2.225.H · Any form of restraint is not permitted.

Confirmed through staff member statements that a staff member will physically hold a child on their nap mat upon waking from nap. Correction: Immediately ( 5/21/2025) Any form of restraint is not permitted. Submit a written statement of compliance by 5/28/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

Marked corrected in the state record.

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

Confirmed through staff statements that a staff member will hold a child on their napping mat, rather than allow the child to get off of the mat, when the child wakes up. Correction: Immediately ( 5/21/2025) All staff must demonstrate knowledgeable decision-making and concern for the proper care and well-being of children. Submit a written statement of compliance by 5/28/2025. Correct by 05/21/2025

Corrected Corrected by May 21, 2025

Marked corrected in the state record.

2.223.B.4.a · Children must be allowed to leave their sleeping area immediately upon waking.

Confirmed through staff statements that a staff member doesn't immediately allow children to get off their nap mat's after waking up. Correction: Immediately ( 5/21/2025) Children must be allowed to leave their sleeping area immediately upon waking. Submit a written statement of compliance by 5/28/2025. Correct by 05/21/2025 ________________________________________________ ________________________________________________

Corrected Corrected by May 21, 2025

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

2.220.F.1 · Staff determined by the director, in consultation with the Department-approved child care health consultant, to be responsible for providing emergency medications must complete the Department-approved medication administration training: severe allergy or asthma. After completing the training, staff must receive delegation from their Department-approved child care health consultant for those medications only. Staff must then provide those medications to children based on the instructions from the child’s individualized health care plan.

Confirmed through staff statements that there were times that a child's health care plan was not followed. Correction: Immediately ( 5/21/2025) Staff must provide medications to children based on the instructions from the child's health care plan. Submit a written statement of compliance by 5/28/2025. Correct by 05/21/2025 Stage II Licensing Concern :

Corrected Corrected by May 21, 2025

Category: ratio. 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.

Confirmed through staff member statements and an incident report that a staff member caused an injury to a child while helping the child off a sleeping cot. Correction: Immediately ( 5/21/2025) All staff must demonstrate knowledgeable decision-making, judgment and concern for the well-being of children. Submit a written statement of compliance by 5/28/2025. Correct by 05/21/2025 Stage II Licensing Concern : The child was disenrolled from the program. - FOUNDED

Corrected Corrected by May 21, 2025

Category: physical safety. 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:

Confirmed through staff statements that a child was disenrolled from the program without documentation of the steps taken to understand and respond to challenging behaviors. Correction: Review the facility policies and procedures. The facility must follow the policy regarding the steps taken prior the suspension or expulsion of a child due to concerns about the child's behavior. Submit a written statement of compliance by 5/28/2025. Correct by 05/28/2025 ________________________________________________ Stage II Licensing Concern : Staff treat children harshly. - UNFOUNDED Stage II Licensing Concern :

Corrected Corrected by May 28, 2025

Marked corrected in the state record.

2.230.C.6 · All pieces of playground equipment must be designed to guard against entrapment and strangulation. Any openings in gross motor equipment above ground must be smaller than three and one half (3 ½) inches or greater than nine (9) inches to prevent entrapment.

At the time of the visit, on the preschool playground, the slide had separated from the platform, leaving a gap that poses a strangulation hazard. Correction: Immediately ( 3/18/2025), All pieces of playground equipment must be designed to guard against entrapment and strangulation. Submit documentation and a written statement of compliance by 3/25/2025. Correct by 03/18/2025

Corrected Corrected by Mar 18, 2025

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

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

At the time of the visit, the playground fencing had loose wooden fence planks on all playgrounds. On all playgrounds, several wooden fence planks had holes with sharp edges. On the Pre-K playground, two fence planks were FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ completely broken at the bottom of the plank. On the Pre-K playground a screw was protruding from a wood plank near the bench and another screw was protruding near the middle back of the fence. Paint was peeling on the fence, on all playgrounds on the supporting horizontal boards. Correction: Immediately ( 3/18/2025) Buildings must be kept in good repair. Submit documentation and a written statement of compliance by 3/25/2025. Correct by 03/18/2025

