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

At the time of visit, in Preschool 3, a bottle of hand sanitizer labeled 'keep out of reach of children' was on a half wall between the bathroom and classroom and was accessible 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 classroom teacher removed the hand sanitizer and made it inaccessible to children. No response needed. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

Marked corrected in the state record.

2.223.C.2 · In the infant room, soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants, or other approved sleep/rest equipment. Soft bedding means, but is not limited to, any soft sleep surface like bumper pads, pillows, blankets, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diaper bibs, plush toys, pacifiers with stuffed animals attached, and stuffed animals.

At the time of visit, a 15-month-old infant was placed in an unsafe sleep environment; Observed a child sleeping with a pacifier that had a cord attached to it creating a strangulation hazard. Correction: Immediately, all infants must be placed in a safe sleep environment at all times. Materials that could pose a suffocation or strangulation hazard are not permitted in cribs at any time for any reason. Corrected at time of visit, the pacifier and cord was removed from the crib bringing the facility into compliance. Submit a written statement of future compliance by 6/20/2024. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

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

2.229.K.2 · Evacuation equipment must: Be labeled for easy identification;

At the time of visit, in Infant 1 and Infant 2, the evacuation cribs were not clearly labeled. Correction: Immediately, evacuation equipment but be labeled for easy identification at all times. Corrected at time of visit, labels were put on the cribs bringing the facility into compliance. No response needed. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

Category: physical safety. 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.

At the time of visit, in Infant 2, an evacuation crib was blocking the emergency exit door. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, evacuation equipment must not block exit routs at any time for any reason. Corrected at time of visit, the evacuation crib was moved away from the door bringing the facility into compliance. No response needed. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

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

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

At the time of visit, in Infant 2, observed a child restrained in a floor feeding chair without activities or food for 8 minutes. Correction: Immediately, any form of restraint is not permitted at any time for any reason. Submit a written statement of compliance by 6/20/2024. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

Category: nutrition. Marked corrected in the state record.

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.

Reviewed 4 staff files. Identified that the provider was required to renew infant safe sleep training by 6/6/2024, failed to complete renewal of the training in required timeframes, and a child in their care was found in an unsafe sleep environment. Correction: Immediately, Immediately ensure that all safe sleep practices are followed, for all infants, at all times. All staff working with infants less than 12 months old must renew the safe sleep training annually and be available for review at all times. Submit documentation and a written statement of compliance by 6/20/2024. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

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

2.223.B.4 · Children must be allowed to form and observe their own pattern of sleep and waking periods. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Special provision must be made so that children requiring a morning nap time have a separate area for their nap apart from space used for play.

At the time of visit, in Infant 2, observed two children in cribs were actively awake. Confirmed through staff statements, the children were not ready to sleep. Correction: Immediately, children must be allowed to form and observe their own pattern of sleep and waking periods. Submit a written statement of compliance by 6/20/2024. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

Category: physical safety. 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 Toddler 1, 12 children were written on the attendance tracker and only 10 children were in care. Correction: Immediately, written attendance verification must be completed periodically throughout the day and must be accurate at all times. Submit a written statement of compliance by 6/20/2024. Correct by 06/13/2024

Corrected Corrected by Jun 13, 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;

At the time of visit, in Preschool 2, a pack of wipes was in the bathroom and accessible to children. Correction: Immediately, all diaper changing supplies must be inaccessible to children at all times. Corrected at time of visit, the wipes were removed from the bathroom making them inaccessible to children. No response needed. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

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 4 staff files. Norma missing documentation of a current standard precautions training. Correction: Immediately, all staff must renew the standard precautions training annually and must be available for review at all times. Submit documentation and a written statement of compliance by 6/20/2024. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

Category: recordkeeping. 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.

At the time of visit, observed a teacher in Infant 2 lifted a child out of a feeding chair using an unsafe lifting technique for children demonstrating a lack of knowledgable decision-making and judgement concerning the proper care and well-being of children. Correction: Immediately, all staff at the center must demonstrat knowledgable decision-making, judgment, and concern for the proper care and well-being of children at all times. Submit a written statement of compliance by 6/20/2024. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

Marked corrected in the state record.

