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 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.

At time of inspection, child file did not have signed medical health statement. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Within thirty (30) calendar days of admission and thirty (30) days of expiration date of previous health statement. The statement of a child's current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months. Document compliance to licensing specialist with written response. Correct by 04/30/2025

Corrected Corrected by Apr 30, 2025

Category: ratio. Marked corrected in the state record.

2.232.A.5 · A minimum of one hundred fifty (150) square feet of shaded area in the fenced play area must be provided to guard children against the hazards of excessive sun and heat. Shaded areas must be provided year-round.

On the UPK 1 & 2 playground there was no shaded area in the fenced play area to guard children against the hazards of excessive sun and heat. Correction: The center must have one hundred fifty (150) sq ft of shaded area in the fenced in play area to guard children against the hazards of excessive sun and heat. Correct immediately. Submit a written statement of compliance by 9/18/24 Correct by 09/04/2024

Corrected Corrected by Sep 4, 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.

On the UPK 1 & 2 preschool playground there was observed to be a gate latch to the toddler building that was broken causing the gate not to latch making the gate not safe and causing a possible safety hazard. The gate to the Toddler 1, 2 & 3 playground was observed to be splintering, making the gate not safe. Correction: All indoor and outdoor equipment must be sturdy, safe and free of hazards. Correct immediately. Submit a

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.206.B.14 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: Media and internet usage policy outlining screen and media use related to their curriculum. The media plan must have information on ongoing communication with children about online safe practices for children over the age of five (5);

The center did not have a policy and procedure on Media and internet usage. Correction: The center must have written policies and procedures must be developed, implemented and followed on the use of Media and internet usage outlining screen and media use related to their curriculum. Submit a written statement of compliance by 9/18/24. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

Marked corrected in the state record.

2.206.B.24 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for conducting parent and staff conferences to partner with the parents(s)/guardian(s) to discuss the child's progress, social, emotional, and physical needs;

The center did not have a policy and procedure on the procedure for conducting parent and staff conferences. Correction: The center must have written policies and procedures must be developed, implemented and followed on the the procedure for conducting parent and staff conferences. Submit a written statement of compliance by 9/18/24. Correct by 09/18/2024

Corrected Corrected by Sep 18, 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; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

The center did not have a policy and procedure on the procedure of the protection from secondhand and thirdhand smoke. Correction: The center must have written policies and procedures must be developed, implemented and followed on the protection from secondhand and thirdhand smoke. Submit a written statement of compliance by 9/18/24. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

Marked corrected in the state record.

2.206.B.28 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for establishing safe sleep environments for infants including how staff will supervise and physically check on infants who are sleeping;

The center did not have a policy and procedure on the procedure for establishing safe sleep environments for infants. Correction: The center must have written policies and procedures must be developed, implemented and followed on the procedure for establishing safe sleep environments for infants. Submit a written statement of compliance by 9/18/24. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

Category: supervision. Marked corrected in the state record.

2.217.C.7 · All Department-approved child care health consultants must complete the Department-approved child care health consultant introductory training course within six (6) months of hire. Child care health consultants must complete Department-approved ongoing professional development training every three (3) years. The center must obtain and maintain proof of training completion.

The Health Consultant did not have verification of completing the Department approved child care health consultant training course. Correction: The Health Consultant must complete he Department approved child care health consultant training course every three (3) years. Submit a written statement of compliance by 9/18/24. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

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

2.223.D.4.c · A fitted sheet and a blanket, or suitable covering, must be provided for each child to be used only by that child.

