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 were uncovered outlets in a surge protector on the desk in pre k accessible FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ to children. Correction: Immediately all outlets accessible to children must have protective covers. Submit a written statement of compliance by 4/8/2025. Submit a written statement of compliance by 4/8/2025 Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

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 11 staff files 3 staff members did not have a current Department approved standard precautions training on file for review. Correction: Immediately all staff prior to working with children must complete the Department approved standard precautions training. This training must be updated annually. Submit a written statement of compliance by 4/8/2025 Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. Marked corrected in the state record.

2.217.C.7 · All Department-approved child care health consultants must complete the Department-approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

At the time of inspection CCHC has not completed the required Department approved child care health consultant introductory training. Correction: Immediately CCHC must complete the Department approved child care health consultant introductory training. CCHC must complete department approved ongoing training every 3 years. Submit a written statement of compliance by 4/8/2025 Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

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

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 11 staff files 2 staff members did not have a current Department approved prevention of shaken baby training on file for review. Correction: Immediately all staff prior to working with children must complete the Department approved prevention of shaken baby training . This training must be updated every 2 years. Submit a written statement of compliance by 4/8/2025 Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

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 11 staff files 3 staff members did not have a current Department approved child abuse prevention training on file for review. Correction: Immediately all staff within 30 days of employment must complete the Department approved child abuse prevention training . This training must be updated annually. Submit a written statement of compliance by 4/8/2025 Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.H · 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 training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 11 staff files 1 staff member did not have a current Department approved Introduction to the Early intervention and Preschool Special Education training on file for review. Correction: Immediately all staff within 90 days of employment must complete the Department approved Introduction to the Early intervention and Preschool Special Education training This training is required 1 time. Submit a written statement of compliance by 4/8/2025 Correct by 04/01/2025

Corrected Corrected by Apr 1, 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 11 staff files 1 staff member did not have a current Department approved Recognizing the impact of Bias training on file for review. Correction: Immediately all staff within 90 days of employment must complete Department approved Recognizing the impact of Bias training . This training is required 1 time. Submit a written statement of compliance by 4/8/2025 Correct by 04/01/2025

Corrected Corrected by Apr 1, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 11 staff files 1 staff member did not have a minimum 1 hour of child development training on file for review. Correction: Immediately all staff within 90 days of employment must complete minimum 1 hour of child development training . This training is required 1 time. Submit a written statement of compliance by 4/8/2025 Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of inspection 4 staff members employed over 30 days did not have a current medical statement signed and dated by a health care professional. Correction: Immediately all staff within 30 days must submit a current medical statement signed and dated by a health care professional. Subsequent self reported health histories must be submitted annually. Submit a written statement of compliance by 4/8/2025 Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

Category: health medication. 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 maintain proof of course completion.

At the time of inspection CCHC has not completed the required Department approved immunization training. Correction: Immediately CCHC must complete the Department approved immunization training. This training must be updated annually. Submit a written statement of compliance by 4/8/2025 Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

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

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours.

Reviewed 8 children's files. 2 children did not have medical statements updated in accordance with the American Academy of pediatrics recommended schedule. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure that all children have health statements on file within 30 days of enrollment and updated in accordance with the American Academy of pediatrics recommended schedule or as required in writing by a health care professional. Submit a written statement of compliance by 4/8/2025 Correct by 04/01/2025

Corrected Corrected by Apr 1, 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.

At the time of inspection there was sunscreen labeled keep out of reach of children on the desk in the pre k classroom accessible to children. Correction: Immediately all items labeled keep out of reach of children must be kept inaccessible to children. Submit a written statement of compliance by 4/8/2025 Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

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 11 staff files. 2 staff members had not completed the required department approved training in emergency and disaster preparedness. Correction: Immediately prior to working with children all staff must complete the required department approved training in emergency and disaster preparedness. This training is required 1 time. Correct by 04/01/2025

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. Marked corrected in the state record.