Adventure Montessori Learning

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

Paper clips loosely attached to strands of yarn hanging from the ceiling in the Primary classroom 5, posing a potential choke hazard to children under three years of age. Correction: Director immediately (3/11/2024) removed the paper clips from the yarn strands, eliminating the potential choke hazard. NO RESPONSE NEEDED. Correct by 03/11/2024

Corrected by Mar 11, 2024

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2.230.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

An exposed vent cover protruding up out of the ground on the Primary Playground posing a potential tripping hazard for children. Correction: Immediately (3/11/2024) ensure the outdoor play areas are free from hazardous materials and that high risk areas are identified and made inaccessible to children. Provide a written plan of action along with a statement of compliance within the overall response. Correct by 03/11/2024

Corrected by Mar 11, 2024

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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 1 child's file and observed it lacking a current health statement signed and dated by health care provider that indicates when the next visit is due. Correction: Provide a written statement of compliance ensuring all student files have a current health statement signed and dated by a healthcare provider as indicated above. Correct by 03/13/2024

Corrected by Mar 13, 2024

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2.223.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

Cots located with less than two feet of space on each side in the Primary 2 and 3 classrooms and the Toddler 1, 2 and 3 classrooms. Correction: Classroom teachers immediately (2/14/2024) moved the cots so that they were spaced at leaset 2 feet apart on all sides. NO RESPONSE NEEDED. Correct by 02/14/2024

Corrected by Feb 14, 2024

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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 11 child files and observed 2 children lacking written authorization from a parent/guardian for the application of sunscreen. Correction: Immediately (1/18/2024) ensure all children's files have written authorization and instructions from the parent/guardian for the application of sunscreen. Provide a written statement of compliance within the overall response. Correct by 01/18/2024

Corrected by Jan 18, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 11 children's files and observed 4 children lacking authorization for emergency medical care by a parent/guardian that is updated annually. Correction: Immediately (1/18/2024) ensure that the program obtains and maintains documentation of written authorization for emergency medical care that is updated annually for all children in care. Provide a written statement of compliance within the overall response. Correct by 01/18/2024

Corrected by Jan 18, 2024

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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 11 child files and observed 7 children lacking a current health statement signed and dated by health care provider that indicates when the next visit is due. Correction: Provide a written statement of compliance ensuring all student files have a current health statement signed and dated by a healthcare provider as indicated above. Correct by 02/16/2024

Corrected by Feb 16, 2024

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

Cleaning supplies labeled "keep out of reach of children" in a cabinet below the hand washing sink with a broken lock, accessible to children in the Primary 4 classroom. Correction: Director immediately (12/20/2023) removed the cleaning supplies from the cabinet with the broken lock and put them in a cabinet out of reach, making them inaccessible to children. NO RESPONSE NEEDED. Correct by 12/20/2023

Corrected by Dec 20, 2023

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7.702.51.B.1 · 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 childcare.

A child's current written order for medication in the Primary 4 classroom to be lacking written parental consent. Correction: Immediately (11/8/2023) ensure that any unexpired routine medication, prescription or non-prescription (over the counter), is only administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Provide a written statement of compliance within the overall response. Correct by 11/08/2023

Corrected by Nov 8, 2023

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7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ renewed annually and will be counted towards ongoing professional development.

Reviewed 18 staff files and observed Ronata M. to be lacking documentation of a current certificate of training in Standard Precautions. Correction: Immediately (11/8/2023) ensure that the program obtains and maintains documentation of a current standard precautions training for all staff to include Ronata M. Provide a written statement of compliance within the overall response." Correct by 11/08/2023

Corrected by Nov 8, 2023

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7.702.41.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 18 staff files and observed the program to be lacking documentation of a current medical exam for Yanice C., Abbie M. and Claudia B. Correction: Provide a written statement of compliance ensuring that all staff members, to include the above listed staff, submit to the center a medical statement, signed and dated by a physician or other health care provider that is dated no more than six months prior to employment or within thirty calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually. Provide a written statement of compliance within the overall response. Correct by 12/08/2023

Corrected by Dec 8, 2023

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7.701.34.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.

Program lacking documentation of a current fire inspection report from the local fire department. Correction: Provide documentation through an approving fire inspection from the local fire department, along with a written

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7.701.33.D.2 · Except as required per Section 7.701.33.D.3, any adult volunteer, working as a staff member to meet the required staff-child ratio or staff qualifications, who works fourteen (14) days (112 hours) or more in a calendar year, must submit to CBI a complete set of fingerprints taken by a qualified law enforcement agency or any party approved by CBI to obtain a criminal record check. The results of the criminal record check must be maintained at the facility or agency and must be available for inspection by a Licensing Specialist. An employee operating as a volunteer to meet required staff-child ratio that do not have a completed background check on file must be supervised at all times by a qualified staff member who has successfully completed all background checks.

