2.217.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 CCHC file, and observed an expired immunization course. Correction: Obtain a current immunization course for he CCHC. Submit a written response of compliance to the specialist. Correct by 12/16/2024

Corrected Corrected by Dec 16, 2024

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

2.121.D.3 · Criminal background check requests for volunteers, whose activities involve the care and supervision of children; or who have unsupervised access to children, must be submitted and successfully completed prior to caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Identified through staff statement that Vanessa had not completed fingerprints prior to working with children. Vanessa was in ratio in the Toddler program at the time of inspection. Correction: Criminal background check request for volunteers whose activities involve the care an supervision of children or who have unsupervised access to children must submitted and successfully completed prior to caring or children or allowing the individual unsupervised access. Facility must review the Navigating the Background investigation units "BIU" web page powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify licensing specialist in writing once the staff member has completed the fingerprinting process Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

Category: supervision. Marked corrected in the state record.

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 four staff files and observed Natalie to be missing current documentation of Standard Precautions training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All staff must complete a Department-approved standard precautions training prior to working with children. Obtain documentation of standard precautions training. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Reviewed four staff files and observed Natalie to be missing current documentation of prevention of shaken baby/abusive head trauma training. Correction: Staff working with children less than three years of age must complete a Department-approved prevention of shake baby/abusive head trauma training prior to working with children. Obtain documentation of prevention of shaken baby/abusive head trauma. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

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 four staff files and observed Natalie missing current documentation of Department-approved training about child abuse prevention. Correction: Obtain documentation of child abuse prevention training. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 two child files and observed one child to be missing current documentation of written authorization for emergency medical care signed by parents. Correction: Obtain current documentation of written authorization for emergency medical care signed and update annually by parents guardians. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

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

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 two child files and observed one child to be missing current documentation of a health statement. Correction: Obtain a current documentation of a health statement. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

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