In Toddler classroom 1, 2, 3 and 4, toddlers were observed to be sleeping on cots without a suitable covering. Correction: The center must provide a fitted sheet or suitable covering for each child to be used only by that child. Correct immediately. Submit a written statement of compliance by 8/28/24. Correct by 08/14/2024

Corrected Corrected by Aug 14, 2024

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

One out of ten children files reviewed did not have verification of a current update health statement. Correction: The center must obtain a current statement of health status of children less than two years of age as required by the health care provide or in accordance with the American Academy of Pediatric recommendations. Submit a written statement of compliance by 8/28/24. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

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

2.223.D.5.a · If preschool-age children are in care for longer than five (5) hours, the center must provide at least a thirty (30) minute rest period meeting the following: A firm cot or two (2) inch mat with a sheet and blanket, or other suitable covering, must be provided for each child;

In UPK 3 and the multi-age preschool, children were observed to be using yoga mats for rest time. Correction: The center must require that all preschool-age children that are at the center longer than five (5) hours are provided a firm cot or two (2) inch mat with a sheet for each child for a rest period for at least thirty (30) miniutes. Correct immediately. Submit a written statement of compliance by 8/28/24. Correct by 08/14/2024

Corrected Corrected by Aug 14, 2024

Marked corrected in the state record.

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

In the UPK-3 cubby room there was child's diaper wipes in a child's cubby that says "keep out of reach of children" accessible to children. This is a direct violation of stipulation K of the Probationary License. Hazardous items, including items Labeled "keep out of reach of children" must be inaccessible to children at all times, both indoors and out doors. Correction: All item's labeled "keep out of reach of children" must be inaccessible to children. Correct immediately. Submit a written statement of compliance by 8/28/24. Correct by 08/14/2024

Corrected Corrected by Aug 14, 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.

Nine (9) staff file reviewed, staff members Emma D., Tammy K., and Camille A. did not have verification of an updated clearance letter. Correction: The center must submit every five (5) years of all child abuse and neglect inquiry background checks on each staff member. An updated clearance letter must be obtain before the five year date reflected on the current clearance letter. Correct immediately. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that the staff members have reviewed the powerpoint within 24 hours. Submit a written statement of compliance by 8/28/24. Correct by 08/14/2024

Corrected Corrected by Aug 14, 2024

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

2.223.D.4 · In the toddler room, a crib, sleeping cot, or two (2) inch mat must be provided for each child, and there must be a minimum of two (2) feet between each crib or cot. Aisles between cots or cribs must be kept free of all obstructions while cribs are occupied. No child less than the age of two (2) years should use a cot for sleeping without written permission of the parent or guardian.

In classroom Todd 1,2,3 and 4, toddlers were observed to be resting on a 1 inch mat. Correction: In the toddler room, sleeping cots or mats that are at least 2 inches must be provided fro each child. No child less than age of two (2) years of age should use a cot for sleeping without written permission of a parent or guardian. Correct immediately. Submit a written statement of compliance by 8/28/24. Correct by 08/14/2024

Corrected Corrected by Aug 14, 2024

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Nine staff files reviewed, Ashley L. did not have verification of a medical statement, signed and dated by a licensed health care provider. Correction: All staff members must submit to the center a medical statement signed and dated by a licensed health care provider. Submit a written statement of compliance by 8/28/24. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

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

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Nine staff files reviewed, staff member Camille A. and Tammy K. did not have verification of completing a pre-service building and physical premises safety training. This is a direct violation of stipulation "I" of the Probationary License. Staff members must complete any trainings required for their assigned position prior to being placed in the classroom. This may include but is not limited to: standard precautions, CPR/First, safe sleep, shaken baby, medication administration and emergency disaster preparedness. Correction: All staff must complete a pre-service building and physical premises safety training prior to working with children. Correct immediately. Submit a written statement of compliance by 8/28/24. Correct by 08/14/2024

Corrected Corrected by Aug 14, 2024

Category: ratio. Marked corrected in the state record.

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Nine staff files reviewed, staff member Camille A. did not have verification of completing the required Standard precautions training. This is a direct violation of stipulation "I" of the Probationary License. Staff members must complete any trainings required for their assigned position prior to being placed in the classroom. This may include but is not limited to: standard precautions, CPR/First, safe sleep, shaken baby, medication administration and emergency disaster preparedness. Correction: All staff must complete a Department approved standard precautions training prior to working with children. Correct immediately. Submit a written statement of compliance by 8/28/24. Correct by 08/14/2024

Corrected Corrected by Aug 14, 2024

Category: ratio. 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.

