2.212.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

While on the playground a staff member was supervising children and allowing and encouraging them to climb up the slide. Correction: Staff must demonstrate knowledgeable decision-making when caring for children. Correct by 09/24/2024

Corrected Corrected by Sep 24, 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.

Stephanie H. had a TRAILS clearance letter, however it was not within the last five (5) years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Stephanie H. have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for Stephanie H. with written response to Specialist. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

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

2.213.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Madison H., had an expired Introduction to First AId and CPR module. Correction: Every two (2) years staff not required to be certified in CPR and First Aid must complete a

Open Not marked corrected in the state record

Open / not marked corrected.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Stephanie H. had an FBI clearance letter, however it was not within the last five (5) years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Stephanie H. have reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letter for Stephanie H. with written response to Specialist. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

Category: background checks. 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

All staff files reviewed did not have verification that they had been training in fire safety. Correction: Every staff member must be trained in fire safety and the use of fire extinguishers. Correct by 09/24/2024

Corrected Corrected by Sep 24, 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 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.

The documentation for emergency drills was missing Tornado drills for July and August and only one (1) shelter in place drill has been completed in the last twelve (12) months. Correction: Emergency drills must be completed quarterly and tornado drills completed monthly from March to October. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

Category: recordkeeping. 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;

Six (6) out of fifteen (15) child files were missing or had expired authorizations for emergency medical care. Correction: Parents must annually submit written authorization for emergency medical care for their enrolled child. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

Category: health medication. 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.

Jenevieve G., Alysa H., and Abigail F., had not yet obtained health statements. Correction: Staff must submit a health statement signed and dated by a health care provider within thirty (30) days of hire. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

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

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

All staff files reviewed did not have verification that they had been training on the center's policies for the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ administration of medications. Correction: Staff must sign a statement indicating they have read and been trained on the center's administration of medication policy. Correct by 09/24/2024

Corrected Corrected by Sep 24, 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.

The program was unable to locate Janice D. 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 Janice D. have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for Janice D. with written response to Specialist. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

Category: supervision. Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using 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 known child abuse or neglect. This training must be renewed annually.

Molly, a regular volunteer had not yet completed a child abuse prevention training. Correction: Regular volunteers must complete a Department-approved training about child abuse prevention. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Daniella S., Alannah A., Carrisa H., Samantha K., and Adrianna B., had not yet completed one hour of child development training. Correction: Staff must completed at least one (1) hour of child development training within ninety (90) days of hire. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: recordkeeping. Marked corrected in the state record.

2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

Through conversations and child transition sheets it was determined that the max group size in the Lil Cubs room is often exceeded by one or two children. Correction: The max group size for toddlers ages 12 - 24 months is 10 children and must be followed at all times. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

Category: ratio. Marked corrected in the state record.

2.217.A.15.d · The licensed room capacity must not be exceeded at any time.

The licensed capacity for the Elmos room is nine children, at the time of inspection the program had 10 children with the potential of 13 children that day. Correction: The licensed room capacity must not be exceeded at any time. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

Marked corrected in the state record.

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.

Staff members in the Pooh and Cookie Monsters room were unaware of how many children they had during FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the licensing inspection. Correction: Staff must complete written attendance verifications throughout the day. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

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 chain link fence on the toddler playground had protruding sharp edges on the bottom accessible to children. Additionally a watering hose was hanging off the fence onto the ground on the preschool playground potentially creating a tripping hazard. Correction: Outdoor play areas must be kept safe and free from hazard. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

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

2.219.B.1 · At the time of admission, 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 rules located in 6 CCR 1009-2 rule section 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 www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

One (1) out of fifteen (15) child files was missing an immunization record. Correction: Prior to the first day parents/guardians must submit a statement of immunization for their enrolled child. Correct by 09/24/2024

Corrected Corrected by Sep 24, 2024

Category: health medication. 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.

Eight (8) out of fifteen (15) child files had missing or expired health statements. Correction: Within thirty days of enrollment or expiration parents/guardians must submit an updated statement of health for their enrolled child that is signed and dated by a health care professional. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: ratio. Marked corrected in the state record.