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.

In RM 7B (Toddlers), Pom-Poms accessible to chidlren in the sensory bin, posing a potential hazard. Correction: Choke hazards must be inaccessible to children. CORRECTED AT THE TIME OF THE INSPECTION. Staff removed the pom-poms from the sensory bin. No response required. Correct by 10/29/2025

Corrected Corrected by Oct 29, 2025

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

2.209.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: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 32 child files and identified 5 children's parental written authorization for emergency medical care to be expired. Correction: The authorization must be updated annually. Submit a written statement of compliance to specialist. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: health medication. 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 34 staff files and identified Janis A. with expired Standard Precautions training. Correction: The training must be completed annually. Submit a written statement of compliance to specialist. Correct by

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

Reviewed emergency drills and identified that no fire drills were conducted for Jan, Feb, Apr, May and no Tornado drills were conducted for March, May, June. Correction: Fire drills must be completed monthly and Tornado drills must be completed monthly from March thorugh October. Submit a written statement of compliance to specialist Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: recordkeeping. Marked corrected in the state record.

2.220.B.4 · The written order by the person with prescriptive authority shall include: Name of medication and dosage.

In Room 7A, the dosage for one child's emergency medication not matching the written plan from the health care provider Correction: The dosage on emergency medication must match the written plan. Submit a written statement of compliance to specialist. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

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

2.220.D · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

One child's over the counter medication in Room 7A and one child's over the counter medication in Room 7B not labeled with first and last name. Correction: Over the counter medication must be labeled with child's first and last name. CORRECTED AT THE TIME OF

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.

In Room 7A and Room 7B, staff did not complete written attendance verification during transition from the classroom to outside and from water play to the classroom. Additionally it was identified through attendance sheet that written attendance verification was not completed in any of the classrooms. Correction: Staff must complete written attendance verification throughout the day, including transitions. Submit a written statement of compliance to specialist. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: recordkeeping. 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.

In Room 6, small pieces of interlocking building manipulative accessible to children under 3 years of age. Correction: Choke hazards must be inaccessible to children under 3 years of age. CORRECTED AT THE TIME OF THE INSPECTION. Director removed the material from the classroom. No response required. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

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

7.702.71.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.

At the time of the visit observed coloring markers, glue sticks, and glue bottles on a low shelf accessible to children under the age of 3 years in Room #6. All items have small lids that can pose a choking hazard for children under the age of 3 years. Correction: Toys, toy parts, furnishings, equipment, and any materials accessible to children under than 3 years of age must not be a choke hazard or able to be inhaled. **Corrected at the time of the visit, a staff member removed all items and made them inaccessible to children. No need for a written statement of compliance to be submitted. Correct by 10/09/2023

Corrected Corrected by Oct 9, 2023

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

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

At the time of the visit observed 2 shaving cream bottles labeled "keep out of reach of children" in an unlocked cabinet underneath the sink accessible to children in Room #5. Correction: Items labeled “keep out of reach of children” must be inaccessible to children. **Corrected at the time of the

Open Not marked corrected in the state record

Open / not marked corrected.

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

Observed a broken plastic bucket can pose a safety hazard for children accessible to children in the Preschool playground. Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. **Corrected at the time of the visit, a staff member removed the item and made it inaccessible to children. No need for a written statement of compliance to be submitted. Correct by 10/09/2023

Corrected Corrected by Oct 9, 2023

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

7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 12 staff members' files, one file (Emily A.) is lacking documentation of the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. Correction: Review all staff members' files, ensure all files have documentation of the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. Submit documentation with the written statement of compliance. Correct by 11/09/2023

Corrected Corrected by Nov 9, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed 12 staff members' files, one file (Emily A.) is lacking documentation of the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. Correction: Review all staff members' files, ensure all files have documentation of the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. Submit documentation with the written statement of compliance. Correct by 11/09/2023

Corrected Corrected by Nov 9, 2023

Category: recordkeeping. Marked corrected in the state record.