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.

Missing current health and fire inspections Correction: obtain documentation of current and approving health and fire inspection. Correct immediately and respond with verification of compliance by 8/18/2025. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

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

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 3 staff files and observed all files to be missing medication administration delegations. Correction: At least one staff member with current department-approved medication administration training and delegation must be on duty at all times. Correct immediately and respond with verification of compliance by 8/18/2025. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

Category: ratio. Marked corrected in the state record.

2.508.D · Within (30) calendar days of employment all staff members and regular volunteers must complete 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 know child abuse or neglect. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 3 staff files and observed director Chris (DOH 6/30/20) and Bada's (DOH 6/1/21) files to be missing a current department-approved training about child abuse prevention. Correction: Obtain documentation of current department-approved training about child abuse prevention. Correct immediately and respond with verification of compliance by 8/18/2025. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.I · Within ninety (90) calendar days of employment, all program directors must complete the Department-approved training: Working with an Early Childhood Mental Health Consultant. This course is required once (1 time) and will be counted towards ongoing training requirements.

Reviewed 3 staff files and observed director Chris's (DOH 6/30/20) file to be missing department-approved training: working with an early childhood mental health consultant. Correction: Obtain documentation of completed department-approved training: working with an early childhood mental health consultant. Correct within 30 days and respond with verification of compliance by 8/18/2025 Correct by 08/18/2025

Corrected Corrected by Aug 18, 2025

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

2.508.J · Within ninety (90) calendar days of employment, all program directors must complete the Department-approved training: Introduction to Child Care Health Consultation. This course is required once (1 time) and will be counted towards ongoing training requirements.

Reviewed 3 staff files and observed director Chris's (DOH 6/30/20) file to be missing department-approved training: Intro to Child Care Health Consultation. Correction: Obtain documentation of completed department-approved training: Intro to Child Care Health Consultation. Correct within 30 days and respond with verification of compliance by 8/18/2025. Correct by 08/18/2025

Corrected Corrected by Aug 18, 2025

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

2.509.G.2.d · All Department-approved Child Care Health Consultants must meet one of the following qualifications and have documentation available for review: All Child Care Health Consultants must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course annually.

Reviewed the nurses file and observed it to be missing a current immunization training. Correction: Obtain documentation of nurse's current immunizations training. Correct within 30 days and respond with verification of compliance by 8/18/2025. Correct by 08/18/2025

Corrected Corrected by Aug 18, 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 3 staff files and observed Aide Stephanie's (DOH 1/1/23) file to be missing an 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 staff member Stephanie has reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for staff member Stephanie with written response to the Specialist by 8/18/2025. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

Category: supervision. Marked corrected in the state record.

2.512.B.2 · Schools are required to comply with the immunization requirements as stated in 6 CCR 1009-2. Documentation of school-required immunization status or Certificate of Medical or Nonmedical Exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment (CDPHE) Certificate of Immunization or on an “approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ alternate” Certificate of Immunization. Colorado law requires proof of immunization status or exemption be provided prior to or on the first (1st) day of admission. Colorado Department of Public Health and Environment regulation at 6 CCR 1009-2:VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at https://www.coloradosos.gov/CCR/Welcome.do. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

Reviewed 4 child files and observed immunizations for ch2, ch3, and ch4's to be missing or have immunizations on the incorrect form. Correction: Obtain documentation of immunizations on the an approved form for all children enrolled. Correct within 30 days and respond with a statement of compliance by 8/18/2025. Correct by 08/18/2025

Corrected Corrected by Aug 18, 2025

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

2.513.J · If a medication is expired or left over, the parent(s) or guardian(s) are responsible for picking up the medication. If the parent(s) or guardian(s) do not respond, the center must dispose of the medications in accordance with 6 CCR 1007-2, Part 1, Regulations Pertaining to Solid Waste Sites and Facilities (March 30, 2024) and 6 CCR 1007-3, Parts 99 (June 30, 2018), 100 (July 15, 2020) and 260-265 (July 15, 2023), 266 (June 30, 2014), 267 (March 30, 2024), and 268 (July 15, 2023), and as required by the Colorado Department of Public Health and Environment (CDPHE) https://cdphe.colorado.gov/colorado-medication-take-back-program (2023), herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from CDPHE at https://www.sos.state.co.us/CCR. The recommendations are available at no cost from CDPHE at https://cdphe.colorado.gov/hm/prep-med-waste-disposal and https://cdphe.colorado.gov/colorado-medication-take-back-program. These regulations and recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

