2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

Previously cited 10/18/2022. Observed razor knife in right drawer of lower cabinet in preschool room unlocked and accessible to children. Observed adult size scissors in left drawer of lower cabinet in toddler room unlocked and accessible to children. Observed large metal rake on preschool playground against building accessible to children. Correction: Sharp tools and instruments must be stored in areas inaccessible to children. Razor knife corrected at time of inspection, staff member TS placed razor knife in tall shelf in office. - Correct Immediately - Respond to Licensing Specialist with written confirmation of correction. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

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

2.236.A.1 · If the office space is accessible to children, it must be free of hazards.

Observed large paper cutter on floor in office accessible to children. Preschool classroom has direct access to office area. Correction: Accessible office space must be free of hazards. - Correct Immediately - Respond to Licensing Specialist with written confirmation of correction. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

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

2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

Observed fuse box in toddler room that is low on wall, unlocked, and accessible to children. Correction: Buildings must be maintained in safe condition. -Correct Immediately - Respond to Licensing Specialist with written confirmation of correction. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

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.

At the time of inspection it was observed most that the fire inspection posted is dated 11/18/2021. The fire inspection is not signed by the fire inspector. Correction: All Child Care Centers must be inspected and obtain an approving inspection report from the local fire department. These reports must be maintained at the facility and be available for review. - Correct Immediately - Respond to Licensing Specialist with written confirmation of correction. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

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

2.127.B · At all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

No evidence of recent licensing inspection report at time of inspection. Correction: Child care center must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility. - Correct Immediately - Respond to Licensing Specialist with written confirmation of correction. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using 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 known child abuse or neglect. This training must be renewed annually.

Observed through staff file review Child Abuse Prevention training for Director GV is expired. Correction: All staff must complete a Department-Approved Child Abuse Prevention training annually. Correct Immediately

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.206.B.9.a · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: How decisions are made and what steps are taken prior to the suspension, expulsion, or request to parents or guardians to withdraw a child from care due to concerns about the child's behavioral issues. These procedures must be consistent with the center's policy on guidance and positive instruction, and include documentation of the steps taken to understand and respond to challenging behavior including: Identify and consult with an early childhood mental health consultant, AS DEFINED IN SECTION 26.5-3-701, C.R.S or other specialist as needed.

Observed through staff interview no consultation with appropriate specialists occurred prior to ch1 expulsion. Correction: Center must implement and document steps taken to understand and respond to challenging behavior including identifying and consulting with an early childhood mental health consultant or other specialist as needed. - Respond to Licensing Specialist with written confirmation of correction and plan for future compliance. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

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

2.206.B.9 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: How decisions are made and what steps are taken prior to the suspension, expulsion, or request to parents or guardians to withdraw a child from care due to concerns about the child's behavioral issues. These procedures must be consistent with the center's policy on guidance and positive instruction, and include documentation of the steps taken to understand and respond to challenging behavior including:

No evidence of written policies or procedures regarding suspension, expulsion, or request to parents or guardians to withdraw a child from care in center's parent handbook. Correction: Center must develop, implement, and follow written policies as required by rule 2.206.B.9. -Respond to Licensing Specialist with written confirmation of correction and plan for future compliance. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

Marked corrected in the state record.

2.206.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center's policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

No evidence of parent signature stating they received policies or procedures on date of inspection through FAX 303-866-4453 Phone 303-866-5948 Name : The Nest Preschool License Number: 1756151 staff child review. Correction: Center must obtain a signed document stating the parent(s)/guardian(s) have received and approve of the policies and procedures for all attending children at the time of enrollment. Correct Immediately -Respond to Licensing Specialist with written confirmation of correction and plan for future compliance. Correct by 07/11/2024 Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

Marked corrected in the state record.

2.212.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 Name : The Nest Preschool License Number : 1756151 submitted annually.

