2.223.A.3 · Staff must be awake, alert, and actively supervising all children.

Identified through staff member statements that the staff members did not see CH1 hit CH2 on the chest. Correction: Immediately ( 1/3/2025) Staff must be awake, alert and actively supervising all children. Submit a written statement of compliance by 1/10/2025. Correct by 01/03/2025 ________________________________________________ Stage II Licensing Concern : RP states that children are not kept safe. - UNFOUNDED Stage II Licensing Concern : CH1 was in a classroom not licensed for their age. - UNFOUNDED Stage II Licensing Concern : The facility did not follow their policies and procedures regarding positive guidance. - UNFOUNDED Stage II Licensing Concern :

Corrected Corrected by Jan 3, 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 the visit, reviewed 5 staff files and observed Erica R. to be lacking an updated Department-approved standard precautions training. Correction: Immediately ( 12/2/2024), Review all staff files. All staff must complete a Department-approved standard precautions training and the training must be updated annually. Submit documentation and a written statement of compliance by 1/2/2025. Correct by 12/02/2024

Corrected Corrected by Dec 2, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 the visit, reviewed 5 staff files and observed Erica R. to be lacking an updated Department-approved training in child abuse prevention. Correction: Review all staff files. All staff must complete a Department-approved training in child abuse prevention and the training must be updated annually. Submit documentation and a written statement of compliance by 1/2/2025. Correct by 01/02/2025

Corrected Corrected by Jan 2, 2025

Category: recordkeeping. 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:

Confirmed through staff member statements Taliyah L hired 4/1/2024 as an aide and Emily R. hired 6/3/2024 as an aide have worked alone with children. Confirmed through staff statements Taliyah L and Emily R work alone for approximately one hour in the evening. Correction: Immediately ( 10/10/2024) An early childhood teacher, assigned responsibility for a single group of children must be ECT qualified.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.124.A.1.d · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S.

Facility failed to report a critical incident to the Licensing Department as required by state statute and licensing regulations within the required time frame. Correction: Immediately (10/10/2024) The facility must report any critical incident within the required time frame to the licensing department as stated in the state statute and licensing regulations. Submit a written statement of compliance by 11/10/2024. Correct by 10/10/2024 ________________________________________________ Stage II Licensing Concern : SM1 hit CH1 on the face and bottom because CH1 was not listening. SM1 was mean to CH1. - UNFOUNDED Stage II Licensing Concern : Staff told MOC that MOC had to leave with CH1 because CH1 was aggressive. - UNFOUNDED Stage II Licensing Concern : RP stated that SM1 touched CH1 inappropriately. - UNFOUNDED ________________________________________________

Corrected Corrected by Oct 10, 2024

Category: ratio. Marked corrected in the state record.

2.113.A.7 · Any person intentionally making a false statement or report to the Department or to any agency delegated by the Department to make an investigation or inspection under the provisions of the Child Care Licensing Act may be fined up to $250 a day for the first day, $500 for the second day, $1,000 a day for the third and subsequent days to a maximum of $10,000.

Confirmed through staff statements that SM1 intentionally made false and misleading statements regarding video footage being reviewed by an outside agency. SM1 also intentionally made false and misleading statements regarding a reportable incident to the director. Confirmed through the Director statement that this never happened. SM1 gave false and misleading information to an outside agency. Correction: Immediately ( 10/10/2024) Any person intentionally making false statements to the Department or to any agency may face fines. Submit a written statement of compliance by 11/10/2024. Correct by 10/10/2024

Corrected Corrected by Oct 10, 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 3 child files and observed one file lacking documentation of a child's health statement. Correction: Review all children's files. All files must have a copy of the child's health statement. Submit a written statement of compliance by 11/10/2024. Correct by 11/10/2024

Corrected Corrected by Nov 10, 2024

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

2.227.B.1.c · Any vehicle used for the transportation of children to and from the center or during center activities must meet the following requirements: The vehicle must be kept in satisfactory condition to ensure the safety of occupants.;

Observed that the facility has two buses to transport children and 1 bus had a flat tire. Correction: Immediately, vehicles used to transport children must be kept in satisfactory condition to ensure the safety of occupants. Submit a written statement of compliance by 2/2/2024. Correct by 01/19/2024

