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 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 June and July 2024 fire and tornado drills Correction: Fire drills must be held monthly and tornado drills must be held monthly from March through October. Correct immediately and respond with a plan for ongoing compliance by 6/9/2025. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ renewed annually and may count towards ongoing training requirements.

Reviewed 3 staff files and observed Director Megan's (DOH 9/19/22) file to be missing a current department-approved training about child abuse prevention. Correction: Obtain documentation of current department-approved training about child abuse prevention for all staff working with children. Correct immediately and respond with verification of compliance by 6/9/2025. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

Category: recordkeeping. Marked corrected in the state record.

2.127.D · All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

Missing capacity posting in all rooms except the cafeteria. Correction: Capacity and staff to child ratio must be posted in all licensed spaces. Correct immediately and respond with a plan for ongoing compliance by 6/9/2025. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

Category: ratio. 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.

Facility missing a current fire inspection (expired 12/9/2024) Correction: Obtain documentation of a current fire inspection. Correct immediately and respond with verification of compliance by 6/9/2025. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 3 staff files and observed Lead Sarah's file (DOH 5/7/2024) to be missing a department-approved training in emergency and disaster preparedness. Correction: Obtain documentation of a completed department-approved training in emergency and disaster preparedness for all staff caring for children. Correct immediately and respond with verification of compliance by 6/9/2025. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.A · Prior to working with children all staff members must complete a Department-approved standard precautions training. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 3 staff files and observed Director Megan (DOH 9/19/22) and Lead Sarah's (DOH 5/7/24) files to be missing a current department-approved standard precautions training. Correction: Obtain documentation of department-approved standard precautions training for all staff working with children. Correct immediately and respond with verification of compliance by 6/9/2025. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 80246, during regular business hours..

Reviewed two health care plans and observed two medications to be expired. 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. Correct immediately and respond with a statement of compliance by 6/9/2025. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

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

2.508.F · For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member who holds current Department-approved First Aid and Safety certification including CPR for all ages of children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR certified staff member at each location.

Reviewed 3 staff files and observed Director Megan (DOH 9/19/22) and Lead Sarah's (5/7/24) files to be missing a current department-approved first aid and safety certification including CPR for all ages of children of all ages. Correction: For every thirty or fewer children in attendance, there, must be at least one staff member who holds a current department-approved first aid and safety certification including CPR for all ages of children. Correct immediately and respond with verification of compliance by 6/9/2025. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

Category: ratio. Marked corrected in the state record.

2.508.G · Within ninety (90) calendar days of employment all staff must complete the Department-approved course in injury prevention for school-age children. This training is required once (1 time) and will count toward ongoing training requirements.

Reviewed 3 staff files and observed Lead Sarah's (DOH 5/7/24) file to be missing the department-approved course in injury prevention for school-age children. Correction: Obtain documentation of completed department-approved course in injury prevention for school-age children for all staff. Correct within 30 days and respond with verification of compliance by 6/9/2025. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

Category: recordkeeping. Marked corrected in the state record.

2.514.A · The center must obtain written authorization and instructions from the parent(s) or guardian(s) for the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 8 child files and observed ch1 and ch8's files to be missing a current sunscreen authorization. Correction: Obtain a current written sunscreen authorization for all children. Correct immediately and respond with verification of compliance by 6/9/2025. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

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

2.530.A.6 · 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: A health history including any health care plans, which indicates communicable diseases, and chronic illnesses or injuries the individual has had, immunization record or exemption status, any known drug reactions or allergies, medications being taken, and any necessary health procedures or special diet needs;

Reviewed 8 child files and observed ch2 to be missing an immunization record and ch3, ch4, ch6, and ch7's files to be missing an immunization record on an approved form. Correction: Obtain documentation of current immunizations on an approved form for all children. Correct immediately and respond with a statement of compliance by 6/9/2025. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

Category: health medication. 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 8 child files and observed ch5's file to be missing a current emergency medical authorization. Correction: Obtain a current emergency medical authorization for all children. Correct immediately and respond with verification of compliance by 6/9/2025. Correct by 05/09/2025

Corrected Corrected by May 9, 2025

Category: health medication. 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 posting of a current license in prominent and conspicuous location (Expired as of 9/2023) Correction: A current license must be posted in a prominent and conspicuous location. Correct immediately and respond with verification of compliance by 6/20/2024. Correct by 06/13/2024

Corrected Corrected by Jun 13, 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 6 staff files and observed lead Diya and Aide Valerie's files to be missing Department approved training in emergency disaster preparedness. Correction: Prior to caring for children, all staff must complete a State Department-approved training in Emergency and disaster preparedness. Correct immediately and respond with verification of compliance by 6/20/2024. Correct by

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.507.I · All staff members must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 6 staff files and observed Aide Diya's file to be missing Department-approved standard precautions training. Correction: All staff members must complete a Department-approved standard precautions training prior to working with children. Correct immediately and respond with verification of compliance by 6/20/2024. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

Category: recordkeeping. Marked corrected in the state record.

