2.210.A · A record must be maintained, either written or electronic, for each staff member that includes the following:

Reviewed 8 staff files and observed there to be 1 additional staff member, Andrea to be missing a file. Correction: A record must be maintained for each staff member that includes all required items. Obtain documentation of required information and add to file on site. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Category: recordkeeping. Marked corrected in the state record.

2.230.E · Children must wear helmets when riding scooters, bicycling, skateboarding, or rollerblading. The helmet must be removed after the activity. Motorized riding toys are not permitted.

Identified through Director's statement that children riding strider bikes ( 2 wheels) do not wear helmets while riding. Strider bikes are in the West toddler out door play yard. Correction: Children must wear helmets when riding scooters and bicycles. Immediately ensure children wear helmets, or make strider bikes inaccessible to children. Corrected at the time of inspection. Director removed the strider bikes from the play yard, making them inaccessible to children 11/20/2024. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Marked corrected in the state record.

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

A climbing wall on a climbing structure on the West toddler outdoor play space measuring approximately 3 feet in height to be missing resilient material in the use zone. Correction: All climbing equipment 18 inches or higher must have resilient material of at least 6 inches in the use zone. Correct immediately, or make inaccessible to children. Submit a written statement of compliance to specialist with response form Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Category: physical safety. 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.

A small magnet use to display items on a white board by the door in the West Toddler room posing a potential choke hazard, accessible to children. Correction: Toys, toy parts, furnishings, equipment, and any materials accessible to children under 3 years of age must not be a choke hazard. Correct immediately. Corrected at the time of inspection. Director removed magnet from the classroom 11/20/2024. No response required for this violation. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

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

2.229.E · Thumb tacks must not be used in areas accessible to children less than three (3) years of age.

Several thumb tacks used to display items on a bulletin board in the East Preschool room, accessible to children less than 3 years of age. Correction: Thumb tacks must not be used in areas accessible to children less than 3 years of age. Correct immediately. Corrected at the time of inspection. Director removed all thumb tacks from the classroom 11/20/2024. No response required for this violation. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Marked corrected in the state record.

2.220.K · Topical preparations such as petroleum jelly, diaper rash ointments, sunscreen, insect repellent, and other ointments may be administered to children with written authorization from the parent(s)/guardian(s). These preparations may not be applied to open wounds or broken skin unless there is a written order by the prescribing health care provider.

Reviewed 5 children's files and observed 5 files to be missing documentation of sunscreen/ ointment authorizations. Correction: Obtain documentation of written authorization from parents for sunscreen / ointments and add to files. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Category: ratio. Marked corrected in the state record.

2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Reviewed 8 staff files an observed there to be no staff members with current immunizations training. Correction: Staff responsible for collection, review, and maintenance of immunizations must complete the Colorado Department of Public Health and Environment immunizations training. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

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

2.213.K · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development.

Reviewed 8 staff files and observed Jennifer K to be missing documentation of Introduction to Child Care Health Consultation training. Identified through Director's statement that Jennifer K fills in when Director is off site. Correction: Obtain documentation of Department approved training: Introduction to Child Care Health Consultation and add to file. Submit a written statement of compliance to specialist with response form. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

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

2.213.J · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Working with an Early Childhood Mental Health Consultant. This course is required once and will be counted towards ongoing professional development.

Reviewed 8 staff files and observed Jennifer K to be missing documentation of Working with an Early CHildhood Mental Health Consultant training. Identified through Director's statement that Jennifer K fills in when Director is off site. Correction: Obtain documentation of the Department approved training: Working with an Early Childhood Mental Health Consultant and add to file. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

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

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 8 staff files and observed Ana to be missing documentation of current Shaken Baby/ Abusive Head trauma training. Correction: Obtain documentation of current Department approved Shaken Baby/ Abusive Head trauma training and add

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

Reviewed 8 staff files and observed Carrie, Jennifer K, Kaleigh, Becky, Sherri, Bianca, Jenny, and Ana to be missing documentation of a signed statement indicating that they have read and have been trained on the center's administration of medications policies and procedures. Correction: Obtain documentation of a signed statement that staff have read and been trained in the center's medication administration policies and procedures and add to files. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Category: ratio. Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