Reviewed 18 staff files and observed Claudia B., Nikki M. and Joselyn M. lacking CBI clearance results. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Ensure that the above listed staff have reviewed the powerpoint within 24 hours (11/9/2023). Within 24 hours (11/9/2023) ensure that all staff, to include the above listed staff, have successfully completed the fingerprint process, or have made an appointment to be finger-printed at an approved vendor, and ensure the results of the criminal record checks are maintained at the facility. Provide a written plan of action along with a written statement of compliance within the overall response. Correct by 11/09/2023

Corrected by Nov 9, 2023

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7.702.42.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 18 staff files and observed the program to be lacking documentation of the Department-approved Prevention of Shaken Baby/Abusive Head Trauma training certification for Tamara D, who works with children less than three years of age. Correction: Immediately (11/8/2023) ensure that the program obtains and maintains current documentation of the Shaken

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7.702.46.A.14 · Staff to Child Ratios by AGES OF CHILDREN and NUMBER OF STAFF 6 weeks to 18 months (infants): 1 staff member to 5 infants 12 months to 36 months: 1 staff member to 5 toddlers 24 months to 36 months: 1 staff member to 7 toddlers 2-1/2 years to 3 years: 1 staff member to 8 children 3 years to 4 years: 1 staff member to 10 children 4 years to 5 years: 1 staff member to 12 children 5 years and older: 1 staff member to 15 children Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children

The Pre-primary classroom #5, consisting of children ages 2-1/2 to 3-1/2 years old to be out of staff-child ratio, with 9 children and 1 staff member present at the time of the inspection. Correction: Immediately (11/8/2023) ensure staff-child ratio is in compliance with the appropriate child to staff ratios. Provide a written plan of action, along with a written statement of compliance within the overall response. Correct by 11/08/2023

Corrected by Nov 8, 2023

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7.702.42.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 18 staff files and observed Olivia S. and Ronata M. to have expired certificates for the Department-approved training regarding child abuse prevention. Correction: Immediately (11/8/2023) ensure that the program obtains and maintains current documentation of completion

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7.702.42.C · Staff working with infants less than twelve (12) months old must complete a Department-approved Safe Sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 18 staff files and observed Olivia S., who works with infants less than 12 months old, lacking a completed Department-approved Safe Sleep training. Correction: Immediately (11/8/2023) ensure that the program obtains and maintains current documentation of the Safe Sleep training certificates for all staff who work with children less than 12 months of age, to include Olivia S. Provide a written statement of compliance within the overall response. Correct by 11/08/2023

Corrected by Nov 8, 2023

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7.701.100.F.2 · . 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 program's files and observed program lacking documentation of emergency lock down drills held quarterly, and tornado drills for the months of July, August and September. Correction: Immediately (11/08/2023) ensure that all emergency drills, to include lock down and tornado, are conducted as listed above and documented with the above listed information. Provide a written statement of compliance within the overall response. Correct by 11/08/2023

Corrected by Nov 8, 2023

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7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 18 staff files and observed Claudia B., who has been employed longer than 90 days, lacking the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Department-approved training for Introduction to the Early Intervention and Preschool Special Education Programs. Correction: Provide a written statement of compliance within the overall response ensuring that all staff, to include Claudia B., have completed the Department-approved training for Introduction to the Early Intervention and Preschool Special Education Programs within 90 days of employment. Correct by 12/08/2023

Corrected by Dec 8, 2023

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7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, 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 18 staff files and observed Claudia B., who has been employed longer than 90 days, lacking the Department-approved training for The Impact of Bias on Early Childhood Professionals or other Department-Approved training on implicit bias. Correction: Provide a written statement of compliance within the overall response ensuring that all staff, to include Claudia B., have completed the training for the Impact of Bias on Early Childhood Professionals or other department approved training on Implicit Bias, within 90 days of employment. Correct by 12/08/2023

Corrected by Dec 8, 2023

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7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. For seasonal children's resident camp programs, operating no more than 90 days FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ per calendar year, at least one on site director must be trained in the State Department-approved training

Reviewed 18 staff files and observed Claudia B. working with children and lacking documentation of the required Department-approved emergency disaster preparedness training certificate. Correction: Immediately (11/8/2023) ensure that the program obtains and maintains documentation of a Department-approved emergency disaster preparedness training certificate for all staff, to include Claudia B., prior to working with children. Provide a written statement of compliance within the overall response. Correct by 11/08/2023

Corrected by Nov 8, 2023

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