BASE Program

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.

The most recent fire inspection available for review expired 3/27/2025. Correction: Programs must obtain an approving fire inspection every two (2) years. Correct immediately on 4/30/2026. Provide documentation and statement of compliance by 5/30/2026. Correct by 04/30/2026

Corrected by Apr 30, 2026

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

Reviewed nine (9) staff files and one (1) was lacking a basic First Aid and CPR module. Correction: Staff not required by rule to be certified in CPR and First Aid must complete a department-approved basic First Aid and CPR module. Provide statement of compliance by 5/30/2026. Correct by 05/30/2026

Corrected by May 30, 2026

View state record

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

The program had one (1) staff member with a current delegation but had an expired Department-approved medication administration training. Correction: There must be at least one (1) staff member with current department-approved medication administration training and delegation on duty at all times. Correct immediately on 4/30/2026. Provide statement of compliance by 5/30/2026. Correct by 04/30/2026

Corrected by Apr 30, 2026

View state record

2.511.C.5.a · -g The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan, and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider and parent(s) or guardian(s), and must include, but not be limited to, the following: a. Medication and dosing schedule; b. Nutrition and feeding instructions; c. Medical equipment or adaptive devices, including instructions; d. Medical emergency instructions; e. Toileting and personal hygiene instructions; f. Behavioral interventions; and g. Medical procedure/ intervention.

One (1) health care plan reviewed had not been updated within the last twelve (12) months. Correction: Individual health care plans must be updated and signed by a health care provider at least every twelve (12) months. Correct immediately on 4/30/2026. Provide statement of compliance by 5/30/2026. Correct by 04/30/2026

Corrected by Apr 30, 2026

View state record

2.509.G.3.b · The date and content of each consultation must be recorded and maintained in the center’s files.

The last documented nurse consultation available to review occurred in 2022. The facility did not any documentation of recent consultations with the nurse on site. Correction: The date and content of each consultation must be recorded and maintained in the center's files. Provide

View state record

2.512.B.2 · Schools are required to comply with the immunization requirements as stated in 6 CCR 1009-2. Documentation of school-required immunization status or Certificate of Medical or Nonmedical Exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment (CDPHE) Certificate of Immunization or on an “approved alternate” Certificate of Immunization. Colorado law requires proof of immunization status or exemption be provided prior to or on the first (1st) day of admission. Colorado Department of Public Health and Environment regulation at 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at https://www.coloradosos.gov/CCR/Welcome.do. These regulations 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..

One (1) out of three (3) child files reviewed had an immunization record but it was not recorded as required by CDPHE. Correction: Immunization records must be recorded on an approved CDPHE immunization record. Provide statement of compliance by 5/30/2026. Correct by 05/30/2026

Corrected by May 30, 2026

View state record

2.120.J · The results of the abuse and neglect inquiry must be maintained at the center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Revieed 3 staff files and observed that Jeana L. submitted an abuse and neglect inquiry and was missing documentation of the current results letter. Correction: Immediately, all individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Jeana L. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff member Jeana L. with written response to the Specialist. Correct by 06/05/2025

Corrected by Jun 5, 2025

View state record

2.121.D · Each owner and employee sixteen (16) years of age or older of a facility or agency shall complete the fingerprint process at an approved vendor. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the home, center, facility, or agency and must be available FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ for review upon request by a Licensing Specialist.

Revieed 3 staff files and observed that Jeana L. submitted fingerprints and was missing documentation of the current FBI results letter. Correction: Immediately, all individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Jeana L. has reviewed the powerpoint within 24 hours. Submit documentation of FBI for staff member Jeana L. with written response to the Specialist. Correct by 06/05/2025

Corrected by Jun 5, 2025

View state record

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

Reviewed 3 staff files and observed that Jeana L. was missing documentation of a current Standard Precautions training. Correction: Immediately, all staff must complete Standard Precautions prior to working with children and annually. Submti documentation and a written statement of compliance to the Licensing Specialist. Correct by 06/05/2025

Corrected by Jun 5, 2025

View state record

2.508.J · Within ninety (90) calendar days of employment, all program directors must complete the Department-approved training: Introduction to Child Care Health Consultation. This course is required once (1 time) and will be counted towards ongoing training requirements.

Reviewed the program directors file and observed that Kristen J. was missing documentation of a completed Introduction to Child Care Health Consultation training. Correction: Within 30 days, all program directors must complete the Introduction to Child Care Health Consultation Training. This course is required once. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 07/05/2025

Corrected by Jul 5, 2025

View state record

2.507.I · All staff members must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 4 staff files and observed that Kristen J. was missing documentation of a current Standard Precautions training. Correction: Immediately, review all staff files and all staff must complete the department approved standard precautions prior to working with children and annually. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 07/03/2024

Corrected by Jul 3, 2024

View state record

2.507.E · Prior to working with children, the staff member must read and be instructed on all of the policies and procedures of the center outlined in rule section 2.505. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 4 staff files and observed that Brandon R. was missing documentation that they have read and understand the centers policies and procedures. Correction: Immediately, review all staff files and staff must read and be instructed of the policies and procedures and must sign a statement. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 07/03/2024

Corrected by Jul 3, 2024

View state record

2.508.D.5 · All Child Care Health Consultants must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course annually.

Reviewed the CCHC file and observed that they were missing documentation of a current Immunization. Correction: Immediately, all CCHC must complete the immunization course annually. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 07/03/2024

Corrected by Jul 3, 2024

View 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 4 staff files and observed that Jeana L.'s CBI abckground check expired on 5/8/2024. Correction: Immediately, review all staff fiels and all individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Jeana L. have reviewed the powerpoint within 24 hours. Submit documentation of CBI for staff member Jeana L. with written response to Specialist. Correct by 07/03/2024

Corrected by Jul 3, 2024

View state record