Duncan Park

2.121.B · Only in the case of a children's resident camp or school-age child care center, out-of-state persons employed in a temporary capacity for less than ninety (90) days are not required to be fingerprinted to obtain a criminal record check. Each person exempted from fingerprinting and being checked with the Department's automated system must sign a statement which affirmatively states that she/he has not been convicted of any charge of child abuse or neglect, unlawful sexual offense, or any felony. Out-of-state employees operating under this exemption must be supervised at all times by a staff member who has successfully completed all background checks.

Reviewed 4 staff files and identified Fayth as an out-of-state staff member and lacking signed statement required for persons exempted from fingerprinting. Correction: Immediately ensure out-of-state persons employed in a temporary capacity for less than ninety (90) days are not required to be fingerprinted to obtain a criminal record check. Each person exempted from fingerprinting and being checked with the State Department's automated system must sign a statement which affirmatively states that she/he has not been convicted of any charge of child abuse or neglect, unlawful sexual offense, or any felony. Out-of-state employees

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2.411.B · Prior to working with campers all staff members and regular volunteers must complete a Department-approved training about child abuse prevention, including 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 7 staff files and identified all lacking abuse and neglect training prior to working with campers. Correction: Immediately ensure prior to working with campers all staff members and regular volunteers must complete a Department-approved training about child abuse prevention, including 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. Correct by 06/17/2025

Corrected by Jun 17, 2025

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2.406.B.18 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for reporting child abuse and/or neglect, including the name of the county department of social/ human services and phone number of where a child abuse report should be made (see rule section 2.126 of the General Rules for Child Care Facilities);

Reviewed parent handbook and identified it lacking procedure to report abuse and/or neglect. Correction: Ensure parent handbook is updated to include the procedure for reporting abuse and/or neglect. Correct by 07/17/2025

Corrected by Jul 17, 2025

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2.406.B.17 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information:The procedure for filing a complaint about the children’s resident camp including the name, address and telephone number of the Colorado Department of Early Childhood (see rule section 2.125 of the General Rules for Child Care Facilities);

Reviewed parent handbook and identified it lacking complaint reporting policy. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure parent handbook is updated to include the procedure for filing a complaint including the name, address and telephone number of the Colorado Department of Early Childhood. Correct by 07/17/2025

Corrected by Jul 17, 2025

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2.120.C.1.a.1 · 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: Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

Reviewed 6 staff files and identified Katy Jo W. and Gennessee T. lacking verification of Trails clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Katy Jo and Gennessee have reviewed the powerpoint within 24 hours. Submit documentation of Trails clearance letters for Katy Jo and Gennessee with written response to the Specialist. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.424.A · Every building, structure, tent, cabin, and camp premises must be kept in good repair, and must be maintained in a safe condition.

Several broken glass windows, hole in wall in boys bath house, several nails protruding from wall in the bunk rooms, protruding nail on rocking chair in lodge, broken wood on bunk bed in girls bunk room and broken hanging porch swing. Correction: Ensure every building and camp premises is kept in good repair and maintained in a safe condition. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.424.L · Power tools, explosives and special equipment involving unusual risk must be stored in a locked place inaccessible to children, and must always be under the custody and direct supervision of authorized personnel when in use.

Multiple kitchen knives accessible to campers in unlocked and unoccupied camp kitchen, posing potential hazards. Correction: Immediately ensure tools and equipment involving unusual risk is stored in a locked place and inaccessible to children and must always be under the custody and direct supervision of authorized personnel when in use. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.115.E · If the Department grants an appeal for undue hardship, it will issue the applicant or licensee an official decision notification letter temporarily excusing the applicant or licensee from compliance with the appealed rule or FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ standard and accepting the alternate compliance plan.

Reviewed hardship wavier issued for program by the Department on 9/1/23 and identified alternated plan of compliance was not being followed at the time of visit. Identified decision letter noted that there must be "documented evidence of parents' acknowledgment of being advised of trips that will not have a health care worker physically present" and facility lacking verification maintained at the time of visit. Identified the decision letter noted "hazardous items must be inaccessible to children and observed multiple hazardous items accessible at the time of visit. Identified the decision letter noted "staff must receive delegation" and all staff lacking verification of current medication delegation. Correction: Immediately ensure the alternate plan of compliance is followed at all times. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.421.C · The camp must identify hazards and high-risk areas and develop policies they follow to prevent unauthorized access to these hazards and high-risk areas.

