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.

Reviewed the fire inspection report and identified the date the report was completed to be missing. Correction: Obtain documentation that the fire inspection report was completed in the last two years. Correct and respond with verification of compliance by 6/14/25. Correct by 06/14/2025

Corrected Corrected by Jun 14, 2025

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

2.508.B · Prior to working with children all staff members must complete a building and physical premises safety training. The training must include: Identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water and vehicular traffic; and Handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed thirteen staff files and identified that all staff have not yet completed the building and physical premises training for this location. Correction: Ensure staff complete a building and physical premises training prior to working with children. Correct and respond with a statement of compliance by 6/14/25. Correct by 06/14/2025

Corrected Corrected by Jun 14, 2025

Category: recordkeeping. Marked corrected in the state record.

2.534.A.1 · All building based day camp staff must receive a minimum of fifteen (15) hours of pre-camp training. Pre-camp training must include all training activities that staff members participate in as a whole. Training must include, but not be limited to, familiarizing staff with the camp mission, site emergency policy and procedures, how to supervise and facilitate activities with campers, and health care policies and procedures. Policies and procedures must be in writing. Day camps must have a system in place to provide staff the essential training information for late hires. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed thirteen staff files and identified eleven files missing documentation of a minimum of 15 hours of pre-camp training. Correction: Ensure all staff complete a minimum of 15 hours of pre-camp training and maintain documentation of the training in the staff files. Correct and respond with a statement of compliance by 6/14/25. Correct by 06/14/2025

Corrected Corrected by Jun 14, 2025

Category: supervision. Marked corrected in the state record.

2.512.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 4 health care plans and associated medications and identified one health care plan indicating emergency medications that were not available on site. Identified through staff statements that they were not aware of this health care plan. Identified two health care plans that were expired. Identified one health care plan requiring medical equipment that was not available on site. Correction: Obtain required medications, current health care plans, and required medical equipment. Correct immediately and respond with a statement of compliance by 8/10/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 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 Docusign Envelope ID: E5A3A024-3AB3-4B6B-93F6-E9FA71CD4153 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Identified through documentation and director's statement that the program is not completing required drills. Correction: Ensure fire drills are held monthly, tornado drills are held monthly from March through October, and lockdown drills are held quarterly. Correct immediately and respond with a plan for ongoing compliance by 8/10/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.509.F · There must be one (1) staff member for each fifteen (15) children in attendance. When four (4) year olds are in attendance, there must be at least one staff member for each twelve (12) or fewer children cared for by the center.

During lunch time, observed 74 children in the cafeteria with two staff. Correction: Ensure there is one staff member for each fifteen children in attendance. If four year olds are present, ensure there is at least one staff member for each twelve children. **Corrected at the time of visit. More staff arrived and there was one staff member for each fifteen children.** Respond with a plan for ongoing compliance by 8/10/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

Marked corrected in the state record.

2.509.D · The maximum group size for children over the age of five (5) is thirty (30) children. When four (4) year olds are in attendance the maximum group size is twenty-four (24). When the center has the capacity to care for multiple groups of children, they must be separated into developmentally and age appropriate activities. Groups are not required to be separated from each other by permanent or portable dividers or walls.

After lunch, observed 74 children in the gym for "free play." Children were not in distinguishable groups. Correction: Ensure children are separated into developmentally and age appropriate activities with no more than 30 children per group, except as specified in 2.509.E. **Corrected at the time of visit. Children were separated into groups of Docusign Envelope ID: E5A3A024-3AB3-4B6B-93F6-E9FA71CD4153

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.512.C.8 · Emergency medications must be stored in accordance with the Child Care Health Consultant’s recommendation. Emergency medications are not required to be stored in a locked area. Emergency medications may be stored in an area easily accessible and identifiable to staff but out of reach of children. When away from the classroom, staff must carry emergency medications in a bag on their person.

Identified through Director Madeline's statement that staff keep emergency medications accessible in the cafeteria during lunch and then keep them in the stage room next to the gym at all other times. Correction: Ensure staff carry emergency medications in a bag on their person when away from the cafeteria. Correct immediately and respond with a plan for ongoing compliance by 8/10/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

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

2.506.B · For security purposes, a daily sign-in/sign-out sheet or other mechanism for parents/guardians must be maintained by the center. The sign-in/sign-out mechanism must include, for each child in care, the date, the child's name, the time when the child arrived and left the center, and the parent/guardian's signature or other identifier. With a parent/guardian's approval, a child five (5) years of age or older may sign in and out instead of the parent/guardian. Staff must verify attendance periodically throughout the day.