Nine staff files reviewed, Camille A. and Wyonna M. did not have verification of a emergency disaster preparedness training. This is a direct violation of stipulation "I" of the Probationary License. Staff members must complete any trainings required for their assigned position prior to being placed in the classroom. This may include but is not limited to: standard precautions, CPR/First, safe sleep, shaken baby, medication administration and emergency disaster preparedness. Correction: All staff must complete a Department approved Emergency Disaster preparedness training prior to working with children. Correct immediately. Submit a written statement of compliance by 8/28/24. Correct by 08/14/2024

Corrected Corrected by Aug 14, 2024

Category: ratio. Marked corrected in the state record.

2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

Nine (9) staff file reviewed, staff member Tammy K. did not have verification of an signed child abuse reporting statement. This is a direct violation of stipulation P of the Probationary License. Prior to working with children , each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indication that they have read and understand the center's policy and procedures for reporting of child abuse, including the name of the county department of social services and phone number of where a child abuse report should be made. Correction: The center must require that all staff members of the facility to read and sign a statement clearly defining by

Open Not marked corrected in the state record

Open / not marked corrected.

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

In UPK 1, the latch under the sink to be broken and a bottle of Clorox Bleach and Dawn Dish Soap, labeled by the manufacturer as keep out of reach of children. Correction: Items labeled 'keep out of reach of children' must be inaccessible to children. Correct immediately. **CORRECTED AT TIME OF INSPECTION, Staff Member added new locks to the door, March 13. 2024. No further response required. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

Marked corrected in the state record.

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

In Toddler 1 classroom, a bottle of hand sanitizer labeled by the manufacturer as keep out of reach of children and accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately. **CORRECTED AT TIME OF INSPECTION, Director removed the bottle and made it inaccessible, 2/28/24. No further response required. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Marked corrected in the state record.

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

On the toddler playground, a loose plastic garbage bag accessible to children. Correction: Loose plastic bags must be stored in areas inaccessible to children. Correct immediately. **CORRECTED AT TIME OF INSPECTION, Director removed plastic bag and threw it away, 2/28/24. No further response required. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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

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

Gate to the kichen to be open and accessible to children. Correction: Kitchens must be inaccessible to children at all times. Correct immediately. **CORRECTED AT TIME OF INSPECTION, Director closed the kitchen gate, 2/28/24. No further response required. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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

2.238.C · Centers must comply with the locally adopted fire code, including but not limited to the following: In every building or structure, exits must be arranged and maintained so as to provide free and unobstructed egress from all parts of the building or structure at all times when it is occupied. No lock or fastening to prevent free escape from the inside of any building can be installed. Only panic hardware or single-action hardware is permitted on a door or on a pair of doors. All door hardware must be within the reach of children.

In the infant classroom, two walking toys resting in front of the Exit door and blocking egress. Correction: In every building or structure, exits must be arranged and maintained so as to provide free and unobstructed egress from all parts of the building or structure at all times when it is occupied. Correct immediately. **CORRECTED AT TIME OF INSPECTION, Teacher removed items from in front of the door, 2/28/24. No further response required. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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

7.702.34.A.7 · The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility.

Seven child files reviewed. Two children to have expired documetation of emergency medical authorization. Correction: The admission record must include a dated written authorization for emergency medical care, signed and updated annually by the parents/guardians. Correct immeditely. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

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

7.701.33.D.4.a · . Criminal background check requests must be submitted and 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-aged child care facilities, family child care homes, and qualified exempt provider homes.

