2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

Identified that infant program does not have a tracking method to document transitions in writing when going from inside to outside. Correction: Immediately ensure staff members complete written attendance verification periodically throughout the day. Correct by 02/04/2025

Corrected Corrected by Feb 4, 2025

Category: recordkeeping. 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 chipping paint on lower toy shelf in the infant room, bookshelf that wobbled when pushed in the preschool classroom, all areas accessible to children and posing potential hazards. Correction: Immediately ensure indoor and outdoor equipment, materials and furnishings are sturdy, safe and free of hazards. Correct by 02/04/2025

Corrected Corrected by Feb 4, 2025

Category: physical safety. 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 9 staff files and identified 1 staff (Elyzae) lacking verification of health statement within 30 days of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ hire. Correction: Ensure all staff 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. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Category: health medication. 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 9 staff files and identified 1 staff (Elyzae) lacking verification of completed out-of-state background check clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Elyzae reviewed the powerpoint within 24 hours. Submit documentation of out-of-state clearance letter for Elyzae with written response to the Specialist. Correct by 02/04/2025

Corrected Corrected by Feb 4, 2025

Category: supervision. Marked corrected in the state record.

2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Reviewed 9 staff files and identified 2 staff responsible for the collection, review and maintenance of child immunization records and lacking verification of current immunization training. Correction: Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

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

2.230.C.3.b · The use zone for swings used by toddlers is determined by measuring the distance from the top of the swing to the bottom of the bucket seat. This measured distance must extend from both the front and the back of the swing.

Swings seats on the toddler playground measured approximately 50" from top of swing to bottom of seat and approximately 42" from seat to wooden beam on perimeter of use zone. Correction: Immediately make toddler swings inaccessible to children until use zone meets requirements by ensuring the same distance from bottom of seat to top of swing extends in both the front and back of swing. Correct by 02/04/2025

Corrected Corrected by Feb 4, 2025

Category: physical safety. 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 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 4 child files and identified 1 child with an expired health statement. Correction: Ensure 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

NorthStates play yard configured in a rectangle (with 6 panels), posing potential safety hazard in the Infant classroom. Reviewed manufacturer documentation and identified play yard must be setup in a hexagon with only 6 panels; yellow shelf in the PreK classroom that wobbled when pushed on, posing potential fall hazard; several door mats with ripped/torn/curling edges that post potential tripping 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. NorthStates play yard was removed from Infant classroom, 1 door mats removed from classroom at the time of visit. Document complete correction in written response. Correct by 02/22/2024

Corrected Corrected by Feb 22, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ equipment.

Several small toys located under evacuation cribs. Correction: Immediately ensure evacuation equipment must not block exit routes. Nothing may be stored in or under any evacuation equipment. Document correction in written response. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Category: physical safety. 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.

2 portable climbers and 1 metal climber over 18" in fall height on the preschool playground lacking complete 6' use zones. Correction: Immediately ensure all equipment that requires a 6' use zone is made inaccessible to children until facility can ensure climbing equipment has minimum 6' use zone surrounding the equipment. Document correction in written response. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Category: physical safety. 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.

2 portable climbers and 1 metal climber over 18" in fall height on the preschool playground lacking minimum 6" resilient material throughout use zones and areas of frozen ground. Correction: Immediately ensure all equipment over 18" in height lacking required 6" resilient material is made inaccessible to children until facility can ensure climbing equipment has minimum 6" resilient material throughout use zone surrounding the equipment and ground is not frozen. Document correction in written response. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

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

2.230.C.3.a · Toddler climbing equipment must have a three (3) foot use zone surrounding the equipment. Toddler slides require a six (6) foot use zone extending out from the base of the slide. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Portable climber on toddler playground over 18" in height and lacking at least 3' use zone on all sides surrounding equipment. Correction: Immediately ensure portable climber is made inaccessible to children until facility can ensure at least 3' on all sides, and 6' use zone extending out from the base of the slide. Document correction in written response. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

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

2.230.C.3.b · The use zone for swings used by toddlers is determined by measuring the distance from the top of the swing to the bottom of the bucket seat. This measured distance must extend from both the front and the back of the swing.

Wooden beam and large boulder within use zone of swing set on the toddler playground, lacking required use zone. Correction: Immediately ensure swing set is made inaccessible to children. Immediately ensure use zone for swings used by toddlers is determined by measuring the distance from the top of the swing to the bottom of the bucket seat. This measured distance must extend from both the front and the back of the swing. Document correction in written response. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

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 documentation and identified facility lacking a written plan for continuity of operations in the aftermath of an emergency or disaster. Correction: Immediately ensure there is 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 02/22/2024

Corrected Corrected by Feb 22, 2024

Category: ratio. 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 8 staff files and identified Jordan lacking completed Trails clearance letter and working with FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children at the time of visit. Observed Jordan and Elyzae working together at the time of visit, and both lacking all required background checks completed prior to unsupervised 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 Jordan has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance for Jordan with written response to Specialist. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

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 8 staff files and identified Elyzae lacking completed out-of-state clearance letter and working with children at the time of visit. Observed Jordan and Elyzae working together at the time of visit, and both lacking all required background checks completed prior to unsupervised 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 Elyzae has reviewed the powerpoint within 24 hours. Submit documentation of out-of-state clearance letter for Elyzae with written response to Specialist. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Category: supervision. Marked corrected in the state record.

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Reviewed 8 staff files and identified Jamie and Kaylee lacking verification completed TRAILS clearance letter within the last 5 years. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Jordan has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance completed in the past 5 years for Jamie & Kaylee with written response to Specialist. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Category: background checks. 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 8 staff files and identified 4 staff lacking current medical statement and/or self-reported health history (Jamie, Kaylee, Jordan, and Nicole) updated annually. Correction: Ensure all staff 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. Document correction in written response. Correct by 03/23/2024

Corrected Corrected by Mar 23, 2024

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

2.207.E · A written policy regarding visitors to the center must be posted and a record maintained daily by the center that includes at a minimum the date, time, visitor's name, and the purpose of the visit. At least one (1) piece of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ identification must be inspected for individuals who are unknown to personnel at the center.

An individual present for an interview at the facility did not sign in as a visitor at the time of inspection. Correction: Immediately ensure a written policy regarding visitors to the center must be posted and a record maintained daily by the center that includes at a minimum the date, time, visitor's name, and the purpose of the visit. At least one (1) piece of identification must be inspected for individuals who are unknown to personnel at the center. Corrected at the time of visit. Individual was asked to sign in on the visitor log and did so before leaving. NO RESPONSE REQUIRED. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.