2.229.M · Toys, toy parts, furnishings, equipment, and materials made of brittle, easily breakable plastic or glass are not permitted for children less than five (5) years of age.

Observed several glass vases accessible to children, located underneath the sink in an unlocked cabinet in classroom #2. Correction: Equipment and materials made of breakable plastic or glass are not permitted for children less than five (5) years of age. ** Corrected at the time of the visit. Director removed glass vases out of the classroom and made them inaccessible to children. No need for a written statement of compliance to be submitted. Correct by 05/06/2024

Corrected Corrected by May 6, 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.

At the time of the visit, observed a broken plastic picnic table, posing a safety hazard for children. Accessible FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ to children on the playground. Correction: Immediately (5/6/2024) Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe and free of hazards. Corrected at the time of the visit. No need for written statement of compliance to be submitted. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

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

2.220.A · Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.

At the time of the visit, observed a medication lacking a current written order of a health care provider in classroom #1. Correction: Immediately (5/6/2024), all medications must be administered with a current written order of a health care provider. Submit a written statement of compliance by 6/6/2024. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

Category: health medication. 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.

At the time of the visit, observed hand cream tube not to be labeled with child's last name in classroom #1. Also observed an over the counter medication not to be labeled with a child's first and last name in classroom #2. Correction: Immediately (5/6/2024), all over the counter medications must be labeled with the child's first and last names. Corrected at the time of the visit, Director labeled both items with children's first and last names. Submit a written statement of compliance by 6/6/2024. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

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

2.220.G · All medications, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center's policies. Access to these medications must be limited.

At the time of the visit, observed medication not to be locked in classroom #1, also observed over the counter medication not to be locked in classroom #2. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All medications, except emergency medications must be locked and inaccessible to children at all times. Correct at the time of the visit for the medication in classroom #1. Submit a written statement of compliance by 6/6/2024. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

Category: ratio. Marked corrected in the state record.

2.220.J · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

At the time of visit, observed an expired epi-pen in classroom #2. Correction: Immediately (5/6/2024), if a medication is out of date or left over, the parents are responsible for picking up the medication. If the parents do not respond, the center must dispose of the medication as required by the CDPHE. Corrected at the time of the visit. The Director removed the epi-pen from the classroom. Submit a written statement of compliance by 6/6/2024. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

Category: health medication. 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 2 epi-pen's lacking the original pharmacy label that indicates the child's first and last name in classroom #2. Also observed an inhaler lacking the original pharmacy label that indicates the child's first and last name in classroom #1. Correction: Immediately (5/6/2024), ensure all medications are kept in the original labeled bottle or container. Submit a written statement of compliance by 6/6/2024. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

Category: health medication. 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 the visit, observed the resilient surface underneath the swing to be one (1) inch in depth. Correction: Immediately (5/6/2024), ensure that loose fill resilient surface must be raked regularly. Submit a written statement of compliance by 6/6/2024. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

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 the visit, observed three white out containers and several AA batteries in an unlocked drawer by the sink in Classroom #1. Observed one white out container in an unlocked drawer by the sink in Classroom #3. Also observed a bottler of baby shampoo accessible to children on the sink in the bathroom in Classroom #3. All items are labeled "Keep out of reach of children" and can pose a safety hazard for children. Correction: All items labeled "keep out of reach of children" must be inaccessible to children at all times. **Corrected at the time of the visit, staff members removed all items and made them inaccessible to children. No need for a written statement of compliance to be submitted. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

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

2.121.A.1.a · In order to obtain any Colorado Bureau of Investigation (CBI) and/or Federal Bureau of Investigation (FBI) fingerprint criminal history records, each applicant listed below must have their fingerprints taken and processed at a vendor approved by CBI. Approved vendors may be located using the CBI website at Colorado.gov/cbi. Payment of the fee for the criminal record check is the responsibility of the individual being checked, identified as follows: Each applicant for an original license for a center, facility, or agency and any adult eighteen (18) years of age or older who resides in the licensed center, facility or agency.

