2.121.D · Each owner and employee sixteen (16) years of age or older of a facility or agency shall complete the fingerprint process at an approved vendor. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed 4 staff files and identified Zoe B. (DOH 5/1/23) to be missing FBI and CBI clearance letters. Identified Kendra D. (DOH 8/28/24) to be missing FBI clearance letter. Identified Wendy F. (DOH 8/1/24) to be missing CBI 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 member Zoe B., Kendra D. and Wendy F. have reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI, for Zoe B., documentation of FBI clearance letter for Kendra D. and CBI clearance letter for Wendy F. with written response to the Specialist. Correct by 10/17/2024

Corrected Corrected by Oct 17, 2024

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

2.513.B.1 · -10 The written order by the health care provider with prescriptive authority must include: FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 1.Child’s name and birthdate; 2.Licensed prescribing practitioner name, telephone number, and signature; 3.Date authorized; 4.Name of medication and dosage; 5.Time of day medication is to be given; 6.Route of medication; 7.Length of time the medication is to be given; 8.Reason for medication (unless this information needs to remain confidential); 9.Side effects or reactions to watch for; and 10.Special instructions.

One child's medication to be missing the dosage from the written order. Correction: The written order for emergency medications must include the dosage. Submit a written statement of compliance to specialist. Correct by 10/17/2024

Corrected Corrected by Oct 17, 2024

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

2.513.D · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

Over the counter medication not labeled with child's last name. Additionally the medication was labeled with another child's first name. Correction: Over the counter medication must be labeled with first and last name. Submit a written statement of compliance to specialist. Correct by 10/17/2024

Corrected Corrected by Oct 17, 2024

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

2.524.A.9 · All outdoor play areas used for children’s activities must be checked prior to use and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Exposed weed covering on the playground, posing a potential tripping hazard. Correction: Outdoor play areas must be kept free of hazard. Submit a written statement of compliance to specialist. Correct by 10/17/2024

Corrected Corrected by Oct 17, 2024

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

7.712.73.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

At the time of the visit, observed 2 adult size scissors and 2 white out containers labeled "keep out of reach of children" on the teacher's desk in Classroom #2 and a sunscreen bottle labeled "keep out of reach of children" in an unlocked drawer in the teacher's desk accessible to children in Classroom #2. Correction: All hazardous items must be inaccessible to children at all times. **Corrected at the time of the visit, a staff member removed all items and made them inaccessible to children. No need for a written statement of compliance to be submitted. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

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

7.712.42.G.3 · All employees caring for children, not required by rule to be certified in First Aid and CPR, must complete a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 2 staff files, one file (Daryn J.) is lacking the department-approved introduction to First Aid and CPR module or current CPR/First Aid training. Daryn was hired in October 2019. Correction: Review all staff members' files, and ensure all files have updated documentation of the department-approved introduction to First Aid and CPR module or current CPR/First Aid training. Submit documentation with the written statement of compliance Correct by 12/15/2023

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.