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 10 child files. 5 children missing documentation of a written authorization for emergency medical care. Correction: Immediately review all child files. All children must have a written statement from the parent/guardian authorizing emergency medical care on file and available for review at all times. Submit a written statement of compliance by 4/17/2025. Correct by 03/17/2025

Corrected Corrected by Mar 17, 2025

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

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Reviewed 10 child files. 2 children missing documentation of a health statement, and one child missing a current health statement. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Review all child files. All children must have a copy of the child's current health statement on file and available for review at all times. Submit a written statement of compliance by 4/17/2024. Correct by 04/17/2025

Corrected Corrected by Apr 17, 2025

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

2.221.B · The center must apply sunscreen, have the parent(s)/guardian(s) apply sunscreen, or use another form of parent/guardian approved sun protection for children prior to children going outside. Sunscreen must be reapplied as directed by the product label.

At the time of visit, and confirmed through staff statements, sunscreen is not being applied consistently and daily prior to children going outside. Correction: Immediately, the center must apply sunscreen prior to the children going outside. Submit a written statement of compliance by 4/17/2025. Correct by 03/17/2025

Corrected Corrected by Mar 17, 2025

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 Room 19, a large bottle of laundry detergent labeled 'keep out of reach of chidlren' was in an unlocked cabinet and 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 put the laundry detergent on a high shelf making it inaccessible to children. No response needed. Correct by 03/17/2025

Corrected Corrected by Mar 17, 2025

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 visit, in Room 19, several cabinet door locks, and a door handle, were broken creating a safety hazard for children. Correction: Immediately, indoor furnishings must be sturdy, safe, and free of hazards. Submit a written statement of compliance by 4/17/2025. Correct by 03/17/2025

Corrected Corrected by Mar 17, 2025

Category: physical safety. 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 Room 19, two teacher personal bags were in an unlocked cabinet and accessible to children. Correction: Immediately, staff personal bags and other hazarous items must be inaccessible at all times. Corrected at time of visit, the classroom teacher moved the staff bags to a high shelf making them inaccessible to children. No response needed. Correct by 03/17/2025

Corrected Corrected by Mar 17, 2025

Category: physical safety. 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 visit, the facility missing documentation of the most current, passing health department inspection report. Correction: Immediately, the health department inspection must be conducted at least every 2 years and a copy of the report must be on file and available for review at all times. Submit documentation and a written statement of compliance by 4/17/2025. Correct by 03/17/2025

Corrected Corrected by Mar 17, 2025

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

2.219.B.1 · 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, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 8 child files. 6 children missing documentation of immunization status. Correction: Immediately, the facility must obtain documentation of school-required immunization status at the time of admission. Submit a written statement of compliance by 5/24/2024. Correct by 04/24/2024

Corrected Corrected by Apr 24, 2024

Category: health medication. 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 visit, in Room 18, extension and electrical cords were on the ground around the projector FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ screen causing a safety hazard for children. In Room 19, electrical cords were hanging loose on the wall by the cubbies creating a safety hazard for chidlren. Correction: Immediately, all indoor equipment, materials, and furnishings must be safe and free of hazards at all times. Submit a written statement of compliance by 5/24/2024. Correct by 04/24/2024

Corrected Corrected by Apr 24, 2024

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

2.224.A.1 · All meals and snacks provided by the center must meet current United States Department of Agriculture (USDA), Child and Adult Care Food Program (CACFP) meal pattern guidance and requirements published by the USDA Food Nutrition Service at https://www.cacfp.org/meal-pattern-guidance/ (April 2016) and 7 C.F.R. sections 210.10 and 226.20 (July 1, 2022), herein incorporated by reference. No later editions or amendments are incorporated These regulations are available at no cost from the USDA Food Nutrition Service at https://www.ecfr.gov. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. and be offered at suitable intervals not more than three (3) hours apart. Children who are at the center for more than four (4) hours, day or evening, must be offered a meal. Arrangements must be made for feeding children who are in care before 6 a.m. or after 6 p.m.

