Alexis Pesch

2.120.C.1.a · 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: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed two staff files and found the a TRAILS background check has not been submitted for applicant 2. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that the staff member applicant 2 has reviewed the powerpoint within 24 hours. Submit documentation of (TRAILS background check clearance letter) for staff member applicant 2 with written response to the Specialist. Correct by 05/15/2026

Corrected by May 15, 2026

2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ school-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed two staff files and found criminal background checks had not been completed for applicant 2. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member applicant 2 has reviewed the powerpoint within 24 hours. Submit documentation of (CBI, FBI Clearance Letters) for staff member applicant 2 with written response to the Specialist. Correct by 05/15/2026

Corrected by May 15, 2026

2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Reviewed two staff files and found applicant 2 to be missing the First Aid and CPR training. Correction: The applicant 2 staff must have First Aid and CPR training prior to working with children. Correct immediately and respond with documentation and written statement of compliance. Correct by 05/15/2026

Corrected by May 15, 2026

2.311.A.13.a · All equally qualified providers, qualified substitutes, and staff members must obtain a medical statement signed and dated by a licensed physician or other health care provider within thirty (30) days of employment.

Reviewed two staff files and found no one had a physician's medical statement documented in their file. Correction: All providers and staff must have a current medical statement signed by the physician and documented in their file. Correct and respond with written statement of compliance. Correct by 05/15/2026

Corrected by May 15, 2026

2.312.F · Prior to working with children, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a building and physical premises training. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic, handing and storage of hazardous materials, and the appropriate storage of biological contaminants.: FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed two staff files and found no one had a building and physical premises training. Correction: The provider and applicant must have a building and physical premises training documented in their file. Correct immediately and respond with documentation and written statement of compliance. Correct by 05/15/2026

Corrected by May 15, 2026

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 two staff files and found no one had a Fire extinguisher training documented in their file. Correction: The provider and applicant 2 must be trained in fire safety and fire extinguishers. Correct immediately and respond with documentation and written statement of compliance. Correct by 05/15/2026

Corrected by May 15, 2026

2.312.I · Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department-approved safe sleep training. This training must be renewed annually.

Reviewed two staff files and found the provider had an expired safe sleep training. Correction: All staff must have a current safe sleep training that is updated annually and documented in their file. Correct immediately and respond with written statement of compliance. Correct by 05/15/2026

Corrected by May 15, 2026

2.336.C.15 · The family child care home must contain at least one (1) fire extinguisher in working condition with the minimum weight of five (5) pounds, and minimum rating of 2A-10-BC as listed on the fire extinguisher label. The fire extinguisher must be easily accessible or the identifying sign where the fire extinguisher is located must be highly visible.

The family child care home did not contain a fire extinguisher on the premises. Correction: The family child care home must have a least one fire extinguisher accessible on the premises. Correct immediately and respond with written statement of compliance. Correct by 05/15/2026

Corrected by May 15, 2026

2.335.N · Any animals in the family child care home must be vaccinated as required by state law and local FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ ordinance, and proof of vaccination must be available for review by the licensing specialist.

There was no proof vaccination documentation of the three animals available at the time of inspection. Correction: There must be current and available documentation of vaccinations for all animals in the home. Correct immediately and respond with wirtten statement of compliance. Correct by 05/15/2026

Corrected by May 15, 2026

2.122.C · All child care facilities must operate in compliance with local planning and zoning requirements of the municipality, city and county, or county where the facility is located.

There was no documentation of a zoning letter for the new residence location. Correction: All current residence locations must have a current zoning letter. Correct immediately and respond with documentation and written statement of compliance. Correct by 05/15/2026

Corrected by May 15, 2026

2.309.A · A large family child care home license allows a provider to care for up to twelve (12) children from birth to eighteen (18) years of age; the capacity includes the provider’s own children under ten (10) years of age. Care may be provided to no more than two (2) children under eighteen(18) months of age. This license may be approved with the following conditions:

Reviewed 13 child files and found 3 enrolled children under the age of 18 months. Identified through staff statement that all three children attend full time. Correction: Care may be provided to no more than 2 children under the age of 18 months. Correct immediately and respond with statement of compliance. Correct by 10/14/2024

Corrected by Oct 14, 2024

2.120.D · The Trails child abuse and neglect records 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.

