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 21 files, identified all staff to be missing the fire extinguisher and fire alarm training. Correction: Obtain the correct trainings for all employees. Correct by 10/16/2024

Corrected Corrected by Oct 16, 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 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 12 children files, identified ch8 and ch11 to be missing current emergency medical authorization. Correction: Obtain current authorization for children's files. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 the facility file, identified tornado drills were not logged. Correction: Tornado drills must be conduced and logged fro the months of March - October. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Category: recordkeeping. 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 21 files, identified Nicole H. to be missing the Out of State Clearance 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 have reviewed the powerpoint within 24 hours. Submit documentation of Out of State background Clearance Letters for staff members with written response to the Specialist. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Category: supervision. Marked corrected in the state record.

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 21 staff files, identified Beth L. to be missing the introduction to child care health consultation training. Correction: Obtain the current training. Correct by 11/16/2024

Corrected Corrected by Nov 16, 2024

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

2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training and delegation must be on duty at all times.

Reviewed 21 staff files, identified all medication delegation to be expired. Correction: At least one staff must obtain delegation for medication and be on duty at all times. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Category: ratio. Marked corrected in the state record.

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

In Brown Bear 1 in an unlocked cabinet next to the sink, there were Comforts baby oil, Alka Seltzer, Shaving Cream. All with a manufacture label of 'keep out of reach of children'. All were accessible to children. Correction: Immediately on 11/29/23, all items labeled with Keep out of Reach of Children must be inaccessible to children. Corrected at the time of visit: Beth removed all items to a locked cabinet inaccessible to children. No written response needed. Correct by 11/29/2023

Corrected Corrected by Nov 29, 2023

Marked corrected in the state record.

7.702.71.G · Loose plastic bags must be stored in areas inaccessible to children.

In Brown Bear 1, there was a loose white trash bag in an unlocked cabinet next to the sink. In Brown Bear 2 there was some loose plastic bags in an unlocked cabinet next to the sink. Correction: Immediately on 11/29/23, all loose plastic bags must be stored inaccessible to children. Corrected at the time of visit: Beth removed all bags to a locked cabinet. No written response needed. Correct by 11/29/2023

Corrected Corrected by Nov 29, 2023

Marked corrected in the state record.

7.702.51.B.10 · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

An inhaler that had an expiration date of 10/2023, in the medication container for a child. Correction: Immediately on 11/29/23, obtain updated medication, remove expired medication. Submit a statement of compliance to the Specialist. Correct by 12/29/2023

Corrected Corrected by Dec 29, 2023

Category: ratio. Marked corrected in the state record.

7.702.34.A.7 · 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 12 children files, identified one child with an expired emergency medical authorization date. Correction: Immediately on 11/29/23, obtain a current signature. Submit a statement of compliance to the Specialist. Correct by 12/29/2023

Corrected Corrected by Dec 29, 2023

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

7.702.34.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 12 children files, identified one child with an expired health statement. Correction: Obtain a current health evaluation from physician. Submit a statement of compliance to the Specialist. Correct by 12/29/2023

Corrected Corrected by Dec 29, 2023

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

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ submitted annually.

Reviewed 15 staff files, identified Veronica, Esteban, and Hannah all missing health evaluations. Correction: Obtain health evaluations, prior to self reporting health status. Submit a statement of compliance to the Specialist. Correct by 12/29/2023

Corrected Corrected by Dec 29, 2023

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

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 15 staff files, identified Veronica missing the Recognizing the impact of bias on early childhood professionals. Correction: Obtain the Department approved recognizing the impact of bias on early childhood professionals training. Submit a statement of compliance to the Specialist. Correct by 12/29/2023

Corrected Corrected by Dec 29, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.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 15 staff files, identified Hannah and Paige missing the cpr and 1st aid module training. Correction: Obtain the introduction to CPR and 1st aide module. Submit a statement of compliance to the Specialist. Correct by 12/29/2023

Corrected Corrected by Dec 29, 2023

Category: recordkeeping. Marked corrected in the state record.