At the time of visit, in Room 19, the children were served lunch and were missing a serving of vegetables and a serving of milk, which does not meet the USDA, CACFP meal pattern requirements for lunch. Correction: Immediately, all meals and snacks provided by the center must meet current USDA, CACFP meal pattern guidance and requirements at all times. Submit a written statement of compliance by 5/24/2024. Correct by 04/24/2024

Corrected Corrected by Apr 24, 2024

Category: nutrition. 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 Room 18, bleach bottles labeled 'keep out of reach of children' were in an unlocked cabinet under the sink and were accessible to children, and a container of oil warmer refills was in an unlocked drawer and accessible to children. Correction: Immediately, all items labeled 'keep out of reach of children' must be inaccessible to children at all times.

Open Not marked corrected in the state record

Open / not marked corrected.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

At the time of visit, in Room 19, an open box of Ziploc bags was on a low counter and a roll of loose trash bags were in an unlocked cabinet, both accessible to children. Correction: Immediately, loose plastic bags must be inaccessible to children at all times. Corrected at time of visit, the ziploc bags were put in a high cabinet, and the cabinet with loose trash bags was locked making the items inaccessible to children. Submit a written statement of future compliance by 5/24/2024. Correct by 04/24/2024

Corrected Corrected by Apr 24, 2024

Marked corrected in the state record.

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

At the time of visit, in Room 18, a pair of adult scissors was in an unlocked drawer and accessible to children. Correction: Immediately, all sharp tools and instruments must be inaccessible to children at all times. Corrected at time of visit, the drawer was locked making the scissors inaccessible to children. Submit a written statement of future compliance by 5/24/2024. Correct by 04/24/2024

Corrected Corrected by Apr 24, 2024

Marked corrected in the state record.

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Reviewed 8 child files. 3 children missing a copy of a health statement completed by a health care provider. Correction: Review all child files. The facility must maintain and update annually a health statement completed by a health care provider. Submit a written statement of compliance by 5/24/2024. Correct by 05/24/2024

Corrected Corrected by May 24, 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 visit, on the Preschool Playground, the mulch is compacted and has not been regularly raked to maintain resilience. The mulch measured over 6" deep. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, loose fill resilient surface must be raked regularly to retain it resiliency. Submit a written statement of compliance by 5/24/2024. Correct by 04/24/2024

Corrected Corrected by Apr 24, 2024

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

2.230.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

At the time of visit, on the Preschool Playground, there was debris scattered around the playground to include bandaids, empty drink bottles, bottle lids, and food wrappers. Correction: Immediately, all outdoor play areas must be checked daily and kept safe and free of hazardous materials or debris. Submit a written statement of compliance by 5/24/2024. Correct by 04/24/2024

Corrected Corrected by Apr 24, 2024

Category: nutrition. 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, the paint on the patio overhang is peeling creating a health and safety hazard for children. Previously cited on 5/24/2023. Correction: Immediately, buildings must be kept in good repair and maintained in a safe condition at all times. Submit a written statement of compliance by 5/24/2024. Correct by 04/24/2024

Corrected Corrected by Apr 24, 2024

Category: health medication. 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 Room 19, a staff personal bag was sitting on a low shelf and accessible to children. In Room 18, the staff of the classroom were storing their personal bags in the sensory table and were accessible to children. Correction: Immediately, staff personal bags and other hazardous items must be inaccessible to children at all times.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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 Room 18, the substitute teacher did not know how many children were in care, counted the children and stated 13, then approached the specialist a minute later and stated there were actually 14 children. The specialist counted 14 children and there were 14 children on the attendance roster. Correction: Immediately, all staff must completed written attendance verification periodically throughout the day and should know the number of children in care at all times. Submit a written statement of compliance by 5/24/2024. Correct by 04/24/2024

Corrected Corrected by Apr 24, 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 visit, the fire and health inspection reports for the facility were unavailable to review. Correction: Immediately, the facility must obtain an approving inspection report from the local health department and local fire department and these reports must be maintained at the facility and available for review upon request. Submit documentation and a written statement of compliance by 5/24/2024. Correct by 04/24/2024

Corrected Corrected by Apr 24, 2024

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