Corrected Corrected by Jan 19, 2024

Category: transportation. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 14 staff files and observed that Shanta H. and Guadalupe C. were missing documentation of a current prevention of shaken baby/abusive head trauma training and identified to be working with children less than 3 years old. Correction: Immediately, review all staff files and staff working with children less than 3 years of age must complete the department-approved prevention of shaken baby/abusive head trauma training prior to working with children and every 2 years. Submit documentation and a written statement of compliance by 2/2/2024. Correct by 01/19/2024

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Reviewed 10 children's files and observed that 1 child was missing documentation of an immunization status. Correction: Immediately, review all child files and at the time of admission parents/guardians must provide documentation of an immunizations status. Submit a written statement of compliance by 2/2/2024. Correct by 01/19/2024

Corrected Corrected by Jan 19, 2024

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

Reviewed 14 staff files and observed that Erica R. was missing documentation of an updated clearance letter and background check has expired. Correction: Immediately, review all staff files and all individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Erica R. has reviewed the powerpoint within 24 hours. Corrected at the time of the visit. The director submitted TRAILS for Erica R. Submit documentation of TRAILS for staff member Erica R. with written response to Specialist by 2/2/2024. Correct by 01/19/2024

Corrected Corrected by Jan 19, 2024

Category: background checks. 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 14 staff files and observed that Shantell M, Guadalupe C, Erica R, Kathleen G, and Shanta H were missing documentation of a current Standard Precautions training. Correction: Immediately, review all staff files and all staff must complete a department-approved standard precautions training prior to working with children. This training must be renewed annually. Submit documentation and a written statement of compliance by 2/2/2024. Correct by 01/19/2024

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. 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 Preschool classroom, observed that 7 children were transitioned to the Early Preschool classroom and did not have a sign out time. In the Toddler 1 classroom, observed that 3 children were transitioned to the Toddler 2 classroom and did not have a sign out time. Correction: Immediately, 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 transitions. Submit a writen statement of compliance by 2/2/2024. Correct by 01/19/2024

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Reviewed 14 staff files and observed that Shanta H, Mikailah P, Guadalupe C, and Erica R were missing FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ documentation of a current CPR/First Aid. Correction: Within 30 days, review all staff files and all employees must complete a deparment-approved Introduction to First Aid and CPR module and must be renewed every 2 years. Submit documentation and a written statement of compliance by 2/18/2024. Correct by 02/18/2024

Corrected Corrected by Feb 18, 2024

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.

Reviewed 14 staff files and observed that Kathleen G, Shanta H, Scott B, Shantell M, Guadalupe C, and Erica R. were missing documentation of a current abuse prevention training. Correction: Within 30 days, review all staff files and all employees and regulat volunteers must be trained using the department-approved training about abuse prevention and must be renewed annually. Submit documentation and a written statement of compliance by 2/18/2024. Correct by 02/18/2024

Corrected Corrected by Feb 18, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.J · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Working with an Early Childhood Mental Health Consultant. This course is required once and will be counted towards ongoing professional development.

Reviewed 14 staff files and observed that Samantha P. was missing documentation of a Working with an Early Childhood Mental Health Consultant training and identified to be the assistant director. Correction: Within 30 days, review all staff files and all directors and assistant directors must complete the department-approved training Working with an Early Childhood Mental Health Consultant. Submit documentation and a

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.213.K · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development.

Reviewed 14 staff files and observed that Samantha P. was missing documentation of a Introduction to Child Care Health Consultation training and identified to be the assistant director. Correction: Within 30 days, review all staff files and all directors and assistant directors must complete the department-approved training Introduction to Child Care Health Consultation. Submit documentation and a written statement of compliance by 2/18/2024. Correct by 02/18/2024

Corrected Corrected by Feb 18, 2024

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

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

Reviewed 14 staff files and observed that Guadalupe C, Jamie S, and Shanta H were missing documentation of an emergency and disaster preparedness training. Correction: Immediately, review all staff files and prior to working with children all staff must complete a department-approved emergency and disaster preparedness training. Submit documentation and a written statement of compliance by 2/2/2024. Correct by 01/19/2024

Corrected Corrected by Jan 19, 2024

Category: recordkeeping. Marked corrected in the state record.

7.702.61.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 2.5 year old classroom, observed diapers in an unlocked cabinet accessible to children. In the preschool classroom, observed diapers and gloves in an unlocked cabinet accessible to children. Correction: Immediately, all diaper areas must have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products. Corrected at the time of the visit. The teachers locked the cabinet. Submit a written statement of future compliance by 12/14/2023. Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

Marked corrected in the state record.

