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

At the time of the visit, in the Preschool classroom, under the sink, a bottle of dish soap, labeled keep out of reach of children, was accessible to children. Correction: Immediately ( 4/11/2025), Items labeled keep out of reach of children, must be inaccessible to children. **Corrected at the time of the visit when the dish soap was moved out of the classroom, making the soap inaccessible to children. Submit a written statement of future compliance by 4/18/2025. Correct by 04/11/2025

Corrected Corrected by Apr 11, 2025

Marked corrected in the state record.

2.229.K · Evacuation equipment must not block exit routes. Nothing may be stored in or under any evacuation equipment. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of the visit, in the infant classroom, items were stored under the evacuation crib. Correction: Immediately ( 4/11/2025), nothing may be stored in or under any evacuation equipment. **Corrected at the time of the visit when the Director removed items from under the evacuation crib. Submit a written statement of future compliance by 4/18/2025. Correct by 04/11/2025

Corrected Corrected by Apr 11, 2025

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

2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. 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;

Reviewed 7 children's files and observed 3 children's files to be lacking updated written authorization for emergency medical care signed and updated annually by the parents/guardians. Correction: Immediately ( 4/11/2025), Review all children's files. All files must include an updated written authorization for emergency medical care signed and updated annually by the parents/guardians. Submit a written statement of compliance by 4/18/2025. Correct by 04/11/2025

Corrected Corrected by Apr 11, 2025

Category: health medication. 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 Toddler playground for children 12 months-36 months, a toy with rust was accessible to children causing a potential safety hazard. A fence was falling with nails exposed and accessible to children causing a potential safety hazard and a piece of rubber was wrapped up, causing a potential tripping hazard. Correction: Immediately, the toddler playground must have equipment and materials safe and free of hazards. Submit a written statement of compliance by 5/1/2024. Correct by 04/24/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Apr 24, 2024

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

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

In the Toddler 2 room, diapers were on a chair in the bathroom, accessible to children. In the Preschool room, diapers, wipes and gloves were under the sink in an unlocked cabinet, accessible to children. On the Toddler playground, wipes were on the ground, accessible to children. Correction: Immediatley, diaper supplies must have a place inaccessible to children for storing. Corrected at the time of visit, the director placed the diaper supplies in cabinets inaccessible to children. Submit a written statement of future compliance by 5/1/2024. Correct by 04/24/2024

Corrected Corrected by Apr 24, 2024

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

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

In the Preschool classroom, dish soap labeled "keep out of reach of children" was in an unlocked cabinet, accessible to children. Correction: Immediately, items labeled "keep out of reach of children" must be inaccesible to children. Corrected at the time of visit, the director removed the dish soap making it inaccessible to children. Submit a written statement of future compliance by 5/1/2024. Correct by 04/24/2024

Corrected Corrected by Apr 24, 2024

Marked corrected in the state record.

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

In the Toddler 2 classroom, 5 children were signed in, however, 6 were in attendance. In the Preschool classroom, 5 children were signed in,, however, 12 were in attendance. In the Toddler 1 classroom, 5 children were signed in, however 9 were in attendance. Correction: Immediately, the teacher must record the time a child arrivess and leaves the center each day and must complete written attendance verification throughout the day. Corrected at the time of visit, the director signed the children in. Submit a written statement of future compliance by 5/4/2024. Correct by 04/24/2024

Corrected Corrected by Apr 24, 2024

Category: recordkeeping. Marked corrected in the state record.

2.216.G.1 · Staff aides must be at least sixteen (16) years of age and must work directly under the supervision of the director or an early childhood teacher.

In the Preschool classroom, licensing specialist observed staff members Aden and Shelby alone in the classroom. Both teachers lack documentation of qualifications of an early childhood teacher and were not under the direct supervision of the director. Correction: Immediately, staff aides must work directly under the supervision of the director or an early childhood teacher. Submit a written statement of compliance by 5/1/2024. Correct by 04/24/2024

Corrected Corrected by Apr 24, 2024

Category: supervision. Marked corrected in the state record.

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

In the Preschool classroom, observed loose plastic bags in an unlocked drawer accessible to children. In the PreK classroom, observed loose plastic bags in an unlocked cabinet accessible to children Correction: Immediately, loose plastic bags must be stored in areas inaccessible to children. Submit a written statement of

Open Not marked corrected in the state record

Open / not marked corrected.

2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

In the Preschool classroom and the Toddler 2 classroom, observed broken cabinets falling off hinges. Correction: Immediately, buildings must be kept in good repair and maintained in a safe condition. Submit a written statement of compliance by 1/4/2024. Correct by 12/21/2023

Corrected Corrected by Dec 21, 2023

Marked corrected in the state record.

