2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 18 staff files and identified Victoria R. to be missing Standard Precautions training. Correction: All staff must complete the training prior working with children. Submit documentation with a written statement

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

Reviewed 18 staff files and identified all staff to be missing the fire safety and use of fire extinguisher training. Correction: All staff must complete the training. Submit a written statement of compliance to specialist. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: recordkeeping. Marked corrected in the state record.

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

One child's over the counter medication to be ming last name and one child's medication to be missing first and last name. Correction: Medications must be labeled with child's first and last name. CORRECTED AT THE TIME OF THE

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.131.A.1 · Every application used in the State of Colorado for employment with a child care provider or facility, or for the certification of a foster home, must include the following notice to the applicant: “Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.”

Reviewed 18 staff files and identified all staff to be missing the Perjury statement. Correction: All staff must sign the perjury statement. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

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 18 staff files and identified Breanna S. to be missing health evaluation. Correction: All stuff must submit a medical statement. Submit a written statement of compliance to specialist. Correct by 01/17/2025

Corrected Corrected by Jan 17, 2025

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

2.212.K · Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules.

Reviewed 18 staff files and identified all staff to be missing a sign statement for reading and understanding Licensing Rules and Regulations. Correction: All staff must sign a statement. Submit a written statement of compliance to specialist. Correct by 01/17/2025

Corrected Corrected by Jan 17, 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 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

Reviewed 18 staff files and identified all staff to be missing a sign statement for administering medications. Correction: All staff must sign the statement. Submit a written statement of compliance to specialist. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: ratio. Marked corrected in the state record.

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes:

Reviewed 18 staff files and identified Drenda P. to be lived outside of the state in the past 5 years and to be missing the Out-of-State Clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Drenda P. has reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for Drenda with written response to the Specialist. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: supervision. Marked corrected in the state record.

2.213.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 18 staff files and identified and identified Alexandrea A. with expired module and no CPR/ First Aid Certification. Correction: Staff must have either the module or the certification. Submit a written statement of compliance to specialist. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Marked corrected in the state record.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 18 staff files and identified Stacy V., Savanna V., Karissa U., Yasuko S., Jaylene H., Aleaxandrea A., Breanna S., Cheyenne P., Elizabeth G., Mariah B., to be missing a child development training. Correction: All staff must have at least 1 hour of child development training. Correct by 01/17/2025

Corrected Corrected by Jan 17, 2025

Category: recordkeeping. 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 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 16 child files and identified 7 children to be missing a subsequent date on the health statement. Correction: The health statement must include a subsequent date. Submit a written statement of compliance. Correct by 01/17/2025

Corrected Corrected by Jan 17, 2025

Category: ratio. Marked corrected in the state record.

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

Staff did not complete written attendance verification during transition from the classrooms to the movement room, from the gym to the classroom and when a child went to speech therapy. Correction: Written attendance must be completed during transitions. Submit documentation with written statement of compliance to specialist. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: recordkeeping. Marked corrected in the state record.

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

Small stuffed animal eyeball on the Toddler playground accessible to children. Broken crayons, wooden sorting beads, marker and pen caps, small letters and hair pin in the Preschool 2 classroom accessible to children under 3 years of age. Correction: Choke hazards must be inaccessible to children. CORRECTED AT THE TIME OF THE INSPECTION. Staff removed the choke hazards from the playground and the classroom. No response required. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

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

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

A spray bottle of disinfectant solution labeled "keep out of reach of children" on a counter in the 1B toddler room accessible to children, which poses a potential safety hazard. Correction: Items labeled "keep out of reach of children" must be inaccessible to children at all times. Correct immediately by 7/17/24. **Corrected at the time of visit by the Director putting the disinfectant in an area inaccessible to children. No written response is required. Correct by 07/17/2024

Corrected Corrected by Jul 17, 2024

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

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

Observed one heavy duty, yellow extension cord for the portable air conditioning unit in the 1B Toddler room to be laying across the doorway to the playground, and one to be laying coiled on the floor under the cubbies by the door to the hallway, posing a potential tripping or strangulation hazard. Correction: Indoor and outdoor equipment, materials and furnishings must be sturdy, safe and free from hazards. Correct immediately by 7/17/24 and submit written statement of compliance with overall response by 7/24/24. Correct by 07/17/2024

Corrected Corrected by Jul 17, 2024

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

2.216.A.1 · An early childhood teacher, assigned responsibility for a single group of children and working under the supervision of a director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:

At the time of the visit observed Ms. Joleen S. and Ms. Annabel B. to be the assigned staff members in the PreK2 classroom. Both Ms. Joleen and Ms. Annabel's files are lacking documentation of ECT qualification. Correction: There must be an early childhood teacher assigned for each group of children. **Corrected at the time of the visit, Ms. Victoria/ ECT qualified staff member was sent to the PreK2 classroom. Submit a written statement of compliance. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

Category: supervision. Marked corrected in the state record.

2.209.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

Reviewed 12 children's records, one record is lacking documentation of the child's health statement. Correction: Review all children's records, ensure all records have a copy of the child’s health statement completed by a health care provider. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

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

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

Observed a roll of plastic bags accessible to children in the Boys Bathroom. Correction: Loose plastic bags must be stored in areas inaccessible to children. **Corrected at the time of the visit, a staff member removed the item and made it inaccessible to children. No need for a written statement of compliance to be submitted. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

Marked corrected in the state record.

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

Observed an over the counter medication not to be labeled with the child's first and last name in PreK2 classroom. Correction: Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name. **Corrected at the time of the visit, a staff member labeled the medication with the child's first and last name. No need for a written statement of compliance to be submitted. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

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

2.220.J · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

Observed an expired Epipen and expired Allergy Relief medication in PreK1 classroom. The Epipen was expired on Nov. 2023 and the Allergy Relief medication was expired on March 2023. Correction: If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment. Correct immediately. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

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

2.218.C.5 · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider, parent(s)/guardian(s) and must include, but not be limited to, the following:

Observed an expired health care plan for one of the children in the PreK1 classroom. The health care plan was dated June 13th, 2022. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: The individual health care plan must be updated at least every 12 months from the date of the initial plan and as changes occur. Correct immediately. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

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