BASE Program

2.522.C · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe and free of hazards.

The platform near the shorter double slide has a raised area where the rubber surfacing is coming detached and creating a tripping hazard. Correction: Outdoor equipment must be free of hazards. Correct immediately and respond with written statement of compliance. Correct by 09/25/2025

Corrected by Sep 25, 2025

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2.508.D · Within (30) calendar days of employment all staff members and regular volunteers must complete 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 know child abuse or neglect. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 6 staff files and found one staff member to be missing their Mandatory Reporter training. Correction: All staff must completed Mandatory reporter training within 30 days, and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 09/25/2025

Corrected by Sep 25, 2025

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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.

Reviewed 6 staff files and found one staff member to be missing their 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 cited have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff member cited with written response to the Specialist. Correct by 09/25/2025

Corrected by Sep 25, 2025

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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 6 staff files and found one staff member 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 09/25/2025

Corrected by Sep 25, 2025

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2.508.H · Within ninety (90) calendar days of employment all staff must complete the Department-approved course in playground safety for School-Aged Child Care Centers. This training is required once (1 time) and will count toward ongoing training requirements.

Reivewed 6 staff files and found one staff member to be missing documentation of completion of the Playground safety training. Correction: All staff must complete the Playground safety training. Correct and provide documentation of completion with written response. Correct by 10/25/2025

Corrected by Oct 25, 2025

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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.

The program did not have documentation of a current health inspection. Correction: Programs must have a current health inspection. Correct immediately and respond with statement of compliance. Correct by 11/05/2024

Corrected by Nov 5, 2024

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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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 6 staff files and found Alexis H to have a TRAILS background check more than 5 years old. Correction: TRAILS background checks must be updated every 5 years. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Alexis H has reviewed the powerpoint within 24 hours. Submit documentation of the TRAILS Clearance Letter for Alexis H with written response to the Specialist. Correct by 11/05/2024

Corrected by Nov 5, 2024

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2.120.J · The results of the abuse and neglect inquiry must be maintained at the center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed 6 staff files and found Courtney O to be missing documentation of a TRAILS clearance letter. Correction: TRAILS clearance letters must be available for review. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Courtney O has reviewed the powerpoint within 24 hours. Submit documentation of the TRAILS Clearance Letter for Courtney O with written response to the Specialist. Correct by 11/05/2024

Corrected by Nov 5, 2024

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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 5 staff files and found Fernando's TRAILS clearance letter to be expired. Correction: All TRAILS background checks must be renewed every 5 years. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Fernando has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for Fernando with written response to Specialist. Correct by 01/12/2024

Corrected by Jan 12, 2024

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2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 5 staff files and found Annabell and Madelyn to be missing documentation of completion of the Emergency and Disaster Preparedness training. Correction: All staff must complete the Emergency and Disaster Preparedness training prior to working with children. Correct immediately and provide documentation of completion with written response. Correct by 01/12/2024

Corrected by Jan 12, 2024

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2.508.D.5 · All Child Care Health Consultants must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course annually.

Reviewed the Child Care Health Consultants file and found their immunization training to be expired. Correction: All Child Care Health Consultants must complete the immunization training and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 01/12/2024

Corrected by Jan 12, 2024

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2.508.G.3 · All employees caring for children, not required by rule to be certified in First Aid and CPR, must complete a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years.

Reviewed 5 staff files and found Annabell and Madelyn to be missing documentation of completion of either the full CPR/first aid training or the Intro to First Aid and CPR module. Correction: All staff must complete either the full CPR/First Aid training or the Intro to First Aid training within 30 days of hire. Correct and provide documentation of completion with written response. Correct by 02/12/2024

Corrected by Feb 12, 2024

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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 5 staff files and found Fernando to have an expired Standard Precautions training. Correction: All staff must complete Standard Precautions training and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 01/12/2024

Corrected by Jan 12, 2024

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2.524.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

There was hand sanitizer accessible to children on a low counter in the cafeteria. Correction: Hazardous items (such as items labeled 'Keep out of reach of children") must be inaccessible to children. Correct immediately and respond with written statement of compliance. Correct by 01/12/2024

Corrected by Jan 12, 2024

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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 5 staff files and found Michele to have an expired Mandatory Reporter training and Madelyn to be missing documentation of completion of the Mandatory Reporter training. Correction: All staff must complete Mandatory Reporter training within 30 days of hire and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 01/12/2024

Corrected by Jan 12, 2024

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2.507.J · All staff members must complete a building and physical premises safety training prior to working with children. The training must include:

Reviewed 5 staff files and found Madelyn to be missing documentation of completion of a building and physical premise training. Correction: All staff must complete a building and physical premise training prior to working with children. Correct immediately and provide documentation of completion with written response. Correct by 01/12/2024

Corrected by Jan 12, 2024

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2.507.K · All staff member responsible for the collection, review and maintenance of the child immunizations records must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ immunization course within (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 5 staff files and found Fernando to have an expired Immunization training. Correction: Any staff member who is responsible for reviewing child immunizations must complete the Immunization training and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 01/12/2024

Corrected by Jan 12, 2024

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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 drill log was incomplete. Fire drills were missing for May through December '23, Tornado drills were missing for June through October '23 and Emergency Drills had only been completed in one quarter for the last year. Correction: Drills lust be completed and recorded as required through out the year. Correct immediately and respond with a plan for ongoing compliance. Correct by 01/12/2024

Corrected by Jan 12, 2024

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2.121.D · Each owner and employee sixteen (16) years of age or older of a facility or agency shall complete the fingerprint process at an approved vendor. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reveiwed 5 staff files and found Linda to be missing documentation of an 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 Linda has reviewed the powerpoint within 24 hours. Submit

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