2.505.C.5 · The policy regarding adverse weather, and Air Quality Index Advisory Unhealthy for Sensitive Groups as defined in rule 2.504.E.

Reviewed parent handbook and identified it lacking a policy related to Air Quality Index Advisory Unhealthy for Sensitive Groups. Correction: Ensure the policies are updated to include a policy regarding Air Quality Index Advisory Unhealthy for Sensitive Groups. Correct by 06/05/2025

Corrected Corrected by Jun 5, 2025

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

2.507.A · All personnel and volunteers at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Licensing Specialist asked staff member with group of children if any children in care had emergency medications such as inhalers or epi pens and staff responded there were not any, however, identified through Director statement and review of individual health care plans that 2 children in care at the time of visit had emergency medications and individual health care plans. Correction: Immediately ensure all personnel and volunteers at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

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

2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ school-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 4 staff files and identified 2 staff (Amy & Cat) lacking verification of FBI clearance letters maintained in staff file and 1 staff (Cat) lacking verification of CBI letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Amy & Cat have reviewed the powerpoint within 24 hours. Submit documentation of CBI letter for Cat and FBI letters for Amy and Cat with written response to the Specialist. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

Category: supervision. Marked corrected in the state record.

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual 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:

Reviewed 4 staff files and identified 2 staff (Jackson & Cat) have lived outside of CO in the past 5 years and lacking verification of final out-of-state clearance letter maintained in staff files. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Jackson & Cat have reviewed the powerpoint within 24 hours. Submit documentation of out-of-state clearance letters for Jackson & Cat written response to the Specialist. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

Category: supervision. Marked corrected in the state record.

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

Shelving unit in upper level classroom the wobbled when pushed, posing potential fall hazard. Correction: Immediately ensure indoor and outdoor equipment, materials, and furnishings must be sturdy, safe and free of hazards. Violation partly corrected at the time of visit. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

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

2.522.A · Buildings must be kept in good repair and maintained in a safe condition.

Areas of chipping paint in upper level classroom. Correction: Immediately ensure buildings are kept in good repair and maintained in safe condition. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

Marked corrected in the state record.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed 4 staff files and identified Cat & Jackson lacking verification of FEMA training prior to caring for children. Correction: Immediately ensure all staff must complete a State Department-approved training in emergency and disaster preparedness prior to working with children. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.H · Within ninety (90) calendar days of employment all staff must complete the Department-approved course in playground safety for School-Aged Child Care Centers. This training is required once (1 time) and will count toward ongoing training requirements.

Reviewed 4 staff files and identified Cat & Jackson lacking verification of Playground Safety training within 90 days of hire. Correction: Immediately ensure within ninety (90) calendar days of employment all staff must complete the Department-approved course in playground safety for School-Aged Child Care Centers. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.G · Within ninety (90) calendar days of employment all staff must complete the Department-approved course in injury prevention for school-age children. This training is required once (1 time) and will count toward ongoing training requirements.

Reviewed 4 staff files and identified Cat & Jackson lacking verification of Injury Prevention training within 90 days of hire. Correction: Immediately ensure within ninety (90) calendar days of employment all staff must complete the Department-approved course in injury prevention for school-age children. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.E · Within ninety (90) calendar days of employment all staff must have at least one (1) hour of child development training . This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once (1 time) and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 4 staff files and identified Cat & Jackson lacking verification of Child Development Training within 90 days of hire. Correction: Immediately ensure within ninety (90) calendar days of employment all staff must have at least one (1) hour of child development training. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). Correct by 05/06/2025

Corrected Corrected by May 6, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.D · Within (30) calendar days of employment all staff members and regular volunteers must complete 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 know child abuse or neglect. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 4 staff files and identified Cat & Jackson lacking verification of mandated reporter training within 30 days of hire. Correction: Immediately ensure all staff members and regular volunteers must complete 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 know child abuse or neglect within 30 days of hire and renewed annually. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.A · Prior to working with children all staff members must complete a Department-approved standard FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ precautions training. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 4 staff files and identified Cat & Jackson lacking verification of Standard Precautions training prior to working with children. Correction: Immediately ensure prior to working with children all staff members must complete a Department-approved standard precautions training. This training must be renewed annually. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

Category: recordkeeping. Marked corrected in the state record.

