2.138.A · Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Identified through Directors statement, fire drills are being conducted quarterly. Correction: Fire drills must be held monthly and be consistent with local fire department procedures. Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

Category: recordkeeping. Marked corrected in the state record.

2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times.

Reviewed 9 staff files and observed no staff having current medication delegation. Correction: Obtain current documentation of Medication delegation training, add to staff files. Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

Category: ratio. Marked corrected in the state record.

2.217.C.4 · The date and content of each consultation must be recorded and maintained in the center's files for three (3) years.

Identified through facility records Child Care Health Consultant consultation records to be missing the following months for the 2024: February, March, June, July, August, September, October, November and December. Correction: The date and content of each consultation must be recorded and maintained in the center's files for 3 years. Correct by 02/22/2025

Corrected Corrected by Feb 22, 2025

Category: health medication. Marked corrected in the state record.

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 7 child files and observed 1 file to be missing documentation of immunizations. Correction: Obtain current documentation of immunizations, add to file. Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

Category: health medication. Marked corrected in the state record.

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: A_K_RO_N_ B_A_LA_N_C_ED_ _CH_IL_D_ D_E_VE_L_OP_M_E_N_T _CE_N_TE_LRic_e_ns_e _Nu_m_b_er _: 9_7_78_5_______ ________________________________________________ twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 7 child files and observed 1 file having an expired health statement. Correction: Obtain documentation of current health statement, add to file. Correct by 02/22/2025

Corrected Corrected by Feb 22, 2025

Category: ratio. Marked corrected in the state record.

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours.

Reviewed 7 child files and observed 1 file having an expired health statement for a child less than 2 years of age. Correction: Obtain documentation of current health statement, add to file. Correct by 02/22/2025

Corrected Corrected by Feb 22, 2025

Category: health medication. Marked corrected in the state record.

2.220.G · All medications, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center's policies. Access to these medications must be limited.

Over the counter medications accessible to children in an unlocked cabinet next to entry door in the Tots classroom. Correction: All medications, except those medications specified in the department-approved medication administration training as emergency medication, must be locked and inaccessible to children. Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

Category: ratio. Marked corrected in the state record.

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

Approximately 9 packs of baby wipes labeled keep out of reach of children, accessible to children in laundry room. Laundry soap, disinfectant, windex, bleach and floor cleaner all labeled keep out of reach of children, accessible to children in unlocked closet in unlocked adult bathroom. Correction: Items labeled keep out of children must be inaccessible to children. Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

Marked corrected in the state record.

2.229.D · Staples must be inaccessible to children less than three (3) years of age.

Staples in the front hallway and in classroom hallway accessible to children less than 3 years of age. Correction: Staples must be inaccessible to children less than 3 years of age. Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

Marked corrected in the state record.

2.230.C.6 · All pieces of playground equipment must be designed to guard against entrapment and strangulation. Any openings in gross motor equipment above ground must be smaller than three and one half (3 ½) inches or greater than nine (9) inches to prevent entrapment.

More than a finger widths gap between the platforms and 2 red slides on school age playground, 2 green slides on toddler playground, and 2 blue slides on preschool playground all posing a potential safety hazard. Correction: All pieces of playground equipment must be designed to guard against entrapment and strangulation. Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

Category: physical safety. Marked corrected in the state record.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

Large trash bags accessible to children on low shelf in laundry room. Correction: Loose plastic bags must be stored in areas inaccessible to children. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

Teacher scissors accessible to children in unlocked file cabinet in preschool classroom. Observed metal shovels and metal rakes accessible to children in unlocked shed on preschool playground. Correction: Sharp tools and instruments must be stored in areas inaccessible to children. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: physical safety. Marked corrected in the state record.

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Bobbie H having an expried TRAILS clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification that staff member Bobbie H has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance letter for staff member Bobbie H with written response to Specialist. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: background checks. Marked corrected in the state record.

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: A_K_RO_N_ B_A_LA_N_C_ED_ _CH_IL_D_ D_E_VE_L_OP_M_E_N_T _CE_N_TE_LRic_e_ns_e _Nu_m_b_er _: 9_7_78_5_______ ________________________________________________ Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 9 childrens files and observed 3 files to be missing an Immunization record. Correction: Obtain documentation of current Immunization record and add to child file. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: health medication. Marked corrected in the state record.

