7.702.42.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed 14 staff files. 4 staff members not required to be certified in first aid and CPR had not completed the Department-approved introduction to First Aid and CPR training module. Correction: Immediately all staff not required to be certified in First Aid and CPR must complete a Department-approved introduction to First Aid and CPR training module within 30 days of employment. This training must be updated every 2 years. Submit training certificates and a written statement of compliance by 11/20/2023 Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.91.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 a swiffer mop with cleaner in an unlocked closet accessible to children in the toddler room. Correction: Immediately all cleaning supplies must be stored in areas inaccessible to children. Submit a written statement of compliance by 11/20/2023 Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Marked corrected in the state record.

7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 14 staff files. 4 staff members had not completed the Department-approved training about Child abuse prevention. Correction: Immediately all staff within 90 days of enrollment must complete a Department-approved training course introduction. within 30 days of employment. This training must be updated every 2 years. Submit training certificates and a written statement of compliance by 11/20/2023 Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.41.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 14 staff files. 8 staff members employed over 30 days did not have a medical statement signed and dated by a health care provider on file for review. Correction: Immediately all staff within 30 days of employment must provide a signed and dated medical statement.\ Subsequent self reported health histories must be submitted annually. Submit a written statement of compliance by 11/20/2023 Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

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

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 14 staff files. 4 staff members did not have current completion of a Department-approved Standard Precautions training that meets OSHA requirements. Correction: Immediately all staff must complete a Department-approved Standard Precautions training that meets OSHA requirements prior to working with children. This training must be updated annually. Submit training certificates and a written statement of compliance by 11/20/2023 Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.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 14 staff files. 1 staff member did not have current completion of a Department-approved Prevention of Shaken Baby/Abusive Head trauma training. Correction: Immediately all staff must complete a Department-approved Prevention of Shaken Baby/Abusive Head trauma training. prior to working with children. This training must be updated every 2 years. Submit training certificates and a written statement of compliance by 11/20/2023 Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ professional development.

Reviewed 14 staff files. 3 staff members employed over 90 days had not completed the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training. Correction: Immediately all staff within 90 days of employment must complete a Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training. . Submit training certificates and a written statement of compliance by 11/20/2023 Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Category: recordkeeping. Marked corrected in the state record.

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

At the time of inspection observed loose plastic bags in an unlocked drawer accessible to children in the toddler classroom Correction: Immediately loose plastic bags must be stored in areas inaccessible to children. Violation was corrected at the time of inspection. Bags were moved to an upper cabinet. Submit a written statement of ongoing compliance by 11/20/2023 Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Marked corrected in the state record.

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 14 staff files. 4 staff members had not completed the Department-approved training about Child abuse prevention. Correction: Immediately all staff must complete a Department-approved training about Child abuse prevention. within 30 days of employment. This training must be updated every 2 years. Submit training certificates and a written statement of compliance by 11/20/2023 Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.32.J · . Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ resubmitting an inquiry form and current fee to the State Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before prior to the five (5) years from the date reflected on the current clearance letter.

Reviewed 14 staff files. 3 staff members had child abuse and neglect inquiry background checks that were over 5 years old. Correction: Immediately all child abuse and neglect background checks must be completed every 5 years. Submit proof that inquiries are submitted and a written statement of ongoing compliance by 11/20/2023 Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Category: background checks. Marked corrected in the state record.

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 14 staff files. 2 staff members observed working with children had not completed a State Department-approved training in emergency and disaster preparedness. Correction: Immediately all staff must complete a State Department-approved training in emergency and disaster preparedness prior to working with children. Submit training certificates and a written statement of compliance by 11/20/2023 Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.100.F.2 · . 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.

Reviewed provider drill log. Fire drills were not completed in March, August or October. Correction: Immediately ensure drills are held as required. Fire drills must be done monthly, Emergency drills must be done at least quarterly and Tornado drills must be held monthly March Through October. Submit a statement of compliance by 11/20/2023 Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.51.A.2.a · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or Certificate of 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 Certificate of Immunization or on an "approved alternate" Certificate of Immunization. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 9 children's files. 5 children enrolled in the program did not have documentation of school required immunization status or exemption. Correction: Immediately all children must have on file documentation of school required immunization status or exemption prior to or on the first day of admission. Submit written statement of compliance by 11/20/2023 Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

Category: health medication. 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 9 children's files. 2 children did not have current signed, dated written authorization for emergency medical care. Correction: Immediately all children must have on file current signed, dated written authorization for emergency medical care. This authorization must be updated annually. Submit a written statement of compliance by 11/20/2023 Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

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

7.702.34.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 9 children's files. 7 children did not have current health statements completed by a health care provider. Correction: Immediately all children within 30 days of enrollment must have on file a current statement of health completed by a health care provider. This health statement must be updated following the health care provider recommended schedule. Submit a written statement of compliance by 11/20/2023 Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

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