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 1 staff file. Aku missing documentation of the Emergency and Disaster Preparedness training and was working in a classroom with children. Correction: Immediately, review all staff files. All staff must complete an emergency and disaster preparedness training prior to working with children. Submit documentation and a written statement of compliance by 7/18/2024. Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

Category: recordkeeping. Marked corrected in the state record.

2.216.B.1.d · The infant program staff aide must be at least eighteen (18) years of age, must have completed eight (8) hours of orientation as listed above at the infant program, and must work under the direct supervision of an infant early childhood teacher. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 1 staff file. Aku missing documentation of an 8-hour infant program orientation. Correction: Immediately review all staff files. All infant program staff aides must complete an 8-hour infant program orientation. Submit documentation and a written statement of compliance by 7/18/2024. Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

Category: supervision. Marked corrected in the state record.

2.216.C.2 · Staff aides must be at least sixteen (16) years of age, must work directly under the supervision of the director or a toddler early childhood teacher, and must have completed eight (8) hours of orientation at the toddler program.

Reviewed 1 staff file. Aku missing documentation of an 8-hour toddler program orientation. Correction: Immediately review all staff files. All toddler program staff aides must complete an 8-hour infant program orientation and . Submit documentation and a written statement of compliance by 7/18/2024. Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

Category: supervision. Marked corrected in the state record.

2.223.B.1 · Outside of mealtimes, children who are awake must not be confined for more than fifteen (15) minutes at a time to cribs, playpens, swings, highchairs, infant seats, or other equipment that confines movement. Children must have the opportunity for freedom of gross motor movement.

Identified through video transcript, and confirmed through staff statements, an infant was placed in a high chair outside of mealtimes for approximately 50 minutes. Also identified through video transcript, an infant was in a crib for approximately 65 minutes and confirmed through staff statements, the infant was only asleep for 30 minutes. Correction: Immediately, outside of mealtimes, all children who are awake must not be confined for more than 15 minutes at a time. Submit a written statement of compliance by 5/3/2024. Correct by 04/26/2024 Stage II Licensing Concern :

Corrected Corrected by Apr 26, 2024

Category: physical safety. 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.

Identified through video transcript, a teacher was alone with 6 infants for approximately 23 minutes exceeding the maximum 1:5 staff to child ratio for infants. Correction: Immediately, staff to child ratios must not be exceeded at any time for any reason. Submit a written statement of compliance by 5/3/2024. Correct by 04/26/2024 Stage II Licensing Concern : CH1 sustained an injury and staff were unaware. - FOUNDED

Corrected Corrected by Apr 26, 2024

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.

Identified through staff statements, staff identified there was a possible problem with the child when the child was dropped of, and did not immediately inform the parents of a possible injury or other issue. The staff waited approx. 2 hours before informing the administration to contact the parents showing a lack of judgment for the well-being of the child. Correction: Immediately, all staff at the center must demonstrate 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 7/2/2024. Correct by 06/25/2024 ________________________________________________ Stage II Licensing Concern : The program does not provide information on feedings or diapering in the infant room. - UNFOUNDED Stage II Licensing Concern :

Corrected Corrected by Jun 25, 2024

Category: ratio. 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.

Identified through staff statements and review of attendance documentation, a 19 month old child and a 2 year old child were playing in the infant classroom for approximately 15-20 minutes. The room is licensed for children ages 6 weeks - 18 months. Correction: Immediately, rooms licensed for specific ages of children cannot be used for other ages of children at any time for any reason. Submit a written statement of compliance by 5/3/2024. Correct by 04/26/2024

Corrected Corrected by Apr 26, 2024

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, in the Preschool and Pre-K classrooms, the lighting was too dark to properly supervise the children during nap time. Correction: Immediately, all rooms used for napping must be bright enough for supervision of children at all times. Submit a written statement of compliance by 4/4/2024. Correct by 03/28/2024

Corrected Corrected by Mar 28, 2024

Category: supervision. 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 Butterfly classroom, the teacher stated there were 12 children in care, and 17 children were on the attendance roster. Correction: Immediately, attendance verification must be completed periodically throughout the day. Corrected at time of visit, the teacher signed out children who had moved to another classroom. Submit a written statement of future compliance by 3/13/2024. Correct by 02/28/2024

Corrected Corrected by Feb 28, 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.

