2.233.C.1 · If the toddler program is in the same building as a facility caring for children of other ages, the toddler program must be physically separated in different rooms by walls no less than eight (8) feet and full doors.

Observed the top half of the wooden, dutch door to the Toddler classroom was open during the inspection. Identified Toddlers have to pass through the Preschool classroom to access the multipurpose room "The Ballroom". Correction: Immediately ensure the toddler program is physically separated from preschool aged children, at all times, by walls no less than 8 feet and full doors at. Submit a general hardship waiver regarding the only existing route to "The

Open Not marked corrected in the state record

Open / not marked corrected.

2.212.N · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures

Reviewed seven staff files. Observed no evidence of any of the staff members signing a statement indicating they have read and have been trained on the center's administration of medications policies and procedures. Correction: Immediately obtain and maintain documentation of all staff signing a statement indicating they have read and have been trained on the center's administration of medications policies and procedures. Correct by 04/24/2025

Corrected Corrected by Apr 24, 2025

Category: ratio. Marked corrected in the state record.

2.229.E · Thumb tacks must not be used in areas accessible to children less than three (3) years of age.

Several thumb tacks on a bulletin board and wall near a window in the Toddler classroom. Correction: Immediately ensure thumb tacks are not used in areas accessible to children less than 3 years of age. Correct by 04/24/2025

Corrected Corrected by Apr 24, 2025

Marked corrected in the state record.

2.227.C.9 · Drivers must complete a minimum of four (4) hours of Department-approved driver training. The Department’s approval will be based on the review of a training curriculum that includes at a minimum: behind the wheel training; participant transport attendance procedures including taking attendance at the destination; managing behavioral issues; loading and unloading procedures; daily vehicle inspection procedure; proper tire inflation; emergency equipment and how to use it; accident procedures; passenger illness procedures; procedures for backing up; and vehicle evacuation.

Identified through discussion with the Director, the Director transports a few of the children who will be heading off to Kindergarten in the fall to visit one of the local Elementary Schools children will be attending. Identified the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Director's personal vehicle is used for this field trip. Observed no evidence of the Director completing 4 hours of Department approved driver training. Correction: Immediately obtain and maintain documentation of completion of driver training in personnel file. Submit documentation to Licensing Specialist along with the final written response. Correct by 04/24/2025

Corrected Corrected by Apr 24, 2025

Category: transportation. Marked corrected in the state record.

2.124.A.3.b · Changes to a License Requiring Written Notification to the Department Prior to Department Approval - Changes in the physical facility or use of rooms for child care at a facility.

Upon arrival, around 10:03 a.m., observed children utilizing "The Ballroom", which is a room adjacent to the Preschool classroom. Identified "The Ballroom" is used as a multipurpose room for all ages of children enrolled, especially during inclement weather. Observed no evidence of the Department approving the use of this room for child care. Identified program staff do not treat this space as a "field trip". Correction: Immediately ensure to obtain Department Approval before using any space which is not licensed. Correct by 04/24/2025

Corrected Corrected by Apr 24, 2025

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

Upon arrival, around 10:03 a.m., identified a toddler aged child was sleeping in the Toddler classroom unsupervised. Observed one of the two assigned Toddler teachers organizing items in the main entryway of the facility, and the other Toddler teacher was in the multipurpose room, "The Ballroom". Correction: Immediately ensure all children are under the direct supervision, at all times, of a qualified adult who has been assigned the responsibility to supervise. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 04/24/2025

Corrected Corrected by Apr 24, 2025

Category: supervision. Marked corrected in the state record.

2.206.B.17 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedures followed when a child is picked up from the center after the center is closed or not picked up at all, and to ensure that all children are picked up before the staff leave for the day;

Reviewed Center's policies and procedures ("Parent Handbook"). Observed no evidence of procedure ensuring that all children are picked up before the staff leave for the day. Correction: Update "Parent Handbook" to include procedure to ensure that all children are picked up before the staff leave for the day. Correct by 05/24/2025

Corrected Corrected by May 24, 2025

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

No evidence of staff members completing training in fire safety and the use of available fire extinguishers and fire alarms, in all seven staff files reviewed. Correction: Immediately obtain and maintain documentation of training completion in personnel files. Correct by 04/24/2025

Corrected Corrected by Apr 24, 2025

Category: recordkeeping. Marked corrected in the state record.

2.134.A · All child care providers must have a written plan for: evacuating and safely moving children to an alternate site; lockdown; shelter in place; and an active shooter on premises. The plan must include provisions for multiple types of hazards, such as floods, fires, tornadoes, and active shooter situations. The plan must be updated as changes occur and reviewed annually. All employees of a child care provider must also be annually trained on the provider’s written plan prior to caring for children, and retrained as changes occur.

Two out of the seven staff files reviewed contained evidence of staff completing training on site specific emergency plans in 2022. Observed no evidence of all staff completing annual training on site specific emergency plans. Correction: Immediately obtain and maintain documentation of training completion in personnel files. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 04/24/2025

Corrected Corrected by Apr 24, 2025

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 4/11/25 fire inspection report indicating 3 "fail" items. Observed no evidence of a current, approving fire inspection report. Correction: Obtain and maintain documentation of a current, approving fire inspection report. Submit approving report to Licensing Specialist along with final, written response. Correct by 05/24/2025

Corrected Corrected by May 24, 2025

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

2.138.A · Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Reviewed provider's emergency drill logs noting drills held over the past 12 months. Observed no evidence of a fire drill being conducted in May and June 2024 and January 2025. Observed no evidence of any tornado/severe weather drills being conducted. Observed one emergency, one lockdown and one active shooter drill held in August 2024. Correction: Immediately conduct all required emergency drills and maintain documentation of drills conducted. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 04/24/2025

Corrected Corrected by Apr 24, 2025

Category: recordkeeping. Marked corrected in the state record.

2.230.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

A gap between the wooden gate entering the Toddler playground and the ground. This gap measured approximately 6 inches in height, which could be a potential entrapment hazard. Correction: Immediately ensure staff identify hazardous, high-risk areas and those areas must be made inaccessible to children to reduce the possibility of injuries and accidents. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 04/24/2025

Corrected Corrected by Apr 24, 2025

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.

Licensing Specialist measured the use zone of all climbing equipment on the playgrounds. The use zones extending out from base of three of the slides on the Toddler playground measured between 49 - 52 inches. Observed no evidence of a six foot use zone extending out from the base of these three slides. Correction: Immediately ensure toddler slides have a six foot use zone extending out from the base of the slide at all times. Correct by 04/24/2025

Corrected Corrected by Apr 24, 2025

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