2.507.L · All staff members and regular volunteers must complete a Department-approved training about child abuse prevention, including common symptoms and signs of child abuse within (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 6 staff files and observed Director Taylor (DOH 2/15/19) and Lead Diya (DOH 6/4/23) to be missing Department-approved training about child abuse prevention in their files. Correction: Obtain documentation of Department approved training about child abuse prevention for all staff who have been employed for longer than 30 days. Correct immediately and respond with verification of compliance by 6/20/2024. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

Category: recordkeeping. Marked corrected in the state record.

2.512.A.1.b · At the time of enrollment, the parent(s)/guardian(s) must provide for each child entering the center: 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 Certificate of Immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment regulation at 6 CCR FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 6 child files and observed Ch1 and Ch6 to be missing immunization cards on the Department-approved form. Correction: Obtain documentation of immunization on the Department-approved form for all children enrolled in the program. Correct immediately and respond with a statement of ongoing compliance by 6/20/2024. Correct by 06/13/2024

Corrected Corrected by Jun 13, 2024

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

7.712.42.B · . Program Leaders -Each program leader must be at least 18 years of age, demonstrate ability to work with children, and must meet the following qualifications:

Raenash G, and Jasmine G. , acting a Program Leaders and to be missing documentation of qualifications. Correction: Program Leaders must have documentation of qualifications. Correct immediately and submit documentation with written statement of compliance to specialist. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

Marked corrected in the state record.

7.712.41.K · All staff members must complete a building and physical premises safety training prior to working FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ with children. The training must include:

Reviewed 7 staff files and identified all staff to be missing a Building and Physical Premises training. Correction: All staff must complete the Building and Physical Premises training. Correct immediately and submit a written statement of compliance to specialist. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. 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 State Department-approved training

Reviewed 7 staff files and identified Megan M, RaeNash G, and Jasmine G. to be missing the Emergency and Disaster Preparedness training. Correction: All staff must complete the Emergency and Disaster Preparedness training. Correct immediately and submit training certifications with written statement of compliance to specialist. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.100.F.2 · . 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 established routine. Fire drills must be held monthly and be consistent with local fire department procedures. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 Emergency Drills and identified documentation for Fire Drill in June 2023 and Lock-down drill for July 2023. Correction: Fire drills must be held monthly, tornado drills must be held monthly from March through October and Emergency lock downs must be held at least quarterly. Correct immediately and submit a written statement of compliance to specialist. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.33.J.1.a.b.c · 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-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check

Reviewed 7 staff files and identified Diya P. and Ramiyah G. to be missing the Out-of-State checklist, indicating state of residence in the past 5 years. Correction: All staff must have the Out-of-State checklist completed. ***CORRECTED AT THE TIME OF INSPECTION*** Both staff completed the checklist. No response required. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

Category: supervision. Marked corrected in the state record.

7.712.41.J · All staff members must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and may count towards ongoing training requirements.

Megan M. to be missing the Standard Precautions training. Correction: All staff must complete the Standard Precautions annually. Correct immediately and submit training certificate with written statement of compliance to specialist. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

Category: recordkeeping. Marked corrected in the state record.

7.712.42.G.3 · All employees caring for children, not required by rule to be certified in First Aid and CPR, must complete a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years.

Jasmine Genteman, not required by rule to be First Aid/CPR certified to be missing First Aid/CPR Module. Correction: All staff who are not required by rule to be First Aid/CPR certified must complete the Module. Correct immediately and submit certification with written statement of compliance to specialist. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

Marked corrected in the state record.

7.712.73.A.3 · Volatile substances, such as gasoline, kerosene, fuel oil, and oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

Staff personal bags; many bottles of sunscreens and lotions labeled "keep out of reach of children"; and adult scissors in the cafeteria, accessible to children, posing a potential hazard. Correction: Hazardous items must be inaccessible to children. ***CORRECTED AT THE TIME OF THE INSPECTION*** Staff placed all hazardous items to an area inaccessible to children. No response required. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

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

7.712.73.A.7 · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe and free of hazards.

Protective surfacing not meeting 6 inches in depth in the use zone of the the slide and under the swings. Additionally, temporary fencing is installed next to the slide, not meeting the required fall zone. Correction: Outdoor equipment must be safe and free of hazards. Correct immediately and submit a written statement of compliance to specialist. Correct by 07/19/2023

Corrected Corrected by Jul 19, 2023

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

7.712.82.A · . The center office must maintain a record for each staff member that includes the following:

Program missing a record for staff members Diya P., Ramiyah G. and Alliyah G. Background checks were maintained for all 3 staff members. Correction: A record must be maintained for all staff with as listed in 7.712.82. A.1, 2, 3, 4, 5, 8. Submit a written statement of compliance to specialist. Correct by 08/19/2023

Corrected Corrected by Aug 19, 2023

Category: background checks. Marked corrected in the state record.