Reviewed 1 health care plan and observed one expired medication. Correction: If a medication is expired or left over, the parent(s) or guardian(s) are responsible for picking up the medication. If the parent(s) or guardian(s) do not respond, the center must dispose of the medications in accordance with 6 CCR 1007-2, Part 1. Correct immediately and respond with a statement of compliance by 8/18/2025. Correct by

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.514.A · The center must obtain written authorization and instructions from the parent(s) or guardian(s) for the application of sunscreen or the use of another form of parent(s) or guardian(s) approved sun protection with a full-spectrum UVA/UVB rating of SPF thirty (30) or greater to their children's exposed skin prior to outside play year-round. A health care provider’s permission is not needed to use sunscreen at the center.

Reviewed 4 child files and observed ch2's file to be missing a current sunscreen authorization. Correction: Obtain current authorization for the use of sunscreen for all children enrolled in the program. Correct immediately and respond with verification of compliance by 8/18/2025. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

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

2.519.A · Television viewing, including videos, should not be permitted without the approval of a child's parent(s) or guardian(s), who must be advised of the center's policy regarding television and video viewing.

Reviewed 4 child files and observed ch2's file to be missing a current media authorization. Correction: obtain documentation of current media authorization for all children enrolled. Correct within 30 days and respond with verification of compliance by 8/18/2025. Correct by 08/18/2025

Corrected Corrected by Aug 18, 2025

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 authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 4 child files and observed ch1, ch2, and ch4's files to be missing a current authorization for emergency medical care. Correction: Obtain documentation of current authorization for emergency medical care for all children enrolled. Correct immediately and respond with verification of compliance by 8/18/2025. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

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

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

In the unlocked staff lounge, observed a container of "clorox" disinfectant wipes to be accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Corrected at time of visit-staff moved item high and out of reach of children on 7/18/2025. No response required. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

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 5 staff files and observed Aide Rena's file to be missing a Trails clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Staff member Rena has reviewed the powerpoint within 24 hours. Type text here Submit documentation of TRAILS Clearance Letter for staff member Rena with written response to Specialist by 8/22/2024. Correct by 08/15/2024

Corrected Corrected by Aug 15, 2024

Category: supervision. 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 5 staff files and observed Aides Rena and Haumed's files to be missing CBI Clearance letters Observed Aide Rena's file to be missing FBI Clearance letter. 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 staff members Rena and Haumed have reviewed the powerpoint within 24 hours. Submit documentation of (CBI/FBI Clearance Letters) for staff members Rena and Haumed with written response to Specialist by 8/22/2024. Correct by 08/15/2024

Corrected Corrected by Aug 15, 2024

Category: supervision. Marked corrected in the state record.

2.127.A · At all times during the operating hours of the facility, except for foster care homes, the facility/agency must post the current child care license in a prominent and conspicuous location easily observable by those entering the child care facility.

Missing Current license sticker Correction: Obtain 2025 sticker for license. Correct immediately and respond with verification of compliance by 8/22/2024. Correct by 08/15/2024

Corrected Corrected by Aug 15, 2024

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 5 staff files and observed all files to be missing training in fire safety and the use of available fire extinguishers and fire alarms. Correction: All staff must be trained in fire safety and the use of available fire extinguishers and fire alarms. Correct immediately and respond with verification of compliance by 8/22/2024. Correct by 08/15/2024

Corrected Corrected by Aug 15, 2024

Category: recordkeeping. 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 often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Missing drill log Correction: Emergency drills, lock down and active shooter on premises drills must be held at least quarterly but 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. Correct immediately and respond with a plan for ongoing compliance by 8/22/2024. Correct by 08/15/2024

Corrected Corrected by Aug 15, 2024

Category: recordkeeping. Marked corrected in the state record.

2.507.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 5 staff files and observed all files to be missing training on the center's policies and procedures for the administration of medications. Correction: Staff members must sign a statement indicating that they have read and been trained on the center's administration of medications policies and procedures. Correct immediately and respond with verification of compliance by 8/22/2024. Correct by 08/15/2024

Corrected Corrected by Aug 15, 2024

Category: ratio. Marked corrected in the state record.