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.

Reviewed children's topical preparations kept on site and identified one sunscreen, one diaper cream, one jar of petroleum jelly, and three lotion bottles were expired. Correction: Ensure topical preparations administered to children are unexpired. Correct immediately and respond with a statement of compliance by 5/12/25. Correct by 05/05/2025

Corrected Corrected by May 5, 2025

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 described in the policies and procedures.

Reviewed four children's files and identified Ch2 and Ch3's files missing a signed document stating that the parents/guardians have received and agree to the policies and procedures of the program. Correction: Obtain signed documents that the parents/guardians of Ch2 and Ch3 have received and agreed to the policies and procedures of the center and ensure this is on file for all children. Correct immediately and respond with a statement of compliance by 3/19/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

2.230.C.3.c · Preschool and school-age climbing equipment must have a six (6) foot use zone surrounding the equipment. For slides exceeding six (6) feet in height, the use zone from the base of the slide must be as long as the slide height.

On the playground, observed children playing on a portable dome climber positioned approximately five feet away from the swings post. Correction: Ensure all preschool climbing equipment has a six foot use zone surrounding the equipment. **Corrected at the time of visit. The climber was moved to a position with a six foot use zone surrounding the equipment.** No response required. Correct by 01/16/2025

Corrected Corrected by Jan 16, 2025

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

2.223.A.1 · All children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise

In Linda's classroom, observed the glass door to the nap room closed with one child in the room alone. The child was blocked from view by cardboard partitions. Correction: Ensure all children are under the direct supervision of a qualified adult at all times. **Corrected at the time of visit. Linda opened the nap room door and removed the partition so the child was under direct supervision.** No response required. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

Category: supervision. Marked corrected in the state record.

2.124.A.1.k · 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 police or sheriff contact with the facility.

Identified through documentation and staff statements that the program failed to report an incident to the Department as required by statute and licensing regulations . Correction: Ensure all incidents at the facility are reported to the appropriate agencies within the required time frames. Respond with a plan for ongoing compliance by 10/3/24. Correct by 09/26/2024

Corrected Corrected by Sep 26, 2024

Category: ratio. 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 through documentation and staff statements that the program failed to report an incident to the Department as required by statute and licensing regulations . FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure all incidents at the facility are reported to the appropriate agencies within the required time frames. Respond with a plan for ongoing compliance by 10/3/24. Correct by 09/26/2024 Stage II Licensing Concern : SM1 used harsh treatment and/or inappropriate physical redirection with Ch1. - FOUNDED

Corrected Corrected by Sep 26, 2024

Category: ratio. Marked corrected in the state record.

2.225.B · Children must not be subjected to physical or emotional harm, humiliation, or threats.

Identified through documentation and staff statements that on 5/3/24, Ch1 was demonstrating challenging behavior that included attempting to sit on top of another child. SM1 firmly moved Ch1 to another seat that was next to a pillar. Ch1 made contact with the pillar and sustained a scratch on their back. SM1 is no longer employed with the program. Correction: Ensure children are not subjected to physical or emotional harm, humiliation and threats. Respond with a plan for ongoing compliance by 10/3/24. Correct by 09/26/2024 ________________________________________________ Stage II Licensing Concern : The program does not notify parents of incident/injuries per program's policy. - UNFOUNDED ________________________________________________

Corrected Corrected by Sep 26, 2024

Marked corrected in the state record.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. 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 Department approved training.

Reviewed 9 staff files and identified Helen's file lacking documentation of a Department-approved training in emergency and disaster preparedness. Helen was observed to be working with children. Correction: Obtain Department-approved training in emergency and disaster preparedness for Helen. Correct immediately and respond with verification of compliance by 4/25/24. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 described in the policies and procedures.

Reviewed 5 child files and identified all 5 files to be missing a signed document stating that the parents/guardians have received and agree to the policies and procedures. Correction: Obtain signed document for all enrolled children stating the the parents/guardians have received and agree to the policies and procedures. Correct immediately and respond with a statement of compliance by 4/25/24. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Marked corrected in the state record.

2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

In the South classroom, observed 22 children ages 3-6 years eating lunch. Identified through Director Dede's statement that there were seven 3 year old children in the classroom, exceeding 20 percent of the total children. In the North classroom, observed 24 children ages 3-6 years in circle time. Identified through Dede's statement that there were ten 3 year old children in the classroom, exceeding 20 percent of the total children. Identified through Dede's statement that both classrooms operate in these group sizes throughout the day, exceeding a group size of 20 children required when more than 20 percent of the children are 3 years old. Correction: Ensure group size is not exceeded except for the occasions specified in 2.217.A.15.c. Correct immediately and respond with a plan for ongoing compliance by 4/25/24. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: ratio. Marked corrected in the state record.

2.220.A · Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.

Reviewed 3 health care plans and associated medications and identified 2 prescribed over-the-counter medications to be expired and 3 prescribed emergency medications to be expired. Correction: Obtain unexpired prescribed medications as specified in all health care plans. Correct immediately and respond with a statement of compliance by 4/25/24. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

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