Identified through staff statement that a TRAILS check had not been completed for a former staff member. Correction: TRAILS checks must be initiated within 10 day of hire. Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct by 10/14/2024

Corrected by Oct 14, 2024

2.121.D.4 · Requests for a criminal record check, other than those required per this rule section 2.121(D)(4) must be completed at an approved vendor within five (5) working days of the day that the individual begins to work at the facility or agency.

Identified through staff statement that a CBI/FBI check had not been completed for a former staff member. Correction: CBI/FBI checks must be initiated within 5 days of hire. Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct by 10/14/2024

Corrected by Oct 14, 2024

2.313.A · Prior to working with children, unless otherwise specified in rules, personnel files for equally qualified providers, qualified substitutes, and all staff members must be available for review by the Department and must include:

Identified through staff statements that a former employ did not complete employment paperwork and trainings. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Staff files must be completed upon hire and available for review. Correct immediately and respond with statement of compliance. Correct by 10/14/2024

Corrected by Oct 14, 2024

2.320.A · An admission record must be completed for each child prior to or at the time of the child’s admission and updated annually or when any changes occur, unless otherwise specified in these rules. The admission record must include:

Reviewed 13 child files and found one child did not have enrollment paperwork. Correction: Enrollment paperwork must be completed for all children in care. Correct immediately and respond with statement of compliance. Correct by 10/14/2024 ________________________________________________

Corrected by Oct 14, 2024

2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.”

A knife was accessible in an unlocked drawer in the kitchen. Correction: All hazardous items, including adult knives, must be stored out of reach of children. **Corrected at the time of the inspection, knife was moved out of reach.** No response is required. Correct by 10/14/2024

Corrected by Oct 14, 2024

2.337.D.4 · Gas grills with propane tanks must be inaccessible or have a safety on/off knob.

There was a gas grill on the deck that was accessible to children. Correction: Gas grills with propane tanks must be inaccessible or have safety on/off knobs. Correct immediately and respond with statement of compliance. Correct by 10/14/2024

Corrected by Oct 14, 2024

2.122.C · All child care facilities must operate in compliance with local planning and zoning requirements of the municipality, city and county, or county where the facility is located.

Program does not have an updated zoning letter for the new address. Correction: Obtain zoning approval for the new address. Correct immediately and provide zoning documentation with written response. Correct by 06/17/2024

Corrected by Jun 17, 2024

2.321.A.3 · Within thirty (30) days after admission, and within thirty (30) days following the expiration date, the parent(s) or 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 under two and one-half (2-1/2 ) 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 licensed family child care home.

Reviewed 12 child files and found 9 children to be missing health statements. Correction: Within 30 days of enrollment, all children must have a current health statement on file. Correct and respond with statement of compliance. Correct by 07/17/2024

Corrected by Jul 17, 2024

2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a Department-approved training in standard precautions that meets current occupational safety and health administration (OSHA) requirements prior to working with children. This training FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be renewed annually.

Reviewed 2 staff files and found McKenna to be missing documentation of completion of the Standard Precautions training. Correction: All staff must complete Standard Precautions training prior to working with children. Correct immediately and provide documentation of completion with written response. Correct by 06/17/2024

Corrected by Jun 17, 2024

2.121.A.1.a · In order to obtain any Colorado Bureau of Investigation (CBI) and/or Federal Bureau of Investigation (FBI) fingerprint criminal history records, each applicant listed below must have their fingerprints taken and processed at a vendor approved by CBI. Approved vendors may be located using the CBI website at Colorado.gov/cbi. Payment of the fee for the criminal record check is the responsibility of the individual being checked, identified as follows: Each applicant for an original license for a center, facility, or agency and any adult eighteen (18) years of age or older who resides in the licensed center, facility or agency.

