Boulder County Head Start

2.138.A · Correction due September 18, 2025

Reviewed program's files and observed program lacking documentation of tornado drills being conducted monthly during August and September of 2025 and lock down drills being conducted quarterly during the previous year.

Required correction: Ensure all required drills are completed within the required time frames and documentation of each drill is maintained, per the above requirements. Correct immediately and respond with verification of compliance by 10/18/2025. Correct by 09/18/2025

2.213.N · Correction due October 18, 2025

Reviewed 10 staff files and observed 1 staff member, who has been employed longer than 30 days and is responsible for the collection, review, and maintenance of child immunization records, lacking a current CDPHE immunization training.

Required correction: Obtain current documentation of completion of the CDPHE immunization course for all staff who are responsible for the collection, review and maintenance of child immunization records, within 30 days of employment. Respond with verification of compliance by 10/18/2025. Correct by 10/18/2025

2.220.C · Correction due September 18, 2025

Reviewed children's medications and observed a child's prescribed medication lacking the original labeled container.

Required correction: Ensure all medications are kept in the original labeled bottle or container and all prescription medications contain the original pharmacy label. Correct immediately and respond with verification of compliance by 10/18/2025. Correct by 09/18/2025

2.218.C.5

Reviewed children's medication and observed an expired health care plan that was also lacking a parent/guardian's signature.

Required correction: Ensure all children's individual health care plans are updated at least every (12) months,

2.230.C.8 · Correction due September 18, 2025

Rocks covering a large portion of the resilient surfacing (rubber chips) throughout the outdoor playground, and a long section of metal edging protruding up around the picnic tables, both posing potential hazards to children.

Required correction: Ensure the outdoor play areas are free from hazardous materials or debris. Staff must make the climbing equipment on the playground inaccessible to children until the area is free of potential hazards. Correct immediately and respond with verification of compliance by 10/18/2025. Correct by 09/18/2025

2.127.B · Correction due October 18, 2024

Reviewed program's postings and observed the program lacking documentation of the most recent Child Care Licensing Report of Inspection or a notice as to where the most recent licensing inspection may be reviewed.

Required correction: Immediately (10/18/2024) ensure the most recent licensing Report of Inspection or a notice as to where it may be viewed is posted. Provide a written statement of compliance within the overall response. Correct by 10/18/2024

2.138.A

Reviewed program's files and observed program lacking documentation of tornado drills held during the months of March - October 2024 and a lockdown drill held after December 2023.

2.212.G · Correction due November 17, 2024

Reviewed 10 staff files and observed the program to be lacking documentation of a current medical exam followed by a subsequent self reported health history for C.M. and C.A., who have been employed longer than 30 days.

Required correction: Provide a written statement of compliance within the overall response ensuring all staff have obtained a medical statement signed and dated by a health care provider within 30 days of employment, followed by completion of the annual self-reported health history. Correct by 11/17/2024

2.213.B · Correction due October 18, 2024

Reviewed 10 staff files and observed S.F. lacking documentation of a current Department-approved training in Standard Precautions.

Required correction: Immediately (10/18/2024) ensure the program obtains and maintains documentation of a current Standard Precautions training for all staff to include S. F. Provide a written statement of compliance within the overall response. Correct by 10/18/2024

Reviewed 10 staff files and observed S.F. lacking documentation of a current Department-approved

2.213.N · Correction due November 17, 2024

Reviewed Director's file, who was identified as being responsible for the collection, review and maintenance of child immunization records, and observed it lacking documentation of the current Department-approved CDPHE immunization course.

Required correction: Provide a written statement of compliance ensuring the program obtains and maintains a current CDPHE immunization training certificate for the person who is responsible for the collection, review and maintenance of child immunization records. Correct by 11/17/2024

Correction due November 16, 2023

Reviewed 10 staff files and observed C.M. lacking an updated Trails clearance letter obtained prior to five years from the date reflected on the current clearance letter.

Required correction: Within 24 hours (11/16/2023) submit verification that C.M. has resubmitted the child abuse and neglect inquiry form. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that C.M. has reviewed the powerpoint within 24 hours. Correct by 11/16/2023