Reviewed 7 staff members files, one file (Clara K.) is lacking documentation of FBI clearance letter. And two files (Clara K. and Hannah M.) are lacking documentation of CBI clearance letters. Clara was hired on 8/1/2023 and Hannah was hired on 8/14/2023. Correction: Immediately (5/6/2024), all staff must complete a CBI and FBI background check. All individuals requiring a

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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 7 staff members files, three files (Connie B., Jenny W. and Kellie M.) were lacking updated trails clearance letters. Connie's clearance letter was dated 5/23/2012, Jenny's letter was dated 2012 and Kellie's letter was dated 3/23/2017. Correction: Correct immediately (5/6/2024). Every 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. Submit documentation and a written statement of compliance by 6/6/2024 Correct by 05/06/2024

Corrected Corrected by May 6, 2024

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

2.214.A · Large center directors must have a current director qualifications letter issued by the Department or a current early childhood professional credential level III or higher in version 3.0 as determined by the Department prior to working as the director of a large center.

Reviewed the director's file, the file is lacking the current director qualifications letter issued by the Department. The most recent director letter was expired in 2022. Correction: Immediately (5/6/2024) the large center director must have the current director qualifications letter issued by the Department. Submit documentation and a written statement of compliance by 6/6/2024. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 7 staff members files, one file (Angela M.) is lacking a medical statement. Correction: Review all staff members files, all files must have documentation of medical statements signed and dated by a health care provider. Submit a written statement of compliance. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

Category: health medication. 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 7 staff members files, one file (Dee Ann T.) is lacking documentation of the Department approved Child Abuse Prevention training. And one file (Angels M.) is lacking the updated Department approved Child Abuse Prevention training, Angela's most recent training was completed on 9/16/2021. Correction: Review all staff members files, all files must have the updated Department approved Child Abuse Prevention training. Submit documentation and a written statement of compliance. Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed 7 staff members files, one file (Clara K.) is lacking documentation of the Department approved Recognizing the Impact of Bias training. Clara was hired on 8/1/2023. Correction: Review all staff members files, all files must have documentation of the Department approved Recognizing the Impact of Bias training. Submit documentation and a written statement of compliance Correct by 06/06/2024

Corrected Corrected by Jun 6, 2024

Category: recordkeeping. Marked corrected in the state record.

2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

At the time of the visit, the facility is lacking documentation of the fire inspection. Correction: Immediately (5/6/2024) obtain the current fire inspection report and submit documentation and a written statement of compliance by 6/6/2024. Correct by 05/06/2024

Corrected Corrected by May 6, 2024

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

7.701.34.A · . Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

Reviewed health inspection and observed the health inspection was expired. Correction: Within 30 days, all child care facilities must be inspected and obtain an approving inspection report from the local department of health and local department fire department. These reports must be completed every 2 years and available for review upon request by a licensing specialist. Submit documentation and a written statement of compliance by 9/28/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

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

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 8 staff files and observed that Connie B, Cindy D, Kellie M, and Toby D were missing FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ documentation of a current standard precautions training. Correction: Immediately, review all staff files and all staff must complete a department approved standard precautions training that meets OSHA requirements prior to working with children. This training must be renewed annually. Submit documentation and a written statement of compliance by 9/12/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.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 8 staff files and observed that Connie B, Cindy C, Kellie M, and Jenny W were missing documentation of a current abuse prevention training. Correction: Within 30 days, review all staff files and all employees and regular volunteers must be trained using department approved training about child abuse prevention. This training must be renewed annually. Submit documentation and a written statement of compliance by 9/28/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 8 staff files and observed that Hannah M was missing documentation of an Introduction to the Early Intervention and Preschool Education Programs. Correction: Within 30 days, review all staff files and all staff required to register with PDIS must complete the department

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed 8 staff files and observed that Hannah M and Toby D were missing documentation of the Recognizing the Impact of Bias on Early Childhood Professionals training. Correction: Within 30 days, review all staff files and all staff required to register with PDIS must complete the department approved training course Recognizing the Impact of Bias on Early Childhood Professionals. This course is required once. Submit documentation and a written statement of compliance by 9/28/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. 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 State Department-approved training

Reviewed 8 staff files and observed that Sylvia G was missing documentation of an emergency and disaster preparedness training. Correction: Immediately, review all staff files and prior to caring for children, all staff must complete the department approved training in emergencyand disaster preparedness. This training is required once. Submit documentation and a written statement of compliance by 9/12/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: recordkeeping. Marked corrected in the state record.