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.

Two (2) out of eleven (11) child files had expired health statements. Correction: Health statements must be updated within thirty (30) days of expiration. Submit written response to licensing specialist. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

Category: ratio. Marked corrected in the state record.

2.237.E · Combustibles such as cleaning rags, mops, and cleaning compounds must be stored in FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ well-ventilated areas, separated from flammable materials, and stored in areas inaccessible to children.

Cleaning supplies were stored in a cabinet in the Infant 2 room, the cabinet had a lock but at the time of visit was unlocked. Correction: Cleaning compounds must be stored inaccessible to children. Corrected at the time of visit by Lynda H. locking the cabinet. Nothing additional needed. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Marked corrected in the state record.

2.219.B.4 · Health statements for children over two (2) years of age to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule for routine well child exams.

One (1) out of eleven (11) child files were not updated as required by the AAP recommendation schedule. Correction: Health statements for children ages 2-7 years old must be updated as required by AAP guidelines. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

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

2.225.A · Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others.

SM1 in the orange room appeared frustrated with the children in their class. They were observed picking up, scooting in, and yelling NO! to children during lunch. SM1 appeared frustrated and did not use the moment as an opportunity to teach the children why they should be sitting. Correction: Guidance must be appropriate to the development of children. Submit written response to licensing specialist. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Marked corrected in the state record.

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

A toilet in the green room was broken and cracked, it was repaired and being held together with duct tape. Correction: Indoor furnishings must be safe and free of hazard. Submit written response to licensing specialist. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Category: physical safety. 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.

Two (2) container that hold toys on the playground were broken, and cracked creating sharp edges that could FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ pose as a hazard to children. Additionally, a loose jump rope was being used to hold a toy cabinet closed which could pose as a potential safety hazard to children. Correction: Outdoor areas must be checked daily and the staff must remove broken equipment & ensure the playground is safe and free of hazard. Submit written response to licensing specialist. Correct by 05/19/2025

Corrected Corrected by May 19, 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;

One (1) out of eleven (11) child files had an expire authorization for emergency medical care. Correction: An authorization for emergency medical care must be updated annually by the parent or guardian for their enrolled child. Submit written response to licensing specialist. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Category: health medication. 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.

Nikki S. is not required by rule to have CPR and First Aid but had an expired Basic First Aid module. Correction: Staff not required by rule to be CPR certified must complete a Basic First Aid module every two (2) years. Submit written response to licensing specialist. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

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.

Sherrie W., & Emily W. had an expired Standard Precautions training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Staff must annually complete a Department-approved Standard Precautions training. Submit written response to licensing specialist. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Sherrie W., had an expired Infant safe sleep training. Correction: Staff must annually complete a Department-approved Safe Sleep training. Submit written response to licensing specialist. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Category: physical safety. 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.

Sherrie W., had an expired child abuse prevention training. Correction: Staff must annually complete a Department-approved child abuse prevention training. Submit written response to licensing specialist. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 facility was missing tornado drills from April 2025, and March and April of 2024. Correction: Tornado drills must be completed monthly from March to October and record of drills in the last twelve (12) months must be available for review. Submit written response to licensing specialist. Correct by 05/19/2025

Corrected Corrected by May 19, 2025

Category: recordkeeping. Marked corrected in the state record.

2.225.A · Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others.

SM1 & SM2 in the Orange room have been observed yelling harshly at children on multiple occasions. Both staff have been observed to get in children's faces and scream, causing children to be intimidated. SM1 & SM2 will "fake" throw children on the floor and then lay them down gently while saying things like, "Oh no, you fell down" to get children to comply with classroom rules. Correction: Guidance must be appropriate for the child and used to teach social-emotional skills. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Marked corrected in the state record.

2.225.B · Children must not be subjected to physical or emotional harm, humiliation, or threats. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

SM1 has been observed pushing children off bikes on the playground when a child is not wearing a helmet, and then trying to use it as a teaching moment on why the child should be wearing a helmet. Correction: Children must not be subjected to physical harm. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

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

2.225.D · Guidance must not be associated with food, rest, or toileting. No child should be punished for toileting accidents. Food must not be denied to or forced upon a child as a disciplinary measure.

SM1 and SM2 refused two (2) children celebration cupcakes in the classroom for not having good behavior that day. Those two children were required to sit and watch their peers eat cupcakes. Correction: Guidance must not be denied as a disciplinary measure. Correct by 10/30/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Oct 30, 2024

Category: ratio. 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.

The name to face attendance sheets for Infant 1 and Orange room were not being utilized during transitions from the classroom to the multipurpose room where pictures were being taken. Correction: Written attendance verification must be completed during transitions. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Wipes & packages of diapers with, "keep out of reach" labels were accessible to children in low cubbies in the Orange room. Correction: Items labeled, "keep out of reach of children," must be inaccessible to children at all times. Corrected at the time of visit by Martha S. removing the diapers and wipes and placing them on a high shelf. Nothing additional needed. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Marked corrected in the state record.

2.229.K · Evacuation equipment must not block exit routes. Nothing may be stored in or under any evacuation FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ equipment.

A fitted sheet was stored underneath the evacuation crib in infant two. Correction: Nothing may be stored under evacuation equipment. Corrected at the time of visit by Emily moving the sheet and placing it in the laundry. Nothing additional needed. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

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

2.217.A.15.a · In other preschool age combinations, the maximum group size for the youngest child must be utilized if more than twenty percent (20%) of the group is composed of younger children. This does not apply to infants and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ toddlers. The group size for toddler groups is based on the youngest child in the group.

During the inspection, three (3) preschool classrooms were combined on the playground for a total of 24 children. Of the 24 children more than 4 children were under the age of four (4) years of age. Correction: When preschool rooms are combined the maximum group size of the youngest child must be utilized if more than twenty percent of the children are in the younger age group. Correct by 10/07/2024

Corrected Corrected by Oct 7, 2024

Category: ratio. Marked corrected in the state record.

2.212.E · When caring for children, staff must refrain from the personal use of electronics including, but not limited to, cell phones and portable electronic devices.

It was determined through reports and interviews that staff were observed to be using their personal electronics for personal use while caring for children. Correction: Staff must refrain from the use of personal electronics while caring for children. Correct by 10/07/2024

Corrected Corrected by Oct 7, 2024

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.

Hailey W. had an expired child abuse prevention training. Correction: Staff must annually complete a department-approved training about child abuse prevention. Correct by 08/22/2024

Corrected Corrected by Aug 22, 2024

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the center.

Three (3) out of twelve (12) child files were missing health care provider signatures on their physicals. Correction: Parents must annually submit a health care statement for their enrolled child that is signed and dated by a health care professional. Correct by 09/21/2024

Corrected Corrected by Sep 21, 2024

Category: ratio. Marked corrected in the state record.

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

One child file reviewed, enrollment date 6/19/23 to be missing a health statement or written verification of a scheduled appointment within 30 days of admission. Correction: Obtain and update child file with required documentaiton. Submit written reponse to specialist. Correct by 09/29/2023

Corrected Corrected by Sep 29, 2023

Category: ratio. Marked corrected in the state record.