Kinderkirk Preschool

2.220.L · A written medication log must be kept for each child. This log is part of the child's records. The log must contain the following:

At the time of inspection there was not a log available for administering a medication prescribed by the doctor. Correction: Immediately for all medications given at the facility a log with dates times route and amout must be recorded and maintained with the child's records. Submit a written statement of compliance by 4/28/2026 Correct by 04/14/2026

Corrected by Apr 14, 2026

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2.220.E · In the case medication needs to be given on an ongoing, long-term basis, the authorization and consent forms must be reauthorized on an at least annual basis. Any changes in the original medication authorization FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ require a new written order by the prescribing practitioner and a change in the prescription label.

At the time of inspection observed a medication authorization for a prescription cream that did not have an end date for giving the medication. Correction: Immediately ensure that authorizations for medications include an end date for giving the medication. This date cannot exceed 12 months. Submit a written statement of compliance by 4/28/2026. Correct by 04/14/2026

Corrected by Apr 14, 2026

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

At the time of inspection there was a prescriptive cream prescribed by a physician that was not stored in the original container and did not have a prescriptive label. Correction: Immediately all prescription medication must be kept in the original container and must contain the original pharmacy label. Submit a written statment of compliance by 4/28/2026. Correct by 04/14/2026 ________________________________________________

Corrected by Apr 14, 2026

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2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Reviewed 1 children's file. CH health statement on file had not been signed or dated by a health care professional. Correction: Immediately ensure that health statements are signed and dated by a health care professional and updated in accordance with the American Academy of pediatrics recommended schedule or as required by a health care professional. Submit a written statement of compliance by 4.28.2026 Correct by 04/14/2026

Corrected by Apr 14, 2026

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2.212.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 14 staff files. 7 staff members did not have annual self reported health histories on file for review. Correction: Immediately all staff must have a medical statement signed and dated by a health care provider. Subsequent self reported health histories must be submitted annually. Submit a written statement of compliance by 3/27/2026 Correct by 03/13/2026

Corrected by Mar 13, 2026

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2.213.B · All staff must complete a Department-approved Standard Precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 14 staff files. 2 staff members did not have a current Department approved standard precautions training. Correction: Immediately all staff prior to working with children must complete a Department approved standard precautions training. This training must be renewed annually. Submit a written statement of compliance by 3/27/2026 Correct by 03/13/2026

Corrected by Mar 13, 2026

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2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved Safe Sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 14 staff files. 1 staff member did not have a current Department approved safe sleep training. Correction: Immediately all staff prior to working with infants must complete the Department approved safe sleep training. This training must be renewed annually. Submit a written statement of compliance by 3/27/2026 Correct by 03/13/2026

Corrected by Mar 13, 2026

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2.213.G · All employees and regular volunteers must be trained using a Department-approved training about Child Abuse Prevention prior to working with children, 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 14 staff files. 2 staff members did not have a current Department approved training about abuse prevention. Correction: Immediately all staff prior to working with children must complete the Department approved training about abuse prevention. This training must be renewed annually. Submit a written statement of compliance by 3/27/2026 Correct by 03/13/2026

Corrected by Mar 13, 2026

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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 14 staff files. 1 staff member responsible for immunization records did not have the CDPHE immunization course. Correction: Immediately any staff responsible for collecting immunization records must complete the CDPHE immunization course. This training must be renewed annually. Submit a written statement of compliance by 3/27/2026 Correct by 03/13/2026

Corrected by Mar 13, 2026

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2.226.C.3 · Children must be actively supervised at all times.

Identified through video recording and through director interview that SM 1 had their back to the children at the time of inspection. Correction: Immediately all children must be actively supervised at all times. Submit a written statement of compliance by 1/22/2025. Correct by 01/08/2025 ________________________________________________ ________________________________________________

Corrected by Jan 8, 2025

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2.225.A · Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others.

Identified through video review that SM 1 separated toddler aged CH from the group and left child separated for an unknown amount of time. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure that guidance used in classrooms is appropriate to the development of the child. Submit a written statement of compliance by 1/22/2024 Correct by 01/08/2025

Corrected by Jan 8, 2025

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2.225.C · The director must not use, or permit a staff person or child to use, corporal punishment as defined in section 22-1-140, C.R.S.

