2.233.A.3 · Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority.

observed a 4 year old in a toddler 3 classroom at time of visit. Correction: Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority. Correct immediately, corrected at time of visit 4 year old child was taken back to primary classroom. No response needed. Correct by 06/26/2025

Corrected Corrected by Jun 26, 2025

Marked corrected in the state record.

2.217.A.12 · Children of the director or of staff members who attend the center and other children on the premises for supervision and care must be counted against the licensed capacity in the appropriate age groups.

observed a 4 year old in a toddler 3 classroom at time of visit. Correction: Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority. Correct immediately, corrected at time of visit 4 year old child was taken back to primary classroom. No response needed. Correct by 06/26/2025

Corrected Corrected by Jun 26, 2025

Category: supervision. 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 15 staff files and observed Alex D DOH ( 3/2024) to have no documenation of child development training. Correction: Obtain current child development training for staff and add to staff file and send written verification to specialist with response. Correct by 08/22/2024

Corrected Corrected by Aug 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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.

reviewed 9 children files and observed Ch1 to have no current medial statement. Correction: Obtain current medical health statement for Ch1 and add to child's file and send written response to specialist. Correct by 08/22/2024

Corrected Corrected by Aug 22, 2024

Category: health medication. 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.

in toddlers classroom prescription medications to have no original prescription label for Child. Correction: Prescription medications must contain the original pharmacy label. Correct immediately and send written response to specialist Correct by 07/23/2024

Corrected Corrected by Jul 23, 2024

Category: health medication. 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

Reviewed 15 staff files and observed all staff to be missing documenation of fire extiguisher and fire alarms training Correction: Obtain current fire safety and fire extinguisher training for all staff and add to staff files. Correct immediately and send written verification to specailsit with specialist with response. Correct by 07/23/2024

Corrected Corrected by Jul 23, 2024

Category: recordkeeping. Marked corrected in the state record.

7.702.51.B.11 · 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 9 children files and observed ch7 to have no documentationof permission for tropical ointments. CH7 DOE 8/23/23 Correction: Obtain current permission forms for tropical ointment for ch7 and add to files. Correct immediately and send

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

in toddler 2 bathroom on low cube shelf cleaning caddy with a bottle of Virex spray labeled "keep out of reach of children" to be accessible to children. Observed in toddler 3 bathroom on cube shelf the following 3 bottles of sanitizer a large bottle of Pinesol all labeled "keep out of reach of children" to be accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately, corrected at time of visit classroom staff removed items and placed them in higher shelf inaccessible to children. No response needed. Correct by 08/30/2023

Corrected Corrected by Aug 30, 2023

Marked corrected in the state record.

7.701.32.D.1.a.1 · . 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ background checks.

reviewed 14 staff files and observed Kourtney M 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 members have reviewed the powerpoint within 24 hours. Submit documentation of CBI Clearance Letters) for staff members with written response to Specialist. Correct by 08/30/2023

Corrected Corrected by Aug 30, 2023

Category: supervision. Marked corrected in the state record.

7.702.5.B.3 · Admission procedures must be completed prior to the child's attendance at the center and must include: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s)/guardian(s) defining the interventions needed to care for a child who has an identified health or developmental condition or concern including, but not limited to seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved Child Care Health Consultant; supervision of the plan and interventions must be documented.

reviewed 9 children files and observed ch7 to have no documentation of admission record. Ch7 DOE 8/23/23. Correction: Obtain current completed admission record for ch7 and add to files. Correct immediately and send written verification to specialist with response. Correct by 08/30/2023

Corrected Corrected by Aug 30, 2023

Category: supervision. Marked corrected in the state record.

7.702.31.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

reviewed 9 children files and observed ch7 to have no documentation of admission record or parents signing policies and procedures. CH7 DOE 8/23/23. Correction: Obtain current completed admission record and signed policies and procedures for ch7 and add to files. Correct immediately and send written verification to specialist with response. Correct by 08/30/2023

Corrected Corrected by Aug 30, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.34.A.7 · 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 9 children files and observed ch7 to have no documentation of admission record or emergency medical authorization. Ch7 DOE is 8/23/23. Correction: Obtain current completed admission record and emergency medical authorization for ch7 and add to files. Correct immediately and send written verification to specialist with response. Correct by 08/30/2023

Corrected Corrected by Aug 30, 2023

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