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 4 staff files. 2 staff member observed working with children Markiba B. and Dani G had not completed the required Department approved Standard Precautions training. Correction: Immediately all staff prior to working with children must complete the required Department approved Standard Precautions training. This training must be updated annually. Submit training certificate a written statement of compliance by 2/19/2025 Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

Category: recordkeeping. Marked corrected in the state record.

2.217.C.8 · All Department-approved child care health consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ maintain proof of course completion.

At the time of inspection CCHC had not completed the Department approved CDPHE immunization course. Correction: Immediately CCHC must complete the Department approved CDPHE immunization course. This training must be renewed annually. Submit training certificate and a written statement of compliance by 2/19/2025 Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

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

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 4 staff files. 1 staff member employed over 30 days Markiba B. had not completed the required Department approved about abuse prevention. Correction: Immediately all staff within 30 days of working with children must complete the required Department approved training about abuse prevention. This training must be updated annually. Submit training certificate a written statement of compliance by 2/19/2025 Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed 4 staff files. 1 staff member employed over 90 days Markiba B. had not completed the required Department approved recognizing the impact of bias training. Correction: Immediately all staff within 90 days of working with children must complete the required Department approved recognizing the impact of bias training. This training is required one time. Submit training certificate a written statement of compliance by 2/19/2025 Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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 4 staff files. 1 staff member employed over 90 days children Markiba B. had not completed the required minimum of 1 hour Child Development Training. Correction: Immediately all staff within 90 days of working with children must complete the required minimum of 1 hour Child Development Training. This training is required 1 time. Submit training certificate a written statement of compliance by 2/19/2025 Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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 4 staff files. 1 staff member employed over 30 days Lily B. had not completed the required Department approved CDPHE immunization training. Correction: Immediately all staff within 30 days of working with children must complete the required Department approved CDPHE immunization training. This training must be updated annually. Submit training certificate a written statement of compliance by 2/19/2025 Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

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

2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times.

Reviewed 4 staff files. There were no staff members on staff that had a current medication training and delegation. Most current medication training expired on 12/14/2024. Correction: Immediately ensure that at least 1 staff member has a current Department Approved Medication Administration training and delegation. Submit current training and a written statement of compliance by 2/19/2025 Correct by

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.217.C.5 · For the Department-approved Child Care Health Consultant, the center must maintain documentation from the Colorado Department of Regulatory Agencies that the Registered Nurse or the Medical Doctor’s licensure is in good standing.

At the time of inspection CCHC had a DORA license on file that expired 10/31/2024. Correction: Immediately ensure that CCHC provides documentation from DORA that their licensure is in good standing. Submit current DORA documentation and a written statement of compliance by 2/19/2025. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

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

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed 4 staff files. 1 staff member observed working with children Markiba B. had not completed the required Department approved training in Emergency and Disaster Preparedness. Correction: Immediately all staff prior to working with children must complete the required Department approved training in Emergency and Disaster Preparedness. This training is required 1 time. Submit training certificate a written statement of compliance by 2/19/2025 Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

Category: recordkeeping. Marked corrected in the state record.

2.217.C.9 · All Department-approved child care health consultants must complete the Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse or neglect. This training must be completed within thirty (30) days of hire and renewed every three (3) years.

At the time of inspection CCHC had not completed the required Department approved training about child abuse prevention. Correction: Immediately CCHC must compete the required Department approved training in child abuse prevention. This

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

At the time of inspection observed soap under the sink in the bathroom, hand sanitizer on the desk in the preschool classroom and lotion in an unlocked drawer in the pre k classroom all labeled keep out of reach of children. Correction: Immediately all items labeled keep out of reach of children must be stored in areas inaccessible to children. Violation was corrected at the time of inspection soap, hand sanitizer and lotion were all moved out of reach of children. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

Marked corrected in the state record.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

At the time of inspection observed a roll of bags in an unlocked cabinet under the sink and a single plastic bag in an unlocked drawer in the preschool classroom. Correction: Immediately ensure that plastic bags are stored in areas inaccessible to children. Violation was corrected at the time of inspection. Plastic bags were moved to upper cabinets. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

Marked corrected in the state record.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

At the time of inspecion there was a pair of sharp adult scissors on the desk accessible to children in the preschool classroom. Correction: Immediately ensure all sharp tools and instruments are stored in areas inaccessible to children. Violation was corrected at the time of inspection. Scissors were moved to an upper cabinet. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

Marked corrected in the state record.

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

At the time of inspection observed a SM's purse on the floor under a table accessible to children in the Pre K classroom. Correction: Immediately all personal items must be stored in areas inaccessible to children. Violation was corrected at the time of inspection. Purse was moved to an upper cabinet. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

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

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 clorox wipes in an unlocked drawer in the Pre K classroom Correction: Immediately all cleaning supplies must be stored in areas inaccessible to children. Violation was corrected at the time of inspection. Clorox wipes were moved to an upper cabinet Correct by 02/05/2025

Corrected Corrected by Feb 5, 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.

At the time of inspection there was an uncovered outlet in the preschool classroom accessible to children. Correction: Immediately ensure that all outlets accessible to children have protective covers. Violation was corrected at the time of inspection. Outlet cover was placed in the uncovered outlet. Correct by 02/05/2025

Corrected Corrected by Feb 5, 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.

