Notre Dame Early Learning Center

2.213.B · Correction due September 16, 2024

Reviewed 4 staff files and observed Director L. and ECT M.'s files to be missing current documentation of Department-approved Standard Precautions training.

Required correction: Obtain current documentation of department-approved Standard Precautions training for L. and M. and for all staff, and annually thereafter. Correct immediately and respond with verification of compliance by 10/16/24. Correct by 09/16/2024

2.213.D

Identified through staff statement classroom 108 had a child under 3 years old. Reviewed 4 staff files and observed Director L.'s file to be missing current documentation of Department-approved prevention of abusive head trauma training.

Required correction: Obtain current documentation of Department-approved prevention of abusive head trauma training for L.

2.213.G · Correction due September 16, 2024

Reviewed 4 staff files and observed Director L. and ECT M.'s files to be missing current documentation of Department-approved child abuse prevention training.

Required correction: Obtain current documentation of Department-approved child abuse prevention training for L. and M. and for all staff, and annually thereafter. Correct immediately and respond with verification of compliance by 10/16/24. Correct by 09/16/2024

2.121.D.5 · Correction due September 16, 2024

Reviewed 4 staff files and observed ECT J.'s file to missing a renewed FBI clearance letter obtained prior to 5 years from the date reflected on the current clearance letter.

Required correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that J. has reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letters for J. with written response to Specialist. Correct immediately and respond with verification of compliance by 10/16/24. Correct by 09/16/2024

Reviewed 3 child files and observed CH1 and CH3's files to be missing current health statement signed and dated by health care provider.

2.213.N · Correction due October 16, 2024

Reviewed program's files and observed it to be missing documentation of the current completed Department approved CDPHE immunization course for all staff who are responsible for the collection, review, and maintenance of children's immunization records.

Required correction: Obtain current completed Department approved CDPHE immunization course for all staff who are responsible for the collection, review, and maintenance of children's immunization records. Correct and respond with a verification of compliance by 10/16/24. Correct by 10/16/2024

Correction due October 10, 2023

Missing current and approving fire inspection report.

Required correction: Obtain current and approving fire inspection report. Correct immediately and respond with verification of compliance by 11/10/23. Correct by 10/10/2023

Identified through director L.'s statement that Program Leader C. (DOH 8/1/08) works alone with children. Reviewed 6 staff files and observed C.'s file to be missing current documentation of completion of Department-approved training on implicit bias.

7.702.42.H · Correction due October 10, 2023

Identified through director L.'s statement that Program Leader C. (DOH 8/1/08) works alone with children. Reviewed 6 staff files and observed C.'s file to be missing current documentation of completion of Department-approved training on Introduction to the Early Intervention and Preschool Special Education Programs.

Required correction: Obtain documentation of completion of Department-approved training on Introduction to the Early Intervention and Preschool Special Education Programs for all staff within 90 days of employment. Correct immediately and respond with verification of compliance by 11/10/23. Correct by 10/10/2023

7.702.41.G

Reviewed 6 staff files and observed C.'s file (DOH 8/1/08) was missing documentation of a current medical exam followed by a subsequent self reported health history.

7.702.42.B · Correction due October 10, 2023

Reviewed 6 staff files and observed C.'s file to be missing documentation of completion of Department-approved Standard Precautions training.

Required correction: Obtain documentation of completion of Department-approved Standard Precautions training for all staff, prior to working with children, and annually thereafter. Correct immediately and respond with verification of compliance by 11/10/23 Correct by 10/10/2023

Correction due October 10, 2023

Identified through director L.'s statement that ECT M. (DOH 8/1/22) and ECT C. (DOH 8/1/08) both work alone with children. Reviewed 6 staff files and observed M.'s file to be missing FBI clearance letter and C.'s file to have an expired FBI clearance letter (dated 9/10/13).

Required correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification (via email) that C. and M. have reviewed the powerpoint within 24 hours. Correct immediately and submit documentation of FBI clearance letters for C. and M. with written response to Specialist by 11/10/23 Correct by 10/10/2023

7.702.91.K · Correction due October 10, 2023

During walk through observed kitchen to be accessible to children.

Required correction: Ensure kitchens, including all hazardous items, are inaccessible to children at all times. **Corrected at time of visit. During inspection on 10/10/23, director L. made the kitchen inaccessible to children.* Respond with plan for ongoing compliance by 11/10/23 Correct by 10/10/2023