Michelle Castleberry

2.312.D · Prior to working with children, the primary provider, applicant 2, equally qualified provider, and qualified substitutes must complete the a Department-approved First Aid and CPR training, for all ages of children from infant to twenty-one (21) years of age;

Reviewed provider information. Provider did not have a current Department approved First aid and CPR certification. Correction: Immediately provider must complete Department approved First aid and CPR certification. Thsi training must

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2.312.J · Within thirty (30) calendar days of caring for children the primary provider and all individuals responsible for the collection, review, and maintenance of the child immunization records must complete the Colorado Department of Public Health and Environment (CDPHE) immunization course. This training must be renewed annually.

Reviewed provider file. Provider did not have a current CDPHE immunization course completed in the past year. Correction: Immediately provider must complete the CDPHE immunization course on PDIS. This training is required annually. Submit a written statement of complinace by 5/25/2026 Correct by 05/11/2026

Corrected by May 11, 2026

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2.321.A.2.c · At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the family child care home: Documentation of school-required immunization status or medical or nonmedical exemption, is required by the Colorado Board of Health.. Up-to-date, school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment (CDPHE) certificate of immunization or on an "approved alternate" certificate of immunization as described in CDPHE regulations at 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours.. Colorado law requires that proof of immunization be provided prior to the first day of admission.

Reviewed 5 children's files. 2 children did not have a Record of immunizations or notice of exemption on file. Correction: Immediately all children must have a Record of immunizations or notice of exemption on file prior to attending the program. Submit certificate on immunization and a written statement of compliance by 5/25/2026 Correct by 05/11/2026

Corrected by May 11, 2026

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2.337.B.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six (6) inches.

At the time of visit, observed non-raked pea gravel on the playground, that was less than six (6) inches of resilient surface. Correction: Immediately ensure the resilient surface is raked regularly in order to retain a depth of six (6) inches. Submit a written statement of compliance by 7/2/2025. Correct by 06/25/2025

Corrected by Jun 25, 2025

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2.312.C · Prior to working with children, the primary provider, applicant 2, equally qualified providers, qualified substitutes, and all staff members must complete a Department-approved training in standard precautions that meets current occupational safety and health administration (OSHA) requirements prior to working with children. This training must be renewed annually.

At the time of visit, provider had an expired Department-approved standard precautions training. Correction: Immediately ensure the primary provider and all staff and substitutes have an active Department-approved standard precautions training. Submit certificates and statement of compliance to specialist by 7/2/2025. Correct by 06/25/2025

Corrected by Jun 25, 2025

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2.312.H · Prior to working with children the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department approved training about child abuse prevention, including FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ common symptoms and signs of child abuse how to report, where to report, and when to report suspected or known child abuse or neglect within thirty (30) calendar days of employment. This training must be renewed annually.

At the time of visit, provider had an expired Department-approved child abuse prevention training. Correction: Immediately ensure the primary provider and all staff and substitutes have an active Department-approved child abuse prevention training. Submit certificates and statement of compliance to specialist by 7/2/2025. Correct by 06/25/2025

Corrected by Jun 25, 2025

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2.312.I · Prior to working with infants, the primary provider, applicant 2, the equally qualified provider, qualified substitutes, and all staff members must complete a Department-approved safe sleep training. This training must be renewed annually.

At the time of visit, provider had an expired Department-approved safe sleep training. Correction: Immediately ensure the primary provider and all staff and substitutes have an active Department-approved safe sleep training. Submit certificates and statement of compliance to specialist by 7/2/2025. Correct by 06/25/2025

Corrected by Jun 25, 2025

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2.320.A.7 · An admission record must be completed for each child prior to or at the time of the child’s admission 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;

At the time of visit, reviewed twelve (12) children's files, revealing six (6) children's files without a current emergency medical authorization record updated annually by the parents. Correction: Immediately review all children's files. Ensure all children's files have a completed child emergency medical authorization and are update annually. Submit written statement of compliance by 7/2/2025. Correct by 06/25/2025

Corrected by Jun 25, 2025

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2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

At the time of visit, reviewed twelve (12) children's files, revealing four (4) children's files without a an updated health statement in accordance with the American Academy of Pediatrics recommendations. Correction: Immediately review all children's files. Ensure all children have an updated health statement in accordance with the American Academy of Pediatrics recommendations. Submit a written statement of compliance by 7/2/2025. Correct by 06/25/2025

Corrected by Jun 25, 2025

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2.337.B.3.a · Toddler climbing equipment, sliding equipment, or equipment with attached platforms must have a three (3) foot use zone surrounding the equipment. Toddler slides require a six (6) foot use zone extending out from the base of the slide.

