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

Reviewed emergency medications kept on site and found one medication to be missing the original pharmacy label. Correction: Medications must have the original pharmacy label. **Corrected at the time of the inspection, label was provided and put with the medication.** No response required. Correct by 12/11/2024

Corrected Corrected by Dec 11, 2024

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 Three's classroom, there was shaving cream labeled "Keep out of reach of children" on a shelf accessible to children. Correction: Item's labeled "keep out of reach of children" must be inaccessible to children. **Corrected at the time of the visit, shaving cream was moved out of reach.** No response is required. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

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.

In the Two's classroom, sunscreens and diaper creams were only labeled with the child's first name. Correction: Over the counter medications must be labeled with the child's first and last name. Correct immediately and respond with statement of compliance. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

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

2.209.A.4 · 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:Names, addresses, and telephone numbers of persons who can assume responsibility for the child in the event of an emergency if the parent(s)/guardian(s) cannot be reached immediately.

The enrollment record is missing space for the address of the emergency contact. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: The admission record must must include space for the address of the emergency contact to be provided. Correct immediately and respond with statement of compliance. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

Category: recordkeeping. Marked corrected in the state record.

2.209.A.5 · 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: Name, address, and telephone numbers of the child's health care provider, dentist, and if applicable, their hospital of choice.

The enrollment record did not provide space for the Hospital phone and address to be provided. Correction: The enrollment record must include space for the phone and address of the hospital to be provided. Correct immediately and respond with statement of compliance. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

Category: health medication. 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 11 child files and found one child to have an expired health statement. Correction: Children must have a current health statement on file within 30 days of enrollment and within 30 days of expiration. Correct and respond with statement of compliance. Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

Category: ratio. Marked corrected in the state record.

2.238.C · Centers must comply with the locally adopted fire code, including but not limited to the following: In every building or structure, exits must be arranged and maintained so as to provide free and unobstructed egress from all parts of the building or structure at all times when it is occupied. No lock or fastening to prevent free escape from the inside of any building can be installed. Only panic hardware or single-action hardware is permitted on a door or on a pair of doors. All door hardware must be within the reach of children.

Two classroom half doors had slide locks on the outside of the door that was not in reach of children and not single action. Correction: door locks must be single action and must be within reach of children. Correct immediately and respond with statement of compliance. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

Category: physical safety. Marked corrected in the state record.

2.236.A.1 · If the office space is accessible to children, it must be free of hazards.

The office was accessible to children and did have hazardous items accessible to children. Correction: If the office space is accessible, it must be free of hazards. Correct immediately and respond with statement of compliance. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

Category: physical safety. Marked corrected in the state record.