2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 3 staff files and identified 1 staff (Larissa S.) lacking verification of completed background check maintained in staff file and working alone with 2 children upon arrival in the Marigold classroom. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Larissa reviewed the powerpoint within 24 hours. Submit documentation of CBI clearance letter for Larissa with written response to the Specialist. Correct by 04/11/2025

Corrected Corrected by Apr 11, 2025

Category: supervision. Marked corrected in the state record.

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

Approximately 2-4" resilient surface throughout swing bay. Correction: Immediately ensure all climbing equipment over 18" has at least 6" resilient surface throughout use zone surrounding equipment. Correct by 04/11/2025

Corrected Corrected by Apr 11, 2025

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

2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

Chipping paint on the doors to Marigold classroom and cabinets in the main hallway, and a small break in the trim around the tile area and several tiles with broken edges in the Marigold classroom, not in good repair. Correction: Immediately ensure buildings are kept in good repair and maintained in a safe condition. Violation partly corrected at the time of visit. Several areas of chipping paint, cracked tiles and broken trim area were covered with duct tape to make those areas inaccessible to children. Document complete correction in written response. Correct by 04/11/2025

Corrected Corrected by Apr 11, 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.

Several areas of exposed weed matting under swing bay and on gravel path in outdoor play area, posing potential tripping hazards. Observed one screw partly protruding from sandbox and splintering wood on the outdoor drums, posing potential hazards. Correction: Immediately ensure indoor and outdoor equipment, materials and furnishings are sturdy, safe and free of hazards. Violation partly corrected at the time of visit. Several areas of weed matting under swings was removed and screw was fixed and now flush with the sandbox. Document complete correction in written response. Correct by 04/11/2025

Corrected Corrected by Apr 11, 2025

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

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 3 staff files and identified 1 staff (Larissa S.) lacking verification of completed exposure control plan review and 1 staff (Perrine O.) with expired Standard Precautions training and lacking verification of annual exposure control plan review. Correction: Immediately ensure all staff complete Department-approved Standard Precautions training including annual exposure control plan review prior to working with children and renew annually. Correct by 04/11/2025

Corrected Corrected by Apr 11, 2025

Category: recordkeeping. 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 3 staff files and identified 1 staff (Perrine O.) with expired abuse reporter training. Correction: Immediately ensure all staff complete mandated reporter training within 30 days of hire and renew annually. Correct by 04/11/2025

Corrected Corrected by Apr 11, 2025

Category: recordkeeping. 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 3 staff files and identified Marie with expired mandated reporter training. Correction: Immediately ensure all staff complete mandated reporter training within 30 days of hire and renew annually. Document correction in written response. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 3 staff files and identified Marie with expired Standard Precautions training. Correction: Immediately ensure all staff complete a Department-approved standard precautions training prior to working with children and renew annually. Document correction in written response. Correct by 04/15/2024

Corrected Corrected by Apr 15, 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.

Reviewed current health inspection report and identified it noted "approval pending." Correction: Immediately ensure facility obtains approving health inspection report. Submit copy of approving inspection report and document correction in written response. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

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

2.213.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 3 staff files and identified Marie, not required by rule to be certified in First Aid and CPR, and lacking Introduction to First Aid and CPR module. Correction: Ensure all staff not required by rule to be certified in First Aid and CPR complete the Introduction to First Aid and CPR module. Document correction in written response. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

Marked corrected in the state record.

2.137.A · All child care providers must have a written plan for continuity of operations in the aftermath of an emergency or disaster. Components of the plan must include: FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed emergency plan and parent handbook and identified facility lacking a written plan for continuity of operations in the aftermath of an emergency or disaster. Correction: Immediately ensure all child care providers must have a written plan for continuity of operations in the aftermath of an emergency or disaster. Components of the plan must include: 1) Responsibility for essential staffing needs and predetermined roles during and after the emergency or disaster; 2) Procedure for backing up or retrieving staff and children’s files; and, 3) Procedure for protecting confidential and financial records. Document correction in written response. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

Category: ratio. Marked corrected in the state record.

