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.

Reviewed CCHC file and found no evidence of a current immunization course completed. Correction: Ensure the CCHC completed the immunization course annually. Submit written verification of compliance to Licensing Specialist. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

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

2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(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 professional development. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 3 staff files and found no evidence of "Recognizing the Impact of Bias" course completed by staff A.G. Correction: Ensure A.G. completes the "Recognizing the Impact of Bias" course. Submit written verification of compliance to Licensing Specialist. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

Category: recordkeeping. Marked corrected in the state record.

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 3 staff files and found no evidence of a medical statement signed and dated by a health care provider in file for staff A.G. and E.L. Correction: Ensure staff A.G. and E.L. both obtain a medical statement signed and dated by a health care provider verifying that they are in good mental, physical, and emotional health for the position they are working. Submit written verification of compliance to Licensing Specialist. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

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

2.212.J · Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures.

Identified through Director there are no signed statements from any staff member indicating that they have read and understand the centers policies and procedures. Correction: Ensure all staff members have read and understand the centers policies and procedures and have a signed statement indicating this. Submit written verification of compliance to Licensing Specialist. Correct by 01/29/2025

Corrected Corrected by Jan 29, 2025

Marked corrected in the state record.

2.212.N · Prior to working with children, each staff member must read and be trained on the center’s policies FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures

Identified through Director that no staff have a signed statement indicating they have read and been trained on the centers policies and procedures for the administration of medications. Correction: Ensure staff have a signed statement indicating they have read and been trained on the centers policies and procedures for the administration of medications. Submit written verification of compliance to Licensing Specialist. Correct by 01/29/2025

Corrected Corrected by Jan 29, 2025

Category: ratio. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the 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 3 staff files and found no evidence of "Intro to the Early intervention of Preschool" course completed by staff A.G. Correction: Ensure A.G. completes the "Intro to the Early intervention of Preschool" course. Submit written verification of compliance to Licensing Specialist. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

Category: recordkeeping. Marked corrected in the state record.

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

Observed hand sanitizer on shelf in classroom and hand soap on sink in bathroom both labeled "keep out of reach of children" accessible to children. Correction: Ensure all items labeled "keep out of reach of children" are inaccessible to children. Fixed on site during inspection. Correct by 01/29/2025

Corrected Corrected by Jan 29, 2025

Marked corrected in the state record.

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Identified through Director that no staff have been trained in fire safety and the use of fire extinguishers and fire alarms. Correction: Ensure all staff have been trained in fire safety and the use of fire extinguishers and fire alarms. Submit written verification of compliance to Licensing Specialist. Correct by 01/29/2025

Corrected Corrected by Jan 29, 2025

Category: physical safety. Marked corrected in the state record.

2.209.A.7 · 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: 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 4 child files and found one child's emergency medical care authorization expired. Correction: Ensure each child enrolled have a current written authorization for emergency medical care signed and updated annually. Submit written verification of compliance to Licensing Specialist. Correct by 01/29/2025

Corrected Corrected by Jan 29, 2025

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

2.220.K · Topical preparations such as petroleum jelly, diaper rash ointments, sunscreen, insect repellent, and other ointments may be administered to children with written authorization from the parent(s)/guardian(s). These preparations may not be applied to open wounds or broken skin unless there is a written order by the prescribing health care provider.

Reviewed 4 child files and found no evidence of a current signed authorization for topical preparations for 2 children. Correction: Ensure all children enrolled have a written authorization from parent/guardian for topical preparations and update annually. Submit written verification of compliance to Licensing Specialist. Correct by 01/29/2025

Corrected Corrected by Jan 29, 2025

Category: ratio. Marked corrected in the state record.

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 4 child files and found no evidence of a current health statement for one child. Correction: Ensure all children enrolled have a current health statement signed and dated by a health care provider on file. Submit written verification of compliance to Licensing Specialist. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

Category: ratio. Marked corrected in the state record.

2.219.B.1 · 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, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section 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., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 4 child files and found no evidence of immunization status or certificate for one child. Correction: Ensure all children enrolled have a current immunization status or certificate on file. Submit written verification of compliance to Licensing Specialist. Correct by 01/29/2025

Corrected Corrected by Jan 29, 2025

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