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 7 staff files and observed Jose B. to have an FBI clearance letter completed more than 5 years ago. Correction: Every 5 years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. ***All individuals requiring a background check must review the Navigating the BIU's Webpage powerpoint within 24 hours. Submit documentation of FBI clearance letter with written response to specialist. Correct by 11/26/2024

Corrected Corrected by Nov 26, 2024

Category: background checks. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 7 staff files and observed Jose B. and Jasmine A. to be lacking child abuse prevention training. Correction: Within 30 days of employment, all staff members must complete a training about child abuse prevention. This training must be renewed annually. Correct by 11/26/2024

Corrected Corrected by Nov 26, 2024

Category: recordkeeping. 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 7 staff files and observed all to be lacking a statement stating that staff are current for all immunizations required by their employer. Correction: Staff members must be current for all immunizations required by their employer. Written statement must be on file stating that employees are up to date on all immunizations. Correct by 11/26/2024

Corrected Corrected by Nov 26, 2024

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 7 staff files and observed Jose B. to be lacking CPR/first aid training and lacking the basic first aid and CPR module. Correction: All employees caring for children not required by rule to be certified in first aid and CPR must complete the basic first aid and CPR module. Correct by 12/26/2024

Corrected Corrected by Dec 26, 2024

Category: recordkeeping. Marked corrected in the state record.

2.509.B.1.a · Each program leader must be at least eighteen (18) years of age, demonstrate ability to work with children, and must have completed at least one (1) of the following qualifications: Must have at least three (3) months (455 hours) of verified experience in the care and supervision of four (4) or more children over the ages of four (4) who are not related to the individual; or.

Reviewed 7 staff files and obsevred Martina to be lacking 455 hours of verified experience in the care and supervision of children. Correction: Each program leader must have completed 455 hours of experience and have documentation verifying

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.120.C.1.a.1 · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

Reviewed 7 staff files and observed Martina W. to be lacking TRAILS abuse and neglect record check and working more than 90 calendar days. Correction: Individuals who have obtained a successfully completed CBI or FBI record check may care for children for no longer than 90 calendar days while waiting for all other background checks to be completed. ***Individuals requiring a background check must review the Navigating the BIU's Webpage powerpoint within 24 hours. Send documentation of TRAILS clearance letter with written response to specialist. Correct by 11/26/2024

Corrected Corrected by Nov 26, 2024

Category: supervision. Marked corrected in the state record.

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 7 staff files and observed Martina W. to be lacking a signed statement clearly defining child abuse and neglect and the staff member's personal responsibility to report. Correction: All staff members must read and sign a statement clearly defining child abuse and neglect and outlining the staff member's personal responsibility to report all incidents of child abuse or neglect. Correct by 11/26/2024

Corrected Corrected by Nov 26, 2024

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 7 staff files and observed Jose B. and Jasmine A. to be lacking standard precautions training. Correction: Prior to working with children, all staff members must complete standard precautions training. Correct by 11/26/2024

Corrected Corrected by Nov 26, 2024

Category: recordkeeping. 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.

Staff were unable to tell licensing the number of children that were in their care. Correction: All personnel at the center must demonstrate knowledgeable decision-making and concern for the proper care and well-being of children. Correct by 11/26/2024

Corrected Corrected by Nov 26, 2024

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 letter.

Reviewed 7 staff files and observed Jose B. to have a TRAILS clearance letter completed more than 5 years ago. Correction: Every 5 years, all child abuse and neglect inquiry background checks must be renewed. An updated clearance letter must be obtained before 5 years from the date reflected on the current clearance letter. ***All individuals requiring a background check must review the Navigating the BIU's Webpage powerpoint within 24 hours. Submit documentation of TRAILS clearance letter with written response to specialist. Correct by 11/26/2024

Corrected Corrected by Nov 26, 2024

Category: background checks. 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 7 staff files and observed Jose B. to be lacking injury prevention training. Correction: All staff must complete the department-approved injury prevention training for school-age children. Correct by 12/26/2024

Corrected Corrected by Dec 26, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ toward ongoing training requirements.