No evidence of signed annual self-reported health history for Director GV in file and available for review. Correction: All staff members must submit self-reported health histories annually. -Corrected at time of inspection - Respond to Licensing Specialist with written confirmation of correction. No Response Necessary. Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

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

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Observed through staff file review no evidence of building and physical premises training for Director GV. Correction: All staff must complete a pre-service building and physical premises safety training prior to working with children. Correct Immediately- Respond to Licensing Specialist with written confirmation of correction. Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Observed through staff file review Standard Precautions training for Director GV is expired. Correction: All staff must complete a department approved standard precautions training annually. Correct Immediately Respond to Licensing Specialist with written confirmation of correction. Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(0)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

No evidence of Introduction to the Early Intervention and Preschool Special Education Programs training in staff file review for Director GV. Correction: All staff must complete the Early Intervention and Preschool Special Education Programs training. -Respond to Licensing Specialist with written confirmation of correction. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

Category: recordkeeping. 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.

No evidence of Introduction to Child Care Health Consultation training in staff file review for Director GV. Correction: All Director's and Assistant Directors must complete the Early Intervention and Preschool Special Education Programs training. - Respond to Licensing Specialist with written confirmation of correction. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

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

7.701.33.D.4 · . Requests for a criminal record check, other than those required per Section 7.701.33.D.4.a,b must be submitted to the CBI within five (5) working days of the day that the individual begins to work at the facility or agency.

In the following staff file (AB, working in Preschool Classroom at time of inspection) no evidence of CBI Clearance Letter; no evidence of FBI Clearance Letter. Correction: Licensed facility must maintain evidence all staff members in the care of children have CBI Clearance Letter and FBI Clearance Letter on file and available for review – Correct Immediately - All individuals requiring a background check (AB) must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member AB has reviewed the power point within 24 hours. Submit documentation of (CBI, FBI) for staff member AB with written response to Specialist. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: background checks. Marked corrected in the state record.

7.701.32.E · . The request must be made within ten (10) calendar days of the first day of employment for each employee or facility on the State prescribed form, accompanied by the required fee paid by check or money order (for fee FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ assessment see Section 7.000.73).

In the following staff file (LK, working in Toddler Classroom at time of inspection) no evidence of TRAILS Clearance Letter. Correction: Licensed facility must maintain evidence all staff members in the care of children have TRAILS Clearance Letter on file and available for review – Correct Immediately - All individuals requiring a background check (LK) must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member LK has reviewed the power point within 24 hours. Submit documentation of (TRAILS) for staff member LK with written response to Specialist. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: background checks. Marked corrected in the state record.

7.702.46.A.9 · At least one (1) staff member with the current Department-approved Medication Administration training and delegation must be on duty at all times.

In the following staff files reviewed (GV, LK, TS, AB, present at time of inspection) no evidence of annual written delegation from current Child Care Health Consultant. Correction: Licensed facility must maintain evidence key staff (and one staff member on duty at all times) have up-to-date annual written delegation on file and available for review – Correct Immediately – Respond to licensing specialist with written confirmation of correction. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: ratio. 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 submitted annually.

In staff file (AB) reviewed, no evidence of medical statement and subsequent annually reported health history. Correction: Licensed facility must maintain evidence of up-to-date medical statement and subsequent annually reported health histories for all staff in the care of children on file and available for review - Correct and respond to licensing specialist with written confirmation of correction. Correct by 10/27/2023

Corrected Corrected by Oct 27, 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.

In 3 of 5 children’s files reviewed, no evidence of up-to-date health statement. Correction: Licensed facility must maintain evidence all attending children have an up-to-date health statement on file and available for review – Correct and respond to licensing specialist with written confirmation of correction. Correct by 10/27/2023

Corrected Corrected by Oct 27, 2023

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

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. 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 State Department-approved training

In the following staff file (LK, working in Toddler Classroom at time of inspection) no evidence of Emergency and Disaster Preparedness Training. Correction: Licensed facility must maintain evidence all staff members in the care of children have completed Emergency and Disaster Preparedness Training on file and available for review – Correct Immediately – Respond to licensing specialist with written confirmation of correction. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: recordkeeping. Marked corrected in the state record.