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 provider did not have a complete record of drills completed as required by rule. Correction: Immediately drills must be completed as required. Fire drills held monthly, Tornado drills held monthly March through October and Emergency drills held quarterly. Submit a written statement of compliance by 2/23/2026. Correct by 02/09/2026

Corrected Corrected by Feb 9, 2026

Category: recordkeeping. Marked corrected in the state record.

2.320.A.7 · An admission record must be completed for each child prior to or at the time of the child’s admission FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and updated annually or when any changes occur, unless otherwise specified in these rules. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s) or guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 2 children's files. 2 children did not have a dated written authorization for emergency medical care signed and updated annually. Correction: Immediately all children must have a dated written authorization for emergency medical care signed and updated annually. Submit a written statement of compliance by 2/23/2026. Correct by 02/09/2026