Eighteen staff files reviewed. Winnona M., Wyonna M., and Alicia S. to be missing documentation of CBI Clearance letter. Correction: Criminal background check requests must be submitted and successfully completed prior to an individual caring for children. Correct immediately. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Winnona M., Wyonna M., and Alicia S. have reviewed the powerpoint within 24 hours. Submit documentation of (CBI, FBI, TRAILS, Or Out of State background check, Out of State Clearance Letters) for staff members Winnona M., Wyonna M., and Alicia S. with written response to Specialist. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: supervision. Marked corrected in the state record.

7.702.83.C · A minimum of one (1) sink and one (1) flush toilet must be provided for each fifteen (15) or fewer children.

The Mixed age classroom and the CPP-4 classroom, with a combined capacity of 26 children, to have only one toilet accessible to those children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: A minimum of 1 flush toilet must be provided for each 15 or fewer children. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Marked corrected in the state record.

7.701.52.D.2 · . Changes to a License Requiring Written Notification to the Department Prior to Department Approval - Changes in the physical facility or use of rooms for child care at a facility.

Facility to be using a licensed preschool classroom (CPP 4) for children ages 3-5 for toddlers aged 12 months-36 months without prior State Department Approval. Correction: Changes to a License require written notification to the Department prior to changing the physical or use of rooms for children at a facility. Correct immediately. Submit a request to change the room. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Marked corrected in the state record.

7.701.56.D · . All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

The ratio to be incorrectly posted in the Toddler 2 Classroom. Correction: All facilities must post in every room of the child care facility: the staff to child ratio required by regulation to be maintained for the age of children cared for in the room. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: ratio. Marked corrected in the state record.

7.702.32.A · For security purposes, a sign-in/sign-out sheet or other mechanism for parents/guardians, or staff if children are being transported, must be maintained daily by the center. It must include, for each child in care, the date, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the child's name, the time when the child arrived at and left the center, and the parent /guardian or staff member's signature or other unique identifier. For children who are transported, parent(s)/guardian(s) must verify the accuracy of the sign-in/sign-out sheet at least weekly.

In the CPP-1 classroom, 14 children present and only 12 signed in. In the CPP-2 classroom 16 children present and only 14 children signed in. In the Toddler 2 classroom 7 children present and only 5 signed in. Correction: For security purposes, a sign in/sign-out sheet or other mechanism for parents or staff must be maintained daily by the center. Correct immediately. Document future compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: transportation. Marked corrected in the state record.

7.702.41.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.

Eighteen staff files reviewed. Wyonna M. Alicia S., Michelle T. and Stephanie S. to be missing documentation of self reported health histories. Correction: All staff members must submit to the center a medical statement. Self reproted health histories must be submitted annually. Document future compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

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

7.702.42.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.

Eighteen staff files reviewed. Mary L, identified as the assistant director, to be mising current documentation of Department-approved Safe Sleep training prior to working with infants less than 12 months of age and renewed annually. Correction: Staff working with infants less than 12 months must complete a Department approved safe sleep training prior to working with infants less than 12 months old. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

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

7.702.42.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.

Eighteen Staff files reviewed. Alicia S. to be missing documentation of completed Department approved training Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than 3 years of age. Correction: Staff working with children less than three years of age must complete a Department-approved PRevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three years of age. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.91.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

In the Toddler 2 classroom, one outlet to be uncovered and accessible to children. Correction: In rooms used by children, all electrical outlets that are accessible to children must have protective covers. Correct immediately. **CORRECTED AT TIME OF INSPECTION, staff member placed a cover over the outlet, September

Open Not marked corrected in the state record

Open / not marked corrected.

7.702.91.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

In an unlocked drawer, in the CPP-1 classroom, a large knife, accessible to children and posing a hazard to children. Correction: Hazardous items must not be stored in any areas of the building used for childcare. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

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

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. 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 State Department-approved training

Eighteen staff files reviewed. Alicia to be missing documentation of completed State Department- approved training in emergency and disaster preparedness. Correction: Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. Correct immediately. Send a copy of completed training certificate with a statement of compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: recordkeeping. Marked corrected in the state record.