2.507.G · Each staff member and regular volunteer as defined in rule section 2.509 must complete an annual self-reported health history. The health history must be maintained by the center in a secure location.

Reviewed 4 staff files and identified 3 staff (Rachel, Amy and Jackson) lacking verification of annual self-reported health history. Correction: Ensure each staff member and regular volunteer as defined in rule section 2.509 completes an annual self-reported health history. The health history must be maintained by the center in a secure location. Correct by 06/05/2025

Corrected Corrected by Jun 5, 2025

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

2.507.F · Unless medically contraindicated, staff members must be current for all immunizations required by their employer.

Reviewed 4 staff files and identified all staff lacking verification they are current for all immunizations required by their employer. Correction: Immediately ensure staff members must be current for all immunizations required by their employer unless medically contraindicated and maintain verification in staff files. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

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

2.508.F.1 · 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 a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years.

Reviewed 4 staff files and identified Rachel, Cat and Jackson, not required by rule to be certified in First Aid and CPR, lacking basic First Aid and CPR module. Correction: Ensure within thirty (30) calendar days of employment all employees caring for children, not required by rule to

Open Not marked corrected in the state record

Open / not marked corrected.

2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

Reviewed 4 staff files and identified 2 staff (Cat and Jackson) lacking verification of signed abuse reporter form maintained in staff files. Correction: Immediately ensure each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law. Violation partly corrected on 5/7/25. Licensing Specialist reviewed signed abuse reporter form electronically for Jackson. Document complete correction in written response. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

Marked corrected in the state record.

2.530.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: An annual written authorization for emergency medical care signed and dated submitted by the parent(s) or guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 3 child files and identified 1 child with an expired emergency medical authorization. Correction: Immediately ensure 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: An annual written authorization for emergency medical care signed and dated submitted by the parent(s) or guardian(s). Correct by 05/06/2025

Corrected Corrected by May 6, 2025

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

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 past 12 months of emergency drills and identified documentation of quarterly lockdown/active shooter drills lacking (drills held 5/8/24 and 9/5/24), and facility lacking documentation of any drills completed in June, July, August 2024 and March 2025. Correction: Immediately ensure 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. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

Category: recordkeeping. Marked corrected in the state record.

2.513.J · If a medication is expired or left over, the parent(s) or guardian(s) are responsible for picking up the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ medication. If the parent(s) or guardian(s) do not respond, the center must dispose of the medications in accordance with 6 CCR 1007-2, Part 1, Regulations Pertaining to Solid Waste Sites and Facilities (March 30, 2024) and 6 CCR 1007-3, Parts 99 (June 30, 2018), 100 (July 15, 2020) and 260-265 (July 15, 2023), 266 (June 30, 2014), 267 (March 30, 2024), and 268 (July 15, 2023), and as required by the Colorado Department of Public Health and Environment (CDPHE) https://cdphe.colorado.gov/colorado-medication-take-back-program (2023), herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from CDPHE at https://www.sos.state.co.us/CCR. The recommendations are available at no cost from CDPHE at https://cdphe.colorado.gov/hm/prep-med-waste-disposal and https://cdphe.colorado.gov/colorado-medication-take-back-program. These regulations and recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

Medication that is not indicated on individual health care plan with other medications for child in care. Correction: Immediately ensure if a medication is expired or left over, the parent(s) or guardian(s) are responsible for picking up the medication. If the parent(s) or guardian(s) do not respond, the center must dispose of the medications in accordance with regulations. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

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

2.513.D · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

Container of over-the-counter medication lacking child's first and last name. Correction: Immediately ensure over-the-counter medication is kept in the originally labeled container and be labeled with the child's first and last name. Corrected at the time of visit. Over-the-counter medication was labeled with child's first and last name. NO RESPONSE REQUIRED. Correct by 05/06/2025

Corrected Corrected by May 6, 2025

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

2.524.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

Oxivir Tb cleaning solution and container of sunscreen labeled "keep out of reach of children" at mid-level in unlocked black cabinet in the gym, accessible to children and posing potential safety hazard. Correction: Immediately ensure hazardous items are stored in areas inaccessible to children. Corrected at the time of visit. Cabinet was locked making items labeled "keep out of reach" inaccessible to children. NO RESPONSE REQUIRED. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

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

2.127.C · At all times during the operating hours of a family child care home, child care center, preschool, school-age child care center, children’s resident camp and Neighborhood Youth Organization, the facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Early Childhood, including the telephone number and mailing address.

