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.

Program had not completed any tornado drills within the last twelve (12) months and completed three out of four emergency drills. Correction: Tornado drills must be completed monthly from March to October and emergency drills must be completed quarterly. Correct by 10/21/2024

2.138.A · Corrected Oct 21, 2024

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

Erica S. did not have proof of a completed physical. Correction: Staff must submit a medical statement signed and dated by a health care professional dated no more than six (6) months prior to employment. Correct by 11/20/2024

2.212.G · Corrected Nov 20, 2024

At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times.

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

Toothpaste and a bag of soil, both labeled "keep out of reach of children", were observed to be accessible to children in room 27. Correction: Immediately ensure items labeled, "keep out of reach of children", are inaccessible to children at all times. Corrected at the time of visit by Jessica F. moving the items to an inaccessible location. Nothing additional needed. Correct by 04/10/2024

2.229.C · Corrected Apr 10, 2024

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

Wipes were accessible on a low shelf of a changing table in the bathroom between Room 22 & 23. Correction: Immediately ensure items labeled "keep out of reach of children" are inaccessible to children at all times. Corrected at the time of visit by staff moving the wipes to an inaccessible shelf. Nothing additional needed. Correct by 02/20/2024

2.229.C · Corrected Feb 20, 2024

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 in Room 24 & 26 were observed to be spaced less than two (2 ft.) apart. Correction: Immediately ensure that cots are spaced at least two (2 ft. ) apart. Corrected at the time of visit by staff moving the cots to ensure two (2 ft.) spacing. Nothing additional needed. Correct by 02/20/2024

2.223.D.5.a.1 · Corrected Feb 20, 2024

If preschool-age children are in care for longer than five (5) hours, the center must provide at least a thirty (30) minute rest period meeting the following: A firm cot or two (2) inch mat with a sheet and blanket, or other suitable covering, must be provided for each child;

Observed one (1) nap cot in room 25 to be missing a sheet. Correction: Immediately ensure that children are provided with a cot, sheet and blanket for nap time. Provide statement of compliance by 2/15/2024. Correct by 01/17/2024

2.223.D.5.a · Corrected Jan 17, 2024

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

Observed two (2) bottles of Jergens lotion on a teacher desk in room 23 accessible to children. Both bottles were labeled "keep out of reach of children". Correction: Immediately ensure items labeled "keep out of reach of children" are inaccessible to children. Corrected at the time of visit by the staff member moving the lotion to a locked cabinet. Nothing additional needed. Correct by 01/17/2024

2.229.C · Corrected Jan 17, 2024

All Department-approved child care health consultants must complete the Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse or neglect. This training must be completed within thirty (30) days of hire and renewed every three (3) years.

Patricia Lee Sallie, the CCHC did not have proof of a completed child abuse prevention training within the last three (3) years. Correction: Ensure that all CCHC complete a Department-approved training about child abuse prevention every three (3) years. Provide documentation and statement of compliance by 2/16/2024. Correct by 02/16/2024

2.217.C.9 · Corrected Feb 16, 2024