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

In the Toddlers 2 classroom, observed Oxivir disinfecting wipes labeled "keep out of reach of children" on the bathroom toilet accessible to children. Correction: Immediately, items labeled "keep out of reach of children" must be inaccessible to children. Submit a written statement of compliance by 1/4/2024. Correct by 12/21/2023

Corrected Corrected by Dec 21, 2023

Marked corrected in the state record.

2.223.C.2.a · Mattresses for cribs and futons must have a properly fitted, clean sheet.

Confirmed through staff statements that sheets are only cleaned or santized once a week and identified that infants use the same cribs each day. Correction: Immediately, mattresses for cribs and futons must have a properly fitted, clean sheet. Submit a written statement of compliance by 1/4/2024. Correct by 12/21/2023

Corrected Corrected by Dec 21, 2023

Marked corrected in the state record.

2.223.C.5 · All sleep/rest equipment must be safe, sturdy, and free from hazards including, but not limited to broken or loose slats, torn mattress, chipping paint or loose screws.

Confirmed through staff statements that mattresses and cribs are only cleaned or santized once a week and identified that infants use the same cribs each day. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, all sleep/rest equipment must be safe, sturdy, and free from hazards. Submit a written statement of compliance by 1/4/2024. Correct by 12/21/2023

Corrected Corrected by Dec 21, 2023

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

2.223.C.11 · Swaddling of infants must only be allowed with a health care plan completed and signed by the child’s health care provider.

Confirmed through staff statements that CH1 has been swaddled and identified that CH1 does not have a health care plan completed and signed by the child's health care provider. Correction: Immediately, swaddling infants must only be allowed with a health care plan completed and signed by the child's health care provider. Submit a written statement of compliance by 1/4/2024. Correct by 12/21/2023

Corrected Corrected by Dec 21, 2023

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

2.223.C.15 · 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.

Confirmed through staff statements that children are able to sleep on a boppy for up to 7 minutes before being moved to their approved sleep area. Correction: Immediately, infants who fall asleep in a piece of equipment not approved for sleep must immediately be mvoed to their approved sleep area and placed on their back to sleep. Submit a written statement of compliance by 1/4/2023. Correct by 12/21/2023 ________________________________________________

Corrected Corrected by Dec 21, 2023

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

2.120.D · The Trails child abuse and neglect records request must be made within ten (10) calendar days of the first day of employment for each employee or facility on the state-prescribed form, accompanied by the required fee.

Reviewed 3 staff files and observed that Elizabeth D. did not have an abuse neglect record request made within 10 calendar days of the first day of employment. Correction: Immediately, review all staff fiels and all individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Elizabeth D. have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff members Elizabeth D. with written response to Specialist by 1/4/2024. Example Top Narrative: Licensing Specialists Correct by 12/21/2023

Corrected Corrected by Dec 21, 2023

Category: recordkeeping. Marked corrected in the state record.

2.121.D.4 · Requests for a criminal record check, other than those required per this rule section 2.121(D)(4) must be completed at an approved vendor within five (5) working days of the day that the individual begins to work at the facility or agency.

Reviewed 3 staff files and observed that Elizabeth D. did not have a criminal record check request made within 5 working days of the day the individual began work at the facility. Correction: Immediately, review all staff fiels and all individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Elizabeth D. have reviewed the powerpoint within 24 hours. Submit documentation of CBI/FBI for staff members Elizabeth D. with written response to Specialist by 1/4/2024. Correct by 12/21/2023

Corrected Corrected by Dec 21, 2023

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed 3 staff files and observed that Elizabeth D. was missing documentation of a current abuse prevention training. Correction: Within 30 days, review all staff files and within 30 calendar days, all employees must be trained using the department-approved training about abuse prevention. This training must be renewed annually. Submit documentation and a written statement of compliance by 1/20/2024. Correct by 01/20/2024

Corrected Corrected by Jan 20, 2024

Category: recordkeeping. Marked corrected in the state record.

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

In the Preschool classroom, observed gloves and wipes in an unlocked drawer and diapers and wipes in an unlocked cabinet accessible to children. In the Toddlers 2 classroom, observed diapers and gloves in the unlocked bathroom accessible to children. Correction: Immediately, all diaper supplies and disinfecting solutions must be inaccessible to children. Submit a written statement of compliance by 1/4/2024. Correct by 12/21/2023

Corrected Corrected by Dec 21, 2023

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, observed play equipment blocking the emergency exit. Correction: Immediately, exits must be arranged and maintained so as to provide free and unobstrcuted egress. Submit a written statement of compliance by 1/4/2024. Correct by 12/21/2023

Corrected Corrected by Dec 21, 2023

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