Merryhill School

2.209.A.7 · Correction due June 1, 2026

Four (4) out of fourteen (14) child files had expired authorization for emergency medical care.

Required correction: Written authorization for emergency medical care must be updated annually. Correct immediately on 6/1/2026. Provide statement of compliance by 7/1/2026. Correct by 06/01/2026

2.213.F · Correction due July 1, 2026

One (1) out of twenty (20) staff files reviewed had an expired Basic First Aid and CPR module.

Required correction: Staff not required by rule to be certified in First Aid and CPR must complete a PDIS basic first aid and CPR module every two (2) years. Provide documentation and statement of compliance by 7/1/2026. Correct by 07/01/2026

2.219.B.1 · Correction due June 1, 2026

Three (3) out of fourteen (14) child files were either missing immunization records or they were not recorded as required by CDPHE.

Required correction: Immunization records must be obtained prior to the first day of admission and be recorded on an approved CDPHE immunization form. Correct immediately on 6/1/2026. Provide statement of compliance by 7/1/2026. Correct by 06/01/2026

2.220.A · Correction due June 1, 2026

An emergency medication observed in a classroom was not accompanied by a written order from a health care provider.

Required correction: Prescription medication must only be administered with a current written order from a health care provider and written parental consent. Correct immediately on 6/1/2026. Provide statement of compliance by 7/1/2026. Correct by 06/01/2026

2.229.C · Correction due July 23, 2025

In the Toddler 2 classroom, observed an unlocked drawer with baby wipes and diaper creams labeled "keep out of reach of children" accessible to children.

Required correction: Immediately, items labeled "keep out of reach of children" must be inaccessible to children. Corrected at the time of the visit. The assistant director locked the drawer making the baby wipes and diaper creams inaccessible to children. No response is required. Correct by 07/23/2025

2.121.J.1

Reviewed 14 staff files and observed that the following staff members were missing a successfully completed Out of State background check and were identified to have unsupervised access to children: A.M. and R. G-R.

2.120.I · Correction due July 23, 2025

Reviewed 14 staff files and observed that A.Y.'s TRAILS background check was expired.

Required correction: Immediately, All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member A. Y. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance letter for staff member A. Y. with written response to the Specialist. Correct by 07/23/2025

2.212.G

Reviewed 14 staff files and observed that the folowing staff members were missing documentation of a health statement signed by a physician or other health care provider and identified that they have been employed for longer than 30 days: A.M., R. G-R, and S.Z.

2.213.F · Correction due August 22, 2025

Reviewed 14 staff files and observed that A.M. was missing documentation of a current First Aid/CPR training and identified that they have been employed for longer than 30 days.

Required correction: Within 30 days, all employees caring for children, not requried by rule to be certified in First Aid/CPR must complete the First Aid/CPR module and must be renewed every 2 years. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 08/22/2025

2.213.G · Correction due July 23, 2025

Reviewed 14 staff files and observed that the following staff members were missing documentation of a current abuse prevention training and identified that they have been employed for longer than 30 days: P.R. and A.M.

Required correction: Immediately, all employees and regular volunteers must be complete the abuse prevention training within 30 days of employment and annually. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 07/23/2025

Reviewed 10 children's files and observed that 1 child was missing documentation of an immunization status.

2.213.B · Correction due August 27, 2024

Reviewed 14 staff files and observed that P.R. was missing documentation of a current Standard Precautions training. The training on file expired on 2/14/2024.

Required correction: Immediately, all staff must complete a Standard Precautions training prior to working with children and annually. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 08/27/2024

2.229.C

In the Intermediate 2 classroom, observed a bucket of sunscreens labeled "keep out of reach of children" on a low shelf accessible to children.

Required correction: Immediately, items labeled "keep out of reach of children" must be inaccessible to children. Corrected at the time of the visit. The regional manager moved the sunscreens to a locked cabinet making them inaccesible to children. No

2.222.A.1.b · Correction due August 27, 2024

In the Intermediate 2 classroom, observed wipes on the paper towel dispenser accessible to children.

Required correction: Immediately, diaper change supplies must be inaccessible to children. Corrected at the time of the visit. The regional manager moved the wipes to a higher shelf making them inaccessible to children. No response is required. Correct by 08/27/2024

2.219.B.3 · Correction due September 26, 2024

Reviewed 12 children's files and observed that 5 children under the age of 2 years old were missing documentation of a current health statement.

Required correction: Within 30 days, health statements for children under 2 years old must be updated as required by AAP Recommendations. Submit a statement of compliance to the Licensing Specialist. Correct by 09/26/2024

2.219.B.4

Reviewed 12 children's files and observed that 3 children between the ages of 2 and 7 years old were missing documentation of a current health statement.

2.219.B.1 · Correction due August 27, 2024

Reviewed 12 children's files and observed that 1 child was missing documentation of immunizations.

Required correction: Immediately, parents/guardians must provide documentation of immunization status to the center prior to or on the first day of admission. Submit a statement of compliance to the Licensing Specialist. Correct by 08/27/2024

2.138.A

Reviewed drill logs and observed that no tornado drill was completed in July 2024 and that there have been no lockdown drills for the 2024 year.

7.702.5.C.5 · Correction due October 3, 2023

Reviewed all medications and observed one child with an expired health care plan.

Required correction: The individual health care plan must be updated at least every twelve months for the date of the initial plan and as changes occur. Correct by 10/03/2023

7.702.72.B · Correction due October 3, 2023

On the older preschool playground, observed a gap that was approximately 1 inch between slide and the play structure causing a potential hazard to children.

Required correction: All outdoor equipment must be sturdy, safe and free of hazards. Correct by 10/03/2023

Reviewed drill log and observed a Tornado drill was not documented for the month of September.

7.702.41.G · Correction due November 3, 2023

Reviewed 15 staff files and observed M., K.N. and A.D. to be missing documentation of medical statement signed and dated by a physician.

Required correction: Obtain documentation of a medical statement for staff signed and dated by a physician. Correct by 11/03/2023

Correction due October 3, 2023

Reviewed 15 staff files and observed A. to be missing documentation of a CBI clearance letter. A. does have FBI clearance letter in file.

Required correction: Immediately obtain documentation of CBI clearance letter for staff member. Correct by 10/03/2023

7.702.34.B.4 · Correction due November 3, 2023

Reviewed 6 child files and observed one child to be missing documentation of a current health statement completed by a health care provider.

Required correction: Obtain a current health statement for child. Correct by 11/03/2023

7.702.35.A.2 · Correction due October 3, 2023

Reviewed 15 staff files and observed V. to be missing documentation of ECT qualifications.

Required correction: A record must be maintained, either written or electronic for each staff members that includes verification of qualifications. Correct by 10/03/2023