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 7 staff files and observed Ana A. having an expired standard precautions training. observed Jamie D and Rachelle S to be missing standard precautions training. Correction: Obtain documentation of current standard precautions training and add to file. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. 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 7 staff files and observed Beau T to be missing first aid and CPR module. Correction: Obtain documentation of current first aid and CPR module and add to file. Correct by 11/01/2024

Corrected Corrected by Nov 1, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 7 staff files and observed Jamie D and Rachelle S to be missing child abuse prevention training. Correction: Obtain documentation of current child abuse prevention training and add to file. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 7 staff files and observed Jamie D, Rachelle S and Beau T to be missing introduction to the early intervention and preschool special education programs training. Correction: Obtain documentation of introduction to the early intervention and preschool special education programs training and add to staff file. Correct by 11/01/2024

Corrected Corrected by Nov 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.220.G · All medications, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center's policies. Access to these medications must be limited.

Homeopathic medication accessible to children in a low unlocked cabinet near the sign in table. Observed a child's emergency prescription medication stored in a low hanging backpack accessible to children on wall next to sign in table. Correction: All medication, except those medications specified in the department approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. ***CORRECTED AT TIME OF VISIT*** Director moved medications making them inaccessible to children. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Category: ratio. Marked corrected in the state record.

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

Approximately 3 bags of diapers labeled keep out of the reach of children accessible to children in a low unlocked cabinet in the bathroom area. Observed Sanitizer wipes labeled keep out of the reach of children accessible to children on low cabinet next to sign in table. Observed hand sanitizer labeled keep out of the reach of children accessible to children in a low unlocked drawer of the sign in table. Correction: Items labeled keep out of the reach of children must be inaccessible to children. ***CORRECTED AT TIME OF VISIT*** Director moved items making them inaccessible to children. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Marked corrected in the state record.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

Approximately 3 large plastic empty grocery bags accessible to children in a low unlocked cabinet in the bathroom area. Correction: Loose plastic bags must be stored in areas inaccessible to children. ***CORRECTED AT TIME OF VISIT*** Director moved bags making them inaccessible to children. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Marked corrected in the state record.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

Adult scissors accessible to children in an unlocked drawer in the kitchen. Correction: Sharp tools and instruments must be stored in areas inaccessible to children. ***CORRECTED AT TIME OF VISIT*** Director moved sharp tools making them inaccessible to children. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

Marked corrected in the state record.

2.230.C.6 · All pieces of playground equipment must be designed to guard against entrapment and strangulation. Any openings in gross motor equipment above ground must be smaller than three and one half (3 ½) inches or greater than nine (9) inches to prevent entrapment.

More than a fingertips width gap between the platform and double green slide of climbing equipment posing a potential strangulation hazard. Correction: All pieces of playground equipment must be designed to guard against entrapment and strangulation. Correct

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

Gallon sized zip lock bags, aluminum foil with serrated edge, and plastic wrap with serrated edge accessible to children in an unlocked drawer in the kitchen posing a potential safety hazard. Correction: Kitchens, including all hazardous items, must be inaccessible to children at all times. ***CORRECTED AT TIME OF VISIT*** Director locked kitchen making it inaccessible to children. Correct by 10/01/2024

Corrected Corrected by Oct 1, 2024

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

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. 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 State Department-approved training

Reviewed 7 staff files and observed Jennifer, Jamie, and Rachelle to be missing emergency and disaster preparedness training. Correction: Obtain documentation of current emergency and disaster preparedness training and add to staff file. Correct by 10/03/2023

Corrected Corrected by Oct 3, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.32.D.1.a · . 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 7 staff files and observed Jennifer, Jamie and Rachelle to be missing a Trails abuse and neglect clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification that staff members Jennifer, Jamie and Rachelle

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

7.701.32.J · . Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the State Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before prior to the five (5) years from the date reflected on the current clearance letter.

Reviewed 7 staff files and observed Ana, Kory, and Anehely having an expired Trails abuse and neglect clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification that staff members Ana, Kory, and Anehely have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff members Ana, Kory, and Anehely with written response to Specialist. Correct by 10/03/2023

Corrected Corrected by Oct 3, 2023

Category: background checks. Marked corrected in the state record.

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

Identified through Director's statement that Jennifer has lived out of the state of Colorado in the last 5 years. Reviewed staff file and observed Jennifer to be missing the out of state background clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification that staff members Jennifer has reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for staff member Jennifer with written response to Specialist. Correct by 10/03/2023

Corrected Corrected by Oct 3, 2023

Category: supervision. Marked corrected in the state record.

7.702.41.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 7 staff files and observed new staff members Jennifer, Jamie, and Rachelle to be missing a current medical statement. Correction: Obtain documentation of current medical statements and add to staff files. Correct by 11/03/2023

Corrected Corrected by Nov 3, 2023

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

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 7 staff files and observed Kathleen having an expired standard precautions training. Correction: Obtain documentation of current standard precautions training and add to staff file. Correct by 10/03/2023

Corrected Corrected by Oct 3, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.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 7 staff files and observed Rachelle to be missing first aid and CPR module. Correction: Obtain documentation of current first aid and CPR module and add to staff file. Correct by 10/03/2023

Corrected Corrected by Oct 3, 2023

Marked corrected in the state record.

7.702.42.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 7 staff files and observed Kory, Anehely, and Kathleen having an expired child abuse prevention training. Correction: Obtain documentation of current child abuse prevention training and add to staff file. Correct by 10/03/2023

Corrected Corrected by Oct 3, 2023

Category: recordkeeping. Marked corrected in the state record.