Facility lacking complaint procedures posted in a prominent and conspicuous location, including phone number and address. Correction: Immediately ensure at all times during the operating hours the facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Early Childhood, including the telephone number and mailing address. Corrected at the time of visit. Complaint reporting procedures were posted. NO RESPONSE REQUIRED. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

Marked corrected in the state record.

2.127.B · At all times during the operating hours of a family child care home, child care center, school-age child FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

Recent licensing inspection report or a notice as to where the report may be reviewed was not posted at the time of visit. Correction: Immediately ensure all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee. Corrected at the time of visit. Notice as to where the most recent report of inspection can be reviewed was posted. NO RESPONSE REQUIRED. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

Marked corrected in the state record.

2.122.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.

Fire inspection report was expired. Correction: Ensure facility obtains current approving fire inspection report. Submit copy of fire inspection report with written response statement. Correct by 07/06/2024

Corrected Corrected by Jul 6, 2024

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

2.522.D.3 · The building based school-age child care center must provide access to an outdoor play area. The outdoor play area may be a city park or public school ground. The play area must meet the following requirements: The outdoor play area must be maintained in a safe condition by removing debris, dilapidated structures, and worn and broken play equipment. The center must identify hazardous, high-risk areas. These areas must be monitored to reduce the possibility of injury and accidents;

Several areas of exposed weed matting and landscape staples accessible to children and posing potential safety hazards on playground. Correction: Immediately ensure the play area is maintained in a safe condition by removing debris, dilapidated structures, and worn and broken play equipment. The center must identify hazardous, high-risk areas. These areas must be monitored to reduce the possibility of injury and accidents. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

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

2.127.A · At all times during the operating hours of the facility, except for foster care homes, the facility/agency must post the current child care license in a prominent and conspicuous location easily observable by those entering the child care facility.

Current child care license was not posted at the time of inspection. Correction: Immediately ensure current child care license is posted in a prominent and conspicuous location easily observable by those entering the child care facility. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

Marked corrected in the state record.

2.525.A.5 · The center must maintain and update annually a record on each child that includes: Names, addresses, and telephone numbers of persons who can assume responsibility for the child in the event of an emergency if parents/guardians cannot be reached immediately;

Reviewed 5 child files and identified enrollment records lacking space provided to include emergency contact address. Correction: Immediately ensure enrollment records are updated to include emergency contact addresses. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

Category: recordkeeping. Marked corrected in the state record.

2.126.B · Pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the county department of human or social FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ services, the local law enforcement agency, or through the child abuse hotline reporting system as set forth in section 26-5-111, C.R.S.

Identified through investigation and staff statements that information was brought to the attention of 3 facility staff members on 11/2/23 regarding an incident that was reported to have ocurred while children were in care on or prior to 11/1/23. Reviewed correspondence with facility and identified through investigation that an immediate report as required was not made to the state hotline on 11/2/23 after information of an alleged incident was brought to the facility's attention. Correction: Immediately ensure pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the state hotline, county department of human or social services or local law enforcement agency. Document plan of compliance in written response. Correct by 01/08/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Jan 8, 2024

Marked corrected in the state record.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 6 staff files and identified 1 staff (Rachel W.) lacking FBI clearance completed within the last 5 years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Rachel has reviewed the powerpoint within 24 hours. Submit documentation of FBI clearance letter with written response to Specialist. Correct by 01/08/2024

Corrected Corrected by Jan 8, 2024

Category: background checks. Marked corrected in the state record.

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ letter.

Reviewed 6 staff files and identified 1 staff (Rachel W.) lacking Trails clearance completed within the last 5 years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Rachel has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance letter with written response to Specialist. Correct by 01/08/2024

Corrected Corrected by Jan 8, 2024

Category: background checks. Marked corrected in the state record.

2.524.A.7 · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe and free of hazards.

