Primrose School at Sterling Ranch

2.120.D · Correction due January 6, 2026

Reviewed 27 staff files and found 2 staff members to be missing documentation of submission of TRAILS 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 2 staff members have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS background check for 2 staff members with written response to the Specialist. Correct by 01/06/2026

2.212.G

Reviewed 27 staff files and found 7 staff to be missing documentation of an original physical health statement. 8 staff where found to be missing documentation of the signed self-reported annual health history in their file.

2.213.B · Correction due January 6, 2026

Reviewed 27 staff files and found 5 staff to be missing documentation of the standard precautions training.

Required correction: All staff must have a current standard precautions training that is updated annually and maintained in the file. Correct immediately and respond with written statement of compliance. Correct by 01/06/2026

2.213.C · Correction due January 6, 2026

Reviewed 27 staff files and found 3 staff to be missing documentation of the infant safe sleep training.

Required correction: All staff must have a current infant safe sleep training that is updated annually and maintained in the file. Correct immediately and respond with written statement of compliance. Correct by 01/06/2026

2.213.D · Correction due January 6, 2026

Reviewed 27 staff files and found 2 staff to be missing documentation of the Shaken baby/abusive head trauma training.

Required correction: All staff must have a current Shaken Baby/Abusive Head Trauma training that is updated every 2 years and maintained in the file. Correct immediately and respond with written statement of compliance. Correct by 01/06/2026

2.213.G · Correction due January 6, 2026

Reviewed 27 staff files and found 4 staff to be missing documentation of the Child Abuse Prevention training.

Required correction: All staff must have a current Child Abuse Prevention training that is updated annually and maintained in the file. Correct immediately and respond with written statement of compliance. Correct by 01/06/2026

2.213.N · Correction due January 6, 2026

Staff designated to review children's immunizations did not have the current Child Immunizations Records training.

Required correction: All staff designated to review children's immunizations must have a current Child Immunizations Records training that is updated annually and maintained in the file. Correct immediately and respond with written statement of compliance. Correct by 01/06/2026

2.219.B.2

Reviewed 16 children's files and found 1 children to be missing documentation of the physicians medical statement.

2.121.J.1 · Correction due January 6, 2026

Reviewed 27 staff files and found 2 staff members to be missing documentation of submission of out-of-state background checks.

Required correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that the 2 staff members have reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check and Clearance Letters for the 2 staff members. Correct immediately with written response to the Specialist. Correct by 01/06/2026

2.121.D

Reviewed 27 staff files and found 2 staff members to be missing documentation of the FBI cleance letter.

Required correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that the 2 staff members have reviewed the powerpoint within 24 hours. Submit documentation of FBI clearance letter for the 2 staff members with written response to the Specialist. Correct by

2.220.A · Correction due February 19, 2025

Reviewed medications kept on site and found two children to have expired written orders and two children to be missing medications prescribed on the orders.

Required correction: All medications kept on site must have current written orders from a health care provider and all prescribed medications must be provided. Correct immediately and respond with statement of compliance. Correct by 02/19/2025

2.212.G

Reviewed 32 staff files and found T.R., L. J-M, and E.A. to be missing health statements that are signed and dated by a physician or health care provider.

2.213.G · Correction due February 19, 2025

Reviewed 32 staff files and found L.M. to have an expired Child Abuse Prevention training.

Required correction: All staff must complete Child Abuse Prevention training within 30 days of hire and renew the training annually. Correct immediately and provide documentation with written response. Correct by 02/19/2025

2.213.B · Correction due February 19, 2025

Reviewed 32 staff files and found L. J-M and L.M. to have expired Standard Precautions trainings.

Required correction: All staff must take Standard Precautions training prior to working with children, and renew the training annually. Correct and provide documentation of completion with written response. Correct by 02/19/2025

2.120.J

Reviewed 32 staff files and found R.B., M.E. and M.N. to be missing documentation of their TRAILS clearance letters.

Required correction: Trails letters must be maintained by the program for review. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU)

2.121.D · Correction due February 19, 2025

Reviewed 32 staff files and found G.G. to be missing documentation of a CBI clearance letter.

Required correction: CBI clearance letters must be available for review. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that G.G. has viewed the point within 24 hours. Submit documentation of their CBI Clearance Letter for G.G. with written response to the Specialist. Correct by 02/19/2025

2.217.A.8.b · Correction due June 12, 2024

Identified through staff file review that the staff member covering a nap break of 4/4/24 was an Aide and was not qualified to be alone.

Required correction: Staff covering nap breaks must be qualified as an assistant teacher. Correct immediately and respond with statement of compliance. Correct by 06/12/2024 Complaint Allegation :

2.229.C · Correction due June 12, 2024

There was a bag of potting soil labeled "keep out of reach of children" in the stairwell leading to the playground.

Required correction: Items labeled keep out of reach of children must be inaccessible to children. **Corrected at the time of the inspection, potting soil was removed from the building.** No response is required. Correct by 06/12/2024 Complaint Allegation : RP states that CH2 does not have media authorization to post pictures and their photo was posted on school's social media page. - FOUNDED

2.209.A.9 · Correction due June 12, 2024

Identified through child file review and social media review that a child who did not have authorization for media release did have a picture posted on the programs social media.

Required correction: Program must follow the permissions granted by families for media release. **Corrected at the time of the inspection, photo was removed from social media.** No response is requried. Correct by 06/12/2024

2.213.B · Correction due March 13, 2024

Reviewed 28 staff files and found L. to have an expired Standard Precautions training .

Required correction: All staff must complete Standard Precautions training prior to working with children and renew the training annually. Correct immediately and respond with documentation of compliance with written response. Correct by 03/13/2024

2.212.G

Reviewed 28 staff files and found K. to have an expired health statement.

2.219.B.2 · Correction due April 13, 2024

Reviewed 12 child files and found one child to have a health statement with no date of when the last physical occured.

Required correction: Child health statements must include the date when the physical occcured. Correct and respond with statement of compliance. Correct by 04/13/2024

2.209.A.7 · Correction due March 13, 2024

Reviewed 12 child files and observed 2 to have expired emergency medical authorizations.

Required correction: Immediately obtain documentation of current emergency medical authorizations for children. Correct and respond with statement of compliance. Correct by 03/13/2024

Reviewed medications and observed 1 emergency medication missing that was listed on a child's health care