Staff tents near main buildings and camp kitchen have no locking mechanisms and are accessible to campers when not occupied, posing potential hazards. Observed areas under main lodge and bath house, both with gaps greater than 12", used to store ladders, glass pane windows, and used wooden boarders and accessible to campers, posing potential safety hazards. Correction: Immediately ensure the camp develops and follows policy to prevent unauthorized access to hazards or high-risk areas. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.411.C · At any camps less than thirty (30) minutes from emergency medical services by vehicle, in clear weather, there must be at least one (1) staff member with each group of children qualified with Department-approved First Aid, CPR, and Medication Administration Training and delegation.

Group of campers was away on a field trip at the time of inspection. Reviewed 10 staff files and identified all lacking verification of current medication delegation maintained in staff files. Correction: Immediately ensure at any camps less than 30 minutes away from emergency medical services by vehicle, there is at least 1 staff member with each group of children with Department-approved First Aid, CPR and Medication Administration training and delegation. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.413.J · The camp health care worker must be responsible for administering medication to campers. If the health care worker is not a Colorado licensed registered nurse or physician, the health care worker may only administer FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ medication prescribed for individual campers as delegated and supervised by a registered nurse or physician. Respiratory therapists may administer medication within their scope of practice.

Reviewed identified camp health care worker (Conner G.) file and identified it lacking verification of current delegation to administer medications. Correction: Immediately ensure the camp health care worker must be responsible for administering medication to campers. If the health care worker is not a Colorado licensed registered nurse or physician, the health care worker may only administer medication prescribed for individual campers as delegated and supervised by a registered nurse or physician. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.422.F · If bunk beds are in use, no bunks may contain more than two (2) tiers of beds. There must be at least twenty-seven (27) inches of clear space separating the tiers of beds and thirty-six (36) inches of clear space between the top tier and the ceiling. Electric lights which are within reach of the top bunk must be protected.

Space between top of mattresses and tier above measured approximately 25" and lacking at least 27" clear space separating the tiers of beds. Correction: Immediately ensure if bunk beds are in use there must be at least 27" of clear space separating the tiers. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.422.E · The aisles between rows of cots, beds, or bunks must be kept clear for exiting purposes. There must be at least two (2) feet of clear space separating sides of cots, beds or bunks.

Shoes and bags stored next to bunk ladder in the girl's bunk room and lacking at least 2' clear space separating bunks. Correction: Immediately ensure the aisles between rows of bunks are kept clear for exiting purposes. There must be at least 2' of clear space separating the bunks. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.413.D · The camper must present a statement confirming a physical examination, which has been performed within the preceding twenty-four (24) months from the first day of attendance at camp by a health care provider, which includes any physical problems which would limit the camper’s activity, and any special care which the child will need.

Reviewed 8 individual health care plans for children in care with signed prescribing practitioner authorizations and lacking verification of parental authorization for medications indicated. Observed 1 camp to have a medication authorization for medication that was lacking dosage indicated. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure each camper presents a statement confirming a physical examination, which includes any special care which the child will need. Any medication to be given to campers must include written authorizations from parent/guardian and prescribing authority and all required information to administer medication, including: a. Child's name; b. Licensed prescribing practitioner name, telephone number, and signature; c. Date authorized; d. Name of medication and dosage; e. Time of day medication is to be given; f. Route of medication; g. Length of time the medication is to be given; h. Reason for medication (unless this information needs to remain confidential); I. Side effects or reactions to watch for; and J. Special instructions. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.413.B · At least ten (10) calendar days prior to admission, each camper must furnish a health history which indicates communicable diseases and chronic illnesses or injuries the individual has had, any known drug reactions and allergies, medications being taken, and any necessary health procedures or special diets.