Identified through video review that CH 1 was grabbed roughly by the arm and pulled to an area then forced to sit on the floor to separate them from the rest of the class. Correction: Immediately ensure that staff is not permitted to use harsh treatment or corporal punishment when redirecting children. Submit a written statement of compliance by 1/22/2024 Correct by 01/08/2025

Corrected by Jan 8, 2025

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2.213.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed 2 staff files. 1 staff member Shelbie K not required by rule to be certified in First Aid and CPR had not completed the required department approved module introduction to first aid and CPR. Correction: Immediately ensure that all staff not required by rule to be certified in First Aid and CPR must complete the required department approved module introduction to first aid and CPR within 30 days of working with children. Submit a written statement of compliance by 1/22/2024 Correct by 01/08/2025

Corrected by Jan 8, 2025

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2.237.E · Combustibles such as cleaning rags, mops, and cleaning compounds must be stored in well-ventilated areas, separated from flammable materials, and stored in areas inaccessible to children.

At the time of inspection observed sanitizer on the shelf accessible to children in room 3. Correction: Immediately ensure that all cleaning supplies are kept inaccessible to children. Submit a written statement of compliance by 6/5/2024 Correct by 05/22/2024

Corrected by May 22, 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.

At the time of inspection there was no record of emergency drills completed within the past 12 months. Correction: Immediately ensure that emergency lockdown and active shooter drills must be held at least quarterly. Submit a written statement of compliance by 6/5/2024 Correct by 05/22/2024

Corrected by May 22, 2024

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2.223.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

At the time of inspection observed cots placed less than 2 feet apart in classroom 3. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure that cots are spaced at least 2 feet apart on all sides during rest time. Submit a written statement of compliance by 6/5/2024 Correct by 05/22/2024

Corrected by May 22, 2024

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

At the time of inspection observed Soap and sunscreen in room 2 and soap in room 3 all labeled keep out of reach of children on counters accessible to children. Correction: Immediately all items labeled keep out of reach of children must be stored inaccessible to children. Violation was corrected at the time of inspection. Items were moved to high cabinets out of reach of children. Correct by 05/22/2024

Corrected by May 22, 2024

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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.

At the time of inspection there were small pom poms in sensory bins accessible to children less than 3 years of age in the penguins classroom and the monkeys classroom. Correction: Immediately all items that are potentially a choke hazard must not be used or accessible to children under the age of 3 years. VIolation was corrected at the time of inspection. Pom Pom's were removed from the classroom. Correct by 05/22/2024

Corrected by May 22, 2024

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2.237.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of inspection there were personal purses in unlocked cabinets in the camper room and classroom 3. Correction: Immediately ensure that all hazardous items are stored in areas inaccessible to children. Submit a written statement of compliance by 6/5/2024 Correct by 05/22/2024

Corrected by May 22, 2024

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7.702.34.A.7 · 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 5 children's files. 3 children did not have a current updated authorization for emergency medical care. Correction: Immediately all children must have a signed dated authorization for emergency medical care on file. This authorization must be updated annually. Submit a written statement of compliance by 8/10/2023 Correct by 08/03/2023

Corrected by Aug 3, 2023

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7.702.41.G · All staff members must submit to the center a medical statement, signed and dated by a physician FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 4 staff files. 1 staff member employed over 30 days did not have a medical statement signed and dated by a health care provider. Correction: Immediately all staff within 30 days must provide a medical statement signed and dated by a health care provider. Subsequent self reported health histories must be submitted annually. Submit a written statement of compliance by 8/10/2023 Correct by 08/03/2023

Corrected by Aug 3, 2023

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7.702.51.A.2.c · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Statements of health status of children less than two (2) years of age must be updated in accordance with the American Academy of Pediatrics recommended schedule for routine health supervision or as required in writing by the health care provider.

Reviewed 5 children's files. 3 children do not have current statements of health status on file for review. Correction: Immediately all children must have on file within 30 days of enrollment and updated in accordance with the American Academy of Pediatrics recommended schedule or as required by the health care provider. Submit a written statement of compliance by 8/10/2023 Correct by 08/03/2023

Corrected by Aug 3, 2023

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

At the time of inspection there was an unlocked cabinet in the little monkeys bathroom containing items labeled keep out of reach of children. Correction: Immediately all items labeled keep out of reach of children must be inaccessible to children. Violation was corrected at the time of inspection. Cabinet was locked. Correct by 08/03/2023

Corrected by Aug 3, 2023

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

At the time of inspection observed corner cushions in the 1 year old classroom that were worn on the edges. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All indoor and outdoor equipment, Materials and furnishings must be sturdy safe and free of hazards. Submit a written statement of compliance by 8/10/2023 Correct by 08/03/2023

Corrected by Aug 3, 2023

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

At the time of inspection there was an uncovered outlet accessible to children in the infant classroom. Correction: Immediately all outlets that are accessible to children must have protective covers or safety outlets must be installed. Violation was corrected at the time of inspection. Protective cover was placed in outlet. Correct by 08/03/2023

Corrected by Aug 3, 2023

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