Primrose School of Ken Caryl

2.212.G · Correction due June 29, 2026

Reviewed 32 staff files, observed 4 staff (SM5, SM19, SM27, SM33) to have expired or missing medical statements.

Required correction: Obtain current medical statements for all staff, retain in staff files. Submit written statement of compliance to specialist. Correct by 06/29/2026

2.121.J.1

SM19 to be missing documentation of out of state background clearance and to have lived out of state withing the last 5 years.

2.229.L

Window markers in the Toddler 2 classroom labeled for ages 6+ on the counter.

2.230.B · Correction due September 16, 2025

Sharp wires extending from the garden fencing, posing a potential safety hazard to children.

Required correction: Outdoor materials must be free from hazards. Corrected at the time of inspection, wires were removed from the garden area. No response is necessary. Correct by 09/16/2025

2.121.J.1 · Correction due September 16, 2025

Reviewed three staff files, observed SM2 to be missing out of state clearance letter for 1 state.

Required correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that SM2 have reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for SM2 with written response to the Specialist. Correct by 09/16/2025

2.220.G.1 · Correction due June 3, 2025

An emergency medication was not accessible in a classroom to a child with a severe allergy. The medication was located in a different classroom.

Required correction: Emergency medications must be easily accessible and identifiable to staff. Corrected at the time of inspection, Director had the medication moved to the correct classroom. No response is necessary. Correct by 06/03/2025

2.229.C

A tube of prescription ointment in a low unlocked cabinet accessible to children and a large tub of Desitin on the floor in the bathroom both labeled "Keep out of reach of children" in the Early Pathways classroom accessible to children posing a potential safety hazard.

Required correction: All items labeled "Keep out of reach of Children" must be in accessible to children. Corrected at the time of

2.229.H · Correction due June 3, 2025

Adult scissors in a low unlocked drawer, accessible to children in the early pathways classroom, posing a potential safety hazard to children.

Required correction: Sharp tools and instruments must be inaccessible to children. Corrected at the time of inspection, director moved to a locked cabinet, inaccessible to children. No response is necessary. Correct by 06/03/2025

2.120.D · Correction due June 3, 2025

Reviewed 28 staff files and observed 2 staff: M. S. (DOH: 3/4/25 ) and C.S. (DOH: 5/12/25) to be missing 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 staff members M. S. and C.S. have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff members M. S. and C.S. with written response to the Specialist. Correct by 06/03/2025

2.217.A.15.d · Correction due April 21, 2025

Observed 17 children signed into the EP1 classroom on 4/21/2025, exceeding the maximum capacity of 13 children. Specialist reviewed attendance verification sheets, observing room capacity to be exceeded on 4/2/2025, 4/4/2025 and 4/15/2025.

Required correction: Maximum capacity must not be exceeded at any time. Correct by 04/21/2025

2.217.A.14 · Correction due April 21, 2025

On 4/21/2025, observed 17 children signed into the EP1 classroom with two staff, exceeding the 1:7 staff to child ratio.

Required correction: Staff child ratio must be maintained at all times. Correct by 04/21/2025 Complaint Allegation :

2.217.A.15 · Correction due April 21, 2025

Observed 17 children signed into the EP1 classroom on 4/21/2025, exceeding the maximum group size of 14 toddlers.

Required correction: Maximum group size must not be exceeded. Correct by 04/21/2025

2.219.B.3 · Correction due July 10, 2024

Reviewed 14 children's records and observed one child file to be missing the date on the providers signature from the child's health statement.

Required correction: Obtain dated signatures on health statements for all children's files. Correct by 7.10.2024, and submit a written statement of compliance to the Specialist. Correct by 07/10/2024

Reviewed 19 staff records and observed two staff members J. R. (DOH 10.11.2023) and D.S. (DOH 10.0.2023) to be missing documentation of the required out of state background clearance letters. Observed both staff members to work for longer than 90 days.

Founded · 7.702.64.B · Guidance · Correction due July 21, 2023

Children must not be subjected to physical or emotional harm, humiliation, or threats.

Founded · 7.702.62.A.1 · General Requirement/Physical Care · Correction due July 24, 2023

All children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise

Required correction: Children must be directly supervised at all times. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023.

Founded · 7.702.46.A.14 · General Requirement/Physical Care · Correction due July 24, 2023

Staff to Child Ratios by AGES OF CHILDREN and NUMBER OF STAFF 6 weeks to 18 months (infants): 1 staff member to 5 infants 12 months to 36 months: 1 staff member to 5 toddlers 24 months to 36 months: 1 staff member to 7 toddlers 2-1/2 years to 3 years: 1 staff member to 8 children 3 years to 4 years: 1 staff member to 10 children 4 years to 5 years: 1 staff member to 12 children 5 years and older: 1 staff member to 15 children Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children

Required correction: Staff to child ratio must be maintained at all times. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023.

Founded · 7.702.62.B.3 · Infant Program · Correction due July 24, 2023

Staff must investigate whenever children cry, scream, or appear to withdraw and must try to verbally or physically soothe the child. When putting infants to sleep, staff may allow for a period of no longer than ten (10) minutes without verbally or physically soothing the child to enable the infant to try to self soothe and fall asleep.

Required correction: Children must not allowed to cry for longer than 10 minutes without verbal or physical soothing. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023.

Founded · 7.702.62.C.15 · Infant Program · Correction due July 24, 2023

Infants who fall asleep in a piece of equipment not approved for sleep must immediately be moved to their approved sleep area and placed on their back to sleep.

Required correction: Infants must be moved immediately to the safe sleeping environment. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023.

Founded · 7.702.62.C.19 · Infant Program · Correction due July 24, 2023

When staff place infants in approved sleeping equipment for sleep, they must check to ensure that the temperature in the room is comfortable for a lightly clothed adult, check the infants to ensure that they are comfortably clothed (not overheated or sweaty), and that bibs, necklaces, and garments with ties or hoods are removed.

Required correction: Classrooms with sleeping infants must be at a comfortable temperature. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023.

Founded · 7.702.63.B.2 · Infant Program · Correction due July 24, 2023

All infants less than six (6) months of age must be held for bottle feeding. Bottles must not be propped. Older infants must not be allowed to hold their own bottles when lying flat. Bottles must not be allowed in a crib with the infant.

Required correction: Bottles must not be propped. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023.

Founded · 7.702.41.A · Personnel · Correction due July 24, 2023

All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Required correction: All staff must demonstrate knowledgeable, decision-making, judgment, and concern for children. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023.

Founded · 7.702.41.E · Personnel · Correction due July 31, 2023

When caring for children, staff must refrain from the personal use of electronics including, but not limited to, cell phones and portable electronic devices.

Required correction: Staff must refrain from using cell phones while supervising children. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023.

Founded · 7.702.62.A.3 · Personnel · Correction due July 24, 2023

Staff must be awake, alert, and actively supervising all children.

Required correction: Staff must be awake, alert, and supervising all children. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023.

Founded · 7.701.53.B. · General Rules · Correction due July 24, 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: The staff members did not call the County Department to report the suspected abuse and neglect posing a potential safety hazard. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023.

Founded · 7.702.31.A · General Requirement/Physical Care · Correction due July 24, 2023

At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center?s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Required correction: The centers policies and procedures must be implemented, and, followed and families must receive true and correct information. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023.