Reviewed individual health care plans for children in care and identified 1 camper with prescribed medication to be taken daily noted on health care plan and camp staff did not have medication available/provided to them for camper. Correction: Immediately ensure at least ten (10) calendar days prior to admission, each camper must furnish a health history which indicates communicable diseases and chronic illnesses or injuries the individual has had, any known drug reactions and allergies, medications being taken, and any necessary health procedures or special diets. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.417.A.2 · The camp must obtain written permission from parents or guardians for any transportation of their child during camp hours; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 8 camper files and identified all lacking transportation authorization. Correction: Immediately ensure the camp obtains written permission from parent/guardian for any transportation during camp hours. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.413.E · The camper must submit documentation of immunization status or exemption as required by Colorado Department of Public Health and Environment (CDPHE). 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 regulation 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 https://www.coloradosos.gov/CCR/Welcome.do. 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 proof of immunization or exemption be provided prior to or on the first day of admission.

Reviewed 8 camper files and identified 2 campers with self-reported immunization history and lacking verification of immunization status or exemption as required by CDPHE. Correction: Immediately ensure all campers submit documentation of immunization status or exemption as required by Colorado Department of Public Health and Environment (CDPHE). Colorado law requires proof of immunization or exemption be provided prior to or on the first day of admission. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.417.C.2.e · The camp must verify that all drivers meet minimum requirements, including: Drivers must complete a minimum of four (4) hours of driver training that includes at a minimum: behind the wheel training; participant transport attendance procedures including taking attendance at the destination; managing behavioral issues; loading and unloading procedures; daily vehicle inspection procedure; proper tire inflation; emergency equipment and how to use it; accident procedures; passenger illness procedures; procedures for backing up; and, if buses are used, evacuation FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ procedures;

Reviewed driver training for staff and identified it lacking verification of attendance procedures and managing behavioral issues. Correction: Immediately ensure the driver training for all drivers includes a minimum of four (4) hours of driver training: behind the wheel training; participant transport attendance procedures including taking attendance at the destination; managing behavioral issues; loading and unloading procedures; daily vehicle inspection procedure; proper tire inflation; emergency equipment and how to use it; accident procedures; passenger illness procedures; procedures for backing up; and, if buses are used, evacuation procedures. Correct by 07/11/2024

Corrected by Jul 11, 2024

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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 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.

Facility lacking verification of emergency drills with all required information maintained over the past 12 months. Correction: Immediately ensure 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. Document correction in written response. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.425.B · In each camp there must be a fire alarm(s) must sounds a separate and distinctly recognizable tone FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ from all other signaling devices used by the camp. The alarm(s) must be audible throughout the occupied camp premises. The alarm device, once activated, must continue to sound automatically.

Identified through staff statement that facility did not have a fire alarm system that would continue to sound automatically once activated. Correction: Immediately ensure in each camp there must be a fire alarm(s) must sounds a separate and distinctly recognizable tone from all other signaling devices used by the camp. The alarm(s) must be audible throughout the occupied camp premises. The alarm device, once activated, must continue to sound automatically. Provide written plan of compliance with local fire department with written response. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.424.M · Volatile substances such as gasoline, kerosene, fuel oil, and oil- based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for children unless approved by the local fire department.

Essential oil set labeled "combustible, may irritate skin and eyes, keep out of reach of children" accessible to campers in unlocked cabinet in main lodge and container of Poo-Pourri spray in girl's bunk bathroom labeled "keep out of reach of children" and accessible to campers. Correction: Immediately ensure hazardous items are stored inaccessible to children. Corrected at the time of visit. Staff removed essential oil set and container of spray and made items inaccessible to campers. NO RESPONSE REQUIRED. Correct by 07/11/2024

Corrected by Jul 11, 2024

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2.118.C.1 · For hardship appeals and materials waiver requests, the official decision letter must be posted next to the child care license until its expiration date. If there is no expiration date, the letter expires three (3) years from its date.

Official decision letter was not posted next to the child care license at the time of arrival. Correction: Immediately ensure the official decision letter is be posted next to the child care license until its expiration date. Corrected at the time of visit. Staff printed waiver and posted next to license in lodge. NO RESPONSE REQUIRED. Correct by 07/11/2024

Corrected by Jul 11, 2024

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