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.

At the time of visit, reviewed 9 staff files. Observed 4 files to have expired Department safe sleep training. Correction: Immediately. 12/9/2025. Staff working with infants must complete a department approved sleep training and this must be renewed annually. Submit documentation and written statement of compliance by 1/9/2026. Correct by 12/09/2025

Corrected Corrected by Dec 9, 2025

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

At the time of visit, observed in the toddler classroom diapers, wipes and plastic gloves asscessible to children in the bathroom botthom shelves. Correction: Immediately. 12/9/2025. All diaper change areas must have a place inaccessible to children for storing all diaper change supplies. Corrected at the time of visit. Staff member placed items in a locked plastic storage bin on a higher shelf. Submit written statement of future compliance by 1/9/2026. Correct by 12/09/2025

Corrected Corrected by Dec 9, 2025

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), 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.

At the time of visit, reviewed 9 staff files. Observed 1 file to have expired Trails records. Correction: Immediately. 12/9/2025. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member has 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 with written response to the Specialist by 1/9/2026. Correct by 12/09/2025

Corrected Corrected by Dec 9, 2025

Category: supervision. 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.

At the time of visit, reviewed 9 staff files. Observed 1 file to have expired CBI and FBI criminal background check. Correction: Immediately. 12/9/2025. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member has 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 with written response to the Specialist by 1/9/2026. Correct by 12/09/2025

Corrected Corrected by Dec 9, 2025

Category: supervision. 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.

At the time of visit, reviewed 9 staff files. Observed 4 files to have expired Department approved Standard Precautions training. Correction: Immediately. 12/9/2025. All staff must complete Department approved standard precautions training. Submit documentation and written statement of compliance by 1/9/2026. Correct by 12/09/2025

Corrected Corrected by Dec 9, 2025

Category: recordkeeping. 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.

At the time of visit, reviewed 9 staff files. Observed 1 file to have expired Department approved prevention of shaken baby/abusive head trauma training. Correction: Immediately. 12/9/2025. Staff working with children less than 3 years of age must complete a department approved prevention of shaken baby training. Submit documentation and written statement of compliance by 1/9/2026. Correct by 12/09/2025

Corrected Corrected by Dec 9, 2025

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 renewed annually.

At the time of visit, reviewed 9 staff files. Observed 4 files to have expired Department approved child abuse prevention training. Correction: Immediately. 12/9/2025. All staff must complete Department approved child abuse prevention training. Submit documentation and written statement of compliance by 1/9/2026. Correct by 12/09/2025

Corrected Corrected by Dec 9, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of visit, facility missing documentation of tornado and lockdown drills. Correction: Immediately, tornado drills must be held monthly from March to October and lock down drills must be held at least quarterly. Submit a written statement of compliance by 1/17/2025. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: recordkeeping. 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 10 staff files. Srija missing a medical statement signed and dated by the physician. Srija started FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ working at the facility on 11/5/2024. Correction: Review all staff files. All staff must submit a medical statement, signed and dated by a physician or other health care provider within 30 calendar days of employment. Submit a written statement of compliance by 1/17/2025. Correct by 01/17/2025

Corrected Corrected by Jan 17, 2025

Category: health medication. 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.

Reviewed 10 staff files. Srija missing documentation of the standard precautions training and was in the classroom working with children. Correction: Immediately, all staff must complete the standard precautions training prior to working with children and have documentation available for review at all times. Submit documentation and a written statement of compliance by 1/17/2025. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: recordkeeping. 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 10 staff files. Srija missing documentation of the prevention of shaken baby/abusive head trauma training and was in the classroom working with children. Correction: Immediately, all staff must complete the shaken baby/abusive head trauma training prior to working with children and have documentation available for review at all times. Submit documentation and a written statement of

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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 renewed annually.

Reviewed 10 staff files. Srija missing documentation of the child abuse prevention training and was in the classroom working with children. Correction: Immediately, all staff must be trained in child abuse prevention within 30 days of employment and have documentation available for review at all times. Submit documentation and a written statement of compliance by 1/17/2025. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: recordkeeping. Marked corrected in the state record.

2.217.A.15.d · The licensed room capacity must not be exceeded at any time.

At the time of visit, the Toddler room had 11 children in attendance, exceeding the licensed room capacity of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 10 children. Correction: Immediately, the licensed room capacity must not be exceeded at any time. Submit a written statement of compliance by 12/24/2024. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Marked corrected in the state record.

2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

At the time of visit, the Toddler room had 11 children in attendance, exceeding the maximum group size for children ages 12-36 months. Correction: Immediately, maximum group size must not be exceeded at any time for any reason. Submit a written statement of compliance by 12/24/2024. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: ratio. Marked corrected in the state record.

2.217.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.

At the time of visit, in the Toddler classroom, one staff member was alone with 11 children exceeding the staff-to-child ratio for children ages 12-36 months. Correction: Immediately, staff to child ratios must not be exceeded at any time for any reason. Submit a written statement of compliance by 12/24/2024. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: ratio. Marked corrected in the state record.

2.218.A · The center must accept and care only for children of the ages for which it has been licensed. At no time shall the number of children in attendance exceed the number for which the center has been licensed.

At the time of visit, the facility had 11 toddlers in attendance exceeding the 10 toddlers for which the center has been licensed. Correction: Immediately, the center shall only accept and care for the number of children for which it has been licensed at all times. Submit a written statement of compliance by 12/24/2024. Correct by 12/17/2024 ________________________________________________

Corrected Corrected by Dec 17, 2024

Marked corrected in the state record.

2.113.A · Violation of any provision of the Child Care Licensing Act or intentional false statements or reports made to the Department or to any agency lawfully delegated by the Department to make an investigation or inspection may result in fines assessed of not more than $250 a day the first day, $500 for the second day, and $1,000 a day for the third and subsequent days, to a maximum of $10,000:

At the time of visit, a staff member moved a toddler from the toddler classroom to the preschool classroom when the specialist arrived to avoid a violation for exceeding maximum group size and licensed capacity. Another staff member reported to the licensing specialist that 10 children were being cared for in the toddler classroom when there were 11 children being cared for in the classroom. Correction: Immediately, any person intentionally making a false statement or report to the Department may be fined. Submit a written statement of compliance by 12/24/2024. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: ratio. 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.

At the time of visit, in the Toddler classroom, the attendance roster had 10 children signed into the classroom, the teacher reported 10 children in care, and there were 11 children in care. Correction: Immediately, written attendance must be completed and must be accurate at all times. Submit a written statement of compliance by 12/24/2024. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Category: recordkeeping. Marked corrected in the state record.

2.233.A.3 · Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority.

At the time of visit, two toddlers under 2.6 years of age were being cared for in the preschool classroom FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ which is licensed for children 2.6-6 years. Correction: Immediately, rooms licensed for specific ages of children cannot be used for other ages of children at any time. Submit a written statement of compliance by 12/24/2024. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

Marked corrected in the state record.