2.213.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed 11 staff files and observed Kayla H, Clarissa R, Sky H and Samantha C to be missing First Aid and CPR Module. Correction: Obtain documentation of current training of First Aid and CPR module, add to staff file. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed 11 staff files and observed Samantha C to be missing Emergency and Disaster preparedness training. Correction: Obtain documentation of current Emergency and Disaster preparedness training, add to staff file. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.134.A.2 · “Shelter-in-place drill” means a drill in which the occupants of a building seek shelter in the building from an external threat.

Reviewed policy and procedure statement. Observed shelter-in-place to be missing. Correction: Add the above policy to the policy and procedure statement and make available to parents. Correct by 03/09/2024

Corrected Corrected by Mar 9, 2024

Marked corrected in the state record.

2.206.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: A_K_RO_N_ B_A_LA_N_C_ED_ _CH_IL_D_ D_E_VE_L_OP_M_E_N_T _CE_N_TE_LRic_e_ns_e _Nu_m_b_er _: 9_7_78_5_______ ________________________________________________ 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.

Facility to be missing parent / guardian signed policies and proceedures document. Correction: The center must obtain a signed document stating that the parent / guardian have received the policies and procedures. Correct by 03/09/2024

Corrected Corrected by Mar 9, 2024

Marked corrected in the state record.

2.206.B.27 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure of the protection of infants from secondhand and thirdhand smoke;

Reviewed the policy and procedure statement and observed procedure of the protection of infants from secondhand and third hand smoke to be missing. Correction: Add the above policy to policy and procedure statement and make available to parents. Correct by 03/09/2024

Corrected Corrected by Mar 9, 2024

Marked corrected in the state record.

2.212.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 11 staff files and observed Clarissa R and Samantha C to be missing a current medical statement. Correction: Obtain documentation of a current medical statement and add to staff file. Correct by 03/09/2024

Corrected Corrected by Mar 9, 2024

Category: health medication. Marked corrected in the state record.

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 11 staff filies and observed Kayla H, Patty D and Samantha C to be missing Safe Sleep training. FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: A_K_RO_N_ B_A_LA_N_C_ED_ _CH_IL_D_ D_E_VE_L_OP_M_E_N_T _CE_N_TE_LRic_e_ns_e _Nu_m_b_er _: 9_7_78_5_______ ________________________________________________ Correction: Obtain current documentation of Safe Sleep training, add to staff files. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: physical safety. Marked corrected in the state record.

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 11 staff files and observed Kayla H, Clarissa R and Samantha C to be missing Shaken baby / abusive head trauma training. Correction: Obtain documentation of current training for Shaken baby / abusive head trauma training, add to staff file. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: A_K_RO_N_ B_A_LA_N_C_ED_ _CH_IL_D_ D_E_VE_L_OP_M_E_N_T _CE_N_TE_LRic_e_ns_e _Nu_m_b_er _: 9_7_78_5_______ ________________________________________________ renewed annually.

Reviewed 11 staff files and oberserved Sky H and Samantha C to be missing Child abuse prevention training. Correction: Obtain current documentation of Child abuse prevention training, add to staff file. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 11 staff files and observed Samantha C to be missing Introduction to the Early Intervention and Preschool Special Education Programs training. Correction: Obtain documentation of current Introduction to the Early Intervention and Preschool Special Education Programs training, add to staff file. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed 11 staff files and observed Samantha C to be missing Recognizing the Impact of Bias on Early Childhood Professionals training. Correction: Obtain current documentation on Recognizing the Impact of Bias on Early Childhood Professionals training, add to staff file. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: A_K_RO_N_ B_A_LA_N_C_ED_ _CH_IL_D_ D_E_VE_L_OP_M_E_N_T _CE_N_TE_LRic_e_ns_e _Nu_m_b_er _: 9_7_78_5_______ ________________________________________________ school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 11 staff files and observed Clarissa R and Nate H to be missing TRAILS background clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification that staff member Clarissa R and Nate H have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS background clearance letters for staff member Clarissa R and Nate H with written response to Specialist. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: supervision. Marked corrected in the state record.

