2.216.B.1.a · The infant program must have an infant program supervisor who meets at least one (1) of the following qualifications:

Ala A. identified as the infant supervisor does not meet the required qualifications. Correction: Correct immediately, the facility must have a qualified infant supervisor. Submit a written statement of compliance and documentation by 6/22/2024. Correct by 05/22/2024

Corrected Corrected by May 22, 2024

Category: supervision. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ exemption be provided prior to or on the first day of admission.

Reviewed 10 children files, one file is lacking documentation of the child's immunization documented on the Colorado Department of Public Health and Environment approved form. Correction: Immediately (5/22/2024) review all children's files, all files must have immunization records documented on the Colorado Department of Public Health and Environment approved form. Submit a written statement of compliance by 6/22/2024. Correct by 05/22/2024

Corrected Corrected by May 22, 2024

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

2.206.B.6 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: An itemized fee schedule;

Reviewed the parent handbook and observed the parent handbook lacking an itemized fee schedule. Correction: The facility must have a policy regarding an itemized fee schedule. Submit documentation and a written statement of compliance by Correct by 06/22/2024

Corrected Corrected by Jun 22, 2024

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 10 children files, two files were lacking updated Emergency Medical Authorizations. Correction: Immediately (5/22/2024) review all children's files, all files must have updated Emergency Medical Authorizations signed and dated by the child's parents or guardians. Submit a written statement of compliance by 6/22/2024 Correct by 05/22/2024

Corrected Corrected by May 22, 2024

Category: health medication. 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 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed 10 children files, all 10 files were lacking signed documents stating that the parents/ guardians have received the center's policies and procedures. Correction: Immediately (5/22/2024) review all children's files, and ensure all files have documentation of the signed documents stating that the parents/ guardians have received the center's policies and procedures. Submit a written statement of compliance by 6/22/2024 Correct by 05/22/2024

Corrected Corrected by May 22, 2024

Marked corrected in the state record.

2.209.A.2 · 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:Parent(s)/guardian(s) names; home and e-mail addresses; telephone numbers, including home, work, and cell numbers; employer name and work address; and, any special instructions as to how the parent(s)/guardian(s) may be reached during the hours that the child is in care at the center;

At the time of the visit, the children's admission records were lacking information on parents/ guardians email addresses. Correction: Immediately (5/22/2024) review the children's admission records, all admission records must have information on parents/guardians' email addresses. Submit a written statement of compliance by 6/22/2024 Correct by 05/22/2024

Corrected Corrected by May 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.223.C.1 · Each infant up to eighteen (18) months of age and enrolled in the infant program must be provided with an individual crib, futon approved for infants, or other approved sleep/rest equipment meeting Consumer Product Safety Commission (CPSC) standards published by the Consumer Product Safety Commission (CPSC) at 16 CFR section 1218.2 (April 23, 2015); 16 CFR section 1219.2 (October 28, 2019); 16 CFR section 1220.2 (June 3, 2023); 16 CFR section 1221.2 (January 20, 2020); 16 CFR section 1222.2 (August 5, 2023); 16 C.F.R. section 1236.2 (June 23, 2022); FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and 16 C.F.R 1241.2 (February 15, 2022) herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from the CPSC at https://www.ecfr.gov. 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. Individual cribs or futons must provide each infant with sufficient space for the infant’s length, size, and movement.

At the time of the visit observed a 5-month-old baby placed in an unsafe sleep environment. The child was observed to be sleeping on their stomach on a boppy pillow and there was another boppy pillow on the top of the child covering them from the waist down to their feet. The baby was sleeping in the play area. Correction: Immediately (5/22/2024) all infants must be placed in a safe sleep environment. Immediately place the infant on their back in an approved sleep equipment. Submit a written statement of compliance by 6/22/2024 Correct by 05/22/2024

Corrected Corrected by May 22, 2024

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

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

Identified that both staff members who were with the child in the Infant classroom (Ms. Ala and Ms. Maria) have completed infant safe sleep training, and a child in their care was found in an unsafe sleep environment. Ms. Ala completed her Safe Sleep Training on 3/1/2024 and Ms. Maria completed her Safe Sleep training on 10/11/2023. Correction: Immediately (5/22/2024) ensure that all safe sleep practices are followed, for all infants, at all times. Submit a written statement of compliance by 6/22/2024 Correct by 05/22/2024

Corrected Corrected by May 22, 2024

Category: physical safety. 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 the visit, 2 children (19 months old) were cared for in the Infant classroom. Correction: Immediately (5/22/2024) ensure that rooms licensed for specific ages of children are not used for other ages of children without the prior written approval of the licensing authority. Submit a written statement of compliance by 6/22/2024 Correct by 05/22/2024

Corrected Corrected by May 22, 2024

Marked corrected in the state record.

2.238.H · Centers must comply with the locally adopted fire code, including but not limited to the following: Every exit must be clearly visible, or the route to reach it must be conspicuously indicated. Each path of escape must be clearly marked.

At the time of the visit observed the emergency evacuation plan to be missing in the Seals classroom, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Whales classroom, and the Dolphins classroom. Correction: Immediately (5/22/2024) ensure all classrooms have an emergency evacuation plan that is clearly marked. Submit a written statement of compliance by 6/22/2024 Correct by 05/22/2024

Corrected Corrected by May 22, 2024

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

2.220.C · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

At the time of the visit observed an ointment tube prescription missing the original pharmacy label. Correction: Immediately (5/22/2024) all prescribed medications must be kept in the original labeled bottle or container and contain the original pharmacy label. Submit a written statement of compliance by 6/22/2024 Correct by 05/22/2024

Corrected Corrected by May 22, 2024

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

2.229.J · If using a crib is not designed for emergency evacuation, the crib must be reinforced with a kit manufactured for this purpose.