Corrected Corrected by Mar 18, 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 child files and observed two files to be lacking an updated written authorization for emergency medical care signed and dated annually by the parent or guardian. Correction: Immediately ( 3/18/2025), Review all children's files. All children's files must have an updated written authorization for emergency medical care signed and dated annually by the parent or guardian. Submit a written statement of compliance by 3/25/2025. Correct by 03/18/2025

Corrected Corrected by Mar 18, 2025

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

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 18 staff files. Brittany & Arqueda missing documentation of a current FBI background check clearance letter. Correction: Immediately, all staff must renew the FBI background check every 5 years. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Brittany & Arqueda have reviewed the powerpoint within 24 hours. Submit documentation of the FBI clearance letters with a written statement of compliance by 6/8/2024. Correct by 05/08/2024

Corrected Corrected by May 8, 2024

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

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

At the time of visit, in the Twos classroom, a sharpie, a bottle of Dermasil, a bottle of sunscreen, a bottle of hand lotion, and bandaids were labeled 'keep out of reach of children' and were in an unlocked drawer that was accessible FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ to children. Correction: Immediately, all items labeled 'keep out of reach of children' must be inaccessible to children at all times. Corrected at time of visit, the director moved the items to a locked drawer making them inaccessible to children. Submit a written statement of future compliance by 6/8/2024. Correct by 05/08/2024

Corrected Corrected by May 8, 2024

Marked corrected in the state record.

2.127.B · At all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

At the time of visit, the facility did not have posted the most recent report of inspection or a notice as to where the report could be reviewed. Correction: Immediately, the facility must have the most recent ROI posted or a notice of where the report can be reviewed in a prominent location at all times. Submit photo documentation and a written statement of compliance by 6/8/2024. Correct by 05/08/2024

Corrected Corrected by May 8, 2024

Marked corrected in the state record.

2.127.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.

At the time of visit, the classroom postings were missing the ages of children cared for in the room. Correction: Immediately, all classrooms must post the age of children cared for in the room at all times. Submit photo documentation and a written statement of compliance by 6/8/2024. Correct by 05/08/2024

Corrected Corrected by May 8, 2024

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 12 child files. 6 child files missing updated parent/guardian authorizations for emergency medical care. Correction: Immediately, a dated, written authorization for emergency medical care must be signed and updated annually for all children at all times. Submit a written statement of compliance by 6/8/2024. Correct by 05/08/2024

Corrected Corrected by May 8, 2024

Category: health medication. 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 18 staff files. Kahlda, Jarmila, Malika, Jesinia, and Paula missing updated self-reported health histories. Zanae missing a medical statement, signed and dated by a physician or other health care provider. Correction: Review all staff files. All staff must have a medical statement signed and dated by a physician or other health care provider, and/or a subsequent health history submitted annually. Submit a written statement of compliance by 6/8/2024. Correct by 06/08/2024

Corrected Corrected by Jun 8, 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.

Reviewed 18 staff files. Kahlda, Pablo, Pilar, Abijah, Maria, Huwaida, Zanae, Ida, Melissa, and Paula missing documentation of a building and physical premises safety training prior to working with children. Correction: Immediately review all staff files. All staff must complete a building and physical premise safety training prior to working with children. Submit documentation and a written statement of compliance by 6/8/2024. Correct by 05/08/2024

Corrected Corrected by May 8, 2024

Category: recordkeeping. 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.

Reviewed 18 staff files. Jarmila missing documentation of a current TRAILS background check clearance letter in the last 5 years. Correction: Immediately, all staff must update the TRAILS background check every 5 years.. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Jarmila has reviewed the powerpoint within 24 hours. Submit documentation of the TRAILS background check clearance letter for staff member Jarmila with a written statement of compliance by 6/8/2024. Correct by 05/08/2024

Corrected Corrected by May 8, 2024

Category: background checks. 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 Twos classroom, hair ties, barrettes, a penny, a small wooden ball, and caramel popcorn were in an unlocked drawer that was accessible to children and are choking hazards. Correction: Immediately, any materials accessible to children under three years old must not be a choke hazard at any time. Corrected at time of visit, the director moved the items to a locked cabinet making them inaccessible to children. Submit a written statement of future compliance by 6/8/2024. Correct by 05/08/2024

Corrected Corrected by May 8, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of visit, in the Toddler classroom, chairs were stacked 5-6 chairs high posing a safety hazard to children. Correction: Immediately, indoor furnishings must be sturdy, safe, and free of hazards at all times. Corrected at time of visit, the center director placed the chairs around tables bringing the classroom into compliance. Submit a written statement of future compliance by 6/8/2024. Correct by 05/08/2024

Corrected Corrected by May 8, 2024

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

2.230.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, the mulch at the bottom of the slide measured less than 1 inch deep. Correction: Immediately, all climbing equipment and slides 18 inches or higher must have resilient surfacing of at least 6 inches in the use zone surrounding the equipment. Submit photo documentation and a written statement of compliance by 6/8/2024. Correct by 05/08/2024

Corrected Corrected by May 8, 2024

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

2.230.C.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six (6) inches.