Identified that the Infant classroom teachers completed infant safe sleep training on 9/15/2023, 9/28/2023, and a child in their care was found in an unsafe sleep environment. Correction: Immediately ensure that all safe sleep practices are followed, for all infants, at all times. Submit a written statement of compliance by 2/19/2024. Correct by 02/05/2024

Corrected Corrected by Feb 5, 2024

Category: physical safety. 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 4 month old infant was placed in an unsafe sleep environment; Observed infant was placed in a crib with two stuffed animals. Correction: All infants must immediately be placed in a safe sleep environment. Immediately, ensure all soft bedding or

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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 the Infants classroom, a 4 month old infant was placed in a crib with the bottle propped on a stuffed animal and was lying flat to drink. Correction: Immediately, all infants less than six (6) months must be held for bottle feeding. the bottle must not be propped, the infant must not be lying flat, and the bottle must not be in the crib with the infant at any time. Corrected at time of visit, the teacher removed the bottle and stuffed animals were removed from the crib. Submit a written statement of future compliance by 2/19/2024. Correct by 02/05/2024

Corrected Corrected by Feb 5, 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 Toddlers classroom, the wooden frame of a corkboard was peeling away and created a safety hazard for children. Correction: Immediately, all buildings must be kept in good repair and maintained in a safe condition at all times. Submit a written statement of compliance by 2/19/2024. Correct by 02/05/2024

Corrected Corrected by Feb 5, 2024

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

2.237.C · Major cleaning prohibited in rooms occupied by children.

At the time of visit, in several classrooms, the teachers were mopping with strong Lysol floor cleaner after lunch while the children were in the classroom laying down for nap. Correction: Immediately, all major cleaning is prohibited in rooms occupied by children at all times. Submit a written statement of compliance by 2/19/2024. Correct by 02/05/2024

Corrected Corrected by Feb 5, 2024

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 that Layla A. completed infant safe sleep training on 9/28/2023 and Arafat A. completed infant safe sleep training on 9/15/2023 and a child in their care was found in an unsafe sleep environment. Correction: Immediately ensure that all safe sleep practices are followed, for all infants, at all times. Submit a written statement of compliance by 11/2/2023. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

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

7.702.46.A.15 · Maximum Group Size for Children by AGES OF CHILDREN and MAXIMUM GROUP SIZE: 6 weeks to 18 months: 10 infants 12 months to 36 months: 10 toddlers FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 24 months to 36 months: 14 toddlers 2-1/2 years to 3 years: 16 children 3 years to 4 years: 20 children 4 years to 5 years: 24 children 5 years and older: 30 Children Mixed age group 2-1/2 to 6 years of age: 20 Children

At the time of visit, identified eleven (11) infants were being supervised in the Infant Classroom, exceeding maximum group size. Correction: Immediately, maximum group size must be maintained for all ages at all times. Corrected at time of visit, a child was moved to the Toddler classroom bringing the maximum group size into compliance. Submit a written statement of future compliance by 11/2/2023. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: supervision. Marked corrected in the state record.

7.702.46.A.15.d · The licensed room capacity must not be exceeded at any time.

At the time of visit, identified eleven (11) infants were being supervised in a classroom that is licensed for ten (10) infants. Correction: Immediately, the licensed room capacity must not be exceeded at any time. Corrected at time of visit, a child was moved to the Toddler classroom bringing the total number of children in the classroom into compliance. Submit a written statement of future compliance by 11/2/2023. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: supervision. Marked corrected in the state record.

7.702.51.A.2.a · 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed eight (8) child files. One (1) file missing documentation of a current immunization record and three (3) files missing immunization records on the required immunization form. Correction: Review all child files. All child files must contain an up-to-date immunization record on the required immunization form. Submit a written statement of compliance by 11/19/2023. Correct by 11/19/2023

Corrected Corrected by Nov 19, 2023

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

7.702.5.E · If the parent(s)/guardian(s) agree(s) that the center should care for a child in the toddler program who is twelve (12) months old but not walking independently, or is over thirty-six (36) months old, the center must have on file a written statement from a health care provider confirming that care for the child is appropriate in the toddler program.

