2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

There were loose plastic bags accessible to children in an unlocked cupboard in the P4 classroom. Correction: Corrected at the time of inspection. The director removed the trash bags and placed them in a locked cupboard. A written response is not required. Correct by 06/13/2024

Corrected Corrected by Jun 13, 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 21 staff files. Ben G and Heather S did not have documentation of a current Trails clearance letter renewed within the last 5 years. Correction: Immediately, all staff must renew the Trails abuse and neglect inquiry background check every 5 years. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Ben G and Heather S have reviewed the powerpoint within 24 hours. Submit documentation of Trails clearance letters for Ben G and Heather S with a written statement of compliance by 7/12/24. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

Category: background checks. 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.

Reviewed 21 staff files. Kianna W did not have documentation of a current standard precautions training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, review staff files and ensure that all staff complete a Department approved training prior to working with children and the training is renewed annually. Submit documentation and a written statement of compliance by 7/12/24. Correct by 06/13/2024

Corrected Corrected by Jun 13, 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.

The center did not have documentation of completed tornado drills for the months of March and April. Correction: Immediately, complete tornado drills monthly from March to October. Submit documentation of June tornado drill with a written statement of compliance by 7/12/24. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 21 staff files. Hannah S did not have documentation of a current prevention of shaken baby/abusive head trauma training. Correction: Immediately, ensure all staff working with children less than 3 years old complete a Department approved prevention of shaken baby/abusive head trauma training prior to working with children and the training is renewed annually. Submit documentation and a written statement of compliance by 7/12/24. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Reviewed 21 staff files. Ben G did not have documentation of a current immunization training. Correction: All staff responsible for the collection, review and maintenance of child immunization records must complete the Childcare and Preschool Immunization training within 30 days of employment and the training must be renewed annaully. Submit documentation and a written statement of compliance by 7/12/24. Correct by 07/12/2024

Corrected Corrected by Jul 12, 2024

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

2.605.E · Swimming area rules and emergency procedures shall be posted in a visible location at the swimming area.

The center did not have the swimming rules and emergency procedures posted in the swimming area. Correction: Immediately, post the swimming area rules and emergency procedures in a visible location at the swimming area. Submit documentation and a written statement of compliance by 7/12/24. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

Marked corrected in the state record.

2.213.F · 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 the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed 21 staff files. Kianna W did not have documentation of a current First Aid and CPR certification or the Introduction to Basic First Aid and CPR module. Correction: Review staff files and ensure that all staff not required by rule to be certified in First Aid and CPR must complete the Department approved Introduction to First Aid and CPR module within 30 days of employment and renewed every 2 years. Submit documentation and a written statement of compliance by 7/12/24. Correct by 07/12/2024

Corrected Corrected by Jul 12, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed 21 staff files. Kianna W did not have documentation of a current prevention of child abuse training. Correction: Review staff files and ensure that all staff complete the Department approved training about child abuse prevention within 30 days of employment and the training is renewed annually. Submit documentation and a written statement of compliance by 7/12/24. Correct by 07/12/2024

Corrected Corrected by Jul 12, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 21 staff files. Kianna W did not have documentation of a 1 hour child development training. Correction: Review staff files and ensure that all staff complete at least 1 hour of child development training within 90 days of employment. Submit documentation and a written statement of compliance by 7/12/24. Correct by 07/12/2024

Corrected Corrected by Jul 12, 2024

Category: recordkeeping. Marked corrected in the state record.

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

There was a cleaning sponge labeled keep out of reach of children, hand sanitizer and a staff purse accessible to children in the P4 classroom. Correction: Corrected at the time of inspection. The director removed the items and placed them in a locked cupboard. A written response is not required. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

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

Reviewed 19 staff files and observed Andrea to be missing documentation of emergency and disaster preparedness training. Correction: Prior to working with children all staff must complete emergency and disaster preparedness training. Obtain and maintain documentation for all staff and submit a copy of completed training for Andrea with written response to specialist. Correct by 07/14/2023

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 19 staff files and observed Hannah (DOH 2/13/23), Lili (DOH 5/2/22), and Anasofia (DOH 9/19/22) to be missing an initial health statement and Jeanne, Ben, Christian, Ashley, Sarah, Crystal, Kayla, Megan, and Marci to have an expired self-reported health history. Correction: Obtain and maintain current health statements for all staff. Submit a statement of compliance with written response to specialist. Correct by 08/14/2023

Corrected Corrected by Aug 14, 2023

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

7.702.42.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.

Reviewed 19 staff files and observed Andrea to be missing documentation of completed building and physical premises training. Correction: Obtain and maintain documentation of building and physical premises training for all staff prior to working with children. Submit a copy of building and physical premises training for Andrea with written response to specialist. Correct by 07/14/2023

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 19 staff files and observed Ben and Kayla to have expired standard precautions training and Hannah, Crystal, and Lili to be missing documentation of standard precautions training. Correction: Obtain and maintain documentation of standard precautions training for all staff prior to working with children. Submit a copy of completed training for Ben, Kayla, Hannah, Crystal, and Lili with written response to specialist. Correct by 07/14/2023

Corrected Corrected by Jul 14, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.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.

Reviewed 19 staff files and observed Kayla to have expired child abuse prevention training and Marci and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Hannah to be missing documentation of current child abuse training. Correction: Obtain and maintain documentation of child abuse prevention training for all staff. Submit a copy of completed training for Kayla, Marci, and Hannah with written response to specialist. Correct by 07/14/2023

Corrected Corrected by Jul 14, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) 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.

Reviewed 19 staff files and observed Anasofia (DOH 9/19/22) to have no documentation of Intro to Early Intervention and Preschool Special Education Programs training. Correction: Obtain and maintain documentation of Intro to Early Intervention and Special Education Programs training for all staff within 90 calendar days of employment. Submit a copy of completed training with written response to specialist. Correct by 08/14/2023

Corrected Corrected by Aug 14, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 19 staff files and observed Anasofia (DOH 9/19/22) to have no documentation of Recognizing the Impact of Bias on Early Childhood Professionals training. Correction: Obtain and maintain documentation of Recognizing the Impact of Bias on Early Childhood Professionals training for all staff within 90 calendar days of employment. Submit a copy of completed training with written response to specialist. Correct by 08/14/2023

Corrected Corrected by Aug 14, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.51.B.4 · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

Diaper creams in the infant classroom to be labeled with child's first name and last initial. Correction: Over-the-counter medication must be labeled with the child's first and last name. **Corrected at time of inspection - diaper creams were labeled with children's first and last name. No response is required.** Correct by 07/14/2023

Corrected Corrected by Jul 14, 2023

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

7.702.51.A.2.a · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: 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 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 day of admission.

Reviewed 10 children's files and observed 1 child to have an immunization on a non-approved form. Correction: Obtain and maintain documentation of immunization records on a CPDHE approved form for all children enrolled. **Corrected at time of inspection - staff transferred record to approved form. No response is required.** Correct by 07/14/2023

Corrected Corrected by Jul 14, 2023

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

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 10 children's files and observed 1 child to be missing a health statement. Correction: Obtain and maintain documentation of current health statements for all children enrolled. Submit a statement of compliance with written response to specialist. Correct by 08/14/2023

Corrected Corrected by Aug 14, 2023

Category: ratio. Marked corrected in the state record.