Windsor Recreation Center

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

Reviewed 3 staff member files and observed 2 staff to not have a Child Development training. Correction: Obtain and maintain Child Development training for all staff working with children. Correct immediately 10/17/2025 and submit written compliance by 10/24/2025 Correct by 10/17/2025

Corrected by Oct 17, 2025

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2.508.C · Within thirty (30) calendar days of employment all staff member responsible for the collection, review and maintenance of the child immunizations records must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 3 staff files and observed staff member responsible for maintaining children immunization record to be expired. Correction: Obtain and maintain current and up to date Immunization training. Correct immediately 10/17/2025 and submit written compliance by 10/24/2025 Correct by 10/17/2025

Corrected by Oct 17, 2025

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2.508.J · Within ninety (90) calendar days of employment, all program directors must complete the Department-approved training: Introduction to Child Care Health Consultation. This course is required once (1 time) and will be counted towards ongoing training requirements. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed Program Director's file and observed no documentation of Child Care Health Consultant training. Correction: Obtain and maintain Child Care Health Consultant training for the Program Director. Correct immediately 10/17/2025 and submit written compliance by 10/24/2025. Correct by 10/17/2025

Corrected by Oct 17, 2025

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2.508.D · Within (30) calendar days of employment all staff members and regular volunteers must complete 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 know child abuse or neglect. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 3 staff files and observed 2 staff members to have an expired Child Abuse Prevention training, and 1 staff member that does not have documentation of Child Abuse Prevention training Correction: Obtain and maintain current and up to date Child Abuse Prevention training for all staff working with children. Correct immediately 10/17/2025 and submit written compliance by 10/24/2025 Correct by 10/17/2025

Corrected by Oct 17, 2025

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2.508.I · Within ninety (90) calendar days of employment, all program directors must complete the Department-approved training: Working with an Early Childhood Mental Health Consultant. This course is required once (1 time) and will be counted towards ongoing training requirements. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed Program Director's file and observed no documentation of Working with an Early Childhood Mental Health Consultant training. Correction: Obtain and maintain Working with an Early Childhood Mental Health Consultant training for the Program Director. Correct immediately 10/17/2025 and submit written compliance by 10/24/2025. Correct by 10/17/2025

Corrected by Oct 17, 2025

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2.508.A · Prior to working with children all staff members must complete a Department-approved standard precautions training. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 3 staff files and observed 1 to be expired, and one to be missing signature. Correction: Obtain and maintain current and up to date Standard Precaution training. Correct immediately 10/17/2025 and submit written compliance by 10/24/2025 Correct by 10/17/2025

Corrected by Oct 17, 2025

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2.512.B.2 · Schools are required to comply with the immunization requirements as stated in 6 CCR 1009-2. Documentation of school-required immunization status or Certificate of Medical or Nonmedical Exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment (CDPHE) Certificate of Immunization or on an “approved alternate” Certificate of Immunization. Colorado law requires proof of immunization status or exemption be provided prior to or on the first (1st) day of admission. Colorado Department of Public Health and Environment regulation at 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at https://www.coloradosos.gov/CCR/Welcome.do. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

Reviewed 2 children files and observed 1 child to not have immunization record, and 1 child to not have immunization record on a CDPHE approved form. Correction: Obtain and maintain immunization records on a CDPHE approved form for all children enrolled. Correct immediately 10/17/2025 and submit written compliance by 10/24/2025. Correct by 10/17/2025

Corrected by Oct 17, 2025

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2.530.A · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include:

Reviewed 2 children files and observed 1 child to be missing an admission file. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain and maintain a current and up to date admission file for all children prior to or at the time of admission. Correct immediately 10/17/2025 and submit written compliance by 10/24/2025. Correct by 10/17/2025

Corrected by Oct 17, 2025

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2.530.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include: An annual written authorization for emergency medical care signed and dated submitted by the parent(s) or guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 2 children files and observed 1 child to be missing emergency medical authorization. Correction: Obtain and maintain current and up to date emergency medical authorization for all children enrolled. Correct immediately 10/17/2025 and submit written compliance by 10/24/2025. Correct by 10/17/2025

Corrected by Oct 17, 2025

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2.509.A.2 · The program director must be at least twenty-one (21) years of age, and must have completed at least one (1) of the following qualifications:

Reviewed Program Director's file and observed documentation of qualifications does not meet requirements. Correction: Obtain and maintain documentation of Program Director's qualification. Correct immediately 10/17/2025 and submit written compliance by 10/24/2025. Correct by 10/17/2025

Corrected by Oct 17, 2025

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2.509.G.3 · The Child Care Health Consultant must consult with the facility and consultation must be specific to the needs of the center and include some of the following topics: training; delegation and supervision of medication administration and special health procedures; health care; hygiene; disease prevention; equipment safety; interaction between children and adult caregivers; and normal growth and development. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed facility's files and observed no documentation for a Health Consultant. Correction: Ensure facility has a qualified Child Care Health Consultant that meets with the facility to consult on health issues. Correct immediately 10/17/2025 and submit written compliance by 10/24/2025. Correct by 10/17/2025

Corrected by Oct 17, 2025

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7.701.33.J.1.a.b.c · 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-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check

Reviewed 2 staff files and observed 1 staff member Britt M (hd 2/29/16) to not have renewed FBI background check after 5 years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Britt M. has reviewed the powerpoint within 24 hours. Submit documentation of (FBI, TRAILS, Clearance Letters) for staff members Britt M. with written response to Specialist. Correct by 11/20/2023

Corrected by Nov 20, 2023

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7.701.56.D · . All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ be maintained for the age of children cared for in the room.

Licensed capacity and staff-to-child ratio to not be displayed in the classroom. Correction: Licensed capacity and staff-to-child ratio must be displayed in the classroom. Correct immediately 11/20/23 and submit compliance by 11/27/23. Correct by 11/27/2023

Corrected by Nov 27, 2023

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7.712.41.D · . Each staff member and regular volunteer as defined in section 7.712.44.C must complete an annual health history. The health history must be maintained in a secure location.

Reviewed 2 staff files and observed 1 staff file Britt M (hd 2/29/16) to have an expired medical health history. Correction: Obtain and maintain and medical health history for all staff members. Correct immediately 11/20/23 and keep all staff files up to date. Submit compliance by 12/20/23. Correct by 11/20/2023

Corrected by Nov 20, 2023

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7.712.41.J · All staff members must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 2 staff files and observed 1 staff member Britt M (hd 2/29/16) to not have a department approved training for Standard Precautions. Correction: Obtain and maintain a department approved training for Standard Precaution. Correct immediately 11/20/23 and submit compliance by 11/27/23. Correct by 11/20/2023

Corrected by Nov 20, 2023

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7.712.41.L · . All staff member responsible for the collection, review and maintenance of the child immunizations records must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course within (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 2 staff files and observed 1 staff member Britt M to have an expired immunization training (1/11/21). Correction: Obtain and maintain a department approved immunization training. Correct immediately 11/20/23 and submit compliance by 11/27/23. Correct by 11/20/2023

Corrected by Nov 20, 2023

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7.712.81.A.8 · The center must maintain and update annually a record on each child that includes: A dated written authorization for emergency medical care signed and submitted annually by the parent or guardian. The authorization must be notarized if required by the local health care facility;

Reviewed 4 children files and observed 3 children to not have a current emergency medical authorization signed by parent/guardian. Correction: Obtain and maintain current emergency medical authorization signed and dated by parent/guardian for all children files. Correct immediately 11/20/23 or prior to next day in care and submit compliance by 11/27/23. Correct by 11/20/2023

Corrected by Nov 20, 2023

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