Parker Early Learning Academy

2.218.C.5 · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider, parent(s)/guardian(s) and must include, but not be limited to, the following:

Reviewed 3 individual health care plans. 2 children did not have documentation of a current individualized health care plan. Correction: Immediately, obtain documentation of a current individual health care plan for all children with emergency medication. Submit a written statement of compliance by 11/3/25. Correct by 10/27/2025

Corrected by Oct 27, 2025

2.220.C · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

Reviewed all medication. 1 emergency medication was not in the original box and did not have the original pharmacy label. Correction: Immediately, ensure all medication is in the original labeled container and has the original pharmacy label. Submit a written statement of compliance by 11/3/25. Correct by 10/27/2025

Corrected by Oct 27, 2025

2.230.C.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six (6) inches.

The wood chips surrounding the climbing structure on the preschool playground measured 2-3 inches at the end of the slide and within the 6 food use zone. Correction: Immediately, ensure wood chips are raked regularly to retain a depth of at least 6 inches. Submit documentation and a written statement of compliance by 11/3/25. Correct by 10/27/2025

Corrected by Oct 27, 2025

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

There were pom poms on an art project on the wall above the chair rail in the toddler A classroom. Correction: Corrected at the time of inspection. The art project with pom poms was removed from the classroom. Correct by 10/07/2025

Corrected by Oct 7, 2025

2.216.B.2.a · In the infant program, there must be a qualified infant program supervisor present sixty percent (60%) of the hours of operation of the infant program who is responsible for the care of the infants. An individual qualified as an infant early childhood teacher must be responsible during the remaining time.

The program did not have a qualified infant program supervisor present in the infant classroom on the day of inspection. This is a violation of stipulation F-All staff, including substitutes, shall be qualified for the positions to which they are assigned. This includes both education and experience qualifications. Verification of staff qualifications must be available for review at all times. Correction: Immediately, there must be a qualified infant program supervisor present in the infant room 60% of the day. The program placed a qualified infant program supervisor in the infant room. Submit a written plan and statement of compliance by 9/12/25. Correct by 09/11/2025

Corrected by Sep 11, 2025

2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

The Toddler classrooms were combined on the playground for water day with 19 children and 4 teachers. Correction: Immediately, maintain the maximum group size for toddlers at all times. Submit a written statement of compliance by 7/25/25. Correct by 07/18/2025

Corrected by Jul 18, 2025

2.224.B.2 · All infants less than six (6) months of age must be held for bottle feeding. Bottles must not be propped. Older infants must not be allowed to hold their own bottles when lying flat. Bottles must not be allowed in a crib with the infant.

A sleeping infant was laying flat in their crib with a bottle in their mouth. Correction: Immediately, ensure bottles are not allowed in a crib with the infant. Submit a written plan and statement of compliance by 6/27/25.. Correct by 06/27/2025

Corrected by Jun 27, 2025

2.220.G · All medications, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center's policies. Access to these medications must be limited.

There was a bottle of children's motrin accessible to children in a child's backpack in the Toddler A classroom. This is a violation of stipulation K: Hazardous items, including items labeled "keep out of reach of children" must be inaccessible to children at all times., both indoors and outdoors. Correction: Immediately, make all medications inaccessible to children at all times. Corrected at the time of inspection. The Director removed the bottle of children's motrin from the classroom. A written response is not required. Correct by 05/22/2025

Corrected by May 22, 2025

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

There was a first aid kit accessible to children in hallway that contained aspirin, burn cream and alchohol wipes. Correction: Corrected at the time of inspection. The first aid kit containig keep out of reach items was removed and placed in an area inaccessible to children. A written response is not required. Correct by 04/02/2025

Corrected by Apr 2, 2025

2.223.C.2.a · Mattresses for cribs and futons must have a properly fitted, clean sheet.

One crib sheet in an empty crib in the infant room was loose and did not fit the crib properly. Correction: Corrected at the time of inspection. The crib sheet was fitted to the crib properly. A written response is not required. Correct by 04/02/2025

Corrected by Apr 2, 2025

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

Reviewed 5 child files. 1 child file did not have a current health statement. Correction: Review child files and ensure that health statements for children over 2 years of age to 7 years of age are updated in accordance with the AAP recommendations. Submit a written statement of compliance by 5/1/25. Correct by 05/01/2025

Corrected by May 1, 2025