2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

Small clothespins on a string, googly eyes on an art project on the wall, small manipulatives in a bin on a shelf, and a sensory bottle with a loose lid filled with rice and small letters. All items were in the Saplings classroom and accessible to children under the age of 3. Observed small plastic pieces and a small outlet cover in an unlocked drawer accessible to children under the age of 3 in the Seeds classroom. Observed a bottle cap, a small outlet cover, and a suction cup in an unlocked drawer accessible to children under the age of 3 in the Sprouts classroom. Observed pom poms on a Christmas display in the hallway accessible to children under the age 3. Correction: Immediately ensure all toys, toy parts, furnishings and equipment that is accessible to children less than 3 years of age is large enough to not be a choke hazard or able to be swallowed. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

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

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

Staples on a Christmas display accessible to children under the age of 3 and lacking tape covering them in FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the hallway. Observed staples in an unlocked drawer accessible to children under the age of 3 in the Sprouts classroom. Correction: Immediately ensure all staples are made inaccessible to children less than (3) years of age. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Marked corrected in the state record.

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

Kitchen open and accessible to children at the time of inspection. There were no staff present in the kitchen. Correction: Immediately make kitchen inaccessible to children. Corrected at the time of inspection. Kitchen was made inaccessible to children unless there was a staff member present in kitchen. Document plan of compliance in written response. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

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

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

Disinfectant spray on a low shelf, accessible to children in the Blossoms classroom. Observed a sunscreen on a low shelf accessible to children in the Sprouts classroom. All items were labeled “keep out of reach of children”. Correction: Immediately ensure all items labeled "Keep out of reach of children" are inaccessible to children at all times. Staff moved the items listed above to a location inaccessible to children at the time of the inspection. NO RESPONSE REQUIRED. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

Uncovered outlet accessible to children in the Saplings classroom. Correction: Immediately ensure electrical outlets have protective covers. Corrected at the time of inspection. Protective cover was placed on uncovered outlet. NO RESPONSE REQUIRED. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Marked corrected in the state record.

2.230.A · A variety of play equipment and materials appropriate for children's age, size, developmental needs, and activities must be provided for both indoor and outdoor structured and free play.

Magnetiles being used by children under the age of 3 in the Saplings classroom. Magnetiles are labeled “3+”. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure that all play equipment is appropriate for children's ages, size and developmental needs. Corrected at the time of inspection. Magnetiles were made inaccessible to children under 3 years of age. NO RESPONSE REQUIRED. Correct by 12/18/2025

Corrected Corrected by Dec 18, 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.

Teacher’s bag on the floor accessible to children in an unlocked closet in the Seeds classroom. Observed 2 teacher’s bags accessible to children in the Sprouts classroom. Correction: Immediately ensure all volatile substances and other hazardous items are not stored in any area of the building used for care. Corrected at the time of inspection. Staff bags were moved to area not used for care and made inaccessible to children. NO RESPONSE REQUIRED. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Category: physical safety. 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:

Reviewed emergency plan and identified it lacking a written plan for the continuity of operations in the aftermath of an emergency. Correction: Immediately ensure facility has a written plan for the continuity of operations in the aftermath of an emergency or disaster that includes all required information: 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. Correct by 01/06/2025

Corrected Corrected by Jan 6, 2025

Category: ratio. 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 board books with ripped/torn edges in the Toddler 1 classroom, accessible to children and posing potential hazards. Correction: Immediately ensure all indoor and outdoor equipment, materials and furnishings are sturdy, safe and free of hazards. Corrected at the time of visit. Staff removed ripped/torn books from classroom and made them inaccessible to children. NO RESPONSE REQUIRED. Correct by 01/06/2025

Corrected Corrected by Jan 6, 2025

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

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

2 small magnet shapes on wall and 2 sensory tubes with small items inside and lids that could be removed the Toddler 1 classroom and 2 small pieces of felt on the floor in the Wobblers room. Items were small enough to fit in a choke tube and accessible to children less than 3 years of age, posing potential choke hazards. Correction: Immediately ensure all toys, toy parts, furnishings are equipment, and any materials accessible to children less than 3 years of age do not pose a choke or inhalation hazard. Corrected at the time of visit. Staff removed all items that posed potential choke hazard and made them inaccessible to children. NO RESPONSE REQUIRED. Correct by 01/06/2025

Corrected Corrected by Jan 6, 2025

Category: physical safety. 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 19 staff files and identified 3 staff (Brooke, Alexandra and Kayla) lacking verification of criminal background checks prior to working with children or having access to children. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members (Brooke, Alexandra and Kayla) have reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI clearance letters for Kayla, FBI for Alexandra, and CBI for Brooke with written response to the Specialist. Correct by 01/06/2025

Corrected Corrected by Jan 6, 2025

Category: supervision. Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Uncovered outlet in the Preschool classroom. Correction: Immediately ensure in rooms used by children, all electrical outlets that are accessible must have protective covers or safety outlets installed. Corrected at the time of visit. Staff placed protective cover over outlet. NO RESPONSE REQUIRED. Correct by 01/06/2025

Corrected Corrected by Jan 6, 2025

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 19 staff files and identified 6 staff lacking current self-reported health history submitted annually or current physical. Correction: Ensure all staff submit 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. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

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

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

Reviewed 19 staff files and identified all lacking verification staff have been trained in the use of fire extinguishers and alarms. Correction: Immediately ensure all staff are trained in fire safety and the use of fire extinguishers and alarms. Correct by 01/06/2025

Corrected Corrected by Jan 6, 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 19 staff files and identified 2 staff (Selena and Kerry) lacking current Standard Precautions training FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and 3 staff (Linda, Amber, and Brooke) lacking verification of annual exposure control plan review. Correction: Immediately ensure all staff complete Standard Precautions training prior to working with children and renew annually. Correct by 01/06/2025

Corrected Corrected by Jan 6, 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 19 staff files and identified 2 staff (Selena and Kerry) with expired mandated reporter training. Correction: Immediately ensure all staff complete mandated reporter training within 30 days of hire and renew annually. Correct by 01/06/2025

Corrected Corrected by Jan 6, 2025

Category: recordkeeping. Marked corrected in the state record.