Two cabinets in the upstairs Upper Level Pilates room that wobbled when pushed on, posing potential fall hazards. Observed free weights in the Upper Level Yoga room accessible to children and posing potential hazards. Correction: Immediately ensure indoor and outdoor equipment, materials and furnishings are sturdy, safe and free of hazards. Document correction in written response. Correct by 01/08/2024

Corrected Corrected by Jan 8, 2024

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

2.524.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

Adult scissors on mid-level shelf in the Upper Level Pilates room and observed container labeled "sanitizer" in the Upper Level Yoga room. All areas accessible to children and posing potential safety hazards. Correction: Immediately ensure hazardous items are inaccessible to children. Violation partly corrected at the time of visit. Adult scissors were moved to higher shelf and made inaccessible to children. Document complete correction in written response. Correct by 01/08/2024

Corrected Corrected by Jan 8, 2024

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

2.512.C.5 · In the case medication needs to be given on an ongoing, long-term basis, the authorization and consent forms must be reauthorized on an annual basis. Any changes in the original medication authorization require a new written order by the prescribing practitioner and a change in the prescription label.

Reviewed medication authorization forms for child in care and identified the forms had not been reauthorized on an annual basis. Correction: Immediately ensure in the case medication needs to be given on an ongoing, long-term basis, the authorization

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.512.C.4 · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child’s first and last name.

1 container of over-the-counter medication not labeled with child's first and last name. Correction: Immediately ensure over-the-counter medication is kept in the originally labeled container and labeled with the child's first and last name. Corrected at the time of visit. Over-the-counter medication was labeled with first and last name of child. NO RESPONSE REQUIRED. Correct by 01/08/2024

Corrected Corrected by Jan 8, 2024

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

7.712.52.D.2 · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name.

Approximately half of the individual containers of sunscreen checked lacked both children's first and last name. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure individual sunscreen supplied for child is labeled with child's first and last name. Document correction in written response. Correct by 07/10/2023

Corrected Corrected by Jul 10, 2023

Marked corrected in the state record.

7.712.52.D.5 · . The center must apply sunscreen, have the child apply sunscreen, have the parent or guardian apply sunscreen, or use another form of parent or guardian approved sun protection for children prior to children going outside. Sunscreen must be reapplied as directed by the product label.

Several children applying sunscreen to themselves outside under the shade tent at the time of inspection. Observed both children not rub the sunscreen all the way in, and both children leave the shaded area within 5 minutes of application and not allowing full 15-30 minutes timeframe to elapse prior to sun exposure. Identified through staff statement that typically children wait at least 5 minutes prior to sun exposure after application. Correction: Immediately ensure the center must apply sunscreen, have the child apply sunscreen, have the parent or guardian apply sunscreen, or use another form of parent or guardian approved sun protection for children prior to children

Open Not marked corrected in the state record

Open / not marked corrected.

7.712.41.A · . All personnel and volunteers at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Identified through staff statements that sometimes it can be 5-10 minutes, and sometimes a bit longer, from the time a child requests to go to the restroom until they are able to use the restroom due to staffing pattern and required staff to child ratio. Correction: Immediately ensure all personnel and volunteers at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Document correction in written response. Correct by 07/10/2023 ________________________________________________ ________________________________________________

Corrected Corrected by Jul 10, 2023

Category: ratio. Marked corrected in the state record.

7.701.32.D.1.a · . For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 11 staff files and identified 5 staff (Abigail R., Akaric H., Sara R., Rylee D. & Alexa M.) lacking successfully completed TRAILS clearance letter maintained in staff files prior to working with children. Violation previously cited on 6/12/23. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Abigail R., Akaric H., Sara R., Rylee D. & Alexa M. have reviewed the powerpoint within 24 hours. Submit documentation of completed Trails clearance letters for Abigail R., Akaric H., Sara R.,

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

7.701.33.D.4.a · . Criminal background check requests must be submitted and successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-aged child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 11 staff files and identified Rylee D. lacking successfully completed CBI and FBI clearance letters maintained in staff files prior to working with children, and Cassidy S. and Sarah R. lacking verification of successfully completed FBI letters. Violation previously cited on 6/12/23. Correction: Immediately ensure Rylee does not work with children or have unsupervised access to children until at least one successfully completed criminal record check is verified by facility and maintained in staff file. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Rylee D., Cassidy S. and Sarah R. have reviewed the powerpoint within 24 hours. Submit documentation of completed FBI & CBI clearance letters for Rylee D. and FBI clearance letters for Cassidy S. and Sarah R.with written response to Specialist. Correct by 07/10/2023

Corrected Corrected by Jul 10, 2023

Category: supervision. Marked corrected in the state record.