Identified through Director Madeline's statement that the daily sign-in/sign-out sheet is being completed by program staff rather than the parents/guardians. The parent/guardian's signature or other identifier is not being recorded as part of the sign-in/sign-out process. Correction: Ensure a sign-in/sign-out mechanism for parents/guardians is maintained by the program and includes, for each child in care, the date, child's name, the time when the child arrived and left the center, and the parent/guardian's signature or other identifier. Correct immediately and respond with a plan for ongoing compliance by 8/10/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.525.A.2 · The center must maintain and update annually a record on each child that includes: Names, home and employment addresses and telephone numbers, which may include cell phone numbers, and e-mail of parents/guardians if available;

Reviewed children's enrollment forms and identified a space for parents/guardians to enter their employer's name, phone and address to be missing. Correction: Ensure the enrollment record gives the opportunity for parents/guardians to provide the required information. Correct immediately and respond with verification of compliance by 8/10/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.525.A.6 · The center must maintain and update annually a record on each child that includes: Name, address, and telephone number of the child's physician, dentist, and hospital of choice;

Reviewed children's enrollment forms and identified a space for parents/guardians to enter the name, address, and phone number of the child's physician and dentist to be missing. Correction: Ensure the enrollment record gives the opportunity for parents/guardians to provide the required information. Correct immediately and respond with verification of compliance by 8/10/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.525.A.3 · The center must maintain and update annually a record on each child that includes: Any special instructions as to how the parents/guardians can be reached during the hours the child is at the center;

Reviewed children's enrollment forms and identified a space for parents/guardians to enter any special instructions as to how the parents/guardians can be reached during child care hours to be missing. Correction: Ensure the enrollment record gives the opportunity for parents/guardians to provide the required information. Correct immediately and respond with verification of compliance by 8/10/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.526.A.4 · The center office must maintain a record for each staff member that includes the: Verification of the Docusign Envelope ID: E5A3A024-3AB3-4B6B-93F6-E9FA71CD4153 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ staff member's certifications, qualifications and training requirements;

Reviewed ten staff files and identified eight files to be missing verification of program leader qualifications and one file to be missing verification of director qualifications. Correction: Obtain verification of qualifications for staff for the position in which they occupy. Correct and respond with verification of compliance by 8/10/24. Correct by 08/10/2024

Corrected Corrected by Aug 10, 2024

Category: recordkeeping. 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 ten staff files and identified nine files missing a signed statement defining child abuse and neglect and the staff member's responsibility to report all incidents of child abuse or neglect. Correction: Obtain signed statements defining child abuse and neglect and the staff member's responsibility to report all incidents of child abuse or neglect for all staff. Correct immediately and respond with verification of compliance by 8/10/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

Marked corrected in the 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 ten staff files and identified Director Madeline's file missing a current Department-approved standard precautions training. Correction: Obtain current Department-approved standard precautions training for Madeline. Correct immediately and respond with verification of compliance by 8/10/24. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

Category: recordkeeping. 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.

Facility has not yet had an approving health inspection for this location. Correction: Obtain an approving health inspection and report. Correct and respond with verification of compliance by 3/1/24. Correct by 03/01/2024

Corrected Corrected by Mar 1, 2024

Category: health medication. 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 6 staff files and identified all files lacking documentation of out-of-state clearance letters. All staff have lived out-of-state in the last 5 years and are returning staff from summer 2023. The program only operates in the summer. Correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification (via email) that Director Korey has reviewed the powerpoint within 24 hours. Correct and submit documentation of out-of-state clearance letters for all staff with written response to Specialist by 3/1/24. Correct by 03/01/2024

Corrected Corrected by Mar 1, 2024

Category: supervision. Marked corrected in the 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 6 staff files and identified Program Leader Austyn's file lacking documentation of a current Department-approved standard precautions training. Correction: Obtain a current Department-approved standard precautions training for Austyn and ensure this training is renewed annually for all staff. Correct and respond with verification of compliance by 3/1/24. Correct by 03/01/2024

Corrected Corrected by Mar 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.507.L · 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 Austyn and Madeline D.'s files lacking documentation of current Department-approved training about child abuse prevention. Correction: Obtain current Department-approved training about child abuse prevention for Austyn and Madeline and ensure staff complete this training within 30 days of employment and is renewed annually. Correct and respond with verification of compliance by 3/1/24. Correct by 03/01/2024

Corrected Corrected by Mar 1, 2024

Category: recordkeeping. Marked corrected in the state record.