2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

Several areas of chipping paint on wall in classroom CR9. Correction: Immediately ensue buildings are kept in good repair and maintained in a safe condition. Correct by 04/15/2024

Corrected Corrected by Apr 15, 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.

Reviewed 3 staff files and identified Marie with expired self-reported annual health history. Correction: Immediately ensure 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. Corrected at the time of visit. Marie signed a self-reported health history at the time of visit. NO RESPONSE REQUIRED. Correct by 05/15/2024

Corrected Corrected by May 15, 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.

Chipping paint on drawer in hallway and on the door to classroom CR9, and outdoor playhouse with 4 exposed screws. All areas accessible to children and posing potential safety hazards. Correction: Immediately ensure indoor and outdoor equipment, materials and furnishings are sturdy, safe and free of hazards. Violation partly corrected at the time of visit. Outdoor playhouse was removed from play area and made inaccessible to children. Document complete correction in written response. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

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

2.206.B.9 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: How decisions are made and what steps are taken prior to the suspension, expulsion, or request to parents or guardians to withdraw a child from care due to concerns about the child’s behavioral issues. These procedures must be consistent with the center’s policy on guidance and positive instruction, and include FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ documentation of the steps taken to understand and respond to challenging behavior including:

Identified through review of parent handbook and staff statements that facility did not follow steps noted in parent handbook prior to request for a child with challenging behaviors to withdraw from care. Correction: Immediately ensure policies and procedures outlined in parent handbook are followed. Document correction in written response. Correct by 01/29/2024 ________________________________________________

Corrected Corrected by Jan 29, 2024

Marked corrected in the state record.

2.208.A.2 · The following records must be on file at the center: A list of current staff members, substitutes, and staffing patterns;

Identified through review of staffing pattern and name-to-face attendance records that staff members are not signing in and out on the attendance record to verify who is with the children at all times. Correction: Immediately ensure an accurate staffing pattern is maintained daily. Document correction in written response. Correct by 01/29/2024

Corrected Corrected by Jan 29, 2024

Category: recordkeeping. Marked corrected in the state record.

7.702.46.A.7 · There must be assigned at least one (1) qualified Early Childhood Teacher supervising each group of children unless otherwise specified in rules. A Director may be the assigned teacher for one (1) group of children.

Inga W. assigned a group of children as an early childhood teacher when director, Marie N. steps away from the classroom and is lacking complete documentation of qualifications. Correction: Immediately (11/27/2023) ensure that each group of children is assigned to at least one qualified early childhood teacher. Provide a written statement of compliance within the overall response. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: supervision. Marked corrected in the state record.

7.702.31.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, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

The program failed to obtain a signed document stating that the parents of Child 1 received the policies and procedures and given the opportunity to ask questions prior to collecting the non refundable $800 enrollment/material fee for the 2023-2024 school year. Correction: Immediately (09/14/2023) ensure that the program obtains signed documentation from all parents stating that the parents/guardians have received the policies and procedures and given the opportunity to ask questions. Provide a written statement of compliance within the overall response. Correct by 09/14/2023 ________________________________________________ ________________________________________________

Corrected Corrected by Sep 14, 2023

Marked corrected in the state record.

7.702.2.D · Any center having a Director assigned to a classroom must have qualified and adequate staff, allowing the Director or qualified staff the ability to attend to the duties of a director as they arise.

Director assigned to the preschool classroom daily and unable to attend to the duties of a director as they arise. Correction: Immediately (09/05/2023) ensure that a qualified staff is assigned to the preschool classroom to allow the director the ability to atend to the duties of the director as they arise. Provide a written statement of compliance within the overall response. Correct by 09/05/2023

Corrected Corrected by Sep 5, 2023

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 2 expired health statements per the American Academy of Pediatric schedule. Correction: Provide a written statement of compliance within the overall response ensuring that current health statements are obtained and maintained for all children in care that follows the American Academy of Pediatrics recommended schedule in addition to including a statement from the health care provider of when the next visit is required. Correct by 09/07/2023

Corrected Corrected by Sep 7, 2023

Category: ratio. Marked corrected in the state record.