At the time of the visit observed the emergency evacuation cribs in the infant classroom not to be designed for emergency evacuation. Correction: If using a crib is not designed for emergency evacuation, the crib must be reinforced with a kit manufactured for this purpose. Correct immediately (5/22/2024) and submit a written statement of compliance by 6/22/2024 Correct by 05/22/2024

Corrected Corrected by May 22, 2024

Marked corrected in the state record.

2.206.B.4 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure regarding inclement and excessively hot weather; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed the parent handbook and observed the parent handbook lacking procedures regarding inclement weather. Correction: The facility must have a policy regarding inclement weather. Submit documentation and a written statement of compliance by Correct by 06/22/2024

Corrected Corrected by Jun 22, 2024

Marked corrected in the state record.

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Reviewed 10 children files, two files were lacking updated health statements. Correction: Review all children's files, all files must have updated health statements signed and dated by a healthcare provider. Submit a written statement of compliance by Correct by 06/22/2024

Corrected Corrected by Jun 22, 2024

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

2.216.A.1 · An early childhood teacher, assigned responsibility for a single group of children and working under the supervision of a director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:

In the infant classroom, Maria M. was alone supervising infants, and did not have verification of ECT qualifications. Correction: Correct immediately, review all staff files. All staff working alone with a single group of children must meet ECT qualifications. Submit a written statement of compliance and documentation by 6/22/2024. Correct by 05/22/2024

Corrected Corrected by May 22, 2024

Category: supervision. Marked corrected in the state record.

2.206.B.9 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: How decisions are made and what steps are taken prior to the suspension, expulsion, or request to parents or guardians to withdraw a child from care due to concerns about the child’s behavioral issues. These procedures must be consistent with the center’s policy on guidance and positive instruction, and include documentation of the steps taken to understand and respond to challenging behavior including:

Reviewed the parent handbook and observed the parent handbook lacking what steps are taken prior to suspension and expulsion of children. Correction: The facility must have a policy regarding the steps taken prior to suspension and expulsion of children. Submit documentation and a written statement of compliance by Correct by 06/22/2024

Corrected Corrected by Jun 22, 2024

Marked corrected in the state record.

2.206.B.17 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedures followed when a child is picked up from the center after the center is closed or not picked up at all, and to ensure that all children are picked up before the staff leave for the day;

Reviewed the parent handbook and observed the parent handbook lacking a policy if children are not picked up by parents and guardians. Correction: The facility must have a policy regarding children who are not picked up by parents and guardians. Submit

Open Not marked corrected in the state record

Open / not marked corrected.

2.206.B.25 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for filing a complaint about child care, including the name, address and telephone number of the Colorado Department of Early Childhood (see rule section 2.125 of the General Rules for Child Care Facilities);

Reviewed the parent handbook and observed the parent handbook lacking the procedure for filing a complaint about child care. Correction: The facility must have a written policy and procedure, developed and implemented for filing a complaint about child care. Submit documentation and a written statement of compliance by 6/22/2024. Correct by 06/22/2024

Corrected Corrected by Jun 22, 2024

Marked corrected in the state record.

2.206.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, including the name of the county department of social/ human services and phone number of where a child abuse report should be made (see rule section 2.126, of the General Rules for Child Care Facilities);

Reviewed the parent handbook and observed the parent handbook lacking the procedure for reporting child abuse. Correction: The facility must have a written policy and procedure, developed and implemented for reporting child abuse. Submit documentation and a written statement of compliance by 6/22/2024. Correct by 06/22/2024

Corrected Corrected by Jun 22, 2024

Marked corrected in the state record.

2.220.D · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

In the infant Seal room there is diaper rash cream not labeled with the childs first and last name. Correction: Correct immediately Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name. Submit a written statement of compliance by 6/22/2024. Correct by 05/22/2024

Corrected Corrected by May 22, 2024

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

2.212.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.

At the time of a staff member was using their cell phone in the toddler room. Correction: Correct immediately, when caring for children, staff must refrain from the personal use of electronics including, but not limited to, cell phones and portable electronic devices. . Submit a written statement of compliance by 6/22/2024. Correct by 05/22/2024

Corrected Corrected by May 22, 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.

At the time of visit the Seals classroom had 4 children signed into the program and 5 children in attendance. In the Whales classroom there were 14 children signed into the program and 12 children in attendance. In the Dolphins classroom there were 12 children signed into the program and 9 children in attendance. Correction: Correct immediately, e 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. Submit a written statement of compliance by 6/22/2024. Correct by 05/22/2024

Corrected Corrected by May 22, 2024

Category: recordkeeping. 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, the Whales preschool classroom had 1 staff member with 13 children putting the classroom over ratio. Correction: Correct immediately, staff to child ratios must be maintained at all times. Submit a written statement of compliance by 6/22/24. Correct by 05/22/2024

Corrected Corrected by May 22, 2024

Category: ratio. 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.

At the time of visit in the Dolphin room there are broken crayons accessible to children under three posing a choking hazard. Correction: Correct immediately, 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. Corrected at the time of visit, the broken crayons were removed and made inaccessible. Submit a written statement of future compliance by 6/22/24 Correct by

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.223.D.2 · In rooms used for napping, the lighting must be dim at nap time to promote an atmosphere conducive to sleep but must be bright enough for supervision of children.

At the time of visit the toddler room was to dark to supervise toddlers during nap time. Correction: Correct immediately, in rooms used for napping, the lighting must be dim at nap time to promote an atmosphere conducive to sleep but must be bright enough for supervision of children. Submit a written statement of compliance by 6/22/2024. Correct by 05/22/2024

Corrected Corrected by May 22, 2024

Category: supervision. Marked corrected in the state record.