Evergreen Christian Academy

2.121.J.1

Licensing Specialist reviewed 15 staff files and observed staff member #9 to have lived out of state in the past 5 years and not have a completed out of state background check. Previously cited on 5/29/25.

Required correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member #9 has reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check for staff member #9 with written response to the Specialist. Correct by

2.209.B.4 · Correction due May 21, 2026

Licensing Specialist reviewed 7 child files and observed 2 children to have an expired health statement and 1 child to be missing a health statement.

Required correction: 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. Correct by 5/21/26. Document compliance to Specialist by 5/21/26. Correct by 05/21/2026

2.220.C · Correction due April 21, 2026

An inhaler in the Little Learners classroom to be missing the original container and the original pharmacy label.

Required correction: Medications must be kept in the original container with the original pharmacy label. Correct by 4/21/26. Document compliance to Specialist by 5/21/26. Correct by 04/21/2026

2.220.J · Correction due April 21, 2026

One container of expired Benedryl in the Preschool classroom.

Required correction: If a medication is out of date or left over, the parent/guardian is responsible for picking up the medication. If the parent/guardian do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment. Correct by 4/21/26. Document compliance to Specialist by 5/21/26. Correct by 04/21/2026

Licensing Specialist observed 3 children in the infant room older than the ages the classroom is licensed for.

2.212.G · Correction due August 15, 2024

Reviewed 9 staff files and observed S.S., A.N. and S.E. to be missing a medical statement.

Required correction: Obtain a medical statement signed and dated by a physician or other health care provider. Correct by 8/15/24. Document compliance to Specialist by 8/15/24. Correct by 08/15/2024

Reviewed 9 staff files and observed S.S. to be missing standard precautions training.

2.213.C · Correction due July 15, 2024

Reviewed 9 staff files and observed S.S. to be missing safe sleep training. S. was observed working with infants under 12 months of age.

Required correction: Complete a department approved safe sleep training. Correct by 7/15/24. Document compliance to Specialist by 8/15/24. Correct by 07/15/2024

2.213.H · Correction due August 15, 2024

Reviewed 9 staff files and observed S.S. to be missing Introduction to the Early Intervention and Preschool Special Education Programs training.

Required correction: Complete the Introduction to the Early Intervention and Preschool Special Education Programs. Correct by 8/15/24. Document compliance to Specialist by 8/15/24. Correct by 08/15/2024

2.213.I

Reviewed 9 staff files and observed S.S. to be missing the Recognizing the Impact of Bias on Early Childhood Professionals training.

2.213.L · Correction due August 15, 2024

Reviewed 9 staff files and observed S.S. to be missing a one hour child development training.

Required correction: All staff must have at least one (1) hour of child development training within ninety (90) days of employment. Correct by 8/15/24. Document compliance to Specialist by 8/15/24. Correct by 08/15/2024

2.121.D.4.a · Correction due July 15, 2024

Reviewed 9 staff files and observed L.T. and S.E. to be missing a CBI and FBI background check.

Required correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members L. T. and S.E. have reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI, for staff members L. T. and S.E. with written response to the Specialist. Correct by 7/15/24. Document compliance to Specialist by 8/15/24. Correct by 07/15/2024

Reviewed 9 staff files and observed S.S. to be missing a department approved training in emergency disaster preparedness.

2.213.J · Correction due August 15, 2024

Assistant Director L. T. to be missing the Working with an Early Childhood Mental Health Consultant training.

Required correction: Complete the Working with an Early Childhood Mental Health Consultant training. Correct by 8/15/24. Document compliance to Specialist by 8/15/24. Correct by 08/15/2024

2.213.K · Correction due August 15, 2024

Assistant Director L. T. to be missing the Introduction to Child Care Health Consultation training.

Required correction: Complete the Introduction to Child Care Health Consultation course. Correct by 8/15/24. Document compliance to Specialist by 8/15/24. Correct by 08/15/2024

2.229.C

One spray bottle of Citrus De-greaser, labeled keep out of reach of children, accessible to children on top of the cubbies in the Pre-K classroom.

2.229.G · Correction due July 15, 2024

One open container of gallon sized Ziplock bags, on a lower counter top, accessible to children in the Little Learners Classroom.

Required correction: Loose plastic bags must be stored in areas inaccessible to children. Correct by 7/15/24. Staff moved the box of gallon sized Ziplock bags to an upper cupboard making them inaccessible to children. Corrected at the time of inspection. No response necessary. Correct by 07/15/2024

2.219.B.1

Reviewed 8 child files and observed one child to be missing immunizations and one child to have immunizations on an unapproved certificate of immunization form.

Required correction: At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by

2.209.B.4 · Correction due August 15, 2024

Reviewed 8 child files and observed 2 children to have expired medical statements and 2 children to be missing medical statements.

Required correction: 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. Correct by 8/15/24. Document compliance to Specialist by 8/15/24. Correct by 08/15/2024

2.209.A.7 · Correction due July 15, 2024

Reviewed 8 child files and observed one child to have an expired emergency medical authorization.

Required correction: Obtain current emergency medical authorization. Correct by 7/15/24. Document compliance to Specialist by 8/15/24. Correct by 07/15/2024

2.217.A.7 · Correction due December 18, 2023

Staff members S. E. and B.E. to be working in the Wobblers classroom. Center does not have any documentation that either staff member is Early Childhood Teacher qualified.

Required correction: There must be assigned at least one qualified early childhood teacher supervising each group of children unless specified in rules. Correct by 12/18/23. Document compliance to Specialist by 12/25/23. Correct by 12/18/2023