At the time of inspection there was an uncovered electrical outlet in the transition 2 accessible to children. Correction: Immediately all electrical outlets that are accessible to children must have protective covers or safety outlets must be installed. Violation was corrected at the time of inspection. Outlet cover was installed. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Marked corrected in the state record.

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.

Reviewed children's files. 1 child did not have a current health statement updated in accordance with the American Academy of Pediatrics Recommendation. Correction: Immediately all children must have on file a current health statement updated in accordance with the American Academy of Pediatrics Recommendation. Submit a written statement of compliance by 4/22/2024 Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

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

2.223.D.2 · In rooms used for napping, the lighting must be dim at nap time to promote an atmosphere conducive to sleep but must be bright enough for supervision of children.

During the health and safety walk through the preschool classroom 3 was to dark for children to be supervised. Correction: Immediately ensure that lighting is dim at naptime to promote sleep but bright enough to ensure that children can be supervised. Submit a written statement of compliance by 4/22/2024 Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: supervision. Marked corrected in the state record.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

At the time of inspection there were bags in an unlocked lower cabinet in the transition room 2 accessible to children. Correction: Immediately ensure that loose plastic bags are stored in areas inaccessible to children. Violation was corrected at the time of inspection. Bags were moved to an upper cabinet inaccessible to children. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Marked corrected in the state record.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

During the health and safety walk through there were sharp scissors in an unlocked drawer in the transition room 2 accessible to children. Correction: Immediately all sharp tools and instruments must be stored in areas inaccessible to children. Violation was corrected at the time of inspection. Scissors were moved to an upper cabinet inaccessible to children. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: health medication. 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 5 employee files. 2 staff members Natalia D and Dawn C did not have results for the abuse and neglect inquiry on file for review. Correction: Immediately ensure that all staff have on file results of the abuse and neglect inquiry available for review.

Open Not marked corrected in the state record

Open / not marked corrected.

2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times.

At the time of inspection there were no staff members that were currently delegated to administer medication. Correction: Immediately ensure that there is a medication trained and delegated staff member on duty at all times. Submit delegation notes and a written statement of compliance by 4/22/2024 Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: ratio. Marked corrected in the state record.

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 5 staff files. 2 staff members Lily B and Natalia D had expired Department approved standard precautions training on file for review. Correction: Immediately all staff must complete the required Department approved standard precautions training prior to working with children. This training must be renewed annually. Submit a written statement of compliance by 4/22/2024 Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: recordkeeping. Marked corrected in the state record.

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 5 staff files. 2 staff members Lily B and Dani G had expired Department approved Training about abuse prevention on file for review. Correction: Immediately all staff must complete the required Department approved Training about abuse prevention within 30 days of employment. This training must be renewed annually. Submit a written statement of compliance by 4/22/2024

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. For seasonal children's resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the State Department-approved training

Reviewed 5 staff files. 1 staff member Dawn C. had not completed the Department approved training in Emergency and Disaster preparedness. Correction: Immediately ensure all staff completes the Department approved training in Emergency and Disaster preparedness prior to working with children. Submit training certificate and a written statement of compliance by 11/2/2023 Correct by 10/26/2023

Corrected Corrected by Oct 26, 2023

Category: recordkeeping. Marked corrected in the state record.

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 4 children's files. 1 child did not have signed authorization for emergency medical care. Correction: Immediately ensure all children have a dated signed written authorization for emergency medical care updated

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

7.702.42.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 5 staff files. 1 staff member Dawn C. had not completed the Department approved training in child abuse prevention. Correction: Immediately ensure all staff completes the Department approved training in abuse prevention within 30 days of employment. This training must be updated annually. Submit training certificate and a written statement of compliance by 11/2/2023 Correct by 10/26/2023

Corrected Corrected by Oct 26, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.46.C.7 · All Department-approved Child Care Health Consultants must complete the Department-approved Child Care Health Consultant Introductory training course within six (6) months of hire. Child Care Health Consultants must complete Department-approved ongoing professional development training every three (3) years. The center must obtain and maintain proof of training completion.

Reviewed CCHC information and CCHC had not completed the Department-approved Child Care Health Consultant introductory training. Correction: Immediately ensure CCHC completes the Department-approved Child Care Health Consultant introductory training within 6 months of hire. Submit training certificate and written statement of compliance by 11/2/2023 Correct by 10/26/2023

Corrected Corrected by Oct 26, 2023

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

7.702.46.C.8 · All Department-approved Child Care Health Consultants must complete the Department- FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion.

Reviewed CCHC information and CCHC had not completed the Department-approved CDPHE immunization course. Correction: Immediately ensure CCHC completes the Department-approved CDPHE immunization course. This training must be renewed annually. Submit training certificate and written statement of compliance by 11/2/2023 Correct by 10/26/2023

Corrected Corrected by Oct 26, 2023

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

7.702.46.C.9 · All Department-approved Child Care Health Consultants must complete the Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse or neglect. This training must be completed within thirty (30) days of hire and renewed every three (3) years.

Reviewed CCHC information and CCHC had not completed the Department-approved training about child abuse prevention. Correction: Immediately ensure CCHC completes the Department-approved training about child abuse prevention. This training must be renewed every 3 years. Submit training certificate and written statement of compliance by 11/2/2023 Correct by 10/26/2023

Corrected Corrected by Oct 26, 2023

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