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.

One staff in the toddler classroom to be missing documentation of an orientation at the toddler classroom. Correction: Staff in the toddler classroom must complete and document an eight-hour toddler room orientation. Send documentation that all staff in the toddler classroom have completed the orientation. Document future compliance to the licensing specialist with the written response. Correct by 07/30/2025

Corrected Corrected by Jul 30, 2025

Category: supervision. Marked corrected in the state record.

2.233.B.1 · If the infant program is in the same building as a facility caring for children of other ages, the infant program must be physically separated in different rooms by walls no less than eight (8) feet and full doors.

The infant classroom door to be open, which faces the common hallway used by toddlers and preschoolers. Correction: The infant classroom must have the door closed when toddlers and/or preschoolers are present. *Corrected at the time of inspection, the director closed the door, 7/30/2025. Document future compliance to the licensing specialist with the written response. Correct by 07/30/2025

Corrected Corrected by Jul 30, 2025

Marked corrected in the state record.

2.229.D · Staples must be inaccessible to children less than three (3) years of age.

Protruding staples on the poster in the common hallway used by children under three years of age. Correction: Staples must be inaccessible to children under three years of` age. *Corrected at the time of inspection, the director covered the staples with tape, 7/30/2025. No written response required for this violation. Correct by 07/30/2025

Corrected Corrected by Jul 30, 2025

Marked corrected in the state record.

2.216.B.1.c · Prior to being assigned a group of children, the infant program early childhood teacher must complete eight (8) hours of orientation in the infant program under the supervision of the infant program supervisor. The FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ orientation may include, but not limited to, the following topics:

Three staff in the infant classroom to be missing documentation of an orientation at the infant classroom. Correction: Staff in the infant classroom must complete and document an eight-hour infant room orientation. Send documentation that all staff in the infant classroom have completed the orientation. Document compliance to the licensing specialist with the written response. Correct by 07/30/2025

Corrected Corrected by Jul 30, 2025

Category: supervision. 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 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.

One of five staff files reviewed to be missing documentation of a current medical statement or subsequent self-reported health history. Correction: All staff members must submit to the center a medical statement signed and dated by a licensed physician or other health care professional. Subsequent self-reported health histories can be submitted annually. Add updated medical statements to staff files. Document compliance to the licensing specialist with the written response. Correct by 08/30/2025

Corrected Corrected by Aug 30, 2025

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

2.210.A.3 · A record must be maintained, either written or electronic, for each staff member that includes the following: Immunization record or statement, and health history.

Three of five staff files reviewed to be missing documentation of their immunization record or statement. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Staff records must include an immunization record or statement. Ensure all staff files include either. Document compliance to the licensing specialist with the written response. Correct by 08/30/2025

Corrected Corrected by Aug 30, 2025

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

2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

One of five staff files reviewed to be missing documentation of a signed statement defining child abuse and neglect. Correction: All staff must sign a statement defining child abuse and neglect. Document compliance to the licensing specialist with the written response. Correct by 07/30/2025

Corrected Corrected by Jul 30, 2025

Marked corrected in the state record.

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Two of five staff files reviewed to be missing documentation of a pre-service building and physical premises training. Correction: Ensure that all staff complete building and physical premises training prior to working with children. Complete training for staff who are missing it and send documentation to the licensing specialist. Document compliance with the written response. Correct by 07/30/2025

Corrected Corrected by Jul 30, 2025

Category: recordkeeping. Marked corrected in the state record.

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

One of three children's files reviewed to be missing a current health statement. Correction: Ensure that a current signed health statement of the child's health status is available at the center. Document compliance to the licensing specialist with the written response. Correct by 08/30/2025

Corrected Corrected by Aug 30, 2025

Category: ratio. Marked corrected in the state record.

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;

One of three children's files reviewed to have an expired medical authorization form. Correction: Ensure that a current written authorization form for emergency care is signed and updated annually by the parents or guardian. Send a copy of the form to the licensing specialist with the written response. Correct by 07/30/2025

Corrected Corrected by Jul 30, 2025

Category: health medication. 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 staff Linda A. completed infant safe sleep training on 6/9/24 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. Document compliance to Licensing Specialist with written response. Correct Immediately Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

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

2.217.C.8 · All Department-approved child care health consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion.

Expired immunization training for the Child Care Health Consultant. Correction: The Child Care Health Consultant must complete and renew every year the immunization training. Complete training, add to CCHC file, and send a copy to the Licensing Specialist. Document future compliance with the written

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

In the preschool bathroom and preschool classroom to have the hand soap accessible and labeled "keep out of reach of children". Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately. **CORRECTED AT THE TIME OF INSPECTION, staff moved the soap to a higher shelf. Document compliance to the Licensing Specialist with the written response. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

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.