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

A rug in the CPP-4 classroom bathroom to be rolled up, posing a fall hazard. Correction: Indoor and outdoor equiptment, materials, and furnishings must be sturdy, safe and free of hazards. Correct immediatley. Document complaince to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

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

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

In the Mixed Age classroom, CPP 2 Classroom, and CPP-1 Classroom, One bottle of KLAR and Danver FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Hand Soap labeled by the manufacturer as keep out of reach of children to be accessible to children. In the Toddler 2 classroom, one package of Parent's Choice wipes, labeled by the manufacturer as keep out of reach of children to be accessible to children. Correction: Items Labeled Keep out of reach of children must be inaccessible to children. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Marked corrected in the state record.

7.702.42.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 renewed annually.

Eighteen staff files reviewed. Winnona M. to have expired documentation of a Department-approved training about child abuse and neglect. Correction: Within 30 calendar days of employment, all employees must be trained using a Department-approved training about child abuse prevention. This training must be renewed annually. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.M · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Eighteen Staff Files reviewed. Emma D. to have expired documentation of completed Child Immunization training course. Correction: All staff responsible for the collection review and maintenance of the child immunization records must complete the CDPHE immunization course. Correct immediately. Document compliance to the Licensing Specialist with the written

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

7.702.46.A.14 · 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

Identified during walk through, the Toddler 2 Classroom to have 7 children present with one teacher in the room at 7:30 am. Second staff member arrived in the room around 9:00am. Correction: Staff to child ratios for Toddler B are 1 staff member to 5 toddlers. Correct immediately. Document future compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: ratio. Marked corrected in the state record.

7.702.46.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.

No one at the facility to have medication delegation. Correction: At least one staff member with delegation must be on duty at all times. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: ratio. Marked corrected in the state record.

7.702.46.C.4 · The date and content of each consultation must be recorded and maintained in the center's files FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ for three (3) years.

Identified through Director statement that the date and content of each consultation is not being maintained. Correction: The date and content of each consulation must be recorded and maintained in the center's files. Document future compliance to the Licensing Specilist with the written response. Correct by 10/27/2023

Corrected Corrected by Oct 27, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.46.C.8 · All Department-approved Child Care Health Consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion.

The Health Consultant file to be missing current CDPHE immunization course. Correction: All Department-approved Child Care Health Consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion. Document future compliance to the Licensing Specialist with the written response. Correct by 10/27/2023

Corrected Corrected by Oct 27, 2023

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

7.702.5.C.3 · For a child with special health care needs requiring intervention and/or medication, the center must obtain written instructions for providing services from the child's parent(s)/guardian(s), and the health care provider. If an existing individualized health care plan is provided for the child, it must be reviewed and followed by the center staff when caring for the child. If the child does not have an existing individualized health care plan, the individualized health care plan must be obtained by the child’s first day of care.

Emergency medication for a child to be missing written instructions for providing services from the child's parents and the health care provider. Correction: For a child with special health care needs requiring intervention and/or medication, the center must obtain written instructions for providing services from the child's parent(s)/guardian(s), and the health care provider. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

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

7.702.5.C.5 · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider, parent(s)/guardian(s) and must include, but not be limited to, the following:

Emergency medication for a child to have a health care plan that was not updated annually. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

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

7.701.100.F.2 · . 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.

Facility to be missing documentation of completed Tornado Drills for March through August and quarterly drills for the two quarters of the year 2023. Correction: 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. 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. Correct immediately. Document future compliance to the Licensing Specialits with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.65.A.3 · . Each licensed child care facility shall maintain records as required by the State Department pertaining to the admission, progress, health, and discharge of children in care at the facility. 3) All information regarding children and their families shall be kept confidential. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Identified Staff Member 4 shared confidential information regarding Child 1 and reportable incident with another facility. Identified through staff file review that confidentiality agreement was signed by Staff Member 4 on 1/4/2022. Correction: All information regarding children and their families shall be kept confidential. Correct immediately. Document future compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

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

7.702.31.B.26 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for reporting of child abuse (see section 7.701.53, of the General Rules for Child Care Facilities).