An electrical outlet in the bathroom in the East Preschool room, accessible to children to be missing a protective cover. Correction: All electrical outlets that are accessible to children must have protective covers. Correct immediately. Corrected at the time of inspection. Director placed a protective cover in the outlet 11/20/2024. No response required for this violation. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

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, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 5 children's files and observed 1 file to be missing documentation of signed authorization to obtain emergency medical care. Observed 3 files to have expired authorization for emergency medical care. Correction: Obtain documentation of current signed authorization to obtain emergency medical care and add to files. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

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

2.206.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed 5 children's files and observed 5 files to be missing documentation of signed document that parents have received and agree to follow the center's written policies and procedures, Correction: Obtain documentation of a signed statement from parent's that they have received and agree to follow the center's written policies and procedures and add to files. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 11/20/2024

Corrected Corrected by Nov 20, 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.

Andrea in the East preschool classroom. Reviewed Andrea to be missing documentation of emergency and disaster preparedness training. Correction: Prior to caring for children, all staff must complete a Department approved training in emergency and disaster

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

Andrea in the East Preschool room. Identified through Director's statement that Andrea has not completed CBI and FBI background checks and is scheduled for fingerprints next week. Correction: Staff must have a minimum of CBI or FBI to work with children. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Andrea has reviewed the powerpoint within 24 hours. Submit documentation of (CBI, FBI Clearance Letters) for staff members Andrea with written response to the Specialist Corrected at the time of inspection. Staff Andrea was removed from the classroom until CBI and FBI are obtained. Correct by 11/20/2024

Corrected Corrected by Nov 20, 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.

Reviewed 8 staff files and obsereved Ana to be missing current TRAILS abuse and neglect clearance ( completed 4/29/2019). Correction: Every 5 years all child abuse and neglect inquiries must be completed. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff

Open Not marked corrected in the state record

Category: background checks. 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.

Reviewed 8 staff files and observed Ana to be missing documentation of current FBI clearance ( clearance dated 4/12/2019). Correction: Every 5 years requests for FBI criminal checks must be renewed. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members X, Y, and Z have reviewed the powerpoint within 24 hours. Submit documentation of (CBI, FBI Clearance Letters) for staff member Ana with written response to the Specialist. COrrect immediately. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

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

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

A package of baby wipes labeled "keep out of reach of children" on the floor by the bathroom in the East toddler room, accessible to children. Observed a bottle of hand soap labeled "keep out of reach of children" at the hand washing sink in the West preschool room, accessible to children. Observed a bottle of hand soap labeled "keep out of reach of children" on a shelf in the West toddler room, accessible to children. Observed several tubes of diaper creams and packages of diaper wipes labeled "keep out of reach of children" in an unlocked drawer in the West toddler room, accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Marked corrected in the state record.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

2 rolls of plastic garbage bags in an unlocked drawer in the West Toddler room, accessible to children. Correction: Plastic bags must be stored in areas inaccessible to children. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

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.

Reviewed center's records and observed the center to be missing documentation of a current Fire inspection ( dated 2/18/22). Correction: Obtain documentation of a current Fire inspection and add to files. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

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

2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times.

Reviewed 8 staff files and observed there to be no staff with current medication administration delegation. Correction: At least 1 staff member with current delegation must be on duty at all times. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Category: ratio. Marked corrected in the state record.

2.209.A.4 · 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:Names, addresses, and telephone numbers of persons who can assume responsibility for the child in the event of an emergency if the parent(s)/guardian(s) cannot be reached immediately.

Reviewed admission records form and observed it to be missing the address for emergency contact persons. Correction: Add addresses of persons who can assume responsibility for the child in the event of an emergency to the admission form and make available to parents to fill out. CORRECT by 1/16/2024. **Submit a written statement of compliance to specialist with response form by 2/15/2024 Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.M · All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 10 staff files and observed Kaleigh, Jessenia, Bianca, and Ana to be missing documentation of 15 clock hours of ongoing professional development. Correction: Obtain documentation of 15 clock hours of ongoing professional development and add to files. Develop a plan to ensure that all staff complete a minimum of 15 clock hours of professional development each your. CORRECT by 2/15/2024. **Submit a written statement of compliance to specialist with response form by 2/15/2024 Correct by 02/15/2024

Corrected Corrected by Feb 15, 2024

Marked corrected in the state record.