In the preschool playground the resilient surface in the use zone of the yellow slide with a height of 44 inches on the west side of the playground to measure approximately 5 inches. In the toddlers playground the playground structure highest point of 27 inches on the south side the resilient surface to measure approximately 3 inches. Correction: Ensure that all play structure eighteen inches or higher have at least 6 inches of resilient surfacing in the use zone surrounding the equipment, or make inaccessible to children. Correct Immediately Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

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

2.217.C.9 · All Department-approved child care health consultants must complete the Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse or neglect. This training must be completed within thirty (30) days of hire and renewed every three (3) years.

Missing child abuse prevention training certificate for the Child Care Health Consultant. Correction: The Child Care Health Consultant must complete and renew every three years the child abuse prevention training. Complete training, add to CCHC file, and send a copy to the Licensing Specialist. Document future compliance with the written response. Correct by 10/18/2024

Corrected Corrected by Oct 18, 2024

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

2.223.C.15 · Infants who fall asleep in a piece of equipment not approved for sleep must immediately be moved to their approved sleep area and placed on their back to sleep.

A 3 month old infant placed in an unsafe sleep environment. Infant was sleeping in a rocking chair with blanket. Correction: All infants must be placed in a safe sleep environment. Correct immediately. Remove all bedding that was not provided by the manufacturer. **CORRECTED AT THE TIME OF INSPECTION** Staff moved the infant to a crib approved for sleep. Document compliance to the Licensing Specialist with the written response. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

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

2.220.K · Topical preparations such as petroleum jelly, diaper rash ointments, sunscreen, insect repellent, and other ointments may be administered to children with written authorization from the parent(s)/guardian(s). These preparations may not be applied to open wounds or broken skin unless there is a written order by the prescribing health care provider.

All 4 children files reviewed to be missing the parent's written authorization for use of sunscreen or sun protection. Correction: The provider must obtain a written authorization for applying sunscreen or use of another form of approved sun protection for children in care. Correct immediately. Send a copy of the missing written authorizations for sunscreen/sun protection to the Licensing Specialist. Document compliance with the written response. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

Category: ratio. Marked corrected in the state record.

2.206.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ described in the policies and procedures.

2 of 4 children files reviewed to be missing the parents signature stating that they have received the policies and procedures of the center. Correction: A signed document stating that the parent has received the policies and procedures must be available for all children in care. Obtain signed statement and add to each child's file. Document compliance to the Licensing Specialist with the written response. Correct by 09/18/2024

Corrected Corrected by Sep 18, 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 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.

Upon review of 6 staff files observed Brianna V. and Darlene J. to be missing documentation of a medical statement Correction: All staff members must submit to the center a medical statement signed and dated by a licensed physician or other health care professional. The medical statement must indicate when subsequent medical statements are required. Add updated medical statements to their staff file. Send copies to the Licensing Specialist. Document compliance with the written response. Correct by 10/18/2024

Corrected Corrected by Oct 18, 2024

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

2.213.H · 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 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.

Brianna V. to be missing documentation of the Introduction to the Early Intervention and Preschool Special Education Programs training. Correction: All staff must complete the Introduction to Early Intervention and Preschool Special Education Programs training course. Complete course and add training certificate to staff file. Send a copy of the training certificates for the

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

Brianna V. to be missing documentation of the Recognizing the impact of Bias on Early Childhood Professionals training course. Correction: All staff must complete the Recognizing the impact of Bias on Early Childhood Professionals training course. Complete course and add to staff file. Send a copy of the training certificates for staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 10/18/2024

Corrected Corrected by Oct 18, 2024

Category: recordkeeping. Marked corrected in the state record.

7.702.35.A.4 · A record must be maintained, either written or electronic, for each staff member that includes the following: Dates of employment and employment history.