Reviewed 7 staff files and observed Jose B. and Jasmine A. to be lacking playground safety training. Correction: All staff must complete department-approved course in playground safety. Correct by 12/26/2024

Corrected Corrected by Dec 26, 2024

Category: recordkeeping. 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 7 staff files and observed Jasmine to be lacking documentation of emergency and disaster preparedness training. Correction: Prior to caring for children, all staff must complete department-approved training in emergency and disaster preparedness. Correct by 11/26/2024

Corrected Corrected by Nov 26, 2024

Category: recordkeeping. Marked corrected in the state record.

2.517.C.9.a · Documentation of driver training must be maintained in the employee file.

Reviewed 7 staff files and observed Martina to be lacking documentation of driver training on file. Correction: Documentation of driver training must be maintained in the employees file. Correct by 11/26/2024

Corrected Corrected by Nov 26, 2024

Category: recordkeeping. 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 facilities drill log and observed it to be lacking a record of a fire drill held February and July of 2024 and a record of a tornado drill held in July 2024. Correction: A record of all emergency drills held over the past 12 months must be maintained by the facilty. Correct by

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

Observed staff bags under the sign in tables accessible to children and posing a potential hazard. Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. ***Corrected at the time of inspection. Director moved items to be out of reach of children. No response required. Correct by 11/26/2024

Corrected Corrected by Nov 26, 2024

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

7.701.33.D · . Each owner or employee, who is eighteen (18) years of age or older, of a facility or agency must submit to CBI a complete set of fingerprints to obtain any criminal record held by the CBI and FBI. 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 FBI clear letter, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed 6 staff files and identified 1 staff (Oliver M.) lacking verification of completed CBI clearance letter and 1 staff (John O.) lacking verification of completed FBI clearance letter maintained in staff files and available for review. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Oliver M. and John O. have reviewed the powerpoint within 24 hours. Violation partly corrected. Confirmed through written response statement on 11/28/23 that both staff had reviewed the powerpoint within 24-hours. Submit documentation of CBI clearance letter for Oliver M. and FBI clearance

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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 6 staff files and identified 2 staff (Hallee A. & John O.) who have lived out of state in the past 5 years lacking verification of completed out-of-state 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 Hallee A. and John O. have reviewed the powerpoint within 24 hours. Violation partly corrected. Confirmed through written response statement on 11/28/23 that both staff had reviewed the powerpoint within 24-hours. Submit documentation of out-of-state clearance letters for Hallee A. and John O. with written response to Specialist. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: supervision. Marked corrected in the state record.

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.

Reviewed fire inspection report from local fire department and identified it was expired. Correction: Ensure facility obtains current approving inspection report from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist. Submit copy of current approving fire inspection and document correction in written response. Correct by 12/27/2023

Corrected Corrected by Dec 27, 2023

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

7.712.41.J · 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 6 staff files and identified 1 staff (April M.) with expired Standard Precautions training. Correction: Immediately ensure all staff complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children and renewed annually. Violation corrected on 11/28/23. Licensing Specialist reviewed training certificate by email that was completed by April on 11/28/23. NO RESPONSE REQUIRED. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: recordkeeping. Marked corrected in the state record.

7.712.41.M · . All staff members and regular volunteers must complete a Department-approved training about child abuse prevention, including common symptoms and signs of child abuse within (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 6 staff files and identified 2 staff (April M. & John O.) lacking verification of current mandated reporter training within 30 days of hire. Correction: Immediately ensure mandated reporter training is completed annually and certificate maintained in staff file. Violation corrected on 11/28/23. Licensing Specialist reviewed training certificates by email that were completed by April and John on 11/28/23. NO RESPONSE REQUIRED. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: recordkeeping. Marked corrected in the state record.