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 16 staff files and found Marnie K to have an expired TRAILS clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Marnie K. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff members Marnie with written response to the Specialist. Correct by 03/10/2025

Corrected Corrected by Mar 10, 2025

Category: background checks. Marked corrected in the 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 16 staff files and found 1 to have an expired FBI clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Kim B. has reviewed the powerpoint within 24 hours.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

Reviewed 16 staff files and found 4 to be missing documentation they had been trained on fire extinguishers. Correction: Obtain and maintain documentation that all staff have been trained to use a fire extinguisher. Correct immediately. Correct by 03/10/2025

Corrected Corrected by Mar 10, 2025

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

2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 10 child files and found one to have an expired emergency medical documentation. Correction: Obtain a current emergency medical authorization. Correct immediately. Correct by 03/10/2025

Corrected Corrected by Mar 10, 2025

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

2.212.K · Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules.

Reviewed 16 staff files and found 9 to be missing documentation that the staff members have read and been instructed about all licensing rules and regulations. Correction: Obtain and maintain documentation that all staff have read and been instructed about all licensing rules and regulations. Correct within 30 days. Correct by 04/10/2025

Corrected Corrected by Apr 10, 2025

Marked corrected in the state record.

2.212.N · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures

Reviewed 16 staff files and found 4 to be missing documentation that they staff have been trained on the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ center's administration of medications policies and procedures. Correction: Obtain and maintain documentation that all staff have been trained on the center's administration of medication policies and procedures. Correct immediately. Correct by 03/10/2025

Corrected Corrected by Mar 10, 2025

Category: ratio. 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 16 staff files and found 12 to be missing the second part of the training's signature. Correction: Once staff have completed Standard Precautions, The Director/Assistant Director must go over the Standard Precautions in your building and sign the certificate. Correct immediately. Correct by 03/10/2025

Corrected Corrected by Mar 10, 2025

Category: recordkeeping. Marked corrected in the state record.

2.219.B.4 · Health statements for children over two (2) years of age to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule for routine well child exams.

Reviewed 10 child files and found one to have an expired health statement. Correction: Obtain and maintain a current health statement. Correct within 30 days. Correct by 04/10/2025

Corrected Corrected by Apr 10, 2025

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

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

The slide on the big playground to have only 1-2 inches of resilient materials. Correction: All climbing equipment must have 6 inches of resilient material. Correct immediately. Correct by 03/10/2025

Corrected Corrected by Mar 10, 2025

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