One of six staff files reviewed to be missing the date of hire for the following individuals: Darlene J. Correction: All staff records must include the date of hire. Update all staff records for staff missing it. Document compliance to the Licensing Specialist with the written response. Correct by 11/26/2023

Corrected Corrected by Nov 26, 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 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

One of six staff files reviewed to be missing documentation of the Department approved training about child abuse prevention for the following individuals: Karla M. Correction: All providers and staff must complete the Department approved training about child abuse prevention and renew annually. Correct immediately. Obtain missing training and add to the staff file. Send a copy of the training certificates for staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 10/26/2023

Corrected Corrected by Oct 26, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.45.B.1.c.1 · Prior to being assigned a group of children, the Infant Program Early Childhood Teacher must complete eight (8) hours of orientation in the infant program under the supervision of the Infant Program Supervisor. The orientation may include, but not limited to, the following topics:Toys and equipment, appropriate activities for infants and toddlers, appropriate sleep positions for infants and toddlers, and the safe and appropriate diaper change technique.

Christina M. and Karla M. to be missing documentation of the infant program orientation. Correction: Staff assigned to the infant room must complete an eight hour orientation with the Infant Program Supervisor. Correct immediately. Send documentation supporting orientation to the Licensing Specialist. Document compliance with the written response. Correct by 10/26/2023

Corrected Corrected by Oct 26, 2023

Category: supervision. Marked corrected in the state record.

7.701.33.D.5 · Every five (5) years requests for FBI criminal record checks must be renewed by resubmitting a complete set of fingerprints and the required fee to CBI for processing. 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.

Christina M. to have an FBI record check older than five years. Correction: Every five years, staff must update their FBI criminal record check. Correct immediately. 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 the staff members named above have reviewed the video within 24 hours. Send copies of clearance letter to the Licensing Specialist. Document compliance with the written response. Correct by 10/26/2023

Corrected Corrected by Oct 26, 2023

Category: background checks. 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.

Karla M., Darlene J., and Linda A. to be missing a subsequent self-reported health history. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Subsequent self-reported health histories may be submitted annually. Obtain a physician signed medical statement for all staff listed above. Send copies to the Licensing Specialist. Document future compliance with the written response. Correct by 11/26/2023

Corrected Corrected by Nov 26, 2023

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

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.

One of six staff files reviewed to be missing documentation of the Introduction to First Aid and CPR training module for the following staff not to be required by rule to be certified in First Aid or CPR: Karla M. Correction: Staff caring for children and not required by rule to be certified in First Aid/CPR must complete the Introduction to First Aid and CPR training module. Complete course and add to staff file. Send a copy of the training certificates for staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 11/26/2023

Corrected Corrected by Nov 26, 2023

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

Quarterly drills to not be documented. Correction: Fire drills must be held monthly, tornado drills must be held monthly between March to October, and other emergency drills must be held quarterly so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Record of drills must include date, time, number of adults, number of children, and the amount of time taken to evacuate. Correct immediately. Ensure that emergency drills are conducted and documented in full. Document compliance to the Licensing Specialist with the written response. Correct by 10/26/2023

Corrected Corrected by Oct 26, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.46.C.5 · For the Department-approved Child Care Health Consultant, the center must maintain documentation from the Colorado Department of Regulatory Agencies that the Registered Nurse or the Medical Doctor’s licensure is in good standing.

Nursing license for the Health Consultant, Samantha, to be expired. Correction: Obtain documentation of health consultant's current proof of credentials. Send a copy to the Licensing Specialist. Document compliance with the written response. Correct by 11/26/2023

Corrected Corrected by Nov 26, 2023

Category: health medication. 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.

One of two children to have an expired health statement. Correction: Obtain documentation of current health statement and add to child's file. Send copies of missing health statements to the Licensing Specialist. Document compliance with the written response. Correct by 11/26/2023

Corrected Corrected by Nov 26, 2023

Category: ratio. 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.

One of two children files reviewed to be missing documentation of their immunization status or exemption. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Prior to or on the first day of admission all children must present documentation of immunization status or exemption as required by the Colorado Department of Public Health and Environment. Correct immediately. Obtain documentation of immunization status for all children enrolled. Document compliance to the Licensing Specialist with the written response. Correct by 10/26/2023

Corrected Corrected by Oct 26, 2023

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

7.702.71.K · Evacuation equipment must not block exit routes. Nothing may be stored in or under any evacuation equipment.

Equipment being stored under the evacuation crib in the infant classroom. Correction: Evacuation cribs may not have anything stored in or under them. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 10/26/2023

Corrected Corrected by Oct 26, 2023

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

7.702.31.B · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information:

The following policies to be incomplete or missing: the procedure regarding inclement weather (4) the procedure for protecting infants from second and third hand smoke (27) the procedure for establishing safe sleep environments for infants (28) Correction: Add the missing/incomplete policies to the statement of policies and procedures (parent handbook) and make available to parents. Send a copy of the updated policy statement to the Licensing Specialist with the written response.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.