One employee of the program and one resident of the home had not completed background checks. Correction: Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct by 06/17/2024

Corrected by Jun 17, 2024

2.312.D.1 · Prior to working with children all staff members caring for children not required by rule to be certified in First Aid and CPR must complete the Department-approved basic First Aid and CPR module. This module must be renewed every two (2) years.

Reviewed two staff files and found McKenna to be missing documentation of completion of either the full CPR/First Aid training or the PDIS Intro to First Aid and CPR training. Correction: All staff must complete either the full CPR/First Aid training or the Intro to First Aid and CPR training prior to working with children. Correct immediately and provide documentation of completion with written response. Correct by 06/17/2024

Corrected by Jun 17, 2024

2.312.I · Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department-approved safe sleep training. This training must be renewed annually.

Reviewed two staff files and found McKenna to be missing documentation of completion of the Safe Sleep FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training. Correction: Prior to working with Infants, staff must complete the Safe Sleep training. Correct immediately and provide documentation of completion with written response. Correct by 06/17/2024

Corrected by Jun 17, 2024

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 2 staff files and found McKenna to be missing documentation of completion of the Emergency Preparedness training. Correction: All staff must complete the Emergency Preparedness training prior to working with children. Correct immediately and provide documentation of completion with written response. Correct by 06/17/2024

Corrected by Jun 17, 2024

2.321.A.2.c · At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the family child care home: Documentation of school-required immunization status or 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 (CDPHE) certificate of immunization or on an "approved alternate" certificate of immunization as described in CDPHE regulations at 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ St., Denver, CO 80246, during regular business hours.. Colorado law requires that proof of immunization be provided prior to the first day of admission.

Reviewed 12 child files and found 3 children to be missing Immunization certificates. Correction: All children must have documentation of current immunization certificate or exemption on file at the time of admission. Correct immediately and respond with statement of compliance. Correct by 06/17/2024

Corrected by Jun 17, 2024

2.335.I · Stairways of more than four (4) steps, in indoor and licensed outdoor areas, that are accessible to children must have gates that prevent access from the area being used when children under two (2) years old are present. The gate may be taken down as long as the family child care home primary provider, applicant 2, equally qualified provider, qualified substitute, or staff member is providing direct supervision of the child who is learning climbing skills on the stairs.

The stairway in the main entrance that leads to the upper level did not have a gate. Correction: Stairways that are accessible to children under the age of 2 must have a gate. Correct immediately and respond with statement of compliance. Correct by 06/17/2024

Corrected by Jun 17, 2024

2.336.C.1 · All hazardous items and materials must be inaccessible to children including, but not limited to, office supplies, matches, plastic bags, cleaning and laundry materials, perfumes, curling irons, adult sharp scissors and knives, cosmetics, shaving lotions, hair products, poisonous plants, and all items labeled by manufacturer as “keep out of reach of children.” FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Two drawers in the kitchen had scissors and knives that were accessible to children. Correction: All hazardous items must be inaccessible to children. Correct immediately and respond with statement of compliance. Correct by 06/17/2024

Corrected by Jun 17, 2024

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

Reviewed 12 child files and found one child to be missing a signed and dated written authorization for emergency medical care. Correction: All enrolled children must have a signed and dated authorization for emergency medical care on file. Correct immediately and respond with statement of compliance. Correct by 06/17/2024

Corrected by Jun 17, 2024

2.321.E.1 · The primary provider must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen to their children's sun exposed skin prior to outdoor play, year-round. The authorization must include instructions for the application of full-spectrum UVA/UVB rating sunscreen with an SPF of thirty (30) or greater; or the use of alternative forms of sun protection approved by the parent(s) or guardian(s), which may include but is not limited to: hats, long sleeves, umbrellas, and tents.

Reviewed 12 child files and found 12 children were missing authorization for sunscreen. Correction: The provider must obtain written authorization for the application of sunscreen. Correct immediately and respond with statement of compliance. Correct by 06/17/2024

Corrected by Jun 17, 2024