At the time of visit, the resilient surface measured 6 inches in most areas, however the mulch was compacted and had not been raked regularly to retain resiliency. Correction: Immediately, loose fill resilient surface must be raked regularly to retain resiliency at all times. Submit a written statement of compliance by 6/8/2024. Correct by 05/08/2024

Corrected Corrected by May 8, 2024

Marked corrected in the state record.

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

At the time of visit, in the Pre-K classroom, the toilet in the bathroom was broken and there was a hole with sharp edges in the door to the bathroom. In the Preschool classroom, the door frame around the storage closet had chipped and missing paint. Correction: Immediately, buildings must be kept in good repair and maintained in a safe condition. Submit photo documentation and a written statement of compliance by 6/8/2024. Correct by 05/08/2024

Corrected Corrected by May 8, 2024

Marked corrected in the state record.

2.237.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.

At the time of visit, in the Twos classroom, batteries were in an unlocked drawer and were accessible to children. Correction: Immediately, batteries and other hazardous items must be inaccessible to children at all times. Corrected at time of visit, the director moved the batteries to a locked drawer making them inaccessible to children. Submit a written statement of future compliance by 6/8/2024. Correct by 05/08/2024

Corrected Corrected by May 8, 2024

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

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

Identified through the staff statements, that at the beginning of nap time, a child's head is covered with a blanket to promote sleep. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure that all children's heads are not covered with blankets during naptime. Submit a written statement of compliance by 9/5/2023. Correct by 08/29/2023 ________________________________________________

Corrected Corrected by Aug 29, 2023

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

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

At the the time of the inspection observed Marguarite had come to the office to ask for assistance in their classroom. During the walk-through Marguerite and a staff member were working in the preschool classroom and Marguerite stated that they had 19 children in attendance. When asked if someone stepped into the classroom while she came to the front office, Marguerite stated that her co-teacher was in the room and she had the staff member from the classroom next door stand between the two rooms. Correction: Ensure that all classrooms are in ratio at all times. Submit a written statement of compliance by 8/1/2023 Correct by 07/18/2023

Corrected Corrected by Jul 18, 2023

Category: ratio. Marked corrected in the state record.

7.702.62.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

Observed in the Pre-K classroom, Preschool classroom, and EPS classroom that cots were not spaced at least 2 feet apart. Correction: Ensure that all cots are spaced at least 2 feet apart. Submit a written statement of complaince by 8/1/2023. Correct by 07/18/2023

Corrected Corrected by Jul 18, 2023

Category: supervision. 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.

Observed in the Toddler classroom, diapers and wipes were on a cubby shelf within reach of children. Correction: Immediately, ensure diaper changing supplies are placed in an area inaccessible to children. Submit a written statement of complaince by 8/1/2023. Correct by 07/18/2023

Corrected Corrected by Jul 18, 2023

Marked corrected in the state record.

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

During the safety walk-through of the school-age classroom, observed on the low cubby shelf behind the door there was a disinfectant that was accessible to children. Correction: Immediately ensure all items labeled "keep out of reach of children" are inaccessible to children. Corrected at time of visit, the director placed the disinfectant on the top shelf of the cubby making it inaccessible to children. No response is needed. Correct by 07/18/2023

Corrected Corrected by Jul 18, 2023

Marked corrected in the state record.

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

Observed in the Toddler classroom, an unlocked drawer, beneath the changing table, with nail clippers accessible to children. Correction: Immediately ensure all sharp tools and instruments are inaccessible to children. Corrected at the time of visit, the director placed the nail clippers in a locked drawer. No response is needed. Correct by 07/18/2023

Corrected Corrected by Jul 18, 2023

Marked corrected in the state record.