2.216.B.1.a · The infant program must have an infant program supervisor who meets at least one (1) of the following qualifications:

At the time of the visit, observed the teacher working alone in the infant classroom to only be qualified as an assistant. Correction: Immediately ( 8/19/2025), the infant program must have an infant program supervisor in the classroom. **Corrected at the time of the visit when the program director stepped into the classroom to work as the infant supervisor. Submit documentation of the qualifications for the infant program supervisor and a written statement of compliance by 8/26/2025. Correct by 08/19/2025

Corrected Corrected by Aug 19, 2025

Category: supervision. 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:

At the time of the visit, observed the teacher working alone in the preschool classroom to only be qualified as an assistant. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ( 8/19/2025), The teacher assigned to the preschool classroom must be an early childhood qualified teacher. **Corrected at the time of the visit when an early childhood teacher clocked in for their shift and stepped into the classroom. Submit a written statement of future compliance by 8/26/2025. Correct by 08/19/2025 ________________________________________________ Stage II Licensing Concern : Staff members do not intervene when children are fighting. - UNFOUNDED Stage II Licensing Concern : Children are not under direct supervision at all times. - UNFOUNDED Stage II Licensing Concern : The environment isn’t safe for children. - UNFOUNDED Stage II Licensing Concern : The program doesn't follow the appropriate protocols when disenrolling children. - UNFOUNDED Stage II Licensing Concern : Staff members are not trained appropriately for their positions. - UNFOUNDED ________________________________________________

Corrected Corrected by Aug 19, 2025

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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of the visit in the infant classroom, the teacher stated that 5 children were in the classroom. However, the attendance roster showed that 4 children were in the classroom. Correction: Immediately ( 8/19/2025), the time a child arrives and leaves the center must be recorded. **Corrected at the time of the visit when the director included the 5th child on the attendance roster. Submit a written statement of future compliance by 8/26/2025. Correct by 08/19/2025

Corrected Corrected by Aug 19, 2025

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 through staff statement that emergency medical care was not provided for a child's injury. Correction: Immediately, all staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Submit a written statement of compliance by 1/9/2024. Correct by 01/02/2024 Stage II Licensing Concern : Staff supervising children were unaware of the severity of the injury a child sustained under their supervision. - FOUNDED

Corrected Corrected by Jan 2, 2024

Marked corrected in the state record.

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

Identified through staff statement that a child sustained a severe injury and staff were unaware of the severity FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ of the injury. Correction: Immediately, staff must be awake, alert, and actively supervising all children. Submit a written statement of compliance by 1/9/2024. Correct by 01/09/2024 Stage II Licensing Concern : The facility failed to report an incident as required by statute and licensing regulations within the required timeframes. - FOUNDED

Corrected Corrected by Jan 9, 2024

Category: supervision. 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 that the facility failed to report an incident as required by statute and licensing regulations within the required timeframes. Correction: Immediately, ensure all incidents at the facility are reported to the appropriate agencies within the required timeframes. Submit a written statement of compliance by 1/9/2024. Correct by 01/02/2024 Stage II Licensing Concern : The facility failed to report an injury report as required by licensing regulations within the required time frame. - FOUNDED

Corrected Corrected by Jan 2, 2024

Category: ratio. Marked corrected in the state record.

2.124.A.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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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: An injury to a child that requires 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 Department within 24 hours of the incident.

Identified that the facility failed to report an injury that required medical attention within the required timeframe. Correction: Immediately, ensure all injuries at the facility that require medical attention are reported within the required timeframe. Submit a written statement of compliance by 1/9/2024. Correct by 01/02/2024 ________________________________________________ Stage II Licensing Concern : The facility did not follow their policy regarding incidents. - UNFOUNDED ________________________________________________

Corrected Corrected by Jan 2, 2024

Category: ratio. 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 4 children were not signed in for the day. 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 during transitions. Corrected at the time of the visit. The director verified attendance and signed the children in. Submit a written statement of future compliance by 1/9/2024. Correct by 01/02/2024

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. Marked corrected in the state record.

7.701.100.F.2 · . Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly, but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Review drill logs and observed that the tornado drills for May, June, August, and September were missing documentation. Correction: Immediately, a record of all emergency drills held over the past 12 months must be maintained by the facility or center, including the date and time of drill, number of adults and children participating, and the amount of time taken to evacuate. Submit a written statement of compliance by 12/19/2023. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.41.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 8 staff files and observed that Fatma M., Dulce T., and Duaa A. were missing documentation of a medical statement. Correction: Within 30 days, review all staff files and all staff members must submit to the center a medical statement signed and dated by a physician or other health care provider. Subsequent self-reported health histories must be submitted annually. Submit documentation and a written statement of compliance by 1/4/2023. Correct by 01/04/2024

Corrected Corrected by Jan 4, 2024

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

7.702.35.A.5 · A record must be maintained, either written or electronic, for each staff member that includes the following: Names, addresses, and telephone numbers of persons to be notified in the event of an emergency.

Reviewed 8 staff files and observed that Fatma M. and Nibras A. were missing documentation of an emergency contact. Correction: Immediately, review all staff files and a record of emergency contacts must be maintained either written or electronic. Submit documentation and a written statement of compliance by 12/19/2023. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Category: recordkeeping. 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 Nibras A. and Istabraq A. 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 that meets OSHA requirements prior to working with children. This training must be renewed annually. Submit

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

7.702.42.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 8 staff files and observed that Sara E. was missing documentation of current First Aid and CPR training. Correction: Within 30 days, review all staff files and all employees caring for children must complete the department-approved Introduction to First Aid and CPR module. Submit documentation and a statement of compliance by 1/4/2023. Correct by 01/04/2024

Corrected Corrected by Jan 4, 2024

Category: recordkeeping. Marked corrected in the state record.

7.702.42.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. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 8 staff files and observed that Istabraq A. was missing documentation of a current Shaken Baby/Abusive Head Trauma training. Correction: Immediately, review all staff files and staff working with children less than 3 years of age must complete a department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than 3 years of age. This training must be renewed every 2 years. Submit documentation and a written statement of compliance by 12/19/2023. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 Istabraq A., Sara E., and Nibras A. 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 a department-approved training about child abuse prevention. This training must be renewed annually. Submit documentation and a written statement of compliance by 1/4/2023. Correct by 01/04/2024

Corrected Corrected by Jan 4, 2024

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 Dulce T. 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 a state department-approved training in emergency and disaster preparedness. Submit documentation and a written statement of compliance by 12/19/2023. Correct by 12/05/2023

Corrected Corrected by Dec 5, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 8 children's files and observed that 2 children under the age of 2.5 years old were missing documentation of a current health statement. Correction: Within 30 days, review all children's files and the parents/guardians of each child must submit a statement of

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.