Identified through file review that all staff members signed facility's policies and procedures and mandated reporting form upon date of hire. Identified through staff statements that staff members did not follow facility's reporting procedures. Correction: The procedure for reporting of a reportable incident must be developed, implemented, and followed. Correct immediately. Document future compliance to the Licensing Specialist with the written response. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Marked corrected in the state record.

7.701.54.A.2 · An agency or facility must not interview staff or children regarding the specific allegation(s) of child abuse or child neglect until the county department of human or social services and/or local law enforcement agency has had the opportunity to interview all appropriate individuals and completed their investigation.

Identified through documentation that Staff Member 4 asked Child 1 to repeat statements of an incident to several staff members instead of immediately reporting the incident per the facility's policies and procedures. Correction: An agency or facility must not interview staff or children regarding the specific allegations until the county department of social services or local law enforcement has had an opportunity to interview all appropriate individuals and completed their investigation. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023 Stage II Licensing Concern : Business/Financial: Facility failed to report an incident within the timeframe as required by statute and licensing regulations. - FOUNDED

Corrected Corrected by Sep 27, 2023

Marked corrected in the state record.

7.701.53.B · . 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.

Identified through staff statements that staff had knowledge of a reportable incident and the facility failed to report an incident as required by statute and licensing regulations within the required time frames. Correction: Ensure all incidents at the facility are reported to the appropriate agencies within the required time frames. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023 Stage II Licensing Concern : Staff Qualifications: Staff member 1 is lacking a complete file with training and policy acknowledgments within licensing regulation time frames after being hired. - FOUNDED

Corrected Corrected by Sep 27, 2023

Marked corrected in the state record.

7.701.33.D.4.a · . Criminal background check requests must be submitted and 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-aged child care facilities, family child care homes, and qualified exempt provider homes.

Staff Member 1 to be missing documentation of completed CBI Criminal background check. Correction: Criminal background check requests must be submitted and successfully completed prior to an individual caring for children. Correct immediately. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Staff Member 1 reviewed the powerpoint within 24 hours. Submit documentation of (CBI, FBI, TRAILS, Or Out of State background check, Out of State Clearance Letters) for Staff Member 1 with written response to Specialist. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: supervision. Marked corrected in the state record.

7.702.42.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.

Staff Member 1, not required by rule to be certified in First Aid and CPR, to be missing documentation of completed Department-Approved Introduction to First Aid and CPR module. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: 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. Document compliance to the Licensing Specialist with the written response. Correct by 10/11/2023

Corrected Corrected by Oct 11, 2023

Marked corrected in the state record.

7.702.42.A · All staff must complete a pre-service Building and Physical Premises Safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Staff Member 1 to be missing documentation of completed pre-service Building and Physical Premises Safety training. Correction: All staff must complete a pre-service Building and Physical Premises Safety training prior to working with children. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/27/2023 Stage II Licensing Concern : Lack of Supervision: Staff members are on cell phones during the day while caring for children. - FOUNDED

Corrected Corrected by Sep 27, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Identified through staff statements that Staff Member 1 was on their cell phone when they were responsible for supervising children. Correction: When caring for children, staff must refrain from the personal use of electronics including, but not limited to, cellphones and portable electronic devices. Correct immediately. Document future compliance to the Licensing Specialist

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 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.

One child file reviewed. One child file to be missing documentation of completed health statement. Correction: Within 30 days of enrollment, parents must provide a health statement that is signed by the provider. Send a statement of compliance to the Licensing Specialist with the written response. Correct by 08/28/2023

Corrected Corrected by Aug 28, 2023

Category: ratio. Marked corrected in the state record.