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 the 2.5 year old classroom, observed a teachers personal bag in an unlocked cabinet accessible to children. Correction: Immediately, volatile substances and other hazardous items must not be stored in any area of the building used for childcare. Submit a written statement of compliance by 12/14/2023. Correct by 11/30/2023

Corrected Corrected by Nov 30, 2023

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

7.702.63.A.8 · Children must not be given foods that are contrary to the religious beliefs of their families or that are known to cause an allergic reaction or a health hazard.

Confirmed through staff statements, a child with a dairy allergy was fed food that contained a dairy product. Correction: Immediately, children must mot be given foods that are known to cause an allergic reaction. Submit a written statement of compliance by 10/17/2023. Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

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

7.702.41.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ for the proper care and well-being of children.

Confirmed through staff statements, the teacher who fed a child food containing a known allergen was aware of the child's health care plan and allergy to dairy. Correction: Immediately, all staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children at all times. Submit a written statement of compliance by 10/17/2023. Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

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

7.702.62.A.1 · All children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise

Reviewed one staff file, and confirmed through staff statements, an employee of the facility missing documentation of early childhood teacher or assistant early childhood teacher qualifications and was responsible for supervising children. Correction: Immediately, all children must be under the direct supervision of a qualified adult at all times. Submit a written statement of compliance by 10/17/2023. Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

Category: supervision. Marked corrected in the state record.

7.702.65.C.2 · All groups of children must be actively supervised by a qualified Early Childhood Teacher at all times

Reviewed one staff file, and confirmed through staff statements, an employee of the facility missing documentation of early childhood teacher qualifications and was supervising a group of children alone. Correction: Immediately, all children must be under the direct supervision of a qualified Early Childhood Teacher at all times. Submit a written statement of compliance by 10/17/2023. Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

Category: supervision. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed one staff file. Missing documentation of a complete pre-service Building and Physical Premises Safety training prior to working with children. Correction: Immediately, all staff must complete a pre-service Building and Physical Premises Safety training prior to working with children. Submit documentation and a written statement of compliance by 10/17/2023. Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.32.D.1.a · . For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed one staff file. At the time of incident(s), employee was missing documentation of a completed Trails background check and was unsupervised while caring for children. Correction: Immediately, all individuals whose activities involve the care or supervision of children, or who have unsupervised access to children, must have successfully completed Trails background checks prior to allowing unsupervised access to children. Corrected at time of visit, the facility resubmitted and has obtained a completed Trails background check for the employee prior to the inspection today. Submit a written statement of future compliance by 10/17/2023. Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

Category: supervision. 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.

Reviewed one staff file. At the time of incident(s), employee was missing documentation of a completed FBI background check and was unsupervised while caring for children. Correction: Immediately, criminal background check requests must be submitted and successfully completed prior to allowing an individual unsupervised access to children. Partially corrected at time of visit, the employee was sent for fingerprints prior to the inspection today and the facility is awaiting results. Submit documentation of completed FBI

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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.

Reviewed one child file. Missing an updated written authorization for emergency medical care signed by the parent(s)/guardian(s). Correction: Immediately, review all child files. All children must have a dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). Submit a written statement of compliance by 10/17/2023. Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

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

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

At the time of visit, in the Twos classroom, sharpie markers labeled 'keep out of reach of children' were in an unlocked drawer accessible to children. In the School Age (formerly Jr K) classroom, a can of shaving cream and two bottles of sunscreen labeled 'keep out of reach of children' were in an unlocked cabinet accessible to children, and spray bottles of cleaning and sanitizing solution were in a cubby accessible to children. Correction: Immediately, all items labeled 'keep out of reach of children' must be inaccessible to chidlren at all times.

Open Not marked corrected in the state record

Open / not marked corrected.

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

At the time of visit, in the Twos classroom, adult scissors were in an unlocked cabinet accessible to children. Correction: Immediately, all sharp tools and instruments must be stored in areas inaccessible to children at all times. Corrected at time of visit, the scissors were moved to an upper cabinet making them inaccessible to children. Submit a written statement of future compliance by 10/17/2023. Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

Marked corrected in the state record.

7.702.72.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

At the time of visit, on the preschool playground, them mulch under the swings and climbing structures measured less than two inches in depth in the use zone. Correction: Immediately, all climbing equipment eighteen (18) inches or higher must have resilient surface of at least six (6) inches in the use zone at all times. Submit photo documentation and a written statement of compliance by 11/10/2023. Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

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