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

In classroom B there was a foam soap refill labeled Keep out of reach of children under the sink accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Correct and provide a written statement of compliance. Correct by 03/01/2024

Corrected Corrected by Mar 1, 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 staff files and found Lydia to be missing a medical statement signed and dated by a physician. Correction: All staff must submit to the center a medical statement signed by a physician within 30 calendar days after first day of employment. Correct and provide a written statement of compliance. Correct by 04/01/2024

Corrected Corrected by Apr 1, 2024

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

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

In the sensory room there were two outlets on the powercord that did not have protective covers. Correction: In rooms used by children all electrical outlets must have protective covers.*** Corrected at time of visit, outlest were covered. No response needed. Correct by 03/01/2024

Corrected Corrected by Mar 1, 2024

Marked corrected in the state record.

2.120.C.1.a · 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: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed staff files and found Lydia to be missing documentation of of a completed TRAILS report. Correction: Trails child abuse or neglect record requests must be made for all individuals whose activites involve care or supervison of childrenmust be submitted and successfully completed prior to caring for children. Provider must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification the provider reviewed the powerpoint within 24 hours. Notify Licensing Specialist in writing once the resident has completed the fingerprinting process. Correct by 03/01/2024

Corrected Corrected by Mar 1, 2024

Category: supervision. Marked corrected in the state record.

2.121.D.4.a · Criminal background check requests must be successfully completed 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 staff files and found Lydia to be missing record for a completed CBI background check. Correction: Criminal background check requests must be successfully completed prior to an individual caring for children.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.230.C.8 · All outdoor play areas used for children’s activities must be checked daily 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.

On the west side of the playground by the bike shed there is maintenance being done on the sprinkler system and there is large holes and tubing accessible to children. There is a fence but it is gapping and not secure. Bolts on East and West fence were observed with more than 2 threads accessible to children. Correction: All outdoor play areas used for children activities must be checked daily and kept safe and free from hazardous materials and debris. Correct and provide a written statement of compliance. Correct by 03/01/2024

Corrected Corrected by Mar 1, 2024

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

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 staff files and found Lydia and Estefania to be missing a current training in Standard Precautions. Correction: All staff must complete a department approved training in Standard precautions and must update annually. Correct and provide a written statement of compliance. Correct by 03/01/2024

Corrected Corrected by Mar 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ renewed annually.

Reviewed staff files and found Lydia, Estefania, and Jazmine to be missing a current training in Child Abuse Prevention. Correction: Within 30 days of employment all staff must complete an approved training about Child abuse prevention and must renew annually. Correct and provide documentation with a written statement of compliance. Correct by 03/01/2024

Corrected Corrected by Mar 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed staff files and found Lydia to be missing a training in FEMA/disaster preparedness. Correction: Prior to caring for children all staff must complete an approved training in emergency and disaster preparedness. Correct and provide documentation with a written statement of compliance. Correct by 03/01/2024

Corrected Corrected by Mar 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.232.A.4 · The play area must be designed so that it is easily supervised.

The outside play area has mulitiple areas that are not easily supervised. The south side of the building is open to the playgorund but is blocked by the building creating a hallway along the fence and building that is not visible from all areas of the playground. The area around the toy shed on the west side of the playgound also has spaces around it that are not easily visiable. Correction: The play area must be designed so that it is easily supervised. Correct and provide a plan of supervision with the written response. Correct by 03/01/2024

Corrected Corrected by Mar 1, 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 staff files and found Lydia to not have CPR FIrst aid certification or the approved module. Correction: Within 30 days of employment all staff must have CPR First aid certification or must complete the approved

Open Not marked corrected in the state record

Open / not marked corrected.