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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the center.

Reviewed 7 children files and observed 1 child to be missing a health statement, and 4 children to have expired health statements. Correction: Obtain and maintain current and up to date health statements for all children enrolled. Correct and submit written compliance by 5/15/2026. Correct by 05/15/2026

Corrected Corrected by May 15, 2026

Category: ratio. Marked corrected in the state record.

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.

Reviewed emergency drill log and observed no documentation of fire drills done for Oct-Nov 2025 and Jan. 2026. No documentation of tornado drills for June-Aug, and October 2025. No documentation of any lockdown drills being done. Correction: Ensure fire drills are held and documented Jan-Dec, tornado drills Mar.-Oct, and lockdown drills quarterly. Correct immediately 4/15/2026 and submit written compliance by 5/15/2026. Correct by 04/15/2026

Corrected Corrected by Apr 15, 2026

Category: recordkeeping. 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 observed 4 staff members to be missing health statements. Correction: Obtain and maintain current and up to date health statements for all staff members. Correct and submit written compliance by 5/15/2026. Correct by 05/15/2026

Corrected Corrected by May 15, 2026

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

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 18 staff files and observed 1 staff members to have an expired Shaken Baby/Abusive Head Trauma training. Correction: Obtain and maintain current and up to date Shaken Baby/Abusive Head Trauma training for all staff members. Correct immediately 4/15/2026 and submit written compliance by 5/15/2026. Correct by 04/15/2026

Corrected Corrected by Apr 15, 2026

Category: recordkeeping. Marked corrected in the state record.

2.220.F · Staff designated by the director to give medications must complete the Department-approved medication administration training and have current annual delegation or more often as determined by the Department-approved child care health consultant. Delegation must be from the center’s current Department-approved child care health consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current cardiopulmonary resuscitation (CPR) and first aid training prior to administering medication with the following exceptions:

Reviewed 18 staff files and observed 1 staff member delegated to administer medication to have an expired First Aid/CPR certificate. Correction: Obtain and maintain current and up to date First Aid/CPR certificate for all staff members trained and delegated to administer medication. Correct immediately 4/15/2026 and submit written compliance by 5/15/2026. Correct by 04/15/2026

Corrected Corrected by Apr 15, 2026

Category: ratio. Marked corrected in the state record.