2.220.A · Any unexpired routine medication, prescription or non-prescription (over the counter), must be FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.

Reviewed medications that are kept on site and found one child to have an expired written order. Correction: Medications can only be administered with a current written order. Correct immediately and respond with a statement of compliance. Correct by 01/21/2025

Corrected Corrected by Jan 21, 2025

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

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

In the Yellow Room there was a can pf spray paint on a low shelf accessible to children. In the Blue room there was wood and metal polish in an unlocked cabinet accessible to children. All items were labeled "Keep out of reach of children." Correction: All Items labeled "Keep out of Reach of Children" must be stored out of reach of children. **Corrected as the time of the inspection, all items were moved out of reach of children.** No response is required. Correct by 01/21/2025

Corrected Corrected by Jan 21, 2025

Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

In the Multipurpose room, 4 outlets were missing covers. Correction: All outlets that are accessible to children must have protective covers. **Corrected at the time of the inspection, all outlets were covered.** No response is required. Correct by 01/21/2025

Corrected Corrected by Jan 21, 2025

Marked corrected in the state record.

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.

Reviewed 13 staff files and found Rawia B to be missing documentation of their FBI clearance letter Correction: FBI 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 Rawia has reviewed the powerpoint within 24 hours. Submit documentation of the FBI Clearance Letter for Rawia with written response to the Specialist. Correct by 01/21/2025

Corrected Corrected by Jan 21, 2025

Category: background checks. Marked corrected in the state record.

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

In the Yellow room, there were 2 cleaning erasers in unlocked drawers that were accessible to children. The cleaning erasers should be kept out of the reach of children. In the Kitchen area, there was a bottle of stardust labeled "Keep out of reach of children" in an unlocked cabinet accessible to children. Correction: Items labeled "Keep out of reach of children" should be inaccessible to children. **Corrected at the time of inspection, cleaning erasers and stardust were moved out of reach.** No response is required. Correct by 02/05/2024

Corrected Corrected by Feb 5, 2024

Marked corrected in the state record.

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 Sonali N, Priyanka P and Dhara P to be missing documentation of a 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 Sonali N, Priyanka P and Dhara P have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for Sonali N, Priyanka P and Dhara P with written response to Specialist. Correct by 02/05/2024

Corrected Corrected by Feb 5, 2024

Category: background checks. Marked corrected in the state record.

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes:

Reviewed 13 staff files and found Neha K to be missing documentation of an Out of State clearance letter. Neha has lived out of state in the past 5 years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Neha K has reviewed the powerpoint within 24 hours. Submit documentation of an Out of State Clearance Letter for Neha K with written response to Specialist. Correct by 02/05/2024

Corrected Corrected by Feb 5, 2024

Category: supervision. Marked corrected in the state record.

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 over the counter medications were not labeled with the child's first and last name. Correction: Over the Counter medications must be labeled with the child's first and last name. **Corrected at the time of the inspection, both medications were labeled with the children's first and last names.** No response is required. Correct by 02/05/2024

Corrected Corrected by Feb 5, 2024

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

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

Emergency Drills/Active Shooter Drills, Tornado Drills and Fire Drills were not being completed as requried. Correction: Emergency Drills/active shooter drills should be held quarterly, Tornado drills held monthly March through October and Fire drills should be completed monthly. Correct immediately and respond with statement of compliance. Correct by 02/05/2024

Corrected Corrected by Feb 5, 2024

Category: recordkeeping. Marked corrected in the state record.

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/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 less than two and one-half (2½) 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 center.

Reviewed 8 child files and found 7 children to have expired health statements. Correction: Child health statements should be updated within 30 days of expiration. Correct and respond with statement of compliance. Correct by 03/05/2024

Corrected Corrected by Mar 5, 2024

Category: ratio. 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 8 child files and found 8 children to have expired emergency medical authorizations. Correction: Written authorization for emergency medical care must be updated annually. Correct immediately and respond with statement of compliance. Correct by 02/05/2024

Corrected Corrected by Feb 5, 2024

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