At the time of visit, a child is transitioning into the Toddler classroom and the child is not walking independently. Child's file missing documentation of a written statement from a health care provider confirming care for the child is appropriate in the toddler program. Correction: Immediately, if a child is not walking independently, a written statement from a health care provider confirming care is appropriate in the toddler program must be on file prior to transitioning. Submit documentation and a written statement of compliance by 11/2/2023. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

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

7.702.62.C.2.a · Mattresses for cribs and futons must have a properly fitted, clean sheet.

At the time of visit, an 8-month-old infant, a 10-month-old infant, and an 11-month-old infant were placed in an unsafe sleep environment; Observed three (3) infants under 12 months were sleeping on loose sheets. Correction: All infants must immediately be placed in a safe sleep environment. Immediately all mattresses for cribs must have a properly fitted, clean sheet. Submit photo documentation and a written statement of compliance by 11/2/2023. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: physical safety. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

At the time of visit, facility missing documentation of a current fire inspection. Correction: Inspection reports from the local fire department must be current and maintained at the facility and be available for review upon request at all times. Submit documentation and a written statement of compliance by 11/19/2023. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

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

7.701.32.A · . An operator of a licensed facility, guest child care facility as defined in Section 26-6-102 (16), C.R.S., or an exempt family child care home provider must submit a request to determine if an operator, applicant for employment or current employee has been found responsible for a confirmed report of child abuse or neglect in the State Department's automated system (Trails).

Reviewed 11 staff files. Soukoyna missing documentation of a TRAILS clearance letter. Correction: Immediately, review all staff files. A request must be submitted and TRAILS clearance letter maintained in all staff files at all times. 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 member Soukoyna has reviewed the video within 24 hours. Submit documentation of TRAILS Clearance Letters for staff member Soukoyna with a written statement of compliance by 11/2/2023. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

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

7.701.32.J · . 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 State Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before prior to the five (5) years from the date reflected on the current clearance letter.

Reviewed 11 staff files. Amani, Nawal, Layla, Grace, Ghifar, and Shahad missing documentation of a current TRAILS clearance letter. Correction: Immediately, review all staff files. All staff must have current TRAILS clearance letters that have been renewed every 5 years. 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 Amani, Nawal, Layla,

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

7.701.33.D.4 · . Requests for a criminal record check, other than those required per Section 7.701.33.D.4.a,b must be submitted to the CBI within five (5) working days of the day that the individual begins to work at the facility or agency.

Reviewed 11 staff files. Romisa and Soukoyna missing documentation of a CBI clearance letter. Correction: Immediately review all staff files. All staff must complete the required background check within five (5) working days of the day the individual begins work at the facility, and documentation of the clearance letter must be maintained on file at all times. 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 Romisa and Soukoyna have reviewed the video within 24 hours. Submit documentation of CBI or FBI Clearance Letters for staff members Romisa and Soukoyna with a written statement of compliance by 11/2/2023. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

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

7.701.52.B.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 Office of Early Childhood, Division of Early Care And Learning 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 through staff statements, the facility did not report a critical incident within the required timeframes. Correction: Ensure all incidents at the facility are reported to the appropriate agencies within the required timeframes. Submit a written statement of compliance by 11/2/2023. Correct by 10/19/2023 Stage II Licensing Concern : The facility failed to report an injury to a child that required medical attention. - FOUNDED

Corrected Corrected by Oct 19, 2023

Marked corrected in the state record.

7.701.52.B.1.b · . 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 Office of Early Childhood, Division of Early Care And Learning the following critical incidents involving a child in the care of the facility or a staff member on duty: An injury to a child or staff member that requires emergency medical attention by a health care professional or admission to a hospital, whether or not treatment was given. This report must be completed in the online injury system within 24 hours of an incident. If a provider is unable to access the online system, you must use the paper form, and submit the form to the State Department within 24 hours of the incident.

Identified through staff statements, a child was injured at the facility which required medical attention and they did not report the injury through the online injury system within 24 hours of the incident. Correction: Immediately, all critical incidents at the facility that require emergency medical attention must be reported to the Department through the online injury system within 24 hours. Submit a written statement of compliance by 11/2/2023. Correct by 10/19/2023 ________________________________________________ Stage II Licensing Concern : Staff did not provide age-appropriate supervision during toileting. - UNFOUNDED Stage II Licensing Concern : Staff used inappropriate physical contact to direct a child. - UNFOUNDED ________________________________________________

Corrected Corrected by Oct 19, 2023

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