2.209.A.5 · 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: Name, address, and telephone numbers of the child's health care provider, dentist, and if applicable, their hospital of choice.

Reviewed admission records form and observed it to be missing name, address, and phone number's of child's health care provider, dentist and hospital of choice. Correction: Add child's health care provider, dentist and hospital of choice name, address and phone number to the admission records form and make available for parents to fill out. CORRECT by 1/16/2024. **Submit a written statement of compliance to specialist with response form by 2/15/2024 Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

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 10 staff files and observed Bianca to be missing documentation of current standard precautions training. Correction: Obtain documentation of current Department approved standard precautions training and add to file. CORRECT by 1/16/2024. **Submit a written statement of compliance to specialist with response form by 2/15/2024 Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 10 staff files and observed Ana to be missing documentation of Shaken Baby/ Abusive Head Trauma training. Identified through Director statement that Ana works with children less than 3 years of age. Correction: Obtain documentation of Department approved prevention of shaken baby/ abusive head trauma training and add to file. CORRECT by 1/16/2024 **Submit a written statement of compliance to specialist with response form by 2/15/2024 Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

Category: recordkeeping. 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.

Reviewed 10 staff files and observed Carrie, and Bianca to be missing documentation of current training about child abuse prevention. Correction: Obtain documentation of current Department approved training about child abuse prevention which includes common symptoms and signs of child abuse , how, where ad when to report suspected or known child abuse or neglect and add to files. CORRECT by 1/16/2024 **Submit a written statement of compliance to specialist with response form by 2/15/2023. Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.209.A.3 · 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: Names, addresses, and telephone numbers of persons authorized to pick up the child from the center.

Reviewed admission records form and observed it to be missing authorized pick up persons address. Correction: Add address of persons authorized to pick up the child from the center to the admission records form and make available to parents to fill out. CORRECT by 1/16/2024. **Submit a written statement of compliance to specialist with response form by 2/15/2024 Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.217.C.8 · All Department-approved child care health consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion.

Reviewed the Child Care Health Consultant file and observed Heather to be missing documentation of current Immunizations training. Correction: Obtain documentation of current Colorado Department of Public Health and Environment (CDPHE) immunizations course and add to file. CORRECT by 1/16/2024. **Submit a written statement of compliance to specialist with response form by 2/15/2024 Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

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

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

A bottle of Clorox Hydrogen Peroxide spray labeled "keep out of reach of children" in an unlocked cabinet under the sink in the West Toddler classroom. accessible to children. Observed Clorox, disinfectant wipes, Dawn Dish soap, Cascade Dishwasher cleaner and Pine Sol all labeled "keep out of reach of children" in an unlocked cabinet in the kitchen area of the West Preschool room, accessible to children. observed a spray bottle of Polyurethane labeled "keep out of reach of children" in a basket in an upper section of a cubbie in the East Preschool room, accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. CORRECT by 1/16/2024. **Submit a written statement of compliance to specialist with response form by 2/15/2024 Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

Marked corrected in the state record.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

Observed a roll of plastic garbage bags on the cubbies at the entry of the West Preschool room, and a roll of plastic garbage bags on the divider in the West preschool bathroom, and several rolls of plastic garbage bags in an unlocked cabinet under the sink in the bathroom in the West Preschool room, all accessible to children. Correction: Loose plastic bags must be stored in areas inaccessible to children. CORRECT by 1/16/2024. **Submit a written statement of compliance to specialist with response form by 2/15/2024. Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

Observed an electrical outlet in the cubbie area, by the entry to the kitchen in the West Preschool room to be missing a protective cover, accessible to children. Correction: In rooms used by children, all electrical outlets that are accessible to children must have protective covers. CORRECT by 1/16/2024. **Submit a written statement of compliance to specialist with response form by 2/15/2024 Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

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.

Several small magnets used to display items on the refrigerator in the East Toddler room, accessible to children less than 3 years of age posing a potential choke hazard. Correction: Toys, toy parts, furnishings, equipment, and any materials accessible to children less than 3 years of age must not be a choke hazard. CORRECT by 1/16/2024. **Submit a written statement of compliance to specialist with response form by 2/15/2024. Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

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