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.

Identified the facility failed to report an incident to the Department as required by statute and licensing regulations within the required time frames. Correction: Immediately, the facility must report a critical incident to the Department within the required time frames. Submit a written statement of compliance by 4/11/2024. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

Category: ratio. 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;

At the time of visit, in the Twos Classroom 2 a package of wipes were on a ledge in the bathroom area and were accessible to children. On the Toddler Playground, a package of wipes was on top of the playhouse and was accessible to children. Correction: Immediately, all diaper change supplies must be inaccessible to children at all times. Submit a written statement of compliance by 4/11/2024. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

Category: physical safety. 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 Preschool 2 classroom, the teacher stated there were 13 children in care but there were 12 children in care and the teacher did not have an attendance roster. In the Preschool 6 classroom, the teacher stated there were 8 children in care but there were 9 children on the attendance roster and 9 children in care. In the Preschool 3 classroom, the teacher did not have an attendance roster. Correction: Immediately, staff members must complete written attendance verification periodically throughout the day and know how many children are in care at all times. Submit a written statement of compliance by 4/11/2024. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

Category: recordkeeping. 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 Preschool 3 classroom, a staff personal bag was hanging on the back door and was accessible to children. Correction: Immediately all staff personal bags and other hazardous items must be inaccessible to children at all times. Submit a written statement of compliance by 4/11/2024. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

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

2.224.B.2 · All infants less than six (6) months of age must be held for bottle feeding. Bottles must not be propped. Older infants must not be allowed to hold their own bottles when lying flat. Bottles must not be allowed in a crib with the infant.

At the time of visit, in Infant 2, three infants were laying on the floor drinking bottles. Correction: Immediately, older infants must not be allowed to hold their own bottles when lying flat. Corrected at the time of visit, the infants were put into a seated position or held to bottle feed. Submit a written statement of future compliance by 4/6/2024. Correct by 03/06/2024

Corrected Corrected by Mar 6, 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 multiple classrooms, there was paint chipped, missing, or peeling off the walls. Correction: Immediately, buildings must be kept in good repair and maintained in a safe condition at all times. Submit photo documentation and a written statement of compliance by 4/6/2024. Correct by 03/06/2024

Corrected Corrected by Mar 6, 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, in the Twos 2 classroom, the teacher stated there were 9 children in care and 10 children were listed on the attendance roster. Correction: Immediately, staff members must complete written attendance verification periodically throughout the day. Corrected at time of visit, a child who left due to illness was signed out of the classroom by the teacher bringing the facility into compliance. Submit a written statement of future compliance by 4/6/2024. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: recordkeeping. Marked corrected in the state record.

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, several classrooms were too dark to properly supervise children during nap time. Correction: Immediately, lighting during nap time must be bright enough for supervision of children. Submit a written statement of compliance by 4/6/2024. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

Category: supervision. 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 19 staff files. Doha, Nallely, and Martine missing documentation of current TRAILS background checks. The employees have not been alone with children. Correction: Immediately review all staff files. Every 5 years, all staff must update their TRAILS background check. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint on the CDEC website. Submit verification that staff members Doha, Nallely, and Martine have reviewed the video within 24 hours. Submit documentation of TRAILS Clearance Letters for staff members Doha, Nallely,

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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 19 staff files. Doha, Nallely, and Martine missing documentation of current FBI background checks. The employees have not been alone with children. Correction: Immediately review all staff files. Every 5 years, all staff must update their FBI background check. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint on the CDEC website. Submit verification that staff members Doha, Nallely, and Martine have reviewed the video within 24 hours. Submit documentation of FBI Clearance Letters for staff members Doha, Nallely, and Martine with written statement of compliance by 4/6/2024. Correct by 03/06/2024

Corrected Corrected by Mar 6, 2024

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