2.225.I · Physical redirection may be used to keep a child from immediate imminent danger. The child must be immediately released once removed from imminent danger.

Identified through investigation that Staff member 1 would physically redirect CH1 and take the child by the wrists or pick them up to keep them from hurting their peers. Correction: Immediately ensure physical redirection is only used to keep a child from immediate imminent danger and the child must be released immediately. Correct by 01/06/2025 ________________________________________________ Stage II Licensing Concern :

Corrected Corrected by Jan 6, 2025

Marked corrected in the state record.

2.217.C.4 · The date and content of each consultation must be recorded and maintained in the center's files for three (3) years.

Reviewed monthly visit notes with CCHC and identified facility lacking documentation of August 2023 consultation. Correction: Ensure the date and content of each consultation must be recorded and maintained in the center's files for three (3) years. Document correction in written response. Correct by 02/29/2024

Corrected Corrected by Feb 29, 2024

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

Reviewed 11 staff files and identified 1 staff (Celina) with an expired mandated reporter training. Correction: Immediately ensure all staff complete 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 within 30 days of hire and renew annually. Document correction in written response. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

Category: recordkeeping. Marked corrected in the state record.

2.209.A.2 · 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:Parent(s)/guardian(s) names; home and e-mail addresses; telephone numbers, including home, work, and cell numbers; employer name and work address; and, any special instructions as to how the parent(s)/guardian(s) may be reached during the hours that the child is in care at the center;

Reviewed 6 child files and identified all records lacking space provided for parent/guardian to list any special instructions how they may be reached during the hours of care. Correction: Immediately ensure admission record is completed for each child prior to or at the time of the child's admission, updated annually and when changes occur and includes space provided for parent/guardian to list any special instructions as to how they may be reached during the hours that the child is in care at the center. Document correction in written response. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

Category: recordkeeping. Marked corrected in the state record.

2.220.C · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

Reviewed health care plans for children in care and identified 1 child with emergency medication indicated on health care plan and medication lacking original container. Correction: Immediately ensure prescription medications contain the original pharmacy label and medications are kept in the original container. Document correction in written response. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

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

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

Decorations in the main entrance to facility with small parts, unlocked drawer in the wobbler classroom snack FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ area with small stickers and rubber bands, and several small toys and counting cubes in the preschool classroom. All items small enough to fit in a choke tube and in areas of facility accessible to children less than 3 years of age. Correction: Immediately ensure toys, toy parts, furnishings, equipment, and any materials accessible to children under than three years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three years of age must be free of any choke or inhalation hazards. Corrected at the time of inspection. Decorations with small parts in the main entrance, small stickers and rubber bands, and toys small enough to fit in choke tube in the preschool classroom were removed from all areas at the time of visit and made inaccessible to children less than 3 years of age. NO RESPONSE REQUIRED. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

Category: ratio. Marked corrected in the state record.

2.230.C.6 · All pieces of playground equipment must be designed to guard against entrapment and strangulation. Any openings in gross motor equipment above ground must be smaller than three and one half (3 ½) inches or greater than nine (9) inches to prevent entrapment.

Purple garden teepee trellis, intended for climbing plants, located in the outdoor infant play area with gaps approximately 6" in diameter and posing potential entrapment hazard. Correction: Immediately ensure all pieces of playground equipment is designed to guard against entrapment and strangulation. Any openings above ground must be smaller than three and one half (3 ½) inches or greater than nine (9) inches to prevent entrapment. Corrected on the date of visit. Trellis was removed from play area and made inaccessible to children. NO RESPONSE REQUIRED. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

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

2.229.K · Evacuation equipment must not block exit routes. Nothing may be stored in or under any evacuation equipment. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Plastic toy under one if the evacuation cribs in the infant classroom. Correction: Immediately ensure evacuation equipment does not block exit routes and nothing is stored in or under any evacuation equipment. Corrected at the time of visit. Toy was moved from under evacuation crib so there was nothing stored in or under equipment. NO RESPONSE REQUIRED. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

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

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

Covered ladybug sandbox in the outdoor infant play area with several inches of standing water, posing potential hazard. Correction: Immediately ensure indoor and outdoor equipment, materials and furnishings are sturdy, safe and free of hazards. Corrected at the time of visit. Water in sandbox was dumped and removed from play area at the time of visit. NO RESPONSE REQUIRED. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

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

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 11 staff files and identified 1 staff (Amber) with an expired Prevention of Shaken Baby training and working with a child less than 3 years old at the time of visit. Correction: Immediately ensure all staff working with children less than 3 years of age have current Prevention of Shaken Baby training. Corrected on the date of visit. Staff member completed training and certificate was verified by Licensing Specialist electronically. NO RESPONSE REQUIRED. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

Category: recordkeeping. Marked corrected in the state record.