Primrose School of Bear Creek

2.206.B.9 · Correction due May 5, 2025

Reviewed the facility handbook and Ch1's file with incident reports, identified the facility is not following their own policy regarding suspension and documentation. Previously cited on: 3/31/2025

Required correction: The facility must follow their policy handbook. Submit a written statement of compliance to the Specialist Correct by 05/05/2025

2.206.B.8 · Correction due May 5, 2025

Reviewed the facility handbook and Ch1's file with observation reports, identified the facility is not following their own policy regarding observation reports and supporting positive behaviors along with challenging behaviors.

Required correction: The facility must follow their own policy handbook Submit a written statement of compliance to the Specialist Correct by 05/05/2025 Complaint Allegation :

2.206.B.9.a

Reviewed the facility policy handbook, identified the policy for steps taken prior to suspension and expulsion is missing, along with the consult with an early childhood mental health consultant.

2.219.B.4 · Correction due April 3, 2025

Reviewed 13 children files, identified Ch9 to have an expired health appraisal.

Required correction: Obtain current health appraisal and maintain in child's file. Submit a written statement of compliance to the Specialist. Correct by 04/03/2025

2.223.A.2 · Correction due February 3, 2025

In the infant room 7 children were logged in and 8 in attendance, in the young toddler room, 7 children were logged in with 6 in attendance, in the EPS room, 11 children were logged in and 10 in attendance, in the preschool room, 13 children were logged in and 12 in attendance and in the PK room, 18 children logged in with 12 in attendance. This is a direct violation per stipulation F.

Required correction: Transition logs must reflect the correct number of children in the classroom at all times. Corrected at the time of visit: C. corrected the logs in all the rooms. Submit a written statement of compliance to the Specialist. Correct by 02/03/2025

2.223.A.1 · Correction due January 14, 2025

Licensing Specialist observed a child alone in the PK classroom for an undetermined amount of time. This is a direct violation of stipulation D.

Required correction: All children must be directly supervised at all times. Correct by 01/14/2025

2.217.A.14 · Correction due October 2, 2024

B. left the infant room to open the front door for the Licensing Specialist, leaving K. in the room alone with 8 infants for approximately 30 seconds.

Required correction: All rooms must stay in ratio at all times. Submit a written statement of compliance to the Specialist. Correct by 10/02/2024

2.120.C.1.a.1

Reviewed 1 staff file, identified K. to be missing the TRAILS clearance letter. K. was alone with 8 infants.

2.121.J.1 · Correction due October 2, 2024

Reviewed 1 staff file, identified K. to be missing the State-based clearance letter. K. was alone with 8 infants.

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 have reviewed the powerpoint within 24 hours. Submit documentation of State Based Clearance Letters for staff members with written response to the Specialist. Correct by 10/02/2024

2.121.J.1 · Correction due September 16, 2024

Reviewed 22 staff files, identified L.O. to be missing the out of state background 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 staff members have reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for staff members with written response to the Specialist. Correct by 09/16/2024

2.230.C.8

On the preschool playground, observed a large root from the pine tree exposed next to the twisty slide. Root was approximately 6 inches above the ground, causing a potential tripping hazard.

2.120.C.1.a.1 · Correction due July 23, 2024

In young toddler classroom, observed staff member T. A. (DOH 7/22/24) in the room with children, T. does not have CBI, FBI or TRAILS clearance letters.

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 have reviewed the powerpoint within 24 hours. Submit documentation of CBI, FBI, and TRAILS Clearance Letters for staff members with written response to the Specialist. Correct by 07/23/2024

7.702.72.C.8 · Correction due November 6, 2023

On the preschool play area, identified a grate protruding from the turf about 2 inches, weed mat was protruding from area by tire swing, on toddler playground weed mat was protruding from an area between structure and swings, these would be a possible tripping hazard.

Required correction: Immediately 11/6/23, all outdoor areas must be free from hazards. Submit a statement of compliance by 11/13/2023 Correct by 11/06/2023

Reviewed 15 staff files, identified S.G. missing the abuse acknowledgment form.

Required correction: Immediately on 11/6/23, obtain the abuse acknowledgment form signed and dated by employee.

7.702.34.B.4 · Correction due December 6, 2023

Reviewed 12 children files, identified one child missing a current health appraisal.

Required correction: Obtain a current health evaluation for student. Submit a statement of compliance by 12/6/23. Correct by 12/06/2023

7.702.42.H · Correction due November 6, 2023

Reviewed 15 staff files, identified A.B. with a start date of 4/23/21 and K.J. with a start date of 7/31/23 to be missing the department approved Early Intervention and Preschool Special Education Programs.

Required correction: Immediately on 11/6/23, obtain the Department approved training in Early Intervention and Preschool Special Education Programs. Submit a statement of compliance by 11/13/23. Correct by 11/06/2023

7.702.61.A.1.b

In EPS 2, identified diaper supplies containing diapers and diaper rash cream in unlocked storage containers on the floor, in Eps 3, diaper creams and diapers in an unlocked storage container in the bathroom, in the Pathways room diapers and diaper creams on a shelf in the bathroom. All supplies were accessible to children.

Required correction: Immediately on 11/6/23, diaper supplies must be stored inaccessible to all children. Corrected at the time of visit: C. removed all diaper supplies to a locked or out of reach area in each room.

7.702.71.C · Correction due November 6, 2023

In EPS 3, PS1 and PK1 ziplock baggies with a manufacture label 'keep out of reach' on the boxes. All baggies were in the bathroom in unlocked cabinets all accessible to children in the rooms.

Required correction: Immediately on 11/6/23, all keep out of reach items must be inaccessible to children. Corrected at the time of visit: C. removed all baggies to a locked cabinet. No response needed. Correct by 11/06/2023

7.702.71.G · Correction due November 6, 2023

In EPS2 loose bags were in an unlocked container in the bathroom, In PS1, loose bags were on a shelf above the toilet in the bathroom and in PK1, loose bags were on a shelf in the bathroom. All loose bags were accessible to children.

Required correction: Immediately on 11/6/23, all loose bags must be stored in areas inaccessible to all children. Corrected at the time of visit: C. removed all loose bags to a locked cabinet in rooms. No response needed. Correct by 11/06/2023

7.702.71.H · Correction due November 6, 2023

In PK3, identified a red package tape holder in the 'tape' drawer on the cabinet next to the east side window. This was accessible to children

Required correction: Immediately on 11/6/23, all sharp tools must be inaccessible to children. Corrected at the time of visit: C. removed tape holder to her office. No response needed . Correct by 11/06/2023

In the infant room, identified small foam hearts on the art room above the play area for infants, these could

7.702.51.B.1 · Correction due November 6, 2023

Two expired Zertex bottles were identified in the medication bag.

Required correction: Immediately on 11/6/23, remove and send home all expired medication. Submit a statement of compliance by 11/13/23. Correct by 11/06/2023

Founded · 7.701.53.B. · General Rules · Correction due April 17, 2023

Pursuant to Section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the state hotline, county department of human or social services or local law enforcement agency.

Required correction: Any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or that has observed the child being subjected to circumstances or conditions that would reasonable result in abuse or neglect shall immediately upon received such information report or cause a report to be made of such fact to the state hot line, county department of human or social services or local law enforcement agency. Correct immediately.