2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Reviewed 7 staff files and observed Director Nora B. to be missing Immunization training. Correction: Obtain current documentation of immunization training, add to staff file and submit documentation of compliance with written response. Correct by 03/24/2025

Corrected Corrected by Mar 24, 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.

Shaving cream labeled keep out of reach of children, accessible to children on a low shelf in unlocked cabinet in the Snap Dragons classroom. Diaper wipes labeled keep out of reach of children accessible to children on low shelf in bathroom in Snap Dragons and Forget me nots classrooms. Correction: Items labeled keep out of reach of children must be inaccessible to children. *** CORRECTED AT TIME OF VISIT*** Director moved shaving cream to high shelf inaccessible to children. Diaper wipes removed from bathrooms. Correct by 04/17/2024

Corrected Corrected by Apr 17, 2024

Marked corrected in the state record.

2.237.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

Box tape dispenser with serrated edge accessible to children on low shelf in Snap Dragons classroom, making it a potential safety hazard. Correction: Make all hazardous items inaccessible to children ***CORRECTED AT TIME OF VISIT**** Director removed

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.209.A.5 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include: Name, address, and telephone numbers of the child's health care provider, dentist, and if applicable, their hospital of choice.

Reviewed 4 child enrollment forms and observed child's hospital, hospital address and hospital phone number to be missing. Observed child's dentist address and physician address to be missing. Correction: Add the above information to the child's enrollment forms and make available to parents. Correct by 04/17/2024

Corrected Corrected by Apr 17, 2024

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

2.209.A.2 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include:Parent(s)/guardian(s) names; home and e-mail addresses; telephone numbers, including home, work, and cell numbers; employer name and work address; and, any special instructions as to how the parent(s)/guardian(s) may be reached during the hours that the child is in care at the center;

Reviewed children's enrollment forms and observed child's parents employer, employer address and employer phone number to be missing. Correction: Add the above information to the child's enrollment forms and make available to parents. Correct by 04/17/2024

Corrected Corrected by Apr 17, 2024

Category: recordkeeping. Marked corrected in the state record.

2.220.C · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

1 child's medication to be missing original container and to be missing original pharmacy label. Correction: Medications must be kept in the original labeled bottle or container. Prescriptions must contain the original pharmacy label. Correct by 04/17/2024

Corrected Corrected by Apr 17, 2024

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