2.122.B · Prior to the original license being issued, all child care facilities, except for foster homes and specialized group facilities, that are providing care for three or fewer children who are determined to have a developmental disability by a community centered board or who have a serious emotional disturbance, must submit to the Department written approval from the local zoning department approving operation of the facility. The approval must include the address of the child care facility and the ages and number of children to be served. The facility must also submit written zoning department approval to the Department any time there is a change to the license, including moving the facility to another location, increasing the capacity, or adding different ages of children.

Facility lacking final zoning approval letter. Correction: Immediately ensure facility obtains approving zoning letter prior to license recommended for approval. Submit copy of zoning letter with written response. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: ratio. 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.

Facility lacking final health and fire department approval. Correction: Immediately ensure facility obtains approving health and fire department approval reports prior to license recommended for approval. Submit copies of fire and health department approvals with written response. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

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

2.530.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: An annual written authorization for emergency medical care signed and dated submitted by the parent(s) or guardian(s). The FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed admission record and identified it lacking written authorization for emergency medical care. Correction: Immediately ensure admission record is updated to include a written authorization for emergency medical care signed and dated annually for each child prior to license recommended for approval. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

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

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 3 staff files and identified all (Erica, Samara and Deborah) lacking verification of TRAILS clearance letters maintained in staff files. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Erica, Samara and Deborah have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS background checks for Erica, Samara and Deborah with written response to the Specialist prior to license recommended for approval. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: supervision. Marked corrected in the state record.

2.522.A · Buildings must be kept in good repair and maintained in a safe condition.

Areas of carpet baseboard coming off of the wall in Classroom C, door chipped/splintering on storage closest in the community room, and cracked electrical plate in the Main Classroom, not in good repair posing potential safety concerns. Correction: Immediately ensure buildings are kept in good repair and maintained in a safe condition prior to license recommended for approval. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Marked corrected in the state record.

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 (Deborah) lacking verification of CBI and FBI clearance letters FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ maintained in staff files. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Deborah has reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI background checks for Deborah with written response to the Specialist prior to license recommended for approval. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: supervision. Marked corrected in the state record.

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, 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 (Erica) who lived out of state in the past 5 years and lacking final out-of-state background check clearance letter maintained in staff file. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Erica has reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check for Erica with written response to the Specialist prior to license recommended for approval. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: supervision. Marked corrected in the state record.

2.508.A · Prior to working with children all staff members must complete a Department-approved standard precautions training. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 3 staff files and identified all lacking verification of annual review of site-specific exposure control plan as part of Standard Precautions training prior to working with children. Correction: Immediately ensure all staff review of site-specific exposure control plan as part of Standard Precautions

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.509.H · At least one (1) staff member with current Department-approved medication administration training and delegation must be on duty at all times.

Reviewed staff files and identified none with verification of current annual delegation and medication administration training. Correction: Immediately ensure there is at least one staff on duty at all times with current annual delegation and medication administration training prior to license recommended for approval. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: ratio. Marked corrected in the state record.

2.522.C · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe and free of hazards.

Several large metal poles propped against the outside of the building near storage shed, stacked chairs and tables in several classroom areas (Youth Lounge & Classroom A), and 2 larger metal cabinets (one in Classroom A and one in Classroom B) that wobbled when pushed, posing potential safety hazards. Correction: Immediately ensure indoor and outdoor eqiupment, materials and furnishings are sturdy, safe and free of hazards prior to license recommended for approval. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

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

2.522.B · Items labeled “keep out of reach of children” must be inaccessible to children.

Can of paint labeled "keep out of reach of children" and accessible to children in unlocked storage closet in the Community Room. Observed container of hand sanitizer and Lysol wipes in unlocked storage cabinet in Classroom B. Correction: Immediately ensure buildings are kept in good repair and maintained in a safe condition prior to license recommended for approval. Violation partly corrected at the time of visit. Staff moved hand sanitizer and Lysol wipes to top of storage cabinet making them inaccessible to children. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Marked corrected in the state record.