At the time of visit, observed a large playhouse directly next to climbing equipment, not leaving a three (3) foot use zone surrounding the equipment. Correction: Immediately ensure that all climbing equipment, sliding equipment, or equipment with attached platforms have three (3) foot use zone surrounding the equipment. Submit a witten statement of compliance by 7/2/2025. Correct by 06/25/2025

Corrected by Jun 25, 2025

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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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 visit, provider did not have an emergency drill log on file for review. Correction: Immediately ensure all drills held over the past twelve (12) months are maintained in record. Submit written statement of compliance by 7/2/2025. Correct by 06/25/2025

Corrected by Jun 25, 2025

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2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

At the time of inspection provider had fingerprints that were completed over 5 years ago. Correction: Immediately all household members must have updated clearance letters obtained prior to the 5 year date reflected on the current clearance letter. Submit verification of submission and a written statement of compliance by 9/2/2024 Correct by 08/19/2024

Corrected by Aug 19, 2024

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2.321.A.2.c · At the time of admission, the parent or guardian must provide the following information to the provider for each child entering the family child care home: Documentation of school-required immunization status or medical or nonmedical exemption, is required by the Colorado Board of Health.. Up-to-date, school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment (CDPHE) certificate of immunization or on an "approved alternate" certificate of immunization as described in CDPHE regulations at FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours.. Colorado law requires that proof of immunization be provided prior to the first day of admission.

Reviewed 3 children's files. 2 children did not have immunization records on file for review. Correction: Immediately all children prior to attendance must have a certificate of immunization or an approved alternate certificate on file for review. Submit a written statement of compliance by 9/2/2024 Correct by 08/19/2024

Corrected by Aug 19, 2024

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2.321.A.5 · Health statements for children over two (2) years to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric HealthCare or as required in writing by health care provider.

Reviewed 3 children's files. 2 children had health statement were expired. Correction: Immediately all children must have health statements on file and updated in accordance with the American Academy of Pediatrics recommended schedule. Submit a written statement of complinace by 9/2/2024 Correct by 08/19/2024

Corrected by Aug 19, 2024

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7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member responsible for the collection, review, and maintenance of the child immunization records must complete the Colorado Department of Public Health and Environment (CDPHE) immunization course within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Michelle did not have documentation of a current childcare and preschool immunization training. Correction: Immediately on 9/19/23, ensure that the childcare and preschool immunization training is updated annually. Submit documentation and a written statement of compliance by 10/3/23. Correct by 09/19/2023

Corrected by Sep 19, 2023

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7.707.71.B.1 · The provider must obtain written authority to arrange for emergency medical care for each child. Written authorization to obtain emergency medical care must be on file prior to or on the first day of admission and must be re-authorized annually. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed eight (8) child files. Three (3) children did not have documentation of a current authorization for emergency medical care. Correction: Immediately on 9/19/23, ensure that written authorization for emergency medical care is updated annually for each child. Submit a written statement of compliance by 10/3/23. Correct by 09/19/2023

Corrected by Sep 19, 2023

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7.707.932.A2 · By December 31, 2010, all pieces of permanently installed playground equipment must be surrounded by and have at least six inches (6" ) of a nationally recognized protective surface underneath the equipment

The pea gravel underneath the permanent climbing equipment measured between four (4) inches to one(1) inch. Correction: Immediately on 9/19/23, ensure that the protective surfacing surrounding permanently installed playground equipment measures at least six (6) inches. Submit documentation and a written statement of compliance by 10/3/23. Correct by 09/19/2023

Corrected by Sep 19, 2023

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