2.219.B.4 · Health statements for children over two (2) years of age to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule for routine well child exams.

Reviewed 9 childrens files and observed 1 files to be missing a Health Statement. Correction: Obtain documentation of current Health Statement and add to child file. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: health medication. Marked corrected in the state record.

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

Disinfectant spray, hair styling products, antibacterial hand wipes, laundry detergent, and dryer sheet all labeled keep out of reach of children accessible to children on low shelf in laundry room. Observed approximately 10 diaper wipes labeled keep out of reach of children accessible to children near diaper changing station in the toddler room. Correction: Items labeled keep out of the reach of children must be inaccessible to children. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

2.229.D · Staples must be inaccessible to children less than three (3) years of age.

Staples accessible to children less than 3 years of age in main hallway, toddler classroom, tots classroom and preschool classroom. Correction: Staples must be inaccessible to children less than 3 years of age. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

Paper clips accessible to children less than 3 years of age in unlocked file cabinet in toddler classroom. Observed small bells, small pom poms, cotton balls, balloons and small foam stickers, all accessible to children less than 3 years of age in unlocked cabinet in preschool classroom. Observed a beanie baby labeled not for children under 3 years of age accessible to children less than 3 years of age in the tots classroom. Correction: Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three years of age must not be a choke hazard or able to be inhaled. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: physical safety. Marked corrected in the state record.

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

Screws protuding from wood slat in front entry way, posing a potential safety hazard. Approximately 15 bolts with more than 2 threads exposed on front fences of building posing a potential safety hazard. Observed strand of christmas lights bundled next to door leading from toddler classroom posing a potential safety hazard. Correction: Indoor and outdoor equipment, materials and furnishing must be sturdy, safe and free of hazards. Correct by

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.230.C.6 · All pieces of playground equipment must be designed to guard against entrapment and strangulation. Any openings in gross motor equipment above ground must be smaller than three and one half (3 ½) inches or greater than nine (9) inches to prevent entrapment.

A gap between the platform and the slides on preschool and school age playgrounds posing a potential strangulation hazard. Correction: All pieces of playground equipment must be designed to guard against entrapment and strangulation. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: physical safety. Marked corrected in the state record.

2.233.C.1 · If the toddler program is in the same building as a facility caring for children of other ages, the toddler program must be physically separated in different rooms by walls no less than eight (8) feet and full doors.

Toddler classroom door to be a half door. Observed top half of toddler classroom door to be open. Correction: If the toddler program is in the same building as a facility caring for children of other ages, the toddler program must be physically separated in different rooms by walls no less than eight feet and full doors. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

Kitchen accessible to children. Observed tin foil with serrated edge to be accessible to children in kitchen posing potential safety hazard. Correction: Kitchens, including all hazardous items, must be inaccessible to children at all times. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: physical safety. Marked corrected in the state record.

2.217.A.15.f · When combining age groups, not including individual child transitions, children must be cared for in the room licensed for the youngest child in care, including the outdoor play area FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: A_K_RO_N_ B_A_LA_N_C_ED_ _CH_IL_D_ D_E_VE_L_OP_M_E_N_T _CE_N_TE_LRic_e_ns_e _Nu_m_b_er _: 9_7_78_5_______ ________________________________________________

Identified through staff statement children aged 3 years being combined for nap time in school age classroom licensed for ages 5 years to 12 years. Correction: when combining age groups, not including child transitions, children must be cared for in the room licensed for the youngest child in care, including the outdoor play areas. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Marked corrected in the state record.

2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 11 staff files and observed Nate H to be missing CBI/FBI background clearance letters. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification that staff member Nate H has reviewed the powerpoint within 24 hours. Submit documentation of CBI/FBI background clearance letters for staff member Nate H with written response to Specialist. Correct by 02/09/2024

Corrected Corrected by Feb 9, 2024

Category: supervision. Marked corrected in the state record.