7.712.73.A.7 · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe and free of hazards.

Tall materials cabinet in the main gym that wobbled when pushed on, posing potential fall hazard. Observed adult-size punching bag accessible to children in gym, posing potential safety hazard. Violation previously cited on 6/12/23. Correction: Immediately ensure all indoor and outdoor equipment, materials and furnishings are sturdy, safe and free of hazards. Document correction in written response. Correct by 07/10/2023

Corrected Corrected by Jul 10, 2023

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

7.701.33.J.1.a.b.c · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check

Reviewed 11 staff files and identified Rylee D., Cassidy S., and Sarah R. lacking lacking verification of out-of-state background checklist confirming CO as the only state of residence in the past 5 years or final out-of-state FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ clearance letters maintained in staff files. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Rylee D., Cassidy S., and Sarah R. have reviewed the powerpoint within 24 hours. Submit documentation of out-of-state clearance letter and/or checklist confirming CO as the only state of residence in the past 5 years for staff members Rylee D., Cassidy S., and Sarah R. with written response to specialist. Correct by 07/10/2023

Corrected Corrected by Jul 10, 2023

Category: supervision. Marked corrected in the state record.

7.712.73.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

Several bottles of cleaning solution on rolling cart in GroupX room labeled "keep out of reach of children" and accessible to children at the time of visit. Observed spray bottles of cleaning solution in unlocked cabinet in gym labeled "keep out of reach of children" and accessible to children at the time of visit. Observed staff bags accessible to children in gym and outside, posing potential safety hazards. Violation previously cited on 6/12/23. Correction: Immediately ensure that all hazardous items are stored inaccessible to children. Violation partly corrected at the time of visit. All bottles of cleaning solution in the GroupX classroom were moved to higher shelf in storage closest and made inaccessible to children. Document complete correction in written response. Correct by 07/10/2023

Corrected Corrected by Jul 10, 2023

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

7.712.52.C.5 · In the case medication needs to be given on an ongoing, long-term basis, the authorization and consent forms must be reauthorized on an annual basis. Any changes in the original medication authorization require a new written order by the prescribing practitioner and a change in the prescription label.

Reviewed individual health care plans and medications for children present at the time of visit and identified 1 child with an expired permission to administer medication maintained in child's file. Correction: Immediately ensure in the case medication needs to be given on an ongoing, long-term basis, the authorization and consent forms must be reauthorized on an annual basis. Document correction in written response. Correct by 07/10/2023

Corrected Corrected by Jul 10, 2023

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

7.712.52.C.6 · Staff designated by the program director to give medications must complete the department-approved medication administration training and have current annual delegation or more often as determined by the Child Care Health Consultant. Delegation must be from the center’s Current 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 department-approved CPR, first aid training prior to administering medication with the following exceptions:

Reviewed 11 staff files and identified Nathan S. to be designated to administer medication to children and lacking verification of current First Aid and CPR certification from Department-approved vendor. Correction: Immediately ensure staff designated by the program director to give medications must complete the department-approved medication administration training and have current annual delegation or more often as determined by the Child Care Health Consultant. Delegation must be from the center’s Current Child Care Health Consultant who must

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

7.712.52.C.1 · Any un-expired routine medication, prescription and non-prescription (over-the-counter) medications must be administered only with a current written order of a Health Care Provider with prescriptive authority and with written parental consent. Home remedies, including homeopathic medications, must never be given to a child.

Reviewed individual health care plans and medications for children present at the time of visit and identified 1 child with an over-the-counter medication and lacking current written order of a Health Care Provider with prescriptive authority and with written parental consent. Correction: Immediately ensure any un-expired routine medication, prescription and non-prescription (over-the-counter) medications must be administered only with a current written order of a Health Care Provider with prescriptive authority and with written parental consent. Home remedies, including homeopathic medications, must never be given to a child. Document correction in written response. Correct by 07/10/2023

Corrected Corrected by Jul 10, 2023

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