Encompass Preschool

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 12 staff files and found no staff who maintain child immunizations records to have a current immunization training. Correction: Within 30 days of employment all staff responsible for the maintenance of child immunizations must have an immunizations training that is updated annually. Correct immediately and provide written statement of compliance. Correct by 02/04/2026

Corrected by Feb 4, 2026

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2.219.B.1 · 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” FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section 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 St., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed six child files and found one child did not have their immunizations on the state approved immunizations certificate form. Correction: All children must have their immunizations documented on an "approved alternate" or the CDPHE immunizations certificate. Correct immediately and respond with written statement of compliance. Correct by 02/04/2026

Corrected by Feb 4, 2026

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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 13 staff files and found AJ to be missing documentation of the completed TRAILS background check. Proof of submission was in their file. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that AJ has reviewed the powerpoint within 24 hours. Submit documentation of a TRAILS Clearance Letter for staff AJ with written response to the Specialist. Correct by 04/24/2024

Corrected by Apr 24, 2024

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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.

Reviewed 13 staff files and found Shannon to have an expired Mandatory Reporter training. Correction: All staff must complete Mandatory Reporter training within 30 days of hire and renew the training annually.

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

Two diaper creams in the infant classroom and one over the counter medication were not labeled with the child's first and last name. Correction: All over the counter medications must be labeled with the child's first and last name. **Corrected at the time of the inspection, over the counter medications were labeled.** No response is required. Correct by 04/24/2024

Corrected by Apr 24, 2024

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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 13 staff files and found Kim to be missing 1 hour of child development training. Correction: All staff must have at least one hour of child development training within 90 days of employment. Correct and respond with documentation of completion with written response. Correct by 05/24/2024

Corrected by May 24, 2024

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