2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 7 staff files. 1 staff member Tara A employed over 90 days had not received the clearance letter for the trails child abuse or neglect background check. Correction: Immediately all staff must successfully complete the required trails child abuse or neglect background check. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Tara A have reviewed the powerpoint within 24 hours. Submit

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 7 staff files. 2 staff members Cierra H and Eryn J did not have current signed self reported health histories on file for review. Correction: Immediately all staff must have a physical signed and dated by a health care professional within 30 days of employment. Subsequent self reported health histories are required to be submitted annually. Submit a written statement of compliance by 10/9/2024 Correct by 09/25/2024

Corrected Corrected by Sep 25, 2024

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 did not have a current Department approved CDPHE immunization course on file for review. Correction: Immediately CCHC must complete the Department approved CDPHE immunization course. This course must be updated annually. Submit training certificate and a written statement of compliance by 10/9/2024 Correct by 09/25/2024

Corrected Corrected by Sep 25, 2024

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 4 children's files. 1 child under the age of 2 did not have a current statement of health status signed and dated by a physician. Correction: Immediately alll children must have on file a current statement of health status signed and dated by a physician. This Health statement must be updated as required by the physician or in accordance with the American Academy of Pediatrics recommended schedule. SUbmit a written statement of complinace by 10/9/2024 Correct by 09/25/2024

Corrected Corrected by Sep 25, 2024

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

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

At the time of inspection observed the toddler classroom come into the hallway from the classroom and not complete a name to face attendance verification. Correction: Immediately ensure that the time a child arrives and leaves the center each day is recorded and staff members complete written attendance verification periodically throughhout the day and including during all transitions. Submit a written statement of compliance by 10/9/2024 Correct by 09/25/2024

Corrected Corrected by Sep 25, 2024

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, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Reviewed 7 staff files. 1 staff member responsible for collecting immunization records Vanessa R did not have a current Department approved CDPHE immunization training on file for review. Correction: Immediately all staff that collect immunization records must complete the Department approved CDPHE immunization training. This training must be updated annually. Submit training certificate and a written statement of compliance by 10/9/2024 Correct by 09/25/2024

Corrected Corrected by Sep 25, 2024

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.

At the time of inspection there were no medication delegated staff members onsite. Correction: Immediately ensure that there is at least 1 staff member with the current Department approved medication admininstration training and delegation onsite at all times. Submit staffing plan and a current statement of compliance by 4/25/2024 Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: ratio. Marked corrected in the state record.

2.218.B.3 · Admission procedures must be completed prior to the child's attendance at the center and must include: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s)/guardian(s) defining the interventions needed to care for a child who has an identified health or developmental condition or concern including, but not limited to seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented.

At the time of inspection observed CH had a health care plan requiring special feeding requirements. Staff working with CH were not aware of the required plan. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately all staff working with a child with a health care plan must be informed, trained and delegated responsibility for carrying out the health care plan by the department approved child care health consultant. Supervision of the plan and interventions must be documented. Submit a written statement of compliance by 4/25/2024 Correct by 04/18/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Apr 18, 2024

Category: supervision. 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.

At the time of inspection 1 ch had a health statement that expired 2/10/2024. Correction: Immediately review all children's files. All children must have on file a health statement updated in accordance with the American Academy of Pediatrics. Submit a written statement of compliance by 4/25/2025. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

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

2.220.J · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Colorado Department of Public Health and Environment.

At the time of inspection there was medication on site that expired 2/2024. Correction: Immediately ensue that any out of date medications are picked up o disposed of as required by CDPHE. Submit a written statement of compliance by 4/25/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

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

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 there were cots placed closely together with less than 2 feet on all sides. Correction: Immediately all cots must be placed at least 2 feet apart on all sides during rest time. Violation was corrected at the time of inspection. Cots were moved to have 2 feet between them on all sides. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: supervision. Marked corrected in the state record.