant and required documentation of monthly consultations. Correct immediately 3/26/2025 and submit documentation by 4/26/2025. Correct by 03/26/2025

Corrected by Mar 26, 2025

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2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 5 staff files and observed 1 staff member, Bailey S., to be missing the staff signature page documenting knowledge and training for building/premises, perjury, license rules and regulations, facility policy, as well as emergency contact information Correction: Obtain and maintain documentation that staff have knowledge and training of building/premises, perjury, license rules and regulations, facility policy, as well as emergency contact information. Correct immediately 3/26/2025 and submit documentation by 4/26/2025. Correct by 03/26/2025

Corrected by Mar 26, 2025

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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 5 staff files and observed 1 staff member, Ilene S. to be missing Intro to First Aid/CPR training module for staff not required by rule to have the certificate. Correction: Obtain and maintain Intro to First Aid/CPR training module for staff members not required by rule to have the certificate. Correct immediately 3/26/2025 and submit documentation by 4/26/2025. Correct by 03/26/2025

Corrected by Mar 26, 2025

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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 5 staff files and observed 2 staff members to have expired child abuse prevention training. Tiffany FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ H. (exp 1/20/25) and Bailey S. (exp 8/29/24). Correction: Obtain and maintain current and up to date training for child abuse prevention for all staff. Correct immediately 3/26/2025 and submit documentation by 4/26/2025. Correct by 03/26/2025

Corrected by Mar 26, 2025

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2.213.K · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development.

Reviewed 5 staff files and observed Assistant Director to be missing Intro to Child Care Health Consultant training. Correction: Obtain and maintain Intro to Child Care Health Consultant training for the Assistant Director. Correct immediately 3/26/2025 and submit documentation by 4/26/2025. Correct by 03/26/2025

Corrected by Mar 26, 2025

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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.

Reviewed 5 staff files and observed 1 staff, Bailey S., to be missing documentation of Development training. Correction: Obtain and maintain documentation of Development training for all staff. Correct immediately 3/26/2025 and submit documentation by 4/26/2025. Correct by 03/26/2025

Corrected by Mar 26, 2025

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2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

Reviewed 5 staff files and observed Bailey S. to be missing documentation of training for fire safety and use FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ of fire extinguishers and fire alarms. Correction: Obtain and maintain documentation training of fire safety and use of fire extinguishers and fire alarms. Correct immediately 3/26/2025 and submit documentation by 4/26/2025. Correct by 03/26/2025

Corrected by Mar 26, 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 4 children files and observed all 4 children to not have immunization records documented on a state approved form. Correction: Obtain and maintain documentation of immunization records for all children enrolled on a state approved form. Correct immediately 3/26/2025 and submit documentation by 4/26/2025. Correct by 03/26/2025

Corrected by Mar 26, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 4 children files and observed 1 child to have an expired health statement, and 1 child to be missing a health statement. Correction: Obtain and maintain current and up to date health statements for all children enrolled. Correct and submit documentation by 4/26/2025. Correct by 04/26/2025

Corrected by Apr 26, 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.

During safety walk through observed child's emergency medication (inhaler) to be expired (11/2023). Correction: Ensure all medications are unexpired. Correct immediately 3/26/2025 and submit documentation by 4/26/2025. Correct by 03/26/2025

Corrected by Mar 26, 2025

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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 both restrooms lotion and Febreze containers labeled "keep out of reach of children" accessible to children. Correction: Ensure all items labeled "keep out of reach of children" are inaccessible to children at all times. Correct immediately 3/26/2025 and submit documentation by 4/26/2025. Correct by 03/26/2025

Corrected by Mar 26, 2025

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2.230.C.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six (6) inches. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

During safety walk through, observed less than 2 inches of resilient material (pea gravel) near fall zone. Correction: Ensure pea gravel is raked regularly to maintain at least 6 inches of depth in fall zones. Correct immediately 3/26/2025 and submit documentation by 4/26/2025. Correct by 03/26/2025

Corrected by Mar 26, 2025

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2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 5 staff files and observed 3 expired (Debbie, Chelsey, Bailey) and all 5 with no signature on Standard Precaution training. Correction: Obtain and maintain current and up to date signed Standard Precaution training for all staff. Correct immediately 3/26/2025 and submit documentation by 4/26/2025. Correct by 03/26/2025

Corrected by Mar 26, 2025

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2.232.A.5 · A minimum of one hundred fifty (150) square feet of shaded area in the fenced play area must be provided to guard children against the hazards of excessive sun and heat. Shaded areas must be provided year-round.

The playground does not have any shade. Correction: A minimum of 150 square feet of shaded area in the fenced play area must be provided to guard children against the hazards of excessive sun and heat. Correct immediately 4/17/2024 and respond by 4/24/2024. Correct by 04/17/2024

Corrected by Apr 17, 2024

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

In the three year old classroom there was a bottle of hand sanitizer labeled "keep out of reach of children" on a desk accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately 4/17/2024 and respond by 4/24/2024. ***Corrected at time of visit by removing hand sanitizer and place out of the reach of children. A written response is not required for this violation. Correct by 04/17/2024

Corrected by Apr 17, 2024

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