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 5 children's files and observed 1 file having an expired emergency medical authorization and observed 1 file to be missing a dated emergency medical authorization. Correction: Obtain documentation of current emergency medical authorization and add to file. Send documentation of compliance to specialist with written response. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

Category: health medication. 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 10 staff files and observed Virginia having an expired standard precautions training. Correction: Obtain documentation of current standard precautions training and send documentation of compliance to specialist with written response. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

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 10 staff files and observed Virginia having an expired child abuse prevention training. Correction: Obtain documentation of current child abuse prevention training and send documentation of compliance to specialist with written response. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

Category: recordkeeping. Marked corrected in the state record.

2.219.B.4 · Health statements for children over two (2) years of age to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule for routine well child exams.

Reviewed 5 children's files and observed 1 file having an expired health statement. Correction: Obtain documentation of current health statement and send documentation of compliance to specialist with written response. Correct by 05/02/2025

Corrected Corrected by May 2, 2025

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

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

Diaper wipes and bags of diapers labeled keep out of the reach of children accessible to children in low unlocked cabinet in the bears bathroom. Observed diaper wipes and hand sanitizer labeled keep out of the reach of children accessible to children on diaper changing table in the squirrels classroom. Observed hand sanitizer labeled keep out of the reach of children accessible to children in an unlocked drawer of the teachers desk in the cougars classroom. Correction: Items labeled keep out of the reach of children must be inaccessible to children. ***CORRECTED AT TIME OF VISIT*** Director moved items making them inaccessible to children. no response needed. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

Marked corrected in the state record.

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.

A portable slide on toddler playground measuring over 18 inches in height having approximately 2- 3 inches of resilient surfacing in the use zone surrounding the equipment. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All climbing equipment 18 inches or higher must have resilient surfacing of at least 6 inches in the use zone surrounding the equipment. Send documentation of compliance to specialist with written response. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

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