2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

Reviewed facility's file and observed the health department inspection to be expired (exp 9/22/23) Correction: Obtain and maintain current and up to date health department training. Correct immediately 3/12/2025 and submit written compliance by 4/12/2025. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

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

2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ admission. This record must be updated annually and when changes occur. 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 4 children files and observed 1 child to have an expired emergency medical authorization (exp 8/23/24). Correction: Obtain and maintain current and up to date emergency medical authorization for all children enrolled. Correct immediately 3/12/2025 and submit written documentation by 4/12/2025. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: health medication. 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 4 staff files and observed 1 staff member (Dallas K. hd 7/25/24), not required by rule to be certified in First Aid and CPR, to be missing an Intro to First Aid and CPR module. Correction: Obtain and maintain current and up to date First Aid and CPR modules for staff members not required by rule to have a certificate. Correct immediately 3/12/2025 and submit written compliance by 4/12/2025. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

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 4 staff files and observed 1 staff member, Faith V. (hd 7/25/24) to be missing a health statement signed and dated by a health care provider. Correction: Obtain and maintain current and up to date health statements for all staff. Correct and submit written compliance by 4/12/2025. Correct by 04/12/2025

Corrected Corrected by Apr 12, 2025

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.

During safety walk through, observed outlet without a protective cover accessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure all outlets accessible to children have protective covers or are made inaccessible to children at all times. Correct immediately 3/12/2025. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

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 4 children files and observed 1 child to have an expired health form (9/30/22), and 1 child to be missing a health form (enrollment date 8/23/23). Correction: Obtain and maintain health statements for all children enrolled. Correct and submit compliance by 5/10/24. Correct by 05/10/2024

Corrected Corrected by May 10, 2024

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

2.212.J.1.a · 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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:State criminal history check

Reviewed 5 staff files and observed 1 staff members Ryker E (hd 2/1/24) to be missing an out-of-state background clearance letter, and two staff members, AnnaGrace S. and Tanya L. to be missing the out-of-state background check form. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Ryker E., AnnaGrace S., and Tanya L. have reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for staff member Ryker E., AnnaGrace S., and Tanya L. with written response to Specialist. Correct by 04/10/2024

Corrected Corrected by Apr 10, 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 5 staff files and observed 1 staff member, Tanya L. (hd 8/30/23) to be missing First Aid and CPR module. Correction: Obtain and maintain documentation of completed First Aid and CPR training for all staff not required to be certified. Correct immediately 4/10/24 and submit compliance by 5/10/24. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

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 renewed annually.

Reviewed 5 staff files and observed 1 staff member, Wendy E., to have an expired child abuse prevention training. Correction: Obtain and maintain documentation of completed child abuse prevention training for all staff. Correct immediately 4/10/24 and submit compliance by 5/10/24. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: recordkeeping. 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:

Reviewed 5 staff files and observed 1 staff member, AnnaGrace S., to be working as an ECT with a FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Credential Level of 3.0 level 1. Correction: Ensure all staff members assigned as ECT, are operating under the correct Credential Level. Correct immediately 4/10/24. ***Corrected at time of visit by having Asst. Director Ruth lead class. No response required. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

Category: supervision. 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.

Child's inhaler to be observed without original container or pharmacy label. Correction: Ensure all prescription medication is in its original container and includes the pharmacy label. Correct immediately 4/10/24 and submit compliance by 5/10/24. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

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

2.229.M · Toys, toy parts, furnishings, equipment, and materials made of brittle, easily breakable plastic or glass are not permitted for children less than five (5) years of age.

In younger preschool room, observed a glass jar on window sill. Correction: Ensure classroom is free of materials made of brittle, easily breakable plastic, or glass. Correct immediately 4/10/24. ***Corrected at time of visit by removing jar from classroom. No response required. Correct by 04/10/2024

Corrected Corrected by Apr 10, 2024

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